2016 United Kingdom national guideline on the sexual health care of men who have sex with men.

This guideline is intended for use in UK Genitourinary medicine clinics and sexual health services but is likely to be of relevance in all sexual health settings, including general practice and Contraception and Sexual Health (CASH) services, where men who have sex with men (MSM) seek sexual health care or where addressing the sexual health needs of MSM may have public health benefits. For the purposes of this document, MSM includes all gay, bisexual and all other males who have sex with other males and both cis and trans men. This document does not provide guidance on the treatment of particular conditions where this is covered in other British Association for Sexual Health and HIV (BASHH) Guidelines but outlines best practice in multiple aspects of the sexual health care of MSM. Where prevention of sexually transmitted infections including HIV can be addressed as an integral part of clinical care, this is consistent with the concept of combination prevention and is included. The document is designed primarily to provide guidance on the direct clinical care of MSM but also makes reference to the design and delivery of services with the aim of supporting clinicians and commissioners in providing effective services. Methodology This document was produced in accordance with the guidance set out in the BASHH CEG's document 'Framework for guideline development and assessment' published in 2010 at http://www.bashh.org/guidelines and with reference to the Agree II instrument. Following the production of the updated framework in April 2015, the GRADE system for assessing evidence was adopted and the draft recommendations were regraded. Search strategy (see also Appendix 1) Ovid Medline 1946 to December 2014, Medline daily update, Embase 1974 to December 2014, Pubmed NeLH Guidelines Database, Cochrane library from 2000 to December 2014. Search language English only. The search for Section 3 was conducted on PubMed to December 2014. Priority was given to peer-reviewed papers published in scientific journals, although for many issues evidence includes conference abstracts listed on the Embase database. In addition, for 'Identification of problematic recreational drug and alcohol use' section and 'Sexual problems and dysfunctions in MSM' section, searches included PsycINFO. Methods Article titles and abstracts were reviewed and if relevant the full text article was obtained. Priority was given to randomised controlled trial and systematic review evidence, and recommendations made and graded on the basis of best available evidence. Piloting and feedback The first draft of the guideline was circulated to the writing group and to a small group of relevant experts, third sector partners and patient representatives who were invited to comment on the whole document and specifically on particular sections. The revised draft was reviewed by the CEG and then reviewed by the BASHH patient/public panel and posted on the BASHH website for public consultation. The final draft was piloted before publication. Guideline update The guidelines will be reviewed and revised in five years' time, 2022

Refugees or ravenous predators: detecting predation on new recruits to tropical estuarine nurseries

Many of the most abundant small and juvenile fishes within shallow water estuarine nursery habitats consume other fish to some degree but have rarely been considered as potentially important predators in the functioning of these systems because of the low (<50%) average occurrence of fish in their diets. Predation by abundant minor piscivores on new recruits when they first enter the nursery may make a significant contribution to the predation mortality of this critical life-history stage. To determine the potential importance of minor piscivores as predators on new recruits, temporal patterns in the diets of 15 common species of minor piscivores were examined and related to the abundance of new recruits (≤20 mm FL) in biweekly seine samples over 13 months in shallow (<1.5 m) sandy habitats in the Ross River estuary in north-eastern Queensland, Australia. The high spatial patchiness of new recruits made it difficult to correlate their abundance with their consumption by minor piscivores, and there was no relationship detected between the abundance of new recruits and the occurrence of fish in the diets of minor piscivores. To gain broader insight into spatio-temporal patterns in the consumption of fish prey by minor piscivores, we utilised a collection of fishes sampled during various studies over 6 years from 17 estuaries in the region to examine the diets of >3500 individuals from 20 spp. of minor piscivores. Patterns in the consumption of fish prey by these minor piscivores, especially the highly abundant sparids, sillaginids and ambassids, revealed that the low average occurrence of fish in their diet greatly underestimated the predation pressure imposed by these on fish prey at particular locations and times. For most sampling occasions and locations few minor piscivores consumed fish prey (consumed by 0% of individuals examined), while occasionally a large proportion of individuals within a taxon did so (50–100% of individuals consumed fish prey). Often at such times/locations multiple species of minor piscivores simultaneously preyed heavily on fish. When minor piscivores consumed fish, they preyed mainly on small new recruits. Because many of these minor piscivores are relatively recent recruits, many of the small and juvenile fishes believed to gain refuge in shallow estuarine nurseries may themselves be important predators on fish subsequently recruiting to these habitats, and so potentially play a significant role in structuring estuarine fish faunas and the functioning of shallow water nurseries

Composition, uniqueness and variability of the epiphytic bacterial community of the green alga Ulva australis

Green Ulvacean marine macroalgae are distributed worldwide in coastal tidal and subtidal ecosystems. As for many living surfaces in the marine environment, little is known concerning the epiphytic bacterial biofilm communities that inhabit algal surfaces. This study reports on the largest published libraries of near full-length 16S rRNA genes from a marine algal surface (5293 sequences from six samples) allowing for an in-depth assessment of the diversity and phylogenetic profile of the bacterial community on a green Ulvacean alga. Large 16S rRNA gene libraries of surrounding seawater were also used to determine the uniqueness of this bacterial community. The surface of Ulva australis is dominated by sequences of Alphaproteobacteria and the Bacteroidetes, especially within the Rhodobacteriaceae, Sphingomonadaceae, Flavobacteriaceae and Sapropiraceae families. Seawater libraries were also dominated by Alphaproteobacteria and Bacteroidetes sequences, but were shown to be clearly distinct from U. australis libraries through the clustering of sequences into operational taxonomic units and Bray–Curtis similarity analysis. Almost no similarity was observed between these two environments at the species level, and only minor similarity was observed at levels of sequence clustering representing clades of bacteria within family and genus taxonomic groups. Variability between libraries of U. australis was relatively high, and a consistent sub-population of bacterial species was not detected. The competitive lottery model, originally derived to explain diversity in coral reef fishes, may explain the pattern of colonization of this algal surface

Mangrove fish production is largely fuelled by external food sources: a stable isotope analysis of fishes at the individual, species, and community levels from across the globe

Coastal ecosystems are energetically connected through passive transport of nutrients but also by migrations of motile organisms. Mangroves are highly productive tropical ecosystems that replenish offshore populations of many species, but we know little about the degree to which this production is fuelled by prey from mangroves, especially in the cases in which mangroves are only accessible at high tide. Different results have been obtained on the importance of mangroves as feeding habitats, confounded by differences in species composition, seascape configuration, and methodology. In the present study, we took a more holistic approach by exploring reliance by fishes on mangroves as a feeding habitat at multiple ecological levels: from individuals to species to communities in mangrove ecosystems from across the globe, using a stable isotope approach. A two end-member mixing model showed a wide range (12–72%) in degree of reliance on mangrove food sources by fishes from different studies across the globe. However, analyzed at the levels of individual fish and species, reliance was low (for example, <25% for 55% of the species worldwide, or <50% for 85% of species, respectively) even though they were collected from sites that differed in geographical location, tidal regime, seascape structure, and species composition. The high fisheries productivity of mangroves appears to be energetically supported largely by food sources from adjacent habitats. In light of the ongoing rapid demise and fragmentation of mangrove and adjacent ecosystems, loss of ecosystem connectivity is likely to affect the productivity and functioning of tropical coastal ecosystems and the services they provide.M. M. Igulu, I. Nagelkerken, G. van der Velde, and Y. D. Mgay

The roles of seagrasses in structuring associated fish assemblages and fisheries

Seagrasses are known to provide important habitats for a diversity of fish and fisheries species. Continued research has allowed us to re-evaluate the generalisations, and identify the gaps in our knowledge regarding these habitats, particularly in an Australian context. Seagrasses generally form part of a mosaic with other habitats within a seascape that contributes to its overall biodiversity of fish. Patterns of abundance and diversity of fish between seagrass and other habitats, such as unvegetated flats and reef habitats, is inconsistent and depends on the region, fish and seagrass species, and sampling method. Edge effects, adjacent habitats, and fragmentation can strongly influence fish assemblages. Seagrass structural complexity can enhance survival and growth of juvenile fishes, but recent studies show that survival rates of individual prey do not vary greatly across seagrass densities when densities of both prey and predators increase with seagrass density. The concept of the nursery habitat has been built on data from studies in estuaries or highly seasonal seagrass habitats, whereas recent studies in marine systems or cool temperate seagrass meadows suggest that this role does not always hold. Direct grazing on seagrasses by fishes occurs mainly in tropical regions, although there is a paucity of data on this process along with several other processes, from tropical Australia. Grazing on seagrasses by fishes appears to be limited in temperate regions, with consumption of seagrass restricted mainly to omnivorous species. However, tropicalisation, that is, the immigration of tropical grazers to higher latitudes due to global ocean warming, is predicted to increase grazing rates on temperate seagrasses. Reductions in seagrass biomass caused by increased grazing will disrupt connectivity processes between seagrass meadows and surrounding habitats, and are likely to have significant ramifications for the biodiversity and ecosystem services those other coastal habitats provide. Although other habitats rely on inputs of seagrass detritus, and the immigration of fish and fisheries species from their juvenile seagrass habitats, quantitative data on this link are limited. Evidence that fisheries declines, either directly or indirectly, have resulted from seagrass loss is equivocal to date, and therefore, the quantification of this role is still needed. Managing seagrass for fisheries is complex, and many fisheries agencies embrace ecosystem-based management, but do not have direct responsibility for seagrass habitat. Significant progress has been made in our knowledge of fish and fisheries in seagrasses, but our review highlights significant knowledge gaps where further research is recommended

Seagrasses, fish and fisheries

Seagrass meadows have extremely high primary and secondary productivity and support a great abundance and diversity of fish and invertebrates. A number of commercially and recreationally important species (including both fish and invertebrates) have been linked to seagrass at some stage of their life cycle, although few such species use seagrass throughout their life. Non-commercial species within seagrass may be an important food source for commercial species (forming trophic linkages). In addition, some species that do not inhabit seagrass may derive benefit from seagrass by way of exported seagrass detritus or resident/transient species that move out of seagrass (some of these topics are dealt with elsewhere in this volume: e.g. Heck and Orth, Chapter 22, Kenworthy et al., Chapter 25 and Bell et al., Chapter 26). © 2006/2007 Springer. All Rights Reserved.http://trove.nla.gov.au/work/1348907