A Golf Programme for People with Severe and Enduring Mental Health Problems

This article reports a pioneering golf programme for people with severe and enduring mental health problems. Following a discussion of the problems and possibilities of golf as a form of physical activity for this group, we outline the structure, organisation, and ethos of the golf programme. Through an analysis of qualitative case study data collected during the programme, we discuss the response to the programme from service users and mental health professionals. We conclude by highlighting aspects of the programme which were critical to its success and offering suggestions for further initiatives in this area

Week 96 efficacy and safety results of the phase 3, randomized EMERALD trial to evaluate switching from boosted-protease inhibitors plus emtricitabine/tenofovir disoproxil fumarate regimens to the once daily, single-tablet regimen of darunavir/cobicistat/emtricitabine/tenofovir alafenamide (D/C/F/TAF) in treatment-experienced, virologically-suppressed adults living with HIV-1

Darunavir/cobicistat/emtricitabine/tenofovir alafenamide (D/C/F/TAF) 800/150/200/10 mg was investigated through 96 weeks in EMERALD (NCT02269917). Virologically-suppressed, HIV-1-positive treatment-experienced adults (previous non-darunavir virologic failure [VF] allowed) were randomized (2:1) to D/C/F/TAF or boosted protease inhibitor (PI) plus emtricitabine/tenofovir-disoproxil-fumarate (F/TDF) over 48 weeks. At week 52 participants in the boosted PI arm were offered switch to D/C/F/TAF (late-switch, 44 weeks D/C/F/TAF exposure). All participants were followed on D/C/F/TAF until week 96. Efficacy endpoints were percentage cumulative protocol-defined virologic rebound (PDVR; confirmed viral load [VL] >= 50 copies/mL) and VL = 50 copies/mL (VF) (FDA-snapshot analysis). Of 1141 randomized patients, 1080 continued in the extension phase. Few patients had PDVR (D/C/F/TAF: 3.1%, 24/763 cumulative through week 96; late-switch: 2.3%, 8/352 week 52-96). Week 96 virologic suppression was 90.7% (692/763) (D/C/F/TAF) and 93.8% (330/352) (late-switch). VF was 1.2% and 1.7%, respectively. No darunavir, primary PI, tenofovir or emtricitabine resistance-associated mutations were observed post-baseline. No patients discontinued for efficacy-related reasons. Few discontinued due to adverse events (2% D/C/F/TAF arm). Improved renal and bone parameters were maintained in the D/C/F/TAF arm and observed in the late-switch arm, with small increases in total cholesterol/high-density-lipoprotein-cholesterol ratio. A study limitation was the lack of a control arm in the week 96 analysis. Through 96 weeks, D/C/F/TAF resulted in low PDVR rates, high virologic suppression rates, very few VFs, and no resistance development. Late-switch results were consistent with D/C/F/TAF week 48 results. EMERALD week 96 results confirm the efficacy, high genetic barrier to resistance and safety benefits of D/C/F/TAF

Managing carious lesions:consensus recommendations on terminology

published_or_final_versio

Florabank1 : a grid-based database on vascular plant distribution in the northern part of Belgium (Flanders and the Brussels Capital region)

Florabank1 is a database that contains distributional data on the wild fl ora (indigenous species, archeophytes and naturalised aliens) of Flanders and the Brussels Capital Region. It holds about 3 million records of vascular plants, dating from 1800 till present. Furthermore, it includes ecological data on vascular plant species, redlist category information, Ellenberg values, legal status, global distribution, seed bank etc. The database is an initiative of “Flo.Wer” (www.plantenwerkgroep.be), the Research Institute for Nature and Forest (INBO: www.inbo.be) and the National Botanic Garden of Belgium (www.br.fgov.be). Florabank aims at centralizing botanical distribution data gathered by both professional and amateur botanists and to make these data available to the benefi t of nature conservation, policy and scientifi c research. The occurrence data contained in Florabank1 are extracted from checklists, literature and herbarium specimen information. Of survey lists, the locality name (verbatimLocality), species name, observation date and IFBL square code, the grid system used for plant mapping in Belgium (Van Rompaey 1943), is recorded. For records dating from the period 1972–2004 all pertinent botanical journals dealing with Belgian fl ora were systematically screened. Analysis of herbarium specimens in the collection of the National Botanic Garden of Belgium, the University of Ghent and the University of Liège provided interesting distribution knowledge concerning rare species, this information is also included in Florabank1. The data recorded before 1972 is available through the Belgian GBIF node (http://data.gbif.org/datasets/resource/10969/), not through FLORABANK1, to avoid duplication of information. A dedicated portal providing access to all published Belgian IFBL records at this moment is available at: http://projects.biodiversity.be/ifbl All data in Florabank1 is georeferenced. Every record holds the decimal centroid coordinates of the IFBL square containing the observation. Th e uncertainty radius is the smallest circle possible covering the whole IFBL square, which can measure 1 Km² or 4 Km². Florabank is a work in progress and new occurrences are added as they become available; the dataset will be updated through GBIF on a regularly base

How may beach nourishment affect the sandy beach ecosystem? The case of Belgian beaches

Though often regarded as biological deserts, sandy beaches provide a unique habitat for several species. Research was conducted by a consortium of experts with as a first objective to provide an integrated overview of the Belgian beach ecosystem and all its major components. A second objective comprised a review of available literature on the ecological impact of beach nourishment. To meet the first objective, an integrated overview of the Belgian sandy beach ecosystem based on spatial and temporal variation of fauna and flora of 11 sandy beaches is provided. The presented results corroborate the overlooked ecological significance of sandy beaches as a habitat. Besides sedimentology and hydrodynamics, five ecosystem components were taken into account: microphytobenthos, vascular plants, terrestrial arthropods, zoobenthos and avifauna. Nourishment of beaches is a large scale anthropogenic influence on sandy beach ecosystem. Sandy beaches are regarded as systems with a strong resilience towards such impacts. Nevertheless serious (short term) ecological effects can be expected. A review of prior studies indicates that the impact of nourishment is rather case-specific and that it is difficult to draw general conclusions. Short term impact is mostly large due to total mortality of benthic life. It seems very likely that potential recovery from the impact of nourishment will be limited to two essential, species specific pathways: (1) survival by resident organisms and (2) re-colonisation by immigrating individuals, the latter depending on both the dispersal capacities and habitat demands of the organisms. Further research is needed to explore possibilities for reducing detrimental ecological effects. Specific studies are needed towards the survival options, the dispersal capacities and habitat demands of the species present. These should allow for management guidelines to be drawn in terms of preferable nourishment sediment characteristics, timing and practice of the deposition of the sand

Variations in planetary convection via the effect of climate on damage

A new model for the generation of plate tectonics suggests an important interaction between a planet's climate and its lithospheric damage behavior; and thus provides a simple explanation for the tectonic difference between Earth and Venus. We propose that high surface temperatures will lead to higher healing rates (e.g. grain growth) in the lithosphere that will act to suppress localization, plate boundary formation, and subduction. This leads to episodic or stagnant lid convection on Venus because of its hotter climate. In contrast, Earth's cooler climate promotes damage and plate boundary formation. The damage rheology presented in this paper attempts to describe the evolution of grain size by allowing for grain reduction via deformational work input and grain growth via surface tension-driven coarsening. We explore the interaction of damage and healing in two-dimensional numerical convection simulations. We also develop a simple "drip-instability" model to test the hypothesis that the competition between damage and healing controls convective and plate tectonic style by modulating episodicity at subduction zones. At small values of damage, f A , (or large values of healing, k A ) the lithosphere remains strong enough to resist subduction on time scales of billions of years. At intermediate values of f A and k A the lithosphere may become mobilized and allow for short bursts of tectonic behavior followed by periods of quiescence. At large (small) values of f A (k A ) the fineness is increased so that the viscosity of the plate boundary is reduced to allow for continuous, unimpeded subduction of lithosphere and plate-like deformation. The results suggest the feasibility of our proposed hypothesis that the interplay of climate and damage control the mode of tectonics on a planet

Networking Our Way to Better Ecosystem Service Provision.

The ecosystem services (EcoS) concept is being used increasingly to attach values to natural systems and the multiple benefits they provide to human societies. Ecosystem processes or functions only become EcoS if they are shown to have social and/or economic value. This should assure an explicit connection between the natural and social sciences, but EcoS approaches have been criticized for retaining little natural science. Preserving the natural, ecological science context within EcoS research is challenging because the multiple disciplines involved have very different traditions and vocabularies (common-language challenge) and span many organizational levels and temporal and spatial scales (scale challenge) that define the relevant interacting entities (interaction challenge). We propose a network-based approach to transcend these discipline challenges and place the natural science context at the heart of EcoS research.The QUINTESSENCE Consortium gratefully acknowledges the support of Départment SPE and Métaprogramme ECOSERV of INRA, and the French ANR projects PEERLESS (ANR-12-AGRO-0006) and AgroBioSE (ANR-13-AGRO-0001).This is the final version of the article. It first appeared from Elsevier via http://dx.doi.org/10.1016/j.tree.2015.12.00

Week 48 resistance analyses of the once-daily, single-tablet regimen darunavir/cobicistat/emtricitabine/tenofovir alafenamide (D/C/F/TAF) in adults living with HIV-1 from the Phase III Randomized AMBER and EMERALD Trials

Darunavir/cobicistat/emtricitabine/tenofovir alafenamide (D/C/F/TAF) 800/150/200/10 mg is being investigated in two Phase III trials, AMBER (NCT02431247; treatment-naive adults) and EMERALD (NCT02269917; treatment-experienced, virologically suppressed adults). Week 48 AMBER and EMERALD resistance analyses are presented. Postbaseline samples for genotyping/phenotyping were analyzed from protocol-defined virologic failures (PDVFs) with viral load (VL) >= 400 copies/mL at failure/later time points. Post hoc analyses were deep sequencing in AMBER, and HIV-1 proviral DNA from baseline samples (VL = 3 thymidine analog-associated mutations (24% not fully susceptible to tenofovir) detected at screening. All achieved VL <50 copies/mL at week 48 or prior discontinuation. D/C/F/TAF has a high genetic barrier to resistance; no darunavir, primary PI, or tenofovir RAMs were observed through 48 weeks in AMBER and EMERALD. Only one postbaseline M184I/V RAM was observed in HIV-1 of an AMBER participant. In EMERALD, baseline archived RAMs to darunavir, emtricitabine, and tenofovir in participants with prior VF did not preclude virologic response