80 research outputs found

    Decadal Trends in Abundance, Size and Condition of Antarctic Toothfish in McMurdo Sound, Antarctica, 1972-2010

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    We report analyses of a dataset spanning 38 years of near-annual fishing for Antarctic toothfish Dissostichus mawsoni, using a vertical setline through the fast ice of McMurdo Sound, Antarctica, 1972-2010. This constitutes one of the longest biological time series in the Southern Ocean, and certainly the longest for any fish. Fish total length, condition and catch per unit effort (CPUE) were derived from the more than 5500 fish caught. Contrary to expectation, length-frequency was dominated by fish in the upper half of the industrial catch. The discrepancy may be due to biases in the sampling capabilities of vertical (this study) versus benthic (horizontal) fishing gear (industry long lines), related to the fact that only large Antarctic toothfish (more than 100 cm TL) are neutrally buoyant and occur in the water column. Fish length and condition increased from the early 1970s to the early 1990s and then decreased, related to sea ice cover, with lags of 8 months to 5 years, and may ultimately be related to the fishery (which targets large fish) and changes in the Southern Annular Mode through effects on toothfish main prey, Antarctic silverfish Pleuragramma antarcticum. CPUE was constant through 2001 and then decreased dramatically, likely related to the industrial fishery, which began in 1996 and which concentrates effort over the Ross Sea slope, where tagged McMurdo fish have been found. Due to limited prey choices and, therefore, close coupling among mesopredators of the Ross Sea, Antarctic toothfish included, the fishery may be altering the trophic structure of the Ross Sea

    Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

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    Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research
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