Variations in the Reproductive Activities of Arctic Terns at Churchill, Manitoba

Nest locations and contents were observed in 16 colonies over a 3-year period. Laying times correlated with spring temperatures, but not with colony size. Clutch size increased with time between ice breakup and laying onset. Egg losses were insufficient to account for differences in clutch size. The results are taken to indicate that under arctic conditions, variations in clutch size, timing of the nesting cycle, and associated events in the Arctic Tern are closely related to variations in the physical environment

Monitoring the Distribution, Abundance, and Movements of Birds Near Vancouver International Airport

The Vancouver International Airport (YVR) is Canada’s second-busiest civil airport and is located on the Fraser River delta—the staging and wintering ground for millions of birds representing many taxonomic groups. Consequently, YVR experiences one of the highest bird-strike rates of any airport in Canada. Since 1994, LGL Limited has investigated and monitored avian ecology as it relates to existing and potential hazards to air-traffic safety at YVR. A formalized monitoring program is on-going. The distribution, abundance, and flight patterns of birds are recorded and summarized by individual species or by taxonomic group. Monthly and semiannual reports present information that depict changes in the local bird community regarding spatial, temporal, and behavioural factors. A multi-year database permits the comparison of these factors during a present period to past highs, lows, and averages. Data analyses are complex, but have been streamlined through the development and application of database programming developed specifically for this project. Using this, and other information such as habitat mapping and bird-strike statistics, “hazard maps” are generated. Together with the remainder of the reports, these maps provide the Wildlife Control Program with an objective view of bird hazards at YVR. Among other uses, this information can guide control efforts and gauge the effectiveness of bird control over time

Monitoring the Distribution, Abundance, and Movements of Birds Near Vancouver International Airport

The Vancouver International Airport (YVR) is Canada’s second-busiest civil airport and is located on the Fraser River delta—the staging and wintering ground for millions of birds representing many taxonomic groups. Consequently, YVR experiences one of the highest bird-strike rates of any airport in Canada. Since 1994, LGL Limited has investigated and monitored avian ecology as it relates to existing and potential hazards to air-traffic safety at YVR. A formalized monitoring program is on-going. The distribution, abundance, and flight patterns of birds are recorded and summarized by individual species or by taxonomic group. Monthly and semiannual reports present information that depict changes in the local bird community regarding spatial, temporal, and behavioural factors. A multi-year database permits the comparison of these factors during a present period to past highs, lows, and averages. Data analyses are complex, but have been streamlined through the development and application of database programming developed specifically for this project. Using this, and other information such as habitat mapping and bird-strike statistics, “hazard maps” are generated. Together with the remainder of the reports, these maps provide the Wildlife Control Program with an objective view of bird hazards at YVR. Among other uses, this information can guide control efforts and gauge the effectiveness of bird control over time

Effective local connectivity properties

We investigate, and prove equivalent, effective versions of local connectivity and uniformly local arcwise connectivity for connected and computably compact subspaces of Euclidean space. We also prove that Euclidean continua that are computably compact and effectively locally connected are computably arcwise connected.Comment: Final versio

Daily and Nondaily Oral Preexposure Prophylaxis in Men and Transgender Women Who Have Sex With Men: The Human Immunodeficiency Virus Prevention Trials Network 067/ADAPT Study

Background: Nondaily dosing of oral preexposure prophylaxis (PrEP) may provide equivalent coverage of sex events compared with daily dosing. Methods: At-risk men and transgender women who have sex with men were randomly assigned to 1 of 3 dosing regimens: 1 tablet daily, 1 tablet twice weekly with a postsex dose (time-driven), or 1 tablet before and after sex (event-driven), and were followed for coverage of sex events with pre- and postsex dosing measured by weekly self-report, drug concentrations, and electronic drug monitoring. Results: From July 2012 to May 2014, 357 participants were randomized. In Bangkok, the coverage of sex events was 85% for the daily arm compared with 84% for the time-driven arm (P = .79) and 74% for the event-driven arm (P = .02). In Harlem, coverage was 66%, 47% (P = .01), and 52% (P = .01) for these groups. In Bangkok, PrEP medication concentrations in blood were consistent with use of ≥2 tablets per week in >95% of visits when sex was reported in the prior week, while in Harlem, such medication concentrations occurred in 48.5% in the daily arm, 30.9% in the time-driven arm, and 16.7% in the event-driven arm (P < .0001). Creatinine elevations were more common in the daily arm (P = .050), although they were not dose limiting. Conclusions: Daily dosing recommendations increased coverage and protective drug concentrations in the Harlem cohort, while daily and nondaily regimens led to comparably favorable outcomes in Bangkok, where participants had higher levels of education and employment

Assessment of BED HIV-1 Incidence Assay in Seroconverter Cohorts: Effect of Individuals with Long-Term Infection and Importance of Stable Incidence

BACKGROUND: Performance of the BED assay in estimating HIV-1 incidence has previously been evaluated by using longitudinal specimens from persons with incident HIV infections, but questions remain about its accuracy. We sought to assess its performance in three longitudinal cohorts from Thailand where HIV-1 CRF01_AE and subtype B' dominate the epidemic. DESIGN: BED testing was conducted in two longitudinal cohorts with only incident infections (a military conscript cohort and an injection drug user cohort) and in one longitudinal cohort (an HIV-1 vaccine efficacy trial cohort) that also included long-term infections. METHODS: Incidence estimates were generated conventionally (based on the number of annual serocoversions) and by using BED test results in the three cohorts. Adjusted incidence was calculated where appropriate. RESULTS: For each longitudinal cohort the BED incidence estimates and the conventional incidence estimates were similar when only newly infected persons were tested, whether infected with CRF01_AE or subtype B'. When the analysis included persons with long-term infections (to mimic a true cross-sectional cohort), BED incidence estimates were higher, although not significantly, than the conventional incidence estimates. After adjustment, the BED incidence estimates were closer to the conventional incidence estimates. When the conventional incidence varied over time, as in the early phase of the injection drug user cohort, the difference between the two estimates increased, but not significantly. CONCLUSIONS: Evaluation of the performance of incidence assays requires the inclusion of a substantial number of cohort-derived specimens from individuals with long-term HIV infection and, ideally, the use of cohorts in which incidence remained stable. Appropriate adjustments of the BED incidence estimates generate estimates similar to those generated conventionally

NIOX VERO: Individualized Asthma Management in Clinical Practice

As we move toward an era of precision medicine, novel biomarkers of disease will enable the identification and personalized treatment of new endotypes. In asthma, fractional exhaled nitric oxide (FeNO) serves as a surrogate marker of airway inflammation that often correlates with the presence of sputum eosinophils. The increase in FeNO is driven by an upregulation of inducible nitric oxide synthase (iNOS) by cytokines, which are released as a result of type-2 airway inflammation. Scientific evidence supports using FeNO in routine clinical practice. In steroid-naive patients and in patients with mild asthma, FeNO levels decrease within days after corticosteroid treatment in a dose-dependent fashion and increase after steroid withdrawal. In difficult asthma, FeNO testing correlates with anti-inflammatory therapy compliance. Assessing adherence by FeNO testing can remove the confrontational aspect of questioning a patient about compliance and change the conversation to one of goal setting and ways to improve disease management. However, the most important aspect of incorporating FeNO in asthma management is the reduction in the risk of exacerbations. In a recent primary care study, reduction of exacerbation rates and improved symptom control without increasing overall inhaled corticosteroid (ICS) use were demonstrated when a FeNO-guided anti-inflammatory treatment algorithm was assessed and compared to the standard care. A truly personalized asthma management approach—showing reduction of exacerbation rates, overall use of ICS and neonatal hospitalizations—was demonstrated when FeNO testing was applied as part of the treatment algorithm that managed asthma during pregnancy. The aim of this article is to describe how FeNO and the NIOX VERO® analyzer can help to optimize diagnosis and treatment choices and to aid in the monitoring and improvement of clinical asthma outcomes in children and adults

Anti-tumour necrosis factor discontinuation in inflammatory bowel disease patients in remission: study protocol of a prospective, multicentre, randomized clinical trial

Background: Patients with inflammatory bowel disease who achieve remission with anti-tumour necrosis factor (anti-TNF) drugs may have treatment withdrawn due to safety concerns and cost considerations, but there is a lack of prospective, controlled data investigating this strategy. The primary study aim is to compare the rates of clinical remission at 1?year in patients who discontinue anti-TNF treatment versus those who continue treatment. Methods: This is an ongoing, prospective, double-blind, multicentre, randomized, placebo-controlled study in patients with Crohn?s disease or ulcerative colitis who have achieved clinical remission for ?6?months with an anti-TNF treatment and an immunosuppressant. Patients are being randomized 1:1 to discontinue anti-TNF therapy or continue therapy. Randomization stratifies patients by the type of inflammatory bowel disease and drug (infliximab versus adalimumab) at study inclusion. The primary endpoint of the study is sustained clinical remission at 1?year. Other endpoints include endoscopic and radiological activity, patient-reported outcomes (quality of life, work productivity), safety and predictive factors for relapse. The required sample size is 194 patients. In addition to the main analysis (discontinuation versus continuation), subanalyses will include stratification by type of inflammatory bowel disease, phenotype and previous treatment. Biological samples will be obtained to identify factors predictive of relapse after treatment withdrawal. Results: Enrolment began in 2016, and the study is expected to end in 2020. Conclusions: This study will contribute prospective, controlled data on outcomes and predictors of relapse in patients with inflammatory bowel disease after withdrawal of anti-TNF agents following achievement of clinical remission. Clinical trial reference number: EudraCT 2015-001410-1

How the "Northern Irish" national identity is understood and used by young people and politicians

The conventional understanding of the nation within social psychology is as a category of people or "imagined community." However, work within the discursive tradition shows that citizens tend to discuss nationhood in a variety of modes, including the use of nonhuman categories such as references to the physical landscape of the country. This article aims to give a more comprehensive overview of how young people understand the Northern Irish identity, a new and potentially inclusive national category in a divided society, and how politicians articulate it in rhetoric. In Study 1, students (N = 286) discussed this identity in 44 peer‐led focus groups. Thematic analysis of their discussions shows four distinct ways in which it is constructed: as a distinctive people, as an identity claim, as a "hot" political project, and as a "cold" or banal indicator of place. In Study 2, Members of the Legislative Assembly at Stormont (N = 49) responded to open‐ended questions about the Northern Irish identity. Each of the parties used different conceptualizations for rhetorical effect. These results give a deeper understanding of the multifaceted nature of national identity and its ability to promote political agendas