The maintenance of structural integrity in freshwater protozoan communities under stress

The structural assimilative capacity (ability to maintain biological integrity under stress) of protozoan communities from nine lakes in the area of the University of Michigan Biological Station, Pellston, Michigan, and six stations at Smith Mountain Lake, Virginia, were studied (1) to determine if communities from lakes of differing trophic state differ in their ability to assimilate various amounts of copper sulfate, and (2) to explore the possible influence of average density of individuals and/or qualitative differences in the types of species present on any observed differences in assimilative capacity.In both the northern Michigan and Smith Mountain Lake studies, a trend in response was demonstrated along the eutrophic-oligotrophic gradient; eutrophic communities had a greater structural assimilative capacity than did oligotrophic communities. Both mean species density and community composition appear to be important factors in the ability to maintain structural integrity.     

Risk-Based Learning Games Improve Long-Term Retention of Information among School Pupils

Risk heightens motivation and, if used appropriately, may have the potential to improve engagement in the classroom. We have developed a risk-based learning game for school pupils in order to test whether such learning games can improve later recall of information. The study was performed during a series of public engagement workshops delivered by undergraduate students. Undergraduate neuroscience students delivered 90-minute science workshops to 9–10 year old school pupils (n = 448) that were divided into ‘Risk’, ‘No risk’ and ‘Control’ classes. ‘Risk’ classes received periodic multiple-choice questions (MCQs) during the workshops which required small teams of pupils to assign tokens to the answer(s) they believed to be correct. Tokens assigned to the correct answer were returned to the group and an equal number given back as a prize; tokens assigned to incorrect answers were lost. Participation was incentivised by the promise of a brain-related prize to the team with the most tokens at the end of the workshop. ‘No risk’ classes received MCQs without the risk component whilst the ‘Control’ classes received no MCQs. When presented with a neuroscience quiz based on workshop content at the end of the workshop, pupils in the ‘Risk’ classes exhibited significantly greater recall of information one week later. Quiz scores were higher than scores from the day of the workshop which suggested pupils may have discussed the workshop content outside of the classroom, thereby increasing knowledge over and above what was learned during the workshop. This is supported by feedback from pupils in ‘Risk’ classes which indicated that ‘Risk’ workshops were more interesting than ‘No risk’ and ‘Control’ workshops. These data suggest that there is a role for risk in the classroom but further investigations are required to elucidate the causal mechanisms of improved retention of information.     

Results of the clinical donor case and quality system case workshops of the European Association of Tissue Banks annual meeting 2009

The European Association of Tissue Banks (EATB) Donor Case Workshop and Quality System Case workshop are forums held within the program of the EATB Annual Congress. These workshops offer an opportunity to discuss and evaluate approaches taken to challenging situations, regarding donor selection and quality issues, and strengthen the professional tissue banking and regulatory networks across Europe. This report reflects some of the discussion at the congress workshops and also subsequent correspondence between the various individuals who submitted cases for discussion. The cases presented to the workshops demonstrate that the findings, their interpretation, deducted actions and preventive measures in tissue banks are not predictable. The varied responses and lack of consensus corroborate this and clearly indicate that operating procedures cannot comprehensively cover or prepare for all eventualities. For many of the issues raised there is a lack of information in the published literature. The workshops actively engage participants, representing a wide array of international expertise, in an informal, secure and enjoyable setting, which facilitates learning from peers and provides potential solutions to those submitting cases. By publishing a summary of the discussions, we hope to reach a wider audience and to stimulate individuals to undertake full literature reviews or research on some of the discussed subjects.     

Report of the clinical donor case workshop of the European Association of Tissue Banks annual meeting 2014

The European Association of Tissue Banks (EATB) donor case workshop is a forum held within the program of the EATB annual congress. The workshop offers an opportunity to discuss and evaluate possible approaches taken to challenging situations regarding donor selection. Donor case workshops actively engage participants with diverging background and experience in an informal, secure and enjoyable setting. The resulting discussion with peers promotes consensus development in deciding tissue donor acceptability, especially when donor health issues are not conclusively addressed in standards and regulations. Finally the workshop serves to strengthen the professional tissue banking networks across Europe and beyond. This report reflects some of the discussion at the workshop during the annual congress in Lund, Sweden, in 2014. The cases presented demonstrate that the implications of various donor illnesses, physical findings and behaviours on the safety of tissue transplantation, may be interpreted in a different way by medical directors and other professionals of different tissue facilities. This will also result in diverging preventive measures and decisions taken by the tissue facilities. Some of the donor cases illustrate varied responses from participants and demonstrate that operating procedures, regulations and standards cannot comprehensively cover all tissue donor illnesses, medical histories and circumstances surrounding the cause of death. For many of the issues raised, there is a lack of published scientific evidence. In those cases, tissue bank medical director judgement is critical to guarantee transplantation safety. This judgement should be based on a proper and documented risk assessment case by case. Conditions or parameters taken into account for risk assessment are amongst others, the type of tissue, the type of processing, the characteristics of the final product, and the availability of an adequate sterilisation methodology. By publishing these difficult donor suitability cases, and the resulting discussions, we provide information for future similar cases and we identify needs for future literature review and scientific research. In this way the donor case workshops play a role in optimizing the quality and security of tissue donation.     

Midpoints versus endpoints: The sacrifices and benefits

On May 25–26, 2000 in Brighton (England), the third in a series of international workshops was held under the umbrella of UNEP addressing issues in Life Cycle Impact Assessment (LCIA). The workshop provided a forum for experts to discuss midpoint vs. endpoint modeling. Midpoints are considered to be links in the cause-effect chain (environmental mechanism) of an impact category, prior to the endpoints, at which characterization factors or indicators can be derived to reflect the relative importance of emissions or extractions. Common examples of midpoint characterization factors include ozone depletion potentials, global warming potentials, and photochemical ozone (smog) creation potentials. Recently, however, some methodologies have adopted characterization factors at an endpoint level in the cause-effect chain for all categories of impact (e.g., human health impacts in terms of disability adjusted life years for carcinogenicity, climate change, ozone depletion, photochemical ozone creation; or impacts in terms of changes in biodiversity, etc.). The topics addressed at this workshop included the implications of midpoint versus endpoint indicators with respect to uncertainty (parameter, model and scenario), transparency and the ability to subsequently resolve trade-offs across impact categories using weighting techniques. The workshop closed with a consensus that both midpoint and endpoint methodologies provide useful information to the decision maker, prompting the call for tools that include both in a consistent framework.     

The distribution of fresh-water protozoa on a relatively homogeneous substrate

Summary The distribution of fresh-water protozoan species on an artificial uniform substrate was studied in plastic troughs with continuous flow of unfiltered lake water. Ten areas were sampled at the same time in each trough and the diversity of species per area determined. Estimates were made of the density as well, but since some species were too delicate to preserve without destroying certain taxonomic characters the primary emphasis was placed on the diversity of species. No patterns were evident which suggested anything other than a random distribution of both species and individuals within each system. The situation appears conceptually similar to that originally pointed out by G. Evelyn Hutchinson in The Paradox of the Plankton in which he notes the difficulty of applying the niche concept to the multi-specific association of autotrophic phytoplankton in the freely circulating upper waters of lakes and oceans.This work was carried out while the authors were respectively Visiting Lecturer and Teaching Assistant at the University of Michigan Biological Station, Pellston, Michigan.Department of Zoology University of Kansas     

Applying instructional design theories to bioinformatics education in microarray analysis and primer design workshops

The need to support bioinformatics training has been widely recognized by scientists, industry, and government institutions. However, the discussion of instructional methods for teaching bioinformatics is only beginning. Here we report on a systematic attempt to design two bioinformatics workshops for graduate biology students on the basis of Gagne's Conditions of Learning instructional design theory. This theory, although first published in the early 1970s, is still fundamental in instructional design and instructional technology. First, top-level as well as prerequisite learning objectives for a microarray analysis workshop and a primer design workshop were defined. Then a hierarchy of objectives for each workshop was created. Hands-on tutorials were designed to meet these objectives. Finally, events of learning proposed by Gagne's theory were incorporated into the hands-on tutorials. The resultant manuals were tested on a small number of trainees, revised, and applied in 1-day bioinformatics workshops. Based on this experience and on observations made during the workshops, we conclude that Gagne's Conditions of Learning instructional design theory provides a useful framework for developing bioinformatics training, but may not be optimal as a method for teaching it.     

CURRICULUM GUIDE FOR RESEARCH ETHICS WORKSHOPS FOR COUNTRIES IN THE MIDDLE EAST

To help ensure the ethical conduct of research, many have recommended educational efforts in research ethics to investigators and members of research ethics committees (RECs). One type of education activity involves multi‐day workshops in research ethics. To be effective, such workshops should contain the appropriate content and teaching techniques geared towards the learning styles of the targeted audiences. To ensure consistency in content and quality, we describe the development of a curriculum guide, core competencies and associated learning objectives and activities to help educators organize research ethics workshops in their respective institutions. The curriculum guide is divided into modular units to enable planners to develop workshops of different lengths and choose content materials that match the needs, abilities, and prior experiences of the target audiences. The content material in the curriculum guide is relevant for audiences in the Middle East, because individuals from the Middle East who participated in a Certificate Program in research ethics selected and developed the training materials (e.g., articles, powerpoint slides, case studies, protocols). Also, many of the activities incorporate active‐learning methods, consisting of group work activities analyzing case studies and reviewing protocols. The development of such a workshop training curriculum guide represents a sustainable educational resource to enhance research ethics capacity in the Middle East.     

The use of biomarkers in surveillance, medical screening, and intervention

Building on mechanistic information, much of molecular epidemiologic research has focused on validating biomarkers, that is, assessing their ability to accurately indicate exposure, effect, disease, or susceptibility. To be of use in surveillance, medical screening, or interventions, biomarkers must already be validated so that they can be used as outcomes or indicators that can serve a particular function. In surveillance, biomarkers can be used as indicators of hazard, exposure, disease, and population risk. However, to obtain rates for these measures, the population at risk will need to be assessed. In medical screening, biomarkers can serve as early indicators of disease in asymptomatic people. This allows for the identification of those who should receive diagnostic confirmation and early treatment. In intervention (which includes risk assessment and communication, risk management, and various prevention efforts), biomarkers can be used to assess the effectiveness of a prevention or control strategy as well as help determine whether the appropriate individuals are assigned to the correct intervention category. Biomarkers can be used to provide group and individual risk assessments that can be the basis for marshalling resources. Critical for using biomarkers in surveillance, medical screening, and intervention is the justification that the biomarkers can provide information not otherwise accessible by a less expensive and easier-to-obtain source of information, such as medical records, surveys, or vital statistics. The ability to use validated biomarkers in surveillance, medical screening, and intervention will depend on the extent to which a strategy for evidence-based procedures for biomarker knowledge transfer can be developed and implemented. This will require the interaction of researchers and decision-makers to collaborate on public health and medical issues.     

Observations on ethical problems and terminal care.

Progress in medical diagnosis and therapy has raised new problems with far-reaching ethical implications. Medicine must remain a profession and not become a business. Textbooks must address ethical problems in the context of health care decisions and not restrict themselves to pathophysiology and practical therapeutics alone. The relative roles of the principles of autonomy, non-maleficence, beneficence, and justice must be balanced and appropriately applied to individual situations in biomedical ethics. When therapy becomes futile and the suffering of the patient does not justify any anticipated benefit, the patient (and/or patient surrogate) may request withholding or even withdrawing life-prolonging interventions. In the persistent vegetative state, even nutritional support by an unnatural (tube) route may ethically be denied at the patient's (or surrogate's) informed decision. New areas of ethical evaluation have been raised by the desire of some individuals to prolongation of their lives at high expense to the society such that other individuals are denied services because of limitation of available resources. There has been a long-standing conflict of interest between the acceptance by physicians and/or medical institutions of money or gifts from pharmaceutical companies whose drugs they prescribe, stock, or sell. This practice increases the cost of the drugs and is, in effect, a "sick tax," which is morally wrong.     

Tools of the trade to aid decision-making for species survival

As wildlife populations and habitats continue to diminish at alarming rates all over the world, those responsible for wildlife management recognize that global, integrated, multi-dimensional strategies must be developed to respond to the escalating crisis that the world's biodiversity is facing. It is also recognized that resources available for the preservation of the world's biodiversity are limited and must be carefully apportioned not only where they are most needed but also where they can do the most good. Concomitantly, if current rates of extinction are to be slowed, global cooperation and coordination of efforts for species preservation are essential. In response to these challenges, the Conservation Breeding Specialist Group (CBSG) of IUCN's Species Survival Commission has assisted in the development and application of a series of tools and processes to expedite the development of scientifically-based management strategies for threatened species. These tools, based on small population and conservation biology, are used in intensive, problem-solving workshop processes designed to contribute to the development of realistic and achievable strategies for species conservation. The primary tools used by the CBSG include: (i) providing an objective workshop environment and a facilitation process that supports sharing of available information, reaching agreement on the issues, available information, and useful management recommendations; (ii) the Mace-Lande criteria for evaluation of threat, and, currently their derivative draft IUCN Red List criteria for threat; (iii) VORTEX, a stochastic, small population simulation modelling program (developed by Dr Robert Lacy of the Chicago Zoological Society) that considers genetics, demography, and environmental variation; (iv) topographic maps and Geographical Information System (GIS) tools to organize and visually to present species distribution information in relation to habitat, land use, and local human population distribution; and (v) demographic analysis of the local human populations with projections of growth patterns. The workshop processes employing these tools include: (i) Conservation Assessment and Management Planning (CAMP); and (ii) Population and Habitat Viability Assessment (PHVA). These processes have assisted in scientific decision-making and setting of priorities for species management activities aimed at halting the on-going decline in the planet's biodiversity. Recommendations for intensive management stemming from CAMP and PHVA workshops are as varied as the species analysed. This Papers presents case summaries that demonstrate how these tools and workshop processes have aided in the formulation of holistic and viable conservation strategies for threatened species and lessons that have been learned in the process.     

Mental health and well-being in primatology: Breaking the taboos

We hope to raise awareness of mental health and well-being among primatologists. With this aim in mind, we organized a workshop on mental health as part of the main program of the Winter meeting of the Primate Society of Great Britain in December 2021. The workshop was very well received. Here, we review the main issues raised in the workshop, and supplement them with our own observations, reflections, and reading. The information we gathered during the workshop reveals clear hazards to mental health and suggests that we must collectively acknowledge and better manage both the hazards themselves and our ability to cope with them if we are to avert disaster. We call on institutions and learned societies to lead in seeking solutions for the benefit of primatologists and primatology.     

Using reports of bee mortality in the field to calibrate laboratory-derived pesticide risk indices

Mounting evidence suggests that pollinators worldwide are experiencing dramatic population declines, and exposure to pesticides is one of the factors that can account for this. By making use of a database containing more than two decades of honey bee (Apis mellifera) hive poisoning incidents from the United Kingdom (Wildlife Incident Investigation Scheme [WIIS]) and corresponding pesticide use surveys, we attempted to explain honey bee poisoning incidents in the field using models derived from pesticide use information, laboratory-generated bee toxicity data (defined as a hazard ratio; application rate divided by LD(50)), and physico-chemical properties of the applied pesticides. Logistic regression analyses were used to assess the relationship between honey bee poisoning incidents in the field and these parameters. In analyzing models with multiple dimensions, we selected the best model by the best subset method, an iterative method based on maximum likelihood estimation, and Akaike's information criterion. Results suggested that the size of the area treated and hazard ratios calculated from application rates and oral or contact toxicity (but the latter especially) can be used to predict the likelihood that honey bee mortality will occur. Model predictions also suggest that some insecticides carry an extreme risk for bees, despite the lack of documented incidents.     

Planning oral health care for the elderly in Israel for the years 2000 and 2025

The methodology and conclusions of this workshop arc reported here because the problems requiring solution are not unique to Israel. They will increasingly have wide geographical and political application. The population of Israel since its establishment in 1948 has increased about sixfold. The numbers of the elderly (65+) have increased about tenfold. The current situation must be examined and estimates obtained for the next ten years. Only thus can the system be enabled to cope with the problem as it develops. The chosen method was a carefully preplanned, multisectorial workshop. Recommendations were discussed, amended and finalised. The recommendations of the workshop included: Baseline national data is urgently required. Guidelines are required for selecting specific target populations to which priority should be given. The current favourable situation of adequate oral health manpower in Israel makes it possible to encourage providers of oral health care towards treatment for the elderly. It is essential that the appropriate health authorities allocate sufficient funds for the following urgent purposes: the conduct of a national survey of the elderly population; the establishment of oral health units on a trial basis in some selected hospitals; support institutions of higher education to facilitate training in geriatric dentistry. Conclusions. The workshop was multidisciplinary because it was necessary to include all the expertise and experience available as vital elements of the policy making process. This type of workshop was found to be an effective tool for planning oral health services.     

Climate Change and Health in Sub-Saharan Africa: A Case-Based Perspective

Over the coming decades, sub-Saharan Africa will face profound stresses and challenges from global climate change. Many of these will manifest as adverse health outcomes. This article uses a series of five hypothetical cases to review the climate impacts on the health and well-being of individuals and populations in sub-Saharan Africa. This approach fosters insights into the human dimensions of the risks to health, their interaction with local human ecology, and awareness of the diverse health ramifications of external environmental changes. Each case illustrates the health impact resulting from a specific environmental or social consequence of climate change, including impacts on agriculture and food security, droughts, floods, malaria, and population displacement. Whereas the article focuses on discrete manifestations of climate change, individuals will, in practice, face multiple stresses from climate change (i.e., floods and malaria) concomitant with other non-climate stressors (i.e., HIV/AIDS, globalization, etc.). These multiple sources of vulnerability must be considered when designing climate change and socioeconomic development interventions.     

Gastrointestinal endoscopy: some perspectives.

Remarkable technological advances of fibreoptic endoscopy in the past two decades have produced important improvements in diagnosis and treatment of gastrointestinal and hepatobiliary disorders. These advances must be kept in perspective; continuing, critical assessment of their contribution to the management of patients is desirable. Endoscopy can have adverse effects on the total performance of departments of gastroenterology, on gastroenterology as a discipline, and even on the status of the medical profession in the community. Gastroenterologists need to show proficiency of performance and integrity of practice. Control may be achieved by certification delineation of privileges, peer review, public accountability, and realistic financial returns for procedures. Records of a department of gastroenterology indicate that some control may be achieved by insistence on a consultation before decision on endoscopy. This may be a desirable alternative to endoscopy on demand. Undue emphasis on technology runs some risk of destroying the proper practice of consultant medicine.     

How many, how old, how soon?

This article highlights the population projections for the UK to 2066 and their health implications. The changes in the demographic age structure of human populations have dual implications. Although they represent accomplishments in social and health development considering the fact that more individuals are able to live until old age, these changes also bring new demands that affect all aspects of society, including employment, taxation, pension, education, and health. Age specific population projections presented were obtained from the Office for National Statistics. It is projected that the total number of people aged 60 years and older will rise from 12 million in 2001 to 18.6 million in 2031 and the number of individuals suffering with chronic diseases and disabilities will see a three-fold increase. Although these projections rely on assumptions and are subject to some changes, it is made clear that the proportion of the population aged 65 and above will continue to increase substantially over the next decades. These population trends will have a large impact on the health and health care needs of the population. Thus, there is a need to develop and plan institutions and policies that address the demands of the aging population. Understanding and identification of the causes and prevention of conditions that could result to serious disabilities must be a high priority.     

Alternative functional relationships between ELF field exposure and possible health effects: report on an expert workshop.

If exposure to 60 Hz fields poses risks to public health, the relationship between exposure and risk may involve something other than the product of field strength and time. Such alternative possible relations, or "effects functions," are of great interest to epidemiologists, engineers, risk analysts, and regulators. A structured survey and workshop were used to explore whether leading researchers in bioelectromagnetics share similar views about alternative possible effects functions. Substantial agreement was found about several effects functions in a few specific contexts such as calcium-ion efflux and cell signalling, and biosynthesis pathways. No significant agreement emerged in many other contexts. No effects function possibilities were ruled out. Further effort of this sort was judged unlikely to yield greater consensus until more complete scientific understanding becomes available. However, a series of structured workshops on research planning and priority setting were judged to hold great potential for useful results.     

An Approach for Incorporating Information on Chemical Availability in Soils into Risk Assessment and Risk-Based Decision Making,Prepared by: The New England Environmentally Acceptable Endpoints Workgroup

A regional workgroup comprised of individuals from regulatory agencies, uni versities, and consulting companies was formed to develop an approach for incor porating information on chemical availability in soils into risk assessment and risk based decision making. The approach consists of the following decision framework for including information on chemical availability: (1) Determine the usefulness of incorporating information on bioavailability; (2) Identify information needs from a conceptual model of exposure for the site and from exposure pathways judged critical to the assessment; (3) Identify soil factors that affect bioavailability; (4) Determine the type or form of information (measures and/or models) that can be used within the risk assessment and risk management process; (5) Select methods (measures and/or models) based on the “weight of evidence” or strength of the bioavailability information they will provide and how that information will be used for risk assessment and risk based decision making; (6) Incorporate information into the risk assessment and risk based decision making. These fac tors can be integrated into existing risk based approaches for site management such as Superfund, state approaches, and the ASTM Risk Based Corrective Action Process (RBCA). Consistent with risk assessment guidance, an assessment of chemical availability in soils must consider current as well as reasonably foresee able conditions. The approach recognizes that information on chemical availabil ity is contextual and depends on the receptor and pathway. Further, the value of information depends on how well it is accepted and/or validated for use in regulatory decision making. The workgroup identified four principles for select ing methods (measures and/or models) for obtaining information on chemical availability and for evaluating information on chemical availability for use in risk assessments: (1) soil chemical relevance, (2) pathway relevance, (3) receptor relevance, and (4) acceptance of the method.