26 research outputs found

    Research Reports Andean Past 6

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    Specialist laboratory networks as preparedness and response tool - The emerging viral diseases-expert laboratory network and the chikungunya outbreak, Thailand, 2019

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    We illustrate the potential for specialist laboratory networks to be used as preparedness and response tool through rapid collection and sharing of data. Here, the Emerging Viral Diseases-Expert Laboratory Network (EVD-LabNet) and a laboratory assessment of chikungunya virus (CHIKV) in returning European travellers related to an ongoing outbreak in Thailand was used for this purpose. EVD-LabNet rapidly collected data on laboratory requests, diagnosed CHIKV imported cases and sequences generated, and shared among its members and with the European Centre for Disease Prevention and Control. Data across the network showed an increase in CHIKV imported cases during 1 October 2018-30 April 2019 vs the same period in 2018 (172 vs 50), particularly an increase in cases known to be related to travel to Thailand (72 vs 1). Moreover, EVD-LabNet showed that strains were imported from Thailand that cluster with strains of the ECSA-IOL E1 A226 variant emerging in Pakistan in 2016 and involved in the 2017 outbreaks in Italy. CHIKV diagnostic requests increased by 23.6% between the two periods. The impact of using EVD-LabNet or similar networks as preparedness and response tool could be improved by standardisation of the collection, quality and mining of data in routine laboratory management systems

    Influence of Ocean Acidification on a Natural Winter-to-Summer Plankton Succession : First Insights from a Long-Term Mesocosm Study Draw Attention to Periods of Low Nutrient Concentrations

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    Every year, the oceans absorb about 30% of anthropogenic carbon dioxide (CO2) leading to a re-equilibration of the marine carbonate system and decreasing seawater pH. Today, there is increasing awareness that these changes-summarized by the term ocean acidification (OA)-could differentially affect the competitive ability of marine organisms, thereby provoking a restructuring of marine ecosystems and biogeochemical element cycles. In winter 2013, we deployed ten pelagic mesocosms in the Gullmar Fjord at the Swedish west coast in order to study the effect of OA on plankton ecology and biogeochemistry under close to natural conditions. Five of the ten mesocosms were left unperturbed and served as controls (similar to 380 mu atm pCO(2)), whereas the others were enriched with CO2-saturated water to simulate realistic end-of-the-century carbonate chemistry conditions (mu 760 mu atm pCO(2)). We ran the experiment for 113 days which allowed us to study the influence of high CO2 on an entire winter-to-summer plankton succession and to investigate the potential of some plankton organisms for evolutionary adaptation to OA in their natural environment. This paper is the first in a PLOS collection and provides a detailed overview on the experimental design, important events, and the key complexities of such a "long-term mesocosm" approach. Furthermore, we analyzed whether simulated end-of-the-century carbonate chemistry conditions could lead to a significant restructuring of the plankton community in the course of the succession. At the level of detail analyzed in this overview paper we found that CO2-induced differences in plankton community composition were non-detectable during most of the succession except for a period where a phytoplankton bloom was fueled by remineralized nutrients. These results indicate: (1) Long-term studies with pelagic ecosystems are necessary to uncover OA-sensitive stages of succession. (2) Plankton communities fueled by regenerated nutrients may be more responsive to changing carbonate chemistry than those having access to high inorganic nutrient concentrations and may deserve particular attention in future studies.Peer reviewe

    Seawater carbonate chemistry and microzooplankton abundance

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    Aquatic ecosystems face a multitude of environmental stressors, including warming and acidification. While warming is expected to have a pronounced effect on plankton communities, many components of the plankton seem fairly robust towards realistic end-of-century acidification conditions. However, interactions of the two stressors and the inclusion of further factors such as nutrient concentration and trophic interactions are expected to change this outcome. We investigated the effects of warming and high CO2 on a nutrient-deplete late summer plankton community from the Kiel Fjord, Baltic Sea, using a mesocosm setup crossing two temperatures with a gradient of CO2. Phytoplankton and microzooplankton (MZP) growth rates as well as biomass, taxonomic composition, and grazing rates of MZP were analysed. We observed effects of high CO2, warming, and their interactions on all measured parameters. The occurrence and direction of the effects were dependent on the phytoplankton or MZP community composition. In addition, the abundance of small-sized phytoplankton was identified as one of the most important factors in shaping the MZP community composition. Overall, our results indicate that an estuarine MZP community used to strong natural fluctuations in CO2 can still be affected by a moderate increase in CO2 if it occurs in combination with warming and during a nutrient-deplete post-bloom situation. This highlights the importance of including trophic interactions and seasonality aspects when assessing climate change effects on marine zooplankton communities

    Mesocosm experiment on effects of increased CO2 concentration on nutrient limited coastal summer plankton: Microzooplankton abundance

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    Aquatic ecosystems face a multitude of environmental stressors, including warming and acidification. While warming is expected to have a pronounced effect on plankton communities, many components of the plankton seem fairly robust towards realistic end-of-century acidification conditions. However, interactions of the two stressors and the inclusion of further factors such as nutrient concentration and trophic interactions are expected to change this outcome. We investigated the effects of warming and high CO2 on a nutrient-deplete late summer plankton community from the Kiel Fjord, Baltic Sea, using a mesocosm setup crossing two temperatures with a gradient of CO2. Phytoplankton and microzooplankton (MZP) growth rates as well as biomass, taxonomic composition, and grazing rates of MZP were analysed. We observed effects of high CO2, warming, and their interactions on all measured parameters. The occurrence and direction of the effects were dependent on the phytoplankton or MZP community composition. In addition, the abundance of small-sized phytoplankton was identified as one of the most important factors in shaping the MZP community composition. Overall, our results indicate that an estuarine MZP community used to strong natural fluctuations in CO2 can still be affected by a moderate increase in CO2 if it occurs in combination with warming and during a nutrient-deplete post-bloom situation. This highlights the importance of including trophic interactions and seasonality aspects when assessing climate change effects on marine zooplankton communities

    High CO2 and warming affect microzooplankton food web dynamics in a Baltic Sea summer plankton community

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    Aquatic ecosystems face a multitude of environmental stressors, including warming and acidification. While warming is expected to have a pronounced effect on plankton communities, many components of the plankton seem fairly robust towards realistic end-of-century acidification conditions. However, interactions of the two stressors and the inclusion of further factors such as nutrient concentration and trophic interactions are expected to change this outcome. We investigated the effects of warming and high CO2 on a nutrient-deplete late summer plankton community from the Kiel Fjord, Baltic Sea, using a mesocosm setup crossing two temperatures with a gradient of CO2. Phytoplankton and microzooplankton (MZP) growth rates as well as biomass, taxonomic composition, and grazing rates of MZP were analysed. We observed effects of high CO2, warming, and their interactions on all measured parameters. The occurrence and direction of the effects were dependent on the phytoplankton or MZP community composition. In addition, the abundance of small-sized phytoplankton was identified as one of the most important factors in shaping the MZP community composition. Overall, our results indicate that an estuarine MZP community used to strong natural fluctuations in CO2 can still be affected by a moderate increase in CO2 if it occurs in combination with warming and during a nutrient-deplete post-bloom situation. This highlights the importance of including trophic interactions and seasonality aspects when assessing climate change effects on marine zooplankton communities

    Mesocosm experiment 2013 on effects of increased CO2 concentration on nutrient limited coastal summer plankton: Microzooplankton biovolume

    No full text
    Aquatic ecosystems face a multitude of environmental stressors, including warming and acidification. While warming is expected to have a pronounced effect on plankton communities, many components of the plankton seem fairly robust towards realistic end-of-century acidification conditions. However, interactions of the two stressors and the inclusion of further factors such as nutrient concentration and trophic interactions are expected to change this outcome. We investigated the effects of warming and high CO2 on a nutrient-deplete late summer plankton community from the Kiel Fjord, Baltic Sea, using a mesocosm setup crossing two temperatures with a gradient of CO2. Phytoplankton and microzooplankton (MZP) growth rates as well as biomass, taxonomic composition, and grazing rates of MZP were analysed. We observed effects of high CO2, warming, and their interactions on all measured parameters. The occurrence and direction of the effects were dependent on the phytoplankton or MZP community composition. In addition, the abundance of small-sized phytoplankton was identified as one of the most important factors in shaping the MZP community composition. Overall, our results indicate that an estuarine MZP community used to strong natural fluctuations in CO2 can still be affected by a moderate increase in CO2 if it occurs in combination with warming and during a nutrient-deplete post-bloom situation. This highlights the importance of including trophic interactions and seasonality aspects when assessing climate change effects on marine zooplankton communities

    Combined immune checkpoint blockade (anti-PD-1/anti-CTLA-4): Evaluation and management of adverse drug reactions

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    Background: Combined immune checkpoint blockade (ICB) provides unprecedented efficacy gains in numerous cancer indications, with PD-1 inhibitor nivolumab plus CTLA-4 inhibitor ipilimumab in advanced melanoma as first-ever approved therapies for combined ICB. However, gains in efficacy must be balanced against a higher frequency and severity of adverse drug reactions (ADR). Because delays in diagnosis and management might result in symptom worsening and further complications, clinicians shall be well trained to identify ADR promptly and monitor patients adequately. This paper reviews safety data assessed by the European Medicines Agency for the anti-PD-1/CTLA-4 combination and provides a literature overview on published case reports for rare ADR with suspected potential underreporting. Incidences and kinetics of immune-related ADR are described. Recommendations for the evaluation and management of ADR are convened by an interdisciplinary expert panel focusing on rare but clinically important side effects arising from combined ICB. Background: Pooled safety data from 1551 patients with advanced melanoma, treated either with 3 mg/kg ipilimumab plus 1 mg/kg nivolumab (N = 407), or nivolumab alone (N = 787), or ipilimumab alone (N = 357) demonstrate that immune-related ADR occur more frequently for the combination, with a shorter time-to-onset, and tend to be more severe. The majority of events is reversible after systemic use of glucocorticoids, notably methylprednisolone or equivalents;in certain cases of long-lasting and refractory immune toxicities, non-steroidal immunosuppressants may be used, once ICB is interrupted or terminated. Combined ICB has considerable toxicities, therefore close monitoring and high experience in diagnosis and treatment of ADR is necessary
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