Effect of Inhibitors on D-Xylose Permeability in Rat Diaphragm Muscle

The influence of metabolic inhibitors and low temperatures upon D-xylose transfer has been studied in rat diaphragm muscle preparations in vitro. Using intact fiber preparations, it has been confirmed that at body temperature metabolic inhibitors like DNP have an insulin-like action in that they permit D-xylose to distribute into previously unavailable intracellular aqueous regions; inhibitors, unlike insulin, disturb cation distribution in association with increased sugar penetration. Although the studies with inhibitors suggest an energy requirement for maintenance of D-xylose exclusion, the D-xylose exclusion mechanism is effectively maintained at 0° for many hours, and under these conditions, inhibitors have little or no effect on D-xylose distribution, though they do produce potassium loss. In cut muscle fiber preparations, in which insulin significantly increases the rate at which D-xylose equilibrates between cell water and external medium, DNP does not increase the rate of D-xylose entry, but does abolish the effect of insulin in this preparation. The results suggest that insulin action upon sugar permeability in muscle involves two barrier systems; some of the characteristics of these systems have been defined

The validity and reliability of an automated method of scoring dental arch relationships in unilateral cleft lip and palate using the modified Huddart-Bodenham scoring system

Objective: To evaluate an automated software tool for the assessment of dental arch relationships using the modified Huddart and Bodenham index. Design: Cohort of 43 models of subjects aged 9-21 with UCLP and the ten GOSLON reference models sets. Method: The 53 sets of plaster models were scored using the MHB index and scanned (R700, 3Shape, Copenhagen, Denmark). The digital models were MHB scored visually (Orthoanalyzer, 3Shape, Copenhagen, Denmark) and landmarked for automatic scoring using a Rhino software plug-in (Rhinoceros, version 5, www.rhino3d.co.uk). Scoring/landmarking was undertaken by three observers and repeated after one month. Intra- and inter-observer reproducibility were tested using Cronbach’s Alpha and intraclass correlation coefficients (ICC) (threshold > 0.9). Bland-Altman plots demonstrated inter-observer agreement for each model format. Random and systematic error with digital landmark identification error were determined using the x, y and z co-ordinates for 28 models digitized twice one month apart using Cronbach’s alpha and a t-test, respectively. Results: Intra-operator landmark identification was excellent (Cronbach’s alpha = 0.933) with no differences between sessions (P>0.05). Intra-observer reproducibility was excellent for all examiners (Cronbach’s alpha and ICC 0.986-0.988). Inter-observer reproducibility was highest for the software plug-in (0.991), followed by plaster (0.989) and Orthoanalyzer (0.979) and Bland-Altman plots confirmed no systematic bias and greater consistency of scores with the automated software. Conclusion: The automated MHB software tool is valid, reproducible and the most objective method of assessing maxillary arch constriction for patients with UCLP

Home-ownership as a social norm and positional good: subjective well-being evidence from panel data

Much attention has been devoted to examining the absolute benefits of home-ownership (e.g. security and autonomy). This paper by contrast is concerned with conceptualising and testing the relative benefits of homeownership; those benefits that depend on an individual’s status in society. Home-ownership has previously been analysed as a social norm, implying that the relative benefits (costs) associated with being an owner (renter) are positively related to relevant others’ home-ownership values. The theoretical contribution of this paper is to additionally conceptualise home-ownership as a positional good, implying that the status of both home-owners and renters is negatively related to relevant others’ home-ownership consumption. The empirical contribution of this paper is to quantitatively test for these relative benefits in terms of subjective well-being. We run fixed effects regressions on three waves of the British Household Panel Study. We find that i) a strengthening of relevant others’ home-ownership values is associated with increases (decreases) in the subjective well-being of home-owners (renters), and ii) an increase in relevant others’ home-ownership consumption decreases the life satisfaction of owners but has no effect for renters. Overall our findings suggest that i) the relative benefit of home-ownership are both statistically significant and of a meaningful magnitude, and ii) homeownership is likely to be both a social norm and a positional good. Without explicitly recognising these relative benefits, policymakers risk overestimating the contribution of home-ownership to societal well-being

From theory to 'measurement' in complex interventions: methodological lessons from the development of an e-health normalisation instrument

<b>Background</b> Although empirical and theoretical understanding of processes of implementation in health care is advancing, translation of theory into structured measures that capture the complex interplay between interventions, individuals and context remain limited. This paper aimed to (1) describe the process and outcome of a project to develop a theory-based instrument for measuring implementation processes relating to e-health interventions; and (2) identify key issues and methodological challenges for advancing work in this field.<p></p> <b>Methods</b> A 30-item instrument (Technology Adoption Readiness Scale (TARS)) for measuring normalisation processes in the context of e-health service interventions was developed on the basis on Normalization Process Theory (NPT). NPT focuses on how new practices become routinely embedded within social contexts. The instrument was pre-tested in two health care settings in which e-health (electronic facilitation of healthcare decision-making and practice) was used by health care professionals.<p></p> <b>Results</b> The developed instrument was pre-tested in two professional samples (N = 46; N = 231). Ratings of items representing normalisation 'processes' were significantly related to staff members' perceptions of whether or not e-health had become 'routine'. Key methodological challenges are discussed in relation to: translating multi-component theoretical constructs into simple questions; developing and choosing appropriate outcome measures; conducting multiple-stakeholder assessments; instrument and question framing; and more general issues for instrument development in practice contexts.<p></p> <b>Conclusions</b> To develop theory-derived measures of implementation process for progressing research in this field, four key recommendations are made relating to (1) greater attention to underlying theoretical assumptions and extent of translation work required; (2) the need for appropriate but flexible approaches to outcomes measurement; (3) representation of multiple perspectives and collaborative nature of work; and (4) emphasis on generic measurement approaches that can be flexibly tailored to particular contexts of study

The acute-to-chronic workload ratio:An inaccurate scaling index for an unnecessary normalisation process?

BACKGROUND: Problematic use of alcohol and other drugs (AOD) is highly prevalent among people living with the human immunodeficiency virus (PLWH), and untreated AOD use disorders have particularly detrimental effects on human immunodeficiency virus (HIV) outcomes. The Healthcare Effectiveness Data and Information Set (HEDIS) measures of treatment initiation and engagement are important benchmarks for access to AOD use disorder treatment. To inform improved patient care, we compared HEDIS measures of AOD use disorder treatment initiation and engagement and health care utilization among PLWH and patients without an HIV diagnosis. METHODS: Patients with a new AOD use disorder diagnosis documented between October 1, 2014, and August 15, 2015, were identified using electronic health records (EHR) and insurance claims data from 7 health care systems in the United States. Demographic characteristics, clinical diagnoses, and health care utilization data were also obtained. AOD use disorder treatment initiation and engagement rates were calculated using HEDIS measure criteria. Factors associated with treatment initiation and engagement were examined using multivariable logistic regression models. RESULTS: There were 469 PLWH (93% male) and 86,096 patients without an HIV diagnosis (60% male) in the study cohort. AOD use disorder treatment initiation was similar in PLWH and patients without an HIV diagnosis (10% vs. 11%, respectively). Among those who initiated treatment, few engaged in treatment in both groups (9% PLWH vs. 12% patients without an HIV diagnosis). In multivariable analysis, HIV status was not significantly associated with either AOD use disorder treatment initiation or engagement. CONCLUSIONS: AOD use disorder treatment initiation and engagement rates were low in both PLWH and patients without an HIV diagnosis. Future studies need to focus on developing strategies to efficiently integrate AOD use disorder treatment with medical care for HIV

The Diffusion of Inclusion: An Open Polity Model of Ethnic Power Sharing

While there is a growing consensus that ethnic inclusion produces peace, less is known about what causes transitions to power sharing between ethnic groups in central governments in multiethnic states. The few studies that have addressed this question have proposed explanations stressing exclusively domestic factors. Yet, power sharing is spatially clustered, which suggests that diffusion may be at play. Inspired by studies of democratic diffusion, we study the spread of inclusive policies with an “open polity model” that explicitly traces diffusion from inclusion in other states. Our findings indicate that the relevant diffusion processes operate primarily at the level of world regions rather than globally or between territorial neighbors. Thus, the more inclusive the region, the more likely a shift to power sharing becomes. Shifts away from inclusion to dominance are less common since World War II, but they are more likely in regional settings characterized by ethnic exclusion

The microfoundations of territorial disputes: Evidence from a survey experiment in Japan

Although territorial disputes are one of the most fraught issues among states, how public opinion on territorial disputes varies within states and what explains the variation are often overlooked. This paper argues that citizens who prioritize economic considerations are more likely to support compromises over such disputes, while those who prioritize a country’s reputation tend to reject any compromise. Further, the paper hypothesizes that such variation in individual preferences can be explained by proximity to disputed territories. Counterintuitively, residents closer to disputes are more likely to support a compromise than those who live further away, because they are more affected by economic considerations. Those far from the disputed territory can afford to focus on its political aspects, which leads to a more hawkish stance. By using an experimental approach within Japan, this paper examines the validity of the spatial argument, and tests the relative salience of economic and political aspects of territorial disputes. The findings, based on original survey data, show that distance from disputed territories shapes individual preferences, and under some conditions, people living further away from disputed territories are more hawkish

Primordialists and Constructionists: a typology of theories of religion

This article adopts categories from nationalism theory to classify theories of religion. Primordialist explanations are grounded in evolutionary psychology and emphasize the innate human demand for religion. Primordialists predict that religion does not decline in the modern era but will endure in perpetuity. Constructionist theories argue that religious demand is a human construct. Modernity initially energizes religion, but subsequently undermines it. Unpacking these ideal types is necessary in order to describe actual theorists of religion. Three distinctions within primordialism and constructionism are relevant. Namely those distinguishing: a) materialist from symbolist forms of constructionism; b) theories of origins from those pertaining to the reproduction of religion; and c) within reproduction, between theories of religious persistence and secularization. This typology helps to make sense of theories of religion by classifying them on the basis of their causal mechanisms, chronology and effects. In so doing, it opens up new sightlines for theory and research

Taking it personally: the effect of ethnic attachment on preferences for regionalism

This article presents three related findings on regional decentralization. We use an original dataset collected in Uganda to establish, for the first time in a developing country context, that individuals have meaningful preferences over the degree of regional decentralization they desire, ranging from centralism to secessionism. Second, multilevel models suggest that a small share of this variation is explained at the district and ethnic group levels. The preference for regional decentralization monotonically increases with an ethnic group or a district’s average ethnic attachment. However, the relationship with an ethnic group or district’s income is U-shaped: both the richest and the poorest groups desire more regionalism, reconciling interest-based and identity-based explanations for regionalism. Finally, we show that higher individual ethnic attachment increases preferences for regionalism using fixed effects and a new matching method