MACSUR — Summary of research results, phase 1: 2012-2015

MACSUR — Modelling European Agriculture with Climate Change for Food Security — is a  knowledge hub that was formally created in June 2012 as a European scientific network.  The strategic aim of the knowledge hub is to create a coordinated and globally visible  network of European researchers and research groups, with intra- and interdisciplinary  interaction and shared expertise creating synergies for the development of scientific  resources (data, models, methods) to model the impacts of climate change on agriculture  and related issues. This objective encompasses a wide range of political and sociological  aspects, as well as the technical development of modelling capacity through impact  assessments at different scales and assessing uncertainties in model outcomes. We achieve  this through model intercomparisons and model improvements, harmonization and  exchange of data sets, training in the selection and use of models, assessment of benefits  of ensemble modelling, and cross-disciplinary linkages of models and tools. The project  engages with a diverse range of stakeholder groups and to support the development of  resources for capacity building of individuals and countries. Commensurate with this broad  challenge, a network of currently 300 scientists (measured by the number of individuals on  the central e-mail list) from 18 countries evolved from the original set of research groups  selected by FACCE.  In the spirit of creating and maintaining a network for intra- and interdisciplinary  knowledge exchange, network activities focused on meetings of researchers for sharing  expertise and, depending on group resources (both financial and personnel), development  of collaborative research activities. The outcome of these activities is the enhanced  knowledge of the individual researchers within the network, contributions to conference  presentations and scholarly papers, input to stakeholders and the general public, organised  courses for students, junior and senior scientists. The most visible outcome are the  scientific results of the network activities, represented in the contributions of MACSUR  members to the impressive number of more than 200 collaborative papers in peer-reviewed  publications.  Here, we present a selection of overview and cross-disciplinary papers which include  contributions from MACSUR members. It highlights the major scientific challenges  addressed, and the methodological solutions and insights obtained. Over and above these  highlights, major achievements have been reached regarding data collection, data  processing, evaluation, model testing, modelling assessments of the effects of agriculture  on ecosystem services, policy, and development of scenarios. Details on these  achievements in the context of MACSUR can be found in our online publication FACCE  MACSUR Reports at http://ojs.macsur.eu

Evidence-based Kernels: Fundamental Units of Behavioral Influence

This paper describes evidence-based kernels, fundamental units of behavioral influence that appear to underlie effective prevention and treatment for children, adults, and families. A kernel is a behavior–influence procedure shown through experimental analysis to affect a specific behavior and that is indivisible in the sense that removing any of its components would render it inert. Existing evidence shows that a variety of kernels can influence behavior in context, and some evidence suggests that frequent use or sufficient use of some kernels may produce longer lasting behavioral shifts. The analysis of kernels could contribute to an empirically based theory of behavioral influence, augment existing prevention or treatment efforts, facilitate the dissemination of effective prevention and treatment practices, clarify the active ingredients in existing interventions, and contribute to efficiently developing interventions that are more effective. Kernels involve one or more of the following mechanisms of behavior influence: reinforcement, altering antecedents, changing verbal relational responding, or changing physiological states directly. The paper describes 52 of these kernels, and details practical, theoretical, and research implications, including calling for a national database of kernels that influence human behavior

Association studies of up to 1.2 million individuals yield new insights into the genetic etiology of tobacco and alcohol use

Tobacco and alcohol use are leading causes of mortality that influence risk for many complex diseases and disorders 1 . They are heritable 2,3 and etiologically related 4,5 behaviors that have been resistant to gene discovery efforts 6–11 . In sample sizes up to 1.2 million individuals, we discovered 566 genetic variants in 406 loci associated with multiple stages of tobacco use (initiation, cessation, and heaviness) as well as alcohol use, with 150 loci evidencing pleiotropic association. Smoking phenotypes were positively genetically correlated with many health conditions, whereas alcohol use was negatively correlated with these conditions, such that increased genetic risk for alcohol use is associated with lower disease risk. We report evidence for the involvement of many systems in tobacco and alcohol use, including genes involved in nicotinic, dopaminergic, and glutamatergic neurotransmission. The results provide a solid starting point to evaluate the effects of these loci in model organisms and more precise substance use measures

Genetic diversity fuels gene discovery for tobacco and alcohol use

Tobacco and alcohol use are heritable behaviours associated with 15% and 5.3% of worldwide deaths, respectively, due largely to broad increased risk for disease and injury(1-4). These substances are used across the globe, yet genome-wide association studies have focused largely on individuals of European ancestries(5). Here we leveraged global genetic diversity across 3.4 million individuals from four major clines of global ancestry (approximately 21% non-European) to power the discovery and fine-mapping of genomic loci associated with tobacco and alcohol use, to inform function of these loci via ancestry-aware transcriptome-wide association studies, and to evaluate the genetic architecture and predictive power of polygenic risk within and across populations. We found that increases in sample size and genetic diversity improved locus identification and fine-mapping resolution, and that a large majority of the 3,823 associated variants (from 2,143 loci) showed consistent effect sizes across ancestry dimensions. However, polygenic risk scores developed in one ancestry performed poorly in others, highlighting the continued need to increase sample sizes of diverse ancestries to realize any potential benefit of polygenic prediction.Peer reviewe

Review of Cloud Computing Opportunities

This paper will begin by defining some of the challenges that we face on the MACSUR project in terms of evaluating model uncertainty and carrying out model integration. I will briefly review what cloud technologies are available, followed with some suggestions about how those cloud technologies can be used in order to contribute to meeting the challenges set out in the first part of the paper. 'Month 12' deliverable for WP1 is a review of the opportunities for using cloud computing to develop the potential for model inter-comparison and interlinking in MACSUR. A challenging aspect of compiling this review is that before an 'opportunity' for any kind of model linking/comparison can be identified, a lot of information about the specifics of extant models and workflows must be gathered from each of the three themes (TradeM, CropM, and LiveM). This deliverable must, however, be more than just saying ‘these are the computing tools that we can use to ...’. There are a number of different challenges at different levels; a hierarchy of challenges, if you like. For example, in order to get models ‘talking’ to one another, adequate protocols for the transference of data and scaleability will need to be established, and then things like uncertainty analysis for these integrated models will need to be addressed. Further issues exist relating to human behaviour and logistics (e.g. MACSUR is a large project with many members from all over Europe, with substantial distances between many of it’s members). The term “Cloud” is very ambiguous, and Cloud Computing covers a huge range of services, and a number of innovative tools exist which can make international collaborative research more effective. Two examples (already implemented on the MACSUR website) are: a discussion forum (where project members can create topics, make or reply to posts, and upload documents) and a complete surveying platform (to provide an un-restricted and fully featured survey platform for MACSUR members' information gathering needs.

Timely Colonoscopy After Positive Fecal Immunochemical Tests in the Veterans Health Administration: A Qualitative Assessment of Current Practice and Perceived Barriers.

IntroductionThe Veterans Health Administration introduced a clinical reminder system in 2018 to help address process gaps in colorectal cancer screening, including the diagnostic evaluation of positive fecal immunochemical test (FIT) results. We conducted a qualitative study to explore the differences between facilities who performed in the top vs bottom decile for follow-up colonoscopy.MethodsSeventeen semistructured interviews with gastroenterology (GI) providers and staff were conducted at 9 high-performing and 8 low-performing sites.ResultsWe identified 2 domains, current practices and perceived barriers, and most findings were described by both high- and low-performing sites. Findings exclusive to 1 group mainly pertained to current practices, especially arranging colonoscopy for FIT-positive patients. We observed only 1 difference in the perceived barriers domain, which pertained to primary care providers.DiscussionThese results suggest that what primarily distinguishes high- and low-performing sites is not a difference in barriers but rather in the GI clinical care process. Developing and disseminating patient education materials about the importance of diagnostic colonoscopy, eliminating in-person precolonoscopy visits when clinically appropriate, and involving GI in missed colonoscopy appointments and outside referrals should all be considered to increase follow-up colonoscopy rates. Our study illustrates the challenges of performing a timely colonoscopy after a positive FIT result and provides insights on improving the clinical care process for patients who are at substantially increased risk for colorectal cancer

MACSUR - Summary of research results, phase 1: 2012-2015

MACSUR — Modelling European Agriculture with Climate Change for Food Security — is a knowledge hub that was formally created in June 2012 as a European scientific network. The strategic aim of the knowledge hub is to create a coordinated and globally visible network of European researchers and research groups, with intra- and interdisciplinary interaction and shared expertise creating synergies for the development of scientific resources (data, models, methods) to model the impacts of climate change on agriculture and related issues. This objective encompasses a wide range of political and sociological aspects, as well as the technical development of modelling capacity through impact assessments at different scales and assessing uncertainties in model outcomes. We achieve this through model intercomparisons and model improvements, harmonization and exchange of data sets, training in the selection and use of models, assessment of benefits of ensemble modelling, and cross-disciplinary linkages of models and tools. The project engages with a diverse range of stakeholder groups and to support the development of resources for capacity building of individuals and countries. Commensurate with this broad challenge, a network of currently 300 scientists (measured by the number of individuals on the central e-mail list) from 18 countries evolved from the original set of research groups selected by FACCE. In the spirit of creating and maintaining a network for intra- and interdisciplinary knowledge exchange, network activities focused on meetings of researchers for sharing expertise and, depending on group resources (both financial and personnel), development of collaborative research activities. The outcome of these activities is the enhanced knowledge of the individual researchers within the network, contributions to conference presentations and scholarly papers, input to stakeholders and the general public, organised courses for students, junior and senior scientists. The most visible outcome are the scientific results of the network activities, represented in the contributions of MACSUR members to the impressive number of more than 200 collaborative papers in peer-reviewed publications. Here, we present a selection of overview and cross-disciplinary papers which include contributions from MACSUR members. It highlights the major scientific challenges addressed, and the methodological solutions and insights obtained. Over and above these highlights, major achievements have been reached regarding data collection, data processing, evaluation, model testing, modelling assessments of the effects of agriculture on ecosystem services, policy, and development of scenarios. Details on these achievements in the context of MACSUR can be found in our online publication FACCE MACSUR Reports at http://ojs.macsur.eu