BACKGROUND It is crucial to understand the impact of the Affordable Care Act (ACA). This study assesses changes in insurance status of patients visiting community health centers (CHCs) comparing states that expanded Medicaid to those that did not. METHODS Electronic health record data on 875,571 patients aged 19 to 64 years with ≥ 1 visit between 2012 and 2015 in 412 primary care CHCs in 9 ex...

rivers can be contaminated with different pollutants such as trout farms. evaluation of the effect of trout farm on water quality is important to give new permission for trout farm construction. in current work, the effect of constructed trout farms near the deinachal river on some physicochemical properties namely chemical oxygen demand (cod), biological oxygen demand (bod5), dissolved oxygen ...

BACKGROUND Ecological traps form when artificial structures are added to natural habitats and induce mismatches between habitat preferences and fitness consequences. Their existence in terrestrial systems has been documented, yet little evidence suggests they occur in marine environments. Coastal fish farms are widespread artificial structures in coastal ecosystems and are highly attractive to ...

Server farms are popular architectures for computing infrastructures such as supercomputing centers, data centers and web server farms. As server farms become larger and their workloads more complex, designing efficient policies for managing the resources in server farms via trial-and-error becomes intractable. It is hard to predict the exact effect of various parameters on performance. Stochas...

BACKGROUND Previous studies have reported that socioeconomically disadvantaged Australians have poorer self-rated dental health (SRDH), are less likely to be insured for dental services and are less likely to have regular dental visits than their more advantaged counterparts. However, less is known about the associations between dental insurance and SRDH. The aim of this study was to examine th...

KEY FINDINGS Data from the National Health Interview Survey •Two-thirds of insured adults aged 50-75 were screened for colorectal cancer within the recommended intervals. •Insured women aged 30-39 (90.5%) were more likely than their older peers to be screened for cervical cancer within the recommended intervals. •Seventy-three percent of insured women aged 50-74 had a mammogram in the past 2 ye...

The aim of this study was to assess the effect of grazing (G) vs. zero-grazing (ZG), level of milk production, and quality and type of housing system [free stalls (FS) and straw yards (SY)] on the prevalence of lameness and leg injuries in dairy cows. Observations were made on 37 commercial dairy farms across Great Britain. A single visit of 5 d duration was made to each farm. During this visit...

Objectives. The study objective was to determine how insurance status relates to treatment receipt and overall survival for patients with early-stage pancreatic exocrine carcinoma. Methods. SEER data were evaluated for 17,234 patients diagnosed with Stage I/II pancreatic exocrine carcinoma. Multivariate regression models controlled for personal characteristics to determine whether insurance sta...

In the opening decades of wind engineering research and application the typical focus was on the glamorous, highrise structure. These expensive projects could typically afford the high cost of a wind-tunnel study. As the relative cost of these studies has decreased over the last forty years, more conventional architecture has found its way into the wind tunnel. However, it is still quite rare f...

BACKGROUND Health coverage in the United States will be increased to nearly universal levels under the Affordable Care Act (ACA). In order to better understand the impact of the type of health insurance and health outcomes, there is a need to examine health disparities and inequalities between the insured and the uninsured based on their eligibility for coverage. METHODS The current study use...