Matrix-assisted laser-desorption/ionization BIOTYPER: experience in the routine of a University hospital

AbstractMatrix-assisted laser-desorption/ionization time-of-flight (MALDI-TOF) is positioned at the forefront of bacterial identification in the future. Its performance needed to be evaluated in a routine Bacteriology laboratory to determine its true benefits. A prospective study was carried out in the Bacteriology laboratory of the Pellegrin University Hospital in Bordeaux, France, from April to May 2009. Bacterial isolates from clinical samples were identified by conventional phenotypic bacteriological methods [Phoenix (Becton-Dickinson) or API strips (bioMérieux)] and in parallel with a mass spectrometer (Ultraflex III TOF/TOF and the biotyper database from Bruker Daltonics). In case of a discrepancy between these results at the genus level, a 16S rRNA and/or rpoB gene sequencing was performed. Of the 1013 bacteria tested, 837 (82.6%) were correctly identified at the species level by MALDI-TOF mass spectrometry (MS) without extraction and 189 after extraction, i.e. 986 (97.3%) were correctly identified at the species level by MALDI-TOF MS, vs. 945 (93.2%) by phenotypic methods. Indeed, the extraction step was necessary for only 15% of the isolates. These results were even better when considering the genus, reaching almost 99% with MALDI-TOF MS and 98% with phenotypic methods. The performance of MALDI-TOF MS is very attractive considering its efficiency and rapidity, and the technique constitutes a precious tool for bacteriological identification in a routine laboratory

Price Elasticities and Social Health Insurance Choice in Germany: A Dynamic Panel Data Approach

In 1996 free choice of health insurers has been introduced in the German social health insurance scheme. Competition between insurers was supposed to increase efficiency. A crucial precondition for effective competition among health insurers is that consumers search for lower-priced health insurers.We test this hypothesis by estimating the price elasticities of insurers? market shares. We use unique panel data and specify a dynamic panel model to explain changes in market shares. Estimation results suggest that short-run price elasticities are smaller than previously found by other studies. In the long-run, however, estimation results suggest substantial price effects

Would a Flat Tax Stimulate Entrepreneurship in Germany?: A Behavioural Microsimulation Analysis Allowing for Risk

In debates about possible tax reforms, the impact on entrepreneurship is a primary concern. This paper estimates the ex-ante effects of the German tax reform 2000 and of two hypothetical flat tax scenarios on entries into and exits out of self-employment in Germany. For the estimation I apply a microsimulation model based on the tax-benefit model STSM and on structural microeconometric transition models. These structural models include an estimated parameter of risk aversion. The simulation results indicate that flatter tax systems discourage people from choosing self-employment, which is explained by the reduction of entrepreneurs ’ income risk through progressive taxation

The impact of farming on river banks on water quality of the rivers

A study was carried out in a strip of a river in the dry and rainy seasons to assess the effect of farming along river banks on the quality of water in rivers. The results showed that there was an increase in the concentration of nitrate in the water downstream in both the rainy and dry seasons. In both rainy and dry seasons, the total nitrogen in the soil was highest (p<0.01) in the middle section. Significant seasonal differences (p<0.01) were observed for phosphate in water, being higher in the dry season. In the soil, the concentration of phosphate showed significant sectional differences (p<0.01) in the rainy season with the highest concentration observed in the lower section (1.74±0.01mg/l) and the least in the upper section (1.02±0.01g/l). However, in the dry season, the highest concentration was obtained in the middle section (1.69±0.01mg/l) and the least in the upper section (1.15±0.02 mg/l). The results suggest that the farms along the riverbanks have an impact on the water quality of the water in the river. It is therefore recommended that there should be close monitoring of the activities of the farms on riverbanks to minimise their impacts on the natural ecosystems that they interact with. Frequent monitoring of the water quality in the rivers relative to the farming estates should be done

Tax revenues in the European Union: Recent trends and challenges ahead

The governments of the European Union are facing important challenges that may impact both their need and their capacity to collect taxes. First, ageing will increase some social spending while reducing the potential of some tax bases such as labour. Second, globalisation has the potential to increase the mobility of capital and of high-skilled workers, making it more difficult to rely on them as a source of revenues. Finally, the desire to shift tax away from labour and to make work pay while retaining the social models will force Member States to find alternative robust tax bases. This paper reviews the most recent trends in taxation in the European Union and discusses several tax policy issues in the light of those coming challenges