77 research outputs found

    Fish are smart and feel pain: What about joy?

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    Sneddon et al. rightly point out that the evidence of fish pain is now so strong and comprehensive that arguments against it have become increasingly difficult to defend in balanced academic discourse. But sentience involves more than just pain. Recent research indicates that fish have an impressive range of cognitive capacities, including the capacity for pleasure, in the form of play and other behaviors likely to involve positively valenced experience. Having made the case for pain, research can now focus on other aspects of fish sentience. Doing so will not only provide a more complete picture of the mental lives and abilities of fish, but it will also promote their welfare and protection

    Fish are smart and feel pain: What about joy?

    Get PDF
    Sneddon et al. rightly point out that the evidence of fish pain is now so strong and comprehensive that arguments against it have become increasingly difficult to defend in balanced academic discourse. But sentience involves more than just pain. Recent research indicates that fish have an impressive range of cognitive capacities, including the capacity for pleasure, in the form of play and other behaviors likely to involve positively valenced experience. Having made the case for pain, research can now focus on other aspects of fish sentience. Doing so will not only provide a more complete picture of the mental lives and abilities of fish, but it will also promote their welfare and protection

    Fill-in-the-blank-emotion in dogs? Evidence from brain imaging

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    What is needed to make meaningful claims about an animal’s capacity for subjective experience? Cook et al. (2018) attempt to study jealousy in dogs by placing them in a particular context and then seeing whether they display a particular brain state. We argue that this approach to studying jealousy falls short for two related reasons. First, the relationship between jealousy and the selected context is unclear. Second, the relationship between jealousy and the selected brain state (indeed, any single brain state) is unclear. These and other issues seriously limit what this study can show. It is important not to see this study as showing more than it does

    Act now against new NHS competition regulations: an open letter to the BMA and the Academy of Medical Royal Colleges calls on them to make a joint public statement of opposition to the amended section 75 regulations.

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    Multi-ancestry study of blood lipid levels identifies four loci interacting with physical activity.

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    Many genetic loci affect circulating lipid levels, but it remains unknown whether lifestyle factors, such as physical activity, modify these genetic effects. To identify lipid loci interacting with physical activity, we performed genome-wide analyses of circulating HDL cholesterol, LDL cholesterol, and triglyceride levels in up to 120,979 individuals of European, African, Asian, Hispanic, and Brazilian ancestry, with follow-up of suggestive associations in an additional 131,012 individuals. We find four loci, in/near CLASP1, LHX1, SNTA1, and CNTNAP2, that are associated with circulating lipid levels through interaction with physical activity; higher levels of physical activity enhance the HDL cholesterol-increasing effects of the CLASP1, LHX1, and SNTA1 loci and attenuate the LDL cholesterol-increasing effect of the CNTNAP2 locus. The CLASP1, LHX1, and SNTA1 regions harbor genes linked to muscle function and lipid metabolism. Our results elucidate the role of physical activity interactions in the genetic contribution to blood lipid levels

    New genetic loci link adipose and insulin biology to body fat distribution.

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    Body fat distribution is a heritable trait and a well-established predictor of adverse metabolic outcomes, independent of overall adiposity. To increase our understanding of the genetic basis of body fat distribution and its molecular links to cardiometabolic traits, here we conduct genome-wide association meta-analyses of traits related to waist and hip circumferences in up to 224,459 individuals. We identify 49 loci (33 new) associated with waist-to-hip ratio adjusted for body mass index (BMI), and an additional 19 loci newly associated with related waist and hip circumference measures (P < 5 × 10(-8)). In total, 20 of the 49 waist-to-hip ratio adjusted for BMI loci show significant sexual dimorphism, 19 of which display a stronger effect in women. The identified loci were enriched for genes expressed in adipose tissue and for putative regulatory elements in adipocytes. Pathway analyses implicated adipogenesis, angiogenesis, transcriptional regulation and insulin resistance as processes affecting fat distribution, providing insight into potential pathophysiological mechanisms

    Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

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    Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

    Paying CEOs in Bankruptcy: Executive Compensation when Agency Costs are Low

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