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Keywords = waiting time paradox

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12 pages, 14405 KB  
Article
Mediating Monstrosity: The Threat of the (In)Visible in the MonsterVerse
by Linda Kopitz
Humanities 2024, 13(6), 142; https://doi.org/10.3390/h13060142 - 22 Oct 2024
Viewed by 1832
Abstract
Drawing on Susan Sontag’s understanding of the anxieties about contemporary existence lurking beneath the surface of science fiction films, this article argues that the focus on media monitoring, mapping and materializing the giant monster in the MonsterVerse functions as a negotiation of the [...] Read more.
Drawing on Susan Sontag’s understanding of the anxieties about contemporary existence lurking beneath the surface of science fiction films, this article argues that the focus on media monitoring, mapping and materializing the giant monster in the MonsterVerse functions as a negotiation of the limits of visibility of catastrophe. Hiding, waiting, lurking underneath the surface in the “Hollow Earth”, the giant monsters are—paradoxically—invisible and hypervisible, absent and present at the same time. Throughout and across the films and series in the narrative universe, media in the MonsterVerse are charged with “proving” the threat of the (in)visible, while at the same time challenging mediated registers of truth and trustability. Making the monster is simultaneously presented as the promise and problem of technological mediation. With the emphasis on flashbacks to different time periods—including the 1940s in Kong: Skull Island (2017), the 1950s in Monarch: Legacy of Monsters (2023) and the 1990s in Godzilla (2014)—this not only appears to be about the mediatization of the monsters but rather their analogization. Captured in hand-drawn maps, grainy images and static sound recordings, proving the existence of the monstrous threat becomes a question of materiality as well. Full article
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20 pages, 637 KB  
Article
Mismatches between the Supply and Demand of Public Rental Housing in Chinese Cities
by Ying Cao, Daichun Yi, Youqin Huang and Yang Zhu
Sustainability 2024, 16(19), 8358; https://doi.org/10.3390/su16198358 - 26 Sep 2024
Viewed by 2640
Abstract
While many countries have witnessed the retreat of the state from social housing under neoliberalism, the Chinese government has taken the opposite trajectory, significantly expanding its involvement in public rental housing (PRH) over the past decade through substantial investments. However, the effectiveness of [...] Read more.
While many countries have witnessed the retreat of the state from social housing under neoliberalism, the Chinese government has taken the opposite trajectory, significantly expanding its involvement in public rental housing (PRH) over the past decade through substantial investments. However, the effectiveness of the PRH program has come under scrutiny due to its inability to meet the demand for housing units while grappling with a substantial vacancy rate. This study aims to unravel this paradox by utilizing a unique city-level database that encompasses information on public rental housing stock, land supply, waiting time, and allocation practices. The data suggest that there is a structural mismatch between supply and demand for PRH in China, with both high and low vacancy rates in different cities, and even high vacancy and high allocation rates co-existing in one city. The results of estimating the OLS regression model of PRH supply and demand indicate that the actual supply fails to align with the policy objectives and the actual housing demand. Rather, they are more a result of the power relationship between the central and local governments, and cities with high fiscal autonomy provide fewer PRH. Furthermore, local governments fail to set eligibility criteria in response to housing supply, demand, and allocation, further exacerbating the mismatch. This paper provides policy recommendations that aim to enhance the sustainability and effectiveness of the PRH program, contributing to more equitable urban development. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
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13 pages, 445 KB  
Article
On Non-Occurrence of the Inspection Paradox
by Diana Rauwolf and Udo Kamps
Stats 2024, 7(2), 389-401; https://doi.org/10.3390/stats7020024 - 24 Apr 2024
Viewed by 2570
Abstract
The well-known inspection paradox or waiting time paradox states that, in a renewal process, the inspection interval is stochastically larger than a common interarrival time having a distribution function F, where the inspection interval is given by the particular interarrival time containing [...] Read more.
The well-known inspection paradox or waiting time paradox states that, in a renewal process, the inspection interval is stochastically larger than a common interarrival time having a distribution function F, where the inspection interval is given by the particular interarrival time containing the specified time point of process inspection. The inspection paradox may also be expressed in terms of expectations, where the order is strict, in general. A renewal process can be utilized to describe the arrivals of vehicles, customers, or claims, for example. As the inspection time may also be considered a random variable T with a left-continuous distribution function G independent of the renewal process, the question arises as to whether the inspection paradox inevitably occurs in this general situation, apart from in some marginal cases with respect to F and G. For a random inspection time T, it is seen that non-trivial choices lead to non-occurrence of the paradox. In this paper, a complete characterization of the non-occurrence of the inspection paradox is given with respect to G. Several examples and related assertions are shown, including the deterministic time situation. Full article
(This article belongs to the Section Applied Stochastic Models)
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13 pages, 3040 KB  
Article
An Individualized Multi-Modal Approach for Detection of Medication “Off” Episodes in Parkinson’s Disease via Wearable Sensors
by Emad Arasteh, Maryam S. Mirian, Wyatt D. Verchere, Pratibha Surathi, Devavrat Nene, Sepideh Allahdadian, Michelle Doo, Kye Won Park, Somdattaa Ray and Martin J. McKeown
J. Pers. Med. 2023, 13(2), 265; https://doi.org/10.3390/jpm13020265 - 31 Jan 2023
Cited by 8 | Viewed by 3567
Abstract
The primary treatment for Parkinson’s disease (PD) is supplementation of levodopa (L-dopa). With disease progression, people may experience motor and non-motor fluctuations, whereby the PD symptoms return before the next dose of medication. Paradoxically, in order to prevent wearing-off, one must take the [...] Read more.
The primary treatment for Parkinson’s disease (PD) is supplementation of levodopa (L-dopa). With disease progression, people may experience motor and non-motor fluctuations, whereby the PD symptoms return before the next dose of medication. Paradoxically, in order to prevent wearing-off, one must take the next dose while still feeling well, as the upcoming off episodes can be unpredictable. Waiting until feeling wearing-off and then taking the next dose of medication is a sub-optimal strategy, as the medication can take up to an hour to be absorbed. Ultimately, early detection of wearing-off before people are consciously aware would be ideal. Towards this goal, we examined whether or not a wearable sensor recording autonomic nervous system (ANS) activity could be used to predict wearing-off in people on L-dopa. We had PD subjects on L-dopa record a diary of their on/off status over 24 hours while wearing a wearable sensor (E4 wristband®) that recorded ANS dynamics, including electrodermal activity (EDA), heart rate (HR), blood volume pulse (BVP), and skin temperature (TEMP). A joint empirical mode decomposition (EMD) / regression analysis was used to predict wearing-off (WO) time. When we used individually specific models assessed with cross-validation, we obtained > 90% correlation between the original OFF state logged by the patients and the reconstructed signal. However, a pooled model using the same combination of ASR measures across subjects was not statistically significant. This proof-of-principle study suggests that ANS dynamics can be used to assess the on/off phenomenon in people with PD taking L-dopa, but must be individually calibrated. More work is required to determine if individual wearing-off detection can take place before people become consciously aware of it. Full article
(This article belongs to the Special Issue Care Personalization in Parkinson Disease)
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10 pages, 1178 KB  
Article
Improving Hospital Length of Stay: Results of a Retrospective Cohort Study
by Swapnil Patel, Abbas Alshami, Steven Douedi, Natasha Campbell, Mohammad Hossain, Arman Mushtaq, Dana Tarina, Brett Sealove, David Kountz, Kim Carpenter, Ellen Angelo, Vito Buccellato, Kenneth Sable, Elliot Frank and Arif Asif
Healthcare 2021, 9(6), 762; https://doi.org/10.3390/healthcare9060762 - 19 Jun 2021
Cited by 8 | Viewed by 7360
Abstract
(1) Background: Jersey Shore University Medical Center (JSUMC) is a 646-bed tertiary medical center located in central New Jersey. Over the past several years, development and maturation of tertiary services at JSUMC has resulted in tremendous growth, with the inpatient volume increasing by [...] Read more.
(1) Background: Jersey Shore University Medical Center (JSUMC) is a 646-bed tertiary medical center located in central New Jersey. Over the past several years, development and maturation of tertiary services at JSUMC has resulted in tremendous growth, with the inpatient volume increasing by 17% between 2016 and 2018. As hospital floors functioned at maximum capacity, the medical center was frequently forced into crisis mode with substantial increases in emergency department (ED) waiting times and a paradoxical increase in-hospital length of stay (hLOS). Prolonged hLOS can contribute to worse patient outcomes and satisfaction, as well as increased medical costs. (2) Methods: A root cause analysis was conducted to identify the factors leading to delays in providing in-hospital services. Four main bottlenecks were identified by the in-hospital phase sub-committee: incomplete orders, delays in placement to rehabilitation facilities, delays due to testing (mainly imaging), and delays in entering the discharge order. Similarly, the discharge process itself was analyzed, and obstacles were identified. Specific interventions to address each obstacle were implemented. Mean CMI-adjusted hospital LOS (CMI-hLOS) was the primary outcome measure. (3) Results: After interventions, CMI-hLOS decreased from 2.99 in 2017 to 2.84 and 2.76 days in 2018 and 2019, respectively. To correct for aberrations due to the COVID pandemic, we compared June–August 2019 to June–August 2020 and found a further decrease to 2.42 days after full implementation of all interventions. We estimate that the intervention led to an absolute reduction in costs of USD 3 million in the second half of 2019 and more than USD 7 million in 2020. On the other hand, the total expenses, represented by salaries for additional staffing, were USD 2,103,274, resulting in an estimated net saving for 2020 of USD 5,400,000. (4) Conclusions: At JSUMC, hLOS was found to be a complex and costly issue. A comprehensive approach, starting with the identification of all correctable delays followed by interventions to mitigate delays, led to a significant reduction in hLOS along with significant cost savings. Full article
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11 pages, 228 KB  
Article
Mothering in Hindsight: Troubling Time(s)
by Marie Lavelle
Genealogy 2020, 4(2), 36; https://doi.org/10.3390/genealogy4020036 - 31 Mar 2020
Cited by 4 | Viewed by 3992
Abstract
This article draws on a small-scale study that explored the (re)configuring, (re)turning and (re)working of the experiences of mothering as seen from a position of looking back in hindsight. Temporality is implicated in several ways within this paper, deeply entwined and constantly shifting. [...] Read more.
This article draws on a small-scale study that explored the (re)configuring, (re)turning and (re)working of the experiences of mothering as seen from a position of looking back in hindsight. Temporality is implicated in several ways within this paper, deeply entwined and constantly shifting. Researching past events, experiences and emotions that appear in a location not of the present is problematic, especially when time is conceptualised chronologically. Making sense of past experiences of mothering in the present exposed parenting as not necessarily something that can be detached from the past or as an experience that lies in the past, but rather something where the past is very much present. Here, Barad’s diffractive methodologies, along with the work of Bennett, on new materialism is utilised to explore the temporal nature of mothering. Nine mothers whose children were aged 18–30 were asked “what do you wish you had known then that you know now about being a parent?” Objects kept from when their children were young were initially used to mobilise the temporal and the affective. However, the study itself, the journeys to mothers’ homes, the interviews, the pen, paper, recordings, photos and the files that stand waiting to be reached and the objects mothers brought have become entwined. This is also true for the new entanglements and engagements with post-humanist theory that unearthed themselves to me in the journey to this point in the process. The paradoxical nature of time evident in the narratives women shared, continued to shape early parenting experiences of how mothers perceived themselves through the constant (re)visiting, (re)evaluating and (re)analysing of these experiences is simultaneously reflected in the spacetimemattering of doing this research. Full article
(This article belongs to the Special Issue Reimagining ‘Childhood, Motherhood, Family and Community’)
20 pages, 290 KB  
Article
Turning the World Upside Down: Playing as the Deliberate Creation of Uncertainty
by Stuart Lester and Wendy Russell
Children 2014, 1(2), 241-260; https://doi.org/10.3390/children1020241 - 15 Sep 2014
Cited by 19 | Viewed by 9308
Abstract
Risk is big business. It has assumed almost universal acceptance as an ever-present reality of life, something out there waiting to cause harm (most notably to political, economic and health systems). It commands vast resources to develop preventative measures that are the preserve [...] Read more.
Risk is big business. It has assumed almost universal acceptance as an ever-present reality of life, something out there waiting to cause harm (most notably to political, economic and health systems). It commands vast resources to develop preventative measures that are the preserve of experts issuing often contradictory advice and warnings. Children’s play is caught up in this account. No longer something that children just do, it is subject to adult scrutiny that simultaneously and paradoxically attempts to manage risk and promote “risk-taking” for its perceived instrumental benefits, primarily the development of risk assessing skills. Adults thus guide children’s play, rendering children passive and needy recipients of expertise. This article takes a broader perspective to consider how this contemporary understanding of risk plays out in material discursive practices in relation to childhood, play, health and wellbeing. It then draws on conceptual tools of relationality, materiality and performativity to reconfigure playing as an emergent co-production of entangled bodies, affects, objects, space and histories in ways that make life better for the time of playing. Such moments produce health-affirming potential as an intra-dependent phenomenon rather than an individual achievement. Finally, it considers implications for “health promotion” and health enabling environments. Full article
(This article belongs to the Special Issue The Role of Play in Children’s Health and Development)
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