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The US Supreme Court follows a fixed weekly schedule, with specific days assigned for tasks. Oral arguments – held on select Mondays, Tuesdays, and Wednesdays – are the only public part of the Court’s decision-making process. We argue that news outlets consider the Court’s schedule when deciding which arguments to cover. To test this, we analyze media coverage of oral arguments from the 2019, 2020, and 2021 terms. Our findings reveal a notable disparity, with Monday arguments receiving the most coverage. This highlights the influence of the Court’s schedule on media attention, shaping public awareness, and the perceived importance of cases.
ERISA generally applies to any “employee benefit plan” established or maintained by an employer or a labor union. Whether a given benefit arrangement qualifies as a plan has been challenged on three grounds: transience, indefiniteness, or restricted coverage. ERISA applies only to plans that provide benefits to employees or their families, with the meaning of employee under ERISA tracking the common-law definition. The nature and intensity of ERISA’s regulation largely depends upon whether the plan provides retirement income or systematically defers compensation until termination of employment or beyond (a pension plan), or whether it provides any of certain other benefits specifically listed by the statute (a welfare plan). Finally, ERISA exempts from its coverage a few benefit arrangements that otherwise meet the statutory definition of an employee benefit plan. The most important exceptions are for unfunded executive deferred compensation programs (so-called top hat plans), and for plans sponsored by government or religious organizations.
The Health Technology Assessment (HTA) process aims to optimize health system funding of technologies. In recent years there has been an increase in what is known as Real-World Evidence (RWE) as a complement to clinical trials. The objective of Health Technology Assessment International’s Latin American Policy Forum 2022 was to explore the utility of incorporating RWE into HTA and decision-making processes in the region.
Methods
This article is based on a background document, survey, and the deliberative work of the country representatives who participated in the Forum.
Results
There is a growing interest in the use of Real-World Data / Real-World Evidence in HTA processes in Latin America, although currently there are no specific local guidelines for RWE use by HTA agencies. At present, its use is limited to certain areas such as adding context to HTA reports, the evaluation of adverse events, or cost estimation.
Potential future uses of RWE were identified, including the creation of risk-sharing agreements, the assessment of technology performance in routine practice, providing information on outcomes that are not so easily evaluated in clinical trials (e.g., the identification of specific subpopulations or quality of life), and the estimation of input parameters for economic evaluations.
Conclusions
The participants agreed that there are several areas presenting significant potential to expand the application of RWD/RWE and that the development of normative frameworks for its use could be helpful.
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.
Essential public health functions (EPHF) are primary responsibility of the state and are fundamental for achieving public health goals through collective action. There are several EPHF frameworks that have core and enabling functions, which should be integrated within health systems. The preferred approach is to identify the framework that best suits the local context. International Health Regulation (IHR) are legally binding set of regulations meant to prevent international spread of diseases and are closely related to EPHF. EPHF focus on building capacity for public health nationally, while IHR respond to the obligations of public health globally. This Chapter makes a case for investing in public health as an obligation and an ethical and moral imperative of governments in every country by ensuring well performing EPHF and IHR.
This chapter simplifies the complex multi-payer healthcare reimbursement market and explains how to position your product for successful reimbursement. The best time to bring reimbursement planning into the product development process is discussed here. The U.S. healthcare system is used as a baseline and the healthcare systems of other countries are reviewed briefly. Reimbursement for devices and administered drugs is based on many factors, and this chapter shows the steps a biomedical product company can take to maximize revenues in the US Healthcare system. The basics of reimbursement – coverage, coding, and payment – are explained in simple terms with diagrams. Case studies help show how individual companies have addressed the reimbursement process for novel breakthrough technologies.
The structure of network materials is stochastic. This chapter introduces the minimum set of geometric parameters required to describe the network structure. This set includes the fiber and crosslink densities, the mean segment length, a measure of preferential fiber orientation, and the connectivity index. The relation between the mean segment length and the fiber density is established for two- and three-dimensional networks with cellular and fibrous architectures. The effect of fiber tortuosity, fiber preferential alignment, and excluded volume interactions on the mean segment length are outlined. The statistics of pore sizes in networks of fibrous and cellular types is discussed in terms of the geometric network parameters. The percolation threshold, at which the first connected path forms across the network domain, is discussed for specific methods used to generate the network.
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.
This chapter looks at what vocabulary and how much vocabulary needs to be learned. It is useful to use frequency and range of occurrence to distinguish several levels of vocabulary. Distinguishing these levels helps ensure that learners learn vocabulary in the most useful sequence and thus gain the most benefit from the vocabulary they learn. Making the high-frequency/mid-frequency/low-frequency distinctions ensures that the teacher and learners deal with vocabulary in the most efficient ways. High-frequency words are the most useful words of the language and should be learned first. There are 3,000 high-frequency words. These should be followed by mid-frequency words or specialised vocabulary. The mid-frequency and low-frequency words should not be taught but should be learned through extensive listening and extensive reading, along with the use of vocabulary learning strategies such as flash cards, word part analysis. and dictionary use.
When learners have mastered the 2,000–3,000 high frequency words of general usefulness in English, it is often efficient to direct vocabulary learning to more specialised areas depending on the aims of the learners. It is possible to specialise by learning the shared vocabulary of several fields of study, for example, academic vocabulary, or the vocabulary of the hard sciences or soft sciences. It is also possible to specialise by focusing on the specialised vocabulary of one particular field or part of that field, that is, technical vocabulary. There are several lists of academic vocabulary including the Academic Word List, the Academic Vocabulary List, the Academic Spoken Word List, the Hard Science Spoken Word, List and the Soft Science Spoken Word List. Technical word lists usually consist of one or two thousand words, but some specialist areas like medicine, botany, or zoology have very large technical vocabularies. The chapter looks at how academic and technical vocabulary can be learned. It also looks at the various roles that vocabulary plays in texts.
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.
We assessed the role of home visits by Shasthya Shebika (SS) – female volunteer community health workers (CHWs) – in improving the distribution of micronutrient powder (MNP), and explored the independent effects of caregiver–provider interaction on coverage variables.
Design:
We used data from three cross-sectional surveys undertaken at baseline (n 1927), midline (n 1924) and endline (n 1540) as part of an evaluation of a home fortification programme. We defined an exposure group as one that had at least one SS visit to the caregiver’s household in the 12 months preceding the survey considering three outcome variables – message (ever heard), contact (ever used) and effective coverage (regular used) of MNP. We performed multiple logistic regressions to explore the determinants of coverage, employed an ‘interaction term’ and calculated an odds ratio (OR) to assess the modifying effect of SS’s home visits on coverage.
Settings:
Sixty-eight sub-districts from ten districts of Bangladesh.
Participants:
Children aged 6–59 months and their caregivers.
Results:
A home visit from an SS positively impacts message coverage at both midline (ratio of OR 1·70; 95 % CI 1·25, 2·32; P < 0·01) and endline (ratio of OR 3·58; 95 % CI 2·22, 5·78; P < 0·001), and contact coverage both at midline (ratio of OR 1·48; 95 % CI 1·06, 2·07; P = 0·021) and endline (ratio of OR 1·74; 95 % CI 1·23, 2·47; P = 0·002). There was no significant effect of a SS’s home visit on effective coverage.
Conclusions:
The households visited by BRAC’s volunteer CHWs have better message and contact coverage among the children aged 6–59 months.
Burn disasters represent a real challenge to burn centers worldwide. Several burn disasters with a considerable number of casualties happened in Belgium in the past. The positioning of burn centers is a significant issue to account for in a burn disaster preparedness and response. The objectives of this study are to identify the geographic coverage and accessibility of the burn centers in Belgium in the realm of a burn disaster scenario.
Method:
Cross-sectional secondary analysis was performed using data from the Belgian Burn Association and Belgian Department of the Statistic. Data were analyzed using ArcGIS, a geographic information system tool to identify the coverage of burn centers within half an hour driving time, and access time of both populations in the districts and the disaster-prone areas to the individual burn centers.
Results:
Around 7.3 million (65%) people are covered by a half an hour driving time window from the burn centers. However, the accessibility to the individual burn centers is varied across different regions and provinces.
Conclusion:
There is a slightly over-supply of burn centers in the mid part of the country, contrasted by an under-supply and poor accessibility for the population living near the borders, particularly in the south part of the country. This study would provide a benchmark for stakeholders in Belgium and other industrial countries to consider the coverage and accessibility of the burn centers as part of preparation and planning for burn disasters in the future.
Timely access to innovative medical technologies driven by accelerated patient access pathways can substantially improve the health outcomes of patients who often have few therapeutic alternatives. We analyzed lead-times for the medical procedure reimbursement coverage process undertaken in South Korea from 2014 to 2017, which is considered one of the most important factors contributing to delays in patient access to new medical technologies.
Methods
This analysis was performed using the open datasets source of “Medical Procedure Expert Evaluation Committee (MPEEC)” meeting results and medical procedure coverage application information published on the Health Insurance Review and Assessment Service Web site.
Results
From 2014 to 2017, 90 percent of all new coverage determinations took on average >250 days with almost 20 percent taking more than 2 years (>750 days), The average lead-time from the medical procedure coverage application to MPEEC meeting in 2015 was 435.0 ± 214.7 days (n = 26), which was significantly shorter than the average lead-time in 2014 (624.9 ± 290.3 days, n = 16) (p < .05). The average lead-time from application to official enforcement in 2015 was significantly shorter than that of 2014 (540.8 ± 217.4; n = 16 versus 734.1 ± 299.7 days; n = 26, respectively) (p < .05).
Conclusions
While this analysis showed a general trend of a reduction in the time taken to receive a positive coverage determination for a new medical technology, the average lead-time remains well over the government mandated 100 days. To continue this trend and further enhance the patient access pathway for medical procedure coverage determinations, some measures can be applied. In particular, the extended “One-Stop Service” program encompassing coverage determinations is one such recommendation that could be considered.
The present study aimed to give an overall view of the pattern of high-dose vitamin A supplementation (VAS) coverage in twenty-three sub-Saharan African countries and factors associated with receipt of VAS among children aged 6–59 months.
Design
Cross-sectional data from the twenty-three Demographic and Health Surveys conducted from 2011 to 2015 in twenty-three sub-Saharan African countries were pooled. A multilevel logistic regression model was used to explore factors associated with VAS.
Setting
Twenty-three sub-Saharan African countries.
Participants
Children (n 215 511) aged 6–59 months.
Results
The overall coverage of VAS among children aged 6–59 months for the surveys included was 59·4 %. In the multivariable analysis, children whose mothers had primary (adjusted OR (aOR)=1·43; 95 % CI 1·39, 1·47) or secondary or above (aOR=1·72; 95 % CI 1·67, 1·77) educational status were more likely to receive VAS than children whose mothers had no formal education. Other factors associated with significantly increased likelihood of VAS were: living in urban areas; children of working mothers; children whose mothers had higher media exposure; children of older mothers v. children of mothers aged 15–19 years; and older children v. children aged 6–11 months. At the country level, lower media exposure was significant and negatively associated with VAS.
Conclusions
Broader VAS coverage is needed according to our data. More efforts are needed to scale up coverage, focusing mostly on groups at risk of non-receipt of vitamin A.
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.