Patterns of domestic exposure to carbon monoxide and particulate matter in households using biomass fuel in Janakpur, Nepal

Household Air Pollution (HAP) from biomass cooking fuels is a major cause of morbidity and mortality in low-income settings worldwide. In Nepal the use of open stoves with solid biomass fuels is the primary method of domestic cooking. To assess patterns of domestic air pollution we performed continuous measurement of carbon monoxide (CO) and particulate Matter (PM2.5) in 12 biomass fuel households in Janakpur, Nepal. We measured kitchen PM2.5 and CO concentrations at one-minute intervals for an approximately 48-h period using the TSI DustTrak II 8530/SidePak AM510 (TSI Inc, St. Paul MN, USA) or EL-USB-CO data logger (Lascar Electronics, Erie PA, USA) respectively. We also obtained information regarding fuel, stove and kitchen characteristics and cooking activity patterns. Household cooking was performed in two daily sessions (median total duration 4 h) with diurnal variability in pollutant concentrations reflecting morning and evening cooking sessions and peak concentrations associated with fire-lighting. We observed a strong linear relationship between PM2.5 measurements obtained by co-located photometric and gravimetric monitoring devices, providing local calibration factors of 4.9 (DustTrak) and 2.7 (SidePak). Overall 48-h average CO and PM2.5 concentrations were 5.4 (SD 4.3) ppm (12 households) and 417.6 (SD 686.4) μg/m3 (8 households), respectively, with higher average concentrations associated with cooking and heating activities. Overall average PM2.5 concentrations and peak 1-h CO concentrations exceeded WHO Indoor Air Quality Guidelines. Average hourly PM2.5 and CO concentrations were moderately correlated (r = 0.52), suggesting that CO has limited utility as a proxy measure for PM2.5 exposure assessment in this setting. Domestic indoor air quality levels associated with biomass fuel combustion in this region exceed WHO Indoor Air Quality standards and are in the hazardous range for human health

New insights into the genetic etiology of Alzheimer's disease and related dementias

Characterization of the genetic landscape of Alzheimer's disease (AD) and related dementias (ADD) provides a unique opportunity for a better understanding of the associated pathophysiological processes. We performed a two-stage genome-wide association study totaling 111,326 clinically diagnosed/'proxy' AD cases and 677,663 controls. We found 75 risk loci, of which 42 were new at the time of analysis. Pathway enrichment analyses confirmed the involvement of amyloid/tau pathways and highlighted microglia implication. Gene prioritization in the new loci identified 31 genes that were suggestive of new genetically associated processes, including the tumor necrosis factor alpha pathway through the linear ubiquitin chain assembly complex. We also built a new genetic risk score associated with the risk of future AD/dementia or progression from mild cognitive impairment to AD/dementia. The improvement in prediction led to a 1.6- to 1.9-fold increase in AD risk from the lowest to the highest decile, in addition to effects of age and the APOE ε4 allele

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Searching for a gas cloud surrounding the WASP-18 planetary system

Near-UV (NUV) Hubble Space Telescope (HST) observations of the extreme hot-Jupiter WASP-12b revealed the presence of diffuse exospheric gas extending beyond the planet's Roche lobe. Furthermore the NUV observations showed a complete lack of the normally bright core emission of the Mg ii h&k resonance lines, in agreement with the measured anomalously low stellar activity index (logR' HK). Comparisons with other distant and inactive stars, and the analysis of radio and optical measurements of the intervening interstellar medium (ISM), led us to the conclusion that the system is surrounded by a circumstellar gas cloud, likely formed of material lost by the planet. Similar anomalous (logR' HK) index deficiencies might therefore signal the presence of translucent circumstellar gas around other stars hosting evaporating planets; we identified five such systems and WASP-18 is one of them. Both radio and optical observations of the region surrounding WASP-18 point towards a negligible ISM absorption along the WASP-18 line of sight. Excluding the unlikely possibility of an intrinsic anomalously low stellar activity, we conclude that the system is probably surrounded by a circumstellar gas cloud, presumably formed of material lost by the planet. Nevertheless only a far-UV spectrum of the star would provide a definite answer. Theoretical modelling suggests WASP-18b undergoes negligible mass loss, in contrast to the probable presence of a circumstellar gas cloud formed of material lost by the planet. The solution might be the presence either of an extra energy source driving mass loss (e.g., the reconnection of the stellar and planetary magnetic fields inside the planet atmosphere) or of an evaporating third body (e.g., moon)

Fragilidade osmótica dos eritrócitos de bovinos das raças holandesa, girolando e gir, criados no estado de São Paulo Erythrocyte osmotic fragility of bovine of Holstein, Gir/Holstein crossbreed and Gir breeds, raised in the State of São Paulo - Brazil

Foi estudada a fragilidade osmótica dos eritrócitos (FOE) de bovinos das raças Holandesa, Girolando e Gir, criados no Estado de São Paulo, objetivando estabelecer os valores padrões de referência e determinar a influência de fatores raciais. Para isso, examinaram-se amostras de sangue de 210 fêmeas, 70 de cada raça. As amostras foram colhidas em 18 propriedades produtoras de leite, em condições semelhantes de manejo e de alimentação. Os resultados demonstraram significativas diferenças (p<0,05) entre as três raças estudadas, sendo animais da raça Holandesa aqueles que apresentaram hemácias mais frágeis e os da raça Gir as mais resistentes; os híbridos da raça Girolando apresentaram valores intermediários. Os resultados foram distribuídos em gráficos e apresentados numericamente, em termos de 5, 50 e 95% de hemólise.<br>The erythrocyte osmotic fragility (EOF) of bovine of Holstein, Gir/Holstein crossbreed and Gir breeds was studied, raised in the State of São Paulo/Brazil with the aim of establishing standard values of reference and determining the influence of breeding factors. In order to do this, the blood samples of 210 females, 70 of each breed were examined. The samples were collect from 18 milk producing establishments, under similar handling and feeding condictions. The results demonstrated significant differences (p<0.05) among the three studied breeds, the Holstein animals being the breed that presented the most fragile erythrocytes and those of the Gir breed the most resistent; the hybrids of the Gir/Holstein crossbreed presented intermediate values. The results were distributed in graphics and resented, numerically, in terms of 5, 50 and 95% of haemolysis