Premature cardiovascular events and mortality in south Asians with type 2 diabetes in the United Kingdom Asian Diabetes Study - effect of ethnicity on risk

Background/Aim - People of south Asian origin have an excessive risk of morbidity and mortality from cardiovascular disease. We examined the effect of ethnicity on known risk factors and analysed the risk of cardiovascular events and mortality in UK south Asian and white Europeans patients with type 2 diabetes over a 2 year period. Methods - A total of 1486 south Asian (SA) and 492 white European (WE) subjects with type 2 diabetes were recruited from 25 general practices in Coventry and Birmingham, UK. Baseline data included clinical history, anthropometry and measurements of traditional risk factors – blood pressure, total cholesterol, HbA1c. Multiple linear regression models were used to examine ethnicity differences in individual risk factors. Ten-year cardiovascular risk was estimated using the Framingham and UKPDS equations. All subjects were followed up for 2 years. Cardiovascular events (CVD) and mortality between the two groups were compared. Findings - Significant differences were noted in risk profiles between both groups. After adjustment for clustering and confounding a significant ethnicity effect remained only for higher HbA1c (0.50 [0.22 to 0.77]; P?=?0.0004) and lower HDL (-0.09 [-0.17 to -0.01]; P?=?0.0266). Baseline CVD history was predictive of CVD events during follow-up for SA (P?

Comparative risk of microalbuminuria and proteinuria in UK residents of south Asian and white European ethnic background with type 2 diabetes:a report from UKADS

Objective - This study investigated and compared the prevalence of microalbuminuria and overt proteinuria and their determinants in a cohort of UK resident patients of white European or south Asian ethnicity with type 2 diabetes mellitus. Research design and methods - A total of 1978 patients, comprising 1486 of south Asian and 492 of white European ethnicity, in 25 general practices in Coventry and Birmingham inner city areas in England were studied in a cross-sectional study. Demographic and risk factor data were collected and presence of microalbuminuria and overt proteinuria assessed. Main outcome measures - Prevalences of microalbuminuria and overt proteinuria. Results - Urinary albumin:creatinine measurements were available for 1852 (94%) patients. The south Asian group had a lower prevalence of microalbuminuria, 19% vs. 23% and a higher prevalence of overt proteinuria, 8% vs. 3%, X2?=?15.85, 2df, P?=?0.0004. In multiple logistic regression models, adjusted for confounding factors, significantly increased risk for the south Asian vs. white European patients for overt proteinuria was shown; OR (95% CI) 2.17 (1.05, 4.49), P?=?0.0365. For microalbuminuria, an interaction effect for ethnicity and duration of diabetes suggested that risk for south Asian patients was lower in early years following diagnosis; OR for SA vs. WH at durations 0 and 1 year were 0.56 (0.37, 0.86) and 0.59 (0.39, 0.89) respectively. After 20 years’ duration, OR?=?1.40 (0.63, 3.08). Limitations - Comparability of ethnicity defined groups; statistical methods controlled for differences between groups, but residual confounding may remain. Analyses are based on a single measure of albumin:creatinine ratio. Conclusions - There were significant differences between ethnicity groups in risk factor profiles and microalbuminuria and overt proteinuria outcomes. Whilst south Asian patients had no excess risk of microalbuminuria, the risk of overt proteinuria was elevated significantly, which might be explained by faster progression of renal dysfunction in patients of south Asian ethnicity.

Synthesis of pyridine-stretched 2′-deoxynucleosides

Synthesis of novel pyridine-stretched nucleoside (PSN) analogues of adenine (strA) (1), 2,6-diaminopurine (strD) (15) and hypoxanthine (strH) (17) from 4(5)-nitroimidazole has been achieved. Glycosylation of 4(5)-nitroimidazole was optimized to give consistently good yields (>70%) of the desired analytically pure 5-nitro-1′-β isomer 8 which on hydrogenation, C-addition of ethoxymethylene malononitrile (EMMN) and cyclisation provides the key intermediate 14 for PSN synthesis.

Impacts of climate change on vegetation distribution. No. 1: Climate change induced vegetation shifts in the palearctic region

Global average temperature has increased and precipitation pattern has altered over the past 100 years due to increases in greenhouse gases. These changes will alter numerous site factors and biochemical processes of vegetative communities such as nutrient and water availability, permafrost thawing, fire regime, biotic interactions and invasion. As a consequence, climate change is expected to alter distribution ranges of many species and communities as well as boundaries of biomes. Shifting of species and vegetation zones northwards and upwards in elevation has already been observed. Besides, several experiments have been conducted and simulations have been run all over the world in order to predict possible range shifts and ecological risks. In this paper, we review literature available in Web of Science on Europe and boreal Eurasia and give an overview of observed and predicted changes in vegetation in these regions. The main trends include advance of the tree line, reduction of the alpine vegetation belt, drought risk, forest diebacks, a shift from coniferous forests to deciduous forests and invasion. It is still controversial if species migration will be able to keep pace with climate change.

The Foodservice Industry's Social Responsibility Regarding the Obesity Epidemic, Part II: Incorporating Strategic Corporate Social Responsibility into Foodservice Operations

Just as all types of business firms are now expected to go beyond their profit-oriented activities in boosting the well-being of the community, so, too, is corporate social responsibility (CSR) expected from foodservice firms. The significance of the obesity epidemic, combined with the foodservice industry's role in the development of this epidemic, suggests that the industry has an ethical responsibility to implement CSR activities that will help reduce obesity, particularly among children. CSR should be seen as an efficient management strategy through which a firm voluntarily integrates social and environmental concerns into its business operations and its interactions with stakeholders. Although costs are associated with CSR initiatives, benefits accrue to the firm. Decisions regarding alternative CSR activities should be based on a cost-benefit analysis and calculation of the present value of the revenue stream that can be identified as resulting from the specific CSR activities. CSR initiatives should be viewed as long-term investments that will enhance the firms’ value. Key areas for foodservice firms' CSR activities include marketing practices, particularly practices impacting advertising to children and marketing that will enhance the firms’ visibility; portion-size modification; new-product development; and consistent nutrition labeling on menus.

The Beacon, November 15, 2010

Vol. 24, Issue 36, 8 pages

Florida International University Fall December 11,2012 Commencement Ceremony Session 5

Florida International University Commencement Ceremony December 11,2012 at US Century Bank Arena ( Session 5) Colleges graduated: College of Engineering and Computing

Stream drying drives microbial ammonia oxidation and first-flush nitrate export

Funded by Spanish National Research Council (CSIC). Grant Number: CGL2012-32747 MINECO. Grant Numbers: CGL2012-32747, CGL2011-30590-CO2-02 EU Commission. Grant Number: 244121 FP7

Pedagogias de mediação intercultural e intervenção social

Este livro resulta da compilação de alguns textos escritos na continuidade de comunicações apresentadas no Ciclo de Conferências de Mediação e Intervenção Social, iniciado em 2014, e organizado pelo Mestrado em Mediação Intercultural e Intervenção Social (MIIS), Licenciatura de Serviço Social, Curso de Especialização Tecnológica em Serviço Social e Desenvolvimento Comunitário, Curso Técnico Superior Profissional em Intervenção Social e Comunitária e Departamento de Ciências Sociais da Escola Superior de Educação e Ciências Sociais (ESECS) do Instituto Politécnico de Leiria (IPL), bem como de textos escritos pelos docentes do MMIIS, que mostram a sua investigação na área e disponibilizam, assim, recursos pedagógicos próprios para os estudantes. Os textos que se seguem prendem-se, justamente, com a investigação que, paralelamente, fomos fazendo na área das migrações, educação intercultural, mediação intercultural e sociopedagógica, pedagogia social e educação social, serviço social e identidades profissionais, assim como com a investigação dos convidados nacionais e internacionais que muito nos honram em juntar à nossa pesquisa as suas reflexões e investigações sobre Pedagogia Social (José António Caride), Educação Intercultural e Mediação Sociopedagógica (Américo Peres), Indisciplina e Bullying na escola (João Amado e Cristina Vieira) e Acolhimento Familiar (Paulo Delgado).

Fadrique Álvarez de Toledo, II Duque de Alba y su inventario de libros (1531): Una biblioteca patrimonial

Fadrique Álvarez de Toledo, que nació hacia 1460 y murió en 1531, lidera en Castilla el linaje de la casa de Alba en el tránsito de la Edad Media al Renacimiento. Primo carnal de Fernando el Católico, y colaborador íntimo de los Reyes, desarrolla una amplia labor de mecenazgo artístico y literario, de la cual son ejemplos relevantes los apoyos a poetas como Juan del Encina, Juan Boscán o Garcilaso de la Vega. A pesar de esta actividad, la crítica no se ha ocupado con detalle de este personaje por haberle eclipsado un tanto su nieto, el Gran Duque de Alba. Este artículo reproduce el inventario de la biblioteca de Don Fadrique (formado por los libros que fueron catalogados a su muerte), inédito hasta ahora y que nos muestra una rica biblioteca patrimonial de ciento ochenta y seis obras. Entre los libros religiosos encontramos biblias, tratados de oración y libros de horas; se hallan también algunos títulos indispensables de las tradiciones franciscana y dominica, que nos muestran a un personaje interesado en las nuevas corrientes devocionales de finales del siglo XV, en el escolasticismo y en las mujeres santas y visionarias del Medievo.

El clima intuido en el Madrid medieval a través de sus documentos y del Libro de la Montería (siglos XIV-XVI)

El presente trabajo pretende analizar cuáles eran las características climáticas que se sucedían en Madrid y su Tierra a lo largo del año, fundamentalmente entre los siglos XIV y XVI. Se intentará comprobar, dentro de las limitaciones que impone la documentación de la época, si en aquel tiempo se daba también un clima mediterráneo, o no, y si este ha variado mucho desde entonces. Igualmente se podrá comprobar algo que tal vez podría, aunque no debería, sorprendernos: el hombre medieval tenía muy claros muchos conceptos meteorológicos y climatológicos, aunque siempre aprehendidos con una finalidad práctica, para aplicarlos en su vida cotidiana tan cercana y dependiente de la naturaleza.