Immigrant Entrepreneurs Creating Jobs and Strengthening the U.S. Economy in Growing Industries

The focus of this report evolved from a 2010 conference at Babson College on "Immigrant Entrepreneurship in Massachusetts" sponsored by The Immigrant Learning Center, Inc. (ILC) from which two key ideas emerged. One is that there is an "immigrant entrepreneurship ecology" that includes immigrant neighborhood storefront businesses; immigrant high-tech and health science entrepreneurs; immigrant non-tech growth businesses; and immigrant transnational businesses. A second idea was that these growing, non-tech industries (including transportation, food and building services) have not attracted much attention. Interestingly, these sectors can be crucial to the expansion of the green economy. Within this context, The ILC decided to look at these three sectors in Massachusetts as well as in New York and Pennsylvania.Moreover, the report dramatically illustrates how immigrant entrepreneurs look for niches in underserved markets. For example, vans and other alternatives to mass transit serve unmet transportation needs in urban areas. Food intended to be a "taste of home" for compatriots in local restaurants and grocery stores becomes popular and influences the eating habits of other Americans. Workers who enter industries like landscaping or cleaning because they don't require much English gain experience and see opportunities to start their own companies. Businesses like these add value to American life by expanding the economy rather than taking away from native businesses

Policy challenges from the "White" Senate inquiry into workplace-related health impacts of toxic dusts and nanoparticles

On 22 June 2005 the Senate of the Commonwealth of Australia voted to establish an inquiry into workplace harm related to toxic dust and emerging technologies (including nanoparticles). The inquiry became known as the "White" Inquiry after Mr Richard White, a financially uncompensated sufferer of industrial sandblasting-induced lung disease who was instrumental in its establishment. The "White" Inquiry delivered its final report and recommendations on 31 May 2006. This paper examines whether these recommendations and their implementation may provide a unique opportunity not only to modernize relevant monitoring standards and processes, but related compensation systems for disease associated with workplace-related exposure to toxic dusts. It critically analyzes the likely role of the new Australian Safety and Compensation Council (ASCC) in this area. It also considers whether recommendations related to potential workplace related harm from exposure to nanoparticles could commence a major shift in Australian healthcare regulation

Interpreting Patient Reported Outcomes in Orthopaedic Surgery: A Systematic Review

Background: Reporting methods of patient reported outcome measures (PROMs) vary in orthopaedic surgery literature. While most studies report statistical significance, the interpretation of results would be improved if authors reported confidence intervals (CIs), the minimally clinically important difference (MCID), and number needed to treat (NNT). Objective: To assess the quality and interpretability of reporting the results of PROMs. To evaluate reporting, we will assess the proportion of studies that reported (1) 95% CIs, (2) MCID, and (3) NNT. To evaluate interpretation, we will assess the proportion of studies that discussed results using the MCID or the effect sizes and how they relate to 95% CIs. Methods: We included the top five high impact factor orthopaedic journals (The American Journal of Sports Medicine, Arthroscopy, Journal of Bone and Joint Surgery, The Journal of Arthroplasty, and Osteoarthritis and Cartilage) published in 2017, that compared two or more therapies, and used PROMs to report study outcomes. Three sets of independent reviewers participated in screening and data extraction using a standardized form. Results: Our search yielded 1502 studies. Following titles and abstracts screening, 254 studies remained. Following full text screening, 194 eligible studies were included in the final analysis. Data extraction is currently underway. Discussion: Results of trials using PROMs should be completely reported and correctly interpreted. The current trend of reporting results and basing conclusions solely on p-values can lead to inaccurate conclusions and clinical recommendations. Journal guidelines should consider mandating such values in future research

Changes in the structure and functionof the North Sea fish foodweb, 1973-2000, and the impacts of fishing and climate

North Sea environmental and biological data were analysed to examine 30-year changes in production and consumption in the fish food web. The analysis revealed that the demand for secondary production placed on the ecosystem by fish declined from approximately 20 g Cm-2 y-1 in the 1970s to 16 g C m-2 y-1 in the 1990s. Over the same period, the proportion of demand provided by zooplankton production increased from around 70% to 75%. The overall decrease was mainly due to a reduction in piscivorous demersal fish. Average secondary production by omnivorous zooplankton was estimated to be 35 g Cm-2 y-1, and annual fluctuations were positively correlated with the gross production of planktivorous fish. The results suggest a ''bottom-up'' control of the pelagic foodweb. Individual planktivore species have been impacted by fishing, but the populations of other functionally similar species have expanded to fill the vacant niches, thus maintaining the planktivore role in the system. In contrast, the results indicate that benthos production was more "top-down" controlled. Overall, demersal fish species have been depleted by fishing, with no obvious species expansions to fill the vacant niche, releasing the benthos from predation pressure, and leading to an increase in benthic production and fisheries for invertebrates

Tennis grunts communicate acoustic cues to sex and contest outcome

Despite their ubiquity in human behaviour, the communicative functions of nonverbal vocalisations remain poorly understood. Here, we analysed the acoustic structure of tennis grunts, nonverbal vocalisations produced in a competitive context. We predicted that tennis grunts convey information about vocalizer and context, similar to nonhuman vocal displays. Specifically, we tested whether the fundamental frequency (F0) of tennis grunts conveys static cues to a player’s sex, height, weight, and age, and covaries dynamically with tennis shot type (a proxy of body posture) and the progress and outcome of male and female professional tennis contests. We also performed playback experiments (using natural and resynthesised stimuli) to assess the perceptual relevance of tennis grunts. The F0 of tennis grunts predicted player sex, but not age or body size. Serve grunts had higher F0 than forehand and backhand grunts, grunts produced later in contests had higher F0 than those produced earlier, and grunts produced during contests that players won had a lower F0 than those produced during lost contests. This difference in F0 between losses and wins emerged early in matches, and did not change in magnitude as the match progressed, suggesting a possible role of physiological and/or psychological factors manifesting early or even before matches. Playbacks revealed that listeners use grunt F0 to infer sex and contest outcome. These findings indicate that tennis grunts communicate information about both vocalizer and contest, consistent with nonhuman mammal vocalisations

Muscle Fiber Viability, a Novel Method for the Fast Detection of Ischemic Muscle Injury in Rats

Acute lower extremity ischemia is a limb- and life-threatening clinical problem. Rapid detection of the degree of injury is crucial, however at present there are no exact diagnostic tests available to achieve this purpose. Our goal was to examine a novel technique - which has the potential to accurately assess the degree of ischemic muscle injury within a short period of time - in a clinically relevant rodent model. Male Wistar rats were exposed to 4, 6, 8 and 9 hours of bilateral lower limb ischemia induced by the occlusion of the infrarenal aorta. Additional animals underwent 8 and 9 hours of ischemia followed by 2 hours of reperfusion to examine the effects of revascularization. Muscle samples were collected from the left anterior tibial muscle for viability assessment. The degree of muscle damage (muscle fiber viability) was assessed by morphometric evaluation of NADH-tetrazolium reductase reaction on frozen sections. Right hind limbs were perfusion-fixed with paraformaldehyde and glutaraldehyde for light and electron microscopic examinations. Muscle fiber viability decreased progressively over the time of ischemia, with significant differences found between the consecutive times. High correlation was detected between the length of ischemia and the values of muscle fiber viability. After reperfusion, viability showed significant reduction in the 8-hour-ischemia and 2-hour-reperfusion group compared to the 8-hour-ischemia-only group, and decreased further after 9 hours of ischemia and 2 hours of reperfusion. Light- and electron microscopic findings correlated strongly with the values of muscle fiber viability: lesser viability values represented higher degree of ultrastructural injury while similar viability results corresponded to similar morphological injury. Muscle fiber viability was capable of accurately determining the degree of muscle injury in our rat model. Our method might therefore be useful in clinical settings in the diagnostics of acute ischemic muscle injury

State of the art: refinement of multiple sequence alignments

BACKGROUND: Accurate multiple sequence alignments of proteins are very important in computational biology today. Despite the numerous efforts made in this field, all alignment strategies have certain shortcomings resulting in alignments that are not always correct. Refinement of existing alignment can prove to be an intelligent choice considering the increasing importance of high quality alignments in large scale high-throughput analysis. RESULTS: We provide an extensive comparison of the performance of the alignment refinement algorithms. The accuracy and efficiency of the refinement programs are compared using the 3D structure-based alignments in the BAliBASE benchmark database as well as manually curated high quality alignments from Conserved Domain Database (CDD). CONCLUSION: Comparison of performance for refined alignments revealed that despite the absence of dramatic improvements, our refinement method, REFINER, which uses conserved regions as constraints performs better in improving the alignments generated by different alignment algorithms. In most cases REFINER produces a higher-scoring, modestly improved alignment that does not deteriorate the well-conserved regions of the original alignment

Psychological morbidity and autonomic reactivity to emotional stimulus in parental cancer: a study with children caregivers

Literature suggests that parental cancer can provoke aversive emotional arousal in adult children, who may perceive caregiving as a traumatic experience. Limited research has been conducted on emotional and physiological impact of family caregiving for cancer patients undergoing chemotherapy. The aim of the present study was to examine psychological and physiological responses in parental cancer’s caregivers. Two matched groups of adult children, with 78 participants each (parental cancer vs. control), completed psychological measures of distress, post-traumatic stress disorder (PTSD) symptoms, and burden. Additionally, each participant visualised standardised pictures with different emotional valences, while cardiovascular (heart rate) and electrodermal responses (skin conductance) were recorded. Between-group analysis showed significant differences on all psychological variables, and on skin conductance for all types of pictures. However, for the heart rate responses, differences were found only for pictures with unpleasant emotional arousal. In the parental cancer group, the heart rate peak response stood out as a predictor of PTSD symptoms, after controlling for distress and burden. This study highlights the important role of psychophysiological measures of family caregiving in oncology. Physiological responses may explain a higher prevalence of PTSD symptoms. Therefore, biofeedback combined with targeted psychosocial interventions for relaxation could be of great clinical value for this populationFundação para a Ciência e a Tecnologia (FCT

Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

Background A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets. Methods Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis. Results A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001). Conclusion We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty

Water-loss (intracellular) dehydration assessed using urinary tests, how well do they work? Diagnostic accuracy in older people

Background: Water-loss dehydration (hypertonic, hyperosmotic or intra-cellular dehydration) is due to insufficient fluid intake and distinct from hypovolemia due to excess fluid losses. It is associated with poor health outcomes such as disability and mortality in older people. Urine specific gravity (USG), color and urine osmolality have been widely advocated for screening for dehydration in older adults. Objective: To assess the diagnostic accuracy of urinary measures to screen for water-loss dehydration in older people.Design: This was a diagnostic accuracy study of people aged ≥65years taking part in the Dehydration Recognition In our Elders (DRIE, living in long-term care) or Dietary Strategies for Healthy Ageing in Europe (NU-AGE, living in the community) studies. The reference standard was serum osmolality, index tests included USG, urine color, osmolality, cloudiness, additional dipstick measures, ability to provide a urine sample, and volume of a random urine sample. Minimum useful diagnostic accuracy was set at sensitivity and specificity ≥70% or receiver operating characteristics plot area under the curve ≥0.70. Results: DRIE participants (67% women, mean age 86 years, n=162) had more limited cognitive and functional abilities than NU-AGE participants (64% women, mean age 70 years, n=151). 19% of DRIE and 22% of NU-AGE participants were dehydrated (serum osmolality >300mOsm/kg). Neither USG nor any other potential urinary tests were usefully diagnostic for water-loss dehydration. Conclusions: Although USG, urine color and urinary osmolality have been widely advocated for screening for dehydration in older adults, we show in the largest study to date that their diagnostic accuracy is too low to be useful and these measures should not be used to indicate hydration status in older people (either alone or as part of a wider tranche of tests). There is a need to develop simple, inexpensive and non-invasive tools for the assessment of dehydration in older people