Aligning Public Health Interventions with Older Adult Housing Needs and Challenges

This brief outlines current housing challenges faced by older adults and potential areas for public health intervention. It summarizes existing programs that offer housing support for older adults and offers recommendations in each of the five key roles for public health

GREENLAND REVISITED: LAKE EFFECTS ON COASTAL NUTRIENT FLUXES

Retreat of continental ice sheets exposed ~15% of Earth’s land surface from the Last Glacial Maximum (LGM) to about 6 ka and recent warming has increased glacial melting and meltwater solute fluxes to the oceans. Additional solutes originate from non-glacial streams in landscapes exposed since the LGM. As presented in last year’s pandemic-modified Birdsall-Dreiss lecture, Greenlandic glacial and non-glacial streams have distinct solute concentrations because of differing chemical weathering regimes of comminuted glacial sediment. In this year’s lecture, we evaluate an ~46 km2 non-glacial watershed near Sisimiut, Greenland to assess how lakes may impact non-glacial solute fluxes. Snow accumulates in the watershed from October to freshet in early May, after which discharge responds solely to precipitation events. Three main tributaries provide 92% of flow to the outlet stream and drain sub-watersheds with median slope angles of 16 to 18% and small upland lakes that cover 0.5 and 3.8% of the land area. In contrast, the outlet stream discharges from a landscape with a median slope of ~6% that includes one large and one small lake covering 23% of the area. Streams above and below the outlet lakes show similar variations in solute concentrations through the melt season. However, soon after freshet the outlet stream has major element concentrations ~20% greater than in the tributaries. The excess solute concentrations decrease linearly for ~90 days at which time the tributaries and outlet have similar concentrations. The excess solutes at the outlet may result from over-winter mineral dissolution in lake sediments, cryogenic solute enrichment during lake freeze-in, or dilute runoff in tributaries from snowmelt during and soon after freshet. In contrast, the outlet stream has a 0.6 to 3 times deficit of PO4, NO3, and Si compared with the tributaries, suggesting assimilation within the lake. NH4 concentrations switch from ~60% deficit to ~ 60% excess, reflecting a switch from a lake sink to source. The differences between tributary and outlet stream compositions suggest lake development may have altered coastal nutrient fluxes from non-glacial streams post-LGM. These variations will modify differences in glacial and non-glacial nutrient fluxes to coastal ecosystems, both since the LGM and as melting increases in a future warmer world

Increasing Nurse Awareness of a Breastfeeding and Substance Use Disorder Guideline to Improve Rates of Breast Milk and Skin to Skin Usage: A Quality Improvement Initiative​

Neonatal opioid withdrawal syndrome (NOWS) is related to opioid exposure in utero, and cases of NOWS have been increasing. In Tennessee in 2020, 824 newborns were born with NOWS. NOWS treatment involves pharmacological and nonpharmacological treatment. Breastfeeding, a nonpharmacological treatment, decreases the need and length for pharmacological treatment, the length of stay, and NOWS symptoms. Skin-to-skin may also reduce symptoms of NOWS. This quality improvement (QI) project involved implementing an Opioid Use Disorder Toolkit from the Tennessee Initiative for Perinatal Quality Care (TIPQC) and specifically educating staff nurses in a Women and Infant’s Department in a regional medical center on a substance use disorder and breastfeeding guideline. The guideline followed the American Academy of Pediatrics, Academy of Breastfeeding Medicine, and the Association of Women’s Health, Obstetric, and Neonatal Nurses’ recommendations that mothers stable on medication assisted treatment should be encouraged to breastfeed. Education occurred via an online educational module and display of unit flyers. A pre-and post-module survey was sent to nursing staff to assess awareness and use of the guideline. We saw an increase in awareness of the guideline from 91% to 97%. We also saw an increase in breastfeeding at discharge, a decrease in NOWS diagnosis, and a decrease in the length of pharmacologic treatment. Overall, this QI project helped increase nurses’ knowledge of breastfeeding in mothers with substance use disorders. We found a clinically significant decrease in NOWS diagnosis, a decrease in the length of treatment, and an increase in breastfeeding rates at discharge

Evidence for the onset of mining activities during the 13th century in Poland using lead isotopes from lake sediment cores

Efforts to study how human activities have influenced the environment since the end of the Roman period to present day are lacking for North Central Europe. Here, we present new lead (Pb) isotope data determined from two sediment cores collected from ancient lakes spanning the last 1,500 years, located in the Kuyavian-Pomeranian Voivodeship, Poland. Study sites at Radzyń Chełmiński and Rywałd were used to differentiate Pb sources. Radzyń Chełmiński is located in the vicinity of a late Medieval Teutonic Order castle and town, while Rywałd is situated within a relatively pristine area until the 19th century when it became used for agricultural purpose. Core samples were analyzed for Pb concentration and isotopes (206Pb, 207Pb, 208Pb). Bayesian modelling was used to isolate the anthropogenic signal at each site over time. For both sites, Pb enrichment factors relative to titanium (Ti) and upper continental crust values range from 13 to 159. Lead isotopic ratios range from background, pre-anthropogenic local values (206Pb/207Pb =1.31±0.03‰, 208Pb/206Pb = 1.97±0.04‰) to anthropogenic values (SW Poland coal, ore, slag 206Pb/207Pb = 1.17±0.01‰, 208Pb/206Pb = 2.09±0.01‰). Modelled anthropogenic contribution varies greatly over time, ranging from 14 to 100%. At Radzyń Chełmiński, modeled anthropogenic Pb contribution and measured Pb concentration follow similar trends. However, at Rywałd, from around A.D.1000 to A.D. 1400 these profiles diverge significantly. Our new insights highlight different sources of Pb from the 12th century to present day: (1) short range agricultural activities from the town, and (2) long range mining activities. Additionally, prior to the 12th century, our data suggest continental anthropogenic activity possibly favored by a warmer climate

Review: Andrey Rublev: The Artist and His World

Book review of Andrey Rublev: The Artist and His World by Robin Milner-Gulland. Reaktion Books, distributed by the University of Chicago Press, May 2023. 152 p. ill. ISBN 978-1-78914-680-6 (h/c), $22.50. Reviewed September 2023 by Meg Black, Collection Management Librarian, Minneapolis College of Art and Design, [email protected]

On Infrared Excesses Associated With Li-Rich K Giants

Infrared (IR) excesses around K-type red giants (RGs) have previously been discovered using IRAS data, and past studies have suggested a link between RGs with overabundant Li and IR excesses, implying the ejection of circumstellar shells or disks. We revisit the question of IR excesses around RGs using higher spatial resolution IR data, primarily from WISE. Our goal was to elucidate the link between three unusual RG properties: fast rotation, enriched Li, and IR excess. We have 316 targets thought to be K giants, about 40% of which we take to be Li-rich. In 24 cases with previous detections of IR excess at low spatial resolution, we believe that source confusion is playing a role, in that either (a) the source that is bright in the optical is not responsible for the IR flux, or (b) there is more than one source responsible for the IR flux as measured in IRAS. We looked for IR excesses in the remaining sources, identifying 28 that have significant IR excesses by ~20 um (with possible excesses for 2 additional sources). There appears to be an intriguing correlation in that the largest IR excesses are all in Li-rich K giants, though very few Li-rich K giants have IR excesses (large or small). These largest IR excesses also tend to be found in the fastest rotators. There is no correlation of IR excess with the carbon isotopic ratio, 12C/13C. IR excesses by 20 um, though relatively rare, are at least twice as common among our sample of Li-rich K giants. If dust shell production is a common by-product of Li enrichment mechanisms, these observations suggest that the IR excess stage is very short-lived, which is supported by theoretical calculations. Conversely, the Li-enrichment mechanism may only occasionally produce dust, and an additional parameter (e.g., rotation) may control whether or not a shell is ejected.Comment: 73 pages, 21 figures (some of which substantially degraded to meet arXiv file size requirements), accepted to AJ. Full table 1 (and full-res figures) available upon request to the autho

Low birth weight due to intrauterine growth restriction and/or preterm birth: effects on nephron number and long-term renal health

Epidemiological studies have clearly demonstrated a strong association between low birth weight and long-term renal disease. A potential mediator of this long-term risk is a reduction in nephron endowment in the low birth weight infant at the beginning of life. Importantly, nephrons are only formed early in life; during normal gestation, nephrogenesis is complete by about 32–36 weeks, with no new nephrons formed after this time during the lifetime of the individual. Hence, given that a loss of a critical number of nephrons is the hallmark of renal disease, an increased severity and acceleration of renal disease is likely when the number of nephrons is already reduced prior to disease onset. Low birth weight can result from intrauterine growth restriction (IUGR) or preterm birth; a high proportion of babies born prematurely also exhibit IUGR. In this paper, we describe how IUGR and preterm birth adversely impact on nephrogenesis and how a subsequent reduced nephron endowment at the beginning of life may lead to long-term risk of renal disease, but not necessarily hypertension

Troubled Worlds: A Course Syllabus about Information Work and the Anthropocene

The goal of this syllabus is to interrogate the material, and socioeconomic processes which underpin our everyday information work. In particular, we examine the relationships developing between contemporary information practices and what problematically gets configured as “nature”—that messy world of non-human entanglements that often exists beyond the purview of innovation work, whether digital software development or industrial engineering. Much recent work on the environmental conditions of computing has sought to break down technology-nature dualisms in order to expose the implication of information technology in broader social and material ecologies. Library and information professionals and researchers are well poised to deepen this inquiry by presenting alternative nature-technology epistemologies grounded in longstanding analyses of information resources and their consumption. The “Troubled Worlds” syllabus starts with a discussion of concerns most obviously germane to the work of most library and information science professionals: practices at the intersection of structuring information and computing. Building on this attention, we turn to humanistic approaches to thinking through the era of dominant human activities widely known as the “Anthropocene” by introducing poetic, artistic, and activist lenses. We explore how artistic objects representing an increasingly troubled natural world raise awareness of the challenges facing it, as well as how they may incorporate and reshape information for aesthetic ends. We then look to questions of disability justice and how it works in blended built and natural spaces as well as the many different ways in which bodies respond to the toxic environments produced by information technologies. We next consider the newer design approaches to library and information research, specifically asking how design perspectives on digital information objects get inscribed in the Anthropocene. Lastly, we consider paradigms of repair and making and analyze the different valences through which information researchers and professionals categorize and contextualize what is possible with them. This compilation does not provide a comprehensive review of the literature on the environment within the information fields. Instead, it extends this literature to promote experimental research and practice. The modules construct an interdisciplinary and provisional path through the related literature in a form that we hope may be continually adjusted, rearranged, and augmented. Pre-print first published online 03/15/202