Comparison of research framing preferences and information use of state legislators and advocates involved in cancer control, United States, 2012–2013

INTRODUCTION: Evidence-based policy plays an important role in prevention of cancer and other chronic diseases. The needs of actors involved in policy decision-making should inform knowledge translation strategies. This study examines the differences between state legislators and advocates in how they seek and use information and what their preferences are for how research information is framed. METHODS: We conducted a cross-sectional comparison of survey responses by US advocates (n = 77) and state legislators (n = 265) working on issues related to cancer control. RESULTS: Advocates differed significantly from legislators on all demographic characteristics. Advocates reported seeking and using information more frequently than legislators, though legislators used legislative research bureaus more often (0.45 point difference, P = .004). Both legislators and advocates prioritized the presentation and timeliness of research information similarly but reported different preferences for source (information bias, information relevance, delivery of information by trusted person) of research information. Several differences between advocates and legislators were modified by participant age. CONCLUSION: Our study provides insights for development of knowledge translation strategies to enhance evidence-based policy making for cancer control that are tailored to state-level legislators and advocates. Additional research efforts should evaluate the effectiveness of such knowledge translation strategies, particularly among advocates

Endogenous Private Transfer and Real Exchange Rate Dynamics in a Two-Sector Dependent Economy

Government to government transfers are treated understandably as exogenous in open economy macro models. Even private transfer like remittances are treated as exogenous in the extant literature. In this paper we examine the effects of endogenous private transfer (remittances) on the real exchange rates using a dynamic two-sector dependent economy model. We examine the effects of demand and supply shocks and found that the dynamic patterns for real exchange rates depends on endogeneity of the transfer and the factor intensity of the traded and non-traded sectors

Schwannomatosis of the Spinal Accessory Nerve: A Case Report.

Schwannomatosis is a distinct syndrome characterized by multiple peripheral nerve schwannomas that can be sporadic or familial in nature. Cases affecting the lower cranial nerves are infrequent. Here, the authors present a rare case of schwannomatosis affecting the left spinal accessory nerve. Upon genetic screening, an in-frame insertion at codon p.R177 of the Sox 10 gene was observed. There were no identifiable alterations in NF1, NF2, LZTR1, and SMARCB1. This case demonstrates a rare clinical presentation of schwannomatosis in addition to a genetic aberration that has not been previously reported in this disease context

Oil Prices and Remittances: Impacts of Oil Price Shocks on the Macroeconomy of a Small, Oil Importing, and Labor Exporting Country

We examine the dynamic effects of an oil price shock on a small open economy that imports oil and exports labor to the oil exporting countries. We find that the reduction in output resulting from the oil price shock is at least partially mitigated by an accompanying increase in remittances from the expatriated labor. We also show that with a jump in oil price, domestic labor use decreases and labor export increases, oil consumption falls, and steady-state capital and consumption fall. However, consumption may intially jump up depending on the relative sizes of the negative supply effect and the positive remittance effect. Although consumption will eventually fall below the pre-shock level as steady state is approached, the initial consumption increase may be sufficiently large and long lasting to make the shock scenario welfare improving

Computer aided analysis of dental radiographic images

This paper is a result of a fruitful cooperation between the computer science and the dental diagnosis experiences. The study presents a new approach of applying computer algorithms to radiographic images of dental implantation used for bone regeneration. We focus here only on the contribution of the computer assistance to the clinical research as the periodontal therapy is beyond the scope of this paper. The proposed system is based on a pattern recognition approach, directed to recognize density changes in the intra-bony affected areas of patients. It comprises different modules with new algorithms specially designed to treat the patients&rsquo; radiographic images more accurately. The system includes digitizing, detecting the complicated region of interest (ROI), defining reference area to correct any projection discrepancy of the follow up images, and finally to extract the distinguishing features of the ROI as a basis for determining the rate of new bone density accumulation. This study is applied to two typical dental cases for a patient who received two different operations. The results are very encouraging and more accurate than traditional techniques reported before. <br /

Accounting for City Real Exchange Rate Changes in India

We examine the role of non-traded goods in the city real exchange rate changes in India. Using the Mean Squared Error (MSE) decomposition we find that non-traded goods explain about 30% of the variation of the Indian city real exchange rate changes, rather than the small amount found in other cross-country studies. We also analyze the role of consumption elasticity of substitution between traded and non-traded goods

High-Flow Vascular Malformations in Children.

Children can have a variety of intracranial vascular anomalies ranging from small and incidental with no clinical consequences to complex lesions that can cause substantial neurologic deficits, heart failure, or profoundly affect development. In contrast to high-flow lesions with direct arterial-to-venous shunts, low-flow lesions such as cavernous malformations are associated with a lower likelihood of substantial hemorrhage, and a more benign course. Management of vascular anomalies in children has to incorporate an understanding of how treatment strategies may affect the normal development of the central nervous system. In this review, we discuss the etiologies, epidemiology, natural history, and genetic risk factors of three high-flow vascular malformations seen in children: brain arteriovenous malformations, intracranial dural arteriovenous fistulas, and vein of Galen malformations

Self-medication during COVID-19 outbreak: a cross sectional online survey in Dhaka city

Background: Self-medication is a common practice in Bangladesh as it provides a low-cost alternative for people, which involves inappropriate and injudicious use of medicines treat self-recognized symptoms by the people.Methods: A cross sectional online survey was conducted on 626 citizens by structured questionnaires during COVID-19 outbreak from April to May 2020 in Dhaka city, to observe the prevalence, pattern and sources of self-medication among the respondents with high socio-economic standings and education.Results: The prevalence of self-medication amid the outbreak of COVID-19 was 88.33% and only 179 (28.59%) took medication with doctors’ advice and remaining 447 (71.40%) respondents took the drugs as “self-medication” by other sources. The most frequently used prescription-only drug during the outbreak were ivermectin (77.15%), azithromycin (54.15%), doxycycline (40.25%). The common symptoms for which the respondent took self-medications were fever, throat pain, dry-cough and total 105 (16.77%) respondents took medications without having any symptoms. Almost 355 (85.33%) had taken medication without doing any test for COVID-19. This could be due to unusual distress, caused by high self-awareness of their health and buying capacity of medication.Conclusions: The study revealed the causes of self-medication as news of spread, effects and remedies in media channels, internet; mental stress of lockdown and isolation, insecurity and panic about scarcity of drug and healthcare support. High risks of developing antibiotic resistance, adverse drug reactions and financial loss was predictable with absence of strict regulatory enforcement to protect people and proper utilization resources during COVID-19 outbreak in Dhaka city

Macroeconomic Interdependence and Integration in Africa

There is a renewed interest in the debate on integration in Africa since the creation of the Africa Union in 2002. This study investigates the feasibility of a full-fledge union in Africa from an economic standpoint. Towards this goal, we examine both the contemporaneous and dynamic relations in the short- and long-run among six key macro variables--consumer price level, gross domestic product, consumption, investment, trade flows and government expenditures--in eight African countries. In the quarterly data from 1976 to 2005, we observe the existence of common trends in real output, price level, private consumption, government consumption, investment and trade flows among these eight countries. In addition, we also note that there exist common cycles in real output, investment and trade flows for these countries. These two critical findings indicate the existence of some macroeconomic interdependence among these countries. Thus, the chances for success of integration in Africa driven by these eight countries are appreciable

Currency Substitution in Selected African Countries

This study investigates the presence of currency substitution in eight African countries--Egypt, Morocco, Nigeria, Ghana, Kenya, South Africa, Tunisia and Zambia--for the period 1976 to 2005 using both regional and US dollar as anchor currencies. We find that currency substitution is prevalent in Ghana and Nigeria when CFA franc is used as an anchor currency. However, when US dollar is used as an anchor currency there is no evidence of currency substitution in Ghana but we still observe the presence of currency substitution in Nigeria. Also we find presence of currency substitution in South Africa but not in Egypt when the US dollar is the anchor currency. For Kenya, Tunisia and Zambia there is no evidence of currency substitution irrespective of the anchor currencies considered. In the case of Morocco, we observe no evidence of currency substitution when the Egyptian pound is used as anchor currency but there is weak evidence of currency substitution when the US dollar is considered