Many people who experience opioid use disorder rely on Medicaid. The high penetration of managed care systems into Medicaid raises the importance of understanding states’ expectations regarding coverage, access to care, and health system performance and effectively elevates agreements between states and plans into blueprints for coverage and care. Federal law broadly regulates these structured agreements while leaving a high degree of discretion to states and plans. In this study, researchers reviewed the provisions of 15 state Medicaid managed care contract related to substance use disorder (SUD) treatment to identify whether certain elements of SUD treatment were a stated expectation and the extent to which the details of those expectations varied across states in ways that ultimately could affect evaluation of performance and health outcomes. We found that while all states include SUD treatment as a stated contract expectation, discussions around coverage of specific services and nationally recognized guidelines varied. These variations reflect key state choices regarding how much deference to afford their plans in coverage design and plan administration and reveal important differences in purchasing expectations that could carry implications for efforts to examine similarities and differences in access, quality, and health outcomes within managed care across the states.

This RCD discusses the recent development in Lange v Houston County. In this case, the United States District Court for The Middle District Of Georgia Macon Division found that an Exclusion Policy, prohibiting health insurance coverage of gender-affirming surgery for an employee, Anna Lange, violated Title VII of the Civil Rights Act. On appeal, the Defendants argued that the District Court erred in its decision and relied on the cost burden of gender-affirming surgery as one of their defenses. This RCD highlights that cost is a common defense tactic used by defendants in these cases. However, the author argues that these concerns are unfounded and meritless given the cost-effectiveness of including gender-affirming surgeries in health insurance plans, as highlighted in the RCD.

This paper presents the design of two passive shaped-beam reflectarrays acting as passive intelligent reflecting surfaces (IRSs) to enhance 5G millimeter-wave coverage in the 27.2–28.2 GHz band. The reflectarray panels have been designed to generate a broadened and deflected beam in dual-linear polarization (horizontal and vertical). The reflectarray cell provides a robust performance under incidence angles of up to 50°, with more than 360° of phase variation range. Phase-only synthesis based on the generalized intersection approach has been applied to obtain the phase distribution on each reflectarray panel, so that their radiation patterns comply with the beamwidth and pointing requirements of the scenario under study. The two reflectarrays show a stable performance in the 27.2–28.2 GHz band in terms of gain, side-lobe level, and cross-polarization. The results confirm the potential of this technology to implement passive low-cost IRSs that will contribute to improve millimeter-wave coverage in 5G wireless networks.

Atom probe tomography measurements of self-assembled monolayers of 1-octadecanethiol on platinum tips were performed and their fragmentation behavior under the influence of different laser powers was investigated. The carbon backbone evaporates in the form of small hydrocarbon fragments consisting of one to four carbon atoms, while sulfur evaporates exclusively as single ions. The carbon molecules evaporate at very low fields of 5.9 V/nm, while S requires a considerably higher evaporation field of 23.4 V/nm. With increasing laser power, a weak, but noticeable trend toward larger fragment sizes is observed. No hydrocarbon fragments containing S are detected, indicating that a strong S–Pt bond has formed. The observed surface coverage of S fits well with literature values and is higher for (111)-oriented samples than for (200).

The growing need of the compact and portable antennas with high speed and low latency wireless communication is the present and future demand of the voice over Internet protocol, on-demand bandwidth, and multimedia applications. Fifth-generation (5G) covers certain low-frequency bands under 6 GHz spectrum, and most of the high-frequency bands under 60 GHz. 5G is the part of the millimeter wave spectrum (30–300 GHz) and is introduced to overcome the problem of spectrum shortage due to exponential enhancement of wireless applications in industry, medical, airborne, radar, satellite, and research fields. The International Telecommunication Union's objective of wireless communications promises to provide higher data rates up to 10 Gbps for 5G mobile users and connectivity to the artificial intelligence devices, along with high spectral efficiencies and enhanced coverage. The users for the 5G require around 5 and 50 Gbps of data rates for low and high mobility, respectively. Beamforming in 5G is the modern powerful technique for the coverage of the intended user/direction using the narrow beam width radiation patterns. A brief survey on 5G beamforming techniques, i.e. analog, digital, hybrid, switched, and adaptive etc. and its types, working algorithms, design of compact antennas, gain, and size/type of the substrates is carried out in this paper. The study of the hybrid coupler, branchline coupler, Wilkinson power divider, and Butler matrix in beamforming is required for 5G smart antennas. Different beam widths like ±15, ±35, ±45, and ±55° etc. are produced for the intended directions using a variety of beamforming techniques. From lower to higher frequency band beamforming applications with Roger's Duroid 4003/4350/5880, tectonic, and aluminum oxide dielectric substrates are discussed here. Various beamforming techniques with their merits, demerits, and applications are included in the paper for the knowledge extension of the beamforming antenna designers and research community.

A thorough understanding of commonly used herbicide application practices and technologies is needed to provide recommendations and determine necessary application education efforts. An online survey to assess ground and aerial herbicide application practices in Arkansas was made available online in spring 2019. The survey was direct-emailed to 272 agricultural aviators and 831 certified commercial pesticide applicators, as well as made publicly available online through multiple media sources. A total of 124 responses were received, of which 75 responses were specific to herbicide applications in Arkansas agronomic crops, accounting for approximately 49% of Arkansas’ planted agronomic crop hectares in 2019. Ground and aerial application equipment were used for 49% and 51% of the herbicide applications on reported hectares, respectively. Rate controllers were commonly used application technologies for both ground and aerial application equipment. In contrast, global positioning system-driven automatic nozzle and boom shut-offs were much more common on ground spray equipment than aerial equipment. Applicator knowledge of nozzles and usage was limited, regardless of ground or aerial applicators, as only 28% of respondents provided a specific nozzle type used, indicating a need for educational efforts on nozzles and their importance in herbicide applications. Of the reported nozzle types, venturi nozzles and straight-stream nozzles were the most commonly used for ground and aerial spray equipment, respectively. Spray carrier volumes of 96.3 and 118.8 L ha−1 for ground spray equipment and 49.6 and 59.9 L ha−1 for aerial application equipment were the means of reported spray volumes for systemic and contact herbicides, respectively. Respondents indicated application optimization was a major benefit of utilizing newer application technologies, herbicide drift was a primary challenge, and research needs expressed by respondents included adjuvants, spray volume efficacy, and herbicide drift. Findings from this survey provided insight into current practices, technologies, and needs of Arkansas herbicide applicators. Research and education efforts can be implemented as a result to address aforementioned needs while providing applied research-based information to applicators based on current practices.

The constrained coverage path planning addressed in this paper refers to finding an optimal path traversed by a unmanned aerial vehicle (UAV) to maximize its coverage on a designated area, considering the time limit and the feasibility of the path. The UAV starts from its current position to assess the condition of a new entry to the area. Nevertheless, the UAV needs to comply with the coverage task, simultaneously and therefore, it is likely that the optimal policy would not be the shortest path in such a condition, since a wider area can be covered through a longer path. From the other side, along with a longer path, the UAV may not reach to the target in due time. In addition, the speed of UAV is assumed to be constant and as a result, a feasible path needs to be smooth enough to support this assumption. The problem is modeled as an Epsilon-constraint optimization in which a coverage function has to be maximized, considering the constraints on the length and the smoothness of the path. For this purpose, a new genetic path planning algorithm with adaptive operator selection is proposed to solve such a complicated constrained optimization problem. The proposed approach has been compared to some classical approaches like, a modified version of the Artificial Potential Field and a modified version of Dijkstra's algorithm (a graph-based approach). All the methods are implemented and tested in different scenarios and their performances are evaluated via the simulation results.

Drift reduction technologies aim to eliminate the smaller droplets that occur with some sprays because these small droplets can move off-target in the wind. Commonly used drift reduction technologies such as air-induction nozzles and spray additives impact on reducing off-target movement is well documented, however, the impact on herbicide penetration into an established crop canopy is not well known. This experiment evaluated the canopy penetration and efficacy of glyphosate treatments applied using four nozzle types (XR11005, AIXR11005, AITTJ11005, and TTI11005), two carrier volume rates (94 and 187 L ha-1), and glyphosate applications with and without a commercial drift reducing adjuvant. Applications were made to corn and soybean fields using glyphosate applied at 1.26 kg ae ha-1 with liquid ammonium sulfate at 5% v/v. A rhodamine dye was added (0.025% v/v) to the spray tank of each mixture as a tracer. MylarTM cards were placed in the field above the canopy, in the middle canopy, and on the ground for corn and above and below canopy for soybean. Five cards were at each position in the canopy arranged across the crop row. The addition of a drift reducing adjuvant did not impact canopy penetration. Doubling the carrier volume increased the amount of penetration proportionally and as such the percent reduction was not different. The TTI11005 nozzle had the greatest amount of spray penetration (28%) in the soybean canopies and the XR nozzle had the greatest amount (50%) in the corn canopies. Deposition across the row, beginning in-between the row crop and ending in the row of the crop was 44, 18, and 8% for soybean and 59, 50, and 36% for corn. For both crops, more than half of the herbicide application was captured in the crop canopy. Proper nozzle selection for canopy type can increase herbicide penetration and increasing the carrier volume will increase penetration proportionally.