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7,499 result(s) for "ASAS"
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Acetylsalicylic Acid–Primus Inter Pares in Pharmacology
Acetylsalicylic acid (ASA) is one of the first drugs to be obtained by synthesis while being the most used. It has experienced the longest lasting commercial success and is considered the most popular drug of the modern era. ASA, originally used as an anti-inflammatory medication, nowadays is predominantly used as an antiplatelet agent for prophylaxis in cardiac patients. Many studies show that the benefits of using ASA far outweigh the potential risk of side effects. With particular emphasis on the possibility of ASA repositioning for new therapies, extending the indications for use beyond the diseases from the spectrum of atherosclerotic diseases, such as cancer, requires shifting the benefit–risk ratio, although very good, even more towards safety. Interesting activities consisting not only of changing the formulation but also modifying the drug molecule seem to be an important goal of the 21st century. ASA has become a milestone in two important fields: pharmacy and medicine. For a pharmacist, ASA is a long-used drug for which individual indications are practically maintained. For a doctor, acetylsalicylic acid is primarily an antiplatelet drug that saves millions of lives of patients with coronary heart disease or after a stroke. These facts do not exempt us from improving therapeutic methods based on ASA, the main goal of which is to reduce the risk of side effects, as well as to extend effectiveness. Modified acetylsalicylic acid molecules already seem to be a promising therapeutic option.
A. Philip Randolph and the Struggle for Civil Rights
A. Philip Randolph's career as a trade unionist and civil rights activist fundamentally shaped the course of black protest in the mid-twentieth century. Standing alongside W. E. B. Du Bois, Marcus Garvey, and others at the center of the cultural renaissance and political radicalism that shaped communities such as Harlem in the 1920s and into the 1930s, Randolph fashioned an understanding of social justice that reflected a deep awareness of how race complicated class concerns, especially among black laborers. Examining Randolph's work in lobbying for the Brotherhood of Sleeping Car Porters, threatening to lead a march on Washington in 1941, and establishing the Fair Employment Practice Committee, Cornelius L. Bynum shows that Randolph's push for African American equality took place within a broader progressive program of industrial reform. Some of Randolph's pioneering plans for engineering change--which served as foundational strategies in the civil rights movement of the 1950s and 1960s--included direct mass action, nonviolent civil disobedience, and purposeful coalitions between black and white workers. Bynum interweaves biographical information on Randolph with details on how he gradually shifted his thinking about race and class, full citizenship rights, industrial organization, trade unionism, and civil rights protest throughout his activist career.
Ankylosing spondylitis and axial spondyloarthritis: recent insights and impact of new classification criteria
Development of the Assessment in Spondyloarthritis International Society (ASAS) classification criteria for axial spondyloarthritis (SpA) was one of the major breakthroughs in the field over the past decade. Despite some concerns related to the specificity of the criteria, they stimulated research into the early stage of the disease. This resulted in major advances in the understanding of the course of the disease, revealing predictors of progression, improvement in early diagnosis and treatment in axial SpA. In this review, we summarize the recent developments resulting from the introduction of the ASAS classification criteria for axial SpA and the implications for research and clinical practice.
ASA physical status assignment by non-anesthesia providers: Do surgeons consistently downgrade the ASA score preoperatively?
The American Society of Anesthesiologists physical status (ASA-PS) is associated with increased morbidity and mortality in the perioperative period. When surgeries are scheduled by surgeons and their staff at our large institution a presumed ASA-PS is chosen. This is because our institution (and, anecdotally, others in our hospital system and elsewhere), recognizing the relationship between higher ASA-PS and poorer postoperative outcomes, requires all patients with higher ASA-PS levels (≥3) to undergo enhanced preoperative workup. The patients may not, however, necessarily be seen in the anesthesia clinic prior to surgery. As a result, patients are assigned a presumed ASA-PS by a non-anesthesia provider (e.g., surgeons and physician extenders) that may not reflect the ASA-PS chosen by the anesthesiologist on the day of surgery. Errors in the accuracy of the ASA-PS prior to surgery lead to unnecessary and costly preoperative testing, delays in operative procedures, and potential case cancellations. Our study aimed to determine whether there are significant differences in the assignment of ASA-PS by non-anesthesia providers when compared to anesthesia providers. We administered an IRB-approved survey asking the ASA-PS of 20 hypothetical case vignettes to 229 clinicians in various departments. Responses by non-anesthesia providers were compared to the consensus of the department of anesthesiology. Faculty office spaces and conferences. No patients, physicians only. Survey administration. ASA-PS scores acquired from surveys. Residents and faculty in the department of anesthesiology demonstrated no statistical difference in the median ASA score in 19/20 case scenarios. All other departments were statistically different when compared to the department of anesthesiology (p<0.05). The probability of a department either over- or under-rating the ASA-PS was calculated, and is summarized in Fig. 3. All departments, except anesthesiology, had a 30–40% chance of under-rating the ASA-PS of the patients in the clinical vignettes. Non-anesthesia providers assign ASA-PS with significantly less accuracy than do anesthesia providers, even when adjusted for multiple comparisons. Surgical and procedural departments were found to consistently under-rate the ASA-PS of patients in our clinical vignettes. •Physicians tasked with assigning ASA-PS scores to clinical vignettes•Anesthesia providers tended to agree on 19 of 20 vignettes.•Non-anesthesia providers differed on score assignment.•Non-anesthesia providers tended to underrate ASA-PS scores.
Winning the War for Democracy
Scholars regard the March on Washington Movement (MOWM) as a forerunner of the postwar Civil Rights movement. Led by the charismatic A. Philip Randolph, MOWM scored an early victory when it forced the Roosevelt Administration to issue a landmark executive order that prohibited defense contractors from practicing racial discrimination. Winning the War for Democracy: The March on Washington Movement, 1941-1946 recalls that triumph, but also looks beyond Randolph and the MOWM's national leadership to focus on the organization's evolution and actions at the local level. Using the personal papers of previously unheralded MOWM members such as T.D. McNeal, internal government documents from the Roosevelt administration, and other primary sources, David Lucander highlights how local affiliates fighting for a double victory against fascism and racism helped the national MOWM accrue the political capital it needed to effect change. Lucander details the efforts of grassroots organizers to implement MOWM's program of empowering African Americans via meetings and marches at defense plants and government buildings and, in particular, focuses on the contributions of women activists like Layle Lane, E. Pauline Myers, and Anna Arnold Hedgeman. Throughout he shows how local activities often diverged from policies laid out at MOWM's national office, and how grassroots participants on both sides ignored the rivalry between Randolph and the leadership of the NAACP to align with one-another on the ground.
Ascorbic Acid-A Potential Oxidant Scavenger and Its Role in Plant Development and Abiotic Stress Tolerance
Over-production of reactive oxygen species (ROS) in plants under stress conditions is a common phenomenon. Plants tend to counter this problem through their ability to synthesize ROS neutralizing substances including non-enzymatic and enzymatic antioxidants. In this context, ascorbic acid (AsA) is one of the universal non-enzymatic antioxidants having substantial potential of not only scavenging ROS, but also modulating a number of fundamental functions in plants both under stress and non-stress conditions. In the present review, the role of AsA, its biosynthesis, and cross-talk with different hormones have been discussed comprehensively. Furthermore, the possible involvement of AsA-hormone crosstalk in the regulation of several key physiological and biochemical processes like seed germination, photosynthesis, floral induction, fruit expansion, ROS regulation and senescence has also been described. A simplified and schematic AsA biosynthetic pathway has been drawn, which reflects key intermediates involved therein. This could pave the way for future research to elucidate the modulation of plant AsA biosynthesis and subsequent responses to environmental stresses. Apart from discussing the role of different ascorbate peroxidase isoforms, the comparative role of two key enzymes, ascorbate peroxidase (APX) and ascorbate oxidase (AO) involved in AsA metabolism in plant cell apoplast is also discussed particularly focusing on oxidative stress perception and amplification. Limited progress has been made so far in terms of developing transgenics which could over-produce AsA. The prospects of generation of transgenics overexpressing AsA related genes and exogenous application of AsA have been discussed at length in the review.