Maintaining Diversity of Integrated Rice and Fish Production Confers Adaptability of Food Systems to Global Change

Rice and fish are preferred foods, critical for healthy and nutritious diets, and provide the foundations of local and national economies across Asia. Although transformations, or "revolutions," in agriculture and aquaculture over the past half-century have primarily relied upon intensified monoculture to increase rice and fish production, agroecological approaches that support biodiversity and utilize natural processes are particularly relevant for achieving a transformation toward food systems with more inclusive, nutrition-sensitive, and ecologically sound outcomes. Rice and fish production are frequently integrated within the same physical, temporal, and social spaces, with substantial variation amongst the types of production practice and their extent. In Cambodia, rice field fisheries that strongly rely upon natural processes persist in up to 80% of rice farmland, whereas more input and infrastructure dependent rice-shrimp culture is expanding within the rice farmland of Vietnam. We demonstrate how a diverse suite of integrated production practices contribute to sustainable and nutrition-sensitive food systems policy, research, and practice. We first develop a typology of integrated production practices illustrating the nature and degree of: (a) fish stocking, (b) water management, (c) use of synthetic inputs, and (d) institutions that control access to fish. Second, we summarize recent research and innovations that have improved the performance of each type of practice. Third, we synthesize data on the prevalence, outcomes, and trajectories of these practices in four South and Southeast Asian countries that rely heavily on fish and rice for food and nutrition security. Focusing on changes since the food systems transformation brought about by the Green Revolution, we illustrate how integrated production practices continue to serve a variety of objectives to varying degrees: food and nutrition security, rural livelihood diversification and income improvement, and biodiversity conservation. Five shifts to support contemporary food system transformations [i.e., disaggregating (1) production practices and (2) objectives, (3) utilizing diverse metrics, (4) valuing emergent, place-based innovation, (5) building adaptive capacity] would accelerate progress toward Sustainable Development Goal 2, specifically through ensuring ecosystem maintenance, sustainable food production, and resilient agricultural practices with the capacity to adapt to global change.This work was undertaken as part of the CGIAR Research Program on Fish Agri-Food Systems (FISH) led by WorldFish with contribution from the CGIAR Research program on Water Land and Ecosystems (WLE) led by the International Water Management Institute. Both these programs are supported by contributors to the CGIAR Trust Fund. Additional funding support for this work was provided by the Australian Government and the Australian Centre for International Agricultural Research grant work was provided by the Australian Centre for International Research through the Development of Rice Fish Systems in the Ayeyarwady Delta, Myanmar (ACIAR project FIS/2016/135). The support through the United States Agency for International Development under Cooperative Agreement No. AID-OAA-L-14-00006 and KAES contribution number 20-317-J and grant number AID-442-IO12-00001 are duly acknowledged. Photo credits: Anon., Finn Thilsted, Anon., Anon., Todd Brown (Figure 1)

Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine

[This corrects the article DOI: 10.1186/s13054-016-1208-6.]

Suicide risk in schizophrenia: learning from the past to change the future

Suicide is a major cause of death among patients with schizophrenia. Research indicates that at least 5–13% of schizophrenic patients die by suicide, and it is likely that the higher end of range is the most accurate estimate. There is almost total agreement that the schizophrenic patient who is more likely to commit suicide is young, male, white and never married, with good premorbid function, post-psychotic depression and a history of substance abuse and suicide attempts. Hopelessness, social isolation, hospitalization, deteriorating health after a high level of premorbid functioning, recent loss or rejection, limited external support, and family stress or instability are risk factors for suicide in patients with schizophrenia. Suicidal schizophrenics usually fear further mental deterioration, and they experience either excessive treatment dependence or loss of faith in treatment. Awareness of illness has been reported as a major issue among suicidal schizophrenic patients, yet some researchers argue that insight into the illness does not increase suicide risk. Protective factors play also an important role in assessing suicide risk and should also be carefully evaluated. The neurobiological perspective offers a new approach for understanding self-destructive behavior among patients with schizophrenia and may improve the accuracy of screening schizophrenics for suicide. Although, there is general consensus on the risk factors, accurate knowledge as well as early recognition of patients at risk is still lacking in everyday clinical practice. Better knowledge may help clinicians and caretakers to implement preventive measures. This review paper is the results of a joint effort between researchers in the field of suicide in schizophrenia. Each expert provided a brief essay on one specific aspect of the problem. This is the first attempt to present a consensus report as well as the development of a set of guidelines for reducing suicide risk among schizophenia patients

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome

Microstructural heterogeneity and its relationship to the strength of martensite

International audienceThe complex microstructure of ferrous martensite is reflected in its complex mechanical response. In an attempt to highlight how carbon redistribution during quenching and/or low temperature tempering can affect mechanical response, a set of controlled experiments were performed. By rapidly quenching samples it was possible to limit autotempering allowing the evolution of mechanical response and microstructure to be followed with low temperature tempering. This was compared to a situation where the material was more slowly quenched, leading to a highly autotempered state. The gradual transition from elastic to plastic deformation is interpreted based on possible sources of microstructural heterogeneity. Lath-to-lath variations of dislocation density are discussed as a contributor to the development of microstructural heterogeneity during tempering. These results shed light on the possible origins of the continuous-composite like mechanical response of lath martensite proposed in recent work

Microstructural heterogeneity and its relationship to the strength of martensite

The complex microstructure of ferrous martensite is reflected in its complex mechanical response. In an attempt to highlight how carbon redistribution during quenching and/or low temperature tempering can affect mechanical response, a set of controlled experiments were performed. By rapidly quenching samples it was possible to limit autotempering allowing the evolution of mechanical response and microstructure to be followed with low temperature tempering. This was compared to a situation where the material was more slowly quenched, leading to a highly autotempered state. The gradual transition from elastic to plastic deformation is interpreted based on possible sources of microstructural heterogeneity. Lath-to-lath variations of dislocation density are discussed as a contributor to the development of microstructural heterogeneity during tempering. These results shed light on the possible origins of the continuous-composite like mechanical response of lath martensite proposed in recent work.Nouveaux aciers à gradient de propriétés (Graded Composite Steels Design