Tag: 南京夜生活

The Stats Guys vs Basketball Guys Rivalry Is Overblown

The narrative that analytics poseurs are doing inferior jobs in front offices compared to ex-players and coaches who really know how to evaluate talent has made its way to the NBA.Last month, ESPN columnist Chris Broussard wrote a piece examining recent trends in the hiring of NBA general managers. Broussard questioned whether “stats guys” were advancing in front offices at the expense of “basketball lifers.” He quoted two anonymous NBA executives who expressed the idea that analytics is taking too large a role in front offices and that “analytics guys” who haven’t played or coached don’t really understand the game.But the data on performance by NBA general managers over the last 20 seasons suggests that stats-oriented GMs aren’t any worse than regular GMs. They actually may be a bit better.One of the anonymous executives in Broussard’s article compared the new breed of analytics hires to amateur stock-pickers, whereas to this executive’s mind ex-players were gimlet-eyed veteran portfolio-managers. The other executive said, per Broussard:“Most of them have zero basketball education because they have never played or participated in the sport; they have only observed the sport. To sum it up: Basketball guys are highly offended that uneducated [in a basketball sense] analytics guys are masquerading as basketball guys but haven’t been taught, trained or educated by any basketball professors or gone to any basketball classes.”It’s not accurate to characterize all analytics-focused GM hires as uneducated in traditional basketball. Masai Ujiri of the Toronto Raptors, Ryan McDonough of the Phoenix Suns and Rob Hennigan of the Orlando Magic are all young GMs who rely on analytics. They also spent years inside NBA organizations working as scouts and talent evaluators. Their credentials are legitimate. But if we play along with the false dichotomy of “basketball guys” versus stats analysts, we should expect general managers who played or coached in the NBA to have better results than those who come from backgrounds as scouts or agents.On one point at least, the narrative is right: Of the 23 general managers NBA teams have hired in the last four off-seasons, 18 neither played nor coached in the NBA.1Masai Ujiri was hired twice in that time period by Denver in 2010 and then Toronto in 2013. That’s very different from how it used to be: In the 15 years prior, non-coaches and non-players comprised only 33 of the 81 GM hires. The chart below shows a clear trend toward nontraditional GM candidates:Once they’re hired, GMs still have to perform. The most basic criterion by which to judge GMs is their tenure with a team. While some owners have more patience than others, GMs generally need to put winning teams on the court to remain employed. If ex-player GMs were much better than former scouts or agents, we would expect them to be employed for longer stints. Instead we see this:This is a Kaplan-Meier survival plot, an illustration of what share of a population survives at a given time, and it shows that GMs who were former players or coaches tend to have slightly shorter tenures than GMs who were neither. Note, however, that the difference, as measured by a Cox Proportional Hazards model, is not significant.But employment status is merely a reflection of a GM’s success, or lack thereof, in producing a winning team. We can also measure GMs by what their teams do on the court. GMs who never played in the NBA are slightly worse in improving winning percentage, but they inherit better teams.2I used the team’s winning percentage at the end of a GM’s third season to allow time for rebuilding. (It’s harder to add five wins to a playoff team than it is to a lottery team.) GMs who were players or coaches have inherited teams with an average winning percentage of .410; GMs who are outsiders started working for teams with a .490 winning percentage. That partly explains why in the third year of their tenures, basketball lifers had increased their teams’ winning percentages by 5.7 percent on average, as opposed to 2 percent for outsiders. But that difference is not statistically significant, and more outsiders’ teams made the playoffs (63 percent vs. 48 percent).Good GMs and bad GMs come from all different backgrounds. For every Jerry West or Danny Ainge, there’s an Elgin Baylor or M.L. Carr. Seven of the last 18 NBA championships were won by teams whose decision-makers neither played nor coached in the NBA.3Exactly who those seven were:  That’s almost exactly in line with the 42 percent of team seasons those non-players have overseen in that time period.Of course, none of the scouts who’ve won NBA titles as GMs would be described as dilettantes masquerading as having advanced degrees in the game of basketball. The war between old-school basketball guys and new-school analytics guys in front offices is largely a fiction, a product of a shift in the way general managers are being hired in the league.While it is too early to assess the tenures of Hennigan, McDonough and other young GMs, and indeed too early to assess the full impact of advanced metrics on the NBA, it is clear that, on average, former NBA players do not have some magical insight that makes them better GMs. read more

Sullinger Crafts defense frustrated Burke like never before in Ohio State win

INDIANAPOLIS — Aaron Craft doesn’t get beat often. The Ohio State sophomore guard and Defensive Player of the Year in the Big Ten has earned a reputation for stifling whoever he’s guarding. But when the Buckeyes traveled to Ann Arbor to take on Michigan Feb. 18, Wolverine freshman guard and Big Ten co-Freshman of the Year Trey Burke scored Michigan’s final two buckets. The last one, which came with 11 seconds remaining on a drive to the basket that Craft couldn’t cope with, sealed the Michigan win. Craft’s teammate, sophomore forward Jared Sullinger said OSU’s point guard took the Michigan loss personally. It showed Saturday as the Buckeyes thrashed Michigan, 77-55, in a Big Ten Tournament semifinal game. Third-seeded OSU advances to play top-seeded Michigan State in Sunday’s championship game.  Burke was held to just five points on 1-of-11 shooting and committed a career-high eight turnovers. Craft was draped all over the Michigan freshman for most of the afternoon. He drew a charge on a fast break in the first half, continually poked the ball away, and harassed Burke, who was coming off a 30-point performance against Minnesota, all night. “I think you’ve got to give Craft some credit,” said Michigan senior guard Zack Novak. “His on-ball defense was pretty good today.” Craft wasn’t so eager to take the praise though. “Stopping a great player like (Burke) especially with how he was feeling in the game yesterday, it was definitely a team effort tonight,” Craft said. “Just trying not to make it about me against him because that’s not what it’s about.” But Sullinger said Craft’s defensive performance was special. The Buckeyes’ big man and Burke both went to Northland High School and have been playing with each other since grade school. In all of that time, Sullinger said Burke was never as bothered as he was Saturday. “Never,” Sullinger said. “I’ve never seen him that frustrated. I’ve never seen him have this many turnovers. I’ve never seen him shoot this poorly. I’ve never seen that happen and I think Craft frustrated him. You got to give most of the credit to Craft.” Burke wasn’t the only Wolverine to struggle either. As a team, the Wolverines shot just 31 percent from the field, and their 55-point output was more than 11 points below their season average. After the game, the Buckeyes were adamant that the defense was a complete team effort. “Team defense is the biggest thing,” Sullinger said. “Whoever has the best defense that night is going to win the game. We could care less about offense. As long as we keep defending our butts off on the defensive end, we’re fine.” Sophomore guard Lenzelle Smith Jr. said that team defense mentality was apparent. He said his defense on sophomore guard Tim Hardaway Jr. who is Michigan’s second-leading scorer, allowed Craft to avoid helping off of Burke, and the Buckeye big men hedging off of screens eliminated the penetration into the key. “My team came to me before the game started and they said it was going to start with me and I had a big job to do and I had to stop Tim Hardaway,” Smith Jr. said. “I pretty much got off to that in an early start and that helps Aaron. He doesn’t have to help off of his guy as much, which frustrated Trey Burke today. It made him have to force a lot.” Hardaway Jr. made just three of 10 shots from the floor and totaled 13 points. OSU coach Thad Matta agreed with Smith Jr. “This game was definitely was about our defense. We had great activity on the ball and off the ball,” Matta said. “I thought we had great communication challenging shots.” And when OSU defends like that, Michigan coach John Beilein said OSU is as good of a team as he’s ever seen. “I’ve seen some really good teams, this being I think my 20th year as a Division I coach, and played some really good games,” Beilein said. “That’s as good of a game as I’ve ever seen a college team play. Talking about Ohio obviously.” The championship game between OSU and MSU tips at 3:30 p.m. on Sunday. read more

Dont call them a Cinderella Ohio State to face No 9 seed

LOS ANGELES – Don’t tell Ohio State its opponent in the Elite 8 is a No. 9 seed, the lowest seed to reach the NCAA Tournament’s quarterfinal round since Virginia Commonwealth University did it two years ago as a No. 11. Don’t tell the No. 2-seeded Buckeyes the Shockers of Wichita State are a mid-major, with a roster full of lowly heralded recruits, none of which likely have a future in the NBA. And don’t tell OSU a second-consecutive berth in the Final Four is all but assured, or that its 11-game winning streak will most definitely reach 12. The Buckeyes, following a 73-70 win against No. 6 seed Arizona Thursday, and Wichita State, after a 72-58 defeat of No. 13 La Salle, will meet at the Staples Center in Los Angeles Saturday at 7:05 p.m. Thad Matta’s squad is the clear favorite heading into its bash against Gregg Marshall’s start-ups with a spot in Atlanta on the line. But OSU’s players aren’t thinking like that. “I think we’re not going to overlook anybody at this point. The fact that they’re in the Elite 8 just means that they’re a really great team,” said sophomore guard Shannon Scott. “Even though they don’t come from a great conference, or what their seed is in the tournament, they’re a great team.” The Shockers knocked off No. 8 seed Pittsburgh in their opening bout before upending No. 1 seed Gonzaga, 76-70, in the tournament’s third round. At this point, Wichita State likely isn’t going to sneak up on anybody, certainly not the Buckeyes. “They definitely, like I said, deserve to be here. They’ve played really good basketball, outplayed everyone they’ve played so far,” said junior guard Aaron Craft. Don’t call Wichita State a “Cinderella,” either. The Shockers have won 25, 29, 27 and now 29 games over the last four seasons. “They’re a great team. They have a lot of talent,” said sophomore forward Sam Thompson. “They’re playing their best basketball of the season just like we’re playing our best basketball of the season.” The players that make up Wichita State’s roster might not have been McDonald’s All-Americans or top-100 players coming into college, but to Matta, high recruiting rankings don’t always translate into success on the hardwood. “I’ve had the privilege of coaching two national players of the year, and neither one of them were top 75 high school players out of high school,” Matta said, speaking of former Xavier star David West and former Buckeye All-American Evan Turner. There’s parity in college basketball right now, according to Matta, meaning the so-called “mid-majors” can at times be just as talented as the apparent “elites.” “As I go out recruiting every year, I can’t tell the difference between the 20th player and the 120th player in the country,” Matta said. “That doesn’t mean a whole lot to me in terms of your ranking of the recruiting class and all that stuff.” On the court, the Shockers like to get out and run, and play a style not consistently seen by OSU in Big Ten play. “They’re extremely deep,” Matta said. “They’ve got guys that can do a lot of things from shooting the ball to driving the ball. They’re sound in terms of-very sound in terms of their execution.” Wichita State (29-8) is led by two 6-foot-8 forwards, Cleanthony Early, a junior averaging 13.7 points and 5.3 rebounds a game, and Carl Hall, a senior averaging 12.7 points and seven rebounds a contest. Senior guard Malcolm Armstead, though, has been his team’s go-to player so far in the tournament, dropping 48 points through three games. OSU (29-7) got off to a slow start in its Sweet 16 game against Arizona, falling into a double-digit deficit midway through the opening half. Getting out to a quick start against the Shockers could be paramount for the Buckeyes. “We really have to come ready to play from the jump. I feel like yesterday we came out kind of slow, timid, but then after coach talked to us a bit, we really got going,” Scott said. The end of games, however, is where OSU has made its mark in the tournament. A 3-pointer by Craft with 0.5 seconds left against Iowa State sent the Buckeyes into the Sweet 16 and a 3-pointer from Ross against Arizona with two seconds left catapulted OSU into the Elite 8. It’s surprised some that it wasn’t junior forward Deshaun Thomas, the Big Ten’s leading scorer, hitting those buzzer beaters. OSU’s players haven’t been shocked by it, though. “We have a lot of confidence in a lot of guys on the team,” Craft said. “I have confidence in a lot of guys to take that shot. So last week it happened to be me, yesterday it happened to be LaQuinton, it could be someone else tomorrow.” It’s still Thomas out of all the Buckeyes that concerns Marshall the most. “He’s a bad-shot taker and a bad-shot maker,” Marshall said, noting that the statement was a compliment. And it was Thomas, in opposition from his teammates and coaches, who was the one pointing out what no one Friday seemed to: that OSU is the favorite, and Wichita State the heavy underdog. “They’ve got nothing to lose,” the junior forward said. And if OSU is everyone’s pick to advance, is there a pressure to not be the one that lets the low seed continue to dance? “I don’t think that’s really important to us,” Ross said. “We don’t want to get knocked off by anybody-Syracuse, Louisville, Indiana, Michigan, any of those teams-so we’re taking Wichita State like it’s a Big Ten game or any other game.” If that’s the case, OSU should fare well tomorrow. The Buckeyes haven’t lost “any” game since Feb. 17 and hold the nation’s longest current winning streak. A win against the Shockers would put OSU in its third Final Four since 2007. read more

Fakhrul Rizvi Khasru sued for sedition

first_imgFakhrul, Rizvi, KhasruA sedition case has been filed against Bangladesh Nationalist Party (BNP) secretary general Mirza Fakhrul Islam Alamgir, senior joint secretary general Ruhul Kabir Rizvi and its standing committee member Amir Khasru Mahmud Chowdhury on Monday, reports UNB. AB Siddique, president of Jananetri Parishad, a pro-Awami League organisation, filed the case with the court of Dhaka Metropolitan Magistrate H M Toaha.After hearing, the court ordered Tejgaon police to investigate the allegation.Earlier, a reported audio clip of a telephonic conversation between BNP leader Amir Khasru Mahmud Chowdhury and an unknown boy over intensifying the ongoing student movement went viral on Facebook and YouTube on Saturday.last_img

Is Europe on track to end AIDS by 2020

first_img Source:https://ecdc.europa.eu/ Reviewed by James Ives, M.Psych. (Editor)Nov 30 2018From diagnosis of HIV to successful viral suppression: in a rapid communication published in Eurosurveillance today, ECDC and co-authors from Public Health England and The National AIDS Trust summarise the progress towards HIV elimination in 52 countries in Europe and Central Asia. The main issues: diagnosing those who are unaware of their HIV infection and treating them.The global targets set out by UNAIDS for 2020 are to diagnose 90% of all HIV-positive people, provide antiretroviral therapy for 90% of those diagnosed, and achieve viral suppression for 90% of those treated (known as 90-90-90 targets). In 2018, 52 of 55 countries completed the survey indicating the progress towards these targets in Europe and Central Asia.Between “substantial progress” and “concerning”Is Europe on track to end AIDS by 2020? Following analysis of the data provided by the 52 countries in 2018, the progress towards the 90-90-90 targets stands at 86%-91%-92% in the EU/EEA. This means that overall, countries in the EU/EEA are on track to reach the targets by 2020. Looking at the whole Region, however, a striking drop in the second stage of the continuum is apparent: across Europe and Central Asia, the figures show a significant gap in the amount of people who are diagnosed with HIV but not receiving treatment: 80%-64%-86%. The article provides results on the targets for each of the reporting countries.The authors acknowledge “substantial progress” towards the 90-90-90 targets across Europe and Central Asia. However, among the estimated 2.1 million people living with HIV in Europe and Central Asia “only two out of five are estimated to be virally suppressed in 2018”. Furthermore, “the substantial drop-off between the percentages diagnosed and treated in the East sub-region is concerning since it enables preventable deaths, serious illness and onward transmission.”The results give new insights into necessary steps in the regional or national HIV responses. As almost two-thirds of the 1.2 million people across the region with transmissible virus are diagnosed but only half of those are on treatment, “the biggest public health impact could be achieved through rapid and sustained scale up of treatment”, according to the authors. This is particularly true for countries in the east of the region where the outcome was 76%-46%-78%.Related StoriesAlcohol reduction associated with improved viral suppression in women living with HIVPrevalence of anal cancer precursors is higher in women living with HIV than previously reportedNovel method can help clinicians identify individuals most in need of PrEPPolicies that diversify and enhance the offer of HIV tests could help address the problem of late diagnosis across Europe, as outlined in the new ECDC guidance on HIV, hepatitis B and C testing. This would include testing for indicator conditions, during screenings for other sexually transmitted infections, in community-based settings, as self/home-testing and for partner notification.The authors highlight that the 90-90-90 targets remain a “powerful tool to assess progress towards HIV elimination and drive standards in care” for people living with HIV. But these targets do not provide a comprehensive picture of the public health response to HIV. “Each ‘last 10 percent’ includes people especially marginalised from healthcare services.”What are the 90-90-90 targets?The so-called continuum of HIV care is a framework which allows countries to monitor the effectiveness of key areas in the response to the HIV epidemic along several stages, from diagnosis towards viral suppression. The overall aim is to that people living with HIV are diagnosed (early) and receive antiretroviral treatment (ART) which leads to viral suppression, i.e. the virus is no longer detectable in the blood. Such an undetectable viral load also means that HIV positive people on effective treatment do not transmit the virus.Based on the findings of the ECDC Dublin Declaration report on the continuum in 2015, ECDC now monitors a four-stage continuum that is directly relevant in the European region. Stage 1 looks at the estimated number of all people living with HIV (PLHIV); stage 2 at the number of all PLHIV who have been diagnosed; stage 3 at the number on PLHIV who have been diagnosed and who are on ART; and stage 4 comprises the number of PLHIV on ART who are virally suppressed. In 2018, 34 of 55 countries provided data on all four continuum stages.last_img read more

Study shows ticagrelor is equally safe and effective as clopidogrel after heart

first_imgReviewed by James Ives, M.Psych. (Editor)Mar 19 2019Patients given clot busters to treat a heart attack fared equally well if they were given the standard blood thinning medication clopidogrel versus the newer, more potent drug ticagrelor, according to research presented at the American College of Cardiology’s 68thAnnual Scientific Session.The trial, called TREAT, is the first large, international trial to assess ticagrelor’s safety and efficacy in patients taking fibrinolytic therapy, or “clot busters,” a class of drugs that break up the blood clots that cause heart attacks. Clot busters are used to treat heart attacks when it is not feasible to perform percutaneous coronary intervention (PCI), a procedure to open blocked arteries that is the gold standard for treating ST-elevation myocardial infarction (STEMI), the most severe type of heart attack.In 2018, researchers reported the trial met its primary endpoint (major bleeding at 30 days) showing comparable safety between ticagrelor and clopidogrel. The current pre-specified analysis of efficacy and safety at 12 months suggests ticagrelor and clopidogrel have comparable efficacy and offers further confirmation that ticagrelor is safe to use in this patient population, researchers said.Ticagrelor reduces clotting by preventing platelets from aggregating. It takes effect more quickly than clopidogrel. A previous study, called PLATO, found ticagrelor was superior to clopidogrel at preventing adverse cardiac events in patients with acute coronary syndromes—a group of conditions that includes heart attacks and unstable angina—who were not given clot busters. TREAT was designed to determine whether these benefits extend to patients given clot busters after STEMI.”In spite of the fact that ticagrelor is more potent than clopidogrel, we found that it is safe to use ticagrelor in this population,” said Otavio Berwanger, MD, PhD, Chair of the Steering Committee and the study’s lead author. “In terms of efficacy, it is appropriate to interpret it statistically as a neutral trial, though it should be looked at in the broader context along with PLATO.”The use of clot busters is most common where PCI is not available 24 hours a day, which includes most lower- and middle-income countries as well as some higher-income countries. The trial, conducted in 10 countries on five continents, included a mix of higher-income and lower-income countries and thus has worldwide relevance, researchers said.The trial enrolled 3,800 patients treated for STEMI at more than 180 centers. All patients had received fibrinolytic therapy within 24 hours of their heart attack. Half of the participants were randomly assigned to take ticagrelor and half took clopidogrel. Patients were given an initial loading dose of their assigned drug and then continued taking the drug for 12 months.Related StoriesSmoking triples the risk of death from cardiovascular diseaseImplanted device uses microcurrent to exercise heart muscle in cardiomyopathy patientsHeart disease is still the number 1 killer in Australia, according to latest figuresAt 12 months, researchers assessed rates of the key endpoint for the 12-month analysis, a composite of death from vascular causes, heart attack, stroke, severe recurrent ischemia, transient ischemic attack or another arterial thrombotic event. Eight percent of patients taking ticagrelor and 9.1 percent of those taking clopidogrel suffered these events, a difference that was not statistically significant.Researchers noted that the trial was much smaller than PLATO, which had more than 18,000 participants, and had a lower than expected number of adverse events, limiting its statistical power. The risk reductions of ticagrelor as compared with the clopidogrel groups were identical in both studies; however, the gap was considered statistically significant in PLATO due to that trial’s larger size. When the researchers analyzed pooled data combining PLATO and TREAT, they found ticagrelor significantly improved outcomes compared to clopidogrel.”The TREAT patients are exactly the population that was excluded from PLATO,” Berwanger said. “By combining both trials, we can say that ticagrelor is beneficial across the whole spectrum of patients with acute coronary syndromes, regardless of how they are managed in terms of fibrinolytic therapy.”When TREAT data were analyzed alone, researchers found no significant difference in terms of the secondary composite endpoint that included death from vascular causes, heart attack or stroke, which occurred in 6.9 percent of those on ticagrelor and 7.3 percent of those on clopidogrel. They also found no significant differences in terms of the individual components of the composite endpoint or death from any cause.Bleeding is the most common complication from blood thinners, which are used to help prevent heart attacks and strokes by reducing the body’s ability to clot blood. The TREAT researchers assessed rates of bleeding events using the criteria defined by the Thrombolysis in Myocardial Infarction (TIMI) score, as well as the Bleeding Academic Research Consortium (BARC) categories and the definition used in PLATO. Rates of the most important types of bleeding such as major bleeding and major and minor bleeding combined were low (between 1 and 2 percent) and not significantly different between the two groups, suggesting the safety of ticagrelor. However, rates of minor, non-clinically relevant bleeding (such as from a nosebleed or minor cut) were significantly higher in the ticagrelor group, with 5.9 percent reporting such bleeds compared with 2.9 percent among those taking clopidogrel. This difference was expected and in line with previous studies, Berwanger said. Source:https://www.acc.org/about-acc/press-releases/2019/03/18/09/20/ticagrelor-is-as-safe-and-effective-as-clopidogrel-after-heart-attacklast_img read more

Traditional and ecigarette users may be more receptive to smoking cessation interventions

first_imgRelated StoriesBacteria in the birth canal linked to lower risk of ovarian cancerWhy Mattresses Could be a Health Threat to Sleeping ChildrenResearchers identify gene mutations linked to leukemia in children with Down’s syndromeWhile around 18 percent of cigarette-only users and 26 percent of dual users reported having been asking about their smoking status at the current office visit, discussions about FDA-approved medications to help them quit were reported by only 2 percent of the cigarette-only users and none of the dual users. The authors note that this result implies that, although some pediatric offices not in the CEASE program have systems prompting clinicians to screen for parental tobacco use, few routinely deliver the evidence-based tobacco control treatments that can help parents quit.While e-cigarettes are marketed as helping smokers reduce or eliminate the use of traditional cigarettes, they are not approved for smoking cessation by the FDA. Both the U.S. Preventive Services Task Force and a committee of the National Academies of Sciences, Engineering and Medicine have concluded that current evidence does not support the use of e-cigarettes as smoking cessation aids.Studies have shown that significant percentages of U.S. adults either don’t know whether e-cigarette aerosols are harmful to children or believe they cause some or little harm, and the National Academies report also noted that there is “conclusive evidence” that e-cigarette use increases airborne concentrations of nicotine and particulate matter in indoor environments, compared with background levels.Jonathan Winickoff, MD, MPH, of the MGHfC Division of General Academic Pediatrics and director of Pediatric Research in the MGH TRTC, senior author of the Academic Pediatrics paper, says, “While e-cigarettes emit numerous toxins in addition to nicotine and still pose health risks, nicotine replacement therapy in the form of gum, lozenges or patches has proven effectiveness in supporting smoking cessation and eliminating nicotine exposure to infants and children. Pediatric offices are an ideal location for offering evidence-based treatments to patients’ parents and educating them that e-cigarettes are not a safer option.” Winickoff is a professor of Pediatrics at Harvard Medical School.Source: https://www.massgeneral.org/about/pressrelease.aspx?id=2394 to have a child less than 1 year old at home, to plan to quit smoking in the next 6 months, to have attempted to quit smoking in the past 3 months, to have used nicotine replacement or called a smoking quitline in the past two years. Reviewed by James Ives, M.Psych. (Editor)Apr 23 2019A study by MassGeneral Hospital for Children (MGHfC) researchers finds that parents who use both traditional cigarettes and e-cigarettes may be more receptive to smoking cessation interventions than parents who only smoke traditional cigarettes.”Our findings suggest that smoking parents who start using e-cigarettes may have done so out of a desire to quit smoking,” says Emara Nabi-Burza, MS, of the MGHfC Division of General Academic Pediatrics and the Massachusetts General Hospital (MGH) Tobacco Research and Treatment Center (TRTC), lead author of the report published online in Academic Pediatrics. “However, many of them end up becoming dual users of cigarettes and e-cigarettes, maintaining their addiction to nicotine and also exposing their children to e-cigarette aerosols, which contain hazardous substances.”The study also found that parents using both cigarettes and e-cigarettes were as likely as cigarette-only smokers to allow smoking in their homes but were much more likely to allow smoking in their cars and vaping in both homes and car, suggesting they may believe that e-cigarette aerosols contain few health hazards, a belief not supported by the most recent evidence.The current study is an outgrowth of the CEASE (Clinical Effort Against Secondhand Smoke Exposure) program, which trains pediatric office staff members to ask the parents of patients whether anyone uses tobacco products in their homes or cars and to provide assistance to help those who smoke to quit. The CEASE study was conducted at 10 pediatric practices – two each in the states of Ohio, Virginia, Tennessee, North Carolina and Indiana – and the current study was conducted at the five control practices where the CEASE training had not been initiated.Among a group of more than 700 parents who reported currently using cigarettes, 11 percent reported also using e-cigarettes, making them dual users of both products. Of 115 parents who reported using e-cigarettes, 70 percent were still smoking traditional cigarettes. Compared with parents who reported smoking traditional cigarettes only, dual users were more likely:last_img read more

A casebased report on adult congenital heart disease among veterans

first_imgReviewed by James Ives, M.Psych. (Editor)May 9 2019In the current issue of Cardiovascular Innovations and Applications volume 4, issue 1, pp. 71-75(5); DOI https://doi.org/10.15212/CVIA.2017.0076, Robert F. Hamburger, DO, MPH, FACC, from the Division of Cardiovascular Medicine, University of Florida College of Medicine, Gainesville, FL, USA and Malcom Randall VA Medical Center, Gainesville, FL, USA considers adult congenital heart disease in the veteran population.Related StoriesHeart disease is still the number 1 killer in Australia, according the latest figuresWeightlifting is better for the heart than cardioTeam approach to care increases likelihood of surviving refractory cardiogenic shockSimple forms of congenital heart disease can allow patients to go undiagnosed until they reach adulthood. Furthermore, improvements in care of patients with complex congenital heart disease are now allowing most patients to reach adulthood. As some patients with adult congenital heart disease can remain asymptomatic until later in life, it is possible for them to serve in the military and eventually fall under the care of Veterans Administration (VA) providers. Therefore it is important for providers, especially cardiologists at VA centers, to have fundamental understanding of the management of adult congenital heart disease. This article provides multiple cases of adult congenital heart disease experienced at a single VA medical center and reviews the anatomy, physiology, and surgical management of each condition. Source:http://cvia-journal.org/last_img read more

Crackdown on immigrant families to start Sunday Trump says

first_imgIn a typical week, U.S. Immigration and Customs Enforcement (ICE) arrests thousands of immigrants who are staying in the country illegally, according to government data. Most of those arrests are made without any advance publicity.The president, speaking to reporters at the White House on Friday, said he was not concerned that the advance notice could help targeted immigrants evade arrest.”If the word gets out, it gets out,” he said.Since Trump first spoke of the plan, a number of city mayors, nearly all Democrats, have repeated their long-standing policies of not cooperating with ICE officials on deportations and have advertised helplines people can call to understand their rights.Democratic lawmakers, among others, have also sought to inform immigrants of their rights, telling them not to open their door for ICE unless agents present a court-issued warrant, and not to say or sign anything before speaking with a lawyer.DETERRING BORDER CROSSINGSTrump, a Republican who has made cracking down on illegal immigration a centrepiece of his administration, is trying to deal with a surge of mostly Central American families crossing the U.S.-Mexico border. Many families are approaching border officials to seek asylum.The latest planned arrests would follow widespread criticism of the crowded, unsanitary conditions in which immigrants are being detained along the southwestern border and concerns about children being separated from adults by border officials.In a hearing on the subject on Friday at the U.S. House of Representatives, some Democrats said they feared the forthcoming arrests could result in more immigrant children being separated from their families.Elijah Cummings, the chairman of the House Oversight and Reform Committee, asked a federal watchdog about its recently issued report saying detention conditions were below standards.Jennifer Costello, the acting inspector general for the Department of Homeland Security, told the congressional hearing that the government was falling short in terms of “crowding, the prolonged detention, some of the hygiene that the children are supposed to have.”Costello said it would be “impossible” to meet required standards under “the conditions that we saw there.” “It’s shocking,” she said.GRAPHIC – Trump immigration enforcement lags behind Obama : https://fingfx.thomsonreuters.com/gfx/editorcharts/USA-IMMIGRATION/0H001PBKB5E8/index.htmlREPORTERS TAKEN INSIDE Trump sent Vice President Mike Pence to visit some of the criticized detention facilities in McAllen, Texas, on Friday along with journalists, who have generally been denied access to detained immigrants.Pence visited one overcrowded and foul-smelling facility where almost 400 men are detained behind metal fences, some sleeping on concrete, after being accused of crossing the U.S. border illegally.The Trump administration has increased pressure on the governments of Mexico and several Central American countries to stem the flow of migrants reaching the U.S. border.Trump is to meet with Guatemalan President Jimmy Morales at the White House on Monday for talks on immigration and security. Morales may sign an agreement with Trump declaring Guatemala a safe destination for asylum seekers, which could prevent many from applying in the United States, according to officials in both governments.Alongside these international efforts, Trump has sought to deter border crossings with highly publicized crackdowns in the United States.The operation that Trump said would start on Sunday is an example. ICE is expected to target families whose immigration cases were handled through an expedited court process that began in 2018.The agency has notified about 2,000 of those people that they face deportation because they failed to appear in court, acting ICE Director Mark Morgan said last month. Immigration rights activists have complained that in many cases immigrants, especially those involved in expedited hearings, do not receive proper notice of their court dates.ICE has declined to discuss the weekend’s operation, including whether those families are among those being targeted.The American Civil Liberties Union and other civil rights groups sued this week to stop the arrests going ahead, asking a court to prevent the deportation of asylum-seeking families who missed their court dates until they at least get a hearing.Mexico’s government said on Friday that it would step up consular assistance for its citizens living in the United States “who may be affected by the possible migratory operations,” but did not give more details. (Reporting by Nandita Bose; Additional reporting by Mica Rosenberg, Matthew Lavietes and Jonathan Allen in New York, Richard Cowan and Mohammed Zargham in Washington, Kristina Cooke in San Francisco, and Stefanie Eschenbacher in Mexico City; Writing by Susan Heavey and Jonathan Allen; Editing by Dan Grebler, Diane Craft and Daniel Wallis) World 09 Jul 2019 Trump, Macron discuss Iran’s nuclear programme – White House Related News Related News World 10 Jul 2019 Violent Mexican border city opens its doors to U.S. asylum seekerscenter_img WASHINGTON (Reuters) – A nationwide wave of arrests of immigrants facing deportation will commence over the weekend, U.S. President Donald Trump said on Friday, confirming that the plan, intended to discourage a surge of Central American migrants, was on track after a delay.The operation is expected to target hundreds of families in 10 cities that have recently been ordered deported by an immigration court but have not yet left the country. Trump revealed the operation on Twitter last month and then postponed it. It is unusual for the government to announce deportation operations ahead of time.”People are coming into this country illegally, we are taking them out legally,” Trump told reporters on Friday, calling it a “major operation” that would mainly focus on removing criminals. World 11 Jul 2019 Arrests of immigrant families promised by Trump to begin on Sunday, Times says {{category}} {{time}} {{title}}last_img read more