Monday, 25 February 2008

growth policies no substitute for



Growth policies: No substitute for thinking

economics sB growth sB policy sB

I have just finished reading Chapter 2 of Rodrik's latest book (which

is a revised version of this "Growth Diagnostics" paper):

Most well-trained economists would agree that the standard policy

reforms included in the Washington Consensus have the potential to

be growth-promoting. What the experience of the last 15 years has

shown, however, is that the impact of these reforms is heavily

dependent on circumstances...We argue in this paper that this calls

for an approach to reform that is much more contingent on the

economic environment, but one that also avoids an anything goes

attitude of nihilism. We show it is possible to develop a unified

framework for analyzing and formulating growth strategies that is

both operational and based on solid economic reasoning.

The authors then offer a growth diagnostics framework that is

summarized by Rodrik here. The paper concludes with the following:

Across-the-board reform packages have often failed to get countries

growing again. The method for growth diagnostics we provide in this

paper should help target reform on the most binding constraints

that impede growth... As our discussion of El Salvador, Brazil, and

the Dominican Republic illustrates, each of these circumstances

throws out different diagnostic signals. An approach to development

that determines the action agenda on the basis of these signals is

likely to be considerably more effective than a laundry-list

approach with a long list of institutional and governance reforms

that may or may not be well targeted on the most binding

constraints to growth.

I agree with Rodrik's general message on the context-dependency of

growth policies. His offered framework is also useful for

policymakers. Yet it is no substitute for thinking by developing

countries' economists and policymakers: They need to analyze which of

the agenda are particularly relevant to their respective economies.

Rodrik puts it best: "The framework does not economize on inputs (the

thoughtfulness required to reach decisions), only on outputs (the list

of things that we recommend governments should do to get growth

going)".

PS: For a somewhat similar exercise for Indonesia (though it doesn't

seem to be using this exact framework), see the reports posted here

(particularly its Special Focus on Regions reports, on the left

sidebar).

PPS: Here is a set of papers commissioned by the Commission on Growth

and Development.

PPPS: Charles Kenny offers a review of new evidence on growth in the

last six years (his answer: Not very much!). HT: Marginal Revolution.

Labels: development, economics, growth, policy

posted by Arya Gaduh at 10:42 AM

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health insurance for poor



Health Insurance for the Poor

As a result of personal endeavors that seek to bridge the inequality

in healthcare, I was recently perusing the web and came across some

interesting organizations that are providing health insurance to the

rural poor in India. With less than 2% of India's 700 million rural

poor insured, there is a huge unmet need. I was pleasantly surprised

to find no less than 25 "Microfinance"-like Health Insurance schemes

and will attempt to highlight a few of the main players here:

Yeshaswini Co-operative Health Insurance Scheme was started in 2003 in

rural Karnataka. The program originated in the mind of Dr. Devi

Shetty, a very wealthy cardiac surgeon and philanthropist who

pioneered the spread of telemedicine as well as low cost cardiac

operations in India. In addition to his for-profit operations, Dr.

Shetty runs a not-for-profit hospital, Narayana Hrudayalaya, in

Bangalore.

Yeshaswini aimed to create a large insurance scheme, where the law of

large numbers would overcome the risk of an unexpectedly large number

of enrollees making claims in the first year, which had caused the

financing problems associated with the small schemes of the past. The

plan for the Yeshaswini Health Insurance Scheme, was very low premiums

with a very large number of participants.

The Scheme covers the farmer co-operator, his spouse and children. The

premium contributed per person was Rs 5 per month with Rs 2.5 subsidy

from the government of Karnataka in the first year. The Yeshasvini

beneficiary is entitled to the following benefits: free outpatient

services at a network hospital including consultation fee and

registration fee, investigation at special discounted rates, over 1600

listed surgeries done free of cost at network hospitals.

The following charges are covered for any of the surgeries included in

the policy: Admission, bed, nursing, anaesthesia, OT, surgeons, cost

of consumables and medicines during the surgery and post operative

period, surgery-related post and pre-operative investigations. The

surgical cover is 100 per cent cashless. 16 lakh farmers had enrolled

as members in the first year, 35000 members availed of free

consultation at network hospitals, 9039 surgeries were done cashless

amounting to Rs 10.53 crores; of these 657 were cardiac surgeries. In

the second year, 22 lakh farmers became members of the Scheme of which

82652 members have availed of free outpatient consultation. More than

23000 surgeries have been conducted free of cost.

A good case study of Yeshaswini is available here

Healing Fields Health Insurance Scheme

Members pay Rs 285 ($5 per year;0.003 - less than a cent per day per

family member!) annually to cover health insurance (Rs 20,000) for a

family of five and Rs 35 for Personal Accident Benefit (Rs 25,000 each

on member and spouse) to HDFC Chubb, the insurance company for the

scheme. The policy is low-cost, which includes pregnancy and covers 43

listed common illnesses governed by `Diagnostic Related Group (DRG)

Model'. In case of a hospitalisation, up to 25 percent is paid by the

patient as co-payment. The stakeholders, insurer, NGO partner and the

hospital together work out a customised process, map and goals, for

the success of the scheme.

Arogya Raksha Yojana is a year old and offers: Free out patient

consultation, generic medicines at special rates from network hospital

pharmacies and Biocare pharmacies, diagnostic tests at discounted

rates at network hospitals and approved diagnostic centres,

hospitalisation not leading to surgery, surgical treatment for over

1600 types of surgeries, 100% cashless facility for surgical treatment


new logging experience



A new logging experience!

I've been using logback for a few months now, and I'm impressed!

With excellent documentation and support, neat logging features,

blazing performance and an innovating eclipse plugin, I've finally

found a good replacement for the good old log4j.

The first thing I really appreciate compared to log4j or the java

logging api is the documentation. The guide is well written, they have

a nice demo, and you are up to speed in a few minutes.

Neat logging features

There are some very simple features which makes the life so much

easier, such as the intelligent logger name reduction when it's too

long: instead of simply truncating the name, it put the first letter

of each package:

09:59:04.203 [main] INFO o.x.x.web.XoosentApplication - starting XooSent

The Mapped Diagnostic Context (MDC) is also a killing feature. It

allows to associate metadata to the current thread, to correlate

messages to their context. For instance in a web application with

authentication, you can associate the user name to the the thread and

add this user name to all log messages, without any change to your log

calls. For instance, you add this at user authentication time:

MDC.put("user", username);

Then in your logback configuration you can use %Xuser in your pattern,

and you will see the authenticated user name. It's that simple, and in

multithreaded environment where multiple traces overlap, it really

helps.

Updated: As Jorg pointed out, this isn't a feature introduced by

logback, as log4j already supports NDC and MDC.

Performance

The parametrized logging is a key feature of logback, which improves

performance by avoiding a toString() call when your message is not

logged:

logger.debug("Hello, my name is {}, I am {} years old", username, age);

Note that obviously the performance gain applies only if you don't

enclose your logging statements with if (logger.isDebugEnabled())

statements). But if you look at a benchmark run by Sebastien Pennec,

one the developers of logback, it's really impressive:

Log4j direct debug call: 442

Log4j tested (isDebugEnabled) debug call: 19

Logback direct debug call: 435

Logback tested (isDebugEnabled) debug call: 10

Logback parametrized debug call: 15

OK, we all know how we should consider benchmarks, especially when

written by someone biased as Sebastien obviously is, but these numbers

can't be completly wrong, and what's interesting is that a logback

parametrized call takes approximately the same time as a log4j

isDebugEnabled call. Really cool!

Still on the performance area, logback introduces TurboFilters, which

allows to filter logging before the logging event is actually

constructed, saving a lot of unnecessary time.

Beyond console and files

Beyond classical ways to track and configure your logs, you have very

interesting features with logback, such as a JMX configuration, and a

new Eclipse plugin which is really neat.

One of the thing I like the most with this plugin is the option to go

to the source which is at the origin of the log. Double click on the

log, and it will open your source editor at the line where the log

call is performed! Awesome! How many times did I use the search tool

to find where a particular log call is performed in a big application,

and waste time because the message was the result of a concatenation

and thus my search failed...

Another interesting thing is the option to change the pattern and

apply it to all the logs, including previous one.

And you have also a good filter option, where you can apply any

logback filter expressions. This still need to be improved IMO to be

able to apply the filter in real time to previous logs, but hey, it's

only the first version of this plugin!

Excellent support

Last but not least the support is amazing. There isn't much traffic on

the user mailing list for the moment (their documentation is so good

:-)), but very often developers take time to answer your questions

with a lot of details, trying to reproduce your environment, and


single gene controls emotional recall



A Single Gene Controls Emotional Recall!

And the neurotransmitter norepinephrine (NE), which has been in the

news lately, plays a key role in the overstated headline of the day:

Emotional recall is in your genes

18:00 29 July 2007

Paul Marks

Image from Fig. 1A of Depue et al. (2007)

Your ability to recall emotional events - such as meeting the love

of your life, or the trauma of a painful car crash - is governed by

a common variation in a single gene, according to a new study.

[NOTE: As if variations in many other genes were tested.]

. . .

Highly emotive incidents trigger the brain to release the hormone

and neurotransmitter noradrenaline. This stimulates the amygdala -

part of the brain involved with processing emotional reactions - to

store memories in the hippocampus and other parts of the brain,

says Dominique de Quervain, a neuroscientist at the University of

Zurich in Switzerland.

Yet for some reason, recall of emotional events varies a great deal

from person to person. So de Quervain wondered if common variations

in a gene called ADRA2B, which codes for [one of the subtypes of

the alpha-2] noradrenaline receptor, could be responsible. Some 30

per cent of Caucasians and 12 per cent of Africans possess this

variant, he says.

So this is the alpha-2 receptor, which responds to clonidine (agonist)

and yohimbine (antagonist), rather than the beta-2 receptor, which is

antagonized by our old friend, propranolol. According to the NCBI

Sequence Viewer v2.0 Summary on ADRA2B adrenergic, alpha-2B-, receptor

[Homo sapiens]:

Alpha-2-adrenergic receptors are members of the G protein-coupled

receptor superfamily. They include 3 highly homologous subtypes:

alpha2A, alpha2B, and alpha2C. These receptors have a critical role

in regulating neurotransmitter release from sympathetic nerves and

from adrenergic neurons in the central nervous system. This gene

encodes the alpha2B subtype, which was observed to associate with

eIF-2B, a guanine nucleotide exchange protein that functions in

regulation of translation. A polymorphic variant of the alpha2B

subtype, which lacks 3 glutamic acids from a glutamic acid repeat

element, was identified to have decreased G protein-coupled

receptor kinase-mediated phosphorylation and desensitization; this

polymorphic form is also associated with reduced basal metabolic

rate in obese subjects and may therefore contribute to the

pathogenesis of obesity. This gene contains no introns in either

its coding or untranslated sequences.

Let's return to the New Scientist article.

One group comprised healthy Swiss citizens and the other comprised

traumatised survivors of the Rwandan genocide - who were living in

a refugee camp in Uganda.

The researchers found that, in both groups, people carrying the

ADRA2B gene variant were "substantially more likely" to remember

both positive and negative pictures than people with other forms of

the gene. Neutral images were recalled to the same degree by people

with and without the variant.

However, Rwandans with the variant had far higher recall of

negative emotional events than the Europeans who carried it - and

this was unrelated to whether or not they suffered from post

traumatic stress disorder.

"The genetic variant is related to enhanced emotional memory,"

concludes de Quervain. "But it also appears to predispose people to

stronger traumatic memories when something terrible happens."

Is that the same as saying that a single gene governs your ability to

recall emotional events? It certainly appears to influence one's

ability to recall emotional events, whether pleasant, unpleasant, or

traumatic. That's not to say, however, that other genes do not have

any influence over such complicated cognitive and affective processes.

In the paper (de Quervain et al., 2007), a large group of normal Swiss

participants (n=435) was shown a series of photographs from the

International Affective Picture Set (10 each positive, negative, and

neutral in emotional content) and asked to rate them on valence and

arousal. Ten minutes later, they were asked to recall the words.

Overall, the participants showed an advantage in recalling emotional

words relative to neutral words: 57% better for positive and 55% for

negative. The breakdown for carriers and noncarriers of the variant

are shown in the table below, which illustrates that the carriers

showed a significantly greater enhancement in emotional recall.

SWISS

All emotional pictures

carriers (N = 214) 78% +/- 7%

noncarriers (N = 221) 43% +/- 6%

Positive

carriers 77% +/- 8%

noncarriers 43% +/- 7%

Negative

carriers 79% +/- 7%

noncarriers 43% +/- 6%

The second group of participants had survived one of the most horrific

events of the 20th century: the 1994 genocide of 1,000,000 human

beings in Rwanda over the course of only 100 days (Survivors Fund,

SURF). These individuals were in a refugee camp and were recruited to

participate not in the trivial picture recall task, but to report

their experiences in a clinical setting. At this point, it's best to

quote the paper directly:

We hypothesized that deletion carriers would have increased

emotional memory for traumatic events reflected in increased

re-experiencing symptoms. We tested this hypothesis in 202 refugees

who had fled from the Rwandan civil war and were living in the

Nakivale refugee camp in Uganda at the time of investigation (100

females, 102 males; median age, 34 years...). All subjects had

experienced multiple, highly aversive situations and were examined

by trained experts with a structured interview based on the

Post-traumatic Diagnostic Scale with the help of trained

interviewers chosen from the refugee community. Traumatic events

were assessed using a checklist of 31 war- and nonwar-related

traumatic-event types (for example, injury by a weapon, rape,

accidents). The population consisted of 133 subjects fulfilling the

diagnostic criteria of DSM-IV for post-traumatic stress disorder

(PTSD) and 69 subjects without PTSD or a history of PTSD. Deletion

carriers had a significantly higher score for re-experiencing

symptoms per traumatic-event type than did noncarriers (carriers,

N=42, 0.47 +/- 0.05; noncarriers, N=160, 0.31 +/- 0.03), whereas

the deletion was not significantly associated with hyperarousal or

avoidance symptoms. The association of the deletion with increased

traumatic memory was independent of the presence of PTSD ... and

the genotype was equally distributed across the diagnostic groups.

Correcting for gender did not influence the genotype effect on

traumatic memory.

Fig. 3 (de Quervain et al., 2007)

The authors' conclusion:

Taken together, we show that a genetically anchored alteration in

the noradrenergic system is related to enhanced emotional memory in

healthy young Swiss subjects. Furthermore, we found that the same

genetic alteration is related to increased traumatic memory in a

Sub-Saharan African population of civil war refugees who

experienced multiple and highly aversive emotional situations. The

present findings suggest that the price for the deletion-related

enhancement of emotional memory may be enhanced intrusive and

distressing emotional memory for traumatic events.

Reference

de Quervain DJ, Kolassa IT, Ertl V, Onyut PL, Neuner F, Elbert T,

Papassotiropoulos A. (2007). A deletion variant of the alpha

2b-adrenoceptor is related to emotional memory in Europeans and

Africans. Nature Neurosci. Published online: 29 July 2007.

Emotionally arousing events are recalled better than neutral events.

This phenomenon, which helps us to remember important and potentially

vital information, depends on the activation of noradrenergic

transmission in the brain. Here we show that a deletion variant of

ADRA2B, the gene encoding the alpha2b-adrenergic receptor, is related

to enhanced emotional memory in healthy Swiss subjects and in

survivors of the Rwandan civil war who experienced highly aversive

emotional situations.

Symbol Report: ADRA2B

posted by The Neurocritic @ 3:42 PM 0 comments links to this post

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2005_06_01_archive



Concept Hierarchy

http://profusion.bu.edu/techlab/Docs/Tan__Concept_Hierarchy_Memory_Mod

el.pdf

Eclipse plugin install:

Plugin install for eclipse is get the zip and install it in the

directory of plugins and directory of features

Eclipse

1. plugins

2. features

Extract the files into these directories.

-Kalyan

Posted by kalyan at 5:09 PM 0 comments

Request Tracker Biggest Issue

The request tracker ticket creation is a big pain, I think i was able

to solve the ticket creation issue but it has cropped up again ...

since i forgot what i did to resolve it ( some permission problem)

need to look and document it..

Things which i have tried and which does not work

1. User and group setting in web apache server ( www and other , kosh


2007_07_01_archive



Renal-hepatic-pancreatic dysplasia syndrome (ivemark's syndrome) with

lymphangiectasia

Renal-hepatic-pancreatic dysplasia syndrome (ivemark's syndrome).

With lymphangiectasia as a complication

Diagn Pathol. 2007 Jul

Vankalakunti M, Gupta K, Kakkar N, Das A.

ABSTRACT

BACKGROUND: Renal-Hepatic-Pancreatic dysplasia syndrome described by

Ivemark in 1959 constitutes a triad pancreatic fibrosis, renal

dysplasia and hepatic dysgenesis.

CASE PRESENTATION: We describe two unrelated cases of

Renal-hepatic-pancreatic dysplasia syndrome in stillborn babies. The

characteristic microscopic features were present in both the cases.

The second case illustrates the unique association lymphangiectasia

with Renal-hepatic-pancreatic dysplasia syndrome. Both cases are

unrelated and there is no history of any consanguineous marriage.

CONCLUSION: These two cases are unrelated and are rare. In the

developmental research, the perinatal autopsy needs to be utilized as

a major tool and an Ad hoc committee formation is required to

formulate the approach towards syndromic diseases.

Diagnostic Pathology


lecturer in veterinary pathology