30 years of hay meadow succession without fertilization: how does it affect soil and avifauna groups?

In the present study we investigated the effects of hay meadow succession in the brook valley system of the Drentse A Nature Reserve, in the NE of the Netherlands. In particular, we compared the plant and soil fauna composition in five grasslands that differed in the stage of vegetation succession in two well-studied chronosequences, dry and wet respectively. The sampled meadows include a control site (still fertilized meadow), a 5, 15, 25 and 32 years stage of vegetation succession after the cessation of fertilizer application. At all sites, vegetation and earthworm composition was studied in replicate subplots of 4 m2 respectively 0.04 m² each. Moreover, the breeding birds have been monitored in the area over the last 28 years by mapping territories overlapping the meadows of the chronosequences. Concerning the plants we found that diversity was increasing with time of succession. In the wet meadow series the plant species richness increased from ca. 13 species per site (40 m2) to a maximum of ca. 49 species per site in the latest successional stage. In the drier parts the increase in species was less and reached an over all maximum of 27 species in the intermediate (15 years old) stage of the succession in 40 m2, but still increased to a mean of 15 species at the scale of 4 m2 plots in the oldest stage. The diversity and abundance of earthworms dropped significantly over time of succession. The species all belonged to 4 genera with Allolobophora being the most abundant. Soil pH dropped significantly during the succession even below 3.8 in the dry series. This largely explains the unfavourable conditions for the earthworms to survive in the oldest stages of the dry succession. The earthworm biomass dropped in nearly all sites below 25 g/m2 during the summer period, indicating unfavourable conditions for a suit of grassland breeding waders.The abundance of breeding birds in general was low due to the rather small area covered in this study. Anyhow we could find obvious changes in the breeding bird community. In particular waders such as Lapwing (Vanellus vanellus) and Black-tailed Godwit (Limosa limosa) disappeared completely from the area and were followed up by Curlew (Numenius arquata) and Snipe (Gallinago gallinago) being currently also rare in the area. Probably due to changes in grassland vegetation (increase of amongst others Cirsium palustre) and insect abundance the Stonechat (Saxicola torquata) has entered the area as a breeding bird. The same happens to a set of bird species typical for developing carr woodlands such as Lesser Spotted Woodpecker (Dendrocopos minor) and Golden Oriole (Oriolus oriolus).Die vorliegende Studie thematisiert am Beispiel der Fließgewässerniederung der Drentse A, einem großflächigen Schutzgebiet im Nordosten der Niederlande, die Folgen einer langjährigen Heuwiesennutzung ohne Düngung. Im Einzelnen wurde von uns die Zusammensetzung der Vegetation und Bodenfauna auf fünf Grünlandflächen untersucht, die sich in der Dauer der Ausmagerung unterschieden. Getrennt betrachtet wurden dabei die bachnahen, moorigen Niederungsbereichen und die angrenzenden sandigen Geestbereiche. Die ausgewählten Grünlandflächen waren zum Zeitpunkt der Aufnahmen seit 5, 15, 25, und 32 Jahren gemäht aber nicht mehr gedüngt worden. Eine weitere, nach wie vor konventionell bewirtschaftete Wiesenfläche (incl. Düngung) diente als Kontrolle. Auf allen Flächen wurde die Vegetation und Regenwurmfauna in 10 Plots mit einer Größe von jeweils 4 m² bzw. 0.04 m² untersucht. Darüber hinaus wurden über 28 Jahre hinweg die Brutvögel des Gebietes mittels Revierkartierung erfasst. Die Pflanzenartendiversität hat sich mit Dauer der Ausmagerung signifikant erhöht. Sie stieg in den bachnahen Bereichen von 13 Arten in der Kontrollfläche (40 m²) auf 49 Arten in der am längsten ausgemagerten Grünlandfläche an. In den trockenen Geestbereichen war der Anstieg deutlich schwächer. Bezogen auf die Gesamtfläche von 40 m² wurden die meisten Arten hier in der 15 Jahre lang ausgemagerten Grünlandfläche gefunden, während bei Betrachtung der 4 m² großen Aufnahmepunkte die höchste Artenzahl ebenfalls in der ältesten Untersuchungsfläche lag. Die Diversität und Abundanz der Regenwürmer nahm mit Dauer der Ausmagerung ab. Die festgestellten Arten gehörten zu 4 Gattungen, wobei die Gattung Allolobophora am individuenreichsten vertreten war. Mit Dauer der Ausmagerung sank besonders im trockenen bachfernen Geestbereich der Boden-pH-Wert auf unter 3,8 ab. Die damit einhergehenden pessimalen Lebensbedingungen erklären hinreichend die geringe Diversität und Dichte von Regenwürmern in diesen Bereichen. An fast allen Standorten sank die Biomasse der Regenwürmer zum Sommer hin auf Werte unter 25 g/m², so dass für viele Limikolen zu dieser Zeit pessimale Ernährungsbedingungen bestehen. Die Zahl der Brutvogelarten war aufgrund des recht kleinen Untersuchungsgebietes insgesamt gering. Dennoch konnten auffallende Veränderungen in der Brutvogelgemeinschaft beobachtet werden. Während Limikolen wie Kiebitz (Vanellus vanellus) und Uferschnepfe (Limosa limosa) vollständig aus dem Gebiet verschwanden, wanderten der Große Brachvogel und die Bekassine ein. Allerdings sind auch sie aktuell nur noch selten im Gebiet vertreten. Dafür hat sich inzwischen das Schwarzkehlchen (Saxicola torquata) als Brutvogel eingestellt – möglicherweise eine Folge der sich ändernden Grünlandvegetation (hier: Zunahme von Pflanzenarten, die als Ansitzwarten fungieren können wie etwa Cirsium palustre) in Kombination mit einem verbesserten Nahrungsangebot an Makroinvertebraten. Eingewandert sind zwischenzeitlich auch eine Reihe weiterer Vogelarten, wie Pirol (Oriolus oriolus) und Kleinspecht (Dendrocopos minor), die charakteristisch für sich entwickelnde Bruchwälder sind. Letztere haben sich, meist kleinflächig, auf ehemaligen Feuchtgrünlandstandorten entwickelt

Heat and health in Antwerp under climate change: Projected impacts and implications for prevention

&lt;p&gt;&lt;b&gt;BACKGROUND: &lt;/b&gt;Excessive summer heat is a serious environmental health problem in several European cities. Heat-related mortality and morbidity is likely to increase under climate change scenarios without adequate prevention based on locally relevant evidence.&lt;/p&gt; &lt;p&gt;&lt;b&gt;METHODS: &lt;/b&gt;We modelled the urban climate of Antwerp for the summer season during the period 1986-2015, and projected summer daily temperatures for two periods, one in the near (2026-2045) and one in the far future (2081-2100), under the Representative Concentration Pathway (RCP) 8.5. We then analysed the relationship between temperature and mortality, as well as with hospital admissions for the period 2009-2013, and estimated the projected mortality in the near future and far future periods under changing climate and population, assuming alternatively no acclimatization and acclimatization based on a constant threshold percentile temperature.&lt;/p&gt; &lt;p&gt;&lt;b&gt;RESULTS: &lt;/b&gt;During the sample period 2009-2013 we observed an increase in daily mortality from a maximum daily temperature of 26°C, or the 89th percentile of the maximum daily temperature series. The annual average heat-related mortality in this period was 13.4 persons (95% CI: 3.8-23.4). No effect of heat was observed in the case of hospital admissions due to cardiorespiratory causes. Under a no acclimatization scenario, annual average heat-related mortality is multiplied by a factor of 1.7 in the near future (24.1deaths/year CI 95%: 6.78-41.94) and by a factor of 4.5 in the far future (60.38deaths/year CI 95%: 17.00-105.11). Under a heat acclimatization scenario, mortality does not increase significantly in the near or in the far future.&lt;/p&gt; &lt;p&gt;&lt;b&gt;CONCLUSION: &lt;/b&gt;These results highlight the importance of a long-term perspective in the public health prevention of heat exposure, particularly in the context of a changing climate, and the calibration of existing prevention activities in light of locally relevant evidence.&lt;/p&gt;</p

Patient preferences in the medical product lifecycle

Taking into consideration the patient voice has not only become increasingly important for the companies that develop new medical products, but also for the authorities that assess, regulate and decide which medical products are effective, safe, well tolerated and cost-effective. Patient preference studies can complement patient narratives and qualitative insights in a quantitative manner and provide understanding of the trade-offs patients are willing to make. However, what is currently missing is a shared understanding among key stakeholders (industry, regulatory authorities, health technology assessment bodies, reimbursement agencies, clinicians and patient organisations) about when and how to consider patient preferences in the medical product lifecycle. This commentary captures important opinions on patient preferences and the medical product lifecycle that were discussed in the rare opportunity to gather key opinion leaders from a wide range of perspectives that was offered by the symposium on “Patient preferences in the medical product lifecycle” held in Basel, Switzerland in July 2019. The symposium was jointly organised by the International Academy of Health Preference Research (IAHPR) and the Innovative Medicine Initiative research project ‘Patient Preferences in Benefit and Risk Assessments during the Treatment Life Cycle’ (PREFER)

A Global Strategy for Ecologically Sustainable Transport and other Linear Infrastructure

The current Global Strategy for Ecologically Sustainable Transport and other Linear Infrastructure primarily sets up the objectives and principles for governments and organizations for mainstreaming biodiversity and ecological connectivity on transport infrastructure development. Additionally, it addresses the overall framework of stakeholders who must be engaged as key players in: • launching proactive policies, • establishing appropriate legal frameworks, • supporting better planning, • promoting multi-sector cooperation, and • encouraging innovative science-based solutions. We consider this as a living document as future versions may integrate additional elements with regards to governance, policy, and financing, in the attempt to develop a common comprehensive language and grounds for cooperation. This “Global Strategy” has been developed by an international working group coordinated by IENE and supported by an international coalition formed from the international conferences on transport and ecology and conservation organisations as IENE, ICOET, ANET, ACLIE, WWF and IUCN. The working group is drawn from global experts in transport and ecology and aims to work towards finding a ‘win-win’ solution for securing mainstreaming biodiversity and ecological connectivity and avoiding, mitigating, or compensating ecosystems’ fragmentation during transport infrastructure development or adaptation. This Strategy builds upon five years of development of the guidelines “International Guidance for Ecologically - Friendly Linear Infrastructure (IGELI)” initiated at the ICOET 2015 conference in North Carolina, USA. IGELI was an international debate with experts from all over the world continued during workshops held at the international conferences of IENE (Lyon, France, 2016 and Eindhoven, Holland, 2018), ICOET (Salt Lake City, USA, 2017 and Sacramento, USA, 2019), IUCN (Hawaii, USA, 2016) and ACLIE (Kruger National Park, South Africa, 2019). Summarising the Decision 14/3 on mainstreaming of biodiversity in the energy and mining, infrastructure, manufacturing, and processing sectors (CBD/ COP/DEC/14/3/30 November 2018) of 14th COP CBD (Sharm El Sheikh, Egypt, Nov 2018) (Convention on Biological Diversity 2018), the international coalition of the working group, initiated to promote the Strategy at the CBD COP 15 in China. We hope, this Strategy provides a useful tool and roadmap for promoting the urgent need of supporting biodiversity conservation and securing ecological connectivity at all scales of governance, policies, planning and implementation of transport projects internationally. The creation of an International Observatory for monitoring the fragmentation status globally as an important threat for biodiversity loss is proposed as a common ambition of the working group members and their organizations.IENE, ICOET, ANET, ACLIE, WWF, IUCN, WWF, WCPA, Connectivity Conservation Specialist Grou

The NuRD chromatin–remodeling complex regulates signaling and repair of DNA damage

NuRD is recruited to DNA double-strand breaks, where it promotes RNF8/RNF168 histone ubiquitylation and accumulation of DNA repair factors (see also related paper by Larsen et al. in this issue)

Low dose aspirin in the prevention of recurrent spontaneous preterm labour - the APRIL study: A multicenter randomized placebo controlled trial

Background: Preterm birth (birth before 37 weeks of gestation) is a major problem in obstetrics and affects an estimated 15 million pregnancies worldwide annually. A history of previous preterm birth is the strongest risk factor for preterm birth, and recurrent spontaneous preterm birth affects more than 2.5 million pregnancies each year. A recent meta-analysis showed possible benefits of the use of low dose aspirin in the prevention of recurrent spontaneous preterm birth. We will assess the (cost-)effectiveness of low dose aspirin in comparison with placebo in the prevention of recurrent spontaneous preterm birth in a randomized clinical trial. Methods/design: Women with a singleton pregnancy and a history of spontaneous preterm birth in a singleton pregnancy (22-37 weeks of gestation) will be asked to participate in a multicenter, randomized, double blinded, placebo controlled trial. Women will be randomized to low dose aspirin (80 mg once daily) or placebo, initiated from 8 to 16 weeks up to maximal 36 weeks of gestation. The primary outcome measure will be preterm birth, defined as birth at a gestational age (GA) < 37 weeks. Secondary outcomes will be a composite of adverse neonatal outcome and maternal outcomes, including subgroups of prematurity, as well as intrauterine growth restriction (IUGR) and costs from a healthcare perspective. Preterm birth will be analyzed as a group, as well as separately for spontaneous or indicated onset. Analysis will be performed by intention to treat. In total, 406 pregnant women have to be randomized to show a reduction of 35% in preterm birth from 36 to 23%. If aspirin is effective in preventing preterm birth, we expect that there will be cost savings, because of the low costs of aspirin. To evaluate this, a cost-effectiveness analysis will be performed comparing preventive treatment with aspirin with placebo. Discussion: This trial will provide evidence as to whether or not low dose aspirin is (cost-) effective in reducing recurrence of spontaneous preterm birth. Trial registration: Clinical trial registration number of the Dutch Trial Register: NTR 5675. EudraCT-registration number: 2015-003220-31

Knowledge in process? Exploring barriers between epidemiological research and local health policy development

The Redes de Trueque (RT) thrived during the economic crisis of 2001 – 2002 in Argentina and still stand out as one of the largest Complementary Currency System in the world. These local exchange networks reach a large scale during times of severe economic distress, but as large non-state initiatives, they pose a governance problem. Four types of governance systems were structured within the Argentine RT, of varying degrees of sustainability: a) loosely regulated market systems, b) hierarchies, c) associational regional networks, and d) local communities. Based on a four dimensional analytical framework, this paper discusses the rules of governance and sustainability of the governance systems in the RT. It found that some became more sustainable than others in terms of achieving combinations of scale and organisational modes