Pricing in the Hospitality Industry: An Implicit Markets Approach

The authors apply economic theory to an analysis of industry pricing. Data from a cross-section of San Francisco hotels is used to estimate the implicit prices of common hotel amenities, and a procedure for using these prices to estimate consumer demands for the attributes is outlined. The authors then suggest implications for hotel decision makers. While the results presented here should not be generalized to other markets, the methodology is easily adapted to other geographic areas

Samples from Differentiated Asteroids; Regolithic Achondrites

Differentiated and partially differentiated asteroids preserve a glimpse of planet formation frozen in time from the early solar system and thus are attractive targets for future exploration. Samples of such asteroids arrive to Earth in the form of achondrite meteorites. Many achondrites, particularly those thought to be most representative of asteroidal regolith, contain a diverse assortment of materials both indigenous and exogenous to the original igneous parent body intermixed at microscopic scales. Remote sensing spacecraft and landers would have difficulty deciphering individual components at these spatial scales, potentially leading to confusing results. Sample return would thus be much more informative than a robotic probe. In this and a companion abstract [1] we consider two regolithic achondrite types, howardites and (polymict) ureilites, in order to evaluate what materials might occur in samples returned from surfaces of differentiated asteroids and what sampling strategies might be prudent

Trends in Drug Utilization, Glycemic Control, and Rates of Severe Hypoglycemia, 2006-2013.

ObjectiveTo examine temporal trends in utilization of glucose-lowering medications, glycemic control, and rate of severe hypoglycemia among patients with type 2 diabetes (T2DM).Research design and methodsUsing claims data from 1.66 million privately insured and Medicare Advantage patients with T2DM from 2006 to 2013, we estimated the annual 1) age- and sex-standardized proportion of patients who filled each class of agents; 2) age-, sex-, race-, and region-standardized proportion with hemoglobin A1c (HbA1c) <6%, 6 to <7%, 7 to <8%, 8 to <9%, ≥9%; and 3) age- and sex-standardized rate of severe hypoglycemia among those using medications. Proportions were calculated overall and stratified by age-group (18-44, 45-64, 65-74, and ≥75 years) and number of chronic comorbidities (zero, one, and two or more).ResultsFrom 2006 to 2013, use increased for metformin (from 47.6 to 53.5%), dipeptidyl peptidase 4 inhibitors (0.5 to 14.9%), and insulin (17.1 to 23.0%) but declined for sulfonylureas (38.8 to 30.8%) and thiazolidinediones (28.5 to 5.6%; all P < 0.001). The proportion of patients with HbA1c <7% declined (from 56.4 to 54.2%; P < 0.001) and with HbA1c ≥9% increased (9.9 to 12.2%; P < 0.001). Glycemic control varied by age and was poor among 23.3% of the youngest and 6.3% of the oldest patients in 2013. The overall rate of severe hypoglycemia remained the same (1.3 per 100 person-years; P = 0.72), declined modestly among the oldest patients (from 2.9 to 2.3; P < 0.001), and remained high among those with two or more comorbidities (3.2 to 3.5; P = 0.36).ConclusionsDuring the recent 8-year period, the use of glucose-lowering drugs has changed dramatically among patients with T2DM. Overall glycemic control has not improved and remains poor among nearly a quarter of the youngest patients. The overall rate of severe hypoglycemia remains largely unchanged

Carbonaceous Chondrite-Rich Howardites; The Potential for Hydrous Lithologies on the HED Parent

Howardites, eucrites, and diogenites, collectively referred to as the "HED's", are a clan of meteorites thought to represent three different lithologies from a common parent body. Collectively they are the most abundant type of achondrites in terrestrial collections. Eucrites are crustal basalts and gabbros, diogenites are mostly orthopyroxenites and are taken to represent lower crust or upper mantle materials, and howardites are mixed breccias containing both lithologies and are generally regarded as derived from the regolith or near-surface. The presence of exogenous chondritic material in howardite breccias has long been recognized. As a group, howardites exhibit divergence in bulk chemistry from what would be produced by mixing of diogenite and eucrite end-members exclusively, a phenomenon most evident in elevated concentrations of siderophile elements. Despite this chemical evidence for chondritic input in howardite breccias, chondritic clasts have only been identified in a minority of samples, and typically at levels of only a few percent. Three recent Antarctic howardite finds, the paired Mt. Pratt (PRA) 04401 and PRA 04402 and Scott Glacier (SCO) 06040, are notable for their high proportion of carbonaceous chondrite clasts. PRA 04401 is particularly well-endowed, with large chondritic clasts occupying more than half of the modal area of the sections we examined. Previously only a few percent chondritic clasts had been observed to occur in howardites. PRA 04401 is the most chondrite-rich howardite know

Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial.

OBJECTIVE: To compare the effectiveness of shared decision making with usual care in choice of admission for observation and further cardiac testing or for referral for outpatient evaluation in patients with possible acute coronary syndrome. DESIGN: Multicenter pragmatic parallel randomized controlled trial. SETTING: Six emergency departments in the United States. PARTICIPANTS: 898 adults (aged \u3e17 years) with a primary complaint of chest pain who were being considered for admission to an observation unit for cardiac testing (451 were allocated to the decision aid and 447 to usual care), and 361 emergency clinicians (emergency physicians, nurse practitioners, and physician assistants) caring for patients with chest pain. INTERVENTIONS: Patients were randomly assigned (1:1) by an electronic, web based system to shared decision making facilitated by a decision aid or to usual care. The primary outcome, selected by patient and caregiver advisers, was patient knowledge of their risk for acute coronary syndrome and options for care; secondary outcomes were involvement in the decision to be admitted, proportion of patients admitted for cardiac testing, and the 30 day rate of major adverse cardiac events. RESULTS: Compared with the usual care arm, patients in the decision aid arm had greater knowledge of their risk for acute coronary syndrome and options for care (questions correct: decision aid, 4.2 v usual care, 3.6; mean difference 0.66, 95% confidence interval 0.46 to 0.86), were more involved in the decision (observing patient involvement scores: decision aid, 18.3 v usual care, 7.9; 10.3, 9.1 to 11.5), and less frequently decided with their clinician to be admitted for cardiac testing (decision aid, 37% v usual care, 52%; absolute difference 15%; P CONCLUSIONS: Use of a decision aid in patients at low risk for acute coronary syndrome increased patient knowledge about their risk, increased engagement, and safely decreased the rate of admission to an observation unit for cardiac testing.Trial registration ClinicalTrials.gov NCT01969240

In the Pursuit of Regolithic Howardites

The HED (Howardite, Eucrite and Diogenite) meteorite clan likely originate from the asteroid 4-Vesta [1]. Howardites (polymict breccias of eucritic and diogenitic material) are believed to originate from the vestan surface, and many contain regolith-like features (impact and/or melt clasts, fragmental breccia clasts, carbonaceous chondrite fragments), which may relate to regolith-formation processes. Noble gas analysis can help determine true regolithic nature, as Solar Wind (SW) is im-planted into grains at the upper-surfaces of solar system bodies lacking an atmosphere or magnetic field. Howardites from Ves-ta s true regolith would thus show evidence for SW components. Thus far, we have identified 5 regolithic howardites: LEW 85313; MET 00423; PRA 04401; SCO 06040 and EET 87513; based on our noble gas analyses, with the latter 3 showing some evidence for a planetary(+SW) component, likely related to CM-like material present in the assemblage [2-5]. However, we did not find a good correlation between SW content and other petro-logic regolithic features. Nor did we find an obvious correlation between SW and high siderophile element contents (Ni greater than 300 micrograms/gram), or an Al2O3 range of 8-9 wt% and eucrite/diogenite (E/D) ratio of 2:1 as suggested by [6] to be further regolith indicators. Here, we report our latest noble gas data for two howardites GRO 95535, GRO 95602 and a polymict eucrite EET 87518 in continuing research aimed at better understanding the vestan regolith. Results: Noble gas analysis was performed on an MAP 215-50 noble gas mass spectrometer using furnace step-heating. Our results, shown in Table 1, are compared with SW- (LEW 85313) and planetary-dominated (PRA 04401 ~60% CM) howardites [2]. EET 87518 is dominated by cosmogenic components. By comparison, both howardites show strong evidence for SW, with total Ne-20/Ne-22 ~8.7-8.8 (SW: Ne-20/Ne-22 13.78 [7]), and identical release patterns to our other CM-poor SW-rich samples. This suggests that these samples are from the vestan regolith. As they have lower Ni contents than suggested by [6], this further illustrates that these parameters may show some bias [2]

Composition and Petrology of HED Polymict Breccias: The Regolith of (4) Vesta

The polymict breccias of the howardite, eucrite and diogenite (HED) clan of meteorites preserve records of regolith processes that occur on Vesta, their putative home world. These breccias -- howardites, polymict eucrites and polymict diogenites -- are impact-engendered mixtures of diogenites and eucrites. The compositions of polymict breccias can be used to constrain the lithologic diversity of the vestan crust and the excavation depths of these materials. We have done petrological and compositional studies of multiple samples of 5 polymict eucrites and 28 howardites to investigate these issues. Older analyses were done on samples of approx 0.5 gram mass by INAA; newer analyses on samples of approx 5 gram mass by XRF and ICP-MS. We estimate the percentage of eucritic material (POEM) of polymict breccias by comparing their Al and/or Ca contents to those of average basaltic eucrite and diogenite. Our samples have POEM ranging from 28 to 98; adding two polymict diogenites from extends the range to POEM 10. One hypothesis is that ancient, well-mixed vestan regolith has POEM approx 67 and has a higher content of admixed impactor material. Several of our howardites have POEM of 59-74 (Al and/or Ca contents +/- 10% of POEM 67); about a third have Ni contents >300 micro g/g suggesting they contain >2% chondritic material (CM and/or CR). These may be regolithic howardites. Only one (LEW 85313) contains Ne dominated by a solar wind (SW) component. PCA 02066 is dominated by impact-melt material of polymict parentage and petrologically appears to be a mature regolith breccia, yet it does not contain SW-Ne. GRO 95602 falls within the POEM window, contains SW-Ne], yet has a Ni content of 193 micro g/g. Its petrologic characteristics suggest it was formed from immature regolith (no polymict breccia clasts; no glass). Trace element characteristics of the polymict breccias demonstrate the dominance of main-group eucrites as the basaltic component. Mixing diagrams of Zr, Nb, Ba, Hf and Ta with Al show no evidence for a significant contribution from Stannern-trend eucrites. An exception is polymict eucrite LEW 86001 (POEM 92), which is dominated by Stannern-trend basaltic debris. Howardite LAP 04838 (POEM 84) has higher incompatible trace concentrations than other polymict breccias (excluding LEW 86001), and either contains a Stannern-trend basaltic component, or has a significant contributions from evolved eucrites like Nuevo Laredo

A pilot clinical trial testing mutant von Hippel-Lindau peptide as a novel immune therapy in metastatic Renal Cell Carcinoma

<p>Abstract</p> <p>Background</p> <p>Due to the lack of specific tumor antigens, the majority of tested cancer vaccines for renal cell carcinoma (RCC) are based on tumor cell lysate. The identification of the <it>von Hippel-Lindau </it>(<it>VHL</it>) gene mutations in RCC patients provided the potential for developing a novel targeted vaccine for RCC. In this pilot study, we tested the feasibility of vaccinating advanced RCC patients with the corresponding mutant VHL peptides.</p> <p>Methods</p> <p>Six patients with advanced RCC and mutated <it>VHL </it>genes were vaccinated with the relevant VHL peptides. Patients were injected with the peptide mixed with Montanide subcutaneously (SQ) every 4 weeks until disease progression or until the utilization of all available peptide stock.</p> <p>Results</p> <p>Four out of five evaluable patients (80%) generated specific immune responses against the corresponding mutant VHL peptides. The vaccine was well tolerated. No grade III or IV toxicities occurred. The median overall survival (OS) and median progression-free survival (PFS) were 30.5 and 6.5 months, respectively.</p> <p>Conclusions</p> <p>The vaccine demonstrated safety and proved efficacy in generating specific immune response to the mutant VHL peptide. Despite the fact that the preparation of these custom-made vaccines is time consuming, the utilization of VHL as a vaccine target presents a promising approach because of the lack of other specific targets for RCC. Accordingly, developing mutant VHL peptides as vaccines for RCC warrants further investigation in larger trials. Trial registration: 98C0139</p

The search for Primordial Quark Nuggets among Near Earth Asteroids

Primordial Quark Nuggets,remnants of the quark-hadron phase transition, may be hiding most of the baryon number in superdense chunks have been discussed for years always from the theoretical point of view. While they seemed originally fragile at intermediate cosmological temperatures, it became increasingly clear that they may survive due to a variety of effects affecting their evaporation (surface and volume) rates. A search of these objects have never been attempted to elucidate their existence. We discuss in this note how to search directly for cosmological fossil nuggets among the small asteroids approaching the Earth. ``Asteroids'' with a high visible-to-infrared flux ratio, constant lightcurves and devoid of spectral features are signals of an actual possible nugget nature. A viable search of very definite primordial quark nugget features can be conducted as a spinoff of the ongoing/forthcoming NEAs observation programmes.Comment: 4 pp., no figures, to appear in A&S

A simple radionuclide-driven single-ion source

We describe a source capable of producing single barium ions through nuclear recoils in radioactive decay. The source is fabricated by electroplating 148Gd onto a silicon {\alpha}-particle detector and vapor depositing a layer of BaF2 over it. 144Sm recoils from the alpha decay of 148Gd are used to dislodge Ba+ ions from the BaF2 layer and emit them in the surrounding environment. The simultaneous detection of an {\alpha} particle in the substrate detector allows for tagging of the nuclear decay and of the Ba+ emission. The source is simple, durable, and can be manipulated and used in different environments. We discuss the fabrication process, which can be easily adapted to emit most other chemical species, and the performance of the source