A Comparison of Circle and J Hook Performance within the Grenadian Pelagic Longline Fishery

The development and adaptation of gear technologies to local fisheries has been a management-oriented research strategy commonly used to mitigate the ecological effects of pelagic longline (PLL) gear on bycatch species. Grenada’s PLL fishery primarily targets yellowfin tuna, however while minimal, their bycatch of blue marlin and white marlin exceeds the Total Allowable Catch (TAC) allowed by the International Commission for the Conservation of Atlantic Tunas (ICCAT). A switch to circle hooks may benefit these nontargeted, bycatch species by reducing catch rates and haulback mortality, as well as increasing post-release survival. To determine differences in performance, assessments of 16/0 circle hooks and 9/0 J hooks were alternated over 26 sets between January and June 2018. Catch, mortality, hook location, length and grade of fish were compared between hook types. No differences in haulback mortality rate for all species, or yellowfin tuna grade were found between hook types. However, significantly fewer billfish collectively (t= 2.36, p= 0.028), and sailfish specifically (t= 3.04, p=0.005), were caught on circle hooks. Additionally, tuna caught with circle hooks had a 69% greater chance of external hooking compared to J hooks (X2 = 4.38 p=0.036). All other species analyzed had statistically similar catch rates regardless of hook type (p \u3c 0.05), including, yellowfin tuna. The results of this study indicate the Grenadian PLL can reduce its impact on billfish bycatch by using 16/0 circle hooks without incurring negative effects on their tuna catch rate or grade. This research provides further evidence that circle hooks should be the recommended gear type when using a bycatch mitigation approach to manage PLL fisheries

A Comparison of Circle and J Hook Performance within the Grenadian Pelagic Longline Fishery

The development and adaptation of gear technologies to local fisheries has been a management-oriented research strategy commonly used to mitigate the ecological effects of pelagic longline (PLL) gear on bycatch species. Grenada’s PLL fishery primarily targets yellowfin tuna, however while minimal, their bycatch of blue marlin and white marlin exceeds the Total Allowable Catch (TAC) allowed by the International Commission for the Conservation of Atlantic Tunas (ICCAT). A switch to circle hooks may benefit these nontargeted, bycatch species by reducing catch rates and haulback mortality, as well as increasing post-release survival. To determine differences in performance, assessments of 16/0 circle hooks and 9/0 J hooks were alternated over 26 sets between January and June 2018. Catch, mortality, hook location, length and grade of fish were compared between hook types. No differences in haulback mortality rate for all species, or yellowfin tuna grade were found between hook types. However, significantly fewer billfish collectively (t= 2.36, p= 0.028), and sailfish specifically (t= 3.04, p=0.005), were caught on circle hooks. Additionally, tuna caught with circle hooks had a 69% greater chance of external hooking compared to J hooks (X2 = 4.38 p=0.036). All other species analyzed had statistically similar catch rates regardless of hook type (p \u3c 0.05), including, yellowfin tuna. The results of this study indicate the Grenadian PLL can reduce its impact on billfish bycatch by using 16/0 circle hooks without incurring negative effects on their tuna catch rate or grade. This research provides further evidence that circle hooks should be the recommended gear type when using a bycatch mitigation approach to manage PLL fisheries

Type and Timing of Rehabilitation Following Acute and Subacute Spinal Cord Injury: A Systematic Review

Objectives: The objective of this study was to conduct a systematic review of the literature to address the following clinical questions: In adult patients with acute and subacute complete or incomplete traumatic SCI, (1) does the time interval between injury and commencing rehabilitation affect outcome?; (2) what is the comparative effectiveness of different rehabilitation strategies, including different intensities and durations of treatment?; (3) are there patient or injury characteristics that affect the efficacy of rehabilitation?; and (4) what is the cost-effectiveness of various rehabilitation strategies? Methods: A systematic search was conducted for literature published through March 31, 2015 that evaluated rehabilitation strategies in adults with acute or subacute traumatic SCI at any level. Studies were critically appraised individually and the overall strength of evidence was evaluated using methods proposed by the GRADE (Grades of Recommendation Assessment, Development and Evaluation) working group. Results: The search strategy yielded 384 articles, 19 of which met our inclusion criteria. Based on our results, there was no difference between body weight–supported treadmill training and conventional rehabilitation with respect to improvements in Functional Independence Measure (FIM) Locomotor score, Lower Extremity Motor Scores, the distance walked in 6 minutes or gait velocity over 15.2 m. Functional electrical therapy resulted in slightly better FIM Motor, FIM Self-Care, and Spinal Cord Independence Measure Self-Care subscores compared with conventional occupational therapy. Comparisons using the Toronto Rehabilitation Institute Hand Function Test demonstrated no differences between groups in 7 of 9 domains. There were no clinically important differences in Maximal Lean Test, Maximal Sidewards Reach Test, T-shirt Test, or the Canadian Occupational Performance Measure between unsupported sitting training and standard in-patient rehabilitation. Conclusion: The current evidence base for rehabilitation following acute and subacute spinal cord injury is limited. Methodological challenges have contributed to this and further research is still needed. © 2017, © The Author(s) 2017

Allergens and Irritants Transcriptionally Upregulate CD80 Gene Expression in Human Keratinocytes

The human CD80 costimulatory molecule is an important signal between professional antigen-presenting cells and T helper cells. The immunobiology of CD80 expression by keratinocytes, especially during allergic and irritant contact dermatitis, however, is less well understood. CD80 cell surface expression and gene transcription by keratinocytes was increased when keratinocytes were exposed to certain allergens (chemicals that induce inflammation via hapten-specific T cells) and irritants (chemicals that are toxic to epidermal cells). Therefore, the human CD80 promoter was cloned and luciferase reporter constructs containing various promoter fragments were engineered. Promoter mapping of these CD80 constructs in transiently transfected keratinocytes showed that a construct containing the proximal 231 bp immediately upstream of the transcription start site of the CD80 promoter was most active in keratinocytes and was inducible to a level ranging from 2- to 10-fold higher in keratinocytes treated with certain allergens and irritants, compared with untreated keratinocytes. This pattern of promoter fragment activity in keratinocytes is identical to that found in professional antigen-presenting cells. This is the first demonstration that the CD80 promoter is active in keratinocytes and that this activity is further increased in keratinocytes treated with certain allergens and irritants. These data suggest that allergens and irritants may, in part, break peripheral tolerance by their direct effects on keratinocyte costimulatory molecule expression, thereby facilitating interactions with epidermotropic T helper cells via the CD80–CD28 or CTLA-4 pathways

Motivations and barriers to prosthesis users participation in physical activity, exercise and sport : a review of the literature

The UK will host the Paralympics in 2012 and the Commonwealth Games in 2014 showcasing the talents of elite athletes and aiming to inspire the population to become involved. However, low levels of physical activity (PA) are prevalent: only 40% of men and 28% of women meet the minimum UK recommendations. The limb absent population is no exception. To determine if people with limb amputations are participating in physical activity and sport; whether post-amputation activity levels match pre-amputation levels; and if there are motivations and barriers to participation. Study design: Literature review Five reviewers systematically search of peer reviewed and gray literature in seven bibliographic databases and the Cochrane Library. Results: Following rigorous elimination, 12 articles were finally included in the review and critically appraised. Four themes were identified: components, rehabilitation outcomes, body image and motivations and barriers to participation. People with limb absence are not participating in PA conducive to health benefits, and only a minority participate in exercise and sports. Participation following amputation does not mirror that of pre-amputation levels, and more barriers than motivations exist to adopting and maintaining a physically active lifestyle. This literature review aims to inform those involved in rehabilitation and ongoing care of those with limb absence about what motivates or precludes their participation in physical activity, exercise and sport. Such knowledge could be applied to improving health and well being in this population

Health insurance, neighborhood income, and emergency department usage by Utah children 1996–1998

BACKGROUND: It is estimated that approximately half of emergency department (ED) usage in the U.S. and other developed countries is for non-urgent conditions and that this usage is related to availability, social, and economic factors. We examined pediatric ED usage in a U.S. state with respect to income, health insurance status, types of medical conditions, and whether introduction of managed care affected utilization by Medicaid children. METHODS: Emergency department usage rates were calculated from 1996 through 1998 using Utah ED data for children with commercial health insurance, Medicaid, for uninsured children, and by income group estimating neighborhood household income from Zip code of residence. We analyzed usage following the July 1996 transition of Utah Medicaid to managed care. RESULTS: Children with Medicaid had approximately 50% greater ED utilization rates than children with commercial health insurance or uninsured children. The majority of usage for Medicaid and uninsured children was for non-traumatic conditions. Only 35% of total ED usage was for non-emergent or non-urgent conditions and this was related to both Medicaid and low household income. Children lacking health insurance were more likely to be discharged against medical advice (OR = 2.36, 95% C.I. 1.88–2.96). There was no reduction in Medicaid ED usage following the transition to managed care. CONCLUSION: Usage of ED services is related to both health insurance status and income. Children lacking health insurance and Medicaid children have excessive usage for conditions which could be treated in a primary care setting. That managed care does not reduce Medicaid ED usage is consistent with findings of other studies

Sexual behaviours and sexually transmitted infection outcomes in a cohort of HIV-negative men who have sex with men attending sexual health clinics in England.

Men who have sex with men (MSM) attending sexual health (SH) clinics are at high risk for HIV acquisition and are disproportionately affected by sexually transmitted infections (STIs). We collected standardised behavioural data from MSM attending clinics to characterise sexual behaviours and identify predictors for HIV and STIs. In 2012–2013, HIV-negative MSM attending five SH clinics in England reported sexual behaviours in the previous three months via a self-administered questionnaire. Behaviours were linked to the individual’s clinical records using national surveillance. The prevalence and incidence of bacterial STIs (gonorrhoea, Chlamydia, lymphogranuloma venereum and syphilis) and incidence of HIV were calculated. Adjusted odds ratios and hazard ratios with 95% confidence interval (CI) were reported for significant predictors. Of 1278 HIV-negative MSM, 54% were of white ethnicity and UK-born and 43% were 25–34 years old. Almost all men reported at least one partner in the last three months. Half reported condomless anal sex and 36% condomless receptive anal intercourse (CRAI). Incidence of bacterial STIs was 46/100 (95%CI 39–54) person years (py) and of HIV was 3.1/100 (95%CI 1.7–5.6) py. A STI at baseline and CRAI with increasing numbers of partners were associated with both incident infections. In this cohort of MSM high-risk behaviours and STIs were prevalent. Engagement in CRAI increased the likelihood of subsequent infection, while men diagnosed with a bacterial STI were at increased risk of a future STI. Clinical and behavioural risk assessments to determine an individual’s risk of infection could allow a more nuanced prevention approach that has greater success in reducing transmission

Nitrogen fixation by Trichodesmium spp.: An important source of new nitrogen to the tropical and subtropical North Atlantic Oceean

The broad distribution and often high densities of the cyanobacterium Trichodesmium spp. in oligotrophic waters imply a substantial role for this one taxon in the oceanic N cycle of the marine tropics and subtropics. New results from 154 stations on six research cruises in the North Atlantic Ocean show depth-integrated N2 fixation by Trichodesmium spp. at many stations that equalled or exceeded the estimated vertical flux of NO3− into the euphotic zone by diapycnal mixing. Areal rates are consistent with those derived from several indirect geochemical analyses. Direct measurements of N2 fixation rates by Trichodesmium are also congruent with upper water column N budgets derived from parallel determinations of stable isotope distributions, clearly showing that N2 fixation by Trichodesmium is a major source of new nitrogen in the tropical North Atlantic. We project a conservative estimate of the annual input of new N into the tropical North Atlantic of at least 1.6 × 1012 mol N by Trichodesmium N2 fixation alone. This input can account for a substantial fraction of the N2 fixation in the North Atlantic inferred by several of the geochemical approaches

Nitrogen fixation by Trichodesmium spp.: An important source of new nitrogen to the tropical and subtropical North Atlantic Oceean

The broad distribution and often high densities of the cyanobacterium Trichodesmium spp. in oligotrophic waters imply a substantial role for this one taxon in the oceanic N cycle of the marine tropics and subtropics. New results from 154 stations on six research cruises in the North Atlantic Ocean show depth-integrated N2 fixation by Trichodesmium spp. at many stations that equalled or exceeded the estimated vertical flux of NO3− into the euphotic zone by diapycnal mixing. Areal rates are consistent with those derived from several indirect geochemical analyses. Direct measurements of N2 fixation rates by Trichodesmium are also congruent with upper water column N budgets derived from parallel determinations of stable isotope distributions, clearly showing that N2 fixation by Trichodesmium is a major source of new nitrogen in the tropical North Atlantic. We project a conservative estimate of the annual input of new N into the tropical North Atlantic of at least 1.6 × 1012 mol N by Trichodesmium N2 fixation alone. This input can account for a substantial fraction of the N2 fixation in the North Atlantic inferred by several of the geochemical approaches