Relationships between hyperinsulinaemia, magnesium, vitamin D, thrombosis and COVID-19: rationale for clinical management

Risk factors for COVID-19 patients with poorer outcomes include pre-existing conditions: obesity, type 2 diabetes mellitus, cardiovascular disease (CVD), heart failure, hypertension, low oxygen saturation capacity, cancer, elevated: ferritin, C reactive protein (CRP) and D-dimer. A common denominator, hyperinsulinaemia, provides a plausible mechanism of action, underlying CVD, hypertension and strokes, all conditions typified with thrombi. The underlying science provides a theoretical management algorithm for the frontline practitioners. Vitamin D activation requires magnesium. Hyperinsulinaemia promotes: magnesium depletion via increased renal excretion, reduced intracellular levels, lowers vitamin D status via sequestration into adipocytes and hydroxylation activation inhibition. Hyperinsulinaemia mediates thrombi development via: fibrinolysis inhibition, anticoagulation production dysregulation, increasing reactive oxygen species, decreased antioxidant capacity via nicotinamide adenine dinucleotide depletion, haem oxidation and catabolism, producing carbon monoxide, increasing deep vein thrombosis risk and pulmonary emboli. Increased haem-synthesis demand upregulates carbon dioxide production, decreasing oxygen saturation capacity. Hyperinsulinaemia decreases cholesterol sulfurylation to cholesterol sulfate, as low vitamin D regulation due to magnesium depletion and/or vitamin D sequestration and/or diminished activation capacity decreases sulfotransferase enzyme SULT2B1b activity, consequently decreasing plasma membrane negative charge between red blood cells, platelets and endothelial cells, thus increasing agglutination and thrombosis. Patients with COVID-19 admitted with hyperglycaemia and/or hyperinsulinaemia should be placed on a restricted refined carbohydrate diet, with limited use of intravenous dextrose solutions. Degree/level of restriction is determined by serial testing of blood glucose, insulin and ketones. Supplemental magnesium, vitamin D and zinc should be administered. By implementing refined carbohydrate restriction, three primary risk factors, hyperinsulinaemia, hyperglycaemia and hypertension, that increase inflammation, coagulation and thrombosis risk are rapidly managed

Transfer of training: an effective tool of knowledge application

Training alone is not adequate to increase organisational effectiveness, as not all knowledge acquired from the training is implemented correctly in the workplace. To implement training effectiveness, acquired knowledge should be transferred to the workplace. This study intends to understand and describe how expatriate faculty members perceive the supervisor's support behaviours for an effective transfer of training during three stages, (i.e., before, during and after training) in the context of UAE's higher education (HE) sector. A qualitative interpretivist approach was adopted, and the data was generated from 21 expatriate faculty members in three HE institutions through semi-structured interviews. The findings had contributed to the knowledge concerning transfer of training, particularly, in the UAE's HE sector by proposing a framework which for the first time identifies the types of supervisors' supportive behaviours that foster transfer of training among faculty members in each phase of training - thereby increasing the knowledge application and training effectiveness in the UAE private HE sector

Light4Health eLearning Course: health research for interior lighting design. Re-thinking design approaches based on science

This paper presents the results of \u27Light4Health\u27 (L4H), a three-year EU Erasmus+ Strategic Partnership grant project (2019-2021), which investigated, systematized and taught health-related research on the impact of natural and artificial light on human health and well-being relevant to indoor lighting design. The objective was to re-think evidence-based lighting design approaches for residential, working/educational, and healthcare spaces, in order to develop a novel cross-disciplinary eLearning platform, that intersects lighting design and current peer-reviewed health research through a select combination of the most relevant research, methods, and tools. The content was developed through teaching workshops with international researchers, teachers, and students. Participating students were introduced to the application of relevant research and new metrics, in order to produce creative lighting design proposals. Students were able to inform lighting design approaches that support health and well-being without compromising creativity via the tools and methods developed through the health sciences. With this project, participants and consortium members have narrowed the gap that exists between research and the practice/application of lighting, by translating research from complex scientific jargon into various tools for designers to use. The knowledge gained, was consolidated into an open-access online curriculum for international lighting design students, educators and professionals via the free eLearning Moodle platform (https://course.light4health.net/)

How do MNC R&D laboratory roles affect employee international assignments?

Research and development (R&D) employees are important human resources for multinational corporations (MNCs) as they are the driving force behind the advancement of innovative ideas and products. International assignments of these employees can be a unique way to upgrade their expertise; allowing them to effectively recombine their unique human resources to progress existing knowledge and advance new ones. This study aims to investigate the effect of the roles of R&D laboratories in which these employees work on the international assignments they undertake. We categorise R&D laboratory roles into those of the support laboratory, the locally integrated laboratory and the internationally interdependent laboratory. Based on the theory of resource recombinations, we hypothesise that R&D employees in support laboratories are not likely to assume international assignments, whereas those in locally integrated and internationally interdependent laboratories are likely to assume international assignments. The empirical evidence, which draws from research conducted on 559 professionals in 66 MNC subsidiaries based in Greece, provides support to our hypotheses. The resource recombinations theory that extends the resource based view can effectively illuminate the international assignment field. Also, research may provide more emphasis on the close work context of R&D scientists rather than analyse their demographic characteristics, the latter being the focus of scholarly practice hitherto