1,052 research outputs found

    The 2008 Presidential Primaries through the Lens of Prediction Markets

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    To explore the influence of primary and caucus results during the 2008 nomination process we leverage a previously unused methodology---the analysis of prediction market contracts. The unique structure of prediction markets allows us to address two questions. First, we analyze whether primary and caucus results affect candidates' chances in the general election, as candidates who take extreme positions during the nomination contest may be unable to easily appeal to centrist voters in the general election. We also assess whether states with early primaries, such as Iowa and New Hampshire, have a disproportionate effect on the nominating process. We show that the length of the primary process has a minimal impact of the electability of candidates in the general election, and that some states have a disproportionate impact on the nominating process. However, the states that have the largest impact are not necessarily New Hampshire and Iowa, the two that have often been assumed to be the most influential because of their early position on the primary calendar

    Determining false-positives requires considering the totality of evidence

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    Comparison of 12-Month Outcomes with Zotarolimus- and Paclitaxel-Eluting Stents: A Meta-Analysis

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    Revascularization after myocardial infarction is often achieved via percutaneous coronary intervention, which often entails stenting. Drug-eluting stents have shown benefits over bare metal stents in this setting, and a variety of drug-eluting stents are now available, including sirolimus-, paclitaxel-, and zotarolimus-eluting stents. There are studies that have compared the various drug-eluting stents and this meta-analysis pools data comparing 12-month clinical outcomes of zotarolimus- and paclitaxel-eluting stents. End points studied were myocardial infarction, major adverse cardiac events, cardiac death, all-cause death, stent thrombosis, target vessel revascularization, and target lesion revascularization.There was a statistically significant reduction in risk of myocardial infarction (odds ratio, 0.250, confidence interval, 0.160 to 0.392) and statistically insignificant reductions in major adverse cardiac events (odds ratio, 0.813, confidence interval, 0.656 to 1.007), cardiac death (odds ratio, 0.817, confidence interval, 0.359 to 1.857), all cause death (odds ratio, 0.820, confidence interval, 0.443 to 1.516), and target lesion revascularization (odds ratio, 0.936, confidence interval 0.702 to 1.247). There was a statistically significant increase in target vessel revascularization (odds ratio, 1.336, confidence interval, 1.003 to 1.778) and a statistically insignificant increase in stent thrombosis (odds ratio, 1.174, confidence interval, 0.604 to 2.280). These findings are similar to the individual studies although other studies have noted increased late loss with zotarolimus-eluting stents and this current data associated with late loss should be kept in mind when makimg clinical decisions regarding sent selection

    How America's politics influence how we do business and who we want to work for

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    In the wake of the 2016 presidential election, America's partisan divide has become even more apparent, with more and more people feeling that they actively dislike members of the opposite party. In new research, Christopher McConnell, Yotam Margalit, Neil Malhotra and Matthew Levendusky find that this negativity also extends to work and other business relationships. Not only are people willing to accept less pay from an employer who shares their party affiliation, they are also more likely to buy from sellers who are similar

    Determining false positives requires considering the totality of evidence

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    WORD COUNT: 498 Fowler and Montagnes (henceforth FM) independently replicate one finding in Healy, Malhotra, and Mo (henceforth HMM) that college football wins increase incumbent vote share (1, 2). While we interpret this result as evidence of irrelevant events impacting voters' decisions, which is consistent with established theory in the psychological and decision sciences literatures, FM conclude that chance is responsible. False positives can occur. Consequently, we performed several tests to address that possibility, but FM surprisingly ignore these analyses. While replication and re-analysis are important to scientific discovery, one cannot selectively consider pieces of evidence when evaluating past research. Our consideration of the totality of evidence (the full results in HMM and the new results in FM) leads us to conclude that college football games influence elections. Point 1: FM entirely ignore the most important analyses of the football data in HMM, the ones utilizing betting spreads to isolate surprise outcomes. The finding reported in the abstract of HMM (a 1.61 percentage point effect) comes from analyses comparing the actual outcomes of the games to what was projected beforehand by betting markets. This creates a quasi-experiment that isolates the surprise component of game outcomes. These "surprise wins" identify variation that has nothing to do with how good a team is in a given year altogether. This is the same approach use

    Impact of the 2016 American College of Surgeons Guideline Revision on Overlapping Lumbar Fusion Cases at a Large Academic Medical Center

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    OBJECTIVE: The American College of Surgeons (ACS) u pdated its guidelines on overlapping surgery in 2016. The objective was to examine differences in postoperative outcomes after overlapping surgery either pre-ACS guide-line revision or post-guideline revision, in a coarsened exact matching sample. -METHODS: A total of 3327 consecutive adult patients u ndergoing single-level posterior lumbar fusion from 2013 to 2019 were retrospectively analyzed. Patients were separated into a pre-ACS guideline revision cohort (surgery before April 2016) or a post-guideline revision cohort (surgery after October 2016) for comparison. The primary outcomes were proportion of cases performed with any degree of overlap, and adverse events including 30-day and 90-day rates of readmission, reoperation, emergency department visit, morbidity, and mortality. Subsequently, coarsened exact matching was used among overlapping surgery patients only to assess the impact of the ACS guideline revision on overlapping outcomes, and control-ling for attending surgeon and key patient characteristics known to affect surgical outcomes. -RESULTS: After the implementation of the ACS guide-lines, fewer cases were performed with overlap (22.0% vs. 53.7%; P \u3c 0.001). Patients in the post-ACS guideline revi-sion cohort experienced improved rates of readmission and reoperation within 30 and 90 days. However, when limited to overlapping cases only, no differences were observed in overlap outcomes pre-ACS versus post-ACS guideline revision. Similarly, when exact matched on risk-associated patient characteristics and attending surgeon, overlapping surgery patients pre-ACS and post-ACS guideline revision experienced similar rates of 30-day and 90-day outcomes. -CONCLUSIONS: After the ACS guideline revision, no discernable impact was observed on postoperative out-comes after lumbar fusion performed with overlap

    ALMA 1.3 Millimeter Map of the HD 95086 System

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    Planets and minor bodies such as asteroids, Kuiper-belt objects and comets are integral components of a planetary system. Interactions among them leave clues about the formation process of a planetary system. The signature of such interactions is most prominent through observations of its debris disk at millimeter wavelengths where emission is dominated by the population of large grains that stay close to their parent bodies. Here we present ALMA 1.3 mm observations of HD 95086, a young early-type star that hosts a directly imaged giant planet b and a massive debris disk with both asteroid- and Kuiper-belt analogs. The location of the Kuiper-belt analog is resolved for the first time. The system can be depicted as a broad (ΔR/R\Delta R/R \sim0.84), inclined (30\arcdeg±\pm3\arcdeg) ring with millimeter emission peaked at 200±\pm6 au from the star. The 1.3 mm disk emission is consistent with a broad disk with sharp boundaries from 106±\pm6 to 320±\pm20 au with a surface density distribution described by a power law with an index of --0.5±\pm0.2. Our deep ALMA map also reveals a bright source located near the edge of the ring, whose brightness at 1.3 mm and potential spectral energy distribution are consistent with it being a luminous star-forming galaxy at high redshift. We set constraints on the orbital properties of planet b assuming co-planarity with the observed disk.Comment: accepted for publication in A

    Postoperative Outcomes and Resource Utilization Following Open vs Endoscopic Far Lateral Lumbar Discectomy

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    Background: Operative approaches for far lateral disc herniation (FLDH) repair may be classified as open or minimally invasive. The present study aims to compare postoperative outcomes and resource utilization between patients undergoing open and endoscopic (one such minimally invasive approach) FLDH surgeries. Methods: A total of 144 consecutive adult patients undergoing FLDH repair at a single, university health system over an 8-year period (2013-2020) were retrospectively reviewed. Patients were divided into 2 cohorts: open (n = 92) and endoscopic (n = 52). Logistic regression was performed to evaluate the impact of procedural type on postoperative outcomes, and resource utilization metrics were compared between cohorts using & chi;2 test (for categorical variables) or t test (for continuous variables). Primary postsurgical outcomes included readmissions, reoperations, emergency department visits, and neurosurgery outpatient office visits within 90 days of the index operation. Primary resource utilization outcomes included total direct cost of the procedure and length of stay. Secondary measures included discharge disposition, operative length, and duration of follow- up. Results: No differences were observed in adverse postoperative events. Patients undergoing open FLDH surgery were more likely to attend outpatient visits within 30 days (P = 0.016). Although direct operating room cost was lower (P \u3c 0.001) for open procedures, length of hospital stay was longer (P \u3c 0.001). Patients undergoing open surgery also demonstrated less favorable discharge dispositions, longer operative length, and greater duration of follow- up. Conclusions: While both procedure types represent viable options for FLDH, endoscopic surgeries appear to achieve comparable clinical outcomes with decreased perioperative resource utilization. Clinical Relevance: The present study suggests that endoscopic FLDH repairs do not lead to inferior outcomes but may decrease utilization of perioperative resources. Level of Evidence: 3
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