How Republicans and Democrats enhanced inequality by undermining financial regulation

Tackling inequality has become a clarion call for politicians on both the right and the left. But in order to address the problem, we need to have better insights into how the current levels of economic equality became so entrenched. In new research which examines nearly 100 years of data, Nathan J. Kelly and Eric Keller find that financial deregulation has contributed to America’s dramatic shift toward greater income concentration. They write that for most of the 20th century, Democratic control of the Senate made financial regulation more likely, but that from the 1980s, onwards, partly due to growing campaign contributions from the financial sector, the party converged with the Republicans’ neoliberal enthusiasm for deregulation

Ethical Considerations Surrounding Survival Benefit-Based Liver Allocation

poster abstractThe disparity between the demand for and supply of donor livers has continued to grow over the last two decades, placing greater weight on the need for efficient and effective allocation. Although the use of extended criteria donors (ECD) has shown greater potential, it remains unregulated. Schaubel et al. have recently proposed a survival benefit model which balances waitlist survival and potential transplantation benefit for a given quality of donor liver. The OPTN/UNOS Liver and Intestinal Organ Transplantation Committee considered this and other models in a recent report, concluding that the current allocation method does not require modification. In order to further evaluate the survival benefit model, the various ethical concerns shaping organ allocation were discussed and used to identify strengths and shortcomings associated with the proposed model. Compared to the current MELD/PELD system, the survival benefit model incorporates a greater number of ethical principles, uses a sophisticated statistical model to increase efficiency and reduce waste, minimizes bias, and parallels developments in the allocation of other organs. Conversely, the model fails to address quality of life concerns, prioritization for younger patients, its less promising posttransplant prediction accuracy, and potential issues regarding informed consent and economic burdens. To remedy these issues, we suggested incorporating various improvements based on recent literature. Although limitations exist, the survival benefit model now exists as a better means of improving allocation. We support the model proposed by Schaubel et al., with the amendments we suggested, and urge the OPTN/UNOS Liver and Intestinal Organ Transplantation Committee and the transplant community to strongly consider this model as another step toward better liver allocation

Floppy swimming: Viscous locomotion of actuated elastica

Actuating periodically an elastic filament in a viscous liquid generally breaks the constraints of Purcell's scallop theorem, resulting in the generation of a net propulsive force. This observation suggests a method to design simple swimming devices - which we call "elastic swimmers" - where the actuation mechanism is embedded in a solid body and the resulting swimmer is free to move. In this paper, we study theoretically the kinematics of elastic swimming. After discussing the basic physical picture of the phenomenon and the expected scaling relationships, we derive analytically the elastic swimming velocities in the limit of small actuation amplitude. The emphasis is on the coupling between the two unknowns of the problems - namely the shape of the elastic filament and the swimming kinematics - which have to be solved simultaneously. We then compute the performance of the resulting swimming device, and its dependance on geometry. The optimal actuation frequency and body shapes are derived and a discussion of filament shapes and internal torques is presented. Swimming using multiple elastic filaments is discussed, and simple strategies are presented which result in straight swimming trajectories. Finally, we compare the performance of elastic swimming with that of swimming microorganisms.Comment: 23 pages, 6 figure

Measuring Quality: The Impact of Minimally Invasive Surgery and Operative Time on Surgical Site Infections

Objective: To evaluate the relationship between operative approach, operative time, and SSI rate.Methods: Inpatient database review identified patients undergoing 5 common procedures from 1/2010-12/2011. Patients were stratified into laparoscopic or open approaches. The main outcome measure was the relationship between operative time and SSI by approach.Results: 226,006 patients were evaluated- 28.2% open and 71.8% laparoscopic. Mean overall operative time was significantly shorter laparoscopically (p<0.001). Laparoscopy was associated with significantly lower costs and shorter length of stay (LOS) overall and for each procedure(p<0.0001). Multivariate analysis found SSI increased directly with operative time: for every 30-minute increase, SSI risk increased by 12%. Operative approach was an independent risk factor for SSI: open surgery increased SSI risk by 78%. A direct relationship between open procedures, operative time, and SSI risk was found.Conclusions: Laparoscopy has overall shorter operative time and improved outcomes in SSI rate, LOS, and total costs for common surgical procedures. As operative time and approach were independent risk factors for SSI, the use of laparoscopy and operative time are valuable quality measures

Fenugreek supplementation during high-fat feeding improves specific markers of metabolic health

© 2017 The Author(s). To assess the metabolically beneficial effects of fenugreek (Trigonella foenum-graecum), C57BL/6J mice were fed a low- or high-fat diet for 16 weeks with or without 2% (w/w) fenugreek supplementation. Body weight, body composition, energy expenditure, food intake, and insulin/glucose tolerance were measured regularly, and tissues were collected for histological and biochemical analysis after 16 weeks of diet exposure. Fenugreek did not alter body weight, fat mass, or food intake in either group, but did transiently improve glucose tolerance in high fat-fed mice. Fenugreek also significantly improved high-density lipoprotein to low-density lipoprotein ratios in high fat-fed mice without affecting circulating total cholesterol, triglycerides, or glycerol levels. Fenugreek decreased hepatic expression of fatty acid-binding protein 4 and increased subcutaneous inguinal adipose tissue expression of adiponectin, but did not prevent hepatic steatosis. Notably, fenugreek was not as effective at improving glucose tolerance as was four days of voluntary wheel running. Overall, our results demonstrate that fenugreek promotes metabolic resiliency via significant and selected effects on glucose regulation, hyperlipidemia, and adipose pathology; but may not be as effective as behavioral modifications at preventing the adverse metabolic consequences of a high fat diet

Atmospheric halogen and acid rains during the main phase of Deccan eruptions: magnetic and mineral evidence

Environmental changes linked to Deccan volcanism are still poorly known. A major limitation resides in the paucity of direct Deccan volcanism markers and in the geologically short interval where both impact and volcanism occurred, making it hard to evaluate their contributions to the mass extinction. We investigated the low-magnetic-susceptibility interval just below the iridium-rich layer of the Bidart (France) section, which was recently hypothesized to be the result of paleoenvironmental perturbations linked to paroxysmal Deccan phase 2. Results show a drastic decrease of detrital magnetite and presence of scarce akaganeite, a hypothesized reaction product formed in the aerosols derived from reaction of a volcanic plume with water and oxygen in the high atmosphere. A weathering model of the consequences of acidic rains on a continental regolith reveals nearly complete magnetite dissolution after ~31,000 yr, which is consistent with our magnetic data and falls within the duration of the Deccan phase 2. These results highlight the nature and importance of the Deccan-related environmental changes leading up to the end- Cretaceous mass extinction

Atmospheric halogen and acid rains during the major Deccan episode: magnetic and mineral evidences

Environmental and climatic changes linked to Deccan volcanism are still poorly known. A major limitation resides in the paucity of direct Deccan volcanism markers and in the geologically short interval where both impact and volcanism occurred, making it hard to evaluate their contributions to the mass extinction. We investigated the low magnetic susceptibility interval just below the Iridium-rich layer of the Bidart (France) section, which was recently hypothesized to be the result of palaeoenvironmental perturbations linked to paroxysmal Deccan phase-2. Results show a drastic decrease of detrital magnetite and presence of fine specular akaganeite, a hypothesized reaction product between FeCl2 from the volcanic plume with water and oxygen in the high atmosphere. A weathering model of the consequences of acidic rains on a continental regolith reveals nearly complete magnetite dissolution after about 33,000 years, which is consistent with our magnetic data and the duration of the Deccan phase-2. This discovery represents an unprecedented piece of evidence of the nature and importance of the Deccan-related environmental changes