Privatization and Prisons

Privatization means increased governmental reliance on the private sector, rather than on government agencies, to satisfy the needs of society. Since the word was first used in 1969,\u27 privatization has gained broad recognition and widespread acceptance, and,in recent years, a major trend toward privatization has developed in the United States and abroad. The reasons for this trend are both pragmatic and ideological. Pragmatists advocate privatization because it offers a more efficient way to provide goods and services. Ideological opponents of big government support privatization be-cause it reduces the role of government. Privatization is therefore an important movement in East and West, in developing and developed countries, in communist and capitalist nations. It has taken root even in China and the Soviet Union.Privatization in the United States has taken a different form than it has in other countries. Outside the United States, in both developing and developed countries, the principal form of privatization is denationalization-the divestment of state-owned enterprises (SOEs). In the United States, which has relatively few SOEs, state and local governments are implementing privatization primarily through contracting and, to a lesser degree, vouchers,franchises, free-market arrangements, and voluntary efforts. Contracting, however, is the primary method governments use to privatize prisons

Implementation costs of a multi-component program to increase human papillomavirus (HPV) vaccination in a network of pediatric clinics

Introduction: HPV vaccination is both a clinically and cost-effective way to prevent HPV-related cancers. Increased focus on preventing HPV infection and HPV-related cancers has motivated development of strategies to increase adolescent vaccination rates. This analysis estimates the average cost associated with implementing programs aimed at increasing HPV vaccination from the perspective of the clinic decision makers. As providers and healthcare organizations consider vaccination initiatives, it is important for them to understand the costs associated with implementing these programs. Methods: Healthcare provider assessment and feedback, reminders, and education; and parent education/reminder strategies were implemented in a large pediatric clinic network between October 2015 and February 2018 to improve HPV vaccination rates. A micro-costing method was used in 2018 to prospectively estimate program implementation costs with the clinic as the unit of analysis. A sensitivity analysis assessed the effects of variability in levels of participation. Results: Assessment and feedback reports and provider education were implemented among 51 clinics at average per clinic cost of $786 and$368 respectively. Electronic vaccination reminders were delivered to providers and parents at a per clinic cost of $824. The parent education implementation cost was$2,126 per clinic. Conclusion: The four complimentary HPV evidence-based strategies were delivered at a total cost of $157,534 or$4,749 per clinic, including staff training and participant recruitment, reaching 155,000 HPV vaccine eligible adolescents

Ecological studies of the surface microlayer of small ponds at the UWM Field Station

The seasonal variation and enrichment of nutrients, pigments, bacteria, fungi and algae in the surface microlayer and subsurface waters were investigated in three ponds at the University of Wisconsin-Milwaukee Field Station, Saukville, Ozaukee County, Wisconsin. Samples were collected intermittently from June, 1978 through October, 1981. Microlayer samples were collected using a glass plate and a screen sampler. All ponds showed dramatic seasonal variations in nutrients, microorganisms and algae in both surface and subsurface waters. The data indicate that physical factors such as adsubble processes, antirain and atmospheric deposition, along with biological factors such as heterotrophic mineralization and autotrophic uptake, play significant roles in causing the enrichment or lack of enrichment of materials within the microlayer. Furthermore, this study suggests that surface microlayers, particularly in shallow environments where algal species are adapted to high light conditions. can be sites of high biological activity

Stabilization of Sub-Millimeter Dimensions: The New Guise of the Hierarchy Problem

A new framework for solving the hierarchy problem was recently proposed which does not rely on low energy supersymmetry or technicolor. The fundamental Planck mass is at a \tev and the observed weakness of gravity at long distances is due the existence of new sub-millimeter spatial dimensions. In this picture the standard model fields are localized to a $(3+1)$-dimensional wall or ``3-brane''. The hierarchy problem becomes isomorphic to the problem of the largeness of the extra dimensions. This is in turn inextricably linked to the cosmological constant problem, suggesting the possibility of a common solution. The radii of the extra dimensions must be prevented from both expanding to too great a size, and collapsing to the fundamental Planck length \tev^{-1}. In this paper we propose a number of mechanisms addressing this question. We argue that a positive bulk cosmological constant $\bar\Lambda$ can stabilize the internal manifold against expansion, and that the value of $\bar\Lambda$ is not unstable to radiative corrections provided that the supersymmetries of string theory are broken by dynamics on our 3-brane. We further argue that the extra dimensions can be stabilized against collapse in a phenomenologically successful way by either of two methods: 1) Large, topologically conserved quantum numbers associated with higher-form bulk U(1) gauge fields, such as the naturally occurring Ramond-Ramond gauge fields, or the winding number of bulk scalar fields. 2) The brane-lattice-crystallization of a large number of 3-branes in the bulk. These mechanisms are consistent with theoretical, laboratory, and cosmological considerations such as the absence of large time variations in Newton's constant during and after primordial nucleosynthesis, and millimeter-scale tests of gravity.Comment: Corrected referencing to important earlier work by Sundrum, errors fixed, additional discussion on radion phenomenology, conclusions unchanged, 23 pages, LaTe

Epicardial fat thickness in patients with rheumatoid arthritis

Background: Epidemiologic data indicates that rheumatoid arthritis is an independent risk factor for cardiovascular disease. Epicardial adipose tissue is a novel cardio-metabolic risk factor. Our aim was to evaluate epicardial fat thickness (EFT) using echocardiography in patients with rheumatoid arthritis compared to healthy control subjects. Secondly, we investigated relationship between epicardial fat thickness and clinical and echocardiographic parameters in patients with rheumatoid arthritis.Method: The study population included 76 consecutive patients with rheumatoid arthritis (64 female; mean age, 53 ±11 years, median disease duration, 7.8 years) and 50 healthy subjects as controls (39 female; mean age, 52 ± 6 years). All patients underwent echocardiography to assess left ventricular diastolic dysfunction, left ventricular hypertrophy and EFT. All values were compared between groups.Results: EFT was higher in rheumatoid arthritis patients than in healthy controls (0.66±0.20 vs. 0.54±0.18; p= 0.003). Thickness of Intra Ventricular Septum (IVS) (1.1±0.06 and 9.8±0.08; p=0.001) and posterior wall (PW) (0.98±0.05 and 0.93±0.08; p=0.015) was higher in patients with rheumatoid arthritis compared to healthy controls. Early diastolic myocardiac peak velocity or late diastolic mitral peak velocity (E/A) ratio was lower in rheumatoid arthritis patients compared to healthy patients (1.1 ±0.8 and 1.24±0.1 p=0.001) as well as, E/e’ was higher in Rheumatoid arthritis (RA) patients than healthy patients. (E/e’:8.7±1.6 and 8.0±1.4 p=0.020). In patients with rheumatoid arthritis, EFT was positively correlated with hypertension and duration of disease and E/e’ (r: 0.10, p: 0.010, r: 0.306, p: 0.004 and r: 0.465 p: 0.007 respectively) and EFT was negatively correlated with E/A (r: -.262 p:0.022 )Conclusion: To our knowledge, this is the first report about epicardial adipose tissue in rheumatoid arthritis patients. Epicardial fat thickness as an indicator of cardiovascular involvement was higher in rheumatoid arthritis patients.Keywords: Rheumatoid arthritis, epicardial fat thickness, cardiac involvemen

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Hispanic women in Texas have among the highest rates of cervical cancer incidence and mortality in the country. Increasing regular Papanicolaou test screening and HPV vaccination are crucial to reduce the burden of cervical cancer among Hispanics. This paper presents lessons learned from community-based cervical cancer control programs in Texas and highlights effective intervention programs, methods and strategies

Small Numbers from Tunneling Between Brane Throats

Generic classes of string compactifications include ``brane throats'' emanating from the compact dimensions and separated by effective potential barriers raised by the background gravitational fields. The interaction of observers inside different throats occurs via tunnelling and is consequently weak. This provides a new mechanism for generating small numbers in Nature. We apply it to the hierarchy problem, where supersymmetry breaking near the unification scale causes TeV sparticle masses inside the standard model throat. We also design naturally long-lived cold dark matter which decays within a Hubble time to the approximate conformal matter of a long throat. This may soften structure formation at galactic scales and raises the possibility that much of the dark matter of the universe is conformal matter. Finally, the tunnelling rate shows that the coupling between throats, mediated by bulk modes, is stronger than a naive application of holography suggests.Comment: 11 pages, 2 figures. Small corrections to match the published versio