Inferential evaluations of sustainability attributes: Exploring how consumers imply product information

Consumers are often confronted with incomplete product information. In such instances, they can eliminate the product from further consideration due to higher associated uncertainty or ask for more information. Alternatively, they can apply subjective theories about covariation to infer the value of missing attributes. This paper investigates the latter option in the context of sustainability and provides an in-depth exploration of consumers' inference formations. Drawing from rich qualitative data, it offers a conceptualization of the underlying relationships consumers use to infer product sustainability based on other product attributes. The study further assesses whether these findings can be captured in a quantifiable way. To this end, inferred sustainability is conceptualized as a formative second-order construct, thereby depicting the influence of inference-triggering product attributes. (authors' abstract

Michael Houston Oral History

Former Mayor Michael Houston discusses his tenure as Springfield’s mayor from 1979 to 1987. He recalls his employment prior to and after being elected mayor, and he discusses events during his tenure such as the revitalization of downtown Springfield, lawsuits, and both failures and accomplishments while in office.unpublishednot peer reviewe

A case report of a new pulmonary embolism occurring in a patient receiving continuous infusion of recombinant activated protein C

Abstract Background There are no guidelines governing the concomitant use of recombinant human activated protein C (rhAPC) and deep venous thrombosis/pulmonary embolism (DVT/PE) prophylaxis in critically ill patients. It is unknown if rhAPC provides any protection against DVT/PE in this population of patients. Methods Case report. Results This report describes the first case of a radiographically demonstrated pulmonary embolism occurring in a patient receiving continuous therapeutic infusion of rhAPC. Conclusion The administration of rhAPC alone may not be sufficient DVT/PE prophylaxis in high risk patients. The risks associated with concomitant anticoagulation and rhAPC therapy are unknown. Further research is necessary to determine the safest and most effective regimen for DVT/PE prophylaxis in patients receiving rhAPC

A case report of a new pulmonary embolism occurring in a patient receiving continuous infusion of recombinant activated protein C

Background There are no guidelines governing the concomitant use of recombinant human activated protein C (rhAPC) and deep venous thrombosis/pulmonary embolism (DVT/PE) prophylaxis in critically ill patients. It is unknown if rhAPC provides any protection against DVT/PE in this population of patients. Methods Case report. Results This report describes the first case of a radiographically demonstrated pulmonary embolism occurring in a patient receiving continuous therapeutic infusion of rhAPC. Conclusion The administration of rhAPC alone may not be sufficient DVT/PE prophylaxis in high risk patients. The risks associated with concomitant anticoagulation and rhAPC therapy are unknown. Further research is necessary to determine the safest and most effective regimen for DVT/PE prophylaxis in patients receiving rhAPC

Morphological and hemodynamical alterations in brachial artery and cephalic vein. An image‐based study for preoperative assessment for vascular access creation

The current study aims to computationally evaluate the effect of right upper arm position on the geometric and hemodynamic characteristics of the brachial artery (BA) and cephalic vein (CV) and, furthermore, to present in detail the methodology to characterise morphological and hemodynamical healthy vessels. Ten healthy volunteers were analysed in two configurations, the supine (S) and the prone (P) position. Lumen 3D surface models were constructed from images acquired from a non-contrast MRI sequence. Then, the models were used to numerically compute the physiological range of geometric (n = 10) and hemodynamic (n = 3) parameters in the BA and CV. Geometric parameters such as curvature and tortuosity, and hemodynamic parameters based on wall shear stress (WSS) metrics were calculated with the use of computational fluid dynamics. Our results highlight that changes in arm position had a greater impact on WSS metrics of the BA by altering the mean and maximum blood flow rate of the vessel. Whereas, curvature and tortuosity were found not to be significantly different between positions. Inter-variability was associated with antegrade and retrograde flow in BA, and antegrade flow in CV. Shear stress was low and oscillatory shear forces were negligible. This data suggests that deviations from this state may contribute to the risk of accelerated intimal hyperplasia of the vein in arteriovenous fistulas. Therefore, preoperative conditions coupled with post-operative longitudinal data will aid the identification of such relationships

The pulsating helium-atmosphere white dwarfs : I. New DBVs from the Sloan Digital Sky Survey

We present a dedicated search for new pulsating helium-atmosphere (DBV) white dwarfs from the Sloan Digital Sky Survey using the McDonald 2.1 m Otto Struve Telescope. In total we observed 55 DB and DBA white dwarfs with spectroscopic temperatures between 19,000 and 35,000 K. We find 19 new DBVs and place upper limits on variability for the remaining 36 objects. In combination with previously known DBVs, we use these objects to provide an update to the empirical extent of the DB instability strip. With our sample of new DBVs, the red edge is better constrained, as we nearly double the number of DBVs known between 20,000 and 24,000 K. We do not find any new DBVs hotter than PG 0112+104, the current hottest DBV is at Teff ≈ 31,000 K, but do find pulsations in four DBVs with temperatures between 27,000 and 30,000 K, improving empirical constraints on the poorly defined blue edge. We investigate the ensemble pulsation properties of all currently known DBVs, finding that the weighted mean period and total pulsation power exhibit trends with effective temperature that are qualitatively similar to the pulsating hydrogen-atmosphere white dwarfs

The pulsating helium-atmosphere white dwarfs : I. New DBVs from the Sloan Digital Sky Survey

We present a dedicated search for new pulsating helium-atmosphere (DBV) white dwarfs from the Sloan Digital Sky Survey using the McDonald 2.1 m Otto Struve Telescope. In total we observed 55 DB and DBA white dwarfs with spectroscopic temperatures between 19,000 and 35,000 K. We find 19 new DBVs and place upper limits on variability for the remaining 36 objects. In combination with previously known DBVs, we use these objects to provide an update to the empirical extent of the DB instability strip. With our sample of new DBVs, the red edge is better constrained, as we nearly double the number of DBVs known between 20,000 and 24,000 K. We do not find any new DBVs hotter than PG 0112+104, the current hottest DBV is at Teff ≈ 31,000 K, but do find pulsations in four DBVs with temperatures between 27,000 and 30,000 K, improving empirical constraints on the poorly defined blue edge. We investigate the ensemble pulsation properties of all currently known DBVs, finding that the weighted mean period and total pulsation power exhibit trends with effective temperature that are qualitatively similar to the pulsating hydrogen-atmosphere white dwarfs

Descriptive Analysis of a Baseline Concussion Battery Among U.S. Service Academy Members: Results from the Concussion Assessment, Research, and Education (CARE) Consortium

Introduction The prevalence and possible long-term consequences of concussion remain an increasing concern to the U.S. military, particularly as it pertains to maintaining a medically ready force. Baseline testing is being used both in the civilian and military domains to assess concussion injury and recovery. Accurate interpretation of these baseline assessments requires one to consider other influencing factors not related to concussion. To date, there is limited understanding, especially within the military, of what factors influence normative test performance. Given the significant physical and mental demands placed on service academy members (SAM), and their relatively high risk for concussion, it is important to describe demographics and normative profile of SAMs. Furthermore, the absence of available baseline normative data on female and non-varsity SAMs makes interpretation of post-injury assessments challenging. Understanding how individuals perform at baseline, given their unique individual characteristics (e.g., concussion history, sex, competition level), will inform post-concussion assessment and management. Thus, the primary aim of this manuscript is to characterize the SAM population and determine normative values on a concussion baseline testing battery. Materials and Methods All data were collected as part of the Concussion Assessment, Research and Education (CARE) Consortium. The baseline test battery included a post-concussion symptom checklist (Sport Concussion Assessment Tool (SCAT), psychological health screening inventory (Brief Symptom Inventory (BSI-18) and neurocognitive evaluation (ImPACT), Balance Error Scoring System (BESS), and Standardized Assessment of Concussion (SAC). Linear regression models were used to examine differences across sexes, competition levels, and varsity contact levels while controlling for academy, freshman status, race, and previous concussion. Zero inflated negative binomial models estimated symptom scores due to the high frequency of zero scores. Results Significant, but small, sex effects were observed on the ImPACT visual memory task. While, females performed worse than males (p < 0.0001, pη2 = 0.01), these differences were small and not larger than the effects of the covariates. A similar pattern was observed for competition level on the SAC. There was a small, but significant difference across competition level. SAMs participating in varsity athletics did significantly worse on the SAC compared to SAMs participating in club or intramural athletics (all p’s < 0.001, η2 = 0.01). When examining symptom reporting, males were more than two times as likely to report zero symptoms on the SCAT or BSI-18. Intramural SAMs had the highest number of symptoms and severity compared to varsity SAMs (p < 0.0001, Cohen’s d < 0.2). Contact level was not associated with SCAT or BSI-18 symptoms among varsity SAMs. Notably, the significant differences across competition level on SCAT and BSI-18 were sub-clinical and had small effect sizes. Conclusion The current analyses provide the first baseline concussion battery normative data among SAMs. While statistically significant differences may be observed on baseline tests, the effect sizes for competition and contact levels are very small, indicating that differences are likely not clinically meaningful at baseline. Identifying baseline differences and significant covariates is important for future concussion-related analyses to inform concussion evaluations for all athlete levels