Essays on Extended Warranties for Durable Goods

Most durable goods come bundled with limited-term manufacturer-backed warranties at no additional cost to the consumer. Through the 1990s and early 2000s, the movement towards increased quality in manufacturing led to greater reliability in durable goods and correspondingly saw drastic expansion in the manufacturer warranties offered to consumers. At the same time extended warranties continued to be aggressively marketed by the downstream retailer to durable-goods buyers. In 2012 alone, consumers spent $14.7 billion on extended service contracts. Extended warranties are optional and need to be purchased at an additional cost. Consumers purchase extended warranties to insure themselves against the risk of product failure after the manufacturer warranty expires. The extant literature is silent on how the provisioning of manufacturer warranties and the market for extended warranties interact with each other. This doctoral dissertation addresses this research gap in the empirical context of the U.S. automobile industry. In Essay 1, I investigate the effect of upstream changes in manufacturer warranties (either expansion or contraction) on downstream retailer outcomes. That is, how do such changes in coverage of manufacturer warranties impact the purchase rates of extended warranties? How do the resulting changes in extended-warranty purchase rates vary across products and consumers? What is the net impact of the changes on the retailers’ financial performance? In Essay 2, I investigate the effect of upstream changes in manufacturer warranties on auto buyer's decision to purchase extended warranties and her choice of extended warranties. Specifically, how do such changes in coverage of manufacturer warranties differentially impact the auto buyer's purchase of extended warranties and the type of extended warranties they purchase? How do the manufacturer-induced changes impact extended-warranty premiums paid by these auto buyers? What is the net impact of the changes on the retailer's profits? The econometric models advanced in this thesis yield valuable managerial insights on how the markets for manufacturer warranties and extended warranties interact through the choices made by auto buyers and their corresponding implications on the financial performance of auto dealers. I hope this dissertation spawns new ideas for future empirical research on the market for warranties.Doctor of Philosoph

Survival outcomes of hepatic resection compared with transarterial chemoembolization or sorafenib for hepatocellular carcinoma with portal vein tumor thrombosis

Background/Aims:Treating hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) remains controversial. We compared the outcomes of hepatic resection (HR), transarterial chemoembolization (TACE), and sorafenib therapy as treatments for HCC with PVTT. Methods:Patients diagnosed as HCC with PVTT between January 2000 and December 2011 who received treatment with sorafenib, HR, or TACE were included. Patients with main PVTT, superior mesenteric vein tumor thrombosis, or Child-Turcotte-Pugh (CTP) class C were excluded. The records of 172 patients were analyzed retrospectively. HR, TACE, and sorafenib treatment were performed is 40, 80, and 52 patients respectively. PVTT was classified as either involving the segmental branch (type I) or extending to involve the right or left portal vein (type II). Results:The median survival time was significantly longer in the HR group (19.9 months) than in the TACE and sorafenib groups (6.6 and 6.2 months, respectively; both p<0.001), and did not differ significantly between the latter two groups (p=0.698). Among patients with CTP class A, type I PVTT or unilobar-involved HCC, the median survival time was longer in the HR group than in the TACE and sorafenib groups (p=0.006). In univariate analyses, the initial treatment method, tumor size, PVTT type, involved lobe, CTP class, and presence of cirrhosis or ascites were correlated with overall survival. The significant prognostic factors for overall survival in Cox proportional-hazards regression analysis were initial treatment method (HR vs. TACE: hazard ratio=1.750, p=0.036; HR vs. sorafenib: hazard ratio=2.262, p=0.006), involved lobe (hazard ratio=1.705, p=0.008), PVTT type (hazard ratio=1.617, p=0.013), and CTP class (hazard ratio=1.712, p=0.012). Conclusions:Compared with TACE or sorafenib, HR may prolong the survival of patients with HCC in cases of CTP class A, type I PVTT or unilobar-involved HCC

Cancer in Patients on Chronic Dialysis in Korea

The study of cancer in patients treated with dialysis in Korea has not been reported. The aim of this study was to investigate the incidence and mortality of cancer among patients on dialysis in Korea. The study subjects were 106 cancer patients (2.3%) out of 4,562 end-stage renal disease (ESRD) patients maintained on hemodialysis (HD) or peritoneal dialysis (PD) at Yonsei University Health System from 1996 to 2005. We excluded patients in whom the diagnosis of cancer preceded dialysis or those who received renal allograft or started dialysis after renal allograft. Seventy-three (69%) of our subjects were male and 33 (31%) were female. The mean age at the time of cancer diagnosis was 57.9±11.7 yr. The mean time from the start of dialysis to the diagnosis of cancer was 75.2±63.9 months. The most common cancer site was gastrointestinal tract (GIT) (51%) followed by urinary tract (20%), lung (8%), and thyroid (7%). Sixty nine percent of the total mortality was due to cancer. The mean time from diagnosis to death was 2.9±2.5 yr. In ESRD patients with cancer, there were no significant differences in mortality rates by dialysis modality. In ESRD patients, the most common cancer was GIT cancer followed by urinary tract cancer. Therefore, careful surveillance of these cancers in ESRD patients is highly recommended

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Nafion-peptized laponite clay nanocomposite membrane for PEMFC

Nafion-clay nanocomposite membrane has been prepared by dispersing unmodified and acid activated Laponite XLS in Nafion 20% dispersion. The resulting membranes possess better proton conductivity and mechanical strength as compared to the virgin membrane. Acid activation of the nanoclay leads to the in-situ generation of H 3PO 4 by the hydrolysis of the peptizer present on the surface of the nanoclay. The in-situ generated H 3PO 4 helps in improving all the technical properties of the nanocomposite including the water uptake and proton conductivity of the nanocomposite, containing acid activated clay compared to the nanocomposite, containing unmodified clay. The maximum proton conductivity of 270.2 mS/cm is achieved at 110 °C for the nanocomposite membrane containing 3% acid-activated Laponite compared to 136.2 mS/cm for the virgin Nafion

Data-Driven Analysis for Safe Ship Operation in Ports Using Quantile Regression Based on Generalized Additive Models and Deep Neural Network

Marine accidents in ports can cause loss of human life and property and have negative material and environmental impacts. In South Korea, due to a pier collision accident of a large container ship in Busan New Port of South Korea, the need for safe ship operation guidelines in ports emerged. Therefore, to support quantitative safe ship operation guidelines, ship trajectory data based on automatic information system information have been used. However, because this trajectory information is variable and uncertain due to various situations arising during a ship&rsquo;s navigation, there is a limit to deriving results through traditional regression analysis. Considering the characteristics of these data, we analyzed ship trajectories through quantile regression using two models based on generalized additive models and neural networks corresponding to deep learning. Among the automatic information system information, the speed over ground, course over ground, and ship&rsquo;s position were analyzed, and the model was evaluated based on quantile loss. Based on this study, it is possible to suggest safe operation guidelines for the position, speed, and course of the ship. In addition, the results of this work can be further developed as a manual for the in-port-autonomous operation of ships in the future