Distribution of Visitor Use Management Research in US Wilderness from 2000 to 2020: A Scoping Review

Visitor use in wilderness has grown over the past several decades, along with research focused on visitor use management (VUM) in congressionally designated wilderness. This scoping review of research published between 2000 and 2020 explores the distribution and representativeness of wilderness VUM research within the context of (a) the federal land management agencies administering wilderness and (b) the geographic distribution of research. Findings indicate wilderness administered by the Bureau of Land Management and US Fish and Wildlife Service were disproportionately understudied compared to both the total acreage of wilderness and number of wilderness areas administered by the US Forest Service and National Park Service. Additionally, large geographic gaps exist in the research produced during this period, with clusters of VUM-related research occurring in high-profile wilderness areas and the vast majority (89%) of wilderness areas generating no research. As we look toward the next 20 years of wilderness VUM-related research, these findings suggest a need for a more representative narrative and highlight several specific opportunities for future research

Exploring Underserved Communities’ Perspectives on Wilderness Character in Everglades National Park

Issues related to diversity, equity, and inclusion are becoming increasingly important to park and protected area managers. Recently, several Executive Orders have established policies and priorities for steering public lands to better serve the diversity of the US public. Certain groups, compared to the US population at large, are underrepresented as visitors to parks and protected areas in the US, including BIPOC communities (Black, Indigenous, and other People of Color), women, people with disabilities, veterans, people with lower socioeconomic status, and the elderly. This disparity in visitation may be even more pronounced in federally designated wilderness areas. We present a qualitative study focused on the relationships of traditionally underserved groups with Everglades National Park, specifically focusing on perceptions of wilderness character in the Marjory Stoneman Douglas Wilderness. Findings illuminate both perceived benefits of wilderness, including positive mental health, ecosystem services, and a connection to unique aspects of wilderness character in the Everglades, as well as conflicted feelings about wilderness as a place that underemphasizes historic interactions of underrepresented communities with the landscape. We discuss management implications, particularly ways to focus protected area efforts to broaden the relevancy of wilderness lands and better serve diverse populations within local communities

Meta-analysis of exome array data identifies six novel genetic loci for lung function [version 1; peer review:1 approved, 1 approved with reservations]

Background: Over 90 regions of the genome have been associated with lung function to date, many of which have also been implicated in chronic obstructive pulmonary disease. Methods: We carried out meta-analyses of exome array data and three lung function measures: forced expiratory volume in one second (FEV1), forced vital capacity (FVC) and the ratio of FEV1 to FVC (FEV1/FVC). These analyses by the SpiroMeta and CHARGE consortia included 60,749 individuals of European ancestry from 23 studies, and 7,721 individuals of African Ancestry from 5 studies in the discovery stage, with follow-up in up to 111,556 independent individuals. Results: We identified significant (P&lt;2•8x10 -7 ) associations with six SNPs: a nonsynonymous variant in RPAP1, which is predicted to be damaging, three intronic SNPs (SEC24C, CASC17 and UQCC1) and two intergenic SNPs near to LY86 and FGF10. Expression quantitative trait loci analyses found evidence for regulation of gene expression at three signals and implicated several genes, including TYRO3 and PLAU. Conclusions: Further interrogation of these loci could provide greater understanding of the determinants of lung function and pulmonary disease.</p

CRUSE®-An innovative mobile application for patient monitoring and management in chronic spontaneous urticaria

Background: Chronic spontaneous urticaria (CSU) is unpredictable and can severely impair patients' quality of life. Patients with CSU need a convenient, user-friendly platform to complete patient-reported outcome measures (PROMs) on their mobile devices. CRUSE ®, the Chronic Urticaria Self Evaluation app, aims to address this unmet need. Methods: CRUSE ® was developed by an international steering committee of urticaria specialists. Priorities for the app based on recent findings in CSU were defined to allow patients to track and record their symptoms and medication use over time and send photographs. The CRUSE ® app collects patient data such as age, sex, disease onset, triggers, medication, and CSU characteristics that can be sent securely to physicians, providing real-time insights. Additionally, CRUSE ® contains PROMs to assess disease activity and control, which are individualised to patient profiles and clinical manifestations. Results: CRUSE ® was launched in Germany in March 2022 and is now available for free in 17 countries. It is adapted to the local language and displays a country-specific list of available urticaria medications. English and Ukrainian versions are available worldwide. From July 2022 to June 2023, 25,710 observations were documented by 2540 users; 72.7% were females, with a mean age of 39.6 years. At baseline, 93.7% and 51.3% of users had wheals and angioedema, respectively. Second-generation antihistamines were used in 74.0% of days. Conclusions: The initial data from CRUSE ® show the wide use and utility of effectively tracking patients' disease activity and control, paving the way for personalised CSU management.</p