Social Context: A Review of Autobiography of a Disease

Autobiography of Disease by Patrick Anderson thoroughly examines the author’s life threatening experience with Staphylococcus aureus (MRSA) osteomyelitis. Through notes kept by the author and caregiver/mother Anderson tells an evocative ethnography as told from the perspective of MRSA itself. This complex weaving of narratives highlights how multiple social and environmental considerations interact to impact Anderson\u27s experience with illness. This book may be of interest to anyone seeking to learn more about the social context of illness

Association of Accelerometry-Measured Physical Activity and Cardiovascular Events in Mobility-Limited Older Adults: The LIFE (Lifestyle Interventions and Independence for Elders) Study.

BACKGROUND:Data are sparse regarding the value of physical activity (PA) surveillance among older adults-particularly among those with mobility limitations. The objective of this study was to examine longitudinal associations between objectively measured daily PA and the incidence of cardiovascular events among older adults in the LIFE (Lifestyle Interventions and Independence for Elders) study. METHODS AND RESULTS:Cardiovascular events were adjudicated based on medical records review, and cardiovascular risk factors were controlled for in the analysis. Home-based activity data were collected by hip-worn accelerometers at baseline and at 6, 12, and 24 months postrandomization to either a physical activity or health education intervention. LIFE study participants (n=1590; age 78.9±5.2 [SD] years; 67.2% women) at baseline had an 11% lower incidence of experiencing a subsequent cardiovascular event per 500 steps taken per day based on activity data (hazard ratio, 0.89; 95% confidence interval, 0.84-0.96; P=0.001). At baseline, every 30 minutes spent performing activities ≥500 counts per minute (hazard ratio, 0.75; confidence interval, 0.65-0.89 [P=0.001]) were also associated with a lower incidence of cardiovascular events. Throughout follow-up (6, 12, and 24 months), both the number of steps per day (per 500 steps; hazard ratio, 0.90, confidence interval, 0.85-0.96 [P=0.001]) and duration of activity ≥500 counts per minute (per 30 minutes; hazard ratio, 0.76; confidence interval, 0.63-0.90 [P=0.002]) were significantly associated with lower cardiovascular event rates. CONCLUSIONS:Objective measurements of physical activity via accelerometry were associated with cardiovascular events among older adults with limited mobility (summary score >10 on the Short Physical Performance Battery) both using baseline and longitudinal data. CLINICAL TRIAL REGISTRATION:URL: http://www.clinicaltrials.gov. Unique identifier: NCT01072500

Climate Change and the Future of California's Endemic Flora

The flora of California, a global biodiversity hotspot, includes 2387 endemic plant taxa. With anticipated climate change, we project that up to 66% will experience >80% reductions in range size within a century. These results are comparable with other studies of fewer species or just samples of a region's endemics. Projected reductions depend on the magnitude of future emissions and on the ability of species to disperse from their current locations. California's varied terrain could cause species to move in very different directions, breaking up present-day floras. However, our projections also identify regions where species undergoing severe range reductions may persist. Protecting these potential future refugia and facilitating species dispersal will be essential to maintain biodiversity in the face of climate change

Genetic mechanisms of critical illness in COVID-19.

Host-mediated lung inflammation is present1, and drives mortality2, in the critical illness caused by coronavirus disease 2019 (COVID-19). Host genetic variants associated with critical illness may identify mechanistic targets for therapeutic development3. Here we report the results of the GenOMICC (Genetics Of Mortality In Critical Care) genome-wide association study in 2,244 critically ill patients with COVID-19 from 208 UK intensive care units. We have identified and replicated the following new genome-wide significant associations: on chromosome 12q24.13 (rs10735079, P = 1.65 × 10-8) in a gene cluster that encodes antiviral restriction enzyme activators (OAS1, OAS2 and OAS3); on chromosome 19p13.2 (rs74956615, P = 2.3 × 10-8) near the gene that encodes tyrosine kinase 2 (TYK2); on chromosome 19p13.3 (rs2109069, P = 3.98 ×  10-12) within the gene that encodes dipeptidyl peptidase 9 (DPP9); and on chromosome 21q22.1 (rs2236757, P = 4.99 × 10-8) in the interferon receptor gene IFNAR2. We identified potential targets for repurposing of licensed medications: using Mendelian randomization, we found evidence that low expression of IFNAR2, or high expression of TYK2, are associated with life-threatening disease; and transcriptome-wide association in lung tissue revealed that high expression of the monocyte-macrophage chemotactic receptor CCR2 is associated with severe COVID-19. Our results identify robust genetic signals relating to key host antiviral defence mechanisms and mediators of inflammatory organ damage in COVID-19. Both mechanisms may be amenable to targeted treatment with existing drugs. However, large-scale randomized clinical trials will be essential before any change to clinical practice

Ecological connectivity between the areas beyond national jurisdiction and coastal waters: Safeguarding interests of coastal communities in developing countries

The UN General Assembly has made a unanimous decision to start negotiations to establish an international, legally-binding instrument for the conservation and sustainable use of marine biological diversity within Areas Beyond National Jurisdiction (ABNJ). However, there has of yet been little discussion on the importance of this move to the ecosystem services provided by coastal zones in their downstream zone of influence. Here, we identify the ecological connectivity between ABNJ and coastal zones as critically important in the negotiation process and apply several approaches to identify some priority areas for protection from the perspective of coastal populations of Least Developed Countries (LDCs). Initially, we review the scientific evidence that demonstrates ecological connectivity between ABNJ and the coastal zones with a focus on the LDCs. We then use ocean modelling to develop a number of metrics and spatial maps that serve to quantify the connectivity of the ABNJ to the coastal zone. We find that the level of exposure to the ABNJ influences varies strongly between countries. Similarly, not all areas of the ABNJ are equal in their impacts on the coastline. Using this method, we identify the areas of the ABNJ that are in the most urgent need of protection on the grounds of the strength of their potential downstream impacts on the coastal populations of LDCs. We argue that indirect negative impacts of the ABNJ fishing, industrialisation and pollution, communicated via oceanographic, cultural and ecological connectivity to the coastal waters of the developing countries should be of concern

University Scholars Day

Presentation for the 2008 University Scholars Day at the University of North Texas discussing a research study to assess attitudes towards mentally engaging lifestyles among older adults

Research Design Framework for Understanding Online Conversations

While the phenomenon itself goes by many names – social media, discussion forums, computer-mediated communication, online conversations – people have been talking together online for over three decades. Research into what happens in these spaces has a long history across many disciplines, but little attention has been paid to ensuring the methodological alignment needed to produce trustworthy, valid findings to answer important research questions. In this panel presentation, researchers from the University of Georgia and Emory University will report findings from their analysis of online conversations, guided by the Paulus and Wise (2019) research design framework. Data sources for these studies include blog posts from The Abstinence Clearinghouse website (Copple), the “Classroom Victories” Chronicle of Higher Education forum (Ciudad-Simmons), teacher presence across social media platforms (Eber), posts to an online support group for people with Alzheimer’s disease (Halpin), the r/teenagers subreddit (Lee), and the College Confidential message boards (Lemon). Methodological challenges such as ethical approaches to treating online conversations as data, tools for data extraction, effective bounding of what often seems to be an endless amount of online conversations, and the application of qualitative data analysis methods will be explored. Paulus, T.M. & Wise, A.F. (2019). Looking for insight, transformation and learning in online talk. Routledge

A three-dimensional mapping of the ocean based on environmental data

The existence, sources, distribution, circulation, and physicochemical nature of macroscale oceanic water bodies have long been a focus of oceanographic inquiry. Building on that work, this paper describes an objectively derived and globally comprehensive set of 37 distinct volumetric region units, called ecological marine units (EMUs). They are constructed on a regularly spaced ocean point-mesh grid, from sea surface to seafloor, and attributed with data from the 2013 World Ocean Atlas version 2. The point attribute data are the means of the decadal averages from a 57-year climatology of six physical and chemical environment parameters (temperature, salinity, dissolved oxygen, nitrate, phosphate, and silicate). The database includes over 52 million points that depict the global ocean in x, y, and z dimensions. The point data were statistically clustered to define the 37 EMUs, which represent physically and chemically distinct water volumes based on spatial variation in the six marine environmental characteristics used. The aspatial clustering to produce the 37 EMUs did not include point location or depth as a determinant, yet strong geographic and vertical separation was observed. Twenty-two of the 37 EMUs are globally or regionally extensive, and account for 99% of the ocean volume, while the remaining 15 are smaller and shallower, and occur around coastal features. We assessed the vertical distribution of EMUs in the water column and placed them into classical depth zones representing epipelagic (0 m to 200 m), mesopelagic (200 m to 1,000 m), bathypelagic (1,000 m to 4,000 m) and abyssopelagic (\u3e4,000 m) layers. The mapping and characterization of the EMUs represent a new spatial framework for organizing and understanding the physical, chemical, and ultimately biological properties and processes of oceanic water bodies. The EMUs are an initial objective partitioning of the ocean using long-term historical average data, and could be extended in the future by adding new classification variables and by introducing functionality to develop time-specific EMU distribution maps. The EMUs are an open-access resource, and as both a standardized geographic framework and a baseline physicochemical characterization of the oceanic environment, they are intended to be useful for disturbance assessments, ecosystem accounting exercises, conservation priority setting, and marine protected area network design, along with other research and management applications