Academic publishing requires linguistically inclusive policies.

Scientific knowledge is produced in multiple languages but is predominantly published in English. This practice creates a language barrier to generate and transfer scientific knowledge between communities with diverse linguistic backgrounds, hindering the ability of scholars and communities to address global challenges and achieve diversity and equity in science, technology, engineering and mathematics (STEM). To overcome those barriers, publishers and journals should provide a fair system that supports non-native English speakers and disseminates knowledge across the globe. We surveyed policies of 736 journals in biological sciences to assess their linguistic inclusivity, identify predictors of inclusivity, and propose actions to overcome language barriers in academic publishing. Our assessment revealed a grim landscape where most journals were making minimal efforts to overcome language barriers. The impact factor of journals was negatively associated with adopting a number of inclusive policies whereas ownership by a scientific society tended to have a positive association. Contrary to our expectations, the proportion of both open access articles and editors based in non-English speaking countries did not have a major positive association with the adoption of linguistically inclusive policies. We proposed a set of actions to overcome language barriers in academic publishing, including the renegotiation of power dynamics between publishers and editorial boards.

Language inclusion in ecological systematic reviews and maps: Barriers and perspectives.

Systematic reviews and maps are considered a reliable form of research evidence, but often neglect non-English-language literature, which can be a source of important evidence. To understand the barriers that might limit authors' ability or intent to find and include non-English-language literature, we assessed factors that may predict the inclusion of non-English-language literature in ecological systematic reviews and maps, as well as the review authors' perspectives. We assessed systematic reviews and maps published in Environmental Evidence (n = 72). We also surveyed authors from each paper (n = 32 responses), gathering information on the barriers to the inclusion of non-English language literature. 44% of the reviewed papers (32/72) excluded non-English literature from their searches and inclusions. Commonly cited reasons included constraints related to resources and time. Regression analysis revealed that reviews with larger author teams, authors from diverse countries, especially those with non-English primary languages, and teams with multilingual capabilities searched in a significantly greater number of non-English languages. Our survey exposed limited language diversity within the review teams and inadequate funding as the principal barriers to incorporating non-English language literature. To improve language inclusion and reduce bias in systematic reviews and maps, our study suggests increasing language diversity within review teams. Combining machine translation with language skills can alleviate the financial and resource burdens of translation. Funding applications could also include translation costs. Additionally, establishing language exchange systems would enable access to information in more languages. Further studies investigating language inclusion in other journals would strengthen these conclusions.

Effects of human depopulation and warming climate on bird populations in Japan.

Quantifying biodiversity trends in economically developed countries, where depopulation, associated secondary succession, and climate warming are ongoing, provides insights for global biodiversity conservation in the 21st century. However, few studies have assessed the impacts of secondary succession and climate warming on species' population trends at a national scale. We estimated the population trends of common breeding bird species in Japan and examined the associations between the overall population trend and species traits with the nationwide bird count data on 47 species collected from 2009 to 2020. The overall population trend varied among species. Four species populations increased moderately, 18 were stable, and 11 declined moderately. Population trends for 13 species were uncertain. The difference in overall trends among the species was associated with their habitat group and temperature niche. Species with relatively low-temperature niches experienced more pronounced declines. Multispecies indicators showed a moderate increase in forest specialists and moderate declines in forest generalists (species that use both forests and open habitats) and open-habitat specialists. Forest generalists and open-habitat specialists also declined more rapidly at sites with more abandoned farmland. All species groups showed an accelerated decline or decelerated increase after 2015. These results suggest that common breeding birds in Japan are facing deteriorating trends as a result of nationwide changes in land use and climate. Future land-use planning and policies should consider the benefits of passive rewilding for forest specialists and active restoration measures (e.g., low-intensive forestry and agriculture) for nonforest specialists to effectively conserve biodiversity in the era of human depopulation and climate warming.

Efectos de la despoblación humana y el calentamiento climático sobre las poblaciones de aves en Japón Resumen La cuantificación de las tendencias poblacionales en los países económicamente desarrollados, en donde la despoblación (asociada a la sucesión secundaria) y el cambio climático son continuos, proporciona información para la conservación mundial de la biodiversidad en el siglo XXI. Sin embargo, pocos estudios han evaluado el impacto de la sucesión secundaria y el calentamiento climático sobre las tendencias poblacionales a escala nacional. Usamos un conteo nacional de aves de 47 especies recolectado entre 2009 y 2020 para estimar las tendencias poblacionales de especies de aves en Japón y examinamos las asociaciones entre la tendencia poblacional general y las características de la especie. La tendencia poblacional general varió entre especies. Las poblaciones de cuatro especies incrementaron con moderación, 18 permanecieron estables y once declinaron con moderación. Las tendencias poblacionales para 13 especies no fueron claras. La diferencia entre las tendencias generales de las especies estuvo asociada con su grupo de hábitat y el nicho térmico. Las especies con un nicho térmico relativamente bajo experimentaron una declinación más pronunciada. Los indicadores multiespecie mostraron un incremento moderado en las especialistas de bosque y una declinación moderada en las generalistas de bosque (especies que usan los bosques y hábitats abiertos) y las especialistas de hábitat abierto. Las generalistas de bosque y las especialistas de hábitat abierto también declinaron con mayor rapidez en los sitios con más suelo agrícola abandonado. Todos los grupos de especies mostraron una declinación acelerada o un incremento desacelerado después de 2015. Estos resultados sugieren que las aves reproductoras comunes en Japón están sufriendo tendencias declinantes como resultado de los cambios en el uso de suelo y el clima a nivel nacional. Las políticas y planeaciones de uso de suelo deben considerar a futuro los beneficios de la recuperación pasiva para las especialistas de bosque y las medidas activas de restauración (como la silvicultura y agricultura de baja intensidad) para las especialistas que no son de bosque y así conservar de manera efectiva la biodiversidad en la era de despoblación humana y calentamiento climático.

The manifold costs of being a non-native English speaker in science.

The use of English as the common language of science represents a major impediment to maximising the contribution of non-native English speakers to science. Yet few studies have quantified the consequences of language barriers on the career development of researchers who are non-native English speakers. By surveying 908 researchers in environmental sciences, this study estimates and compares the amount of effort required to conduct scientific activities in English between researchers from different countries and, thus, different linguistic and economic backgrounds. Our survey demonstrates that non-native English speakers, especially early in their careers, spend more effort than native English speakers in conducting scientific activities, from reading and writing papers and preparing presentations in English, to disseminating research in multiple languages. Language barriers can also cause them not to attend, or give oral presentations at, international conferences conducted in English. We urge scientific communities to recognise and tackle these disadvantages to release the untapped potential of non-native English speakers in science. This study also proposes potential solutions that can be implemented today by individuals, institutions, journals, funders, and conferences. Please see the Supporting information files (S2-S6 Text) for Alternative Language Abstracts and Figs 5 and 6.

DOCU-CLIM: A global documentary climate dataset for climate reconstructions.

Documentary climate data describe evidence of past climate arising from predominantly written historical documents such as diaries, chronicles, newspapers, or logbooks. Over the past decades, historians and climatologists have generated numerous document-based time series of local and regional climates. However, a global dataset of documentary climate time series has never been compiled, and documentary data are rarely used in large-scale climate reconstructions. Here, we present the first global multi-variable collection of documentary climate records. The dataset DOCU-CLIM comprises 621 time series (both published and hitherto unpublished) providing information on historical variations in temperature, precipitation, and wind regime. The series are evaluated by formulating proxy forward models (i.e., predicting the documentary observations from climate fields) in an overlapping period. Results show strong correlations, particularly for the temperature-sensitive series. Correlations are somewhat lower for precipitation-sensitive series. Overall, we ascribe considerable potential to documentary records as climate data, especially in regions and seasons not well represented by early instrumental data and palaeoclimate proxies.

A comprehensive database of amphibian heat tolerance.

Rising temperatures represent a significant threat to the survival of ectothermic animals. As such, upper thermal limits represent an important trait to assess the vulnerability of ectotherms to changing temperatures. For instance, one may use upper thermal limits to estimate current and future thermal safety margins (i.e., the proximity of upper thermal limits to experienced temperatures), use this trait together with other physiological traits in species distribution models, or investigate the plasticity and evolvability of these limits for buffering the impacts of changing temperatures. While datasets on thermal tolerance limits have been previously compiled, they sometimes report single estimates for a given species, do not present measures of data dispersion, and are biased towards certain parts of the globe. To overcome these limitations, we systematically searched the literature in seven languages to produce the most comprehensive dataset to date on amphibian upper thermal limits, spanning 3,095 estimates across 616 species. This resource will represent a useful tool to evaluate the vulnerability of amphibians, and ectotherms more generally, to changing temperatures.

Drivers of global mangrove loss and gain in social-ecological systems.

Mangrove forests store high amounts of carbon, protect communities from storms, and support fisheries. Mangroves exist in complex social-ecological systems, hence identifying socioeconomic conditions associated with decreasing losses and increasing gains remains challenging albeit important. The impact of national governance and conservation policies on mangrove conservation at the landscape-scale has not been assessed to date, nor have the interactions with local economic pressures and biophysical drivers. Here, we assess the relationship between socioeconomic and biophysical variables and mangrove change across coastal geomorphic units worldwide from 1996 to 2016. Globally, we find that drivers of loss can also be drivers of gain, and that drivers have changed over 20 years. The association with economic growth appears to have reversed, shifting from negatively impacting mangroves in the first decade to enabling mangrove expansion in the second decade. Importantly, we find that community forestry is promoting mangrove expansion, whereas conversion to agriculture and aquaculture, often occurring in protected areas, results in high loss. Sustainable development, community forestry, and co-management of protected areas are promising strategies to reverse mangrove losses, increasing the capacity of mangroves to support human-livelihoods and combat climate change.

Equine placental extract supplement as a night barking remedy in dogs with cognitive dysfunction syndrome.

With the aging of pet dogs, there has been an increasing trend in senility-related diseases; additionally, cognitive disorders accompanied by abnormal behaviours are a major burden for owners. Recently, there have been a series of consultations regarding the fact that night barking, which is an abnormal behaviour, remarkably interferes with the owner's sleep and adversely affects the owner's quality of life. However, there has been no effective solution to this problem. In this study, three aged pet dogs diagnosed with dementia were administered an equine placental extract (eqPE) as pet supplement, which has been shown in laboratory models to improve cognitive function. Consequently, night barking ceased 1 week after the administration of eqPE in case 2 and it was observed to decrease in the other two dogs. Furthermore, night barking disappeared 2 and 3 weeks after the administration of eqPE in cases 1 and 3, respectively. No recurrence or exacerbation of night barking was observed in the three cases treated with the eqPE, and no adverse events were observed. These results suggest that eqPE may be useful for improving night barking in pet dogs with dementia, and it is expected to be a new treatment method.

Protected areas have a mixed impact on waterbirds, but management helps.

International policy is focused on increasing the proportion of the Earth's surface that is protected for nature1,2. Although studies show that protected areas prevent habitat loss3-6, there is a lack of evidence for their effect on species' populations: existing studies are at local scale or use simple designs that lack appropriate controls7-13. Here we explore how 1,506 protected areas have affected the trajectories of 27,055 waterbird populations across the globe using a robust before-after control-intervention study design, which compares protected and unprotected populations in the years before and after protection. We show that the simpler study designs typically used to assess protected area effectiveness (before-after or control-intervention) incorrectly estimate effects for 37-50% of populations-for instance misclassifying positively impacted populations as negatively impacted, and vice versa. Using our robust study design, we find that protected areas have a mixed impact on waterbirds, with a strong signal that areas managed for waterbirds or their habitat are more likely to benefit populations, and a weak signal that larger areas are more beneficial than smaller ones. Calls to conserve 30% of the Earth's surface by 2030 are gathering pace14, but we show that protection alone does not guarantee good biodiversity outcomes. As countries gather to agree the new Global Biodiversity Framework, targets must focus on creating and supporting well-managed protected and conserved areas that measurably benefit populations.

Language barriers in global bird conservation.

Multiple languages being spoken within a species' distribution can impede communication among conservation stakeholders, the compilation of scientific information, and the development of effective conservation actions. Here, we investigate the number of official languages spoken within the distributions of 10,863 bird species to identify which species might be particularly affected by consequences of language barriers. We show that 1587 species have 10 languages or more spoken within their distributions. Threatened and migratory species have significantly more languages spoken within their distributions, when controlling for range size. Particularly high numbers of species with many languages within their distribution are found in Eastern Europe, Russia and central and western Asia. Global conservation efforts would benefit from implementing guidelines to overcome language barriers, especially in regions with high species and language diversity.

Growth of non-English-language literature on biodiversity conservation.

English is widely recognized as the language of science, and English-language publications (ELPs) are rapidly increasing. It is often assumed that the number of non-ELPs is decreasing. This assumption contributes to the underuse of non-ELPs in conservation science, practice, and policy, especially at the international level. However, the number of conservation articles published in different languages is poorly documented. Using local and international search systems, we searched for scientific articles on biodiversity conservation published from 1980 to 2018 in English and 15 non-English languages. We compared the growth rate in publications across languages. In 12 of the 15 non-English languages, published conservation articles significantly increased every year over the past 39 years, at a rate similar to English-language articles. The other three languages showed contrasting results, depending on the search system. Since the 1990s, conservation science articles in most languages increased exponentially. The variation in the number of non-English-language articles identified among the search systems differed markedly (e.g., for simplified Chinese, 11,148 articles returned with local search system and 803 with Scopus). Google Scholar and local literature search systems returned the most articles for 11 and 4 non-English languages, respectively. However, the proportion of peer-reviewed conservation articles published in non-English languages was highest in Scopus, followed by Web of Science and local search systems, and lowest in Google Scholar. About 20% of the sampled non-English-language articles provided no title or abstract in English; thus, in theory, they were undiscoverable with English keywords. Possible reasons for this include language barriers and the need to disseminate research in countries where English is not widely spoken. Given the known biases in statistical methods and study characteristics between English- and non-English-language studies, non-English-language articles will continue to play an important role in improving the understanding of biodiversity and its conservation.

RESUMEN: El inglés es reconocido como el idioma de la ciencia y las publicaciones en inglés (PI) cada vez son más. Con frecuencia se asume que el número de publicaciones en idiomas diferentes al inglés está disminuyendo. Esta suposición contribuye al uso reducido de las publicaciones que no están en inglés en las ciencias, prácticas y políticas de la conservación, especialmente a nivel internacional. Sin embargo, el número de artículos de conservación publicados en diferentes idiomas está muy mal documentado. Usamos sistemas de búsqueda locales e internacionales para buscar artículos científicos sobre la conservación de la biodiversidad publicados entre 1980 y 2018 en inglés y en quince idiomas diferentes al inglés. También comparamos la tasa de incremento de publicaciones en los diferentes idiomas. En doce de los quince idiomas diferentes al inglés, los artículos de conservación publicados incrementaron significativamente cada año durante los últimos 39 años, una tasa similar a los artículos en inglés. Los otros tres idiomas mostraron resultados contrastantes según el sistema de búsqueda. Desde la década de 1990, los artículos sobre ciencias de la conservación incrementaron exponencialmente en la mayoría de los idiomas. La variación en el número de artículos identificados en idiomas diferentes al inglés difirió notablemente de acuerdo con los sistemas de búsqueda (p. ej.: en el caso del chino simplificado, obtuvimos 11,148 artículos con el sistema de búsqueda local y 803 con Scopus). Google Scholar y los sistemas locales de búsqueda arrojaron la mayor cantidad de artículos en 11 y 4 idiomas diferentes al inglés, respectivamente. Sin embargo, la proporción de artículos sobre conservación revisados por pares y publicados en idiomas diferentes al inglés fue mayor en Scopus, seguida por Web of Science y los sistemas locales de búsqueda, con la menor proporción en Google Scholar. Aproximadamente el 20% de la muestra de artículos en idiomas diferentes al inglés no contaban con título o con resumen en inglés; por lo tanto, en teoría, eran imposibles de encontrar mediante palabras clave en inglés. Las posibles explicaciones de esto incluyen las barreras del idioma y la necesidad de difundir la investigación en países en los que el inglés no se habla extensamente. Con los sesgos conocidos de los métodos estadísticos y de las características de estudio entre los trabajos en inglés y en otros idiomas, los artículos en idiomas diferentes al inglés seguirán desempeñando un papel importante en el entendimiento de la biodiversidad y su conservación. Incremento de la Literatura sobre la Conservación de la Biodiversidad en Idiomas Diferentes al Inglés.

A solution for breaking the language barrier.

Global problems require global scientific solutions, but the dominance of the English language creates a large barrier for many non-English-proficient researchers to make their findings and knowledge accessible globally. Here, we propose integrating peer language proofing and translation systems in preprint platforms as a solution for promoting equity, diversity, and inclusion in science.

Effects of anthropogenic landscapes on population maintenance of waterbirds.

Anthropogenic impacts have reduced natural areas but increased the area of anthropogenic landscapes. There is debate about whether anthropogenic landscapes (e.g., farmlands, orchards, and fish ponds) provide alternatives to natural habitat and under what circumstances. We considered whether anthropogenic landscapes can mitigate population declines for waterbirds. We collected data on population trends and biological traits of 1203 populations of 579 species across the planet. Using Bayesian generalized linear mixed models, we tested whether the ability of a species to use an anthropogenic landscape can predict population trends of waterbird globally and of species of conservation concern. Anthropogenic landscapes benefited population maintenance of common but not less-common species. Conversely, the use of anthropogenic landscapes was associated with population declines for threatened species. Our findings delineate some limitations to the ability of anthropogenic landscapes to mitigate population declines, suggesting that the maintenance of global waterbird populations depends on protecting remaining natural areas and improving the habitat quality in anthropogenic landscapes. Article impact statement: Protecting natural areas and improving the quality of anthropogenic landscapes as habitat are both needed to achieve effective conservation.

Efectos de los Paisajes Antropogénicos sobre la Conservación de Poblaciones de Aves Acuáticas Resumen Los impactos antropogénicos han reducido las áreas naturales, pero han incrementado el área de los paisajes antropogénicos. Existe un debate sobre si los paisajes antropogénicos (p. ej.: campos de cultivo, huertos, estanques de peces) proporcionan alternativas al hábitat natural y bajo cuáles circunstancias. Consideramos si los paisajes antropogénicos pueden mitigar las declinaciones poblacionales de las aves acuáticas. Recolectamos datos sobre las tendencias poblacionales y las características biológicas de 1203 poblaciones de 579 especies de aves de todo el mundo. Mediante modelos bayesianos generalizados lineales mixtos, analizamos si la habilidad de una especie para usar un paisaje antropogénico puede pronosticar las tendencias poblacionales de las aves acuáticas a nivel mundial y de las especies de interés para la conservación. Los paisajes antropogénicos beneficiaron a la conservación de las poblaciones de especies comunes, pero no para las especies menos comunes. Por otro lado, el uso de paisajes antropogénicos estuvo asociado con las declinaciones poblacionales en las especies amenazadas. Nuestros descubrimientos delinean algunas limitaciones que tienen los paisajes antropogénicos para mitigar las declinaciones poblacionales, lo que sugiere que la conservación mundial de las poblaciones de aves acuáticas depende de la protección de las áreas naturales remanentes y del mejoramiento de la calidad del hábitat en los paisajes antropogénicos.

Tapping into non-English-language science for the conservation of global biodiversity.

The widely held assumption that any important scientific information would be available in English underlies the underuse of non-English-language science across disciplines. However, non-English-language science is expected to bring unique and valuable scientific information, especially in disciplines where the evidence is patchy, and for emergent issues where synthesising available evidence is an urgent challenge. Yet such contribution of non-English-language science to scientific communities and the application of science is rarely quantified. Here, we show that non-English-language studies provide crucial evidence for informing global biodiversity conservation. By screening 419,679 peer-reviewed papers in 16 languages, we identified 1,234 non-English-language studies providing evidence on the effectiveness of biodiversity conservation interventions, compared to 4,412 English-language studies identified with the same criteria. Relevant non-English-language studies are being published at an increasing rate in 6 out of the 12 languages where there were a sufficient number of relevant studies. Incorporating non-English-language studies can expand the geographical coverage (i.e., the number of 2° × 2° grid cells with relevant studies) of English-language evidence by 12% to 25%, especially in biodiverse regions, and taxonomic coverage (i.e., the number of species covered by the relevant studies) by 5% to 32%, although they do tend to be based on less robust study designs. Our results show that synthesising non-English-language studies is key to overcoming the widespread lack of local, context-dependent evidence and facilitating evidence-based conservation globally. We urge wider disciplines to rigorously reassess the untapped potential of non-English-language science in informing decisions to address other global challenges. Please see the Supporting information files for Alternative Language Abstracts.

Seasonal spatial dynamics of butterfly migration.

Understanding the seasonal movements of migratory species underpins ecological studies. Several hundred butterfly species show migratory behaviour, yet the spatial pattern of these migrations is poorly understood. We developed climatic niche models for 405 migratory butterfly species globally to estimate patterns of seasonal movement and the distribution of seasonal habitat suitability. We found strong seasonal variation in habitat suitability for most migratory butterflies with >75% of pixels within their distributions showing seasonal switching in predicted occupancy for 85% of species. The greatest rate of seasonal switching occurred in the tropics. Several species showed extreme range fluctuations between seasons, exceeding 10-fold for 53 species (13%) and more than 100-fold for nine species (2%), suggesting that such species may be at elevated extinction risk. Our results can be used to search for the ecological processes that underpin migration in insects, as well as to design conservation interventions for declining migratory insects.

Urban green space use during a time of stress: A case study during the COVID-19 pandemic in Brisbane, Australia.

Spending time in nature is one potential way to cope with the negative physical and psychological health impacts from major stressful life events. In 2020, a large fraction of the global population was impacted by restrictions to contain the spread of the COVID-19 outbreak, a period characterised by marked health risks and behavioural changes. Here we explore whether people responded to this stressor by spending more time in nature and investigate the reasons for any changes.We surveyed 1,002 people in Brisbane, Australia in 2020, to measure the change in use of green space during the restrictions period and benefits people associated with visiting them.About 36% of participants increased their urban green space use, but 26% reduced it, indicating a great deal of flux. Furthermore, 45% of the previous non-users of urban green space began using it for the first time during the restrictions period. Older people were less likely to increase their green space use and those with a backyard were more likely to increase their use of green spaces.Participants' change in use occurred regardless of the amount of green space available in close proximity to their households. In addition, we did not find a relationship between nature-relatedness and change in use.People's reasons for green space use shifted during the pandemic-related restrictions period, with many emphasising improvement of personal well-being rather than consolidating community capital. Most participants indicated an increase in the importance of the psychological and physical benefits obtained from urban green spaces.We conclude that increased urban green space use during moments of stress such as the COVID-19 pandemic has the potential to ameliorate some of the negative effects of the stressor, but that the capacity and desire to spend more time in green space varies markedly across society. Sufficient urban green space provision for all sections of society will maximise the opportunity to employ a nature-based coping mechanism during times of personal or community stress.

Pasar tiempo en la naturaleza es una forma de contrarrestar el impacto físico y psicológico que tiene los eventos estresantes en nuestras vidas. En el 2020, una gran porción de la población mundial fue impactada por las restricciones impuestas por la propagación del COVID­19, un periodo que se caracterizó por notables riesgos para la salud y cambios en el comportamiento de las personas. Aquí exploramos si las personas respondieron a este evento estresante pasando más tiempo en la naturaleza y también investigamos las razones asociadas a cualquier cambio.Encuestamos a 1002 personas en Brisbane, Australia, en el 2020, para medir el cambio en el uso de los espacios verdes públicos durante la cuarentena ocasionada por la pandemia y los beneficios que la gente ha asociado a su visita.Alrededor del 36% de los encuestados aumentaron el uso de los espacios verdes públicos urbanos y el 26% lo redujo, lo que indica un cambio en la concepción del uso durante la pandemia. Esto se confirma ya que un 45% de los encuestados que no han usado espacios verdes públicos previo a la cuarentena, lo utilizaron por primera vez. Los adultos mayores fueron menos proclive a aumentar el uso de espacios verdes y los encuestados que poseían un patio en sus hogares, tendieron a un mayor uso de los espacios verdes.Independientemente a la cantidad disponible de espacios verdes públicos en la proximidad de los hogares de los participantes, se ha producido un cambio en las visitas a espacios verdes públicos. Además, no encontramos una relación entre la conexión con la naturaleza de los participantes y el cambio de uso de espacios verdes públicos.Durante la cuarentena, los participantes han cambiado las razones por las cuales utilizaron espacios verdes públicos urbanos. Muchos participantes hicieron hincapié en los beneficios al bienestar personal en lugar de aquellos beneficios comunitarios. Por ejemplo, la mayoría de los participantes indicaron un aumento de la importancia de los beneficios psicológicos y físicos obtenidos por el uso de espacios verdes públicos urbanos.Concluimos que, en momentos de estrés, como por ejemplo la pandemia COVID­19, un aumento en el uso de espacios verdes tiene el potencial de mejorar algunos de los efectos negativos del estrés, pero que el deseo y la habilidad de pasar más tiempo en los espacios verdes varía notablemente en la sociedad. Proveer suficientes espacios verdes públicos para todos los sectores de la sociedad, maximizaría la oportunidad de emplear un mecanismo para afrontar los estreses personales o comunitarios, basado en la naturaleza. A free Plain Language Summary can be found within the Supporting Information of this article.

The Impact of Aortic Valvular Calcium on Transcatheter Heart Valve Distortion.

OBJECTIVES: To investigate the relationship between the eccentric calcification of aortic valve and transcatheter heart valve (THV) distortion and the impact of THV distortion on echo parameters and clinical outcomes. BACKGROUND: The effects of eccentric calcification of the aortic valve on the THV distortion and the relationship between THV distortion and clinical impact were not fully understood. METHODS: Patients with symptomatic severe aortic stenosis who were undergoing THV implantation were enrolled. Patients underwent preprocedural, postprocedural multislice computed tomography (MSCT), and follow-up transthoracic echocardiogram (TTE). Delta calcium score (ΔCS) is defined as the difference between the maximum and minimal calcium scores of the three cusps, while valve distortion score (VDS) is defined as the difference between the longest and shortest stent frame, as obtained using MSCT. Patients were divided into two groups according to ΔCS: "noneccentric calcification group" and "eccentric calcification group." RESULTS: A total of 118 patients were enrolled (59 patients in noneccentric and 59 in eccentric calcification groups). VDS was significantly lower in the noneccentric calcification group than in the eccentric calcification group (1.31 ± 0.82 mm vs. 1.73 ± 0.76 mm, p=0.004). VDS was not associated with the degree of paravalvular leak (PVL) and aortic valvular mean pressure gradient (AVPG) at 30-day and 1-year follow-up TTE and the cumulative rates of all-cause death and rehospitalization at 2-year clinical follow-up. CONCLUSIONS: Eccentric valvular calcification was associated with longitudinal THV distortion. However, THV distortion was not associated with PVL, AVPG, and adverse clinical events during midterm follow-up.