Eliminating the Individual Mandate: Effects on Premiums, Coverage, and Uncompensated Care

Outlines how removing the requirement to buy health insurance could affect coverage; government, employer, individual, and uncompensated spending; premiums; subsidies in the exchange; and Medicaid and Children's Health Insurance Program enrollment

Consider Savings as Well as Costs

Estimates 2014-19 state and federal spending and savings on Medicaid and Children's Health Insurance Programs as a result of the 2010 healthcare reform, including reductions in spending on uncompensated care. Considers factors in differences by state

Health Reform Across the States: Increased Insurance Coverage and Federal Spending on the Exchanges and Medicaid

Estimates state-by-state effects of healthcare reform, including variations by state in the impact on uninsurance rates, exchange subsidies, Medicaid enrollees, and federal spending. Analyzes state characteristics contributing to the variations

Rejoinder (Response to article by Christopher Maylea and Christopher Ryan)

The President of the Victorian Mental Health Tribunal responds to the opinions expressed by two contributors to the journal in their 2017 article, ‘Decision-Making Capacity and the Victorian Mental Health Tribunal’

First Order Self-Oscillating Class-D Circuit with Triangular Wave Injection

An investigation into performance improvements to the modulator stage of a class-D amplifier is conducted in this thesis. Two of the standard topologies, namely class-D open-loop pulse-width modulation (PWM), and the improved self-oscillating feedback system are benchmarked against a topology which includes both a hysteretic comparator in a feedback loop and triangle wave injection. Circuit performance is analyzed by comparing how the triangle injection circuit handles known issues with open-loop and self-oscillating circuits. Using this analysis, it is shown that the triangle injection topology offers an improved power supply rejection ratio relative to open-loop PWM and reduces distortion generated by frequency modulation characteristic of the self-oscillating topology

Winter Field Pea as a Leguminous Cover Crop in Corn Production

Leguminous cover crops, which fix nitrogen (N) from the atmosphere and add to the N content of the soil, have the potential to replace or partially replace commercial nitrogen fertilizers. In this experiment, field pea (Pisum arvense) was used as the leguminous cover crop in a conventional tilled corn (Zea mays) production system. In a 2-yr experiment (2008 and 2009), conducted at two locations in Arkansas, field pea was planted on half the field in the fall and allowed to grow until late April to early May. Field pea biomass was recorded, N content of biomass determined and then the pea plants were plowed into the soil followed by corn planting. Six nitrogen fertilizer rates were applied at 0, 56, 112, 168, 224, and 280 kg N ha-1 to plots with and without the pea cover crop. The field pea cover crop provided a significant amount of the N needs of the corn. The N fertilizer equivalent of the field pea cover crop to the following corn crop averaged 79 kg N ha-1. Consequently, corn grown following the field pea cover crop was able to maximize grain yield on a lower rate of N fertilizer compared to corn following no pea cover crop. This has useful implications to increase producer profitability, decrease N fertilizer use, and improve the environment

Effect of urea on Bacillus coli, Bacillus typhosus, and Staphylococcus aureus

Thesis (M.A.)--University of Kansas, Bacteriology, 1922. ; Includes bibliographical references

House Republican Budget Plan: State-by-State Impact of Changes in Medicaid Financing

Estimates how the April 2011 Budget Plan passed by the House of Representatives would affect federal Medicaid funding for states between 2012 and 2021 and how in turn this would affect Medicaid spending and enrollment and hospitals under three scenarios

Ligand-receptor binding kinetics in surface plasmon resonance cells: A Monte Carlo analysis

Surface plasmon resonance (SPR) chips are widely used to measure association and dissociation rates for the binding kinetics between two species of chemicals, e.g., cell receptors and ligands. It is commonly assumed that ligands are spatially well mixed in the SPR region, and hence a mean-field rate equation description is appropriate. This approximation however ignores the spatial fluctuations as well as temporal correlations induced by multiple local rebinding events, which become prominent for slow diffusion rates and high binding affinities. We report detailed Monte Carlo simulations of ligand binding kinetics in an SPR cell subject to laminar flow. We extract the binding and dissociation rates by means of the techniques frequently employed in experimental analysis that are motivated by the mean-field approximation. We find major discrepancies in a wide parameter regime between the thus extracted rates and the known input simulation values. These results underscore the crucial quantitative importance of spatio-temporal correlations in binary reaction kinetics in SPR cell geometries, and demonstrate the failure of a mean-field analysis of SPR cells in the regime of high Damk\"ohler number Da > 0.1, where the spatio-temporal correlations due to diffusive transport and ligand-receptor rebinding events dominate the dynamics of SPR systems.Comment: 21 pages, 9 figure