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

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.

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

Welcoming skilled migrants and international students to study, live and work in WA – Media Statements

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

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

How the Spanish Grand Prix reset the F1 title fight – ESPN

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.

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How the Spanish Grand Prix reset the F1 title fight - ESPN

Conservative nonprofit launches ad campaign targeting bills over Big Tech censorship – Fox News

NEWYou can now listen to Fox News articles!

FIRST ON FOX: A conservative nonprofit is launching a new ad campaign targeting Big Tech over online censorship.

Common Sense Leadership Fund (CSLF), a conservative nonprofit, launched the new seven-figure ad buy on Monday, railing against two pieces of legislation making their way through Congress.

CSLF president Kevin McLaughlin told Fox News Digital the "last thing we need is the federal government codifying into law Big Techs ability to silence anyone they happen to disagree with politically."

NEW CONSERVATIVE GROUP TARGETS HASSAN, KELLY OVER DEMOCRATS $3.5 TRILLION SPENDING PUSH

Two bills targeted in the ad campaign are the American Innovation and Choice Online Act and Open App Markets Act. (istock)

The ad, first obtained by Fox News Digital and titled "Big Brother," focuses on the loopholes in two bills, the American Innovation and Choice Online Act and Open App Markets Act, that loosely uses the word "safety."

One provision in the American Innovation and Choice Online Act creates a legal defense for tech companies potential censorship if the measure they implement is to "protect safety, user privacy, the security of non-public data, or the security of the covered platform."

A similar "digital safety" provision also exists in the Open App Markets Act.

"Dont have the right opinion? Censored!" the ad says. "Are your facts an inconvenient truth? Banned!"

"No, its not big brother. Its Twitter. Facebook. YouTube. Apple," the voice-over continues. "They do it behind closed doors and answer to no one."

CSLFs ad warns that the two bills "would enshrine their censorship power in federal law" and that "Big Tech needs tough regulation not more rules that allow them to control your online speech."

"Tell Congress to reject Senate Bill 2922 and 2710 or you might be next," the ad concludes.

Senate Majority Leader Chuck Schumer speaks to the media after a Democratic policy luncheon, Oct. 19, 2021, on Capitol Hill. (AP Photo/Jacquelyn Martin)

Conservative commentators warn that the bills would harm U.S. businesses by radically altering antitrust laws and changing ecommerce itself.

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Senate Majority Leader Chuck Schumer, D-N.Y., said he wants to bring the American Innovation and Choice Online Act up by early summer.

Schumers move to bring the measure up for a vote comes the week after President Bidens disinformation board bit the dust.

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Conservative nonprofit launches ad campaign targeting bills over Big Tech censorship - Fox News

Universities are sleepwalking into censorship – spiked – Spiked

History hardly lacks examples of unintended consequences, but Hanoi 1902 remains especially instructive. Having caused a rat infestation by laying nine miles of sewage pipes, the colonial government of French Indochina reckoned it could fix things by paying locals to catch them: one cent per tail handed in at the local municipal office. The scheme began in April and by June the Vietnamese were producing up to 20,000 tails per day.

And yet the rat population seemed only to increase to the point where bubonic plague returned to the city. Why? Instead of killing rats, hunters simply docked their tails and set them free to breed more rats. There were even reports of rat farms popping up just outside the city.

This provides a perfect illustration of how well-intentioned incentives can misfire. When you reward people for certain outcomes, they will pursue them by methods that you never foresaw, and with side effects that you never intended.

Something very similar has happened in the UKs higher-education sector. Advance HE, a charity established in 2018 from a merger of the Equality Challenge Unit, the Higher Education Academy and Leadership for Higher Education, currently offers two incentive schemes to British universities: the Race Equality Charter and the Athena SWAN Charter. Universities apply for Bronze, Silver and (for Athena SWAN) Gold awards that demonstrate their commitment to race and gender equality. To apply, institutions have to subscribe to Advance HE and submit, among other things, an action plan for change. If an institution wins, it can get a shiny badge that it can advertise to potential students, employees and funding bodies.

Racism, sexism and other prejudices do exist, of course. And some institutions are taking serious steps to address them for instance, by introducing blind application processes for some posts, as at the University of Birmingham. But all too often these action plans are effectively blueprints for corporate virtue-signalling, censorship and indoctrination.

As part of its race-equality action plan, the University of Dundee, for instance, wants to make anti-racism training compulsory for all staff and students. Imperial College London, among many others, wants to extend the use of unconscious bias training. Never mind the glaring lack of evidence that anti-racism training helps anyone except those selling it, or the mountains of evidence that unconscious bias training is useless.

More importantly, universities attempts to win the approval of Advance HE, and thus signal their virtue, are eroding academic freedom and free speech.

Take the many ham-fisted plans to encourage the calling out, reporting, suppression and punishment of microaggressions commonplace expressions that make some people feel discomfited, even where no malice is intended.

For instance, the University of Cambridge tried to launch a new website to allow staff and students to report these micro-offences anonymously. The list of potential microagressions included the stereotyping of religion. Think of the effect this would have in the seminar room. Philosophers, for instance, have made all kinds of general and stereotypical claims about religions that are not entirely complimentary. As a teacher of philosophy, I may have to mention these claims is this a form of microaggression?

Either way, debating and thinking through potentially challenging ideas ought to be central to the academic enterprise. If anyone in charge thinks shutting down such debate is an acceptable price to pay for winning an Advance HE badge of approval then perhaps they shouldnt be running a university.

The erosion of free speech and academic freedom doesnt stop there. To win an Athena SWAN award a university must show its commitment to particular principles. These have changed since 2015. Where once they included tackling the discriminatory treatment often experienced by trans people, now an institution must also agree to fostering collective understanding that individuals have the right to determine their own gender identity.

This looks like a move from tackling discrimination to the policing of thought, and on a highly controversial topic, too. Gender identity means your personal sense of your own gender, but there are many serious thinkers who doubt that that means much at all. Are we meant to suppress these critical voices? And even if that is not Advance HEs intention, it is certainly something it appears to be incentivising. Surely, the job of a university is to facilitate open debate not to foster collective understanding on any controversial matter.

Advance HE claims that it doesnt want to compromise academic freedom. I dont think any, or at least not many, of the HE institutions which sign up to its schemes want to destroy academic freedom, either. But this will be the unintended upshot of what some of them are doing.

If Advance HE is serious about defending academic freedom, perhaps it should set up an Academic Freedom Charter. In the meantime, the rest of us will need to work hard to put freedom of speech and thought back at the heart of our universities, where they belong.

Arif Ahmed is a lecturer in philosophy at Gonville and Caius College, Cambridge.

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Universities are sleepwalking into censorship - spiked - Spiked