Response of peat biogeochemistry and soil organic matter quality to rewetting in bogs and spruce swamp forests

Various peatland restoration strategies developed during the last two decades have aimed to stop degradation and bring back the original hydrology, biodiversity and other peatland functions. This study evaluated progress 6-15 years after rewetting in vegetation development, physicochemical properties of peat, soil organic matter (SOM) quality and microbial activity in previously long-term drained bogs and spruce swamp forests (SSF) in comparison with pristine and long-term drained sites in the Bohemian Forest, Czech Republic. Long-term drainage led to overall ecosystem degradation, indicated by a change in vegetation composition, reduced decomposability of peat, with high content of recalcitrant compounds and decreased pH, and reduced soil microbial biomass and activity. The degradation was more pronounced in SSF, while bogs seemed to be relatively resistant to environmental changes caused by drainage. Post-rewetting progress has occurred with regard to vegetation composition, peat pH, microbial biomass and potential anaerobic CO2 and CH4 production, all of which tending towards characteristics of the pristine sites. However, overall SOM quality has not yet responded significantly, indicating that some peat properties and functions, such as C accumulation, need much longer periods of time to return to the original level.Peer reviewe

Cotton-Grass and Blueberry have Opposite Effect on Peat Characteristics and Nutrient Transformation in Peatland

Peatlands are large repositories of carbon (C). Sphagnum mosses play a key role in C sequestration, whereas the presence of vascular plants is generally thought to stimulate peat decomposition. Recent studies stress the importance of plant species for peat quality and soil microbial activity. Thus, learning about specific plant-microbe-soil relations and their potential feedbacks for C and nutrient cycling are important for a correct understanding of C sequestration in peatlands and its potential shift associated with vegetation change. We studied how the long-term presence of blueberry and cotton-grass, the main vascular dominants of spruce swamp forests, is reflected in the peat characteristics, soil microbial biomass and activities, and the possible implications of their spread for nutrient cycling and C storage in these systems. We showed that the potential effect of vascular plants on ecosystem functioning is species specific and need not necessarily result in increased organic matter decomposition. Although the presence of blueberry enhanced phosphorus availability, soil microbial biomass and the activities of C-acquiring enzymes, cotton-grass strongly depleted phosphorus and nitrogen from the peat. The harsh conditions and prevailing anoxia retarded the decomposition of cotton-grass litter and caused no significant enhancement in microbial biomass and exoenzymatic activity. Therefore, the spread of blueberry in peatlands may stimulate organic matter decomposition and negatively affect the C sequestration process, whereas the potential spread of cotton-grass would not likely change the functioning of peatlands as C sinks.Peer reviewe

Familial hypercholesterolaemia in children and adolescents from 48 countries: a cross-sectional study

Background: Approximately 450 000 children are born with familial hypercholesterolaemia worldwide every year, yet only 2·1% of adults with familial hypercholesterolaemia were diagnosed before age 18 years via current diagnostic approaches, which are derived from observations in adults. We aimed to characterise children and adolescents with heterozygous familial hypercholesterolaemia (HeFH) and understand current approaches to the identification and management of familial hypercholesterolaemia to inform future public health strategies. Methods: For this cross-sectional study, we assessed children and adolescents younger than 18 years with a clinical or genetic diagnosis of HeFH at the time of entry into the Familial Hypercholesterolaemia Studies Collaboration (FHSC) registry between Oct 1, 2015, and Jan 31, 2021. Data in the registry were collected from 55 regional or national registries in 48 countries. Diagnoses relying on self-reported history of familial hypercholesterolaemia and suspected secondary hypercholesterolaemia were excluded from the registry; people with untreated LDL cholesterol (LDL-C) of at least 13·0 mmol/L were excluded from this study. Data were assessed overall and by WHO region, World Bank country income status, age, diagnostic criteria, and index-case status. The main outcome of this study was to assess current identification and management of children and adolescents with familial hypercholesterolaemia. Findings: Of 63 093 individuals in the FHSC registry, 11 848 (18·8%) were children or adolescents younger than 18 years with HeFH and were included in this study; 5756 (50·2%) of 11 476 included individuals were female and 5720 (49·8%) were male. Sex data were missing for 372 (3·1%) of 11 848 individuals. Median age at registry entry was 9·6 years (IQR 5·8-13·2). 10 099 (89·9%) of 11 235 included individuals had a final genetically confirmed diagnosis of familial hypercholesterolaemia and 1136 (10·1%) had a clinical diagnosis. Genetically confirmed diagnosis data or clinical diagnosis data were missing for 613 (5·2%) of 11 848 individuals. Genetic diagnosis was more common in children and adolescents from high-income countries (9427 [92·4%] of 10 202) than in children and adolescents from non-high-income countries (199 [48·0%] of 415). 3414 (31·6%) of 10 804 children or adolescents were index cases. Familial-hypercholesterolaemia-related physical signs, cardiovascular risk factors, and cardiovascular disease were uncommon, but were more common in non-high-income countries. 7557 (72·4%) of 10 428 included children or adolescents were not taking lipid-lowering medication (LLM) and had a median LDL-C of 5·00 mmol/L (IQR 4·05-6·08). Compared with genetic diagnosis, the use of unadapted clinical criteria intended for use in adults and reliant on more extreme phenotypes could result in 50-75% of children and adolescents with familial hypercholesterolaemia not being identified. Interpretation: Clinical characteristics observed in adults with familial hypercholesterolaemia are uncommon in children and adolescents with familial hypercholesterolaemia, hence detection in this age group relies on measurement of LDL-C and genetic confirmation. Where genetic testing is unavailable, increased availability and use of LDL-C measurements in the first few years of life could help reduce the current gap between prevalence and detection, enabling increased use of combination LLM to reach recommended LDL-C targets early in life

Prognosticke ukazatele predcasne aterosklerozy u deti. Subpopulace a esterifikace HDL cholesterolu.

Available from STL Prague, CZ / NTK - National Technical LibrarySIGLECZCzech Republi

Technology supports me: Perceptions of the benefits of digital technology in adolescents

Background: Technology plays a significant role in the lives of adolescents. Our knowledge is predominantly based on research exploring the risks associated with it, but adolescents also feel that technology supports their lives. This has received less consideration. Therefore, we aim to examine how adolescents perceive the benefits of digital technology. Methods: We used qualitative data collected as part of the international Health Behaviour in School-Aged Children study. We conducted online, semi-structured interviews with 15 Slovak adolescents who came from three different types of secondary schools based on their graduation systems (mean age: 15.33; 20% boys). The data were analyzed using consensual qualitative research and thematic analysis. Results: We identified five main themes based on the comments of adolescents: 1. I know (source of information, formal and non-formal education); 2. I can (smart device, helpful tool); 3. I am connected/included (social interactions); 4. I have my comfortable place (leisure time, creating my alternative world); and 5. I work on my future (self-development). Conclusion: Adolescents perceived digital technology as mostly supportive and a helpful tool in their lives. The potential benefits of digital technology should be better reflected in public perception and policy, as the societal debate is mostly dominated by perceived disadvantages and risks

Multigene Panel Germline Testing of 1333 Czech Patients with Ovarian Cancer

Ovarian cancer (OC) is the deadliest gynecologic malignancy with a substantial proportion of hereditary cases and a frequent association with breast cancer (BC). Genetic testing facilitates treatment and preventive strategies reducing OC mortality in mutation carriers. However, the prevalence of germline mutations varies among populations and many rarely mutated OC predisposition genes remain to be identified. We aimed to analyze 219 genes in 1333 Czech OC patients and 2278 population-matched controls using next-generation sequencing. We revealed germline mutations in 18 OC/BC predisposition genes in 32.0% of patients and in 2.5% of controls. Mutations in BRCA1/BRCA2, RAD51C/RAD51D, BARD1, and mismatch repair genes conferred high OC risk (OR > 5). Mutations in BRIP1 and NBN were associated with moderate risk (both OR = 3.5). BRCA1/2 mutations dominated in almost all clinicopathological subgroups including sporadic borderline tumors of ovary (BTO). Analysis of remaining 201 genes revealed somatic mosaics in PPM1D and germline mutations in SHPRH and NAT1 associating with a high/moderate OC risk significantly; however, further studies are warranted to delineate their contribution to OC development in other populations. Our findings demonstrate the high proportion of patients with hereditary OC in Slavic population justifying genetic testing in all patients with OC, including BTO