Recovery from TBT pollution in English Channel environments: A problem solved?

Following recognition of effects in the 1980s, tributyltin (TBT) has been monitored at sites in the English Channel to evaluate the prognosis for biota – spanning the introduction of restrictions on TBT use on small boats and the recent phase-out on the global fleet. We describe how persistence and impact of TBT in clams Scrobicularia plana has changed during this period in Southampton Water and Poole Harbour. TBT contamination (and loss) in water, sediment and clams reflects the abundance and type of vessel activity: half-times in sediment (up to 8y in Poole, 33y in Southampton) are longest near commercial shipping. Recovery of clam populations – slowest in TBT-contaminated deposits – provides a useful biological measure of legislative efficacy in estuaries. On rocky shores, recovery from imposex in Nucella lapillus is evident at many sites but, near ports, is prolonged by shipping impacts, including sediment legacy, for example, in the Fal

Intersex in the clam Scrobicularia plana (Da Costa): Widespread occurrence in English Channel estuaries and surrounding areas

Estuarine clams Scrobicularia plana were sampled from 108 intertidal locations around the English Channel and adjacent areas. Although S. plana is believed to be a strict gonochorist, 58% of the populations sampled included intersexed individuals (described as male clams exhibiting ovotestis). Over the entire region, on average, 8.6% of male clams exhibited intersex, although proportions of affected males ranged from 0% to 53% depending on location. The severity of intersex was assessed using a simple classification scale, with the majority of individuals showing low levels of impact. Sex ratios were significantly skewed at some sites. There were no significant relationships between the incidence and severity of intersex; or of associations with size or parasitism of individual clams. Intersex in S. plana is a useful tool to assess endocrine disruptive effects in estuaries, although mechanisms of impact and causative agents remain uncertain

A Cross-Sectional Survey on Knowledge and Perceptions of Health Risks Associated with Arsenic and Mercury Contamination from Artisanal Gold mining in Tanzania.

An estimated 0.5 to 1.5 million informal miners, of whom 30-50% are women, rely on artisanal mining for their livelihood in Tanzania. Mercury, used in the processing gold ore, and arsenic, which is a constituent of some ores, are common occupational exposures that frequently result in widespread environmental contamination. Frequently, the mining activities are conducted haphazardly without regard for environmental, occupational, or community exposure. The primary objective of this study was to assess community risk knowledge and perception of potential mercury and arsenic toxicity and/or exposure from artisanal gold mining in Rwamagasa in northwestern Tanzania. A cross-sectional survey of respondents in five sub-villages in the Rwamagasa Village located in Geita District in northwestern Tanzania near Lake Victoria was conducted. This area has a history of artisanal gold mining and many of the population continue to work as miners. Using a clustered random selection approach for recruitment, a total of 160 individuals over 18 years of age completed a structured interview. The interviews revealed wide variations in knowledge and risk perceptions concerning mercury and arsenic exposure, with 40.6% (n=65) and 89.4% (n=143) not aware of the health effects of mercury and arsenic exposure respectively. Males were significantly more knowledgeable (n=59, 36.9%) than females (n=36, 22.5%) with regard to mercury (x²=3.99, p<0.05). An individual's occupation category was associated with level of knowledge (x²=22.82, p=<0.001). Individuals involved in mining (n=63, 73.2%) were more knowledgeable about the negative health effects of mercury than individuals in other occupations. Of the few individuals (n=17, 10.6%) who knew about arsenic toxicity, the majority (n=10, 58.8%) were miners. The knowledge of individuals living in Rwamagasa, Tanzania, an area with a history of artisanal gold mining, varied widely with regard to the health hazards of mercury and arsenic. In these communities there was limited awareness of the threats to health associated with exposure to mercury and arsenic. This lack of knowledge, combined with minimal environmental monitoring and controlled waste management practices, highlights the need for health education, surveillance, and policy changes

Impact of optical coherence tomography on diagnostic decision-making by UK community optometrists: a clinical vignette study.

PURPOSE: In recent years, there has been widespread investment in imaging technologies by community optometrists in the UK, most notably optical coherence tomography (OCT). The aim of the current study was to determine the value of OCT in the diagnosis of posterior segment diseases in a representative sample of community optometrists using a clinical vignette methodology. METHODS: A group of community optometrists (n = 50) initially completed a standardised training package on OCT interpretation followed by a computer-based assessment featuring 52 clinical vignettes, containing images of healthy (n = 8) or glaucomatous (n = 18) discs or healthy (n = 8) or diseased (n = 18) fundi. Each vignette featured either a single fundus/disc photographic image, or a combination of a fundus/disc image with the corresponding OCT scan. An expert panel confirmed that the fundus images presented alone and those in combination with OCT data were of a similar level of difficulty and that the cases were typical of those seen in primary care. For each case, the optometrist selected their diagnosis from a pull-down list and reported their confidence in their decision using a 10-point Likert scale. Pairwise comparisons of the fundus image alone and fundus image/OCT combination were made for both diagnostic performance and confidence. RESULTS: The mean percentage of correct diagnoses using fundus imaging alone was 62% (95% CI 59-64%) and for the combination of fundus image/OCT was 80% (95% CI 77-82%). The mean false negative rate with fundus alone was 27% reducing to 13% with the OCT combination. Median confidence scores for fundus imaging alone was 8.0 (IQR 7.0-8.0) and 8.3 (IQR 8.0-9.0) for the combination. Improvements in performance and confidence were statistically significant (p < 0.001). CONCLUSION: The results from this vignette study suggests that OCT improves optometrists' diagnostic performance compared to fundus observation alone. These initial results suggest that OCT provides valuable additional data that could augment case-finding for glaucoma and retinal disease; however, further research is needed to assess its diagnostic performance in a routine clinical practice setting

The American Experience With Desmopressin

Conclusive evidence of a polyuric etiology from a failure of vasopressin elevation led to a new pharmacologic approach to the treatment of childhood nocturnal enuresis. Desmopressin acetate, a vasopressin analogue, has been used successfully since 1978 to treat this condition. Desmopressin's efficacy at doses of 5 to 40 μg has been demonstrated in Europe and the United States. Similarly, its safety has been established, and it is a first-line choice for physicians worldwide.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67214/2/10.1177_000992289303200107.pd

Dual Space of a Lattice as the Completion of a Pervin Space

16th International Conference, RAMiCS 2017, Lyon, France, May 15-18, 2017, ProceedingsInternational audienceThis survey paper presents well-known results from a new angle. A Pervin space is a set X equipped with a set of subsets,called the blocks of the Pervin space. Blocks are closed under finite intersections and finite unions and hence form a lattice of subsets of X. Pervin spaces are thus easier to define than topological spaces or (quasi)-uniform spaces. As a consequence, most of the standard topological notions, like convergence and cluster points, specialisation order, filtersand Cauchy filters, complete spaces and completion are much easier to define for Pervin spaces. In particular, the completion of a Pervin space turns out to be the dual space (in the sense of Stone) of the original lattice.We show that any lattice of subsets can be described by a set of inequations of the form u ≤ v, where u and v are elements of its dual space. Applications to formal languages and complexity classes are given.Cet article de synthèse présente des résultats bien connus sous un nouvel angle. Un espace de Pervin est unensemble X équipé d'un ensemble de parties, appelé les blocs de l'espace de Pervin. Les blocs sont fermés par intersection finie et union finie et forment ainsi un treillis de parties de X. Les espaces de Pervin sont doncplus faciles à définir que les espaces topologiques ou les espaces (quasi-)uniformes. Par conséquent, la plupart des notions topologiques, comme la convergence et les points d'adhérence, l'ordre de spécialisation, les filtres de Cauchy, les espaces complets et la complétion sont beaucoup plus faciles à définir pour les espaces Pervin. En particulier, la complétion d'un espace Pervin s'avère être l'espace dual (au sens de Stone) du treillis de départ.Nous montrons que tout treillis de parties peut être décrit par un ensemble d'inéquations de la forme u ≤ v, où u et v sont des éléments de son espace dual. On donne des applications aux langages formels et aux classes de complexité

Blood pressure and site-specific cancer mortality: evidence from the original Whitehall study

Studies relating blood pressure to cancer risk have some shortcomings and have revealed inconsistent findings. In 17498 middle-aged London-based government employees we related systolic and diastolic blood pressure recorded at baseline examination (1967-1970) to the risk of cancer mortality risk at 13 anatomical sites 25 years later. Following adjustment for potential confounding and mediating factors, inverse associations between blood pressure and mortality due to leukaemia and cancer of the pancreas (diastolic only) were seen. Blood pressure was also positively related to cancer of the liver and rectum (diastolic only). The statistically significant blood pressure-cancer associations seen in this large-scale prospective investigation offering high power were scarce and of sufficiently small magnitude as to be attributable to chance or confounding

Dietary analysis of two sympatric marine turtle species in the eastern Mediterranean

This is the final version. Available from Springer via the DOI in this record. Data and any available visuals, such as figures and tables, will be provided upon reasonable request to the corresponding author. Any codes created to assist in data analysis and/or any software application utilised in the current study will be provided upon reasonable request submitted to the corresponding author.Dietary studies provide key insights into threats and changes within ecosystems and subsequent impacts on focal species. Diet is particularly challenging to study within marine environments and therefore is often poorly understood. Here, we examined the diet of stranded and bycaught loggerhead (Caretta caretta) and green turtles (Chelonia mydas) in North Cyprus (35.33° N, 33.47° E) between 2011 and 2019. A total of 129 taxa were recorded in the diet of loggerhead turtles (n = 45), which were predominantly carnivorous (on average 72.1% of dietary biomass), foraging on a large variety of invertebrates, macroalgae, seagrasses and bony fish in low frequencies. Despite this opportunistic foraging strategy, one species was particularly dominant, the sponge Chondrosia reniformis (21.5%). Consumption of this sponge decreased with increasing turtle size. A greater degree of herbivory was found in green turtles (n = 40) which predominantly consumed seagrasses and macroalgae (88.8%) with a total of 101 taxa recorded. The most dominant species was a Lessepsian invasive seagrass, Halophila stipulacea (31.1%). This is the highest percentage recorded for this species in green turtle diet in the Mediterranean thus far. With increasing turtle size, the percentage of seagrass consumed increased with a concomitant decrease in macroalgae. Seagrass was consumed year-round. Omnivory occurred in all green turtle size classes but reduced in larger turtles (> 75 cm CCL) suggesting a slow ontogenetic dietary shift. Macroplastic ingestion was more common in green (31.6% of individuals) than loggerhead turtles (5.7%). This study provides the most complete dietary list for marine turtles in the eastern Mediterranean.European CommissionErwin Warth FoundationKarşıyaka Turtle WatchAngela WadsworthMaureen and Tony HutchinsonKuzey Kıbrıs TurkcellMAVA FoundationNatural Environment Research Council (NERC)University of Exete