Systematic Review Approach to identifying key trends in adaptation governance at the supranational level

In this paper authors have analyzed peer-reviewed literature on adaptation governance focused on food security at the supranational level. A total of 281 papers were collected, of which 52 met our focus. We used 10 criteria (and 74 sub-criteria) to categorize the included papers. With research presented in these papers as our focus, we looked at key aspects of food security explored, identified types of governance measures and major challenges, and finally developed an understanding of the location of the research teams and involved countries. Overall, we found that the supranational focus in the context of adaptation governance on food security is not prevalent in current peer-reviewed literature—only approximately 16 per cent of the papers focus on this topic. In terms of the identified trends, there was a strong focus on developed countries and research led by teams from these countries; the governance systems aimed to prepare for a range of climate change impacts; and finally, there was limited interest in exploring the role of regional agencies in adaptation governance. In terms of future research needs, there is a strong need to develop processes for the integration of diverse sectors and issues when designing policies on food security in the context of climate change. It is also important to improve the skills and opportunities of research teams in the Global South to engage effectively in research on food security and governance

The reliability of two visual motor integration tests used with children

Occupational therapists often assess the visual motor integration (VMI) skills of children and young people. It is important that therapists use tools with strong psychometric properties. This study aims to examine the reliability of 2 VMI tests. Ninety-two children between the ages of 5 and 17 years (response rate of 31%) completed 2 VMI tests: the Developmental Test of Visual Motor Integration (DTVMI) and the Full Range Test of Visual Motor Integration (FRTVMI). Cronbach\u27s alpha coefficient was used to examine the internal consistency of the 2 VMI tests whereas Spearman\u27s rho correlation was used to evaluate the test&ndash;retest reliability, intrarater reliability, and interrater reliability of the 2 VMI tests. The Cronbach\u27s alpha coefficient for the DTVMI was .82 and .72 for the FRTVMI. The test&ndash;retest reliability coefficient was .73 (p = .000) for the DTVMI and .49 (p = .05) for the FRTVMI. The interrater correlation was significant for both the DTVMI at .94 (p = .000) and FRTVMI at .68 (p = .001). The DTVMI intrarater reliability correlation result was .90 (p = .000) and the FRTVMI at .85 (p = .000). Overall, the DTVMI exhibited a higher level of reliability than the FRTVMI. Both VMI tests appear to exhibit reasonable levels of reliability and are recommended for use with children and young people.<br /

Differences in health care use and outcomes by the timing of in-hospital worsening heart failure

BACKGROUND: Patients hospitalized with acute heart failure may experience worsening symptoms requiring escalation of therapy. In-hospital worsening heart failure is associated with worse in-hospital and postdischarge outcomes, but associations between the timing of worsening heart failure and outcomes are unknown. METHODS: Using data from a large clinical registry linked to Medicare claims, we examined characteristics, outcomes, and costs of patients hospitalized for acute heart failure. We defined in-hospital worsening heart failure by the use of inotropes or intravenous vasodilators or initiation of mechanical circulatory support, hemodialysis, or ventilation. The study groups were early worsening heart failure (n = 1,990), late worsening heart failure (n = 4,223), complicated presentation (n = 15,361), and uncomplicated hospital course (n = 41,334). RESULTS: Among 62,908 patients, those with late in-hospital worsening heart failure had higher in-hospital and postdischarge mortality than patients with early worsening heart failure or complicated presentation. Those with early or late worsening heart failure had more frequent all-cause and heart failure readmissions at 30 days and 1 year, with resultant higher costs, compared with patients with an uncomplicated hospital course. CONCLUSION: Although late worsening heart failure was associated with the highest mortality, both early and late worsening heart failures were associated with more frequent readmissions and higher health care costs compared to uncomplicated hospital course. Prevention of worsening heart failure may be an important focus in the care of hospitalized patients with acute heart failure

The ecology of 3-d space use in a sexually dimorphic mammal

The distribution of animals is the result of habitat selection according to sex, reproductive status and resource availability. Little is known about how marine predators investigate their 3-dimensional space along both the horizontal and vertical axes and how temporal variation affects space use. In this study, we assessed the spatio-temporal movement of a sexually dimorphic marine mammal, the grey seal Halichoerus grypus by 1) determining seasonal home range size, 2) testing whether space use of seals was affected by water depth, and 3) investigating the vertical movement of seals according to the maximum depth of each dive. Between 1993 and 2005, we fitted 49 grey seals in the Gulf of St. Lawrence with satellite transmitters. We estimated seasonal 95% fixed-kernel home ranges for each individual. For each seal, we tested for selectivity and preference for 4 water depth classes at the home range scale and within the home range. We also evaluated the proportional number of dives made in each water depth classes according to the maximum depth of each dive. Home ranges were 10 times larger in winter than in summer. Seals generally selected habitats <50 m deep. They also mainly dove to depths of 40 m or less. At both scales of selection, preference for shallow areas decreased in winter. We also observed that adults used shallow habitats more than juveniles to establish their home range. A spatial segregation based on sex also occurred at the finer scale of selection where females were more concentrated in the shallowest parts of their home range than males. Segregation in space use according to age and sex classes occurred at both the horizontal and vertical scales. Our results emphasise the importance of studying habitat selection of marine predators in 3-dimensional space, in addition to the temporal scale

Cost of critical care in South Africa

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Convergence of marine megafauna movement patterns in coastal and open oceans

Author Posting. © The Author(s), 2017. This is the author's version of the work. It is posted here for personal use, not for redistribution. The definitive version was published in Proceedings of the National Academy of Sciences of the United States of America 115 (2018): 3072-3077, doi:10.1073/pnas.1716137115.The extent of increasing anthropogenic impacts on large marine vertebrates partly depends on the animals’ movement patterns. Effective conservation requires identification of the key drivers of movement including intrinsic properties and extrinsic constraints associated with the dynamic nature of the environments the animals inhabit. However, the relative importance of intrinsic versus extrinsic factors remains elusive. We analyse a global dataset of 2.8 million locations from > 2,600 tracked individuals across 50 marine vertebrates evolutionarily separated by millions of years and using different locomotion modes (fly, swim, walk/paddle). Strikingly, movement patterns show a remarkable convergence, being strongly conserved across species and independent of body length and mass, despite these traits ranging over 10 orders of magnitude among the species studied. This represents a fundamental difference between marine and terrestrial vertebrates not previously identified, likely linked to the reduced costs of locomotion in water. Movement patterns were primarily explained by the interaction between species-specific traits and the habitat(s) they move through, resulting in complex movement patterns when moving close to coasts compared to more predictable patterns when moving in open oceans. This distinct difference may be associated with greater complexity within coastal micro-habitats, highlighting a critical role of preferred habitat in shaping marine vertebrate global movements. Efforts to develop understanding of the characteristics of vertebrate movement should consider the habitat(s) through which they move to identify how movement patterns will alter with forecasted severe ocean changes, such as reduced Arctic sea ice cover, sea level rise and declining oxygen content.Workshops funding granted by the UWA Oceans Institute, AIMS, and KAUST. AMMS was supported by an ARC Grant DE170100841 and an IOMRC (UWA, AIMS, CSIRO) fellowship; JPR by MEDC (FPU program, Spain); DWS by UK NERC and Save Our Seas Foundation; NQ by FCT (Portugal); MMCM by a CAPES fellowship (Ministry of Education)

Movement and Aggregation of Eastern Hudson Bay Beluga Whales (Delphinapterus leucas): A Comparison of Patterns Found through Satellite Telemetry and Nunavik Traditional Ecological Knowledge

Traditional Ecological Knowledge (TEK) consists of the collective knowledge, experience, and values of subsistence communities, while Western science relies on hypothesis testing to obtain information on natural processes. Both approaches provide important ecological information, but few studies have directly compared the two. We compared information on movements and aggregation of beluga whales obtained from TEK interview records (n = 3253) and satellite telemetry records of 30 whales tagged in eastern Hudson Bay, Canada, using geographic information system (GIS) approaches that allowed common formatting of the data sets. Estuarine centres of aggregation in the summer were evident in both data sets. The intensive use of offshore areas seen in the telemetry data, where 76% of the locations were more than 15 km from mainland Quebec, was not evident in the TEK data, where only 17% of the records indicated offshore locations. Morisita’s index of similarity indicated that TEK and telemetry data distributions varied with season, with the highest similarity in winter (0.74). Location and movement data from the telemetry study were limited by small sample size and short tag deployment times, while TEK data were biased by spatial coverage and coastal travel habits. Although the two data sets can provide complementary information, both suffer from weaknesses that need to be acknowledged when these data are adapted for use in resource management.Les connaissances écologiques traditionnelles (CÉT) consistent en l’ensemble des connaissances, de l’expérience et des valeurs des communautés de subsistance, tandis que la science occidentale s’appuie sur la mise à l’épreuve d’hypothèses dans le but d’obtenir de l’information sur les processus naturels. Bien que ces deux démarches permettent d’obtenir d’importants renseignements sur l’écologie, peu d’études ont établi une comparaison directe entre ces deux démarches. Nous avons comparé des données sur les mouvements et le rassemblement des bélugas, données obtenues à partir de CÉT prélevées au moyen d’entrevues (n = 3253) ainsi qu’à partir de résultats de télémétrie par satellite sur 30 baleines marquées dans l’est de la baie d’Hudson, au Canada, à l’aide de systèmes d’information géographique (SIG) qui ont permis le formatage commun des ensembles de données. Pendant l’été, les centres de rassemblement en estuaire étaient évidents dans les deux ensembles de données. L’utilisation intensive des zones au large en ce qui a trait aux données de télémétrie, où 76 % des localisations se situaient à plus de 15 km du continent québécois, n’était pas évidente dans le cas des données des CÉT, où seulement 17 % des résultats indiquaient des localisations au large. L’indice de similarité de Morisita indiquait que la répartition des données obtenues par CÉT et par télémétrie variait d’une saison à l’autre, la similarité la plus grande ayant été atteinte l’hiver (0,74). Les données de localisation et de mouvement découlant de l’étude de télémétrie étaient limitées par la petite taille de l’échantillon et les courtes durées de déploiement des étiquettes, tandis que les données provenant des CÉT étaient biaisées par l’espace à couvrir et les habitudes de déplacement sur la côte. Bien que les deux ensembles de données puissent fournir de l’information complémentaire, tous deux possèdent des faiblesses qu’il y a lieu de reconnaître lorsque ces données sont adaptées à des fins de gestion des ressources

Convergence of marine megafauna movement patterns in coastal and open oceans

The extent of increasing anthropogenic impacts on large marine vertebrates partly depends on the animals’ movement patterns. Effective conservation requires identification of the key drivers of movement including intrinsic properties and extrinsic constraints associated with the dynamic nature of the environments the animals inhabit. However, the relative importance of intrinsic versus extrinsic factors remains elusive. We analyze a global dataset of ∼2.8 million locations from >2,600 tracked individuals across 50 marine vertebrates evolutionarily separated by millions of years and using different locomotion modes (fly, swim, walk/paddle). Strikingly, movement patterns show a remarkable convergence, being strongly conserved across species and independent of body length and mass, despite these traits ranging over 10 orders of magnitude among the species studied. This represents a fundamental difference between marine and terrestrial vertebrates not previously identified, likely linked to the reduced costs of locomotion in water. Movement patterns were primarily explained by the interaction between species-specific traits and the habitat(s) they move through, resulting in complex movement patterns when moving close to coasts compared with more predictable patterns when moving in open oceans. This distinct difference may be associated with greater complexity within coastal microhabitats, highlighting a critical role of preferred habitat in shaping marine vertebrate global movements. Efforts to develop understanding of the characteristics of vertebrate movement should consider the habitat(s) through which they move to identify how movement patterns will alter with forecasted severe ocean changes, such as reduced Arctic sea ice cover, sea level rise, and declining oxygen content

Guidelines for pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery : the Task Force for Preoperative Cardiac Risk Assessment and Perioperative Cardiac Management in Non-cardiac Surgery of the European Society of Cardiology (ESC) and endorsed by the European Society of Anaesthesiology (ESA)

Non-cardiac surgery; Pre-operative cardiac risk assessment; Pre-operative cardiac testing; Pre-operative coronary artery revascularization; Perioperative cardiac management; Renal disease; Pulmonary disease; Neurological disease; Anaesthesiology; Post-operative cardiac surveillanc

Learning difficulties : a portuguese perspective of a universal issue

In this article we present findings of a study that was conducted with the purpose of deepening the knowledge about the field of learning difficulties in Portugal. Therefore, within these findings we will discuss across several cultural boundaries, themes related with the existence of learning difficulties as a construct, the terminology, the political, social and scientific influences on the field, and the models of identification and of ongoing school support for students. While addressing the above-mentioned themes we will draw attention to the different, yet converging, international understandings of learning difficulties