Association of Venous Function and Post-Exercise Oxygen Consumption

International Journal of Exercise Science 6(1) : 63-73, 2013. Excess post-exercise oxygen consumption (EPOC) has been attributed to metabolic, hemodynamic, neuroendocrine, and pulmonary factors. Interestingly, few studies have examined the role of venous system on EPOC. The purpose of this study was to examine the relationship between measures of vascular function and EPOC. Measures of vascular function and VO2 recovery kinetics were examined in 20 individuals [age=22+2.41 yrs]. Nondominant forearm arterial inflow, venous capacitance and venous outflow were evaluated at rest and after 5 minutes of upper arm occlusion, using strain gauge plethysmography. VO2 recovery kinetics was assessed using gas exchange analysis following a six-minute constant work rate protocol at 60 percent of VO2peak (VO2@60%), on a cycle ergometer. The average VO2peak was 33.48±8.22 ml×kg-1×min-1 (Range: 18.7 to 46.1 ml×kg-1×min-1). Following the six-minute constant work rate protocol, recovery half-time (T1/2VO2) and Tau were 17.01±3.51 seconds and 54.45±11.28 seconds, respectively. Arterial resting inflow was 2.77±1.51 ml×100ml-1×min-1, reactive hyperemic blood flow was 17.72±3.65 ml×100ml-1×min-1, venous capacitance was 2.86±0.72 percent, and venous outflow was 34.19±10.03 ml×100ml-1×min-1. Bivariate correlations revealed significant inverse associations between T1/2VO2 and the reactive hyperemic response (r=-0.48, p=0.03) and T1/2VO2 and venous outflow post-occlusion (r=-0.50, p=0.02). In conclusion, these findings suggest an important role of both the arterial and venous circulation on EPOC

Climate of the Field: Snowmass 2021

How are formal policies put in place to create an inclusive, equitable, safe environment? How do these differ between different communities of practice (institutions, labs, collaborations, working groups)? What policies towards a more equitable community are working? For those that aren't working, what external support is needed in order to make them more effective? We present a discussion of the current climate of the field in high energy particle physics and astrophysics (HEPA), as well as current efforts toward making the community a more diverse, inclusive, and equitable environment. We also present issues facing both institutions and HEPA collaborations, with a set of interviews with a selection of HEPA collaboration DEI leaders. We encourage the HEPA community and the institutions & agencies that support it to think critically about the prioritization of people in HEPA over the coming decade, and what resources and policies need to be in place in order to protect and elevate minoritized populations within the HEPA community.Comment: Contribution to Snowmass 202

Food consumption behaviours in Europe:Mapping drivers, trends and pathways towards sustainability

Why do European consumers buy food the way they do? Which key factors drive Europeans’ food consumption patterns and how could they be used to create pathways toward sustainability? The VALUMICS project’s evidence-based report provides insights to what influences consumers the most in their food choices. The report ‘Food consumption behaviours in Europe’ brings together data across various countries, such as the United Kingdom, Germany, France and Italy. Through in-depth literature research, focus groups and expert consultations, the report provides a better understanding of the status quo, trends, motivations as well as barriers and opportunities towards more sustainable food consumption behaviours in general. The focus is on five product categories: Beef, dairy, salmon, tomatoes and bread. Findings indicate that food consumption behaviours can be largely attributed to price considerations, family eating habits, health concerns or social contexts of consumers. The report highlights that environmental awareness and values play little to no role in the consumption patterns. “Certain changes can only be made by politics, or the EU in this case, which should impose high sustainability limits and standards: for example, banning disposable plastics is a good start. Until certain management practices are allowed, it is difficult to behave more sustainably because everyone else can be more economically competitive” noted one of the experts interviewed for the report. Other actions suggested in the report include fostering stronger communication channels between producers and consumers, with the potential for increasing the resilience of food value chains as well as using behavioural insights to inform strategies and action plans for more sustainable food consumption. The report ’Food consumption behaviours in Europe’ is the first in a series of VALUMICS publications focusing on analysing food consumption. The upcoming reports look into successful interventions for sustainable food behaviour, multi-stakeholder recommendations toward more sustainable food consumption, and food retailer interventions to support this shift.Nicolau, M., Esquivel, L., Schmidt, I., Fedato, C., Leimann, L., Samoggia, A., Monticone, F., Prete, D.M., Ghelfi, R., Saviolidis, M.N., Olafsdottir, G., Sigurdardottir, H., Aubert, P.M., Huber, E., Aditjandra, A., Hubbard, C., De, A., Gorton, M., Čechura, L., Bogason, G.S., Brimont, L., Odene, J. & Schamari, D. Report on (2021) Food consumption behaviours in Europe. Mapping drivers, trends and pathways towards sustainability. VALUMICS "Understanding Food Value Chains and Network Dynamics", funded by European Union's Horizon 2020 research and innovation programme GA No 727243. Deliverable: D6.1, CSCP, Germany, 87 pages

Optimal Timing of Administration of Direct-Acting Antivirals for Patients with Hepatitis C-Associated Hepatocellular Carcinoma Undergoing Liver Transplantation

Objective: To investigate the optimal timing of direct acting antiviral (DAA) administration in patients with hepatitis C-associated hepatocellular carcinoma (HCC) undergoing liver transplantation (LT). Summary of Background Data: In patients with hepatitis C (HCV) associated HCC undergoing LT, the optimal timing of direct-acting antivirals (DAA) administration to achieve sustained virologic response (SVR) and improved oncologic outcomes remains a topic of much debate. Methods: The United States HCC LT Consortium (2015–2019) was reviewed for patients with primary HCV-associated HCC who underwent LT and received DAA therapy at 20 institutions. Primary outcomes were SVR and HCC recurrence-free survival (RFS). Results: Of 857 patients, 725 were within Milan criteria. SVR was associated with improved 5-year RFS (92% vs 77%, P < 0.01). Patients who received DAAs pre-LT, 0–3 months post-LT, and ≥3 months post-LT had SVR rates of 91%, 92%, and 82%, and 5-year RFS of 93%, 94%, and 87%, respectively. Among 427 HCV treatment-naïve patients (no previous interferon therapy), patients who achieved SVR with DAAs had improved 5-year RFS (93% vs 76%, P < 0.01). Patients who received DAAs pre-LT, 0–3 months post-LT, and ≥3 months post-LT had SVR rates of 91%, 93%, and 78% (P < 0.01) and 5-year RFS of 93%, 100%, and 83% (P = 0.01). Conclusions: The optimal timing of DAA therapy appears to be 0 to 3 months after LT for HCV-associated HCC, given increased rates of SVR and improved RFS. Delayed administration after transplant should be avoided. A prospective randomized controlled trial is warranted to validate these results

Resource dependencies and the legitimatization of grocery retailer’s social evaluations of suppliers

Multinational corporations (MNCs) are increasingly judged not only on their own social impacts but also on those of their supply chain partners. To reduce this environmental dependence, many MNCs implement social evaluations and codes of conduct which suppliers must follow. But how do MNCs legitimise and implement social evaluations in their supply chains? To address this, we draw on and augment resource dependence and legitimacy theories, to analyse a multinational grocery retailer’s implementation of labour standards for its fruit and vegetable suppliers. The case study utilises interviews, analysis of a database of audits, internal documents, and observational data. It provides the basis for theorizing corporate reputation as a resource dependency, with social evaluations a distinct means to co-opt external actors to preserve the focal organization’s autonomy while reducing environmental contingencies. The legitimacy of social evaluations of supply chain partners depends on processes that reconcile both moral and pragmatic concerns, allowing the focal organization to mitigate resource dependencies without ceding control over enforcement and enabling actions

Abstract P588: The Association of Anthropometric Measures With Risk for Pre-HF

Byline: Jill H Esquivel, Univ of Virginia, Charlottesville, VA; Jeongok G Logan, Univ of Virginia, Charlottesvle, VA; Daniela Sotres-Alvarez, UNC Chapel Hill, CHAPEL HILL, NC; Sonia Ponce, UNIVERSITY OF CALIFORNIA SAN DIEGO, La Jolla, CA; Matthew A Allison, Univ of California San Diego, La Jolla, CA; Barry E Hurwitz, UNIVERSITY OF MIAMI, Miami, FL; Robert Kaplan, Albert Einstein College of Medicine, Bronx, NY; Carmen R Isasi, ALBERT EINSTEIN COLLEGE MEDICINE, Bronx, NY; Jainwen Cai, Univ of North Carolina, Chapel Hill, NC; Martha L Daviglus, UNIVERSITY ILLINOIS CHICAGO, Chicago, IL; Mayank M Kansal, Univ of Illinois at Chicago, Chicago, IL; Carlos J Rodriguez, Albert Einstein Sch of Medicine, Bronx, NY Introduction: Obesity is an epidemiologic challenge and a key risk factor for heart failure (HF). Pre-heart failure (pre-HF) has been recognized as an important entity to prevent progression to clinical HF. Defining the long-term effect of obesity on pre-HF is essential for understanding of HF risk and prevention. Purpose: To determine the prospective association of obesity on the incidence of pre-HF (defined as the presence of abnormal cardiac structure or function among persons without clinical HF). Methods: Data from 1580 individuals without HF and with anthropometric data from the population-based Echocardiographic-Study of Latinos were included. Pre-HF was defined as: 1) Systolic dysfunction - LV ejection fraction (LVEF) 10 and left atrial volume index (LAVI) >34 mL/m2; or 3) LV remodeling - LV mass index (LVMI)> 115gm/m2, >95gm/m2 (male and female, respectively) and relative wall thickness (RWT) >0.42. Anthropometric data were: (body mass index {BMI}, waist circumference {WC}, waist-to-hip ratio {WHR}, fat mass {FM) and free fat mass {FFM}). Echocardiographic and anthropometric data were collected twice, on average 4.3 years apart, and analyzed using survey-weighted multivariable-adjusted regression models. Incident pre-HF was determined among participants Results: Mean age of 56 (42-74) years and 1048 (66%) were female. Baseline mean BMI was 29.9 kgm2, FM kg 28.3, FFM kg 50.1, WC 99.7cm, and WHR 0.94. Baseline BMI, FFM, FM, WC and WHR were significantly higher in individuals with prevalent pre-HF (all p<0.007). Longitudinal data showed that WC and WHR were associated with greater probability of incident pre-HF (WC and WHR p<0.0006. Regression models showed BMI, WC, WHR and FFM were associated with increased odds of incident Pre-HF (Table 1).Professiona

Discordance in Perceptions of Barriers to Breast Cancer Treatment Between Hispanic Women and Their Providers

Despite comparable screening and incidence rates that are 26% below that of non-Hispanic Whites, Hispanic women present with breast cancer at more advanced stages of disease, representing a continuing and troubling health disparity for this population. Reducing these disparities warrant more innovative research approaches to better understand perspectives of Hispanic patients regarding barriers to treatment and how these perspectives compare to those of their providers. A pilot qualitative study was conducted at a major urban cancer center in Arizona that measured both patient and provider perspectives regarding barriers to treatment. Through a multimethod qualitative analysis, researchers surveyed patients and providers to identify perceived barriers and discordance in shared understanding. Data collection and analysis consisted of surveying patients and providers, then performing inductive qualitative analysis. Results indicated the highest concordance, or shared understanding, between patients and providers was in recognizing barriers within delivery of care, such as cost of care and insurance coverage. The greatest discordance, or gaps in shared understanding, existed in upstream barriers of the health care system, such as emotional support and trust in systems. These results underscore the gap in shared understanding between patients and providers regarding upstream barriers to care as well as the nonclinical social determinants of health Hispanic patients face in accessing breast cancer treatment. More research is warranted using this approach as a tool to reduce health disparities