A 2000 Year Saharan Dust Event Record From a European Alps Ice Core

Ice core archives provide the most direct and detailed evidence of past climate and atmospheric conditions, however, traditional ice core sampling (~1-cm resolution) does not provide significant environmental detail in low accumulation and compressed ice core sites. Advances in ice core sampling techniques allows for the capability to detect environmental signals in compressed ice found deeper in the core using finer sampling resolutions. Using the Climate Change Institute’s W.M. Keck Laser Ice Facility non-destructive, ultra-high-resolution, continuously sampled laser ablation-inductively coupled plasma-mass spectrometer (LA-ICP-MS) sampling on ice cores, we are able to resolve proxies for both climatological and meteorological scale events while preserving the core (Sneed et al., 2015). Ice-core analysis by LA-ICP-MS provides resolution (121-μm) necessary to achieve a robust measure of variability for select glacio-chemical species preserved in ice cores. Elements are measured using single element or multi-element line scans, producing a continuous, miniscule laser ablated profile along the length of the ice sample. We measure select glacio-chemical species using the LA-ICP-MS sampling technique for 20-m of the Colle Gnifetti ice core, drilled in the Swiss-Italian Alps, and ~0.7-m of the Allan Hills ice core, drilled in Antarctica. These two ice cores, though drilled at quite different locations, demonstrate the advantages of ultra-high-resolution sampling for ice core records. For the Allan Hills ice core, we can detect environmental signals and potentially annual layers at the depth ~125-m, which is established as an age of ~1-Ma old (Higgins et al., 2015). For the 2013 Colle Gnifetti ice core, we established a strong correlation between equivalent species from the LA-ICP-MS data and traditionally sampled ICP-MS and revealed climate proxies related to Saharan dust, Atlantic moisture, and anthropogenic inputs that can extend our understanding of air mass sources transported to the European Alps region over the last ~2000 years. Since the Colle Gnifetti LA-ICP-MS ice core record is the longest, multi-element ultra-high-resolution analysis yet constructed, yielding a total of ~5,000,000 samples, we developed a computer program using Python to easily pre-process the extensive samples collected to generate a structured compilation of data. This program allows the user to input files containing the vast amounts of machine output data by the LA-ICP-MS system along with lab notes, to create a more functional output with graphs, figures, statistical information and analysis reports. This thesis encompasses the application of the LA-ICP-MS analysis on two diverse ice cores and the development of a novel computer program to assist in data processing from the LA-ICP-MS system output

An overview of New England's economic performance in 2009

Like most of the nation, New England continued to suffer economically in 2009. Job losses, rising unemployment, declining personal income, and slumping real estate markets all contributed to one of the worst years for both the national and regional economies. However, while economic conditions were among the worst New England has seen, the region's overall economic performance was better than that of the nation as a whole.Economic conditions - New England

A cross-sectional study of the identification of prevalent asthma and chronic obstructive pulmonary disease among initiators of long-acting β-agonists in health insurance claims data

Background: Claims data are potentially useful for identifying long-acting β-agonist (LABA) use by patients with asthma, a practice that is associated with increased mortality. We evaluated the accuracy of claims data for classifying prevalent asthma and chronic obstructive pulmonary disease (COPD) among initiators of LABAs. Methods: This study included adult LABA initiators during 2005–2008 in a US commercial health plan. Diagnosis codes from the 6 months before LABA initiation identified potential asthma or COPD and a physician adjudicated case status using abstracted medical records. We estimated the positive predictive value (PPV) and 95% confidence intervals (CI) of covariate patterns for identifying asthma and COPD. Results: We sought 520 medical records at random from 225,079 LABA initiators and received 370 (71%). The PPV for at least one asthma claim was 74% (CI 63–82), and decreased as age increased. Having at least one COPD claim resulted in a PPV of 82% (CI 72–89), and of over 90% among older patients, men, and recipients of inhaled anticholinergic drugs. Only 2% (CI 0.2–7.6) of patients with a claim for COPD alone were found to have both COPD and asthma, while 9% (CI 4–16) had asthma only. Twenty-one percent (CI 14–30) of patients with claims for both diagnoses had both conditions. Among patients with no asthma or COPD claims, 62% (CI 50–72) had no confirmed diagnosis and 29% (CI 19–39) had confirmed asthma. Conclusions: Subsets of patients with asthma, COPD, and both conditions can be identified and differentiated using claims data, although categorization of the remaining patients is infeasible. Safety surveillance for off-label use of LABAs must account for this limitation

UK Alcohol Treatment trial: client-treatment matching effects

Aim To test a priori hypotheses concerning client–treatment matching in the treatment of alcohol problems and to evaluate the more general hypothesis that client–treatment matching adds to the overall effectiveness of treatment. Design Pragmatic, multi-centre, randomized controlled trial (the UK Alcohol Treatment Trial: UKATT) with open follow-up at 3 months after entry and blind follow-up at 12 months. Setting Five treatment centres, comprising seven treatment sites, including National Health Service (NHS), social services and joint NHS/non-statutory facilities. Treatments Motivational enhancement therapy and social behaviour and network therapy. Measurements Matching hypotheses were tested by examining interactions between client attributes and treatment types at both 3 and 12 months follow-up using the outcome variables of percentage days abstinent, drinks per drinking day and scores on the Alcohol Problems Questionnaire and Leeds Dependence Questionnaire. Findings None of five matching hypotheses was confirmed at either follow-up point on any outcome variable. Conclusion The findings strongly support the conclusion reached in Project MATCH in the United States that client–treatment matching, at least of the kind examined, is unlikely to result in substantial improvements to the effectiveness of treatment for alcohol problems. Possible reasons for this failure to support the general matching hypothesis are discussed, as are the implications of UKATT findings for the provision of treatment for alcohol problems in the United Kingdom

12-h clock regulation of genetic information flow by XBP1s

© The Author(s), 2020. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Pan, Y., Ballance, H., Meng, H., Gonzalez, N., Kim, S., Abdurehman, L., York, B., Chen, X., Schnytzer, Y., Levy, O., Dacso, C. C., McClung, C. A., O'Malley, B. W., Liu, S., & Zhu, B. 12-h clock regulation of genetic information flow by XBP1s. Plos Biology, 18(1), (2020): e3000580, doi:10.1371/journal.pbio.3000580.Our group recently characterized a cell-autonomous mammalian 12-h clock independent from the circadian clock, but its function and mechanism of regulation remain poorly understood. Here, we show that in mouse liver, transcriptional regulation significantly contributes to the establishment of 12-h rhythms of mRNA expression in a manner dependent on Spliced Form of X-box Binding Protein 1 (XBP1s). Mechanistically, the motif stringency of XBP1s promoter binding sites dictates XBP1s’s ability to drive 12-h rhythms of nascent mRNA transcription at dawn and dusk, which are enriched for basal transcription regulation, mRNA processing and export, ribosome biogenesis, translation initiation, and protein processing/sorting in the Endoplasmic Reticulum (ER)-Golgi in a temporal order consistent with the progressive molecular processing sequence described by the central dogma information flow (CEDIF). We further identified GA-binding proteins (GABPs) as putative novel transcriptional regulators driving 12-h rhythms of gene expression with more diverse phases. These 12-h rhythms of gene expression are cell autonomous and evolutionarily conserved in marine animals possessing a circatidal clock. Our results demonstrate an evolutionarily conserved, intricate network of transcriptional control of the mammalian 12-h clock that mediates diverse biological pathways. We speculate that the 12-h clock is coopted to accommodate elevated gene expression and processing in mammals at the two rush hours, with the particular genes processed at each rush hour regulated by the circadian and/or tissue-specific pathways.This study was supported by the American Diabetes Association junior faculty development award 1-18-JDF-025 to B.Z., by funding from National Institute of Health HD07879 and 1P01DK113954 to B.W.O, by funding from National Science Foundation award 1703170 to C.C.D. and B.Z., and by funding from Brockman Foundation to C.C.D and B.W.O. This work was further supported by the UPMC Genome Center with funding from UPMC’s Immunotherapy and Transplant Center. This research was supported in part by the University of Pittsburgh Center for Research Computing through the resources provided. Research reported in this publication was further supported by the National Institute of Diabetes And Digestive And Kidney Diseases of the National Institutes of Health under award number P30DK120531 to Pittsburgh Liver Research Center, in which both S.L. and B.Z. are members. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript

Improving the respiratory health of adults with learning disabilities

People with learning disabilities are more likely to die from respiratory tract disease and infections than people without learning disabilities. This article describes a lung health group developed by physiotherapists and speech and language therapists that was set up to improve the respiratory health of people with vulnerable respiratory status, particularly over the period of greatest risk of airborne respiratory infections. Its aim was to reduce the number and/or severity of chest infections and improve carers’ knowledge of respiratory health. The authors describe the group’s content and format, methods trialled to evaluate the group and the benefits of attending the group

The Impact of a Six‐Year Climate Anomaly on the “Spanish Flu” Pandemic and WWI

The H1N1 “Spanish influenza” pandemic of 1918–1919 caused the highest known number of deaths recorded for a single pandemic in human history. Several theories have been offered to explain the virulence and spread of the disease, but the environmental context remains underexamined. In this study, we present a new environmental record from a European, Alpine ice core, showing a significant climate anomaly that affected the continent from 1914 to 1919. Incessant torrential rain and declining temperatures increased casualties in the battlefields of World War I (WWI), setting the stage for the spread of the pandemic at the end of the conflict. Multiple independent records of temperature, precipitation, and mortality corroborate these findings

A third of systematic reviews changed or did not specify the primary outcome : A PROSPERO register study

OBJECTIVES: To examine outcome reporting bias of systematic reviews registered in PROSPERO. STUDY DESIGN AND SETTING: Retrospective cohort study. The primary outcomes from systematic review publications were compared with those reported in the corresponding PROSPERO records; discrepancies in the primary outcomes were assessed as upgrades, additions, omissions or downgrades. Relative risks (RR) and 95% confidence intervals (CI) were calculated to determine the likelihood of having a change in primary outcome when the meta-analysis result was favourable and statistically significant. RESULTS: 96 systematic reviews were published. A discrepancy in the primary outcome occurred in 32% of the included reviews and 39% of the reviews did not explicitly specify a primary outcome(s); 6% of the primary outcomes were omitted. There was no significant increased risk of adding/upgrading (RR 2.14, 95% CI 0.53 to 8.63) or decreased risk of downgrading (RR 0.76, 0.27-2.17) an outcome when the meta-analysis result was favourable and statistically significant. As well, there was no significant increased risk of adding/upgrading (RR 0.89, 0.31-2.53) or decreased risk of downgrading (RR 0.56, 0.29-1.08) an outcome when the conclusion was positive. CONCLUSIONS: We recommend review authors carefully consider primary outcome selection and journals are encouraged to focus acceptance on registered systematic reviews