Art: Housing Discrimination Still Exists in 2020

https://www.exhibit.xavier.edu/state_sanctioned_violence/1012/thumbnail.jp

Zine: Police Sexual Violence

Social Justice Zines Topic: Police Violence Targeting Black Women and Girls Subtopics Include: gender- and sexuality-specific police violence, with a focus on Black trans women; the histories of violence against Black women; policing (dis)ability; and the relevance of intersectional identitieshttps://www.exhibit.xavier.edu/state_sanctioned_violence/1020/thumbnail.jp

Nutrient Intakes Linked to Better Health Outcomes Are Associated with Higher Diet Costs in the US

Degrees of nutrient intake and food groups have been linked to differential chronic disease risk. However, intakes of specific nutrients may also be associated with differential diet costs and unobserved differences in socioeconomic status (SES). The present study examined degrees of nutrient intake, for every key nutrient in the diet, in relation to diet cost and SES.Socio-demographic data for a stratified random sample of adult respondents in the Seattle Obesity Study were obtained through telephone survey. Dietary intakes were assessed using food frequency questionnaire (FFQ) (n = 1,266). Following standard procedures, nutrient intakes were energy-adjusted using the residual method and converted into quintiles. Diet cost for each respondent was estimated using Seattle supermarket retail prices for 384 FFQ component foods.Higher intakes of dietary fiber, vitamins A, C, D, E, and B12, beta carotene, folate, iron, calcium, potassium, and magnesium were associated with higher diet costs. The cost gradient was most pronounced for vitamin C, beta carotene, potassium, and magnesium. Higher intakes of saturated fats, trans fats and added sugars were associated with lower diet costs. Lower cost lower quality diets were more likely to be consumed by lower SES.Nutrients commonly associated with a lower risk of chronic disease were associated with higher diet costs. By contrast, nutrients associated with higher disease risk were associated with lower diet costs. The cost variable may help somewhat explain why lower income groups fail to comply with dietary guidelines and have highest rates of diet related chronic disease

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Rare genetic variants explain missing heritability in smoking

Common genetic variants explain less variation in complex phenotypes than inferred from family-based studies, and there is a debate on the source of this ‘missing heritability’. We investigated the contribution of rare genetic variants to tobacco use with whole-genome sequences from up to 26,257 unrelated individuals of European ancestries and 11,743 individuals of African ancestries. Across four smoking traits, single-nucleotide-polymorphism-based heritability (hSNP2) was estimated from 0.13 to 0.28 (s.e., 0.10–0.13) in European ancestries, with 35–74% of it attributable to rare variants with minor allele frequencies between 0.01% and 1%. These heritability estimates are 1.5–4 times higher than past estimates based on common variants alone and accounted for 60% to 100% of our pedigree-based estimates of narrow-sense heritability (hped2, 0.18–0.34). In the African ancestry samples, hSNP2 was estimated from 0.03 to 0.33 (s.e., 0.09–0.14) across the four smoking traits. These results suggest that rare variants are important contributors to the heritability of smoking

Tree-Ring Reconstruction of Ouachita River Streamflow

The Ouachita River drains the Ouachita Mountains and Upper Coastal Plain in Arkansas and Louisiana. The Ouachita River is used for navigation, power generation, recreation, water supply, and wastewater treatment. The river has been prone to low flows during drought and extreme flooding, which were principal justifications for the construction of three large multipurpose dams on the stream. It is likely that the use of the Ouachita River will be stressed by future population growth, economic expansion, and climate change. For this study, tree-ring chronologies from various locations in and near the Ouachita River drainage basin were used to reconstruct instrumental measurements of water year (October-September) and summer discharge (June-August) for the past 253- to 352-years, respectively. These reconstructions provide an extended long-term perspective on drought, periods of surplus water, and the potential modifications of Ouachita River streamflow due to reservoir management. The construction of the Blakely Mountain Dam and the impoundment of Lake Ouachita may constitute the largest anthropogenic impact to the river. Dam construction began in 1947 and Lake Ouachita was completely filled by 1952. The reconstructions of June-August discharge, when compared with the instrumental measurements of summer low flows, suggests that the regulation of the Blakely Mountain Dam has not strongly impacted the summer high and low flow extremes recorded at the Camden streamflow gauge. Additionally, no major changes in water year extremes were detected that might be related to reservoir management. Water year and summer discharge have both increased in the late 20th and early 21st century, which may be part of a trend toward increased precipitation over the eastern United States recorded in instrumental observations and proxy precipitation reconstructions