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Influencer Authenticity: To Grow or to Monetize
Get PDFSocial media influencers can grow their number of followers by endorsing products that are authentic for their social media persona or, alternatively, monetize their followers by endorsing a wider variety of products. We develop a dynamic model in which an influencer continuously decides whether to be authentic as she balances increasing awareness with generating revenues from sponsored posts. We derive conditions in which the influencer is authentic during an early growth phase, but she becomes inauthentic once a large enough fraction of potential followers are aware of her. Celebrities become inauthentic at a lower awareness level than pure social media influencers. If posts can go viral, the influencer initially is inauthentic as she hopes to go viral, she later becomes authentic to grow awareness rapidly, and she eventually becomes inauthentic again
Trajectories of Digital Flourishing in Adolescence: The Predictive Roles of the Developmental Changes and Digital Divide Factors
Get PDFDigital flourishing refers to the positive perceptions of digital communication use in five dimensions: connectedness, positive social comparison, authentic self-presentation, civil participation, and self-control. This three-wave panel study among 1081 Slovenian adolescents (Mage = 15.34 years, 53.8% boys, 80.7% ethnic majority) explored the trajectories of their digital flourishing dimensions over 1 year (2021–2022). Latent class growth analysis identified two classes. Adolescents in the first class reported high levels of digital flourishing, which remained stable over time, whereas those in the second class reported low levels of digital flourishing with decreased self-control over time. Autonomy-supportive restrictive, autonomy-supportive active, and controlling active parental mediation styles, together with high parental digital skills, predicted adolescents\u27 belongingness to the (more digitally flourishing) first class
The Future of Intergenerational Transmission Research: A Prospective, Three-Generation Approach
Get PDFDr. Dante Cicchetti’s pioneering theory and research on developmental psychopathology have been fundamental to the proliferation of research on intergenerational transmission over the last 40 years. In part due to this foundation, much has been learned about continuities and discontinuities in child maltreatment, attachment, parenting, and psychopathology across generations. Looking towards the future, we propose that this field stands to benefit from a prospective, three-generation approach. Specifically, following established prospective, longitudinal cohorts of children over their transition to parenting the next generation will afford the opportunity to investigate the developmental origins of intergenerational transmission. This approach also can address key outstanding questions and methodological limitations in the extant literature related to the confounding of retrospective and prospective measures; examination of mediators and moderators; and investigation of the roles of biology, environment, and their interplay. After considering these advantages, we offer several considerations and recommendations for future research, many of which are broadly applicable to the study of two or more generations. We hope that this discussion will inspire the leveraging of existing prospective cohorts to carry forward Dr. Cicchetti’s remarkable contributions, with the ultimate aim to inform the development of preventions and interventions that disrupt deleterious intergenerational cycles
Inverse-designed Integrated Biosensors
Get PDFWe propose a refractive index sensor in a silicon-on-insulator (SOI) platform inspired by the operation of multimode fiber sensors. The sensor utilizes an optimized SOI resonator through adjoint-based inverse design topology optimization. The device’s refractive index distribution is calculated with a suitable figure of merit tailored for telecommunication band operation (1450 nm to 1650 nm) and is compatible with the standard fabrication processes. The flexibility of design offered through topology optimization and the localized interactions of the wave around the metastructure can be tailored to achieve maximum sensitivity. Our results may find interesting applications in wearable technologies, biosensing, and environmental monitoring
A Single-Center, Assessor-Blinded, Randomized Controlled Clinical Trial to Test the Safety and Efficacy of a Novel Brain-Computer Interface Controlled Functional Electrical Stimulation (BCI-FES) Intervention for Gait Rehabilitation in the Chronic Stroke Population
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In the United States, there are over seven million stroke survivors, with many facing gait impairments due to foot drop. This restricts their community ambulation and hinders functional independence, leading to several long-term health complications. Despite the best available physical therapy, gait function is incompletely recovered, and this occurs mainly during the acute phase post-stroke. Therapeutic options are limited currently. Novel therapies based on neurobiological principles have the potential to lead to long-term functional improvements. The Brain-Computer Interface (BCI) controlled Functional Electrical Stimulation (FES) system is one such strategy. It is based on Hebbian principles and has shown promise in early feasibility studies. The current study describes the BCI-FES clinical trial, which examines the safety and efficacy of this system, compared to conventional physical therapy (PT), to improve gait velocity for those with chronic gait impairment post-stroke. The trial also aims to find other secondary factors that may impact or accompany these improvements and establish the potential of Hebbian-based rehabilitation therapies. Methods
This Phase II clinical trial is a two-arm, randomized, controlled, longitudinal study with 66 stroke participants in the chronic (\u3e 6 months) stage of gait impairment. The participants undergo either BCI-FES paired with PT or dose-matched PT sessions (three times weekly for four weeks). The primary outcome is gait velocity (10-meter walk test), and secondary outcomes include gait endurance, range of motion, strength, sensation, quality of life, and neurophysiological biomarkers. These measures are acquired longitudinally. Discussion
BCI-FES holds promise for gait velocity improvements in stroke patients. This clinical trial will evaluate the safety and efficacy of BCI-FES therapy when compared to dose-matched conventional therapy. The success of this trial will inform the potential utility of a Phase III efficacy trial. Trial registration
The trial was registered as ”BCI-FES Therapy for Stroke Rehabilitation” on February 19, 2020, at clinicaltrials.gov with the identifier NCT04279067
Trends in Heart Failure Costs for Commercially Insured Patients in the United States (2006–2021)
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Although prior research has estimated the overarching cost burden of heart failure (HF), a thorough analysis examining medical expense differences and trends, specifically among commercially insured patients with heart failure, is still lacking. Thus, the study aims to examine historical trends and differences in medical costs for commercially insured heart failure patients in the United States from 2006 to 2021. Methods
A population-based, cross-sectional analysis of medical and pharmacy claims data (IQVIA PharMetrics® Plus for Academic) from 2006 to 2021 was conducted. The cohort included adult patients (age \u3e = 18) who were enrolled in commercial insurance plans and had healthcare encounters with a primary diagnosis of HF. The primary outcome measures were the average total annual payment per patient and per cost categories encompassing hospitalization, surgery, emergency department (ED) visits, outpatient care, post-discharge care, and medications. The sub-group measures included systolic, diastolic, and systolic combined with diastolic, age, gender, comorbidity, regions, states, insurance payment, and self-payment. Results
The study included 422,289 commercially insured heart failure (HF) patients in the U.S. evaluated from 2006 to 2021. The average total annual cost per patient decreased overall from 8,201.89, with an average annual percentage change (AAPC) of -1.11% (95% CI: -2% to -0.26%). Hospitalization and medication costs decreased with an AAPC of -1.99% (95% CI: -3.25% to -0.8%) and − 3.1% (95% CI: -6.86–0.69%). On the other hand, post-discharge, outpatient, ED visit, and surgery costs increased by an AAPC of 0.84% (95% CI: 0.12–1.49%), 4.31% (95% CI: 1.03–7.63%), 7.21% (95% CI: 6.44–8.12%), and 9.36% (95% CI: 8.61–10.19%). Conclusions
The study’s findings reveal a rising trend in average total annual payments per patient from 2006 to 2015, followed by a subsequent decrease from 2016 to 2021. This decrease was attributed to the decline in average patient costs within the Medicare Cost insurance category after 2016, coinciding with the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Additionally, expenses related to surgical procedures, emergency department (ED) visits, and outpatient care have shown substantial growth over time. Moreover, significant differences across various variables have been identified
Ethnodoxy and Immigration Attitudes in the Middle East/North Africa
Get PDFMigration is a prevalent social concern in the Middle East/North Africa. In addition to emigration, the countries struggle to incorporate immigrant and transiting populations. This article examines the influence of ethnodoxy—the linking of Arab and Muslim identity—on public opinion on immigrants and migration in the MENA region. Using original surveys of Egyptian and Moroccan Muslims from February and May–June 2023, it shows the more ethnodoxic respondents are, the more likely they are to hold anti-immigrant views. These results are consistent with the principle that social identity complexity encourages tolerance and change acceptance. Thus, this study contributes to the growing literature on comparative race and ethnic politics and to the understanding of religion\u27s role in political attitude formation
How Advection Affects the Surface Energy Balance and Its Closure at an Irrigated Alfalfa Field
Get PDFOrbiting around the non-closure problem in eddy covariance, a new generation of high-resolution thermal imagery has revealed that advection may be more common than previously expected. To investigate this, we conducted an extensive study over an irrigated alfalfa field that experienced heat and moisture advection. Over the course of five analysis periods (37 days total), multiple tower arrays and profile measurements were deployed to measure the horizontal advection and vertical heat flux divergence. Latent heat flux (λE) measured at the anchor tower showed an enhancement (i.e., increase) due to both local and non-local processes. Locally, as a result of the upwind λE, advection humidified the atmosphere and increased stomatal opening, enhancing the downwind λE. Simultaneously, with lowered atmospheric demand, λE was suppressed downwind. Our results suggest that stomatal regulation played a dominant role in the enhancement, but not by itself. Spectral analysis revealed that low frequency (i.e., large) eddies contributed high heat and moisture via advection. In combination with thermal remote sensing observations from ECOSTRESS and Landsat 8/9, we found that these large eddies were generated over the upwind surface, and they were independent of the local boundary layer conditions. Consequently, spatiotemporal heterogeneity in land-surface conditions induced large eddies, further enhancing λE through non-local transport of heat and moisture. Lastly, by conditionally including the advective fluxes, the energy balance closure improved from 89 % to 97 % (r2 = 0.97, p \u3c 0.001) over the five analysis periods. Results from this improved energy balance closure suggest an alternative approach for developing validation datasets for remote sensing evapotranspiration (ET) models rather than forcing closure with Bowen-ratio. Furthermore, our findings provide insights for algorithms that may improve remote sensing ET products that treat pixels as isolated columns rather than also considering the lateral effects of heat and moisture transport