Readmission Prediction for Patients with Heterogeneous Medical History: A Trajectory-Based Deep Learning Approach

Hospital readmission refers to the situation where a patient is re-hospitalized with the same primary diagnosis within a specific time interval after discharge. Hospital readmission causes $26 billion preventable expenses to the U.S. health systems annually and often indicates suboptimal patient care. To alleviate those severe financial and health consequences, it is crucial to proactively predict patients’ readmission risk. Such prediction is challenging because the evolution of patients’ medical history is dynamic and complex. The state-of-the-art studies apply statistical models which use static predictors in a period, failing to consider patients’ heterogeneous medical history. Our approach – Trajectory-BAsed DEep Learning (TADEL) – is motivated to tackle the deficiencies of the existing approaches by capturing dynamic medical history. We evaluate TADEL on a five-year national Medicare claims dataset including 3.6 million patients per year over all hospitals in the United States, reaching an F1 score of 87.3% and an AUC of 88.4%. Our approach significantly outperforms all the state-of-the-art methods. Our findings suggest that health status factors and insurance coverage are important predictors for readmission. This study contributes to IS literature and analytical methodology by formulating the trajectory-based readmission prediction problem and developing a novel deep-learning-based readmission risk prediction framework. From a health IT perspective, this research delivers implementable methods to assess patients’ readmission risk and take early interventions to avoid potential negative consequences.

Innocent cheaters: a new scale measuring the moral disengagement of marital infidelity

Marital infidelity is both socially perceived as immoral and very frequent. This contradiction might be explained through the process of moral disengagement, specifically by the use of certain socially shared moral justifications of infidelity, which consequently foster unfaithful behavior. This research developed and examined the Infidelity Moral Disengagement Scale (IMDS), aiming to capture the strategies of morally legitimizing infidelity used among people engaged in marital relationships. Across two studies (total N = 609 married participants) we investigated the dimensions and psychometric properties of the IMDS. Results showed that the dominant strategies of legitimizing marital infidelity are the diffusion of responsibility, the attribution of blame on the cheated partner, advantageous comparisons with other immoral acts, justifying infidelity through certain benefits, and minimizing its negative consequences. The IMDS emerged as negatively related to moral identity and strongly associated to people’s past infidelity and to their tendency to engage in unfaithful behaviors.

Poor Parenting on Underage Drinking Through Frustration and Impulsivity

Underage drinking continues to be a perilous social problem in the United States with its numerous negative consequences. Contributing to our understanding of this issue, the current study examined the relationship between poor parenting, frustration, impulsivity, and underage drinking. Based on the theoretical framework of Agnew’s general strain theory (GST), this study tested three structural models with national youth data ( N = 5,030). Results showed that poor parenting had a significant influence on frustration, impulsivity, and underage drinking. Particularly, frustration and impulsivity mediated the relationship between poor parenting and underage drinking. Further, impulsivity played a crucial role in GST. Additionally, an alternative model with a potential mediator (i.e., impulsivity) will provide insight to further our understanding of underage drinking.

Diagnosis concealment is associated with psychosocial outcomes in persons with multiple sclerosis

Persons with multiple sclerosis (pwMS) frequently conceal their diagnosis, fearing professional and personal repercussions of disclosing. Associations of concealment behavior and expected consequences of disclosure with psychosocial outcomes were examined in 90 pwMS who completed validated self-report measures of diagnosis concealment, loneliness, social support, and self-efficacy. More frequent concealment was related to worse loneliness ( rp = 0.213, p = 0.045) and lower social support ( rp = −0.211, p = 0.047), controlling for depression. Higher anticipated negative consequences of disclosure were associated with worse loneliness ( rp = 0.263, p = 0.013), lower social support ( rp = −0.338, p < 0.001), and lower self-efficacy ( rp = −0.350, p < 0.001). Findings hold implications for the development of psychological support strategies addressing concealment/disclosure issues and their psychosocial consequences.

Sexo, drogas y series de adolescentes: análisis sociales de los adolescentes en las series televisivas

The aim of this study is to analyze the attitudes and social behaviors of the protagonists of teen series; that is, fiction series produced for teenagers. With this aim, a content analysis has been carried out, a technique that has allowed the identification of the most common behaviors and consequences in said fiction series. The sample is composed of the first season of the seven series best rated by their audience in the first quarter of 2020: Elite (Netflix: 2018- ), Chilling Adventures of Sabrina (Netflix: 2018- ), Sex Education (Netflix: 2019- ), 13 Reasons Why (Netflix: 2017), I Am Not Okay with This (Netflix: 2020- ), Riverdale (The WC: 2017- ) y Euphoria (HBO: 2019- ). The results indicate a high percentage of scenes of unprotected sex and alcohol consumption with hardly any negative consequences.

Caring for the elderly in Chile. Exploring the experiences of men who care for dependent people

Recognizing that research on care has tended to focus on the experiences of female caregivers, this study, based on the experience of men caregivers of dependent elderly people in Chile, has sought, among others, to answer what meanings give them the men caregivers in the care given to dependent elderly people, and what consequences the need to care for others has had for them. Through a qualitative study based on interviews with ten men caregivers of dependent people, it has been possible to determine that, among others, caregivers mean care as an expression of love, but also as a responsibility. On the other hand, caring for others has had negative consequences both for their mental health and for their income generation. The study concludes by recognizing, among other aspects, that interventions and policies of care that are conceived from a rights perspective, must address in a robust way the needs of both people involved in the arrangements, care receivers, and the caregiver. In doing so, the State has a crucial role, as the first guarantor of rights.

False Additives in Canned Meats as a Source of Food Allergens

The introduction of undeclared ingredients into a food product formulation can lead to serious health problems, especially in people with allergic diseases. Identification of the composition of a food product helps to prevent possible negative consequences of the influence of allergic additives. The present study was carried out by the histological method using the example of canned meat as the most frequently falsified product. Plant-based protein products and thickening food additives were found in many samples. Conclusions are made about a high level of counterfeiting of this type of product, including allergens, which is a risk factor for human health.

Reducing Red Tape’s Negative Consequences for Leaders: The Buffering Role of Autonomous Motivation

In a context where the amount of red tape in healthcare organizations continues to rise, head nurses’ job satisfaction is constantly under pressure. By building on the Job Demands-Resources model, we developed a theoretical model investigating the relationship between red tape and job satisfaction. By investigating the mediating role of discretionary room and the moderating role of autonomous motivation in this relationship, this study does not only aim to provide additional knowledge regarding the underlying mechanisms in this relationship, but also to increase our understanding of how this suffering at work can be mitigated. Our conditional process analyses (N = 277 head nurses) indicate that red tape undermines head nurses’ job satisfaction and that discretionary room acts as an underlying mechanism in this process. By revealing the mediating role of discretionary room, this study advances our understanding of the risks originating from red tape for leaders. Furthermore, our findings also indicate that autonomous motivation mitigates the negative relation between red tape and discretionary room and between red tape and job satisfaction. As autonomous motivation turns out to be an important protection mechanism against the negative consequences of red tape, organizations should put extra effort into stimulating the autonomous motivation of their leaders. When organizations make sure that their leaders’ job designs and work environments meet the need for autonomy, competence, and relatedness, leaders will become more autonomously motivated, which will buffer the negative impact of red tape.

Social Investing Modeling for Sustainable Development of the Russian Arctic

The method of the social investing of the Arctic subsoil users is considered in this article. As the portfolio of social investments is formed based on the interests of indigenous peoples, the authors used expert assessment and sociological research for social investing modeling. A two-stage procedure for forming a portfolio of such projects is proposed. An approach has also been developed for assessing and selecting investment projects for the Arctic sustainable development according to different criteria of optimality. The authors substantiate the need for a new approach to sustainable development of the Arctic, based not on compensation for the negative consequences of industrial development used in many countries, but on social investment. In this article the proposed approach is tested on the case of the Arctic indigenous community in Taimyr and the optimal social investing portfolio is justified.

The Influence of Zn and Cd Accumulation on the Growth and Development of Medicinal Plants in the Impact Zone of the Novocherkassk Power Station

Over the pastdecade, particular attention has been paid to studies of the chemical composition of medical plants to identify the possible negative consequences of using raw plant material polluted with heavy metals for the production of medical drugs. In our study, we analyzed the chemical composition of the medical plants growing in the impact area of the Novocherkassk power station. Specifically, the plants Artemisia austriaca, Poa pratensis and Elytrigia repenswere examined for the analysis.The content and distribution of Zn and Cd, which are most distributed in industrial emissions and belong to the first class of hazardous elements, were measured. The maximum permissible content (MPC) of Zn in the raw material of Artemisia austriaca and Elytrigia repens was found, as was the maximum content of Cd in all analyzed plants growing in the 5km area around thepower station. The plant Artemisia austriacawasfound to have Zn and Cd accumulation in itsabovegroundcomponents, while in Poa pratensis and Elytrigia repens, accumulation was in the roots. The morphobiometric parameters of the plants were mostly dependent on the soil properties, followed by the degree of technogenic load. The content of Zn and Cd in the medical drugs was higher than the MPC without visible features of heavy metal pollution and so these plants weredangerous for human health. Keywords: heavy metals, technogenic load, phytoreagents, morphometric parameters