44 research outputs found

    Improving biosecurity: A necessity for aquaculture sustainability

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    The implementation of biosecurity measures is vital to the future development of aquaculture, if the culture of aquatic species is to make it possible to feed the global human population by 2030. Biosecurity includes control of the spread of aquatic plant and animal diseases and invasive pests, and the production of products that are safe to eat. For controls on diseases and invasive pests, it is necessary to implement programmes that involve all regional countries. Lessons from measures implemented in Asia need to be expanded/upscaled in Latin America, Africa and other emerging aquaculture regions. Such development will make countries more self sufficient and will feed local populations. Globally, there is good evidence that aquatic animal diseases and invasive animal and plant pests are being spread by hull fouling and ballast water in shipping, and serious aquatic animal diseases by the international trade in ornamental fish. While there has been a growing awareness of the danger of ballast water transfer, hull fouling remains a serious problem. It is widely recognized that ornamental fish present a disease risk, but individual countries have tried to address this alone, and there has not been an international effort to control the trade. Developments in genetics and molecular biology hold great potential for disease control, either by breeding for disease resistance, or by the use of rapid, specific, culture site testing. Currently, there is no evidence that the use of antibiotics in aquaculture poses a threat to human health or that antibiotic-resistant strains have developed; however, the future use of genetically modified aquatic organisms (GMOs) may negate the need for chemotherapy. Cultured aquatic organisms, selected for disease resistance or rapid growth, are likely to become more acceptable, and probably necessary, to feed the rapidly growing global population. Most global aquaculture occurs in developing Asian countries, in which aquaculture products can harbor zoonotic parasites, and there is a need to treat such products to negate the threat of parasitic zoonoses and permit international export. Climate change is likely to be a major influence on aquaculture in the future, with impacts on coastal aquaculture through increased sea levels affecting coastlines, and acidification. To feed the growing global population, it will be necessary to culture new species, for which research on diseases and invasiveness will be necessary to acquire the information necessary to implement biosecurity measures

    Report from the fourth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative)

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    This article is a report of the fourth meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in Malmö, Sweden on 23–24 April 2015 (HOME IV). The aim of the meeting was to achieve consensus over the preferred outcome instruments for measuring patient-reported symptoms and quality of life for the HOME core outcome set for atopic eczema (AE). Following presentations, which included data from systematic reviews, consensus discussions were held in a mixture of whole group and small group discussions. Small groups were allocated a priori to ensure representation of different stakeholders and countries. Decisions were voted on using electronic keypads. For the patient-reported symptoms, the group agreed by vote that itch, sleep loss, dryness, redness/inflamed skin and irritated skin were all considered essential aspects of AE symptoms. Many instruments for capturing patient-reported symptoms were discussed [including the Patient-Oriented SCOring Atopic Dermatitis index, Patient-Oriented Eczema Measure (POEM), Self-Administered Eczema Area and Severity Index, Itch Severity Scale, Atopic Dermatitis Quickscore and the Nottingham Eczema Severity Score] and, by consensus, POEM was selected as the preferred instrument to measure patient-reported symptoms. Further work is needed to determine the reliability and measurement error of POEM. Further work is also required to establish the importance of pain/soreness and the importance of collecting information regarding the intensity of symptoms in addition to their frequency. Much of the discussion on quality of life concerned the Dermatology Life Quality Index and Quality of Life Index for Atopic Dermatitis; however, consensus on a preferred instrument for measuring this domain could not be reached. In summary, POEM is recommended as the HOME core outcome instrument for measuring AE symptoms

    The broader phenotypic spectrum of congenital caudal abnormalities associated with mutations in the caudal type homeobox 2 gene

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    The caudal type homeobox 2 (CDX2) gene encodes a developmental regulator involved in caudal body patterning. Only three pathogenic variants in human CDX2 have been described, in patients with persistent cloaca, sirenomelia and/or renal and anogenital malformations. We identified five patients with de novo or inherited pathogenic variants in CDX2 with clinical phenotypes that partially overlap with previous cases, that is, imperforate anus and renal, urogenital and limb abnormalities. However, additional clinical features were seen including vertebral agenesis and we describe considerable phenotypic variability, even in unrelated patients with the same recurrent p.(Arg237His) variant. We propose CDX2 variants as rare genetic cause for a multiple congenital anomaly syndrome that can include features of caudal regression syndrome and VACTERL. A causative role is further substantiated by the relationship between CDX2 and other proteins encoded by genes that were previously linked to caudal abnormalities in humans, for example, TBXT (sacral agenesis and other vertebral segmentation defects) and CDX1 (anorectal malformations). Our findings confirm the essential role of CDX2 in caudal morphogenesis and formation of cloacal derivatives in humans, which to date has only been well characterized in animals
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