Diverse response of shallow lake water levels to decadal weather patterns in a heterogeneous glacial Boreal Plains landscape

To examine the relative controls of landscape and climate on spatial variability, we measured water level dynamics of shallow lakes over two decades that represent both the heterogeneity of surficial geology classifications, and thus the potential range in surface and groundwater connectivity, and the long‐term weather patterns of the Boreal Plain hydrogeoclimatic setting. Large ranges in shallow lakes water levels (between 0.25 and 2 m) were observed corresponding to extremes in precipitation relative to the long‐term mean precipitation over the study period. We found low concurrence in water level dynamics among four detailed study lakes that received the same meteorological weather signal, but were located in different surficial geology texture classifications that incorporated important landscape parameters associated with lake water balance and storage. Surficial geology classification alone did not, however, distinguish between different ranges in lake water level measured in a broader synoptic survey of 26 lakes across the region. Thus, simple surficial geology classifications cannot alone be applied to classify Boreal Plain lake water level dynamics and other controls, notably landscape position, must also be considered. We further show that inter‐annual variability in lake water levels was significantly greater than seasonal variability in this hydrogeoclimatic setting. This emphasizes the need for studies of sufficient length to capture weather extremes that include periods of wetting and drying, and demonstrates how observed magnitudes of water level variability, and lake function, can be an artefact of study length and initiation date. These findings provide a foundation to test and calibrate conceptual understanding of the wider controls of lake water levels to form holistic frameworks to mitigate ecological and societal impacts due to hydrological changes under climate and anthropogenic disturbance within and between hydrogeoclimatic settings

A Cross-Sectional Study of All Clinicians’ Conflict of Interest Disclosures to NHS Hospital Employers in England 2015-2016

Objective We set out to document how NHS trusts in the UK record and share disclosures of conflict of interest by their employees. Design Cross-sectional study of responses to a Freedom of Information Act request for Gifts and Hospitality Registers. Setting NHS Trusts (secondary/tertiary care organisations) in England. Participants 236 Trusts were contacted, of which 217 responded. Main outcome measures We assessed all disclosures for completeness and openness, scoring them for achieving each of five measures of transparency. Results 185 Trusts (78%) provided a register. 71 Trusts did not respond within the 28 day time limit required by the FoIA. Most COI registers were incomplete by design, and did not contain the information necessary to assess conflicts of interest. 126/185 (68%) did not record the names of recipients. 47/185 (25%) did not record the cash value of the gift or hospitality. Only 31/185 registers (16%) contained the names of recipients, the names of donors, and the cash amounts received. 18/185 (10%) contained none of: recipient name, donor name, and cash amount. Only 15 Trusts had their disclosure register publicly available online (6%). We generated a transparency index assessing whether each Trust met the following criteria: responded on time; provided a register; had a register with fields identifying donor, recipient, and cash amount; provided a register in a format that allowed further analysis; and had their register publicly available online. Mean attainment was 1.9/5; no NHS trust met all five criteria. Conclusion Overall, recording of employees’ conflicts of interest by NHS trusts is poor. None of the NHS Trusts in England met all transparency criteria. 19 did not respond to our FoIA requests, 51 did not provide a Gifts and Hospitality Register and only 31 of the registers provided contained enough information to assess employees’ conflicts of interest. Despite obligations on healthcare professionals to disclose conflicts of interest, and on organisations to record these, the current system for logging and tracking such disclosures is not functioning adequately. We propose a simple national template for reporting conflicts of interest, modelled on the US ‘Sunshine Act’

E-cigarette manufacturers' compliance with clinical trial reporting expectations: a case series of registered trials by Juul Labs.

BACKGROUND: Electronic cigarettes (e-cigarettes) are a frequently debated topic in public health. It is essential that clinical trials examining e-cigarettes are fully and accurately reported, especially given long-standing concerns about tobacco industry research. We assess the reporting of clinical trials sponsored by Juul Labs, the largest e-cigarette company in the USA, against accepted reporting standards. METHODS: We searched ClinicalTrials.gov for all trials sponsored by Juul Labs and determined those with registry data consistent with coverage by the Food and Drug Administration (FDA) Amendments Act 2007 (FDAAA). For trials with a primary completion date more than 1 year earlier, we searched ClinicalTrials.gov, the academic literature and a Juul-funded research database (JLI Science) for results. For located results, we compared reported outcomes with registered outcomes in line with Consolidated Standards of Reporting Trials (CONSORT) reporting guidelines. RESULTS: We located five registered trials sponsored by Juul Labs that appeared covered by the FDAAA 2007 in the public data. All five trials did not have results available on ClinicalTrials.gov. We found one publication and four poster presentations reporting results for four of the five covered trials outside of ClinicalTrials.gov. Of 61 specified outcomes, 28 were CONSORT compliant. Specific outcome reporting issues are detailed. DISCUSSION: Our findings raise substantial concerns regarding these trials. Clinicians, public health professionals, and the public cannot make informed choices about the benefits or hazards of e-cigarettes if the results of clinical trials are not completely and transparently reported. Clarification and potential enforcement of reporting laws may be required

Severe wildfire exposes remnant peat carbon stocks to increased post-fire drying

Abstract The potential of high severity wildfires to increase global terrestrial carbon emissions and exacerbate future climatic warming is of international concern. Nowhere is this more prevalent than within high latitude regions where peatlands have, over millennia, accumulated legacy carbon stocks comparable to all human CO2 emissions since the beginning of the industrial revolution. Drying increases rates of peat decomposition and associated atmospheric and aquatic carbon emissions. The degree to which severe wildfires enhance drying under future climates and induce instability in peatland ecological communities and carbon stocks is unknown. Here we show that high burn severities increased post-fire evapotranspiration by 410% within a feather moss peatland by burning through the protective capping layer that restricts evaporative drying in response to low severity burns. High burn severities projected under future climates will therefore leave peatlands that dominate dry sub-humid regions across the boreal, on the edge of their climatic envelopes, more vulnerable to intense post-fire drying, inducing high rates of carbon loss to the atmosphere that amplify the direct combustion emissions