3,910 research outputs found
Bunge’s Mathematical Structuralism Is Not a Fiction
In this paper, I explore Bunge’s fictionism in philosophy of mathematics. After an overview of Bunge’s views, in particular his mathematical structuralism, I argue that the comparison between mathematical objects and fictions ultimately fails. I then sketch a different ontology for mathematics, based on Thomasson’s metaphysical work. I conclude that mathematics deserves its own ontology, and that, in the end, much work remains to be done to clarify the various forms of dependence that are involved in mathematical knowledge, in particular its dependence on mental/brain states and material objects
Alien Registration- Marquis, Adolphe J. (Waterville, Kennebec County)
https://digitalmaine.com/alien_docs/14803/thumbnail.jp
Alien Registration- Marquis, Paul J. (Van Buren, Aroostook County)
https://digitalmaine.com/alien_docs/32226/thumbnail.jp
The unexplained nature of reading.
The effects of properties of words on their reading aloud response times (RTs) are 1 major source of evidence about the reading process. The precision with which such RTs could potentially be predicted by word properties is critical to evaluate our understanding of reading but is often underestimated due to contamination from individual differences. We estimated this precision without such contamination individually for 4 people who each read 2,820 words 50 times each. These estimates were compared to the precision achieved by a 31-variable regression model that outperforms current cognitive models on variance-explained criteria. Most (around 2/3) of the meaningful (non-first-phoneme, non-noise) word-level variance remained unexplained by this model. Considerable empirical and theoretical-computational effort has been expended on this area of psychology, but the high level of systematic variance remaining unexplained suggests doubts regarding contemporary accounts of the details of the mechanisms of reading at the level of the word. Future assessment of models can take advantage of the availability of our precise participant-level database
Where Do the Sick Go? Health Insurance and Employment in Small and Large Firms
Small firms that offer health insurance to their employees may face variable premiums if the firm hires an employee with high-expected health costs. To avoid expensive premium variability, a small firm may attempt to maintain a workforce with low-expected health costs. In addition, workers with high-expected health costs may prefer employment in larger firms with health insurance rather than in smaller firms. This results in employment distortions. We examine the magnitude of these employment distortions in hiring, employment, and separations, using the Medical Expenditure Panel Survey from 1996 to 2001. Furthermore, we examine the effect of state small group health insurance reforms that restrict insurers’ ability to deny coverage and restrict premium variability on employment distortions in small firms relative to large firms. We find that workers with high-expected health cost are less likely to be new hires in small firms that offer health insurance, and are less likely to be employed in insured small firms. However, we find no evidence that state small group health insurance reforms have reduced the extent of these distortions. Estimating the magnitude of employment distortions in insured small firms is essential in refining reforms to the small group health insurance market. The difficulties that small firms face in obtaining and maintaining health insurance for their employees have been widely documented (Brown, Hamilton and Medoff, 1990; McLaughlin,1992; Fronstin and Helman, 2000). Only 45% of firms with fewer than 50 employees offer health insurance compared to 97% of firms with 50 or more employees (AHRQ, 2002). This low proportion has been attributed, in part, to the high administrative cost of health insurance for small firms, the low demand for insurance among workers in these firms, and the unwillingness of insurers to take on small firm risks (McLaughlin, 1992, Fronstin and Helman, 2000, Monheit and Vistnes, 1999). In recent decades, small firms that provide health insurance to their employees were in a precarious position. Their premiums were calculated yearly, based on the expected value of their health care utilization. Hence, a single high cost employee could lead to a substantial surcharge on the premiums for the firm (Zellers, McLaughlin, and Frick, 1992). In a survey of small employers that did not offer health insurance, 75 percent claimed that an important reason for not offering insurance was high premium variability (Morrisey, Jensen and Morlock, 1994). Concerns about these problems fueled the passage of numerous state small group health insurance reforms in the 1990s that implemented premium rating reforms and restrictions on pre-existing condition exclusions. While a few states have implemented premium rating reform that has severely restricted small group insurers’ ability to use health status to set premiums, in most states, these reforms have been moderate. Assuming that firms are unable to perfectly tailor individual wages to individual health insurance costs, unexpectedly high premiums may impose a large burden on small firms. Paying high premiums, possibly financed by borrowing at high interest rates, may increase the risk of bankruptcy. If small firms choose not to pay high premiums, and instead drop insurance coverage, they renege on the implicit compensation contract with workers. Employers may opt to raise employee contributions to cover higher costs but large increases may lead to healthier employees dropping coverage. Faced with this predicament, small firms may choose to prevent expensive premium variability by maintaining a work force that has a low-expected utilization of health care services. Thus, the link between employment and health insurance in small firms may result in a welfare loss if it prevents individuals with high-expected health costs from being employed in small firm jobs in which they may have high match specific productivity. Employers may obtain information about employees’ medical conditions in several ways. Before the passage of the 1990 Americans with Disabilities Act (ADA), half of all employers conducted pre-employment medical examinations (U.S. Congress, 1988). Most small group employers required the completion of a family health questionnaire for insurance coverage (Zellers et al., 1992, Cutler 1994). While ADA now restricts employer inquiries on employee health, it does not apply to firms with under 15 employees. In addition, employer compliance with the ADA may be hindered because its stipulations about pre-employment health inquiries are vague. Medical inquires are allowed if they pertain to the applicant’s ability to perform the job. In addition, medical information is explicitly allowed in the use of medical underwriting for insurance (Epstein, 1996). The media continues to report cases where employers easily obtain employee medical records (Rubin, 1998), or employees have been laid-off because of high health costs (O’Connor, 1996), or employee premiums have been adjusted to reflect the employee’s claims experience (Kolata, 1992). The Health Insurance Portability and Accountability Act of 1996 (HIPAA) includes a nondiscrimination provision that bars a group health plan or issuer from discriminating in eligibility or contributions on the basis of a health status-related factor. However, HIPAA allows medical underwriting and allows insurers to rate groups of employees based on health status as long as the premium rate for all employees is blended. This stipulation prevents employers from requiring higher cost employees to contribute a higher premium share, but does not shield employers from bearing the costs for a sick worker. Economists have typically believed that health insurance is an attribute of “good jobs” and workers do not choose jobs based on whether or not the job provides health insurance. In fact, this precept is behind the notion that employment is a mechanism for minimizing adverse selection in the market for health insurance (see, for example, Gruber and Levitt, 2000). However, a number of recent studies have suggested that worker demand for health insurance may play an important role in employment decisions. Workers with high-expected family costs may prefer jobs that offer health insurance, and conversely, workers with low preferences for health insurance may sort into jobs that lack health insurance. (Monheit and Vistnes, 1999, Monheit and Vistnes, 2006, Royalty and Abraham, 2005, Bundorf and Pauly, 2004). In this paper, we use the Medical Expenditure Panel Survey (MEPS) from 1996 to 2001 to examine the magnitude of employment distortions for workers with high-expected health costs. Since health insurance and employment are linked, health insurance may be an important determinant of employment outcomes. High-expected health costs may reduce the probability that workers are employed in firms where they have the highest match specific productivity. We estimate the magnitude of distortions in hiring, employment, and separations. Furthermore, we examine the effect of state small group health insurance reforms that restrict insurers’ ability to deny coverage and restrict premium variability on employment distortions in small firms relative to large firms. Estimating the magnitude of employment distortions in insured small firms and understanding the effect of small group regulation on these distortions is essential in deciding optimal public policy towards the small group health insurance market.
Achieving ultra-high platinum utilization via optimization of PEM fuel cell cathode catalyst layer microstructure
Inefficient usage of expensive platinum catalyst has plagued the design of PEM fuel cells and contributed to the limited production and use of fuel cell systems. Here, it is shown that hierarchical optimization can increase platinum utilization 30-fold over existing catalyst layer designs while maintaining power densities over 0.35 W/cm2. The cathode catalyst layer microstructure is optimized with respect to platinum utilization (measured as kilowatts of electricity produced per gram of platinum). A one-dimensional agglomerate model that accounts for liquid water saturation is used in this study. The cathode catalyst layer microstructure is optimized by manipulating the platinum loading (m Pt), platinum-to-carbon ratio (Pt|C), and catalyst layer void fraction View the MathML source(εVcl). The resulting catalyst layer microstructure features ultra-low platinum loadings of roughly 0.01 mg/cm2
Cryoelectron microscopy of vitrified sections: a new challenge for the analysis of functional nuclear architecture
Cryoelectron microscopy of vitrified sections has become a powerful tool for investigating the fine structural features of cellular compartments. In the present study, this approach has been applied in order to explore the ultrastructural morphology of the interphase nucleus in different mammalian cultured cells. Rat hepatoma, Chinese hamster ovary and Potorus kidney cells were cryofixed by high-pressure freezing and the cryosections were examined at low temperature by transmission electron microscopy. Our results show that while the contrast of nuclear structural domains is remarkably homogeneous in hydrated sections, some of them can be recognised due to their characteristic texture. Thus, condensed chromatin appears finely granular and the perichromatin region contains rather abundant fibro-granular elements suggesting the presence of dispersed chromatin fibres and of perichromatin fibrils and granules. The interchromatin space looks homogeneous and interchromatin granules have not been identified under these preparative conditions. In the nucleolus, the most striking feature is the granular component, while the other parts of the nucleolar body, which appear less contrasted, are difficult to resolve. The nuclear envelope is easily recognisable with its regular perinuclear space and nuclear pore complexes. Our observations are discussed in the context of results obtained by other, more conventional electron microscopic method
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A pragmatic patient-reported outcome strategy for rare disease clinical trials: application of the EORTC item library to myelodysplastic syndromes, chronic myelomonocytic leukemia, and acute myeloid leukemia.
BackgroundNovel, pragmatic, patient-centered strategies are needed to ensure fit-for-purpose patient-reported outcomes (PRO) instruments in clinical trial research for rare diseases such as myelodysplastic syndromes (MDS), acute myeloid leukemia (AML), and chronic myelomonocytic leukemia (CMML). The objective of the current study was to select supplemental items to add to the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life-Core 30 (QLQ-C30) to ensure content coverage of all important clinical concepts in patients with higher-risk (HR) MDS, low-blast count (LB) AML, and CMML, thus, improving the instrument's ability to detect clinically meaningful treatment benefit for this context of use.MethodsOur mixed methods approach comprised literature review, clinician consultation (n = 3), and qualitative and quantitative analysis of two stages of patient interview data (n = 14, n = 18) to select library bank items to supplement a generic cancer PRO, the EORTC QLQ-C30.ResultsUnique symptom (n = 54) and impact (n = 72) concepts were organized into conceptual frameworks of treatment benefit, compared with EORTC QLQ-C30 items and conceptual gaps identified. Supplemental items (n = 13) addressing those gaps were selected from the EORTC Item Library and tested with patients. Supplemental item endorsement frequencies met World Health Organization Quality of Life criteria, suggesting good targeting and relevance for this sample. However, three supplemental items were confirmed as problematic based upon cognitive debriefing results, and expert clinical consultations. Ultimately, 10 supplemental items (n = 7 symptom; n = 3 impact) were selected for the MDS/AML/CMML context.ConclusionSupplemental items were selected to enhance the conceptual coverage of the EORTC QLQ-C30 in the areas of fatigue, shortness of breath, and functioning
Letters in words are read simultaneously, not in left-to-right sequence
The identification of individual letters is necessary for reading words in alphabetic
script (Pelli, Farell, & Moore, 2003). Sequential models of letter processing (Whitney,
2001) in reading words posit an initial left-to-right sequence of letter processing (in
left-to-right languages, such as English), each letter taking 10–25 ms to process before the
next is processed. In contrast, simultaneous models of letter processing (e.g., Tydgat &
Grainger, 2009) in reading words posit that information about the identity of each letter
starts to be extracted at the same time point, regardless of horizontal position. Here we
show that people reading four-letter words do not extract identity information for any
letter from an 18 ms display of the word, but some information about all four letters is
available from 24 ms of display. Our results indicate that a left-to-right sequence of
attention across letters is not used in establishing the cognitive representation of words.
Instead, all letters are processed simultaneously
Incorporating Ambipolar and Ohmic Diffusion in the AMR MHD code RAMSES
We have implemented non-ideal Magneto-Hydrodynamics (MHD) effects in the
Adaptive Mesh Refinement (AMR) code RAMSES, namely ambipolar diffusion and
Ohmic dissipation, as additional source terms in the ideal MHD equations. We
describe in details how we have discretized these terms using the adaptive
Cartesian mesh, and how the time step is diminished with respect to the ideal
case, in order to perform a stable time integration. We have performed a large
suite of test runs, featuring the Barenblatt diffusion test, the Ohmic
diffusion test, the C-shock test and the Alfven wave test. For the latter, we
have performed a careful truncation error analysis to estimate the magnitude of
the numerical diffusion induced by our Godunov scheme, allowing us to estimate
the spatial resolution that is required to address non-ideal MHD effects
reliably. We show that our scheme is second-order accurate, and is therefore
ideally suited to study non-ideal MHD effects in the context of star formation
and molecular cloud dynamics
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