Variations in Healthcare Access and Utilization Among Mexican Immigrants: The Role of Documentation Status

The objective of this study is to identify differences in healthcare access and utilization among Mexican immigrants by documentation status. Cross-sectional survey data are analyzed to identify differences in healthcare access and utilization across Mexican immigrant categories. Multivariable logistic regression and the Blinder-Oaxaca decomposition are used to parse out differences into observed and unobserved components. Mexican immigrants ages 18 and above who are immigrants of California households and responded to the 2007 California Health Interview Survey (2,600 documented and 1,038 undocumented immigrants). Undocumented immigrants from Mexico are 27% less likely to have a doctor visit in the previous year and 35% less likely to have a usual source of care compared to documented Mexican immigrants after controlling for confounding variables. Approximately 88% of these disparities can be attributed to predisposing, enabling and need determinants in our model. The remaining disparities are attributed to unobserved heterogeneity. This study shows that undocumented immigrants from Mexico are much less likely to have a physician visit in the previous year and a usual source of care compared to documented immigrants from Mexico. The recently approved Patient Protection and Affordable Care Act will not reduce these disparities unless undocumented immigrants are granted some form of legal status

ICAR: endoscopic skull‐base surgery

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Fluorescent cooling of objects exposed to sunlight - The ruby example

Particularly in hot climates, various pigments are used to formulate desired non-white colors that stay cooler in the sun than alternatives. These cool pigments provide a high near-infrared (NIR) reflectance in the solar infrared range of 700-2500 nm, and also a color specified by a reflectance spectrum in the 400-700 nm visible range. Still cooler materials can be formulated by also utilizing the phenomenon of fluorescence (photoluminescence). Ruby, Al2O3:Cr, is a prime example, with efficient emission in the deep red (∼694 nm) and near infrared (700-800 nm). A layer of synthetic ruby crystals on a white surface having an attractive red color can remain cooler in the sun than conventional red materials. Ruby particles can also be used as a red/pink pigment. Increasing the Cr:Al ratio produces a stronger (darker) pigment but doping above ∼3 wt% Cr2O3 causes concentration quenching of the fluorescence. The system quantum efficiency for lightly doped ruby-pigmented coatings over white is high, 0.83 ± 0.10

Fluorescent cooling of objects exposed to sunlight - The ruby example

Particularly in hot climates, various pigments are used to formulate desired non-white colors that stay cooler in the sun than alternatives. These cool pigments provide a high near-infrared (NIR) reflectance in the solar infrared range of 700-2500 nm, and also a color specified by a reflectance spectrum in the 400-700 nm visible range. Still cooler materials can be formulated by also utilizing the phenomenon of fluorescence (photoluminescence). Ruby, Al2O3:Cr, is a prime example, with efficient emission in the deep red (∼694 nm) and near infrared (700-800 nm). A layer of synthetic ruby crystals on a white surface having an attractive red color can remain cooler in the sun than conventional red materials. Ruby particles can also be used as a red/pink pigment. Increasing the Cr:Al ratio produces a stronger (darker) pigment but doping above ∼3 wt% Cr2O3 causes concentration quenching of the fluorescence. The system quantum efficiency for lightly doped ruby-pigmented coatings over white is high, 0.83 ± 0.10

High quantum yield of the Egyptian blue family of infrared phosphors (MCuSi4O10, M = Ca, Sr, Ba)

The alkaline earth copper tetra-silicates, blue pigments, are interesting infrared phosphors. The Ca, Sr, and Ba variants fluoresce in the near-infrared (NIR) at 909, 914, and 948 nm, respectively, with spectral widths on the order of 120 nm. The highest quantum yield Φ reported thus far is ca. 10%. We use temperature measurements in sunlight to determine this parameter. The yield depends on the pigment loading (mass per unit area) ω with values approaching 100% as ω → 0 for the Ca and Sr variants. Although maximum quantum yield occurs near ω = 0, maximum fluorescence occurs near ω = 70 g m-2, at which Φ = 0.7. The better samples show fluorescence decay times in the range of 130 to 160 μs. The absorbing impurity CuO is often present. Good phosphor performance requires long fluorescence decay times and very low levels of parasitic absorption. The strong fluorescence enhances prospects for energy applications such as cooling of sunlit surfaces (to reduce air conditioning requirements) and luminescent solar concentrators

Next-Generation Factory-Produced Cool Asphalt Shingles: Phase 1 Final Report

As the least expensive category of high-slope roofing in the U.S., shingles are found on the roofs of about 80% of U.S. homes, and constitute about 80% (by product area) of this market. Shingles are also among the least reflective high-slope roofing products, with few cool options on the market. The widespread use of cool roofs in the two warmest U.S. climate zones could reduce annual residential cooling energy use in these zones by over 7%. This project targets the development of high-performance cool shingles with initial solar reflectance at least 0.40 and a cost premium not exceeding US$0.50/ft². Phase 1 of the current study explored three approaches to increasing shingle reflectance. Method A replaces dark bare granules by white bare granules to enhance the near-infrared reflectance attained with cool pigments. Method B applies a white basecoat and a cool-color topcoat to a shingle surfaced with dark bare granules. Method C applies a visually clear, NIR-reflecting surface treatment to a conventionally colored shingle. Method A was the most successful, but our investigation of Method B identified roller coating as a promising top-coating technique, and our study of Method C developed a novel approach based on a nanowire mesh. Method A yielded red, green, brown, and black faux shingles with solar reflectance up to 0.39 with volumetric coloration. Since the base material is white, these reflectances can readily be increased by using less pigment. The expected cost premium for Method A shingles is less than our target limit of$0.50/ft², and would represent less than a 10% increase in the installed cost of a shingle roof. Using inexpensive but cool (spectrally selective) iron oxide pigments to volumetrically color white limestone synthesized from sequestered carbon and seawater appears to offer high albedo at low cost. In Phase 2, we plan to refine the cool shingle prototypes, manufacture cool granules, and manufacture and market high-performance cool shingles

Next-Generation Factory-Produced Cool Asphalt Shingles: Phase 1 Final Report

As the least expensive category of high-slope roofing in the U.S., shingles are found on the roofs of about 80% of U.S. homes, and constitute about 80% (by product area) of this market. Shingles are also among the least reflective high-slope roofing products, with few cool options on the market. The widespread use of cool roofs in the two warmest U.S. climate zones could reduce annual residential cooling energy use in these zones by over 7%. This project targets the development of high-performance cool shingles with initial solar reflectance at least 0.40 and a cost premium not exceeding US$0.50/ft². Phase 1 of the current study explored three approaches to increasing shingle reflectance. Method A replaces dark bare granules by white bare granules to enhance the near-infrared reflectance attained with cool pigments. Method B applies a white basecoat and a cool-color topcoat to a shingle surfaced with dark bare granules. Method C applies a visually clear, NIR-reflecting surface treatment to a conventionally colored shingle. Method A was the most successful, but our investigation of Method B identified roller coating as a promising top-coating technique, and our study of Method C developed a novel approach based on a nanowire mesh. Method A yielded red, green, brown, and black faux shingles with solar reflectance up to 0.39 with volumetric coloration. Since the base material is white, these reflectances can readily be increased by using less pigment. The expected cost premium for Method A shingles is less than our target limit of$0.50/ft², and would represent less than a 10% increase in the installed cost of a shingle roof. Using inexpensive but cool (spectrally selective) iron oxide pigments to volumetrically color white limestone synthesized from sequestered carbon and seawater appears to offer high albedo at low cost. In Phase 2, we plan to refine the cool shingle prototypes, manufacture cool granules, and manufacture and market high-performance cool shingles