Chylous ascites in cirrhosis: a case report and review of the literature

Chylous ascites is an uncommon clinical entity which results from the accumulation of fat, predominantly chylomicrons, in the ascitic fluid. Conventional treatment methods are unsatisfactory. A patient is reported with chylous ascites associated with cirrhosis and portal hypertension in whom the ascites, the renal insufficiency and the fluid and electrolyte disturbances were corrected by the insertion of a Denver peritoneovenous shunt

The fallacy of formative measurement

In management research, there is a growing trend toward formative measurement, in which measures are treated as causes of constructs. Formative measurement can be contrasted with reflective measurement, in which constructs are specified as causes of measures. Although recent work seems to suggest that formative measurement is a viable alternative to reflective measurement, the emerging enthusiasm for formative measurement is based on conceptions of constructs, measures, and causality that are difficult to defend. This article critically compares reflective and formative measurement on the basis of dimensionality, internal consistency, identification, measurement error, construct validity, and causality. This comparison leads to the conclusion that the presumed viability of formative measurement is a fallacy, and the objectives of formative measurement can be achieved using alternative models with reflective measures