Not exact matches
Such risks, uncertainties and other factors include, without limitation: (1) the effect of economic conditions in the industries and markets in which United Technologies and Rockwell Collins operate in the U.S. and globally and any changes therein, including financial market conditions, fluctuations in commodity prices, interest rates and foreign currency exchange rates, levels of end market demand in construction and in both the commercial and defense segments of the aerospace industry, levels of air travel, financial condition of commercial airlines, the impact of weather conditions and natural disasters and the financial condition of our customers and suppliers; (2) challenges in the development, production, delivery, support, performance and realization of the anticipated benefits of advanced technologies and new products and services; (3) the scope, nature, impact or timing of acquisition and divestiture or restructuring activity, including the pending acquisition of Rockwell Collins, including among other things integration of acquired businesses into United Technologies» existing businesses and realization of synergies and opportunities for growth and innovation; (4) future timing and levels of indebtedness, including indebtedness expected to be incurred by United Technologies in connection with the pending Rockwell Collins acquisition, and capital spending and research and development spending, including in connection with the pending Rockwell Collins acquisition; (5) future availability of credit and factors that may affect such availability, including credit market conditions and our capital structure; (6) the timing and scope of future repurchases of United Technologies» common stock, which may be suspended at any time due to various factors, including market conditions and the level of other investing activities and uses of cash, including in connection with the proposed acquisition of Rockwell; (7) delays and disruption in delivery of materials and services from suppliers; (8) company and customer - directed cost reduction efforts and restructuring costs and savings and other consequences thereof; (9) new business and investment opportunities; (10) our ability to realize the intended benefits of organizational changes; (11) the anticipated benefits of diversification and balance of operations across product lines, regions and industries; (12) the
outcome of legal proceedings, investigations and other contingencies; (13) pension plan assumptions and future contributions; (14) the impact of the negotiation of collective bargaining agreements and labor disputes; (15) the effect of changes in political conditions in the U.S. and other countries in which United Technologies and Rockwell Collins operate, including the effect of changes in U.S. trade policies or the U.K.'s pending withdrawal from the EU,
on general market conditions, global trade policies and currency exchange rates in the near term and beyond; (16) the effect of changes in tax (including U.S. tax reform enacted
on December 22, 2017, which is commonly referred to as the Tax Cuts and Jobs Act of 2017), environmental, regulatory (including among other things import / export) and other laws and regulations in the U.S. and other countries in which United Technologies and Rockwell Collins operate; (17) the ability of United Technologies and Rockwell Collins to receive the required regulatory approvals (and the risk that such approvals may result in the imposition of conditions that could adversely affect the combined company or the expected benefits of the merger) and to satisfy the other conditions to the closing of the pending acquisition
on a timely basis or at all; (18) the occurrence of events that may give rise to a right of one or both of United Technologies or Rockwell Collins to terminate the merger agreement, including in circumstances that might require Rockwell Collins to pay a termination fee of $ 695 million to United Technologies or $ 50 million of expense reimbursement; (19) negative effects of the announcement or the completion of the merger
on the market price of United Technologies» and / or Rockwell Collins» common stock and / or
on their respective financial performance; (20) risks related to Rockwell Collins and United Technologies being restricted in their operation of their businesses while the merger agreement is in effect; (21) risks relating to the value of the United Technologies» shares to be issued in connection with the pending Rockwell acquisition, significant merger costs and / or unknown liabilities; (22) risks
associated with third party contracts containing consent and / or other provisions that may be triggered by the Rockwell merger agreement; (23) risks
associated with merger - related litigation or appraisal proceedings; and (24) the ability of United Technologies and Rockwell Collins, or the combined company, to retain and hire key personnel.
Moderate interest rates were
associated with a whole range of subsequent returns over the following decade, and we know that those
outcomes were 90 % correlated with the level of valuations at the beginning of those periods (
on reliable measures such as market cap / GDP, price / revenue, Tobin's Q, the margin - adjusted Shiller P / E, and others we've presented over time - see Ockham's Razor and the Market Cycle).
Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage medical costs and price effectively and develop and maintain good relationships with physicians, hospitals and other health care providers; the impact of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and realize the expected benefits of such transactions, including with respect to the Merger; the substantial level of government regulation over our business and the potential effects of new laws or regulations or changes in existing laws or regulations; the
outcome of litigation, regulatory audits, investigations, actions and / or guaranty fund assessments; uncertainties surrounding participation in government - sponsored programs such as Medicare; the effectiveness and security of our information technology and other business systems; unfavorable industry, economic or political conditions, including foreign currency movements; acts of war, terrorism, natural disasters or pandemics; our ability to obtain shareholder or regulatory approvals required for the Merger or the requirement to accept conditions that could reduce the anticipated benefits of the Merger as a condition to obtaining regulatory approvals; a longer time than anticipated to consummate the proposed Merger; problems regarding the successful integration of the businesses of Express Scripts and Cigna; unexpected costs regarding the proposed Merger; diversion of management's attention from ongoing business operations and opportunities during the pendency of the Merger; potential litigation
associated with the proposed Merger; the ability to retain key personnel; the availability of financing, including relating to the proposed Merger; effects
on the businesses as a result of uncertainty surrounding the proposed Merger; as well as more specific risks and uncertainties discussed in our most recent report
on Form 10 - K and subsequent reports
on Forms 10 - Q and 8 - K available
on the Investor Relations section of www.cigna.com as well as
on Express Scripts» most recent report
on Form 10 - K and subsequent reports
on Forms 10 - Q and 8 - K available
on the Investor Relations section of www.express-scripts.com.
(Note: for more insights
on the loss - return relationship, please read Venture
Outcomes Are Even More Skewed Than You Think at Seth Levine's VC Adventure, and Venture Capital Disrupts Itself: Breaking the Concentration Curse by Cambridge
Associates.)
The evidence that incentives based
on group
outcomes are
associated with higher productivity contravenes the oft - repeated critique that employee stock ownership and profit sharing can not possibly work due to the incentive to «free ride.»
Based
on historical
outcomes associated with those prior instances (which prior to the current market cycle, include only 1929, 1972, 1987, 2000 and 2007), we continue to view the stock market as vulnerable to significant downside risk both in the near - term and over the completion of the present market cycle.
Most of the time, a given set of market conditions is
associated with some mix of positive and negative
outcomes, so we focus
on the average of those
outcomes in the expectation that doing so will produce good results over the complete market cycle even if we are incorrect in specific instances.
There is no area in social science in which the evidence stacks up so completely
on one side: marriage and traditional family life are
associated with good
outcomes in terms of health, wealth, and other indicators of well - being.
Nutritionist Marion Nestle, whose voice we always listen for
on these matters, warns that this study still does not prove that eating chocolate causes better health
outcomes, only that it's been
associated with them.
«This is a necessary step that can help save lives and reduce the risk of acute, chronic or fatal
outcomes on the playing field,» says Ron Courson, ATC, PT, NREMT - I, CSCS,
associate athletic director of sports medicine for the University of Georgia Athletic Association, and author of the NATA's statement.
Help Further Research
on Adult Attachment Adult attachment has been found to be strongly
associated with child psychological, socio - emotional, and behavioral
outcomes.
Most studies of homebirth in other countries have found no statistically significant differences in perinatal
outcomes between home and hospital births for women at low risk of complications.36, 37,39 However, a recent study in the United States showed poorer neonatal
outcomes for births occurring at home or in birth centres.40 A meta - analysis in the same year demonstrated higher perinatal mortality
associated with homebirth41 but has been strongly criticised
on methodological grounds.5, 42 The Birthplace in England study, 43 the largest prospective cohort study
on place of birth for women at low risk of complications, analysed a composite
outcome, which included stillbirth and early neonatal death among other serious morbidity.
It largely focuses
on colonization of the mother's vaginal tract and amniotic fluid with organisms that may be
associated with poor
outcomes * in pregnancy *, such as preterm labor.
Why bother doing more research
on outcomes associated with breastfeeding?
We therefore performed each simulation 2,000 times, drawing key parameters at random from triangular distributions covering the range of estimates available in the literature
associating breastfeeding with maternal health
outcomes, centered
on the point estimate provided in the literature and a distribution width of four standard errors.
Like so many things in life the truth is a bit complex: there is no one
outcome (good or bad) that can be
associated with cosleeping in the form of «bed - sharing, but rather a range of
outcomes (from potentially beneficial to dangerous and risky) depending
on the overall circumstances within which the cosleeping takes place.
Moreover, robust evidence
on the cost effectiveness of birth in alternative settings is a priority, as was highlighted by the recent National Institute for Health and Clinical Excellence (NICE) clinical guidance
on intrapartum care.11 The Birthplace in England research programme was designed to fill gaps in research evidence about the processes and
outcomes associated with different settings for birth in the NHS in England.
Perinatal events can result in
associated longer term health and broader societal costs, as shown by the size of damages paid in obstetric litigation cases, which represent a substantial cost to the NHS.27 Follow - up over weeks or longer to monitor recovery, or a future assessment of the
outcomes for mothers and babies at a later date, would act as a vehicle for estimating costs and consequences beyond the perinatal period and shed more light
on long term cost effectiveness.
Another strength is that our results provide a more complete assessment of socioeconomic inequalities in breastfeeding rates, by estimating both relative and absolute inequalities, than common practice in inequality assessments.23 Finally, our study analysed effects of the intervention not only
on an immediate, direct
outcome (breastfeeding) but also
on a long - term consequence of breastfeeding (child cognitive ability) that is
associated with important health and behavioural
outcomes in later life.27
We used multiple regression to estimate the differences in total cost between the settings for birth and to adjust for potential confounders, including maternal age, parity, ethnicity, understanding of English, marital status, BMI, index of multiple deprivation score, parity, and gestational age at birth, which could each be
associated with planned place of birth and with adverse
outcomes.12 For the generalised linear model
on costs, we selected a γ distribution and identity link function in preference to alternative distributional forms and link functions
on the basis of its low Akaike's information criterion (AIC) statistic.
When we analysed the effects of planned place of birth
on maternal
outcomes, all shifts to non-obstetric unit settings were
associated with significant cost savings and significant improvements in terms of maternal morbidity avoided (table 5 ⇓) or additional normal birth (table 6 ⇓).
Switching from planned birth in an obstetric unit to midwifery units was
on average cost saving and
associated with a non-significant decrease in adverse perinatal
outcomes.
For the purposes of this economic evaluation, the forms were initially used in a related study funded by the National Institute of Health Research (NIHR) research for patient benefit programme «assessing the impact of a new birth centre
on choice and
outcome of maternity care in an inner city area,» which will be reported in full elsewhere, comparing the costs of care in a free standing midwifery unit with care in an obstetric unit in the same trust.16 The data collected included details of staffing levels, treatments, surgeries, diagnostic imaging tests, scans, drugs, and other resource inputs
associated with each stage of the pathway through intrapartum and after birth care.
For low risk women without complicating conditions at the start of care in labour, the mean incremental cost effectiveness ratios
associated with switches from planned birth in obstetric unit to non-obstetric unit settings fell in the south west quadrant of the cost effectiveness plane (representing,
on average, reduced costs and worse
outcomes).25 The mean incremental cost effectiveness ratios ranged from # 143382 (alongside midwifery units) to # 497595 (home)(table 4 ⇓).
These measures were chosen
on the basis of being known to be
associated with the mother's breastfeeding history and / or with the cognitive and academic
outcomes.
Understanding the impacts home visiting programs have had
on children's social and emotional development begins with identifying those programs that have affected antecedent risk and protective factors
associated with child and emotional development in addition to specific social and emotional
outcomes.
For continuous
outcomes measured
on different scales, we pooled standardised mean differences (SMDs) and
associated 95 % CIs.
Enabling women to breastfeed is also a public health priority because,
on a population level, interruption of lactation is
associated with adverse health
outcomes for the woman and her child, including higher maternal risks of breast cancer, ovarian cancer, diabetes, hypertension, and heart disease, and greater infant risks of infectious disease, sudden infant death syndrome, and metabolic disease (2, 4).
The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal - Fetal Medicine (SMFM) stated that, «one of the most effective tools to improve labor and delivery
outcomes is the continuous presence of support personnel, such as a doula... continuous one -
on - one support during labor and delivery was
associated with improved patient satisfaction and a statistically significant reduction in the rate of cesarean delivery».
Costs
associated with a moderately morbid neonatal
outcome, as well as the probabilities of infant morbidity occurring, heavily impacted our results.The cost - effectiveness of VBAC depends
on the likelihood of successful trial of labor.
While father absence has been
associated with a host of negative children's
outcomes, including increased risk of dropping out of school and lower educational attainment, poorer physical and mental health, and behavioural problems,36 - 40 higher levels of involvement by nonresident fathers may assuage the negative effects of father absence
on children's
outcomes.41, 42 Quality of the parents» relationship before divorce, or of the pre-divorce father / child relationship, can also be an important factor: children fare worse following divorce when pre-divorce relationships were good and fare better when pre-divorce relationships were poor, 43,44 suggesting children are sometimes better off without a father if the father's relationship to the child or the mother was not good.
Moreover, data for exposures in almost all studies were based only
on maternal recall, sometimes some years after the exposures, although studies have shown that mothers remember breastfeeding durations many years after breastfeeding has stopped.55 - 57 Furthermore, research shows that mothers of sick children sometimes remember early exposures of their children in greater detail compared with mothers of healthy children, especially when the exposures are publicly perceived to be
associated with the
outcome studied.
Many studies
on nutrition have
associated poor prenatal and early post-natal nutrition or malnutrition with a variety of developmental
outcomes.
The Legislators also supports an explicit law that ensures school districts, individual schools, teachers and students are protected from any withholding of state funds, sanctions or negative impact
on a teacher's evaluation
associated with the
outcomes related to test opt outs.
«We saw significant, worse prognoses and
outcomes for women with a pregnancy -
associated melanoma, compared to a control group of non-pregnant women,» said Brian Gastman, M.D., a plastic surgeon, director of melanoma surgery at Cleveland Clinic, and primary investigator
on the study.
However, increased social spending per dollar spent
on health care was
associated with improved health
outcomes at the population level by province.
Commenting
on the study, Dr Kuehni said: «The study stands out from many others, in that it does not content itself with showing that putative risk factors and health
outcome are
associated (which means only that they occur more often together than would be expected by chance).
«While the presence of lymphocytes in tumors is often
associated with better clinical
outcomes, this research adds clarity
on the diversity of T cells within the tumor environment and their influence
on ovarian cancer
outcomes,» says first author Kunle Odunsi, MD, PhD, FRCOG, FACOG, Deputy Director, M. Steven Piver Professor and Chair of Gynecologic Oncology, and Executive Director of the Center for Immunotherapy at Roswell Park.
While some research was previously done by his and other groups
on a smaller scale, «This is the first real description of a method that could be used broadly across a range of conditions to operationally measure diagnostic errors and
associated bad
outcomes so that we can track our performance and see whether our interventions are making a difference,» Newman - Toker says.
While late - term gestation was
associated with an increase in the rate of abnormal conditions at birth and with worse physical
outcomes during childhood, it was also
associated with better performance
on all three measures of school - based cognitive functioning measures during childhood,» the study concludes.
Led by Joke Bradt, PhD,
associate professor in Drexel University's College of Nursing and Health Professions, a team looked into studies that examined the impact of music therapy (a personalized music experience offered by trained music therapists) and music medicine (listening to pre-recorded music provided by a doctor or nurse)
on psychological and physical
outcomes in people with cancer.
«Using an algorithm based
on genetic testing to guide treatment is sustainable and
associated with better clinical
outcomes in a real - world clinical practice, although it is difficult to consistently maintain,» said Craig R. Lee, Pharm.D., Ph.D., F.A.H.A.,
associate professor of pharmacy at the University of North Carolina at Chapel Hill Eshelman School of Pharmacy.
Timely administration of intravenous thrombolytics is
associated with more favorable
outcomes from ischemic stroke, but has not been shown to have significant effects
on mortality.
«I think it is very positive that the plan sets aspirational goals
associated with both reducing incidence in key populations and in achieving specific health
outcomes for those needing treatment with an emphasis
on reducing disparities.»
«By embedding mental health screening in the emergency department, we are making it part of our health care culture — reducing the stigma
associated with mental health problems and providing the opportunity for early identification and treatment for all children,» said Jeffrey I. Gold, PhD, director of the Children's
Outcomes, Research and Evaluation program at CHLA and an author
on the study.
Some epidemiologic evidence suggests that arsenic exposure in utero and early in life may be
associated with adverse effects
on fetal growth, and
on infant and child immune and neurodevelopment
outcomes.
Kail said future research should focus
on the distinctions between different forms of insurance and the generosity of coverage, as well as how these factors are
associated with diverse health
outcomes.
«Low levels of functional BRCA are
associated with a greater number of clonal mutations and enhanced immune recruitment, which may explain the greater chemosensitivity of these tumors and better
outcomes for patients,» explained Christos Hatzis, assistant professor of medicine and director of Breast Bioinformatics, Yale Cancer Center and senior author
on the paper.
«Our goal is to raise overall awareness of military sexual trauma, including the impact
on male veterans, and
associated adverse
outcomes such as homelessness,» Kimerling says.
Published in the New England Journal of Medicine
on May 12, 2016, the study's findings suggest patients» illness severity, functional abilities, cognitive status and neuropsychological well - being are not
associated with caregiver
outcomes.