The `Why' behind including `Y' in your imputation model

Missing data is a common challenge when analyzing epidemiological data, and imputation is often used to address this issue. Here, we investigate the scenario where a covariate used in an analysis has missingness and will be imputed. There are recommendations to include the outcome from the analysis model in the imputation model for missing covariates, but it is not necessarily clear if this recommmendation always holds and why this is sometimes true. We examine deterministic imputation (i.e., single imputation where the imputed values are treated as fixed) and stochastic imputation (i.e., single imputation with a random value or multiple imputation) methods and their implications for estimating the relationship between the imputed covariate and the outcome. We mathematically demonstrate that including the outcome variable in imputation models is not just a recommendation but a requirement to achieve unbiased results when using stochastic imputation methods. Moreover, we dispel common misconceptions about deterministic imputation models and demonstrate why the outcome should not be included in these models. This paper aims to bridge the gap between imputation in theory and in practice, providing mathematical derivations to explain common statistical recommendations. We offer a better understanding of the considerations involved in imputing missing covariates and emphasize when it is necessary to include the outcome variable in the imputation model

Being Active and Impulsive: The Role of Goals for Action and Inaction in Self-Control

Although self-control often requires behavioral inaction (i.e., not eating a piece of cake), the process of inhibiting impulsive behavior is commonly characterized as cognitively active (i.e., actively exerting self-control). Two experiments examined whether motivation for action or inaction facilitates self-control behavior in the presence of tempting stimuli. Experiment 1 used a delay discounting task to assess the ability to delay gratification with respect to money. Experiment 2 used a Go/No-Go task to assess the ability to inhibit a dominant but incorrect motor response to the words condom and sex . The results demonstrate that goals for inaction promote self-control, whereas goals for action promote impulsive behavior. These findings are discussed in light of recent evidence suggesting that goals for action and inaction modulate physiological resources that promote behavioral execution

Characterization of pressurized wash for decontamination of porous building materials and a Goldsim model for recycling contaminated wash

The probability of a terrorist attack with a Radiological Dispersion Device (RDD) is unknown, response and recovery plans must be created beforehand to minimize the detrimental economic, social, and psychological effects of wide-spread nuclear contamination. In 2014 the IWATERS system was proposed for quick, non-destructive remediation of the urban environment. An ionic wash solution (“Wash Aid”) is applied by hosing and then used wash solution is recycled on-site with sand-clay beds. The following experiments were performed to help characterize the IWATERS technology. The HUDEX (High-pressure Urban Decontamination EXperiments) system applied a pressurized wash solution with a 40° nozzle to Sr-85, Cs-137, and Eu-152 contaminated brick, asphalt, and concrete. Statistically significant increases in percent removals were observed using a nominal 0.5 M KCl solution vs. tap water (20-40% difference for majority). Highest decontamination was 84.6% Sr from asphalt with 0.5 M KCl. Tests varying cleaning rate and distance on concrete with tap water yielded insignificant trends (8%-45% average removals). Depth profiles of the remaining contamination were determined after cleaning from the 15-cm distance. By using sand paper to remove layers from the coupon, the relative fraction activity removed in each layer was plotted vs. depth. Consistently, Cs and Sr penetrated significantly deeper than Eu, with Sr penetrating slightly more than Cs. Relatively small grind layers (17 to 35 μm vs. 1 to 7 mm) made literature comparison difficult. More tests are needed to determine effects of pressurized washing on contamination depth profiles. A GoldSim Contaminant Transport model for recycling contaminated wash solution through a sand/clay column was modified for sensitivity analyses of column and material parameters. Linear or quadratic relationships (R2 ≥ 0.98) were observed between most column parameters and breakthrough time and total volume of wash solution processed. Using the relationships, look-up tables for first responders and equations for on-the-fly modifications can be generated. Changes to the sand/clay bed composition yielded mostly non-linear trends for both total volume recycled and elution time. Therefore, in a response scenario, the composition must be set beforehand. Parameters such as bed area and head height are more easily changed to total recycled wash solution and recycling rate

Recent Decisions

Comments on recent decisions by Carl F. Eiberger, Donald W. Bebenek, Walter C. Clements, Robert J. Hepler, Norman H. McNeil, John P. Coyne, Mark S. Tolle, Robert D. LeMense, Michael C. Dionise, and John W. Houck

Keys to successful balanced scorecard implementation and use based on published implementation attempts

In recent years many companies have evolved from being centrally located and managed to decentralized, multi-national companies consisting of many separate entities to be strategically managed. In response to this and other changes, such as the need for better measurement of performance, a strategic management tool was developed called the Balanced Scorecard (BSC). This research provides a tool to guide and evaluate BSC implementation. A meta-synthesis approach was used to examine qualitative BSC data available in the literature that suggested eleven keys to successful BSC implementation and use. These keys are then used to benchmark an implementation in a government logistics organization

Excursion of the Rotator Cuff Under the Acromion

Nine fresh-frozen, human cadaveric shoulders were el evated in the scapular plane in two different humeral rotations by applying forces along action lines of rotator cuff and deltoid muscles. Stereophotogrammetry deter mined possible regions of subacromial contact using a proximity criterion; radiographs measured acromio humeral interval and position of greater tuberosity. Con tact starts at the anterolateral edge of the acromion at 0° of elevation; it shifts medially with arm elevation. On the humeral surface, contact shifts from proximal to dis tal on the supraspinatus tendon with arm elevation. When external rotation is decreased, distal and poste rior shift in contact is noted. Acromial undersurface and rotator cuff tendons are in closest proximity between 60° and 120° of elevation; contact was consistently more pronounced for Type III acromions. Mean acro miohumeral interval was 11.1 mm at 0° of elevation and decreased to 5.7 mm at 90°, when greater tuberosity was closest to the acromion. Radiographs show bone- to-bone relationship; stereophotogrammetry assesses contact on soft tissues of the subacromial space. Con tact centers on the supraspinatus insertion, suggesting altered excursion of the greater tuberosity may initially damage this rotator cuff region. Conditions limiting ex ternal rotation or elevation may also increase rotator cuff compression. Marked increase in contact with Type III acromions supports the role of anterior acromioplasty when clinically indicated, usually in older patients with primary impingement.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67283/2/10.1177_036354659402200609.pd

Isolation of a wide range of minerals from a thermally treated plant: Equisetum arvense, a Mare’s tale

Silica is the second most abundant biomineral being exceeded in nature only by biogenic CaCO3. Many land plants (such as rice, cereals, cucumber, etc.) deposit silica in significant amounts to reinforce their tissues and as a systematic response to pathogen attack. One of the most ancient species of living vascular plants, Equisetum arvense is also able to take up and accumulate silica in all parts of the plant. Numerous methods have been developed for elimination of the organic material and/or metal ions present in plant material to isolate biogenic silica. However, depending on the chemical and/or physical treatment applied to branch or stem from Equisetum arvense; other mineral forms such glass-type materials (i.e. CaSiO3), salts (i.e. KCl) or luminescent materials can also be isolated from the plant material. In the current contribution, we show the chemical and/or thermal routes that lead to the formation of a number of different mineral types in addition to biogenic silica

Blueberry Research Progress Report

The 1976 edition of the Blueberry Research Progress Report was prepared for the Blueberry Advisory Committee by researchers at the University of Maine, Orono. Projects in this report include: 1. Effect of Plant-Water Stress on Lowbush Blueberry Growth, Yield and Quality 2. Insects Affecting the Blueberry 3. The Development of Blueberry Varieties Adapted to Maine 4. Weed Control in Blueberry Fields 5. Pruning of Blueberries 6. Integrated Management of Blueberry Fields 7. The Physiology and Biochemistry of the Development of the Lowbush Blueberry Fruit 8. Survey of Red Leaf Disease of Blueberries 9. Blossom Blight of Blueberries 10. Blueberry Marketing and Cost Analysis of Producing Blueberries 11. Factors Regulating Rhizome Initiation and Development in the Lowbush Blueberry 12. New Food Products and Servic

Conceptualising production, productivity and technology in pharmacy practice: a novel framework for policy, education and research.

CONTEXT AND BACKGROUND: People and health systems worldwide face serious challenges due to shifting disease demographics, rising population demands and weaknesses in healthcare provision, including capacity shortages and lack of impact of healthcare services. These multiple challenges, linked with the global push to achieve universal health coverage, have made apparent the importance of investing in workforce development to improve population health and economic well-being. In relation to medicines, health systems face challenges in terms of access to needed medicines, optimising medicines use and reducing risk. In 2017, the International Pharmaceutical Federation (FIP) published global policy on workforce development ('the Nanjing Statements') that describe an envisioned future for professional education and training. The documents make clear that expanding the pharmacy workforce benefits patients, and continually improving education and training produces better clinical outcomes. AIMS AND PURPOSE: The opportunities for harnessing new technologies in pharmacy practice have been relatively ignored. This paper presents a conceptual framework for analysing production methods, productivity and technology in pharmacy practice that differentiates between dispensing and pharmaceutical care services. We outline a framework that may be employed to study the relationship between pharmacy practice and productivity, shaped by educational and technological inputs. METHOD AND RESULTS: The analysis is performed from the point of view of health systems economics. In relation to pharmaceutical care (patient-oriented practice), pharmacists are service providers; however, their primary purpose is not to deliver consultations, but to maximise the quantum of health gain they secure. Our analysis demonstrates that 'technology shock' is clearly beneficial compared with orthodox notions of productivity or incremental gain implementations. Additionally, the whole process of providing professional services using 'pharmaceutical care technologies' is governed by local institutional frames, suggesting that activities may be structured differently in different places and countries. DISCUSSION AND CONCLUSION: Addressing problems with medication use with the development of a pharmaceutical workforce that is sufficient in quantity and competence is a long-term issue. As a result of this analysis, there emerges a challenge about the profession's relationship with existing and emerging technical innovations. Our novel framework is designed to facilitate policy, education and research by providing an analytical approach to service delivery. By using this approach, the profession could develop examples of good practice in both developed and developing countries worldwide