Pheochromocytoma-induced reverse tako-tsubo with rapid recovery of left ventricular function

Pheochromocytoma is a rare, catecholamine-secreting tumor of neuroendocrine cells. It has been documented to present atypically as myocardial ischemia, arrhythmias, or congestive heart failure. We present the case of a patient who had transient cardiomyopathy with hypokinesia of the basal portions of the left ventricle and hyperkinesia of the apex triggered by a pheochromocytoma crisis similar to that of tako-tsubo cardiomyopathy, but with an inverse left ventricular contractile pattern (‘inverted tako-tsubo’). (Cardiol J 2012; 19, 5: 527-531

Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3

Background: Sustainable Development Goal (SDG) 3 aims to “ensure healthy lives and promote well-being for all at all ages”. While a substantial effort has been made to quantify progress towards SDG3, less research has focused on tracking spending towards this goal. We used spending estimates to measure progress in financing the priority areas of SDG3, examine the association between outcomes and financing, and identify where resource gains are most needed to achieve the SDG3 indicators for which data are available. Methods: We estimated domestic health spending, disaggregated by source (government, out-of-pocket, and prepaid private) from 1995 to 2017 for 195 countries and territories. For disease-specific health spending, we estimated spending for HIV/AIDS and tuberculosis for 135 low-income and middle-income countries, and malaria in 106 malaria-endemic countries, from 2000 to 2017. We also estimated development assistance for health (DAH) from 1990 to 2019, by source, disbursing development agency, recipient, and health focus area, including DAH for pandemic preparedness. Finally, we estimated future health spending for 195 countries and territories from 2018 until 2030. We report all spending estimates in inflation-adjusted 2019 US$, unless otherwise stated. Findings: Since the development and implementation of the SDGs in 2015, global health spending has increased, reaching$7·9 trillion (95% uncertainty interval 7·8–8·0) in 2017 and is expected to increase to $11·0 trillion (10·7–11·2) by 2030. In 2017, in low-income and middle-income countries spending on HIV/AIDS was$20·2 billion (17·0–25·0) and on tuberculosis it was $10·9 billion (10·3–11·8), and in malaria-endemic countries spending on malaria was$5·1 billion (4·9–5·4). Development assistance for health was $40·6 billion in 2019 and HIV/AIDS has been the health focus area to receive the highest contribution since 2004. In 2019,$374 million of DAH was provided for pandemic preparedness, less than 1% of DAH. Although spending has increased across HIV/AIDS, tuberculosis, and malaria since 2015, spending has not increased in all countries, and outcomes in terms of prevalence, incidence, and per-capita spending have been mixed. The proportion of health spending from pooled sources is expected to increase from 81·6% (81·6–81·7) in 2015 to 83·1% (82·8–83·3) in 2030. Interpretation: Health spending on SDG3 priority areas has increased, but not in all countries, and progress towards meeting the SDG3 targets has been mixed and has varied by country and by target. The evidence on the scale-up of spending and improvements in health outcomes suggest a nuanced relationship, such that increases in spending do not always results in improvements in outcomes. Although countries will probably need more resources to achieve SDG3, other constraints in the broader health system such as inefficient allocation of resources across interventions and populations, weak governance systems, human resource shortages, and drug shortages, will also need to be addressed. Funding: The Bill & Melinda Gates Foundatio

Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3

Sustainable Development Goal (SDG) 3 aims to “ensure healthy lives and promote well-being for all at all ages”. While a substantial effort has been made to quantify progress towards SDG3, less research has focused on tracking spending towards this goal. We used spending estimates to measure progress in financing the priority areas of SDG3, examine the association between outcomes and financing, and identify where resource gains are most needed to achieve the SDG3 indicators for which data are available

Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3

Background Sustainable Development Goal (SDG) 3 aims to “ensure healthy lives and promote well-being for all at all ages”. While a substantial effort has been made to quantify progress towards SDG3, less research has focused on tracking spending towards this goal. We used spending estimates to measure progress in financing the priority areas of SDG3, examine the association between outcomes and financing, and identify where resource gains are most needed to achieve the SDG3 indicators for which data are available. Methods We estimated domestic health spending, disaggregated by source (government, out-of-pocket, and prepaid private) from 1995 to 2017 for 195 countries and territories. For disease-specific health spending, we estimated spending for HIV/AIDS and tuberculosis for 135 low-income and middle-income countries, and malaria in 106 malaria-endemic countries, from 2000 to 2017. We also estimated development assistance for health (DAH) from 1990 to 2019, by source, disbursing development agency, recipient, and health focus area, including DAH for pandemic preparedness. Finally, we estimated future health spending for 195 countries and territories from 2018 until 2030. We report all spending estimates in inflation-adjusted 2019 US$, unless otherwise stated. Findings Since the development and implementation of the SDGs in 2015, global health spending has increased, reaching$7·9 trillion (95% uncertainty interval 7·8–8·0) in 2017 and is expected to increase to $11·0 trillion (10·7–11·2) by 2030. In 2017, in low-income and middle-income countries spending on HIV/AIDS was$20·2 billion (17·0–25·0) and on tuberculosis it was $10·9 billion (10·3–11·8), and in malaria-endemic countries spending on malaria was$5·1 billion (4·9–5·4). Development assistance for health was $40·6 billion in 2019 and HIV/AIDS has been the health focus area to receive the highest contribution since 2004. In 2019,$374 million of DAH was provided for pandemic preparedness, less than 1% of DAH. Although spending has increased across HIV/AIDS, tuberculosis, and malaria since 2015, spending has not increased in all countries, and outcomes in terms of prevalence, incidence, and per-capita spending have been mixed. The proportion of health spending from pooled sources is expected to increase from 81·6% (81·6–81·7) in 2015 to 83·1% (82·8–83·3) in 2030. Interpretation Health spending on SDG3 priority areas has increased, but not in all countries, and progress towards meeting the SDG3 targets has been mixed and has varied by country and by target. The evidence on the scale-up of spending and improvements in health outcomes suggest a nuanced relationship, such that increases in spending do not always results in improvements in outcomes. Although countries will probably need more resources to achieve SDG3, other constraints in the broader health system such as inefficient allocation of resources across interventions and populations, weak governance systems, human resource shortages, and drug shortages, will also need to be addressed

Multi Period Distribution Planning Problem of Crossdocking Network

The purpose of this study is to investigate modeling and the analysis of physical distribution of crossdocking network. Crossdocking is a new strategy which will be use to reduce inventory and also delivering time to enhance customer's responsibility. This will be done through removing storage process which leads to cost reduction and creating new opportunities. This paper deals with the multi period planning of a crossdocking distribution network where multi item freights are transported. The problem is formulated as an integer linear programming model and solved using GAMS software in different sizes. Experimental results demonstrate the ability of the proposed algorithms achieving remarkable results

Internal Jugular Catheter Malposition in a Patient With End Stage Renal Disease: a Case Report

A 30-year-old female with end-stage renal disease was a candidate for dual lumen catheter placement. After catheter insertion, O2 saturation measurement of the aspirated blood from the catheter was similar to that of arterial blood. They referred the patient to our hospital after 48 hours. Diagnostic procedures revealed that the tip of the catheter had entered the pleural cavity. Catheter removal in the CPR room resulted in hemorrhagic shock. The patient was resuscitated and stabilized and sent to the operating room. A laceration found at the junction of right jugular and right subclavian veins and was surgically repaired. The patient was discharged after ten days without any complication

Socially responsible ideas among Swedish public procurers : An exploratory study

Funding Information: This research was financially supported by Handelsbanken in Sweden through the Jan Wallander and Tom Hedelius’ Research Foundation. The authors thank the foundation to make this research possible. We also thank all anonymous reviewers of this journal for their suggestive comments that convey great improvement in our research. Publisher Copyright: © 2022 The Author(s)Public procurement is increasingly being recognized as a tool to promote corporate social responsibility and a vehicle to help governments achieve their social development goals. Due to their power to intervene and their reliance on tax money, public sector organizations are focused on expanding the inclusion of social responsibility in their public procurement strategies. At the EU level, there is a strong focus on providing new opportunities for public authorities to promote socially responsible public procurement. Utilizing translation theory and following the travel of ideas framework in a Scandinavian institutionalism approach, this study maps the adoption, development, and implementation of social responsibility in public procurement through the five stages of materialization, categorization, transportation, institutionalization, and re-travel. Qualitative data were collected through in-depth interviews with public procurement authorities from municipalities, regional councils, and governmental organizations in Sweden. The findings show that the travel of social responsibility policies in public procurement follows a new Scandinavian institutionalism approach that has brought policy makers freedom in prioritizing social issues but leaves them confused about what to prioritize. Furthermore, while the results show a positive relationship in organizations between their size, measured as full-time procurement employees, and their maturity level in terms of social responsibility, this maturity level is not associated with their procurement spending. The study findings have important implications for research on socially responsible public procurement. Additionally, the data collected from public organizations suggest several ways that policy makers can include, promote, and institutionalize social responsibility in their procurement strategies to reduce disparity and improve social welfare.Peer reviewe

Algorithm to Rank Web Pages Inspired by Ant Colony Algorithm

The general search engines represent various results in their lists, which is very time consuming to check.. One way to limit the search engine results is to use ranking pages algorithm in web. One of the most important ranking algorithms of web pages in the internet is known as “PageRank”, which works on the web-graph structure. In this article, an extended version of the “PageRank ” algorithm taking into consideration the degree of user interest in web pages and the ant colony algorithm is presented. Simulation results indicate that in the recommended algorithm ranks are closer to the real data; they produce more distinguished ranks, and have a less amount of errors

The Relationship between Low Carbohydrate Diet Score and Mental Health in Overweight and Obese Women

Background and Objectives: There is a bilateral relationship between mental health and overweight and obesity. In various studies, the association between dietary carbohydrate and mental health, have been controversially reported. Therefore, for the first time, we investigated the association between low carbohydrate diet score (LCDS) and mental health in overweight and obese women.   Methods: In this cross-sectional study, a total of 360 obese and overweight women aged between 18 and 50 years, who were resident in Tehran city, were selected. A 47-item semi-quantitative Food Frequency Questionnaire (FFQ), was used to collect the dietary intake over the past year. LCDS was also calculated for all individuals. The psychiatric health statue was evaluated using a 21-item Depression Anxiety Stress Scales (DASS) questionnaire. ANOVA and linear regression, were used to analyze the data.   Results: The results of the present study, showed that anxiety (p = 0.03), stress (p = 0.03), and depression (p= 0.02) had a significant inverse relationship with LCDS after adjusting for confounders (age, body mass index, physical activity, and total energy intake).   Conclusion: The current study revealed that lower amount of carbohydrate in diet is associated with mental health (anxiety, stress, and depression). Prospective studies are required to confirm these findings