The impact of underrepresentation in cardiovascular trials on minorities in the United States

oai:ojs.osjournal.org:article/3050In the United States a great underrepresentation of minorities in cardiovascular trials was registered. This brings a lot of harm to their health because underrepresentation does not give them the possibility to develop the right knowledge to treat them in the best way possible. In addition, minorities in the United States are more likely to have a low socioeconomic status and not be able to afford health insurance and access care. This issue leads to minorities having higher Cardiovascular Disease mortality and risk factors rates than White people. Disorders like Hypertension, Hypercholesterolemia, Obesity, and Diabetes are more prevalent among minorities especially because of their low socioeconomic status and less access to continuous care. Over the past years, the situation was tried to improve, but without any success. Despite the approval of guidelines, many researchers do not even report the patients’ races, not allowing them to have a vivid portrait of the situation. Economic reasons prevent researchers from recruiting minorities and mainly psychosocial factors, like mistrust or fear, and racism do not encourage minorities to participate in trials. Many can be the solutions for these problems, from investing more money to giving remunerations to participants. Furthermore, new and more inclusive recruitment strategies are needed, like the use of social media platforms. A rapid change is extremely necessary. Minorities are growing fast and many of them are not insured, have no access to primary care, and are more likely to die from Cardiovascular Disease

Exploring human capital: discrimination factors and group-specific performance in the football industry

The aim of the study is to investigate whether discrimination factors exist within professional football clubs, concerning the management of their human capital, by analysing the correlation between the footballers’ wages and their performance. An analysis was conducted to show that discrimination, based both on nationality and race, can affect the strategies adopted by football club managers and in the professional footballer labour market, where players are considered to be the human capital of football enterprises. The research framework consists of an analysis of the existing literature on discrimination in sports and of a quantitative analysis based on an exploratory approach, where the wage differences among Italian Serie A league footballers are compared to the performance of each group of players (organised by race or nationality). The results of the analysis of data for all Italian Serie A clubs show that discrimination (in pay) exists against Italian and white players. In contrast, when small and big clubs are considered separately, the findings relating to small clubs highlight that foreign and black players face such discrimination. The results suggest that managers of professional football clubs apply a discrimination strategy. In addition, the results provide practical implications on the types of discrimination errors that are committed by the management of big and small football clubs. Big clubs tend to overrate the contributions of foreign and/or black players compared to those of Italian and white players, while small clubs tend to overrate the contributions of Italian and white players compared to those of foreign and black players. To reduce discrimination, clubs have to correlate how much players are paid with their performance. Further research is recommended to identify the impact of wage inequality on the football labour market and on professional team management

Winsor & Newton original handbooks: asurface-enhanced Raman scattering (SERS) andRaman spectral database of dyes from modernwatercolor pigments

Background Winsor & Newton Ltd. has been one of the main fine art products providers since its establishment in 1832, being responsible for the manufacture of a wide assortment of materials ranging from oils and pigments to brushes and papers. All the items produced over the years have been indexed in a comprehensive historical archive. Original Winsor & Newton handbooks are a powerful resource which can offer insight into the world of artists’ materials, and knowledge of artists’ choices through the identification of substances employed to obtain particular colors. Scientific analyses of various kinds have been carried out on Winsor & Newton art materials over the years; however, a detailed study of the organic dyes contained in the watercolors manufactured by the company has never been performed thus far to our knowledge. Results In the present study, we examined a number of color washes on drawing paper from two historical Winsor & Newton catalogues dating to the 19th and 20th century. An appropriate database was thus built, including surface-enhanced Raman scattering (SERS) and Raman spectra of organic colorants from a wide variety of shades. While the selection of colors offered by the company in the 19th century mostly included lakes prepared from plant and insect dyes, i.e. madder and cochineal, some tints based on synthetic dyes were also found in the 20th century handbook. Conclusions The present article sheds new light on the chemical composition of a number of original Winsor & Newton color washes in terms of organic colorants contained in each shade. A special attention was dedicated to the analysis of those colors for which the formulation was ambiguous or not specified by the manufacturers, such as dragons’ blood and most of the alizarin-based pigments. In addition, we were able to correct erroneous indications provided by Winsor & Newton on the composition of some tints, as in the case of violet carmine, and study how the formulation of certain pigments has been modified over the centuries

Platelet signalling networks: pathways perturbation demonstrates differential sensitivity of ADP secretion and fibinogen binding.

Platelet signalling responses to single agonists have been identified previously. However a model of the total platelet signalling network is still lacking. In order to gain insights into this network, we explored the effects of a range of platelet-function inhibitors in two independent assays of platelet function, namely fibrinogen binding and ADP secretion. In this study, we targeted the intracellular signalling molecules Syk and PI3K, the prostaglandin synthesis enzyme COX, surface receptors for TxA2 and ADP (P2Y1 and P2Y12) and the integrin cell adhesion molecule, aIIbb3. We demonstrate that the platelet responses of fibrinogen binding and secretion can be differentially affected by the individual inhibitors permitting the generation of a model delineating novel regulatory links in the platelet signal network. Importantly, the model illustrates the interconnections among portions that are traditionally studied as separate modules, promoting a more integrated view of the platelet

Making the Communication of CCS more "human"

CCS communication has proven a tough challenge, particularly for the difficulty in raising interest for the technology, which is still unknown to the majority of the population, and for the complexity of conveying information about its potential for reducing emissions. In this paper we present a research based effort for bringing CCS nearer to people, through visual material developed taking into account emotional needs related to the technology. The production of a short introductory film on CCS is illustrated and its testing with a sample of 700 high school students

Hereditary spastic paraplegia: Clinical-genetic characteristics and evolving molecular mechanisms

AbstractHereditary spastic paraplegia (HSP) is a group of clinically and genetically heterogeneous neurological disorders characterized by pathophysiologic hallmark of length-dependent distal axonal degeneration of the corticospinal tracts. The prominent features of this pathological condition are progressive spasticity and weakness of the lower limbs. To date, 72 spastic gait disease-loci and 55 spastic paraplegia genes (SPGs) have been identified. All modes of inheritance (autosomal dominant, autosomal recessive, and X-linked) have been described. Recently, a late onset spastic gait disorder with maternal trait of inheritance has been reported, as well as mutations in genes not yet classified as spastic gait disease. Several cellular processes are involved in its pathogenesis, such as membrane and axonal transport, endoplasmic reticulum membrane modeling and shaping, mitochondrial function, DNA repair, autophagy, and abnormalities in lipid metabolism and myelination processes. Moreover, recent evidences have been found about the impairment of endosome membrane trafficking in vesicle formation and about the involvement of oxidative stress and mtDNA polymorphisms in the onset of the disease. Interactome networks have been postulated by bioinformatics and biological analyses of spastic paraplegia genes, which would contribute to the development of new therapeutic approaches

Nocturnal Arrhythmias and Heart-Rate Swings in Patients With Obstructive Sleep Apnea Syndrome Treated With Beta Blockers

Background: The higher cardiovascular variability and the increased prevalence of arrhythmias in patients with obstructive sleep apneas may contribute to their higher rate of fatal events during sleep. In this regard, the use of beta blockers (BB) is debated because they may induce bradyarrhythmias and alter the pattern of heart rate changes induced by apneas. Thus, the aim of our study is to quantify peri-apneic heart-rate swings and prevalence of nocturnal bradyarrhythmias in BB-treated and BB-naive patients with obstructive sleep apnea. Methods and Results: Our real-life, retrospective, cohort study analyzed data from patients with obstructive sleep apnea after a basal cardiorespiratory polysomnography. Among 228 eligible participants, we enrolled 78 BB-treated and 88 BB-naive patients excluding those treated with antiarrhythmic drugs or pacemakers, or with uninterpretable ECG traces during polysomnography. In each patient, type and frequency of arrhythmias were identified and peri-apneic changes of RR intervals were evaluated for each apnea. BB-treated patients were older and with more comorbidities than BB-naive patients, but had similar obstructive sleep apnea severity, similar frequency of arrhythmic episodes, and similar prevalence of bradyarrhythmias. Apnea-induced heart-rate swings, unadjusted for age, showed lower RR interval changes in BB-treated (133.5 +/- 63.8 ms) than BB-naive patients (171.3 +/- 87.7 ms, P=0.01), lower RR interval increases during apneas (58.5 +/- 28.5 versus 74.6 +/- 40.2 ms, P=0.01), and lower RR interval decreases after apneas (75.0 +/- 42.4 versus 96.7 +/- 55.5 ms, P0.05). Conclusions: BB appear to be safe in patients with obstructive sleep apnea because they are not associated with worse episodes of nocturnal bradyarrhythmias and even seem protective in terms of apnea-induced changes of heart rate

Short Heat Treatments for the F357 Aluminum Alloy Processed by Laser Powder Bed Fusion

Conventionally processed precipitation hardening aluminum alloys are generally treated with T6 heat treatments which are time-consuming and generally optimized for conventionally processed microstructures. Alternatively, parts produced by laser powder bed fusion (L-PBF) are characterized by unique microstructures made of very fine and metastable phases. These peculiar features require specifically optimized heat treatments. This work evaluates the effects of a short T6 heat treatment on L-PBF AlSi7Mg samples. The samples underwent a solution step of 15 min at 540 °C followed by water quenching and subsequently by an artificial aging at 170 °C for 2-8 h. The heat treated samples were characterized from a microstructural and mechanical point of view and compared with both as-built and direct aging (DA) treated samples. The results show that a 15 min solution treatment at 540 °C allows the dissolution of the very fine phases obtained during the L-PBF process; the subsequent heat treatment at 170 °C for 6 h makes it possible to obtain slightly lower tensile properties compared to those of the standard T6. With respect to the DA samples, higher elongation was achieved. These results show that this heat treatment can be of great benefit for the industry