Association of maternal urinary fluoride concentrations during pregnancy with size at birth and the potential mediation effect by maternal thyroid hormones: The Swedish NICE birth cohort

Background: Observational studies have indicated that elevated maternal fluoride exposure during pregnancy may impair child neurodevelopment but a potential impact on birth outcomes is understudied. Objectives: To evaluate the impact of gestational fluoride exposure on birth outcomes (birth size and gestational age at birth) and to assess the potential mediating role of maternal thyroid hormones. Methods: We studied 583 mother-child dyads in the NICE cohort in northern Sweden. Maternal fluoride exposure was assessed by measuring urinary concentrations at late pregnancy (median: 29th gestational week) using an ion selective electrode. Plasma levels of free and total thyroxine (fT4, tT4) and triiodothyronine (fT3, tT3), and thyroid stimulating hormone (TSH) were measured with electrochemiluminescence immunoassays. The infant\u27s weight, length, head circumference, and gestational age at birth were extracted from hospital records. Results: Median urinary fluoride concentration was 0.71 mg/L (5th-95th percentile 0.31–1.9 mg/L; specific gravity adjusted). In multivariable-adjusted regression models, every 1 mg/L increase of maternal urinary fluoride was associated with a mean increase in birth weight by 84 g (95%CI: 30, 138), length by 0.41 cm (95%CI: 0.18, 0.65), head circumference by 0.3 cm (95%CI: 0.1, 0.4), and with increased odds of being born large for gestational age (OR = 1.39, 95%CI: 1.03, 1.89). Every 1 mg/L increase of maternal urinary fluoride was also associated with a mean increase of the plasma fT3:fT4 ratio (B = 0.007, 95%CI: 0.000, 0.014), but not with the hormones or TSH. In mediation analyses, the maternal fT3:fT4 ratio did not explain the urinary fluoride-birth size relationships. Discussion: Gestational urinary fluoride concentrations were associated with increased size at birth and even with increased odds of being born large for gestational age. The fluoride-related associations with increased size at birth were not explained by changes in maternal thyroid hormone levels

An EARLINET early warning system for atmospheric aerosol aviation hazards

A stand-alone lidar-based method for detecting airborne hazards for aviation in near real time (NRT) is presented. A polarization lidar allows for the identification of irregular-shaped particles such as volcanic dust and desert dust. The Single Calculus Chain (SCC) of the European Aerosol Research Lidar Network (EARLINET) delivers high-resolution preprocessed data: the calibrated total attenuated backscatter and the calibrated volume linear depolarization ratio time series. From these calibrated lidar signals, the particle backscatter coefficient and the particle depolarization ratio can be derived in temporally high resolution and thus provide the basis of the NRT early warning system (EWS). In particular, an iterative method for the retrieval of the particle backscatter is implemented. This improved capability was designed as a pilot that will produce alerts for imminent threats for aviation. The method is applied to data during two diverse aerosol scenarios: first, a record breaking desert dust intrusion in March 2018 over Finokalia, Greece, and, second, an intrusion of volcanic particles originating from Mount Etna, Italy, in June 2019 over Antikythera, Greece. Additionally, a devoted observational period including several EARLINET lidar systems demonstrates the network's preparedness to offer insight into natural hazards that affect the aviation sector. © 2020 Author(s)

An EARLINET early warning system for atmospheric aerosol aviation hazards

A stand-alone lidar-based method for detecting airborne hazards for aviation in near real time (NRT) is presented. A polarization lidar allows for the identification of irregular-shaped particles such as volcanic dust and desert dust. The Single Calculus Chain (SCC) of the European Aerosol Research Lidar Network (EARLINET) delivers high-resolution preprocessed data: the calibrated total attenuated backscatter and the calibrated volume linear depolarization ratio time series. From these calibrated lidar signals, the particle backscatter coefficient and the particle depolarization ratio can be derived in temporally high resolution and thus provide the basis of the NRT early warning system (EWS). In particular, an iterative method for the retrieval of the particle backscatter is implemented. This improved capability was designed as a pilot that will produce alerts for imminent threats for aviation. The method is applied to data during two diverse aerosol scenarios: first, a record breaking desert dust intrusion in March 2018 over Finokalia, Greece, and, second, an intrusion of volcanic particles originating from Mount Etna, Italy, in June 2019 over Antikythera, Greece. Additionally, a devoted observational period including several EARLINET lidar systems demonstrates the network’s preparedness to offer insight into natural hazards that affect the aviation sector.ACTRIS-2 654109ACTRIS preparatory phase 739530EUNADICS-AV 723986E-shape (EuroGEOSS Showcases: Applications Powered by Europe) 820852Ministry of Research and Innovation, Ontario 19PFE/17.10.2018Romanian National Core Program 18N/2019European Commission European Commission Joint Research Centre 72569

Sex- and age-related differences in the management and outcomes of chronic heart failure: an analysis of patients from the ESC HFA EORP Heart Failure Long-Term Registry

Aims: This study aimed to assess age- and sex-related differences in management and 1-year risk for all-cause mortality and hospitalization in chronic heart failure (HF) patients. Methods and results: Of 16 354 patients included in the European Society of Cardiology Heart Failure Long-Term Registry, 9428 chronic HF patients were analysed [median age: 66 years; 28.5% women; mean left ventricular ejection fraction (LVEF) 37%]. Rates of use of guideline-directed medical therapy (GDMT) were high (angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, beta-blockers and mineralocorticoid receptor antagonists: 85.7%, 88.7% and 58.8%, respectively). Crude GDMT utilization rates were lower in women than in men (all differences: P\ua0 64 0.001), and GDMT use became lower with ageing in both sexes, at baseline and at 1-year follow-up. Sex was not an independent predictor of GDMT prescription; however, age >75 years was a significant predictor of GDMT underutilization. Rates of all-cause mortality were lower in women than in men (7.1% vs. 8.7%; P\ua0=\ua00.015), as were rates of all-cause hospitalization (21.9% vs. 27.3%; P\ua075 years. Conclusions: There was a decline in GDMT use with advanced age in both sexes. Sex was not an independent predictor of GDMT or adverse outcomes. However, age >75 years independently predicted lower GDMT use and higher all-cause mortality in patients with LVEF 6445%

A first update on mapping the human genetic architecture of COVID-19

peer reviewe

Associations of gestational and early-life exposure to toxic metals and fluoride with a diagnosis of food allergy or atopic eczema at 1 year of age

Studies have indicated that early-life exposure to toxic metals and fluoride affects the immune system, but evidence regarding their role in allergic disease development is scarce. We aimed to evaluate the relations of exposure to such compounds in 482 pregnant women and their infants (4 months of age) with food allergy and atopic eczema diagnosed by a paediatric allergologist at 1 year of age within the Swedish birth-cohort NICE (Nutritional impact on Immunological maturation during Childhood in relation to the Environment). Urinary cadmium and erythrocyte cadmium, lead, and mercury concentrations were measured by inductively coupled plasma mass spectrometry (ICP-MS), urinary inorganic arsenic metabolites by ICP-MS after separation by ion exchange chromatography, and urinary fluoride by an ion-selective electrode. The prevalence of food allergy and atopic eczema was 8 and 7%, respectively. Gestational urinary cadmium, reflecting chronic exposure, was associated with increased odds of infant food allergy (OR [95% CI]: 1.34 [1.09, 1.66] per IQR [0.08 μg/L]). Both gestational and infant urinary fluoride were associated, albeit at a statistically non-significant level, with increased atopic eczema odds (1.48 [0.98, 2.25], 1.36 [0.95, 1.95], per doubling, respectively). By contrast, gestational and infant erythrocyte lead was associated with decreased odds of atopic eczema (0.48 [0.26, 0.87] per IQR [6.6 μg/kg] and 0.38 [0.16, 0.91] per IQR [5.94 μg/kg], respectively), and infant lead with decreased odds of food allergy (0.39 [0.16, 0.93] per IQR [5.94 μg/kg]). Multivariable adjustment had marginal impact on the estimates above. After additional adjustment for fish intake biomarkers, the methylmercury associated atopic-eczema odds were considerably increased (1.29 [0.80, 2.06] per IQR [1.36 μg/kg]). In conclusion, our results indicate that gestational cadmium exposure might be associated with food allergy at 1 year of age and, possibly, early-life exposure to fluoride with atopic eczema. Further prospective and mechanistic studies are needed to establish causality

PBL Height Retrievals at a Coastal Site Using Multi-Instrument Profiling Methods

The objective of this study was the estimation of the dynamic evolution of the Planetary Boundary Layer (PBL) height, using advanced remote sensing measurements from Finokalia Station, where the Pre-TECT Campaign took place during 1–26 April 2017. PollyXT Raman Lidar and Halo Wind Doppler Lidar profiles were used to study the daily vertical evolution of the PBL. Wavelet Covariance Transform (WCT) and Threshold Method (TM) were performed on different products acquired from Lidars. According to the analysis, all methods and products are able to provide reasonable boundary-layer height estimates, each of them showing assets and barriers under certain conditions. Two cases are presented in detail, indicating the limited daytime evolution of a coastal area, the decisive role of wind speed-direction in the formation of a shallow or high boundary layer and the differences when using aerosols or turbulence as tracers for the PBL height retrieval. Comparison between the observed PBL and ECMWF model results was made, establishing the importance of actual PBL measurements, in coastal regions with complex topography