The effect of using labelled alternatives in stated choice experiments: an exploration focusing on farmland walking trails in Ireland

Discrete choice experiment data aimed at eliciting the demand for recreational walking trails on farmland in Ireland is used to explore whether some respondents reach their choices solely on the basis of the alternative’s label. To investigate this type of processing strategy, the paper exploits a discrete mixtures approach which encompasses random parameters for the attributes. We find evidence that respondents employ different processing strategies for different alternatives and differences in processing emerge between rural and urban based respondents. Results highlight that model fit and policy conclusions are sensitive to assumptions related to processing strategies among respondentsDiscrete choice experiments, processing strategies, discrete mixtures, rural and urban comparison, outdoor recreation, welfare estimates, Land Economics/Use,

Combining discrete and continuous mixing approaches to accommodate heterogeneity in price sensitivities in environmental choice analysis

Data from a discrete choice experiment aimed at eliciting the demand for recreational walking trails on farmland in the Republic of Ireland is used to explore the consequences of misspecifying the cost coefficient. To enable straightforward calculation of WTP from the distributions of the non-price coefficients, the price coefficient is typically held constant in mixed logit models. This implies that all respondents are equally price sensitive. In this paper we test the validity of this assumption. Our approach is based on a comparison and combination of discrete and continuous mixing approaches (i.e., a mixture of distributions) to uncover the unobserved heterogeneity in price sensitivities. Results from the analysis highlight that model fit and willingness to pay are sensitive to the distributional assumptions used to represent the price coefficient.discrete choice experiments, discrete mixtures, continuous mixtures, mixtures of distributions, price sensitivities, farmland recreation, willing to pay space, Environmental Economics and Policy,

Tools for primary care patient safety: a narrative review

Background: Patient safety in primary care is a developing field with an embryonic but evolving evidence base. This narrative review aims to identify tools that can be used by family practitioners as part of a patient safety toolkit to improve the safety of the care and services provided by their practices. Methods: Searches were performed in 6 healthcare databases in 2011 using 3 search stems; location (primary care), patient safety synonyms and outcome measure synonyms. Two reviewers analysed the results using a numerical and thematic analyses. Extensive grey literature exploration was also conducted. Results: Overall, 114 Tools were identified with 26 accrued from grey literature. Most published literature originated from the USA (41%) and the UK (23%) within the last 10 years. Most of the literature addresses the themes of medication error (55%) followed by safety climate (8%) and adverse event reporting (8%). Minor themes included; informatics (4.5%) patient role (3%) and general measures to correct error (5%). The primary/secondary care interface is well described (5%) but few specific tools for primary care exist. Diagnostic error and results handling appear infrequently (<1% of total literature) despite their relative importance. The remainder of literature (11%) related to referrals, Out-Of-Hours (OOH) care, telephone care, organisational issues, mortality and clerical error. Conclusions: This review identified tools and indicators that are available for use in family practice to measure patient safety, which is crucial to improve safety and design a patient safety toolkit. However, many of the tools have yet to be used in quality improvement strategies and cycles such as plan–do–study–act (PDSA) so there is a dearth of evidence of their utility in improving as opposed to measuring and highlighting safety issues. The lack of focus on diagnostics, systems safety and results handling provide direction and priorities for future research

Chasing DRAGNs : a numerical investigation into the absence of plume structures in observations of double radiosources associated with galactic nuclei

1 online resource (vii, 41 p.) : ill. (chiefly col.)Includes abstract.Includes bibliographical references (p. 38-41).The formation of plume structures has long been a consequence of fluid modelling of extragalactic radio jets. Simulations performed to date, which have been executed with and without reflective boundary conditions along the equatorial plane, have exhibited these structures, without being able to explain their lack of prevalence in the observations. I have shown, through use of synthetic synchrotron emission images, that plumes should indeed exist in radio observations and suggest that, because of the extremely low energy content of the material in the plumes, these structures should be visible for any source given a low enough observation frequency

Optimizing scale-up of Vero cells cultured on microcarriers in serum-free medium for vaccine production

Vaccine production with adherent cell lines faces multiple challenges which include selection of a suitable vessel, detachment of cells for scale up, optimization of infection, as well as harvest of virus particles. Microcarriers greatly increase the surface area for adherent cells and offer flexibility for expansion to bioreactors, but scale-up methods require optimization of bead-to-bead transfer. Even though the majority of cell culture based vaccines are produced with adherent cell lines, literature provides limited information in regards to optimization of adherent cell line processes. Some process improvements have been achieved; for example, recent advances in serum free media which no longer require medium exchange prior to virus infection. In this study we focus on the production of the rabies virus surrogate, vesicular stomatitis virus, in Vero cells. Using Cytodex-1 microcarriers in spinner flasks, we evaluated effects of intermittent and continuous stirring, detachment of cells, variation in the addition of new microcarriers on the growth of Vero cells, and effects on vesicular stomatitis virus production. Viable cell density measurements revealed that initial intermittent stirring resulted in increased cell densities compared to continuous stirring after microcarrier addition. In an effort to further simplify the process, we demonstrate that detachment of cells was not required to facilitate bead-to-bead transfer on Cytodex-1 microcarriers

Role of SUMO-1 and SUMO Interacting Motifs in Rhesus TRIM5α-mediated Restriction

Background TRIM5α is a member of the tripartite motif family of proteins that restricts retroviral infection in a species-specific manner. The restriction requires an interaction between the viral capsid lattice and the B30.2/SPRY domain of TRIM5α. Previously, we determined that two SUMO interacting motifs (SIMs) present in the B30.2/SPRY domain of human TRIM5α (huTRIM5α) were important for the restriction of N-tropic Murine Leukemia Virus. Here, we examined whether SUMO expression and the SIM1 and SIM2 motifs in rhesus monkey TRIM5α (rhTRIM5α) are similarly important for Human Immunodeficiency Type 1 (HIV-) restriction. Results We found that mutation of SIM1 and SIM2 of rhTRIM5α abolished the restriction of HIV-1 virus. Further, knockdown of SUMO-1 in rhTRIM5α expressing cells abolished restriction of HIV-1. These results may be due, in part, to the ability of SUMO-1 to stabilize rhTRIM5α protein expression, as SUMO-1 knockdown increased rhTRIM5α turnover and the mutations in SIM1 and SIM2 led to more rapid degradation than the wild type protein. The NF-κB signaling ability of rhTRIM5α was also attenuated by SUMO-1 knockdown. Finally, upon inhibition of CRM1-dependent nuclear export with Leptomycin B (LMB), wild type rhTRIM5α localized to SUMO-1 bodies in the nucleus, while the SIM1 and SIM2 mutants did not localize to SUMO-1. Conclusions Our results suggest that the rhTRIM5α B30.2/SPRY domain is not only important for the recognition of the HIV-1 CA, but it is also important for its association with SUMO-1 or SUMO-1 modified proteins. These interactions help to maintain TRIM5α protein levels and its nuclear localization into specific nuclear bodies

Parton Distributions for Event Generators

In this paper, conventional Global QCD analysis is generalized to produce parton distributions optimized for use with event generators at the LHC. This optimization is accomplished by combining the constraints due to existing hard-scattering experimental data with those from anticipated cross sections for key representative SM processes at LHC (by the best available theory) as joint input to the global analyses. The PDFs obtained in these new type of global analyses using matrix elements calculated in any given order will be best suited to work with event generators of that order, for predictions at the LHC. This is most useful for LO event generators at present. Results obtained from a few candidate PDF sets (labeled as CT09MCS, CT09MC1 and CT09MC2) for LO event generators produced in this way are compared with those from other approaches.Comment: 35 pages, 19 figures, and 4 table

Ongoing initiatives in China to enhance prescribing efficiency : impact and proposals for improvement

Pharmaceutical expenditure is currently rising by 16% per annum in China, greater in recent years. Initiatives to moderate this growth include drug pricing regulations, essential medicine lists and encouraging generic prescribing. These measures are principally concentrated in hospitals as they account for over 80% of total pharmaceutical expenditure. However, no monitoring of prescribing and perverse incentives enhances irrational prescribing. Review the influence of recent measures on subsequent utilization and expenditure of high-volume classes in China to provide future guidance. Principally a narrative review of published studies of the proton pump inhibitors (PPIs), statins, renin–angiotensin inhibitor drugs and traditional Chinese medicines (TCMs) between 2004 and 2013 in the largest teaching hospital group in Chongqing District. Appeciable increase in drug utilisation including TCMs. Generics typically only 30% to 34% of total utilisation for the molecule for CV medicines, with decreasing trends in recent years. Greater utilisation of generic PPIs; however, this includes generic injectable preparations with considerably higher prices. Prices decreased over time, with appreciable reductions for some generics. Overall, considerable opportunities to save resources without compromising care. Restricting the formulary to just one statin, angiotensin receptor blocker or PPI based on the cheapest one would have saved 50-84% of total accumulated expenditures. Encouraging to see high utilisation of generic PPIs and low prices for some oral generics. However, real progress will only be made by addressing current perverse financial incentives. Potential reforms could include limiting the number of available medicines in a class to enhance the quality and efficiency of prescribing

Quality and efficiency of statin prescribing across countries with a special focus on South Africa : findings and future implications

Statins are recommended first-line treatment for hyperlipidemia, with published studies suggesting limited differences between them. However, there are reports of under-dosing. South Africa has introduced measures to enhance generic utilization. Part one documents prescribed doses of statins in 2011. Part two determines the extent of generics versus originator and single-sourced statins in 2011 and their costs. Results: Underdosing of simvastatin in 2011 with average prescribed dose of 23.7 mg; however, not for atorvastatin (20.91 mg) or rosuvastatin (15.02 mg). High utilization of generics versus originators at 93–99% for atorvastatin and simvastatin, with limited utilization of single-sourced statins (22% of total statins – defined daily dose basis), mirroring Netherlands, Sweden and UK. Generics priced 33–51% below originator prices. Discussion: Opportunity to increase simvastatin dosing through education, prescribing targets and incentives. Opportunity to lower generic prices with generic simvastatin 96–98% below single-sourced prices in some European countries

Incorporating Far-Infrared Data into Carbonate Mineral Analyses

Polycrystalline carbonate minerals (including calcite, Mg-calcite, and aragonite) can show distinctive variations in their far-infrared (FIR) spectra. We describe how to identify mixed-phase samples by correlating FIR spectral changes with mid-infrared spectra, X-ray diffraction data, and simple peak overlap simulations. Furthermore, we show how to distinguish portlandite-containing (Ca(OH)2) mixtures that are common in heated calcium carbonate samples. Ultimately, these results could be used for tracking how minerals are formed and how they change during environmental exposure or processing after extraction