Understanding the Effects of the Neighbourhood Built Environment on Public Health with Open Data

The investigation of the effect of the built environment in a neighbourhood and how it impacts residents' health is of value to researchers from public health policy to social science. The traditional methods to assess this impact is through surveys which lead to temporally and spatially coarse grained data and are often not cost effective. Here we propose an approach to link the effects of neighbourhood services over citizen health using a technique that attempts to highlight the cause-effect aspects of these relationships. The method is based on the theory of {\em propensity score matching with multiple `doses'} and it leverages existing fine grained open web data. To demonstrate the method, we study the effect of sport venue presence on the prevalence of antidepressant prescriptions in over 600 neighbourhoods in London over a period of three years. We find the distribution of effects is approximately normal, centred on a small negative effect on prescriptions with increases in the availability of sporting facilities, on average. We assess the procedure through some standard quantitative metrics as well as matching on synthetic data generated by modelling the real data. This approach opens the door to fast and inexpensive alternatives to quantify and continuously monitor effects of the neighborhood built environment on population health.Cambridge Trust and King's Colleg

Hospital Differences in Cesarean Deliveries in Massachusetts (US) 2004–2006: The Case against Case-Mix Artifact

Objective: We examined the extent to which differences in hospital-level cesarean delivery rates in Massachusetts were attributable to hospital-level, rather than maternal, characteristics. Methods: Birth certificate and maternal in-patient hospital discharge records for 2004–06 in Massachusetts were linked. The study population was nulliparous, term, singleton, and vertex births (NTSV) (n = 80,371) in 49 hospitals. Covariates included mother's age, race/ethnicity, education, infant birth weight, gestational age, labor induction (yes/no), hospital shift at time of birth, and preexisting health conditions. We estimated multilevel logistic regression models to assess the likelihood of a cesarean delivery. Results: Overall, among women with NTSV births, 26.5% births were cesarean, with a range of 14% to 38.3% across hospitals. In unadjusted models, the between-hospital variance was 0.103 (SE 0.022); adjusting for demographic, socioeconomic and preexisting medical conditions did not reduce any hospital-level variation 0.108 (SE 0.023). Conclusion: Even after adjusting for both socio-demographic and clinical factors, the chance of a cesarean delivery for NTSV pregnancies varied according to hospital, suggesting the importance of hospital practices and culture in determining a hospital's cesarean rate

Short-range hunters: exploring the function and constraints of water shooting in dwarf gouramis

Ballistic predation is a rare foraging adaptation: in fishes, most attention has focused on a single genus, the archerfish, known to manipulate water to shoot down prey above the water surface. However, several gourami species also exhibit apparently similar ‘shooting’ behaviour, spitting water up to 5 cm above the surface. In a series of experiments, we explored the shooting behaviour and aspects of its significance as a foraging ability in the dwarf gourami (Trichogaster lalius). We investigated sex differences in shooting abilities to determine whether gourami shooting is related to the sex-specific bubble nest manufacture where males mix air and water at the surface to form bubbles. We found that, actually, both sexes were equally able to shoot and could learn to shoot a novel target. In a second experiment, we presented untrained gouramis with opportunities to shoot at live prey and found they successfully shot down both fruit flies and crickets. Finally, we explored the effect of target height on shooting performance to establish potential constraints of shooting as a foraging ability. The frequency of attempted shots and success of hitting targets decreased with height, whereas latency to shoot increased. We also observed that repeatable individual differences account for variation in these measures of shooting performance. Together, our results provide evidence that gourami shooting has a foraging function analogous to that of archerfish. Gourami shooting may serve as an example of convergent evolution and provide opportunities for comparative studies into the, as yet unexplored, ecology and evolution of shooting in fishes.Peer reviewe

Acute social isolation alters neurogenomic state in songbird forebrain

Prolonged social isolation has negative effects on brain and behavior in humans and other social organisms, but neural mechanisms leading to these effects are not understood. Here we tested the hypothesis that even brief periods of social isolation can alter gene expression and DNA methylation in higher cognitive centers of the brain, focusing on the auditory/associative forebrain of the highly social zebra finch. Using RNA sequencing, we first identified genes that individually increase or decrease expression after isolation and observed general repression of gene sets annotated for neurotrophin pathways and axonal guidance functions. We then pursued 4 genes of large effect size: EGR1 and BDNF (decreased by isolation) and FKBP5 and UTS2B (increased). By in situ hybridization, each gene responded in different cell subsets, arguing against a single cellular mechanism. To test whether effects were specific to the social component of the isolation experience, we compared gene expression in birds isolated either alone or with a single familiar partner. Partner inclusion ameliorated the effect of solo isolation on EGR1 and BDNF, but not on FKBP5 and UTS2B nor on circulating corticosterone. By bisulfite sequencing analysis of auditory forebrain DNA, isolation caused changes in methylation of a subset of differentially expressed genes, including BDNF. Thus, social isolation has rapid consequences on gene activity in a higher integrative center of the brain, triggering epigenetic mechanisms that may influence processing of ongoing experience.Peer reviewe

Exploring genetic factors involved in huntington disease age of onset. E2F2 as a new potential modifier gene

Age of onset (AO) of Huntington disease (HD) is mainly determined by the length of the CAG repeat expansion (CAGexp) in exon 1 of the HTT gene. Additional genetic variation has been suggested to contribute to AO, although the mechanism by which it could affect AO is presently unknown. The aim of this study is to explore the contribution of candidate genetic factors to HD AO in order to gain insight into the pathogenic mechanisms underlying this disorder. For that purpose, two AO definitions were used: the earliest age with unequivocal signs of HD (earliest AO or eAO), and the first motor symptoms age (motor AO or mAO). Multiple linear regression analyses were performed between genetic variation within 20 candidate genes and eAO or mAO, using DNA and clinical information of 253 HD patients from REGISTRY project. Gene expression analyses were carried out by RT-qPCR with an independent sample of 35 HD patients from Basque Country Hospitals. We found suggestive association signals between HD eAO and/or mAO and genetic variation within the E2F2, ATF7IP, GRIN2A, GRIN2B, LINC01559, HIP1 and GRIK2 genes. Among them, the most significant was the association between eAO and rs2742976, mapping to the promoter region of E2F2 transcription factor. Furthermore, rs2742976 T allele patient carriers exhibited significantly lower lymphocyte E2F2 gene expression, suggesting a possible implication of E2F2-dependent transcriptional activity in HD pathogenesis. Thus, E2F2 emerges as a new potential HD AO modifier factor

Distribución espacial a gran escala de la megafauna de aguas profundas en fondos arrastrables del Mediterráneo

The large-scale distribution pattern of megafauna communities along the Mediterranean middle slope was explored. The study was conducted between 500 and 800 m depth where deep-water fishery occurs. Although community studies carried out deeper than 500 m are partly available for some geographic areas, few large-scale comparative studies have been carried out. Within the framework of the MEDITS survey programme, we compared the megafauna community structure in ten geographical sub-areas (GSAs) along the Mediterranean coasts. Additionally, the spatial distribution of fishing was analysed using vessel monitoring by satellite information. Overall, the community showed a significant difference between sub-areas, with a decreasing eastward pattern in abundance and biomass. Longitude was the main factor explaining variation among sub-areas (by generalized additive models). However, we found a region which did not follow the general pattern. GSA 6 (northern Spain) showed significantly lower abundance and a different composition structure to the adjacent areas. The decrease in community descriptors (i.e. abundance and biomass) in this area is probably a symptom of population changes induced by intense fishery exploitation. Overall, a combination of environmental variables and human-induced impacts appears to influence the bentho-pelagic communities along the slope areas of the Mediterranean.En este estudio se describe la estructura y patrones de distribución de la comunidad de megafauna que habita en el margen continental medio a lo largo del Mediterráneo. El estudio se realizó entre los 500 y 800 m, coincidiendo espacialmente con las pesquerías de profundidad. A pesar de que se conoce parcialmente la estructura de las comunidades que habitan por debajo de 500 m, existe la necesidad de estudiar estas comunidades a una escala espacial más amplia. Dentro del marco del proyecto internacional MEDITS, se comparó la estructura de las comunidades en diez sub-áreas geográficas (GSAs) a lo largo de las costas mediterráneas. Además se analizó la distribución espacial del esfuerzo pesquero utilizando la información de los datos de seguimiento de buques. En general los resultados mostraron diferencias significativas entre subáreas mostrando un patrón decreciente en los valores de biomasa hacia el este, siendo la longitud el principal factor explicativo del modelo de distribución (GAMs). Sin embargo, encontramos una subárea que no seguía el patrón general, la GSA6 (norte de España). La GSA6 mostró una biomasa y estructura de la comunidad diferente a las áreas adyacentes. La disminución de la biomasa en esta área parece ser un síntoma de los cambios poblaciones causados por la elevada intensidad de pesca en la zona. Los resultados sugieren que la distribución y estructura de las comunidades bento-pelágicas parecen estar moduladas por la combinación de las variables ambientales y los impactos producidos por la actividad humana