Health Care Expenditure and GDP in Oil Exporting Countries: Evidence From OPEC Data, 1995-2012

BACKGROUND: There is a large body of literature examining income in relation to health expenditures. The share of expenditures in health sector from GDP in developed countries is often larger than in non-developed countries, suggesting that as the level of economic growth increases, health spending increase, too. OBJECTIVES: This paper estimates long-run relationships between health expenditures and GDP based on panel data of a sample of 12 countries of the Organization of the Petroleum Exporting Countries (OPEC), using data for the period 1995-2012. PATIENTS & METHODS: We use panel data unit root tests, cointegration analysis and ECM model to find long-run and short-run relation. This study examines whether health is a luxury or a necessity for OPEC countries within a unit root and cointegration framework. RESULTS: Panel data analysis indicates that health expenditures and GDP are co-integrated and have Engle and Granger causality. In addition, in oil countries that have oil export income, the share of government expenditures in the health sector is often greater than in private health expenditures similar developed countries. CONCLUSIONS: The findings verify that health care is not a luxury good and income has a robust relationship to health expenditures in OPEC countries

Premature ejaculation: therapist perspectives

Premature Ejaculation (PE) is a common sexual dysfunction affecting approximately 20-30% of men (Porst, et al., 2007). Despite important issues relating to PE definition, diagnosis, and therapy, there is a paucity of research investigating the experiences of practitioners delivering PE treatment. For the present study, interviews were conducted with eight Psychosexual Therapists and subjected to Interpretive Phenomenological Analysis. Four master themes emerged from the analysis. These were Romantic Relationships, Vulnerability, Culture, and Diagnosis and Assessment. The Romantic Relationships theme included three sub-themes: Intimacy; Involvement; and Distress. Two sub-themes formed the Vulnerability theme: Self-Esteem; and Anxiety. The Culture theme contained three sub-themes: Religion and Ethnicity; Pornography; and Masculinity. The Diagnosis and Assessment theme included two sub-themes: Referral and Definitions. Findings have important implications for the diagnosis and treatment of PE. Future research should investigate therapist perceptions further, including those factors which impact on engagement with clients and PE treatment success

An approximate solution of the MHD Falkner-Skan flow by Hermite functions pseudospectral method

Based on a new approximation method, namely pseudospectral method, a solution for the three order nonlinear ordinary differential laminar boundary layer Falkner-Skan equation has been obtained on the semi-infinite domain. The proposed approach is equipped by the orthogonal Hermite functions that have perfect properties to achieve this goal. This method solves the problem on the semi-infinite domain without truncating it to a finite domain and transforming domain of the problem to a finite domain. In addition, this method reduces solution of the problem to solution of a system of algebraic equations. We also present the comparison of this work with numerical results and show that the present method is applicable.Comment: 15 pages, 4 figures; Published online in the journal of "Communications in Nonlinear Science and Numerical Simulation

An approximation algorithm for the solution of the nonlinear Lane-Emden type equations arising in astrophysics using Hermite functions collocation method

In this paper we propose a collocation method for solving some well-known classes of Lane-Emden type equations which are nonlinear ordinary differential equations on the semi-infinite domain. They are categorized as singular initial value problems. The proposed approach is based on a Hermite function collocation (HFC) method. To illustrate the reliability of the method, some special cases of the equations are solved as test examples. The new method reduces the solution of a problem to the solution of a system of algebraic equations. Hermite functions have prefect properties that make them useful to achieve this goal. We compare the present work with some well-known results and show that the new method is efficient and applicable.Comment: 34 pages, 13 figures, Published in "Computer Physics Communications

Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

Background: Disorders affecting the nervous system are diverse and include neurodevelopmental disorders, late-life neurodegeneration, and newly emergent conditions, such as cognitive impairment following COVID-19. Previous publications from the Global Burden of Disease, Injuries, and Risk Factor Study estimated the burden of 15 neurological conditions in 2015 and 2016, but these analyses did not include neurodevelopmental disorders, as defined by the International Classification of Diseases (ICD)-11, or a subset of cases of congenital, neonatal, and infectious conditions that cause neurological damage. Here, we estimate nervous system health loss caused by 37 unique conditions and their associated risk factors globally, regionally, and nationally from 1990 to 2021. Methods: We estimated mortality, prevalence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs), with corresponding 95% uncertainty intervals (UIs), by age and sex in 204 countries and territories, from 1990 to 2021. We included morbidity and deaths due to neurological conditions, for which health loss is directly due to damage to the CNS or peripheral nervous system. We also isolated neurological health loss from conditions for which nervous system morbidity is a consequence, but not the primary feature, including a subset of congenital conditions (ie, chromosomal anomalies and congenital birth defects), neonatal conditions (ie, jaundice, preterm birth, and sepsis), infectious diseases (ie, COVID-19, cystic echinococcosis, malaria, syphilis, and Zika virus disease), and diabetic neuropathy. By conducting a sequela-level analysis of the health outcomes for these conditions, only cases where nervous system damage occurred were included, and YLDs were recalculated to isolate the non-fatal burden directly attributable to nervous system health loss. A comorbidity correction was used to calculate total prevalence of all conditions that affect the nervous system combined. Findings: Globally, the 37 conditions affecting the nervous system were collectively ranked as the leading group cause of DALYs in 2021 (443 million, 95% UI 378–521), affecting 3·40 billion (3·20–3·62) individuals (43·1%, 40·5–45·9 of the global population); global DALY counts attributed to these conditions increased by 18·2% (8·7–26·7) between 1990 and 2021. Age-standardised rates of deaths per 100 000 people attributed to these conditions decreased from 1990 to 2021 by 33·6% (27·6–38·8), and age-standardised rates of DALYs attributed to these conditions decreased by 27·0% (21·5–32·4). Age-standardised prevalence was almost stable, with a change of 1·5% (0·7–2·4). The ten conditions with the highest age-standardised DALYs in 2021 were stroke, neonatal encephalopathy, migraine, Alzheimer's disease and other dementias, diabetic neuropathy, meningitis, epilepsy, neurological complications due to preterm birth, autism spectrum disorder, and nervous system cancer. Interpretation: As the leading cause of overall disease burden in the world, with increasing global DALY counts, effective prevention, treatment, and rehabilitation strategies for disorders affecting the nervous system are needed. Funding: Bill & Melinda Gates Foundation

Sensitivity analysis of the length of plastic hinge region in the flanged reinforced concrete shear walls

Past earthquakes have shown that properly designed buildings using shear walls have great performance in dissipating a considerable amount of inelastic energy. It is notable that the reduction in seismic input energy occurs in plastic hinge area through inelastic deformation. Plastic hinge development in a RC shear wall in the areas with plastic behavior depends on the ground motions characteristics as well as shear wall details. One of the most generally used forms of structural walls is flanged RC wall. These types of shear walls have large in-plane and out-of-plane stiffnesses through flanges and can tolerate high shear stresses. Several international seismic design codes and guidelines have suggested special detailing to assure ductile response in this region. In this paper, the parameters that affect the length of plastic hinge region in the flanged RC walls were examined and the sensitivity of these parameters was evaluated with respect to the length of the plastic hinge region. Sensitivity analysis was conducted by independently variable parameters with one standard deviation away from their means. To this end, the Monte Carlo simulation, tornado diagram analysis, and first-order second moment method were employed to determine the uncertainties associated with analysis parameters. The results showed that among the considered design variables, the aspect ratio of the flanged RC wall (length to width ratio), length of flange to length of web (lf/lw), and axial load level were the most important design parameters in the plastic hinge region, while the yield strength of transverse reinforcements had the least effect on determining the length of this region

Isolation, identification, and monitoring of antibiotic resistance in Pasteurella multocida and Mannheimia haemolytica isolated from sheep in East Azerbaijan province, Iran

The present study was carried out in order to isolate, identify, and assess the antimicrobial susceptibility of the causative agent(s) of pneumonic pasteurellosis in sheep in East Azerbaijan province, northwest of Iran. Pneumonia was detected in 320 cases, and the affected lungs were sampled in the slaughterhouse. The samples were investigated bacteriologically for the isolation of two microorganisms from the Pasteurellaceae family. Pasteurella multocida was isolated from six (1.87%) samples, while none of the lung tissues were positive for Mannheimia haemolytica. After the isolation and detection of microorganisms via cultural and morphological tests, the bacteria were identified on the basis of biochemical criteria and polymerase chain reaction (PCR) technique. Antimicrobial susceptibility testing was performed on all P. multocida isolates, using broth microdilution method. Evaluation of the minimum inhibitory concentration (MIC) of eight antimicrobial agents against the tested isolates showed that all the organisms were resistant to amoxicillin and relatively susceptible to ceftiofur. In conclusion, P. multocida was introduced as the main cause of ovine pneumonic pasteurellosis in the studied district, and the outbreak frequency significantly varied in different seasons of the year (

Faunal change near the end-Permian extinction : the brachiopods of the Ali Bashi Mountains, NW Iran

The Julfa Formation in the Ali Bashi Mountains, northwest Iran, is very rich in brachiopods, particularly in its lower part, which has been dated by fusulinids and conodonts as Wuchiapingian in age. The brachiopod fauna described herein has been collected along the Main Valley section of the Ali Bashi Mountains, several hundred metres away from the historical sections described in the 1960's and 1970's. It comprises 39 species of the orders Productida, Orthotetida, Orthida, Rhynchonellida, Athyridida, Spiriferida, and Terebratulida, most of which are known in the coeval successions of Transcaucasia, Alborz Mountains in north Iran and in South China, confirming the Wuchiapingian age indicated by other proxies. A few of the brachiopod taxa range up into the Changhsingian Paratirolites Limestone. The shale and marly limestone at the base of the formation are dominated by semi-infaunal productids, that are progressively succeeded near the top of the lower part of the formation by a more diverse range of pedicle attached and cemented taxa, suggesting a shallowing upward trend and a shift to higher nutrient-substrates in more turbulent waters. The successive deepening trend recorded in the upper part of the Julfa Formation and in the overlying Ali Bashi Formation is very unfavourable for the brachiopods and only a few species survive, represented by small sized pediculate taxa that thrive on hardgrounds