The Economic Benefits of Cleaning Up the Chesapeake

Information on the economic benefits of environmental improvement is an important consideration for anyone (firms, organizations, government agencies, and individuals) concerned about the cost-effectiveness of changes in management designed to achieve that improvement. In the case of the Chesapeake Bay TMDL (Total Maximum Daily Load of nitrogen, phosphorus, and sediment), these benefits would accrue due to improvements in the health, and therefore productivity, of land and water in the watershed. These productivity changes occur both due to the outcomes of the TMDL and state implementation plans, also known as a "Chesapeake Clean Water Blueprint" itself (i.e., cleaner water in the Bay) as well as a result of the measures taken to achieve those outcomes that have their own beneficial side effects. All such changes are then translated into dollar values for various ecosystem services, including water supply, food production, recreation, aesthetics, and others. By these measures, the total economic benefit of the Chesapeake Clean Water Blueprint is estimated at $22.5 billion per year (in 2013 dollars), as measured as the improvement over current conditions, or at$28.2 billion per year (in 2013 dollars), as measured as the difference between the Clean Water Blueprint and a business-as-usual scenario. (Due to lag times—it takes some time for changes in land management to result in improvements in water quality, the full measure of these benefits would begin to accrue sometime after full implementation of the Blueprint.) These considerable benefits should be considered alongside the costs and other economic aspects of implementing the Chesapeake Clean Water Blueprint

Implicit learning, bilingualism, and dyslexia: insights from a study assessing AGL with a modified Simon task

This paper presents an experimental study investigating artificial grammar learning in monolingual and bilingual children, with and without dyslexia, using an original methodology. We administered a serial reaction time task, in the form of a modified Simon task, in which the sequence of the stimuli was manipulated according to the rules of a simple Lindenmayer grammar (more specifically, a Fibonacci grammar). By ensuring that the subjects focused on the correct response execution at the motor stage in presence of congruent or incongruent visual stimuli, we could meet the two fundamental criteria for implicit learning: the absence of an intention to learn and the lack of awareness at the level of resulting knowledge. The participants of our studies were four groups of 10-year-old children: 30 Italian monolingual typically developing children, 30 bilingual typically developing children with Italian L2, 24 Italian monolingual dyslexic children, and 24 bilingual dyslexic children with Italian L2. Participants were administered the modified Simon task developed according to the rules of the Fibonacci grammar and tested with respect to the implicit learning of three regularities: (i) a red is followed by a blue, (ii) a sequence of two blues is followed by a red, and (iii) a blue can be followed either by a red or by a blue. Results clearly support the hypothesis that learning took place, since participants of all groups became increasingly sensitive to the structure of the input, implicitly learning the sequence of the trials and thus appropriately predicting the occurrence of the relevant items, as manifested by faster reaction times in predictable trials. Moreover, group differences were found, with bilinguals being overall faster than monolinguals and dyslexics less accurate than controls. Finally, an advantage of bilingualism in dyslexia was found, with bilingual dyslexics performing consistently better than monolingual dyslexics and, in some conditions, at the level of the two control groups. These results are taken to suggest that bilingualism should be supported also among linguistically impaired individuals

Tumbled Identities: Negotiating Invisible Disabilities and Sexual Orientation

Produced by The Center on Disability Studies, University of Hawai'i at Manoa, Honolulu, Hawai'i, The Frank Sawyer School of Management, Suffolk University, Boston, Massachusetts, and The School of Social Sciences, The University of of Texas at Dallas, Richardson, Texas for The Society for Disability Studies

Demonstrating the value of the RN in ambulatory care

During 2003, an estimated 906 million visits were made to physician offices in the United States (Hing, Cherry, & Woodwell, 2005). Overall, 42% of visits to outpatient settings were attended by a registered nurse (Middleton & Hing, 2005). Despite ambulatory care being the fastest growing site for care, it is the least studied. The purpose of this article is to provide an overview of the role of the RN in ambulatory care and describe the direct and indirect economic value of RNs in ambulatory care settings

Developing a Business Case for the Care Coordination and Transition Management Model: Need, Metrics, and Measures

In this descriptive qualitative study, nurse and healthcare leaders\u27 experiences, perceptions of care coordination and transition management (CCTM®), and insights as to how to foster adoption of the CCTM RN role in nursing education, practice across the continuum, and policy were explored. Twenty-five barriers to recognition and adoption of CCTM RN practice across the continuum were identified and categorized. Implications of these findings, recommendations for adoption of CCTM RN practice across the care continuum, and strategies for reimbursement policies are discussed