Investigating the health implications of social policy initiatives at the local level: study design and methods

<p>Abstract</p> <p>Background</p> <p>In this paper we present the research design and methods of a study that seeks to capture local level responses to an Australian national social policy initiative, aimed at reducing inequalities in the social determinants of health.</p> <p>Methods/Design</p> <p>The study takes a policy-to-practice approach and combines policy and stakeholder interviewing with a comparative case study analysis of two not-for-profit organisations involved in the delivery of federal government policy.</p> <p>Discussion</p> <p>Before the health impacts of broad-scale policies, such as the one described in this study, can be assessed at the population level, we need to understand the implementation process. This is consistent with current thinking in political science and social policy, which has emphasised the importance of investigating how, and if, policies are translated into operational realities.</p

Lower birth weight and increased body fat at school age in children prenatally exposed to modern pesticides: a prospective study

Background: Endocrine disrupting chemicals have been hypothesized to play a role in the obesity epidemic. Long-term effects of prenatal exposure to non-persistent pesticides on body composition have so far not been investigated. The purpose of this study was to assess possible effects of prenatal exposure to currently used pesticides on children's growth, endocrine and reproductive function. Methods: In a prospective study of 247 children born by women working in greenhouses in early pregnancy, 168 were categorized as prenatally exposed to pesticides. At three months (n = 203) and at 6 to11 years of age (n = 177) the children underwent a clinical examination and blood sampling for analysis of IGF-I, IGFBP3 and thyroid hormones. Body fat percentage at age 6 to11 years was calculated from skin fold measurements. Pesticide related associations were tested by linear multiple regression analysis, adjusting for relevant confounders. Results: Compared to unexposed children birth weight and weight for gestational age were lower in the highly exposed children: -173 g (-322; -23), -4.8% (-9.0; -0.7) and medium exposed children: -139 g (-272; -6), -3.6% (-7.2; -0.0). Exposed (medium and highly together) children had significantly larger increase in BMI Z-score (0.55 SD (95% CI: 0.1; 1.0) from birth to school age) and highly exposed children had 15.8% (0.2; 34.6) larger skin folds and higher body fat percentage compared to unexposed. If prenatally exposed to both pesticides and maternal smoking (any amount), the sum of four skin folds was 46.9% (95% CI: 8.1; 99.5) and body fat percentage 29.1% (95% CI: 3.0; 61.4) higher. There were subtle associations between exposure and TSH Z-score -0.66(-1.287; -0.022) and IGF-I Z-score (girls: -0.62(-1.0; -0.22), boys: 0.38(-0.03; 0.79)), but not IGFBP3. Conclusions: Occupational exposure to currently used pesticides may have adverse effects in spite of the added protection offered to pregnant women. Maternal exposure to combinations of modern, non-persistent pesticides during early pregnancy was associated with affected growth, both prenatally and postnatally. We found a biphasic association with lower weight at birth followed by increased body fat accumulation from birth to school age. We cannot rule out some residual confounding due to differences in social class, although this was adjusted for. Associations were stronger in highly exposed than in medium exposed children, and effects on body fat content at school age was potentiated by maternal smoking in pregnancy

Geochemical stages at Jasper Seamount and the origin of intraplate volcanoes

Author Posting. © American Geophysical Union, 2009. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geochemistry Geophysics Geosystems 19 (2009): Q02001, doi:10.1029/2008GC002236.Ocean intraplate volcanoes (OIVs) are formed in a sequence of stages, from large to small, that involve a systematic progression in mantle melting in terms of volumes and melt fractions with concomitant distinct mantle source signatures. The Hawaiian volcanoes are the best-known example of this type of evolution, even though they are extraordinarily large. We explore the Pb-Sr-Nd-Hf isotopic evolution of much smaller OIVs in the Fieberling-Guadalupe Seamount Trail (FGST) and small, near-ridge generated seamounts in the same region. In particular, we investigate whether we can extend the Hawaiian models to Jasper Seamount in the FGST, which displays three distinct volcanic stages. Each stage has characteristic variations in Pb-Sr-Nd-Hf isotopic composition and trace element enrichment that are remarkably similar to the systematics observed in Hawaii: (1) The most voluminous, basal “shield building” stage, the Flank Transitional Series (FTS), displays slightly isotopically enriched compositions compared to the common component C and the least enriched trace elements (143Nd/144Nd: 0.512866–0.512909, 206Pb/204Pb: 18.904–19.054; La/Sm: 3.71–4.82). (2) The younger and substantially less voluminous Flank Alkalic Series (FAS) is comparatively depleted in Sr, Nd, and Hf isotope compositions plotting on the side of C, near the least extreme values for the Austral Islands and St. Helena. Trace elements are highly enriched (143Nd/144Nd: 0.512912–0.512948, 206Pb/204Pb: 19.959–20.185; La/Sm: 9.24). (3) The Summit Alkalic Series (SAS) displays the most depleted Sr, Nd, and Hf isotope ratios and is very close in isotopic composition to the nearby near-ridge seamounts but with highly enriched trace elements (143Nd/144Nd: 0.512999–0.513050, 206Pb/204Pb: 19.080–19.237; La/Sm: 5.73–8.61). These data fit well with proposed multicomponent melting models for Hawaii, where source lithology controls melt productivity. We examine the effect of melting a source with dry peridotite, wet peridotite, and pyroxenite, calculating melt productivity functions with depth to evaluate the effect of potential temperature and lithospheric thickness. This type of melting model appears to explain the isotopic variation in a range of small to large OIVs, in particular for OIVs occurring far from the complicating effects of plate boundaries and continental crust, constraining their geodynamic origin.JBT acknowledges financial support from the French Institut National des Sciences de l’Univers. The isotope work at SDSU was made possible by NSF and Keck grants to BBH

A Balance of BMP and Notch Activity Regulates Neurogenesis and Olfactory Nerve Formation

Although the function of the adult olfactory system has been thoroughly studied, the molecular mechanisms regulating the initial formation of the olfactory nerve, the first cranial nerve, remain poorly defined. Here, we provide evidence that both modulated Notch and bone morphogenetic protein (BMP) signaling affect the generation of neurons in the olfactory epithelium and reduce the number of migratory neurons, so called epithelioid cells. We show that this reduction of epithelial and migratory neurons is followed by a subsequent failure or complete absence of olfactory nerve formation. These data provide new insights into the early generation of neurons in the olfactory epithelium and the initial formation of the olfactory nerve tract. Our results present a novel mechanism in which BMP signals negatively affect Notch activity in a dominant manner in the olfactory epithelium, thereby regulating neurogenesis and explain why a balance of BMP and Notch activity is critical for the generation of neurons and proper development of the olfactory nerve

Reactive Infiltration of MORB-Eclogite-Derived Carbonated Silicate Melt into Fertile Peridotite at 3GPa and Genesis of Alkalic Magmas

We performed experiments between two different carbonated eclogite-derived melts and lherzolite at 1375°C and 3 GPa by varying the reacting melt fraction from 8 to 50 wt %. The two starting melt compositions were (1) alkalic basalt with 11·7 wt % dissolved CO2 (ABC), (2) basaltic andesite with 2·6 wt % dissolved CO2 (BAC). The starting melts were mixed homogeneously with peridotite to simulate porous reactive infiltration of melt in the Earth’s mantle. All the experiments produced an assemblage of melt + orthopyroxene + clinopyroxene + garnet ± olivine; olivine was absent for a reacting melt fraction of 50 wt % for ABC and 40 wt % for BAC. Basanitic ABC evolved to melilitites (on a CO2-free basis, SiO2 ∼27–39 wt %, TiO2 ∼2·8–6·3 wt %, Al2O3 ∼4·1–9·1 wt %, FeO* ∼11–16 wt %, MgO ∼17–21 wt %, CaO ∼13–21 wt %, Na2O ∼4–7 wt %, CO2 ∼10–25 wt %) upon melt–rock reaction and the degree of alkalinity of the reacted melts is positively correlated with melt–rock ratio. On the other hand, reacted melts derived from BAC (on a CO2-free basis SiO2 ∼42–53 wt %, TiO2 ∼6·4–8·7 wt %, Al2O3 ∼10·5–12·3 wt %, FeO* ∼6·5–10·5 wt %, MgO ∼7·9–15·4 wt %, CaO ∼7·3–10·3 wt %, Na2O ∼3·4–4 wt %, CO2 ∼6·2–11·7 wt %) increase in alkalinity with decreasing melt–rock ratio. We demonstrate that owing to the presence of only 0·65 wt % of CO2 in the bulk melt–rock mixture (corresponding to 25 wt % BAC + lherzolite mixture), nephelinitic-basanite melts can be generated by partial reactive crystallization of basaltic andesite as opposed to basanites produced in volatile-free conditions. Post 20% olivine fractionation, the reacted melts derived from ABC at low to intermediate melt–rock ratios match with 20–40% of the population of natural nephelinites and melilitites in terms of SiO2 and CaO/Al2O3, 60–80% in terms of TiO2, Al2O3 and FeO, and <20% in terms of CaO and Na2O. The reacted melts from BAC, at intermediate melt–rock ratios, are excellent matches for some of the Mg-rich (MgO >15 wt %) natural nephelinites in terms of SiO2, Al2O3, FeO*, CaO, Na2O and CaO/Al2O3. Not only can these reacted melts erupt by themselves, they can also act as metasomatizing agents in the Earth’s mantle. Our study suggests that a combination of subducted, silica-saturated crust–peridotite interaction and the presence of CO2 in the mantle source region are sufficient to produce a large range of primitive alkalic basalts. Also, mantle potential temperatures of 1330–1350°C appear sufficient to produce high-MgO, primitive basanite–nephelinite if carbonated eclogite melt and peridotite interaction is taken into account

Exposure to Sublethal Doses of Fipronil and Thiacloprid Highly Increases Mortality of Honeybees Previously Infected by Nosema ceranae

International audienceBACKGROUND: The honeybee, Apis mellifera, is undergoing a worldwide decline whose origin is still in debate. Studies performed for twenty years suggest that this decline may involve both infectious diseases and exposure to pesticides. Joint action of pathogens and chemicals are known to threaten several organisms but the combined effects of these stressors were poorly investigated in honeybees. Our study was designed to explore the effect of Nosema ceranae infection on honeybee sensitivity to sublethal doses of the insecticides fipronil and thiacloprid. METHODOLOGY/FINDING: Five days after their emergence, honeybees were divided in 6 experimental groups: (i) uninfected controls, (ii) infected with N. ceranae, (iii) uninfected and exposed to fipronil, (iv) uninfected and exposed to thiacloprid, (v) infected with N. ceranae and exposed 10 days post-infection (p.i.) to fipronil, and (vi) infected with N. ceranae and exposed 10 days p.i. to thiacloprid. Honeybee mortality and insecticide consumption were analyzed daily and the intestinal spore content was evaluated 20 days after infection. A significant increase in honeybee mortality was observed when N. ceranae-infected honeybees were exposed to sublethal doses of insecticides. Surprisingly, exposures to fipronil and thiacloprid had opposite effects on microsporidian spore production. Analysis of the honeybee detoxification system 10 days p.i. showed that N. ceranae infection induced an increase in glutathione-S-transferase activity in midgut and fat body but not in 7-ethoxycoumarin-O-deethylase activity. CONCLUSIONS/SIGNIFICANCE: After exposure to sublethal doses of fipronil or thiacloprid a higher mortality was observed in N. ceranae-infected honeybees than in uninfected ones. The synergistic effect of N. ceranae and insecticide on honeybee mortality, however, did not appear strongly linked to a decrease of the insect detoxification system. These data support the hypothesis that the combination of the increasing prevalence of N. ceranae with high pesticide content in beehives may contribute to colony depopulation