FSI's scholars tackle a range of issues, from longstanding concerns like nuclear nonproliferation and military defense to new challenges such as cybersecurity, biosecurity and emerging regional conflicts.
Research Spotlight
Particulate Plutonium Released from the Fukushima Daiichi Meltdowns
A new study reveals particles that were released from nuclear plants damaged in the devastating 2011 Tohoku earthquake and tsunami contained small amounts of radioactive plutonium.
Upon request by the United States Senate Select Committee on Intelligence (SSCI), researchers reviewed a data set of social media posts that Facebook provided to SSCI.
Living in Fear: The Dynamics of Extortion in Mexico’s Drug War
Using new survey data from Mexico, including list experiments to elicit responses about potentially illegal behavior, this article measures the prevalence of extortion and assistance among drug trafficking organizations.
Objective: Consultation length, the time spent between patient and health care provider during a visit, is an essential element in measuring quality of health care patients receive from a primary care facility. However, the linkage between consultation length and process quality and diagnosis quality of primary care is still uncertain. This study aims to examine the role consultation length plays in delivering process quality and diagnosis quality, two central components of overall primary care quality, in rural China.
Methods: We recruited unannounced standardized patients (SPs) to present classic symptoms of angina and tuberculosis in selected healthcare facilities in three provinces of China. The consultation length and primary care quality of SPs were measured and compared with both international and national standards of care. Ordinary Least Squares (OLS) regressions for process quality (continuous dependent variable) and Logistic regressions for diagnosis quality (binary dependent variable) were performed to investigate the relationship between consultation length and primary care quality.
Results: The average consultation lengths among patients with classic symptoms of angina and those with symptoms of tuberculosis were approximately 4.33 min and 6.28 min, respectively. Providers who spent more time with patients were significantly more likely to complete higher percentage of recommended checklist items of both questions and examinations for angina (β = 1.39, 95%CI 1.01–1.78) and tuberculosis (β = 0.89, 95%CI 0.69–1.08). Further, providers who spent more time with patients were more likely to make correct diagnosis for angina (marginal effect = 0.014, 95%CI 0.002–0.026) and for tuberculosis (marginal effect = 0.013, 95%CI 0.005–0.021).
Conclusions: The average consultation length is extremely short among primary care providers in rural China. The longer consultation leads to both better process and diagnosis quality of primary care.
Practice Implications: We recommend primary care providers to increase the length of their communication with patients. To do so, government should implement healthcare reforms to clarify the requirements of affordable and reliable consultation length in medical care services. Moreover, such an experience can also be extended to other developing countries.
The Project on Middle East Political Science partnered with Stanford University’s Center for Democracy, Development and the Rule of Law and its Global Digital Policy Incubator for an innovative two week online seminar to explore the issues surrounding digital activism and authoritarianism. This workshop was built upon more than a decade of our collaboration on issues related to the internet and politics in the Middle East, beginning in 2011 with a series of workshops in the “Blogs and Bullets” project supported by the United States Institute for Peace and the PeaceTech Lab. This new collaboration brought together more than a dozen scholars and practitioners with deep experience in digital policy and activism, some focused on the Middle East and others offering a global and comparative perspective. POMEPS STUDIES 43 collects essays from that workshop, shaped by two weeks of public and private discussion.
Many countries have undertaken large and high-profile payment-for-ecosystem-services (PES) programs to sustain the use of their natural resources. Nevertheless, few studies have comprehensively examined the impacts of existing PES programs. Grassland Ecological Compensation Policy (GECP) is one of the few pastorally focused PES programs with large investments and long duration, which aim to improve grassland quality and increase herder income. Here we present empirical evidence of the effects of GECP on grassland quality and herder income. Through a thorough and in-depth econometric analysis of remote sensing and household survey data, we find that, although GECP improves grassland quality (albeit to only a small extent) and has a large positive effect on income, it exacerbates existing income inequality among herders within their local communities. The analysis demonstrates that the program has induced herders to change their livestock production behavior. Heterogeneity analysis emphasizes the importance of making sure the programs are flexible and are adapted to local resource circumstances.
In addition to habitat loss and fragmentation, demographic processes—the vagaries of births, deaths and sex ratio fluctuations—pose substantial threats to wild giant panda populations. Additionally, climate change and plans for the Giant Panda National Park may influence (in opposing directions) the extinction risk for wild giant pandas. The Fourth National Giant Panda Census showed pandas living in 33 isolated populations. An estimated 259 animals live in 25 of these groups, ~14% of the total population. We used individual-based models to simulate time series of these small populations for 100 years. We analysed the spatial pattern of their risk of extinction under current conditions and multiple climate change models. Furthermore, we consider the impact of the proposed Giant Panda National Park. Results showed that 15 populations face a risk >90%, and for 3 other populations the risk is >50%. Of the 15 most at-risk populations, national parks can protect only 3. Under the Representative Concentration Pathway 8.5 climate change scenario, the 33 populations will probably further divide into 56 populations. Some 41 of them will face a risk >50% and 35 face a risk >90%. Although national parks will probably connect some fragmented habitats, 26 populations will be outside national park planning. Our study gives practical advice for conservation policies and management and has implications for the conservation of other species in the world that live in isolated, fragmented habitats.
Stanford health law experts Michelle Mello and David Studdert discuss the ongoing pandemic, proof of vaccination “passports” at the state and federal levels, and a July 19 ruling that Indiana University could require that its students be vaccinated.
Crop productivity is potentially affected by several air pollutants, although these are usually studied in isolation. A significant challenge to understanding the effects of multiple pollutants in many regions is the dearth of air quality data near agricultural fields. Here we empirically estimate the effect of four key pollutants (ozone (O3), particulate matter (PM), sulfur dioxide (SO2), and nitrogen dioxide (NO2)) on maize and soybean yields in the United States using a combination of administrative data and satellite-derived yield estimates. We identify clear negative effects of exposure to O3, PM, and SO2 in both crops, using yields measured in the vicinity of monitoring stations. We also show that while stations measuring NO2 are too sparse to reliably estimate a yield effect, the strong gradient of NO2 concentrations near power plants allows us to more precisely estimate NO2 effects using satellite measured yield gradients. The presence of some powerplants that turn on and others that shut down during the study period are particularly useful for attributing yield gradients to pollution. We estimate that total yield losses from these pollutants averaged roughly 5% for both maize and soybean over the past two decades. While all four pollutants have statistically significant effects, PM and NO2 appear more damaging to crops at current levels than O3 and SO2. Finally, we find that the significant improvement in air quality since 1999 has halved the impact of poor air quality on major crops and contributed to yield increases that represent roughly 20% of overall yield gains over that period.
Quantification of the sector-specific financial impacts of historical global warming represents a critical gap in climate change impacts assessment. The multiple decades of county-level data available from the U.S. crop insurance program – which collectively represent aggregate damages to the agricultural sector largely borne by U.S. taxpayers – present a unique opportunity to close this gap. Using econometric analysis in combination with observed and simulated changes in county-level temperature, we show that global warming has already contributed substantially to rising crop insurance losses in the U.S. For example, we estimate that county-level temperature trends have contributed $US2017 23.9 billion – or 17% – of the national-level crop insurance losses over the 1991-2017 period. Further, we estimate that observed warming contributed approximately one third of total losses in the most costly single year (2012). In addition, analyses of a large suite of global climate model simulations yield very high confidence that anthropogenic climate forcing has increased U.S. crop insurance losses. These sector-specific estimates provide important quantitative information about the financial costs of the global warming that has already occurred (including the costs of individual extreme events), as well as the economic value of mitigation and/or adaptation options.
This essay is a part of an exchange based on Francis Fukuyama’s “Making the Internet Safe for Democracy” from the April 2021 issue of the Journal of Democracy.
