Weather, Not Climate, Defines Distributions of Vagile Bird Species

Background\ud \ud Accurate predictions of species distributions are essential for climate change impact assessments. However the standard practice of using long-term climate averages to train species distribution models might mute important temporal patterns of species distribution. The benefit of using temporally explicit weather and distribution data has not been assessed. 1We hypothesized that short-term weather associated with the time a species was recorded should be superior to long-term climate measures for predicting distributions of mobile species.\ud \ud Methodology\ud \ud We tested our hypothesis by generating distribution models for 157 bird species found in Australian tropical savannas (ATS) using modelling algorithm Maxent. The variable weather of the ATS supports a bird assemblage with variable movement patterns and a high incidence of nomadism. We developed “weather” models by relating climatic variables (mean temperature, rainfall, rainfall seasonality and temperature seasonality) from the three month, six month and one year period preceding each bird record over a 58 year period (1950–2008). These weather models were compared against models built using long-term (30 year) averages of the same climatic variables.\ud \ud Conclusions\ud \ud Weather models consistently achieved higher model scores than climate models, particularly for wide-ranging, nomadic and desert species. Climate models predicted larger range areas for species, whereas weather models quantified fluctuations in habitat suitability across months, seasons and years. Models based on long-term climate averages over-estimate availability of suitable habitat and species' climatic tolerances, masking species potential vulnerability to climate change. Our results demonstrate that dynamic approaches to distribution modelling, such as incorporating organism-appropriate temporal scales, improves understanding of species distributions

Association of Thalamic Dysconnectivity and Conversion to Psychosis in Youth and Young Adults at Elevated Clinical Risk

Severe neuropsychiatric conditions, such as schizophrenia, affect distributed neural computations. One candidate system profoundly altered in chronic schizophrenia involves the thalamocortical networks. It is widely acknowledged that schizophrenia is a neurodevelopmental disorder that likely affects the brain before onset of clinical symptoms. However, no investigation has tested whether thalamocortical connectivity is altered in individuals at risk for psychosis or whether this pattern is more severe in individuals who later develop full-blown illness

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Adding 6 months of androgen deprivation therapy to postoperative radiotherapy for prostate cancer: a comparison of short-course versus no androgen deprivation therapy in the RADICALS-HD randomised controlled trial

Background Previous evidence indicates that adjuvant, short-course androgen deprivation therapy (ADT) improves metastasis-free survival when given with primary radiotherapy for intermediate-risk and high-risk localised prostate cancer. However, the value of ADT with postoperative radiotherapy after radical prostatectomy is unclear. Methods RADICALS-HD was an international randomised controlled trial to test the efficacy of ADT used in combination with postoperative radiotherapy for prostate cancer. Key eligibility criteria were indication for radiotherapy after radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to radiotherapy alone (no ADT) or radiotherapy with 6 months of ADT (short-course ADT), using monthly subcutaneous gonadotropin-releasing hormone analogue injections, daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as distant metastasis arising from prostate cancer or death from any cause. Standard survival analysis methods were used, accounting for randomisation stratification factors. The trial had 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 80% to 86% (hazard ratio [HR] 0·67). Analyses followed the intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and ClinicalTrials.gov, NCT00541047. Findings Between Nov 22, 2007, and June 29, 2015, 1480 patients (median age 66 years [IQR 61–69]) were randomly assigned to receive no ADT (n=737) or short-course ADT (n=743) in addition to postoperative radiotherapy at 121 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 9·0 years (IQR 7·1–10·1), metastasis-free survival events were reported for 268 participants (142 in the no ADT group and 126 in the short-course ADT group; HR 0·886 [95% CI 0·688–1·140], p=0·35). 10-year metastasis-free survival was 79·2% (95% CI 75·4–82·5) in the no ADT group and 80·4% (76·6–83·6) in the short-course ADT group. Toxicity of grade 3 or higher was reported for 121 (17%) of 737 participants in the no ADT group and 100 (14%) of 743 in the short-course ADT group (p=0·15), with no treatment-related deaths. Interpretation Metastatic disease is uncommon following postoperative bed radiotherapy after radical prostatectomy. Adding 6 months of ADT to this radiotherapy did not improve metastasis-free survival compared with no ADT. These findings do not support the use of short-course ADT with postoperative radiotherapy in this patient population

Duration of androgen deprivation therapy with postoperative radiotherapy for prostate cancer: a comparison of long-course versus short-course androgen deprivation therapy in the RADICALS-HD randomised trial

Background Previous evidence supports androgen deprivation therapy (ADT) with primary radiotherapy as initial treatment for intermediate-risk and high-risk localised prostate cancer. However, the use and optimal duration of ADT with postoperative radiotherapy after radical prostatectomy remains uncertain. Methods RADICALS-HD was a randomised controlled trial of ADT duration within the RADICALS protocol. Here, we report on the comparison of short-course versus long-course ADT. Key eligibility criteria were indication for radiotherapy after previous radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to add 6 months of ADT (short-course ADT) or 24 months of ADT (long-course ADT) to radiotherapy, using subcutaneous gonadotrophin-releasing hormone analogue (monthly in the short-course ADT group and 3-monthly in the long-course ADT group), daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as metastasis arising from prostate cancer or death from any cause. The comparison had more than 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 75% to 81% (hazard ratio [HR] 0·72). Standard time-to-event analyses were used. Analyses followed intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and ClinicalTrials.gov , NCT00541047 . Findings Between Jan 30, 2008, and July 7, 2015, 1523 patients (median age 65 years, IQR 60–69) were randomly assigned to receive short-course ADT (n=761) or long-course ADT (n=762) in addition to postoperative radiotherapy at 138 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 8·9 years (7·0–10·0), 313 metastasis-free survival events were reported overall (174 in the short-course ADT group and 139 in the long-course ADT group; HR 0·773 [95% CI 0·612–0·975]; p=0·029). 10-year metastasis-free survival was 71·9% (95% CI 67·6–75·7) in the short-course ADT group and 78·1% (74·2–81·5) in the long-course ADT group. Toxicity of grade 3 or higher was reported for 105 (14%) of 753 participants in the short-course ADT group and 142 (19%) of 757 participants in the long-course ADT group (p=0·025), with no treatment-related deaths. Interpretation Compared with adding 6 months of ADT, adding 24 months of ADT improved metastasis-free survival in people receiving postoperative radiotherapy. For individuals who can accept the additional duration of adverse effects, long-course ADT should be offered with postoperative radiotherapy. Funding Cancer Research UK, UK Research and Innovation (formerly Medical Research Council), and Canadian Cancer Society

Weak Effects of Owned Outdoor Cat Density on Urban Bird Richness and Abundance

Domestic cats (Felis catus) are ubiquitous predators of birds in urban areas. In addition to the lethal effect of predation, there can also be sublethal, negative effects of domestic cats on individual birds. These effects have led to the inference that reducing outdoor cat densities would benefit urban bird communities. Here we estimate the likely result of policies/programs designed to reduce densities of owned outdoor cats in urban areas, estimating relationships between bird richness/abundance and cat densities across 58 landscapes in Ottawa, Ontario, Canada. We estimate that we would most likely observe one additional bird species, and 0.003 additional individuals per species, if policies/programs reduced owned outdoor cat densities to zero in an average landscape in Ottawa (with 130.2 cats/km2). However, these effects of cat density on birds were uncertain, with 95% confidence intervals crossing zero. Our findings—in combination with those of previous studies—suggest a need for research to resolve the apparent disconnect between the strong, negative effects of cats on individual urban birds and the weak, uncertain effects of cats on bird populations. Although measures that reduce owned outdoor cat densities are justified based on the precautionary principle, evidence to date does not support prioritizing these measures over those addressing threats that have consistently strong effects on bird populations

Temporal variation in a savanna bird assemblage : what changes over 5 years?

Tropical savanna environments are characterised by annual and decadal patterns of resource change, which can affect the patterning of mobile fauna such as birds. In this study, we sampled 60 sites in northern Queensland, four times from 2004 to 2008. We investigated how the bird richness and abundance, and species turnover changed over the sample years and how this differed with vegetation structure. The mean abundance per site was highest in 2005 (92.1±12.0 individuals ha-1) and lowest in 2008 (46.6±3.3), whereas species richness per site was highest in 2004 (19.6±0.9 species ha-1) and lowest again in 2008 (14.7±0.8). Nine species were most abundant in 2004 coincident with extremely high rainfall preceding the survey in that year. Species turnover increased across all sites from 2004 to 2008 and the abundance of 13 species was best accounted for by differences in vegetation structure. Our study demonstrates that local bird communities in the semi-arid fringe of savannas can change rapidly, and mostly where vegetation is modified. This suggests that increased land-use and climate change in northern Australia could have significant effects on the avifauna over fairly short periods

A bird survey method for Australian tropical savannas

The tropical savanna of northern Australia is extensive and relatively homogenous compared to the open woodlands of temperate Australia. The avifauna of this biome is unevenly dispersed in the landscape. A standard count method for birds using a timed search along a 100-m transect with eight repeated counts per site over 4 days, has been used extensively over the past decade or more in these savannas, but its effectiveness has never been critically examined. We used data collected from across northern Queensland from 2004 to 2010, comprising 502 single-survey sites (each transect counted eight times) and 60 sites re-sampled four times from 2004 to 2008, to examine species records and accumulation of species over time with respect to time of day, increasing number of repeat counts(from 2 to 32 counts), species turnover, vegetation density effects and distance to first observation. Over 70% of the species in tropical savannas were easily observed and for 93% of the species vegetation structure did not alter detectability. Richness and abundance did not vary significantly across the day. We found that repeated sampling over multiple days, and at different times of the day, provides the best estimate of species richness at a site, and improved detectability

Climate Change Adaptation Strategies for Australian Birds

In the first continental analysis of the effects of climate change on a faunal group, we identified that the climate space of 101 Australian terrestrial and inland water bird taxa is likely to be entirely gone by 2085, 16 marine taxa have breeding sites that are predicted to be at least 10% less productive than today, and 55 terrestrial taxa are likely to be exposed to more frequent or intense fires. \ud \ud Birds confined to Cape York Peninsula, the Wet Tropics, the Top End of the Northern Territory (particularly the Tiwi Islands), the arid zone, King Island and southern South Australia (particularly Kangaroo Island) are most likely to lose climate space. There was some variation in the predictions of the 18 climate models deployed, but all predicted that the rainforest avifauna of Cape York Peninsula is likely to face the strongest challenge from climate change, particularly taxa currently confined to the Iron and McIlwraith Ranges. For marine birds, those nesting on Lord Howe and Norfolk Islands, the Great Barrier Reef and the Houtman Abrolhos are likely to face the greatest declines in local marine productivity. Changes in local marine productivity may also affect the endemic terrestrial birds of these islands, for which no climate modelling was possible. A small group of beach-nesting and saltmarsh birds may be affected by sea level rise. \ud \ud Many taxa, and particularly seabirds, are potentially highly sensitive to climate change based on a set of ecological and morphological metrics. Small island taxa were most likely to be both exposed and sensitive to climate change, followed by marine and shoreline taxa. While threatened birds were more likely than non-threatened taxa to be exposed or sensitive to climate change, or both, a substantial proportion was neither.\ud \ud A key action that needs to be undertaken immediately is fine scale modelling of regions identified as having numerous highly exposed bird taxa, in order to identify climatic refugia within the landscape. Such refugia can then be secured and managed appropriately for the future. The most urgent ongoing action is monitoring, with support for the Atlas of Australian Birds seen as a particularly cost-effective investment. In the future, the most expensive actions will be management of refugia, and captive breeding should all other approaches to conservation in the wild fail. However, most of those for which captive breeding is recommended as a last resort are subspecies of species that are widespread, either in Australia or in New Guinea. \ud \ud For in situ management, the most important actions will be those that are already important – fire management, weed and feral animal control and, for marine taxa, controls on fishing. A small number of species-specific actions are suggested, and there appears to be no urgent requirement for corridors for the maintenance of taxa likely to be threatened with extinction – those few taxa not already living in areas where there are likely to be refugia will require assistance to colonise new climate space.\ud \ud The cost of management over the next 50 years for persistence in the face of climate change of the 396 bird taxa that are very highly exposed, sensitive or both is estimated at $18.8 million per year –$47,700 per year for each taxon. The biggest ongoing costs are monitoring and direct species management but refugia management and captive breeding may eventually be needed, and will be much more expensive