This study is based on model results from TF HTAP (Task Force on Hemispheric Transport of Air Pollution) phase II, in which a set of source receptor model experiments have been defined, reducing ...global (and regional) anthropogenic emissions by 20 % in different source regions throughout the globe, with the main focus on the year 2010. All the participating models use the same set of anthropogenic emissions. Comparisons of model results to measurements are shown for selected European surface sites and for ozone sondes, but the main focus here is on the contributions to European ozone levels from different world regions, and how and why these contributions differ depending on the model. We investigate the origins by use of a novel stepwise approach, combining simple tracer calculations and calculations of CO and O.sub.3 . To highlight the differences, we analyse the vertical transects of the midlatitude effects from the 20 % emission reductions.
Ambient air pollution from ozone and fine particulate matter is associated with premature mortality. As emissions from one continent influence air quality over others, changes in emissions can also ...influence human health on other continents. We estimate global air-pollution-related premature mortality from exposure to PM2.5 and ozone and the avoided deaths due to 20 % anthropogenic emission reductions from six source regions, North America (NAM), Europe (EUR), South Asia (SAS), East Asia (EAS), Russia–Belarus–Ukraine (RBU), and the Middle East (MDE), three global emission sectors, power and industry (PIN), ground transportation (TRN), and residential (RES), and one global domain (GLO), using an ensemble of global chemical transport model simulations coordinated by the second phase of the Task Force on Hemispheric Transport of Air Pollutants (TF HTAP2), and epidemiologically derived concentration response functions. We build on results from previous studies of TF HTAP by using improved atmospheric models driven by new estimates of 2010 anthropogenic emissions (excluding methane), with more source and receptor regions, new consideration of source sector impacts, and new epidemiological mortality functions. We estimate 290 000 (95 % confidence interval (CI): 30 000, 600 000) premature O3-related deaths and 2.8 million (0.5 million, 4.6 million) PM2.5-related premature deaths globally for the baseline year 2010. While 20 % emission reductions from one region generally lead to more avoided deaths within the source region than outside, reducing emissions from MDE and RBU can avoid more O3-related deaths outside of these regions than within, and reducing MDE emissions also avoids more PM2.5-related deaths outside of MDE than within. Our findings that most avoided O3-related deaths from emission reductions in NAM and EUR occur outside of those regions contrast with those of previous studies, while estimates of PM2.5-related deaths from NAM, EUR, SAS, and EAS emission reductions agree well. In addition, EUR, MDE, and RBU have more avoided O3-related deaths from reducing foreign emissions than from domestic reductions. For six regional emission reductions, the total avoided extra-regional mortality is estimated as 6000 (−3400, 15 500) deaths per year and 25 100 (8200, 35 800) deaths per year through changes in O3 and PM2.5, respectively. Interregional transport of air pollutants leads to more deaths through changes in PM2.5 than in O3, even though O3 is transported more on interregional scales, since PM2.5 has a stronger influence on mortality. For NAM and EUR, our estimates of avoided mortality from regional and extra-regional emission reductions are comparable to those estimated by regional models for these same experiments. In sectoral emission reductions, TRN emissions account for the greatest fraction (26–53 % of global emission reduction) of O3-related premature deaths in most regions, in agreement with previous studies, except for EAS (58 %) and RBU (38 %) where PIN emissions dominate. In contrast, PIN emission reductions have the greatest fraction (38–78 % of global emission reduction) of PM2.5-related deaths in most regions, except for SAS (45 %) where RES emission dominates, which differs with previous studies in which RES emissions dominate global health impacts. The spread of air pollutant concentration changes across models contributes most to the overall uncertainty in estimated avoided deaths, highlighting the uncertainty in results based on a single model. Despite uncertainties, the health benefits of reduced intercontinental air pollution transport suggest that international cooperation may be desirable to mitigate pollution transported over long distances.
Despite the reported benefits of multimodal surgical prehabilitation, it has not been widely implemented in many hospitals. We would like to share our experiences and challenges in successfully ...piloting a patient-centred prehabilitation programme at our hospital.
Polyunsaturated fatty acids (PUFA) and the sulfur-substituted fatty acid tetradecylthioacetic acid (TTA) inhibit proliferation and induce apoptosis in lymphoma and leukemic cell lines, but it is ...unknown if they can modify leukemogenesis in the intact organism.
We now examined the effects of PUFA and TTA in rats transplanted with either acute promyelocytic leukemia or acute T-cell leukemia. The rats were randomized to isoenergetic diets containing either lard (control), omega3 (n-3) PUFA, or TTA.
Whereas TTA prolonged survival (P < 0.05) in both types of rat leukemia, n-3 PUFA had no significant effect compared with controls. Only TTA inhibited (P < 0.05) leukemic infiltration in the bone marrow and spleen, probably due to apoptosis of the leukemic cells. Plasma metalloproteinase activity, a marker of metastatic activity, was significantly reduced in TTA-fed rats only.
Dietary intake of TTA, but not of n-3 PUFA, in rats with acute leukemia, prolonged their survival. TTA intake was also associated with reduced leukemic cell burden as well as diminished extramedullar dissemination. TTA represents a modified fatty acid that exerts unique effects on malignant hematopoietic cells, and the present study indicates that TTA may have a therapeutic potential in patients with acute leukemias.
Rapid recession of glaciers and snowfields is threatening the habitats of cold-water biodiversity worldwide. In many ice-sourced headwaters of western North America, stoneflies in the genus
Lednia
...(Plecoptera: Nemouridae) are a prominent member of the invertebrate community. With a broad distribution in mountain streams and close ties to declining glacier cover,
Lednia
has emerged as a sentinel of climate change threats to high-elevation aquatic biodiversity.
Lednia tumana
, which is endemic to Glacier National Park, USA and the surrounding mountains, is the most well-studied species in the genus and in 2019 became federally protected under the U.S. Endangered Species Act (ESA) due to climate-induced loss of meltwater habitats. Three other
Lednia
species have also been described, and like
L. tumana
, each is endemic to a mountain region of western North America:
Lednia sierra
in the Sierra Nevada,
Lednia borealis
in the Cascade Range, and
Lednia tetonica
in the Teton Range. In this review, we provide a comprehensive overview of
Lednia
ecology, genetics, and physiology, with an emphasis on the conservation outlook for the group and species with similar headwater distributions. We highlight substantial progress made in the last decade to better understand the ecology and evolution of
Lednia
, including the identification of 140
Lednia-
containing streams (an increase from 12 streams in 2010), and a more complete understanding of the degree to which warming streams may imperil species in the genus. In light of the ESA listing of
L. tumana
, we show that similar conservation threats likely face all extant
Lednia
species. However, substantial gaps in our knowledge remain, primarily centering around their distributions (and the potential for as yet undescribed species), life history, ecophysiology, and trophic ecology. We conclude by describing pressing questions for
Lednia
that when addressed will expand knowledge of the genus and its conservation as well as broader understanding of climate risks to mountain stream biodiversity worldwide.
Invasive predatory lake trout Salvelinus namaycush were discovered in Yellowstone Lake in 1994 and caused a precipitous decrease in abundance of native Yellowstone cutthroat trout Oncorhynchus ...clarkii bouvieri. Suppression efforts (primarily gillnetting) initiated in 1995 did not curtail lake trout population growth or lakewide expansion. An adaptive management strategy was developed in 2010 that specified desired conditions indicative of ecosystem recovery. Population modeling was used to estimate effects of suppression efforts on the lake trout and establish effort benchmarks to achieve negative population growth (λ < 1). Partnerships enhanced funding support, and a scientific review panel provided guidance to increase suppression gillnetting effort to >46,800 100-m net nights; this effort level was achieved in 2012 and led to a reduction in lake trout biomass. Total lake trout biomass declined from 432,017 kg in 2012 to 196,675 kg in 2019, primarily because of a 79% reduction in adults. Total abundance declined from 925,208 in 2012 to 673,983 in 2019 but was highly variable because of recruitment of age-2 fish. Overall, 3.35 million lake trout were killed by suppression efforts from 1995 to 2019. Cutthroat trout abundance remained below target levels, but relative condition increased, large individuals (> 400 mm) became more abundant, and individual weights doubled, probably because of reduced density. Continued actions to suppress lake trout will facilitate further recovery of the cutthroat trout population and integrity of the Yellowstone Lake ecosystem.
In Yellowstone Lake, Wyoming, the largest inland population of nonhybridized Yellowstone Cutthroat Trout Oncorhynchus clarkii bouvieri, hereafter Cutthroat Trout, declined throughout the 2000s ...because of predation from invasive Lake Trout Salvelinus namaycush, drought, and whirling disease Myxobolus cerebralis. To maintain ecosystem function and conserve Cutthroat Trout, a Lake Trout gill netting suppression program was established in 1995, decreasing Lake Trout abundance and biomass. Yet, the response of Cutthroat Trout to varying Lake Trout suppression levels, collectively with the influence of disease and climate, is unknown. We developed an ecosystem model (calibrated to historical data) to forecast (2020–2050) whether Cutthroat Trout would achieve recovery benchmarks given disease, varying suppression effort, and climate change. Lake Trout suppression influenced Cutthroat Trout recovery; current suppression effort levels resulted in Cutthroat Trout recovering from historical lows in the early 2000s. However, Cutthroat Trout did not achieve conservation benchmarks when incorporating the influence of disease and climate. Therefore, the National Park Service intends to incorporate age‐specific abundance, spawner biomass, or both in conservation benchmarks to provide better indication of how management actions and environmental conditions influence Cutthroat Trout. Our results illustrate how complex interactions within an ecosystem must be simultaneously considered to establish and achieve realistic benchmarks for species of conservation concern.
We report on the AeroCom Phase II direct aerosol effect (DAE) experiment where 16 detailed global aerosol models have been used to simulate the changes in the aerosol distribution over the industrial ...era. All 16 models have estimated the radiative forcing (RF) of the anthropogenic DAE, and have taken into account anthropogenic sulphate, black carbon (BC) and organic aerosols (OA) from fossil fuel, biofuel, and biomass burning emissions. In addition several models have simulated the DAE of anthropogenic nitrate and anthropogenic influenced secondary organic aerosols (SOA). The model simulated all-sky RF of the DAE from total anthropogenic aerosols has a range from -0.58 to -0.02 Wm super(-2), with a mean of -0.27 Wm super(-2) for the 16 models. Several models did not include nitrate or SOA and modifying the estimate by accounting for this with information from the other AeroCom models reduces the range and slightly strengthens the mean. Modifying the model estimates for missing aerosol components and for the time period 1750 to 2010 results in a mean RF for the DAE of -0.35 Wm super(-2). Compared to AeroCom Phase I (Schulz et al., 2006) we find very similar spreads in both total DAE and aerosol component RF. However, the RF of the total DAE is stronger negative and RF from BC from fossil fuel and biofuel emissions are stronger positive in the present study than in the previous AeroCom study. We find a tendency for models having a strong (positive) BC RF to also have strong (negative) sulphate or OA RF. This relationship leads to smaller uncertainty in the total RF of the DAE compared to the RF of the sum of the individual aerosol components. The spread in results for the individual aerosol components is substantial, and can be divided into diversities in burden, mass extinction coefficient (MEC), and normalized RF with respect to AOD. We find that these three factors give similar contributions to the spread in results.
Objective: Activating mutations in the GUCY2C gene, which encodes the epithelial receptor guanylate cyclase C, cause diarrhea due to increased loss of sodium chloride to the intestinal lumen. ...Patients with familial GUCY2C diarrhea syndrome (FGDS) are predisposed to inflammatory bowel disease (IBD). We investigated whether genes in the guanylate cyclase C pathway are enriched for association with IBD and reversely whether genetic or transcriptional changes associated with IBD are found in FGDS patients.
Methods: (1) A set of 27 genes from the guanylate cyclase C pathway was tested for enrichment of association with IBD by Gene Set Enrichment Analysis, using genome-wide association summary statistics from 12,882 IBD patients and 21,770 controls. (2) We genotyped 163 known IBD risk loci and sequenced NOD2 in 22 patients with FGDS. Eight of them had concomitant Crohn's disease. (3) Global gene expression analysis was performed in ileal tissue from patients with FGDS, Crohn's disease and healthy individuals.
Results: The guanylate cyclase C gene set showed a significant enrichment of association in IBD genome-wide association data. Risk variants in NOD2 were found in 7/8 FGDS patients with concomitant Crohn's disease and in 2/14 FDGS patients without Crohn's disease. In ileal tissue, downregulation of metallothioneins characterized FGDS patients compared to healthy controls.
Conclusions: Our results support a role of guanylate cyclase C signaling and disturbed electrolyte homeostasis in development of IBD. Furthermore, downregulation of metallothioneins in the ileal mucosa of FGDS patients may contribute to IBD development, possibly alongside effects from NOD2 risk variants.
The reproducibility of the regional distribution of ventilation and the timing of onset of regional filling as measured by electrical impedance tomography lacks evidence. This study investigated ...whether electrical impedance tomography measurements in healthy males were reproducible when electrodes were replaced between measurements. Part 1: Recordings of five volunteers lying supine were made using electrical impedance tomography and a pneumotachometer. Measurements were repeated at least three hours later. Skin marking ensured accurate replacement of electrodes. No stabilisation period was allowed. Part 2: Electrical impedance tomography recordings of ten volunteers; a 15 minute stabilisation period, extra skin markings, and time-averaging were incorporated to improve the reproducibility. Reproducibility was determined using the Bland-Altman method. To judge the transferability of the limits of agreement, a Pearson correlation was used for electrical impedance tomography tidal variation and tidal volume. Tidal variation was judged to be reproducible due to the significant correlation between tidal variation and tidal volume (r2 = 0.93). The ventilation distribution was not reproducible. A stabilisation period, extra skin markings and time-averaging did not improve the outcome. The timing of regional onset of filling was reproducible and could prove clinically valuable. The reproducibility of the tidal variation indicates that non-reproducibility of the ventilation distribution was probably a biological difference and not measurement error. Other causes of variability such as electrode placement variability or lack of stabilisation when accounted for did not improve the reproducibility of the ventilation distribution.
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