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1.
PLoS Biol ; 21(2): e3001996, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36745659

RESUMEN

Clements et al. respond to Munday's claim that his "reanalysis shows there is not an extreme decline effect in fish ocean acidification studies". They contend that extreme data reported in early studies authored by Dixson and Munday indeed result in an "extreme" decline effect in this field, and conclude that the decline effect is primarily driven by papers by particular authors.


Asunto(s)
Acidificación de los Océanos , Agua de Mar , Animales , Concentración de Iones de Hidrógeno , Peces
2.
Nature ; 577(7790): 370-375, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31915382

RESUMEN

The partial pressure of CO2 in the oceans has increased rapidly over the past century, driving ocean acidification and raising concern for the stability of marine ecosystems1-3. Coral reef fishes are predicted to be especially susceptible to end-of-century ocean acidification on the basis of several high-profile papers4,5 that have reported profound behavioural and sensory impairments-for example, complete attraction to the chemical cues of predators under conditions of ocean acidification. Here, we comprehensively and transparently show that-in contrast to previous studies-end-of-century ocean acidification levels have negligible effects on important behaviours of coral reef fishes, such as the avoidance of chemical cues from predators, fish activity levels and behavioural lateralization (left-right turning preference). Using data simulations, we additionally show that the large effect sizes and small within-group variances that have been reported in several previous studies are highly improbable. Together, our findings indicate that the reported effects of ocean acidification on the behaviour of coral reef fishes are not reproducible, suggesting that behavioural perturbations will not be a major consequence for coral reef fishes in high CO2 oceans.


Asunto(s)
Arrecifes de Coral , Peces/fisiología , Animales , Conducta Animal , Dióxido de Carbono/análisis , Concentración de Iones de Hidrógeno , Océanos y Mares
3.
PLoS Biol ; 20(2): e3001511, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-35113875

RESUMEN

Ocean acidification-decreasing oceanic pH resulting from the uptake of excess atmospheric CO2-has the potential to affect marine life in the future. Among the possible consequences, a series of studies on coral reef fish suggested that the direct effects of acidification on fish behavior may be extreme and have broad ecological ramifications. Recent studies documenting a lack of effect of experimental ocean acidification on fish behavior, however, call this prediction into question. Indeed, the phenomenon of decreasing effect sizes over time is not uncommon and is typically referred to as the "decline effect." Here, we explore the consistency and robustness of scientific evidence over the past decade regarding direct effects of ocean acidification on fish behavior. Using a systematic review and meta-analysis of 91 studies empirically testing effects of ocean acidification on fish behavior, we provide quantitative evidence that the research to date on this topic is characterized by a decline effect, where large effects in initial studies have all but disappeared in subsequent studies over a decade. The decline effect in this field cannot be explained by 3 likely biological explanations, including increasing proportions of studies examining (1) cold-water species; (2) nonolfactory-associated behaviors; and (3) nonlarval life stages. Furthermore, the vast majority of studies with large effect sizes in this field tend to be characterized by low sample sizes, yet are published in high-impact journals and have a disproportionate influence on the field in terms of citations. We contend that ocean acidification has a negligible direct impact on fish behavior, and we advocate for improved approaches to minimize the potential for a decline effect in future avenues of research.


Asunto(s)
Conducta Animal/efectos de los fármacos , Peces/fisiología , Concentración de Iones de Hidrógeno , Agua de Mar/química , Animales , Sesgo , Arrecifes de Coral , Océanos y Mares
4.
J Fish Biol ; 104(4): 1231-1236, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38145952

RESUMEN

Juvenile specimens of the pugnose pipefish, Bryx dunckeri, were collected during a multipurpose research survey conducted within the Sargasso Sea Subtropical Convergence Zone, extending the known distribution range of this species to include open ocean areas of the Western North Atlantic. Novel spatial data are of scientific interest as information on the distribution, population structure, and population size of this species is limited. Additionally, we present detailed photographs and morphological data on the collected specimens. The results are discussed in relation to the dispersal abilities and population structure in syngnathids.


Asunto(s)
Peces , Densidad de Población , Animales
5.
J Fish Dis ; 46(10): 1029-1047, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37329520

RESUMEN

Parasites negatively affect biological processes within their hosts, which may alter for example health, growth, and reproductive ability. Non-native invasive parasites, in particular, may have large effects on the endemic hosts, given that the hosts lack evolved specific defences against such parasites. The swim bladder nematode Anguillicola crassus, an invasive parasite originating from Asia, is found in the European eel (Anguilla anguilla, L. 1758), since the 1980s. We investigated whether A. crassus affected several indicators related to health of the European eel (spleen- and liver size, body fat content and relative condition). Our results indicate that during the continental residency of the eels, infection by A. crassus had no major negative impacts on the investigated health indicators at the generally low infection intensities present in this study (median 2-3 visible parasites). Given that many of the adult eels were found to have swim bladder damage, concerns about their spawning migration through deeper oceanic environments can still be raised. To allow further investigations, we suggest that quantification of swim bladder damage should be implemented in eel-monitoring programs. Compared to other parasite pressure parameters, swim bladder damage provides additional information about past infections and future problems.


Asunto(s)
Anguilla , Dracunculoidea , Enfermedades de los Peces , Parásitos , Animales , Vejiga Urinaria , Enfermedades de los Peces/parasitología , Sacos Aéreos/parasitología
6.
J Fish Biol ; 103(4): 765-772, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36648022

RESUMEN

The effects of increased levels of carbon dioxide (CO2 ) on the Earth's temperature have been known since the end of the 19th century. It was long believed that the oceans' buffering capacity would counteract any effects of dissolved CO2 in marine environments, but during recent decades, many studies have reported detrimental effects of ocean acidification on aquatic organisms. The most prominent effects can be found within the field of behavioural ecology, e.g., complete reversal of predator avoidance behaviour in CO2 -exposed coral reef fish. Some of the studies have been very influential, receiving hundreds of citations over recent years. The results have also been conveyed to policymakers and publicized in prominent media outlets for the general public. Those extreme effects of ocean acidification on fish behaviour have, however, spurred controversy, given that more than a century of research suggests that there are few or no negative effects of elevated CO2 on fish physiology. This is due to sophisticated acid-base regulatory mechanisms that should enable their resilience to near-future increases in CO2 . In addition, an extreme "decline effect" has recently been shown in the literature regarding ocean acidification and fish behaviour, and independent research groups have been unable to replicate some of the most profound effects. Here, the author presents a brief historical overview on the effects of elevated CO2 and ocean acidification on fishes. This historical recap is warranted because earlier work, prior to a recent (c. 10 year) explosion in interest, is often overlooked in today's ocean acidification studies, despite its value to the field. Based on the historical data and the current knowledge status, the author suggests future strategies with the aim to improve research rigour and clarify the understanding of the effects of ocean acidification on fishes.


Asunto(s)
Dióxido de Carbono , Agua de Mar , Animales , Concentración de Iones de Hidrógeno , Acidificación de los Océanos , Peces/fisiología , Océanos y Mares , Arrecifes de Coral , Cambio Climático
8.
J Exp Biol ; 222(Pt 19)2019 10 07.
Artículo en Inglés | MEDLINE | ID: mdl-31527178

RESUMEN

Physiological mechanisms determining thermal limits in fishes are debated but remain elusive. It has been hypothesised that motor function loss, observed as loss of equilibrium during acute warming, is due to direct thermal effects on brain neuronal function. To test this, we mounted cooling plates on the heads of Atlantic cod (Gadus morhua) and quantified whether local brain cooling increased whole-organism acute upper thermal tolerance. Brain cooling reduced brain temperature by 2-6°C below ambient water temperature and increased thermal tolerance by 0.5 and 0.6°C on average relative to instrumented and uninstrumented controls, respectively, suggesting that direct thermal effects on brain neurons may contribute to setting upper thermal limits in fish. However, the improvement in thermal tolerance with brain cooling was small relative to the difference in brain temperature, demonstrating that other mechanisms (e.g. failure of spinal and peripheral neurons, or muscle) may also contribute to controlling acute thermal tolerance.


Asunto(s)
Aclimatación/fisiología , Encéfalo/fisiología , Frío , Gadus morhua/fisiología , Animales , Reproducibilidad de los Resultados
9.
Oecologia ; 189(4): 875-881, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30815728

RESUMEN

Two-current choice flumes are used to measure preference and avoidance behaviour in response to chemical cues in aquatic animals. If used correctly, they produce two parallel, non-overlapping, laminar water currents in which the animal can move freely and choose between the two currents. As climate change is affecting water temperature, and altered precipitation patterns are changing water salinity, two-current choice flumes are increasingly being used to test the choice between water currents of different temperatures and salinities. This inevitably means that water currents of different densities are being used simultaneously in the flume. Here, we investigated the tolerance range for density differences due to temperature and salinity in five common flume designs. Through dye tests and stepwise modifications of temperatures and salinities we determined the limits for laminar and non-overlapping flows. We also developed an automated method for quantifying the overlap precisely and objectively. The tolerance for density differences between the water currents where laminar and non-overlapping flows were maintained was surprisingly low, withstanding ± 0.5 °C temperature differences, and ± 0.1 PSU salinity differences, i.e. a maximum density difference of 0.28 gL-1. Above these very narrow limits we found a range where the flumes showed partly overlapping, stratified water currents that preclude easy determination of cue preference. We conclude that two-current choice flumes are not suitable for testing the behavioural choices of aquatic animals using water currents of anything other than minor differences in temperature and/or salinity.


Asunto(s)
Salinidad , Agua , Animales , Cambio Climático , Temperatura
10.
Oecologia ; 190(3): 689-702, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31203452

RESUMEN

Increased levels of dissolved carbon dioxide (CO2) drive ocean acidification and have been predicted to increase the energy use of marine fishes via physiological and behavioural mechanisms. This notion is based on a theoretical framework suggesting that detrimental effects on energy use are caused by plasma acid-base disruption in response to hypercapnic acidosis, potentially in combination with a malfunction of the gamma aminobutyric acid type A (GABAA) receptors in the brain. However, the existing empirical evidence testing these effects primarily stems from studies that exposed fish to elevated CO2 for a few days and measured a small number of traits. We investigated a range of energetic traits in juvenile spiny chromis damselfish (Acanthochromis polyacanthus) over 3 months of acclimation to projected end-of-century CO2 levels (~ 1000 µatm). Somatic growth and otolith size and shape were unaffected by the CO2 treatment across 3 months of development in comparison with control fish (~ 420 µatm). Swimming activity during behavioural assays was initially higher in the elevated CO2 group, but this effect dissipated within ~ 25 min following handling. The transient higher activity of fish under elevated CO2 was not associated with a detectable difference in the rate of oxygen uptake nor was it mediated by GABAA neurotransmitter interference because treatment with a GABAA antagonist (gabazine) did not abolish the CO2 treatment effect. These findings contrast with several short-term studies by suggesting that end-of-century levels of CO2 may have negligible direct effects on the energetics of at least some species of fish.


Asunto(s)
Arrecifes de Coral , Agua de Mar , Aclimatación , Animales , Dióxido de Carbono , Peces , Concentración de Iones de Hidrógeno
12.
Proc Biol Sci ; 285(1885)2018 08 22.
Artículo en Inglés | MEDLINE | ID: mdl-30135169

RESUMEN

Chemical contaminants (e.g. metals, pesticides, pharmaceuticals) are changing ecosystems via effects on wildlife. Indeed, recent work explicitly performed under environmentally realistic conditions reveals that chemical contaminants can have both direct and indirect effects at multiple levels of organization by influencing animal behaviour. Altered behaviour reflects multiple physiological changes and links individual- to population-level processes, thereby representing a sensitive tool for holistically assessing impacts of environmentally relevant contaminant concentrations. Here, we show that even if direct effects of contaminants on behavioural responses are reasonably well documented, there are significant knowledge gaps in understanding both the plasticity (i.e. individual variation) and evolution of contaminant-induced behavioural changes. We explore implications of multi-level processes by developing a conceptual framework that integrates direct and indirect effects on behaviour under environmentally realistic contexts. Our framework illustrates how sublethal behavioural effects of contaminants can be both negative and positive, varying dynamically within the same individuals and populations. This is because linkages within communities will act indirectly to alter and even magnify contaminant-induced effects. Given the increasing pressure on wildlife and ecosystems from chemical pollution, we argue there is a need to incorporate existing knowledge in ecology and evolution to improve ecological hazard and risk assessments.


Asunto(s)
Animales Salvajes/fisiología , Conducta Animal/efectos de los fármacos , Evolución Biológica , Ecosistema , Exposición a Riesgos Ambientales , Contaminantes Ambientales/efectos adversos , Rasgos de la Historia de Vida , Animales , Metales/efectos adversos , Plaguicidas/efectos adversos , Preparaciones Farmacéuticas
13.
J Fish Biol ; 93(1): 138-142, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-29931691

RESUMEN

Adult bluespotted rockcod Cephalopholis cyanostigma, a coral-reef grouper, were acclimated to either ambient (mean ± s.d. 406 ± 21 µatm; 1 atmos = 101325 Pa) or high pCO2 (945 ± 116 µatm) conditions in a laboratory for 8-9 days, then released at the water surface directly above a reef (depth c. 5 m) and followed on video camera (for 191 ± 21 s) by scuba divers until they sought cover in the reef. No differences were detected between groups in any of the six measured variables, which included the time fish spent immobile after release, tail beat frequency during swimming and the time required to locate and enter the protective shelter of the reef.


Asunto(s)
Conducta Animal/efectos de los fármacos , Dióxido de Carbono/toxicidad , Perciformes , Natación , Aclimatación , Animales , Antozoos , Arrecifes de Coral , Peces
14.
J Exp Biol ; 220(Pt 19): 3519-3526, 2017 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-28754716

RESUMEN

Theoretical models predict that ocean acidification, caused by increased dissolved CO2, will reduce the maximum thermal limits of fishes, thereby increasing their vulnerability to rising ocean temperatures and transient heatwaves. Here, we tested this prediction in three species of damselfishes on the Great Barrier Reef, Australia. Maximum thermal limits were quantified using critical thermal maxima (CTmax) tests following acclimation to either present-day or end-of-century levels of CO2 for coral reef environments (∼500 or ∼1000 µatm, respectively). While species differed significantly in their thermal limits, whereby Dischistodus perspicillatus exhibited greater CTmax (37.88±0.03°C; N=47) than Dascyllus aruanus (37.68±0.02°C; N=85) and Acanthochromis polyacanthus (36.58±0.02°C; N=63), end-of-century CO2 had no effect (D. aruanus) or a slightly positive effect (increase in CTmax of 0.16°C in D. perspicillatus and 0.21°C in A. polyacanthus) on CTmax Contrary to expectations, early-stage juveniles were equally as resilient to CO2 as larger conspecifics, and CTmax was higher at smaller body sizes in two species. These findings suggest that ocean acidification will not impair the maximum thermal limits of reef fishes, and they highlight the critical role of experimental biology in testing predictions of theoretical models forecasting the consequences of environmental change.


Asunto(s)
Tamaño Corporal , Dióxido de Carbono/química , Cambio Climático , Perciformes/fisiología , Agua de Mar/química , Termotolerancia , Animales , Arrecifes de Coral , Queensland
15.
Br J Psychiatry ; 204(3): 200-7, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24434071

RESUMEN

BACKGROUND: Research of military personnel who deployed to the conflicts in Iraq or Afghanistan has suggested that there are differences in mental health outcomes between UK and US military personnel. AIMS: To compare the prevalence of post-traumatic stress disorder (PTSD), hazardous alcohol consumption, aggressive behaviour and multiple physical symptoms in US and UK military personnel deployed to Iraq. METHOD: Data were from one US (n = 1560) and one UK (n = 313) study of post-deployment military health of army personnel who had deployed to Iraq during 2007-2008. Analyses were stratified by high- and low-combat exposure. RESULTS: Significant differences in combat exposure and sociodemographics were observed between US and UK personnel; controlling for these variables accounted for the difference in prevalence of PTSD, but not in the total symptom level scores. Levels of hazardous alcohol consumption (low-combat exposure: odds ratio (OR) = 0.13, 95% CI 0.07-0.21; high-combat exposure: OR = 0.23, 95% CI 0.14-0.39) and aggression (low-combat exposure: OR = 0.36, 95% CI 0.19-0.68) were significantly lower in US compared with UK personnel. There was no difference in multiple physical symptoms. CONCLUSIONS: Differences in self-reported combat exposures explain most of the differences in reported prevalence of PTSD. Adjusting for self-reported combat exposures and sociodemographics did not explain differences in hazardous alcohol consumption or aggression.


Asunto(s)
Agresión , Consumo de Bebidas Alcohólicas/epidemiología , Guerra de Irak 2003-2011 , Personal Militar/psicología , Trastornos por Estrés Postraumático/epidemiología , Adolescente , Adulto , Trastornos de Combate/epidemiología , Femenino , Humanos , Masculino , Prevalencia , Reino Unido/epidemiología , Estados Unidos/epidemiología , Adulto Joven
16.
Eur J Public Health ; 23(3): 410-5, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22539627

RESUMEN

BACKGROUND: Approximately 18,000 personnel leave the UK Armed Forces annually. Those leaving before completing the minimum term of their contracts are called early Service leavers (ESLs). This study aims to identify characteristics associated with being an ESL, and compare the post-discharge mental health of ESLs and other Service leavers (non-ESLs). METHOD: A cross-sectional study used data on ex-Serving UK Armed Forces personnel. ESLs were personnel leaving before completing their 3-4.5 years minimum Service contracts and were compared with non-ESLs. Multivariable logistic regression was used to estimate odds ratios and 95% confidence intervals for the associations between Service leaving status with socio-demographics, military characteristics and mental health outcomes. RESULTS: Of 845 Service leavers, 80 (9.5%) were ESLs. Being an ESL was associated with younger age, female sex, not being in a relationship, lower rank, serving in the Army and with a trend of reporting higher levels of childhood adversity, but not with deployment to Iraq. ESLs were at an increased risk of probable post-traumatic stress disorder (PTSD), common mental disorders, fatigue and multiple physical symptoms, but not alcohol misuse. CONCLUSIONS: The study suggests that operational Service is not a factor causing personnel to become an ESL. Current mental health problems were more commonly reported among ESLs than other Service leavers. There may be a need to target interventions to ESLs on leaving Service to smooth their transition to civilian life and prevent the negative mental health outcomes experienced by ESLs further down the line.


Asunto(s)
Trastornos Mentales/epidemiología , Personal Militar/psicología , Delegación al Personal , Lealtad del Personal , Reorganización del Personal , Adulto , Adultos Sobrevivientes del Maltrato a los Niños/psicología , Estudios de Cohortes , Factores de Confusión Epidemiológicos , Estudios Transversales , Femenino , Humanos , Modelos Logísticos , Masculino , Trastornos Mentales/diagnóstico , Personal Militar/clasificación , Personal Militar/estadística & datos numéricos , Oportunidad Relativa , Reorganización del Personal/estadística & datos numéricos , Factores Socioeconómicos , Encuestas y Cuestionarios , Factores de Tiempo , Reino Unido/epidemiología
17.
Conserv Physiol ; 11(1): coad061, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37565236

RESUMEN

Aquatic ectotherms are vulnerable to thermal stress, with embryos predicted to be more sensitive than juveniles and adults. When examining the vulnerability of species and life stages to warming, comparable methodology must be used to obtain robust conclusions. Critical thermal methodology is commonly used to characterize acute thermal tolerances in fishes, with critical thermal maximum (CTmax) referring to the acute upper thermal tolerance limit. At this temperature, fish exhibit loss of controlled locomotion due to a temperature-induced collapse of vital physiological functions. While it is relatively easy to monitor behavioural responses and measure CTmax in larval and adult fish, this is more challenging in embryos, leading to a lack of data on this life stage, or that studies rely on potentially incomparable metrics. Here, we present a novel method for measuring CTmax in fish embryos, defined by the temperature at which embryos stop moving. Additionally, we compare this measurement with the temperature of the embryos' last heartbeat, which has previously been proposed as a method for measuring embryonic CTmax. We found that, like other life stages, late-stage embryos exhibited a period of increased activity, peaking approximately 2-3°C before CTmax. Measurements of CTmax based on last movement are more conservative and easier to record in later developmental stages than measurements based on last heartbeat, and they also work well with large and small embryos. Importantly, CTmax measurements based on last movement in embryos are similar to measurements from larvae and adults based on loss of locomotory control. Using last heartbeat as CTmax in embryos likely overestimates acute thermal tolerance, as the heart is still beating when loss of response/equilibrium is reached in larvae/adults. The last movement technique described here allows for comparisons of acute thermal tolerance of embryos between species and across life stages, and as a response variable to treatments.

18.
Curr Biol ; 33(15): R792-R797, 2023 08 07.
Artículo en Inglés | MEDLINE | ID: mdl-37552940

RESUMEN

The term 'open science' refers to a range of methods, tools, platforms and practices that aim to make scientific research more accessible, transparent, reproducible and reliable. This includes, for example, sharing code, data and research materials, embracing new publishing formats such as registered reports and preprints, pursuing replication studies and reanalyses, optimising statistical approaches to improve evidence assessment and re-evaluating institutional incentives. The ongoing shift towards open science practices is partly due to mounting evidence that studies across disciplines suffer from biases, underpowered designs and irreproducible or non-replicable results. It also stems from a general desire amongst many researchers to reduce hyper-competitivity in science and instead promote collaborative research that benefits science and society.


Asunto(s)
Motivación , Edición , Humanos , Investigadores
19.
J Nerv Ment Dis ; 200(5): 429-37, 2012 May.
Artículo en Inglés | MEDLINE | ID: mdl-22551797

RESUMEN

Delayed-onset posttraumatic stress disorder (PTSD) is defined as onset at least 6 months after a traumatic event. This study investigates the prevalence of delayed-onset PTSD in 1397 participants from a two-phase prospective cohort study of UK military personnel. Delayed-onset PTSD was categorized as participants who did not meet the criteria for probable PTSD (assessed using the PTSD Checklist Civilian version) at phase 1 but met the criteria by phase 2. Of the participants, 3.5% met the criteria for delayed-onset PTSD. Subthreshold PTSD, common mental disorder (CMD), poor/fair self-reported health, and multiple physical symptoms at phase 1 and the onset of alcohol misuse or CMD between phases 1 and 2 were associated with delayed-onset PTSD. Delayed-onset PTSD exists in this UK military sample. Military personnel who developed delayed-onset PTSD were more likely to have psychological ill-health at an earlier assessment, and clinicians should be aware of the potential comorbidity in these individuals, including alcohol misuse. Leaving the military or experiencing relationship breakdown was not associated.


Asunto(s)
Personal Militar/psicología , Trastornos por Estrés Postraumático/epidemiología , Adulto , Femenino , Humanos , Guerra de Irak 2003-2011 , Masculino , Personal Militar/estadística & datos numéricos , Oportunidad Relativa , Prevalencia , Estudios Prospectivos , Curva ROC , Trastornos por Estrés Postraumático/psicología , Factores de Tiempo , Reino Unido/epidemiología
20.
J Head Trauma Rehabil ; 27(1): 75-82, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22143632

RESUMEN

OBJECTIVE: : Rates of mild traumatic brain injury (mTBI) differ considerably between US and UK forces, despite similar methodology and similar exposure risks. We assessed, in the UK forces, if the differences in rates based on last deployment can be explained by differences in deployment length, given that US forces deploy for approximately twice as long as UK forces. PARTICIPANTS: : A total of 3763 personnel deployed to Iraq or Afghanistan who completed a questionnaire between 2007 and 2009. MAIN OUTCOME MEASURES: : Mild traumatic brain injury in the last deployment contrasted to current posttraumatic stress disorder, psychological distress (General Health Questionnaire-12), multiple physical symptoms, and alcohol misuse. RESULTS: : In the Army and Royal Marines, there was an association between length of deployment (per month) and mTBI (odds ratio: 1.31, 95% confidence interval: 1.13-1.51), which remained significant after adjustment for confounders (odds ratio: 1.25, 95% confidence interval: 1.08-1.45). No other outcome was associated with length of deployment. Results based on the total sample were similar to those in the Royal Marine and Army sample, except for adjusted multiple physical symptoms. CONCLUSIONS: : Comparisons of mTBI rates should take account of length of deployment when based on last deployment. Doing so reduces but does not eliminate the differences between UK and US forces.


Asunto(s)
Campaña Afgana 2001- , Lesiones Encefálicas/epidemiología , Guerra de Irak 2003-2011 , Personal Militar , Humanos , Incidencia , Prevalencia , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios , Factores de Tiempo , Reino Unido/epidemiología , Estados Unidos/epidemiología
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