Carving-out mental health benefits to Medicaid beneficiaries: a shift toward managed care

Several states have designed and implemented innovative programs for Medicaid beneficiaries that carve-out the provision of mental health from general health care. This paper describes several such programs and outlines the choices states face in designing these services. Major decisions include the selection of a public or private agency, how that agency is chosen, reimbursement schemes, eligibility criteria, and benefits to be covered. While carve-out programs have yielded initial savings, more research is needed on their effect on quality of care and general health care costs.     

Prednisolone therapy of idiopathic feline lower urinary tract disease: a double-blind clinical study

A double-blind clinical study was performed to evaluate prednisolone as treatment for idiopathic feline lower urinary tract disease. No differences in response were observed in prednisolone- and placebo-treated cats.     

The multi-class binomial failure rate model

The impact of common cause failure (CCF) on PSA results for NPPs is in sharp contrast with the limited quality which can be achieved in their assessment. This is due to the dearth of observations and cannot be remedied in the short run. Therefore, the methods employed for calculating failure rates should be devised such as to make the best use of the few available observations on CCF. The Multi-Class Binomial Failure Rate (MCBFR) Model presented here achieves this by assigning observed failures to different classes according to their technical characteristics and applying the BFR formalism to each of these. The results are determined by a superposition of BFR type expressions for each class, each of them with its own coupling factor. The model hence integrates additional technical information on CCFs and leads to a better quality of results whenever this information is available. This is demonstrated by evaluating CCFs observed for combined impulse pilot valves in German NPPs.     

Apparatus for steady-state kinetic measurements of the catalytic reduction of nitric oxide by ammonia on iron oxide

The reduction of nitric oxide with ammonia on an unsupported iron oxide catalyst has been studied in a continuous-flow recycle reactor using simulated flue gas. The responses of the employed reactor system to step and pulse inputs of tracer indicate that the system could be regarded as a continuous stirred tank reactor (CSTR). Preliminary tests were carried out to determine the effect of temperature and particle size on the measured reaction rates. Additional experiments were performed in order to study the influence of oxygen and water concentration on these rates. A gas chromatographic system has been developed to analyze the gas components NO, N₂O, NO₂, NH₃, H₂O, O₂, CO₂ and N₂. In addition, the concentrations of NO and NO₂ were measured with a nondisperse infrared (NDUV/NDIR) analyzer.     

“Technically Unavoidable” in Terms of Genetically Modified Organisms – an Approach for Food Control

In case of findings of authorized genetically modified (gm) plant ingredients below the 0.9 per cent threshold, exceptions from labelling requirements according to regulation (EC) No. 1829/2003 can only be made, “provided that this presence is adventitious or technically unavoidable”. The authors describe factors that should be considered regarding contaminations by gm plant ingredients as technically unavoidable or not. A practical approach for interpretation, taking into account quality control measures and documentation as well as present findings in comparable products is proposed. Received: February 23, 2007