Costs of preparing to implement a virtual reality job interview training programme in a community mental health agency: A budget impact analysis

Rational, aims and objectivesIndividual Placement and Support (IPS) is an evidence based strategy for facilitating employment among adults with severe mental illness (SMI) where staff may lead mock job interviews to prepare clients for real- world interviews (a method with limited scalability and cost effectiveness). A virtual reality job interview training program (VR- JIT)- delivered via the internet- has demonstrated efficacy for increasing employment among adults with SMI. Now, VR- JIT is being implemented with a community mental health agency (CMHA) and evaluated for its effectiveness within IPS. This study is a budget impact analysis, evaluating the costs of preparing a CMHA to implement VR- JIT.MethodImplementation preparation occurred over 7 months from October 1, 2016 to April 30, 2017. CMHA staff (n- =- 15) and external research partners (n- =- 3) tracked their hours completing implementation preparation activities. Salaries plus a 28% fringe benefit rate were used to derive a per- hour salary amount for each individual and applied to each activity. Non- labor equipment costs were obtained from purchase receipts. A budget impact analysis evaluated the expenditures associated with preparing the CMHA to implement VRJIT.ResultsThe total implementation preparation costs equaled $25,482. Labor costs equaled$22,882 and non- labor costs equaled $2,600. In total, 655 person- hours were spent preparing for VR- JIT implementation (e.g., preparing lab space, training, and supervising operations).ConclusionsThis study presents an initial evaluation of the budget impact of preparing to implement VR- JIT in a CMHA. Cost considerations for future implementation preparation will be discussed. Given that the cost to prepare to implement an intervention can hinder its adoption, results provide an important analysis for decision- makers that may enhance uptake. Future work will determine the cost- effectiveness of VR- JIT implemented within IPS. This study is registered at http://clinicaltrials.gov, NCT- =- 03049813, - Virtual Reality Job Interview Training: An Enhancement to Supported Employment in Severe Mental Illness.-Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/156238/2/jep13292.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156238/1/jep13292_am.pd

The low-energy limit of AdS(3)/CFT2 and its TBA

We investigate low-energy string excitations in AdS3 × S3 × T4. When the worldsheet is decompactified, the theory has gapless modes whose spectrum at low energies is determined by massless relativistic integrable S matrices of the type introduced by Al. B. Zamolodchikov. The S matrices are non-trivial only for excitations with identical worldsheet chirality, indicating that the low-energy theory is a CFT2. We construct a Thermodynamic Bethe Ansatz (TBA) for these excitations and show how the massless modes’ wrapping effects may be incorporated into the AdS3 spectral problem. Using the TBA and its associated Y-system, we determine the central charge of the low-energy CFT2 to be c = 6 from calculating the vacuum energy for antiperiodic fermions — with the vacuum energy being zero for periodic fermions in agreement with a supersymmetric theory — and find the energies of some excited states

The impact of HIV/HCV co-infection on health care utilization and disability: results of the ACTG Longitudinal Linked Randomized Trials (ALLRT) Cohort.

HIV/hepatitis C virus (HCV) co-infection places a growing burden on the HIV/AIDS care delivery system. Evidence-based estimates of health services utilization among HIV/HCV co-infected patients can inform efficient planning. We analyzed data from the ACTG Longitudinal Linked Randomized Trials (ALLRT) cohort to estimate resource utilization and disability among HIV/HCV co-infected patients and compare them to rates seen in HIV mono-infected patients. The analysis included HIV-infected subjects enrolled in the ALLRT cohort between 2000 and 2007 who had at least one CD4 count measured and completed at least one resource utilization data collection form (N = 3143). Primary outcomes included the relative risk of hospital nights, emergency department (ED) visits, and disability days for HIV/HCV co-infected vs HIV mono-infected subjects. When controlling for age, sex, race, history of AIDS-defining events, current CD4 count and current HIV RNA, the relative risk of hospitalization, ED visits, and disability days for subjects with HIV/HCV co-infection compared to those with HIV mono-infection were 1.8 (95% CI: 1.3-2.5), 1.7 (95% CI: 1.4-2.1), and 1.6 (95% CI: 1.3-1.9) respectively. Programs serving HIV/HCV co-infected patients can expect approximately 70% higher rates of utilization than expected from a similar cohort of HIV mono-infected patients

Polyploid plants have faster rates of multivariate niche differentiation than their diploid relatives

Polyploid speciation entails substantial and rapid postzygotic reproductive isolation of nascent species that are initially sympatric with one or both parents. Despite strong postzygotic isolation, ecological niche differentiation has long been thought to be important for polyploid success. Using biogeographic data from across vascular plants, we tested whether the climatic niches of polyploid species are more differentiated than their diploid relatives and if the climatic niches of polyploid species differentiated faster than those of related diploids. We found that polyploids are often more climatically differentiated from their diploid parents than the diploids are from each other. Consistent with this pattern, we estimated that polyploid species generally have higher rates of multivariate niche differentiation than their diploid relatives. In contrast to recent analyses, our results confirm that ecological niche differentiation is an important component of polyploid speciation and that niche differentiation is often significantly faster in polyploids.Polyploid speciation entails substantial and rapid postzygotic reproductive isolation of nascent species that are initially sympatric with one or both parents. Despite strong postzygotic isolation, ecological niche differentiation has long been thought to be important for polyploid success. Using biogeographic data from across vascular plants, we tested whether the climatic niches of polyploid species are more differentiated than their diploid relatives and if the climatic niches of polyploid species differentiated faster than those of related diploids.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153074/1/ele13402-sup-0001-TableS1.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153074/2/ele13402_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153074/3/ele13402-sup-0007-TableS7.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153074/4/ele13402-sup-0003-TableS3.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153074/5/ele13402-sup-0005-TableS5.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153074/6/ele13402.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153074/7/ele13402-sup-0006-TableS6.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153074/8/ele13402-sup-0002-TableS2.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153074/9/ele13402-sup-0004-TableS4.pd

Big data: Finders keepers, losers weepers?

This article argues that big data’s entrepreneurial potential is based not only on new technological developments that allow for the extraction of non-trivial, new insights out of existing data, but also on an ethical judgment that often remains implicit: namely the ethical judgment that those companies that generate these new insights can legitimately appropriate (the fruits of) these insights. As a result, the business model of big data companies is essentially founded on a libertarian-inspired ‘finders, keepers’ ethic. The article argues, next, that this presupposed ‘finder, keepers’ ethic is far from unproblematic and relies itself on multiple unconvincing assumptions. This leads to the conclusion that the conduct of companies working with big data might lack ethical justification

Influenza vaccine effectiveness among outpatients in the US Influenza Vaccine Effectiveness Network by study site 2011‐2016

BackgroundInfluenza vaccination is recommended for all US residents aged ≥6 months. Vaccine effectiveness (VE) varies by age, circulating influenza strains, and the presence of high‐risk medical conditions. We examined site‐specific VE in the US Influenza VE Network, which evaluates annual influenza VE at ambulatory clinics in geographically diverse sites.MethodsAnalyses were conducted on 27 180 outpatients ≥6 months old presenting with an acute respiratory infection (ARI) with cough of ≤7‐day duration during the 2011‐2016 influenza seasons. A test‐negative design was used with vaccination status defined as receipt of ≥1 dose of any influenza vaccine according to medical records, registries, and/or self‐report. Influenza infection was determined by reverse‐transcription polymerase chain reaction. VE estimates were calculated using odds ratios from multivariable logistic regression models adjusted for age, sex, race/ethnicity, time from illness onset to enrollment, high‐risk conditions, calendar time, and vaccination status‐site interaction.ResultsFor all sites combined, VE was statistically significant every season against all influenza and against the predominant circulating strains (VE = 19%‐50%) Few differences among four sites in the US Flu VE Network were evident in five seasons. However, in 2015‐16, overall VE in one site was 24% (95% CI = −4%‐44%), while VE in two other sites was significantly higher (61%, 95% CI = 49%‐71%; P = .002, and 53%, 95% CI = 33,67; P = .034).ConclusionWith few exceptions, site‐specific VE estimates aligned with each other and overall VE estimates. Observed VE may reflect inherent differences in community characteristics of the sites and highlights the importance of diverse settings for studying influenza vaccine effectiveness.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/155981/1/irv12741_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155981/2/irv12741.pd

Young in Class: Implications for Inattentive/Hyperactive Behaviour of Canadian Boys and Girls

Using data from the Statistics Canada National Longitudinal Survey of Children and Youth (NLSCY), this paper investigates the impact of school entry age on inattentive/hyperactive behaviours. We employ both a cross-provinces-time differences-in-differences approach, and a within-province regression discontinuity design. We find that being young in class causes greater inattentive/hyperactive behaviour, exacerbating any inattentive/hyperactive behavior exhibited prior to school entry. These results also also hold in sibling fixed effect models. Though we do not find gender differences in the effects, because boys are more likely to be inattentive/hyperactive at school entry, they are more affected. These effects persist into early adolescence

Pilot study on university students' opinion about STEM studies at higher education

The percentages of women enrolled in higher education in the STEM sector are significantly lower than those of men. Overall, gender representation in science, technology, engineering and mathematics degrees in Europe is not balanced. The Leaky Pipeline phenomenon, marked by gender stereotypes, makes the latent gender gap a relevant topic of study. Studies exist on academic performance, self-perception, self-efficacy, outcome expectations; however, studying gender stereotypes linked to STEM studies is also essential. It is necessary to know the social and family context in which young people have grown up, as well as their perception of such studies. To study gender stereotypes of university students about STEM studies, a questionnaire has been designed for empirical validation. For the design of the instrument, to be validated, items from other instruments have been taken and adapted to Spanish. After the design of the instrument, an online pilot study has been applied in the University of Salamanca, the University of Valencia and the Polytechnic University of Valencia. A total of 115 people answered the questionnaire. The results of the pilot study reveal that the study sample is not particularly marked by gender stereotypes about gender equality in STEM. Also, the sample is receptive to learning about science and applying it in their lives. On the other hand, the idea that women have to give up their studies and careers to look after their families and children is rejected. The idea that men are more interested in university studies than women is also rejected. At the same time, the sample is aware of the difficulties that women encounter in the STEM sector. Another optimistic point of the results is that there are no alarming data on bad experiences due to gender. In the future, the study will be replicated on a larger scale