India's Health Initiative: Financing Issues and Options

In response to the challenge of sustaining the health gains achieved in the better-performing states and ensuring that the lagging states catch up with the rest of the country, the Indian government has launched the National Rural Health Mission. A central goal of the effort is to increase public spending on health from the current 1.1 percent of GDP to roughly 2–3 percent of GDP within the next five years. In this paper, we examine the current status of health financing in India, as well as alternatives for realizing maximal health gains for the incremental expenditures.health financing, public spending, India, cost-effectiveness

Queensland’s criminal justice system and homosexuality, 1860–1954

An analysis of 464 cases between 1860 and 1954 from Queensland against male homosexual activities is presented to explore how Queensland's criminal justice system dealt with the issue then. It is observed that the police chose severe charges and manipulated evidence to ensure conviction, thereby attempting to curtail the emerging gay subculture

A tree representation for P4-sparse graphs

AbstractA graph G is P4-sparse if no set of five vertices in G induces more than one chordless path of length three. P4-sparse graphs generalize both the class of cographs and the class of P4-reducible graphs. We give several characterizations for P4-sparse graphs and show that they can be constructed from single-vertex graphs by a finite sequence of operations. Our characterization implies that the P4-sparse graphs admit a tree representation unique up to isomorphism. Furthermore, this tree representation can be obtained in polynomial time

On a unique tree representation for P4-extendible graphs

AbstractSeveral practical applications in computer science and computational linguistics suggest the study of graphs that are unlikely to have more than a few induced paths of length three. These applications have motivated the notion of a cograph, defined by the very strong restriction that no vertex may belong to an induced path of length three. The class of P4-extendible graphs that we introduce in this paper relaxes this restriction, and in fact properly contains the class of cographs, while still featuring the remarkable property of admitting a unique tree representation. Just as in the case of cographs, the class of P4-extendible graphs finds applications to clustering, scheduling, and memory management in a computer system. We give several characterizations for P4-extendible graphs and show that they can be constructed from single-vertex graphs by a finite sequence of operations. Our characterization implies that the P4-extendible graphs admit a tree representation unique up to isomorphism. Furthermore, this tree representation can be obtained in polynomial time

A Linear-Time Recognition Algorithm for P4-Reducible Graphs

The P4-reducible graphs are a natural generalization of the well-known class of cographs, with applications to scheduling, computational semantics, and clustering. More precisely, the P4-reducible graphs are exactly the graphs none of whose vertices belong to more than one chordless path with three edges. A remarkable property of P4-reducible graphs is their unique tree representation up to isomorphism. In this paper we present a linear-time algorithm to recognize P4-reducible graphs and to construct their corresponding tree representation

Young Adults’ Cohabitation and Dating Decisions During the COVID-19 Pandemic: A Qualitative Exploration of Romantic and Developmental Context

The COVID-19 pandemic caused significant upheaval for couples and families, particularly in terms of living arrangements. Emerging adults had to make quick decisions about where and with whom to shelter in place. In this grounded theory study, we explored how 22 young adults, predominantly living in the United States, navigated relationship decisions during the pandemic. The results suggest that participants were intentional about their choices, particularly in terms of moving in together (or not). The pandemic sometimes changed the timing of cohabitation or the pace of dating relationships; however, these decisions unfolded in tandem with common developmental tasks, such as college graduation and launching a career. More broadly, our findings suggest that participants’ responses to the pandemic both reflected core aspects of emerging adulthood (e.g., instability, feeling in-between) and also challenged them (e.g., other focus, limited exploration)

Risk adjustment for hospital use using social security data: cross sectional small area analysis

OBJECTIVES: To identify demographic and socioeconomic determinants of need for acute hospital treatment at small area level. To establish whether there is a relation between poverty and use of inpatient services. To devise a risk adjustment formula for distributing public funds for hospital services using, as far as possible, variables that can be updated between censuses. DESIGN: Cross sectional analysis. Spatial interactive modelling was used to quantify the proximity of the population to health service facilities. Two stage weighted least squares regression was used to model use against supply of hospital and community services and a wide range of potential needs drivers including health, socioeconomic census variables, uptake of income support and family credit, and religious denomination. SETTING: Northern Ireland. MAIN OUTCOME MEASURE: Intensity of use of inpatient services. RESULTS: After endogeneity of supply and use was taken into account, a statistical model was produced that predicted use based on five variables: income support, family credit, elderly people living alone, all ages standardised mortality ratio, and low birth weight. The main effect of the formula produced is to move resources from urban to rural areas. CONCLUSIONS: This work has produced a population risk adjustment formula for acute hospital treatment in which four of the five variables can be updated annually rather than relying on census derived data. Inclusion of the social security data makes a substantial difference to the model and to the results produced by the formula

Safe and Efficient Tetrazole Synthesis in a Continuous Flow Microreactor

Safer flow: The synthesis of 5-substituted tetrazoles in flow (see scheme) is safe, efficient, scalable, requires no metal promoter, and uses a near-equimolar amount of NaN[subscript 3], yet nonetheless displays a broad substrate scope. The hazards associated with HN[subscript 3] are essentially eliminated, shock-sensitive metal azides such as Zn(N[subscript 3])[subscript 2] are avoided, and residual NaN[subscript 3] is quenched in-line with NaNO[subscript 2].Novartis Foundation (MIT Center for Continuous Manufacturing

Relationship form and function: Exploring meaning-making in young adults\u27 romantic histories

Forming stable, supportive romantic relationships is an important determinant of well-being for adults. Yet, there has been limited research about if and how prior romantic experiences help individuals develop the capacity to enter into such unions. Using grounded theory methods, relationship history interviews were conducted with 35 young adults who provided data about 256 romantic and sexual relationships. The different relationship forms (e.g., hooking up, casual dating, committed partnering) were found to contribute in nuanced ways to romantic development. Specifically, romantic development was characterized by gaining romantic experience, identifying preferences for partners and partnership, and learning to maintain healthy relational boundaries through a variety of romantic and sexual relationships. These findings contribute to existing knowledge by highlighting the meaning-making processes that promote development through tangible experiences and self-discovery