Exposure to Smoke From Wildfire, Prescribed, and Agricultural Burns Among At-Risk Populations Across Washington, Oregon, and California.

Wildfires, prescribed burns, and agricultural burns all impact ambient air quality across the Western U.S.; however, little is known about how communities across the region are differentially exposed to smoke from each of these fire types. To address this gap, we quantify smoke exposure stemming from wildfire, prescribed, and agricultural burns across Washington, Oregon, and California from 2014 to 2020 using a fire type-specific biomass burning emissions inventory and the GEOS-Chem chemical transport model. We examine fire type-specific PM2.5 concentration by race/ethnicity, socioeconomic status, and in relation to the Center for Disease Control's Social Vulnerability Index. Overall, population-weighted PM2.5 concentrations are greater from wildfires than from prescribed and from agricultural burns. While we found limited evidence of exposure disparities among sub-groups across the full study area, we did observe disproportionately higher exposures to wildfire-specific PM2.5 exposures among Native communities in all three states and, in California, higher agricultural burn-specific PM2.5 exposures among lower socioeconomic groups. We also identified, for all three states, areas of significant spatial clustering of smoke exposures from all fire types and increased social vulnerability. These results provide a first look at the differential contributions of smoke from wildfires, prescribed burns, and agricultural burns to PM2.5 exposures among demographic subgroups, which can be used to inform more tailored exposure reduction strategies across sources.

The α2 Na+/K+-ATPase isoform mediates LPS-induced neuroinflammation.

Na+/K+-ATPase is a transmembrane ion pump that is essential for the maintenance of ion gradients and regulation of multiple cellular functions. Na+/K+-ATPase has been associated with nuclear factor kappa B (NFκB) signalling, a signal associated with lipopolysaccharides (LPSs)-induced immune response in connection with activated Toll-like receptor 4 (TLR4) signalling. However, the contribution of Na+/K+-ATPase to regulating inflammatory responses remains elusive. We report that mice haploinsufficient for the astrocyte-enriched α2Na+/K+-ATPase isoform (α2+/G301R mice) have a reduced proinflammatory response to LPS, accompanied by a reduced hypothermic reaction compared to wild type litter mates. Following intraperitoneal injection of LPS, gene expressions of Tnf-α, Il-1ß, and Il-6 was reduced in the hypothalamus and hippocampus from α2+/G301R mice compared to α2+/+ littermates. The α2+/G301R mice experienced increased expression of the gene encoding an antioxidant enzyme, NRF2, in hippocampal astrocytes. Our findings indicate that α2Na+/K+-ATPase haploinsufficiency negatively modulates LPS-induced immune responses, highlighting a rational pharmacological target for reducing LPS-induced inflammation.

Repeated assessments of physical activity and risk of incident venous thromboembolism.

Essentials It is debated whether physical activity influences the risk of venous thromboembolism. The association was explored accounting for fluctuations in physical activity over time. Overall and in the elderly, physical activity was associated with 23% and 30% lower risk. A moderate proportion of the association (14-36%) was mediated via body mass index. SUMMARY: Background Whether physical activity influences the risk of incident venous thromboembolism (VTE) remains controversial, potentially because of methodological challenges, such as regression dilution bias. Objectives To investigate whether physical activity was associated with VTE risk, and explore the role of body mass index (BMI) as a mediator in a population-based cohort with repeated assessments of physical activity. Methods Participants (n = 30 002) attending one or more surveys of the Tromsø Study 4-6 (1994-1995, 2001-2002, and 2007-2008) were included and categorized on the basis of weekly physical activity. Incident VTE was registered until 31 December 2016. Hazard ratios (HRs) were calculated by the use of time-varying Cox regression models. The Aalen additive hazard model was used to quantify the total, direct and indirect effects of physical activity. Results There were 531 incident VTEs during follow-up. Physical activity (≥ 1 per week) was associated with a lower risk of VTE (HR 0.77, 95% confidence interval [CI] 0.64-0.92) than being inactive. The effect was most pronounced for those aged ≥ 65 years (HR 0.70, 95% CI 0.55-0.88) and for provoked events (HR 0.66, 95% CI 0.50-0.89). The differences in absolute risk between active and inactive individuals were - 0.42 (95% CI - 0.73 to - 0.14) and - 1.59 (95% CI - 2.74 to - 0.52) events annually per 1000 individuals in the total and elderly populations, respectively. A moderate proportion of the association (14-36%) was mediated via BMI. Conclusion Our findings suggest that regular physical activity is associated with a lower risk of VTE, particularly in the elderly. The association occurred at a low weekly amount of physical activity, and was only partly mediated by BMI.

Recurrence and mortality after first venous thromboembolism in a large population-based cohort.

Essentials Reports on recurrence and mortality after a first venous thromboembolism (VTE) vary considerably. We describe rates of recurrence and mortality in patients with a first VTE from the Tromsø study. The overall recurrence rate was 3.9 per 100 person-years, but this varied widely with time. Despite advances in VTE management, the rates of adverse events are still fairly high. SUMMARY: Background Previous reports on recurrence and mortality rates after a first episode of venous thromboembolism (VTE) vary considerably. Advances in the management and treatment of VTE during the last 15 years may have influenced the rates of clinical outcomes. Aim To estimate the rates of recurrence and mortality after a first VTE in patients recruited from a large population-based cohort. Method From the Tromsø study, patients (n = 710) with a first, symptomatic, objectively confirmed VTE were included and followed in the period 1994-2012. Recurrent episodes of VTE were identified from multiple sources and carefully validated by review of medical records. Incidence rates and cumulative incidence rates with 95% confidence intervals (CIs) of VTE recurrence and mortality were calculated. Results The mean age of the patients was 68 years (range 28-102 years), and 166 (23.4%) had cancer at the time of first VTE. There were 114 VTE recurrences and 333 deaths during a median study period of 7.7 years (range 0.04-18.2 years). The risk of recurrence was highest during the first year. The overall 1-year recurrence rate was 7.8 (95% CI 5.8-10.6) per 100 person-years (PY), whereas the recurrence rate in the remaining follow-up period (1-18 years) was 3.0 (95% CI 2.4-3.8) per 100 PY. The overall 1-year all-cause mortality rate was 29.9 (95% CI 25.7-34.8) per 100 PY, and in those without cancer the corresponding rate was 23.6 (95% CI 17.8-31.3) per 100 PY. Conclusion Despite advances in VTE management, the rates of adverse events remained fairly high, particularly in the first year following a first VTE.

Patterns of Ichthyobodo necator sensu stricto infections on hatchery-reared Atlantic salmon Salmo salar in Norway.

Infection patterns with ectoparasitic flagellates belonging to the genus Ichthyobodo were studied in an Atlantic salmon Salmo salar (L.) hatchery in western Norway during an 11 mo period, from eyed eggs to smoltification. Since the earlier species designation Ichthyobodo necator (sensu lato, s.l.) has been shown to represent a complex of several species, the epizootiology of different Ichthyobodo spp. is poorly known. Therefore, we employed molecular methods to ascertain the specific identity of the parasites detected in our study. Only I. necator in the recently redefined and restricted sense occurred (I. necator sensu stricto, s.s.). We observed a 2-peak pattern of infection; the first peak occurred among fry in March and the second peak among fingerlings and pre-smolt in August and September. Skin lesions observed on fingerlings and pre-smolt were significantly associated with Ichthyobodo infections. Also, these infections were negatively correlated with both haematocrit values (Hct) and the condition factor (K) of the fish. The patterns of infection on the farmed salmon suggest that I. necator s.s. is an opportunistic parasite of salmon, flourishing in periods when susceptible hosts are present and the environment favours parasite proliferation. Our study is the first to detect and identify I. necator s.s. on wild-caught adult salmonids (brown trout S. trutta L.). Wild salmonids and sticklebacks Gasterosteus aculeatus (L.) caught in the lakes serving as a water supply to the hatchery were found infected with I. necator s.s., hence these are the likely sources of parasites entering the hatchery via the inlet water.

Occurrence of Francisella piscicida in farmed and wild Atlantic cod, Gadus morhua L., in Norway.

Francisellosis, caused by the bacterium Francisella piscicida, has become one of the most serious diseases in Atlantic cod production in Norway. The major aim of this study was to determine the distribution of F. piscicida in farmed and wild fish in areas with cod farming along the Norwegian coast, and its occurrence in cod from areas without cod farming. Two real-time PCR assays, targeting the 16S rRNA gene and the FopA gene of F. piscicida, were developed since sensitive and specific diagnostic tools are required for detecting asymptomatic carriers of the bacterium. A total of 422 wild cod from 13 sampling areas and 955 farmed cod from 10 areas along the coast of Norway were examined. Using the real-time polymerase chain reaction (PCR) assays, F. piscicida was detected in wild populations of cod from all counties examined south of Sogn og Fjordane in southern Norway (overall prevalence 13%, n = 221). Wild cod north of Sogn og Fjordane were negative for the bacterium (n = 201). Farmed cod from most parts of Norway were F. piscicida positive. The apparent absence of the bacterium in wild populations of cod in the northern parts of Norway and its widespread occurrence in wild cod from southern parts of Norway is believed to relate to differences in seawater temperatures.

New clade of betanodaviruses detected in wild and farmed cod (Gadus morhua) in Norway.

Betanodaviruses have been isolated and detected in both farmed and wild fish species worldwide. They are classified in five clusters, and all are connected to mortalities in farmed fish. The clusters do not represent specific geographical areas or host species, but one cluster, barfin flounder nervous necrosis virus (BFNNV), is mainly associated with cold water fish species. This study presents the first species-specific clade within the BFNNV cluster. This clade consists of six isolates from wild and farmed Atlantic cod in Norway and is genetically distinct from other betanodaviruses in the North Atlantic. Screening of farmed and wild cod in Norway shows that betanodaviruses are present in wild fish on the west coast of Norway, including migratory cod, but so far we have not detected any betanodavirus-positive wild cod in northern Norway. The presence of significant amounts of betanodaviruses in wild cod represents a serious challenge for the management of viral nervous necrosis in farmed cod in Norway. Betanodavirus-positive farmed cod were present both in western and northern Norway. Mortalities in three cod farms were suspected to be caused by betanodaviruses; however, in two of these, other pathogens may have been responsible for or strongly contributed to the mortalities.

Changes in the vertical position of the anterior teeth after surgical correction of mandibular protrusion.

A group of patients who had undergone an oblique vertical ramus osteotomy for correction of mandibular protrusion was examined 2 years postoperatively in order to clarify whether the treatment resulted in vertical changes of the front teeth. 1. The results indicate an extrusion of both the upper and lower anterior teeth, as the distance from the upper and lower incisors to the NL and ML lines increased postoperatively (0.3 to 2.3 mm.). 2. The clinical crown height increased (0.3 to 0.4 mm.). 3. The root length decreased (0.5 to 0.9 mm.). 4. There were only insignificant changes in the height of the interproximal marginal bone. 5. There was no significant correlation between the changes in crown height and the amount of tooth extrusion; nor was there any correlation between these changes and the changes in mandibular inclination or root length reduction.