279 research outputs found

    Community health centers (CHCs) under environmental uncertainty: An examination of the Affordable Care act of 2010 and early Medicaid expansion on CHC margin

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    Nonprofit community health centers (CHCs) are the largest subset of safety net clinics in the United States and, in many vulnerable and underserved areas, act as the only provider of vital health services in the community. The expansion of Medicaid provision under the Affordable Care Act of 2010 led to a fundamental change in the core client demographics of CHCs, with higher income thresholds and single childless individuals now eligible for Medicaid. This expansion of the Medicaid population creates both opportunities and threats that may impact CHCs' long term financial sustainability. Accumulating reserves through positive net margins is a managerial tactic that nonprofits can utilize to buffer against environmental uncertainty. This study utilizes data from IRS Form 990s, American Community Survey, HRSA grantee lists, and the Area Resource File to model the differences in net margins between CHCs in early Medicaid expansion and non-expansion states from 2008-2012. Results show higher margins for CHCs in early expansion states compared to non-expansion states, even after accounting for organizational and environmental covariates. CHCs who are HRSA grantees are associated with positive margins whereas those relying more heavily on program revenue show negative margins. Further, CHCs located in counties with higher percentages of persons in poverty also demonstrate reduced margins. This exploratory study contributes to the nonprofit finance literature by highlighting the importance of incorporating contextual variables to deepen our understanding of changes in nonprofit financial health

    Isotopic evidence for complex biogeochemical cycling of Cd in the eastern tropical South Pacific

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    Over the past decades, observations have confirmed decreasing oxygen levels and shoaling of oxygen minimum zones (OMZs) in the tropical oceans. Such changes impact the biogeochemical cycling of micronutrients such as Cd, but the potential consequences are only poorly constrained. Here, we present seawater Cd concentrations and isotope compositions for 12 depth profiles at coastal, nearshore and offshore stations from 4ºS to 14ºS in the eastern tropical South Pacific, where one of the world’s strongest OMZs prevails. The depth profiles of Cd isotopes display high δ114/110 Cd at the surface and decreasing δ114/110 Cd with increasing water depth, consistent with preferential utilization of lighter Cd isotopes during biological uptake in the euphotic zone and subsequent remineralization of the sinking biomass. In the surface and subsurface ocean, seawater displays similar δ114/110 Cd signatures of 0.47 ±0.23‰ to 0.82±0.05‰ across the entire eastern tropical South Pacific despite highly variable Cd concentrations between 0.01 and 0.84 nmol/kg. This observation, best explained by an open system steady-state fractionation model, contrasts with previous studies of the South Atlantic and South Pacific Oceans, where only Cd-deficient waters have a relatively constant Cd isotope signature. For the subsurface to about 500 m depth, the variability of seawater Cd isotope compositions can be modeled by mixing of remineralized Cd with subsurface water from the base of the mixed layer. In the intermediate and deep eastern tropical South Pacific (>500 m), seawater [Cd] and δ114/110 Cd appear to follow the distribution and mixing of major water masses. We identified modified AAIW of the ETSP to be more enriched in [Cd] than AAIW from the source region, whilst both water masses have similar δ114/110 Cd. A mass balance estimate thus constrains a δ114/110 Cd of between 0.38‰ and 0.56‰ for the accumulated remineralized Cd in the ETSP. Nearly all samples show a tight coupling of Cd and PO4 concentrations, whereby surface and deeper waters define two distinct linear trends. However, seawater at a coastal station located within a pronounced plume of H2S, is depleted in [Cd] and features significantly higher δ114/110 Cd. This signature is attributed to the formation of authigenic CdS with preferential incorporation of lighter Cd isotopes. The process follows a Rayleigh fractionation model with a fractionation factor of α114/110 Cdseawater-CdS = 1.00029. Further deviations from the deep Cd-PO4 trend were observed for samples with O2 < 10 µmol/kg and are best explained by in situ CdS precipitation within the decaying organic matter even though dissolved H2S was not detectable in ambient seawater

    Controls on Dissolved Silicon Isotopes along the US GEOTRACES Eastern Pacific Zonal Transect (GP16)

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    The distribution of dissolved silicon isotopes (δ30Si) was examined along the US GEOTRACES East Pacific Zonal Transect (GP16) extending from Peru to Tahiti (10°S and 15°S latitude). Surface waters in the subtropical gyre displayed high δ30Si due to strong utilization of silicic acid (DSi). In contrast, surface waters close to the Peruvian coast where upwelling prevailed were less depleted and only moderately fractionated. δ30Si of water masses along the transect were compared with the results of an Optimum Multiparameter Analysis that quantified the fractional contributions of endmember water masses in each sample. Strong admixture of intermediate waters obscured the expected heavy isotopic signatures of Subantarctic Mode Water and Antarctic Intermediate Water. Isotope values were nearly homogenous below 2000 m (Average: +1.3 ± 0.1 ‰, 1 s.d.) despite the 25 μmol kg‐1 range in the DSi content among water masses. This homogeneity confirms prior observations and model results that predict nearly constant δ30Si values of +1.0 to +1.2 ‰ for Pacific deep waters with [DSi] > 100 μmol kg‐1. Waters above the East Pacific Rise (EPR) influenced by hydrothermal activity showed a small increase in [DSi] together with dissolved iron, but overall stations close to the EPR were slightly depleted in [DSi] (3 to 6 μmol kg‐1) with no significant shift in δ30Si compared to adjacent waters. Hydrothermal [DSi] appears to precipitate within the conduit of the EPR or upon contact with cold seawater resulting in a negligible influence of hydrothermal fluids on δ30Si in deep water. Key Points Surface waters have a large range in dissolved silicon isotopes covering nutrient‐rich coastal upwelling to oligotrophic waters Deep water masses with DSi concentrations > 100 μmol kg‐1 show homogenous silicon isotope signatures despite up to 25 μmol kg‐1 differences in [DSi] Hydrothermal fluids have a negligible effect on Si isotope distributions in the deep Pacifi

    An eddy-stimulated hotspot for fixed nitrogen-loss from the Peru oxygen minimum zone

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    Fixed nitrogen (N) loss to biogenic N2 in intense oceanic O2 minimum zones (OMZ) accounts for a large fraction of the global N sink and is an essential control on the ocean's N budget. However, major uncertainties exist regarding microbial pathways as well as net impact on the magnitude of N-loss and the ocean's overall N budget. Here we report the discovery of a N-loss hotspot in the Peru OMZ associated with a coastally trapped mesoscale eddy that is marked by an extreme N deficit matched by biogenic N2 production, high NO2− levels, and the highest isotope enrichments observed so far in OMZ's for the residual NO3−. High sea surface chlorophyll (SSC) in seaward flowing streamers provides evidence for offshore eddy transport of highly productive, inshore water. Resulting pulses in the downward flux of particles likely stimulated heterotrophic dissimilatory NO3− reduction and subsequent production of biogenic N2. The associated temporal/spatial heterogeneity of N-loss, mediated by a local succession of microbial processes, may explain inconsistencies observed among prior studies. Similar transient enhancements of N-loss likely occur within all other major OMZ's exerting a major influence on global ocean N and N isotope budgets

    Which bills are lobbied? Predicting and interpreting lobbying activity in the US

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    Using lobbying data from OpenSecrets.org, we offer several experiments applying machine learning techniques to predict if a piece of legislation (US bill) has been subjected to lobbying activities or not. We also investigate the influence of the intensity of the lobbying activity on how discernible a lobbied bill is from one that was not subject to lobbying. We compare the performance of a number of different models (logistic regression, random forest, CNN and LSTM) and text embedding representations (BOW, TF-IDF, GloVe, Law2Vec). We report results of above 0.85\% ROC AUC scores, and 78\% accuracy. Model performance significantly improves (95\% ROC AUC, and 88\% accuracy) when bills with higher lobbying intensity are looked at. We also propose a method that could be used for unlabelled data. Through this we show that there is a considerably large number of previously unlabelled US bills where our predictions suggest that some lobbying activity took place. We believe our method could potentially contribute to the enforcement of the US Lobbying Disclosure Act (LDA) by indicating the bills that were likely to have been affected by lobbying but were not filed as such

    Tuneable VCSEL aiming for the application in interconnects and short haul systems

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    Widely tunable vertical cavity surface emitting lasers (VCSEL) are of high interest for optical communications, gas spectroscopy and fiber-Bragg-grating measurements. In this paper we present tunable VCSEL operating at wavelength around 850 nm and 1550 nm with tuning ranges up to 20 nm and 76 nm respectively. The first versions of VCSEL operating at 1550 nm with 76 nm tuning range and an output power of 1.3mW were not designed for high speed modulation, but for applications where only stable continious tuning is essential (e.g. gas sensing). The next step was the design of non tunable VCSEL showing high speed modulation frequencies of 10 GHz with side mode supression ratios beyond 50 dB. The latest version of these devices show record output powers of 6.7mW at 20 °C and 3mW at 80 °C. The emphasis of our present and future work lies on the combination of both technologies. The tunable VCSEL operating in the 850 nm-region reaches a modulation bandwidth of 5.5GHz with an output power of 0.8mW

    Reactivity of neodymium carriers in deep sea sediments: Implications for boundary exchange and paleoceanography

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    The dissolved neodymium (Nd) isotopic distribution in the deep oceans is determined by continental weathering inputs, water mass advection, and boundary exchange between particulate and dissolved fractions. Reconstructions of past Nd isotopic variability may therefore provide evidence on temporal changes in continental weathering inputs and/or ocean circulation patterns over a range of timescales. However, such an approach is limited by uncertainty in the mechanisms and importance of the boundary exchange process, and the challenge in reliably recovering past seawater Nd isotopic composition (εNd) from deep sea sediments. This study addresses these questions by investigating the processes involved in particulate–solution interactions and their impact on Nd isotopes. A better understanding of boundary exchange also has wider implications for the oceanic cycling and budgets of other particle-reactive elements. Sequential acid-reductive leaching experiments at pH ∼2–5 on deep sea sediments from the western Indian Ocean enable us to investigate natural boundary exchange processes over a timescale appropriate to laboratory experiments. We provide evidence that both the dissolution of solid phases and exchange processes influence the εNd of leachates, which suggests that both processes may contribute to boundary exchange. We use major element and rare earth element (REE) data to investigate the pools of Nd that are accessed and demonstrate that sediment leachate εNd values cannot always be explained by admixture between an authigenic component and the bulk detrital component. For example, in core WIND 24B, acid-reductive leaching generates εNd values between −11 and −6 as a function of solution/solid ratios and leaching times, whereas the authigenic components have εNd ≈ −11 and the bulk detrital component has εNd ≈ −15. We infer that leaching in the Mascarene Basin accesses authigenic components and a minor radiogenic volcanic component that is more reactive than Madagascan-derived clays. The preferential mobilisation of such a minor component demonstrates that the Nd released by boundary exchange could often have a significantly different εNd composition than the bulk detrital sediment. These experiments further demonstrate certain limitations on the use of acid-reductive leaching to extract the εNd composition of the authigenic fraction of bulk deep sea sediments. For example, the detrital component may contain a reactive fraction which is also acid-extractible, while the incongruent nature of this dissolution suggests that it is often inappropriate to use the bulk detrital sediment elemental chemistry and/or εNd composition when assessing possible detrital contamination of leachates. Based on the highly systematic controls observed, and evidence from REE patterns on the phases extracted, we suggest two approaches that lead to the most reliable extraction of the authigenic εNd component and good agreement with foraminiferal-based approaches; either (i) leaching of sediments without a prior decarbonation step, or (ii) the use of short leaching times and low solution/solid ratios throughout

    Polarization investigation of a tunable high-speed short-wavelength bulk-micromachined MEMS-VCSEL

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    We report the investigation of the state of polarization (SOP) of a tunable vertical-cavity surface-emitting laser (VCSEL) operating near 850 nm with a mode-hop free single-mode tuning range of about 12 nm and an amplitude modulation bandwidth of about 5 GHz. In addition, the effect of a sub-wavelength grating on the device and its influence on the polarization stability and polarization switching has been investigated. The VCSEL with an integrated sub-wavelength grating shows a stable SOP with a polarization mode suppression ratio (PMSR) more than 35 dB during the tuning
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