Prevalence of type 2 diabetes among minority groups

The purpose of this study was twofold. First, the study evaluated Loma Linda University Medical Center\u27s (LLUMC) Diabetes Treatment Center\u27s (DTC) effectiveness in providing diabetes education and services to high risk minority populations. Second, the results of the study helped the DTC determine the need for expanding its present efforts in the form of community health prevention services to San Bernardino County residents

La Imagen y la Narrativa como Herramientas para el Abordaje Psicosocial en Escenarios de Violencia, Municipios de Güepsa, Málaga, San Gil y Vélez. Departamento de Santander

El presente trabajo se lleva a cabo bajo el análisis crítico de las subjetividades de cada historia, que sin lugar a dudas, desde lo psicosocial se presentan como un medio de ejercicio del psicólogo; alternando estrategias y confrontando referentes conceptuales, ya que, en los escenarios de violencia se forja un impacto emocional latente. Los escenarios presentados permiten exponer de manera tangible los diferentes emergentes que surgen de la guerra, así mismo, todo lo que implica estar sumergido en ella, donde las secuelas físicas y emocionales son inevitables, en este sentido, los diferentes contextos afectan la subjetividad del individuo que desde lo psicosocial se lograr abordar a través de diversas herramientas. Por lo tanto, el rol del profesional de la salud mental es trascendental ya que forja un ente mediador y potencializador exponiendo ejercicios de reconocimiento de derechos y exploración de las diferentes escenas a través de las narrativas, desde las cuales los psicólogos en formación permiten una trasformación de pensamiento y empoderamiento en la forma de ver el mundo y apropiarse de él. Así mismo, desde el caso de las comunidades de Cacarica se dan a conocer algunas propuestas de intervención con el objetivo de contribuir al cambio psicológico y social, dando como resultado una mejor calidad de vida.This work has been developed according to the critical analysis of the subjectivities of each story, which without a doubt, from the psychosocial point of view is presented as a way of working for the psychologist; alternating strategies and confronting conceptual references, as, in situations of violence a latent emotional impact is forged. The selected scenarios can tangibly expose the different emergent that arise from the war as well as everything that implies being submerged in it, where the physical and emotional consequences are inevitable, in this sense, the different contexts are affected by the subjectivity of the psychological individual, which from the psychosocial point of view can be studied through various tools. Therefore, the role of the mental health professional is transcendental because it forges a mediating and empowering entity exposing rights recognition exercises and exploring different scenes through narratives, from which psychologists-in-training transfer a transformation thinking and empowerment in the way of seeing the world and appropriating it. Likewise, in the case of Cacarica communities some intervention proposals are disclosed with the aim of contributing to psychological and social change, resulting in a better quality of life

Examining the Association of Socioeconomic Position with Microcephaly and Delayed Childhood Neurodevelopment among Children with Prenatal Zika Virus Exposure.

Increased rates of Zika virus have been identified in economically deprived areas in Brazil at the population level; yet, the implications of the interaction between socioeconomic position and prenatal Zika virus exposure on adverse neurodevelopmental outcomes remains insufficiently evaluated at the individual level. Using data collected between September 2015 and September 2019 from 163 children with qRT-PCR and/or IgM-confirmed prenatal exposure to Zika virus participating in a prospective cohort study in Rio de Janeiro, Brazil (NCT03255369), this study evaluated the relationships of socioeconomic indicators with microcephaly at birth and Bayley-III neurodevelopmental scores during the early life course. Adjusted logistic regression models indicated increased odds of microcephaly in children born to families with lower household income (OR, 95% CI: 3.85, 1.43 to 10.37) and higher household crowding (OR, 95% CI: 1.83, 1.16 to 2.91), while maternal secondary and higher education appeared to have a protective effect for microcephaly compared to primary education (OR, 95% CI: 0.33, 0.11 to 0.98 and 0.10, 0.03 to 0.36, respectively). Consistent with these findings, adjusted linear regression models indicated lower composite language (-10.78, 95% CI: -19.87 to -1.69), motor (-10.45, 95% CI: -19.22 to -1.69), and cognitive (-17.20, 95% CI: -26.13 to -8.28) scores in children whose families participated in the Bolsa Família social protection programme. As such, the results from this investigation further emphasise the detrimental effects of childhood disadvantage on human health and development by providing novel evidence on the link between individual level socioeconomic indicators and microcephaly and delayed early life neurodevelopment following prenatal Zika virus exposure

Zika virus infection in pregnancy and infant growth, body composition in the first three months of life: a cohort study.

The implications of Zika Virus exposure in pregnancy for early infant growth remains poorly described. The main goal of this study is to compare the growth, body composition, and feeding modality of infants in the first three months of life by prenatal Zika Virus exposure status. We selected an analytical cohort of 115 infants born without microcephaly, comprising 56 infants with qRT-PCR confirmed exposure to ZIKV during gestation and 59 infants born to women with presumptively no evidence of ZIKV in pregnancy. Infants were evaluated at birth, 1 and 3 months of age in terms of anthropometrics, body composition All the results were adjusted by maternal age, maternal BMI and gestational age. We observe no differences between anthropometric measurements at birth. Mothers in exposed group showed higher BMI. At 1 month and 3 months of age there were differences in mid arm circumference, arm muscle circumference and fat free mass. Weight and length was less in the ZIKV exposed in pregnancy infants and statistically different at 3 month of age. The findings of this investigation provide new evidence that ZIKV exposure in pregnancy may be associated with differences in body composition

Calibrating mid-infrared emission as a tracer of obscured star formation on HII-region scales in the era of JWST

Measurements of the star formation activity on cloud scales are fundamental to uncovering the physics of the molecular cloud, star formation, and stellar feedback cycle in galaxies. Infrared (IR) emission from small dust grains and polycyclic aromatic hydrocarbons (PAHs) are widely used to trace the obscured component of star formation. However, the relation between these emission features and dust attenuation is complicated by the combined effects of dust heating from old stellar populations and an uncertain dust geometry with respect to heating sources. We use images obtained with NIRCam and MIRI as part of the PHANGS--JWST survey to calibrate dust emission at 21$\rm \mu m$, and the emission in the PAH-tracing bands at 3.3, 7.7, 10, and 11.3$\rm \mu m$ as tracers of obscured star formation. We analyse $\sim$ 20000 optically selected HII regions across 19 nearby star-forming galaxies, and benchmark their IR emission against dust attenuation measured from the Balmer decrement. We model the extinction-corrected H$\alpha$ flux as the sum of the observed H$\alpha$ emission and a term proportional to the IR emission, with $a_{IR}$ as the proportionality coefficient. A constant $a_{IR}$ leads to extinction-corrected H$\alpha$ estimates which agree with those obtained with the Balmer decrement with a scatter of $\sim$ 0.1 dex for all bands considered. Among these bands, 21$\rm \mu m$ emission is demonstrated to be the best tracer of dust attenuation. The PAH-tracing bands underestimate the correction for bright HII regions, since in these environments the ratio of PAH-tracing bands to 21$\rm \mu m$ decreases, signalling destruction of the PAH molecules. For fainter HII regions all bands suffer from an increasing contamination from the diffuse infrared background.Comment: accepted for publication in A&

Measuring the mixing scale of the ISM within nearby spiral galaxies

The spatial distribution of metals reflects, and can be used to constrain, the processes of chemical enrichment and mixing. Using PHANGS-MUSE optical integral field spectroscopy, we measure the gas phase oxygen abundances (metallicities) across 7,138 HII regions in a sample of eight nearby disc galaxies. In Paper I (Kreckel et al. 2019) we measure and report linear radial gradients in the metallicities of each galaxy, and qualitatively searched for azimuthal abundance variations. Here, we examine the two-dimensional variation in abundances once the radial gradient is subtracted, Delta(O/H), in order to quantify the homogeneity of the metal distribution and to measure the mixing scale over which HII region metallicities are correlated. We observe low (0.03--0.05 dex) scatter in Delta(O/H) globally in all galaxies, with significantly lower (0.02--0.03 dex) scatter on small (<600 pc) spatial scales. This is consistent with the measurement uncertainties, and implies the two-dimensional metallicity distribution is highly correlated on scales of <600 pc. We compute the two point correlation function for metals in the disc in order to quantify the scale lengths associated with the observed homogeneity. This mixing scale is observed to correlate better with the local gas velocity dispersion (of both cold and ionized gas) than with the star formation rate. Selecting only HII regions with enhanced abundances relative to a linear radial gradient, we do not observe increased homogeneity on small scales. This suggests that the observed homogeneity is driven by the mixing introducing material from large scales rather than by pollution from recent and on-going star formation.Comment: 17 pages, 14 figures. Accepted for publication in MNRA

Kinematic analysis of the super-extended HI disk of the nearby spiral galaxy M 83

Funding: CE, FB, AB, IB, JdB and JP acknowledge funding from the European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation programme (grant agreement No.726384/Empire). TGW acknowledges funding from the European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation programme (grant agreement No. 694343). JMDK gratefully acknowledges funding from the European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation programme via the ERC Starting Grant MUSTANG (grant agreement number 714907). SCOG acknowledges funding from the European Research Council via the ERC Synergy Grant “ECOGAL – Understanding our Galactic ecosystem: From the disk of the Milky Way to the formation sites of stars and planets” (project ID 855130). WJGdB received funding from the European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation programme (grant agreement No 882793 ‘MeerGas’).We present new HI observations of the nearby massive spiral galaxy M83, taken with the VLA at 21″ angular resolution (≈500 pc) of an extended (1.5 deg2) 10-point mosaic combined with GBT single dish data. We study the super-extended HI disk of M83 (∼50 kpc in radius), in particular disc kinematics, rotation and the turbulent nature of the atomic interstellar medium. We define distinct regions in the outer disk (rgal > central optical disk), including ring, southern area, and southern and northern arm. We examine HI gas surface density, velocity dispersion and non-circular motions in the outskirts, which we compare to the inner optical disk. We find an increase of velocity dispersion (σv) towards the pronounced HI ring, indicative of more turbulent HI gas. Additionally, we report over a large galactocentric radius range (until rgal ∼ 50 kpc) that σv is slightly larger than thermal (i.e. > 8 km s-1). We find that a higher star formation rate (as traced by FUV emission) is not always necessarily associated with a higher HI velocity dispersion, suggesting that radial transport could be a dominant driver for the enhanced velocity dispersion. We further find a possible branch that connects the extended HI disk to the dwarf irregular galaxy UGCA365, that deviates from the general direction of the northern arm. Lastly, we compare mass flow rate profiles (based on 2D and 3D tilted ring models) and find evidence for outflowing gas at rgal ∼ 2 kpc, inflowing gas at rgal ~ 5.5 kpc and outflowing gas at rgal ~ 14 kpc. We caution that mass flow rates are highly sensitive to the assumed kinematic disk parameters, in particular, to the inclination.Publisher PDFPeer reviewe

Influence of gestational age at initiation of antihypertensive therapy: Secondary analysis of CHIPS trial data (control of hypertension in pregnancy study).

For hypertensive women in CHIPS (Control of Hypertension in Pregnancy Study), we assessed whether the maternal benefits of tight control could be achieved, while minimizing any potentially negative effect on fetal growth, by delaying initiation of antihypertensive therapy until later in pregnancy. For the 981 women with nonsevere, chronic or gestational hypertension randomized to less-tight (target diastolic blood pressure, 100 mm Hg), or tight (target, 85 mm Hg) control, we used mixed-effects logistic regression to examine whether the effect of less-tight (versus tight) control on major outcomes was dependent on gestational age at randomization, adjusting for baseline factors as in the primary analysis and including an interaction term between gestational age at randomization and treatment allocation. Gestational age was considered categorically (quartiles) and continuously (linear or quadratic form), and the optimal functional form selected to provide the best fit to the data based on the Akaike information criterion. Randomization before (but not after) 24 weeks to less-tight (versus tight) control was associated with fewer babies with birth weight 48 hours (Pinteraction=0.354). For the mother, less-tight (versus tight) control was associated with more severe hypertension at all gestational ages but particularly so before 28 weeks (Pinteraction=0.076). In women with nonsevere, chronic, or gestational hypertension, there seems to be no gestational age at which less-tight (versus tight) control is the preferred management strategy to optimize maternal or perinatal outcomes

Women's views and postpartum follow-up in the CHIPS Trial (Control of Hypertension in Pregnancy Study).

OBJECTIVE: To compare women's views about blood pressure (BP) control in CHIPS (Control of Hypertension In Pregnancy Study) (NCT01192412). DESIGN: Quantitative and qualitative analysis of questionnaire responses. SETTING: International randomised trial (94 sites, 15 countries). POPULATION/SAMPLE: 911 (92.9%) women randomised to 'tight' (target diastolic blood pressure, 85mmHg) or 'less tight' (target diastolic blood pressure, 100mmHg) who completed questionnaires. METHODS: A questionnaire was administered at ∼6-12 weeks postpartum regarding post-discharge morbidity and views about trial participation. Questionnaires were administered by the site co-ordinator, and contact was made by phone, home or clinic visit; rarely, data was collected from medical records. Quantitative analyses were Chi-square or Fisher's exact test for categorical variables, mixed effects multinomial logistic regression to adjust for confounders, and p<0.001 for statistical significance. NVivo software was used for thematic analysis of women's views. MAIN OUTCOME MEASURES: Satisfaction, measured as willingness to have the same treatment in another pregnancy or recommend that treatment to a friend. RESULTS: Among the 533 women in 'tight' (N=265) vs. 'less tight' (N=268) control who provided comments for qualitative analysis, women in 'tight' (vs. 'less tight') control made fewer positive comments about the amount of medication taken (5 vs. 28 women, respectively) and intensity of BP monitoring (7 vs. 17, respectively). However, this did not translate into less willingness to either have the same treatment in another pregnancy (434, 95.8% vs. 423, 92.4%, respectively; p=0.14) or recommend that treatment to a friend (435, 96.0% and 428, 93.4%, respectively; p=0.17). Importantly, although satisfaction remained high among women with an adverse outcome, those in 'tight' control who suffered an adverse outcome (vs. those who did not) were not consistently less satisfied, whereas this was not the case among women in 'less tight' control among whom satisfaction was consistently lower for the CHIPS primary outcome (p<0.001), severe hypertension (p≤0.01), and pre-eclampsia (p<0.001). CONCLUSIONS: Women in 'tight' (vs. 'less tight') control were equally satisfied with their care, and more so in the face of adverse perinatal or maternal outcomes

Pan-Cancer Analysis of lncRNA Regulation Supports Their Targeting of Cancer Genes in Each Tumor Context

Long noncoding RNAs (lncRNAs) are commonly dys-regulated in tumors, but only a handful are known toplay pathophysiological roles in cancer. We inferredlncRNAs that dysregulate cancer pathways, onco-genes, and tumor suppressors (cancer genes) bymodeling their effects on the activity of transcriptionfactors, RNA-binding proteins, and microRNAs in5,185 TCGA tumors and 1,019 ENCODE assays.Our predictions included hundreds of candidateonco- and tumor-suppressor lncRNAs (cancerlncRNAs) whose somatic alterations account for thedysregulation of dozens of cancer genes and path-ways in each of 14 tumor contexts. To demonstrateproof of concept, we showed that perturbations tar-geting OIP5-AS1 (an inferred tumor suppressor) andTUG1 and WT1-AS (inferred onco-lncRNAs) dysre-gulated cancer genes and altered proliferation ofbreast and gynecologic cancer cells. Our analysis in-dicates that, although most lncRNAs are dysregu-lated in a tumor-specific manner, some, includingOIP5-AS1, TUG1, NEAT1, MEG3, and TSIX, synergis-tically dysregulate cancer pathways in multiple tumorcontexts