Discontinuation of antidepressant medication after mindfulness-based cognitive therapy for recurrent depression: randomised controlled non-inferiority trial.

Mindfulness-based cognitive therapy (MBCT) and maintenance antidepressant medication (mADM) both reduce the risk of relapse in recurrent depression, but their combination has not been studied.To investigate whether MBCT with discontinuation of mADM is non-inferior to MBCT+mADM.A multicentre randomised controlled non-inferiority trial (ClinicalTrials.gov:NCT00928980). Adults with recurrent depression in remission, using mADM for 6 months or longer (n= 249), were randomly allocated to either discontinue (n= 128) or continue (n= 121) mADM after MBCT. The primary outcome was depressive relapse/recurrence within 15 months. A confidence interval approach with a margin of 25% was used to test non-inferiority. Key secondary outcomes were time to relapse/recurrence and depression severity.The difference in relapse/recurrence rates exceeded the non-inferiority margin and time to relapse/recurrence was significantly shorter after discontinuation of mADM. There were only minor differences in depression severity.Our findings suggest an increased risk of relapse/recurrence in patients withdrawing from mADM after MBCT

A carbonate-forming Baeyer-Villiger monooxygenase

Despite the remarkable versatility displayed by flavin-dependent monooxygenases (FMOs) in natural product biosynthesis, one notably missing activity is the oxidative generation of carbonate functional groups. We describe a multifunctional Baeyer-Villiger monooxygenase CcsB, which catalyzes the formation of an in-line carbonate in the macrocyclic portion of cytochalasin E. This study expands the repertoire of activities of FMOs and provides a possible synthetic strategy for transformation of ketones into carbonates

What makes nearshore habitats nurseries for nekton? An emerging view of the nursery role hypothesis

Estuaries and other coastal habitats are considered essential for the survival of early life stages of commercial, recreational, and other ecologically important species. While early designations simply referred to habitats with higher densities of juveniles as nurseries, the definition was improved by arguing that contribution per unit area to the production of individuals that recruit to adult populations is greater, on average, in nursery habitats. However, this and related approaches typically consider critical habitats as individual, homogeneous entities that are static in nature and do not specifically incorporate important dynamics that determine nursery function. The latter include environmental variability, estuarine hydrodynamics, trophic coupling, ontogenetic habitat shifts, and spatially explicit usage of habitat patches and corridors within larger seascapes. Subsequent studies have identified important factors that regulate nursery value, and researchers working independently across the globe have not only supported the advances made in defining the processes underlying nursery function but, as set forth in this narrative, have advanced it while suggesting that much work still needs to be done to improve our understanding of the links between juvenile nekton survival and the estuarine-coastal seascape. We discuss the current nursery role hypothesis and the data supporting (or refuting) it along with the implications for management of estuarine habitats for the conservation or restoration of nursery function