Intraoperative Crossover: The Well-Kept Surgical Secret to Apparent Surgical Success

Cardiologists and patients contemplate the risk of proposed operations. Surgeons typically report outcomes on operations performed. Emergency intraoperative crossover from off- to on-pump coronary artery bypass grafting occurs uncommonly but has substantial rates of mortality and morbidity. Much of the reported perioperative benefit of off- compared with on-pump coronary artery bypass grafting is erased if data are presented by intention to treat and not by operation performed. Cardiologists and cardiac surgeons should share the responsibility for advising a patient to consent to a cardiac operation using honestly presented evidence of potential benefits and risks substantiated with information analyzed in patient-centric and not physician-centric ways

Tobacco Farmer Interest and Success in Income Diversification

As farm income from tobacco production has declined in recent years, there has been increasing interest in identifying alternative sources of income for tobacco farmers in the southern United States The recent termination of the tobacco quota program has accelerated the exit of tobacco farmers and has heightened concern regarding the availability of substitutes for tobacco production. In this study, we examine factors influencing tobacco farmers’ attempts to identify profitable alternatives to tobacco, their off-farm employment behavior, and changes in acres of tobacco cultivated using survey data collected from a panel of North Carolina tobacco farmers combined with market datadiversification, farm programs, farmer survey, quota buyout, tobacco, Crop Production/Industries, Farm Management, Financial Economics, C33, Q12, Q18,

How Will Tobacco Farmers Respond to the Quota Buyout? Findings from a Survey of North Carolina Tobacco Farmers

The tobacco quota buyout is expected to have significant impacts on U.S. tobacco markets, farmers, tobacco-dependent communities, and public health. Using data from four surveys of a panel of North Carolina tobacco farmers conducted between 1997 and 2004, we investigate changing farmer attitudes towards and intentions following a quota buyout.Crop Production/Industries,

Tobacco Farmer Interest and Success in Diversification

As U.S. farm income from tobacco production has declined in recent years, there has been increased interest in developing alternative sources of farm revenue to replace lost tobacco income, particularly in tobacco-dependent communities of the southeastern United States. The recent end of the tobacco quota program is expected to accelerate the exit of tobacco farmers and has heightened concern regarding the availability of profitable substitutes for tobacco. In this study, we examine the impact of farm, household, and market characteristics on tobacco farmer interest and success in on-farm and off-farm income diversification. Using survey data collected from a panel of North Carolina tobacco farmers in 1997, 1999, 2001, and 2004 combined with market data collected from secondary sources, we evaluate the influence of farmer preferences, resource endowments, market incentives, risk, and biophysical factors on tobacco farmers' attitudes regarding diversification into non-tobacco products, the extent to which they reallocated resources towards non-tobacco products, and their success in identifying profitable alternatives to tobacco production. Our research contributes empirical findings to the public dialogue concerning the ability of tobacco farmers and tobacco-dependent communities to adjust to structural changes taking place in the tobacco market.Tobacco, farm diversification, household model, quota buyout., Farm Management,