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Knowledge of the status of ecosystems is vital to help develop and implement conservation strategies. This is particularly relevant to the Arctic where the need for biodiversity conservation and monitoring has long been recognised, but where issues of local capacity and logistic barriers make surveys challenging. This paper demonstrates how long-term monitoring programmes outside the Arctic can contribute to developing composite trend indicators, using monitoring of annual abundance and population-level reproduction of species of migratory Arctic-breeding waterbirds on their temperate non-breeding areas. Using data from the UK and the Netherlands, countries with year-round waterbird monitoring schemes and supporting relevant shares of Arctic-breeding populations of waterbirds, we present example multi-species abundance and productivity indicators related to the migratory pathways used by different biogeographical populations of Arctic-breeding wildfowl and wader species in the East Atlantic Flyway. These composite trend indicators show that long-term increases in population size have slowed markedly in recent years and in several cases show declines over, at least, the last decade. These results constitute proof of concept. Some other non-Arctic countries located on the flyways of Arctic-breeding waterbirds also annually monitor abundance and breeding success, and we advocate that future development of “Arctic waterbird indicators” should be as inclusive of data as possible to derive the most robust outputs and help account for effects of current changes in non-breeding waterbird distributions. The incorporation of non-Arctic datasets into assessments of the status of Arctic biodiversity is recognised as highly desirable, because logistic constraints in monitoring within the Arctic region limit effective population-scale monitoring there, in effect enabling “monitoring at a distance”.
This study demonstrates a national programme which has been accepted in Wales as a mandatory part of the induction process for the rotating ENT SHO cohort.
Methods
The ENT Induction Bootcamp was established based on the learning needs of ENT SHOs. Pre- and post-course assessment of the subjective and objective benefit of the 1-day course was captured.
Results
Between 2022 and 2024, 152 participants have attended the bootcamp; all of whom (100 per cent) found the course beneficial. The greatest improvements in participant confidence were observed in emergency tracheostomy management, flexible nasendoscopy and nasal examination (all p < 0.01). Based on objective assessment, participant knowledge improved from a mean of 68.5 per cent to 96.5 per cent.
Conclusion
This initiative highlights the value of a bootcamp approach to standardise junior doctors’ abilities to manage ENT emergencies. This bootcamp is now a mandatory component for all SHO entering ENT attachments in Wales, in an easily adoptable format.
Schizophrenia is associated with hypoactivation of reward sensitive brain areas during reward anticipation. However, it is unclear whether these neural functions are similarly impaired in other disorders with psychotic symptomatology or individuals with genetic liability for psychosis. If abnormalities in reward sensitive brain areas are shared across individuals with psychotic psychopathology and people with heightened genetic liability for psychosis, there may be a common neural basis for symptoms of diminished pleasure and motivation.
Methods
We compared performance and neural activity in 123 people with a history of psychosis (PwP), 81 of their first-degree biological relatives, and 49 controls during a modified Monetary Incentive Delay task during fMRI.
Results
PwP exhibited hypoactivation of the striatum and anterior insula (AI) during cueing of potential future rewards with each diagnostic group showing hypoactivations during reward anticipation compared to controls. Despite normative task performance, relatives demonstrated caudate activation intermediate between controls and PwP, nucleus accumbens activation more similar to PwP than controls, but putamen activation on par with controls. Across diagnostic groups of PwP there was less functional connectivity between bilateral caudate and several regions of the salience network (medial frontal gyrus, anterior cingulate, AI) during reward anticipation.
Conclusions
Findings implicate less activation and connectivity in reward processing brain regions across a spectrum of disorders involving psychotic psychopathology. Specifically, aberrations in striatal and insular activity during reward anticipation seen in schizophrenia are partially shared with other forms of psychotic psychopathology and associated with genetic liability for psychosis.
In recent years, the company called CB Resourcing has established itself in the recruitment business and regularly advertises for positions in the knowledge management, business research, legal tech and law librarianship worlds. In this short article one of the Directors of CB Resourcing, Simon Burton, offers some thoughts about the recruitment business, the current state of the market and describes the services that are provided by the company. The article has been written in the form of an interview with questions posed by the editor of this journal and answers given by Simon Burton.
Shortages of personal protective equipment during the coronavirus disease 2019 (COVID-19) pandemic have led to the extended use or reuse of single-use respirators and surgical masks by frontline healthcare workers. The evidence base underpinning such practices warrants examination.
Objectives:
To synthesize current guidance and systematic review evidence on extended use, reuse, or reprocessing of single-use surgical masks or filtering face-piece respirators.
Data sources:
We used the World Health Organization, the European Centre for Disease Prevention and Control, the US Centers for Disease Control and Prevention, and Public Health England websites to identify guidance. We used Medline, PubMed, Epistemonikos, Cochrane Database, and preprint servers for systematic reviews.
Methods:
Two reviewers conducted screening and data extraction. The quality of included systematic reviews was appraised using AMSTAR-2. Findings were narratively synthesized.
Results:
In total, 6 guidance documents were identified. Levels of detail and consistency across documents varied. They included 4 high-quality systematic reviews: 3 focused on reprocessing (decontamination) of N95 respirators and 1 focused on reprocessing of surgical masks. Vaporized hydrogen peroxide and ultraviolet germicidal irradiation were highlighted as the most promising reprocessing methods, but evidence on the relative efficacy and safety of different methods was limited. We found no well-established methods for reprocessing respirators at scale.
Conclusions:
Evidence on the impact of extended use and reuse of surgical masks and respirators is limited, and gaps and inconsistencies exist in current guidance. Where extended use or reuse is being practiced, healthcare organizations should ensure that policies and systems are in place to ensure these practices are carried out safely and in line with available guidance.
Recent studies of subaerial volcano carbon flux have challenged previous assumptions about carbon recycling in the mantle and the ratio of ingassing to outgassing. This chapter reviews the current state of knowledge of the flux of carbon from subaerial volcanoes at subduction zones and intraplate locations, as well as through diffuse degassing away from volcanic vents. It also reviews the importance of crustal carbonate assimilation and carbonate platforms on these fluxes. The chapter presents an overview of how these fluxes are estimated – including descriptions of new technologies and recent field campaigns – and the timescales of flux measurements. It also summarizes what is currently known about the flux of carbon versus other volatile elements in these various settings. Supplemental online material is available for this chapter at www.cambridge.org/9781108477499#resources.
Resistance training is an important aspect of healthy ageing, yet participation rates are especially low among older people. Strategies are needed to ensure resistance training programmes are attractive to and appropriate for this target group. To inform the development of such strategies, individual interviews (N = 42) and focus groups (four groups, N = 37) were conducted with 79 Western Australians representing four stakeholder groups: instructors who deliver resistance training programmes to older people, health practitioners, policy makers and seniors. Results indicate that the need for personalised attention in the establishment and maintenance phases of a resistance training programme can constitute both a positive and negative aspect of older people's experiences. The negative aspects were identified as a series of tensions between the need for personalised attention and (a) the desire to participate in physical activity within social groups, (b) a preference for activity variation, (c) a dislike for large centres where personalised guidance is often available yet the surroundings can be considered unappealing, (d) cost issues and (e) the need for flexibility in attendance. Recommended strategies for overcoming these tensions include disseminating information about the benefits of resistance training in later life to increase motivation to participate, identifying additional methods of integrating resistance training into group exercise formats, making gyms more attractive to older people and providing non-gym alternatives for resistance training.
Understanding the cultural evolution of complicated group-level traits requires the mathematical formulation of a dynamical system with birth and death events at multiple levels, that is, at the level of individual humans and at the level of groups of humans. Both levels are characterized by cultural traits that have complicated transmission, innovation, and inheritance mechanisms and that can undergo a form of Lamarckian evolution.
We present Herschel/HIFI sub-mm atomic carbon ([Ci] 3P1 – 3P0 and [Ci] 3P2 – 3P1), ionized carbon ([Cii] 2P3/2 – 2P1/2), and ionized nitrogen ([Nii] 3P1 – 3P0) line observations obtained in the frame of the Herschel Guaranteed Time HEXGAL (Herschel EXtraGALactic) key program (P. I. Rolf Güsten, MPIfR), and NANTEN2/SMART carbon monoxide (CO(J = 4 – 3)) observations of the warm gas around the Sgr A region. The spectrally resolved emission from all lines, and the corresponding line intensity ratios, show a very complex morphology. The determination of spatial and spectral (anti)correlation with known sources in the Sgr A region such as the Arched Filaments, NTF filaments, the Sickle, Quintuplet cluster, CND clouds, is ongoing work.
We present the first results from a new carbon monoxide (CO) survey of the southern Galactic plane being conducted with the Mopra radio telescope in Australia. The 12CO, 13CO, and C18O J = 1–0 lines are being mapped over the $l = 305^{\circ }\text{--} 345^{\circ }, b = \pm 0.5^{\circ }$ portion of the fourth quadrant of the Galaxy, at 35 arcsec spatial and 0.1 km s−1 spectral resolution. The survey is being undertaken with two principal science objectives: (i) to determine where and how molecular clouds are forming in the Galaxy and (ii) to probe the connection between molecular clouds and the ‘missing’ gas inferred from gamma-ray observations. We describe the motivation for the survey, the instrumentation and observing techniques being applied, and the data reduction and analysis methodology. In this paper, we present the data from the first degree surveyed, $l = 323^{\circ } \text{--} 324^{\circ }, b = \pm 0.5^{\circ }$. We compare the data to the previous CO survey of this region and present metrics quantifying the performance being achieved; the rms sensitivity per 0.1 km s−1 velocity channel is ~1.5 K for ${\rm ^{12}CO}$ and ~0.7 K for the other lines. We also present some results from the region surveyed, including line fluxes, column densities, molecular masses, ${\rm ^{12}CO/^{13}CO}$ line ratios, and ${\rm ^{12}CO}$ optical depths. We also examine how these quantities vary as a function of distance from the Sun when averaged over the 1 square degree survey area. Approximately 2 × 106M⊙ of molecular gas is found along the G323 sightline, with an average H2 number density of $n_{\text{H}_2} \sim 1$ cm−3 within the Solar circle. The CO data cubes will be made publicly available as they are published.
We have developed a 350 μm radiometer to perform automated site testing in remote regions of Antarctica. In summer 2000–2001 the instrument operated at Concordia, a new station under construction at Dome C on the Antarctic Plateau. We present the results, and compare them with the atmospheric opacity measured at the South Pole in the same five-week period. During these five weeks, observing conditions at Dome C were, on average, substantially better than those at the South Pole.
This Summary for Policymakers presents key findings from the Special Report on Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation (SREX). The SREX approaches the topic by assessing the scientific literature on issues that range from the relationship between climate change and extreme weather and climate events (‘climate extremes’) to the implications of these events for society and sustainable development. The assessment concerns the interaction of climatic, environmental, and human factors that can lead to impacts and disasters, options for managing the risks posed by impacts and disasters, and the important role that non-climatic factors play in determining impacts. Box SPM.1 defines concepts central to the SREX.
The character and severity of impacts from climate extremes depend not only on the extremes themselves but also on exposure and vulnerability. In this report, adverse impacts are considered disasters when they produce widespread damage and cause severe alterations in the normal functioning of communities or societies. Climate extremes, exposure, and vulnerability are influenced by a wide range of factors, including anthropogenic climate change, natural climate variability, and socioeconomic development (Figure SPM.1). Disaster risk management and adaptation to climate change focus on reducing exposure and vulnerability and increasing resilience to the potential adverse impacts of climate extremes, even though risks cannot fully be eliminated (Figure SPM.2). Although mitigation of climate change is not the focus of this report, adaptation and mitigation can complement each other and together can significantly reduce the risks of climate change. [SYR AR4, 5.3]
Canadian Cardiovascular Society consensus guidelines recommend that tetralogy of Fallot patients be seen by a congenital cardiologist every 2 years. In Atlantic Canada, tetralogy of Fallot patients are followed up at either tertiary or satellite clinics, which are held in the community and attended by paediatric cardiologists. The effectiveness of satellite clinics in congenital cardiac disease follow-up is unproven. Our objective was to compare patient-reported quality of life measures to determine whether these were impacted by the site of follow-up.
Methods
We included patients with tetralogy of Fallot undergoing surgical repair at the Izaak Walton Killam Health Centre from 1 November, 1972 to 31 May, 2002. Quality of life surveys, SF-10 or SF-36v2, were administered to consenting patients. We analysed the subjective health status by patient age and site of follow-up.
Results
Of the 184 eligible patients, 72 were lost to follow-up. Of the locatable patients, 61% completed the questionnaires. In all, 90% (101 out of 112) were followed up at recommended intervals. Of the 112 (68%) patients, 76 were followed up at a tertiary clinic. These patients were older, with a mean age of 18.4 years versus 14.7 years, and scored higher on the SF-36 physical component summary (52.6 versus 45.7, p = 0.02) compared with satellite clinic patients. The SF-36 mental component summary scores were similar for patients regardless of the site of follow-up. SF-10 physical and psychosocial scores were similar regardless of the site of follow-up.
Conclusion
Tetralogy of Fallot patients followed at either satellite or tertiary clinics have similar subjective health status.
Over the past 3 years, we have conducted a survey of 100 square degrees of the southern Galactic plane with the Mopra radiotelescope (HOPS). The survey includes observations of multiple spectral lines in the 12 mm band, with the most important being the water maser transition at 22.2 GHz and the non-metastable inversion transitions of ammonia. We report on initial results from HOPS, including the detection of 540 water masers, about two-thirds of which appear to be new detections. We also find widespread emission in the NH3 (1,1) line, as well as detec tions in the NH3 (2,2), (3,3), (6,6) and (9,9) lines.
Genetics, Health Care and Public Policy is an introduction to the new discipline of public health genetics. It brings together the insights of genetic and molecular science as a means of protecting and improving the health of the population. Its scope is wide and requires an understanding of genetics, epidemiology, public health and the principles of ethics, law and the social sciences. This book sets out the basic principles of public health genetics for a wide audience from those providing health care to those involved in establishing policy. The emphasis throughout the text is on providing an accessible introduction to the field. The content moves from the basic concepts, including definitions and history, through chapters on genetics, genetic technology, epidemiology, genetics in medicine, genetics in health services, ethical, legal and social implications, to the implications for health policy. It provides one-stop, introductory coverage of this rapidly developing and multidisciplinary field.
We are studying the Central Molecular Zone (CMZ) in the inner few degreesaround the Galactic Centre, by mapping a large number of 3-mm molecularlines. We have used the 22-m Mopra telescope, with the newcapabilities of the 8-GHz bandwidth MOPS digital filter bank. During 2006, we covered a 5 × 5 arcmin2 area of theSagittarius B2 molecular cloud complex, with spectral coverage ofnearly all of the range 81.7 to 113.5 GHz with 4 tunings of thebroad band mode. We imaged over 50 spectral lines with strong extended emissionand around 110 more lines which were weak, or concentrated at the Sgr B2(N) andSgr B2(M) cores (Jones et al. 2008). We find substantial differences in chemical and physical conditions within the complex. During 2007 we covered the larger region of longitude -0.2 to 0.9 deg. andlatitude -0.20 to 0.12 deg., including Sgr A and Sgr B2, in the frequency range85.3 to 91.3 GHz. This includes lines of C3H2, CH3CCH,HOCO+, SO, H13CN, H13CO+, SO, HN13C, C2H, HNCO,HCN, HCO+, HNC, HC3N, 13CS and N2H+.
We have used the new broadband capabilities of the Mopra telescope to map the distribution of 26 different molecular transitions in an approximately 1 degree square region of the southern Galactic plane (the G333/RCW106 giant molecular cloud complex). The aim is to addresss observationally some of the key questions about the dynamical processes surrounding massive star formation (e.g. massive stellar winds and large-scale galactic flows) and their relative importance in regulating the star formation process. These dynamical processes help drive the turbulent motions, which are ubiquitous in giant molecular clouds (GMCs). The multi-molecular line nature of this survey is what distinguishes it from similar surveys and is crucial for gaining a clear picture of the energetics and dynamics of the gas. Investigating and understanding the chemistry of this region is a necessary part of the project if the molecular line observations are to be interpreted physically.