Compromise, extremism, and guilt

This dissertation is a study of non-standard economic behavior. The first chapter concerns two widely observed violations of Independence of Irrelevant Alternatives, the Compromise and Attraction effects. I construct a novel method of representing them by reducing the context of a menu to a frame, encompassing the worst option along each attribute in the menu, and observing a collection of preferences indexed by frames. The agent behaves as though a good’s attractiveness along each attribute is judged relative to the frame with declining marginal utility. This allows me to give a novel interpretation of the compromise and attraction effects: they are consistent with indifference curves rotating clockwise as the frame moves down, and counter- clockwise as it goes left. It also allows me to give a representation theorem showing the behavioral axioms associated with a utility representation taking a good and the frame as arguments. The second chapter applies the representation from Chapter One to electoral politics. It shows that incorporating these preferences generates equilibria where extremist candidates enter plurality elections in order to attractively frame their preferred moderate candidate, even if the extremists have probability zero of obtaining office themselves. While such candidates are frequently observed in elections, and there are papers generating equilibria with centrist sure losers (including Solow (2015)), this is the first paper generating equilibria with these extremist candidates without unusual assumptions on election rules, or non single-peaked preferences. This paper creates a four candidate equilibrium with two extremist sure loser candidates, each on the fringes of opinion. The third chapter concerns the effect of guilt on preferences in the circumstance of gift giving. A decision maker who experiences guilt may receive an increase in surplus from a gift card allowing guilt-free indulgence, potentially beyond even the surplus she’d receive from an equivalent cash gift. This paper isolates the behavior of guilt avoidance by exploiting a multi-period setting which incorporates a distinction between the decision maker’s preferences over what she’d receive, and what she would choose. A representation inspired by Kopylov (2009) is adapted to this setting, providing a representation theorem for these preferences

Defects of the Broad Ligament of the Uterus

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74780/1/j.1572-0241.1986.tb01505.x.pd

Diffuse cutaneous mastocytosis with novel somatic KIT mutation K509I and association with tuberous sclerosis.

Diffuse cutaneous mastocytosis (DCM) is a rare but potentially fatal condition when diagnosis and targeted treatments are delayed. This case illustrates the life-threatening complications in DCM and reviews the currently available treatments. To our knowledge, this is the first report of mastocytosis with somatic K509I mutation and concomitant tuberous sclerosis

Does adding muscle relaxant make post-operative pain better? a narrative review of the literature from US and European studies

Centrally acting skeletal muscle relaxants (CASMR) are widely prescribed as adjuncts for acute and chronic pain. Given the recent interest in multimodal analgesia and reducing opioid consumption, there has been an increase in its use for perioperative/postoperative pain control. The mechanism of action, pharmacodynamics, and pharmacokinetics of these drugs vary. Their use has been studied in a wide range of operative and non-operative settings. The best evidence for the efficacy of CASMRs is in acute, nonoperative musculoskeletal pain and, in the operative setting, in patients undergoing total knee arthroplasty and abdominal surgery, including inguinal herniorrhaphy and hemorrhoidectomy. The risk of complications and side effects, coupled with the limited evidence of efficacy, should prompt careful consideration of individual patient circumstances when prescribing CASMRs as part of perioperative pain management strategies

Measuring the impact of ambulatory red blood cell transfusion on home functional status: study protocol for a pilot randomized controlled trial

SPIRIT 2013: SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) Checklist for clinical trial protocols. (DOCX 65 kb

Converting data into information and knowledge: The promise and the reality of electronic medical records

Mode of access: Internet

The Anesthesiologist-Informatician: A Survey of Physicians Board-Certified in Both Anesthesiology and Clinical Informatics

All 36 physicians board-certified in both anesthesiology and clinical informatics as of January 1, 2016, were surveyed via e-mail, with 26 responding. Although most (25/26) generally expressed satisfaction with the clinical informatics boards, and view informatics expertise as important to anesthesiology, most (24/26) thought it unlikely or highly unlikely that substantial numbers of anesthesiology residents would pursue clinical informatics fellowships. Anesthesiologists wishing to qualify for the clinical informatics board examination under the practice pathway need to devote a substantive amount of worktime to informatics. There currently are options outside of formal fellowship training to acquire the knowledge to pass

Association of Vital Signs and Process Outcomes in Emergency Department Patients

Introduction: We sought to determine the association of abnormal vital signs with emergency department (ED) process outcomes in both discharged and admitted patients.Methods: We performed a retrospective review of five years of operational data at a single site. We identified all visits for patients 18 and older who were discharged home without ancillary services, and separately identified all visits for patients admitted to a floor (ward) bed. We assessed two process outcomes for discharged visits (returns to the ED within 72 hours and returns to the ED within 72 hours resulting in admission) and two process outcomes for admitted patients (transfer to a higher level of care [intermediate care or intensive care] within either six hours or 24 hours of arrival to floor). Last-recorded ED vital signs were obtained for all patients. We report rates of abnormal vital signs in each group, as well as the relative risk of meeting a process outcome for each individual vital sign abnormality.Results: Patients with tachycardia, tachypnea, or fever more commonly experienced all measured process outcomes compared to patients without these abnormal vitals; admitted hypotensive patients more frequently required transfer to a higher level of care within 24 hours.Conclusion: In a single facility, patients with abnormal last-recorded ED vital signs experienced more undesirable process outcomes than patients with normal vitals. Vital sign abnormalities may serve as a useful signal in outcome forecasting