Determinants of cognitive performance and decline in 20 diverse ethno-regional groups: A COSMIC collaboration cohort study

Background: With no effective treatments for cognitive decline or dementia, improving the evidence base for modifiable risk factors is a research priority. This study investigated associations between risk factors and late-life cognitive decline on a global scale, including comparisons between ethno-regional groups. Methods and findings: We harmonized longitudinal data from 20 population-based cohorts from 15 countries over 5 continents, including 48,522 individuals (58.4% women) aged 54–105 (mean = 72.7) years and without dementia at baseline. Studies had 2–15 years of follow-up. The risk factors investigated were age, sex, education, alcohol consumption, anxiety, apolipoprotein E ε4 allele (APOE*4) status, atrial fibrillation, blood pressure and pulse pressure, body mass index, cardiovascular disease, depression, diabetes, self-rated health, high cholesterol, hypertension, peripheral vascular disease, physical activity, smoking, and history of stroke. Associations with risk factors were determined for a global cognitive composite outcome (memory, language, processing speed, and executive functioning tests) and Mini-Mental State Examination score. Individual participant data meta-analyses of multivariable linear mixed model results pooled across cohorts revealed that for at least 1 cognitive outcome, age (B = −0.1, SE = 0.01), APOE*4 carriage (B = −0.31, SE = 0.11), depression (B = −0.11, SE = 0.06), diabetes (B = −0.23, SE = 0.10), current smoking (B = −0.20, SE = 0.08), and history of stroke (B = −0.22, SE = 0.09) were independently associated with poorer cognitive performance (p < 0.05 for all), and higher levels of education (B = 0.12, SE = 0.02) and vigorous physical activity (B = 0.17, SE = 0.06) were associated with better performance (p < 0.01 for both). Age (B = −0.07, SE = 0.01), APOE*4 carriage (B = −0.41, SE = 0.18), and diabetes (B = −0.18, SE = 0.10) were independently associated with faster cognitive decline (p < 0.05 for all). Different effects between Asian people and white people included stronger associations for Asian people between ever smoking and poorer cognition (group by risk factor interaction: B = −0.24, SE = 0.12), and between diabetes and cognitive decline (B = −0.66, SE = 0.27; p < 0.05 for both). Limitations of our study include a loss or distortion of risk factor data with harmonization, and not investigating factors at midlife. Conclusions: These results suggest that education, smoking, physical activity, diabetes, and stroke are all modifiable factors associated with cognitive decline. If these factors are determined to be causal, controlling them could minimize worldwide levels of cognitive decline. However, any global prevention strategy may need to consider ethno-regional differences

Velocity-space sensitivity of the time-of-flight neutron spectrometer at JET

The velocity-space sensitivities of fast-ion diagnostics are often described by so-called weight functions. Recently, we formulated weight functions showing the velocity-space sensitivity of the often dominant beam-target part of neutron energy spectra. These weight functions for neutron emission spectrometry (NES) are independent of the particular NES diagnostic. Here we apply these NES weight functions to the time-of-flight spectrometer TOFOR at JET. By taking the instrumental response function of TOFOR into account, we calculate time-of-flight NES weight functions that enable us to directly determine the velocity-space sensitivity of a given part of a measured time-of-flight spectrum from TOFOR

Relationship of edge localized mode burst times with divertor flux loop signal phase in JET

A phase relationship is identified between sequential edge localized modes (ELMs) occurrence times in a set of H-mode tokamak plasmas to the voltage measured in full flux azimuthal loops in the divertor region. We focus on plasmas in the Joint European Torus where a steady H-mode is sustained over several seconds, during which ELMs are observed in the Be II emission at the divertor. The ELMs analysed arise from intrinsic ELMing, in that there is no deliberate intent to control the ELMing process by external means. We use ELM timings derived from the Be II signal to perform direct time domain analysis of the full flux loop VLD2 and VLD3 signals, which provide a high cadence global measurement proportional to the voltage induced by changes in poloidal magnetic flux. Specifically, we examine how the time interval between pairs of successive ELMs is linked to the time-evolving phase of the full flux loop signals. Each ELM produces a clear early pulse in the full flux loop signals, whose peak time is used to condition our analysis. The arrival time of the following ELM, relative to this pulse, is found to fall into one of two categories: (i) prompt ELMs, which are directly paced by the initial response seen in the flux loop signals; and (ii) all other ELMs, which occur after the initial response of the full flux loop signals has decayed in amplitude. The times at which ELMs in category (ii) occur, relative to the first ELM of the pair, are clustered at times when the instantaneous phase of the full flux loop signal is close to its value at the time of the first ELM

Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report

Purpose To determine impact of risk-reducing hysterectomy and bilateral salpingo-oophorectomy (BSO) on gynecological cancer incidence and death in heterozygotes of pathogenic MMR (path_MMR) variants. Methods The Prospective Lynch Syndrome Database was used to investigate the effects of gynecological risk-reducing surgery (RRS) at different ages. Results Risk-reducing hysterectomy at 25 years of age prevents endometrial cancer before 50 years in 15%, 18%, 13%, and 0% of path_MLH1, path_MSH2, path_MSH6, and path_PMS2 heterozygotes and death in 2%, 2%, 1%, and 0%, respectively. Risk-reducing BSO at 25 years of age prevents ovarian cancer before 50 years in 6%, 11%, 2%, and 0% and death in 1%, 2%, 0%, and 0%, respectively. Risk-reducing hysterectomy at 40 years prevents endometrial cancer by 50 years in 13%, 16%, 11%, and 0% and death in 1%, 2%, 1%, and 0%, respectively. BSO at 40 years prevents ovarian cancer before 50 years in 4%, 8%, 0%, and 0%, and death in 1%, 1%, 0%, and 0%, respectively. Conclusion Little benefit is gained by performing RRS before 40 years of age and premenopausal BSO in path_MSH6 and path_PMS2 heterozygotes has no measurable benefit for mortality. These findings may aid decision making for women with LS who are considering RRS.Hereditary cancer genetic

A unifying approach for evaluating the condition of wetland plant communities and identifying related stressors

Assessment of vegetation is an important part of evaluating wetland condition, but it is complicated by the variety of plant communities that are naturally present in freshwater wetlands. We present an approach to evaluate wetland condition consisting of: (1) a stratified random sample representing the entire range of anthropogenic stress, (2) field data representing a range of water depths within the wetlands sampled, (3) nonmetric multidimensional scaling (MDS) to determine a biological condition gradient across the wetlands sampled, (4) hierarchical clustering to interpret the condition results relative to recognizable plant communities, (5) classification and regression tree (CART) analysis to relate biological condition to natural and anthropogenic environmental drivers, and (6) mapping the results to display their geographic distribution. We applied this approach to plant species data collected at 90 wetlands of the U.S. Great Lakes coast that support a variety of plant communities, reflecting the diverse physical environment and anthropogenic stressors present within the region. Hierarchical cluster analysis yielded eight plant communities at a minimum similarity of 25%. Wetlands that clustered botanically were often geographically clustered as well, even though location was not an input variable in the analysis. The eight vegetation clusters corresponded well with the MDS configuration of the data, in which the first axis was strongly related (R2 = 0.787, P < 0.001) with floristic quality index (FQI) and the second axis was related to the Great Lake of occurrence. CART models using FQI and the first MDS axis as the response variables explained 75% and 82% of the variance in the data, resulting in 6-7 terminal groups spanning the condition gradient. Initial CART splits divided the region based on growing degree-days and cumulative anthropogenic stress; only after making these broad divisions were wetlands distinguished by more local characteristics. Agricultural and urban development variables were important correlates of wetland biological condition, generating optimal or surrogate splits at every split node of the MDS CART model. Our findings provide a means of using vegetation to evaluate a range of wetland condition across a broad and diverse geographic region

Partitioning vegetation response to anthropogenic stress to develop multi-taxa wetland indicators

Emergent plants can be suitable indicators of anthropogenic stress in coastal wetlands if their responses to natural environmental variation can be parsed from their responses to human activities in and around wetlands. We used hierarchical partitioning to evaluate the independent influence of geomorphology, geography, and anthropogenic stress on common wetland plants of the U.S. Great Lakes coast and developed multi-taxa models indicating wetland condition. A seven-taxon model predicted condition relative to watershed-derived anthropogenic stress, and a four-taxon model predicted condition relative to within-wetland anthropogenic stressors that modified hydrology. The Great Lake on which the wetlands occurred explained an average of about half the variation in species cover, and subdividing the data by lake allowed us to remove that source of variation. We developed lake-specific multi-taxa models for all of the Great Lakes except Lake Ontario, which had no plant species with significant independent effects of anthropogenic stress. Plant responses were both positive (increasing cover with stress) and negative (decreasing cover with stress), and plant taxa incorporated into the lake-specific models differed by Great Lake. The resulting models require information on only a few taxa, rather than all plant species within a wetland, making them easier to implement than existing indicators

Microeconomic relationships between and among fishers and traders influence the ability to respond to social - ecological changes in a small - scale fishery

Understanding the cross-scale nature of how natural resource trading links to local extraction patterns remains a topic of great relevance to stewardship and sustainable use of ecological systems. Microeconomic influences on a society’s pattern of small-scale natural resources utilization can exacerbate resource overuse, especially under increased population pressure. In many rural communities that are based on a limited diversity of resource industries, quantifying the response of extractors and traders to market and environmental fluctuations is critical to understanding management constraints. We examine the fishing practices of a small lake in Uganda, East Africa, from the dual perspectives of the traders and the fishers using a Bayesian Belief Network approach based on detailed interview surveys. Fishers in this small lake target Nile perch (Lates niloticus) and Nile tilapia (Oreochromis niloticus), two fish species of high commercial and food security significance in East Africa. We combined data on financial, social, and ecological systems to understand how aspects of trading quantitatively relate to fish extraction patterns in Lake Nabugabo Uganda. Importantly, we find that the patron-client type relationships generate incentives to extract specific fish, whereas “freelancer” independent fishers are able to create responsive and flexible extraction practices that match market and environmental fluctuations. Management of fishing administered by local Beach Management Units will likely have a higher probability of success when in synchrony with trading relationships and ecological dynamics. We use this study in Uganda to reflect on methodological challenges and opportunities of combining multiple types of data sets for cross-scale analysis of social-ecological system dynamics

Plant species indicators of physical environment in Great Lakes coastal wetlands

Plant taxa identified in 90 U.S. Great Lakes coastal emergent wetlands were evaluated as indicators of physical environment. Canonical correspondence analysis using the 40 most common taxa showed that water depth and tussock height explained the greatest amount of species-environment interaction among ten environmental factors measured as continuous variables (water depth, tussock height, latitude, longitude, and six ground cover categories). Indicator species analysis was used to identify species-environment interactions with categorical variables of soil type (sand, silt, clay, organic) and hydrogeomorphic type (Open-Coast Wetlands, River-Influenced Wetlands, Protected Wetlands). Of the 169 taxa that occurred in a minimum of four study sites and ten plots, 48 were hydrogeomorphic indicators and 90 were soil indicators. Most indicators of Protected Wetlands were bog and fen species which were also organic soil indicators. Protected Wetlands had significantly greater average coefficient of conservatism (C) values than did Open-Coast Wetlands and River-Influenced Wetlands, but average C values did not differ significantly by soil type. Open-Coast and River-Influenced hydrogeomorphic types tended to have sand or silt soils. Clay soils were found primarily in areas with Quaternary glaciolacustrine deposits or clay-rich tills. A fuller understanding of how the physical environment influences plant species distribution will improve our ability to detect the response of wetland vegetation to anthropogenic activities