Are white-beaked dolphins Lagenorhynchus albirostris food specialst? Their diet in the southern North Sea

The white-beaked dolphin Lagenorhynchus albirostris is the most numerous cetacean after the harbour porpoise Phocoena phocoena in the North Sea, including Dutch coastal waters. In this study, the diet of 45 white-beaked dolphins stranded on the Dutch coast between 1968 and 2005 was determined by analysis of stomach contents. Although 25 fish species were identified, the diet was dominated by Gadidae (98.0% by weight, 40.0% in numbers), found in all stomachs. All other prey species combined contributed little to the diet by weight (2.0%W). The two most important prey species were whiting Merlangius merlangus (91.1% frequency of occurrence (FO), 30.5%N, 37.6%W) and cod Gadus morhua (73.3%FO, 7.4%N, 55.9%W). In numbers, gobies were most common (54.6%N), but contributed little to the diet by weight (0.6%W). Three stomachs contained different prey compared to the others: one animal had taken 2250 gobies, accounting for 96.4% of all gobies found; one animal had fed on 29 small sepiolids; and one animal had solely taken haddock Melanogrammus aeglefinus. Squid and haddock were not found in any other stomach. The overall diet showed a lasting predominance of whiting and cod, without clear changes over time (35 years) or differences between sexes or size-classes of dolphins. This study adds to earlier published and unpublished data for Dutch coastal waters and agrees well with studies of white-beaked dolphins from other parts of the species’ range, in the North Sea and in Canadian waters, with Gadidae dominating the diet on both sides of the Atlantic

Seasonal affective disorder, winter type:current insights and treatment options

Ybe Meesters,1 Marijke CM Gordijn,2,3 1University Center for Psychiatry, University Medical Center Groningen, 2Department of Chronobiology, GeLifes, University of Groningen, Groningen, the Netherlands; 3Chrono@Work B.V., Groningen, the Netherlands Abstract: Seasonal affective disorder (SAD), winter type, is a seasonal pattern of recurrent major depressive episodes most commonly occurring in autumn or winter and remitting in spring/summer. The syndrome has been well-known for more than three decades, with light treatment being the treatment of first choice. In this paper, an overview is presented of the present insights in SAD. Description of the syndrome, etiology, and treatment options are mentioned. Apart from light treatment, medication and psychotherapy are other treatment options. The predictable, repetitive nature of the syndrome makes it possible to discuss preventive treatment options. Furthermore, critical views on the concept of SAD as a distinct diagnosis are discussed. Keywords: seasonal affective disorder, review, light treatment, medication, psychotherapy, preventio

Chronotherapy Network Netherlands (CNN)

Information is provided about the Chronotherapy Network Netherlands (CNN)

Modelling representation errors of atmospheric CO2 mixing ratios at a regional scale

Inverse modelling of carbon sources and sinks requires an accurate quality estimate of the modelling framework to obtain a realistic estimate of the inferred fluxes and their uncertainties. So-called "representation errors" result from our inability to correctly represent point observations with simulated average values of model grid cells. They may add substantial uncertainty to the interpretation of atmospheric CO2 mixing ratio data. We simulated detailed variations in the CO2 mixing ratios with a high resolution (2 km) mesoscale model (RAMS) to estimate the representation errors introduced at larger model grid sizes of 10 100 km. We found that meteorology is the main driver of representation errors in our study causing spatial and temporal variations in the error estimate. Within the nocturnal boundary layer, the representation errors are relatively large and mainly caused by unresolved topography at lower model resolutions. During the day, convective structures, mesoscale circulations, and surface CO2 flux variability were found to be the main sources of representation errors. Interpreting observations near a mesoscale circulation as representative for air with the correct footprint relative to the front can reduce the representation error substantially. The remaining representation error is 0.5 1.5 ppm at 20 100 km resolution

Morphological traits can track coral reef responses to the Anthropocene

MD was supported by the John Templeton Foundation (60501) and JM was supported by the Australian Research Council (FT110100609) during the period this research was undertaken.1. Susceptibility to human-driven environmental changes is mediated by species traits. Therefore, identifying traits that predict organism performance, ecosystem function and response to changes in environmental conditions can help forecast how ecosystems are responding to the Anthropocene. 2. Morphology dictates how organisms interact with their environment and other organisms, partially determining the environmental and biological contexts in which they are successful. Morphology is important for autogenic ecosystem engineering organisms, such as reef-building corals, because it determines the shape of the structures they create and by extension the communities they support. 3. Here, we present six morphological traits that capture variation in volume compactness, surface complexity and top-heaviness. With support from the literature, we propose causal links between morphology and a performance–function–response framework. 4. To illustrate these concepts, we combine 3D scanning and coral survey data to predict morphological traits from in situ colonies. We present a case study that examines how assemblage-scale morphological traits have responded to two cyclones and the 2016 mass bleaching event—two phenomena predicted to increase in severity in the Anthropocene—and discuss how these changes may impact ecosystem function. 5. The morphological traits outlined here offer a generalised and hypothesis-driven approach to tracking how reefs respond to the Anthropocene. The ability to predict these traits from field data and the increasing use of photogrammetry makes them readily applicable across broad spatiotemporal scales.PostprintPeer reviewe

Chronotype changes with age; seven-year follow-up from the Netherlands study of depression and anxiety cohort

Background: Chronotype reflects an individual's optimal daily timing of sleep, activity, and cognitive performance. Previous, cross-sectional, studies have suggested an age effect on chronotype with later chronotypes in adolescents and earlier chronotypes in children and elderly. Additionally, later chronotypes have been associated with more depressive symptoms. Few studies have been able to study longitudinal associations between chronotype and age, while adjusting for depressive symptoms. Methods: Chronotype was assessed twice with the Munich Chronotype Questionnaire 7 years apart in the Netherlands Study of Depression and Anxiety (T1: N = 1842, mean age (SD): 42.63 years (12.66)) and T2: N = 1829, mean age (SD) 50.67 (13.11)). The longitudinal association between change in age and change in chronotype was tested using a generalized estimated equation analysis adjusted for covariates (including level of depressive symptoms). Using age-bins of 5 years (age at T2), change in chronotype between T1 and T2 was analyzed with Linear Mixed Models. Results: We found a change towards an earlier chronotype with higher age (B (95% CI): -0.011 (-0.014-0.008), p < 0.001). For the age-bins, the difference in chronotype was significant for the 25-29 years age-bin. Limitations: The sample did not include individuals younger than 19 years or older than 68 years. Conclusions: In the whole sample chronotype changed towards becoming more morning-type over a period of 7 years, but this change was only significant for those aged 25-29 years. The study was performed in a large naturalistic cohort study with a wide age-range, including patients with a diagnosis of depressive and anxiety disorder and healthy controls.Stress and Psychopatholog

The information needs of people living with ankylosing spondylitis: a questionnaire survey

&lt;p&gt;BACKGROUND:Today, health care is patient-centred with patients more involved in medical decision making and taking an active role in managing their disease. It is important that patients are appropriately informed about their condition and that their health care needs are met. We examine the information utilisation, sources and needs of people with ankylosing spondylitis (AS).&lt;/p&gt; &lt;p&gt;METHODS: Participants in an existing AS cohort study were asked to complete a postal or online questionnaire containing closed and open-ended questions, regarding their information access and needs. Participants were stratified by age and descriptive statistics were performed using STATA 11, while thematic analysis was performed on open-ended question narratives. Qualitative data was handled in Microsoft Access and explored for emerging themes and patterns of experiences.&lt;/p&gt; &lt;p&gt;RESULTS: Despite 73% of respondents having internet access, only 49% used the internet to access information regarding AS. Even then, this was only infrequently. Only 50% of respondents reported accessing written information about AS, which was obtained mainly in specialist clinics. Women were more likely than men to access information (63% (women) 46% (men)) regardless of the source, while younger patients were more likely to use online sources. The main source of non-written information was the rheumatologist. Overall, the respondents felt there was sufficient information available, but there was a perception that the tone was often too negative. The majority (95%) of people would like to receive a regular newsletter about AS, containing positive practical and local information. Suggestions were also made for more information about AS to be made available to non-specialist medical professionals and the general public.&lt;/p&gt; &lt;p&gt;CONCLUSIONS: There appears to be sufficient information available for people with AS in the UK and this is mostly accessed by younger AS patients. Many patients, particularly men, choose not to access AS information and concerns were raised about its negative tone. Patients still rely on written and verbal information from their specialists. Future initiatives should focus on the delivery of more positive information, targeting younger participants in particular and increasing the awareness in the general population and wider non-specialist medical community.&lt;/p&gt

A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies

Background: Corrective osteotomy surgery for long bone anomalies can be very challenging since deformation of the bone is often present in three dimensions. We developed a two-step approach for 3D-planned corrective osteotomies which consists of a cutting and reposition guide in combination with a conventional osteosynthesis plate. This study aimed to assess accuracy of the achieved corrections using this two-step technique. Methods: All patients (≥12 years) treated for post-traumatic malunion with a two-step 3D-planned corrective osteotomy within our center in 2021 were prospectively included. Three-dimensional virtual models of the planned outcome and the clinically achieved outcome were obtained and aligned. Postoperative evaluation of the accuracy of performed corrections was assessed by measuring the preoperative and postoperative alignment error in terms of angulation, rotation and translation. Results: A total of 10 patients were included. All corrective osteotomies were performed according to the predetermined surgical plan without any complications. The preoperative deformities ranged from 7.1 to 27.5° in terms of angulation and 5.3 to 26.1° in terms of rotation. The achieved alignment deviated on average 2.1 ± 1.0 and 3.4 ± 1.6 degrees from the planning for the angulation and rotation, respectively. Conclusions: A two-step approach for 3D-guided patient-specific corrective limb osteotomies is reliable, feasible and accurate

Integrated nutritional intervention in the elderly after hip fracture. A process evaluation

SummaryBackground & aimsWithin a multicentre randomized controlled trial aimed at improving the nutritional status and increase the speed of recovery of elderly hip fracture patients, we performed a process evaluation to investigate the feasibility of the intervention within the present Dutch health care system.MethodsPatients in the intervention group received nutritional counseling during 10 contacts. Oral nutritional supplements were advised as needed until three months after hip fracture surgery. The intervention was evaluated with respect to dieticians’ adherence to the study protocol, content of nutritional counseling, and patients’ adherence to recommendations given.ResultsWe included 66 patients (mean age of 76, range 55–92 years); 74% women. Eighty-three percent of patients received all 10 contacts as planned, but in 62% of the patients one or more telephone calls had to be replaced by face to face contacts. Nutritional counseling was complete in 91% of contacts. Oral nutritional supplementation was needed for a median period of 76 days; 75% of the patients took the oral nutritional supplements as recommended.ConclusionsNutritional counseling in elderly hip fracture patients through face to face contacts and telephone calls is feasible. However, individual tailoring of the intervention is recommended. The majority of hip fracture patients needed >2 months oral nutritional supplements to meet their nutritional requirements.The trial was registered at clincialtrails.gov as NCT00523575