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Tracking Study (tracking + study)

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Life Sciences	50%

Selected Abstracts

Race, Segregation, and Physicians' Participation in Medicaid

THE MILBANK QUARTERLY, Issue 2 2006
JESSICA GREENE
Many studies have explored the extent to which physicians' characteristics and Medicaid program factors influence physicians' decisions to accept Medicaid patients. In this article, we turn to patient race/ethnicity and residential segregation as potential influences. Using the 2000/2001 Community Tracking Study and other sources we show that physicians are significantly less likely to participate in Medicaid in areas where the poor are nonwhite and in areas that are racially segregated. Surprisingly,and contrary to the prevailing Medicaid participation theory,we find no link between poverty segregation and Medicaid participation when controlling for these racial factors. Accordingly, this study contributes to an accumulating body of circumstantial evidence that patient race influences physicians' choices, which in turn may contribute to racial disparities in access to health care. [source]

The Transition from Excess Capacity to Strained Capacity in U.S. Hospitals

THE MILBANK QUARTERLY, Issue 2 2006
GLORIA J. BAZZOLI
After many years of concern about excess hospital capacity, a growing perception exists that the capacity of some hospitals now seems constrained. This article explores the reasons behind this changing perception, looking at the longitudinal data and in-depth interviews for hospitals in four study sites monitored by the Community Tracking Study of the Center for Studying Health System Change. Notwithstanding the differences for individual hospitals, we observed that adjustments to the supply of hospital services tend to be slow and out of sync with changes in the demand for hospital services. Those hospitals reporting capacity problems are often teaching hospitals, located near previously closed facilities or in population growth areas. These findings suggest therefore that approaches to dealing with capacity problems might best focus on better matching individual hospitals' supply and demand adjustments. [source]

Tagging effects on three non-native fish species in England (Lepomis gibbosus, Pseudorasbora parva, Sander lucioperca) and of native Salmo trutta

ECOLOGY OF FRESHWATER FISH, Issue 2 2009
S. Stak
Abstract,,, To address the dearth of information on tagging effects and long-term survivorship of tagged fish in native and introduced species, laboratory and field investigations were undertaken on three non-native fish species (pumpkinseed Lepomis gibbosus; topmouth gudgeon Pseudorasbora parva; pikeperch Sander lucioperca) tagged with coded-wire (CW), passive integrated transponder (PIT), radio (RT) telemetry and/or acoustic tags (AT), with survivorship of native brown trout (Salmo trutta) examined in the field. Laboratory results revealed high survivorship following tag attachment/insertion and resumption of feeding within 24,48 h of tagging (all mortalities could be attributed to an unrelated outbreak of fungal infection), with retention rates being high in both pumpkinseed and pikeperch but low in topmouth gudgeon (excluded from field studies). In the field, short-term post-operation survival was high in pikeperch, pumpkinseed and brown trout. In pumpkinseed and trout, 100% of RT fish survived a 24,30 day tracking study, with 60% and 80%, respectively, recaptured alive at least 3 months post-tagging. Of PIT tagged pumpkinseed, 44% were recaptured (after 6,18 months), with small-sized, CW-tagged fish (0.38 g weight) captured up to 1 year after tagging. In pikeperch, all AT fish except one (the smallest specimen) survived their full expected tracking period (i.e. tag life) , the single lost specimen survived at least half of its expected tracking period (i.e. 6 month battery life). Overall, the tagging methods used were highly effective in pumpkinseed and pikeperch, showing good retention and survival, but PIT tagging of topmouth gudgeon was plagued by low survivorship and tag rejection. [source]

Quantitative microbial faecal source tracking with sampling guided by hydrological catchment dynamics

ENVIRONMENTAL MICROBIOLOGY, Issue 10 2008
G. H. Reischer
Summary The impairment of water quality by faecal pollution is a global public health concern. Microbial source tracking methods help to identify faecal sources but the few recent quantitative microbial source tracking applications disregarded catchment hydrology and pollution dynamics. This quantitative microbial source tracking study, conducted in a large karstic spring catchment potentially influenced by humans and ruminant animals, was based on a tiered sampling approach: a 31-month water quality monitoring (Monitoring) covering seasonal hydrological dynamics and an investigation of flood events (Events) as periods of the strongest pollution. The detection of a ruminant-specific and a human-specific faecal Bacteroidetes marker by quantitative real-time PCR was complemented by standard microbiological and on-line hydrological parameters. Both quantitative microbial source tracking markers were detected in spring water during Monitoring and Events, with preponderance of the ruminant-specific marker. Applying multiparametric analysis of all data allowed linking the ruminant-specific marker to general faecal pollution indicators, especially during Events. Up to 80% of the variation of faecal indicator levels during Events could be explained by ruminant-specific marker levels proving the dominance of ruminant faecal sources in the catchment. Furthermore, soil was ruled out as a source of quantitative microbial source tracking markers. This study demonstrates the applicability of quantitative microbial source tracking methods and highlights the prerequisite of considering hydrological catchment dynamics in source tracking study design. [source]