Levels of uric acid in erectile dysfunction of different aetiology

Erectile dysfunction is a common disease characterized by endothelial dysfunction. The aetiology of ED is often multifactorial but evidence is being accumulated in favor of the proper function of the vascular endothelium that is essential to achieving and maintaining penile erection. Uric acid itself causes endothelial dysfunction via decreased nitric oxide production. This study aims to evaluate the serum uric acid (SUA) levels in 180 ED patients, diagnosed with the International Index of Erectile Function-5 (IIEF-5) and 30 non-ED control. Serum uric acid was analyzed with a commercially available kit using ModularEVO (Roche, Monza, Italy). Within-assay and between-assay variations were 3.0% and 6.0%, respectively. Out of the ED patients, 85 were classified as arteriogenic (A-ED) and 95 as non-arteriogenic (NA-ED) with penile-echo-color-Doppler. Uric acid levels (median and range in mg/dL) in A-ED patients (5.8, 4.3–7.5) were significantly higher (p?p?相似文献   

Trust and Hometown Associations in Haitian Post‐Earthquake Reconstruction

The 7.0 magnitude earthquake on January 12, 2010 in Haiti reawakened in the diaspora a strong sense of purpose to focus efforts beyond family remittances towards regional and national development. Yet Haitian hometown associations (HHTAs) in the US struggled to establish a strong, organizational structure to respond systematically and effectively to the country's increased post‐earthquake needs. Based on historical analysis, participatory observations, interviews, and comparisons with other diaspora groups’ models for homeland development, we explore how trust within the transnational Haitian nation has been impacted in the post‐earthquake era by cultural conditionings of the past which constrain the scalability, durability, and viability of HHTAs’ developmental potential to systematically intervene in a coordinated manner regionally and nationally. We examine the ways in which trust – and resistances to it – operates as a mediating lens remobilized by the earthquake for the interpretation of the Haitian past, present, and future.     

Transitioning Transgender: Investigating the Important Aspects of the Transition: A Brief Report

The purpose of this study is to identify important aspects of the transition to facilitate decision-making and improved care for transgender patients by transition-care providers. A survey was used to identify transition aspects deemed significant by transgender persons. Among transgender women, the most important transition elements were legal gender change, hormone therapy, breast augmentation, frontal bone setback, and removal of body hair, and among transgender men, change of dress/clothing, name and legal gender change, speech therapy, hormone therapy, chest reconstruction and breast binding. This information is useful to physicians as they care for transgender patients to better offer transition-related counseling.     

Perceived pension injustice: A multidimensional model for two most‐different cases

This article analyses a nationally representative sample of 3,000 respondents from the 2006 wave of the International Social Justice Project to investigate the determinants of citizens' perceptions of the injustice of their country's prevalent pension system. We studied two ‘most‐different’ cases: Israel, a relatively new democracy and demographically young society, and Western Germany, an established democracy and demographically older society. We found that age is negatively associated, and social status positively associated, with reported levels of PPI. Moreover, PPI is higher both when citizens lack intra‐familial social solidarity and when they more strongly endorse pro‐state welfare attitudes. At the same time, there are distinct culture‐specific patterns in PPI, such as the stronger effect of subjective class position and pro‐social family norms in Israel. We explain these by reference to the institutional characteristics of the Israeli pension system and the particularly dominant normative position of the family in Israeli‐Jewish culture.     

Addressing the disproportionate representation of children of color: a collaborative community approach

The state of Indiana recommended a committee be formed to address the disproportional representation of black youth in out-of-home placements. In response, the Indiana Disproportionality Committee (IDC) was established. This article presents the development, objectives and future of the IDC. One of the objectives, research, will be offered as an example of the committee's collaborative strategies. The IDC, in partnership with another organization, has begun exploring relationships between ethnicity, risk factors and treatment outcomes. The results of this research effort have examined disproportion and disparity, leading the IDC to identify needs for change within the state. Barriers and successes of the IDC will be shared, so that others can use these efforts to guide their own strategies to reduce disproportionality.     

Poverty Assessment in Degraded Rural Drylands in the Monte Desert,Argentina. An Evaluation Using GIS and Multi-criteria Decision Analysis

The work aims to contribute to the construction a local-scale poverty indicator, which contemplates multiple dimensions and allows for spatialization of socioeconomic data for a rural area in the Monte Desert. Given the evident and widely studied relationship between desertification processes and poverty, and aiming to contribute to integrating socioeconomic information to desertification assessment and monitoring, there arises the need for spatializing poverty by addressing its multiple dimensions, aspects poorly developed thus far. For this purpose, a data model was designed, which enabled integrating quantitative and qualitative information within the scope of geographic ?nformation systems (GIS) with multi-criteria decision analysis (MCDA), whereby it was possible to spatialize in detail the degree of poverty in the study area, laying the foundations for up-scaling the assessment to different scales. This work demonstrates the usefulness of GIS and MCDA as an instrument that enables progressing in new integral, interdisciplinary, multi-scale and multi-temporal approaches.     

‘For the sake of the family and future’: the linked lives of highly skilled Indian migrants

ABSTRACT

While in Western literature, migration is generally considered an individual or (nuclear) household phenomenon, Indian context adds the strong presence of parents and extended family to the constellation. This paper addresses how significant others shape the life course events and the migration trajectories of highly skilled Indian migrants to the Netherlands and UK. We employ a qualitative approach to the life course framework to highlight the linked lives that can alter the migration decisions. Our findings are drawn from 47 semi-structured biographic interviews. The results underscore how further migration decisions are often informed by the implications of the different life stages of the linked lives, the key elements being care-giving by and for the parents. Furthermore, we also illustrate how migration provides space for negotiating social norms and expectations: due to the geographical distance between migrants and their parents, the local (non-Indian) context plays a bigger role and thus the need for and timing of conformity with norms can be postponed. The understanding of family life in transnational settings will be enriched when individuals are embedded within the cultural background and linked lives are extended beyond the immediate nuclear family.     

Ethnicity at the Individual and Neighborhood Level as an Explanation for Moving Out of the Neighborhood

We address the influence of both the ethnic composition of the neighborhood and the ethnicity of individual residents on moving out of neighborhoods in the Netherlands. Using the Housing Research Netherlands survey and multinomial logistic regression analyses of moving out versus not moving or moving within the neighborhood, we found that ethnicity at the individual level was not of much importance for moving out. The combination of ethnicity at the individual level and the neighborhood level, however, appeared to be a rather important explanation of geographical mobility. Ethnic minorities are more likely than native Dutch to move within neighborhoods, and less likely to move away from them, as the share of non-western minorities in those neighborhoods increases. Native Dutch move away more frequently than ethnic minorities as the share of non-western ethnic minorities in neighborhoods is greater. These results suggest ethnic enclave formation or place stratification in the Netherlands.     

Once an outsider,always an outsider? The accessibility of the Dutch rural housing market among locals and non-locals

One of the most pressing questions in the rural gentrification literature is whether rural residents face difficulties in finding a home within their locality due to the influx of more wealthy newcomers. In this paper, we investigate the extent to which intended local movers and intended non-local movers have realised their rural residential preferences in their preferred municipality. We perform multilevel multinomial logistic regression analysis on data from two housing surveys for the Netherlands that are enriched with register data from the longitudinal Social Statistical Database (SSD). Our results show that, despite of their lower income, intended local movers are more likely to find homes within their preferred rural location than are intended non-local movers. Intended non-local movers move more often to a location other than that initially preferred, with urbanites facing a higher likelihood to move to an urban area. The findings suggest that ties to the residential environment are more important in successfully finding housing in one's preferred rural location than are financial resources.