Emergency Preparedness Among Older Adults in Issaquah, Washington

Presented to the Faculty Of the University of Alaska Anchorage In Partial Fulfillment of the Requirements For the Degree of MASTER OF PUBLIC HEALTHUsing the Health Belief Model, this project practicum explored emergency preparedness through interviews with fourteen study participants sixty-five years old or older and three key informants. The goals of this project practicum were to understand the potential needs of adults sixty-five years old and older in an emergency or disaster and to improve the effectiveness of emergency outreach education and messaging. Prior storm experience and reported time living in Issaquah appeared to influence preparedness activity among study participants. Exposure to media and emergency preparedness messaging appeared to have a lesser effect on emergency preparedness activity. Project practicum results suggest that help from neighbors, friends, and family may be the best way to keep vulnerable older adults safe in an emergency or disaster. Thus, these neighbors, friends, and family need to know about emergency preparedness even though it seems to be less effective than life experience. The City of Issaquah appears to be on the right track educating people with its Map Your Neighborhood, Citizen Emergency Response Team training program, and its emergency preparedness booths at community events.Signature Page / Title Page / Abstract / Table of Contents / List of Figures and Appendices / Acknowledgements / Chapter 1: Background and Review of Literature / Chapter 2: Goals and Objectives / Chapter 3: Methods and Analysis / Chapter 4: Results / Chapter 5: Discussion / Chapter 6: Public Health Implications and Recommendations / References / Appendice

\u3ci\u3eIshtarella thailandica\u3c/i\u3e Martens, new genus, new species (Hymenoptera: Braconidae: Aphidiinae) of aphid parasitoid from Thailand, with a country checklist of Aphidiinae

Ishtarella Martens new genus (Hymenoptera: Braconidae: Aphidiinae) and I. thailandica Martens new species are described and illustrated from Doi Phu Kha National Park, Nan Province, Thailand. The genus is assigned to the tribe Aphidiini, subtribe Trioxina. Based on morphology, Ishtarella appears most closely related to Binodoxys Mackauer. An updated checklist of the aphidiine fauna of Thailand, based on published records, is presented. Parasitoid wasps in the subfamily Aphidiinae (Hymenoptera: Braconidae) comprise about 60 genera and more than 650 species worldwide (Yu et al. 2016). The Aphidiinae of Thailand were all but unknown prior to a Thai­land Inventory Group for Entomological Research (TIGER) project from 2006–2009 (Starý et al. 2008). As part of the TIGER project the Thai aphidiine fauna was surveyed using Malaise and pan traps; 20 species collectively representing 15 genera were reported from mixed deciduous or pine forests from 230 m to 2500 m above sea level (Starý et al. 2008, 2010a, 2010b). Although there are no identification keys to the Thai Aphidiinae, genus-level identifications can be made using the keys presented in Starý and Schlinger (1967), Starý and Ghosh (1983), Raychaudhuri (1990), and Chen and Shi (2001). The new genus described herein is assigned to the tribe Aphidiini, subtribe Trioxina. Females of most genera in this subtribe possess an elongate and curved ovipositor sheath and ovipositor. Additionally, females of some genera, like Binodoxys Mackauer and Trioxys Haliday, possess distinctive hypopygial prongs that are used to hold and restrain the aphid host during oviposition (Völkl and Mackauer 2000)

Integrated genomics and proteomics define huntingtin CAG length-dependent networks in mice.

To gain insight into how mutant huntingtin (mHtt) CAG repeat length modifies Huntington's disease (HD) pathogenesis, we profiled mRNA in over 600 brain and peripheral tissue samples from HD knock-in mice with increasing CAG repeat lengths. We found repeat length-dependent transcriptional signatures to be prominent in the striatum, less so in cortex, and minimal in the liver. Coexpression network analyses revealed 13 striatal and 5 cortical modules that correlated highly with CAG length and age, and that were preserved in HD models and sometimes in patients. Top striatal modules implicated mHtt CAG length and age in graded impairment in the expression of identity genes for striatal medium spiny neurons and in dysregulation of cyclic AMP signaling, cell death and protocadherin genes. We used proteomics to confirm 790 genes and 5 striatal modules with CAG length-dependent dysregulation at the protein level, and validated 22 striatal module genes as modifiers of mHtt toxicities in vivo

The effectiveness of flow cytometric sorting of human sperm (MicroSort) for influencing a child’s sex

Abstract Background: Flow cytometric sorting can be used to separate sperm based on sex chromosome content. Differential fluorescence emitted by stained X-vs. Y-chromosome-bearing sperm enables sorting and collection of samples enriched in either X-or Y-bearing sperm for use to influence the likelihood that the offspring will be a particular sex. Herein we report the effectiveness of flow cytometric sorting of human sperm and its use in human ART procedures

Study protocol for a type III hybrid effectiveness-implementation trial of strategies to implement firearm safety promotion as a universal suicide prevention strategy in pediatric primary care

BACKGROUND: Insights from behavioral economics, or how individuals\u27 decisions and behaviors are shaped by finite cognitive resources (e.g., time, attention) and mental heuristics, have been underutilized in efforts to increase the use of evidence-based practices in implementation science. Using the example of firearm safety promotion in pediatric primary care, which addresses an evidence-to-practice gap in universal suicide prevention, we aim to determine: is a less costly and more scalable behavioral economic-informed implementation strategy (i.e., Nudge ) powerful enough to change clinician behavior or is a more intensive and expensive facilitation strategy needed to overcome implementation barriers? METHODS: The Adolescent and child Suicide Prevention in Routine clinical Encounters (ASPIRE) hybrid type III effectiveness-implementation trial uses a longitudinal cluster randomized design. We will test the comparative effectiveness of two implementation strategies to support clinicians\u27 use of an evidence-based firearm safety practice, S.A.F.E. Firearm, in 32 pediatric practices across two health systems. All pediatric practices in the two health systems will receive S.A.F.E. Firearm materials, including training and cable locks. Half of the practices (k = 16) will be randomized to receive Nudge; the other half (k = 16) will be randomized to receive Nudge plus 1 year of facilitation to target additional practice and clinician implementation barriers (Nudge+). The primary implementation outcome is parent-reported clinician fidelity to the S.A.F.E Firearm program. Secondary implementation outcomes include reach and cost. To understand how the implementation strategies work, the primary mechanism to be tested is practice adaptive reserve, a self-report practice-level measure that includes relationship infrastructure, facilitative leadership, sense-making, teamwork, work environment, and culture of learning. DISCUSSION: The ASPIRE trial will integrate implementation science and behavioral economic approaches to advance our understanding of methods for implementing evidence-based firearm safety promotion practices in pediatric primary care. The study answers a question at the heart of many practice change efforts: which strategies are sufficient to support change, and why? Results of the trial will offer valuable insights into how best to implement evidence-based practices that address sensitive health matters in pediatric primary care. TRIAL REGISTRATION: ClinicalTrials.gov, NCT04844021 . Registered 14 April 2021

Immunotoxicity of polystyrene nanoplastics in different hemocyte subpopulations of Mytilus galloprovincialis

Plastic represents 60-80% of litter in the ocean. Degradation of plastic to small fragments leads to the formation of microplastics (MPs <5mm) and nanoplastics (NPs <1 mu m). One of the most widely used and representative plastics found in the ocean is polystyrene (PS). Among marine organisms, the immune system of bivalves is recognized as suitable to assess nanomaterial toxicity. Hemocyte subpopulations [R1 (large granular cells), R2 (small semi-granular cells) and R3 (small agranular or hyaline cells)] of Mytilus galloprovincialis are specialized in particular tasks and functions. The authors propose to examine the effects of different sizes (50 nm, 100 nm and 1 mu m) PS NPs on the different immune cells of mussels when they were exposed to (1 and 10mg.L-1) of PS NPs. The most noteworthy results found in this work are: (i) 1 mu m PS NPs provoked higher immunological responses with respect to 50 and 100nm PS NPs, possibly related to the higher stability in size and shape in hemolymph serum, (ii) the R1 subpopulation was the most affected with respect to R2 and R3 concerning immunological responses and (iii) an increase in the release of toxic radicals, apoptotic signals, tracking of lysosomes and a decrease in phagocytic activity was found in R1

The evolution of antimicrobial peptides in Chiroptera

High viral tolerance coupled with an extraordinary regulation of the immune response makes bats a great model to study host-pathogen evolution. Although many immune-related gene gains and losses have been previously reported in bats, important gene families such as antimicrobial peptides (AMPs) remain understudied. We built an exhaustive bioinformatic pipeline targeting the major gene families of defensins and cathelicidins to explore AMP diversity and analyze their evolution and distribution across six bat families. A combination of manual and automated procedures identified 29 AMP families across queried species, with α-, β-defensins, and cathelicidins representing around 10% of AMP diversity. Gene duplications were inferred in both α-defensins, which were absent in five species, and three β-defensin gene subfamilies, but cathelicidins did not show significant shifts in gene family size and were absent in Anoura caudifer and the pteropodids. Based on lineage-specific gains and losses, we propose diet and diet-related microbiome evolution may determine the evolution of α- and β-defensins gene families and subfamilies. These results highlight the importance of building species-specific libraries for genome annotation in non-model organisms and shed light on possible drivers responsible for the rapid evolution of AMPs. By focusing on these understudied defenses, we provide a robust framework for explaining bat responses to pathogens

Global Spatial Risk Assessment of Sharks Under the Footprint of Fisheries

Effective ocean management and conservation of highly migratory species depends on resolving overlap between animal movements and distributions and fishing effort. Yet, this information is lacking at a global scale. Here we show, using a big-data approach combining satellite-tracked movements of pelagic sharks and global fishing fleets, that 24% of the mean monthly space used by sharks falls under the footprint of pelagic longline fisheries. Space use hotspots of commercially valuable sharks and of internationally protected species had the highest overlap with longlines (up to 76% and 64%, respectively) and were also associated with significant increases in fishing effort. We conclude that pelagic sharks have limited spatial refuge from current levels of high-seas fishing effort. Results demonstrate an urgent need for conservation and management measures at high-seas shark hotspots and highlight the potential of simultaneous satellite surveillance of megafauna and fishers as a tool for near-real time, dynamic management

Genome-wide association study identifies six new loci influencing pulse pressure and mean arterial pressure.

Numerous genetic loci have been associated with systolic blood pressure (SBP) and diastolic blood pressure (DBP) in Europeans. We now report genome-wide association studies of pulse pressure (PP) and mean arterial pressure (MAP). In discovery (N = 74,064) and follow-up studies (N = 48,607), we identified at genome-wide significance (P = 2.7 × 10(-8) to P = 2.3 × 10(-13)) four new PP loci (at 4q12 near CHIC2, 7q22.3 near PIK3CG, 8q24.12 in NOV and 11q24.3 near ADAMTS8), two new MAP loci (3p21.31 in MAP4 and 10q25.3 near ADRB1) and one locus associated with both of these traits (2q24.3 near FIGN) that has also recently been associated with SBP in east Asians. For three of the new PP loci, the estimated effect for SBP was opposite of that for DBP, in contrast to the majority of common SBP- and DBP-associated variants, which show concordant effects on both traits. These findings suggest new genetic pathways underlying blood pressure variation, some of which may differentially influence SBP and DBP