Culture

How economic inequality shapes mobility expectations and behavior in disadvantaged youth

Chestnut Hill, Mass. (2/26/2019) -- New research that innovatively integrates empirical and theoretical work from economics and psychology shows how rising economic inequality makes upward mobility feel less possible among disadvantaged youth, and produces negative consequences for their motivation and behavior, a finding that should influence public policy.

The research review, titled "How Economic Inequality Shapes Mobility Expectation and Behavior in Disadvantaged Youth," was recently published in the February issue of London-based Nature Human Behavior, a monthly journal of the Nature Publishing Group. It was co-authored by Boston College's Alexander S. Browman, a post-doctoral fellow in the Lynch School of Education and Human Development, along with researchers from Northwestern University, the University of Maryland and Wellesley College.

Economic research has shown that negative life outcomes such as dropping out of high school and early pregnancy are more common among disadvantaged youth living in more unequal locations, while experimental research in psychology has explored how inequality can weaken people's beliefs about socioeconomic opportunity, which can reduce the likelihood that disadvantaged youth will engage in behaviors that would improve their chances of upward mobility. By integrating these social sciences -- typically operating separately -- and the evidence that each offers, the researchers present an interdisciplinary model that provides a more complete understanding of the dynamics underlying these issues, ideally resulting in policy recommendations that would enhance the mobility prospects for youth from disadvantaged backgrounds.

"Economists, psychologists, and other social scientists have worked to understand how economic inequality influences the life outcomes of disadvantaged youth, but research in these disciplines has proceeded largely in parallel," said Browman, a fellow in the Department of Counseling, Developmental, and Educational Psychology. "Integrating these separate lines of research, we find strong evidence that one way that economic inequality can contribute to negative outcomes for disadvantaged youth is by weakening the motivating belief that achieving socioeconomic success is possible for them."

When discussing the policy implications of this integrated model, the authors concur that reducing economic inequality would effectively improve high poverty youth's ability to move up the socioeconomic ladder. They also advocate for more immediate interventions that could increase the chances of upward mobility among low socioeconomic status youth by increasing their access to "mobility-promoting" opportunities such as mentoring programs. The authors also cite that interventions such as providing free or substantially subsidized college tuition to high-poverty youth have been successful at improving their life chances because they offer a tangible means to completing post-secondary programs.

"We are not implying that high-poverty students who avoid positive behavior do so simply because they have misguided beliefs about social mobility, and that all that is needed is to convince them otherwise," adds Browman. "People who believe that mobility is unrealistic likely hold those beliefs because society has not historically provided viable opportunities for or pathways to advancement. Interventions should entail real, systemic changes to educational, occupational and social environments that provide high-poverty youth with concrete and viable routes to future socioeconomic success and mobility in an increasingly unequal society."

Credit: 
Boston College

Key differences between prokaryotic and eukaryotic RNA silencing Argonaute enzyme unveiled

image: R545 is critical in DNA cleavage of TtAgo, while R486 plays a negligible role. (Left) Catalytic tetrad with plugged-in glutamate finger (yellow). (Right)

Image: 
Hong Kong University of Science and Technology

Enzymes have clearly defined active sites to allow the substrate molecule to fit intricately. This is often coupled with an enzymatic conformational change prior to the occurrence of the catalysis reaction. For Ago, the catalysis step requires insertion of a "glutamate finger" to form the catalytic plugged-in conformation, which can be stabilized through hydrogen-bonding networks provided by two symmetric positively-charged residues.

For Ago in eukaryotes, these two symmetric positively-charged residues play the identical role that is critical for cleavage. Hence, it was long speculated that the two analogous resides in prokaryotic Ago perform the same critical role in cleavage function. Surprisingly, this study (Fig. 1) showed that in pAgo, only one (Arginine 545) of the two residues is involved in cleavage function. When the other one (Arginine 486) was substituted with other amino acids, the enzyme was still able to maintain its cleavage activity. Based on these results, the study further suggested that R486 may play other roles such as assisting the insertion of the glutamate finger. The discovery of such striking differences in the roles of these symmetric resides between eAgos and pAgos provides novel insights on how the cleavage functions evolve during the evolution journey from prokaryote to eukaryote.

To achieve these results, computational methods combining Quantum Mechanics, Molecular Mechanics, and Molecular Dynamics (QM/MM) were applied to elucidate the cleavage reaction mechanism and identify functional roles of the amino acid residues. This research was made possible by large-scale high-performance computing resources, which were computed equivalent to 10,000 CPU cores for 25 weeks on the Shaheen II Supercomputer at KAUST in collaboration with Prof. Xin GAO's group.

"This research was made possible due to current day computing capabilities and the precision that QM/MM modelling allows for," said Prof. HUANG Xuhui. "Comparing which amino acid residues play a key part in the target DNA/RNA cleavage step in pAgo and eAgo sheds light on how Ago protein evolves from prokaryotes to eukaryotes to cleave DNA/RNA. This information may be useful in ultimately modifying the Ago protein for use as an enhanced gene editing tool in the future," Prof. Huang explained.

Credit: 
Hong Kong University of Science and Technology

Report cards show continued sea-level rise on East & Gulf coasts

image: Coastal flooding is of growing concern in seaside communities worldwide.

Image: 
© J.D. Loftis/VIMS.

Researchers at William & Mary's Virginia Institute of Marine Science have issued the first annual update of their sea level "report cards," marking 50 years of water-level observations from 1969 through 2018.

These web-based charts--available online at vims.edu/sealevelreportcard--project sea level out to the year 2050 based on an ongoing analysis of tide-gauge records for 32 localities along the U.S. coastline from Maine to Alaska. Release of this year's cards was delayed by the 35-day government shutdown, which precluded compilation of and access to NOAA's latest tide-gauge records.

The lead on the project, VIMS emeritus professor John Boon, says the report cards add value by providing sea-level projections that are updated more frequently than those issued by NOAA or other agencies.

Boon and colleagues also use a statistical approach that includes evidence for recent acceleration in the rate of sea-level change at many U.S. tide-gauge stations, and stress their use of relative sea-level measurements--changes in water level relative to the land surface on which people live and work. The relative sea-level rise in Virginia and other East and Gulf coast areas is due to both rising water and sinking land.

This year's report cards, updated using monthly summaries of daily tide gauge records from calendar year 2018, show that trends in sea-level change generally held steady across the 32 stations, although the processes that control sea level fluctuated slightly from region to region.

Molly Mitchell, the VIMS marine scientist who compiled and analyzed this year's tide-gauge data, highlights two features of the sea-level report cards for 2018.

First is the clear signal of September's Hurricane Florence as captured in the tide-gauge record for Wilmington, North Carolina. "Heavy rainfall in North Carolina contributed to high water levels at Wilmington throughout the fall," says Mitchell, "although this had only a minor impact on the long-term trend since it was a temporary increase." Florence dropped from 20 to more than 30 inches of rain across most of coastal North Carolina between September 14th and 18th.

Mitchell also notes a noticeable acceleration in sea-level rise at five of the eight monitored locations along the California, Oregon, and Washington coasts. "Although sea level has been rising very slowly along the West Coast, models have been predicting that it will start to rise faster," she says. "The report cards from the past two years support this idea." Scientists suggest that the speed-up is due to a shift in wind patterns associated with the Pacific Decadal Oscillation, an El Niño-like pattern of climate variability.

Sea level along the Gulf Coast at Grand Isle, Louisiana and Galveston, Texas continued to rise at high rates in 2018 (7.75 millimeters per year at Grand Isle and 6.19 mm/year at Galveston), while showing no sign of significant acceleration at either location. Should the lack of acceleration continue, projected sea level through 2050 for these locations will roughly equal that for Norfolk, Virginia (about 0.49 meters [1.6 feet] above 1992 levels), even though their rise rates are presently much greater--first and third highest of the 32 monitored locations.

A high rise rate (6.72 mm/year) is also found at Rockport, Texas south of Galveston but here the measured acceleration through 2018 is the highest of any location at 0.240 mm/year2, making its year 2050 projection correspondingly high at 0.78 meter (2.6 feet) above 1992 levels. Mitchell and Boon attribute the locally high rise rates and sharp contrast in acceleration among these Gulf Coast stations to their location within a sedimentary basin with a complex history of water and hydrocarbon extraction. Pumping of groundwater and oil can cause land subsidence, which contributes to relative sea-level rise.

The value of an annual, localized report card

Because long-term changes in sea level are typically on the order of a few millimeters per year, researchers have traditionally felt little need to issue frequent forecasts of sea-level changes. Moreover, many sea-level projections are global in scope, with a forecast horizon of 2100--far enough off to allow for readily discernible linear change. Thus the United Nation's oft-reported projection of 44 to 74 centimeters (1.4 to 2.4 feet) of absolute sea-level rise by the end of the century.

The VIMS team has purposefully taken a more localized and timely approach, one designed to add maximum value for coastal residents, businesses, and governments.

Says Boon, "Our report cards show what sea level has been doing recently, what's happening now at your locality. Numerous studies show that local rates of sea-level rise and acceleration differ substantially from the global rates published by the IPCC and NOAA--a key result because local rates of relative sea-level rise give a direct indication of the extent to which homes, buildings, and roads are at risk of flooding."

The team's decision to use a subset of available tide-gauge data runs counter to the traditional approach taken by NOAA, the agency that operates the nation's official network of tidal stations. "NOAA should be commended for their care in ensuring the continuity, consistency, and availability of the nation's long-term tidal datasets," says Boon. "But at the same time, a longer record isn't always better, especially when there's evidence of recent non-linear changes in the rate of sea-level rise like we see along the U.S. East Coast."

An earlier analysis by Boon showed that this acceleration began in 1987, at the center of a 36-year sliding window beginning in 1969--thus setting the start date for the VIMS report cards. This is decades after many U.S. tide-gauge stations began operation but within a span where many more stations now have complete or nearly complete records. Given recent evidence of ongoing warming, it makes sense in a nation-wide, comparative study of sea-level change to analyze only those observations made over the same period of time.

Mitchell explains further, "If you cross a threshold in terms of something like sea-level rise, what came before--say a tide-gauge record that began in 1900--is biased in terms of seeing where you're going. We think the ice sheets are melting faster today than they ever have, and if that's true then the previous 90 years of data won't accurately predict the future."

The difference between the linear rates used in NOAA's sea-level forecasts and the non-linear, accelerating rates used in VIMS' report cards can lead to sharply different forecasts of our sea-level future. Extending NOAA's linear sea-level projections to mid-century for the tide gauge in Norfolk, Virginia indicates that sea level here will be 0.3 meters (11.8 inches) higher by 2050, while the VIMS forecast--using a non-linear, accelerating rate--is 0.49 meters, or 19.3 inches. That extra 20 centimeters (8 inches) of sea-level rise would have major implications for the low-lying region.

The VIMS team moreover cautions that sea level is likely to experience short-term variations in the future just as it does today. Thus, coastal residents and planners in Virginia and other areas likely to experience significant sea-level increases by 2050 must also account for storm surges and other transient forces raising sea level even higher than the projected mean rise value. The 95% confidence bands placed about the projected quadratic curve in VIMS' sea-level report cards are a further reminder that average sea level in any given month can deviate from the projected annual mean by as much as 20 centimeters (8 inches).

Credit: 
Virginia Institute of Marine Science

Fewer hospital programs address opioid abuse

ATHENS, Ohio (Feb. 25, 2019) - The damage done to America's health by the opioid epidemic is well-recognized and enormous, with drug overdose death rates helping to drive down U.S. life expectancy in recent years. Yet as the problem has worsened, American hospitals collectively have seen a loss of programs dealing with substance abuse.

That's the finding of a new paper written by faculty in Ohio University's Heritage College of Osteopathic Medicine and College of Health Sciences and Professions, and published in the journal Health Services Research. Its authors are Cory Cronin, Ph.D., CHSP assistant professor of social and public health; Berkeley Franz, Ph.D., Heritage College assistant professor of social medicine; Daniel Skinner, Ph.D., Heritage College assistant professor of health policy; and Zelalem Haile, Ph.D., M.P.H., Heritage College assistant professor of epidemiology.

The study analyzed data for 3,365 acute-care hospitals across the country, from the 2010 and 2015 installments of the American Hospital Association Annual Survey. In the time between the two surveys, it found, these hospitals showed a net loss of in-patient and out-patient opioid-related programs, even as overdose deaths continued to climb.

While some hospitals added programs during this period, a greater number discontinued them. In 2010, a total of 334 hospitals surveyed offered in-patient services and 588 offered out-patient services, but by 2015 these numbers had dropped to 327 and 577, respectively.

"Hospitals are actually backing away from these services even while we have this discussion of an epidemic and the need for services for that," noted author Cronin. That could spell problems for patients with drug dependency, Franz added.

"Hospitals play a critical role in the substance abuse services they provide and also in their ability to connect patients with local treatment and harm reduction services," she said. "We need to better understand how to support hospitals, especially in rural areas, to participate in the local opioid service infrastructure."

Why are hospitals shedding opioid programs? The paper reviews some of the more important factors that may influence a decision on whether to add, drop or continue such programs. Factors that make a hospital more likely to offer them include having more beds (larger size); being nonprofit or having a religious affiliation; being in a county with higher household income; and being in a county designated Appalachian. Hospitals are less likely to provide such substance-abuse services when their home county contains a psychiatric facility.

Hospital size, the study says, may affect a hospital's perception of its ability to afford an opioid program, while the effect of county income levels could reflect that "hospitals are more likely to offer these services if they are more confident in their patients' ability to pay."

Nonprofit public ownership and/or religious affiliation, the study says, may make hospitals "more likely to consider themselves safety net providers," and thus more willing to address the opioid crisis. "It is also likely that they are simply better situated to carry out the kind of collaborative team-based work that this treatment requires," it adds.

That having a psychiatric facility in its county makes a hospital less likely to offer opioid services, the study argues, may indicate that "if other local entities exist, hospitals may not see offering substance abuse disorder services as their responsibility beyond stabilizing acutely ill patients in the emergency room." And the fact that Appalachian counties are less likely to have such psychiatric facilities may account for hospitals in those counties being more apt to offer drug programs.

The paper calls for more research on how delivery models and payment incentives might encourage more hospitals to proactively address the opioid crisis and partner with other community-based organizations. It notes that federal law already requires nonprofit hospitals to develop programming to address needs identified through Community Health Needs Assessments, but that associated regulations are vague and often lack oversight. Reforming this process to provide more guidance and enforcement could encourage more hospital opioid programming, it suggests.

Credit: 
Ohio University

Federal fire grant spending could be more balanced

BUFFALO, N.Y. -- The federal government considers many factors when dividing money nationwide to prevent structure fires. The key driver, however, is economic losses -- for example, the greater the cost of fire within a state, the more aid that state is likely to receive.

A new model developed by University at Buffalo engineers emphasizes an additional factor: the losses associated with human fatalities and injuries. That tweak throws the current system off-track, suggesting that some states receive an outsized share of fire protection money, while others are shortchanged.

"Computer models can always be improved. We hope this will be a new tool that helps emergency planners save more lives," says the study's lead author Jun Zhuang, PhD, professor in the Department of Industrial and Systems in Engineering in the School of Engineering and Applied Sciences at the University at Buffalo.

The model, described in a study published Jan. 16 in the journal Risk Analysis, is applicable to structural fires -- those involving residential, commercial and industrial buildings. It is not intended for prevention efforts involving wildfires, vehicle fires and other outdoor fires.

The use of models to calculate costs associated with fires dates back nearly 100 years. Over the years, these models have grown more sophisticated, especially with advancements in computing and risk analysis.

An example of this is a 2017 report written by Zhuang and issued by the National Fire Protection Association. It identified the total cost of structural fires in the United States in 2014 at $328.5 billion.

In the Risk Analysis study, Zhuang and co-authors Vineet M. Payyappalli (PhD candidate in Zhuang's lab) and Adam Behrendt (a UB alumnus who studied under Zhuang) created fire risk scores for all 50 states using data from 2005-15. These scores indicate how likely someone is to be affected by a structure fire given the state they live in.

States with highest risk scores were Alaska, Montana, North Dakota, South Dakota, Vermont and Wyoming, according to the model. States with the lowest risk scores were Arizona, California, Florida, Illinois, North Carolina, New York, Pennsylvania and Texas.

The researchers also tracked how much money the federal government spent on the Assistance to Firefighters Grant (AFG) program in 2014.

They then ran the new model, which suggested that Alabama, Ohio, Pennsylvania and other states received more aid than they should have. Conversely, states such as Florida and Texas received less aid than what the model allots for.

The new model has limitations. For example, California and Texas are outliers because of their populations and gross domestic product. Also, calculations could change based on how human lives and injuries are valued.

Additionally, AFG allocations only account for less than 1 percent of state and local government expenditures. Finally, losses reported in the National Fire Incident Reporting System, under which the fire risk scores were calculated, cover only 75 percent of all fire incidents nationwide.

The team plans to further refine the model, consider other factors and update statistics to provide an even more robust tool for emergency planners.

"The model can be used for decision making not just at state-level. It can be used for counties, even ZIP codes," says Zhuang. "The more information fire protection officials have, the more informed decisions they can make, and the more lives they can help save."

Credit: 
University at Buffalo

New skeletal disease found and explained

Researchers at Karolinska Institutet in Sweden have discovered a new and rare skeletal disease. In a study published in the journal Nature Medicine they describe the molecular mechanism of the disease, in which small RNA molecules play a role that has never before been observed in a congenital human disease. The results are important for affected patients but can also help scientists to understand other rare diagnoses.

The newly identified skeletal disease was first observed in a parent and a child from a Swedish family.

"They came to my clinic," says the study's lead author Giedre Grigelioniene, physician and associate professor at the Department of Molecular Medicine and Surgery, Karolinska Institutet. "They'd received a different diagnosis previously, but it didn't fit with what we were seeing in the X-rays. I was convinced that we were looking at a new diagnosis that had not been described before."

A long, arduous process then began to examine the finding further. The results of these efforts are now published in a study in Nature Medicine, in which Giedre Grigelioniene and her colleagues describe the new skeletal disease - a type of skeletal dysplasia - and its mechanism.

Together with Fulya Taylan, assistant professor at the same department at Karolinska Institutet, the disease causing mutation in a gene called MIR140 was identified. The gene does not give rise to a protein but to a so-called micro-RNA (miR-140), a small RNA molecule that regulates other genes.

Working alongside with Tatsuya Kobayashi, associate professor at Massachusetts General Hospital, Harvard Medical School in Boston, USA, the researchers produced a mouse model of the disease, using the CRISPR-Cas9 "molecular scissors" technique to create a strain carrying the identified mutation. They subsequently observed that the animals' skeletons displayed the same aberrations as the three patients in the study.

The researchers also show that the identified mutation leads to an abnormal expression of several important genes in the cartilaginous growth plates and the ends of the long tubular bones. These studies were done in collaboration with Hiroshi Suzuki, researcher at the Massachusetts Institute of Technology in the lab of Phillip Sharp, Nobel laureate in medicine. Some genes that are normally suppressed by miR-140 are expressed, while others are down-regulated.

"This causes a change in skeletal growth, deformed joints and the delayed maturation of cartilage cells in the patients, who have short stature, small hands and feet and joint pain," says Dr Grigelioniene.

The identified mutation knocks out a normal function of the micro-RNA, which is replaced by a different function. The mechanism is called neomorphic and has never before been described involving small RNAs in human congenital disease. A similar mechanism in cancer cells was described last year in a paper in Nature Genetics by researchers who were also involved in the present study.

According to Dr Grigelioniene, the results now published are important both for patients with the disease and for scientists interested in how small regulatory RNA molecules are involved in the development of human congenital disease.

"We plan to examine whether similar mechanisms with mutations in small RNA genes are involved in the development of other rare congenital disorders," she says. "As for patients who already have this disease, the results mean that they can choose to use prenatal fetal diagnostic, in order not to pass the disease on to their children".

Credit: 
Karolinska Institutet

Likelihood of tick bite to cause red meat allergy could be higher than previously thought

SAN FRANCISCO, C.A. - Until now it has been believed that in order for a tick to trigger an allergic immune response to alpha-gal in humans, the tick would need to have recently fed on the alpha-gal-rich blood of a mammal. New research from the UNC School of Medicine presented at the American Academy of Allergy, Asthma and Immunology (AAAAI) annual conference in San Francisco shows that may not be so.

Alpha-gal is a sugar found in most mammal blood, except humans. When humans develop an allergic immune response to it, this response can lead to a red meat allergy called alpha-gal syndrome (AGS).

"Our original hypothesis was that humans developed the allergy after being exposed to alpha-gal through a tick that had fed on a deer, dog or other small mammal that has alpha-gal," said Dr. Scott Commins, associate professor of medicine and pediatrics at UNC School of Medicine. "This new data suggests that ticks can induce this immune response without requiring the mammal blood meal, which likely means the risk of each bite potentially leading to the allergy is higher than we anticipated."

To reach these findings, researchers stripped white blood cells of their Immunoglobulin E (IgE), antibodies produced by the immune system during an allergic reaction. The stripped white blood cells were then primed with plasma from individuals with AGS and without AGS. Then, researchers added to the cells tick salivary gland extract from four species of ticks - Lone Star, Deer, Gulf Coast and American Dog. Some of the ticks had recently fed on blood containing alpha-gal, and some had not.

As researchers expected, saliva from the Lone Star and Deer ticks that recently fed on blood caused a reaction. However, saliva from those same types of tick that had not recently fed on blood also caused a reaction. Saliva from a Lone Star tick that had not recently fed caused reactivity 40 times higher compared to the control. Neither type of saliva from the Gulf Coast nor the American Dog ticks caused a reaction.

Because samples of both blood-fed and non-blood-fed tick saliva in these experiments exhibited a range of reactivity, Commins says, "These results suggest that more tick bites than we initially suspected could pose a risk for developing red meat allergy."

There is no treatment for AGS, other than avoiding foods and products that cause a reaction. Commins urges everyone to take precautions to prevent tick bites.

Credit: 
University of North Carolina Health Care

Illinois researchers are first to count growth factors in single cells

image: The breast cancer cells' nuclei are illuminated (blue) by quantum dots and individual EGF growth factors appear as red spots.

Image: 
University of Illinois Department of Bioengineering

Whether healthy or diseased, human cells exhibit behaviors and processes that are largely dictated by growth factor molecules, which bind to receptors on the cells. For example, growth factors tell the cells to divide, move, and when to die--a process known as apoptosis.

When growth factor levels are too high or too low, or when cells respond irregularly to their directions, many diseases can result, including cancer. "It is believed that cells respond to growth factors at extreme levels of sensitivity," said University of Illinois at Urbana-Champaign Bioengineering Associate Professor Andrew Smith. "For example, a single molecule will result in a major change in cell behavior."

In a recent paper published in Nature Communications, Smith reported the invention of a new technology platform that digitally counts, for the first time ever, the amount of growth factor entering an individual cell. Prior to this, researchers inferred growth factor binding based on how the receiving cells responded when the growth factor molecules were introduced.

"We showed the first direct cause-and-effect relationships of growth factors in single cells," he said. "We expect the outcomes to lead to a new understanding of cell signaling, how cells respond to drugs, and why cell populations become resistant to drugs, particularly toward improved treatments for cancer."

Smith's technology platform tags each growth factor with a single engineered (10 nanometer) infrared fluorescent quantum dot, which can then be viewed using a three-dimensional microscope. In their study, they counted how many epidermal growth factor (EGF) molecules bound to human triple-negative breast cancer cells that were pre-patterned on island-like surfaces.

EGF molecules typically signal cell division and lead to tissue growth. Numerous cancers have mutations in their EGF receptors.

"We used quantum dots as the fluorescent probe because they emit a lot more light compared to other conventional fluorescent probes such as organic dyes, and we can tune their wavelengths by changing their chemical composition," said Bioengineering doctoral student Phuong Le, the lead author of the paper. "In our study, we demonstrated that quantum dots emitting light in the near-infrared wavelength allowed the most accurate counting of growth factors binding to cells."

According to Le, the team also treated the breast cancer cells with quantum dot-tagged EGF in the absence and presence of pharmaceutical drugs that inhibit EGF signaling in cells. "We found that the amount of EGF binding is inversely proportional to drug efficacy," Le said. "This finding is significant as it means that signaling molecules present in the cancer cells' tumor--a place where signaling molecules are often misregulated--can enhance the cancer cells' resistance to pharmaceutical agents."

Credit: 
University of Illinois Grainger College of Engineering

Good dog? Bad dog? Their personalities can change

When dog-parents spend extra time scratching their dogs' bellies, take their dogs out for long walks and games of fetch, or even when they feel constant frustration over their dogs' naughty chewing habits, they are gradually shaping their dogs' personalities. Dogs, like people, have moods and personality traits that shape how they react in certain situations. New findings from Michigan State University went where few researchers have gone before to reveal that, also like humans, dogs' personalities likely change over time.

"When humans go through big changes in life, their personality traits can change. We found that this also happens with dogs - and to a surprisingly large degree," said William Chopik, professor of psychology and lead author. "We expected the dogs' personalities to be fairly stable because they don't have wild lifestyle changes humans do, but they actually change a lot. We uncovered similarities to their owners, the optimal time for training and even a time in their lives that they can get more aggressive toward other animals."

Additionally, Chopik found that dogs' personalities can predict many important life outcomes. For example, canines' personalities will influence how close they feel to their owners, biting behavior and even chronic illness.

The research, published in Journal of Research in Personality, is one of the first - and is the largest - studies of its kind to examine changes in dogs' personalities. Chopik surveyed owners of more than 1,600 dogs, including 50 different breeds. Dogs ranged from just a few weeks old to 15 years, and were split closely between male and female. The extensive survey had owners evaluate their dog's personalities and answered questions about the dog's behavioral history. The owners also answered a survey about their own personalities.

"We found correlations in three main areas: age and personality, in human-to-dog personality similarities and in the influence a dog's personality has on the quality of its relationship with its owner," Chopik said. "Older dogs are much harder to train; we found that the 'sweet spot' for teaching a dog obedience is around the age of six, when it outgrows its excitable puppy stage but before its too set in its ways."

One trait that rarely changes in age with dogs, Chopik said, was fear and anxiety.

Honing in on the saying, "dogs resemble their owners," Chopik's research showed dogs and owners share specific personality traits. Extroverted humans rated their dogs as more excitable and active, while owners high in negative emotions rated their dogs as more fearful, active and less responsive to training. Owners who rated themselves as agreeable rated their dogs as less fearful and less aggressive to people and animals.

The owners who felt happiest about their relationships with their dogs reported active and excitable dogs, as well as dogs who were most responsive to training. Aggression and anxiety didn't matter as much in having a happy relationship, Chopik said.

"There are a lot of things we can do with dogs - like obedience classes and training - that we can't do with people," he said. "Exposure to obedience classes was associated with more positive personality traits across the dog's lifespan. This gives us exciting opportunities to examine why personality changes in all sorts of animals."

Chopik's findings prove how much power humans have over influencing a dog's personality. He explained that many of the reasons a dog's personality changes are a result of the "nature versus nurture" theory associated with humans' personalities.

Next, Chopik's will research will examine how the environment owners provide their dogs might change the dogs' behavior.

"Say you adopt a dog from a shelter. Some traits are likely tied to biology and resistant to change, but you then put it in a new environment where it's loved, walked and entertained often. The dog then might become a little more relaxed and sociable," Chopik said. "Now that we know dogs' personalities can change, next we want to make strong connection to understand why dogs act - and change - the way they do."

Credit: 
Michigan State University

Disability progression in multiple sclerosis linked to income, education

image: North Vancouver resident Marilyn Lenzen, who was diagnosed with MS nearly two decades ago, hopes that everyone with MS, regardless of their socioeconomic status, has access to the same lifestyle opportunities to slow the progression of their disease.

Image: 
Courtesy Marilyn Lenzen

Neighbourhood income and education level is associated with risk of disability progression in patients with multiple sclerosis, suggests new research from the University of British Columbia.

UBC researchers, along with colleagues in Wales, compared population health data across several measures of socioeconomic status, and found that lower neighbourhood-level income and educational attainment was associated with an increased likelihood of reaching key physical disability milestones, such as difficulties with walking.

The findings--published online today in Neurology®, the medical journal of the American Academy of Neurology--paint a clearer picture of the way that wealth and education might affect patients with MS.

"This study is the first of its kind," says the study's senior author Helen Tremlett, professor in the division of neurology at UBC and the Canada Research Chair in neuroepidemiology and multiple sclerosis. "Previous studies have looked at the relationship between socioeconomic status and risk of developing MS. Here, we were able to show a relationship between socioeconomic status and subsequent risk of disability progression."

MS is a chronic inflammatory disease that occurs when the body's immune system attacks myelin, the fatty material that insulates neurons to enable rapid transmission of electrical signals. When myelin or neurons are damaged, communication between the brain and other parts of the body is disrupted leading to impaired ability including vision problems, muscle weakness, difficulty with balance and coordination, and cognitive decline. Most people who live with MS will experience some form of reduced ability.

As the Welsh and Canadian systems for tracking population health data are similar, the team was able to access comparable information for the two groups of patients. For the Canadian patients, the team determined socioeconomic status based on census data, which links postal codes with neighbourhood-level income. Clinical information from a provincial MS database was linked with population-based provincial health administrative data. The Welsh patients were assessed by linking similar datasets, including National Health Service information, postal code-related income data and educational attainment.

A key component of this study was that the data on socioeconomic status were captured before MS onset, therefore predating any possible effect of the disease itself on socioeconomic status.

The researchers did not look at specific factors that might explain the relationship between lower socioeconomic status and higher risk of disability progression, but they suggest that modifiable lifestyle factors, such as diet and exercise, could be involved.

"If that is the case, the risk may be amenable to change," says Tremlett. "One of the next steps is to understand why this relationship exists."

North Vancouver resident Marilyn Lenzen, who was diagnosed with MS nearly two decades ago, says she wasn't surprised to learn that researchers have now established a clear link between socioeconomic status and disability progression in patients with MS.

"I'm glad to see that there is now research that backs up what I and many in the MS community have been experiencing for years," says Lenzen. "Someone who has the financial means to buy healthier food or afford to participate in yoga, pilates or specialized exercise to rebuild their strength after a relapse doesn't experience the same progression of disabling symptoms as others who can't afford to access the same healthy lifestyle choices."

After her diagnosis, Lenzen, now 59, could no longer keep up with the long hours and extensive travel required by her corporate job. When she gave up her job, however, she also lost her extended health benefits and experienced a significant decline in household income.

"When I was first diagnosed, I remember having to crawl on my knees up the stairs to get to bed every night," she recalls. "But I was determined to exercise and to keep my muscles strong. I took up cycling and with the assistance of an e-bike, cycled 3,000 kilometres last year.

"I do still have occasional relapses but the relapses are not as bad and I have the strength in my body to rebuild again. I wish that everyone with MS, regardless of their socioeconomic status, has the same lifestyle opportunities to slow the progression of their disease."

The researchers hope that future MS studies will consider the socioeconomic status of participants, especially if multiple study sites are involved and findings are compared across regions, as their socioeconomic status could be an important factor in disability progression.

Credit: 
University of British Columbia

Did volcanoes kill the dinosaurs? New evidence points to 'maybe.'

image: A view of the cliffs cutting through the Deccan Traps from near Mahabaleshwar, illustrating the dramatic landscape and thickness of the basaltic pile, which reaches over 11,000 feet. Princeton geoscientists Blair Schoene and Gerta Keller led an international team of researchers who have assembled the first high-resolution timeline for the massive eruptions in India's Deccan Traps, determining that the largest eruption pulse occurred less than 100,000 years before the mass extinction that killed the (non-avian) dinosaurs.

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Gerta Keller, Department of Geosciences, Princeton University

Fact: About 66 million years ago, at the end of the Cretaceous period, 75 percent of plant and animal species went extinct, including the dinosaurs (except those that evolved into birds).

Fact: About 66 million years ago, an enormous asteroid or comet hit the Earth near what is now Chicxulub, Mexico, throwing rock, dust and water vapor into the atmosphere.

Fact: About 66 million years ago, a massive volcano erupted lavas in India that are now called the Deccan Traps, burying much of the subcontinent under more than 11,000 feet of basalt (lava rock) and pouring poisonous gases into the atmosphere.

Princeton geoscientists Blair Schoene and Gerta Keller led an international team of researchers who have assembled the first high-resolution timeline for the eruptions in India's Deccan Traps. Their research appears in the Feb. 22 issue of the journal Science.

"Everyone has heard that the dinosaurs died from an asteroid hitting the Earth," said Schoene, an associate professor of geosciences. "What many people don't realize is that there have been many other mass extinctions in the last 500 million years, and many of them coincide with large volcanic outpourings" from the massive volcanoes known as flood basalts or large igneous provinces.

Keller, a professor of geosciences, has argued for decades that the eruption of the Deccan Traps caused the dinosaur mass extinction. In 2013, she, Schoene, and his students began trying to find the ages of the thick layers of lava, which were known to be about the right age but had never been precisely dated.

Schoene uses several techniques for geochronology, the science of assigning ages to rocks. The most famous geochronology technique, usually called "carbon dating," uses the decay rate of radioactive carbon-14 to find fossils ages. That works for plants or animals that are a few thousand years old, making it useful for archaeology but not for 66-million-year-old basalt. For rocks from around the time of the mass extinction, geoscientists have a few choices of naturally radioactive materials. Uranium-lead geochronology yields very precise ages, but minerals containing uranium rarely occur in basalt, the rock that makes up the massive lava flows; uranium-bearing zircon is more often found in explosive eruptions from Mount St. Helens-type volcanoes, which have a more silica-rich chemistry.

The researchers were aware that the odds were stacked against them. "I don't think that any of us anticipated that our first trip to the Deccan Traps would lead to the type of dataset that we were able to produce," said Mike Eddy of the Class of 2011, now a postdoctoral research associate in geosciences and a co-author on the Science paper.

For the first few days, the researchers gathered samples of coarse-grained basalts, trying unsuccessfully to find uranium-bearing minerals. Then came a stroke of luck.

"During our first week in India, we found a high-silica ash bed between two basalt flows, and it got our gears turning," Eddy said. The researchers knew that silica-rich volcanic ash could easily contain the tiny zircon crystals that preserve radioactive uranium. "The real breakthrough came a day or two later, when Blair realized that the fossil soils may have also collected this type of ash in small amounts," Eddy said.

In other words, instead of focusing on the lava flows themselves, the researchers shifted their focus to the zircon crystals found in the layers of ash in soil between the lava beds. By precisely dating zircons that were deposited before and after the Deccan Traps lava flows, they could tightly constrain when the volcano must have erupted.

Over three field seasons, the researchers gathered samples from more than a hundred sites and shipped them back to the lab at Princeton. "It is always entertaining when we ship samples at the end of the trip," said Eddy. "This frequently involves a full day, starting with finding cardboard boxes that have enough structural integrity to make it back to the USA, packing said boxes, a visit to the post office to pick up the necessary forms and have the boxes inspected, a visit to a cloth shop to buy canvas, a visit to a tailor to have the boxes sewn into canvas bags, traveling around town to numerous ATMs to collect enough cash to ship the boxes internationally, and a final few hours of paperwork and stamps to get the boxes out the door. In total, the entire process can take up to 12 hours."

Of the 141 sample sites, 24 yielded uranium-bearing zircon crystals, which allowed the research team to conclude that the Deccan Traps erupted in four distinct pulses, each time belching enormous volumes of sulfur and carbon dioxide into the atmosphere. The thousands of tons of lava would have killed anything living nearby, but the gases reached around the world.

Sulfurous gases can cool the atmosphere in the short term, while carbon dioxide warms it in the long term. When volcanoes release enormous volumes of both, "these can lead to climate swings between warm and cold periods that make it really hard for life on Earth," said Schoene. To determine how big an effect it would have had, they needed to constrain the timing of the eruptions: Tons of carbon dioxide erupted in a hundred years will have very different effects than the same volume outgassed over the course of a million years.

Of the four eruption pulses, two took place before the mass extinctions, with the second beginning only tens of thousands of years before the Chicxulub impact -- a geologically short amount of time. "The first two pulses ... correspond with a period of time where climate fluctuated from cold to hot to cold again, and many scientists think this indicated an initial disruption to the climate that may have contributed to the mass extinction event," said Schoene. "Our data show that maybe the second pulse could have played an important role in the extinction itself because it happened right before it."

Keller is more definitive in her conclusions: "Deccan volcanism is the most likely cause of the dinosaur mass extinction," she said. "The Chicxulub impact may have contributed to their demise, though the timing and environmental effects of this impact still remain to be determined."

"In general, I think this paper is significant and interesting," said Pincelli Hull, an assistant professor of geology and geophysics at Yale who was not involved in this research and who has argued against the role of the volcano in the mass extinction. "The paper is a huge advance in timing the [Deccan Traps] eruptions, but how that relates to the timing of outgassing is still a major question that needs to be resolved to figure out exactly what the relevant roles of volcanism and impact were."

The researchers will continue to tease apart the effects of the one-two punch of the Deccan Traps eruptions and the planet-shaking impactor, said Eddy. "Regardless, it seems like the end-Cretaceous was a terrible time to be on Earth."

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Princeton University

New 2019 guidelines for patients with atrial fibrillation

MINNEAPOLIS, MN- February 22, 2019 - Nearly 3 million Americans are living with atrial fibrillation (AFib), which is described as quivering or irregular heartbeat (arrhythmia). With increasing lifespan and increasing prevalence of risk factors such as obesity, experts believe the number of people living with AFib will increase at an exponential rate in the next decade. This has important public implications since AFib is associated with a higher risk of stroke, heart failure, cognitive decline and dementia, and death.

Lin Yee Chen, MD, MS, Associate Professor with Tenure, Cardiovascular Division, in the Department of Medicine with the University of Minnesota Medical School was part of a Writing Committee tasked with updating the 2014 guidelines for patients with AFib. The 2019 American College of Cardiology/American Heart Association/Heart Rhythm Society Guidelines for the Management of Patients with Atrial Fibrillation were just published in Circulation, the Journal of the American College of Cardiology, and Heart Rhythm as the standard for the management of Afib in the U.S.

"These guidelines are written for all physicians in all specialties," said Chen. "It doesn't matter whether the clinician is an orthopedic surgeon, gynecologist, oncologist or brain surgeon, everyone is bound to encounter AFib in their patients because it is so prevalent."

One section of the new guidelines speaks to guiding practitioners across the whole spectrum of medicine, focusing on the use of new blood thinners or anticoagulants in people with AFib. The new guidelines help determine how and when to use these new agents, including in a situation that involves surgery.

Another portion of the document addresses the management of AFib in different scenarios, such as patients who have developed heart attacks.

"AFib patients are put on blood thinners to prevent stroke. When we need to perform procedures like a coronary angioplasty to open up any blockage in the heart arteries during a heart attack in AFib patients, we will also have to prescribe other agents called antiplatelets which when used in combination with blood thinners can elevate significantly the risk of bleeding, which is a real dilemma." said Chen. "Current research is now in favor of double therapy- one antiplatelet agent and one anticoagulant, as opposed to two antiplatelets and an anticoagulant."

A final section addresses the importance of weight-loss and weight management in improving the outcomes in people with AFib. In recent years, there is increasing evidence to suggest that lifestyle modification such as weight loss and physical activity can reduce the frequency and the burden of AFib. This has been incorporated into the new guidelines.

"The University of Minnesota could potentially make some significant contributions in the field of lifestyle modification and AFib," explained Chen. "Currently, I am the Principal Investigator of an Academic Health Center Faculty Research and Development grant which funds a randomized controlled trial aimed at evaluating different exercise protocols in reducing the burden of AFib.

"Being represented on the Writing Committee is a great honor for the University of Minnesota Medical School, because ultimately, the point of our research is to influence and impact the way we practice medicine," said Chen. "I think this is testimony to the outstanding research we perform for AFib at the University of Minnesota which is recognized by the American Heart Association and the American College of Cardiology."

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University of Minnesota Medical School

Food allergies: A research update

image: Families impacted by food allergies will need psychosocial support as they try promising new therapies that enable them to ingest a food allergen daily or wear a patch that administers a controlled dose of that food allergen.

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Children's National Health System

SAN FRANCISCO - Promising new therapies for food allergies are on the horizon, including an experimental immunotherapy awaiting federal approval that enables people who are very allergic to eat peanut protein without suffering serious side effects.

Good news, right?

As it turns out, the idea of a child who is highly allergic to a specific food eating that same food item makes kids with lifelong food allergies and their parents a bit queasy.

"It's a very big paradigm shift. From diagnosis, children are told to avoid their food triggers at all cost. But now they may be counseled to approach the very thing that scares them, put it in their body and see what happens," says Linda Herbert, Ph.D., an assistant professor in Children's Division of Psychology and Behavioral Health.

"On the flip side, these new protections could reduce long-term anxieties, replacing daily anxiety about accidental exposure with a newfound sense of empowerment. Either way, a lot of families will need support as they try these new treatments that enable them to ingest a food allergen daily or wear a patch that administers a controlled dose of that food allergen," Herbert says.

She will discuss food allergy treatments in the pipeline and families' psychosocial concerns related to daily life as she presents a research update during the American Academy of Allergy, Asthma & Immunology (AAAAI) 2019 Annual Meeting. A select group, including Herbert, has been recognized with an AAAAI Foundation Heritage Lectureship, which honors distinguished AAAAI members with a special lecture and plaque.

Herbert's symposium targets allied health professionals at the annual meeting, including psychologists, dietitians and nurse practitioners who attend to a host of psychosocial concerns felt by families affected by allergies to foods like eggs, nuts and cow's milk.

"When patients arrive for outpatient therapy, they feel anxious about being safe when they're out in public. They have anxieties about their children feeling safe at school as well as managing restaurant meals. They explain difficulties being included in social events like birthday parties, field trips and shared vacations," Herbert says. "Some families restrict social activities due to stress and anxiety."

Children's National Health System takes a multidisciplinary approach for complex conditions like food allergies, she says, combining the expertise of psychologists, medical providers, research nurses, clinical nurses, registered dietitians and other allied health professionals.

"When we all communicate, we can see the complete picture. It strengthens the care that the child receives, and it's especially powerful that it can happen all at once - rather than going to multiple appointments," she adds.

During such group huddles, the team agrees on a plan together that is communicated to the family. One ongoing challenge is that one-third of school children with food allergies are bullied or teased.

"A lot of parents don't necessarily know to ask or how to ask. I frequently suggest that clinicians discuss peer concerns more in clinic."

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Children's National Hospital

US opioid deaths jump fourfold in 20 years; epidemic shifts to Eastern states

Opioid-related deaths nationwide jumped fourfold in the last two decades, and the epidemic has made major inroads in the Eastern states, according to a new study by researchers at the Stanford University School of Medicine, Harvard University and the University of Toronto.

"Although opioid-related mortality has been stereotyped as a rural, low-income phenomenon concentrated among Appalachian or Midwestern states, it has spread rapidly, particularly among the Eastern states," the study said.

The researchers found the highest rates of opioid-related deaths occurred in eight states: Connecticut, Illinois, Indiana, Massachusetts, Maryland, Maine, New Hampshire and Ohio. Two states, Florida and Pennsylvania, had opioid-related mortality rates that were doubling every two years. The mortality rate from opioids has increased the fastest in the District of Columbia, more than tripling every year since 2013, the researchers found.

The study's findings will be published Feb. 22 in JAMA Network Open. Mathew Kiang, ScD, a postdoctoral scholar at Stanford, is the lead author. The senior author is Monica Alexander, PhD, assistant professor of sociology and statistical sciences at the University of Toronto.

'More potent than they expected'

Synthetic opioid deaths now outnumber heroin deaths, which suggests synthetics, such as as fentanyl, have contaminated the production process of other illegal drugs, like cocaine and methamphetamines, and is no longer limited to heroin, Kiang said.

"People aren't aware their drugs are laced and more potent than they expected, putting them at higher risk of overdose," Kiang said.

The research, which is based on data from the National Center for Health Statistics and the U.S. Census, suggests the opioid epidemic has evolved as three waves, based on the types of opioids associated with mortality:

The first wave of opioid-related deaths, from the 1990s until about 2010, was associated with prescription painkillers.

The second wave, from 2010 until recently, was associated with a large increase in heroin-related deaths.

The third and current wave, which began around 2013, involves a rapid increase in deaths associated with illicitly manufactured synthetic opioids, such as tramadol and fentanyl.

"The evolution has also seen a wider range of populations being affected, with the spread of the epidemic from rural to urban areas and considerable increases in opioid-related mortality observed in the black population," the study says.

The Centers for Disease Control and Prevention reports that African-Americans experienced the largest increase in opioid overdose deaths among any racial group from 2016 to 2017, with a 26 percent surge.

"The identification and characterization of opioid 'hot spots' -- in terms of both high mortality rates and increasing trends in mortality -- may allow for better-targeted policies that address the current state of the epidemic and the needs of the population," the researchers wrote.

States are trying to combat the epidemic by enacting policies, such as restricting the supply of prescription painkillers and expanding treatment and access to the overdose-reversing drug naloxone.

"Treating opioid use disorder should be our top priority to curb the problem," Kiang said. "Similarly, we have the ability to counteract the effects of an overdose. These lifesaving drugs should be easily accessible and widely available."

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Stanford Medicine

Physician well-being improving, but burnout risk remains

ROCHESTER, Minn. -- The good news is that physician burnout appears to be improving, along with indicators for physician well-being. However, physicians remain at high risk for burnout, depression and depersonalization, compared to other professionals. Those are the updated findings from Mayo Clinic researchers and their collaborators that are published in Mayo Clinic Proceedings.

"This is good news. It shows that burnout is being addressed nationally and programs are having some impact," says Lotte Dyrbye, M.D., Mayo Clinic researcher and senior author of the paper. "Clearly more organizational change and more research is needed to sustain this trajectory."

Researchers from Mayo Clinic, the American Medical Association and Stanford University collaborated in the national survey of physicians across more than 20 specialties to assess any changes between the previous study in 2014 and the original survey in 2011. While burnout varies by specialist, overall reported levels of burnout and satisfaction with work-life integration improved between 2014 and 2017 -- but only to 2011 levels. The researchers say individual and organizational efforts have improved the situation, but more work needs to be done.

Burnout encompasses many aspects but includes the areas of emotional exhaustion, depersonalization, distress and depression. Extreme cases of burnout can lead to medical errors affecting patients, job loss and suicide. Survey responders say the demands of updating electronic health records are a major factor in burnout. These demands limit the time physicians can spend with patients, and that affects career satisfaction.

More than 30,000 physicians were invited to participate in the electronic survey. Roughly 17 percent (5,197) responded, and a second attempt to reach nonrespondents gained 248 more participants. Questions mirrored those on the previous surveys.

Researchers say the reason for the change may be due to physicians adapting to the new work environments over the three-year period. Also, much progress may be attributed to interventional programs to stem burnout in hospitals and other facilities. Conversely, they say the indicators may have improved because many distressed physicians have left the profession.

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Mayo Clinic