Laws Affecting the Federal Employees Health Benefits Program (FEHBP)

[Excerpt] The purpose of the report is to provide historical and background information that helps explain how FEHBP has evolved into the program it is today. This report focuses solely on changes made to FEHBP through legislative action. Policymakers may use this report to understand how Congress has interacted with FEHBP in the past, and to inform its future interactions with FEHBP. Specifically, the report includes short discussions of how Congress has effected and maintained policy changes to FEHBP by restricting the use of federal funds; changed the formula for determining the government’s share of FEHBP premiums; expanded eligibility for the program; and implemented policies that affect the relationship between Medicare and FEHBP. The Appendix includes detailed summaries of selected laws or provisions of laws that have directly amended or otherwise changed FEHBP

Child undernutrition in affluent societies: what are we talking about?

In this paper we set out to explore the prevalence of child undernutrition found in community studies in affluent societies, but a preliminary literature review revealed that, in the absence of a gold standard method of diagnosis, the prevalence largely depends on the measure, threshold and the growth reference used, as well as age. We thus go on to explore describe the common clinical ‘syndromes’ of child undernutrition: wasting, stunting and failure to thrive (weight faltering) and how we have used data from two population-based cohort studies, this paper to explore how much these different ‘syndromes’ overlap and the extent to which they reflect true undernutrition. This analysis revealed that when more than one definition is applied to the same children, a majority are below the lower threshold for only one measure. However, those with both weight faltering and low BMI in infancy, go on in later childhood to show growth and body composition patterns suggestive of previous undernutrition. In older children there is even less overlap and most children with either wasting or low fat seem to be simply growing at one extreme of the normal range. We conclude that in affluent societies the diagnosis of undernutrition is only robust when it relies on a combination of both, that is decline in weight or BMI centile and wasting

Latitudinal variation of the solar photospheric intensity

We have examined images from the Precision Solar Photometric Telescope (PSPT) at the Mauna Loa Solar Observatory (MLSO) in search of latitudinal variation in the solar photospheric intensity. Along with the expected brightening of the solar activity belts, we have found a weak enhancement of the mean continuum intensity at polar latitudes (continuum intensity enhancement $\sim0.1 - 0.2$ corresponding to a brightness temperature enhancement of $\sim2.5{\rm K}$). This appears to be thermal in origin and not due to a polar accumulation of weak magnetic elements, with both the continuum and CaIIK intensity distributions shifted towards higher values with little change in shape from their mid-latitude distributions. Since the enhancement is of low spatial frequency and of very small amplitude it is difficult to separate from systematic instrumental and processing errors. We provide a thorough discussion of these and conclude that the measurement captures real solar latitudinal intensity variations.Comment: 24 pages, 8 figs, accepted in Ap

Poor infant feeding practices and high prevalence of malnutrition in urban slum child care centres in nairobi: a pilot study

Little is known about the style and quality of feeding and care provided in child day-care centres in slum areas. This study purposively sampled five day-care centres in Nairobi, Kenya, where anthropometric measurements were collected among 33 children aged 6–24 months. Mealtime interactions were further observed in 11 children from four centres, using a standardized data collection sheet. We recorded the child actions, such as mood, interest in food, distraction level, as well as caregiver actions, such as encouragement to eat, level of distraction and presence of neutral actions. Of the 33 children assessed, with a mean age of 15.9 ± 4.9 months, 14 (42%) were female. Undernutrition was found in 13 (39%) children with at least one Z score <−2 or oedema (2): height for age <−2 (11), weight for age <−2 (11), body mass index for age <−2 (4). Rates of undernutrition were highest (9 of 13; 69%) in children aged 18–24 months. Hand-washing before the meal was lacking in all centres. Caregivers were often distracted and rarely encouraged children to feed, with most children eating less than half of their served meal. Poor hygiene coupled with non-responsive care practices observed in the centres is a threat to child health, growth and development

A review about lycopene-induced nuclear hormone receptor signalling in inflammation and lipid metabolism via still unknown endogenous apo-10´-lycopenoids

Lycopene is the red pigment in tomatoes and tomato products and is an important dietary carotenoid found in the human organism. Lycopene-isomers, oxidative lycopene metabolites and apo-lycopenoids are found in the food matrix. Lycopene intake derived from tomato consumption is associated with alteration of lipid metabolism and a lower incidence of cardiovascular diseases (CVD). Lycopene is mainly described as a potent antioxidant but novel studies are shifting towards its metabolites and their capacity to mediate nuclear receptor signalling. Di-/tetra-hydro-derivatives of apo-10´-lycopenoic acid and apo-15´-lycopenoic acids are potential novel endogenous mammalian lycopene metabolites which may act as ligands for nuclear hormone mediated activation and signalling. In this review, we postulate that complex lycopene metabolism results in various lycopene metabolites which have the ability to mediate transactivation of various nuclear hormone receptors like RARs, RXRs and PPARs. A new mechanistic explanation of how tomato consumption could positively modulate inflammation and lipid metabolism is discussed

Surviving the Doctoral Dissertation Experience: The N.W. Sisters’ Study

The purpose of this year-long study was to examine and describe both the individual and shared experiences of a group of four women as they went through their Doctor of Education (Ed.D.) program. The main research question was: What do you perceive as the factors that were integral to your achieving success in the doctoral program? Data from this qualitative case study were gathered through group interview sessions. Subsequent analysis of interview transcripts revealed the following factors that were integral to achieving success: sense of humor, family values, empathy, perseverance, spirituality, accountability to the group, collaboration, good advisors, ability to rebuild after setbacks, having role models, group support, and seeing the benefits of obtaining the doctorate. The goal of this study is to encourage other women to overcome the ABD (All But Dissertation) hurdle by giving them some tools to help complete the journey

Hard X-ray colours of Neutron Star and Black Hole Low Mass X-ray Binaries with INTEGRAL

The X-ray spectra of Low Mass X-ray Binaries (LMXB) can change on short time-scales, making it difficult to follow their spectral characteristics in detail through model fitting. Colour-colour (C-C) diagrams are therefore often used as alternative, model independent, tools to study the spectral variability of these sources. The INTEGRAL mission, with its high sensitivity, large field of view and good angular resolution, is well suited to study the hard X-ray properties of LMXBs. In particular the ISGRI imager on board of INTEGRAL allows the regular monitoring of the sources in the less frequently studied domain above 20 keV. In this proceeding, C-C diagrams have been made with data from the INTEGRAL public archive; a search is made for systematic differences in the C-C diagrams between black hole candidates (BH) and neutron stars (NS) in LMXBs using a moments analysis method.Comment: Paper from poster presentation at COSPAR meeting, Beijing, 2006. in press: Advances in Space Research, Editor: Wynn H