The cetaceans of Guinea, a first check-list of documented species. Scientific Committee document SC/58/O15, International Whaling Commission, May-June 2006, St. Kitts

A CMS workshop on West African Cetacea (Conakry, May 2000), called for i.a. ‘carrying out .. inventory of cetacean species; collection, treatment and compilation of data for each state.’ The present paper is a preliminary faunal checklist of cetaceans occurring in Guinea’s EEZ. Information was gleaned from strandings, bycatches, scientific and opportunistic sightings and a literature review. Ten species are included for which supporting voucher material and data were available for examination. These are, three baleen whales: Balaenoptera brydei, Balaenoptera acutorostrata and Megaptera novaeangliae; and seven species of odontocetes: Kogia breviceps, Tursiops truncatus, Sousa teuszii, Stenella frontalis, Delphinus delphis, Steno bredanensis and Globicephala macrorhynchus. Another two species, Physeter macrocephalus and Stenella attenuate were sighted off Guinea but no photographic evidence was obtained. The current account is thought to reflect an incomplete picture of Guinea’s cetacean biodiversity. Future surveys are expected to update and investigate spatial and temporal distribution patterns for each species along Guinea’s coast. A few bycatches landed by artisanal fishers were utilised locally, but there are no signs of any substantial captures. Nonetheless, monitoring should be continued. The set-up of a national reference collection and database is recommended. The population identities of the encountered Atlantic humpback dolphin, minke whale and humpback whale are of particular interest

Survival in patients with spinocerebellar ataxia types 1, 2, 3, and 6 (EUROSCA): a longitudinal cohort study

Item does not contain fulltex

Long-term evolution of patient-reported outcome measures in spinocerebellar ataxias

Item does not contain fulltex

Body Mass Index Decline Is Related to Spinocerebellar Ataxia Disease Progression

Item does not contain fulltex

Virus genomes reveal factors that spread and sustained the Ebola epidemic

The 2013-2016 West African epidemic caused by the Ebola virus was of unprecedented magnitude, duration and impact. Here we reconstruct the dispersal, proliferation and decline of Ebola virus throughout the region by analysing 1,610 Ebola virus genomes, which represent over 5% of the known cases. We test the association of geography, climate and demography with viral movement among administrative regions, inferring a classic 'gravity' model, with intense dispersal between larger and closer populations. Despite attenuation of international dispersal after border closures, cross-border transmission had already sown the seeds for an international epidemic, rendering these measures ineffective at curbing the epidemic. We address why the epidemic did not spread into neighbouring countries, showing that these countries were susceptible to substantial outbreaks but at lower risk of introductions. Finally, we reveal that this large epidemic was a heterogeneous and spatially dissociated collection of transmission clusters of varying size, duration and connectivity. These insights will help to inform interventions in future epidemics

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien\u2013Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9\ub72 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4\u20137) and 7 (6\u20138) days respectively (P < 0\ub7001). There were no significant differences in rates of readmission between these groups (6\ub76 versus 8\ub70 per cent; P = 0\ub7499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0\ub790, 95 per cent c.i. 0\ub755 to 1\ub746; P = 0\ub7659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34\ub77 versus 39\ub75 per cent; major 3\ub73 versus 3\ub74 per cent; P = 0\ub7110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients