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Asian American people are typically categorized simply as Asian for the purposes of health research and reporting. It is a simplification that does not expose their true diversity.

A new large, retrospective study finds that some Asian American subgroups are at particular risk for ischemic heart disease, heart failure, and cerebrovascular disease.

Working with mortality data from 2011 to 2016 collected in the United States Centers for Disease Control and Preventions (CDCs) National Health and Nutrition Examination Survey, the study reveals the flaw in considering the health of all Asian Americans as a single entity.

A recent analysis of the same data found that non-Hispanic Asians were more likely to have ideal cardiovascular health than non-Hispanic whites, missing entirely the higher cardiovascular risk associated with some Asian subgroups.

Dr. Pei Jai Michael Ho is a co-author of an editorial released alongside the new study. He told Medical News Today:

Americans with Asian ancestry can trace their roots to more than 20 countries, ranging anywhere from China to the Indian subcontinent. These origins come with incredibly unique cultures, languages, and histories, including immigration status. Therefore, it is difficult to expect that these diverse individuals will face the same medical problems or have similar medical needs.

Lumping everyone with Asian ancestry into a single Asian group masks potential healthcare disparities and makes it more challenging for our healthcare system to meet the needs of the unique subgroups in this population.

Dr. Pei Jai Michael Ho

Asian Americans are the fastest-growing demographic group in the U.S., increasing from 11.9 million people in 200 to 22.4 million people by 2019, which is an 88% increase.

The new study was published in the journal Circulation: Cardiovascular Quality and Outcomes.

While an accurate assessment of Asian Americans as a single group is difficult for risk factors such as obesity, type 2 diabetes, and hypertension, the new study focused on deaths from three cardiovascular disease categories:

To determine age-standardized mortality rates from the three disease categories, the researchers compared deaths from all causes for 618,004 Asian Americans, 30,267,178 non-Hispanic white Americans, and 2,292,257 Hispanic Americans.

For the purposes of the study, Asian Americans were identified by the country from which they or their families migrated to the U.S.

Deaths from ischemic heart disease significantly decreased for all women over the period the data covered.

They also decreased for non-Hispanic white men, Hispanic men, and for Chinese, Filipino, Japanese, and Korean men. However, deaths remained stagnant for Asian Indian and Vietnamese men.

The highest number of deaths from ischemic heart disease was among Asian Indian women and men.

Hearth failure levels remained static for Chinese, Korean, and non-Hispanic white women, and Chinese and Vietnamese men. They significantly increased, however, for Filipino, Asian Indian, and Japanese women and men, as well as Korean men.

The greatest increases in terminal heart failure were for Asian Indian women and Asian Indian men.

Deaths from cerebrovascular disease fell for Chinese, Filipino, and Japanese women and men, and remained stagnant for Asian Indian, Korean, and Vietnamese women and men. Even so, Vietnamese women and men accounted for the highest number of cerebrovascular fatalities.

Dr. Ho told MNT, Its important to realize that no amount of racial subgrouping can adequately capture the ethnic makeup of the rapidly evolving U.S. population.

When an individual self-identifies as part of a racial/ethnic group, they may refer not just to their ancestral origin but also to multiple origins, to their own definition of what identifies a person as belonging to that group, and to their living experience with this identity, he added.

Racial subgroup disaggregation is a start toward capturing this information, but further research is needed.

This study should be only the beginning of a complicated subject and should start the conversation of how we can better care for our patients, Dr. Ho said.

Original post:
Heart disease risk: Why one size does not fit all Asian Americans - Medical News Today

The McGowan Government is implementing new initiatives to attract skilled migrants and international students to Western Australia to help alleviate skills shortages.

As part of the State Government's $195 million Reconnect WA strategy, an additional 194 occupations have been added to the Graduate Occupation List - taking the total number of listed occupations to 331 - to attract more international students to study in WA.

Expansion of the Graduate Occupation List will help to attract a broad and diverse range of skills that align with the State's current and future workforce needs.

The skilled migration pathway will also provide international students graduating in WA with the option to apply for permanent residence.

Along with prioritising applicants who are already in WA and Australia, the State Government has expanded the skilled migration criteria to allow offshore candidates to apply for WA State nomination.

The changes will simultaneously support the international education sector and add to WA's pipeline of skilled workers in priority areas.

The new initiatives also complement strategies to address skills shortages following industry consultation at the Perth and Regional Skills Summits.

More information is available on the Migration WA website: migration.wa.gov.au.

Comments attributed to Education and Training Minister Sue Ellery:

"Meeting Western Australia's skilled workforce needs is a priority for the State Government, to support the State's strong economic growth and pipeline of works.

"The WA Government's management of COVID-19 has helped to keep the State's economy strong and stable. With world-class education, healthy job opportunities and strong public health management, there is no better or safer place to live, work and study.

"The State Government is committed to encouraging the return of international students to WA to support our international education sector and address skills shortages in key industries."

Comments attributed to International Education Minister David Templeman:

"International students are an important part of the WA community - they make a positive contribution to the State's diversity and vibrancy, and support local jobs in a variety of industries.

"Providing a skilled migration pathway is key for attracting international students to Western Australia to retain their capabilities once they have completed their studies."

Education and Training Minister's office - 6552 5700

International Education Minister's office - 6552 5400

Continue reading here:
Welcoming skilled migrants and international students to study, live and work in WA - Media Statements

BARCELONA, Spain -- The Spanish Grand Prix hit the reset button on Formula One's 2022 championship. After six rounds, just six points separate Max Verstappen and Charles Leclerc at the top of the championship and there is next to no margin between the performance of the Red Bull and Ferrari on track. Meanwhile, Mercedes has finally started to unlock the potential of its car, introducing the prospect of three teams fighting for wins in the coming races.

The reliability issues that cost Verstappen 36 points earlier in the season were partly cancelled out by Leclerc losing 25 points to his own issues on Sunday. Ferrari, which has enjoyed strong reliability up until this point of the season, finally showed some mechanical weakness, although it should be noted that Verstappen's Red Bull remains a temperamental beast, with the Drag Reduction System (DRS) on the rear wing refusing to obey his commands while fighting for position with George Russell's Mercedes.

Leclerc's shortened race leaves unanswered questions hanging over the true performance difference between Ferrari and Red Bull, but up until lap 27 he looked like he had the race firmly in control as Verstappen had to battle back from an uncharacteristic mistake. The upshot is a championship that is incredibly difficult to call between the top two, combined with the added spice of Russell and teammate Lewis Hamilton entering the battle.

Verstappen's victory in Spain means he has won every race he's finished this season. The two times he hasn't secured victory -- in Bahrain and Australia -- his car's reliability let him down, making it easy to draw the assumption that he's verging on being unbeatable this year.

But as impressive as Verstappen's win record in 2022 is, it only tells a fraction of the story. At the two events where Verstappen retired, he did so from second place after being outperformed by Leclerc. What's more, his most recent win in Barcelona was anything but easy and would have been a second place finish had Leclerc's car not failed him on lap 27.

After lagging behind Red Bull in Imola and Miami, Ferrari brought a significant upgrade to its car in Barcelona. The new package, which is based around an upgraded floor design, was Ferrari's first major attempt at extracting more performance from the car since the start of preseason testing.

Rivals Red Bull have been adding new parts since the start of the season, but Ferrari have taken a more staggered approach to upgrades hoping to extract a big step in performance from each one. In Friday practice it looked as though Ferrari may have not made have found the performance it had hoped for, with both drivers struggling with excessive tyre degradation, but by Saturday the team had honed its car setup to the new parts and unlocked a small but significant edge over Red Bull.

Reflecting on the race on Sunday evening, Leclerc was convinced he would have won the race had he not encountered reliability issues.

"With the laps I have done, honestly everything was going really, really well," he said. "I think it would have been difficult for them to catch back up because there would have been quite a bit of a gap and we had very good degradation on the soft tyres and we could do quite a few more laps compared to them. So, overall, I think we had this race under control."

However, Red Bull team boss Christian Horner believes it may have been closer had the race played out, owing to the tyre degradation experienced on Carlos Sainz's Ferrari towards the end of the race and the fact Leclerc looked committed to a two-stop strategy whereas Verstappen found an advantage over teammate Sergio Perez from his three-stop approach.

"I think if you look at the degradation that Carlos has in the second half of the race, I think we actually faired very well," Horner said. "I think it's a shame we didn't get to see that race between Charles and Max today, because I think it would have been very close.

"And maybe the three-stop would have worked better versus the two that they adopted. I think the cars are still very closely matched."

But that ignores the fact that Sainz was struggling with car damage after his mistake earlier in the race, which will not have helped his tyre management or his performance. It also ignores the more significant fact that Verstappen was struggling to overtake rival cars due to a problem with his DRS, which kept him bottled behind Russell's Mercedes for 18 laps and meant Red Bull had to ask teammate Perez to let him by to win the race.

Despite the obvious disappointment of going home without any points after securing pole position and leading the first 27 laps of the race, Leclerc was upbeat about the overall progress Ferrari made in Spain.

"Let's say that I feel better after this weekend than after the last two weekends," he said. "Of course there is this issue on the car and I am very disappointed, but on the other hand I think there are plenty of positive signs throughout the whole weekend. "Our qualifying pace, the new package worked as expected, which is not always a given, and everything was working well with our race pace and tyre management. On tyre management at the last two races we have been struggling quite a bit compared to Red Bull and today it was strong.

"So in those situations I think it is good to also look at the positives and there are plenty today."

In theory, Ferrari should also hold an advantage at the next round in Monaco. Ever since the first test, the Italian team has held an edge over its rivals in slow-speed corners and the lack of long straights, on which Verstappen has often benefitted from the lower-drag aero package of his Red Bull, means Ferrari should stretch its advantage over its rivals.

Complicating the battle between Ferrari and Red Bull is a resurgent Mercedes. From the start of the season the world champions were confident they had a car with the potential to fight for victories, but the W13's tendency to bounce on its suspension when the floor of the car was forced into the track surface - a phenomenon dubbed 'porpoising' as it made cars replicate the motion of a porpoise moving through water -- at high speed meant that potential remained locked away.

In order to stop the bouncing, which in extreme cases was damaging the car and in any case was making it incredibly difficult to drive, Mercedes had to lift the ride height at the rear. In doing so it traded off downforce and performance, and for the first five races the potential the team had seen in its simulations back at the factory remained unobtainable.

In Spain, updates to the floor were introduced to help ease the bouncing and Mercedes was able to hit upon a setup that allowed it to tap into the true performance of the car. Russell qualified 0.6 off Charles Leclerc on Saturday, but Mercedes' engineers believe there is just a 0.3s deficit per lap in race performance.

Hamilton's performance was particularly impressive as he fought back from 19th after an early puncture to fifth place (having briefly held fourth before a water leak and concerns about overheating forced him to back off). At times, Hamilton was the fastest driver on track as Mercedes adapted his strategy to allow him to return to the track after each pit stop with a clear road in front of him. If you minus the 40 seconds he lost on the opening lap from his race time, he would have been in the running for second place alongside Perez and ahead of teammate Russell.

After the race Toto Wolff said the car looked like a championship winner, but took the opportunity to clarify those remarks when he spoke to the media later in the evening.

"What I meant to say is that I've seen a race car today that reminded me of the race cars of previous seasons, where you're 30 plus seconds behind the whole field, and you come all the way to the front and near the podium," Wolff said. "And that is very encouraging and shows that we've made another step.

"Can we fight for a world championship? Well, we bet we can. But we just need to have a car that is able to finish first and second. And I think we have reasons to believe that we can get there, but also if you look at the odds they are against us.

"Motor racing is a different ballgame. We've seen today that Ferrari didn't score a lot of points although they should have. We are absolutely pushing flat out in order to bring us back into the game."

Now that the bouncing issues are better understood, Mercedes hopes it can focus on adding performance. Finding 0.3s in the wind tunnel is a very achievable objective according to sources within the team, but the tricky thing will be transferring that to the track without triggering the bouncing again.

"I think we are literally learning as we go along," Wolff said. "These regulations have caught us off guard in a way, and step by step we are understanding what we need to do in order to bring the performance back into the car.

"We've seen another big step this weekend, probably we have halved the disadvantage to the front runners. But still there is there is a long way to go in order to be right up there in the fight.

"With Lewis we had probably the fastest race car today. He was 50 seconds behind at the end, and he caught all the way up, and at stages in the race he was the quickest, and that shows the potential that the car has."

Having a situation where Russell and Hamilton are both in the fight for victories will force both Leclerc and Verstappen to up their games significantly. What's more, Russell's gap of 36 points to Verstappen will start to look much smaller if the reliability issues on the Red Bull and Ferrari persist and Russell can challenge for wins.

At 64 points, Hamilton's gap looks much harder to close than his teammates, but spread across 16 races it only equates to four points per race. The 2022 championship is only just getting started.

Read more here:
How the Spanish Grand Prix reset the F1 title fight - ESPN

From left: Vice Media CEO Nancy Dubuc, Rudins CEO and co-chairman Bill Rudin, and Dock 72 (Getty Images, S9 Architecture, Rudin Management, iStock)

Vice Media will remain in its 77,000-square-foot Williamsburg office digs and not move to Rudin Managements Dock 72 as had been expected.

Vice has renewed its lease with WEB Holdings LLC, the owner of 289 Kent Avenue, where it has been headquartered since 2014. The renewal is for only four years, providing time for Vice to figure out its future needs.

The Kent Avenue offices are a combination of two buildings on three floors where the employees can enjoy a 30,000-square-foot landscaped roof deck overlooking Domino Park and the East River.

Erik Schmall and Allyson Bowen of Savills represented Vice Media while a Lee & Associates team including Alan Friedman and Garry Steinberg represented the landlord. No other terms of the lease were made available.

In a statement, Friedman pointed to the lively location and state-of-the-art amenities at 289 Kent Avenue as todays tenants are prioritizing quality over everything.

In August, sources told The Real Deal that Vice was still exploring options but focused on leasing four or five floors at Dock 72, the 16-story, 675,000-square-foot office building in the Brooklyn Navy Yard developed by Rudin Management and Boston Properties in cooperation with WeWork.

At the time, a Vice Media Group spokesperson confirmed the companys lease expires in 2022 and said in a statement it does not have an agreement with any party at this time.

Like all companies with an expiring lease, Vice is exploring all options for new office space while maintaining the best cost profile for our company, the spokesperson said.

Vices short-term renewal on Kent Avenue is a blow for Dock 72, which finally landed cooking and home brand Food52 as its second tenant last fall. WeWork is the anchor tenant and will provide programming and amenities for the other tenants.

Last fall, Lee & Associates started marketing Vices space on the Brooklyn waterfront as available starting July 1, 2022, putting pressure on Vice to make a choice before its renewal option expired.

The three-story, 21,000-square-foot former Domino Sugar warehouse at 49 South 2nd Street and the two-story, 44,000-plus square-foot former theater, recording studio and restaurant at 289 Kent Avenue were brought up to code and completely redesigned by the Switzer Group into a sleek, minimalist space for Vice. It features exposed wood beams, columns, structural steel and concrete.

A former garage was made into a cheery entrance lobby and reception area leading to a caf bar, lounges, collaborative office space, conference rooms and executive offices. Bay doors open to an outdoor living room deck and green roof garden. It also has a working professional kitchen for filming as well as 125 high-tech editing suites.

Vice, Boston Properties and Rudin did not return requests for comment.

Contact The Real Deal

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Vice scraps move to Rudins Dock 72 - The Real Deal

Its Upfronts week and here we are again. After a successful NewFronts its time for the other biggest media companies to talk content and advertising innovation. On a parallel track, the price conversations between the buyers and sellers have also started. The upfront dance has begunit hasnt been killed off. In fact, far from it. This way of doing business is still quite useful for all sides of the ecosystem. It seems that everyone wants in on it.

The industry is keenly watching as consumers continue to cut cords and increasingly adopt connected TV (CTV) and OTT as their preferred viewing options, making the task of reaching prospects even harder to do now as there is more fragmentation and exceedingly more complexity.

This quickly evolving video ecosystem leaves the marketplace looking very different heading into the 2022/2023 Upfronts. How will advertisers navigate it? Do they have the necessary technology to manage this complexity?

The entire landscape has changed. Where you used to have a playing field dotted with the giant boulders of linear TV networks and scattered with CTV and OTT options among the dunes, you now have an oasis of traditional linear TV alongside digital streaming video and social media. Taking the metaphor a step further, you have new hybrid programming fitting easily between connected devices and mobile screens, creating redundancies and potential waste for buyers.

How do you locate and engage audiences now? How do you understand where they will go and how to reach them?

Todays planning tools were built for a different era and are ill-equipped to solve our present needs.

Is anyone truly equipped to operate effectively in this brave new world?

This more complex environment means you cant get around without technology to help navigate through it. Technology that helps forecast consumer viewing patterns across an entire video landscape, as well as taking into account heavy TV viewers, light TV viewers, cord-cutters, cord-nevers, etc. to better control media spend. And, of course, technology that reaches advertisers desired audience segments, in the proportion that they want.

Todays planning tools were built for a different era and are ill-equipped to solve our present needs. Too much has changed. The future does not fit into the containers of the past.

To achieve success, you will need a total video strategy that is different and is purpose-built to solve the next generation of challenges. One that has the ability to optimize and analyze media holistically with an eye toward the future. The strategy also needs to be able to score linear TV KPIs with those of CTV, digital video and mobile in order to give buyers a birds-eye, 360-degree topographical map of the media landscape. Its an approach that swaps siloed planning and buying with true incrementalism, delivering a more effective use of clients budgets and reclaims control from the sell-side alone (as they look only within their portfolio) and allows buyers to make holistic decisions across their entire video portfolio.

Look at it this way: Linear and mobile are parts of an ecosystem with interactive micro-environments that can expand advertisers reach. Total video planning and investment can eliminate the redundancy and waste advertisers experience when these environments overlap.

Implementing total video planning technologywhich incorporates a smart approach to data that effectively forecasts viewership across TV, CTV, digital and social media, unifying it on one platform and driving incrementalityis a true cross-screen planning solution.

Ironically, 2020-2021 proved to be a time of fast and positive development in the video world; people cut cords in record numbers and turned from cable boxes to streaming.

Meanwhile, the networks technical teams were busy developing platforms to capture viewing data even as it moved toward hard-to-capture media. But this is still siloed information. Its good for networks to understand their own footprint, viewership, incrementality and overlap within their own world, but it does not enable advertisers to fully understand these same things to guide their overall investment strategy. Data in silos is still siloed investment and siloed decisioning.

This year, it is more important than ever that media buyers have access to multi-network, cross-screen, granular data unified on a single platform. Using technology to transform siloed data into holistic data will empower advertisers to take control of their overall investments. It will also allow them to reduce waste and drive the outcomes most important to themacross the entire ecosystemas they approach the upcoming Newfronts and Upfronts. Data was a great first step, but without technology, it does not solve for siloed investment.

After negotiating the Newfronts and Upfronts, your media portfolio should not resemble a series of desert snapshots with boulders and sand dunes marked out in separate frames. You do not need to end up with a static photo book of your individual media investments. You should have a full 360, high-def picture of the entire video landscape; one that allows for a dynamic visualization of your plan and evolves as your plan unfolds throughout the year.

Excerpt from:
The Role Total Video Planning Plays in Upfronts - Adweek