The purpose of this study is to investigate healthcare access disparity that will cause delayed and unmet healthcare needs for the elderly, and to examine health inequality and healthcare cost burden for the elderly. To produce clear policy applications, this study adapts a modified PRECEDE-PROCEED model for framing theoretical and experimental approaches. Data were collected from a large collection of the Community Tracking Study Household Survey 2003–2004 of the USA. Reliability and construct validity are examined for internal consistency and estimation of disparity and inequality are analyzed by using probit/ols regressions. The results show that predisposing factors (e.g., attitude, beliefs, and perception by socio-demographic differences) are negatively associated with delayed healthcare. A 10% increase in enabling factors (e.g., availability of health insurance coverage, and usual sources of healthcare providers) are significantly associated with a 1% increase in healthcare financing factors. In addition, information through a socio-economic network and support system has a 5% impact on an access disparity. Income, health status, and health inequality are exogenously determined. Designing and implementing easy healthcare accessibility (healthcare system) and healthcare financing methods, and developing a socio-economic support network (including public health information) are essential in reducing delayed healthcare and health inequality.
Although there is an increasing interest in examining the relationship between cognitive ability and economic behavior, less is known about the relationship between cognitive ability and social preferences. We investigate the relationship between consequential measures of cognitive ability and measures of social preferences. We have data on a series of small-stakes dictator-type decisions, known as Social Value Orientation (SVO), in addition to choices in a larger-stakes dictator game. We also have access to the grade point averages (GPA) and SAT (formerly referred to as the Scholastic Aptitude Test) outcomes of our subjects. We …nd that subjects who perform better on the Math portion of the SAT are more generous in both the dictator game and the SVO measure. By contrast we …nd that subjects with a higher GPA are more sel…sh in the dictator game and more generous according to the SVO. We also …nd some evidence that the subjects with higher GPA and higher SAT outcomes o¤er more consistent responses. Our results involving GPA and social preferences complement previous work which employ measures of cognitive ability which are sensitive to the intrinsic motivation of the subject. Our results involving SAT scores are without precedent in the literature and suggest that measures of cognitive ability, which are less sensitive to the intrinsic motivation of the subject, are positively related to generosity.
Purpose
To compare the efficacy of cleaning of rigid contact lenses using two care solutions with and without rubbing.
Methods
A masked randomised trial was conducted. The cleaning efficacy of two solutions recommended for rigid contact lenses, a one‐step hydrogen peroxide solution (HP) and a povidone iodine‐based solution (PI), were evaluated on 64 unworn orthokeratology (ortho‐k) lenses subsequent to cleaning with rubbing (R) with a surfactant cleaner or without rubbing (NR). Either mascara or hand cream was applied as a contaminant to the lenses to simulate stubborn and loosely bounded deposits, respectively. For each type of deposit, the lenses were randomly assigned to four cleaning treatments: R with HP, NR with HP, R with PI, and NR with PI (n = 8 for each group). Each lens surface was assessed on site by a masked examiner under a low‐magnification slit‐lamp and with photo‐documentation. Lenses were graded according to the deposit coverage area using a pre‐set five‐point scale [0 (<20% coverage) − 4 (>80% coverage)].
Results
For stubborn deposits (mascara), NR failed to remove deposits from 94% of lenses, whilst R removed more than 80% of deposits from 63% of the lenses. For oily deposits, 25% of NR lenses had >80% coverage, whilst only one R lens had 60–80% coverage, with 19% having 40–60% coverage, and 38% with either 20–40% or <20%. Rubbing improved lens cleanliness for both types of deposits, but only reached statistical significance for the stubborn deposit group. There were no significant differences between the solutions.
Conclusion
Not Rubbing and using either HP or PI solutions, is not effective in removing stubborn deposits from ortho‐k lenses. It is essential to rub lenses when cleaning rigid lenses to ensure optimal lens hygiene for ocular health, especially as rigid gas permeable (RGP) lenses are intended to be reused for at least a year before replacement. Rubbing with a daily cleaner should be included in the instructions for use of the solutions tested for rigid lenses and practitioners should be encouraged to emphasise the importance of rubbing in lens care.
Casticin, derived from Fructus Viticis, has anticancer properties in many human cancer cells, however, there is no report to show that casticin promotes immune responses and affects the survival rate of leukemia mice in vivo. The aim of this study is to evaluate the effects of casticin on immune responses and the survival rate of WEHI-3 cells generated in leukemia mice in vivo. Animals were divided into six groups: normal control mice, leukemia control mice, mice treated with ATRA (all-trans retinoic acid), and casticin (0.1, 0.2, and 0.4[Formula: see text]mg/kg) treated mice. All animals were treated for 14 days and then measured for body weights, total survival rate, cell markers, the weights of liver and spleen, phagocytosis of spleen cells, NK cell activities and cell proliferation. Results show that casticin did not affect animal appearances, however, it increased body weights and decreased the weights of liver at 0.2[Formula: see text]mg/kg and 0.4[Formula: see text]mg/kg treatment. Casticin also decreased spleen weight at 0.2[Formula: see text]mg/kg and 0.4[Formula: see text]mg/kg treatment, increased CD3 at 0.1, 0.2 and 0.4[Formula: see text]mg/kg doses and increased CD19 at 0.2[Formula: see text]mg/kg treatment but decreased CD11b and Mac-3 at 0.1, 0.2 and 0.4[Formula: see text]mg/kg treatment. Casticin (0.1, 0.2 and 0.4[Formula: see text]mg/kg) increased macrophage phagocytosis from PBMC (peripheral blood mononuclear cell) and peritoneal cavity. Furthermore, casticin increased NK cells’ cytotoxic activity and promoted T cell proliferation at 0.1–0.4[Formula: see text]mg/kg treatment with or without concanavalin A (Con A) stimulation, but only increased B cell proliferation at 0.1 mg/kg treatment. Based on these observations, casticin could be used as promoted immune responses in leukemia mice in vivo.
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