Online Selection of a Physician by Patients: The Impression Formation Perspective (Preprint)

2021 ◽  
Author(s):  
Zhengwei Huang ◽  
Chen Duan ◽  
Yanni Yang

BACKGROUND With the rapid development of online healthcare communities, an increasing number of physicians provide services in the online healthcare communities that enable patients to consult online. However, it is difficult for patients to determine the professional level of doctors before consultation and diagnosis because of information asymmetry. A wealth of information about physicians displayed in their profile as a new means to help patients evaluate and select quickly and accurately. OBJECTIVE This research explores how the profile information presented in the online healthcare communities affects patients' impression formation, especially the perception of professional capital (i.e., status capital and decisional capital). The impression further affects their consultation intention, partially mediated by the initial trust. Toulmin’s model of argumentation is used to understand the strength of the argument presented in physicians’ homepage information and divide it into claim, data, and backing. METHODS This study conducts an internet experiment and recruits 386 subjects on the internet to explore the effect of impression formation on online selection behavior by a patient. RESULTS The results show that the strength of argument has a significant positive association with the perception of professional capital. Perceptions of professional capital are highest when a fully composed argument (claim/data/backing) is included in a profile, with claim/data being the next highest and claim only the lowest. Recommendations from connections have the strongest impact. The professional capital perception, in turn, influences patients’ selection decisions, which is partially mediated by initial trust. CONCLUSIONS This study is of great significance to the implication for theory and practice. On the one hand, this research contributes to the online health community literature and suggests that the perception of professional capital on physicians be pre-presumed and built on the basis of the information before in-person interactive online. On the other hand, this study is helpful to understand the effect of various components included in the profile information on perceiving physicians’ ability, and not all information is of the same importance.

2015 ◽  
Vol 6 (2) ◽  
pp. 37 ◽  
Author(s):  
Seydou Tiho ◽  
N'guetta Moise Ehouman ◽  
Mamadou Dagnogo

Understanding of mechanisms by which species spatially coexist, come from the theoretical framework and has focussed on spatial competition. Earthworms were sampled in rainy season on a grid obtained from grassy savanna to explore spatial competition. We used geostatistical analysis to assess spatial dependence within community between different population patterns. Empirical results revealed among earthworm community two groups of species appeared of interest in term of association. The Eudrilidae species (Stuhlmannia porifera, Chuniodrilus zielae, and Chuniodrilus sp1) on the one part were negatively associated with Millsonia omodeoi (Megascolecidae) on the other part, whereas we observed significant positive association between C.zielae and S.porifera. This study indicates that the competitive interaction structures the community and this competition is detected through reduced density of one competitor when they spatially collocated.


GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.


2018 ◽  
Vol 4 (1) ◽  
pp. 67-84
Author(s):  
Wahyudin Noor

Abstract Pesantren are often associated with backwardness and traditionalism in everything: facilities, technology, learning methods, and even the curriculum. For now, it seems like the traditional term for pesantren is no longer relevant enough. The pace of movement in the era of renewal marked by the rapid development of technology has demanded pesantren to make adjustments. However, on the one hand, when viewed from the direction of change, the reform efforts pursued by pesantren are not to erase the old tradition, but merely to add something new so that the old tradition and conditions can be maintained while accepting the presence of a new one. On the other hand, the reform efforts undertaken by pesantren have implications for the fact that the typical values of the pesantren are fading away. Abstrak  Pesantren seringkali diasosiasikan dengan keterbelakangan dan tradisional dalam segala hal: fasilitas, teknologi, metode pembelajaran, dan bahkan kurikulumnya. Untuk saat ini, sepertinya istilah tradisional untuk pesantren, sudah tidak lagi cukup relevan. Laju gerak pembaharuan zaman yang ditandai dengan pesatnya perkembangan teknologi telah menuntut pesantren untuk melakukan penyesuaian diri. Kendatipun demikian, di satu sisi, jika dilihat dari arah perubahan, upaya pembaharuan yang ditempuh pesantren tidaklah untuk menghapus tradisi yang lama, tetapi sekadar menambah dengan sesuatu yang baru sehingga tradisi maupun kondisi yang lama bisa dipertahankan sambil menerima kehadiran yang baru. Di sisi yang lain, upaya pembaharuan yang dilakukan pesantren ternyata berimplikasi pada kenyataan akan semakin pudarnya nilai-nilai khas yang dimiliki oleh pesantren.


2019 ◽  
Vol 64 (1) ◽  
pp. 5-15
Author(s):  
Christos Kollias ◽  
Panayiotis Tzeremes

Abstract The economic and social drivers of democratisation and the emergence and establishment of democratic institutions are longstanding themes of academic discourse. Within this broad body of literature, it has been argued that the process of urbanisation is also conducive to the emergence and consolidation of democracy through a number of different channels. Cities offer better access to education and facilitate organised public action and the demand for more democratic rule and respect of human rights. The nexus between urbanisation and human rights is the theme that is taken up in the present paper. Using a sample of 123 countries for the period 1981–2011, the paper examines empirically the association between urbanisation and human empowerment using the Cingranelli-Richards Index. In broad terms, the findings reported herein do not point to a strong nexus across all income groups. Nevertheless, there is evidence suggesting the presence of such a statistically significant positive association in specific cases.


1989 ◽  
Vol 21 (8-9) ◽  
pp. 1057-1064 ◽  
Author(s):  
Vijay Joshi ◽  
Prasad Modak

Waste load allocation for rivers has been a topic of growing interest. Dynamic programming based algorithms are particularly attractive in this context and are widely reported in the literature. Codes developed for dynamic programming are however complex, require substantial computer resources and importantly do not allow interactions of the user. Further, there is always resistance to utilizing mathematical programming based algorithms for practical applications. There has been therefore always a gap between theory and practice in systems analysis in water quality management. This paper presents various heuristic algorithms to bridge this gap with supporting comparisons with dynamic programming based algorithms. These heuristics make a good use of the insight gained in the system's behaviour through experience, a process akin to the one adopted by field personnel and therefore can readily be understood by a user familiar with the system. Also they allow user preferences in decision making via on-line interaction. Experience has shown that these heuristics are indeed well founded and compare very favourably with the sophisticated dynamic programming algorithms. Two examples have been included which demonstrate such a success of the heuristic algorithms.


2020 ◽  
Vol 15 (6) ◽  
pp. 1061-1082 ◽  
Author(s):  
Merve Acar ◽  
Hüseyin Temiz

PurposeThe purpose of this study is to investigate the association between environmental performance of firms and the level of voluntary environmental disclosure in emerging markets.Design/methodology/approachWe used tobit regression OLS and t-test methods to reveal the association between environmental performance and the level of voluntary environmental disclosure.FindingsWe find a significant positive association between the level of discretionary environmental disclosures and corporate environmental performance. The result is in line with the arguments of economics disclosure theory that argues environmentally good performers disclose more.Practical implicationsMany of the environmentally good firms in Turkey are also listed in the “BIST Sustainability Index,” and this situation can be the result of the relative power of external regulations. Accordingly, it can be suggested to increase the community and governmental pressures for environmental reporting but also gives importance to increase intrinsic motivations for companies to engage in disclosure practices.Originality/valueThis study shed light on relation between environmental performance and environmental disclosure in an emerging market context. Also, it is revisited that the relation between environmental performance and the level of environmental disclosure by testing two different predictions on the level of environmental disclosures.


Medicina ◽  
2019 ◽  
Vol 55 (8) ◽  
pp. 458 ◽  
Author(s):  
Bonanni ◽  
Gualtieri ◽  
Lester ◽  
Falcone ◽  
Nardella ◽  
...  

Background and Objectives: At present, data collected from the literature about suicide and anhedonia are controversial. Some studies have shown that low levels of anhedonia are associated with serious suicide attempts and death by suicide, while other studies have shown that high levels of anhedonia are associated with suicide. Materials and Methods: For this review, we searched PubMed, Medline, and ScienceDirect for clinical studies published from 1 January 1990 to 31 December 2018 with the following search terms used in the title or in the abstract: “anhedonia AND suicid*.” We obtained a total of 155 articles; 133 items were excluded using specific exclusion criteria, the remaining 22 articles included were divided into six groups based on the psychiatric diagnosis: mood disorders, schizophrenia spectrum disorders, post-traumatic stress disorder (PTSD), other diagnoses, attempted suicides, and others (healthy subjects). Results: The results of this review reveal inconsistencies. Some studies reported that high anhedonia scores were associated with suicidal behavior (regardless of the diagnosis), while other studies found that low anhedonia scores were associated with suicidal behavior, and a few studies reported no association. The most consistent association between anhedonia and suicidal behavior was found for affective disorders (7 of 7 studies reported a significant positive association) and for PTSD (3 of 3 studies reported a positive association). In the two studies of patients with schizophrenia, one found no association, and one found a negative association. For patients who attempted suicide (undiagnosed), one study found a positive association, one a positive association only for depressed attempters, and one a negative association. Conclusions: We found the most consistent positive association for patients with affective disorders and PTSD, indicating that the assessment of anhedonia may be useful in the evaluation of suicidal risk.


Author(s):  
Kaixian Gao ◽  
Guohua Yang ◽  
Xiaobo Sun

With the rapid development of the logistics industry, the demand of customer become higher and higher. The timeliness of distribution becomes one of the important factors that directly affect the profit and customer satisfaction of the enterprise. If the distribution route is planned rationally, the cost can be greatly reduced and the customer satisfaction can be improved. Aiming at the routing problem of A company’s vehicle distribution link, we establish mathematical models based on theory and practice. According to the characteristics of the model, genetic algorithm is selected as the algorithm of path optimization. At the same time, we simulate the actual situation of a company, and use genetic algorithm to plan the calculus. By contrast, the genetic algorithm suitable for solving complex optimization problems, the practicability of genetic algorithm in this design is highlighted. It solves the problem of unreasonable transportation of A company, so as to get faster efficiency and lower cost.


Electronics ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1117
Author(s):  
Bin Li ◽  
Zhikang Jiang ◽  
Jie Chen

Computing the sparse fast Fourier transform (sFFT) has emerged as a critical topic for a long time because of its high efficiency and wide practicability. More than twenty different sFFT algorithms compute discrete Fourier transform (DFT) by their unique methods so far. In order to use them properly, the urgent topic of great concern is how to analyze and evaluate the performance of these algorithms in theory and practice. This paper mainly discusses the technology and performance of sFFT algorithms using the aliasing filter. In the first part, the paper introduces the three frameworks: the one-shot framework based on the compressed sensing (CS) solver, the peeling framework based on the bipartite graph and the iterative framework based on the binary tree search. Then, we obtain the conclusion of the performance of six corresponding algorithms: the sFFT-DT1.0, sFFT-DT2.0, sFFT-DT3.0, FFAST, R-FFAST, and DSFFT algorithms in theory. In the second part, we make two categories of experiments for computing the signals of different SNRs, different lengths, and different sparsities by a standard testing platform and record the run time, the percentage of the signal sampled, and the L0, L1, and L2 errors both in the exactly sparse case and the general sparse case. The results of these performance analyses are our guide to optimize these algorithms and use them selectively.


Cancers ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2169
Author(s):  
Georgia Karpathiou ◽  
Maroa Dridi ◽  
Lila Krebs-Drouot ◽  
François Vassal ◽  
Emmanuel Jouanneau ◽  
...  

Chordomas are notably resistant to chemotherapy. One of the cytoprotective mechanisms implicated in chemoresistance is autophagy. There are indirect data that autophagy could be implicated in chordomas, but its presence has not been studied in chordoma tissues. Sixty-one (61) chordomas were immunohistochemically studied for autophagic markers and their expression was compared with the expression in notochords, clinicopathological data, as well as the tumor immune microenvironment. All chordomas strongly and diffusely expressed cytoplasmic p62 (sequestosome 1, SQSTM1/p62), whereas 16 (26.2%) tumors also showed nuclear p62 expression. LC3B (Microtubule-associated protein 1A/1B-light chain 3B) tumor cell expression was found in 44 (72.1%) tumors. Autophagy-related 16‑like 1 (ATG16L1) was also expressed by most tumors. All tumors expressed mannose-6-phosphate/insulin-like growth factor 2 receptor (M6PR/IGF2R). LC3B tumor cell expression was negatively associated with tumor size, while no other parameters, such as age, sex, localization, or survival, were associated with the immunohistochemical factors studied. LC3B immune cell expression showed a significant positive association with programmed death-ligand 1 (PD-L1)+ immune cells and with a higher vascular density. ATG16L1 expression was also positively associated with higher vascular density. Notochords (n = 5) showed different immunostaining with a very weak LC3B and M6PR expression, and no p62 expression. In contrast to normal notochords, autophagic factors such as LC3B and ATG16L1 are often present in chordomas, associated with a strong and diffuse expression of p62, suggesting a blocked autophagic flow. Furthermore, PD-L1+ immune cells also express LC3B, suggesting the need for further investigations between autophagy and the immune microenvironment.


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