Role of environmental variables in structuring demersal assemblages on trawled bottoms on the Maltese continental shelf

Demersal assemblages from trawl surveys made at depths of 45-800m in trawled areas within the 25NM Fisheries Management Zone round the Maltese Islands were related to environmental characteristics on the seabed. Depth, temperature, and mean grain size all affected the structure of the demersal assemblages but depth and temperature gradient were overall the most important in that order; while mean grain size seemed more important for relatively shallow bottoms (<80m) than for deep ones.peer-reviewe

Quality of Care in Community Health Centers and Factors Associated with Performance

This study examines quality performance among community health centers (CHC) on three key measures of primary and preventive care — diabetes and blood pressure control and timely Pap tests — using quality in Medicaid managed care organizations (MCO) as a benchmark. The study also identifies factors that differ significantly between high- and lower-performing health centers. Most health centers perform better than 75% of all Medicaid MCOs on the two chronic care measures, and more than 1 in 10 exceed this benchmark on all three quality measures. Few health centers lag behind average Medicaid MCO performance on all three measures. Lower-performing health centers have very high uninsured and homeless rates, while high performers have higher rates of Medicare and privately insured patients, a finding that suggests that the ACA expansion of Medicaid and private insurance may foster gains in health center quality performance

Policy Feedback and the Politics of the Affordable Care Act

There is a large body of literature devoted to how “policies create politics” and how feedback effects from existing policy legacies shape potential reforms in a particular area. Although much of this literature focuses on self‐reinforcing feedback effects that increase support for existing policies over time, Kent Weaver and his colleagues have recently drawn our attention to self‐undermining effects that can gradually weaken support for such policies. The following contribution explores both self‐reinforcing and self‐undermining policy feedback in relationship to the Affordable Care Act, the most important health‐care reform enacted in the United States since the mid‐1960s. More specifically, the paper draws on the concept of policy feedback to reflect on the political fate of the ACA since its adoption in 2010. We argue that, due in part to its sheer complexity and fragmentation, the ACA generates both self‐reinforcing and self‐undermining feedback effects that, depending of the aspect of the legislation at hand, can either facilitate or impede conservative retrenchment and restructuring. Simultaneously, through a discussion of partisan effects that shape Republican behavior in Congress, we acknowledge the limits of policy feedback in the explanation of policy stability and change

Variations in Health Insurance Coverage for Rural and Urban Nonelderly Adult Residents of Florida, Indiana, and Kansas

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72274/1/j.1748-0361.2006.00023.x.pd

New constellations of difference in Europe's museumscape

This article addresses some of the recent, ongoing, and planned reconfigurations of museums in Europe in light of their implications for the making of cultural difference, diversity, and citizenship. It argues that these are configured not only through the internal content of particular museums but also through divisions of classificatory labor and hierarchies of value between kinds of museums and their locations within cities and within nations—that is, through constellations of difference within museumscapes. It examines this in relation to examples of planned and realized new museums, including of Europe, national history, and world museums. Particular attention is given here to the fate of ethnographic or ethnological museums—museums that have had especially significant places in the coordination of difference and identity—and to the consequences of this within shifting grounds of belonging and cultural citizenship. The article then discusses some potential consequences of museum configuration within one city by looking at plans for reconfiguring Berlin's museumscape, especially in relation to the Humboldt Forum, in reconstructed facades of a former palace in the center of the urban and national museumscape

Life goals predict environmental behavior: cross-cultural and longitudinal evidence

Prioritizing intrinsic life goals (self-development, community involvement, relationships) rather than extrinsic ones (money, fame, image) is said to foster not only personal wellbeing, but also pro-social behavior such as protecting the environment. We explored concurrent and prospective links between intrinsic (versus extrinsic) life goals and self-reported environmentally responsible behavior, using correlational and longitudinal data from adult participants in a mass consumer society (UK) and a fast developing nation (Chile). In both countries, the importance of intrinsic (versus extrinsic) life goals was associated cross-sectionally with environmentally responsible behavior, even after controlling for possible effects of environmental worldviews and environmental identification. In longitudinal analyses, life goals prospectively predicted environmentally responsible behavior over a two-year period, whereas, rather unexpectedly, environmental worldviews and environmental identification did not. We conclude that focusing on intrinsic, rather than extrinsic, life goals may be important not just for individuals’ well-being, but also for the well-being of future generations

Consumption of alcohol, cigarettes and illegal substances among physicians and medical students in Brandenburg and Saxony (Germany)

<p>Abstract</p> <p>Background</p> <p>Patients regard health care professionals as role models for leading a healthy lifestyle. Health care professionals' own behaviour and attitudes concerning healthy lifestyle have an influence in counselling patients. The aim of this study was to assess consumption of alcohol, cigarettes and illegal substances among physicians and medical students in two German states: Brandenburg and Saxony.</p> <p>Methods</p> <p>Socio-demographic data and individual risk behaviour was collected by an anonymous self-administered questionnaire. Physicians were approached via mail and students were recruited during tutorials or lectures.</p> <p>Results</p> <p>41.6% of physicians and 60.9% of medical students responded to the questionnaire; more than 50% of the respondents in both groups were females. The majority of respondents consumed alcohol at least once per week; median daily alcohol consumption ranged from 3.88 g/d (female medical students) to 12.6 g/d (male physicians). A significantly higher percentage of men (p < 0.05) reported hazardous or harmful drinking compared to women. A quarter of all participating physicians and one third of all students indicated unhealthy alcohol-drinking behaviour. The majority of physicians (85.7%) and medical students (78.5%) were non-smokers. Both groups contained significantly more female non-smokers (p < 0.05). Use of illegal substances was considerably lower in physicians (5.1%) than medical students (33.0%). Male students indicated a significantly (p < 0.001) higher level of illegal drug-use compared to female students.</p> <p>Conclusion</p> <p>More than one third of the medical students and health care professionals showed problematic alcohol-drinking behaviour. Although the proportion of non-smokers in the investigated sample was higher than in the general population, when compared to the general population, medical students between 18-24 reported higher consumption of illegal substances.</p> <p>These results indicate that methods for educating and promoting healthy lifestyle, particularly with respect to excessive alcohol consumption, tobacco use and abuse of illegal drugs should be considered.</p

Effects of Health Insurance on Perceived Quality of Care Among Latinos in the United States

There is suggestive evidence that lower rates of health insurance coverage increases the gaps in quality and access to care among Latinos as compared with non-Latino whites. In order to examine these potential disparities, we assessed the effects of insurance coverage and multiple covariates on perceived quality of care. To assess the distribution of perceived quality of care received in a national Latino population sample, and the role of insurance in different patient subgroups. Telephone interviews conducted between 2007 and 2008 using the Pew Hispanic Center/Robert Wood Johnson Foundation Latino Health Surveys (Waves 1 and 2). Randomly selected Latino adults aged ≥18 years living in the United States. Pearson χ2 tests identified associations among various demographic variables by quality of care ratings (poor, fair, good, excellent) for the insured and uninsured (Wave 1: N = 3545). Subgroup analyses were conducted among Wave 2 participants reporting chronic conditions (N = 1067). Bivariate and multivariate analyses were conducted to estimate the effects of insurance, demographic variables and consumer characteristics on quality of care. Insurance availability had an odds ratio of 1.47 (95% CI, 1.22–1.76) net of confounders in predicting perceived quality of care among Latinos. The largest gap in rates of excellent/good ratings occurred among the insured with eight or more doctor visits compared to the uninsured (76.2% vs. 54.6%, P &lt; .05). Future research can gain additional insights by examining the impact of health insurance on processes of care with a refined focus on specific transactions between consumers and providers’ support staff and physicians guided by the principles of patient-centered care