<p>Preventing ototoxicity and its effects</p>

The term ototoxicity is used to refer to temporary or permanent damage to the audiovestibular system as a result of medicines or chemicals. The ototoxic substances may target: - The vestibular system, which is important for balance - The cochlea, which is the organ of hearing - The auditory pathways, which convey signals from these structures to the auditory cortex/vestibular cortex - A combination of these. Although studies from many countries have shown that ototoxicity is not a major cause of hearing loss or balance problems, it is important as it is potentially preventable. It is more prevalent in low- and middle-income countries (LMICs) due to a lack of understanding amongst health workers and insufficient resources to identify improper use of medicines and chemicals. Health workers may not have come across ototoxicity in their training. Laboratories in hospitals may lack the facilities to monitor the blood levels of ototoxic drugs and industrial use of ototoxic chemicals may not be recognised as a cause for concern by those responsible for the care of the workers exposed

Modelling biological N fixation and grass-legume dynamics with process-based biogeochemical models of varying complexity

This work was conducted by the Models4Pastures consortium project under the auspices of FACCE-JPI. Funding was provided by: the New Zealand Government to support the objectives of the Livestock Research Group of the Global Research Alliance on Agricultural Greenhouse Gases; AgResearch’s Strategic Science Investment Fund as a contribution to the Forages for Reduced Nitrate Leaching (FRNL) research programme; the input of UK partners was funded by DEFRA and also contributes to the RCUK-funded projects: N-Circle (BB/N013484/1), UGRASS (NE/M016900/1) and GREENHOUSE (NE/K002589/1). R.M. Rees and C.F.E. Topp also received funding from the Scottish Government Strategic Research Programme. Lutz Merbold and Kathrin Fuchs acknowledge funding received for the Swiss contribution to Models4Pastures (FACCE-JPI project, SNSF funded contract: 40FA40_154245/1) and for the Doc.Mobility fellowship (SNSF funded project: P1EZP2_172121). Lorenzo Brilli, Camilla Dibari and Marco Bindi acknowledge funding received from the Italian Ministry of Agricultural Food and Forestry Policies (MiPAAF).Peer reviewedPublisher PD

Land-ocean interactions in the coastal zone: Past, present and future

The Land-ocean Interactions in the Coastal Zone (LOICZ) project was established in 1993 as a core project of the International Geosphere-Biosphere Programme (IGBP) to provide the science knowledge to answer "How will changes in land use, sea level and climate alter coastal systems, and what are the wider consequences?" In its first phase of operation (1993-2003) LOICZ began a fundamental investigation focused on biophysical dimensions, including seminal assessments of coastal seas as net sources or sinks of atmospheric CO2, river discharge to the oceans, and biogeochemical modelling. In the second generation of LOICZ (2004-2014), increased attention was paid to the human dimensions of the coast, involving the inclusion of cross-cutting themes such as coastal governance, social-ecological systems, ecological economics and activities around capacity building and the promotion of early career scientists. This paper provides a synthesis of this work and looks forward to the future challenges for the project. With the transition to Future Earth, there is a paradigm shift emerging. The new vision is to support transformation to a sustainable and resilient future for society and nature on the coast, by facilitating innovative, integrated and solutions-oriented science. Realising this vision takes LOICZ into a third generation: to be at the forefront of co-designing, co-producing and co-implementing knowledge for coastal resilience and sustainability. LOICZ as Future Earth Coasts will continue to address 'hotspots' of coastal vulnerability, focusing on themes of dynamic coasts, human development and the coast, and pathways to global coastal sustainability and constraints thereof

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Particulate matter exposure during pregnancy is associated with birth weight, but not gestational age, 1962-1992: a cohort study

<p>Abstract</p> <p>Background</p> <p>Exposure to air pollutants is suggested to adversely affect fetal growth, but the evidence remains inconsistent in relation to specific outcomes and exposure windows.</p> <p>Methods</p> <p>Using birth records from the two major maternity hospitals in Newcastle upon Tyne in northern England between 1961 and 1992, we constructed a database of all births to mothers resident within the city. Weekly black smoke exposure levels from routine data recorded at 20 air pollution monitoring stations were obtained and individual exposures were estimated via a two-stage modeling strategy, incorporating temporally and spatially varying covariates. Regression analyses, including 88,679 births, assessed potential associations between exposure to black smoke and birth weight, gestational age and birth weight standardized for gestational age and sex.</p> <p>Results</p> <p>Significant associations were seen between black smoke and both standardized and unstandardized birth weight, but not for gestational age when adjusted for potential confounders. Not all associations were linear. For an increase in whole pregnancy black smoke exposure, from the 1^st(7.4 μg/m³) to the 25^th(17.2 μg/m³), 50^th(33.8 μg/m³), 75^th(108.3 μg/m³), and 90^th(180.8 μg/m³) percentiles, the adjusted estimated decreases in birth weight were 33 g (SE 1.05), 62 g (1.63), 98 g (2.26) and 109 g (2.44) respectively. A significant interaction was observed between socio-economic deprivation and black smoke on both standardized and unstandardized birth weight with increasing effects of black smoke in reducing birth weight seen with increasing socio-economic disadvantage.</p> <p>Conclusions</p> <p>The findings of this study progress the hypothesis that the association between black smoke and birth weight may be mediated through intrauterine growth restriction. The associations between black smoke and birth weight were of the same order of magnitude as those reported for passive smoking. These findings add to the growing evidence of the harmful effects of air pollution on birth outcomes.</p

Cerebral malaria in children: using the retina to study the brain

Cerebral malaria is a dangerous complication of Plasmodium falciparum infection, which takes a devastating toll on children in sub-Saharan Africa. Although autopsy studies have improved understanding of cerebral malaria pathology in fatal cases, information about in vivo neurovascular pathogenesis is scarce because brain tissue is inaccessible in life. Surrogate markers may provide insight into pathogenesis and thereby facilitate clinical studies with the ultimate aim of improving the treatment and prognosis of cerebral malaria. The retina is an attractive source of potential surrogate markers for paediatric cerebral malaria because, in this condition, the retina seems to sustain microvascular damage similar to that of the brain. In paediatric cerebral malaria a combination of retinal signs correlates, in fatal cases, with the severity of brain pathology, and has diagnostic and prognostic significance. Unlike the brain, the retina is accessible to high-resolution, non-invasive imaging. We aimed to determine the extent to which paediatric malarial retinopathy reflects cerebrovascular damage by reviewing the literature to compare retinal and cerebral manifestations of retinopathy-positive paediatric cerebral malaria. We then compared retina and brain in terms of anatomical and physiological features that could help to account for similarities and differences in vascular pathology. These comparisons address the question of whether it is biologically plausible to draw conclusions about unseen cerebral vascular pathogenesis from the visible retinal vasculature in retinopathy-positive paediatric cerebral malaria. Our work addresses an important cause of death and neurodisability in sub-Saharan Africa. We critically appraise evidence for associations between retina and brain neurovasculature in health and disease, and in the process we develop new hypotheses about why these vascular beds are susceptible to sequestration of parasitized erythrocytes

Retrospective evaluation of whole exome and genome mutation calls in 746 cancer samples

Funder: NCI U24CA211006Abstract: The Cancer Genome Atlas (TCGA) and International Cancer Genome Consortium (ICGC) curated consensus somatic mutation calls using whole exome sequencing (WES) and whole genome sequencing (WGS), respectively. Here, as part of the ICGC/TCGA Pan-Cancer Analysis of Whole Genomes (PCAWG) Consortium, which aggregated whole genome sequencing data from 2,658 cancers across 38 tumour types, we compare WES and WGS side-by-side from 746 TCGA samples, finding that ~80% of mutations overlap in covered exonic regions. We estimate that low variant allele fraction (VAF < 15%) and clonal heterogeneity contribute up to 68% of private WGS mutations and 71% of private WES mutations. We observe that ~30% of private WGS mutations trace to mutations identified by a single variant caller in WES consensus efforts. WGS captures both ~50% more variation in exonic regions and un-observed mutations in loci with variable GC-content. Together, our analysis highlights technological divergences between two reproducible somatic variant detection efforts

Improving communication with patients with a hearing impairment

The main barrier to communication for people who are hearing impaired is the lack of consideration by others. These patients can face prolonged or unnecessary illnesses due to inadequate communication with their health care providers. However, by being prepared, and by preparing the patient, health workers can ensure good communication, thereby giving patients access to appropriate and effective health care. Please note that patients with both visual and hearing impairments require even more consideration