Evaluation of Anthropogenic Marine Debris and Sargassum fluitans and its Potential Impact on Sea Turtle Hatchlings at Sandy Point National Wildlife Refuge

Anthropogenic debris, particularly plastic, has become a significant threat for marine species with the increased use of plastics over the years. Marine birds and sea turtles, mostly green, loggerhead and leatherback turtles, are especially vulnerable to mistaking plastic debris for food and ingesting it. There has been a rise in the incidence of turtles having plastic fragments in their GI tracts; even small amounts of plastic may have major long-term health and reproductive effects. On the nesting beaches, both adults and hatchlings may become entangled in debris or have trouble navigating around beach debris during their crawl to the sea. Sandy Point National Wildlife Refuge (St. Croix, USVI) is an important nesting beach for leatherback, green and hawksbill sea turtles. There is a large amount of marine debris found along the southern shore of St. Croix near Sandy Point. To quantify the amount of anthropogenic debris washed ashore, a trash survey was conducted on the south shore of the refuge every Monday between 29 June and 3 August 2015. Trash was collected along two 400-m transects and then later categorized. In addition, since there has been an increase in Sargassum fluitans along beaches in the Caribbean (starting in 2011), the width of the sargassum along the transects was measured at the beginning, middle and end of the survey. We found that there has been mostly a slight decrease in the amount of debris and an increase of sargassum washed up on shore over the study period. Our study has documented the rate of trash and sargassum washing ashore at Sandy Point National Wildlife Refuge and provides information on some potential obstacles hatchlings may face on their path to the sea

The Path To The Sea: Leatherback Hatchling Orientation at Sandy Point National Wildlife Refuge

Once sea turtle hatchlings emerge from their nest, they must find their way to the ocean by using cues such as a bright horizon and the slope of the beach. While moving toward the water, hatchlings often must navigate past predators and through vegetation, sticks, footprints in the sand, and other dangers such as ghost crab holes. Sometimes hatchlings become confused (or disoriented) and turn in circles to find the right route to the water. Sea turtle hatchlings also may become disoriented as a result of human impacts such as town lights or trash. The purpose of our experiment was to evaluate the path hatchlings took from the nest to the water and to record if they became disoriented because of human impacts. We took 10 leatherback hatchlings each from 11 nests that naturally emerged at Sandy Point National Wildlife Refuge (St. Croix, USVI) and released them from their nest location between 14 July and 27 July 2014. We recorded the time it took for each of them to reach the high tide line, compass direction of their travel, distance from the nest to the water, distance and compass direction of the most direct route to the water, time of the experiment, and weather conditions. Our results show that the majority of hatchlings were not drawn toward town lights or disoriented by trash. In conclusion, town lights and trash are not a major concern at Sandy Point except on nights when there is a lot of sky glow from town

The Evaluation of the Response of American Eels to Rapid Decompression

Hydropower dams are used throughout the world to generate electricity and dams can negatively affect fish, as they can hinder or block migration or be a source of injury and mortality during passage. When moving downstream, fish can pass through the turbines instead of other routes (e.g. spillway and juvenile bypass system)where there is a sudden decrease in pressure that can cause barotraumas, injuries from the changes in barometric pressure, (e.g., hemorrhaging, embolism, ruptured organs) due to internal gases expanding. To determine the response of American eels, Anguilla rostrate, to rapid decompression, testing was conducted in the Mobile Aquatic Barotrauma Laboratory (MABL) at PNNL’s Aquatic Research Lab between 6 June and 5 August 2016. In total, 105 eels were tested in MABL’s hyper/hypobaric chambers by simulating the rapid decompression experienced in turbines. Eels were acclimated to 25 feet depth and the nadir, lowest pressure the eels experienced, during the test was measured. This was done to determine the ratio of pressure change (RPC) the eels experienced during testing (i.e., acclimation pressure/nadir pressure). After exposure, the eels were held for two days to monitor survival before a necropsy was performed. There were only two mortalities observed (1.9%) in the study. Twenty-one fish were found to have non-fatal barotraumas. However, these injuries are fatal for other species (e.g., Chinook salmon). The maximum RPC for fish with injuries was 11.32, while the greatest RPC in the study was 19.66, and so further research is needed to determine if there is a RPC that will result in 100% mortality for this species. The results provide information that can be used in the design and operation of turbines to minimize mortality for fish that pass through

You Want Us to Do What? How to Conduct Community-engaged Research Studies from the Perspective of the Community Organizations: Evidence from the Kidsteps II Study

Voices of community partners can help guide future community engaged research partnerships. Drs. Upshur and Wenz-Gross have been working with a Worcester community coalition for almost 15 years to create, document and research issues of at risk preschool children. Their first work, funded by the Health Foundation of Central Massachusetts, developed and tested a model of early childhood mental health consultation to child care programs. This led to testing of a primary prevention curriculum funded by the National Institute of Mental Health, and subsequently to a large randomized intervention study funded by the US Department of Education. Community partners will describe their experiences in this community driven research

Nuclear and Cytoplasmic Accumulation of Ep-ICD Is Frequently Detected in Human Epithelial Cancers

BACKGROUND: We previously demonstrated that nuclear and cytoplasmic accumulation of the intracellular domain (Ep-ICD) of epithelial cell adhesion molecule (EpCAM) accompanied by a reciprocal reduction of its extracellular domain (EpEx), occurs in aggressive thyroid cancers. This study was designed to determine whether similar accumulation of Ep-ICD is a common event in other epithelial cancers. METHODOLOGY AND RESULTS: Ten epithelial cancers were immunohistochemically analyzed using Ep-ICD and EpEx domain-specific antibodies. The subcellular localization of EpEx and Ep-ICD in the human colon adenocarcinoma cell line CX-1 was observed using immunofluorescence. Nuclear and cytoplasmic Ep-ICD expression was increased in cancers of the breast (31 of 38 tissues, 82%), prostate (40 of 49 tissues, 82%), head and neck (37 of 57 tissues, 65%) and esophagus (17 of 46 tissues, 37%) compared to their corresponding normal tissues that showed membrane localization of the protein. Importantly, Ep-ICD was not detected in the nuclei of epithelial cells in most normal tissues. High nuclear and cytoplasmic Ep-ICD accumulation also occurred in the other six epithelial cancer types analyzed - lung, colon, liver, bladder, pancreatic, and ovarian. A concomitant reduction in membrane EpEx expression was observed in a subset of all cancer types. Receiver operating characteristic curve analysis revealed nuclear Ep-ICD distinguished breast cancers with 82% sensitivity and 100% specificity and prostate cancers with 82% sensitivity and 78% specificity. Similar findings were observed for cytoplasmic accumulation of Ep-ICD in these cancers. We provide clinical evidence of increased nuclear and cytoplasmic Ep-ICD accumulation and a reduction in membranous EpEx in these cancers. CONCLUSIONS: Increased nuclear and cytoplasmic Ep-ICD was observed in all epithelial cancers analyzed and distinguished them from normal tissues with high-sensitivity, specificity, and AUC. Development of a robust high throughput assay for Ep-ICD will facilitate the determination of its diagnostic, prognostic and therapeutic relevance in epithelial cancers

Nurse practitioner interactions in acute and long-term care : an exploration of the role of knotworking in supporting interprofessional collaboration

BACKGROUND: Interprofessional care ensures high quality healthcare. Effective interprofessional collaboration is required to enable interprofessional care, although within the acute care hospital setting interprofessional collaboration is considered suboptimal. The integration of nurse practitioner roles into the acute and long-term care settings is influencing enhanced care. What remains unknown is how the nurse practitioner role enacts interprofessional collaboration or enables interprofessional care to promote high quality care. The study aim was to understand how nurse practitioners employed in acute and long-term care settings enable interprofessional collaboration and care. METHOD: Nurse practitioner interactions with other healthcare professionals were observed throughout the work day. These interactions were explored within the context of "knotworking" to create an understanding of their social practices and processes supporting interprofessional collaboration. Healthcare professionals who worked with nurse practitioners were invited to share their perceptions of valued role attributes and impacts. RESULTS: Twenty-four nurse practitioners employed at six hospitals participated. 384 hours of observation provided 1,284 observed interactions for analysis. Two types of observed interactions are comparable to knotworking. Rapid interactions resemble the traditional knotworking described in earlier studies, while brief interactions are a new form of knotworking with enhanced qualities that more consistently result in interprofessional care. Nurse practitioners were the most common initiators of brief interactions. CONCLUSIONS: Brief interactions reveal new qualities of knotworking with more consistent interprofessional care results. A general process used by nurse practitioners, where they practice a combination of both traditional (rapid) knotworking and brief knotworking to enable interprofessional care within acute and long-term care settings, is revealed

The impact of immediate breast reconstruction on the time to delivery of adjuvant therapy: the iBRA-2 study

Background: Immediate breast reconstruction (IBR) is routinely offered to improve quality-of-life for women requiring mastectomy, but there are concerns that more complex surgery may delay adjuvant oncological treatments and compromise long-term outcomes. High-quality evidence is lacking. The iBRA-2 study aimed to investigate the impact of IBR on time to adjuvant therapy. Methods: Consecutive women undergoing mastectomy ± IBR for breast cancer July–December, 2016 were included. Patient demographics, operative, oncological and complication data were collected. Time from last definitive cancer surgery to first adjuvant treatment for patients undergoing mastectomy ± IBR were compared and risk factors associated with delays explored. Results: A total of 2540 patients were recruited from 76 centres; 1008 (39.7%) underwent IBR (implant-only [n = 675, 26.6%]; pedicled flaps [n = 105,4.1%] and free-flaps [n = 228, 8.9%]). Complications requiring re-admission or re-operation were significantly more common in patients undergoing IBR than those receiving mastectomy. Adjuvant chemotherapy or radiotherapy was required by 1235 (48.6%) patients. No clinically significant differences were seen in time to adjuvant therapy between patient groups but major complications irrespective of surgery received were significantly associated with treatment delays. Conclusions: IBR does not result in clinically significant delays to adjuvant therapy, but post-operative complications are associated with treatment delays. Strategies to minimise complications, including careful patient selection, are required to improve outcomes for patients

Mitochondrial physiology

As the knowledge base and importance of mitochondrial physiology to evolution, health and disease expands, the necessity for harmonizing the terminology concerning mitochondrial respiratory states and rates has become increasingly apparent. The chemiosmotic theory establishes the mechanism of energy transformation and coupling in oxidative phosphorylation. The unifying concept of the protonmotive force provides the framework for developing a consistent theoretical foundation of mitochondrial physiology and bioenergetics. We follow the latest SI guidelines and those of the International Union of Pure and Applied Chemistry (IUPAC) on terminology in physical chemistry, extended by considerations of open systems and thermodynamics of irreversible processes. The concept-driven constructive terminology incorporates the meaning of each quantity and aligns concepts and symbols with the nomenclature of classical bioenergetics. We endeavour to provide a balanced view of mitochondrial respiratory control and a critical discussion on reporting data of mitochondrial respiration in terms of metabolic flows and fluxes. Uniform standards for evaluation of respiratory states and rates will ultimately contribute to reproducibility between laboratories and thus support the development of data repositories of mitochondrial respiratory function in species, tissues, and cells. Clarity of concept and consistency of nomenclature facilitate effective transdisciplinary communication, education, and ultimately further discovery

Mitochondrial physiology

As the knowledge base and importance of mitochondrial physiology to evolution, health and disease expands, the necessity for harmonizing the terminology concerning mitochondrial respiratory states and rates has become increasingly apparent. The chemiosmotic theory establishes the mechanism of energy transformation and coupling in oxidative phosphorylation. The unifying concept of the protonmotive force provides the framework for developing a consistent theoretical foundation of mitochondrial physiology and bioenergetics. We follow the latest SI guidelines and those of the International Union of Pure and Applied Chemistry (IUPAC) on terminology in physical chemistry, extended by considerations of open systems and thermodynamics of irreversible processes. The concept-driven constructive terminology incorporates the meaning of each quantity and aligns concepts and symbols with the nomenclature of classical bioenergetics. We endeavour to provide a balanced view of mitochondrial respiratory control and a critical discussion on reporting data of mitochondrial respiration in terms of metabolic flows and fluxes. Uniform standards for evaluation of respiratory states and rates will ultimately contribute to reproducibility between laboratories and thus support the development of data repositories of mitochondrial respiratory function in species, tissues, and cells. Clarity of concept and consistency of nomenclature facilitate effective transdisciplinary communication, education, and ultimately further discovery

Training during the COVID-19 lockdown : knowledge, beliefs, and practices of 12,526 athletes from 142 countries and six continents

OBJECTIVE Our objective was to explore the training-related knowledge, beliefs, and practices of athletes and the influence of lockdowns in response to the coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). METHODS Athletes (n = 12,526, comprising 13% world class, 21% international, 36% national, 24% state, and 6% recreational) completed an online survey that was available from 17 May to 5 July 2020 and explored their training behaviors (training knowledge, beliefs/attitudes, and practices), including specific questions on their training intensity, frequency, and session duration before and during lockdown (March–June 2020). RESULTS Overall, 85% of athletes wanted to “maintain training,” and 79% disagreed with the statement that it is “okay to not train during lockdown,” with a greater prevalence for both in higher-level athletes. In total, 60% of athletes considered “coaching by correspondence (remote coaching)” to be sufficient (highest amongst world-class athletes). During lockdown, < 40% were able to maintain sport-specific training (e.g., long endurance [39%], interval training [35%], weightlifting [33%], most (83%) training for “general fitness and health maintenance” during lockdown. Athletes trained alone (80%) and focused on bodyweight (65%) and cardiovascular (59%) exercise/training during lockdown. Compared with before lockdown, most athletes reported reduced training frequency (from between five and seven sessions per week to four or fewer), shorter training sessions (from ≥ 60 to < 60 min), and lower sport-specific intensity (~ 38% reduction), irrespective of athlete classification. CONCLUSIONS COVID-19-related lockdowns saw marked reductions in athletic training specificity, intensity, frequency, and duration, with notable within-sample differences (by athlete classification). Higher classification athletes had the strongest desire to “maintain” training and the greatest opposition to “not training” during lockdowns. These higher classification athletes retained training specificity to a greater degree than others, probably because of preferential access to limited training resources. More higher classification athletes considered “coaching by correspondence” as sufficient than did lower classification athletes. These lockdown-mediated changes in training were not conducive to maintenance or progression of athletes’ physical capacities and were also likely detrimental to athletes’ mental health. These data can be used by policy makers, athletes, and their multidisciplinary teams to modulate their practice, with a degree of individualization, in the current and continued pandemic-related scenario. Furthermore, the data may drive training-related educational resources for athletes and their multidisciplinary teams. Such upskilling would provide athletes with evidence to inform their training modifications in response to germane situations (e.g., COVID related, injury, and illness).A specific funding was provided by the National Sports Institute of Malaysia for this study.The National Sports Institute of Malaysia.https://www.springer.com/journal/40279am2023Sports Medicin