The Debate on Influencing Doctors’ Decisions: Are Drug Characteristics the Missing Link?

Decision-making by physicians on patients’ treatment has come under increased public scrutiny. In fact, there is a fair amount of debate on the effects of marketing actions of pharmaceutical firms toward physicians and their impact on physician prescription behavior. While some scholars find a strong and positive influence of marketing actions, some find only moderate effects, and others even find negative effects. Debate is also mounting on the role of other influencers (such as patient requests) in physician decision-making, both on prescriptions and sample-dispensing. The authors argue that one factor that may tip the balance in this debate is the role of drug characteristics, such as a drug’s effectiveness and a drug’s side effects. Using a unique data set, they show that marketing efforts – operationalized as detailing and symposium meetings of firms to physicians – and patient requests do affect physician decision-making differentially across brands. Moreover they find that the responsiveness of physicians’ decision-making to marketing efforts and patient requests depends upon the drug’s effectiveness and side effects. The paper presents clear guidelines for public policy and managerial practice and envisions that the study of the role of drug characteristics – such as effectiveness and side effects – may lead to valuable insights in this surging public debate.public policy;side effects;sampling;Physician decision-making;drug effectiveness;drug prescription;marketing efforts;patient requests;pharmaceuticals;sample-dispensing

An empirical study of the transition from paid work to self-employment

We explore the relationship between the probability of a transition from paid work to self-employment and three explanatory variables: paid income, predicted income, and income for ability. We use panel data for heads of households from the PSID SRC sample for eight pairs of years. Our results show that therelationship between paid income and self-employment is not linear. We then break up paid income into two components: a)predicted income based on human capital, demographic, and locational variables, and b) income for ability. Again, we find nolinear relationship between self-employment and either predicted income or income for ability. We then test for curvilinear relationships between these three variables (i.e., paid income, predicted income, and income for ability) and the transition to self-employment. We find that individuals with low incomes are more likely to take up self-employment. Further, income for ability is a stronger predictor of the transition to self-employment than predicted income. We show that the relationship between ability and self-employment is U shaped: very low ability and very high ability individuals are more likely to take up self-employment than medium ability individuals. We use prospect theory to explain this result.Entrepreneurship; self-employment; opportunity costs; value creation;

Lately Exposed Amorphous Water Ice on Comet 49P/Arend-Rigaux

Comet 49P/ Arend-Rigaux, thought to be a low activity comet since the 1980's was found to be active in its recent apparitions. Recent analysis of the data obtained from Spitzer observation of the comet in 2006 compared with laboratory spectra has revealed amorphous water ice on the surface. In addition, in 2012 a jet was found to appear during its subsequent perihelion passage as witnessed during an observation carried out on 26th March 2012 using the PRL telescope at Mt. Abu. This confirms recent activity of Comet 49P/Arend-Rigaux due to the volatile subsurface materials exposed after several passages close to the Sun. Our result confirms the subsurface ices on cometary nuclei and insists for more observations for a better understanding

Single-Molecule Junction Conductance through Diaminoacenes

The study of electron transport through single molecules is essential to the development of molecular electronics. Indeed, trends in electronic conductance through organic nanowires have emerged with the increasing reliability of electron transport measurements at the single-molecule level. Experimental and theoretical work has shown that tunneling distance, HOMO-LUMO gap and molecular conformation influence electron transport in both saturated and pi-conjugated nanowires. However, there is relatively little experimental data on electron transport through fused aromatic rings. Here we show using diaminoacenes that conductivity depends not only on the number of fused aromatic rings in the molecule, which defines the molecular HOMO-LUMO gap, but also on the position of the amino groups on the rings. Specifically, we find that conductance is highest with minimal disruption of aromaticity in fused aromatic nanowires.Comment: 2 pages, 3 figure

Formation and Evolution of Single Molecule Junctions

We analyze the formation and evolution statistics of single molecule junctions bonded to gold electrodes using amine, methyl sulfide and dimethyl phosphine link groups by measuring conductance as a function of junction elongation. For each link, maximum elongation and formation probability increase with molecular length, strongly suggesting that processes other than just metal-molecule bond breakage play a key role in junction evolution under stress. Density functional theory calculations of adiabatic trajectories show sequences of atomic-scale changes in junction structure, including shifts in attachment point, that account for the long conductance plateau lengths observed.Comment: 10 pages, 4 figures, submitte

The Debate on Influencing Doctors’ Decisions: Are Drug Characteristics the Missing Link?

Decision-making by physicians on patients’ treatment has come under increased public scrutiny. In fact, there is a fair amount of debate on the effects of marketing actions of pharmaceutical firms toward physicians and their impact on physician prescription behavior. While some scholars find a strong and positive influence of marketing actions, some find only moderate effects, and others even find negative effects. Debate is also mounting on the role of other influencers (such as patient requests) in physician decision-making, both on prescriptions and sample-dispensing. The authors argue that one factor that may tip the balance in this debate is the role of drug characteristics, such as a drug’s effectiveness and a drug’s side effects. Using a unique data set, they show that marketing efforts – operationalized as detailing and symposium meetings of firms to physicians – and patient requests do affect physician decision-making differentially across brands. Moreover they find that the responsiveness of physicians’ decision-making to marketing efforts and patient requests depends upon the drug’s effectiveness and side effects. The paper presents clear guidelines for public policy and managerial practice and envisions that the study of the role of drug characteristics – such as effectiveness and side effects – may lead to valuable insights in this surging public debate

Evaluation of various methods of susceptibility to ofloxacin in strains of Mycobacterium tuberculosis

A comparison of three methods of susceptibility testing was undertaken on 30 susceptible and 25 resistant strains of Mycobacterium tuberculosis to determine an acceptable in vitro definition of resistance of ofloxacin. The strains were tested by the proportion method on Lowenstein Jensen (L-J) and 7H11 media and also by the BACTEC radiometric method. Using a criterion of 1 per cent or more growth at a concentration of 2 mg/1, there was a 100 per cent agreement with the conventional MIC method by the proportion tests on L-J as well as on 7H11 media. The BACTEC radiometric method, at the same concentration, yielded 98 per cent agreement. Thus, any of these methods could be used depending upon the infrastructure available

COBE ground segment gyro calibration

Discussed here is the calibration of the scale factors and rate biases for the Cosmic Background Explorer (COBE) spacecraft gyroscopes, with the emphasis on the adaptation for COBE of an algorithm previously developed for the Solar Maximum Mission. Detailed choice of parameters, convergence, verification, and use of the algorithm in an environment where the reference attitudes are determined form the Sun, Earth, and star observations (via the Diffuse Infrared Background Experiment (DIRBE) are considered. Results of some recent experiments are given. These include tests where the gyro rate data are corrected for the effect of the gyro baseplate temperature on the spacecraft electronics