Biologicals are the main contributor to cost of care for IBD: a European perspective

2020 ◽  
Vol 5 (5) ◽  
pp. 421-422
Author(s):  
Christian P Selinger
2019 ◽  
Author(s):  
Gretchen F. Wagner ◽  
Emeline Mourocq ◽  
Michael Griesser

Biparental care systems are a valuable model to examine conflict, cooperation, and coordination between unrelated individuals, as the product of the interactions between the parents influences the fitness of both individuals. A common experimental technique for testing coordinated responses to changes in the costs of parental care is to temporarily handicap one parent, inducing a higher cost of providing care. However, dissimilarity in experimental designs of these studies has hindered interspecific comparisons of the patterns of cost distribution between parents and offspring. Here we apply a comparative experimental approach by handicapping a parent at nests of five bird species using the same experimental treatment. In some species, a decrease in care by a handicapped parent was compensated by its partner, while in others the increased costs of care were shunted to the offspring. Parental responses to an increased cost of care primarily depended on the total duration of care that offspring require. However, life history pace (i.e., adult survival and fecundity) did not influence parental decisions when faced with a higher cost of caring. Our study highlights that a greater attention to intergenerational trade-offs is warranted, particularly in species with a large burden of parental care. Moreover, we demonstrate that parental care decisions may be weighed more against physiological workload constraints than against future prospects of reproduction, supporting evidence that avian species may devote comparable amounts of energy into survival, regardless of life history strategy.


2019 ◽  
Vol 1 (2) ◽  
pp. 47-55
Author(s):  
Syahredi Syaiful Adnani ◽  
Hafni Bachtiar

In the last few decades, the incidence of caesarean section is increasing in the world, especially in Indonesia. One of the way to treat tissue scar is through biologic and synthetic dressing where nowadays, amnion has been used as biologic dressing frequently. This study was conducted to determine the effect of the use of fresh amniotic membrane on wound incision Caesarean section compared with Caesarean section incision wound covered using regular gauze bandages and fixated with plaster in RS. Dr. Reksodiwiryo Padang. The design of this study is an experimen-tal study with Post test design with control group design. Sampling was done using a formula consecutive sampling two different test samples obtained an average of 72 people for each group. The analysis used include univariate and bivariate analyzes. The average wound healing time the difference was statistically significant (p value <0.05) in the treatment and control groups. There was highly significant difference in the proportion of local infection on day 3 between the treatment and control groups (p value <0.05). There were very significant differences in the proportion of local allergic reactions at day 3, and 5 between the treatment and control group (p <0.05). There are significant differences in terms of the cost of care per day between treatment and control groups (p <0.05). From this study, the average wound healing time has a very significant difference.Keywords: Fresh Amniotic Membrane, Wound Cesarean Section, Wound Healing


Author(s):  
Leanne Findlay ◽  
Dafna Kohen

Affordability of child care is fundamental to parents’, in particular, women’s decision to work. However, information on the cost of care in Canada is limited. The purpose of the current study was to examine the feasibility of using linked survey and administrative data to compare and contrast parent-reported child care costs based on two different sources of data. The linked file brings together data from the 2011 General Social Survey (GSS) and the annual tax files (TIFF) for the corresponding year (2010). Descriptive analyses were conducted to examine the socio-demographic and employment characteristics of respondents who reported using child care, and child care costs were compared. In 2011, parents who reported currently paying for child care (GSS) spent almost $6700 per year ($7,500 for children age 5 and under). According to the tax files, individuals claimed just over $3900 per year ($4,700). Approximately one in four individuals who reported child care costs on the GSS did not report any amount on their tax file; about four in ten who claimed child care on the tax file did not report any cost on the survey. Multivariate analyses suggested that individuals with a lower education, lower income, with Indigenous identity, and who were self-employed were less likely to make a tax claim despite reporting child care expenses on the GSS. Further examination of child care costs by province and by type of care are necessary, as is research to determine the most accurate way to measure and report child care costs.


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