Scheimpflug-based analysis of the reflectivity of the cornea in Marfan Syndrome

Purpose:We sought to investigate corneal reflectivity inMarfan syndrome (MFS) on the basis of Scheimpflug light intensity distribution. Methods: In a retrospective case-control analysis, the left eyes of 40 MFS patients and 40 age- and refraction-matched healthy controls were investigated. Patients with MFS meeting the Ghent II diagnostic criteria and with genetic confirmation of disease were included. Exclusion criteria were the following: Coexisting corneal, conjunctival, or scleral pathology, use of medication known to affect corneal transparency, history of ocular surgery, and insufficient data. Scheimpflug tomography images were exported to analyze corneal transparency in different corneal layers and regions. Each corneal image was automatically segmented, after which the corresponding pixel intensities in the defined regions of interest were statistically modeled using a Weibull probability density function from which parameters a (transparency) and ß (homogeneity) were derived. Results: The cornea in MFS showed significantly higher light reflectivity (overall cornea, a = 71 ± 17 arbitrary units (a.u.)) than in the control group (overall cornea, a = 59 ± 15 a.u.) (t test, P = 0.003). The a parameter was significantly higher in MFS eyes in all examined layers and regions (P 0.05). The difference in a did not correlate with ocular biometric properties (corneal thickness and curvature) or ectopia lentis (P> 0.05). Conclusions: The cornea in MFS shows significantly higher reflectivity than healthy controls with similar levels of homogeneity. Translational Relevance: The proposed methodology detects corneal reflectivity changes in MFS not available from regular slit-lamp examination

Pay What You Want as a Marketing Strategy in Monopolistic and Competitive Markets

Pay What You Want (PWYW) can be an attractive marketing strategy to price discriminate between fair-minded and selfish customers, to fully penetrate a market without giving away the product for free, and to undercut competitors that use posted prices. We report on laboratory experiments that identify causal factors determining the willingness of buyers to pay voluntarily under PWYW. Furthermore, to see how competition affects the viability of PWYW, we implement markets in which a PWYW seller competes with a traditional seller. Finally, we endogenize the market structure and let sellers choose their pricing strategy. The experimental results show that outcome-based social preferences and strategic considerations to keep the seller in the market can explain why and how much buyers pay voluntarily to a PWYW seller. We find that PWYW can be viable in isolation, but it is less successful as a competitive strategy because it does not drive traditional posted-price sellers out of the market. Instead, the existence of a posted-price competitor reduces buyers’ payments and prevents the PWYW seller from fully penetrating the market. If given the choice, the majority of sellers opt for setting a posted price rather than a PWYW pricing. We discuss the implications of these results for the use of PWYW as a marketing strategy

Possible evidence for the breakdown of the CKM-paradigm of CP-violation

Using primarily experimental inputs for S(B -> psi Ks), Delta M_Bs, Delta M_Bd, BR(B -> tau nu) and epsilon_K along with necessary inputs from the lattice, we find that the measured value of sin(2 beta) is smaller than expectations of the Standard Model by as much as 3.3 sigma, and also that the measured value of the BR(B -> tau nu) seems to be less than the predicted value by about 2.8 sigma. However, through a critical study we show that most likely the dominant source of these deviations is in B_d(s) mixings and in sin(2 beta) and less so in B -> tau nu, and also that the bulk of the problem persists even if input from epsilon_K is not used. The fact that kaon mixing and epsilon_K are not the dominant source of the deviation from the Standard Model has the very important consequence that model independent considerations imply that the scale of the relevant new CP-violating physics is below O(2 TeV), thus suggesting that direct signals of the new particle(s) may well be accessible in collider experiments at the LHC and perhaps even at the Tevatron.Comment: 6 pages, 8 figures. Added another fit and some more discussion showing that BR(B->tau nu) comes out in good agreement with predictions of the SM if the measured value of sin2beta is not used as an input. References adde