Cost Drivers of Endothelial Keratoplasty: A Time-Driven Activity-Based Costing Analysis.

Purpose: To determine cost drivers of endothelial keratoplasty (EK) through evaluation of surgical costs and procedure length based on type of EK, use of preloaded grafts, and performance of simultaneous cataract surgery.

Design: This study was an economic analysis of EKs at a single academic institution using time-driven activity-based costing (TDABC) methodology.

Participants: Endothelial keratoplasty surgical cases, including Descemet membrane endothelial keratoplasty (DMEK) and Descemet stripping automated endothelial keratoplasty (DSAEK), at the University of Michigan Kellogg Eye Center from 2016 to 2018 were included in the analysis.

COVID-19 confines recreational gatherings in Seoul to familiar, less crowded, and neighboring urban areas.

Recreational gatherings are sources of the spread of infectious diseases. Understanding the dynamics of recreational gatherings is essential to building effective public health policies but challenging as the interaction between people and recreational places is complex. Recreational activities are concentrated in a set of urban areas and establish a recreational hierarchy.

COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries.

Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine acceptance across 15 survey samples covering 10 low- and middle-income countries (LMICs) in Asia, Africa and South America, Russia (an upper-middle-income country) and the United States, including a total of 44,260 individuals. We find considerably higher willingness to take a COVID-19 vaccine in our LMIC samples (mean 80.

The universal pathway to innovative urban economies.

Is there a universal economic pathway individual cities recapitulate over and over? This evolutionary structure-if any-would inform a reference model for fairer assessment, better maintenance, and improved forecasting of urban development. Using employment data including more than 100 million U.S.

Approaching Process Improvement.

Process improvement begins with the process view: understanding patient care from the patient's point of view. Organizations must also clearly articulate for themselves how they define operational excellence so that the tradeoffs taken in process improvement can be clearly made. Constructing a process map allows application of powerful analytical tools, such as Little's law, which in turn uncovers targets for process improvement from the patient's point of view.

The Essential Role of Technology in the Public Health Battle Against COVID-19.

Technology has played an important role in responding to the novel coronavirus (SARS-CoV-2) and subsequent COVID-19 pandemic. The virus's blend of lethality and transmissibility have challenged officials and exposed critical limitations of the traditional public health apparatus. However, throughout this pandemic, technology has answered the call for a new form of public health that illustrates opportunities for enhanced agility, scale, and responsiveness.

Attitudes and attitude strength as precursors to object attachment.

This article puts forth a perspective that attitudes and attitude strength can serve as precursors to object attachment. To help the reader understand this perspective, I provide an overview of the attitude and attitude strength constructs and distinguish them from object attachment. I then explain a number of prominent ways in which attitudes and attitude strength can influence behaviors that might be important contributors to object attachment.

A propensity score-matched analysis comparing outpatient and short-stay hospitalization to standard inpatient hospitalization following total ankle arthroplasty.

Background: Given the trend toward value-based care, there has been increased interest in minimizing hospital length of stay (LOS) after orthopedic procedures. Outpatient total ankle arthroplasty (TAA) has become more popular in recent years; however, research on surgical outcomes of this procedure has been limited. This study sought to employ large sample, propensity score-matched analyses to assess the safety of outpatient and short-stay discharge pathways following TAA.

Morphology of travel routes and the organization of cities.

The city is a complex system that evolves through its inherent social and economic interactions. Mediating the movements of people and resources, urban street networks offer a spatial footprint of these activities. Of particular interest is the interplay between street structure and its functional usage.

Distinct neural patterns of social cognition for cooperation versus competition.

How do people consider other minds during cooperation versus competition? Some accounts predict that theory of mind (ToM) is recruited more for cooperation versus competition or competition versus cooperation, whereas other accounts predict similar recruitment across these two contexts. The present fMRI study examined activity in brain regions for ToM (bilateral temporoparietal junction, precuneus, dorsomedial prefrontal cortex) across cooperative and competitive interactions with the same individual within the same paradigm. Although univariate analyses revealed that ToM regions overall were recruited similarly across interaction contexts, multivariate pattern analyses revealed that these regions nevertheless encoded information separating cooperation from competition.

Motive attribution asymmetry for love vs. hate drives intractable conflict.

Five studies across cultures involving 661 American Democrats and Republicans, 995 Israelis, and 1,266 Palestinians provide previously unidentified evidence of a fundamental bias, what we term the "motive attribution asymmetry," driving seemingly intractable human conflict. These studies show that in political and ethnoreligious intergroup conflict, adversaries tend to attribute their own group's aggression to ingroup love more than outgroup hate and to attribute their outgroup's aggression to outgroup hate more than ingroup love. Study 1 demonstrates that American Democrats and Republicans attribute their own party's involvement in conflict to ingroup love more than outgroup hate but attribute the opposing party's involvement to outgroup hate more than ingroup love.

Social class culture cycles: how three gateway contexts shape selves and fuel inequality.

America's unprecedented levels of inequality have far-reaching negative consequences for society as a whole. Although differential access to resources contributes to inequality, the current review illuminates how ongoing participation in different social class contexts also gives rise to culture-specific selves and patterns of thinking, feeling, and acting. We integrate a growing body of interdisciplinary research to reveal how social class culture cycles operate over the course of the lifespan and through critical gateway contexts, including homes, schools, and workplaces.