A Common Situation Conducive to Bizarre Distribution Shapes

Conditions conducive to bizarre-shaped distributions are fairly common in certain areas of research where, for perfectly valid reasons, an important causal variable is left uncontrolled. Theoretical rationale and actual examples are given to show how such distributions are generated, to exemplify their shapes, and to indicate their prevalence in practice. An L-shaped type tends to occur when time scores are recorded for a task subject to infrequent but time-consuming errors; other types occur when measuring behavior influenced by social conformity, or under other circumstances. The L shape appears to be far more conducive to nonrobustness than are previously investigated shapes.     

IT Governance Characteristics,Electronic Medical Records Sophistication,and Financial Performance in U.S. Hospitals: An Empirical Investigation

As a result of a recent federal government mandate, an increasing number of hospitals have decided to adopt electronic medical record (EMR) systems. This initiative is expected to lead toward more efficient and higher quality health care; however, little is known about governance characteristics and organizational performance for EMR adopters. Our goal is to inform theory and practice by examining hospitals with a sophisticated EMR and comparing those hospitals to similar hospitals (with a less sophisticated EMR) to understand the association between information technology (IT) governance characteristics and the implications on financial performance. Leveraging elements of the upper echelon theory, we posit that hospitals in which the chief information officer (CIO) reports to the chief executive officer, CIO turnover is low, and an IT steering committee is present are more likely to have a sophisticated EMR. We argue that EMR sophistication leads to improved financial performance. Our results underscore the importance of continuity in the CIO position on successful EMR implementations. Results also show that hospital size and financial performance are strongly associated with EMR sophistication. In addition, we find that a sophisticated EMR appears to be a fundamental element in improving hospitals’ revenue cycle management. Moreover, we find that hospitals with a sophisticated EMR appear to be more profitable. Finally, we observe that total payroll expense adjusted by total discharges drops among the sophisticated hospitals, potentially due to an increase in employee productivity. These insights can serve as a basis for tempering expectations relative to the financial impact of EMR adoption.     

Unpacking Team Familiarity: The Effects of Geographic Location and Hierarchical Role

Examination of team productivity finds that team familiarity, i.e., individuals' prior shared work experience, can positively impact the efficiency and quality of team output. Despite the attention given to team familiarity and its contingencies, prior work has focused on whether team members have worked together, not on which team members have worked together, and under what conditions. In this paper, I parse overall team familiarity to consider effects of geographic location and the hierarchical roles of team members. Using data on all software‐development projects completed over 3 years at a large Indian firm in the global outsourced software services industry, I find that team familiarity gained when team members work together in the same location has a significantly more positive effect on team performance compared with team familiarity gained while members were collaborating in different locations. Additionally, I find that hierarchical team familiarity (a manager's experience with front‐line team members) and horizontal team familiarity (front‐line team members' experience gained with one another) have differential effects on project team performance. These findings provide insight into the relationship between team experience and team performance.     

A developmental, biopsychosocial model for the treatment of children with gender identity disorder

This article provides a summary of the therapeutic model and approach used in the Gender Identity Service at the Centre for Addiction and Mental Health in Toronto. The authors describe their assessment protocol, describe their current multifactorial case formulation model, including a strong emphasis on developmental factors, and provide clinical examples of how the model is used in the treatment.     

Generalized gamma parameter estimation and moment evaluation

The generalized gamma distribution includes the exponential distribution, the gamma distribution, and the Weibull distribution as special cases. It also includes the log-normal distribution in the limit as one of its parameters goes to infinity. Prentice (1974) developed an estimation method that is effective even when the underlying distribution is nearly log-normal. He reparameterized the density function so that it achieved the limiting case in a smooth fashion relative to the new parameters. He also gave formulas for the second partial derivatives of the log-density function to be used in the nearly log-normal case. His formulas included infinite summations, and he did not estimate the error in approximating these summations.

We derive approximations for the log-density function and moments of the generalized gamma distribution that are smooth in the nearly log-normal case and involve only finite summations. Absolute error bounds for these approximations are included. The approximation for the first moment is applied to the problem of estimating the parameters of a generalized gamma distribution under the constraint that the distribution have mean one. This enables the development of a correspondence between the parameters in a mean one generalized gamma distribution and certain parameters in acoustic scattering theory.     

Testing for empty sets when misclassifications may be present

A test for empty sets is described. This new test is suitable for testing for mutual exclusivity, sets being nested, and many other configurations. It might be hypothesized that two medical conditions do not both occur in individuals. This can be expressed as an empty intersection of the two sets of people with each condition. An important feature of the test is the incorporation of misclassification rates into the analysis. The test utilizes the potential misclassifications for false designations in the sets that are hypothesized to be empty. The test is quite powerful. When the null hypothesis is rejected, follow-up tests on one or more sets that are included in the null hypothesis can be performed using the same new test. MatLab code is supplied.     

Revisiting the digital divide in Canada: the impact of demographic factors on access to the internet,level of online activity,and social networking site usage

The present study relies on the 2010 Canadian Internet Use Survey to investigate differences in people's access to the internet and level of online activity. The study not only revisits the digital divide in the Canadian context, but also expands current investigations by including an analysis of how demographic factors affect social networking site (SNS) adoption. The findings demonstrate that access to the internet reflects existing inequalities in society with income, education, rural/urban, immigration status, and age all affecting adoption patterns. Furthermore, the results show that inequality in access to the internet is now being mimicked in the level of online activity of internet users. More recent immigrants to Canada have lower rates of internet access; however, recent immigrants who are online have significantly higher levels of online activity than Canadian born residents and earlier immigrants. Additionally, women perform fewer activities online than men. People's use of SNSs differs in terms of education, gender, and age. Women were significantly more likely to use SNSs than men. Interestingly, high school graduates had the lowest percentage of adoption compared to all other education categories. Current students were by far the group that utilized SNSs the most. Canadian born, recent, and early immigrants all showed similar adoption rates of SNSs. Age is a strong predictor of SNS usage, with young people relying heavily on SNSs in comparison to those aged 55+. The findings demonstrate that the digital divide not only persists, but has expanded to include inequality in the level of online activity and SNS usage.     

Neural Correlates of Pathological Gamblers Preference for Immediate Rewards During the Iowa Gambling Task: An fMRI Study

The Iowa Gambling Task (IGT) involves exploratory learning via rewards and penalties, where most advantageous task performance requires subjects to forego potential large immediate rewards for small longer-term rewards to avoid larger punishments. Pathological gambling (PG) subjects perform worse on the IGT compared to controls, relating to their persistence at high risk decisions involving the continued choice of potential large immediate rewards despite experiencing larger punishments. We wished to determine if neural processing of risk and reward within striatal and frontal cortex is associated with this behaviour observed in PG. Functional magnetic resonance imaging (fMRI) was used to assess brain activity in response to a computerized version of the IGT. Thirteen male PG subjects with no active comorbidities were compared to 13 demographically matched control subjects. In agreement with previous behavioural studies, PG subjects performed worse on the IGT and made more high-risk choices compared to controls, particularly after experiencing wins and losses. During high-risk gambling decisions, fMRI demonstrated that PG subjects exhibited relatively increased frontal lobe and basal ganglia activation, particularly involving the orbitofrontal cortex (OFC), caudate and amygdala. Increased activation of regions encompassing the extended reward pathway in PG subjects during high risk choices suggests that the persistence of PG may be due to the increased salience of immediate and greater potential monetary rewards relative to lower monetary rewards or potential future losses. Whether this over activation of the reward pathway is associated with the development of PG warrants further investigation.     

Using process evaluation to determine effectiveness of participatory ergonomics training interventions in construction

The construction industry continues to experience high rates of musculoskeletal injuries despite the widespread promotion of ergonomic solutions. Participatory ergonomics (PE) has been suggested as one approach to engage workers and employers for reducing physical exposures from work tasks but a systematic review of participatory ergonomics programs showed inconclusive results.. A process evaluation is used to monitor and document the implementation of a program and can aid in understanding the relationship between the program elements and the program outcomes. The purpose of this project is to describe a proposed process evaluation for use in a participatory ergonomic training program in construction workers and to evaluate its utility in a demonstration project among floor layers.