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ABSTRACTBackground Chronic pain and higher body weight frequently co-occur. This common comorbidity is thought to be mediated by the use of comfort eating as a strategy for managing both the physical and psychological pain and discomfort associated with flare-ups of chronic pain. Valid and reliable assessment tools are needed to inform the development of effective treatments.Aims This study aimed to assess the psychometric properties of a new brief measure of pain-induced comfort eating in chronic pain, the Pain-Induced Comfort Eating Scale (PICES).Methods A sample of 166 patients with chronic pain completed an online test battery including the PICES along with measures of chronic pain and pain-related symptoms, disordered eating, and related psychological factors.Results Results of exploratory factor analysis revealed a single-factor model for the four-item PICES. Further, the PICES demonstrated evidence of good internal consistency as well as convergent validity with demonstrated correlations with related measures. The results of this study also revealed that comfort eating in chronic pain appears to be related to psychological distress; the PICES correlated more strongly with measures assessing mood and psychological distress compared to interference/intensity of physical pain itself. Scores on the PICES also correlated strongly with measures of uncontrolled and emotional eating.Conclusions Overall, our results indicate that the PICES provides a valid and useful brief measure of comfort eating in chronic pain that might be useful to inform treatments targeting the comorbid disordered eating practices that can lead to higher body weights in patients with chronic pain.

In this review, we investigated published data on the occurrence of microplastic in Arctic fish, and the suitability of the data and species for risk assessment and monitoring. As of 11 November 2021, we found nine studies in the peer-reviewed literature, one thesis and one report, confirming the occurrence of microplastic in fishes from multiple Arctic regions. The studies varied in methodology, detection, and quantification limitations, reported categories of size, shape, and chemical identity. All these factors influence the numbers of microplastic reported, thus limiting comparability and hindering integrative analysis. The physiological impacts of the reported microplastic contamination cannot be determined, as all studies targeted stomach/intestine contents and did not use methods with limits of detection low enough to determine particle translocation from the intestine to other organs, tissues, or body fluids within the fish. Furthermore, there is a fundamental lack of understanding the transfer and the effects of plastic additives to Arctic fishes. In addition to discussing methodological challenges and knowledge gaps, we consider ecosystem needs, commercial interests, Indigenous people’s subsistence, food safety and food sovereignty concerns, and developed a framework to harmonize and facilitate pan-Arctic microplastic monitoring.

The Arctic Monitoring and Assessment Programme has published a plan and guidelines for the monitoring of litter and microplastics (MP) in the Arctic. Here, we look beyond suggestions for immediate monitoring and discuss challenges, opportunities, and future strategies in the long-term monitoring of litter and MP in the Arctic. Challenges are related to environmental conditions, lack of harmonization and standardization of measurements, and long-term coordinated and harmonized data storage. Furthermore, major knowledge gaps exist with regard to benchmark levels, transport, sources, and effects, which should be considered in future monitoring strategies. Their development could build on the existing infrastructure and networks established in other monitoring initiatives in the Arctic, while taking into account specific requirements for litter and MP monitoring. Knowledge existing in northern and Indigenous communities, as well as their research priorities, should be integrated into collaborative approaches. The monitoring plan for litter and MP in the Arctic allows for an ecosystem-based approach, which will improve the understanding of linkages between environmental media of the Arctic, as well as links to the global problem of litter and MP pollution.

Few studies have been published on the occurrence and distribution of microplastics (MPs) in invertebrates from the Arctic. We still need to develop harmonized methods to enable good comparison between studies taking into account recovery rates, size ranges, shapes, and polymer types. Here, we review studies on MPs in invertebrates from the Arctic and present suggestions on sampling protocols and potential indicator species. Since information on MPs in Arctic invertebrates is vastly lacking, we recommend to at least include suspension feeding bivalves like mussels in monitoring programmes to function as indicator species in the Arctic. Mussels have also been suggested as indicator species for MP monitoring in coastal regions further south. Although we recognize the challenge with particle selection and egestion in mussels as well as the relatively low concentrations of MPs in Arctic waters, uptake levels seem to represent recent exposures. More research is needed to understand these selection processes and how they affect the bioaccumulation processes. Future research should include studies on whether different functional groups of invertebrates have different exposures to MPs, e.g., if there are differences between sessile versus motile species or different feeding strategies. More knowledge on monitoring strategies for pelagic and benthic species is needed.

Litter and microplastic assessments are being carried out worldwide. Arctic ecosystems are no exception and plastic pollution is high on the Arctic Council's agenda. Water and sediment have been identified as two of the priority compartments for monitoring plastics under the Arctic Monitoring and Assessment Programme (AMAP). Recommendations for monitoring both compartments are presented in this publication. Alone, such samples can provide information on presence, fate, and potential impacts to ecosystems. Together, the quantification of microplastics in sediment and water from the same region produce a three-dimensional picture of plastics, not only a snapshot of floating or buoyant plastics in the surface water or water column but also a picture of the plastics reaching the shoreline or benthic sediments, in lakes, rivers, and the ocean. Assessment methodologies must be adapted to the ecosystems of interest to generate reliable data. In its current form, published data on plastic pollution in the Arctic is sporadic and collected using a wide spectrum of methods which limits the extent to which data can be compared. A harmonised and coordinated effort is needed to gather data on plastic pollution for the Pan-Arctic. Such information will aid in identifying priority regions and focusing mitigation efforts.

Environmental impact assessments for new Arctic infrastructure do not adequately consider the likely long-term cumulative effects of climate change and infrastructure to landforms and vegetation in areas with ice-rich permafrost, due in part to lack of long-term environmental studies that monitor changes after the infrastructure is built. This case study examines long-term (1949–2020) climate- and road-related changes in a network of ice-wedge polygons, Prudhoe Bay Oilfield, Alaska. We studied four trajectories of change along a heavily traveled road and a relatively remote site. During 20 years prior to the oilfield development, the climate and landscapes changed very little. During 50 years after development, climate-related changes included increased numbers of thermokarst ponds, changes to ice-wedge-polygon morphology, snow distribution, thaw depths, dominant vegetation types, and shrub abundance. Road dust strongly affected plant-community structure and composition, particularly small forbs, mosses, and lichens. Flooding increased permafrost degradation, polygon center-trough elevation contrasts, and vegetation productivity. It was not possible to isolate infrastructure impacts from climate impacts, but the combined datasets provide unique insights into the rate and extent of ecological disturbances associated with infrastructure-affected landscapes under decades of climate warming. We conclude with recommendations for future cumulative impact assessments in areas with ice-rich permafrost.

We studied processes of ice-wedge degradation and stabilization at three sites adjacent to road infrastructure in the Prudhoe Bay Oilfield, Alaska, USA. We examined climatic, environmental, and subsurface conditions and evaluated vulnerability of ice wedges to thermokarst in undisturbed and road-affected areas. Vulnerability of ice wedges strongly depends on the structure and thickness of soil layers above ice wedges, including the active, transient, and intermediate layers. In comparison with the undisturbed area, sites adjacent to the roads had smaller average thicknesses of the protective intermediate layer (4 cm vs. 9 cm), and this layer was absent above almost 60% of ice wedges (vs. ∼45% in undisturbed areas). Despite the strong influence of infrastructure, ice-wedge degradation is a reversible process. Deepening of troughs during ice-wedge degradation leads to a substantial increase in mean annual ground temperatures but not in thaw depths. Thus, stabilization of ice wedges in the areas of cold continuous permafrost can occur despite accumulation of snow and water in the troughs. Although thermokarst is usually more severe in flooded areas, higher plant productivity, more litter, and mineral material (including road dust) accumulating in the troughs contribute to formation of the intermediate layer, which protects ice wedges from further melting.

Contexte : Le norovirus est la cause la plus courante de gastroentérite aiguë au Canada. La maladie cause une grande morbidité et des coûts sociétaux élevés. L’objectif de cet article est de décrire l’épidémiologie des norovirus dans la province de l’Ontario, au Canada, de 2009 à 2014. Méthodes : Pour évaluer l’activité des norovirus et de la gastroentérite virale en Ontario, trois ensembles de données ont été acquis auprès du gouvernement provincial, soit deux ensembles de données de surveillance traditionnelles (éclosions et laboratoires) et des données de surveillance syndromique (télésanté), tous couvrant la période de 2009 à 2014. Toutes les éclosions, les demandes de laboratoire et les appels de télésanté ont d’abord été évalués pour le nombre total de gastroentérites virales. On a calculé les totaux de norovirus et de maladies qui semblent provenir des norovirus sous forme de proportion de gastroentérite virale afin d’estimer les niveaux d’activité propres aux agents. Les types d’établissements touchés, les sexes et les groupes d’âge ont également été analysés. Résultats : Entre 2009 et 2014, 41,5 % des éclosions de gastroentérite virale, 63,4 % des soumissions aux laboratoire de gastroentérite virale et 36,6 % de tous les appels à la télésanté liés à la gastroentérite aiguë (non limités aux causes virales) ont été attribués aux norovirus et aux maladies qui semblent provenir des norovirus en Ontario. Le type d’établissement le plus souvent touché était celui des foyers de soins de longue durée et les groupes d’âge les plus touchés étaient les plus jeunes (moins de cinq ans) et les plus âgés (plus de 65 ans). Les femmes étaient légèrement plus touchées que les hommes. Conclusion : Les norovirus et les maladies qui semblent provenir des norovirus ont été la principale cause de gastroentérite virale en Ontario entre 2009 et 2014. Ils représentaient le pourcentage le plus élevé de gastroentérite virale par rapport à tous les autres virus associés aux gastroentérites virales. Des travaux supplémentaires sont nécessaires pour déterminer tous les coûts des composantes et les mesures de santé publique nécessaires pour réduire le fardeau de la maladie.

Background: Norovirus is the most common cause of acute gastroenteritis in Canada. The illness causes great morbidity and high societal costs. The objective of this article is to describe the epidemiology of norovirus in the province of Ontario, Canada from 2009 to 2014. Methods: To assess activity of norovirus and viral gastroenteritis (VGE) in Ontario, three datasets were acquired from the provincial government: two traditional surveillance datasets (outbreak and laboratory) and syndromic surveillance data (telehealth), all spanning 2009–2014. All outbreaks, laboratory submissions and telehealth calls were first assessed for total VGE. Norovirus and norovirus-like illness totals were calculated as a proportion of VGE to estimate agent-specific activity levels. Affected institution types, sexes and age groups were also analyzed. Results: Between 2009 and 2014, 41.5% of VGE outbreaks, 63.4% of VGE laboratory submissions and 36.6% of all acute gastroenteritis-related (not restricted to viral causes) telehealth calls were attributed to norovirus and norovirus-like illness in Ontario. The most commonly affected institution type was long-term care homes and the most commonly affected age groups were younger (younger than five years) and older (older than 65 years) individuals. Females were slightly more frequently affected than males. Conclusion: Norovirus and norovirus-like illnesses were the leading cause of VGE in Ontario between 2009 and 2014. They comprised the greatest percentage of VGE when compared with all other VGE-associated viruses. Additional work is needed to determine all component costs and necessary public health actions to reduce the burden of disease.

Indigenous peoples living in Canada’s north have long-valued the livers of Burbot (Lota lota) as a traditional food source; however, there has been concern relating to liver quality and potential contaminants. In this study, livers of Burbot collected in lower Mackenzie River were ranked using a traditional appearance-based assessment. These rankings were compared to a variety of biological and contaminant metrics. Livers ranked “most palatable” had a significantly higher mass and lipid content and were from younger fish with greater hepatosomatic index and total mass and had lower parasite intensities. There were no differences in the concentrations of persistent organic pollutants or metals, except copper, which although still well below consumption guidelines, was significantly higher in fish with livers that appeared most palatable. The results of this study demonstrated that traditional methods effectively assessed the quality of livers by selecting for the most nutritious (high lipid levels) and safest (low parasite loading) food. This method could be incorporated into a community-based monitoring framework as a rough index of overall fish and ecosystem health; however, would not be effective in screening food for anthropogenic contaminants. This study highlights the importance and value of linking traditional knowledge into scientific studies.

Competing Interests: Intérêts concurrents : Aucun déclaré.Cet article a été sollicité et il n’a pas été révisé par des pairs.

Competing Interests: Intérêts concurrents: Amy Greer reçoit un financement du Conseil de recherches en sciences naturelles et en génie du Canada, des Instituts de recherche en santé du Canada et du Programme des chaires de recherche du Canada. Aucun autre intérêt concurrent n’a été déclaré.