| 1. |
- Ademuyiwa, Adesoji O., et al.
(författare)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
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| 2. |
- Arndt, D. S., et al.
(författare)
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STATE OF THE CLIMATE IN 2017
- 2018
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Ingår i: Bulletin of The American Meteorological Society - (BAMS). - : American Meteorological Society. - 0003-0007 .- 1520-0477. ; 99:8, s. S1-S310
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Forskningsöversikt (refereegranskat)
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| 3. |
- Szatmari, Peter, et al.
(författare)
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Mapping autism risk loci using genetic linkage and chromosomal rearrangements.
- 2007
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Ingår i: Nature Genetics. - : Springer Science and Business Media LLC. - 1061-4036 .- 1546-1718. ; 39:3, s. 319-328
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Tidskriftsartikel (refereegranskat)abstract
- Autism spectrum disorders (ASDs) are common, heritable neurodevelopmental conditions. The genetic architecture of ASDs is complex, requiring large samples to overcome heterogeneity. Here we broaden coverage and sample size relative to other studies of ASDs by using Affymetrix 10K SNP arrays and 1,168 families with at least two affected individuals, performing the largest linkage scan to date while also analyzing copy number variation in these families. Linkage and copy number variation analyses implicate chromosome 11p12-p13 and neurexins, respectively, among other candidate loci. Neurexins team with previously implicated neuroligins for glutamatergic synaptogenesis, highlighting glutamate-related genes as promising candidates for contributing to ASDs.
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| 4. |
- Arndt, D. S., et al.
(författare)
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State of the Climate in 2016
- 2017
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Ingår i: Bulletin of The American Meteorological Society - (BAMS). - 0003-0007 .- 1520-0477. ; 98:8, s. S1-S280
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Tidskriftsartikel (refereegranskat)abstract
- In 2016, the dominant greenhouse gases released into Earth's atmosphere-carbon dioxide, methane, and nitrous oxide-continued to increase and reach new record highs. The 3.5 +/- 0.1 ppm rise in global annual mean carbon dioxide from 2015 to 2016 was the largest annual increase observed in the 58-year measurement record. The annual global average carbon dioxide concentration at Earth's surface surpassed 400 ppm (402.9 +/- 0.1 ppm) for the first time in the modern atmospheric measurement record and in ice core records dating back as far as 800000 years. One of the strongest El Nino events since at least 1950 dissipated in spring, and a weak La Nina evolved later in the year. Owing at least in part to the combination of El Nino conditions early in the year and a long-term upward trend, Earth's surface observed record warmth for a third consecutive year, albeit by a much slimmer margin than by which that record was set in 2015. Above Earth's surface, the annual lower troposphere temperature was record high according to all datasets analyzed, while the lower stratospheric temperature was record low according to most of the in situ and satellite datasets. Several countries, including Mexico and India, reported record high annual temperatures while many others observed near-record highs. A week-long heat wave at the end of April over the northern and eastern Indian peninsula, with temperatures surpassing 44 degrees C, contributed to a water crisis for 330 million people and to 300 fatalities. In the Arctic the 2016 land surface temperature was 2.0 degrees C above the 1981-2010 average, breaking the previous record of 2007, 2011, and 2015 by 0.8 degrees C, representing a 3.5 degrees C increase since the record began in 1900. The increasing temperatures have led to decreasing Arctic sea ice extent and thickness. On 24 March, the sea ice extent at the end of the growth season saw its lowest maximum in the 37-year satellite record, tying with 2015 at 7.2% below the 1981-2010 average. The September 2016 Arctic sea ice minimum extent tied with 2007 for the second lowest value on record, 33% lower than the 1981-2010 average. Arctic sea ice cover remains relatively young and thin, making it vulnerable to continued extensive melt. The mass of the Greenland Ice Sheet, which has the capacity to contribute similar to 7 m to sea level rise, reached a record low value. The onset of its surface melt was the second earliest, after 2012, in the 37-year satellite record. Sea surface temperature was record high at the global scale, surpassing the previous record of 2015 by about 0.01 degrees C. The global sea surface temperature trend for the 21st century-to-date of +0.162 degrees C decade(-1) is much higher than the longer term 1950-2016 trend of +0.100 degrees C decade(-1). Global annual mean sea level also reached a new record high, marking the sixth consecutive year of increase. Global annual ocean heat content saw a slight drop compared to the record high in 2015. Alpine glacier retreat continued around the globe, and preliminary data indicate that 2016 is the 37th consecutive year of negative annual mass balance. Across the Northern Hemisphere, snow cover for each month from February to June was among its four least extensive in the 47-year satellite record. Continuing a pattern below the surface, record high temperatures at 20-m depth were measured at all permafrost observatories on the North Slope of Alaska and at the Canadian observatory on northernmost Ellesmere Island. In the Antarctic, record low monthly surface pressures were broken at many stations, with the southern annular mode setting record high index values in March and June. Monthly high surface pressure records for August and November were set at several stations. During this period, record low daily and monthly sea ice extents were observed, with the November mean sea ice extent more than 5 standard deviations below the 1981-2010 average. These record low sea ice values contrast sharply with the record high values observed during 2012-14. Over the region, springtime Antarctic stratospheric ozone depletion was less severe relative to the 1991-2006 average, but ozone levels were still low compared to pre-1990 levels. Closer to the equator, 93 named tropical storms were observed during 2016, above the 1981-2010 average of 82, but fewer than the 101 storms recorded in 2015. Three basins-the North Atlantic, and eastern and western North Pacific-experienced above-normal activity in 2016. The Australian basin recorded its least active season since the beginning of the satellite era in 1970. Overall, four tropical cyclones reached the Saffir-Simpson category 5 intensity level. The strong El Nino at the beginning of the year that transitioned to a weak La Nina contributed to enhanced precipitation variability around the world. Wet conditions were observed throughout the year across southern South America, causing repeated heavy flooding in Argentina, Paraguay, and Uruguay. Wetter-than-usual conditions were also observed for eastern Europe and central Asia, alleviating the drought conditions of 2014 and 2015 in southern Russia. In the United States, California had its first wetter-than-average year since 2012, after being plagued by drought for several years. Even so, the area covered by drought in 2016 at the global scale was among the largest in the post-1950 record. For each month, at least 12% of land surfaces experienced severe drought conditions or worse, the longest such stretch in the record. In northeastern Brazil, drought conditions were observed for the fifth consecutive year, making this the longest drought on record in the region. Dry conditions were also observed in western Bolivia and Peru; it was Bolivia's worst drought in the past 25 years. In May, with abnormally warm and dry conditions already prevailing over western Canada for about a year, the human-induced Fort McMurray wildfire burned nearly 590000 hectares and became the costliest disaster in Canadian history, with $3 billion (U.S. dollars) in insured losses.
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| 5. |
- Brugat, Thibaut, et al.
(författare)
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Antibody-independent mechanisms regulate the establishment of chronic Plasmodium infection
- 2017
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Ingår i: Nature Microbiology. - : Macmillan Publishers Ltd.. - 2058-5276. ; 2:4
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Tidskriftsartikel (refereegranskat)abstract
- Malaria is caused by parasites of the genus Plasmodium. All human-infecting Plasmodium species can establish long-lasting chronic infections(1-5), creating an infectious reservoir to sustain transmission(1,6). It is widely accepted that the maintenance of chronic infection involves evasion of adaptive immunity by antigenic variation(7). However, genes involved in this process have been identified in only two of five human-infecting species: Plasmodium falciparum and Plasmodium knowlesi. Furthermore, little is understood about the early events in the establishment of chronic infection in these species. Using a rodent model we demonstrate that from the infecting population, only a minority of parasites, expressing one of several clusters of virulence-associated pir genes, establishes a chronic infection. This process occurs in different species of parasites and in different hosts. Establishment of chronicity is independent of adaptive immunity and therefore different from the mechanism proposed for maintenance of chronic P. falciparum infections(7-9). Furthermore, we show that the proportions of parasites expressing different types of pir genes regulate the time taken to establish a chronic infection. Because pir genes are common to most, if not all, species of Plasmodium(10), this process may be a common way of regulating the establishment of chronic infections.
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| 6. |
- Howell, Daniel, et al.
(författare)
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Interim Report of the Working Group on Multispecies Assessment Methods (WGSAM)
- 2018
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The pan-regional Working Group on Multispecies Assessment Methods (WGSAM) met in San Sebastian, Spain, 16–20 October 2017. In this eleventh report of the group, work focused on three of the multi-annual ToRs (B, C, D). Based on their knowledge, participants provided an updated inventory of progress of multispecies models in ICES Ecoregions (ToR A), noting those regions where no information was available. A Key Run (ToR B) of the North Sea Stochastic Multispecies Model (SMS) was presented and reviewed in detail by 4 WGSAM experts, and approved by the group following implementation of changes agreed in plenary at the meeting and verified by a subset of experts post-meeting. The Key Run is documented in detail in Annex for ToR B, with key outputs summarised in Section 5 and data files made available on the WGSAM webpage and the ICES expert group Github (https://github.com/iceseg/wg_WGSAM). Since the M2 values are used for the assessment of important North Sea stocks, it is recommended to publish the annex also on the official stock annex website. In addition, WGSAM does not recommend updating existing data series of natural mortality by simply adding the latest three new years. The timeseries as a whole shows patterns which are not retained by this procedure. Multispecies model skill assessment (ToR C) and multi-model ensemble methods (ToR D) were emphasized this year. Considerable progress has been made towards advancing both aspects of multispecies modelling. Investigation of skill assessment and ensemble methods and case studies is critical to ensure that outputs of multispecies assessment models are reliable for use in operational assessment and to inform management decisions. Progress was also made on investigations of top predator impacts on managed fish across several regions (ToR F), including the North Sea where new information was included in the SMS key run. Further progress was also made on multispecies and ecosystem level reference points and harvest control rules in mixed fisheries (ToR G).
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| 7. |
- Howell, Daniel, et al.
(författare)
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Report of the Working Group on Multispecies Assessment Methods (WGSAM), 10-14 October 2016, Reykjavik, Iceland
- 2017
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The Working Group on Multispecies Assessment Methods (WGSAM) met in Reykjavik, Iceland, 10–14 October 2016. In this tenth report of the pan-regional WGSAM, work focused on four (B, E, F, G) of the multi-annual ToRs.Based on their knowledge, participants provided an updated inventory of progress of multispecies models in ICES Ecoregions (ToR A), noting those regions where no information was available. Reporting on ToR A was scarce compared to previous years, partly because recent relevant work was reported against ToR E and G instead.A Key Run (ToR B) of the Baltic Sea Ecopath with Ecosim (NS-EwE) model was presented and reviewed in detail by 4 WGSAM experts, and approved by the group following implementation of changes agreed in plenary at the meeting and verified by the 4 experts in January. The Key Run is documented in a detail in Annex 3, with key outputs summarised in Section 3 and data files made available on the WGSAM webpage). WGSAM also conducted an informal review of the LeMans modelling framework for potential application in the Irish Sea, and recommended adjustments to the framework for further review. Because the LeMans framework is a within-model ensemble addressing parameter uncertainty, this review also related to ToR D.Multispecies model skill assessment (ToR C) and multi-model ensemble methods (ToR D) were not emphasized this year. However, plans were made to coordinate future work for ToR C, and one ToR D presentation reviewed the utility of a dynamic multimodel ensemble for making inferences about the real world. This method can infer results for individual components of aggregate groups; the ensemble model uses correlations in other ecosystem models to determine what the models that group species would have predicted for individual species. A proof of concept for the North Sea was presented.Ecosystem indicator analyses (ToR E) were presented from a wide range of ecosystems. A theoretical analysis comparing results from the Celtic and North Seas with 4 “idealized” fleets was presented to analyse the performance of selected indicators in a multispecies mixed fishery. Four indicators including the Large Fish Indicator (LFI) were examined, and shown to have mixed utility in measuring the impact of different fleet sectors, with the best indicator varying by ecosystem. A multivariate analysis of ecosystem responses to multiple drivers was conducted for four US ecosystems using gradient forest method to identify potential ecosystem thresholds. Other multivariate methods were reviewed that draw on the strengths of multiple indicators for the Northeast US shelf ecosystem. A food web based biodiversity indicator was presented with an application for the Baltic Sea. This could be extended to any ecosystem with an EwE or similar model. A community status indicator relating a species-area relationship to the LFI and mean trophic levels was presented for the Swedish west coast.Impacts of apex predators on fisheries (ToR F) were examined with one presentation and a group discussion planning further work. A multipecies production model was parameterized to simulate interactions between three fish guilds, fisheries, and one marine mammal guild, concluding that fish reference points and trajectories change with marine mammal interactions. Fishery management was also important to reduce vessel interactions with and ensure prey supply to marine mammals. 4 | ICES WGSAM REPORT 2016 Exploration of practical advice for fisheries management incorporating multispecies, mixed fishery, and environmental factors (ToR G) was evident across regions. Two approaches for incorporating species, fleet, environmental, and other interactions are in progress in the Northeast US. One presentation outlined the New England approach, and another outlined the Mid-Atlantic approach. In New England, a management strategy evaluation is in progress to evaluate harvest control rules that consider herring's role as forage in the ecosystem. The modelling framework and stakeholder workshops were discussed. In the Baltic, a Nash Equilibrium optimisation approach incorporating environmental factors was presented for the cod-herring-sprat fishery to attempt to identify a solution that would give good yield for all species simultaneously. In the North Sea a theoretical analysis using 4 “idealized” fleets was presented to analyse the potential implications of "Pretty Good Yield" ranges around MSY. The model examined the likelihood of the fishery being precautionary for the different species given the uncertainties involved, and concluded that the upper ends of MSY ranges would not guarantee precautionarity.
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| 8. |
- Lapierre, Jean-Francois, et al.
(författare)
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Similarity in spatial structure constrains ecosystem relationships : Building a macroscale understanding of lakes
- 2018
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Ingår i: Global Ecology and Biogeography. - : John Wiley & Sons. - 1466-822X .- 1466-8238. ; 27:10, s. 1251-1263
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Tidskriftsartikel (refereegranskat)abstract
- Aim: We aimed to measure the dominant spatial patterns in ecosystem properties (such as nutrients and measures of primary production) and the multi‐scaled geographical driver variables of these properties and to quantify how the spatial structure of pattern in all of these variables influences the strength of relationships among them.Location and time period: We studied > 8,500 lakes in a 1.8 million km2 area of Northeast U.S.A. Data comprised 10‐year medians (2002–2011) for measured ecosystem properties, long‐term climate averages and recent land use/land cover variables.Major taxa studied: We focused on ecosystem properties at the base of aquatic food webs, including concentrations of nutrients and algal pigments that are proxies of pri -mary productivity.Methods: We quantified spatial structure in ecosystem properties and their geograph-ical driver variables using distance‐based Moran eigenvector maps (dbMEMs). We then compared the similarity in spatial structure for all pairs of variables with the cor -relation between variables to illustrate how spatial structure constrains relationships among ecosystem properties.Results: The strength of spatial structure decreased in order for climate, land cover/use, lake ecosystem properties and lake and landscape morphometry. Having a compa -rable spatial structure is a necessary condition to observe a strong relationship be -tween a pair of variables, but not a sufficient one; variables with very different spatial structure are never strongly correlated. Lake ecosystem properties tended to have an intermediary spatial structure compared with that of their main drivers, probably be -cause climate and landscape variables with known ecological links induce spatial patterns.Main conclusions: Our empirical results describe inherent spatial constraints that dic -tate the expected relationships between ecosystem properties and their geographical drivers at macroscales. Our results also suggest that understanding the spatial scales at which ecological processes operate is necessary to predict the effects of multi‐scaled environmental changes on ecosystem properties.
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| 9. |
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