Black Veterans Experiences with and Recommendations for Improving Weight-Related Health Care: A Photovoice Study.

BACKGROUND: Non-Hispanic Black or African American (hereafter Black) veterans lose less weight than other users of the Veterans Health Administration's (VHA) weight management program (MOVE!), despite higher enrollment. OBJECTIVE: To understand factors that affect weight loss disparities between Black veterans and other veterans. DESIGN: Qualitative study using Photovoice methods. PARTICIPANTS: Self-identified Black veterans in MOVE! across the USA (two women, seven men). APPROACH: We conducted six virtual Photovoice sessions with Black veterans. Session one provided orientation to the goal of understanding factors that might affect weight loss disparities. Participants chose missions related to weight management and VHA care, bringing photos or other media (e.g., poems) to discuss during remaining sessions. Facilitators/participants identified themes related to each session in real time. Between and after sessions, facilitators/investigators conducted rapid qualitative analysis of transcripts/audio to group similar themes, identify illustrative quotes/photos/other media, and prepare dissemination products (e.g., this manuscript). Participants provided feedback on the manuscript during an additional session. KEY RESULTS: Themes were identified across three categories: (1) Food in Our Lives and Health Care; (2) Body Image; and (3) Healthcare Bias and Discrimination. The emotional impact of food and the negative effects of bias and discrimination on health care quality and trust were especially salient. Participants provided recommendations for weight-related and general care. Notable recommendations included the need for VHA to hire and retain providers-especially Black providers-who understand and respect Black patients and are committed to delivering evidence-based, culturally sensitive care. In addition, weight management care should be tailored to individual patients' diets and health beliefs and deemphasize body mass index. CONCLUSIONS: Photovoice resulted in concrete targets that could reduce health disparities. Institutions should consider Photovoice and similar approaches to build trust with and incorporate input from marginalized communities. This approach requires sustained commitment from leaders to engage stakeholders and implement solutions.

Mutation in Phospholipase C, δ1 (PLCD1) Gene Underlies Hereditary Leukonychia in a Pashtun Family and Review of the Literature.

Human hereditary leukonychia is a rare nail disorder characterized by nail plates whitening on all finger and toe nails. Inheritance pattern is both autosomal dominant and recessive. To date, the only gene, phospholipase C, δ1 (PLCD1), on chromosome 3p22.2 has been reported to be involved in hereditary leukonychia. In the present study, a family of Pakhtun ethnicity, carrying leukonychia phenotype was investigated. The family inherited the phenotype in an autosomal dominant fashion. Affected individuals exhibited characteristic features of hereditary leukonychia with involvement of nails on both the hands and feet. Sequence analysis of DNA detected a p.Cys209Arg mutation, reported for the first time in a Pakistani Pashtun family.

Phytochemical analysis of Hibiscus caesius using high performance liquid chromatography coupled with mass spectrometry.

Various species in genus Hibiscus are traditionally known for their therapeutic attributes. The present study focused on the phytochemical analysis of a rather unexplored species Hibiscus caesius (H. caesius), using high-pressure liquid chromatography coupled with mass spectrometry (HPLC-MS). The analysis revealed five major compounds in the aqueous extract, viz. vanillic acid, protocatechoic acid, quercetin, quercetin glucoside and apigenin, being reported for the first time in H. caesius. Literature suggests that these compounds have important pharmacological traits such as anti-cancer, anti-inflammatory, anti-bacterial and hepatoprotective etc. however, this requires further pharmacological investigations at in vitro and in vivo scale. The above study concluded the medicinal potential of H. caesius.

Production of hydrogen using plastic waste via Aspen Hysys simulation.

Plastic waste is being manufactured for the production of hydrogen. The amount of plastic waste collected annually is 189,953 tonnes from adjacent nations like Indonesia and Malaysia. Polyethylene (PE), Polypropylene (PP), Polyethylene Terephthalate (PET), Polyvinyl chloride (PVC), and Polystyrene (PS) are the five most prevalent forms of plastic found in most waste. Pyrolysis, water gas shift and steam reforming reaction, and pressure swing adsorption are the three main phases utilized and studied. In this research, authors examines the energy consumption on every stage. The plastic waste can be utilized to manufacture many hydrocarbons using the pyrolysis reaction. For this process, fast pyrolysis is being used at a temperature of 500 °C. A neutralization process is also needed due to the presence of Hydrochloric acid from the pyrolysis reaction, with the addition of sodium hydroxide. This is being carried to prevent any damage to the reactor during the process. Secondly, the steam reforming process continues after the water gas shift reaction has produced steam and carbon monoxide, followed by carbon dioxide and hydrogen formation. Lastly, pressure swing adsorption is designed to extract H2S and CO2 from the water gas shift and steam reforming reaction for greater purity of hydrogen. From the simulation study, it is observed that using various types of plastic waste procured (total input of 20,000 kg per hour of plastics) from, Brunei Darussalam, Malaysia and Indonesia, can produce about 340,000 tons of Hydrogen per year. Additionally, the annual profit of the Hydrogen production is estimated to be between $ 271,158,100 and $ 358,480,200. As per the economic analysis, it can be said that its a good to start hydrogen production plant in these regions.