22 research outputs found

    Thin terrestrial sediment deposits on intertidal sandflats: effects on pore-water solutes and juvenile bivalve burial behaviour

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    Nearshore zones experience increased sedimentation due to coastal development and enhanced loads of fine terrestrial sediment (hereafter, TS) in river waters. Deposition of TS can alter seabed biogeochemical processes but the effects on benthic ecosystem functioning are unknown. The results of a past experiment with defaunated, intertidal sediment suggest that a decrease in the oxygenation of this sediment by a thin (mm) TS deposit causes substrate rejection (refusal to bury) by post-settlement juvenile recruits of the tellinid bivalve Macomona liliana. We further examined this behaviour, asking if such deposits negatively affect burial when applied to intertidal sediment that is oxygenated by bioturbation (C) or depleted of dead and living organic matter (D). We observed recruits on the surface of four treatments: C, D, and the same sediments to which we added a 1.7–1.9 mm layer of TS (CTS, DTS). The TS deposit decreased the oxygenation and the pH of the underlying intertidal sediment (CTS) confirming previous results, but significantly increased but not decreased the probability of burial, irrespectively of treatment. Juveniles more likely buried into C than into D. The mechanism that caused previously observed substrate rejection by post-settlement juvenile M. liliana remains unclear but our results suggest that contact of the recruits with the TS deposit does not cause substrate rejection. We now hypothesise that conditioning of sediment by bioturbation can mediate negative effects of TS deposits on the recruits' burial behaviour

    International consensus definition of low anterior resection syndrome

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    Aim: Low anterior resection syndrome (LARS) is pragmatically defined as disordered bowel function after rectal resection leading to a detriment in quality of life. This broad characterization does not allow for precise estimates of prevalence. The LARS score was designed as a simple tool for clinical evaluation of LARS. Although the LARS score has good clinical utility, it may not capture all important aspects that patients may experience. The aim of this collaboration was to develop an international consensus definition of LARS that encompasses all aspects of the condition and is informed by all stakeholders. Method: This international patient–provider initiative used an online Delphi survey, regional patient consultation meetings, and an international consensus meeting. Three expert groups participated: patients, surgeons and other health professionals from five regions (Australasia, Denmark, Spain, Great Britain and Ireland, and North America) and in three languages (English, Spanish, and Danish). The primary outcome measured was the priorities for the definition of LARS. Results: Three hundred twenty-five participants (156 patients) registered. The response rates for successive rounds of the Delphi survey were 86%, 96% and 99%. Eighteen priorities emerged from the Delphi survey. Patient consultation and consensus meetings refined these priorities to eight symptoms and eight consequences that capture essential aspects of the syndrome. Sampling bias may have been present, in particular, in the patient panel because social media was used extensively in recruitment. There was also dominance of the surgical panel at the final consensus meeting despite attempts to mitigate this. Conclusion: This is the first definition of LARS developed with direct input from a large international patient panel. The involvement of patients in all phases has ensured that the definition presented encompasses the vital aspects of the patient experience of LARS. The novel separation of symptoms and consequences may enable greater sensitivity to detect changes in LARS over time and with intervention

    International consensus definition of low anterior resection syndrome

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    Aim: Low anterior resection syndrome (LARS) is pragmatically defined as disordered bowel function after rectal resection leading to a detriment in quality of life. This broad characterization does not allow for precise estimates of prevalence. The LARS score was designed as a simple tool for clinical evaluation of LARS. Although the LARS score has good clinical utility, it may not capture all important aspects that patients may experience. The aim of this collaboration was to develop an international consensus definition of LARS that encompasses all aspects of the condition and is informed by all stakeholders. Method: This international patient–provider initiative used an online Delphi survey, regional patient consultation meetings, and an international consensus meeting. Three expert groups participated: patients, surgeons and other health professionals from five regions (Australasia, Denmark, Spain, Great Britain and Ireland, and North America) and in three languages (English, Spanish, and Danish). The primary outcome measured was the priorities for the definition of LARS. Results: Three hundred twenty-five participants (156 patients) registered. The response rates for successive rounds of the Delphi survey were 86%, 96% and 99%. Eighteen priorities emerged from the Delphi survey. Patient consultation and consensus meetings refined these priorities to eight symptoms and eight consequences that capture essential aspects of the syndrome. Sampling bias may have been present, in particular, in the patient panel because social media was used extensively in recruitment. There was also dominance of the surgical panel at the final consensus meeting despite attempts to mitigate this. Conclusion: This is the first definition of LARS developed with direct input from a large international patient panel. The involvement of patients in all phases has ensured that the definition presented encompasses the vital aspects of the patient experience of LARS. The novel separation of symptoms and consequences may enable greater sensitivity to detect changes in LARS over time and with intervention

    Itch-Free State in Patients With Atopic Dermatitis Treated With Ruxolitinib Cream: Pooled Analysis From Two Randomized Phase 3 Studies

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    Supplementary Appendix for an article published in the Journal of the American Academy of Dermatolog

    Effects of terrestrial sediment on the burial behaviour of post-settlement Macomona liliana

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    Terrestrial and marine environments are connected ecosystems that are similarly vulnerable to the effects of anthropogenic stressors. Climate change and other anthropogenically-induced stressors have resulted in an increased rate of supply (mass per time per area) of terrestrial (land-derived) sediment. This sediment is exported from catchments to rivers, and subsequently, to estuarine and marine systems. Episodic events result in the catastrophic deposition of terrestrial sediment, while small-scale spatial deposition of terrestrial sediment is widespread, and frequent. One pressing issue is the effect of thin depositions of terrestrial sediment on one ecosystem function, such as recruitment of benthic fauna. The tellinid bivalve Macomona liliana is an important component of estuarine and coastal benthos throughout New Zealand, representing one of the most common community dominants across marine ecosystems. Significantly, M. liliana is a sensitive ecological indicator of change. Post-settlement juveniles have been demonstrated to actively avoid adverse local conditions, including sediments affected by the deposition of thin terrestrial sediment. This behavioural response may be triggered by deposit-induced changes in the porewater chemistry of the deposit-underlying sediment, but not by contact of the juveniles with the terrestrial sediment. A laboratory flume experiment was conducted to assess the effect of millimetre-thick terrestrial sediment deposits on porewater chemistry, and the burial behaviour of M. liliana post-settlement juveniles. Terrestrial sediment deposits impeded the diffusion of solutes across the visible sediment surface. This impedance, however, had a negligible effect on the sediment porewater chemistry as a result of resident infauna mediating the exchange of solutes between porewater and bottom water. As such, the deposition of millimetre-thick terrestrial sediment did not negatively affect the burial behaviour of post-settlement juveniles. This study has highlighted the need for a greater understanding of the contribution of bioturbation by resident infauna to solute exchange in sediments affected by periodic deposition of terrestrial sediment. Bioturbation appears to be one of the most important variables to consider when investigating the effects of terrestrial deposits on juvenile M. liliana burial behaviour

    Long-Term Safety and Disease Control With Ruxolitinib Cream in Atopic Dermatitis: Results From Two Phase 3 Studies

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    Supplemental Appendix for an article "Long-Term Safety and Disease Control With Ruxolitinib Cream in Atopic Dermatitis: Results From Two Phase 3 Studies" published in the Journal of the American Academy of DermatologyTHIS DATASET IS ARCHIVED AT DANS/EASY, BUT NOT ACCESSIBLE HERE. TO VIEW A LIST OF FILES AND ACCESS THE FILES IN THIS DATASET CLICK ON THE DOI-LINK ABOV

    ‘Community’: A Q study exploring perspectives in community governance settings in Taranaki, New Zealand

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    Attend any public meeting in Taranaki and, more often than not, one will hear the word ‘community’ used to bolster a policy proposal, or oppose it. But when that happens, what exactly is meant by ‘community’? Taking advantage of her position as an embedded participant, the author of this thesis set out to understand what ‘community’ means to those who occupy roles of influence in decision-making settings in Taranaki, Aotearoa- New Zealand. To the study’s informants and participants, a deceptively simple question was put: ‘what do you understand by ‘community’?’ The set of techniques used to elicit responses to this question was William Stephenson’s Q Methodology. Data collection began with 29 informant interviews from which 45 statements representative of what is understood by ‘community’ were extracted. Those statements were rank-ordered by 35 participants generating 47 Q sorts (the mechanism by which each viewpoint was captured). Using PQMethod 2.35, a three-factor solution generated through principal components analysis and subjected to a varimax rotation was selected for further analysis. The interpretation of the results substantiated three somewhat highly correlated, yet nuanced perspectives where ‘community’ is: ▪ ‘Everyone and we’re all in this together’ (Factor 1), ▪ ‘Well... it depends’ given the multiplicity of interests (Factor 2), and ▪ ‘It’s everything’ (Factor 3). The primacy of relationships and expectations to contribute to where one lives provide the basis for consensus. The nuance is in the scope and reach in terms of who counts, what matters and why it is important at a given point in time. The subsequent discussion noted there is still no agreement on a definition of ‘community’ and its malleability in meaning makes ‘community’ useful for furthering political interests. Its use in the community governance settings of this study reflects the pragmatism of everyday life. ‘Community’ is affirmed as a concept that frames policy discourse. This study also identifies ‘community’ as a practice and as a way of governing that frames policy responses where the basis for ‘community’ is as: ▪ A preference for face-to-face interaction and usually over a cup of tea (Factor 1), ▪ A strategy of enabling that is realistic and pragmatic (Factor 2), and ▪ An account of the integrated connections to places, with people and to events across time and space (Factor 3). The study opens up new ground as the collection, analysis and interpretation of first- person, vested responses from those ‘doing’ ‘community’ in community governance settings is missing from the scholarly and practitioner literature. This study forms a bridge in an identified gap between those who theorise in the political philosophy of ‘community’ and those who advocate in the political practice of ‘community’. Furthermore, the three perspectives identified and discussed in this study also lead to a proposition that the phrase ‘governing communities’ would be a more apt and authentic alternative to ‘community governance’. Such a development is positioned as the next step in the evolution of the theory surrounding local decision-making and local government in New Zealand and as a normative model for political practice
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