Does morbidity matter? Perceived health status in explaining the share of healthcare expenditures

Cataloged from PDF version of article.We argue that the demand for healthcare services can be better explained by individual need based variables rather than by macro variables such as the Gross Domestic Product (GDP) per capita and the share of public healthcare expenditures. This study introduces a self-rated health variable called morbidity that describes individual needs for health care - healthy individuals need less health care than sick ones - and that is measured through personal interviews conducted by the Organization for Economic Co-operation and Development (OECD). In addition, stationary properties of the series are considered in order to understand the effect of shocks to expenditure behaviour on health care. Stationary test results show that we should not only use differenced values for the model variables but also incorporate time-specific effects into the model. Using the appropriate specification and accounting for the time effect, we find evidence supporting the hypothesis that the share of healthcare expenditure in GDP rises with the increased need for health care. The need for health care is also found to be more important than per capita GDP when explaining the change in the share of healthcare expenditures for the examined countries

The effect of new Turkish foreign policy on international trade

Turkish foreign policy has changed substantially within the last decade. Even though its relationship with the West still has significance, relations with neighboring countries and other countries in Africa, the Middle East, and Asia have improved. This new foreign policy incorporates Turkey's political and economic aspirations. Its aim is to utilize the country's economic strength in order to reach political goals while simultaneously using political tools to obtain economic benefits. This study analyzes the effects of the recent change in foreign policy on Turkey's international trade. Specifically, we investigate the influence of Turkish Prime Minister Erdoǧan's foreign visits on international trade by using a standard trade gravity model. Statistical analyses imply that Erdoǧan's visits help increase Turkish international trade

The dynamics of hydraulic fracture water confined in nano-pores in shale reservoirs

Hydraulic fracturing treatments and horizontal well technology are central to the success of unconventional oil and gas development. In spite of this success, replicated over several thousand wells over diverse shale plays, hydraulic fracturing for shale wells remains poorly understood. This includes the poor recovery of hydraulic fracture water, the inability to explain the progressive increases in produced water salinity and an incomplete understanding of the potential trapping mechanisms for hydraulic fracture water. In this work, we focus on describing the distribution of saline water in organic and inorganic pores as a function of pore size and pore morphology with the purpose of providing fundamental insights into above questions. A kerogen model is constructed by mimicking the maturation process in a molecular dynamics simulator and it incorporates structural features observed in SEM images including the surface roughness, tortuous paths, material disorder and imperfect pore openings of kerogen pores. This work also extends this kerogen model through the use of oxygenated functional groups to study fluid behavior in partially mature shales associated with non-zero oxygen to carbon ratios. Our results demonstrate that water entrapment mechanism and the distribution of water and ions in organic and inorganic pores are strongly related to the pore-surface mineralogy and pore width. The work in this paper also underscores the importance of kerogen thermal maturity and pore roughness on the accessibility of the kerogen material to water

Shaping 90 wt% NanoMOFs into Robust Multifunctional Aerogels Using Tailored Bio-Based Nanofibrils

Metal-organic frameworks (MOFs) are hybrid porous crystalline networks with tunable chemical and structural properties. However, their excellent potential is limited in practical applications by their hard-to-shape powder form, making it challenging to assemble MOFs into macroscopic composites with mechanical integrity. While a binder matrix enables hybrid materials, such materials have a limited MOF content and thus limited functionality. To overcome this challenge, nanoMOFs are combined with tailored same-charge high-aspect-ratio cellulose nanofibrils (CNFs) to manufacture robust, wet-stable, and multi-functional MOF-based aerogels with 90 wt% nanoMOF loading. The porous aerogel architectures show excellent potential for practical applications such as efficient water purification, CO2 and CH4 gas adsorption and separation, and fire-safe insulation. Moreover, a one-step carbonization process enables these aerogels as effective structural energy-storage electrodes. This work exhibits the unique ability of high-aspect-ratio CNFs to bind large amounts of nanoMOFs in structured materials with outstanding mechanical integrity-a quality that is preserved even after carbonization. The demonstrated process is simple and fully discloses the intrinsic potential of the nanoMOFs, resulting in synergetic properties not found in the components alone, thus paving the way for MOFs in macroscopic multifunctional composites

Analysis of College Students’ Personal Health Information Activities: Online Survey

Background: With abundant personal health information at hand, individuals are faced with a critical challenge in evaluating the informational value of health care records to keep useful information and discard that which is determined useless. Young, healthy college students who were previously dependents of adult parents or caregivers are less likely to be concerned with disease management. Personal health information management (PHIM) is a special case of personal information management (PIM) that is associated with multiple interactions among varying stakeholders and systems. However, there has been limited evidence to understand informational or behavioral underpinning of the college students’ PHIM activities, which can influence their health in general throughout their lifetime. Objective: This study aimed to investigate demographic and academic profiles of college students with relevance to PHIM activities. Next, we sought to construct major PHIM-related activity components and perceptions among college students. Finally, we sought to discover major factors predicting core PHIM activities among college students we sampled. Methods: A Web survey was administered to collect responses about PHIM behaviors and perceptions among college students from the University of Kentucky from January through March 2017. A total of 1408 college students were included in the analysis. PHIM perceptions, demographics, and academic variations were used as independent variables to predict diverse PHIM activities using a principal component analysis (PCA) and hierarchical regression analyses (SPSS v.24, IBM Corp, Armonk, NY, USA). Results: Majority of the participants were female (956/1408, 67.90%), and the age distribution of this population included an adequate representation of college students of all ages. The most preferred health information resources were family (612/1408, 43.47%), health care professionals (366/1408, 26.00%), friends (27/1408, 1.91%), and the internet (157/1408, 11.15%). Organizational or curatorial activities such as Arranging, Labeling, Categorizing, and Discarding were rated low (average=3.21, average=3.02, average=2.52, and average=2.42, respectively). The PCA results suggested 3 components from perception factors labeled as follows: Assistance (alpha=.85), Awareness (alpha=.716), and Difficulty (alpha=.558). Overall, the Demographics and Academics variables were not significant in predicting dependent variables such as Labeling, Categorizing, Health Education Materials, and Discarding, whereas they were significant for other outcome variables such as Sharing, Collecting, Knowing, Insurance Information, Using, and Owning. Conclusions: College years are a significant time for students to learn decision-making skills for maintaining information, a key aspect of health records, as well as for educators to provide appropriate educational and decision aids in the environment of learning as independent adults. Our study will contribute to better understand knowledge about specific skills and perceptions for college students’ practice of effective PHIM throughout their lives

Permeability evolution in sandstone due to injection of CO2-saturated brine or supercritical CO2 at reservoir conditions

We measured the change in permeability of two selected sandstones (Berea, Fonteinebleau) due to injection of CO2-saturated (“live”) brine, unsaturated (“dead”) brine or supercritical (sc) CO2 at reservoir conditions. We found that the permeability did not significantly change in a clean sandstone consisting of pure quartz (Fonteinemebleau) due to live or dead brine injection, although permeability changed due to scCO2 injection by ~23%. The permeability in the Berea sandstone, however, changed due to live or dead brine injection, by up to 35%; this permeability reduction in Berea sandstone was likely caused by fines release and subsequent pore throat plugging as the damage was more significant at higher injection rates. We expect that this phenomenon – i.e. rock permeability reduction due to CO2 injection into the formation – can have a significant and detrimental influence on CO2 injectivity, which would be reduced accordingly

Diffusion of Chemically Reacting Fluids through Nonlinear Elastic Solids and 1D Stabilized Solutions

This paper summarizes a 1D adaptation (Hall et al., Math Mech Solids, 2014) of the reactive fluid–solid mixture theory of Hall and Rajagopal (Math Mech Solids 17(2):131–164, 2012), which considers an anisotropic viscous fluid diffusing and chemically reacting with an anisotropic elastic solid. The present implementation introduces a stabilized mixed finite element method for advection–diffusion–reaction phenomena, which is applied to 1D isothermal problems involving Fickian diffusion, oxidation of PMR-15 polyimide resin, and slurry infiltration. The energy and entropy production relations are captured via a Lagrange multiplier that results from imposing the constraint of maximum rate of entropy production, reducing the primary PDEs to the balance equations of mass and linear momentum for the fluid and the solid, together with an equation for the Lagrange multiplier. The Fickian diffusion application considers a hyperbolic first order system with a boundary discontinuity and stable approach to the usual parabolic model. Results of the oxidation modeling of Tandon et al. (Polym Degrad Stab 91(8):1861–1869, 2006) are recovered by employing the reaction kinetics model and properties assumed there, while providing in addition the individual constituent kinematic and kinetic behaviors, thus adding rich interpretive detail in comparison to the original treatment (Tandon et al., Polym Degrad Stab 91 (8):1861–1869, 2006); two adjustable parameters describing coupled chemomechanical and purely chemical dissipation are added. The slurry infiltration application simulates the imposed mass deposition process and consequent effects on the kinematic and kinetic behaviors of the constituents.Ope

Congenital Diarrhea and Cholestatic Liver Disease: Phenotypic Spectrum Associated with MYO5B Mutations

Myosin Vb (MYO5B) is a motor protein that facilitates protein trafficking and recycling in polarized cells by RAB11- and RAB8-dependent mechanisms. Biallelic MYO5B mutations are identified in the majority of patients with microvillus inclusion disease (MVID). MVID is an intractable diarrhea of infantile onset with characteristic histopathologic findings that requires life-long parenteral nutrition or intestinal transplantation. A large number of such patients eventually develop cholestatic liver disease. Bi-allelic MYO5B mutations are also identified in a subset of patients with predominant early-onset cholestatic liver disease. We present here the compilation of 114 patients with disease-causing MYO5B genotypes, including 44 novel patients as well as 35 novel MYO5B mutations, and an analysis of MYO5B mutations with regard to functional consequences. Our data support the concept that (1) a complete lack of MYO5B protein or early MYO5B truncation causes predominant intestinal disease (MYO5B-MVID), (2) the expression of full-length mutant MYO5B proteins with residual function causes predominant cholestatic liver disease (MYO5B-PFIC), and (3) the expression of mutant MYO5B proteins without residual function causes both intestinal and hepatic disease (MYO5B-MIXED). Genotype-phenotype data are deposited in the existing open MYO5B database in order to improve disease diagnosis, prognosis, and genetic counseling.This research was funded by Jubiläumsfonds der Österreichischen Nationalbank, grant no.16678 (to A.R.J.), grant no. 18019 (to G.-F.V.) and Tiroler Wissenschaftsfonds, grant No. 0404/2386 (toG.-F.V.).info:eu-repo/semantics/publishedVersio

Meeting the Challenges Facing Wheat Production The Strategic Research Agenda of the Global Wheat Initiative

Wheat occupies a special role in global food security since, in addition to providing 20% of our carbohydrates and protein, almost 25% of the global production is traded internationally. The importance of wheat for food security was recognised by the Chief Agricultural Scientists of the G20 group of countries when they endorsed the establishment of the Wheat Initiative in 2011. The Wheat Initiative was tasked with supporting the wheat research community by facilitating col-laboration, information and resource sharing and helping to build the capacity to address chal-lenges facing production in an increasingly variable environment. Many countries invest in wheat research. Innovations in wheat breeding and agronomy have delivered enormous gains over the past few decades, with the average global yield increasing from just over 1 tonne per hectare in the early 1960s to around 3.5 tonnes in the past decade. These gains are threatened by climate change, the rapidly rising financial and environmental costs of fertilizer, and pesticides, combined with declines in water availability for irrigation in many regions. The international wheat research community has worked to identify major opportunities to help ensure that global wheat pro-duction can meet demand. The outcomes of these discussions are presented in this paper