The exceptional value of intact forest ecosystems

As the terrestrial human footprint continues to expand, the amount of native forest that is free from significant damaging human activities is in precipitous decline. There is emerging evidence that the remaining intact forest supports an exceptional confluence of globally significant environmental values relative to degraded forests, including imperilled biodiversity, carbon sequestration and storage, water provision, indigenous culture and the maintenance of human health. Here we argue that maintaining and, where possible, restoring the integrity of dwindling intact forests is an urgent priority for current global efforts to halt the ongoing biodiversity crisis, slow rapid climate change and achieve sustainability goals. Retaining the integrity of intact forest ecosystems should be a central component of proactive global and national environmental strategies, alongside current efforts aimed at halting deforestation and promoting reforestation

Work-related upper extremity disorders: one-year follow-up in an occupational diseases registry

To study the course and consequences of work-related upper extremity disorders in the registry of the Netherlands Centre for Occupational Diseases (NCvB). A follow-up study was performed in a sample of consecutive cases of work-related upper extremity disorders notified to the NCvB. Perceived severity was measured with VAS (0-100), quality of life with VAS (0-100) and SF-36, functional impairment with DASH and sickness absence with a questionnaire. Measurements took place directly after notification (T0) and after 3, 6 and 12 months (T1-T3). A linear mixed model was used to compare scores over time. Average age of the 48 consecutive patients (89% response) was 42 years; 48% were men. Perceived severity, functional impairment and sickness absence decreased statistically significant during the follow-up period, and quality of life scores improved. Patients older than 45 years scored worse on perceived severity of the disease, functional impairment and quality of life than did younger patients. The role of registries of occupational diseases for preventive policy can be extended by creating longitudinal data in sample projects. In the sample from our registry, work-related upper extremity disorders had a favourable cours

Validation of sick leave measures: self-reported sick leave and sickness benefit data from a Danish national register compared to multiple workplace-registered sick leave spells in a Danish municipality

<p>Abstract</p> <p>Background</p> <p>Previous validation studies of sick leave measures have focused on self-reports. Register-based sick leave data are considered to be valid; however methodological problems may be associated with such data. A Danish national register on sickness benefit (DREAM) has been widely used in sick leave research. On the basis of sick leave records from 3,554 and 2,311 eldercare workers in 14 different workplaces, the aim of this study was to: 1) validate registered sickness benefit data from DREAM against workplace-registered sick leave spells of at least 15 days; 2) validate self-reported sick leave days during one year against workplace-registered sick leave.</p> <p>Methods</p> <p>Agreement between workplace-registered sick leave and DREAM-registered sickness benefit was reported as sensitivities, specificities and positive predictive values. A receiver-operating characteristic curve and a Bland-Altman plot were used to study the concordance with sick leave duration of the first spell. By means of an analysis of agreement between self-reported and workplace-registered sick leave sensitivity and specificity was calculated. Ninety-five percent confidence intervals (95% CI) were used.</p> <p>Results</p> <p>The probability that registered DREAM data on sickness benefit agrees with workplace-registered sick leave of at least 15 days was 96.7% (95% CI: 95.6-97.6). Specificity was close to 100% (95% CI: 98.3-100). The registered DREAM data on sickness benefit overestimated the duration of sick leave spells by an average of 1.4 (SD: 3.9) weeks. Separate analysis on pregnancy-related sick leave revealed a maximum sensitivity of 20% (95% CI: 4.3-48.1).</p> <p>The sensitivity of self-reporting at least one or at least 56 sick leave day/s was 94.5 (95% CI: 93.4 – 95.5) % and 58.5 (95% CI: 51.1 – 65.6) % respectively. The corresponding specificities were 85.3 (95% CI: 81.4 – 88.6) % and 98.9 (95% CI: 98.3 – 99.3) %.</p> <p>Conclusions</p> <p>The DREAM register offered valid measures of sick leave spells of at least 15 days among eldercare employees. Pregnancy-related sick leave should be excluded in studies planning to use DREAM data on sickness benefit. Self-reported sick leave became more imprecise when number of absence days increased, but the sensitivity and specificity were acceptable for lengths not exceeding one week.</p

Plantation forests, climate change and biodiversity

Nearly 4 % of the world’s forests are plantations, established to provide a variety of ecosystem services, principally timber and other wood products. In addition to such services, plantation forests provide direct and indirect benefits to biodiversity via the provision of forest habitat for a wide range of species, and by reducing negative impacts on natural forests by offsetting the need to extract resources. There is compelling evidence that climate change is directly affecting biodiversity in forests throughout the world. These impacts occur as a result of changes in temperature, rainfall, storm frequency and magnitude, fire frequency, and the frequency and magnitude of pest and disease outbreaks. However, in plantation forests it is not only the direct effects of climate change that will impact on biodiversity. Climate change will have strong indirect effects on biodiversity in plantation forests via changes in forest management actions that have been proposed to mitigate the effects of climate change on the productive capacity of plantations. These include changes in species selection (including use of species mixtures), rotation length, thinning, pruning, extraction of bioenergy feedstocks, and large scale climate change driven afforestation, reforestation, and, potentially deforestation. By bringing together the potential direct and indirect impacts of climate change we conclude that in the short to medium term changes in plantation management designed to mitigate or adapt to climate change could have a significantly greater impact on biodiversity in such plantation forests than the direct effects of climate change. Although this hypothesis remains to be formally tested, forest managers worldwide are already considering new approaches to plantation forestry in an effort to create forests that are more resilient to the effects of changing climatic conditions. Such change presents significant risks to existing biodiversity values in plantation forests, however it also provides new opportunities to improve biodiversity values within existing and new plantation forests. We conclude by suggesting future options, such as functional zoning and species mixtures applied at either the stand level or as fine-scale mosaics of single-species stands as options to improve biodiversity whilst increasing resilience to climate change