PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Dynamic risk”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 361 records · Page 20Linked to original sources

Biology of extinction risk in marine fishes.

We review interactions between extrinsic threats to marine fishes and intrinsic aspects of their biology that determine how populations and species respond to those threats. Information is available on the status of less than 5% of the world's approximately 15500 marine fish species, most of which are of commercial importance. By 2001, based on data from 98 North Atlantic and northeast Pacific populations, marine fishes had declined by a median 65% in breeding biomass from known historic levels; 28 populations had declined by more than 80%. Most of these declines would be sufficient to warrant a status of threatened with extinction under international threat criteria. However, this interpretation is highly controversial, in part because of a perception that marine fishes have a suite of life history characteristics, including high fecundity and large geographical ranges, which might confer greater resilience than that shown by terrestrial vertebrates. We review 15 comparative analyses that have tested for these and other life history correlates of vulnerability in marine fishes. The empirical evidence suggests that large body size and late maturity are the best predictors of vulnerability to fishing, regardless of whether differences among taxa in fishing mortality are controlled; there is no evidence that high fecundity confers increased resilience. The evidence reviewed here is of direct relevance to the diverse criteria used at global and national levels by various bodies to assess threat status of fishes. Simple life history traits can be incorporated directly into quantitative assessment criteria, or used to modify the conclusions of quantitative assessments, or used as preliminary screening criteria for assessment of the approximately 95% of marine fish species whose status has yet to be evaluated either by conservationists or fisheries scientists.

Animals↗

Effects of exposure duration of herbicides on natural stream periphyton communities and recovery.

To improve risk estimates for herbicides in streams, the sensitivity of natural periphyton communities to four herbicides (metribuzin, hexazinone, isoproturon, and pendimethalin) was examined in experiments including varying exposure duration and a recovery phase. Effect parameters included assimilation of 14C and concentration of diagnostic pigments as proxies for photosynthetic activity and algal group composition, respectively. The results indicated that isoproturon, metribuzin, and hexazinone affected the photosynthetic activity of periphyton at distinctly lower concentrations than the effect concentrations published for standard single-species growth-tests with phytoplankton species. Pendimethalin did not show effects on the photosynthetic activity of periphyton at the concentrations tested. The effect concentration (EC50) of isoproturon and metribuzin decreased by one to two orders of magnitude when the duration of exposure increased from 1 h to 24 h, while hexazinone had a stimulating effect on the photosynthetic activity of periphyton after 1 h exposure and inhibiting effect after 24 h exposure. The photosynthetic activity after exposure to metribuzin for 1, 2, 6, 18, 23, or 48 h recovered almost completely after 48 h in herbicide-free water. However, different periphyton groups responded differently to metribuzin exposure: Chlorophytes were severely affected by exposure and did not recover, whereas diatoms and especially cyanobacteria recovered well. Overall the study showed that the effects of herbicides on periphyton are strongly affected by the duration of exposure, and even short-term exposure may have distinct effects on the periphyton community.

Carbon Radioisotopes↗

Effects and risk assessment of linear alkylbenzene sulfonates in agricultural soil. 1. Short-term effects on soil microbiology.

Linear alkylbenzene sulfonates (LAS) may occur in sewage sludge that is applied to agricultural soil, in which LAS can be inhibitory to biological activity. As a part of a broader risk assessment of LAS in the terrestrial environment, we tested the short-term effects of aqueous LAS on microbial parameters in a sandy agricultural soil that was incubated for up to 11 d. The assays included 10 microbial soil parameters; ethylene degradation; potential ammonium oxidation; potential dehydrogenase activity; beta-glucosidase activity; iron reduction; the populations of cellulolytic bacteria, fungi and actinomycetes; the basal soil respiration; and the phospholipid fatty acid (PLFA) content. Except for beta-glucosidase activity, basal respiration, and total PLFA content, all soil parameters were sensitive to LAS, with EC10 values in the range of less than 8 to 22 mg/kg dry weight. This probably reflected a similar mode of LAS toxicity, ascribed to cell membrane interactions, and showed that sensitivity to LAS was common for various soil microorganisms. The extracellular beta-glucosidase activity was rather insensitive to LAS (ECI10, 47 mg/kg dry wt), whereas the basal soil respiration was not inhibited even at 793 mg/kg dry weight. This was interpreted as a combined response of inhibited and stimulated compartments of the microbial community. The PLFA content, surprisingly, showed no decrease even at 488 mg/kg. In conclusion, LAS inhibited specific microbial activities, although this could not be deduced from the basal respiration or the total PLFA content. The lowest EC10 values for microbial soil parameters were slightly higher than the predicted no-effect concentrations recently derived for plants and soil fauna (approximately 5 mg/kg dry wt).

Agriculture↗

Rationale for a new generation of indicators for coastal waters.

More than half the world's human population lives within 100 km of the coast, and that number is expected to increase by 25% over the next two decades. Consequently, coastal ecosystems are at serious risk. Larger coastal populations and increasing development have led to increased loading of toxic substances, nutrients and pathogens with subsequent algal blooms, hypoxia, beach closures, and damage to coastal fisheries. Recent climate change has led to the rise in sea level with loss of coastal wetlands and saltwater intrusion into coastal aquifers. Coastal resources have traditionally been monitored on a stressor-by-stressor basis such as for nutrient loading or dissolved oxygen. To fully measure the complexities of coastal systems, we must develop a new set of ecologic indicators that span the realm of biological organization from genetic markers to entire ecosystems and are broadly applicable across geographic regions while integrating stressor types. We briefly review recent developments in ecologic indicators and emphasize the need for improvements in understanding of stress-response relationships, contributions of multiple stressors, assessments over different spatial and temporal scales, and reference conditions. We provide two examples of ecologic indicators that can improve our understanding of these inherent problems: a) the use of photopigments as indicators of the interactive effects of nutrients and hydrology, and b) biological community approaches that use multiple taxa to detect effects on ecosystem structure and function. These indicators are essential to measure the condition of coastal resources, to diagnose stressors, to communicate change to the public, and ultimately to protect human health and the quality of the coastal environment.

Animals↗

Factors controlling seedling germination after fire in Mediterranean gorse shrublands. Implications for fire prescription.

In Western Mediterranean areas, fires are frequent in forests established on old croplands where woody resprouting species are scarce and post-fire regeneration is limited to obligate-seeder species, such as Mediterranean gorse (Ulex parviflorus), that accumulate a great deal of fine dry fuel, increasing the risk of other severe fires. Under these conditions, fuel control techniques are required in order to prevent fires of high intensity and severity and the subsequent economic and ecological damage. Prescribed fires present an alternative to fuel control, and recent studies demonstrate that, under optimum climatic conditions, fire-line intensity values fall within the limits of those recommended for fire prescription. However, a better understanding of the consequences of fire on the regeneration of vegetation is needed in order to evaluate the suitability of prescribed fires as a technique for fuel reduction in Mediterranean gorse ecosystems. This paper analyses the factors controlling seedling germination after fire to make an evaluation from an ecological perspective of whether fire prescription is a suitable technique for fuel control in mature Mediterranean gorse shrublands. The results show that small differences in the composition of vegetation play a decisive role in fire behaviour, and have a decisive influence on the system's capacity for regeneration. Fire severity is low in mixed Mediterranean gorse communities with a low continuity of dead fine fuel (including Cistus sp., Rosmarinus sp., etc.) and fire creates a wide range of microhabitats where seedling emergence is high. In contrast, where U. parviflorus is more dominant, fire severity is higher and the regeneration of vegetation could be hindered. Our conclusions suggest that detailed studies of the composition of plant communities are required in order to decide whether prescribed burning should be applied.

Conservation of Natural Resources↗

Increase in heart rate precedes episodes of ventricular tachycardia and ventricular fibrillation in patients with implantable cardioverter defibrillators: analysis of spontaneous ventricular tachycardia database.

Patients with heart disease and decreased heart rate variability (HRV) have an increased risk of all-cause mortality as well as arrhythmic death. The question of acute changes in HRV immediately preceding arrhythmic events remains unanswered. We analyzed data from patients with implantable cardioverter defibrillators who had ventricular tachycardia (VT) or ventricular fibrillation (VF) detected by the device. The device stores 1,000 consecutive RR intervals preceding the arrhythmic event detection and before device interrogation. Compared to this control segment, the mean heart rate (HR) increased prior to the arrhythmic event for both VT (88.5 vs 72.7 beats/min, P < 0.0005) and VF (85.4 vs 73.3 beats/min, P < 0.05) patients. No difference in HRV (as analyzed by a time-domain, frequency-domain [fast Fourier transform], and a nonlinear technique) has been detected. We estimated the amount of ectopic beats from the number of RR intervals that differed from the preceding RR interval by > 10%. The frequency of such beats was significantly higher in the prearrhythmic data segments than in the control segments for VT (10.7 vs 6.6/50 beats, P < 0.05) although not for VF (9.8 vs 6.1/50 beats, NS). We conclude that the HR and frequency of ectopic beats are higher prior to onset of the arrhythmic events, although HRV does not change markedly. These results are consistent with sympathetic activation being the predominant autonomic change prior to VT/VF onset in this patient population.

Adult↗

Approaches for establishing predicted-no-effect concentrations for population-level ecological risk assessment in the context of chemical substances management.

The establishment of rational frameworks for population-level ecological risk assessment (PLERA) in the context of chemical substances management is an important issue. We illustrate two feasible approaches for establishing predicted-no-effect concentrations (PNECs)for PLERA through a case study of 4-nonylphenol (4-NP) using life-cycle toxicity data for medaka (Oryzias latipes). We first quantified the potential impacts of 4-NP on medaka in terms of reduction of population growth rate (i). An age-classified population matrix model (daily time-step) was developed and used to combine life-cycle survivorship and fecundity data obtained from individual-level responses of medaka expDsed to 4-NP into population-level responses defined by the parameter lambda. Thereafter, from the resulting lambdas, two approaches for establishing population-level PNEC values were proposed and examined. We then derived the PNEC values for population-level impacts, based on (a) the threshold concentration, defined as the chemical concentration at which lambda = 1 as a value with a 95% confidence interval, and (b) the no-observed-effect concentration (NOEC) and the maximum-acceptable-toxic concentration (MATC). The results suggest that PNEC values of 4-NP ranging between 0.82 and 2.10 microg/L affect medaka population growth. Although these approaches have their limitations, current knowledge indicates that they are reasonable and practical for evaluating population-level impacts of chemicals, thereby serving as a case study for establishing PNEC values for PLERA in the context of chemical substances management and decision-making.

Animals↗

Effects of pharmaceutical mixtures in aquatic microcosms.

Pharmaceuticals have a wide range of biological properties and are released into the environment in relatively large amounts, yet little information is available regarding their effects or potential ecological risks. We exposed outdoor aquatic microcosms to combinations of ibuprofen (a nonsteroidal anti-inflammatory drug), fluoxetine (a selective serotonin reuptake inhibitor), and ciprofloxacin (a DNA gyrase-inhibiting antibiotic) at concentrations of 6, 10, and 10 microg/L, respectively (low treatment [LT]); 60, 100, and 100 microg/L, respectively (medium treatment [MT]); and 600, 1,000, and 1,000 microg/L, respectively (high treatment [HT]). We maintained these concentrations for 35 d. Few responses were observed in the LT; however, effects were observed in the MT and HT. Fish mortality occurred in the MT (<35 d) and in the HT (<4 d). Phytoplankton increased in abundance and decreased in diversity (number of taxa) in the HT, with consistent trends being observed in the MT and LT. Zooplankton also showed increased abundance and decreases in diversity in the HT, with consistent trends being observed in the MT. Multivariate analyses for zooplankton and phytoplankton suggested interactions between these communities. Lemna gibba and Myriophyllum spp. showed mortality in the HT; growth of L. gibba was also reduced in the MT. Bacterial abundance did not change in the HT. All responses were observed at concentrations well below the equivalent pharmacologically active concentrations in mammals. Although the present data do not suggest that ibuprofen, fluoxetine, and ciprofloxacin are individually causing adverse effects in surface-water environments, questions remain about additive responses from mixtures.

Animals↗

Meta-analysis of intrinsic rates of increase and carrying capacity of populations affected by toxic and other stressors.

Most of the thousands of substances and species that are of concern for environmental management will not be investigated empirically at ecologically relevant levels because of financial, practical, and ethical constraints. To allow risk assessment for these less well-known categories, we have developed a mechanistic model with classical equations from toxicology and ecology. The parameters are linked to well-known properties, such as the octanol-water partition ratio K(ow), acute lethal (body) concentrations, and organism size. This allows estimation of intrinsic rates of increase r and carrying capacity K over a wide range of substances and species. The model was calibrated with parameter values (micro +/- 95% confidence interval) obtained in reviews and validated by a meta-analysis with largely independent data from 200 laboratory experiments. For single substances, the 5 to 95% interval of the observations on intrinsic rates of increase overlapped with the range predicted by the model. Model and experiments independently indicated that population growth ceased below 1% of the acute median lethal concentration in about 5% of the cases. Exceptional values and possible explanations were identified. The reduction of the carrying capacity K was nearly proportional to the inhibition of the population growth r. Population-level effects of mixtures as estimated by concentration addition were confirmed by observations in the experiments. The impact of a toxicant and another stressor could generally be described by response multiplication, with the exception of cases with extreme stress. Data sets on population laboratory experiments are biased to metals and crustaceans. This field will benefit from empirical studies on chemicals, conditions, and species, identified as risky by the model. Other implications of the model for environmental management and research are discussed.

Animals↗

Optimal reconstruction of historical water supply to a distribution system: A. Methodology.

The New Jersey Department of Health and Senior Services (NJDHSS), with support from the Agency for Toxic Substances and Disease Registry (ATSDR) conducted an epidemiological study of childhood leukaemia and nervous system cancers that occurred in the period 1979 through 1996 in Dover Township, Ocean County, New Jersey. The epidemiological study explored a wide variety of possible risk factors, including environmental exposures. ATSDR and NJDHSS determined that completed human exposure pathways to groundwater contaminants occurred in the past through private and community water supplies (i.e. the water distribution system serving the area). To investigate this exposure, a model of the water distribution system was developed and calibrated through an extensive field investigation. The components of this water distribution system, such as number of pipes, number of tanks, and number of supply wells in the network, changed significantly over a 35-year period (1962--1996), the time frame established for the epidemiological study. Data on the historical management of this system was limited. Thus, it was necessary to investigate alternative ways to reconstruct the operation of the system and test the sensitivity of the system to various alternative operations. Manual reconstruction of the historical water supply to the system in order to provide this sensitivity analysis was time-consuming and labour intensive, given the complexity of the system and the time constraints imposed on the study. To address these issues, the problem was formulated as an optimization problem, where it was assumed that the water distribution system was operated in an optimum manner at all times to satisfy the constraints in the system. The solution to the optimization problem provided the historical water supply strategy in a consistent manner for each month of the study period. The non-uniqueness of the selected historical water supply strategy was addressed by the formulation of a second model, which was based on the first solution. Numerous other sensitivity analyses were also conducted using these two models. Both models are solved using a two-stage progressive optimality algorithm along with genetic algorithms (GAs) and the EPANET2 water distribution network solver. This process reduced the required solution time and generated a historically consistent water supply strategy for the water distribution system.

Algorithms↗

Qualitative and quantitative procedures for health risk assessment.

Numerous reactive mutagenic electrophiles are present in the environment or are formed in the human body through metabolizing processes. Those electrophiles can directly react with DNA and are considered to be ultimate carcinogens. In the past decades more than 200 in vitro and in vivo genotoxic tests have been described to identify, monitor and characterize the exposure of humans to such agents. When the responses of such genotoxic tests are quantified by a weight-of-evidence analysis, it is found that the intrinsic potency of electrophiles being mutagens does not differ much for the majority of the agents studied. Considering the fact that under normal environmental circumstances human are exposed to low concentration of about a million electrophiles, the relation between exposure to such agents and adverse health effects (e.g., cancer) will become a 'Pandora's box'. For quantitative risk assessment it will be necessary not only to detect whether the agent is genotoxic, but also understand the mechanism of interaction of the agent with the DNA in target cells needs to be taken into account. Examples are given for a limited group of important environmental and carcinogenic agents for which such an approach is feasible. The groups identified are agents that form cross-links with DNA or are mono-alkylating agents that react with base-moieties in the DNA strands. Quantitative hazard ranking of the mutagenic potency of these groups of chemical can be performed and there is ample evidence that such a ranking corresponds with the individual carcinogenic potency of those agents in rodents. Still, in practice, with the exception of certain occupational or accidental exposure situations, these approaches have not be successful in preventing cancer death in the human population. However, this is not only due to the described 'Pandora's box' situation. At least three other factors are described. Firstly, in the industrial world the medical treatment of cancer in patients occurs with high levels of extremely mutagenic agents. Actually, both in number of persons and in exposure levels such medical treatment is the single largest exposure of humans to known carcinogens. Although such treatments are very effective in curing the tumor as present in the patient, the recurrence of cancer in those patients later in life is very high. In other words: "curing cancer is not the same as preventing cancer death in the human population". Secondly, the rate of cancer death in the human population is also determined by the efficacy in which other major causes of death are prevented. For instance, cardiovascular diseases are the major cause of death in humans in the industrialized world. There is evidence that the treatment of cardiovascular diseases is more successful than that of cancer. On a population level this will result in increase of cancer being the ultimate death cause. Finally, the improvement of medical treatment of diseases together with an improved quality of life will lead to increase average age of the population. Because the onset of most cancer is long after the exposure to carcinogens-in human often more than 30 years-cancer is predominantly a disease of the old age. This means that if the average age of human increases, there will be a selective preference of cancer becoming an even more important cause of death. This especially will be pronounced in those countries were the age distribution in a population is abnormal.

Aging↗

Status asthmaticus treated by high-frequency oscillatory ventilation.

We present a 2.5-year-old girl in severe asthma crisis who clinically deteriorated on conventional mechanical ventilation, but was successfully ventilated with high-frequency oscillatory ventilation (HFOV). Although HFOV is accepted as a technique for managing pediatric respiratory failure, its use in obstructive airway disease is generally thought to be contraindicated because of the risk of dynamic air-trapping. However, we suggest that obstructive airway disease can safely be managed with HFOV, provided certain conditions are met. These include the application of sufficiently high mean airway pressures to open and stent the airways ("an open airway strategy"), lower frequencies to overcome the greater attenuation of the oscillatory waves in the narrowed airways, permissive hypercapnia to enable reducing pressure swings as much as possible, longer expiratory times, and muscle paralysis to avoid spontaneous breathing.

Child, Preschool↗

Non-homogeneous Markov processes for biomedical data analysis.

Some time ago, the Markov processes were introduced in biomedical sciences in order to study disease history events. Homogeneous and Non-homogeneous Markov processes are an important field of research into stochastic processes, especially when exact transition times are unknown and interval-censored observations are present in the analysis. Non-homogeneous Markov process should be used when the homogeneous assumption is too strong. However these sorts of models increase the complexity of the analysis and standard software is limited. In this paper, some methods for fitting non-homogeneous Markov models are reviewed and an algorithm is proposed for biomedical data analysis. The method has been applied to analyse breast cancer data. Specific software for this purpose has been implemented.

Algorithms↗

Using a GIS model to assess terrestrial salamander response to alternative forest management plans.

A GIS model predicting the spatial distribution of terrestrial salamander abundance based on topography and forest age was developed using parameters derived from the literature. The model was tested by sampling salamander abundance across the full range of site conditions used in the model. A regression of the predictions of our GIS model against these sample data showed that the model has a modest but significant ability to predict both salamander abundance and mass per unit area. The model was used to assess the impacts of alternative management plans for the Hoosier National Forest (Indiana, USA) on salamanders. These plans differed in the spatial delineation of management areas where timber harvest was permitted, and the intensity of timber harvest within those management areas. The spatial pattern of forest openings produced by alternative forest management scenarios based on these plans was projected over 150 years using a timber-harvest simulator (HARVEST). We generated a predictive map of salamander abundance for each scenario over time, and summarized each map by calculating mean salamander abundance and the mean colonization distance (average distance from map cells with low predicted abundance to those with relatively high abundance). Projected salamander abundance was affected more by harvest rate (area harvested each decade) than by the management area boundaries. The alternatives had a varying effect on the mean distance salamanders would have to travel to colonize regenerating stands. Our GIS modeling approach is an example of a spatial analytical tool that could help resource management planners to evaluate the potential ecological impact of management alternatives.

Animals↗

An approach to integrated ecological assessment of resource condition: the Mid-Atlantic estuaries as a case study.

The complex and interconnected nature of ecological systems often makes it difficult to understand and prevent multiresource, multistressor problems. This article describes a process to assess ecological condition at regional scales. The article also describes how the approach was applied to the Mid-Atlantic estuaries, where it focused on characterizing the current state of the environment rather than on predicting future effects from humans. The necessity for iteration during the exercise showed how important it was to identify the purpose of the assessment and its users, that appropriate, consistent data are lacking for large-scale assessments, and that it remains a challenge to communicate succinctly the results of such an assessment.

Ecology↗

Social mobility and hypertension among blacks.

This paper considers the role of social mobility to hypertension among blacks. Using a nationally representative sample of the adult black population, this research finds no effects of intergenerational socioeconomic mobility. Minimal effects are found for geographic mobility; geographic moves bears a small positive relationship to hypertension. The implications for a theory of mobility effects on black health are discussed.

Adult↗

[The emergence of old and new epidemics as a consequence of human actions].

In the era of antibiotics and vaccines and prior to the appearance of AIDS, well-known infectious diseases received decreasing clinical attention. Occasionally, the opinion was also expressed that new types of infectious diseases could no longer be expected. However, a more detailed analysis of the state of infectious diseases yields quite a different picture. A variety of new infectious diseases has clinically been defined over the last few decades. New viruses, bacteria, and parasites with pathogenic potential for humans have been detected and well-known microorganisms have spread beyond their original geographic areas. Infectious agents, in particular viruses, permanently alter their genomes and may thus gain new clinical relevance. This article demonstrates that primarily the behavior of man influenced the nature and distribution of infectious diseases in the past and will affect the spread of infectious diseases in the future.

Acquired Immunodeficiency Syndrome↗