20 research outputs found

    Regional Economic Forecasting: Illuminating a Moving Target

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    A review of the toxicology of oil in vertebrates : what we have learned following the Deepwater Horizon oil spill

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    This research was made possible by a grant from The Gulf of Mexico Research Initiative. This publication is UMCES contribution No. 6045 and Ref. No. [UMCES] CBL 2022-008. This is National Marine Mammal Foundation Contribution #314 to peer-reviewed scientific literature.In the wake of the Deepwater Horizon (DWH) oil spill, a number of government agencies, academic institutions, consultants, and nonprofit organizations conducted lab- and field-based research to understand the toxic effects of the oil. Lab testing was performed with a variety of fish, birds, turtles, and vertebrate cell lines (as well as invertebrates); field biologists conducted observations on fish, birds, turtles, and marine mammals; and epidemiologists carried out observational studies in humans. Eight years after the spill, scientists and resource managers held a workshop to summarize the similarities and differences in the effects of DWH oil on vertebrate taxa and to identify remaining gaps in our understanding of oil toxicity in wildlife and humans, building upon the cross-taxonomic synthesis initiated during the Natural Resource Damage Assessment. Across the studies, consistency was found in the types of toxic response observed in the different organisms. Impairment of stress responses and adrenal gland function, cardiotoxicity, immune system dysfunction, disruption of blood cells and their function, effects on locomotion, and oxidative damage were observed across taxa. This consistency suggests conservation in the mechanisms of action and disease pathogenesis. From a toxicological perspective, a logical progression of impacts was noted: from molecular and cellular effects that manifest as organ dysfunction, to systemic effects that compromise fitness, growth, reproductive potential, and survival. From a clinical perspective, adverse health effects from DWH oil spill exposure formed a suite of signs/symptomatic responses that at the highest doses/concentrations resulted in multi-organ system failure.Publisher PDFPeer reviewe

    Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

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    BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to <90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], >300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

    September 11: Economic Viewpoints

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    Edward J. Deak is a contributing author, The Economics of Insurance Coverage Post 9/11 . Book Description: In addition to the loss, grief and geopolitical changes resulting from the events of Sept. 11, 2001, it soon became clear the world would have to deal with another, subtler impact - an economic one. Virtually every part of the U.S. - and world - economy reacted to Sept. 11 and its aftermath. Economics is uniquely qualified to analyze these types of effects, both those making headlines as well as the more indirect adjustments that few outside the profession would notice. This collection of essays - each written by a South-Western economics author highly regarded for both academic and professional achievements - offers a variety of perspectives on the economic effects of these events. Topics include gas prices, environmental issues, insurance, transportation, public policy, globalization, trade policies toward Pakistan and many others. No one can adequately explain the events of the day, but this insightful book offers valuable understanding of the subsequent economic impacts - and potential trends. – Publisher descriptio

    Research in Urban Economics: New Urban Strategies in Advanced Regional Economics, Vol. 10

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    Philip J. Lane is a contributing author, with Edward J. Deak Out-migrations as Adjustment in New England , p. 45-71. Book description: This volume discusses such topics as re-thinking city economic development, the high price of high costs, the changing industrial structure of the New York region, transportation policy and the 1990 Clean Air Act, and SMEs and regional economic development. – Publisher description.https://digitalcommons.fairfield.edu/economics-books/1006/thumbnail.jp

    Research in Urban Economics: New Urban Strategies in Advanced Regional Economics, Vol. 10

    No full text
    Edward J. Deak is a contributing author with Philip J. Lane, \u27Out-migrations as Adjustment in New England , p. 45-71. Book Description: This volume discusses such topics as re-thinking city economic development, the high price of high costs, the changing industrial structure of the New York region, transportation policy and the 1990 Clean Air Act, and SMEs and regional economic development.https://digitalcommons.fairfield.edu/economics-books/1001/thumbnail.jp

    A review of the toxicology of oil in vertebrates:what we have learned following the Deepwater Horizon oil spill

    No full text
    In the wake of the Deepwater Horizon (DWH) oil spill, a number of government agencies, academic institutions, consultants, and nonprofit organizations conducted lab- and field-based research to understand the toxic effects of the oil. Lab testing was performed with a variety of fish, birds, turtles, and vertebrate cell lines (as well as invertebrates); field biologists conducted observations on fish, birds, turtles, and marine mammals; and epidemiologists carried out observational studies in humans. Eight years after the spill, scientists and resource managers held a workshop to summarize the similarities and differences in the effects of DWH oil on vertebrate taxa and to identify remaining gaps in our understanding of oil toxicity in wildlife and humans, building upon the cross-taxonomic synthesis initiated during the Natural Resource Damage Assessment. Across the studies, consistency was found in the types of toxic response observed in the different organisms. Impairment of stress responses and adrenal gland function, cardiotoxicity, immune system dysfunction, disruption of blood cells and their function, effects on locomotion, and oxidative damage were observed across taxa. This consistency suggests conservation in the mechanisms of action and disease pathogenesis. From a toxicological perspective, a logical progression of impacts was noted: from molecular and cellular effects that manifest as organ dysfunction, to systemic effects that compromise fitness, growth, reproductive potential, and survival. From a clinical perspective, adverse health effects from DWH oil spill exposure formed a suite of signs/symptomatic responses that at the highest doses/concentrations resulted in multi-organ system failure.</p
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