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Multiple Barriers to Economic Opportunity for the "Truly" Disadvantaged and Vulnerable.

ABSTRACT: This article answers several questions: Which subgroups of the U.S. population-designated by race, ethnicity, family structure, educational status, income, wealth, consumption, or other characteristics-appear to be particularly vulnerable to a lack of economic opportunity based on household characteristics of the family and its children? To what degree does poor access to economic advancement appear to reflect low income or wealth, or do additional barriers contribute substantially to some subgroups' limited opportunities? Similarly, what advantages accrue to high-income and other privileged groups, such as those born into a well-established married family? What does current research tell us about the mechanisms through which barriers operate and policies that might be effective in reducing them?

SUBMITTER: Smeeding TM

PROVIDER: S-EPMC6095670 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature

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Multiple Barriers to Economic Opportunity for the "Truly" Disadvantaged and Vulnerable.

Smeeding Timothy M TM

The Russell Sage Foundation journal of the social sciences : RSF 20160501 2

This article answers several questions: Which subgroups of the U.S. population-designated by race, ethnicity, family structure, educational status, income, wealth, consumption, or other characteristics-appear to be particularly vulnerable to a lack of economic opportunity based on household characteristics of the family and its children? To what degree does poor access to economic advancement appear to reflect low income or wealth, or do additional barriers contribute substantially to some subgr ...[more]

PMID: 30123833

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Project description:Adequate oxygenation of the kidney is of critical importance in the neonate. Non-invasive monitoring of renal tissue oxygenation using near-infrared spectroscopy (NIRS) is a promising bedside strategy for early detection of circulatory impairment as well as recognition of specific renal injury. As a diagnostic tool, renal NIRS monitoring may allow for earlier interventions to prevent or reduce injury in various clinical scenarios in the neonatal intensive care unit. Multiple studies utilizing NIRS monitoring in preterm and term infants have provided renal tissue oxygenation values at different time points during neonatal hospitalization, and have correlated measures with ultrasound and Doppler flow data. With the establishment of normal values, studies have utilized renal tissue oxygenation monitoring in preterm neonates to predict a hemodynamically significant patent ductus arteriosus, to assess response to potentially nephrotoxic medications, to identify infants with sepsis, and to describe changes after red blood cell transfusions. Other neonatal populations being investigated with renal NIRS monitoring include growth restricted infants, those requiring delivery room resuscitation, infants with congenital heart disease, and neonates undergoing extracorporeal membrane oxygenation. Furthermore, as the recognition of acute kidney injury (AKI) and its associated morbidity and mortality in neonates has increased over the last decade, alternative methods are being investigated to diagnose AKI before changes in serum creatinine or urine output occur. Studies have utilized renal NIRS monitoring to diagnose AKI in specific populations, including neonates with hypoxic ischemic encephalopathy after birth asphyxia and in infants after cardiac bypass surgery. The use of renal tissue oxygenation monitoring to improve renal outcomes has yet to be established, but results of studies published to date suggest that it holds significant promise to function as a real time, early indicator of poor renal perfusion that may help with development of specific treatment protocols to prevent or decrease the severity of AKI.

Project description:BackgroundCombined Heat and Power (CHP) systems can provide a range of benefits to users with regards to efficiency, reliability, costs and environmental impact. Furthermore, increasing the amount of electricity generated by CHP systems in the United States has been identified as having significant potential for impressive economic and environmental outcomes on a national scale. Given the benefits from increasing the adoption of CHP technologies, there is value in improving our understanding of how desired increases in CHP adoption can be best achieved. These obstacles are currently understood to stem from regulatory as well as economic and technological barriers. In our research, we answer the following questions: Given the current policy and economic environment facing the CHP industry, what changes need to take place in this space in order for CHP systems to be competitive in the energy market?MethodsWe focus our analysis primarily on Combined Heat and Power Systems that use natural gas turbines. Our analysis takes a two-pronged approach. We first conduct a statistical analysis of the impact of state policies on increases in electricity generated from CHP system. Second, we conduct a Cost-Benefit analysis to determine in which circumstances funding incentives are necessary to make CHP technologies cost-competitive.ResultsOur policy analysis shows that regulatory improvements do not explain the growth in adoption of CHP technologies but hold the potential to encourage increases in electricity generated from CHP system in small-scale applications. Our Cost-Benefit analysis shows that CHP systems are only cost competitive in large-scale applications and that funding incentives would be necessary to make CHP technology cost-competitive in small-scale applications.ConclusionFrom the synthesis of these analyses we conclude that because large-scale applications of natural gas turbines are already cost-competitive, policy initiatives aimed at a CHP market dominated primarily by large-scale (and therefore already cost-competitive) systems have not been effectively directed. Our recommendation is that for CHP technologies using natural gas turbines, policy focuses should be on increasing CHP growth in small-scale systems. This result can be best achieved through redirection of state and federal incentives, research and development, adoption of smart grid technology, and outreach and education.

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Multiple Barriers to Economic Opportunity for the "Truly" Disadvantaged and Vulnerable.

Publications

Multiple Barriers to Economic Opportunity for the "Truly" Disadvantaged and Vulnerable.

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