Prevention of mood disorder after stroke : a randomised controlled trial of problem solving therapy versus volunteer support

Background: Mood disorder after stroke is common but drug and psychosocial treatments have been assessed with disappointing results. Preventing mood disorder from developing in the first place could be a better approach and might reduce the need for pharmacotherapy in this predominantly older patient group. We used a brief problem-solving therapy and evaluated its effect in reducing mood disorder in the 12 months after stroke. Methods: A 3-group, parallel, randomised controlled trial. Four hundred fifty patients with stroke were randomised within 1 month of hospital admission to problem-solving therapy from a psychiatric nurse, non-specific support given by volunteers or treatment-as-usual. Follow up took place at 6 and 12 months after stroke. Standardised measures of mood (Present State Examination, GHQ-28), cognitive state (mini-mental state examination) and function (Barthel ADL index, Frenchay Activities Index) were taken at baseline, 6 and 12 months after randomisation. Satisfaction with care was recorded at follow up. Results: At 6 months, all psychological and activity measures favoured problem-solving therapy. At 12 months, patients in the problem-solving therapy group had significantly lower GHQ-28 scores and lower median Present State Examination symptom scores. There were no statistically significant differences in activity. The problem-solving therapy group were more satisfied with some aspects of care. Conclusions: The results are encouraging and suggest it is possible to prevent mood disorder in stroke patients using a psychological intervention. The differences between the groups at 12 months may indicate a sustained impact of psychological therapies, by comparison with non-specific support

Habitat-specific invertebrate responses to hydrological variability, anthropogenic flow alterations, and hydraulic conditions

This is an Open Access Article. It is published by Wiley under the Creative Commons Attribution 4.0 Unported Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/© 2019 The Authors. Freshwater Biology Published by John Wiley & Sons Ltd. Quantifying ecological responses to river flow regimes is a key scientific approach underpinning many environmental flow (e-flow) strategies. Incorporating habitat-scale influences (e.g. substrate composition and organic matter cover) within e-flow frameworks has the potential to provide a broader understanding of the causal mechanisms shaping instream communities, which may be used to guide river management strategies. In this study, we examined invertebrate communities inhabiting three distinct habitat groups (HGs—defined by coarse substrates, fine sediments, and the fine-leaved macrophyte Ranunculus sp.) across four rivers (each comprising two study sites) within a single catchment. We tested the structural and functional responses of communities inhabiting different HGs to three sets of flow-related characteristics: (1) antecedent hydrological (discharge—m3/s) variability; (2) antecedent anthropogenic flow alterations (percentage of discharge added to or removed from the river by human activity); and (3) proximal hydraulic conditions (characterised by the Froude number). The former two were derived from groundwater model daily time series in the year prior to the collection of each invertebrate sample, while the latter was collected at the point of sampling. While significant effects of hydrological and anthropogenic flow alteration indices were detected, Froude number exerted the greatest statistical influence on invertebrate communities. This highlights that habitat-scale hydraulic conditions to which biota are exposed at the time of sampling are a key influence on the structure and function of invertebrate communities. Mixed-effect models testing invertebrate community responses to flow-related characteristics, most notably Froude number, improved when a HG interaction term was incorporated. This highlights that different mineralogical and organic habitat patches mediate ecological responses to hydraulic conditions. This can be attributed to HGs supporting distinct taxonomic and functional compositions and/or providing unique ecological functions (e.g. flow refuges), which alter how instream communities respond to hydraulic conditions. While the individual importance of both flow and small-scale habitat effects on instream biota has been widely reported, this study provides rare evidence on how their interactive effects have a significant influence on riverine ecosystems. These findings suggest that river management strategies and e-flow frameworks should not only aim to create a mosaic of riverine habitats that support ecosystem functioning, but also consider the management of local hydraulic conditions within habitat patches to support specific taxonomic and functional compositions

Collingridge and the dilemma of control: towards responsible and accountable innovation

The paper critically reviews the work of David Collingridge in the light of contemporary concerns about responsibility and accountability in innovation, public engagement with science and technology, and the role of scientific expertise in technology policy. Given continued interest in his thoughts on the ‘social control of technology’, and the ‘dilemma of control’, this attention is both timely and overdue. The paper illuminates a mismatch between the prevalence of citations to Collingridge’s work on the dilemma of control in the literature on responsible innovation, and the depth of engagement with his arguments. By considering neglected aspects of Collingridge’s substantive, methodological and philosophical analysis, important implications can be drawn for theory and practice relating to the governance of innovation and co-evolution between technology and society. The paper helps to improve understandings of wider political contexts for responsible innovation, especially in relation to anticipatory, participatory and institutional aspects of governance

The recovery of European freshwater biodiversity has come to a halt

Owing to a long history of anthropogenic pressures, freshwater ecosystems are among the most vulnerable to biodiversity loss1. Mitigation measures, including wastewater treatment and hydromorphological restoration, have aimed to improve environmental quality and foster the recovery of freshwater biodiversity2. Here, using 1,816 time series of freshwater invertebrate communities collected across 22 European countries between 1968 and 2020, we quantified temporal trends in taxonomic and functional diversity and their responses to environmental pressures and gradients. We observed overall increases in taxon richness (0.73% per year), functional richness (2.4% per year) and abundance (1.17% per year). However, these increases primarily occurred before the 2010s, and have since plateaued. Freshwater communities downstream of dams, urban areas and cropland were less likely to experience recovery. Communities at sites with faster rates of warming had fewer gains in taxon richness, functional richness and abundance. Although biodiversity gains in the 1990s and 2000s probably reflect the effectiveness of water-quality improvements and restoration projects, the decelerating trajectory in the 2010s suggests that the current measures offer diminishing returns. Given new and persistent pressures on freshwater ecosystems, including emerging pollutants, climate change and the spread of invasive species, we call for additional mitigation to revive the recovery of freshwater biodiversity.publishedVersio

Participation as Post-Fordist Politics: Demos, New Labour, and Science Policy

In recent years, British science policy has seen a significant shift ‘from deficit to dialogue’ in conceptualizing the relationship between science and the public. Academics in the interdisciplinary field of Science and Technology Studies (STS) have been influential as advocates of the new public engagement agenda. However, this participatory agenda has deeper roots in the political ideology of the Third Way. A framing of participation as a politics suited to post-Fordist conditions was put forward in the magazine Marxism Today in the late 1980s, developed in the Demos thinktank in the 1990s, and influenced policy of the New Labour government. The encouragement of public participation and deliberation in relation to science and technology has been part of a broader implementation of participatory mechanisms under New Labour. This participatory program has been explicitly oriented toward producing forms of social consciousness and activity seen as essential to a viable knowledge economy and consumer society. STS arguments for public engagement in science have gained influence insofar as they have intersected with the Third Way politics of post-Fordism

Disentangling responses to natural stressor and human impact gradients in river ecosystems across Europe

1. Rivers are dynamic ecosystems in which both human impacts and climate-driven drying events are increasingly common. These anthropogenic and natural stressors interact to influence the biodiversity and functioning of river ecosystems. Disentangling ecological responses to these interacting stressors is necessary to guide management actions that support ecosystems adapting to global change. 2. We analysed the independent and interactive effects of human impacts and natural drying on aquatic invertebrate communities—a key biotic group used to assess the health of European freshwaters. We calculated biological response metrics representing communities from 406 rivers in eight European countries: taxonomic richness, functional richness and redundancy, and biomonitoring indices that indicate ecological status. We analysed metrics based on the whole community and on a group of taxa with traits promoting resistance and/or resilience (‘high RR’) to drying. We also examined how responses vary across Europe in relation to climatic aridity. 3. Most community metrics decreased independently in response to impacts and drying. A richness-independent biomonitoring index (the average score per taxon; ASPT) showed particular potential for use in biomonitoring, and should be considered alongside new metrics representing high RR diversity, to promote accurate assessment of ecological status. 4. High RR taxonomic richness responded only to impacts, not drying. However, these predictors explained little variance in richness and other high RR metrics, potentially due to low taxonomic richness. Metric responsiveness could thus be enhanced by developing region-specific high RR groups comprising sufficient taxa with sufficiently variable impact sensitivities to indicate ecological status. 5. Synthesis and applications. Metrics are needed to assess the ecological status of dynamic river ecosystems—including those that sometimes dry—and thus to identify priority sites requiring action to tackle the causes of environmental degradation. Our results inform recommendations guiding the development of such metrics. We propose concurrent use of richness-independent ‘average score per taxon’ indices and metrics that characterize the richness of resistant and resilient taxa. We observed interactions between aridity, impacts and drying, highlighting that these new metrics should be region specific, river type specific and adaptable, promoting their ability to inform management actions that protect biodiversity in river ecosystems responding to climate change.European Cooperation in Science and Technology. Grant Number: CA1511

Scared Straight and Other Juvenile Awareness Programs for Preventing Juvenile Delinquency: A Systematic Review

Programs like ‘Scared Straight’ involve organized visits to prison facilities by juvenile delinquents or children at risk for becoming delinquent. The programs are designed to deter participants from future offending by providing first-hand observations of prison life and interaction with adult inmates. Results of this review indicate that not only does it fail to deter crime but it actually leads to more offending behavior. Government officials permitting this program need to adopt rigorous evaluation to ensure that they are not causing more harm to the very citizens they pledge to protect

The recovery of European freshwater biodiversity has come to a halt

Owing to a long history of anthropogenic pressures, freshwater ecosystems are among the most vulnerable to biodiversity loss1. Mitigation measures, including wastewater treatment and hydromorphological restoration, have aimed to improve environmental quality and foster the recovery of freshwater biodiversity2. Here, using 1,816 time series of freshwater invertebrate communities collected across 22 European countries between 1968 and 2020, we quantified temporal trends in taxonomic and functional diversity and their responses to environmental pressures and gradients. We observed overall increases in taxon richness (0.73% per year), functional richness (2.4% per year) and abundance (1.17% per year). However, these increases primarily occurred before the 2010s, and have since plateaued. Freshwater communities downstream of dams, urban areas and cropland were less likely to experience recovery. Communities at sites with faster rates of warming had fewer gains in taxon richness, functional richness and abundance. Although biodiversity gains in the 1990s and 2000s probably reflect the effectiveness of water-quality improvements and restoration projects, the decelerating trajectory in the 2010s suggests that the current measures offer diminishing returns. Given new and persistent pressures on freshwater ecosystems, including emerging pollutants, climate change and the spread of invasive species, we call for additional mitigation to revive the recovery of freshwater biodiversity.N. Kaffenberger helped with initial data compilation. Funding for authors and data collection and processing was provided by the EU Horizon 2020 project eLTER PLUS (grant agreement no. 871128); the German Federal Ministry of Education and Research (BMBF; 033W034A); the German Research Foundation (DFG FZT 118, 202548816); Czech Republic project no. P505-20-17305S; the Leibniz Competition (J45/2018, P74/2018); the Spanish Ministerio de Economía, Industria y Competitividad—Agencia Estatal de Investigación and the European Regional Development Fund (MECODISPER project CTM 2017-89295-P); Ramón y Cajal contracts and the project funded by the Spanish Ministry of Science and Innovation (RYC2019-027446-I, RYC2020-029829-I, PID2020-115830GB-100); the Danish Environment Agency; the Norwegian Environment Agency; SOMINCOR—Lundin mining & FCT—Fundação para a Ciência e Tecnologia, Portugal; the Swedish University of Agricultural Sciences; the Swiss National Science Foundation (grant PP00P3_179089); the EU LIFE programme (DIVAQUA project, LIFE18 NAT/ES/000121); the UK Natural Environment Research Council (GLiTRS project NE/V006886/1 and NE/R016429/1 as part of the UK-SCAPE programme); the Autonomous Province of Bolzano (Italy); and the Estonian Research Council (grant no. PRG1266), Estonian National Program ‘Humanitarian and natural science collections’. The Environment Agency of England, the Scottish Environmental Protection Agency and Natural Resources Wales provided publicly available data. We acknowledge the members of the Flanders Environment Agency for providing data. This article is a contribution of the Alliance for Freshwater Life (www.allianceforfreshwaterlife.org).Peer reviewe

Riparian woodland dysfunction is driven by groundwater decline in a northern Murray-Darling intensive production landscape

Altered hydrological regimes are significant drivers of ecosystem change in riverine, riparian and floodplain ecosystems. This study has found that declining condition in Eucalyptus camaldulensis/E. tereticornis riparian woodlands of the highly-modified Upper Condamine floodplain, southern Queensland, is predominantly linked to falling groundwater levels associated with extraction for irrigation. Evidence of dieback in this species complex increases with groundwater depth falling below 13-16m, and community composition (functional group diversity) is strongly associated with both groundwater depth and tree condition. These findings contrast with studies in Murray River floodplain woodlands where poor tree health is associated with soil salinisation associated with rising water tables and/or altered flood regimes. Results from this study are summarized in a semi-quantitative State-and-Transition resilience model, identifying critical thresholds for the persistence of this essentially groundwater-dependent ecosystem. Such systems, currently existing close to ecological thresholds, contribute significantly to our understanding of how ecological systems respond to change, and of how major disturbances such as climate change may play out across landscapes