63 research outputs found

    The presence of adverse selection in the Las Vegas resale housing market

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    Adverse selection may affect the resale housing market. Sellers hold valuable information concerning the quality of their homes that is not directly available to buyers. If buyers are unable to identify quality, the relocation decision is different for owners of low and high-quality houses. Since information is asymmetric owners of low-quality houses are more likely to relocate than owners of high-quality houses, other things constant. Thus, I suggest that quality is decreasing in the number of times a house has been resold. The presence of a relationship between price and the number of times a house has been resold is consistent with the hypothesis that adverse selection influences the resale housing market. My hedonic pricing model results supports this hypothesis. Moreover, as a house\u27s turnover rate increases, consumer\u27s willingness to pay for that house decreases, other things constant

    Application of an Alternating Minimization Algorithm to Experimental DIC Microscopy Data for the Quantitative Determination of Sample Optical Properties

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    Differential Interference Contrast (DIC) is commonly chosen for imaging unstained transparent samples. One limitation of DIC microscopy is the qualitative results it provides. This must be post-processed to extract meaningful information. The Alternating Minimizatio (AM) algorithm studied in this thesis is an iterative approach to recover a quantitative estimate of a sample\u27s complex-valued transmittance function. The AM algorithm is validated using simulated data. Additionally, the bias retardation and shear distance, two characteristic features of the DIC system, must be measured to insure the system model is accurate. This is accomplished by introducing a calibrated liquid crystal device to the system. Algorithm performance is verified using an experimental test object before finally being applied to biological samples. Overall results demonstrate the accuracy of this algorithm\u27s object estimation results. These are verified through comparison to similar data processing techniques

    Panel II

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    Each in its Ordered Place : The Spatiality of Suffering in Faulkner\u27s The Sound and the Fury / Eric Matthew Bledsoe, Florida State University Women in Motion: Escaping Yoknapatawpha / Lori Watkins Fulton, William Carey University Jamestown and Jimson Weed : Autochthnous Territory in The Sound and the Fury / Kita Douglas, University of Victori

    Reproduction and Poverty in Sub?Saharan Africa

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    Summaries Ideas about poverty and gender in Africa have been built in part on a conventional model of poverty and fertility, which implies that specific policy interventions such as female education will have synegistic impact. However, much recent anthropological work on reproduction in Africa challenges the simple, conventional model as being too deterministically demographic and ignoring the social construction of familial relationships as well as the possibility and importance of social marginalisation within families. This article describes the main findings of some of this research, and tries to draw out some policy implications for poverty and gender. It points particularly to the importance of seeing impoverishment or escape from poverty as gendered processes which can take place over long periods of a life?cycle

    Stability of the inverse resonance problem on the line

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    In the absence of a half-bound state, a compactly supported potential of a Schr\"odinger operator on the line is determined up to a translation by the zeros and poles of the meropmorphically continued left (or right) reflection coefficient. The poles are the eigenvalues and resonances, while the zeros also are physically relevant. We prove that all compactly supported potentials (without half-bound states) that have reflection coefficients whose zeros and poles are \eps-close in some disk centered at the origin are also close (in a suitable sense). In addition, we prove stability of small perturbations of the zero potential (which has a half-bound state) from only the eigenvalues and resonances of the perturbation.Comment: 21 page

    Impact of antibacterials on subsequent resistance and clinical outcomes in adult patients with viral pneumonia: An opportunity for stewardship

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    INTRODUCTION: Respiratory viruses are increasingly recognized as significant etiologies of pneumonia among hospitalized patients. Advanced technologies using multiplex molecular assays and polymerase-chain reaction increase the ability to identify viral pathogens and may ultimately impact antibacterial use. METHOD: This was a single-center retrospective cohort study to evaluate the impact of antibacterials in viral pneumonia on clinical outcomes and subsequent multidrug-resistant organism (MDRO) infections/colonization. Patients admitted from March 2013 to November 2014 with positive respiratory viral panels (RVP) and radiographic findings of pneumonia were included. Patients transferred from an outside hospital or not still hospitalized 72 hours after the RVP report date were excluded. Patients were categorized based on exposure to systemic antibacterials: less than 3 days representing short-course therapy and 3 to 10 days being long-course therapy. RESULTS: A total of 174 patients (long-course, n = 67; short-course, n = 28; mixed bacterial-viral infection, n = 79) were included with most being immunocompromised (56.3 %) with active malignancy the primary etiology (69.4 %). Rhinovirus/Enterovirus (23 %), Influenza (19 %), and Parainfluenza (15.5 %) were the viruses most commonly identified. A total of 13 different systemic antibacterials were used as empiric therapy in the 95 patients with pure viral infection for a total of 466 days-of-therapy. Vancomycin (50.7 %), cefepime (40.3 %), azithromycin (40.3 %), meropenem (23.9 %), and linezolid (20.9 %) were most frequently used. In-hospital mortality did not differ between patients with viral pneumonia in the short-course and long-course groups. Subsequent infection/colonization with a MDRO was more frequent in the long-course group compared to the short-course group (53.2 vs 21.1 %; P = 0.027). CONCLUSION: This study found that long-course antibacterial use in the setting of viral pneumonia had no impact on clinical outcomes but increased the incidence of subsequent MDRO infection/colonization

    Epidemiology, co-infections, and outcomes of viral pneumonia in adults an observational cohort study

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    Advanced technologies using polymerase-chain reaction have allowed for increased recognition of viral respiratory infections including pneumonia. Co-infections have been described for several respiratory viruses, especially with influenza. Outcomes of viral pneumonia, including cases with co-infections, have not been well described. This was observational cohort study conducted to describe hospitalized patients with viral pneumonia including co-infections, clinical outcomes, and predictors of mortality. Patients admitted from March 2013 to November 2014 with a positive respiratory virus panel (RVP) and radiographic findings of pneumonia within 48 h of the index RVP were included. Co-respiratory infection (CRI) was defined as any organism identification from a respiratory specimen within 3 days of the index RVP. Predictors of in-hospital mortality on univariate analysis were evaluated in a multivariate model. Of 284 patients with viral pneumonia, a majority (51.8%) were immunocompromised. A total of 84 patients (29.6%) were found to have a CRI with 48 (57.6%) having a bacterial CRI. Viral CRI with HSV, CMV, or both occurred in 28 patients (33.3%). Fungal (16.7%) and other CRIs (7.1%) were less common. Many patients required mechanical ventilation (54%) and vasopressor support (36%). Overall in-hospital mortality was high (23.2%) and readmissions were common with several patients re-hospitalized within 30 (21.1%) and 90 days (36.7%) of discharge. Predictors of in-hospital mortality on multivariate regression included severity of illness factors, stem-cell transplant, and identification of multiple respiratory viruses. In conclusion, hospital mortality is high among adult patients with viral pneumonia and patients with multiple respiratory viruses identified may be at a higher risk

    Interfacility Helicopter Ambulance Transport of Neurosurgical Patients: Observations, Utilization, and Outcomes from a Quaternary Level Care Hospital

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    The clinical benefit of helicopter transport over ground transportation for interfacility transport is unproven. We sought to determine actual practice patterns, utilization, and outcomes of patients undergoing interfacility transport for neurosurgical conditions.We retrospectively examined all interfacility helicopter transfers to a single trauma center during 2008. We restricted our analysis to those transfers leading either to admission to the neurosurgical service or to formal consultation upon arrival. Major exclusion criteria included transport from the scene, death during transport, and transport to any area of the hospital other than the emergency department. The primary outcome was time interval to invasive intervention. Secondary outcomes were estimated ground transportation times from the referring hospital, admitting disposition, and discharge disposition. Of 526 candidate interfacility helicopter transfers to our emergency department in 2008, we identified 167 meeting study criteria. Seventy-five (45%) of these patients underwent neurosurgical intervention. The median time to neurosurgical intervention ranged from 1.0 to 117.8 hours, varying depending on the diagnosis. For 101 (60%) of the patients, estimated driving time from the referring institution was less than one hour. Four patients (2%) expired in the emergency department, and 34 patients (20%) were admitted to a non-ICU setting. Six patients were discharged home within 24 hours. For those admitted, in-hospital mortality was 28%.Many patients undergoing interfacility transfer for neurosurgical evaluation are inappropriately triaged to helicopter transport, as evidenced by actual times to intervention at the accepting institution and estimated ground transportation times from the referring institution. In a time when there is growing interest in health care cost containment, practitioners must exercise discretion in the selection of patients for air ambulance transport--particularly when it may not bear influence on clinical outcome. Neurosurgical evaluation via telemedicine may be one strategy for improving air transport triage
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