The contingency of medicare physician spending on population densities and sizes

The exploration of the spatial association between Medicare physician spending and population densities and sizes could possibly facilitate the investigation of the causal mechanisms beneath the variation in medical care. We acquired the U.S. Medicare physician expenditures and regional demographic and geographic data in 2006 from the Dartmouth Atlas of Health Care. Six geographic units—states, counties, Hospital Referral Regions, Hospital Service Areas, Metropolitan Statistical Areas, and state non-Metropolitan Statistical Areas—were used as units of study. Pearson correlation analysis, multivariable regression, and partial correlation analysis were employed. Among six geographic units, Pearson correlation coefficients between Medicare physician expenditures and logarithmic population densities ranged from 0.42 to 0.63 (p < 0.05 for all), and between the expenditures and logarithmic population sizes from 0.31 to 0.65 (p < 0.05 for all). When population health, differential demand, market structure, and data reporting bias were controlled, population densities and sizes were positively associated with Medicare physician expenditures in most models. Population densities and sizes could explain considerable amounts of regional variation in Medicare physician spending. We concluded that Medicare physician spending was contingent on population densities and sizes. Because population densities and sizes are produced by more fundamental qualities such as natural environments and resources and thus are not easily manipulated, they are suggestive in health policy studies. Further research might investigate population distribution associated properties such as geographic distribution of health care resources, spatial dynamics of medical technology distribution, and cultural and psychological factors.     

Seasonal residence and counterurbanization: the role of second homes in population redistribution in Finland

Since the late twentieth century, many developed countries have experienced population deconcentration, labelled as counterurbanization. There has been an academic discussion on the meaning, validity and universality of this concept, drivers of counterurbanization and its impacts on rural areas. To date, research on counterurbanization mostly apply static and discrete definitions of residence, migration and population, which is an increasingly simplistic view in the contemporary reality of a growing multitude of forms of mobility, often related to dual residence. Particularly large-scale quantitative studies on counterurbanization are confined by existing statistical practices. This paper attempts to overcome this obstacle and describe the transformation of the settlement system in Finland acknowledging the role of second home mobility. To achieve this goal, it introduces two alternative measures of population, seasonal and average population, and analyses their spatial dynamics between the years 1990 and 2010 based on georeferenced grid statistical data. The study finds that although registered population has been concentrating during the period in analysis, seasonal population has been increasingly dispersed due to the growing number of second homes. It shows that the counterurbanization process, though not noticed by conventional statistics, does occur in Finland, manifested by seasonal rather than permanent moves. The article concludes that various forms of mobility should be taken into account when analysing the urban–rural population dynamics and transformations of settlement systems as well as in rural development planning.     

Compromise not consensus: designing a participatory process for landslide risk mitigation

With the escalating costs of landslides, the challenge for local authorities is to develop institutional arrangements for landslide risk management that are viewed as efficient, feasible and fair by those affected. For this purpose, the participation of stakeholders in the decision-making process is mandated by the European Union as a way of improving its perceived legitimacy and transparency. This paper reports on an analytical-deliberative process for selecting landslide risk mitigation measures in the town of Nocera Inferiore in southern Italy. The process was structured as a series of meetings with a group of selected residents and several parallel activities open to the public. The preparatory work included a literature/media review, semi-structured interviews carried out with key local stakeholders and a survey eliciting residents’ views on landslide risk management. The main point of departure in the design of this process was the explicit elicitation and structuring of multiple worldviews (or perspectives) among the participants with respect to the nature of the problem and its solution. Rather than eliciting preferences using decision analytical methods (e.g. utility theory or multi-criteria evaluation), this process built on a body of research—based on the theory of plural rationality—that has teased out the limited number of contending and socially constructed definitions of problem-and-solution that are able to achieve viability. This framing proved effective in structuring participants’ views and arriving at a compromise recommendation (not, as is often aimed for, a consensus) on measures for reducing landslide risk. Experts played a unique role in this process by providing a range of policy options that corresponded to the different perspectives held by the participants.     

Retardation of angular velocity of a rotating star due to mass loss

Variations of angular velocity of a rotating star on the upper main sequence due to mass loss driven by various mechanisms, like radiation, corpuscule ejection, and stellar wind, are examined. Expressions for the variations of angular velocity are derived by considering a model of a rotating star. The theoretical results show that the angular velocity decreaseswith time due tomass loss. The obtained results are applied to a hot fast-rotating star V1182 Aql (O9 V) and to Y Cyg (B0 V).     

Role of Acoustic Emission for Solving Rock Engineering Problems in Indonesian Underground Mining

In situ stress measurement is not well accepted yet in Indonesia due to the unavailability of technology, high costs and because it is impractical in remote regions. Alternatively, the Kaiser effect of acoustic emission (AE) can be used as a method for determining the stress-state at depth, without creating induced stress and is practical in remote areas. This paper is focused on the development of the AE test. The research has started to study the phenomenon of stress memory in a rock sample, the factors influencing the phenomenon, and finally, to determine the in situ stresses around underground excavations by applying the AE method. It is expected that knowledge in gaining the most important input parameters for maintaining the stability of underground excavations can be well understood and be reliably conducted at a reasonable cost.     

Improved regional groundwater flow modeling using drainage features: a case study of the central northern karst aquifer system of Puerto Rico (USA)

In northern Puerto Rico (USA), subsurface conduit networks with unknown characteristics, and surface features such as springs, rivers, lagoons and wetlands, drain the coastal karst aquifers. In this study, drain lines connecting sinkholes and springs are used to improve the developed regional model by simulating the drainage effects of conduit networks. Implemented in an equivalent porous media (EPM) approach, the model with drains is able to roughly reproduce the spring discharge hydrographs in response to rainfall. Hydraulic conductivities are found to be scale dependent and significantly increase with higher test radius, indicating scale dependency of the EPM approach. Similar to other karst regions in the world, hydraulic gradients are steeper where the transmissivity is lower approaching the coastline. This study enhances current understanding of the complex flow patterns in karst aquifers and suggests that using a drainage feature improves modeling results where available data on conduit characteristics are minimal.     

Shield Tunneling in Rock–Soil Interface Composite Formations

With increased demand for the tunnel construction in rock–soil interface composite formations, the influence on surrounding environment especially the excavation face instability during construction and ground settlement in the long term has gained great attention. The researches about environmental disturbance by shield tunneling construction in single ground as the soil or rock conditions have been developed continuously. However, due to the complexity and uncertainty of the interaction between rock–soil interface composite formations and shield machines, works on these special conditions have not been carried out sufficiently. In this paper the theoretical, experimental and numerical researches on the excavation face stability and ground settlement are discussed while the in situ datum are used to support them. First, the typical projects in rock–soil interface composite formations are listed and the difficulties met are summarized. Second, the failure model of excavation face and support pressure from the tunneling shield in rock–soil interface composite formations are discussed. Then, a comprehensive survey of the factors of ground settlement during and after construction and some effective prediction models are made. Finally, the existing problems and directions for future research are introduced.     

Autonomic visiting in digital 3D scenes

Human-machine interactive visiting and fixed-route visiting are currently the main roaming modes in digital three-dimensional (3D) scenes. However, in general, when a person visits an attraction area, s/he does not follow a fixed path, but instead wander about according to his/her interests. Here, we propose a new roaming mode, called autonomic visiting. That is, in a digital 3D scene, a user selects several interest spots, then a route connecting these spots can be automatically determined and 3D scene can be seen along this route. This study presents a technical approach that enables the realization of autonomic visiting in 3D scenes. Firstly, Delaunay triangular meshes for the terrain in 3D scene are established. Secondly, a plane-growth algorithm and a line-connection algorithm are introduced to automatically mend the broken parts of these triangular meshes. Thirdly, the triangular meshes are then merged and differently weighted according to different layers. Finally, a progress-zone transmission algorithm is presented to optimal the shortest route, which is derived from A-Star (A*) algorithm. Digital 3D campus of Nanjing University, China, is taken as the experimental materials. The experimental results prove the effect of the proposed approach.     

Wetland Loss,Juvenile Salmon Foraging Performance,and Density Dependence in Pacific Northwest Estuaries

During the transition of juveniles from fresh water to estuarine and coastal environments, the survival of Pacific salmon (Oncorhynchus spp.) can be strongly size selective and cohort abundance is partly determined at this stage. Because quantity and quality of food influence juvenile salmon growth, high rates of prey and energy acquisition during estuarine residence are important for survival. Human activities may have affected the foraging performance of juvenile salmon in estuaries by reducing the area of wetlands and by altering the abundance of salmon. To improve our understanding of the effects of wetland loss and salmon density on juvenile salmon foraging performance and diet composition in estuaries, we assembled Chinook salmon (Oncorhynchus tshawytscha) diet and density data from nine US Pacific Northwest estuaries across a gradient of wetland loss. We evaluated the influence of wetland loss and density on juvenile Chinook salmon instantaneous ration and energy ration, two measures of foraging performance, and whether the effect of density varied among estuaries with different levels of wetland loss. We also assessed the influence of wetland loss and other explanatory variables on salmon diet composition. There was no evidence of a direct effect of wetland loss on juvenile salmon foraging performance, but wetland loss appeared to mediate the effect of density on salmon foraging performance and alter salmon diet composition. Specifically, density had no effect on foraging performance in the estuaries with less than 50 % wetland loss but had a negative effect on foraging performance in the estuaries with greater than 50 % wetland loss. These results suggest that habitat loss may interact with density to constrain the foraging performance of juvenile Chinook salmon, and ultimately their growth, during a life history stage when survival can be positively correlated with growth and size.