s: Japan’s Labor Migration Reforms: Breaking with the Past? By www.migrationpolicy.org Published On :: Thu, 20 Feb 2020 10:22:30 -0500 Japan is hoping to bring in as many as 350,000 medium-skilled foreign workers over five years to fill labor market gaps in its rapidly aging society. Yet does this system of Specified Skilled Workers represent an effort to secure a workforce without making long-term settlement possible? And considering its linkage to a Technical Intern Training Program much criticized for abusive practices, does this change represent real reform? This article examines these and other issues. Full Article
s: Tapping the Talents of Highly Skilled Immigrants in the United States: Takeaways from Experts Summit By www.migrationpolicy.org Published On :: Wed, 08 Aug 2018 12:19:20 -0400 Economists project a shortage of 5 million U.S. workers with postsecondary education and training by 2020. Yet 2 million immigrant college graduates in the United States are either unemployed or work in jobs that require no more than a high school degree. How can this skill underutilization, known as "brain waste," be remedied? MPI asked the experts, and this report summarizes their discussion and recommendations. Full Article
s: Science Confirms: You Really Can't Buy Happiness By www.washingtonpost.com Published On :: Mon, 03 Jul 2006 00:00:00 EDT When Warren Buffett announced last week that he will be giving away more than $30 billion to improve health, nutrition and education, people all over America reflected on his remarkable generosity, pondered all the noble things the gift would achieve and asked themselves what they would do if... Full Article Nation Science Confirms: You Really Can't Buy Happiness
s: Bettors and Pundits: Never Wrong, Just Unlucky By www.washingtonpost.com Published On :: Mon, 26 Mar 2007 00:00:00 EDT The NCAA men's college basketball championship game was on the line. People in office pools around the country were holding their breath. Louisville was down by four points with a few minutes left on the clock. A UCLA player stole a pass and raced down the court where, after being bumped by a... Full Article Opinions Bettors and Pundits: Never Wrong Just Unlucky
s: The Role of Think Tanks in Times of (Migration) Crisis: A Transatlantic Perspective By www.migrationpolicy.org Published On :: Tue, 05 Sep 2017 10:07:11 -0400 As European policymakers and publics continue to grapple with the migration crisis, this conversation offers an opportunity to reflect on the role and responsibility of experts in these politically sensitive debates. Full Article
s: Beyond Transactional Deals: Building Lasting Migration Partnerships in the Mediterranean By www.migrationpolicy.org Published On :: Mon, 13 Nov 2017 15:59:04 -0500 Since the 2015–16 refugee crisis, European policymakers have eagerly sought cooperation with origin and transit countries in the hopes of stemming unauthorized migration to Europe. This approach is neither new, nor without its limitations. By examining the evolution of two longstanding Mediterranean partnerships—between Spain and Morocco, and Italy and Tunisia—this report offers insights on what has and has not worked. Full Article
s: EU Migration Partnerships: A Work in Progress By www.migrationpolicy.org Published On :: Fri, 01 Dec 2017 15:43:49 -0500 In 2016, the European Union announced with fanfare a new Migration Partnership Framework to inform cooperation with countries of origin and transit. While the bloc has long recognized collaboration as key to achieving its migration-management aims, EU partnerships face persistent challenges, including looking beyond short-term enforcement goals and taking into account partner needs, capacity, and objectives. Full Article
s: Volunteers and Sponsors: A Catalyst for Refugee Integration? By www.migrationpolicy.org Published On :: Mon, 25 Nov 2019 12:00:40 -0500 Rising numbers of refugees and asylum seekers in Europe and North America have been matched by an equally unprecedented outpouring of public support. How can service providers most effectively harness this volunteering? This report considers where community members can add the most value to integration efforts and offers recommendations for how policymakers can facilitate the effective engagement of communities in integration initiatives. Full Article
s: Immigrant Workers: Vital to the U.S. COVID-19 Response, Disproportionately Vulnerable By www.migrationpolicy.org Published On :: Thu, 26 Mar 2020 19:23:35 -0400 Six million immigrant workers are at the frontlines of keeping U.S. residents healthy and fed during the COVID-19 pandemic, representing disproportionate shares of physicians, home health aides, and retail-store pharmacists, for example. They also are over-represented in sectors most immediately devastated by mass layoffs, yet many will have limited access to safety-net systems and to federal relief, as this fact sheet details. Full Article
s: Supporting DLLs in Superdiverse PreK-3 Programs: Findings from Two Studies By www.migrationpolicy.org Published On :: Wed, 07 Mar 2018 17:46:18 -0500 Marking the release of two research reports that highlight promising, effective approaches to teaching and learning for Dual Language Learners in multilingual, multicultural classrooms, report authors present their findings on this webinar and discuss key implications for policy and practice. Full Article
s: K-12 Instructional Models for English Learners: What They Are and Why They Matter By www.migrationpolicy.org Published On :: Wed, 27 Jun 2018 19:58:24 -0400 Marking the release of an MPI brief, experts on this webinar examine the key features of English Learner (EL) instructional models and discuss state- and district-level approaches to supporting schools in implementing effective EL program models, with a particular focus on what is being done in New York and Madison Wisconsin. Full Article
s: Young Children in Refugee Families and Early Childhood Programs: Ways to Mitigate the Effects of Trauma By www.migrationpolicy.org Published On :: Tue, 14 Aug 2018 11:54:02 -0400 Experts on this webinar discussed the effects of trauma on the development of young refugee children, and how early child-care programs can address these traumatic experiences. The discussion featured practical strategies that child-care providers in Canada are implementing to support refugee children and families. Full Article
s: Children of Immigrants and Child Welfare Systems: Key Policy and Practice By www.migrationpolicy.org Published On :: Tue, 16 Apr 2019 07:07:37 -0400 Marking the release of an MPI report, this webinar examines the intersection between immigration and child welfare systems and promising child welfare policies and agency approaches to address the needs of children of immigrants and their families. Full Article
s: Reducing Integration Barriers Facing Foreign-Trained Immigrants: Policy and Practice Lessons from Across the United States By www.migrationpolicy.org Published On :: Thu, 16 Feb 2017 13:11:19 -0500 Marking the release of an MPI report, researchers and practitioners on this webinar discuss brain waste among college-educated immigrants and initiatives that ease the barriers foreign-educated newcomers confront with regards to credential recognition, employment, and relicensure, as well as recent policy developments and ongoing challenges in the field. Full Article
s: Unlocking Skills: Successful Initiatives for Integrating Foreign-Trained Immigrant Professionals By www.migrationpolicy.org Published On :: Tue, 28 Feb 2017 10:37:13 -0500 Nearly 2 million college-educated immigrants in the United States, more than half coming with academic and professional credentials, are unable to fully utilize their professional skills and instead are stuck in low-skilled work or are unemployed. This report explores a range of programs and policies that are providing cutting-edge career navigation, relicensing, gap filling, and job search assistance to remedy this brain waste. Full Article
s: Reducing Integration Barriers Facing Foreign-Trained Immigrants: Policy and Practice Lessons from Across the United States By www.migrationpolicy.org Published On :: Tue, 28 Feb 2017 17:42:32 -0500 Marking the release of a report on the barriers foreign-trained high-skilled immigrants face in the United States, this webinar examines programs and initiatives that assist with credential recognition, employment, and relicensure, as well as recent policy developments. Discussants review recommendations for community-based organizations, employers, and policymakers to expand successful efforts aimed at preventing brain waste. Full Article
s: Promoting Refugee Integration in Challenging Times: The Potential of Two-Generation Strategies By www.migrationpolicy.org Published On :: Wed, 12 Dec 2018 10:02:13 -0500 At a time when the U.S. refugee resettlement system is facing unprecedented challenges, innovative and cost-effective tools for supporting refugee integration are in demand. This report explores how a two-generation approach to service provision could help all members of refugee families—from young children to working-age adults and the elderly—find their footing. Full Article
s: Immigrant-Origin Adults without Postsecondary Credentials: A 50-State Profile By www.migrationpolicy.org Published On :: Wed, 20 Mar 2019 11:51:29 -0400 With immigrants and their U.S.-born children poised to be the main source of labor-force growth, these adults are an important target for efforts to build the skills of the U.S. workforce to meet the knowledge-based economy of tomorrow. This fact sheet and state data snapshots explore the characteristics of adults without an academic degree or professional credential, by immigrant generation, race/ethnicity, and more. Full Article
s: Introduction to The Old Ways: A Journey on Foot by Robert Macfarlane By brooklynbooktalk.blogspot.com Published On :: Sun, 20 Jan 2013 04:12:00 +0000 My first exposure to Robert Macfarlane happened a year ago when I picked up a battered copy of The Wild Places in order to shelve it. Instead, I checked it out from my branch and stayed up past midnight to read it. Thanks to Macfarlane, I was exposed to Roger Deakin's Wild Wood and Notes from Walnut Tree Farm. I found photos of Walnut Tree Farm, the late Deakin's house, much visited by Macfarlane, while searching for more information about both of them online.I am from probably the last generation of American children to be raised on English children's books. I know that there is a generation of Quidditch-playing adults that were weaned on the Harry Potter books of British-born J. K. Rowling. While the Harry Potter books are gripping, they lack an essential British characteristic shared by many successful authors of British children's books:Rudyard Kipling - the two Puck of Pook's Hill booksRosemary Sucliff - all of her booksElizabeth Goudge - Rowling helped get Linnets & Valerians and The Little White Horse republishedL. M. Boston - the Greene Knowe seriesWilliam MayneRobert WestallDiana Wynne Jones - the British landscape of an alternative BritainJ. R. R. Tolkein -The HobbitKenneth Graham - The Wind in the WillowsT. H. White - The Once and Future KingSusan Cooper - The Dark is Rising seriesI'm sure that there are many more. What these authors and books have in common is a palpable sense of landscape; the English and Welsh earth itself is as present and influential as any of the characters. In any Harry Potter book I had the sense that the only character connected to the land was Hagrid; the rest of the wizards were interested in nature only insofar as they could exploit it for magical potions or familiars.Both Macfarlane and his late mentor Deakin possessed the same sense of awareness of the land as these children's authors. Deakin kept his hedgerows alive to shelter birds and let animals wander at will through his house. Macfarlane travels, mostly on foot, as he did while he hiked and climbed in both The Wild Places and The Old Ways. Full Article Robert Macfarlane Roger Deakin THe Old Ways: A Journey on Foot Walnut Tree Farm Wild Wood
s: Introduction to The Old Ways: A Journey on Foot, continued By brooklynbooktalk.blogspot.com Published On :: Sun, 20 Jan 2013 11:29:00 +0000 Macfarlane likes to walk. In The Wild Places, he visits mountains, woods, water. In The Old Ways, he follows the ancient paths that cross the British isles, that go through wood, by the sea shore, and over the downs. His England (and Scotland) however, is multilayered; he is aware not only of the physical landscape surrounding him but of the history of the land through which he walks. A walk take him from point A to point B in physical space, as well as through centuries of time. In his author's note, Macafarlane observes:"It is an exploration of the ghosts and voices that haunt ancient paths, of the tales that tracks keep and tell, of pilgrimage and trespass, of songlines and their singers and of the strange continents that exist within countries" (p.xi).While Americans are criticized for being such a highly mobile society, humans have always traveled. Early hunter-gatherers did not stay in one place, but roamed within a fairly wide territory. The early sea-farers such as the Phoenicians, the Greeks, the Carthaginians, the Romans (marine archaeology has shown that they sailed more than we have associated with them) and the Vikings all traveled the roads of the sea. The medieval Crusades were holy wars, but they were also the mass movement of men, women, and children walking across Europe, then by boat from southern Italian ports to the Holy Land. Within Europe itself, bands of pilgrims walked from their homes along the tracks to Canterbury or St. James de Campostela. Merchants in ancient and medieval times traveled in caravans along the land and sea routes of the Silk Roads.The difference between the modern traveler of today and that of the past is that travelers today are less exposed to the world around them. When you are encased in a plane or enclosed in a fast car, you lose awareness of the physical world outside of you. The electronic devices that we use to distract ourselves during our journeys - our DVD players, Ipods, tablets and ebook readers, all cut us off from the landscape and fellow travelers around us. Macfarlane deliberately chooses to travel on foot (and by small boat) to connect with the physical world around him during his modern secular pilgrimage. Full Article pilgrimages Robert Macfarlane THe Old Ways: A Journey on Foot
s: Employment Services for Refugees: Leveraging Mainstream U.S. Systems and Funding By www.migrationpolicy.org Published On :: Wed, 08 Jan 2020 13:22:28 -0500 On this webinar, experts and state refugee resettlement program leaders discuss two activities that can be key parts of a broader strategy for sustaining and improving employment services for refugees: Partnerships with experts in workforce development strategies, and access to federal workforce development funding. Full Article
s: Rebuilding Community after Crisis: Striking a New Social Contract for Diverse Societies (Transatlantic Council Statement) By www.migrationpolicy.org Published On :: Tue, 14 Jan 2020 09:52:21 -0500 Addressing the deep-rooted integration challenges unearthed by large-scale migration and rapid social change will require a combination of strategies. Governments in Europe and North America must create a new social contract for increasingly diverse societies that are confronting cycles of disruption. This report sketches a blueprint for an adaptive process oriented by skill needs rather than national origins. Full Article
s: Start-Up Visas: A Passport for Innovation and Growth? By www.migrationpolicy.org Published On :: Tue, 23 Jul 2019 10:50:22 -0400 Over the last decade, a number of governments have launched start-up visa programs in the hopes of attracting talented immigrant entrepreneurs with innovative business ideas. With the track record for these programs a mixed one, this report explains how embedding start-up visas within a broader innovation strategy could lead to greater success. Full Article
s: The Colombian Response to the Venezuelan Migration Crisis: A Dialogue with Colombia’s Migration Czar By www.migrationpolicy.org Published On :: Wed, 18 Sep 2019 15:40:54 -0400 Felipe Muñoz, Advisor to the President of Colombia for the Colombian-Venezuelan Border, discusses how Colombia is coping with the influx of Venezuelan migrants, plans for future policy decisions surrounding this migration, and developments in regional and international cooperation. Full Article
s: Refugee Sponsorship Programs: A Global State of Play and Opportunities for Investment By www.migrationpolicy.org Published On :: Wed, 11 Dec 2019 12:01:25 -0500 From Argentina to New Zealand and points beyond, a growing number of countries have begun exploring refugee sponsorship as a way to expand protection capacity at a time of rising need, involving individuals and communities more directly in resettlement. This brief takes stock of what both new and well-established programs need to succeed, and outlines opportunities for private philanthropic actors to support them. Full Article
s: Bienvenidas asimétricas: Respuestas de América Latina y el Caribe a la migración venezolana y nicaragüense By www.migrationpolicy.org Published On :: Mon, 10 Feb 2020 10:44:38 -0500 El gran desplazamiento forzado de personas en Venezuela y Nicaragua está transformando el panorama migratorio en gran parte de América Latina y el Caribe. Este informe examina las respuestas de las políticas de inmigración e integración de once países, incluyendo vías de regularización y medidas para integrar a los recién llegados en las escuelas y mercados laborales. Este informe acompaña el lanzamiento de un Portal Sobre Migración que ofrece investigación y análisis actualizados sobre tendencias y políticas de inmigración en la región. Full Article
s: Myocardial Ischemic Burden and Differences in Prognosis Among Patients With and Without Diabetes: Results From the Multicenter International REFINE SPECT Registry By care.diabetesjournals.org Published On :: 2020-01-20T12:00:30-08:00 OBJECTIVE Prevalence and prognostic impact of cardiovascular disease differ between patients with or without diabetes. We aimed to explore differences in the prevalence and prognosis of myocardial ischemia by automated quantification of total perfusion deficit (TPD) among patients with and without diabetes. RESEARCH DESIGN AND METHODS Of 20,418 individuals who underwent single-photon emission computed tomography myocardial perfusion imaging, 2,951 patients with diabetes were matched to 2,951 patients without diabetes based on risk factors using propensity score. TPD was categorized as TPD = 0%, 0% < TPD < 1%, 1% ≤ TPD < 5%, 5% ≤ TPD ≤ 10%, and TPD >10%. Major adverse cardiovascular events (MACE) were defined as a composite of all-cause mortality, myocardial infarction, unstable angina, or late revascularization. RESULTS MACE risk was increased in patients with diabetes compared with patients without diabetes at each level of TPD above 0 (P < 0.001 for interaction). In patients with TPD >10%, patients with diabetes had greater than twice the MACE risk compared with patients without diabetes (annualized MACE rate 9.4 [95% CI 6.7–11.6] and 3.9 [95% CI 2.8–5.6], respectively, P < 0.001). Patients with diabetes with even very minimal TPD (0% < TPD < 1%) experienced a higher risk for MACE than those with 0% TPD (hazard ratio 2.05 [95% CI 1.21–3.47], P = 0.007). Patients with diabetes with a TPD of 0.5% had a similar MACE risk as patients without diabetes with a TPD of 8%. CONCLUSIONS For every level of TPD >0%, even a very minimal deficit of 0% < TPD < 1%, the MACE risk was higher in the patients with diabetes compared with patients without diabetes. Patients with diabetes with minimal ischemia had comparable MACE risk as patients without diabetes with significant ischemia. Full Article
s: Association of BMI, Fitness, and Mortality in Patients With Diabetes: Evaluating the Obesity Paradox in the Henry Ford Exercise Testing Project (FIT Project) Cohort By care.diabetesjournals.org Published On :: 2020-02-20T11:55:30-08:00 OBJECTIVE To determine the effect of fitness on the association between BMI and mortality among patients with diabetes. RESEARCH DESIGN AND METHODS We identified 8,528 patients with diabetes (self-report, medication use, or electronic medical record diagnosis) from the Henry Ford Exercise Testing Project (FIT Project). Patients with a BMI <18.5 kg/m2 or cancer were excluded. Fitness was measured as the METs achieved during a physician-referred treadmill stress test and categorized as low (<6), moderate (6–9.9), or high (≥10). Adjusted hazard ratios for mortality were calculated using standard BMI (kilograms per meter squared) cutoffs of normal (18.5–24.9), overweight (25–29.9), and obese (≥30). Adjusted splines centered at 22.5 kg/m2 were used to examine BMI as a continuous variable. RESULTS Patients had a mean age of 58 ± 11 years (49% women) with 1,319 deaths over a mean follow-up of 10.0 ± 4.1 years. Overall, obese patients had a 30% lower mortality hazard (P < 0.001) compared with normal-weight patients. In adjusted spline modeling, higher BMI as a continuous variable was predominantly associated with a lower mortality risk in the lowest fitness group and among patients with moderate fitness and BMI ≥30 kg/m2. Compared with the lowest fitness group, patients with higher fitness had an ~50% (6–9.9 METs) and 70% (≥10 METs) lower mortality hazard regardless of BMI (P < 0.001). CONCLUSIONS Among patients with diabetes, the obesity paradox was less pronounced for patients with the highest fitness level, and these patients also had the lowest risk of mortality. Full Article
s: Confirming the Bidirectional Nature of the Association Between Severe Hypoglycemic and Cardiovascular Events in Type 2 Diabetes: Insights From EXSCEL By care.diabetesjournals.org Published On :: 2020-02-20T11:55:30-08:00 OBJECTIVE We sought to confirm a bidirectional association between severe hypoglycemic events (SHEs) and cardiovascular (CV) event risk and to characterize individuals at dual risk. RESEARCH DESIGN AND METHODS In a post hoc analysis of 14,752 Exenatide Study of Cardiovascular Event Lowering (EXSCEL) participants, we examined time-dependent associations between SHEs and subsequent major adverse cardiac events (CV death, nonfatal myocardial infarction [MI] or stroke), fatal/nonfatal MI, fatal/nonfatal stroke, hospitalization for acute coronary syndrome (hACS), hospitalization for heart failure (hHF), and all-cause mortality (ACM), as well as time-dependent associations between nonfatal CV events and subsequent SHEs. RESULTS SHEs were uncommon and not associated with once-weekly exenatide therapy (hazard ratio 1.13 [95% CI 0.94–1.36], P = 0.179). In fully adjusted models, SHEs were associated with an increased risk of subsequent ACM (1.83 [1.38–2.42], P < 0.001), CV death (1.60 [1.11–2.30], P = 0.012), and hHF (2.09 [1.37–3.17], P = 0.001), while nonfatal MI (2.02 [1.35–3.01], P = 0.001), nonfatal stroke (2.30 [1.25–4.23], P = 0.007), hACS (2.00 [1.39–2.90], P < 0.001), and hHF (3.24 [1.98–5.30], P < 0.001) were all associated with a subsequent increased risk of SHEs. The elevated bidirectional time-dependent hazards linking SHEs and a composite of all CV events were approximately constant over time, with those individuals at dual risk showing higher comorbidity scores compared with those without. CONCLUSIONS These findings, showing greater risk of SHEs after CV events as well as greater risk of CV events after SHEs, validate a bidirectional relationship between CV events and SHEs in patients with high comorbidity scores. Full Article
s: Association Between the Use of Antidepressants and the Risk of Type 2 Diabetes: A Large, Population-Based Cohort Study in Japan By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE This study aimed to reveal the associations between the risk of new-onset type 2 diabetes and the duration of antidepressant use and the antidepressant dose, and between antidepressant use after diabetes onset and clinical outcomes. RESEARCH DESIGN AND METHODS In this large-scale retrospective cohort study in Japan, new users of antidepressants (exposure group) and nonusers (nonexposure group), aged 20–79 years, were included between 1 April 2006 and 31 May 2015. Patients with a history of diabetes or receipt of antidiabetes treatment were excluded. Covariates were adjusted by using propensity score matching; the associations were analyzed between risk of new-onset type 2 diabetes and the duration of antidepressant use/dose of antidepressant in the exposure and nonexposure groups by using Cox proportional hazards models. Changes in glycated hemoglobin (HbA1c) level were examined in groups with continuous use, discontinuation, or a reduction in the dose of antidepressants. RESULTS Of 90,530 subjects, 45,265 were in both the exposure and the nonexposure group after propensity score matching; 5,225 patients (5.8%) developed diabetes. Antidepressant use was associated with the risk of diabetes onset in a time- and dose-dependent manner. The adjusted hazard ratio was 1.27 (95% CI 1.16–1.39) for short-term low-dose and 3.95 (95% CI 3.31–4.72) for long-term high-dose antidepressant use. HbA1c levels were lower in patients who discontinued or reduced the dose of antidepressants (F[2,49] = 8.17; P < 0.001). CONCLUSIONS Long-term antidepressant use increased the risk of type 2 diabetes onset in a time- and dose-dependent manner. Glucose tolerance improved when antidepressants were discontinued or the dose was reduced after diabetes onset. Full Article
s: Risk Factors for First and Subsequent CVD Events in Type 1 Diabetes: The DCCT/EDIC Study By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE The Diabetes Control and Complications Trial (DCCT) and its observational follow-up Epidemiology of Diabetes Interventions and Complications (EDIC) demonstrated the dominant role of glycemia, second only to age, as a risk factor for a first cardiovascular event in type 1 diabetes (T1D). We now investigate the association between established risk factors and the total cardiovascular disease (CVD) burden, including subsequent (i.e., recurrent) events. RESEARCH DESIGN AND METHODS CVD events in the 1,441 DCCT/EDIC participants were analyzed separately by type (CVD death, acute myocardial infarction [MI], stroke, silent MI, angina, percutaneous transluminal coronary angioplasty/coronary artery bypass graft [PTCA/CABG], and congestive heart failure [CHF]) or as composite outcomes (CVD or major adverse cardiovascular events [MACE]). Proportional rate models and conditional models assessed associations between risk factors and CVD outcomes. RESULTS Over a median follow-up of 29 years, 239 participants had 421 CVD events, and 120 individuals had 149 MACE. Age was the strongest risk factor for acute MI, silent MI, stroke, and PTCA/CABG, while glycemia was the strongest risk factor for CVD death, CHF, and angina, second strongest for acute MI and PTCA/CABG, third strongest for stroke, and not associated with silent MI. HbA1c was the strongest modifiable risk factor for a first CVD event (CVD: HR 1.38 [95% CI 1.21, 1.56] per 1% higher HbA1c; MACE: HR 1.54 [1.30, 1.82]) and also for subsequent CVD events (CVD: incidence ratio [IR] 1.28 [95% CI 1.09, 1.51]; MACE: IR 1.89 [1.36, 2.61]). CONCLUSIONS Intensive glycemic management is recommended to lower the risk of initial CVD events in T1D. After a first event, optimal glycemic control may reduce the risk of recurrent CVD events and should be maintained. Full Article
s: Coronary Artery Disease and Type 2 Diabetes: A Proteomic Study By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE Coronary artery disease (CAD) is a major challenge in patients with type 2 diabetes (T2D). Coronary computed tomography angiography (CCTA) provides a detailed anatomic map of the coronary circulation. Proteomics are increasingly used to improve diagnostic and therapeutic algorithms. We hypothesized that the protein panel is differentially associated with T2D and CAD. RESEARCH DESIGN AND METHODS In CAPIRE (Coronary Atherosclerosis in Outlier Subjects: Protective and Novel Individual Risk Factors Evaluation—a cohort of 528 individuals with no previous cardiovascular event undergoing CCTA), participants were grouped into CAD– (clean coronaries) and CAD+ (diffuse lumen narrowing or plaques). Plasma proteins were screened by aptamer analysis. Two-way partial least squares was used to simultaneously rank proteins by diabetes status and CAD. RESULTS Though CAD+ was more prevalent among participants with T2D (HbA1c 6.7 ± 1.1%) than those without diabetes (56 vs. 30%, P < 0.0001), CCTA-based atherosclerosis burden did not differ. Of the 20 top-ranking proteins, 15 were associated with both T2D and CAD, and 3 (osteomodulin, cartilage intermediate-layer protein 15, and HTRA1) were selectively associated with T2D only and 2 (epidermal growth factor receptor and contactin-1) with CAD only. Elevated renin and GDF15, and lower adiponectin, were independently associated with both T2D and CAD. In multivariate analysis adjusting for the Framingham risk panel, patients with T2D were "protected" from CAD if female (P = 0.007), younger (P = 0.021), and with lower renin levels (P = 0.02). CONCLUSIONS We concluded that 1) CAD severity and quality do not differ between participants with T2D and without diabetes; 2) renin, GDF15, and adiponectin are shared markers by T2D and CAD; 3) several proteins are specifically associated with T2D or CAD; and 4) in T2D, lower renin levels may protect against CAD. Full Article
s: The Colombian Response to the Venezuelan Migration Crisis: A Dialogue with Colombia’s Migration Czar By www.migrationpolicy.org Published On :: Mon, 30 Sep 2019 19:29:42 -0400 Felipe Muñoz, Advisor to the President of Colombia for the Colombian-Venezuelan Border, discusses how Colombia is coping with the influx of Venezuelan migrants, plans for future policy decisions surrounding this migration, and developments in regional and international cooperation. Full Article
s: Employment Services for Refugees: Leveraging Mainstream U.S. Systems and Funding By www.migrationpolicy.org Published On :: Mon, 27 Jan 2020 16:53:00 -0500 On this webinar, experts and state refugee resettlement program leaders discuss activities that can be key parts of a broader strategy for sustaining and improving employment services for refugees, including partnerships with experts in workforce development strategies, access to federal workforce development funding, and other policies and resources. Full Article
s: Migration & Coronavirus: A Complicated Nexus Between Migration Management and Public Health By www.migrationpolicy.org Published On :: Tue, 24 Mar 2020 15:13:37 -0400 This webinar, organized by MPI and the Zolberg Institute on Migration and Mobility at The New School, discussed migration policy responses around the globe in response to the COVID-19 pandemic, and examined where migration management and enforcement tools may be useful and where they may be ill-suited to advancing public health goals. Full Article
s: Chilling Effects: The Expected Public Charge Rule and Its Impact on Legal Immigrant Families’ Public Benefits Use By www.migrationpolicy.org Published On :: Fri, 08 Jun 2018 14:09:59 -0400 According to leaked drafts, the Trump administration is considering a rule that could have sweeping effects on both legal immigration to the United States and the use of public benefits by legal immigrants and their families. This report examines the potential scale of the expected rule’s impact, including at national and state levels and among children, as well as Hispanic and Asian American/Pacific Islander immigrants. Full Article
s: Chilling Effects: The Expected Public-Charge Rule and Its Impact on Immigrant Families By www.migrationpolicy.org Published On :: Tue, 12 Jun 2018 17:57:14 -0400 This webinar highlights findings from an MPI report examining the potential impacts of expected changes to the public charge rule by the Trump administration. Leaked draft versions suggest the rule could sharply expand the number of legally present noncitizens facing difficulty getting a green card or extending a visa as a result of their family's use of public benefits. The rule likely would discourage millions from accessing health, nutrition, and social services for which they or their U.S.-citizen dependents are eligible. Full Article
s: Mitigating the Effects of Trauma among Young Children of Immigrants and Refugees: The Role of Early Childhood Programs By www.migrationpolicy.org Published On :: Mon, 01 Apr 2019 15:12:37 -0400 The first years of a child’s life are a time of immense growth, and exposure to trauma—if left unaddressed—can have significant, lifelong effects. This issue brief examines how young children of refugees and other immigrants may be affected by trauma, and what early childhood education and care programs, health-care providers, and others can do to mitigate its adverse effects. Full Article
s: Immigrant Families and Child Welfare Systems: Emerging Needs and Promising Policies By www.migrationpolicy.org Published On :: Mon, 22 Apr 2019 10:26:23 -0400 With the children of immigrants a growing share of all U.S. children, and federal immigration enforcement and other policies undergoing significant change, some state and local child welfare agencies are developing new ways to improve how they work with immigrant families. This report examines key cultural, linguistic, and legal challenges, and how agencies are adjusting staffing, training, placement, and other policies to tackle them. Full Article
s: Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics By clinical.diabetesjournals.org Published On :: 2016-04-01 Margaret A. PowersApr 1, 2016; 34:70-80Position Statements Full Article
s: SGLT-2 Inhibitors: A New Mechanism for Glycemic Control By clinical.diabetesjournals.org Published On :: 2014-01-01 Edward C. ChaoJan 1, 2014; 32:4-11Feature Articles Full Article
s: Opportunities and Challenges for Biosimilars: What's on the Horizon in the Global Insulin Market? By clinical.diabetesjournals.org Published On :: 2012-10-01 Lisa S. RotensteinOct 1, 2012; 30:138-150Features Full Article
s: Building Therapeutic Relationships: Choosing Words That Put People First By clinical.diabetesjournals.org Published On :: 2017-01-01 Jane K. DickinsonJan 1, 2017; 35:51-54Commentary Full Article
s: Application of Adult-Learning Principles to Patient Instructions: A Usability Study for an Exenatide Once-Weekly Injection Device By clinical.diabetesjournals.org Published On :: 2010-09-01 Gayle LorenziSep 1, 2010; 28:157-162Bridges to Excellence Full Article
s: Helping Patients Make and Sustain Healthy Changes: A Brief Introduction to Motivational Interviewing in Clinical Diabetes Care By clinical.diabetesjournals.org Published On :: 2008-10-01 Michele HeislerOct 1, 2008; 26:161-165Practical Pointers Full Article
s: Hypoglycemia in Type 1 and Type 2 Diabetes: Physiology, Pathophysiology, and Management By clinical.diabetesjournals.org Published On :: 2006-07-01 Vanessa J. BriscoeJul 1, 2006; 24:115-121Feature Articles Full Article
s: Perspectives in Gestational Diabetes Mellitus: A Review of Screening, Diagnosis, and Treatment By clinical.diabetesjournals.org Published On :: 2007-04-01 Jennifer M. PerkinsApr 1, 2007; 25:57-62Feature Articles Full Article
s: Amylin Replacement With Pramlintide in Type 1 and Type 2 Diabetes: A Physiological Approach to Overcome Barriers With Insulin Therapy By clinical.diabetesjournals.org Published On :: 2002-07-01 John B. BuseJul 1, 2002; 20:Feature Articles Full Article
s: Heroic Consciousness: What it is and How to Acquire it By blog.richmond.edu Published On :: Thu, 23 Jan 2020 13:03:26 +0000 By Scott T. Allison This blog post is excerpted from: Allison, S. T. (2019). Heroic consciousness. Heroism Science, 4, 1-43. The philosopher Yuval Noah Harari (2018) recently described consciousness as “the greatest mystery in the universe”. What exactly is heroic consciousness? It is a way of seeing the world, perceiving reality, and making decisions … Continue reading Heroic Consciousness: What it is and How to Acquire it → Full Article Commentary and Analysis enlightened consciousness heroic consciousness nondualistic thinking the hero's consciousness transrational phenomena unitive consciousness
s: New JHBS: Mind-Body Medicine Before Freud, Psychology and Biography, Jung and Einstein By ahp.apps01.yorku.ca Published On :: Thu, 30 Apr 2020 12:54:00 +0000 The Spring 2020 issue of the Journal of the History of the Behavioral Sciences is now online. Full details about contributions to this issue follow below. “Practicing mind-body medicine before Freud: John G. Gehring, the “Wizard of the Androscoggin”” by. Ben Harris and Courtney J. Stevens. Abstract: This article describes the psychotherapy practice of physician … Continue reading New JHBS: Mind-Body Medicine Before Freud, Psychology and Biography, Jung and Einstein → Full Article General