Earlier colony arrival but no trend in hatching timing in two congeneric seabirds (Uria spp.) across the North Atlantic

A global analysis recently showed that seabird breeding phenology (as the timing of egg-laying and hatching) does not, on average, respond to temperature changes or advance with time (Keogan et al. 2018 Nat. Clim. Change8, 313–318). This group, the most threatened of all birds, is therefore prone to spatio-temporal mismatches with their food resources. Yet, other aspects of the breeding phenology may also have a marked influence on breeding success, such as the arrival date of adults at the breeding site following winter migration. Here, we used a large tracking dataset of two congeneric seabirds breeding in 14 colonies across 18° latitudes, to show that arrival date at the colony was highly variable between colonies and species (ranging 80 days) and advanced 1.4 days/year while timing of egg-laying remained unchanged, resulting in an increasing pre-laying duration between 2009 and 2018. Thus, we demonstrate that potentially not all components of seabird breeding phenology are insensitive to changing environmental conditions

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

Earlier colony arrival but no trend in hatching timing in two congeneric seabirds (Uria spp.) across the North Atlantic

A global analysis recently showed that seabird breeding phenology (as the timing of egg-laying and hatching) does not, on average, respond to temperature changes or advance with time (Keogan et al. 2018 Nat. Clim. Change 8, 313–318). This group, the most threatened of all birds, is therefore prone to spatio-temporal mismatches with their food resources. Yet, other aspects of the breeding phenology may also have a marked influence on breeding success, such as the arrival date of adults at the breeding site following winter migration. Here, we used a large tracking dataset of two congeneric seabirds breeding in 14 colonies across 18° latitudes, to show that arrival date at the colony was highly variable between colonies and species (ranging 80 days) and advanced 1.4 days/year while timing of egg-laying remained unchanged, resulting in an increasing pre-laying duration between 2009 and 2018. Thus, we demonstrate that potentially not all components of seabird breeding phenology are insensitive to changing environmental conditions. guillemots, murres, pre-laying period, timing of egg-laying, Uria aalge, Uria lomvi

Individual migration strategy fidelity but no habitat specialization in two congeneric seabirds

Aim: In migratory species, individuals often use fixed and individual‐specific migration strategies, which we term individual migration strategy fidelity (IMSF). Our goal was to test if guillemots have flexible or fixed individual migration strategies (i.e. IMSF), if this behaviour is consistent across large parts of the genus’ range and if they were philopatric to geographical sites or a habitat feature. Location: North Atlantic. Taxon: Uria spp. Methods: We quantified consistent individual differences in inter‐annual spatial distribution and habitat occupied throughout the non‐breeding period using a large geolocator tracking dataset of 729 adult seabirds breeding at 13 colonies across the Northeast Atlantic and repeatedly tracked up to 7 years over a 9‐year period. Additionally, we used a similarity index to calculate relative fidelity to either geographical sites or habitats and linear mixed‐effects models to assess persistence of spatial site fidelity over multiple years. Results: Both guillemot species exhibited IMSF across a large part of the genus’ range which persisted over multiple years. Individuals of both species and almost all colonies showed fidelity to geographical sites and not to specific habitats. Main conclusions: Guillemots show IMSF that is best explained by site familiarity (fidelity to specific sites) rather than habitat specialization (fidelity to specific habitats). In the context of rapidly changing environments, favourable habitats may permanently shift locations and hence species displaying IMSF driven by site familiarity—such as the genus Uria—may not be able to adjust their migration strategies sufficiently fast to sustain individual fitness and ensure population persistence

Strong migratory connectivity across meta-populations of sympatric North Atlantic seabirds

Identifying drivers of population trends in migratory species is difficult, as they can face many stressors while moving through different areas and environments during the annual cycle. To understand the potential of migrants to adjust to perturbations, it is critical to study the connection of different areas used by different populations during the annual cycle (i.e. migratory connectivity). Using a large-scale tracking data set of 662 individual seabirds from 2 sympatric auk meta-populations (common guillemots Uria aalge and Brünnich’s guillemots U. lomvia) breeding in 12 colonies throughout the Northeast Atlantic, we estimated migratory connectivity in seasonal space use as well as occupied environmental niches. We found strong migratory connectivity, within and between species. This was apparent through a combination of seasonal space use and occupied environmental niches. Brünnich’s guillemot populations grouped into 2 and common guillemot populations into 5 previously undescribed spatiotemporal clusters. Common guillemot populations clustered in accordance with the variable population trends exhibited by the species, while Brünnich’s guillemot populations are declining everywhere where known within the study area. Individuals from different breeding populations in both species were clustered in their space and environmental use, utilising only a fraction of the potential species-wide range. Further, space use varied among seasons, emphasising the variable constraints faced by both species during the different stages of their annual cycle. Our study highlights that considering spatiotemporal dynamics, not only in space but also in occupied environmental niches, improves our understanding of migratory connectivity and thus population vulnerability in the context of global change. Environmental niche · Inter-population mixing · Large-scale spatiotemporal dynamics · Light-level geolocation · Murres · Population spread · Seasonalit

Strong migratory connectivity across meta-populations of sympatric North Atlantic seabirds

Identifying drivers of population trends in migratory species is difficult, as they can face many stressors while moving through different areas and environments during the annual cycle. To understand the potential of migrants to adjust to perturbations, it is critical to study the connection of different areas used by different populations during the annual cycle (i.e. migratory connectivity). Using a large-scale tracking data set of 662 individual seabirds from 2 sympatric auk meta-populations (common guillemots Uria aalge and Brünnich’s guillemots U. lomvia) breeding in 12 colonies throughout the Northeast Atlantic, we estimated migratory connectivity in seasonal space use as well as occupied environmental niches. We found strong migratory connectivity, within and between species. This was apparent through a combination of seasonal space use and occupied environmental niches. Brünnich’s guillemot populations grouped into 2 and common guillemot populations into 5 previously undescribed spatiotemporal clusters. Common guillemot populations clustered in accordance with the variable population trends exhibited by the species, while Brünnich’s guillemot populations are declining everywhere where known within the study area. Individuals from different breeding populations in both species were clustered in their space and environmental use, utilising only a fraction of the potential species-wide range. Further, space use varied among seasons, emphasising the variable constraints faced by both species during the different stages of their annual cycle. Our study highlights that considering spatiotemporal dynamics, not only in space but also in occupied environmental niches, improves our understanding of migratory connectivity and thus population vulnerability in the context of global change. Environmental niche · Inter-population mixing · Large-scale spatiotemporal dynamics · Light-level geolocation · Murres · Population spread · Seasonalit

Patterns of oral anticoagulant use and outcomes in Asian patients with atrial fibrillation: a post-hoc analysis from the GLORIA-AF Registry

Background: Previous studies suggested potential ethnic differences in the management and outcomes of atrial fibrillation (AF). We aim to analyse oral anticoagulant (OAC) prescription, discontinuation, and risk of adverse outcomes in Asian patients with AF, using data from a global prospective cohort study. Methods: From the GLORIA-AF Registry Phase II-III (November 2011-December 2014 for Phase II, and January 2014-December 2016 for Phase III), we analysed patients according to their self-reported ethnicity (Asian vs. non-Asian), as well as according to Asian subgroups (Chinese, Japanese, Korean and other Asian). Logistic regression was used to analyse OAC prescription, while the risk of OAC discontinuation and adverse outcomes were analysed through Cox-regression model. Our primary outcome was the composite of all-cause death and major adverse cardiovascular events (MACE). The original studies were registered with ClinicalTrials.gov, NCT01468701, NCT01671007, and NCT01937377. Findings: 34,421 patients were included (70.0 ± 10.5 years, 45.1% females, 6900 (20.0%) Asian: 3829 (55.5%) Chinese, 814 (11.8%) Japanese, 1964 (28.5%) Korean and 293 (4.2%) other Asian). Most of the Asian patients were recruited in Asia (n = 6701, 97.1%), while non-Asian patients were mainly recruited in Europe (n = 15,449, 56.1%) and North America (n = 8378, 30.4%). Compared to non-Asian individuals, prescription of OAC and non-vitamin K antagonist oral anticoagulant (NOAC) was lower in Asian patients (Odds Ratio [OR] and 95% Confidence Intervals (CI): 0.23 [0.22-0.25] and 0.66 [0.61-0.71], respectively), but higher in the Japanese subgroup. Asian ethnicity was also associated with higher risk of OAC discontinuation (Hazard Ratio [HR] and [95% CI]: 1.79 [1.67-1.92]), and lower risk of the primary composite outcome (HR [95% CI]: 0.86 [0.76-0.96]). Among the exploratory secondary outcomes, Asian ethnicity was associated with higher risks of thromboembolism and intracranial haemorrhage, and lower risk of major bleeding. Interpretation: Our results showed that Asian patients with AF showed suboptimal thromboembolic risk management and a specific risk profile of adverse outcomes; these differences may also reflect differences in country-specific factors. Ensuring integrated and appropriate treatment of these patients is crucial to improve their prognosis. Funding: The GLORIA-AF Registry was funded by Boehringer Ingelheim GmbH