Toll-like receptor 2 and Toll-like receptor 4 predict favorable prognosis in local pancreatic cancer

Toll-like receptors play an essential role in our innate immune system and are a focus of interest in contemporary cancer research. Thus far, Toll-like receptors have shown promising prognostic value in carcinomas of the oral cavity, colon, and ovaries, but the prognostic role of Toll-like receptors in pancreatic ductal adenocarcinoma has not been established. We set out to investigate whether Toll-like receptor expression could serve in prognostic evaluation in pancreatic ductal adenocarcinoma, as well. Our study comprised 154 consecutive stage I?III pancreatic ductal adenocarcinoma patients surgically treated at Helsinki University Hospital between 2002 and 2011. Patients who received neoadjuvant therapy were excluded. Tissue microarrays and immunohistochemistry allowed assessment of the expression of Toll-like receptor 2 and Toll-like receptor 4 in pancreatic ductal adenocarcinoma tissue, and we matched staining results against clinicopathological parameters using Fisher?s test. For survival analysis, we used the Kaplan?Meier method and the log-rank test, and the Cox regression proportional hazard model for univariate and multivariate analyses. The hazard ratios were calculated for disease-specific overall survival. Strong Toll-like receptor 2 expression was observable in 51 (34%) patients and strong Toll-like receptor 4 in 50 (33%) patients. Overall, neither marker showed any direct coeffect on survival. However, strong Toll-like receptor 2 expression predicted better survival when tumor size was less than 30?mm (hazard ratio?=?0.30; 95% confidence interval?=?0.13?0.69; p?=?0.005), and strong Toll-like receptor 4 expression predicted better survival in patients with lymph-node-negative disease (hazard ratio?=?0.21; 95% confidence interval?=?0.07?0.65; p?=?0.006). In conclusion, we found strong Toll-like receptor 2 and Toll-like receptor 4 expressions to be independent factors of better prognosis in pancreatic ductal adenocarcinoma patients with stage I?II disease.Peer reviewe

Modelling of particulate matter concentrations and source contributions in the Helsinki Metropolitan Area in 2008 and 2010

We refined an urban-scale dispersion modelling system by adding a road dust suspension model, FORE. The deterministic modelling includes both vehicular exhaust emissions (including cold start and cold driving) and suspended road dust. The urban scale modelling system was used in combination with the regional scale chemical transport model LOTOSEUROS, for 2008, and the measured regional background concentrations, for 2010. The predictions were compared against measured concentrations of PM2.5 and PM10. PM2.5 concentrations were slightly and the PM10concentrations substantially under-predicted in 2008, mainly due to the under-predicted regional background concentration. Source contributions of suspended road dust varied from 2% to 8% and from 12% to 38% for PM2.5 and PM10, respectively. Long-range transported contributions at the urban traffic stations were 72% to 92% for PM2.5 and 50% to 83% for PM10. © 2016

Baltic herring as nutrition – Risk-benefit analysis

Tämän tutkimuksen tarkoitus oli selvittää, onko silakansyönnistä enemmän terveyshyötyä kuin -haittaa Suomessa ja millainen tilanne on eri ikäryhmissä. Aiemmat hyöty-riskiarviot ovat osoittaneet, että kalansyönti on yleensä terveellisempää kuin sen syömättä jättäminen. Tämä johtuu erityisesti kalan terveellisistä omega-3-rasvahapoista. Kuitenkin iso osa hyödyistä tulee aikuisille, joilla on suurentunut sydäntautiriski, ja osa mahdollisista haitoista tulee lapsille hammasvaurioiden ja muiden kehityshäiriöiden riskinä. Eviran toimeksiantona, yhteistyössä THL:n kanssa on vuoden 2014 aikana tehty hyöty-haitta-analyysi, jossa on tarkasteltu nimenomaan eri ikäryhmiä erikseen nykyisen kalankäytön mukaan. Tulokset perustuvat Taloustutkimuksen tekemän kyselyn aineistoon vuodelta 2013, jonka pohjalta on tehty varsinainen terveysvaikutusten tarkastelu. Tulokset ilmaistiin käyttäen haittapainotettuja elinvuosia (Disability Adjusted Life Year DALY) eli yksi DALY vastaa yhtä menetettyä tervettä elinvuotta. Hyödyllisistä ravintoaineista raportissa tarkasteltiin omega-3-rasvahappoja, eikosapentaeenihappoa (EPA) ja dokosaheksaeenihappoa (DHA) sekä D-vitamiinia. Silakassa esiintyvistä terveydelle haitallisista ympäristömyrkyistä tarkasteltiin dioksiineihin luettavia yhdisteitä, joihin kuuluvat polyklooratut dibentso-p-dioksiinit ja polyklooratut furaanit sekä dioksiininkaltaiset polyklooratut bifenyylit (PCB:t). Tulosten mukaan silakansyönti aiheuttaa Suomessa noin 11 (95 % luottamusväli LV 0 – 54) DALY kehityshäiriöistä (hammasvaurio) johtuvaa haittapainotettua elinvuotta (DALY), jotka kaikki kohdistuvat lapsiin äidin välityksellä raskausajan ja imetyksen kautta. Lisäksi silakansyönti aiheuttaa noin 12 (95 % LV 1.7 – 56) DALY dioksiinien aiheuttaman syöpäriskin kautta koko väestössä. Yli 50-vuotiailla naisilla ja varsinkin miehillä silakansyönnin terveyshyödyt ovat selkeästi suuremmat kuin terveyshaitat. Suurimmat terveyshyödyt saadaan sydäntautia ja sydänkuolleisuutta vähentävästä vaikutuksesta, noin -688 (95 % LV -2126 – -41) DALY/vuosi. Tulosten mukaan silakan syönti on vähentynyt väestössä niin paljon, että nykyiset suomalaiset kalan yleiset syöntisuositukset ovat riittävät suojaamaan väestöä dioksiinien ja dioksiinien kaltaisten yhdisteiden aiheuttamilta terveyshaitoilta. Hyöty-haitta-analyysissä tulisi kuitenkin tulevaisuudessa arvioida myös muiden rasvaisten kalojen keräämien ympäristömyrkkyjen kumulatiivisia terveysvaikutuksia ja yleisten syöntisuositusten riittävyyttä.Syftet med denna undersökning var att utreda om konsumtion av strömming från Östersjön ger mer hälsofördelar än hälsoskador i Finland och hurdant läget i olika ålderskategorier är. Tidigare nytta/riskvärderingar har visat att det i allmänhet är hälsosammare att äta fisk än att låta bli att göra det. Det beror särskilt på de hälsosamma omega-3-fettsyrorna i fisken. En stor del av fördelarna tillkommer ändå vuxna personer med förhöjd risk för hjärtsjukdomar och en stor del av skadorna tillkommer barn i form av risk för skador på tänderna och andra utvecklingsstörningar. På uppdrag från Evira och i samarbete med THL har under året 2014 gjorts en nytta/riskanalys, där man uttryckligen granskat olika ålderskategorier skilt för sig i ljuset av den nuvarande konsumtionen av strömming. Resultaten bygger på ett enkätmaterial som Taloustutkimus inhämtat år 2013. Utgående från detta material har sedan den egentliga granskningen av hälsoeffekterna gjorts. Resultaten angavs i form av funktionsjusterade levnadsår (Disability Adjusted Life Year DALY). För de nyttiga näringsämnenas del granskades i rapporten omega-3-fettsyrorna eikosapentaensyra (EPA) och dokosahexaensyra (DHA) och vitamin D. Av de hälsovådliga miljögifterna som förekommer i strömming granskades dioxiner, polyklorerade dibenzo-p-dioxinerna och plyklorerade dibenzofuranerna jämte dioxinliknande polyklorerade bifenylerna (PCB). Resultaten visar att konsumtion av strömming i Finland orsakar cirka 11 (95 % förtroende intervall , FI 0-54) funktionsjusterade levnadsår (DALY) som beror på utvecklingsstörningar (tandskada) och som alla via modern drabbar barn under graviditeten och amningen. Konsumtion av strömming medför också cirka 12 (95 %, FI 1,7-56) DALY via den cancerrisk som dioxinerna orsakar i hela befolkningen. Hos över 50 åriga kvinnor och framförallt män är fördelarna av att äta strömming klart större än hälsoskadorna. De största hälsofördelarna kommer av att risken för hjärtsjukdomar och dödligheten i hjärtsjukdomar minskar, cirka -688 (95 %, FI -2126 -41) DALY/år. Enligt resultaten konsumtion av strömming I Finland har sjunkit till en så låg nivå , att de nuvarande allmänna rekommenderade intagen av fisk konsumtion är tillräckliga för att skydda befolkningen mot hälsoskador av dioxiner eller dioxinlika föreningar. I risk-nytta-analys i framtiden bör ändå utvärderas totala hälsoeffekter av olika miljögifter i andra feta fiskarter ock kolla lämpligheten av rekommendationer av fisk konsumtion.The objective of this study was to determine whether the benefits of eating Baltic Sea herring exceed the risks in Finland, and what the situation is in different age groups. Previous risk-benefit analyses have shown that eating fish is in general healthier than not eating fish. This is particularly due to the healthy omega 3 fatty acids of fish. However, the benefits are largely enjoyed by adults with an elevated risk of heart disease, while children suffer the majority of the risks in the form of dental problems and other developmental disorders. In the riskbenefit analysis carried out to the order of Evira in collaboration with THL during 2014, different age groups were specifically considered separately in the light of current fish consumption. The results are based on the survey of the consumption of Baltic herring conducted by Taloustutkimus in 2013, which was used as the basis for the actual analysis of health effects. The results were expressed as Disability Adjusted Life Years (DALY). Omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) as well as vitamin D were analysed in the report as beneficial nutrients. As far as environmental toxins harmful to health are concerned, Baltic herring were analysed for compounds classified as dioxins, which include polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans, as well dioxin-like biphenyls (PCB). According to the results, in Finland eating herring causes ca. 11 (95% confidence interval, CI 0-54) Disability Adjusted Life Years (DALYs) resulting from developmental disorders (dental damage); these affect children via the mother during pregnancy and breastfeeding. In addition, eating herring causes a ca. 12 (95%, CI 1,7-56) DALY cancer risk due to dioxins in the entire population. The health benefits of eating herring clearly exceed risks to health for women and particularly men after the age of 50 years. The greatest health benefits result from the reduction in heart disease and heart-related fatality, ca. –688 (95%, CI -2126 -41) DALY/year. The results show that the consumption of Baltic herring has decreased in Finland to a low level and that the current common dietary advices on fish consumption are adequate to protect the population against the adverse health effects of dioxins and dioxin-like compounds. However, in risk benefit analysis in future it is important to estimate the total health effects of different environmental pollutants and of other fatty fish, and the sufficiency of dietary advices on fish consumption

Sää- ja ilmastoriskit Suomessa - Kansallinen arvio

Tähän raporttiin on koottu ajantasainen arvio sään ja ilmaston aiheuttamista riskeistä eri toimialoille Suomessa. Arviossa otettiin huomioon sekä muuttuvan ilmaston että yhteiskunnallisen kehityksen vaikutus riskin muodostumiseen nykyhetkessä ja tulevaisuudessa. Sää- ja ilmastoriskejä pyrittiin hahmottamaan vaaratekijän (riskiä aiheuttava sääilmiö), altistumisen (riskin kohteen sijainti) ja haavoittuvuuden (riskin kohteen ominaisuudet) yhdistelmänä. Sääilmiöt aiheuttavat Suomessa riskejä jo nykyilmastossa. Muun muassa rajuilmat, helleaallot ja rankkasateet aiheuttavat taloudellisia ja terveydellisiä vaikutuksia sekä yleistä haittaa. Tulevaisuudessa riskit muuttuvat ilmastonmuutoksen muuttaessa haitallisia sääilmiöitä. Ilmastonmuutos tuo vähitellen kasvavia riskejä erityisesti ekosysteemeille ja infrastruktuurille. Muualla maailmalla tapahtuvat ilmastonmuutoksen vaikutukset voivat heijastua epäsuorasti Suomeen globaalien tavara-, energia-, raha- ja ihmisvirtojen kautta. Näiden riskien systemaattinen arviointi on vasta aloitettu. Raportin tavoitteena on tukea yhteiskunnan riskeihin varautumista ja ilmastonmuutokseen sopeutumista eri hallinnon tasoilla ja toimialoilla. Arvio perustuu pääosin kirjallisuudesta löytyviin tutkimuksiin ja selvityksiin sekä asiantuntija-arvioihin. Työ tehtiin “Sää- ja ilmastoriskien arviointi ja toimintamallit” (SIETO)- hankkeessa vuosina 2017–2018

White Paper on Ambient ultrafine particles: evidence for policy makers

Ultrafine particle, as defined by ISO/TC 146/SC 2/WG1 N 320 is “A particle sized about 100 nm in diameter or less”. The same definition applies to a nanoparticle as “A particle with a nominal diameter smaller than about 100 nm”. Ultrafine particles (UFP) is a term used in atmospheric sciences, while “nanoparticles” applies to material engineering

Spatial variation of PM2.5, PM10, PM2.5 absorbance and PMcoarse concentrations between and within 20 European study areas and the relationship with NO2 - Results of the ESCAPE project

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Variation of NO2 and NOx concentrations between and within 36 European study areas: Results from the ESCAPE study

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Health effects of smoke from planned burns: a study protocol

Abstract Background Large populations are exposed to smoke from bushfires and planned burns. Studies investigating the association between bushfire smoke and health have typically used hospital or ambulance data and been done retrospectively on large populations. The present study is designed to prospectively assess the association between individual level health outcomes and exposure to smoke from planned burns. Methods/design A prospective cohort study will be conducted during a planned burn season in three locations in Victoria (Australia) involving 50 adult participants who undergo three rounds of cardiorespiratory medical tests, including measurements for lung inflammation, endothelial function, heart rate variability and markers of inflammation. In addition daily symptoms and twice daily lung function are recorded. Outdoor particulate air pollution is continuously measured during the study period in these locations. The data will be analysed using mixed effect models adjusting for confounders. Discussion Planned burns depend on weather conditions and dryness of ‘fuels’ (i.e. forest). It is potentially possible that no favourable conditions occur during the study period. To reduce the risk of this occurring, three separate locations have been identified as having a high likelihood of planned burn smoke exposure during the study period, with the full study being rolled out in two of these three locations. A limitation of this study is exposure misclassification as outdoor measurements will be conducted as a measure for personal exposures. However this misclassification will be reduced as participants are only eligible if they live in close proximity to the monitors

Long-term exposure to transportation noise and risk of incident stroke:A pooled study of nine scandinavian cohorts

BACKGROUND: Transportation noise is increasingly acknowledged as a cardiovascular risk factor, but the evidence base for an association with stroke is sparse. OBJECTIVE: We aimed to investigate the association between transportation noise and stroke incidence in a large Scandinavian population. METHODS: We harmonized and pooled data from nine Scandinavian cohorts (seven Swedish, two Danish), totaling 135,951 participants. We identified residential address history and estimated road, railway, and aircraft noise for all addresses. Information on stroke incidence was acquired through link-age to national patient and mortality registries. We analyzed data using Cox proportional hazards models, including socioeconomic and lifestyle con-founders, and air pollution. RESULTS: During follow-up (median = 19:5 y), 11,056 stroke cases were identified. Road traffic noise (Lden ) was associated with risk of stroke, with a hazard ratio (HR) of 1.06 [95% confidence interval (CI): 1.03, 1.08] per 10-dB higher 5-y mean time-weighted exposure in analyses adjusted for indi-vidual-and area-level socioeconomic covariates. The association was approximately linear and persisted after adjustment for air pollution [particulate matter (PM) with an aerodynamic diameter of ≤2:5 lm (PM2:5 ) and NO2 ]. Stroke was associated with moderate levels of 5-y aircraft noise exposure (40–50 vs. ≤40 dB) (HR = 1:12; 95% CI: 0.99, 1.27), but not with higher exposure (≥50 dB, HR = 0:94; 95% CI: 0.79, 1.11). Railway noise was not associated with stroke. DISCUSSION: In this pooled study, road traffic noise was associated with a higher risk of stroke. This finding supports road traffic noise as an important cardiovascular risk factor that should be included when estimating the burden of disease due to traffic noise. https://doi.org/10.1289/EHP8949

Immunological resilience and biodiversity for prevention of allergic diseases and asthma

Increase of allergic conditions has occurred at the same pace with the Great Acceleration, which stands for the rapid growth rate of human activities upon earth from 1950s. Changes of environment and lifestyle along with escalating urbanization are acknowledged as the main underlying causes. Secondary (tertiary) prevention for better disease control has advanced considerably with innovations for oral immunotherapy and effective treatment of inflammation with corticosteroids, calcineurin inhibitors, and biological medications. Patients are less disabled than before. However, primary prevention has remained a dilemma. Factors predicting allergy and asthma risk have proven complex: Risk factors increase the risk, while protective factors counteract them. Interaction of human body with environmental biodiversity with micro-organisms and biogenic compounds as well as the central role of epigenetic adaptation in immune homeostasis have given new insight. Allergic diseases are good indicators of the twisted relation to environment. In various non-communicable diseases, the protective mode of the immune system indicates low-grade inflammation without apparent cause. Giving microbes, pro- and prebiotics, has shown some promise in prevention and treatment. The real-world public health programme in Finland (2008-2018) emphasized nature relatedness and protective factors for immunological resilience, instead of avoidance. The nationwide action mitigated the allergy burden, but in the lack of controls, primary preventive effect remains to be proven. The first results of controlled biodiversity interventions are promising. In the fast urbanizing world, new approaches are called for allergy prevention, which also has a major cost saving potential.Peer reviewe