How do drug prices respond to a change from external to internal reference pricing? Evidence from a Danish regulatory reform

Studies the effects of a switch from external reference pricing to internal reference pricing that was implemented in Denmark in April 2005. Abstract We study the effects of a change in the way patient reimbursements are calculated on the prices of pharmaceuticals using quasi-experimental data for Denmark which switched from external (where reimbursements are based on prices of similar products in foreign countries) to internal reference pricing (where they are based on the cheapest domestic substitute). We analyze three therapeutic classes with different treatment durations and show that the reform led to substantial price decreases for our lifelong treatment and to less substantial price reductions for our medium duration treatment while we do not find significant effects on our acute treatment. Moreover, the reform did only affect generics and did not impact original products or parallel imports

Regulation of Pharmaceutical Prices: Evidence from a Reference Price Reform in Denmark

On April 1, 2005, Denmark changed the way references prices, a main determinant of reimbursements for pharmaceutical purchases, are calculated. The previous reference prices, which were based on average EU prices, were substituted to minimum domestic prices. Novel to the literature, we estimate the joint effects of this reform on prices and quantities. Prices decreased more than 26 percent due to the reform, which reduced patient and government expenditures by 3.0 percent and 5.6 percent, respectively, and producer revenues by 5.0 percent. The prices of expensive products decreased more than their cheaper counterparts, resulting in large differences in patient benefits from the reform.pharmaceutical markets; regulation; co-payments; reference pricing; asymmetric welfare effects

Allied Health Regional Workforce Analysis: Bay Area Region

Analyzes the racial/ethnic composition of workers in twenty-two health occupations and graduates of healthcare education programs in the Bay Area. Examines disparities by race/ethnicity in the types of occupations held, educational attainment, and wages

Allied Health Regional Workforce Analysis: Central California

Analyzes the racial/ethnic compositions of workers in twenty-two health occupations and graduates of healthcare education programs in the Central Valley. Examines disparities by race/ethnicity in occupations held, educational attainment, and wages

Cytokine Expression in Chicken Peripheral Blood Mononuclear Cells after In Vitro Exposure to Salmonella enterica serovar Enteritidis

Cytokines are secreted proteins involved with cell recruitment and regulation of both innate and adaptive immune responses. They are essential for an effective host immune response to pathogens. The objective of this study was to determine the effect of Salmonella enterica serovar Enteritidis (S. Enteritidis) exposure and genetic line on cytokine mRNA expression level of cultured chicken peripheral blood mononuclear cells (PBMC). Interleukin-2, interleukin-6 (IL-6), CXCLi2, and transforming growth factor-β4 (TGF-B4) messenger ribonucleic acid expression was measured by quantitative reverse transcription-PCR assays in PBMC from 3 chicken lines (broiler, Leghorn, Fayoumi) after in vitro exposure to S. Enteritidis. The PBMC were isolated from uninfected birds and cultured overnight. The next day, live pathogenic S. Enteritidis was added to half of the cultures. All cultures were harvested after 2 or 4 h of exposure. Exposure to S. Enteritidis downregulated IL-6, CXCLi2, and TGF-β4 but not interleukin-2 mRNA expression. No significant genetic line or exposure time effects were detected. These findings demonstrate that exposure of chicken PBMC to S. Enteritidis can induce a rapid change in both proinflammatory (IL-6, CXCLi2) and antiinflammatory (TGF-β4) cytokine gene expression

How do drug prices respond to a change from external to internal reference pricing? : evidence from a Danish regulatory reform

We study the effects of a change in the way patient reimbursements are calcu- lated on the prices of pharmaceuticals using quasi-experimental data for Denmark which switched from external (where reimbursements are based on prices of similar products in foreign countries) to internal reference pricing (where they are based on the cheapest domestic substitute). We analyze three therapeutic classes with differ- ent treatment durations and show that the reform led to substantial price decreases for our lifelong treatment and to less substantial price reductions for our medium duration treatment while we do not find significant effects on our acute treatment. Moreover, the reform did only affect generics and did not impact original products or parallel imports

Differential immunological response detected in mRNA expression profiles among diverse chicken lines in response to Salmonella challenge

Salmonella enterica serovar Enteritidis is a bacterial pathogen that contributes to poultry production losses and human foodborne illness. The bacterium elicits a broad immune response involving both the innate and adaptive components of the immune system. Coordination of the immune response is largely directed by cytokines. The objective of the current study was to characterize the expression of a select set of cytokines and regulatory immune genes in three genetically diverse chicken lines after infection with S. Enteritidis. Leghorn, Fayoumi and broiler day-old chicks were orally infected with pathogenic S. Enteritidis or culture medium. At 2 and 18 h postinfection, spleens and ceca were collected and mRNA expression levels for 7 genes (GM-CSF, IL2, IL15, TGF-β1, SOCS3, P20K, and MHC class IIβ) were evaluated by real-time quantitative PCR. Genetic line had a significant effect on mRNA expression levels of IL15, TGF-β1, SOCS3 and P20K in the spleen and on P20K and MHC class IIβ in the cecum. Comparing challenged vs. unchallenged birds, the expression of SOCS3 and P20K mRNA were significantly higher in the spleen and cecum, while MHC class IIβ mRNA was significantly lower in spleen. Combining the current RNA expression results with those of previously reported studies on the same samples reveals distinct RNA expression profiles among the three genetic chicken lines and the 2 tissues. This study illustrates that these diverse genetic lines have distinctively different immune response to S. Enteritidis challenge within the spleen and the cecum

Synthesis of summer flounder habitat parameters

The summer flounder, Paralichthys dentatus, is overexploited and is currently at very low levels of abundance. This is reflected in the compressed age structure of the population and the low catches in both commercial and recreational fisheries. Declining habitat quantity and quality may be contributing to these declines, however we lack a thorough understanding of the role of habitats in the population dynamics of this species. Stock structure is unresolved and current interpretations, depending on the technique and study area, suggest that there may be two or three spawning populations. If so, these stocks may have differing habitat requirements. In response to this lack of knowledge, this document summarizes and synthesizes the available information on summer flounder habitat in all life history stages (eggs, larvae, juveniles and adults) and identifies areas where further research is needed. Several levels of investigation were conducted in order to produce this document. First, an extensive search for summer flounder habitat information was made, which included both the primary and gray literature as well as unanalyzed data. Second, state and federal fisheries biologists and resource managers in all states within the primary range of summer flounder (Massachusetts to Florida) were interviewed along with a number of fish ecologists and summer flounder experts from the academic and private sectors. Finally, information from all sources was analyzed and synthesized to form a coherent overview. This document first presents an overview of the economic importance and current status of summer flounder (Chapter 1). It then summarizes our present state of knowledge of summer flounder distribution, life history patterns and stock identification (Chapter 2). This is followed by a synopsis of habitat requirements during each life history stage. For convenience, this is presented by general habitat as offshore eggs (Chapter 3), offshore larvae (Chapter 4), estuarine larvae (Chapter 5), estuarine juveniles (Chapter 6), offshore juveniles (Chapter 7) and estuarine and offshore adults (Chapter 8). In several instances, previously undigested data sets are analyzed to provide more detailed information, especially for estuarine juveniles. The information is then discussed in terms of its relevance to resource managers (Chapter 9)

Les Liaisons Dangereuses: The Productive Tensions among the Fields of Clothing and Textiles, Fashion Studies, and Cultural Studies

In this presentation, we explore the interplay among the overlapping fields of clothing and textiles, fashion studies, and cultural studies in Korea and the U.S. We note that there are a number of productive tensions at play when considering these fields together: for example, industry profit-making motives versus everyday style and resistance, “fast fashion” versus sustainable fashion, material versus image- or brand-based priorities, and critical-theoretical versus practical needs for individuals and the industry alike