A rockling's choice:The trade-off between thermal preference and physical structure in the five bearded rockling, Ciliata mustela

Changes in the environment can alter the suitability of habitats for organisms. In marine systems, fish species have their own specific requirements in terms of temperature and other habitat features. Behavioral responses such as thermoregulatory behavior in ectothermic species allow mobile organisms to respond to detrimental changes and search for more suitable habitats. However, for many species, limited information exists on the ecological requirements to help explain species abundance in a changing habitat. An example of a quickly changing habitat is the Wadden Sea, where five bearded rockling (Ciliata mustela) abundance has increased, unlike other Wadden Sea species. The increasing abundance of rockling has coincided with increasing average sea water temperatures and the recovery of mussel and Pacific oyster beds. Warming waters and increased structural habitat may have provided rockling with a more desirable habitat. Therefore, to better understand why rockling abundance is increasing within a changing Wadden Sea, a water temperature preference chamber was used to determine rockling's preferred temperature range. In addition, rockling's affinity for structural habitat and the trade-off between preferred temperature was examined by following their response to the systematic removal of artificial physical structures within the preferred temperature conditions. The preferred temperature range of rockling was found to be 10.4–15.7 °C. Following structure removals, rockling repeatedly moved away from their chosen temperatures to adjacent compartments with different temperatures but containing physical structure, indicating that the presence of physical structure was more important than preferred temperature until 18.6 °C. These novel findings provide insight and experimental support for the hypothesis explaining rockling's increase in the Wadden Sea: 1) mean annual temperatures have been steadily increasing towards rockling's preferred thermal range and 2) increasing mussel and Pacific oyster beds are plausibly providing structural habitat, an important habitat requirement for rockling. When fish display a strong association with physical structure it is necessary to link physiological and habitat preferences to better understand climate change related responses

A rockling's choice:The trade-off between thermal preference and physical structure in the five bearded rockling, Ciliata mustela

Changes in the environment can alter the suitability of habitats for organisms. In marine systems, fish species have their own specific requirements in terms of temperature and other habitat features. Behavioral responses such as thermoregulatory behavior in ectothermic species allow mobile organisms to respond to detrimental changes and search for more suitable habitats. However, for many species, limited information exists on the ecological requirements to help explain species abundance in a changing habitat. An example of a quickly changing habitat is the Wadden Sea, where five bearded rockling (Ciliata mustela) abundance has increased, unlike other Wadden Sea species. The increasing abundance of rockling has coincided with increasing average sea water temperatures and the recovery of mussel and Pacific oyster beds. Warming waters and increased structural habitat may have provided rockling with a more desirable habitat. Therefore, to better understand why rockling abundance is increasing within a changing Wadden Sea, a water temperature preference chamber was used to determine rockling's preferred temperature range. In addition, rockling's affinity for structural habitat and the trade-off between preferred temperature was examined by following their response to the systematic removal of artificial physical structures within the preferred temperature conditions. The preferred temperature range of rockling was found to be 10.4–15.7 °C. Following structure removals, rockling repeatedly moved away from their chosen temperatures to adjacent compartments with different temperatures but containing physical structure, indicating that the presence of physical structure was more important than preferred temperature until 18.6 °C. These novel findings provide insight and experimental support for the hypothesis explaining rockling's increase in the Wadden Sea: 1) mean annual temperatures have been steadily increasing towards rockling's preferred thermal range and 2) increasing mussel and Pacific oyster beds are plausibly providing structural habitat, an important habitat requirement for rockling. When fish display a strong association with physical structure it is necessary to link physiological and habitat preferences to better understand climate change related responses

Similar risk of complete revision for infection with single-dose versus multiple-dose antibiotic prophylaxis in primary arthroplasty of the hip and knee:results of an observational cohort study in the Dutch Arthroplasty Register in 242,179 patients

Background and purpose - The optimal type and duration of antibiotic prophylaxis for primary arthroplasty of the hip and knee are subject to debate. We compared the risk of complete revision (obtained by a 1- or 2-stage procedure) for periprosthetic joint infection (PJI) after primary total hip or knee arthroplasty between patients receiving a single dose of prophylactic antibiotics and patients receiving multiple doses of antibiotics for prevention of PJI. Patients and methods - A cohort of 130,712 primary total hip and 111,467 knee arthroplasties performed between 2011 and 2015 in the Netherlands was analyzed. We linked data from the Dutch arthroplasty register to a survey collected across all Dutch institutions on hospital-level antibiotic prophylaxis policy. We used restricted cubic spline Poisson models adjusted for hospital clustering to compare the risk of revision for infection according to type and duration of antibiotic prophylaxis received. Results - For total hip arthroplasties, the rates of revision for infection were 31/10,000 person-years (95% CI 28-35), 39 (25-59), and 23 (15-34) in the groups that received multiple doses of cefazolin, multiple doses of cefuroxime, and a single dose of cefazolin, respectively. The rates for knee arthroplasties were 27/10,000 person-years (95% CI 24-31), 40 (24-62), and 24 (16-36). Similar risk of complete revision for infection among antibiotic prophylaxis regimens was found when adjusting for confounders. Interpretation - In a large observational cohort we found no apparent association between the type or duration of antibiotic prophylaxis and the risk of complete revision for infection. This does question whether there is any advantage to the use of prolonged antibiotic prophylaxis beyond a single dose.Orthopaedics, Trauma Surgery and Rehabilitatio

A comprehensive study to assess the impact of impulsive sound on juvenile sea bass

Given the increasing amount of anthropogenically induced underwater sound into the marine environment, a better understanding of the impact of impulsive underwater sound on marine life is needed. This study tackles the impact of impulsive sound, related to pile-driving activities for offshore wind energy development, on the mortality, stress and behaviour of post-larval and juvenile European sea bass Dicentrarchus labrax. A 'worst-case scenario' field experiment was carried out on board of a piling vessel, exposing 68 and 115 days old fish (<2 g wet weight) to the sound generated during 1.5 hours of pile-driving. The number of strikes ranged from 1740 to 3070, with a single strike sound exposure level between 181 and 188 dB re 1 μPa².s, resulting in cumulative sound exposure levels ranging from 215 to 222 dB re 1 μPa².s. Immediate and long-term survival of the exposed fish was high and comparable to the control groups. However, juvenile fish responded to the impulsive underwater sound by a 50% reduction in their oxygen consumption rates, an indicator of secondary stress response. Primary stress responses, measured through cortisol levels are still to be analysed. We didn't find any effect on the condition and fitness of the exposed fish on the long term. Lab experiments performed with a SIG Sparker and a larvaebrator, respectively producing mid-high and lower frequencies, were inadequate to distinguish the determining sound metric or to pursue the exact origin of the stress response. Further away from the sound source, behavioural and masking effects can be expected. A lab experiment was carried out to study the behaviour of juvenile sea bass before, during and after one hour of impulsive sound exposure. In the aquaria, single strike sound levels reached 162 dB re 1 μPa².s, leading to a cumulative sound exposure level of 196 dB re 1 μPa².s after 2400 strikes. We observed that normal behaviour was disturbed, with an increase in startle responses and stationary behaviour at the beginning of the sound exposure experiment. Also, fish dived to the bottom of the aquaria, which is a typical anxiety-related response. However, no spatial preference was observed and normal behaviour was re-established shortly after the sound exposure ceased. These results indicate that impulsive sound close to the sound source creates sound pressure levels that are below the lethal threshold for fish, but above the stress threshold, at least for sea bass <2 g. Furthermore, lower sound levels at a distance from the sound source (in this case pile-driving) can disturb fish behaviour. Under optimal lab conditions, we did not see effects beyond the sound exposure period, but it remains unknown whether the reduced fitness of juvenile fish after exposure is limited in the real world as well

Measurement properties of the EQ-5D across four major geriatric conditions: Findings from TOPICS-MDS

Background: As populations age, chronic geriatric conditions linked to progressive organ failure jeopardize health-related quality of life (HRQoL). Thus, this research assessed the validity and applicability of the EQ-5D (a common HRQoL instrument) across four major chronic geriatric conditions: hearing issues, joint damage, urinary incontinence, or dizziness with falls. Methods: The study sample comprised 25,637 community-dwelling persons aged 65 years and older residing in the Netherlands (Data source: TOPICS-MDS, www.topics-mds.eu ). Floor and ceiling effects were examined. To assess convergent validity, random effects meta-correlations (Spearman's rho) were derived between individual EQ-5D domains and related survey items. To further examine construct validity, the association between sociodemographic characteristics and EQ-5D summary scores were assessed using linear mixed models. Outcomes were compared to the overall study population as well as a 'healthy' subgroup reporting no major chronic conditions. Results: Whereas ceiling effects were observed in the overall study population and the 'healthy' subgroup, such was not the case in the geriatric condition subgroups. The majority of hypotheses regarding correlations between survey items and sociodemographic associations were supported. EQ-5D summary scores were lower in respondents who were older, female, widowed/single, lower educated, and living alone. Increasing co-morbidity had a clear negative effect on EQ-5D scores. Conclusion: This study supported the construct validity of the EQ-5D across four major geriatric conditions. For older persons who are generally healthy, i.e. reporting few to no chronic conditions, the EQ-5D confers poor discriminative ability due to ceiling effects. Although the overall dataset initially suggested poor discriminative ability for the EQ-5D, such was not the case within subgroups presenting with major geriatric conditions

A cardiovascular risk prediction model for older people

Cardiovascular risk prediction is mainly based on traditional risk factors that have been validated in middle-aged populations. However, associations between these risk factors and cardiovascular disease (CVD) attenuate with increasing age. Therefore, for older people the authors developed and internally validated risk prediction models for fatal and non-fatal CVD, (re)evaluated the predictive value of traditional and new factors, and assessed the impact of competing risks of non-cardiovascular death. Post hoc analyses of 1811 persons aged 70-78 year and free from CVD at baseline from the preDIVA study (Prevention of Dementia by Intensive Vascular care, 2006-2015), a primary care-based trial that included persons free from dementia and conditions likely to hinder successful long-term follow-up, were performed. In 2017-2018, Cox-regression analyses were performed for a model including seven traditional risk factors only, and a model to assess incremental predictive ability of the traditional and eleven new factors. Analyses were repeated

Examining the construct and known-group validity of a composite endpoint for the Older Persons and Informal Caregivers Survey Minimum Data Set (TOPICS-MDS); A largescale data sharing initiative

Background Preference-weighted multi-faceted endpoints have the potential to facilitate comparative effectiveness research that incorporates patient preferences. The Older Persons and Informal Caregivers Survey Composite endpoint (TOPICS-CEP) is potentially a valuable outcome measure for evaluating interventions in geriatric care as it combines multiple outcomes relevant to older persons in a single metric. The objective of this study was to validate TOPICS-CEP across different study settings (general population, primary care and hospital). Methods Data were extracted from TOPICS Minimum Dataset (MDS), a pooled public-access national database with information on older persons throughout the Netherlands. Data of