Steven Bornstein, Associate Professor of Communication Sciences and Disorders, College of Health and Human Services, Travels to Rusia

Professor Steven Bornstein traveled to Russia in November 2008 to present a paper at Mari-State University in Yoshkar-Ola, Russia, on the effects of hearing loss on oral language and speech development

Project ATLANTA (ATlanta Land-use ANalysis: Temperature and Air quality): A Study of how the Urban Landscape Affects Meteorology and Air Quality Through Time

It is our intent through this investigation to help facilitate measures that can be Project ATLANTA (ATlanta Land-use ANalysis: applied to mitigate climatological or air quality Temperature and Air-quality) is a NASA Earth degradation, or to design alternate measures to sustain Observing System (EOS) Interdisciplinary Science or improve the overall urban environment in the future. investigation that seeks to observe, measure, model, and analyze how the rapid growth of the Atlanta. The primary objectives for this research effort are: 1) To In the last half of the 20th century, Atlanta, investigate and model the relationship between Atlanta Georgia has risen as the premier commercial, urban growth, land cover change, and the development industrial, and transportation urban area of the of the urban heat island phenomenon through time at southeastern United States. The rapid growth of the nested spatial scales from local to regional; 2) To Atlanta area, particularly within the last 25 years, has investigate and model the relationship between Atlanta made Atlanta one of the fastest growing metropolitan urban growth and land cover change on air quality areas in the United States. The population of the through time at nested spatial scales from local to Atlanta metropolitan area increased 27% between 1970 regional; and 3) To model the overall effects of urban and 1980, and 33% between 1980-1990 (Research development on surface energy budget characteristics Atlanta, Inc., 1993). Concomitant with this high rate of across the Atlanta urban landscape through time at population growth, has been an explosive growth in nested spatial scales from local to regional. Our key retail, industrial, commercial, and transportation goal is to derive a better scientific understanding of how services within the Atlanta region. This has resulted in land cover changes associated with urbanization in the tremendous land cover change dynamics within the Atlanta area, principally in transforming forest lands to metropolitan region, wherein urbanization has urban land covers through time, has, and will, effect consumed vast acreas of land adjacent to the city local and regional climate, surface energy flux, and air proper and has pushed the rural/urban fringe farther quality characteristics. Allied with this goal is the and farther away from the original Atlanta urban core. prospect that the results from this research can be An enormous transition of land from forest and applied by urban planners, environmental managers agriculture to urban land uses has occurred in the and other decision-makers, for determining how Atlanta area in the last 25 years, along with subsequent urbanization has impacted the climate and overal

The Integrated WRF/Urban Modeling System: Development, Evaluation, and Applications to Urban Environmental Problems

To bridge the gaps between traditional mesoscale modeling and microscale modeling, the National Center for Atmospheric Research (NCAR), in collaboration with other agencies and research groups, has developed an integrated urban modeling system coupled to the Weather Research and Forecasting (WRF) model as a community tool to address urban environmental issues. The core of this WRF/urban modeling system consists of: 1) three methods with different degrees of freedom to parameterize urban surface processes, ranging from a simple bulk parameterization to a sophisticated multi-layer urban canopy model with an indoor outdoor exchange sub-model that directly interacts with the atmospheric boundary layer, 2) coupling to fine-scale Computational Fluid Dynamic (CFD) Reynolds-averaged Navier–Stokes (RANS) and Large-Eddy Simulation (LES) models for Transport and Dispersion (T&D) applications, 3) procedures to incorporate high-resolution urban land-use, building morphology, and anthropogenic heating data using the National Urban Database and Access Portal Tool (NUDAPT), and 4) an urbanized high-resolution land-data assimilation system (u-HRLDAS). This paper provides an overview of this modeling system; addresses the daunting challenges of initializing the coupled WRF/urban model and of specifying the potentially vast number of parameters required to execute the WRF/urban model; explores the model sensitivity to these urban parameters; and evaluates the ability of WRF/urban to capture urban heat islands, complex boundary layer structures aloft, and urban plume T&D for several major metropolitan regions. Recent applications of this modeling system illustrate its promising utility, as a regional climate-modeling tool, to investigate impacts of future urbanization on regional meteorological conditions and on air quality under future climate change scenarios

Cognitive problems among breast cancer survivors: loneliness enhances risk

Abstract Background: Cancer survivors often experience cognitive difficulties after treatment completion. Although chemotherapy enhances risk for cognitive problems, it is likely only one piece of a complex puzzle that explains survivors' cognitive functioning. Loneliness may be one psychosocial risk factor. The current studies included both subjective and objective cognitive measures and tested whether lonelier breast cancer survivors would have more concentration and memory complaints and experience more concentration difficulties than their less lonely counterparts. Methods: The relationship between loneliness and cognitive function was tested among three samples of breast cancer survivors. Study 1 was a sample of breast cancer survivors (n = 200) who reported their concentration and memory problems. Study 2a was a sample of breast cancer survivors (n = 185) and noncancer controls (n = 93) who reported their concentration and memory problems. Study 2b was a subsample of Study 2a breast cancer survivors (n = 22) and noncancer controls (n = 21) who completed a standardized neuropsychological test assessing concentration. Results: Studies 1 and 2a revealed that lonelier women reported more concentration and memory problems than less lonely women. Study 2b utilized a standardized neuropsychological continuous performance test and demonstrated that lonelier women experienced more concentration problems than their less lonely counterparts. Conclusions: These studies demonstrated that loneliness is linked to concentration and memory complaints and the experience of concentration problems among breast cancer survivors. The results were also highly consistent across three samples of breast cancer survivors. These data suggest that loneliness may be a risk factor for cognitive difficulties among cancer survivors

New genetic loci implicated in fasting glucose homeostasis and their impact on type 2 diabetes risk.

Levels of circulating glucose are tightly regulated. To identify new loci influencing glycemic traits, we performed meta-analyses of 21 genome-wide association studies informative for fasting glucose, fasting insulin and indices of beta-cell function (HOMA-B) and insulin resistance (HOMA-IR) in up to 46,186 nondiabetic participants. Follow-up of 25 loci in up to 76,558 additional subjects identified 16 loci associated with fasting glucose and HOMA-B and two loci associated with fasting insulin and HOMA-IR. These include nine loci newly associated with fasting glucose (in or near ADCY5, MADD, ADRA2A, CRY2, FADS1, GLIS3, SLC2A2, PROX1 and C2CD4B) and one influencing fasting insulin and HOMA-IR (near IGF1). We also demonstrated association of ADCY5, PROX1, GCK, GCKR and DGKB-TMEM195 with type 2 diabetes. Within these loci, likely biological candidate genes influence signal transduction, cell proliferation, development, glucose-sensing and circadian regulation. Our results demonstrate that genetic studies of glycemic traits can identify type 2 diabetes risk loci, as well as loci containing gene variants that are associated with a modest elevation in glucose levels but are not associated with overt diabetes

Matricellular Proteins Produced by Melanocytes and Melanomas: In Search for Functions

Matricellular proteins are modulators of cell-matrix interactions and cellular functions. The group includes thrombospondin, osteopontin, osteonectin/SPARC, tenascin, disintegrins, galectins and CCN proteins. The production of matricellular proteins such as osteopontin, SPARC or tenascin is highly upregulated in melanoma and other tumors but little is known about their functions in tumor growth, survival, and metastasis. The distribution pattern of CCN3 differs from most other matricellular proteins, such that it is produced abundantly by normal melanocytes, but is not significantly expressed in melanoma cells. CCN3 is known to inhibit melanocyte proliferation and stimulate adhesion to collagen type IV, the main component of the basement membrane. CCN3 has a unique role in securing adhesion of melanocytes to the basement membrane distinct from other melanoma-produced matricellular proteins which act as de-adhesive molecules and antagonists of focal adhesion. Qualitative and quantitative changes in matricellular protein expression contribute to melanoma progression similar to the E-cadherin to N-cadherin class switch, allowing melanoma cells to escape from keratinocyte control

Financing U.S. Graduate Medical Education: A Policy Position Paper of the Alliance for Academic Internal Medicine and the American College of Physicians

In this position paper, the Alliance for Academic Internal Medicine and the American College of Physicians examine the state of graduate medical education (GME) financing in the United States and recent proposals to reform GME funding. They make a series of recommendations to reform the current funding system to better align GME with the needs of the nation's health care workforce. These recommendations include using Medicare GME funds to meet policy goals and to ensure an adequate supply of physicians, a proper specialty mix, and appropriate training sites; spreading the costs of financing GME across the health care system; evaluating the true cost of training a resident and establishing a single per-resident amount; increasing transparency and innovation; and ensuring that primary care residents receive training in well-functioning ambulatory settings that are financially supported for their training roles

CD14 Deficiency Impacts Glucose Homeostasis in Mice through Altered Adrenal Tone

The toll-like receptors comprise one of the most conserved components of the innate immune system, signaling the presence of molecules of microbial origin. It has been proposed that signaling through TLR4, which requires CD14 to recognize bacterial lipopolysaccharide (LPS), may generate low-grade inflammation and thereby affect insulin sensitivity and glucose metabolism. To examine the long-term influence of partial innate immune signaling disruption on glucose homeostasis, we analyzed knockout mice deficient in CD14 backcrossed into the diabetes-prone C57BL6 background at 6 or 12 months of age. CD14-ko mice, fed either normal or high-fat diets, displayed significant glucose intolerance compared to wild type controls. They also displayed elevated norepinephrine urinary excretion and increased adrenal medullary volume, as well as an enhanced norepinephrine secretory response to insulin-induced hypoglycemia. These results point out a previously unappreciated crosstalk between innate immune- and sympathoadrenal- systems, which exerts a major long-term effect on glucose homeostasis

SPARC functions as an inhibitor of adipogenesis

Adipogenesis, a key step in the pathogenesis of obesity, involves extensive ECM remodeling, changes in cell-ECM interactions, and cytoskeletal rearrangement. Matricellular proteins regulate cell-cell and cell-ECM interactions. Evidence in vivo and in vitro indicates that the prototypic matricellular protein, SPARC, inhibits adipogenesis and promotes osteoblastogenesis. Herein we discuss mechanisms underlying the inhibitory effect of SPARC on adipogenesis. SPARC enhances the Wnt/β-catenin signaling pathway and regulates the expression and posttranslational modification of collagen. SPARC might drive preadipocytes away from the status of growth arrest and therefore prevent terminal differentiation. SPARC could also decrease WAT deposition through its negative effects on angiogenesis. Therefore, several stages of white adipose tissue accumulation are sensitive to the inhibitory effects of SPARC