Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Seabed Morphology and Sedimentary Regimes defining Fishing Grounds along the Eastern Brazilian Shelf

Shelf morphology and sedimentary regimes are influenced by processes operating at different temporal and spatial scales and are important records of sea level changes and sediment supply and/or carbonate production. The northern continental shelf of Espírito Santo (Brazil) contains evidence of different sedimentary regimes that distribute diverse and complex marine habitats. Herein, seabed morphology, acoustic images of the seafloor (side scan sonar and sub-bottom profiler), and sediment samples were used to investigate the influence of sedimentary regimes on physical marine habitat distribution. Seabed mapping is also integrated with available data on fisheries to understand the influence of shelf morphology and sedimentology in the usage of distinct fishing gears. The results indicate five morpho-sedimentary facies: terrigenous mud, terrigenous sand, rhodolith beds, carbonate gravel with rhodoliths, and hardground. Through an integrated analysis of the geomorphology and sedimentary distribution, two morpho-sedimentary domains were identified: a sediment-fed shelf adjacent to the Doce River associated with a major mud depocenter and a delta front morphology characterized by gentle slopes and low terrain ruggedness, and a sediment-starved shelf dominated by carbonate sedimentation showing an irregular morphology associated with higher slopes and terrain ruggedness. These contrasting morpho-sedimentary domains are a result of sedimentary responses to sea level fluctuation during Late Quaternary, specially, during the deglaciation processes after the Last Glacial Maximum. The morphological and sedimentary contrasts along the area define the physical habitat distribution. The sediment supply regime area is associated with a terrigenous fine/muddy sedimentation bed, which control the local morphology and favors coastal and delta front progradation. This physical habitat is a well-known shrimp-fishing ground where intense trawling takes place, as well as gillnet fisheries targeting weakfish and croakers. The accommodation regime or low sediment influx area is characterized by carbonate sedimentation associated with hardgrounds and rhodolith beds. In contrast, this physical habitat with scarce sediment supply, facilitates extensive benthic colonization by crustose coralline algae (CCA), which is primarily associated to line fisheries, longlines, and spearfishing. Rhodoliths show a high diversity of CCA and the occurrence of an endemic kelp species. Long-term processes such as relative sea level fluctuations and sediment supply are a legacy for the distribution of benthic habitats, and their resulting morphology can be a surrogate for predicting fishing activities or a first-base analysis for marine spatial planning. Available low-resolution bathymetric datasets can be a powerful tool, if applied with caution and in a regional scale approach. Here, terrain variables (terrain slope and ruggedness) derived from an extensive available (low-resolution and interpolated) bathymetric dataset distinguished two contrasting morphological domains characterized by rugged and smooth/flat seabeds

30-Day morbidity and mortality of bariatric metabolic surgery in adolescence during the COVID-19 pandemic – The GENEVA study

Background: Metabolic and bariatric surgery (MBS) is an effective treatment for adolescents with severe obesity. Objectives: This study examined the safety of MBS in adolescents during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This was a global, multicentre and observational cohort study of MBS performed between May 01, 2020, and October 10,2020, in 68 centres from 24 countries. Data collection included in-hospital and 30-day COVID-19 and surgery-specific morbidity/mortality. Results: One hundred and seventy adolescent patients (mean age: 17.75 ± 1.30 years), mostly females (n = 122, 71.8%), underwent MBS during the study period. The mean pre-operative weight and body mass index were 122.16 ± 15.92 kg and 43.7 ± 7.11 kg/m2, respectively. Although majority of patients had pre-operative testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n = 146; 85.9%), only 42.4% (n = 72) of the patients were asked to self-isolate pre-operatively. Two patients developed symptomatic SARS-CoV-2 infection post-operatively (1.2%). The overall complication rate was 5.3% (n = 9). There was no mortality in this cohort. Conclusions: MBS in adolescents with obesity is safe during the COVID-19 pandemic when performed within the context of local precautionary procedures (such as pre-operative testing). The 30-day morbidity rates were similar to those reported pre-pandemic. These data will help facilitate the safe re-introduction of MBS services for this group of patients

Safety of Bariatric Surgery in ≥ 65-Year-Old Patients During the COVID-19 Pandemic

Background Age >= 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID-19 pandemic in comparison with the younger cohort.Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups - patients >= 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality.Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 +/- 2.5 years, 119.5 +/- 24.5 kg, and 43 +/- 7 in Group I and 39.8 +/- 11.3 years, 117.7 +/- 20.4 kg, and 43.7 +/- 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was significantly higher in Group I ( 11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not significantly different between the two groups.Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those >= 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not significantly different between the two groups