A horizon scan was conducted to identify emerging and intensifying issues for biodiversity conservation in South Africa over the next 5–10 years. South African biodiversity experts submitted 63 ...issues of which ten were identified as priorities using the Delphi method. These priority issues were then plotted along axes of social agreement and scientific certainty, to ascertain whether issues might be “simple” (amenable to solutions from science alone), “complicated” (socially agreed upon but technically complicated), “complex” (scientifically challenging and significant levels of social disagreement) or “chaotic” (high social disagreement and highly scientifically challenging). Only three of the issues were likely to be resolved by improved science alone, while the remainder require engagement with social, economic and political factors. Fortunately, none of the issues were considered chaotic. Nevertheless, strategic communication, education and engagement with the populace and policy makers were considered vital for addressing emerging issues.
Atlantic salmon
Salmo salar
is a socio-economically important anadromous fish species that has suffered synchronous population declines around the North Atlantic over the last five decades. Reduced ...marine survival has been implicated as a key driver of the declines, yet the relative importance of different stressors causing mortality at sea is not well understood. This review presents a synopsis of the principal stressors impacting Atlantic salmon in estuarine and marine environments. It also applies a semi-quantitative 2-D classification system to assess the relative effects of these stressors on English salmon stocks and their likely development over the next decade. Climate change and predation were identified as the biggest threats at present and over the next decade. Poor water quality and bycatch were classified as relatively high impact stressors, but with a lower likelihood of becoming more prevalent in the future due to available mitigation measures. Other, less influential, stressors included tidal barrages, artificial light at night, impingement in power-station cooling waters and thermal discharges, pile-driving noise pollution, invasive non-native species, electromagnetic fields, salmon mariculture, and tidal lagoons. Salmon fisheries exploitation was not regarded as an important stressor currently because effective exploitation rate controls have been implemented to substantially reduce fishing pressure. Future research priorities include addressing knowledge gaps on expanding stressor impacts from climate change, predation, renewable energy developments, and artificial light at night. Local management actions directed towards improving freshwater and estuarine habitats to maximise ecosystem resilience to stressors and minimise their cumulative impacts are recommended.
Abstract Objective To report the incidence and demographic features of pediatric intracranial hypertension. Methods Inpatient and outpatient encounters of children aged 18 years or younger who were ...diagnosed with primary (idiopathic) or secondary intracranial hypertension between January 2010 and December 2013 were identified. Data was collected from a subspecialty clinic devoted to intracranial hypertension and the sole children’s hospital in a large midwestern city of the United States. Estimated incidence rates were calculated based upon the number of newly diagnosed patients in our hospital’s primary service area which includes seven central Ohio counties. Sex, race, BMI, socioeconomic status, and geographic distribution are also described. Results A total of 74 pediatric patients with intracranial hypertension were diagnosed (49 primary/idiopathic and 25 secondary) between January 2010 and December 2013. Using data from the Ohio Hospital Association’s database, we were able to determine the pediatric population in our service area during the 3 year period. The database estimated that 92.3% of patients aged 0-17 years residing in the region sought care at our institution. The estimated annual incidence of primary and secondary intracranial hypertension was calculated at 0.63 and 0.32 per 100,000 children respectively. Conclusion We found that the estimated annual incidence of pediatric primary intracranial hypertension in our 7 county service area in central Ohio is in line with previous pediatric reports from other countries and is 2/3 that reported in the US adult population.
Previous infection with SARS-CoV-2 affects the immune response to the first dose of the SARS-CoV-2 vaccine. We aimed to compare SARS-CoV-2-specific T-cell and antibody responses in health-care ...workers with and without previous SARS-CoV-2 infection following a single dose of the BNT162b2 (tozinameran; Pfizer–BioNTech) mRNA vaccine.
We sampled health-care workers enrolled in the PITCH study across four hospital sites in the UK (Oxford, Liverpool, Newcastle, and Sheffield). All health-care workers aged 18 years or older consenting to participate in this prospective cohort study were included, with no exclusion criteria applied. Blood samples were collected where possible before vaccination and 28 (±7) days following one or two doses (given 3–4 weeks apart) of the BNT162b2 vaccine. Previous infection was determined by a documented SARS-CoV-2-positive RT-PCR result or the presence of positive anti-SARS-CoV-2 nucleocapsid antibodies. We measured spike-specific IgG antibodies and quantified T-cell responses by interferon-γ enzyme-linked immunospot assay in all participants where samples were available at the time of analysis, comparing SARS-CoV-2-naive individuals to those with previous infection.
Between Dec 9, 2020, and Feb 9, 2021, 119 SARS-CoV-2-naive and 145 previously infected health-care workers received one dose, and 25 SARS-CoV-2-naive health-care workers received two doses, of the BNT162b2 vaccine. In previously infected health-care workers, the median time from previous infection to vaccination was 268 days (IQR 232–285). At 28 days (IQR 27–33) after a single dose, the spike-specific T-cell response measured in fresh peripheral blood mononuclear cells (PBMCs) was higher in previously infected (n=76) than in infection-naive (n=45) health-care workers (median 284 IQR 150–461 vs 55 IQR 24–132 spot-forming units SFUs per 106 PBMCs; p<0·0001). With cryopreserved PBMCs, the T-cell response in previously infected individuals (n=52) after one vaccine dose was equivalent to that of infection-naive individuals (n=19) after receiving two vaccine doses (median 152 IQR 119–275 vs 162 104–258 SFUs/106 PBMCs; p=1·00). Anti-spike IgG antibody responses following a single dose in 142 previously infected health-care workers (median 270 373 IQR 203 461–535 188 antibody units AU per mL) were higher than in 111 infection-naive health-care workers following one dose (35 001 17 099–55 341 AU/mL; p<0·0001) and higher than in 25 infection-naive individuals given two doses (180 904 108 221–242 467 AU/mL; p<0·0001).
A single dose of the BNT162b2 vaccine is likely to provide greater protection against SARS-CoV-2 infection in individuals with previous SARS-CoV-2 infection, than in SARS-CoV-2-naive individuals, including against variants of concern. Future studies should determine the additional benefit of a second dose on the magnitude and durability of immune responses in individuals vaccinated following infection, alongside evaluation of the impact of extending the interval between vaccine doses.
UK Department of Health and Social Care, and UK Coronavirus Immunology Consortium.
IntroductionThe Stather Canadian Outcomes registry for chest ProcedurEs (SCOPE registry) is a Canadian multicentre registry of chest procedures.Methods and analysisThe SCOPE registry is designed as a ...multicentre prospective database of specific bronchoscopic or other pulmonary procedures. Each procedure of interest will be associated with a registry module, and data capture designed to evaluate effectiveness of procedures on relevant patient outcomes. Participating physicians will be asked to enter data for all procedures performed in a given module. The anonymised dataset will be housed in a web-based electronic secure database. Specific modules included will be based on participating physician suggestions, capacity and consensus of the steering committee and relevance of hypotheses/research potential.Ethics and disseminationThe central registry is under approval from the Conjoint Health Research Ethics Board at the University of Calgary. We aim for registry data to lead to publication of manuscripts in international medical journals as the primary mode of dissemination. Data may also be used by local investigators for personal and/or institutional quality control purposes as well as to inform health policies. Data requests from non-participating investigators for use under ethics approved research protocols can be considered.
We have evaluated the extent to which SNPs identified by genomewide surveys as showing unusually high levels of population differentiation in humans have experienced recent positive selection, ...starting from a set of 32 nonsynonymous SNPs in 27 genes highlighted by the HapMap1 project. These SNPs were genotyped again in the HapMap samples and in the Human Genome Diversity Project-Centre d'Etude du Polymorphisme Humain (HGDP-CEPH) panel of 52 populations representing worldwide diversity; extended haplotype homozygosity was investigated around all of them, and full resequence data were examined for 9 genes (5 from public sources and 4 from new data sets). For 7 of the genes, genotyping errors were responsible for an artifactual signal of high population differentiation and for 2, the population differentiation did not exceed our significance threshold. For the 18 genes with confirmed high population differentiation, 3 showed evidence of positive selection as measured by unusually extended haplotypes within a population, and 7 more did in between-population analyses. The 9 genes with resequence data included 7 with high population differentiation, and 5 showed evidence of positive selection on the haplotype carrying the nonsynonymous SNP from skewed allele frequency spectra; in addition, 2 showed evidence of positive selection on unrelated haplotypes. Thus, in humans, high population differentiation is (apart from technical artifacts) an effective way of enriching for recently selected genes, but is not an infallible pointer to recent positive selection supported by other lines of evidence.
Disturbances affect almost all terrestrial ecosystems, but it has been difficult to identify general principles regarding these influences. To improve our understanding of the long-term consequences ...of disturbance on terrestrial ecosystems, we present a conceptual framework that analyzes disturbances by their biogeochemical impacts. We posit that the ratio of soil and plant nutrient stocks in mature ecosystems represents a characteristic site property. Focusing on nitrogen (N), we hypothesize that this partitioning ratio (soil N: plant N) will undergo a predictable trajectory after disturbance. We investigate the nature of this partitioning ratio with three approaches: (1) nutrient stock data from forested ecosystems in North America, (2) a process-based ecosystem model, and (3) conceptual shifts in site nutrient availability with altered disturbance frequency. Partitioning ratios could be applied to a variety of ecosystems and successional states, allowing for improved temporal scaling of disturbance events. The generally short-term empirical evidence for recovery trajectories of nutrient stocks and partitioning ratios suggests two areas for future research. First, we need to recognize and quantify how disturbance effects can be accreting or depleting, depending on whether their net effect is to increase or decrease ecosystem nutrient stocks. Second, we need to test how altered disturbance frequencies from the present state may be constructive or destructive in their effects on biogeochemical cycling and nutrient availability. Long-term studies, with repeated sampling of soils and vegetation, will be essential in further developing this framework of biogeochemical response to disturbance.
•Smoking behavior of non-eligible individuals for screening is proposed.•A significant proportion of them are active smokers.•A significant proportion of them have significant nicotine ...dependence.•Very few are currently participating in active smoking cessation programs.•Almost all are interested in quitting and in receiving help with quit attempts.
The importance of smoking cessation interventions in lung cancer screening participants has been highlighted. This study aimed to describe the smoking habits of individuals who were ineligible for lung cancer screening and to investigate whether this encounter may represent an opportunity to reduce tobacco use.
Ever smokers between the ages of 55 and 80 and ≥1.5% lung cancer risk over 6 years or having smoked ≥30 pack-years and with no more than 15 years of smoking abstinence were eligible to participate in the Alberta Lung Cancer Screening Program (ALCSP). A baseline questionnaire exploring tobacco use was administered to all interested individuals as part of the eligibility determination for the program.
Among 504 individuals, 254 (50.4%) met the criteria for the ALCSP and 250 (49.6%) were non-eligible for screening. Non-eligible individuals were slightly younger (mean=60.2 vs. 63.1 years, p-value <0.001), and less likely to be current smokers (26.0% vs. 48.8%, p-value <0.001). Non-eligible smokers had a lower degree of addiction compared to eligible group, as measured by the Fagerström Test of Nicotine Dependence (Median=4.0 vs 6.0, p-value=0.001), but still in the “moderately dependent” range for this test. There were no significant differences in motivation to quit (98.5% vs. 97.6%, p-value=0.689), or motivation to receive help with their quit attempt (89.2% vs. 90.3%, p-value=0.813) between these two groups. Only 7.7% of non-eligible and 2.4% of eligible current smokers were currently in a smoking cessation program.
A significant proportion of individuals applying to, but not qualifying for a lung cancer screening program are active smokers with significant nicotine dependence. Very few are currently participating in active smoking cessation programs but almost all are interested in quitting and in receiving help with quit attempts. Future studies need to investigate the most effective approaches for smoking cessation in this substantial group of older, long-term smokers, capitalizing on their motivation to receive cessation assistance.
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