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The rocky shores of the north-east Atlantic have been long studied. Our focus is from Gibraltar to Norway plus the Azores and Iceland. Phylogeographic processes shape biogeographic patterns of biodiversity. Long-term and broadscale studies have shown the responses of biota to past climate fluctuations and more recent anthropogenic climate change. Inter- and intra-specific species interactions along sharp local environmental gradients shape distributions and community structure and hence ecosystem functioning. Shifts in domination by fucoids in shelter to barnacles/mussels in exposure are mediated by grazing by patellid limpets. Further south fucoids become increasingly rare, with species disappearing or restricted to estuarine refuges, caused by greater desiccation and grazing pressure. Mesoscale processes influence bottom-up nutrient forcing and larval supply, hence affecting species abundance and distribution, and can be proximate factors setting range edges (e.g., the English Channel, the Iberian Peninsula). Impacts of invasive non-native species are reviewed. Knowledge gaps such as the work on rockpools and host–parasite dynamics are also outlined.
The sternocleidomastoid can be used as a pedicled flap in head and neck reconstruction. It has previously been associated with high complication rates, likely due in part to the variable nature of its blood supply.
To provide clinicians with an up-to-date review of clinical outcomes of sternocleidomastoid flap surgery in head and neck reconstruction, integrated with a review of vascular anatomical studies of the sternocleidomastoid.
A literature search of the Medline and Web of Science databases was conducted. Complications were analysed for each study. The trend in success rates was analysed by date of the study.
Reported complication rates have improved over time. The preservation of two vascular pedicles rather than one may have contributed to improved outcomes.
The sternocleidomastoid flap is a versatile option for patients where prolonged free flap surgery is inappropriate. Modern vascular imaging techniques could optimise pre-operative planning.
This chapter summarizes our current understanding of the ionosphere of Saturn. We give an overview of Saturn ionospheric science from the Voyager era to the present, with a focus on the wealth of new data and discoveries enabled by Cassini, including a massive increase in the number of electron density altitude profiles. We discuss recent ground-based detections of the effect of “ring rain” on Saturn’s ionosphere, and present possible model interpretations of the observations. Finally, we outline current model-data discrepancies and indicate how future observations can help in advancing our understanding of the various controlling physical and chemical processes.
Excessive abdominal fat might be associated with more severe metabolic disorders in Holstein cows. Our hypothesis was that there are genetic differences between cows with low and high abdominal fat deposition and a normal cover of subcutaneous adipose tissue. The objective of this study was to assess the genetic basis for variation in visceral adiposity in US Holstein cows. The study included adult Holstein cows sampled from a slaughterhouse (Green Bay, WI, USA) during September 2016. Only animals with a body condition score between 2.75 and 3.25 were considered. The extent of omental fat at the level of the insertion of the lesser omentum over the pylorus area was assessed. A group of 100 Holstein cows with an omental fold <5 mm in thickness and minimum fat deposition throughout the entire omentum, and the second group of 100 cows with an omental fold ⩾20 mm in thickness and with a marked fat deposition observed throughout the entire omentum were sampled. A small piece of muscle from the neck was collected from each cow into a sterile container for DNA extraction. Samples were submitted to a commercial laboratory for interrogation of genome-wide genomic variation using the Illumina BovineHD Beadchip. Genome-Wide association analysis was performed to test potential associations between fat deposition and genomic variation. A univariate mixed linear model analysis was performed using genome-wide efficient mixed model association to identify single nucleotide polymorphisms (SNPs) significantly associated with variation in a visceral fat deposition. The chip heritability was 0.686 and the estimated additive genetic and residual variance components were 0.427 and 0.074, respectively. In total, 11 SNPs defining four quantitative trait locus (QTL) regions were found to be significantly associated with visceral fat deposition (P<0.00001). Among them, two of the QTL were detected with four and five significantly associated SNPs, respectively; whereas, the QTLs detected on BTA12 and BTA19 were each detected with only one significantly associated SNP. No enriched gene ontology terms were found within the gene networks harboring these genes when supplied to DAVID using either the Bos taurus or human gene ontology databases. We conclude that excessive omental fat in Holstein cows with similar body condition scores is not caused by a single Mendelian locus and that the trait appears to be at least moderately heritable; consequently, selection to reduce excessive omental fat is potentially possible, but would require the generation of predicted transmitting abilities from larger and random samples of Holstein cattle.
We performed a spatial-temporal analysis to assess household risk factors for Ebola virus disease (Ebola) in a remote, severely-affected village. We defined a household as a family's shared living space and a case-household as a household with at least one resident who became a suspect, probable, or confirmed Ebola case from 1 August 2014 to 10 October 2014. We used Geographic Information System (GIS) software to calculate inter-household distances, performed space-time cluster analyses, and developed Generalized Estimating Equations (GEE). Village X consisted of 64 households; 42% of households became case-households over the observation period. Two significant space-time clusters occurred among households in the village; temporal effects outweighed spatial effects. GEE demonstrated that the odds of becoming a case-household increased by 4·0% for each additional person per household (P < 0·02) and 2·6% per day (P < 0·07). An increasing number of persons per household, and to a lesser extent, the passage of time after onset of the outbreak were risk factors for household Ebola acquisition, emphasizing the importance of prompt public health interventions that prioritize the most populated households. Using GIS with GEE can reveal complex spatial-temporal risk factors, which can inform prioritization of response activities in future outbreaks.
Introduction: Redirecting low acuity patients from emergency departments to primary care walk-in clinics has been identified as a priority by many health authorities. Promoting family physicians for the management of ambulatory patients with urgent health concerns reflects the assumption that primary care facilities can offer high-quality and more affordable ambulatory emergency care. However, no performance assessment framework has been developed for ambulatory emergency care and consequently, quality of care provided in these alternate settings has never been formally compared. Primary objective: To identify structure, process and outcome indicators for ambulatory emergency care. Methods: We will identify and develop quality indicators (QIs) for ambulatory emergency care using a RAND/UCLA Appropriateness Method (RAM) composed of three different steps. First, we will perform a scoping literature review to inventory 1) all previously recommended QIs assessing care provided to ambulatory emergency patients in the ED or the primary care settings; 2) all conditions evaluated with the retrieved QIs; and 3) all outcomes measured by the same QIs. Second, a steering committee composed of the research team and of international experts in performance assessment in emergency and primary care will be presented with the lists of QI-related conditions and outcomes. They will be asked to identify potential outcome indicators for ambulatory emergency care by generating any relevant combinations of one condition and one outcome (e.g. acute asthma exacerbation/re-consultation). Committee members will be given the latitude to use and pair any conditions or outcomes not included in the lists as long as they think the resulting indicators are compatible with the study objectives. Using a structured nominal group approach, they will combine their suggestions and refine the list of potential QIs. This list of potential outcome indicators composed of pairs “condition/outcome” will be merged with the list of already published QIs identified during the literature review. Third, as per the RAM standards, we will assemble an international multidisciplinary panel (n=20) of patients, emergency and primary care providers, researchers and decision makers, after recommendations from international emergency and primary care associations, and from the Canadian Strategy for Patient-Oriented Research (SPOR) Support Units. Through iterative rounds of ratings using both web-based survey tools and videoconferencing, panelists will independently assess all candidate QIs. They will be asked to rate on a nine-level scale to what extent each QI is a relevant and useful measure of ambulatory emergency care quality. From one round to the next, QIs with a median panelist rating score of one to three will be excluded. Those with a median score of seven or more will be automatically included in the final list. QIs with median score of four to six will be retained for future deliberations among the panelists. Rounds of ratings will be conducted until all QIs are classified. Impact: The QIs identified will be used to develop a performance assessment framework for ambulatory emergency care. This will represent an essential step toward testing the assumption that EDs and primary care walk-in clinics provide equivalent care quality to low acuity patients.
Changes in respiratory pathogen testing can affect disease burden estimates. Using linked data, we describe changes in respiratory virus testing among children born in Western Australia in 1996–2012. We extracted data on respiratory specimens from these children from birth to age 9 years. We estimated testing rates by age, year, Aboriginal status and geographical location. Predictors of testing among children hospitalised at least once before their 10th birthday were identified using logistic regression. We compared detection methods for respiratory viruses from nasal/nasopharyngeal (NP) specimens by age and year. Of 83 199 virology testing records in 2000–2012, 80% were nasal/NP specimens. Infants aged <1 month had the highest testing rates. Testing rates in all children increased over the study period with considerable yearly fluctuations. Among hospitalised children, premature children <32 weeks gestation had over three times the odds of being tested (95% CI 3·47–4·13) than those born at term. Testing using molecular methods increased from 5% to 87% over the study period. Proportion of positive samples increased from 36·3% to 44·4% (P < 0·01); this change was greatest in children aged 2–9 years. These findings will assist in interpreting results from future epidemiology studies assessing the pathogen-specific burden of disease.
Synthetic organic pigments (SOPS) find wide use in modern and contemporary works of art. These laboratory-made pigments are used in many fields, including industrial and architectural paints, printing inks, plastics, textiles, and artists’ materials. They have been examined by a variety of techniques including spectroscopic methods such as Fourier transform infrared spectroscopy (FTIR), Raman, and X-ray powder diffraction (XRD) as well as chromatographic or mass spectrometric techniques such as pyrolysis-gas chromatography/mass spectrometry (Py-GC/MS) and laser desorption ionization mass spectrometry (LDI-MS). Often, a combination of techniques has been used to examine these pigments. Previously, we used a combination of Raman spectroscopy and LDI-MS to characterize commercially available SOPS. However, many pigments, termed “historical” are no longer manufactured, and therefore, may not have been characterized. This paper describes the synthesis of members of several classes of SOPS and their characterization.
Detailed ground-penetrating radar (GPR) surveys at 50 and 200 MHz on Hansbreen, a polythermal glacier in southern Svalbard, are presented and interpreted. Comparison of the variations in character of the radar reflections with borehole thermometry and water levels in moulins suggests that GPR can be used to study the hydrothermal properties of the glacier. The high resolution of the GPR data shows that the hydrothermal structure of the glacier is highly variable both along the centre line and on transverse profiles. Water contents for many places and depths within the glacier were calculated by estimating radar-wave velocities to point reflectors. We find typical water contents of 1-2% for the temperate ice, but wetter ice associated with surface crevassing and moulins (typically 4% water content). There is evidence that wet ice sometimes overlays drier ice. The hydrothermal structure is thus shown to be very complex. Temperature gradients in the cold ice indicate freezing rates of temperate ice below cold ice of 0.1-0.5 ma-1, while isolated point reflectors within the cold ice indicate large water-filled bodies that are probably related to the regular drainage structure of the glacier.
The Universe is permeated by hot, turbulent, magnetized plasmas. Turbulent plasma is a major constituent of active galactic nuclei, supernova remnants, the intergalactic and interstellar medium, the solar corona, the solar wind and the Earth’s magnetosphere, just to mention a few examples. Energy dissipation of turbulent fluctuations plays a key role in plasma heating and energization, yet we still do not understand the underlying physical mechanisms involved. THOR is a mission designed to answer the questions of how turbulent plasma is heated and particles accelerated, how the dissipated energy is partitioned and how dissipation operates in different regimes of turbulence. THOR is a single-spacecraft mission with an orbit tuned to maximize data return from regions in near-Earth space – magnetosheath, shock, foreshock and pristine solar wind – featuring different kinds of turbulence. Here we summarize the THOR proposal submitted on 15 January 2015 to the ‘Call for a Medium-size mission opportunity in ESAs Science Programme for a launch in 2025 (M4)’. THOR has been selected by European Space Agency (ESA) for the study phase.
We calibrated portions of the radiocarbon time scale with combined 230Th, 231Pa, 14C measurements of corals collected from Espiritu Santo, Vanuatu and the Huon Peninsula, Papua New Guinea. The new data map 14C variations ranging from the current limit of the tree-ring calibration [11,900 calendar years before present (cal BP), Kromer and Spurk 1998, now updated to 12,400 cal B P, see Kromer et al., this issue], to the 14C-dating limit of 50,000 cal BP, with detailed structure between 14 to 16 cal kyr BP and 19 to 24 cal kyr BP. Samples older than 25,000 cal BP were analyzed with high-precision 231Pa dating methods (Pickett et al. 1994; Edwards et al. 1997) as a rigorous second check on the accuracy of the 230Th ages. These are the first coral calibration data to receive this additional check, adding confidence to the age data forming the older portion of the calibration. Our results, in general, show that the offset between calibrated and 14C ages generally increases with age until about 28,000 cal BP, when the recorded 14C age is nearly 6800 yr too young. The gap between ages before this time is less; at 50,000 cal BP, the recorded 14C age is 4600 yr too young. Two major 14C-age plateaus result from a 130 drop in Δ14C between 14–15 cal kyr BP and a 700 drop in Δ14C between 22–25 cal kyr BP. In addition, a large atmospheric Δ14C excursion to values over 1000 occurs at 28 cal kyr BP. Between 20 and 10 cal kyr BP, a component of atmospheric Δ14C anti-correlates with Greenland ice δ18O, indicating that some portion of the variability in atmospheric Δ14C is related to climate change, most likely through climate-related changes in the carbon cycle. Furthermore, the 28-kyr excursion occurs at about the time of significant climate shifts. Taken as a whole, our data indicate that in addition to a terrestrial magnetic field, factors related to climate change have affected the history of atmospheric 14C.
Background: Few evidence-based disease-modifying treatments exist for progressive multiple sclerosis (MS). How can neurologists best care for patients with advanced MS? Little is known about how patients with progressive MS view their relationship with their treating neurologist, and if the role of the neurologist matches their needs and preferences. Methods: A qualitative cross-sectional analysis of patient preferences regarding the role of the neurologist in their care. Patients with progressive MS and an EDSS score of 6 or more were invited to participate. Patients and caregivers completed separate written questionnaires and were then interviewed by one of the authors. Data were subjected to thematic coding to group common themes and the distribution of themes among different disability sub-groups was analyzed. Results: Full results will be available at the time of the conference. Preliminary results suggest that the neurologist has an important role in updating patients on the progress of their disease and responding to questions. Patients are fearful of becoming dependent on others for their care. The concept of palliative care is unfamiliar to most patients. Conclusions: Despite a lack of disease-modifying treatments for progressive multiple sclerosis, patients believe that the neurologist has an important role in their care.
The evidence underpinning the developmental origins of health and disease (DOHaD) is overwhelming. As the emphasis shifts more towards interventions and the translational strategies for disease prevention, it is important to capitalize on collaboration and knowledge sharing to maximize opportunities for discovery and replication. DOHaD meetings are facilitating this interaction. However, strategies to perpetuate focussed discussions and collaborations around and between conferences are more likely to facilitate the development of DOHaD research. For this reason, the DOHaD Society of Australia and New Zealand (DOHaD ANZ) has initiated themed Working Groups, which convened at the 2014–2015 conferences. This report introduces the DOHaD ANZ Working Groups and summarizes their plans and activities. One of the first Working Groups to form was the ActEarly birth cohort group, which is moving towards more translational goals. Reflecting growing emphasis on the impact of early life biodiversity – even before birth – we also have a Working Group titled Infection, inflammation and the microbiome. We have several Working Groups exploring other major non-cancerous disease outcomes over the lifespan, including Brain, behaviour and development and Obesity, cardiovascular and metabolic health. The Epigenetics and Animal Models Working Groups cut across all these areas and seeks to ensure interaction between researchers. Finally, we have a group focussed on ‘Translation, policy and communication’ which focusses on how we can best take the evidence we produce into the community to effect change. By coordinating and perpetuating DOHaD discussions in this way we aim to enhance DOHaD research in our region.
Since the date of the 1935 Paris meeting two total eclipses have been successfully observed. Throughout the long path crossing Siberia and Japan the weather on June 19, 1936 on the whole about lived up to predictions. On account of widely scattered clouds neighbouring expeditions had quite different luck with the weather. In contrast, the June 8, 1937 eclipse was seen throughout the whole track under universally clear skies, which is all the more surprising for the reason that eclipse expeditions to the tropics usually fare badly with the weather. Stewart and Stokley in a ship at sea were able to observe the eclipse with a measured duration of 7 min. 6 sec., the longest period of totality in 1200 years.
Small < 10 m s−1 variations of radial velocity (RV) with multi-year periods in solar-type stars may be indistinguishable from the effects induced on lines by stellar activity cycles (Dravins 1985; Saar & Donahue 1997). Dravins (1992) recommended a resolving power R > 3 × 105 to measure accurately the subtle changes in the shapes of bisectors of photospheric absorption lines driven by changes of granular convection in slowly rotating dwarf stars. Butler et al. (1996) measure impressively small amplitudes of RVs by using echelle spectrographs that cover a broad spectrum. However, to cover a broad spectrum the resolving power is typically limited to < 7 × 104, and the necessary presence of the iodine absorption spectrum may make it difficult to measure convective line shifts contemporaneously with the RV time series. Furthermore, to reach an RV accuracy of ± 3 ms−1 the whole profile of each line is used, thus maximizing the possibility that changes in the shapes of the lines’ C-bisectors could induce an apparent variation of RV.
Dravins (1985) recommended the exclusive use of the steep flanks of photospheric absorption lines to minimize the effects of convection on apparent RV. McMillan et al. (1993, 1994) demonstrated that such RV measurements made with a Fabry-Perot etalon (FPE) interferometer in transmission can be stable in the presence of stellar line variations seen by other investigators whose measurements were not based exclusively on line flanks. Dravins also prescribed high resolving power, high signal-to-noise ratio, high instrumental contrast, and low instrumental wings to analyze the rest of the line profile for convectively-driven changes (Dravins 1978, 1987, 1992). A double- or multiple-pass FPE scanning whole line profiles can provide high R, high contrast, low wings, and a stable, symmetrical line spread function with small (portable) optics, although the low photon efficiency will restrict its use to a few carefully selected stars. The spectral classes of these stars should span the spectral classes of the stars being monitored by others for planets. We describe a possible implementation of this concept that has the potential for adequate photon flux: observing symbiotically through another instrument on a 6-m to 10-m class telescope.