Upogebia deltaura (Crustacea: Thalassinidea) in Clyde Sea maerl beds, Scotland

Burrows inhabited by Upogebia deltaura (Crustacea: Thalassinidea) were studied over a two-year period on two maerl beds at 10 m below Chart Datum (CD) in the Clyde Sea area, Scotland. Labelled burrows proved to be stable features on each ground, with animals able to withstand the impacts of scallop dredging and storm disturbance by re-building the damaged upper sections of their burrows. Resin casts excavated using an air-lift showed that these burrows were inhabited by single individuals. Burrows were deeper, larger and more complicated than was previously thought typical for U. deltaura and other members of the genus. Mapping of burrow systems revealed average densities of 2.9 ind m-2 with up to ten openings m-2. These elusive animals were the deepest burrowing megafauna (to 68 cm) and the most abundant large crustaceans within the maerl bed habitat

The impact of Rapido trawling for scallops, Pecten jacobaeus (L.), on the benthos of the Gulf of Venice

Rapido trawls are used to catch sole around the coast of Italy and to catch scallops in the northern Adriatic Sea but little is known about the environmental impact of this gear. Benthic surveys of a commercial scallop ground using a towed underwater television (UWTV) sledge revealed an expansive area of level, sandy sediment at 25 m characterized by high population densities of scallops (2.82 m-2 Aequipecten opercularis but fewer Pecten jacobaeus) together with ophiuroids, sponges, and the bivalve Atrina fragilis. Rapido trawls were filmed in action for the first time, providing information on the selectivity and efficiency of the gear together with its impact on the substratum and on the benthos. The trawls worked efficiently on smooth sand with ca. 44% catch rate for Pecten jacobaeus, of which 90% were >7 cm in shell height. Most organisms in the path of the trawl passed under or through the net; on average by-catch species only formed 19% of total catch by weight. Of the 78 taxa caught, lethal mechanical damage varied from 50% in soft-bodied organisms such as tunicates. A marked plot surveyed using towed UWTV before, then 1 and 15 h after fishing by Rapido trawl showed clear tracks of disturbed sediment along the trawl path where infaunal burrow openings had been erased. Abundant, motile organisms such as Aequipecten showed no change in abundance along these tracks although scavengers such as Inachus aggregated to feed on damaged organisms. There were significant decreases in the abundance of slow-moving/sessile benthos such as Pecten, Holothuria, and Atrina. Juvenile pectinids were abundant on the shells of Atrina. The introduction of a scheme of areas closed to trawling would protect highly susceptible organisms such as Atrina and enhance the chances of scallop recruitment to adjacent areas of commercial exploitation

Acute exercise and appetite-regulating hormones in overweight and obese individuals: A meta-analysis

In lean individuals, acute aerobic exercise is reported to transiently suppress sensations of appetite, suppress blood-concentrations of acylated ghrelin (AG) and increase glucagon-like peptide-1 (GLP-1) and peptide-YY (PYY). Findings in overweight/obese individuals have yet to be synthesised. In this systematic review and meta-analysis, we quantified the effects acute exercise has on AG, total PYY and GLP-1 in overweight/obese individuals. The potential for body mass index (BMI) to act as a moderator for AG was also explored. Six published studies (73 participants, 78% male, mean BMI: 30.6 kg.m-2) met the inclusion criteria. Standardised mean differences (SMD) and standard errors were extracted for AG, total PYY and GLP-1 concentrations in control and exercise trials and synthesised using a random effects meta-analysis model. BMI was the predictor in a meta-regression for AG. Exercise moderately suppressed AG area-under-the-curve concentrations (pooled SMD -0.34, 95%CI: -0.53 to -0.15). The magnitude of this reduction was greater for higher mean BMIs (pooled meta-regression slope: -0.04 SMD/kg.m-2 (95%CI: -0.07 to 0.00)). Trivial SMDs were obtained for total PYY (0.10, 95%CI: -0.13 to 0.31) and GLP-1 (-0.03, 95%CI: -0.18 to 0.13). This indicates that exercise in overweight/obese individuals moderately alters AG in a direction that could be associated with decreased hunger and energy intake. (PROSPERO registration: CRD42014006265)

'I'm not X, I just want Y': formulating 'wants' in interaction

This article provides a conversation analytic description of a two-part structure, ‘I don’t want X, I want/just want Y’. Drawing on a corpus of recordings of family mealtimes and television documentary data, I show how speakers use the structure in two recurrent environments. First, speakers may use the structure to reject a proposal regarding their actions made by an interlocutor. Second, speakers may deliver the structure following a co-interactant’s formulation of their actions or motivations. Both uses decrease the likelihood of challenge in third-turn position. When responding to multi-unit turns speakers routinely deal with the last item first. The value of ‘I want Y’ is to formulate an alternative sense of agency which undermines the preceding turn and shifts the trajectory of the ongoing sequence. The article contributes to work in discursive psychology as I show how speakers may formulate their ‘wants’ in the service of sequentially unfolding social interaction

A semi-Markov model for stroke with piecewise-constant hazards in the presence of left, right and interval censoring.

This paper presents a parametric method of fitting semi-Markov models with piecewise-constant hazards in the presence of left, right and interval censoring. We investigate transition intensities in a three-state illness-death model with no recovery. We relax the Markov assumption by adjusting the intensity for the transition from state 2 (illness) to state 3 (death) for the time spent in state 2 through a time-varying covariate. This involves the exact time of the transition from state 1 (healthy) to state 2. When the data are subject to left or interval censoring, this time is unknown. In the estimation of the likelihood, we take into account interval censoring by integrating out all possible times for the transition from state 1 to state 2. For left censoring, we use an Expectation-Maximisation inspired algorithm. A simulation study reflects the performance of the method. The proposed combination of statistical procedures provides great flexibility. We illustrate the method in an application by using data on stroke onset for the older population from the UK Medical Research Council Cognitive Function and Ageing Study

Diagnosis and Decision-Making in Telemedicine

This article provides an analysis of the skills that health professionals and patients employ in reaching diagnosis and decision-making in telemedicine consultations. As governmental priorities continue to emphasize patient involvement in the management of their disease, there is an increasing need to accurately capture the provider–patient interactions in clinical encounters. Drawing on conversation analysis of 10 video-mediated consultations in 3 National Health Service settings in England, this study examines the interaction between patients, General Practitioner (GPs), nurses, and consultants during diagnosis and decision-making, with the aim to identify the range of skills that participants use in the process and capture the interprofessional communication and patient involvement in the diagnosis and decision-making phases of telemedicine consultations. The analysis shows that teleconsultations enhance collaborative working among professionals and enable GPs and nurses to develop their skills and actively participate in diagnosis and decision-making by contributing primary care–specific knowledge to the consultation. However, interprofessional interaction may result in limited patient involvement in decisionmaking. The findings of this study can be used to inform training programs in telemedicine that focus on the development of effective skills for professionals and the provision of information to patients

A re-appraisal of the reliability of the 20 m multi-stage shuttle run test

This is the author's PDF version of an article published in European journal of applied physiology in 2007. The original publication is available at www.springerlink.co

Melaena with Peutz-Jeghers syndrome: a case report

Introduction: Peutz-Jeghers syndrome (PJS) is a rare familial disorder characterised by mucocutaneous pigmentation, gastrointestinal and extragastrointestinal hamartomatous polyps and an increased risk of malignancy. Peutz-Jeghers polyps in the bowel may result in intussusception. This complication usually manifests with abdominal pain and signs of intestinal obstruction. Case Presentation: We report the case of a 24-year-old Caucasian male who presented with melaena. Pigmentation of the buccal mucosa was noted but he was pain-free and examination of the abdomen was unremarkable. Upper gastrointestinal endoscopy revealed multiple polyps. An urgent abdominal computed tomography (CT) scan revealed multiple small bowel intussusceptions. Laparotomy was undertaken on our patient, reducing the intussusceptions and removing the polyps by enterotomies. Bowel resection was not needed. Conclusion: Melaena in PJS needs to be urgently investigated through a CT scan even in the absence of abdominal pain and when clinical examination of the abdomen shows normal findings. Although rare, the underlying cause could be intussusception, which if missed could result in grave consequences

An investigation of minimisation criteria

Minimisation can be used within treatment trials to ensure that prognostic factors are evenly distributed between treatment groups. The technique is relatively straightforward to apply but does require running tallies of patient recruitments to be made and some simple calculations to be performed prior to each allocation. As computing facilities have become more widely available, minimisation has become a more feasible option for many. Although the technique has increased in popularity, the mode of application is often poorly reported and the choice of input parameters not justified in any logical way

A Human Development Framework for CO2 Reductions

Although developing countries are called to participate in CO2 emission reduction efforts to avoid dangerous climate change, the implications of proposed reduction schemes in human development standards of developing countries remain a matter of debate. We show the existence of a positive and time-dependent correlation between the Human Development Index (HDI) and per capita CO2 emissions from fossil fuel combustion. Employing this empirical relation, extrapolating the HDI, and using three population scenarios, the cumulative CO2 emissions necessary for developing countries to achieve particular HDI thresholds are assessed following a Development As Usual approach (DAU). If current demographic and development trends are maintained, we estimate that by 2050 around 85% of the world's population will live in countries with high HDI (above 0.8). In particular, 300Gt of cumulative CO2 emissions between 2000 and 2050 are estimated to be necessary for the development of 104 developing countries in the year 2000. This value represents between 20% to 30% of previously calculated CO2 budgets limiting global warming to 2{\deg}C. These constraints and results are incorporated into a CO2 reduction framework involving four domains of climate action for individual countries. The framework reserves a fair emission path for developing countries to proceed with their development by indexing country-dependent reduction rates proportional to the HDI in order to preserve the 2{\deg}C target after a particular development threshold is reached. Under this approach, global cumulative emissions by 2050 are estimated to range from 850 up to 1100Gt of CO2. These values are within the uncertainty range of emissions to limit global temperatures to 2{\deg}C.Comment: 14 pages, 7 figures, 1 tabl