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High Competition (high + competition)
Selected AbstractsCost Convergence between Public and For-Profit Hospitals under Prospective Payment and High Competition in TaiwanHEALTH SERVICES RESEARCH, Issue 6p2 2004Sudha Xirasagar Objective. To test the hypotheses that: (1) average adjusted costs per discharge are higher in high-competition relative to low-competition markets, and (2) increased competition is associated with cost convergence between public and for-profit (FP) hospitals for case payment diagnoses, but not for cost-plus reimbursed diagnoses. Data Sources. Taiwan's National Health Insurance database; 325,851 inpatient claims for cesarean section, vaginal delivery, prostatectomy, and thyroidectomy (all case payment), and bronchial asthma and cholelithiasis (both cost-based payment). Study Design. Retrospective population-based, cross-sectional study. Data Analysis. Diagnosis-wise regression analyses were done to explore associations between cost per discharge and hospital ownership under high and low competition, adjusted for clinical severity and institutional characteristics. Principal Findings. Adjusted costs per discharge are higher for all diagnoses in high-competition markets. For case payment diagnoses, the magnitudes of adjusted cost differences between public and FP hospitals are lower under high competition relative to low competition. This is not so for the cost-based diagnoses. Conclusions. We find that the empirical evidence supports both our hypotheses. [source] The rhizosphere as a reservoir for opportunistic human pathogenic bacteriaENVIRONMENTAL MICROBIOLOGY, Issue 11 2005Gabriele Berg Summary During the last years, the number of human infections caused by opportunistic pathogens has increased dramatically. One natural reservoir of opportunistic pathogens is the rhizosphere, the zone around roots that is influenced by the plant. Due to a high content of nutrients, this habitat is a ,microbial hot-spot', where bacterial abundances including those with strong antagonistic traits are enhanced. Various bacterial genera, including Burkholderia, Enterobacter, Herbaspirillum, Ochrobactrum, Pseudomonas, Ralstonia, Staphylococcus and Stenotrophomonas, contain root-associated strains that can encounter bivalent interactions with both plant and human hosts. Mechanisms responsible for colonization of the rhizosphere and antagonistic activity against plant pathogens are similar to those responsible for colonization of human organs and tissues, and pathogenicity. Multiple resistances against antibiotics are not only found with clinical strains but also with strains isolated from the rhizosphere. High competition, the occurrence of diverse antibiotics in the rhizosphere, and enhanced horizontal gene transfer rates in this microenvironment appear to contribute to the high levels of natural resistances. While opportunistic bacteria from the rhizosphere have some properties in common, each of these emerging pathogens has its own features, which are discussed in detail for Burkholderia, Ochrobactrum and Stenotrophomonas. [source] Sex, Rank and Age Differences in the Japanese Macaque (Macaca fuscata yakui) Participation in Inter-Group EncountersETHOLOGY, Issue 5 2005Bonaventura Majolo In many species interactions among group are often characterized by agonistic behaviour. Although animals may participate in inter-group encounters in different ways, depending on their energetic requirements, reproductive tactics, and/or developmental stage, the proximate causes affecting an animal's participation in inter-group encounters are still poorly understood. Indeed, many studies have analysed the behaviour of males and females during inter-group encounters without considering the importance of additional factors (e.g. rank). This study focuses on wild non-provisioned Japanese macaques (Macaca fuscata yakui) living on Yakushima Island, Japan. It aims to determine how monkeys of different sex, age, and rank behave during inter-group encounters and it discusses the implications and consequences of their behaviour on group composition and male dispersal. Males participated significantly more than females in inter-group encounters, by displaying more aggressive or affiliative behaviour. High-ranking and/or adult males were more aggressive than low-ranking and/or subadult males during encounters occurring in the mating season and they also showed more herding behaviour. This trend was not found in inter-group encounters occurring during the non-mating season. Finally, males which then emigrated to new groups were low-ranking and/or subadult individuals. Those males displayed more affiliative behaviour towards foreign males than males which did emigrate. These data indicate that in non-territorial species with male dominance over female and high competition for mating partners males play an active, and often aggressive, role during inter-group encounter while female participation is scarce. Factors such as age, rank and period of the year (in seasonally breeding species) have to be taken into considerations when analysing interactions between groups and their effects on group composition and social behaviour. [source] Cost Convergence between Public and For-Profit Hospitals under Prospective Payment and High Competition in TaiwanHEALTH SERVICES RESEARCH, Issue 6p2 2004Sudha Xirasagar Objective. To test the hypotheses that: (1) average adjusted costs per discharge are higher in high-competition relative to low-competition markets, and (2) increased competition is associated with cost convergence between public and for-profit (FP) hospitals for case payment diagnoses, but not for cost-plus reimbursed diagnoses. Data Sources. Taiwan's National Health Insurance database; 325,851 inpatient claims for cesarean section, vaginal delivery, prostatectomy, and thyroidectomy (all case payment), and bronchial asthma and cholelithiasis (both cost-based payment). Study Design. Retrospective population-based, cross-sectional study. Data Analysis. Diagnosis-wise regression analyses were done to explore associations between cost per discharge and hospital ownership under high and low competition, adjusted for clinical severity and institutional characteristics. Principal Findings. Adjusted costs per discharge are higher for all diagnoses in high-competition markets. For case payment diagnoses, the magnitudes of adjusted cost differences between public and FP hospitals are lower under high competition relative to low competition. This is not so for the cost-based diagnoses. Conclusions. We find that the empirical evidence supports both our hypotheses. [source] Effect of Different Crop Densities of Winter Wheat on Recovery of Nitrogen in Crop and Soil within the Growth PeriodJOURNAL OF AGRONOMY AND CROP SCIENCE, Issue 3 2001K. Blankenau Previous experiments have shown that, at harvest of winter wheat, recovery of fertilizer N applied in early spring [tillering, Zadok's growth stage (GS) 25] is lower than that of N applied later in the growth period. This can be explained by losses and immobilization of N, which might be higher between GS 25 and stem elongation (GS 31). It was hypothesized that a higher crop density (i.e. more plants per unit area) results in an increased uptake of fertilizer N applied at GS 25, so that less fertilizer N is subject to losses and immobilization. Different crop densities of winter wheat at GS 25 were established by sowing densities of 100 seeds m,2 (Slow), 375 seeds m,2 (Scfp= common farming practice) and 650 seeds m,2 (Shigh) in autumn. The effect of sowing density on crop N uptake and apparent fertilizer N recovery (aFNrec = N in fertilized treatments , N in unfertilized treatments) in crops and soil mineral N (Nmin), as well as on lost and immobilized N (i.e. non-recovered N = N rate , aFNrec), was investigated for two periods after N application at GS 25 [i.e. from GS 25 to 15 days later (GS 25 + 15d), and from GS 25 + 15d to GS 31] and in a third period between GS 31 and harvest (i.e. after second and third N applications). Fertilizer N rates varied at GS 25 (0, 43 and 103 kg N ha,1), GS 31 (0 and 30 kg N ha,1) and ear emergence (0, 30 and 60 kg ha,1). At GS 25 + 15d, non-recovered N was highest (up to 33 kg N ha,1 and up to 74 kg N ha,1 at N rates of 43 and 103 kg N ha,1, respectively) due to low crop N uptake after the first N dressing. Non-recovered N was not affected by sowing density. Re-mineralization during later growth stages indicated that non-recovered N had been immobilized. N uptake rates from the second and third N applications were lowest for Slow, so non-recovered N at harvest was highest for Slow. Although non-recovered N was similar for Scfp and Shigh, the highest grain yields were found at Scfp and N dressings of 43 + 30 + 60 kg N ha,1. This combination of sowing density and N rates was the closest to common farming practice. Grain yields were lower for Shigh than for Scfp, presumably due to high competition between plants for nutrients and water. In conclusion, reducing or increasing sowing density compared to Scfp did not reduce immobilization (and losses) of fertilizer N and did not result in increased fertilizer N use efficiency or grain yields. Einfluß unterschiedlicher pflanzendichten von Winterweizen auf die Wiederfindung von Stickstoff in Pflanze und Boden während der Vegetationsperiode Aus Wintergetreideversuchen ist bekannt, daß zur Ernte die Wiederfindung von Düngerstickstoff aus der Andüngung (Bestockung, [GS-Skala nach Zadok] GS 25) im Aufwuchs und in mineralischer Form im Boden (Nmin) niedriger ist als die von Düngerstickstoff der Schosser-und Ährengaben. Dies kann auf höhere Verluste bzw. eine höhere Immobilisation von Düngerstickstoff zwischen GS 25 und Schoßbeginn zurückgeführt werden, da hier die N-Aufnahme der Pflanzen im Vergleich zu späteren Wachstumsstadien gering ist. Daraus wurde abgeleitet, daß eine Erhöhung der Pflanzendichte zu einer erhöhten Aufnahme von früh gedüngtem N führen könnte, so daß weniger Dünger-N für Verlust- und Immobilisationsprozesse im Boden verbleibt. Unterschiedliche Pflanzendichten wurden durch unterschiedliche Aussaatstärken im Herbst erreicht (Slow= 100 Körner m,2, Scfp [herkömmliche Praxis]= 375 Körner m,2, Shigh= 650 Körner m,2). In der folgenden Vegetationsperiode wurde der Einfluß der verschiedenen Aussaatstärken auf die N-Aufnahme, die apparente Wiederfindung von Dünger-N (aFNrec = N in gedüngten , N in ungedüngten Prüfgliedern) in Pflanzen und Nmin, sowie auf potentielle Verluste und Immobilisation von Dünger-N (N-Defizit = N-Düngung , aFNrec) für zwei Phasen im Zeitraum zwischen der ersten N-Gabe (GS 25) und der Schossergabe zu GS 31 (d. h. zwischen GS 25 und 15 Tagen später [GS 25 + 15d] und von GS 25 + 15d bis GS 31), sowie zwischen GS 31 und der Ernte (d. h. nach der zweiten und dritten N-Gabe) untersucht. Die N-Düngung variierte zu den Terminen GS 25 (0, 43, 103 kg N ha,1), GS 31 (0, 30 kg N ha,1) und zum Ährenschieben (0, 30, 60 kg N ha,1). Unabhängig von der Aussaatstärke war das N-Defizit zum Termin GS 25 + 15d am höchsten (bis zu 33 kg N ha,1 und 74 kg N ha,1 bei einer N-Düngung von 43 bzw. 103 kg N ha,1), da die N-Aufnahme durch die Pflanzen während der Bestockungsphase am geringsten war. Das N-Defizit zeigt vornehmlich immobilisierten N an, da zu späteren Terminen eine Re-Mobilisation von N auftrat. Zwischen GS 31 und der Ernte wurden für die Aussaatstärke Slow die geringsten Aufnahmeraten von Düngerstickstoff aus der Schosser- und Ährengabe errechnet, so daß für Slow die höchsten N-Defizitmengen ermittelt wurden. Obwohl die N-Defizitmengen für Scfp und Shigh annähernd gleich waren, wurden bei N-Düngung von 43 + 30 + 60 kg N ha,1 für Scfp die höchsten Kornerträge erzielt. Diese Kombination von Aussaatstärke und N-Düngung kann als praxisüblich bezeichnet werden. Für Shigh wurden vermutlich niedrigere Kornerträge erzielt, weil die Konkurrenz um Nährstoffe und Wasser zwischen den Pflanzen aufgrund der hohen Pflanzendichte am intensivsten war. Die Ergebnisse lassen den Schluß zu, daß eine Verringerung oder Erhöhung der Pflanzendichte über entsprechende Aussaatstärken nicht zu einer Reduktion der Dünger-N-Immobilisation (oder von N-Verlusten) führt und demnach auch nicht die Dünger-N-Ausnutzung durch die Bestände erhöht wird. [source] Structural change in the West German agricultural sectorAGRICULTURAL ECONOMICS, Issue 2009Silke Huettel Structural change; Strategic competition; Land market; Markov chain Abstract This article explains regionally differentiated patterns of structural change based on a theoretical framework dealing with strategic interaction of farms on the land market. The main research question focuses on the causes of regionally persistent structures. An empirical Markov chain model is defined for the West German agricultural sector. The model is used to explain the probabilities of farm growth, decline, or exit in terms of the current and former regional farm size structure. Further, the impact of variables describing the regional farm structure, thereby indicating market power of the large, the potential of high competition for land within a region, and possibly high rents of the status quo in combination with sunk costs, is quantified. The results confirm the relevance of strategic interaction as a crucial determinant of persistent regional differences in the farm size structure over time. [source] Rural Hospitals and the Adoption of Managed Care StrategiesTHE JOURNAL OF RURAL HEALTH, Issue 3 2001Shadi S. Saleh Ph.D ABSTRACT: This research examined the performance of rural hospitals engaged in different levels of managed care activities and identified factors related to performance and competition that affected rural hospitals' likelihood of pursuing managed care as a strategy. The sample studied consisted of 139 rural hospitals in Iowa and Nebraska. Results showed that a relatively high percentage of hospitals were engaged in managed care activities, mainly through contractual arrangements. The study found that high competition in the marketplace increased the likelihood of hospitals pursuing managed care strategies, while high demand markets had a negative association with the likelihood of pursuing a managed care strategy. No significant relationship was detected between poor performance and pursuing a managed care strategy. [source] | |||||||||||||