48 research outputs found

    Locating disease genes using Bayesian variable selection with the Haseman-Elston method

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    BACKGROUND: We applied stochastic search variable selection (SSVS), a Bayesian model selection method, to the simulated data of Genetic Analysis Workshop 13. We used SSVS with the revisited Haseman-Elston method to find the markers linked to the loci determining change in cholesterol over time. To study gene-gene interaction (epistasis) and gene-environment interaction, we adopted prior structures, which incorporate the relationship among the predictors. This allows SSVS to search in the model space more efficiently and avoid the less likely models. RESULTS: In applying SSVS, instead of looking at the posterior distribution of each of the candidate models, which is sensitive to the setting of the prior, we ranked the candidate variables (markers) according to their marginal posterior probability, which was shown to be more robust to the prior. Compared with traditional methods that consider one marker at a time, our method considers all markers simultaneously and obtains more favorable results. CONCLUSIONS: We showed that SSVS is a powerful method for identifying linked markers using the Haseman-Elston method, even for weak effects. SSVS is very effective because it does a smart search over the entire model space

    Research progress of fabric electrodes in wearable electronic clothing

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    Aiming at the application requirements of fabric electrodes in wearable electronic clothing, the current materials and structure types of fabric electrodes are introduced respectively, the influence of fabric electrodes materials and structure parameters on the stability of ECG signal acquisition is analyzed, the use principle of fabric electrodes and the relationship between signal acquisition stability and comfort are summarized, and the application prospects and development direction of fabric electrodes in wearable electronic clothing are prospected in the future

    Giving formulary and drug cost information to providers and impact on medication cost and use: a longitudinal non-randomized study

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    BackgroundProviders wish to help patients with prescription costs but often lack drug cost information. We examined whether giving providers formulary and drug cost information was associated with changes in their diabetes patients' drug costs and use. We conducted a longitudinal non-randomized evaluation of the web-based Prescribing Guide ( www.PrescribingGuide.com ), a free resource available to Hawaii's providers since 2006, which summarizes the formularies and copayments of six health plans for drugs to treat 16 common health conditions. All adult primary care physicians in Hawaii were offered the Prescribing Guide, and providers who enrolled received a link to the website and regular hardcopy updates.MethodsWe analyzed prescription claims from a large health plan in Hawaii for 5,883 members with diabetes from 2007 (baseline) to 2009 (follow-up). Patients were linked to 299 "main prescribing" providers, who on average, accounted for >88 % of patients' prescriptions and drug costs. We compared changes in drug costs and use for "study" patients whose main provider enrolled to receive the Prescribing Guide, versus "control" patients whose main provider did not enroll to receive the Prescribing Guide.ResultsIn multivariate analyses controlling for provider specialty and clustering of patients by providers, both patient groups experienced similar increases in number of prescriptions (+3.2 vs. +2.7 increase, p = 0.24), and days supply of medications (+141 vs. +129 increase, p = 0.40) averaged across all drugs. Total and out-of-pocket drug costs also increased for both control and study patients. However, control patients showed higher increases in yearly total drug costs of 208perpatient(+208 per patient (+792 vs. +584increase,p = 0.02)andin30−daysupplycosts(+584 increase, p = 0.02) and in 30-day supply costs (+9.40 vs. +6.08increase,p = 0.03).Bothgroupsexperiencedsimilarchangesinyearlyout−of−pocketcosts(+6.08 increase, p = 0.03). Both groups experienced similar changes in yearly out-of-pocket costs (+41 vs + 31increase,p = 0.36)andper30−daysupply(−31 increase, p = 0.36) and per 30-day supply (-0.23 vs. -$0.19 decrease, p = 0.996).ConclusionGiving formulary and drug cost information to providers was associated with lower increases in total drug costs but not with lower out-of-pocket costs or greater medication use. Insurers and health information technology businesses should continue to increase providers' access to formulary and drug cost information at the point of care

    Midlife muscle strength and human longevity up to age 100 years: a 44-year prospective study among a decedent cohort

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    We studied prospectively the midlife handgrip strength, living habits, and parents’ longevity as predictors of length of life up to becoming a centenarian. The participants were 2,239 men from the Honolulu Heart Program/Honolulu–Asia Aging Study who were born before the end of June 1909 and who took part in baseline physical assessment in 1965–1968, when they were 56–68 years old. Deaths were followed until the end of June 2009 for 44 years with complete ascertainment. Longevity was categorized as centenarian (≥100 years, n = 47), nonagenarian (90–99 years, n = 545), octogenarian (80–89 years, n = 847), and ≤79 years (n = 801, reference). The average survival after baseline was 20.8 years (SD = 9.62). Compared with people who died at the age of ≤79 years, centenarians belonged 2.5 times (odds ratio (OR) = 2.52, 95% confidence interval (CI) = 1.23–5.10) more often to the highest third of grip strength in midlife, were never smokers (OR = 5.75 95% CI = 3.06–10.80), had participated in physical activity outside work (OR = 1.13 per daily hour, 95% CI = 1.02–1.25), and had a long-lived mother (≥80 vs. ≤60 years, OR = 2.3, 95% CI = 1.06–5.01). Associations for nonagenarians and octogenarians were parallel, but weaker. Multivariate modeling showed that mother’s longevity and offspring’s grip strength operated through the same or overlapping pathway to longevity. High midlife grip strength and long-lived mother may indicate resilience to aging, which, combined with healthy lifestyle, increases the probability of extreme longevity

    Bystanders Don'T Just Stand By: the Influence of Social Presence on Service Experience

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    Continuous improvement in customer relationship management is a necessity for companies wishing to remain competitive in today's service industry. The two studies presented herein respond to this need by testing a new nomological net that features social presence and its moderators as antecedents to service satisfaction and behavioral intentions. Study 1 discovers that when service encounters are positive, social presence enhances satisfaction and behavioral intentions. However, when the service encounter is negative, the impact of social presence is more complex. Study 2 examines this complexity and uncovers that social presence effects are outcome attribution-dependent and cultural orientation-contingent

    Managing sub-branding affect transfer: the role of consideration set size and brand loyalty

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    Although the essential role of affect transfer has been evidenced in the brand extension literature, scant research has focused on affect transfer when a firm attempts to add sub-brands into its brand portfolio. We conducted a series of four experiments to demonstrate that affect associated with a family brand does in fact transfer to its sub-brand, and the effect is more pronounced for a sub-brand that is closer to (vs distant from) its family brand. Further, the transfer of affect is contingent upon consideration set size and brand loyalty. While affect transfer is observed when consideration set is small, this effect dissipates when consideration set expands; such moderation effect further interacts with consumers\u27 loyalty to a family brand and a competing brand. Our findings caution brand managers to take into account consumers\u27 consideration set size and brand loyalty when managing their brand portfolios

    Regulatory focus and technology acceptance: Perceived ease of use and usefulness as efficacy

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    The technology acceptance model (TAM) has been widely used to gage IS adoption. Over the years, although research on the replications, extensions, and modifications of TAM has been prolific in adding antecedents and moderators to TAM, scant attention has been devoted to exploring TAM mediators. The current research attempts to deepen the understanding of TAM by delineating the underlying theoretical mechanisms of TAM relationships. In addition, we propose a parsimonious moderator, regulatory focus, to help integrate previously identified moderators, such as organizational, technological, and individual characteristics, that have been noted in prior studies. We report the results of one pilot study and two main studies in support of our proposed model, which serves to simplify and facilitate practical and managerial applications and implementation of TAM in IS strategy

    Service recommendations and customer evaluations in the international marketplace: Cultural and situational contingencies

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    As the international service market continues its phenomenal growth, understanding the nature of effective interpersonal interactions between service providers and their customers is increasingly important. However, cross-national theory and research on this topic remain limited. In response, the following study employs data from China and the United States to test whether the cultural congruency of benefits emphasized by the service provider interacts with the customer's value orientation and/or consumption objective to affect evaluations of service quality. Results indicate that the cultural congruency of provider recommendations affects evaluations. Preliminary evidence also suggests that this effect is moderated by consumption objective.Service Culture Consumption objectives Satisfaction
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