The Community Safety Net and Prescription Drug Access for Low-Income, Uninsured People

Examines strategies adopted by hospitals and community health centers to maintain access to affordable brand name and generic prescription drugs. Based on site visits to twelve nationally representative communities

Competition and Enterprise Performance in Transition Economies: Evidence from a Cross-country Survey

This paper uses a survey of 3,300 firms in 25 transition countries to shed light on the factors that influence restructuring by firms and their subsequent performance as measured by growth in sales and in sales per employee over a three-year period. We begin by surveying what a decade of transition has taught us about the factors that determine how firms respond to the new market environment. We go on to analyse the impact on performance of ownership, soft budget constraints, the general business environment and a range of measures of the intensity of competition as perceived by a firm. We find that competition has an important and non-monotonic effect on the growth of sales and of labour productivity: some degree of perceived market power is associated with higher sales growth, but competitive pressure is also important. Similar competition effects are found upon firms' decisions to develop and improve their products, but market power has an unambiguously negative impact on purely defensive (cost-reducing) restructuring activity. New firms have grown relatively fast, but among old firms ownership per se has no significant relationship to performance (though state-owned firms have engaged in significantly less development of new products). Soft budget constraints have a broadly negative and the business environment a broadly positive impact on restructuring and performance.http://deepblue.lib.umich.edu/bitstream/2027.42/39760/3/wp376.pd

The health and well-being of older adults with dual sensory impairment (DSI) in four countries

Objectives Dual sensory impairment (DSI) is a combination of vision and hearing impairments that represents a unique disability affecting all aspects of a person’s life. The rates of DSI are expected to increase due to population aging, yet little is known about DSI among older adults (65+). The prevalence of DSI and client characteristics were examined among two groups, namely, older adults receiving home care services or those residing in a long-term care (LTC) facility in four countries (Canada, US, Finland, Belgium). Methods Existing data, using an interRAI assessment, were analyzed to compare older adults with DSI to all others across demographic characteristics, functional and psychosocial outcomes. Results In home care, the prevalence of DSI across the four countries ranged from 13.4% to 24.6%; in LTC facilities, it ranged from 9.7% to 33.9%. Clients with DSI were more likely to be 85+, have moderate/severe cognitive impairment, impairments in activities of daily living, and have communication difficulties. Among residents of LTC facilities, individuals with DSI were more likely to be 85+ and more likely have a diagnosis of Alzheimer’s disease. Having DSI increased the likelihood of depression in both care settings, but after adjusting for other factors, it remained significant only in the home care sample. Conclusions While the prevalence of DSI cross nationally is similar to that of other illnesses such as diabetes, depression, and Alzheimer’s disease, we have a limited understanding of its affects among older adults. Raising awareness of this unique disability is imperative to insure that individuals receive the necessary rehabilitation and supportive services to improve their level of independence and quality of life

Markierungsversuche und Modellierung zur Bewertung der Gefährdung eines Trinkwasserbrunnens

Kurzfassung: In einem Porengrundwasserleiter aus Niederterrassenschottern bei Pratteln, Schweiz, wurde ein Markierungsversuch mit Uranin durchgeführt, um die Gefährdung eines Trinkwasserbrunnens durch ein 760 m talaufwärts gelegenen Ablagerungsstandort zu bewerten. Dabei wurde eine maximale Abstandsgeschwindigkeit von 127 m/d und ein Wiedererhalt von 0,93 % festgestellt. Der Tracer wurde auch in zwei intermediären Beobachtungsbrunnen nachgewiesen. Diese Studie diskutiert die Ursachen dieser hohen Fließgeschwindigkeit. Durch drei verschiedene analytische Modelle konnten die Durchgangskurven simuliert und Transportparameter bestimmt werden. Erst die Anwendung eines zweidimensionalen numerischen Modells (FEFLOW) mit vereinfachter Geometrie liefert aber eine hydrogeologisch konsistente, mögliche Erklärung aller Versuchsergebnisse. Demnach handelt es sich vermutlich um einen relativ homogenen Grundwasserleiter. Der steile Gradient (6 ‰) und die hohe Durchlässigkeit (3 · 10-2 m/s) verursachen die hohen Fließgeschwindigkeiten. Der Hauptteil der Tracerwolke strömt seitlich an den Brunnen vorbei. Durch später durchgeführte Kleinpumpversuche wurde diese Modellvorstellung weitgehend bestätigt. Diese Befunde sollten bei Schutz- und Sanierungskonzepten berücksichtigt werde

Azimuthal Asymmetry of Direct Photons in High Energy Nuclear Collisions

We show that a sizeable azimuthal asymmetry, characterized by a coefficient v_2, is to be expected for direct photons produced in non-central high energy nuclear collisions. This signal is generated by photons radiated by jets interacting with the surrounding hot plasma. The anisotropy is out of phase by an angle $\pi/2$ with respect to that associated with the elliptic anisotropy of hadrons, leading to negative values of v_2. Such an asymmetry, if observed, could be a signature for the presence of a quark gluon plasma and would establish the importance of jet-plasma interactions as a source of electromagnetic radiation.Comment: New title. Final versio

Information sharing and credit : firm-level evidence from transition countries

We investigate whether information sharing among banks has affected credit market performance in the transition countries of Eastern Europe and the former Soviet Union, using a large sample of firm-level data. Our estimates show that information sharing is associated with improved availability and lower cost of credit to firms. This correlation is stronger for opaque firms than transparent ones and stronger in countries with weak legal environments than in those with strong legal environments. In cross-sectional estimates, we control for variation in country-level aggregate variables that may affect credit, by examining the differential impact of information sharing across firm types. In panel estimates, we also control for the presence of unobserved heterogeneity at the firm level, as well as for changes in macroeconomic variables and the legal environment

Heavy-Quark Diffusion and Hadronization in Quark-Gluon Plasma

We calculate diffusion and hadronization of heavy quarks in high-energy heavy-ion collisions implementing the notion of a strongly coupled quark-gluon plasma in both micro- and macroscopic components. The diffusion process is simulated using relativistic Fokker-Planck dynamics for elastic scattering in a hydrodynamic background. The heavy-quark transport coefficients in the medium are obtained from non-perturbative $T$-matrix interactions which build up resonant correlations close to the transition temperature. The latter also form the basis for hadronization of heavy quarks into heavy-flavor mesons via recombination with light quarks from the medium. The pertinent resonance recombination satisfies energy conservation and provides an equilibrium mapping between quark and meson distributions. The recombination probability is derived from the resonant heavy-quark scattering rate. Consequently, recombination dominates at low transverse momentum ($p_T$) and yields to fragmentation at high $p_T$. Our approach thus emphasizes the role of resonance correlations in the diffusion and hadronization processes. We calculate the nuclear modification factor and elliptic flow of $D$- and $B$-mesons for Au-Au collisions at the Relativistic Heavy Ion Collider, and compare their decay-electron spectra to available data. We also find that a realistic description of the medium flow is essential for a quantitative interpretation of the data.Comment: 16 pages, 14 figure

High Energy Nuclear Collisions: Theory Overview

We review some basic concepts of Relativistic Heavy Ion Physics and discuss our understanding of some key results from the experimental program at the Relativistic Heavy Ion Collider (RHIC). We focus in particular on the early time dynamics of nuclear collisions, some result from lattice QCD, hard probes and photons.Comment: 11 pages, 3 figures; delivered at ISNP 2009, published in Praman