256 research outputs found
Non Insulin Dependent Diabetes in Sand Rat (Psammomys obesus) and Production of Collagen in Cultured Aortic Smooth Muscle Cells. Influence of Insulin
In this report, we have shown that the standard
laboratory diet administered to Psammomys obesus
(sand rat) from Beni Abbes in Algeria, induced a
non-insulin dependant diabetes, characterised by
increase of body weight (p<0.001) as well as
hyperinsulinemia, hyperglycemia and hypercholesterolemia.
In cultured aortic smooth muscle
cells (SMC) of sand rats, type I and type III collagen
biosynthesis and insulin effects, at low dose, on
these parameters were investigated. In all
experimental conditions of cultured SMC study, The
Îą chains of type I collagen were analysed by
immunoblotting in media and cells
Poor Children in Rich Households and Vice Versa: A Blurred Picture or Hidden Realities?
An expanding evidence base suggests that children experiencing monetary and multidimensional
poverty are not the same. This article breaks new ground by providing a unique mixed methods
investigation of drivers of child poverty mismatch in Ethiopia and Vietnam, considering the role of
measurement error and individualistic and structural factors. The analysis capitalises on large-scale secondary
quantitative panel data and combines this with purposively collected primary qualitative data in
both countries. It finds that factors at the household and structural level can mediate the effects of
monetary poverty in terms of multidimensional poverty and vice versa, but that the size and sign of these
effects are specific to place and time. The policy mix aiming to reduce all forms of child poverty need to
be targeted on the basis of a multidimensional assessment of poverty and reflect the complex and contextspecific
interactions between determinants of child poverty
Global Perspectives on Task Shifting and Task Sharing in Neurosurgery.
BACKGROUND: Neurosurgical task shifting and task sharing (TS/S), delegating clinical care to non-neurosurgeons, is ongoing in many hospital systems in which neurosurgeons are scarce. Although TS/S can increase access to treatment, it remains highly controversial. This survey investigated perceptions of neurosurgical TS/S to elucidate whether it is a permissible temporary solution to the global workforce deficit. METHODS: The survey was distributed to a convenience sample of individuals providing neurosurgical care. A digital survey link was distributed through electronic mailing lists of continental neurosurgical societies and various collectives, conference announcements, and social media platforms (July 2018-January 2019). Data were analyzed by descriptive statistics and univariate regression of Likert Scale scores. RESULTS: Survey respondents represented 105 of 194 World Health Organization member countries (54.1%; 391 respondents, 162 from high-income countries and 229 from low- and middle-income countries [LMICs]). The most agreed on statement was that task sharing is preferred to task shifting. There was broad consensus that both task shifting and task sharing should require competency-based evaluation, standardized training endorsed by governing organizations, and maintenance of certification. When perspectives were stratified by income class, LMICs were significantly more likely to agree that task shifting is professionally disruptive to traditional training, task sharing should be a priority where human resources are scarce, and to call for additional TS/S regulation, such as certification and formal consultation with a neurosurgeon (in person or electronic/telemedicine). CONCLUSIONS: Both LMIC and high-income countries agreed that task sharing should be prioritized over task shifting and that additional recommendations and regulations could enhance care. These data invite future discussions on policy and training programs
Track D Social Science, Human Rights and Political Science
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138414/1/jia218442.pd
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