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PubMed2006

Public injecting and the need for 'safer environment interventions' in the reduction of drug-related harm.

BACKGROUND: One key structural dimension in the distribution of drug-related harm associated with injecting drug use is the injecting environment. Epidemiological evidence associates elevated blood-borne viral risk with injecting in 'public' and 'semipublic' environments. Yet the quality of evidence on public injecting and related viral risk is variable, and is lacking in many countries such as the United Kingdom. AIM: This commentary considers the micro-injecting environment as a critical dimension of risk, exploring the need for 'safer injecting environment interventions'. METHODS: We draw upon published research evidence and qualitative case examples. RESULTS: We note the limits in epidemiological evidence on public injecting and emphasize the need for ethnographic research to determine the 'social relations' of how drug users and risk practices interact with injecting environments. We identify three main forms of 'safer environment intervention': purpose-built drug consumption rooms; interventions within existing spatial relations; and spatial programming and urban design. While drug consumption rooms find evidence-based support, they are not a panacea. We emphasize the potential of interventions embedded within existing spatial and social relations. These include low-cost pragmatic interventions enhancing facilities and safety at public and semipublic injecting sites and, primarily, peer-based interventions, including peer-supervised injecting sites. We caution against spatial programming and urban design interventions which can cause the displacement of socially marginalized populations and the redistribution of harm. CONCLUSIONS: Public health interventions in the addictions field have in the past focused upon individual behavioural change at the cost of social interventions and environmental change. We wish to focus greater attention on reducing risks related to public injecting and encourage greater debate on 'safer environment interventions' in harm reduction.

Environment↗

PubMed2005

Linking the practice environment to nurses' job satisfaction through nurse-physician communication.

PURPOSE: To investigate direct and indirect relationships among the practice environment, nurse-physician (RN-MD) communication, and job satisfaction, as is posited in the nursing role effectiveness model (NREM). DESIGN: Survey. METHODS: Surveys were sent to a random sample of 500 hospital nurses throughout Michigan, and 332 (66%) responded. Main study instruments were the Conditions for Work Effectiveness Questionnaire-II (CWEQ-II), the Practice Environment Scale of the Nursing Work Index (PES-NWI), the ICU Nurse-Physician Questionnaire, and the Index of Work Satisfaction (IWS), Part B. Inferential statistical tests included multiple regression, t tests, and one-way analysis of variance. FINDINGS: Practice environment (PES-NWI) and empowerment (CWEQ-II) scales explained 20% of the variance in RN-MD communication. The combination of both environment scales (PES-NWI and CWEQ-II) and RN-MD communication explained 61% of the variance in nursing job satisfaction scores. RN-MD communication was also a significant mediating variable in the relationship between structure (practice environment and empowerment scales) and outcome (nursing job satisfaction). CONCLUSIONS: Factors in the practice environment contributed both directly to nursing job satisfaction and also indirectly through RN-MD communication. Study findings showed that a practice environment favorable to nurses improved both nurses' perceptions of their communications with physicians and their job satisfaction.

Adult↗

PubMed2006

Early exposure to a nonhygienic environment alters pulmonary immunity and allergic responses.

The hygiene hypothesis suggests that early life exposure to a nonhygienic environment that contains endotoxin reduces the risk of developing allergic diseases. The mechanisms underlying the hygiene hypothesis are unclear and may involve subtle immune system interactions that occur during maturation. Experimental objectives of this study were to use a novel animal model to test the hygiene hypothesis and to characterize early life immune system responses to a nonhygienic environment. Mice were reared in corn dust, a grain-processing byproduct with a high-endotoxin content and microbial products or in a low-endotoxin environment. The influence of early or later life exposure to corn dust on a subsequent allergen stimulus (ovalbumin) was assessed by bronchoalveolar lavage (BAL) cell analysis, lung histology, serum IgE, and BAL cytokine measurements. The influence of the corn dust environment on the developing pulmonary immune system was assessed by BAL cell analysis and immunostaining of lung tissue. The corn dust environment contained significantly more endotoxin (P < 0.001), and the dust exposures attenuated the cellular inflammatory response to ovalbumin in the adult mouse (P < 0.01) but did not reduce serum IgE levels or alter baseline BAL fluid proinflammatory cytokine levels. The corn dust environment did not induce significant neutrophilia in lavage fluid but significantly increased the number of antigen-presenting cells in alveolar walls early in life by approximately 37%. In conclusion, exposure to a nonhygienic environment did not induce significant airway neutrophilia, yet altered the population of immunologically active cells in the lung and reduced subsequent allergic inflammation.

Animals↗

PubMed2003

Differential modulation of CA1 and dentate gyrus interneurons during exploration of novel environments.

Parallel recordings of hippocampal principal cells and interneurons were obtained as rats foraged in familiar and adjacent, novel environments. Firing rates of each cell type were assessed as a function of spatial location. Many CA1 interneurons exhibited large decreases in activity in the novel compared with the familiar environment. Dentate gyrus interneurons, however, were much more likely to exhibit large increases in firing in the novel environment. Neither effect was correlated with basic interneuron discharge properties such as degree of theta modulation, baseline firing rate or degree of spatially modulated discharge. Both CA1 and dentate gyrus interneuron rate changes extended into regions of the familiar environment bordering the novel environment. Principal cells in CA1 and dentate gyrus exhibited similar patterns of place specific activity each being indicative of incorporation of novel spatial information into the spatial representation of the familiar environment. The data indicate that inhibitory networks in the CA1 and dentate gyrus areas are modulated in a divergent fashion during the acquisition of novel spatial information and that interneuron activities can be used to detect those regions of an environment subject to redistribution of principal cell spatial activity patterns.

Action Potentials↗

PubMed2006

Enriched environment attenuates cell genesis in subventricular zone after focal ischemia in mice and decreases migration of newborn cells to the striatum.

BACKGROUND AND PURPOSE: Cells proliferate continuously in the adult mammalian brain, and in rodents, cell genesis is affected by housing conditions and brain injury. Increase in neurogenesis after brain ischemia has been postulated to be linked to functional recovery after stroke. Housing rodents in an enriched environment improves motor function after stroke injury. We have investigated whether changes in cell genesis can explain the beneficial effects of an enriched environment. METHODS: Intact mice and mice subjected to transient occlusion of the middle cerebral artery were exposed to an enriched environment for 1 month. Bromodeoxyuridine was injected daily to label proliferating cells during the first postischemic week. Newborn cells were analyzed immunohistochemically after 4 weeks. RESULTS: The enriched environment increased neurogenesis in the dentate gyrus in both intact and stroke-injured animals. An increased number of newborn cells was found in the subventricular zone of stroke-injured mice, but not in injured mice exposed to an enriched environment. Also, the number of newborn astrocytes (BrdU+/S-100beta+ cells), neuroblasts (dcx+ cells), and reactive astrocytes (vimentin mRNA) in the striatum ipsilateral to the ischemic injury was markedly attenuated and new adult neurons (BrdU+/NeuN+) were not found. The enriched environment did not affect infarct size or mortality. CONCLUSIONS: An enriched environment after experimental stroke increased neurogenesis in the hippocampus, whereas there was a decreased cell genesis and migration of neuroblasts and newborn astrocytes in the striatum.

Animals↗

PubMed1991

1991 Muriel Driver lecture. The environment: a focus for occupational therapy.

Individuals in Canada with a disability encounter environmental constraints that limit their active participation in the daily life of our communities. Fundamental inequities in participation and integration continue to exist and there is a need for a concerted effort to eliminate these disabling environments. Several factors, including the built environment, societal production of space, classification of individuals based on norms, the perception of disability as deviance, the power of health disciplines and bureaucracy are examined to determine their contribution to the creation of these disabling environments. Recent modifications to occupational therapy theory and practice, while meaningful, have not fully explored ways in which disabling environments limit occupation. Prevailing ideas about occupation and the environment are examined for their contribution to solving these environmental problems. Principles which can assist occupational therapy intervention directed at changing disabling environments are described. The intent is to define methods of changing disabling environments, based on the desires and active participation of people with disabilities

Architectural Accessibility↗

PubMed2001

Why are children in the same family so different? Nonshared environment a decade later.

OBJECTIVE: To review recent developments in the study of nonshared environment; that is, the environmental influences that make children growing up in the same family different, rather than similar. METHOD: We review several recent influential books and papers on the subject of nonshared environment from the decade following the 1987 paper that highlighted its importance in psychological development. RESULTS: Modest progress has been made toward identifying the specific aspects of the environment responsible for nonshared environment. Although parents treat their multiple children differently, such differential treatment accounts for only a small amount of nonshared environmental influence, once genetic factors are controlled. It has been suggested that some degree of nonshared environment may be due to the fact that siblings react differently to ostensibly shared environmental influences. Peer influence and other experiences outside the family may be more important sources of systematic nonshared environment. CONCLUSIONS: Despite the difficulties encountered in identifying specific sources of nonshared environment, the fact remains that most environmental variance affecting the development of psychological dimensions and psychiatric disorders is not shared by children growing up in the same family. More research and theory are needed to explain why such siblings are so different. Chance, in the sense of idiosyncratic experiences, also needs to be considered.

Adoption↗

PubMed2005

A comparison of discrete versus continuous environment in a variance components-based linkage analysis of the COGA data.

BACKGROUND: The information content of a continuous variable exceeds that of its categorical counterpart. The parameterization of a model may diminish the benefit of using a continuous variable. We explored the use of continuous versus discrete environment in variance components based analyses examining gene x environment interaction in the electrophysiological phenotypes from the Collaborative Study on the Genetics of Alcoholism. RESULTS: The parameterization using the continuous environment produced a greater number of significant gene x environment interactions and lower AICs (Akaike's information criterion). In these cases, the genetic variance increased with increasing cigarette pack-years, the continuous environment of interest. This did not, however, result in enhanced LOD scores when linkage analyses incorporated the gene x continuous environment interaction. CONCLUSION: Alternative parameterizations may better represent the functional relationship between the continuous environment and the genetic variance.

Alcoholism↗

PubMed2006

A model of gene-gene and gene-environment interactions and its implications for targeting environmental interventions by genotype.

BACKGROUND: The potential public health benefits of targeting environmental interventions by genotype depend on the environmental and genetic contributions to the variance of common diseases, and the magnitude of any gene-environment interaction. In the absence of prior knowledge of all risk factors, twin, family and environmental data may help to define the potential limits of these benefits in a given population. However, a general methodology to analyze twin data is required because of the potential importance of gene-gene interactions (epistasis), gene-environment interactions, and conditions that break the 'equal environments' assumption for monozygotic and dizygotic twins. METHOD: A new model for gene-gene and gene-environment interactions is developed that abandons the assumptions of the classical twin study, including Fisher's (1918) assumption that genes act as risk factors for common traits in a manner necessarily dominated by an additive polygenic term. Provided there are no confounders, the model can be used to implement a top-down approach to quantifying the potential utility of genetic prediction and prevention, using twin, family and environmental data. The results describe a solution space for each disease or trait, which may or may not include the classical twin study result. Each point in the solution space corresponds to a different model of genotypic risk and gene-environment interaction. CONCLUSION: The results show that the potential for reducing the incidence of common diseases using environmental interventions targeted by genotype may be limited, except in special cases. The model also confirms that the importance of an individual's genotype in determining their risk of complex diseases tends to be exaggerated by the classical twin studies method, owing to the 'equal environments' assumption and the assumption of no gene-environment interaction. In addition, if phenotypes are genetically robust, because of epistasis, a largely environmental explanation for shared sibling risk is plausible, even if the classical heritability is high. The results therefore highlight the possibility--previously rejected on the basis of twin study results--that inherited genetic variants are important in determining risk only for the relatively rare familial forms of diseases such as breast cancer. If so, genetic models of familial aggregation may be incorrect and the hunt for additional susceptibility genes could be largely fruitless.

Environment↗

PubMed2002

Variance components models for gene-environment interaction in twin analysis.

Gene-environment interaction is likely to be a common and important source of variation for complex behavioral traits. Often conceptualized as the genetic control of sensitivity to the environment, it can be incorporated in variance components twin analyses by partitioning genetic effects into a mean part, which is independent of the environment, and a part that is a linear function of the environment. The model allows for one or more environmental moderator variables (that possibly interact with each other) that may i). be continuous or binary ii). differ between twins within a pair iii). interact with residual environmental as well as genetic effects iv) have nonlinear moderating properties v). show scalar (different magnitudes) or qualitative (different genes) interactions vi). be correlated with genetic effects acting upon the trait, to allow for a test of gene-environment interaction in the presence of gene-environment correlation. Aspects and applications of a class of models are explored by simulation, in the context of both individual differences twin analysis and, in a companion paper (Purcell & Sham, 2002) sibpair quantitative trait locus linkage analysis. As well as elucidating environmental pathways, consideration of gene-environment interaction in quantitative and molecular studies will potentially direct and enhance gene-mapping efforts.

Computer Simulation↗

PubMed2003

Has the "Equal Environments" assumption been tested in twin studies?

A recurring criticism of the twin method for quantifying genetic and environmental components of human differences is the necessity of the so-called "equal environments assumption" (EEA) (i.e., that monozygotic and dizygotic twins experience equally correlated environments). It has been proposed to test the EEA by stratifying twin correlations by indices of the amount of shared environment. However, relevant environments may also be influenced by genetic differences. We present a model for the role of genetic factors in niche selection by twins that may account for variation in indices of the shared twin environment (e.g., contact between members of twin pairs). Simulations reveal that stratification of twin correlations by amount of contact can yield spurious evidence of large shared environmental effects in some strata and even give false indications of genotype x environment interaction. The stratification approach to testing the equal environments assumption may be misleading and the results of such tests may actually be consistent with a simpler theory of the role of genetic factors in niche selection.

Computer Simulation↗

PubMed2004

The genetic covariance among clinal environments after adaptation to an environmental gradient in Drosophila serrata.

We examined the genetic basis of clinal adaptation by determining the evolutionary response of life-history traits to laboratory natural selection along a gradient of thermal stress in Drosophila serrata. A gradient of heat stress was created by exposing larvae to a heat stress of 36 degrees for 4 hr for 0, 1, 2, 3, 4, or 5 days of larval development, with the remainder of development taking place at 25 degrees. Replicated lines were exposed to each level of this stress every second generation for 30 generations. At the end of selection, we conducted a complete reciprocal transfer experiment where all populations were raised in all environments, to estimate the realized additive genetic covariance matrix among clinal environments in three life-history traits. Visualization of the genetic covariance functions of the life-history traits revealed that the genetic correlation between environments generally declined as environments became more different and even became negative between the most different environments in some cases. One exception to this general pattern was a life-history trait representing the classic trade-off between development time and body size, which responded to selection in a similar genetic fashion across all environments. Adaptation to clinal environments may involve a number of distinct genetic effects along the length of the cline, the complexity of which may not be fully revealed by focusing primarily on populations at the ends of the cline.

Adaptation, Biological↗

PubMed2003

[The working environment control of anhydride hardeners from an epoxy resin system].

Epoxy resins are widely used in adhesives, coatings, materials for molds and composites, and encapsulation. Acid anhydrides such as methyltetrahydrophthalic anhydride are being used as curing agents for epoxy resins. The anhydride hardeners are well-known industrial inhalant allergens, inducing predominantly type I allergies. In the electronic components industry, these substances have been consumed in large quantities. Therefore, safe use in the industry demands control of the levels of exposure causing allergic diseases in the workshop. We conducted a prospective survey of two electronics plants to clarify how to control the atmospheric level of the anhydrides in the work environment. Measurements of the levels of the anhydrides in air started according to the Working Environment Measurement Standards (Ministry of Labour Notification No. 46, 1976) in April 2000, along with improvements in the work environment. A value of 40 micrograms/m3 was adopted as the administrative control level to judge the propriety of the working environment control. A total of 2 unit work areas in both plants belonged to Control Class III. The exposure originated from manual loading, casting, uncured hot resins, and leaks in an impregnating-machine or curing ovens. In order to achieve the working environment control, complete enclosure of the source, installation of local exhaust ventilation, and improvement or maintenance of the local exhaust ventilation system were performed on the basis of the results of the working environment measurement, with the result that the work environment was improved (Control Class I). It became evident that these measures were effective just like other noxious substances.

Air Pollutants, Occupational↗

PubMed2000

Effect of herd environment on the genetic and phenotypic relationships among milk yield, conception rate, and somatic cell score in Holstein cattle.

A total of 248,230 primiparous records of Holstein cows calving from 1987 to 1994 (daughters of 588 sires in 3042 herds) was used to evaluate potential genotype by environment interactions among mature equivalent milk yield, lactation mean somatic cell score, and conception rate at first service. Herds were classified into low and high environmental groups using three different criteria: standard deviation of herd mature equivalent milk yield, a combination of herd mature equivalent milk yield mean and standard deviation, and the herd mean of body weight at first calving divided by age at first calving. Genetic parameters were modeled by using multiple-trait linear mixed models and were fitted using the multiple-trait derivative-free software. Heritabilities for mature equivalent milk yield, lactation mean somatic cell score, and conception rate at first service were 0.221, 0.106, and 0.015 in low environment herds and 0.300, 0.093, and 0.009 in high environment herds, respectively. Genetic (and phenotypic) correlations between mature equivalent milk yield and lactation mean somatic cell score, mature equivalent milk yield and conception rate at first service, and lactation mean somatic cell score and conception rate at first service were 0.277, -0.417, and -0.209, (-0.049, -0.180, and -0.040) and 0.173, -0.318, and -0.144, (-0.087, -0.166, and -0.035) in low and high environment herds, respectively. The genetic correlations between pairs of traits were consistently smaller in high environment herds, suggesting that differences in management between the two environment levels lessened the antagonistic genetic association between the traits studied. A long-range plan for low environment herds should focus on improving the level of management, which would greatly reduce the unfavorable correlated changes in lactation mean somatic cell score and conception rate at first service associated with the genetic improvement of mature equivalent milk yield.

Animals↗

PubMed2003

Genotype x environment interaction for milk production of daughters of Australian dairy sires from test-day records.

In Australia, dairy farming is carried out in environments that vary in many ways, including level of feeding and climate variables such as temperature and humidity. The aim of this study was to assess the magnitude of genotype x environment interactions (GxE) on milk production traits (milk yield, protein yield, and fat yield) for a range of environmental descriptors. The environment on individual test days was described by herd size (HS), average herd protein yield (AHTDP), herd test-day coefficient of variation for protein yield (HTDCV), and temperature humidity index (THI). A sire random regression model was used to model the response of a sire's daughters to variation in the environment and to calculate the genetic correlation between the same traits measured in two widely different environments. Using test-day records, rather than average lactation yields, allowed exploitation of within-cow variation as well as between-cow variation at different levels of AHTDP, and led to more accurate estimates of sire breeding values for "response to environment." The greatest GxE observed was due to variation in AHTDP, with a genetic correlation of 0.78 between protein yield when AHTDP = 0.54 kg and protein yield when AHTDP = 1.1 kg (the 5th and 95th percentile of the distribution of AHTDP). The GxE was also observed for THI, with a genetic correlation of 0.90 between protein yield at the 5th and 95th percentile of THI. The use of response to environment estimated breeding values to improve the accuracy of international sire evaluations is discussed.

Animals↗

PubMed2006

Benefits of cooperation between breeding programs in the presence of genotype by environment interaction.

Dairy cattle breeding programs and dairy farmers are selecting sires and dams across environments. Genotype x environment interaction (G x E) limits the possibilities for cooperation between breeding programs operating in different environments. The objectives of this study were 2-fold: 1) to investigate the effects of heritability, selection intensity, number of progeny per bull, and size of breeding programs on possibilities for cooperation between dairy cattle breeding programs in the short and long term in the presence of G x E, and 2) to quantify the effect of such cooperation on genetic gain. A dairy cattle situation with 2 breeding programs operating in 2 environments was simulated using a deterministic pseudo-BLUP selection index model. Long-term cooperation between the 2 breeding programs was possible in the presence of G x E, when the genetic correlation was higher than 0.80 to 0.90, resulting in up to 15% extra genetic gain. In addition, in the initial generations of selection, the breeding programs could benefit from mutually selecting sires and dams from each other when the genetic correlation was as low as 0.40 to 0.60. With more intense selection, breeding programs were less likely to benefit from cooperation with breeding programs in other environments. Heritability and number of progeny per bull had little effect on possibilities for cooperation, unless the heritabilities and the number of progeny per bull were extremely different in the 2 environments. Small breeding programs benefited more from cooperation than did large breeding programs, and benefits were possible even at lower values (i.e., <0.80) of the genetic correlation. Possibilities for cooperation across environments would affect the optimal design of dairy cattle breeding programs considering genetic gain, inbreeding, and costs.

Animals↗

PubMed2006

Genetic correlations between milk production and health and fertility depending on herd environment.

High milk production in dairy cattle can have negative side effects on health and fertility traits. This paper explores the genetic relationship of milk yield with health and fertility depending on herd environment. A total of 71,720 lactations from heifers calving in 1997 to 1999 in the Netherlands were analyzed. Herd environment was described by 4 principal components: intensity, average fertility, farm size, and relative performance indicating whether herds had good (poor) health and fertility despite a high (low) production. Fertility was evaluated by days to first service and number of inseminations (NINS); somatic cell score was used as a measure of udder health. Data were analyzed with a multitrait reaction norm model. Genetic correlation within traits across environments ranged from 0.84 to unity. Genetic correlations of the 3 traits with milk yield were antagonistic but varied over environments. Genetic correlation of milk yield with days to first service varied from 0.30 in small herds to 0.48 in herds with low average fertility. Correlations with NINS varied from 0.18 in large herds to 0.64 in high fertility herds, and with somatic cell score from 0.25 in herds with a high fertility relative to production to 0.47 in herds with a relative low fertility. Selection in environments of average value resulted in different predicted responses over environments. For example, selection for a decrease of NINS of 0.1 in an average production environment decreased milk yield by 35 kg in low production herds, but by 178 kg in high production herds.

Analysis of Variance↗

PubMedDate not supplied

Social environment and health.

The social environment has a far greater effect on health than is generally assumed. As part of the overall environment, it is the setting in which man and agents (including exposures and other risk factors) interact, leading to symbiosis or disease; man is not proven resistant to most influences of the social environment. The social environment shapes man's perceptions of health and disease and man's reactions to disease. Social factors, and more specifically the urban environment, are thought to play major roles in most chronic diseases. The effects of the social environment are extremely complex, and much of our present knowledge is still hypothetical. Finally, for prevention of disease, only society can change significantly the social environment.

Attitude to Health↗