108 research outputs found
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Quantifying Salmon-Derived Nutrient Loads from the Mortality of Hatchery-Origin Juvenile Chinook Salmon in the Snake River Basin
Hatchery supplementation of anadromous salmon is extensive across the Pacific Northwest region with millions of juvenile salmon stocked annually. The influence of hatchery-origin fish as prey items in recipient ecosystems has been explored, but influences of these fish on broader stream nutrient dynamics has not been well-studied. Salmon-derived nutrients (SDN) associated with the mortality of adult anadromous salmon provide key subsidies to freshwater habitats. While a number of studies have estimated current and historic SDN loading from returning wild salmon, SDN contributions from the mortality of hatchery-origin juveniles (many of which die in the stream prior to emigration) remains largely unknown. We conducted a mass balance analysis of SDN input and export via hatchery activities (stocking and broodstock collection) in the Snake River watershed. Using Chinook salmon Oncorhynchus tshawytscha as a model species, we accounted for yearly SDN input (via hatchery-origin juvenile fish mortality) and export (via broodstock collections and presmolt growth) over 6 years (2002â2007) in the portion of the Snake River upstream from Lower Granite Dam accessible to anadromous fish. In the year with highest smolt mortality (2003), hatchery-origin smolt mortality provided a net input of SDN equivalent to approximately 8,100 returning adults. In the year with lowest smolt mortality (2004), hatchery activities collectively yielded a net loss of nutrients. Although the mass of SDN from hatchery-origin smolts may be presented in adult equivalencies, functional influences of SDN from hatchery smolt mortality are likely to differ. Salmon-derived nutrients from hatcheries enter food webs through largely piscivorous pathways whereas SDN from adult carcasses enter food webs through multiple pathways at multiple trophic levels. The SDN from hatchery-origin smolts probably influence different components of the food web more than do adult carcasses and have the potential to more directly affect predator populations.This is the publisherâs final pdf. The article is copyrighted by the American Fisheries Society and published by Taylor & Francis. It can be found at: http://www.tandfonline.com/toc/utaf20/curren
Short-course antiretroviral therapy in primary HIV infection
Background
Short-course antiretroviral therapy (ART) in primary human immunodeficiency virus
(HIV) infection may delay disease progression but has not been adequately evaluated.
Methods
We randomly assigned adults with primary HIV infection to ART for 48 weeks, ART
for 12 weeks, or no ART (standard of care), with treatment initiated within 6 months
after seroconversion. The primary end point was a CD4+ count of less than 350 cells
per cubic millimeter or long-term ART initiation.
Results
A total of 366 participants (60% men) underwent randomization to 48-week ART
(123 participants), 12-week ART (120), or standard care (123), with an average followup
of 4.2 years. The primary end point was reached in 50% of the 48-week ART
group, as compared with 61% in each of the 12-week ART and standard-care groups.
The average hazard ratio was 0.63 (95% confidence interval [CI], 0.45 to 0.90;
P = 0.01) for 48-week ART as compared with standard care and was 0.93 (95% CI,
0.67 to 1.29; P = 0.67) for 12-week ART as compared with standard care. The proportion
of participants who had a CD4+ count of less than 350 cells per cubic millimeter
was 28% in the 48-week ART group, 40% in the 12-week group, and 40% in the
standard-care group. Corresponding values for long-term ART initiation were 22%,
21%, and 22%. The median time to the primary end point was 65 weeks (95% CI,
17 to 114) longer with 48-week ART than with standard care. Post hoc analysis
identified a trend toward a greater interval between ART initiation and the primary
end point the closer that ART was initiated to estimated seroconversion (P = 0.09),
and 48-week ART conferred a reduction in the HIV RNA level of 0.44 log10 copies
per milliliter (95% CI, 0.25 to 0.64) 36 weeks after the completion of short-course
therapy. There were no significant between-group differences in the incidence of the
acquired immunodeficiency syndrome, death, or serious adverse events.
Conclusions
A 48-week course of ART in patients with primary HIV infection delayed disease
progression, although not significantly longer than the duration of the treatment.
There was no evidence of adverse effects of ART interruption on the clinical outcome.
(Funded by the Wellcome Trust; SPARTAC Controlled-Trials.com number,
ISRCTN76742797, and EudraCT number, 2004-000446-20.
Portfolio Conservation of Metapopulations Under Climate Change
Climate change is likely to lead to increasing population variability and extinction risk. Theoretically, greater population diversity should buffer against rising climate variability, and this theory is often invoked as a reason for greater conservation. However, this has rarely been quantified. Here we show how a portfolio approach to managing population diversity can inform metapopulation conservation priorities in a changing world. We develop a salmon metapopulation model in which productivity is driven by spatially distributed thermal tolerance and patterns of shortâ and longâterm climate change. We then implement spatial conservation scenarios that control population carrying capacities and evaluate the metapopulation portfolios as a financial manager might: along axes of conservation risk and return. We show that preserving a diversity of thermal tolerances minimizes risk, given environmental stochasticity, and ensures persistence, given longâterm environmental change. When the thermal tolerances of populations are unknown, doubling the number of populations conserved may nearly halve expected metapopulation variability. However, this reduction in variability can come at the expense of longâterm persistence if climate change increasingly restricts available habitat, forcing ecological managers to balance society\u27s desire for shortâterm stability and longâterm viability. Our findings suggest the importance of conserving the processes that promote thermalâtolerance diversity, such as genetic diversity, habitat heterogeneity, and natural disturbance regimes, and demonstrate that diverse natural portfolios may be critical for metapopulation conservation in the face of increasing climate variability and change
Climate vulnerability assessment for Pacific salmon and steelhead in the California Current Large Marine Ecosystem.
Major ecological realignments are already occurring in response to climate change. To be successful, conservation strategies now need to account for geographical patterns in traits sensitive to climate change, as well as climate threats to species-level diversity. As part of an effort to provide such information, we conducted a climate vulnerability assessment that included all anadromous Pacific salmon and steelhead (Oncorhynchus spp.) population units listed under the U.S. Endangered Species Act. Using an expert-based scoring system, we ranked 20 attributes for the 28 listed units and 5 additional units. Attributes captured biological sensitivity, or the strength of linkages between each listing unit and the present climate; climate exposure, or the magnitude of projected change in local environmental conditions; and adaptive capacity, or the ability to modify phenotypes to cope with new climatic conditions. Each listing unit was then assigned one of four vulnerability categories. Units ranked most vulnerable overall were Chinook (O. tshawytscha) in the California Central Valley, coho (O. kisutch) in California and southern Oregon, sockeye (O. nerka) in the Snake River Basin, and spring-run Chinook in the interior Columbia and Willamette River Basins. We identified units with similar vulnerability profiles using a hierarchical cluster analysis. Life history characteristics, especially freshwater and estuary residence times, interplayed with gradations in exposure from south to north and from coastal to interior regions to generate landscape-level patterns within each species. Nearly all listing units faced high exposures to projected increases in stream temperature, sea surface temperature, and ocean acidification, but other aspects of exposure peaked in particular regions. Anthropogenic factors, especially migration barriers, habitat degradation, and hatchery influence, have reduced the adaptive capacity of most steelhead and salmon populations. Enhancing adaptive capacity is essential to mitigate for the increasing threat of climate change. Collectively, these results provide a framework to support recovery planning that considers climate impacts on the majority of West Coast anadromous salmonids
Cognitive and mood functioning in borderline and schizotypal personality disorders
Research suggests many shared clinical features across individuals with Schizotypal Personality Disorder (SPD) and Borderline Personality Disorder (BPD), including problems with attention/ executive functioning and mood. Therefore, aspects of these areas of functioning were compared in SPD and BPD to better characterize their respective difficulties. BPD, SPD, and healthy control (HC) participants were administered measures of cognitive and mood functioning. Compared with healthy controls, SPD patients performed significantly worse on aspects of the Delayed-Matching- to-Sample task, a measure of short-term visual memory abilities; however, the individuals with BPD did not differ from healthy controls. Neither of the patient groups differed from HCâs on measures of processing speed or planning. With regard to mood functioning, the BPD group exhibited significantly higher levels of affective disturbance (e.g., sadness, fear, anger) compared with the SPD patients and HCs. Overall, findings suggest different patterns of fronto-subcortical weakness in each patient group. While SPD patients exhibited relative weakness with short-term memory, BPD patient performance on such measures did not reveal relative weakness compared with HCs but did implicate problems with mood
Comparing Adult Cannabis Treatment-Seekers Enrolled in a Clinical Trial with National Samples of Cannabis Users in the United States
BackgroundâCannabis use rates are increasing among adults in the United States (US) while the perception of harm is declining. This may result in an increased prevalence of cannabis use disorder and the need for more clinical trials to evaluate efficacious treatment strategies. Clinical trials are the gold standard for evaluating treatment, yet study samples are rarely representative of the target population. This finding has not yet been established for cannabis treatment trials. This study compared demographic and cannabis use characteristics of a cannabis cessation clinical trial sample (run through National Drug Abuse Treatment Clinical Trials Network) with three nationally representative datasets from the US; 1) National Survey on Drug Use and Health, 2) National Epidemiologic Survey on Alcohol and Related Conditions-III, and 3) Treatment Episodes Data Set â Admissions.
MethodsâComparisons were made between the clinical trial sample and appropriate cannabis using sub-samples from the national datasets, and propensity scores were calculated to determine the degree of similarity between samples.
ResultsâResults showed that the clinical trial sample was significantly different from all three national datasets, with the clinical trial sample having greater representation among older adults, African Americans, Hispanic/Latinos, adults with more education, non-tobacco users, and daily and almost daily cannabis users.
ConclusionsâThese results are consistent with previous studies of other substance use disorder populations and extend sample representation issues to a cannabis use disorder population. This illustrates the need to ensure representative samples within cannabis treatment clinical trials to improve the generalizability of promising findings
A Randomized Placebo-Controlled Trial of \u3cem\u3eN\u3c/em\u3e-Acetylcysteine for Cannabis Use Disorder in Adults
BackgroundâCannabis use disorder (CUD) is a prevalent and impairing condition, and established psychosocial treatments convey limited efficacy. In light of recent findings supporting the efficacy of N-acetylcysteine (NAC) for CUD in adolescents, the objective of this trial was to evaluate its efficacy in adults.
MethodsâIn a 12-week double-blind randomized placebo-controlled trial, treatment-seeking adults ages 18â50 with CUD (N=302), enrolled across six National Drug Abuse Treatment Clinical Trials Network-affiliated clinical sites, were randomized in a 1:1 ratio to a 12-week course of NAC 1200 mg (n=153) or placebo (n=149) twice daily. All participants received contingency management (CM) and medical management. The primary efficacy measure was the odds of negative urine cannabinoid tests during treatment, compared between NAC and placebo participants.
ResultsâThere was not statistically significant evidence that the NAC and placebo groups differed in cannabis abstinence (odds ratio = 1.00, 95% confidence interval 0.63 â 1.59; p=0.984). Overall, 22.3% of urine cannabinoid tests in the NAC group were negative, compared with 22.4% in the placebo group. Many participants were medication non-adherent; exploratory analysis within medication-adherent subgroups revealed no significant differential abstinence outcomes by treatment group.
ConclusionsâIn contrast with prior findings in adolescents, there is no evidence that NAC 1200 mg twice daily plus CM is differentially efficacious for CUD in adults when compared to placebo plus CM. This discrepant finding between adolescents and adults with CUD may have been influenced by differences in development, cannabis use profiles, responses to embedded behavioral treatment, medication adherence, and other factors
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Anadromy and residency in steelhead and rainbow trout (Oncorhynchus mykiss): a review of the processes and patterns
Oncorhynchus mykiss form partially migratory populations with anadromous fish that undergo marine migrations and residents that complete their life cycle in fresh water. Many populationsâ anadromous components are threatened or endangered, prompting interest in understanding ecological and evolutionary processes underlying anadromy and residency. In this paper, we synthesize information to better understand genetic and environmental influences on O. mykiss life histories, identify critical knowledge gaps, and suggest next steps. Anadromy and residency appear to reflect interactions among genetics, individual condition, and environmental influences. First, an increasing body of literature suggests that anadromous and resident individuals differ in the expression of genes related to growth, smoltification, and metabolism. Second, the literature supports the conditional strategy theory, where individuals adopt a life history pattern based on their conditional status relative to genetic thresholds along with ultimate effects of size and age at maturation and iteroparity. However, except for a generally positive association between residency and high lipid content plus a large attainable size in fresh water, the effects of body size and growth are inconsistent. Thus, individuals can exhibit plasticity in variable environments. Finally, patterns in anadromy and residency among and within populations suggested a wide range of possible environmental influences at different life stages, from freshwater temperature to marine survival. Although we document a number of interesting correlations, direct tests of mechanisms are scarce and little data exist on the extent of residency and anadromy. Consequently, we identified as many data gaps as conclusions, leaving ample room for future research
Retrospective screening of routine respiratory samples revealed undetected community transmission and missed intervention opportunities for SARS-CoV-2 in the United Kingdom.
In the early phases of the SARS coronavirus type 2 (SARS-CoV-2) pandemic, testing focused on individuals fitting a strict case definition involving a limited set of symptoms together with an identified epidemiological risk, such as contact with an infected individual or travel to a high-risk area. To assess whether this impaired our ability to detect and control early introductions of the virus into the UK, we PCR-tested archival specimens collected on admission to a large UK teaching hospital who retrospectively were identified as having a clinical presentation compatible with COVID-19. In addition, we screened available archival specimens submitted for respiratory virus diagnosis, and dating back to early January 2020, for the presence of SARS-CoV-2 RNA. Our data provides evidence for widespread community circulation of SARS-CoV-2 in early February 2020 and into March that was undetected at the time due to restrictive case definitions informing testing policy. Genome sequence data showed that many of these early cases were infected with a distinct lineage of the virus. Sequences obtained from the first officially recorded case in Nottinghamshire - a traveller returning from Daegu, South Korea - also clustered with these early UK sequences suggesting acquisition of the virus occurred in the UK and not Daegu. Analysis of a larger sample of sequences obtained in the Nottinghamshire area revealed multiple viral introductions, mainly in late February and through March. These data highlight the importance of timely and extensive community testing to prevent future widespread transmission of the virus.Whole genome sequencing of SARS-CoV-2 was funded by COG-UK; COG-UK is supported by funding from the Medical Research Council (MRC) part of UK Research and Innovation (UKRI), the National Institute of Health Research (NIHR) and Genome Research Limited, operating as the Wellcome Sanger Institute
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