Screening and surveillance CT abdomen/pelvis for metastases in patients with soft-tissue sarcoma of the extremity

Objectives The clinical utility of routine cross sectional imaging of the abdomen and pelvis in the screening and surveillance of patients with primary soft-tissue sarcoma of the extremities for metastatic disease is controversial, based on its questionable yield paired with concerns regarding the risks of radiation exposure, cost, and morbidity resulting from false positive findings. Methods Through retrospective review of 140 patients of all ages (mean 53 years; 2 to 88) diagnosed with soft-tissue sarcoma of the extremity with a mean follow-up of 33 months (0 to 291), we sought to determine the overall incidence of isolated abdominopelvic metastases, their temporal relationship to chest involvement, the rate of false positives, and to identify disparate rates of metastases based on sarcoma subtype. Results A total of four patients (2.9%) exhibited isolated abdominopelvic metastatic disease during the surveillance period. In all cases of concomitant chest and abdominopelvic disease, chest involvement preceded abominopelvic involvement. There was a significant false positive rate requiring invasive workup. Conclusions In the setting of a relative paucity of evidence concerning a rare disease process and in difference to recently published investigations, we add a clinical cohort not supportive of routine cross sectional imaging of the abdomen and pelvis

Influence of hydroperiod on aquatic food-web structure and energy production in a floodplain wetland:implications for environmental flow management

Context: Environmental water is often used to manage floodplain wetlands that support many taxa, both terrestrial and aquatic. It is important to optimise the managed hydroperiod to maximise the provision of aquatically derived resources from wetlands. Aims: To test the hypothesis that increasing hydroperiod affects food-web structure and energy production in floodplain wetlands. Methods: Fatty acids and stable isotopes of δ13C and δ15N were used to define food-web structure, and estimate total energy production throughout a managed inundation event in a wetland in the northern Murray-Darling Basin. Key results: Food-web complexity increased with an increasing hydroperiod in line with predictable patterns of community assemblage development, before reducing sharply immediately prior to drying. Energy availability increased with an increasing hydroperiod and there was a strong correlation (ρ = 0.669, P = 0.0001) between energy availability and fatty acid concentration, which was in turn related to patterns of taxon occurrence. Conclusions and implications: Hydroperiod exerts a strong influence on aquatic invertebrate community trophic dynamics and energy provision. Planned flows should support maturation and stabilisation of the invertebrate community to optimise energy provision to consumers.</p

Drought, disturbance and river resilience in the southern Murray–Darling Basin, Australia

Increased frequency, duration and intensity of droughts are predicted for much of the world due to anthropogenic climate change. Understanding resilience to these kinds of disturbance events is becoming ever more critical to inform management and policy decisions. Here, we provide a conceptual framework for ecological resilience by uniting the resistance–resilience framework with adaptation-pathway thinking. Drawing on both published and unpublished data, we explore the effects of a large and intense drought (the Australian ‘Millennium Drought’) on several ecosystem components (floodplain trees, floodplain birds, frogs, aquatic macroinvertebrates and fish) in the southern Murray–Darling Basin, Australia. We describe changes in these communities during and after the Millennium Drought. There is some suggestion that for fish and aquatic invertebrates, traits associated with resistance and resilience may contribute to determining which species decline and which recover and over what time scales. There has been insufficient attention to understanding the mechanisms that underpin resistance and resilience in this context. Better understanding of these mechanisms would enable a more nuanced approach to managing for potential vulnerability to altered disturbance patterns arising from climate change.</p

The effects of climatic fluctuations and extreme events on running water ecosystems

Most research on the effects of environmental change in freshwaters has focused on incremental changes in average conditions, rather than fluctuations or extreme events such as heatwaves, cold snaps, droughts, floods or wildfires, which may have even more profound consequences. Such events are commonly predicted to increase in frequency, intensity and duration with global climate change, with many systems being exposed to conditions with no recent historical precedent. We propose a mechanistic framework for predicting potential impacts of environmental fluctuations on running water ecosystems by scaling up effects of fluctuations from individuals to entire ecosystems. This framework requires integration of four key components: effects of the environment on individual metabolism, metabolic and biomechanical constraints on fluctuating species interactions, assembly dynamics of local food webs and mapping the dynamics of the meta-community onto ecosystem function. We illustrate the framework by developing a mathematical model of environmental fluctuations on dynamically assembling food webs. We highlight (currently limited) empirical evidence for emerging insights and theoretical predictions. For example, widely supported predictions about the effects of environmental fluctuations are: high vulnerability of species with high per capita metabolic demands such as large-bodied ones at the top of food webs; simplification of food web network structure and impaired energetic transfer efficiency; reduced resilience and top-down relative to bottom-up regulation of food web and ecosystem processes. We conclude by identifying key questions and challenges that need to be addressed to develop more accurate and predictive bio-assessments of the effects of fluctuations, and implications of fluctuations for management practices in an increasingly uncertain world

Long-term and recent changes in sea level in the Falkland Islands

Mean sea level measurements made at Port Louis in the Falkland Islands in 1981-2, 1984 and 2009, together with values from the nearby permanent tide gauge at Port Stanley, have been compared to measurements made at Port Louis in 1842 by James Clark Ross. The long-term rate of change of sea level is estimated to have been +0.75 ± 0.35 mm/year between 1842 and the early 1980s, after correction for air pressure effects and for vertical land movement due to Glacial Isostatic Adjustment (GIA). The 2009 Port Louis data set is of particular importance due to the availability of simultaneous information from Port Stanley. The data set has been employed in two ways, by providing a short recent estimate of mean sea level itself, and by enabling the effective combination of measurements at the two sites. The rate of sea level rise observed since 1992, when the modern Stanley gauge was installed, has been larger at 2.51 ± 0.58 mm/year, after correction for air pressure and GIA. This rate compares to a value of 2.79 ± 0.42 mm/year obtained from satellite altimetry in the region over the same period. Such a relatively recent acceleration in the rate of sea level rise is consistent with findings from other locations in the southern hemisphere and globall

Structural abnormality of the corticospinal tract in major depressive disorder

BACKGROUND: Scientists are beginning to document abnormalities in white matter connectivity in major depressive disorder (MDD). Recent developments in diffusion-weighted image analyses, including tractography clustering methods, may yield improved characterization of these white matter abnormalities in MDD. In this study, we acquired diffusion-weighted imaging data from MDD participants and matched healthy controls. We analyzed these data using two tractography clustering methods: automated fiber quantification (AFQ) and the maximum density path (MDP) procedure. We used AFQ to compare fractional anisotropy (FA; an index of water diffusion) in these two groups across major white matter tracts. Subsequently, we used the MDP procedure to compare FA differences in fiber paths related to the abnormalities in major fiber tracts that were identified using AFQ. RESULTS: FA was higher in the bilateral corticospinal tracts (CSTs) in MDD (p’s < 0.002). Secondary analyses using the MDP procedure detected primarily increases in FA in the CST-related fiber paths of the bilateral posterior limbs of the internal capsule, right superior corona radiata, and the left external capsule. CONCLUSIONS: This is the first study to implicate the CST and several related fiber pathways in MDD. These findings suggest important new hypotheses regarding the role of CST abnormalities in MDD, including in relation to explicating CST-related abnormalities to depressive symptoms and RDoC domains and constructs

The specificity of pathogenic oxidative stress in schizophrenia

Abstract not available