Supplemental Nutrition Assistance Program: A policy analysis of restricting foods with minimal nutritional value

In 2011, expenditures for the Supplemental Nutrition Assistance Program (SNAP) reached an all-time high of $72 billion. The goal of SNAP is " to alleviate hunger and malnutrition…by increasing food purchasing power for all eligible households who apply for participation." It has been well established that proper nutrition is essential to good health, making SNAP an important program to public health consumers. Thus, this analysis examined whether SNAP is meeting its stated goal and whether the goal would be reduced if the purchase of foods of minimal nutritional value (FMNV) were restricted. ^ A review of existing literature found that SNAP has been shown to alleviate hunger, but the studies on the nutritional impact of the program were not sufficient to assert whether change is needed. When considering whether limiting FMNV would reduce or improve the effectiveness of SNAP at alleviating hunger and malnutrition, there is very little information on which to base a policy change, particular one that singles out a low income group to restrict purchases. ^ Several states have attempted to restrict the purchase of FMNV but, to date, no such change has been implemented or tested. Conducting pilot studies on the restriction of FMNV, along with better data collection on SNAP purchases, would guide policy changes to the program. Although there are many potential public health benefits to restricting FMNV purchase using SNAP dollars, research is needed to quantify the cost impact of these benefits.^

The cost of insuring the uninsured in the U.S.

Objectives: This study included two overarching objectives. Through a systematic review of the literature published between 1990 and 2012, the first objective aimed to assess whether insuring the uninsured would result in higher costs compared to insuring the currently insured. Studies that quantified the actual costs associated with insuring the uninsured in the U.S. were included. Based upon 2009 data from the Medical Expenditure Panel Survey (MEPS), the second objective aimed to assess and compare the self-reported health of populations with four different insurance statuses. The second part of this study involved a secondary data analysis of both currently insured and currently uninsured individuals who participated in the MEPS in 2009. The null hypothesis was that there were no differences across the four categories of health insurance status for self-reported health status and healthcare service use. The alternative hypothesis was that were differences across the four categories of health insurance status for self-reported health status and healthcare service use. Methods: For the systematic review, three databases were searched using search terms to identify studies that actually quantified the cost of insuring the uninsured. Thirteen studies were selected, discussed, and summarized in tables. For the secondary data analysis of MEPS data, this study compared four categories of health insurance status: (1) currently uninsured persons who will become eligible for Medicaid under the Patient Protection and Affordable Care Act (PPACA) healthcare reforms in 2014; (2) currently uninsured persons who will be required to buy private insurance through the PPACA health insurance exchanges in 2014; (3) persons currently insured under Medicaid or SCHIP; and (4) persons currently insured with private insurance. The four categories were compared on the basis of demographic information, health status information, and health conditions with relatively high prevalence. Chi-square tests were run to determine if there were differences between the four groups in regard to health insurance status and health status. With some exceptions, the two currently insured groups had worse self-reported health status compared to the two currently uninsured groups. Results: The thirteen studies that met the inclusion criteria for the systematic review included: (1) three cost studies from 1993, 1995, and 1997; (2) four cost studies from 2001, 2003, and 2004; (3) one study of disabilities and one study of immigrants; (4) two state specific studies of uninsured status; and (5) two current studies of healthcare reform. Of the thirteen studies reviewed, four directly addressed the study question about whether insuring the uninsured was more or less expensive than insuring the currently insured. All four of the studies provided support for the study finding that the cost of insuring the uninsured would generally not be higher than insuring those already insured. One study indicated that the cost of insuring the uninsured would be less expensive than insuring the population currently covered by Medicaid, but more expensive to insure than the populations of those covered by employer-sponsored insurance and non-group private insurance. While the nine other studies included in the systematic review discussed the costs associated with insuring the uninsured population, they did not directly compare the costs of insuring the uninsured population with the costs associated with insuring the currently insured population. For the MEPS secondary data analysis, the results of the chi-square tests indicated that there were differences in the distribution of disease status by health insurance status. As anticipated, with some exceptions, the uninsured reported lower rates of disease and healthcare service use. However, for the variable attention deficit disorder, the uninsured reported higher disease rates than the two insured groups. Additionally, for the variables high blood pressure, high cholesterol, and joint pain, the currently insured under Medicaid or SCHIP group reported a lower rate of disease than the two currently insured groups. This result may be due to the lower mean age of the currently insured under Medicaid or SCHIP group. Conclusion: Based on this study, with some exceptions, the costs for insuring the uninsured should not exceed healthcare-related costs for insuring the currently uninsured. The results of the systematic review indicated that the U.S. is already paying some of the costs associated with insuring the uninsured. PPACA will expand health insurance coverage to millions of Americans who are currently uninsured, as the individual mandate and insurance market reforms will require. Because many of the currently uninsured are relatively healthy young persons, the costs associated with expanding insurance coverage to the uninsured are anticipated to be relatively modest. However, for the purposes of construing these results, it is important to note that once individuals obtain insurance, it is anticipated that they will use more healthcare services, which will increase costs. (Abstract shortened by UMI.)^

Holocene carbon cycle dynamics, links to model files

We are investigating the late Holocene rise in CO2 by performing four experiments with the climate-carbon-cycle model CLIMBER2-LPJ. Apart from the deep sea sediments, important carbon cycle processes considered are carbon uptake or release by the vegetation, carbon uptake by peatlands, and CO 2 release due to shallow water sedimentation of CaCO3. Ice core data of atmospheric CO2 between 8 ka BP and preindustrial climate can only be reproduced if CO2 outgassing due to shallow water sedimentation of CaCO3 is considered. In this case the model displays an increase of nearly 20 ppmv CO2 between 8 ka BP and present day. Model configurations that do not contain this forcing show a slight decrease in atmospheric CO2. We can therefore explain the late Holocene rise in CO2 by invoking natural forcing factors only, and anthropogenic forcing is not required to understand preindustrial CO2 dynamics.

Carbonate chemistry, temperature and salinity of Lady Elliot Island Reef 2009-2010

Ocean acidification leads to changes in marine carbonate chemistry that are predicted to cause a decline in future coral reef calcification. Several laboratory and mesocosm experiments have described calcification responses of species and communities to increasing CO2. The few in situ studies on natural coral reefs that have been carried out to date have shown a direct relationship between aragonite saturation state (Omega arag) and net community calcification (Gnet). However, these studies have been performed over a limited range of Omega arag values, where extrapolation outside the observational range is required to predict future changes in coral reef calcification. We measured extreme diurnal variability in carbonate chemistry within a reef flat in the southern Great Barrier Reef, Australia. Omega arag varied between 1.1 and 6.5, thus exceeding the magnitude of change expected this century in open ocean subtropical/tropical waters. The observed variability comes about through biological activity on the reef, where changes to the carbonate chemistry are enhanced at low tide when reef flat waters are isolated from open ocean water. We define a relationship between net community calcification and Omega arag, using our in situ measurements. We find net community calcification to be linearly related to Omega arag, while temperature and nutrients had no significant effect on Gnet. Using our relationship between Gnet and Omega arag, we predict that net community calcification will decline by 55% of its preindustrial value by the end of the century. It is not known at this stage whether exposure to large variability in carbonate chemistry will make reef flat organisms more or less vulnerable to the non-calcifying physiological effects of increasing ocean CO2 and future laboratory studies will need to incorporate this natural variability to address this question.

Age determination of equatorial Pacific sediments

Radiocarbon age differences for pairs of coexisting late glacial age benthic and planktic foraminifera shells handpicked from 10 sediment samples from a core from a depth of 2.8 km in the western equatorial Pacific are not significantly different from that of 1600 years calculated from measurements on prenuclear seawater. This places a lower limit on the depth of the interface for the hypothetical radiocarbon-depleted glacial age seawater reservoir required to explain the 190 per mil drop in the 14C/C for atmospheric CO2, which occurred during the mystery interval (17.5 to 14.5 calendar years ago). These measurements restrict the volume of this reservoir to be no more than 35% that of the ocean. Further, 14C measurements on a single Last Glacial Maximum age sample from a central equatorial Pacific core from a depth of 4.4 km water fail to reveal evidence for the required 5- to 7-kyr age difference between benthic and planktic foraminifera shells if the isolated reservoir occupied only one third of the ocean. Nor does the 13C record for benthic forams from this abyssal core yield any evidence for the excess respiration CO2 expected to be produced during thousands of years of isolation. Nor, as indicated by the presence of benthic foraminifera, was the dissolved oxygen used up in this abyssal water.

Geochemisty at DSDP Hole 62-465A

Very significant enhancements of the element iridium have been observed in association with the Cretaceous/ Tertiary boundary in marine sediments laid down 65 m.y. ago and subsequently uplifted above the ocean's surface. If our hypothesis for the origin of the iridium and the cause of the Cretaceous/Tertiary life extinctions (the asteroid-impact theory) (Alvarez et al., 1980) is correct, the Ir anomaly should be associated with the Cretaceous/ Tertiary boundary region wherever it is intact. The present work was undertaken to search for the Ir anomaly in a deep-sea-drilling core, in order to check this aspect of the asteroid-impact theory.

Abundance, biomass, production, grazing, and biometric measurements of prokaryotes, nanoflagellates, ciliates, and dinoflagellates in three areas close to the Antarctic Peninsula in spring and summer 1995/96

Two cruises were carried out during the Austral spring-summer (November 1995 - January 1996: FRUELA 95, and January - February 1996: FRUELA 96), sampling in Bellingshausen Sea, western Bransfield Strait and Gerlache Strait. We investigated whether there were any spatial (among locations) or temporal (between cruises) differences in abundance and biomass of microbial heterotrophic and autotrophic assemblages. Changes in the concentration of chlorophyll a, prokaryotes, heterotrophic and phototrophic nanoflagellates abundance and biomass were followed in the above mentioned locations close to the Antarctic Peninsula. Parallel to these measurements we selected seven stations to determine grazing rates on prokaryotes by protists at a depth coincident with the depth of maximum chlorophyll a concentration. Measuring the disappearance of fluorescent minicells over 48 h assessed grazing by the protist community. From prokaryotes grazing rates, we estimated how much prokaryotic carbon was channeled to higher trophic levels (protists), and whether this prokaryotic carbon could maintain protists biomass and growth rates. In general higher values were reported for Gerlache Strait than for the other two areas. Differences between cruises were more evident for the oligotrophic areas in Bellingshausen Sea and Bransfield Strait than in Gerlache Strait (eutrophic area). Higher values for phototrophic (at least for chlorophyll a concentration) and abundance of all heterotrophic microbial populations were recorded in Bellingshausen Sea and Bransfield Strait during late spring - early summer (FRUELA 95) than in mid-summer (FRUELA 96). However, similar results for these variables were observed in Gerlache Strait as in spring-early summer as well as in mid-summer. Also, we found differences in grazing rates on prokaryotes among stations located in the three areas and between cruises. Thus, during late spring-early summer (FRUELA 95), the prokaryotic biomass consumed from the standing stock was higher in Bellingshausen Sea (26%/day) and Gerlache Strait (18-26%/day) than in Bransfield Strait (0.68-14%/day). During mid-summer (FRUELA 96) a different pattern was observed. The station located in Bellingshausen Sea showed higher values of prokaryotic biomass consumed (11%/day) than the one located in Gerlache Strait (2.3%/day). Assuming HNF as the main prokaryotic consumers, we estimated that the prokaryotic carbon consumed by heterotrophic nanoflagellates (HNF) barely covers their carbon requirements for growth. These results suggest that in Antarctic waters, HNF should feed in other carbon sources than prokaryotes.

Chemistry of abyssal and Horman peridotites

The concentrations of the platinum-group elements (PGE) Ir, Ru, Pt and Pd were determined in 11 abyssal peridotites from ODP Sites 895 and 920, as well in six ultramafic rocks from the Horoman peridotite body, Japan, which is generally thought to represent former asthenospheric mantle. Individual oceanic peridotites from ODP drill cores are characterized by variable absolute and relative PGE abundances, but the average PGE concentrations of both ODP suites are very similar. This indicates that the distribution of the noble metals in the mantle is characterized by small-scale heterogeneity and large-scale homogeneity. The mean Ru/Ir and Pt/Ir ratios of all ODP peridotites are within 15% and 3%, respectively, of CI-chondritic values. These results are consistent with models that advocate that a late veneer of chondritic material provided the present PGE budget of the silicate Earth. The data are not reconcilable with the addition of a significant amount of differentiated outer core material to the upper mantle. Furthermore, the results of petrogenetic model calculations indicate that the addition of sulfides derived from percolating magmas may be responsible for the variable and generally suprachondritic Pd/Ir ratios observed in abyssal peridotites. Ultramafic rocks from the Horoman peridotite have PGE signatures distinct from abyssal peridotites: Pt/Ir and Pd/Ir are correlated with lithophile element concentrations such that the most fertile lherzolites are characterized by non-primitive PGE ratios. This indicates that processes more complex than simple in-situ melt extraction are required to produce the geochemical systematics, if the Horoman peridotite formed from asthenospheric mantle with chondritic relative PGE abundances. In this case, the PGE results can be explained by melt depletion accompanied or followed by mixing of depleted residues with sulfides, with or without the addition of basaltic melt.

Phosphorus components and barite in untreated and in carbonate-free sediments of ODP Hole 199-1221C

We determined changes in equatorial Pacific phosphorus (µmol P/g) and barite (BaSO4; wt%) concentrations at high resolution (2 cm) across the Paleocene/Eocene (P/E) boundary in sediments from Ocean Drilling Program (ODP) Leg 199 Site 1221 (153.40 to 154.80 meters below seafloor [mbsf]). Oxide-associated, authigenic, and organic P sequentially extracted from bulk sediment were used to distinguish reactive P from detrital P. We separated barite from bulk sediment and compared its morphology with that of modern unaltered biogenic barite to check for diagenesis. On a CaCO3-free basis, reactive P concentrations are relatively constant and high (323 µmol P/g or ~1 wt%). Barite concentrations range from 0.05 to 5.6 wt%, calculated on a CaCO3-free basis, and show significant variability over this time interval. Shipboard measurements of P and Ba in bulk sediments are systematically lower (by ~25%) than shore-based concentrations and likely indicate problems with shipboard standard calibrations. The presence of Mn oxides and the size, crystal morphology, and sulfur isotopes of barite imply deposition in sulfate-rich pore fluids. Relatively constant reactive P, organic C, and biogenic silica concentrations calculated on a CaCO3-free basis indicate generally little variation in organic C, reactive P, and biogenic opal burial across the P/E boundary, whereas variable barite concentrations indicate significant changes in export productivity. Low barite Ba/reactive P ratios before and immediately after the Benthic Extinction Event (BEE) may indicate efficient nutrient burial, and, if nutrient burial and organic C burial are linked, high relative organic C burial that could temporarily drawdown CO2 at this site. This interpretation requires postdepositional oxidation of organic C because organic C to reactive P ratios are low throughout the section. After the BEE, higher barite Ba/reactive P ratios combined with higher barite Ba concentrations may imply that higher export productivity was coupled with unchanged reactive P burial, indicating efficient nutrient and possibly also organic C recycling in the water column. If the nutrient recycling is decoupled from organic C, the high export production could be indicative of drawdown of CO2. However, the observation that organic C burial is not high where barite burial is high may imply that either C sequestration was restricted to the deep ocean and thus occurred only on timescales of the deep ocean mixing or that postdepositional oxidation (burn down) of organic matter affected the sediments. The decoupling of barite and opal may result from low opal preservation or production that is not diatom based.

Age determination of foraminifera shells

The causes for discordant radiocarbon results on multiple species of planktonic foraminifera from high-sedimentation-rate marine sediments are investigated. We have documented two causes for these anomalous results. One is the addition of secondary radiocarbon for which we have, to date, only one firm example. It involves an opal-rich sediment. The other is the incorporation of reworked material. Again, we have, to date, only one firm example. It involves a rapidly deposited ocean margin sediment. However, we have three other examples where reworking is the most likely explanation. On the basis of this study it is our conclusion that, where precise radiocarbon dating of high-deposition-rate marine sediment is required, a prerequisite is to demonstrate that concordant ages can be obtained on pairs of fragile and robust planktic shells. For sediment rich in opal, it is advisable to check for secondary calcite by comparing ages obtained on acid-leached samples with those on unleached samples.

Helium isotope ratios and sedimentation rate models of ODP holes

A continuous age model for the brief climate excursion at the Paleocene-Eocene boundary has been constructed by assuming a constant flux of extraterrestrial 3He (3He[ET]) to the seafloor. 3He[ET] measurements from ODP Site 690 provide quantitative evidence for the rapid onset (to the Earth's surficial carbon budget at this time. These observations support astronomically calibrated age models indicating extremely rapid release of isotopically light carbon, possibly from seafloor methane hydrate, as the proximal cause of the event. However, the 3He[ET] technique indicates a previously unrecognized and extreme increase in sedimentation rate coincident with the return of climate proxies to pre-event values. The 3He[ET]-based age model thus suggests a far more rapid recovery from the climatic perturbation than previously proposed or predicted on the basis of the modern carbon cycle, and so may indicate additional or accelerated mechanisms of carbon removal from the ocean-atmosphere system during this period. 3He[ET] was also measured at ODP Site 1051 to test the validity of the Site 690 chronology. Comparison of these data sets seems to require removal of several tens of kyr of sediment within the climatic excursion at Site 1051, an observation consistent with sediment structures and previous age modeling efforts. The Site 1051 age model shows a ~30 kyr period in which climate proxies return toward pre-event values, after which they remain invariant for ~80 kyr. If this rise represents the recovery interval identified at Site 690, then the 3HeET-based age models of the two sites are in good agreement. However, alternative interpretations are possible, and work on less disrupted sites is required to evaluate the reliability of the proposed new chronology of the climate excursion. Regardless of these details, this work shows that the 3HeET technique can provide useful independent evidence for the development and testing of astronomically calibrated age models.

Ocean acidification impacts on sperm mitochondrial membrane potential bring sperm swimming behaviour near its tipping point

Broadcast spawning marine invertebrates are susceptible to environmental stressors such as climate change, as their reproduction depends on the successful meeting and fertilization of gametes in the water column. Under near-future scenarios of ocean acidification, the swimming behaviour of marine invertebrate sperm is altered. We tested whether this was due to changes in sperm mitochondrial activity by investigating the effects of ocean acidification on sperm metabolism and swimming behaviour in the sea urchin Centrostephanus rodgersii. We used a fluorescent molecular probe (JC-1) and flow cytometry to visualize mitochondrial activity (measured as change in mitochondrial membrane potential, MMP). Sperm MMP was significantly reduced in delta pH -0.3 (35% reduction) and delta pH -0.5 (48% reduction) treatments, whereas sperm swimming behaviour was less sensitive with only slight changes (up to 11% decrease) observed overall. There was significant inter-individual variability in responses of sperm swimming behaviour and MMP to acidified seawater. We suggest it is likely that sperm exposed to these changes in pH are close to their tipping point in terms of physiological tolerance to acidity. Importantly, substantial inter-individual variation in responses of sperm swimming to ocean acidification may increase the scope for selection of resilient phenotypes, which, if heritable, could provide a basis for adaptation to future ocean acidification.

Sea surface temperture reconstruction for ODP Site 189-1172

Relative to the present day, meridional temperature gradients in the Early Eocene age (~56-53 Myr ago) were unusually low, with slightly warmer equatorial regions (Pearson et al., 2007, doi:10.1130/G23175A.1 ) but with much warmer subtropical Arctic (Sluijs et al., 2008, doi:10.1029/2007PA001495) and mid-latitude (Sluijs et al., 2007, doi:10.1038/nature06400) climates. By the end of the Eocene epoch (~34 Myr ago), the first major Antarctic ice sheets had appeared (Zachos et al., 1992, doi:10.1130/0091-7613(1992)020<0569:EOISEO>2.3.CO;2; Barker et al., 2007, doi:10.1016/j.dsr2.2007.07.027), suggesting that major cooling had taken place. Yet the global transition into this icehouse climate remains poorly constrained, as only a few temperature records are available portraying the Cenozoic climatic evolution of the high southern latitudes. Here we present a uniquely continuous and chronostratigraphically well-calibrated TEX86 record of sea surface temperature (SST) from an ocean sediment core in the East Tasman Plateau (palaeolatitude ~65° S). We show that southwest Pacific SSTs rose above present-day tropical values (to ~34° C) during the Early Eocene age (~53 Myr ago) and had gradually decreased to about 21° C by the early Late Eocene age (~36 Myr ago). Our results imply that there was almost no latitudinal SST gradient between subequatorial and subpolar regions during the Early Eocene age (55-50 Myr ago). Thereafter, the latitudinal gradient markedly increased. In theory, if Eocene cooling was largely driven by a decrease in atmospheric greenhouse gas concentration Zachos et al. (2008, doi:10.1038/nature06588), additional processes are required to explain the relative stability of tropical SSTs given that there was more significant cooling at higher latitudes.

Stable carbon and oxygen isotopes from samples of the Anaximander seamounts in the eastern Mediterranean Sea

Porous seep-carbonates are exposed at mud volcanoes in the eastern Mediterranean Sea. The 13C-depleted aragonitic carbonates formed as a consequence of the anaerobic oxidation of methane in a shallow sub-surface environment. Besides the macroscopically visible cavernous fabric, extensive carbonate corrosion was revealed by detailed analysis. After erosion of the background sediments, the carbonates became exposed to oxygenated bottom waters that are periodically influenced by the release of methane and upward diffusion of hydrogen sulphide. We suggest that carbonate corrosion resulted from acidity locally produced by aerobic oxidation of methane and hydrogen sulphide in the otherwise, with respect to aragonite, oversaturated bottom waters. Although it remains to be tested whether the mechanisms of carbonate dissolution suggested herein are valid, this study reveals that a better estimate of the significance of corrosion is required to assess the amount of methane-derived carbon that is permanently fixed in seep-carbonates.

(Table 1) Moisture content of buried snowpack deposit samples from Pearse Valley, McMurdo Dry Valleys

Buried snowpack deposits are found within the McMurdo Dry Valleys of Antarctica, which offers the opportunity to study these layered structures of sand and ice within a polar desert environment. Four discrete buried snowpacks are studied within Pearse Valley, Antarctica, through in situ observations, sample analyses, O-H isotope measurements and numerical modelling of snowpack stability and evolution. The buried snowpack deposits evolve throughout the year and undergo deposition, melt, refreeze, and sublimation. We demonstrate how the deposition and subsequent burial of snow can preserve the snowpacks in the Dry Valleys. The modelled lifetimes of the buried snowpacks are dependent upon subsurface stratigraphy but are typically less than one year if the lag thickness is less than c. 7 cm and snow thickness is less than c. 10 cm, indicating that some of the Antarctic buried snowpacks form annually. Buried snowpacks in the Antarctic polar desert may serve as analogues for similar deposits on Mars and may be applicable to observations of the north polar erg, buried ice at the Mars Phoenix landing site, and observations of buried ice throughout the martian Arctic. Numerical modelling suggests that seasonal snows and subsequent burial are not required to preserve the snow and ice on Mars.