Community-managed coral reef restoration in southern Kenya initiates reef recovery using various artificial reef designs

Monitoring of reef restoration efforts and artificial reefs (ARs) has typically been limited to coral fragment survival, hampering evaluation of broader objectives such as ecosystem recovery. This study aimed to determine to what extent AR design influences the ecological recovery of restored reefs by monitoring outplanted coral fragments, benthic cover, coral recruitment and fish and invertebrate communities for two years. Four AR designs (16 m2), unrestored controls and natural reef patches as reference (n = 10) were established in Mkwiro, Kenya. ARs consisted either of concrete disks with bottles, layered concrete disks, metal cages or a combination thereof. A mixture of 18 branching coral species (mainly Acropora spp.) was outplanted on ARs at a density of 7 corals m-2. After two years, 60% of all outplanted fragments had survived, already resulting in coral cover on most ARs comparable (though Acropora-dominated) to reference patches. Coral survival differed between ARs, with highest survival on cages due to the absence of crown-of-thorns sea star predation on this design. In total, 32 coral genera recruited on ARs and recruit densities were highest on reference patches, moderate on concrete ARs and low on cages. ARs and reference patches featured nearly twice the fish species richness and around an order of magnitude higher fish abundance and biomass compared to control patches. Fish abundance and biomass strongly correlated with coral cover on ARs. AR, reference and control patches all had distinct fish species compositions, but AR and reference patches were similar in terms of trophic structure of their fish communities. Motile invertebrates including gastropods, sea urchins, sea cucumbers and sea stars were present at ARs, but generally more abundant and diverse at natural reference patches. Taken together, all studied ecological parameters progressed towards reef ecosystem recovery, with varying influences of AR design and material. We recommend a combination of metal cages and layered concrete ARs to promote high fragment survival as well as natural coral recruitment. Ultimately, a longer period of monitoring is needed to fully determine the effectiveness reef restoration as conservation tool to support coral reef ecosystem recovery

Ethnicity a risk factor? The relation between ethnicity and large- and small-vessel disease in White people, Black people, and Asians within a hospital-based population

Previous studies suggest that in patients with ischaemic stroke, White people often present with large-vessel and Black people with small-vessel strokes. This study investigates the relation between large- and small-vessel disease, and ethnicity in White, Black, and Asian patients in Amsterdam, the Netherlands. In a hospital-based population of 668 patients ethnicity was determined by self-identification. The relation between ethnicity and carotid stenosis, as an indicator of large-vessel disease, was determined using univariate analysis, and adjusted for age, gender, hypertension and smoking. Subsequently the relation between ethnicity and lacunar infarcts, as a manifestation of small-vessel disease, was investigated. The odds ratio for having carotid stenosis, compared to White patients, was 0.55 (0.23-1.33) for Blacks, 0.53 (0.18-1.52) for Asians, and 0.64 (0.14-2.85) for other ethnicities. The adjusted odds ratio for a non-White patient compared to a White patient was 0.44 (0.19-1.02) (P = 0.05). The non-White patients more often presented with lacunar infarcts compared to Whites. We found an association between White patients and the presence of carotid artery stenosis. Not only in Black but also in Asian patients the association with carotid artery stenosis was substantially lower. In the non-White population there was an association with lacunar infarcts compared to White