Building Medical Homes: Lessons From Eight States With Emerging Programs

Profiles states' progress in developing and implementing medical home programs, strategies to encourage primary care providers' adoption, and states' ability to convene stakeholders, help improve and evaluate performance, and address antitrust concerns

Slow carbon and nutrient accumulation in trees established following fire exclusion in the southwestern United States.

Increasing tree density that followed fire exclusion after the 1880s in the southwestern United States may have also altered nutrient cycles and led to a carbon (C) sink that constitutes a significant component of the U.S. C budget. Yet, empirical data quantifying century-scale changes in C or nutrients due to fire exclusion are rare. We used tree-ring reconstructions of stand structure from five ponderosa pine-dominated sites from across northern Arizona to compare live tree C, nitrogen (N), and phosphorus (P) storage between the 1880s and 1990s. Live tree biomass in the 1990s contained up to three times more C, N, and P than in 1880s. However, the increase in C storage was smaller than values used in recent U.S. C budgets. Furthermore, trees that had established prior to the 1880s accounted for a large fraction (28-66%) of the C, N, and P stored in contemporary stands. Overall, our century-scale analysis revealed that forests of the 1880s were on a trajectory to accumulate C and nutrients in trees even in the absence of fire exclusion, either because growing conditions became more favorable after the 1880s or because forests in the 1880s included age or size cohorts poised for accelerated growth. These results may lead to a reduction in the C sink attributed to fire exclusion, and they refine our understanding of reference conditions for restoration management of fire-prone forests

Fast prediction and evaluation of gravitational waveforms using surrogate models

[Abridged] We propose a solution to the problem of quickly and accurately predicting gravitational waveforms within any given physical model. The method is relevant for both real-time applications and in more traditional scenarios where the generation of waveforms using standard methods can be prohibitively expensive. Our approach is based on three offline steps resulting in an accurate reduced-order model that can be used as a surrogate for the true/fiducial waveform family. First, a set of m parameter values is determined using a greedy algorithm from which a reduced basis representation is constructed. Second, these m parameters induce the selection of m time values for interpolating a waveform time series using an empirical interpolant. Third, a fit in the parameter dimension is performed for the waveform's value at each of these m times. The cost of predicting L waveform time samples for a generic parameter choice is of order m L + m c_f online operations where c_f denotes the fitting function operation count and, typically, m << L. We generate accurate surrogate models for Effective One Body (EOB) waveforms of non-spinning binary black hole coalescences with durations as long as 10^5 M, mass ratios from 1 to 10, and for multiple harmonic modes. We find that these surrogates are three orders of magnitude faster to evaluate as compared to the cost of generating EOB waveforms in standard ways. Surrogate model building for other waveform models follow the same steps and have the same low online scaling cost. For expensive numerical simulations of binary black hole coalescences we thus anticipate large speedups in generating new waveforms with a surrogate. As waveform generation is one of the dominant costs in parameter estimation algorithms and parameter space exploration, surrogate models offer a new and practical way to dramatically accelerate such studies without impacting accuracy.Comment: 20 pages, 17 figures, uses revtex 4.1. Version 2 includes new numerical experiments for longer waveform durations, larger regions of parameter space and multi-mode model

Ecological restoration alters nitrogen transformations in a ponderosa pine-bunchgrass ecosystem

Ponderosa pinebunchgrass ecosystems of the western United States were altered following Euro-American settlement as grazing and fire suppression facilitated pine invasion of grassy openings. Pine invasion changed stand structure and fire regimes, motivating restoration through forest thinning and prescribed burning. To determine effects of restoration on soil nitrogen (N) transformations, we replicated (0.25-ha plots) the following experimental restoration treatments within a ponderosa pinebunchgrass community near Flagstaff, Arizona: (1) partial restorationthinning to presettlement conditions, (2) complete restorationremoval of trees and forest floor to presettlement conditions, native grass litter addition, and a prescribed burn, and (3) control. Within treatments, we stratified sampling to assess effects of canopy cover on N transformations. Forest floor net N mineralization and nitrification were similar among treatments on an areal basis, but higher in restoration treatments on a mass basis. In the mineral soil (015 cm), restoration treatments had 23 times greater annual net N mineralization and 35 times greater annual net nitrification than the control. Gross N transformation measurements indicate that elevated net N mineralization may be due to increased gross N mineralization, while elevated net nitrification may be due to decreased microbial immobilization of nitrate. Net N transformation rates beneath relict grassy openings were twice those beneath postsettlement pines. These short-term (1 yr) results suggest that ecological restoration increases N transformation rates and that prescribed burning may not be necessary to restore N cycling processes

Stand-replacing wildfires increase nitrification for decades in southwestern ponderosa pine forests.

Stand-replacing wildfires are a novel disturbance within ponderosa pine (Pinus ponderosa) forests of the southwestern United States, and they can convert forests to grasslands or shrublands for decades. While most research shows that soil inorganic N pools and fluxes return to pre-fire levels within a few years, we wondered if vegetation conversion (ponderosa pine to bunchgrass) following stand-replacing fires might be accompanied by a long-term shift in N cycling processes. Using a 34-year stand-replacing wildfire chronosequence with paired, adjacent unburned patches, we examined the long-term dynamics of net and gross nitrogen (N) transformations. We hypothesized that N availability in burned patches would become more similar to those in unburned patches over time after fire as these areas become re-vegetated. Burned patches had higher net and gross nitrification rates than unburned patches (P &lt; 0.01 for both), and nitrification accounted for a greater proportion of N mineralization in burned patches for both net (P &lt; 0.01) and gross (P &lt; 0.04) N transformation measurements. However, trends with time-after-fire were not observed for any other variables. Our findings contrast with previous work, which suggested that high nitrification rates are a short-term response to disturbance. Furthermore, high nitrification rates at our site were not simply correlated with the presence of herbaceous vegetation. Instead, we suggest that stand-replacing wildfire triggers a shift in N cycling that is maintained for at least three decades by various factors, including a shift from a woody to an herbaceous ecosystem and the presence of fire-deposited charcoal

Initial carbon, nitrogen, and phosphorus fluxes following ponderosa pine restoration treatments

Southwestern ponderosa pine forests were dramatically altered by fire regime disruption that accompanied Euro-American settlement in the 1800s. Major changes include increased tree density, diminished herbaceous cover, and a shift from a frequent lowintensity fire regime to a stand-replacing fire regime. Ecological restoration via thinning and prescribed burning is being widely applied to return forests to the pre-settlement condition, but the effects of restoration on ecosystem function are unknown. We measured carbon (C), nitrogen (N), and phosphorus (P) fluxes during the first two years after the implementation of a replicated field experiment comparing thinning and composite (thinning, forest floor fuel reduction, and prescribed burning) restoration treatments to untreated controls in a ponderosa pine forest in northern Arizona, USA. Total net primary productivity (260 g Cm22yr21) was similar among treatments because a 3050(percent) decrease in pine foliage and fine-root production in restored ecosystems was balanced by greater wood, coarse root, and herbaceous production. Herbaceous plants accounted for ,20(percent) of total plant C, N, and P uptake in the controls but from 25(percent) to 70(percent) in restored plots. Total plant N uptake was ;3 g Nm22yr21 in all treatments, but net N mineralization was just one-half and twothirds of this value in the control and composite restoration, respectively. Element flux rates in controls generally declined more in a drought year than rates in restoration treatments. In this ponderosa pine forest, ecological restoration that emulated pre-settlement stand structure and fire characteristics had a small effect on plant C, N, and P fluxes at the whole ecosystem level because lower pine foliage and fine-root fluxes in treated plots (compared to controls) were approximately balanced by higher fluxes in wood and herbaceous plants

Narratives from the Online Frontier: A K-12 Student’s Experience in an Online Learning Environment

Despite a large increase in the number of students enrolled in online courses, published research on student experiences in these environments is minimal. This article reports the narrative analysis of a series of interviews conducted with a female student at a brick-and-mortar school enrolled in a single virtual school course. Her narratives describe a student who often struggled with the content in her online course and was reluctant to interact with her online teacher. When she interacted with people online, it was using text, because she was shy and the hardware often did not work. Darlene’s experiences, likely typical of many K-12 online students, highlight a system in need of better strategies for the design and delivery of its educational opportunities

An Exploration of Experiential Learning in Social Entrepreneurship

Experiential learning is key to creating a more valuable learning outcome for everyone involved. While we know value exists in these types of courses, we know little about what specific value is created for the stakeholders. Accordingly, I focus on a social venture consulting course at Northern Illinois University, adopt a qualitative, inductive methodology, and collect interview data from key actors involved in the course to study the value that is derived from this type of educational environment. My findings illustrate four aggregate dimensions (course development, expectations of stakeholders, experience of stakeholders, and outcomes) that shed light on what value an experiential learning course in social entrepreneurship generates for its stakeholders. I conclude with a discussion of my study’s contributions to research streams on social entrepreneurship and experiential learning