Does Higher Cost Inefficiency Imply Higher Profit Inefficiency? - Evidence on Inefficiency and Ownership of German Hospitals

This paper investigates cost and profit efficiency of German hospitals. More specifically, it deals with the question how hospital efficiency varies with ownership, patient structure and other exogenous factors, which are neither inputs nor outputs of the production process. We conduct a Stochastic Frontier Analysis (SFA) on a multifaceted administrative German dataset combined with the balance sheets of 374 hospitals for the years 2002 to 2005.The results indicate that private (for-profit) and (private) non-profit hospitals are on average less cost efficient but more profit efficient than publicly owned hospitals.Hospital efficiency, ownership, stochastic frontier analysis, profit function

Observing Interviewees’ Inner Self: How Authenticity Cues in Job Interviews Relate to Interview and Job Performance

Job interviews are among the most popular selection methods. Previous research suggests that interviewees who are perceived as being authentic are evaluated more favorably in job interviews. However, little is known about which behavioral cues elicit perceptions of authenticity in others and whether interviewees who exhibit such authenticity cues are more likely to perform better in the job interview and on their actual job. Drawing from person perception theories, the purpose of this study is to introduce the concept of authenticity cues to interview research and to examine the extent to which authenticity cues are related to (a) raters’ perceptions of interviewee authenticity, (b) interviewer ratings of interview performance, and (c) supervisor ratings of job performance. We used video recordings from 181 employed individuals participating in a mock interview to observe and rate interviewees’ authenticity cues. Results indicate that observers can distinguish between verbal and para/nonverbal authenticity cues and that both verbal and para/nonverbal cues influence the extent to which interviewees are perceived as authentic by independent raters. Moreover, we found that interviewees’ para/nonverbal authenticity cues were particularly relevant to predicting interview performance, whereas only verbal authenticity cues were related to job performance. In our analyses, we further considered the role of first impressions in the interview, interviewees’ verbal cognitive ability, and interviewees’ extraversion. Implications for theories of person perception, authenticity research, and interview practice are discussed

Zwischen Eindeutigkeit und Uneindeutigkeit: Religion als Formproblem // Between Unambiguity and Ambiguity: Religion as a Problem of the Form

Rezension von: Mario Grizelj: "Wunder und Wunden. Religion als Formproblem der Literatur" (Paderborn: Wilhelm Fink Verlag 2018) // Review of: Mario Grizelj: "Wunder und Wunden. Religion als Formproblem der Literatur" (Paderborn: Wilhelm Fink Verlag 2018

Does quality disclosure improve quality? Responses to the introduction of nursing home report cards in Germany

Since 2009, German nursing homes have been evaluated regularly with quality report cards published online. We argue that most of the information in the report cards does not reliably measure quality of care, but a subset of seven measures does. Using a sample of more than 3,000 nursing homes with information on two waves, we find a significant improvement in the nursing home quality from the first to the second evaluation. Both indicators comprising either the two outcome quality measures or the seven measures indicating "risk factors" in the report cards improve. This can be interpreted as evidence that quality disclosure positively affects the (reported) quality in nursing homes

Contextual and personal resources in unemployed job search: An intra‐individual perspective

Drawing from conservation of resources (COR) theory and the equifinality principle, we challenge the prominent “the‐more‐resources‐the‐better” understanding by examining both the additive and interactive effects of contextual (i.e., networking behaviors and social support) and personal (i.e., job search self‐efficacy) resources on job seeking. Specifically, based on COR theory's resource gain corollary, we propose that higher levels of each resource are positively related to job search intensity and the number of interviews obtained (an additive effect). However, based on the equifinality principle that various resources can contribute to the same goal, we propose that each type of resource can compensate for low levels of the other (an interactive effect). In a four‐wave study following 89 unemployed job seekers over 6 months, we find positive intra‐individual relationships between networking behaviors and job search self‐efficacy with job search intensity. We find that networking behaviors and job search self‐efficacy are also positively related to the number of job interviews obtained and indirectly related through job search intensity for networking behaviors. In line with our predictions, high levels of either networking behaviors or job search self‐efficacy compensate for low levels of the other resource when predicting job search intensity and the number of interviews obtained

Cultivable microbiota associated with Aurelia aurita and Mnemiopsis leidyi

The associated microbiota of marine invertebrates plays an important role to the host in relation to fitness, health, and homeostasis. Cooperative and competitive interactions between bacteria, due to release of, for example, antibacterial substances and quorum sensing (QS)/quorum quenching (QQ) molecules, ultimately affect the establishment and dynamics of the associated microbial community. Aiming to address interspecies competition of cultivable microbes associated with emerging model species of the basal animal phyla Cnidaria (Aurelia aurita) and Ctenophora (Mnemiopsis leidyi), we performed a classical isolation approach. Overall, 84 bacteria were isolated from A. aurita medusae and polyps, 64 bacteria from M. leidyi, and 83 bacteria from ambient seawater, followed by taxonomically classification by 16S rRNA gene analysis. The results show that A. aurita and M. leidyi harbor a cultivable core microbiome consisting of typical marine ubiquitous bacteria also found in the ambient seawater. However, several bacteria were restricted to one host suggesting host-specific microbial community patterns. Interbacterial interactions were assessed by (a) a growth inhibition assay and (b) QS interference screening assay. Out of 231 isolates, 4 bacterial isolates inhibited growth of 17 isolates on agar plates. Moreover, 121 of the 231 isolates showed QS-interfering activities. They interfered with the acyl-homoserine lactone (AHL)-based communication, of which 21 showed simultaneous interference with autoinducer 2. Overall, this study provides insights into the cultivable part of the microbiota associated with two environmentally important marine non-model organisms and into interbacterial interactions, which are most likely considerably involved in shaping a healthy and resilient microbiota

Kinetic and morphological differentiation of Ettringites in plain and blended Portland cements using Metakaolin and the ASTM C 452-68 test. Part I: kinetic differentiation.

22 pages, 3 figures, 5 tables.[ES] En esta Parte I de la investigación, se han logrado verifi- car mediante el ensayo ASTM C 452-68, los resultados obtenidos en anteriores investigaciones realizadas con DRX y SEM y el ensayo Le Chatelier-Ansttet. Para ello, a 10 cementos Portland –6 CPO y 4 CPRS– se les añadió 20%, 30% y 40% de metakaolín (MK). Tanto los 10 CP como los 30 de sus mezclas con metakaolín (MK), se ensayaron durante 2 años, mediante dicho método ASTM C 452-68, y a sus probetas no sólo se les determinó su incremento porcentual de longitud, ∆L(%), sino además, el contenido de sulfatos de sus aguas de conservación. Otras determinaciones complementarias fueron: análisis químico de los materiales cementiceos utilizados y pro- piedades específicas de algunos cementos ensayados. Los resultados experimentales, ∆L(%) frente al tiempo, han confirmado de nuevo que la velocidad de formación de la ettringita de origen alúmina reactiva, Al2O3 r-, de las puzolanas, tiene que ser considerablemente mayor que la velocidad de formación de la ettringita de origen C3A de los CP, lo que ha sido verificado por la evolución durante todo el ensayo, del contenido de sulfatos de las aguas de conservación de las probetas. Debido a ello, se ha pro- puesto denominar a ambos tipos de ettringitas, ettringita de rápida formación, ett-rf, y ettringita de lenta forma- ción, ett-lf, respectivamente.[EN] In this first part of the study, the results obtained in prior research with XRD and SEM, as well as the Le Chatelier- Ansttet test were confirmed with the ASTM C 452-68 test. To this end, 20%, 30% and 40% metakaolin (MK) was added to ten Portland cements, six OPCs and four SRPCs. Both the ten plain PCs and the 30 metakaolin (MK) blends were tested for two years under ASTM C 452-68 specifications, determining not only the percentage increase in length, ΔL(%), of the specimens, but also the sulphate content in the curing water. Other parameters studied included: chemical analysis of the cementitious materials used and specific properties of some of the cements tested. The experimental results, ΔL(%) versus time, re-confirmed that the formation rate of ettringite from the reactive alumina, Al2O3 r-, present in the pozzolan must be substantially higher than the formation rate of ettringite from the C3A present in the PC. This was verified by the variation of the sulphate content in the specimen curing water throughout the test. In light of those findings, in this article these two types of ettringite are denominated rapid forming ettringite or ett-rf, and slow forming ettringite or ett-lf.Peer reviewe

Development of an Antimicrobial Peptide SAAP-148-Functionalized Supramolecular Coating on Titanium to Prevent Biomaterial-Associated Infections

Titanium implants are widely used in medicine but have a risk of biomaterial-associated infection (BAI), of which traditional antibiotic-based treatment is affected by resistance. Antimicrobial peptides (AMPs) are used to successfully kill antibiotic-resistant bacteria. Herein, a supramolecular coating for titanium implants is developed which presents the synthetic antimicrobial and antibiofilm peptide SAAP-148 via supramolecular interactions using ureido-pyrimidinone supramolecular units (UPy-SAAP-148GG). Material characterization of dropcast coatings shows the presence of UPy-SAAP-148GG at the surface. The supramolecular immobilized peptide remains antimicrobially active in dropcast polymer films and can successfully kill (antibiotic-resistant) Staphylococcus aureus, Acinetobacter baumannii, and Escherichia coli. Minor toxicity for human dermal fibroblasts is observed, with a reduced cell attachment after 24 h. Subsequently, a dipcoat coating on titanium implants is developed and tested in vivo in a subcutaneous implant infection mouse model with S. aureus administered locally on the implant before implantation to mimic contamination during surgery. The supramolecular coating containing 5 mol% of UPy-SAAP-148GG significantly prevents colonization of the implant surface as well as of the surrounding tissue, with no signs of toxicity. This shows that supramolecular AMP coatings on titanium are eminently suitable to prevent BAI.</p

Specific features of ex-obese patients significantly influence the functional cell properties of adipose-derived stromal cells

Adipose-derived stromal cells (ADSC) are increasingly used in clinical applications due to their regenerative capabilities. However, ADSC therapies show variable results. This study analysed the effects of specific factors of ex-obese patients on ADSC functions. ADSC were harvested from abdominal tissues (N = 20) after massive weight loss. Patients were grouped according to age, sex, current and maximum body mass index (BMI), BMI difference, weight loss method, smoking and infection at the surgical site. ADSC surface markers, viability, migration, transmigration, sprouting, differentiation potential, cytokine secretion, telomere length and mtDNA copy number were analysed. All ADSC expressed CD73, CD90, CD105, while functional properties differed significantly among patients. A high BMI difference due to massive weight loss was negatively correlated with ADSC proliferation, migration and transmigration, while age, sex or weight loss method had a smaller effect. ADSC from female and younger donors and individuals after weight loss by increase of exercise and diet change had a higher activity. Telomere length, mtDNA copy number, differentiation potential and the secretome did not correlate with patient factors or cell function. Therefore, we suggest that factors such as age, sex, increase of exercise and especially weight loss should be considered for patient selection and planning of regenerative therapies