Dynamics and Long-Run Structure in U.S. Meat Demand

�Empirical analysis, based on a general dynamic Almost Ideal Demand System, shows the commonly used autoregressive and partial adjustment processes are restrictive to meal demand data. This study derives a linear specification in levels form to investigate dynamics in a general framework. Merging a long-run steady state structure with short-run dynamics results in consistent and robust long-run demand elasticities.

Recent Contributions of Theory to Our Understanding of the Atlantic Meridional Overturning Circulation

Revolutionary observational arrays, together with a new generation of ocean and climate models, have provided new and intriguing insights into the Atlantic Meridional Overturning Circulation (AMOC) over the last two decades. Theoretical models have also changed our view of the AMOC, providing a dynamical framework for understanding the new observations and the results of complex models. In this paper we review recent advances in conceptual understanding of the processes maintaining the AMOC. We discuss recent theoretical models that address issues such as the interplay between surface buoyancy and wind forcing, the extent to which the AMOC is adiabatic, the importance of mesoscale eddies, the interaction between the middepth North Atlantic Deep Water cell and the abyssal Antarctic Bottom Water cell, the role of basin geometry and bathymetry, and the importance of a three‐dimensional multiple‐basin perspective. We review new paradigms for deep water formation in the high‐latitude North Atlantic and the impact of diapycnal mixing on vertical motion in the ocean interior. And we discuss advances in our understanding of the AMOC's stability and its scaling with large‐scale meridional density gradients. Along with reviewing theories for the mean AMOC, we consider models of AMOC variability and discuss what we have learned from theory about the detection and meridional propagation of AMOC anomalies. Simple theoretical models remain a vital and powerful tool for articulating our understanding of the AMOC and identifying the processes that are most critical to represent accurately in the next generation of numerical ocean and climate models

Shared decision making in consultations for hypertension:Qualitative study in general practice

Abstract Background Hypertension is mainly managed in primary care. Shared decision making is widely recommended as an approach to treatment decision making. However, no studies have investigated; in detail, what happens during primary care consultations for hypertension. Aim To understand patients’ and clinicians’ experience of shared decision making for hypertension in primary care, in order to propose how it might be better supported. Design Longitudinal qualitative study. Setting Five general practices in south‐west England. Method Interviews with a purposive sample of patients with hypertension, and with the health‐care practitioners they consulted, along with observations of clinical consultations, for up to 6 appointments. Interviews and consultations were audio‐recorded and observational field notes taken. Data were analysed thematically. Results Forty‐six interviews and 18 consultations were observed, with 11 patients and nine health‐care practitioners (five GPs, one pharmacist and three nurses). Little shared decision making was described by participants or observed. Often patients’ understanding of their hypertension was limited, and they were not aware there were treatment choices. Consultations provided few opportunities for patients and clinicians to reach a shared understanding of their treatment choices. Opportunities for patients to engage in choices were limited by structured consultations and the distribution of decisions across consultations. Conclusion For shared decision making to be better supported, consultations need to provide opportunities for patients to learn about their condition, to understand that there are treatment choices, and to discuss these choices with clinicians. Patient or Public Contribution A patient group contributed to the design of this study

Dynamics and Long-run Structure in U.S. Meat Demand

Empirical analysis, based on a general dynamic Almost Ideal Demand System, shows the commonly used autoregressive and partial adjustment processes are restrictive to meat demand data. This study derives a linear specification in levels form to investigate dynamics in a general framework. Merging a long-run steady state structure with short-run dynamics results in consistent and robust long-run demand elasticities Une analyse empirique, basée sur un systéme dynamique général de demande quasi optimale, montre que les mécanismes courants d\u27ajustement autorégressif et d\u27ajustement partiel ont un effect restrictif sur l\u27évaluation des données de la demande de viande. Les auteurs proposent une spécifcation linéaire par niveaux pour examiner la dynamique du cadre général. La combinaison d\u27une structure stable de longue durée avec une dynamique de courte période a produit des élasticités cohérentes et solides de la demande à long term

Gapless spin-liquid state in the structurally disorder-free triangular antiferromagnet NaYbO2_2

We present the structural characterization and low-temperature magnetism of the triangular-lattice delafossite NaYbO$_2$. Synchrotron x-ray diffraction and neutron scattering exclude both structural disorder and crystal-electric-field randomness, whereas heat-capacity measurements and muon spectroscopy reveal the absence of magnetic order and persistent spin dynamics down to at least 70\,mK. Continuous magnetic excitations with the low-energy spectral weight accumulating at the $K$-point of the Brillouin zone indicate the formation of a novel spin-liquid phase in a triangular antiferromagnet. This phase is gapless and shows a non-trivial evolution of the low-temperature specific heat. Our work demonstrates that NaYbO$_2$ practically gives the most direct experimental access to the spin-liquid physics of triangular antiferromagnets.Comment: 6 pages, 4figure

Corpus Refactoring: a Feasibility Study

© 2007 Johnson et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens

The Impact of Locoregional Therapy in Nonmetastatic Inflammatory Breast Cancer: A Population-Based Study

Background. Inflammatory breast cancer (IBC) is a rare but most aggressive breast cancer subtype. The impact of locoregional therapy on survival in IBC is controversial. Methods. Patients with nonmetastatic IBC between 1988 and 2013 were identified in the Surveillance, Epidemiology, and End Results (SEER) registry. Results. We identified 7,304 female patients with nonmetastatic inflammatory breast cancer (IBC) who underwent primary tumor surgery. Most patients underwent total mastectomy with only 409 (5.6%) undergoing a partial mastectomy. In addition, 4,559 (62.4%) were also treated with radiation therapy. The patients who underwent mastectomy had better survival compared to partial mastectomy (49% versus 43%, p = 0.003). The addition of radiation therapy was also associated with improved 5-year survival (55% versus 40%, p < 0.001). Multivariate analysis showed that black race HR (1.22, 95% CI 1.18-1.35), ER negative status (HR 1.22, 95% CI 1.16-1.28), and higher grade (HR 1.14, 95% CI 1.07-1.20) were associated with poor outcome. Cox proportional hazards model showed that total mastectomy (HR 0.75, 95% CI 0.65-0.85) and radiation (HR 0.64, 95% CI 0.61-0.69) were associated with improved survival. Conclusions. Optimal locoregional therapy for women with nonmetastatic IBC continues to be mastectomy and radiation therapy. These data reinforce the prevailing treatment algorithm for nonmetastatic IBC

Recent contributions of theory to our understanding of the Atlantic Meridional Overturning Circulation

© The Author(s), 2019. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Johnson, H. L., Cessi, P., Marshall, D. P., Schloesser, F., & Spall, M. A. Recent contributions of theory to our understanding of the Atlantic Meridional Overturning Circulation. Journal of Geophysical Research-Oceans, 124(8), (2019): 5376-5399, doi: 10.1029/2019JC015330.Revolutionary observational arrays, together with a new generation of ocean and climate models, have provided new and intriguing insights into the Atlantic Meridional Overturning Circulation (AMOC) over the last two decades. Theoretical models have also changed our view of the AMOC, providing a dynamical framework for understanding the new observations and the results of complex models. In this paper we review recent advances in conceptual understanding of the processes maintaining the AMOC. We discuss recent theoretical models that address issues such as the interplay between surface buoyancy and wind forcing, the extent to which the AMOC is adiabatic, the importance of mesoscale eddies, the interaction between the middepth North Atlantic Deep Water cell and the abyssal Antarctic Bottom Water cell, the role of basin geometry and bathymetry, and the importance of a three‐dimensional multiple‐basin perspective. We review new paradigms for deep water formation in the high‐latitude North Atlantic and the impact of diapycnal mixing on vertical motion in the ocean interior. And we discuss advances in our understanding of the AMOC's stability and its scaling with large‐scale meridional density gradients. Along with reviewing theories for the mean AMOC, we consider models of AMOC variability and discuss what we have learned from theory about the detection and meridional propagation of AMOC anomalies. Simple theoretical models remain a vital and powerful tool for articulating our understanding of the AMOC and identifying the processes that are most critical to represent accurately in the next generation of numerical ocean and climate models.H. L. J. and D. P. M. are grateful for funding from the U.K. Natural Environment Research Council under the UK‐OSNAP project (NE/K010948/1). P. C. gratefully acknowledges support by the National Science Foundation through OCE‐1634128. M. A. S. was supported by the National Science Foundation Grants OCE‐1558742 and OCE‐1634468. We are also grateful to Eli Tziperman and an anonymous reviewer whose comments helped us to improve the manuscript. The Estimating the Circulation and Climate of the Ocean state estimate (ECCO version 4 release 3) used to produce Figure 2 is available online (https://ecco.jpl.nasa.gov). Please refer to the original papers reviewed here for access to any other data discussed

Wnt2 and WISP-1/CCN4 induce intimal thickening via promotion of smooth muscle cell migration

Objective—Increased vascular smooth muscle cell (VSMC) migration leads to intimal thickening which acts as a soil for atherosclersosis, as well as causing coronary artery restenosis after stenting and vein graft failure. Investigating factors involved in VSMC migration may enable us to reduce intimal thickening and improve patient outcomes. In this study, we determined whether Wnt proteins regulate VSMC migration and thereby intimal thickening. Approach and Results—Wnt2 mRNA and protein expression were specifically increased in migrating mouse aortic VSMCs. Moreover, VSMC migration was induced by recombinant Wnt2 in vitro. Addition of recombinant Wnt2 protein increased Wnt1-inducible signaling pathway protein-1 (WISP-1) mRNA by ≈1.7-fold, via β-catenin/T-cell factor signaling, whereas silencing RNA knockdown of Wnt-2 reduced WISP-1 mRNA by ≈65%. Treatment with rWISP-1 significantly increased VSMC migration by ≈1.5-fold, whereas WISP-1 silencing RNA knockdown reduced migration by ≈40%. Wnt2 and WISP-1 effects were integrin-dependent and not additive, indicating that Wnt2 promoted VSMC migration via WISP-1. Additionally, Wnt2 and WISP-1 were significantly increased and colocated in human coronary arteries with intimal thickening. Reduced Wnt2 and WISP-1 levels in mouse carotid arteries from Wnt2+/− and WISP-1−/− mice, respectively, significantly suppressed intimal thickening in response to carotid artery ligation. In contrast, elevation of plasma WISP-1 via an adenovirus encoding WISP-1 significantly increased intimal thickening by ≈1.5-fold compared with mice receiving control virus. Conclusions—Upregulation of Wnt2 expression enhanced WISP-1 and promoted VSMC migration and thereby intimal thickening. As novel regulators of VSMC migration and intimal thickening, Wnt2 or WISP-1 may provide a potential therapy for restenosis and vein graft failure

Embedding effective depression care: using theory for primary care organisational and systems change

Background: depression and related disorders represent a significant part of general practitioners (GPs) daily work. Implementing the evidence about what works for depression care into routine practice presents a challenge for researchers and service designers. The emerging consensus is that the transfer of efficacious interventions into routine practice is strongly linked to how well the interventions are based upon theory and take into account the contextual factors of the setting into which they are to be transferred. We set out to develop a conceptual framework to guide change and the implementation of best practice depression care in the primary care setting.Methods: we used a mixed method, observational approach to gather data about routine depression care in a range of primary care settings via: audit of electronic health records; observation of routine clinical care; and structured, facilitated whole of organisation meetings. Audit data were summarised using simple descriptive statistics. Observational data were collected using field notes. Organisational meetings were audio taped and transcribed. All the data sets were grouped, by organisation, and considered as a whole case. Normalisation Process Theory (NPT) was identified as an analytical theory to guide the conceptual framework development.Results: five privately owned primary care organisations (general practices) and one community health centre took part over the course of 18 months. We successfully developed a conceptual framework for implementing an effective model of depression care based on the four constructs of NPT: coherence, which proposes that depression work requires the conceptualisation of boundaries of who is depressed and who is not depressed and techniques for dealing with diffuseness; cognitive participation, which proposes that depression work requires engagement with a shared set of techniques that deal with depression as a health problem; collective action, which proposes that agreement is reached about how care is organised; and reflexive monitoring, which proposes that depression work requires agreement about how depression work will be monitored at the patient and practice level. We describe how these constructs can be used to guide the design and implementation of effective depression care in a way that can take account of contextual differences.Conclusions: ideas about what is required for an effective model and system of depression care in primary care need to be accompanied by theoretically informed frameworks that consider how these can be implemented. The conceptual framework we have presented can be used to guide organisational and system change to develop common language around each construct between policy makers, service users, professionals, and researchers. This shared understanding across groups is fundamental to the effective implementation of change in primary care for depressio