Low fundamental and formant frequencies predict fighting ability among male mixed martial arts fighters.

Human voice pitch is highly sexually dimorphic and eminently quantifiable, making it an ideal phenotype for studying the influence of sexual selection. In both traditional and industrial populations, lower pitch in men predicts mating success, reproductive success, and social status and shapes social perceptions, especially those related to physical formidability. Due to practical and ethical constraints however, scant evidence tests the central question of whether male voice pitch and other acoustic measures indicate actual fighting ability in humans. To address this, we examined pitch, pitch variability, and formant position of 475 mixed martial arts (MMA) fighters from an elite fighting league, with each fighter's acoustic measures assessed from multiple voice recordings extracted from audio or video interviews available online (YouTube, Google Video, podcasts), totaling 1312 voice recording samples. In four regression models each predicting a separate measure of fighting ability (win percentages, number of fights, Elo ratings, and retirement status), no acoustic measure significantly predicted fighting ability above and beyond covariates. However, after fight statistics, fight history, height, weight, and age were used to extract underlying dimensions of fighting ability via factor analysis, pitch and formant position negatively predicted "Fighting Experience" and "Size" factor scores in a multivariate regression model, explaining 3-8% of the variance. Our findings suggest that lower male pitch and formants may be valid cues of some components of fighting ability in men.

Including safety-net providers in integrated delivery systems: issues and options for policymakers.

Health care reform legislation has spurred efforts to develop integrated health care delivery systems that seek to coordinate the continuum of health services. These systems may be of particular benefit to patients who face barriers to accessing care or have multiple health conditions. But it remains to be seen how safety-net providers, including community health centers and public hospitals--which have long experience in caring for these vulnerable populations--will be included in integrated delivery systems. This issue brief explores key considerations for incorporating safety-net providers into integrated delivery systems and discusses the roles of state and federal agencies in sup­porting and testing models of integrated care delivery. The authors conclude that the most important principles in creating integrated delivery systems for vulnerable populations are: (1) an emphasis on primary care; (2) coordination of all care, including behavioral, social, and public health services; and (3) accountability for population health outcomes.