Preventing suicide with a new risk assessment tool

This article was originally published as 'Testing time for risk tool' in Occupational Health magazine, August 2013, pp. 20-22. Copyright @ 2013 Reed Business Information Ltd.Sussex Community NHS Trust has been trialling a suicide risk assessment tool. Andrea Richardson and Nessie Shia describe the system and look at the findings

Meridional Transport in the Stratosphere of Jupiter

The Cassini measurements of C$_2$H$_2$ and C$_2$H$_6$ at $\sim$5 mbar provide a constraint on meridional transport in the stratosphere of Jupiter. We performed a two-dimensional photochemical calculation coupled with mass transport due to vertical and meridional mixing. The modeled profile of C$_2$H$_2$ at latitudes less than 70$^\circ$ follows the latitude dependence of the solar insolation, while that of C$_2$H$_6$ shows little latitude dependence, consistent with the measurements. In general, our model study suggests that the meridional transport timescale above 5-10 mbar altitude level is $\gtrsim$1000 years and the time could be as short as 10 years below 10 mbar level, in order to fit the Cassini measurements. The derived meridional transport timescale above the 5 mbar level is a hundred times longer than that obtained from the spreading of gas-phase molecules deposited after the impact of Shoemaker-Levy 9 comet. There is no explanation at this time for this discrepancy.Comment: 11 pages, 3 figures, 1 table. ApJL in pres

The association of remotely-sensed outdoor temperature with blood pressure levels in REGARDS: a cross-sectional study of a large, national cohort of African-American and white participants

<p>Abstract</p> <p>Background</p> <p>Evidence is mounting regarding the clinically significant effect of temperature on blood pressure.</p> <p>Methods</p> <p>In this cross-sectional study the authors obtained minimum and maximum temperatures and their respective previous week variances at the geographic locations of the self-reported residences of 26,018 participants from a national cohort of blacks and whites, aged 45+. Linear regression of data from 20,623 participants was used in final multivariable models to determine if these temperature measures were associated with levels of systolic or diastolic blood pressure, and whether these relations were modified by stroke-risk region, race, education, income, sex hypertensive medication status, or age.</p> <p>Results</p> <p>After adjustment for confounders, same-day maximum temperatures 20°F lower had significant associations with 1.4 mmHg (95% CI: 1.0, 1.9) higher systolic and 0.5 mmHg (95% CI: 0.3, 0.8) higher diastolic blood pressures. Same-day minimum temperatures 20°F lower had a significant association with 0.7 mmHg (95% CI: 0.3, 1.0) higher systolic blood pressures but no significant association with diastolic blood pressure differences. Maximum and minimum previous-week temperature variabilities showed significant but weak relationships with blood pressures. Parameter estimates showed effect modification of negligible magnitude.</p> <p>Conclusions</p> <p>This study found significant associations between outdoor temperature and blood pressure levels, which remained after adjustment for various confounders including season. This relationship showed negligible effect modification.</p

High-Throughput Drug Screening Identifies a Potent Wnt Inhibitor that Promotes Airway Basal Stem Cell Homeostasis.

Mechanisms underpinning airway epithelial homeostatic maintenance and ways to prevent its dysregulation remain elusive. Herein, we identify that β-catenin phosphorylated at Y489 (p-β-cateninY489) emerges during human squamous lung cancer progression. This led us to develop a model of airway basal stem cell (ABSC) hyperproliferation by driving Wnt/β-catenin signaling, resulting in a morphology that resembles premalignant lesions and loss of ciliated cell differentiation. To identify small molecules that could reverse this process, we performed a high-throughput drug screen for inhibitors of Wnt/β-catenin signaling. Our studies unveil Wnt inhibitor compound 1 (WIC1), which suppresses T-cell factor/lymphoid enhancer-binding factor (TCF/LEF) activity, reduces ABSC proliferation, induces ciliated cell differentiation, and decreases nuclear p-β-cateninY489. Collectively, our work elucidates a dysregulated Wnt/p-β-cateninY489 axis in lung premalignancy that can be modeled in&nbsp;vitro and identifies a Wnt/β-catenin inhibitor that promotes airway homeostasis. WIC1 may therefore serve as a tool compound in regenerative medicine studies with implications for restoring normal airway homeostasis after injury

Effect of sunlight exposure on cognitive function among depressed and non-depressed participants: a REGARDS cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Possible physiological causes for the effect of sunlight on mood are through the suprachiasmatic nuclei and evidenced by serotonin and melatonin regulation and its associations with depression. Cognitive function involved in these same pathways may potentially be affected by sunlight exposure. We evaluated whether the amount of sunlight exposure (i.e. insolation) affects cognitive function and examined the effect of season on this relationship.</p> <p>Methods</p> <p>We obtained insolation data for residential regions of 16,800 participants from a national cohort study of blacks and whites, aged 45+. Cognitive impairment was assessed using a validated six-item screener questionnaire and depression status was assessed using the Center for Epidemiologic Studies Depression Scale. Logistic regression was used to find whether same-day or two-week average sunlight exposure was related to cognitive function and whether this relationship differed by depression status.</p> <p>Results</p> <p>Among depressed participants, a dose-response relationship was found between sunlight exposure and cognitive function, with lower levels of sunlight associated with impaired cognitive status (odds ratio = 2.58; 95% CI 1.43–6.69). While both season and sunlight were correlated with cognitive function, a significant relation remained between each of them and cognitive impairment after controlling for their joint effects.</p> <p>Conclusion</p> <p>The study found an association between decreased exposure to sunlight and increased probability of cognitive impairment using a novel data source. We are the first to examine the effects of two-week exposure to sunlight on cognition, as well as the first to look at sunlight's effects on cognition in a large cohort study.</p

New Insights into Martian Atmospheric Chemistry

HO_x radicals are produced in the Martian atmosphere by the photolysis of water vapor and subsequently participate in catalytic cycles that recycle carbon dioxide (CO_2) from its photolysis product carbon monoxide (CO), providing a qualitative explanation for the stability of its atmosphere. Balancing CO_2 production and loss based on our current understanding of Martian gas-phase chemistry has, however, proven to be difficult. The photolysis of O_3 produces O(^1D), while oxidation of CO produces HOCO radicals, a new member of the HO_x family. The O(^1D) quantum yield has recently been updated, which quantifies nonzero quantum yields in the Huggins bands. In Earth’s atmosphere HOCO is considered to be unimportant since it is quickly removed by abundant oxygen molecules. The smaller amount of O_2 in the Mars’ atmosphere causes HOCO’s lifetime to be longer in Mars’ atmosphere than Earth’s (3 × 10^(-5) seconds to 1.2 days from Mars’s surface to 240 km, respectively). Limited kinetic data on reactions involving HOCO prevented consideration of its reactions directly in atmospheric models. Therefore, the impact of HOCO reactions on Martian chemistry is currently unknown. Here, we incorporate new literature rate constants for HOCO chemistry and an updated representation of the O(^1D) quantum yield in the Caltech/JPL 1-D photochemical model for Mars’ atmosphere. Our simulations exemplify perturbations to NO_y, HO_x, and CO_x species, ranging from 5 to 50%. The modified O(^1D) quantum yield and new HOCO chemistry cause a 10% decrease and a 50% increase in OH and H_2O_2 total column abundances, respectively. At low altitudes, HOCO production contributes 5% towards CO_2 production. Given recent experimentally-obtained branching ratios for the oxidation of CO, HOCO may contribute up to 70% toward the production of NO_y, where HO_x and NO_y species are enhanced up to a factor 3, which has implications for rethinking the fundamental understanding of NO_y, HO_x, and CO/CO_2 cycling on Mars. Two new reaction mechanisms for converting CO to CO_2 using HOCO reactions are proposed, which reveal that H_2O_2 is more intimately coupled to CO_x chemistry. Our simulations are in good agreement with satellite/spacecraft measurements of CO and H_2O_2 on Mars

Dietary cholesterol directly induces acute inflammasome-dependent intestinal inflammation

Prolonged ingestion of a cholesterol- or saturated fatty acid-enriched diet induces chronic, often systemic, auto-inflammatory responses resulting in significant health problems worldwide. In vivo information regarding the local and direct inflammatory effect of these dietary components in the intestine and, in particular, on the intestinal epithelium is lacking. Here we report that both mice and zebrafish exposed to high-fat (HFDs) or high-cholesterol (HCDs) diets develop acute innate inflammatory responses within hours, reflected in the localized interleukin-1β-dependent accumulation of myeloid cells in the intestine. Acute HCD-induced intestinal inflammation is dependent on cholesterol uptake via Niemann-Pick C1-like 1 and inflammasome activation involving apoptosis-associated Speck-like protein containing a caspase recruitment domain, which leads to Caspase-1 activity in intestinal epithelial cells. Extended exposure to HCD results in localized, inflammation-dependent, functional dysregulation as well as systemic pathologies. Our model suggests that dietary cholesterol initiates intestinal inflammation in epithelial cells