Indoor Environmental Exposures and Exacerbation of Asthma: An Update to the 2000 Review by the Institute of Medicine

Background: Previous research has found relationships between specific indoor environmental exposures and exacerbation of asthma. Objectives: In this review we provide an updated summary of knowledge from the scientific literature on indoor exposures and exacerbation of asthma. Methods: Peer-reviewed articles published from 2000 to 2013 on indoor exposures and exacerbation of asthma were identified through PubMed, from reference lists, and from authors’ files. Articles that focused on modifiable indoor exposures in relation to frequency or severity of exacerbation of asthma were selected for review. Research findings were reviewed and summarized with consideration of the strength of the evidence. Results: Sixty-nine eligible articles were included. Major changed conclusions include a causal relationship with exacerbation for indoor dampness or dampness-related agents (in children); associations with exacerbation for dampness or dampness-related agents (in adults), endotoxin, and environmental tobacco smoke (in preschool children); and limited or suggestive evidence for association with exacerbation for indoor culturable Penicillium or total fungi, nitrogen dioxide, rodents (nonoccupational), feather/down pillows (protective relative to synthetic bedding), and (regardless of specific sensitization) dust mite, cockroach, dog, and dampness-related agents. Discussion: This review, incorporating evidence reported since 2000, increases the strength of evidence linking many indoor factors to the exacerbation of asthma. Conclusions should be considered provisional until all available evidence is examined more thoroughly. Conclusion: Multiple indoor exposures, especially dampness-related agents, merit increased attention to prevent exacerbation of asthma, possibly even in nonsensitized individuals. Additional research to establish causality and evaluate interventions is needed for these and other indoor exposures. Citation: Kanchongkittiphon W, Mendell MJ, Gaffin JM, Wang G, Phipatanakul W. 2015. Indoor environmental exposures and exacerbation of asthma: an update to the 2000 review by the Institute of Medicine. Environ Health Perspect 123:6–20; http://dx.doi.org/10.1289/ehp.130792

Simulating Changes in Regional Air Pollution over the Eastern United States Due to Changes in Global and Regional Climate and Emissions

[1] To simulate ozone (O3) air quality in future decades over the eastern United States, a modeling system consisting of the NASA Goddard Institute for Space Studies Atmosphere-Ocean Global Climate Model, the Pennsylvania State University/National Center for Atmospheric Research mesoscale regional climate model (MM5), and the Community Multiscale Air Quality model has been applied. Estimates of future emissions of greenhouse gases and ozone precursors are based on the A2 scenario developed by the Intergovernmental Panel on Climate Change (IPCC), one of the scenarios with the highest growth of CO2 among all IPCC scenarios. Simulation results for five summers in the 2020s, 2050s, and 2080s indicate that summertime average daily maximum 8-hour O3 concentrations increase by 2.7, 4.2, and 5.0 ppb, respectively, as a result of regional climate change alone with respect to five summers in the 1990s. Through additional sensitivity simulations for the five summers in the 2050s the relative impact of changes in regional climate, anthropogenic emissions within the modeling domain, and changed boundary conditions approximating possible changes of global atmospheric composition was investigated. Changed boundary conditions are found to be the largest contributor to changes in predicted summertime average daily maximum 8-hour O3 concentrations (5.0 ppb), followed by the effects of regional climate change (4.2 ppb) and the effects of increased anthropogenic emissions (1.3 ppb). However, when changes in the fourth highest summertime 8-hour O3 concentration are considered, changes in regional climate are the most important contributor to simulated concentration changes (7.6 ppb), followed by the effect of increased anthropogenic emissions (3.9 ppb) and increased boundary conditions (2.8 ppb). Thus, while previous studies have pointed out the potentially important contribution of growing global emissions and intercontinental transport to O3 air quality in the United States for future decades, the results presented here imply that it may be equally important to consider the effects of a changing climate when planning for the future attainment of regional-scale air quality standards such as the U.S. national ambient air quality standard that is based on the fourth highest annual daily maximum 8-hour O3 concentration

Contrasting responses of urban and rural surface energy budgets to heat waves explain synergies between urban heat islands and heat waves

Heat waves (HWs) are projected to become more frequent and last longer over most land areas in the late 21st century, which raises serious public health concerns. Urban residents face higher health risks due to synergies between HWs and urban heat islands (UHIs) (i.e., UHIs are higher under HW conditions). However, the responses of urban and rural surface energy budgets to HWs are still largely unknown. This study analyzes observations from two flux towers in Beijing, China and reveals significant differences between the responses of urban and rural (cropland) ecosystems to HWs. It is found that UHIs increase significantly during HWs, especially during the nighttime, implying synergies between HWs and UHIs. Results indicate that the urban site receives more incoming shortwave radiation and longwave radiation due to HWs as compared to the rural site, resulting in a larger radiative energy input into the urban surface energy budget. Changes in turbulent heat fluxes also diverge strongly for the urban site and the rural site: latent heat fluxes increase more significantly at the rural site due to abundant available water, while sensible heat fluxes and possibly heat storage increase more at the urban site. These comparisons suggest that the contrasting responses of urban and rural surface energy budgets to HWs are responsible for the synergies between HWs and UHIs. As a result, urban mitigation and adaption strategies such as the use of green roofs and white roofs are needed in order to mitigate the impact of these synergies

Autonomous visual navigation of an indoor environment using a parsimonious, insect inspired familiarity algorithm

The navigation of bees and ants from hive to food and back has captivated people for more than a century. Recently, the Navigation by Scene Familiarity Hypothesis (NSFH) has been proposed as a parsimonious approach that is congruent with the limited neural elements of these insects’ brains. In the NSFH approach, an agent completes an initial training excursion, storing images along the way. To retrace the path, the agent scans the area and compares the current scenes to those previously experienced. By turning and moving to minimize the pixel-by-pixel differences between encountered and stored scenes, the agent is guided along the path without having memorized the sequence. An important premise of the NSFH is that the visual information of the environment is adequate to guide navigation without aliasing. Here we demonstrate that an image landscape of an indoor setting possesses ample navigational information. We produced a visual landscape of our laboratory and part of the adjoining corridor consisting of 2816 panoramic snapshots arranged in a grid at 12.7-cm centers. We show that pixel-by-pixel comparisons of these images yield robust translational and rotational visual information. We also produced a simple algorithm that tracks previously experienced routes within our lab based on an insect-inspired scene familiarity approach and demonstrate that adequate visual information exists for an agent to retrace complex training routes, including those where the path’s end is not visible from its origin. We used this landscape to systematically test the interplay of sensor morphology, angles of inspection, and similarity threshold with the recapitulation performance of the agent. Finally, we compared the relative information content and chance of aliasing within our visually rich laboratory landscape to scenes acquired from indoor corridors with more repetitive scenery.The authors received funding from a Research Council Faculty Investment Grant from the University of Oklahoma.Ye

Appraisal of literature reviews on end-of-life care for minority ethnic groups in the UK and a critical comparison with policy recommendations from the UK end-of-life care strategy

<p>Abstract</p> <p>Background</p> <p>Evidence of low end-of-life (EoL) care service use by minority ethnic groups in the UK has given rise to a body of research and a number of reviews of the literature. This article aims to review and evaluate literature reviews on minority ethnic groups and EoL care in the UK and assess their suitability as an evidence base for policy.</p> <p>Methods</p> <p>Systematic review. Searches were carried out in thirteen electronic databases, eight journals, reference lists, and grey literature. Reviews were included if they concerned minority ethnic groups and EoL care in the UK. Reviews were graded for quality and key themes identified.</p> <p>Results</p> <p>Thirteen reviews (2001-2009) met inclusion criteria. Seven took a systematic approach, of which four scored highly for methodological quality (a mean score of six, median seven). The majority of systematic reviews were therefore of a reasonable methodological quality. Most reviews were restricted by ethnic group, aspect of EoL care, or were broader reviews which reported relevant findings. Six key themes were identified.</p> <p>Conclusions</p> <p>A number of reviews were systematic and scored highly for methodological quality. These reviews provide a good reflection of the primary evidence and could be used to inform policy. The complexity and inter-relatedness of factors leading to low service use was recognised and reflected in reviews' recommendations for service improvement. Recommendations made in the UK End-of-Life Care Strategy were limited in comparison, and the Strategy's evidence base concerning minority ethnic groups was found to be narrow. Future policy should be embedded strongly in the evidence base to reflect the current literature and minimise bias.</p

Elevated CO2 degassing rates prevented the return of Snowball Earth during the Phanerozoic

The Cryogenian period (~720–635 Ma) is marked by extensive Snowball Earth glaciations. These have previously been linked to CO₂ draw-down, but the severe cold climates of the Cryogenian have never been replicated during the Phanerozoic despite similar, and sometimes more dramatic changes to carbon sinks. Here we quantify the total CO₂ input rate, both by measuring the global length of subduction zones in plate tectonic reconstructions, and by sea-level inversion. Our results indicate that degassing rates were anomalously low during the Late Neoproterozoic, roughly doubled by the Early Phanerozoic, and remained comparatively high until the Cenozoic. Our carbon cycle modelling identifies the Cryogenian as a unique period during which low surface temperature was more easily achieved, and shows that the shift towards greater CO₂ input rates after the Cryogenian helped prevent severe glaciation during the Phanerozoic. Such a shift appears essential for the development of complex animal life

Tropomyosin 1: multiple roles in the developing heart and in the formation of congenital heart defects

Tropomyosin 1 (TPM1) is an essential sarcomeric component, stabilising the thin filament and facilitating actin's interaction with myosin. A number of sarcomeric proteins, such as alpha myosin heavy chain, play crucial roles in cardiac development. Mutations in these genes have been linked to congenital heart defects (CHDs), occurring in approximately 1 in 145 live births. To date, TPM1 has not been associated with isolated CHDs. Analysis of 380 CHD cases revealed three novel mutations in the TPM1 gene; IVS1 + 2T > C, I130V, S229F and a polyadenylation signal site variant GATAAA/AATAAA. Analysis of IVS1 + 2T > C revealed aberrant pre-mRNA splicing. In addition, abnormal structural properties were found in hearts transfected with TPM1 carrying I130V and S229F mutations. Phenotypic analysis of TPM1 morpholino-treated embryos revealed roles for TPM1 in cardiac looping, atrial septation and ventricular trabeculae formation and increased apoptosis was seen within the heart. In addition, sarcomere assembly was affected and altered action potentials were exhibited. This study demonstrated that sarcomeric TPM1 plays vital roles in cardiogenesis and is a suitable candidate gene for screening individuals with isolated CHDs