Climate-driven shifts in decapod larvae assemblages in a temperate estuary.

The study examines the complex impact of climatic patterns, driven by the North Atlantic Oscillation (NAO), on regional climate, hydrology, and sea surface temperatures. Focused on the period from 2003 to 2012, the research specifically investigates the influence of thermal variability on decapod larval communities. Monthly zooplanktonic sampling conducted at the Mondego Estuary, Portugal, entrance over a decade revealed the prevalence of Carcinus maenas, Diogenes pugilator, and Pachigrapsus marmoratus larvae. These assemblages displayed notable interannual and seasonal fluctuations, often corresponding with changes in sea surface temperatures. Significant system shifts around 2007, instigated by the large-scale NAO, led to subsequent modifications in sea surface temperature and decapod larvae communities' dynamics. Post-2007, there was an upward trajectory in both species' abundance and richness. Phenologically during the former period, the community exhibited two abundance peaks, with the earlier peak occurring sooner, attributed to heightened temperatures instead of the unique peak exhibited before 2007. The research further elucidated the occurrences of Marine Heatwaves (MHW) in the region, delving into their temporal progression influenced by the NAO. Although water temperature emerged as a crucial factor influencing decapod larvae communities annually and seasonally, the study did not observe discernible impacts of MHW events on these communities. These communities represent essential trophic links and are crucial for the survival success of adult decapods. Given the rapid pace of climate change and increasing temperatures, it is imperative to assess whether these environmental shifts, particularly in thermal conditions, affect these meroplanktonic communities.

Repeat cytoreduction with Hyperthermic Intraperitoneal chemotherapy in patients with peritoneal disease: A 5-year retrospective analysis.

BACKGROUND: Cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (CR-HIPEC) is a locorregional surgical therapy applied in patients with peritoneal-only metastatic disease of primary abdominal malignancies. Integrated in a multimodal treatment, CR-HIPEC is associated with increased overall survival. In cases of peritoneal-site only relapse, it may be carried out more than once. METHODS: Patients who received a CR-HIPEC between January 2016 and December 2020 at Instituto Português de Oncologia do Porto, Portugal were included in a unicentric, retrospective, observational study. Short- and long-term outcomes after surgery were analyzed. RESULTS: In this period, 259 CR-HIPEC were performed on 248 patients. Of these, 31 were CR-HIPEC repeats, with 6 being the third HIPEC in the same patient. Of the 31 cases, 15 (48.4 %) had an appendicular origin. Mean PCI in re-HIPEC group was 10.6 (SD ± 7.1). No significant differences in baseline characteristics between the first and re-HIPEC groups were found, except for mean PCI, higher in the 1st HIPEC group (p = 0.047). In re-HIPEC group, major complications rate (CT-CAE 3-4) was 12.9 % (n = 4), without postoperative mortality. The 1st and re-HIPEC group had similar morbidity rates and hospitalization time. With a median follow-up time of 44 months, relapse rate after repeat CR-HIPEC was 45.2 % (n = 14), with a mean overall survival (OS) of 68.7 months and 5-year OS of 78 %. CONCLUSIONS: Repeat CR-HIPEC is a safe approach with an acceptable complication rate for its complexity, associated with a survival benefit in selected patients. It should be presented as a valid therapeutic option in recurrent peritoneal disease.

A review of the order mysida in marine ecosystems: What we know what is yet to be known.

Mysids have a high ecological importance, particularly by their role in marine food chains as a link between the benthic and pelagic realms. Here we describe the relevant taxonomy, ecological aspects such as distribution and production, and their potential as ideal test organisms for environmental research. We also highlight their importance in estuarine communities, trophic webs, and their life history, while demonstrating their potential in addressing emergent problems. This review emphasizes the importance of mysids in understanding the impacts of climate change and their role in the ecology of estuarine communities. Although there is a dearth of research in genomic studies, this review emphasizes the relevance of mysids and their potential as a model organism in environmental assessment studies of prospective or retrospective nature and highlights the need for further research to enhance our understanding of this group's ecological significance.

An emergent treat: Marine heatwaves - Implications for marine decapod crustacean species - An overview.

Anthropogenic-mediated climate change severely affects the oceans. The most common definition of a Marine heatwave (MHW) considers that water temperatures rise above the 90th percentile threshold values, based on the last 30 years' average of temperature records for a particular location, and remains this high for five or more days. The current review addresses the evolution of definitions used, as well as the current understanding of the driving mechanisms of MHWs. The collected information shows that the study of MHW is recent and there is a growing interest among the scientific community on this topic, motivated largely by the impacts that pose to marine ecosystems. Further, a more in-depth analysis was carried out, addressing the impacts of MHW events on marine decapod crustacean species. The investigation of such impacts has been carried out using three main methodological approaches: the analysis of in situ records, observed in 33 studies; simulating MHW events through mesocosm experiments, found in 6 studies; and using computational predictive models, detected in 1 study. From the literature available it has been demonstrated that consequences are serious for these species, from altered expansion ranges to alterations of assemblages' abundances. Still, studies addressing the impacts of these extreme events on the decapod communities are scarce, often only limited to adult life forms of commercially relevant species, neglecting non-commercial ones and meroplanktonic life stages. Despite the severe impacts on the health of ecosystems, repercussions on socioeconomic human activities, like fisheries and aquaculture, are also a reality. Overall, this review aims to raise scientific and public awareness of these marine events, which are projected to increase in intensity and frequency in the coming decades. Therefore, there is a growing need to better understand and predict the mechanisms responsible for these extreme events and the impacts on key species, like decapod crustaceans.

Catalyst for change: Lessons learned from overcoming barriers to providing safe abortion care in Médecins Sans Frontières projects.

CONTEXT: Despite instituting a policy in 2004, Médecins Sans Frontières (MSF) continuously struggled to routinely provide safe abortion care (SAC). In 2016, the organization launched an initiative aimed at increasing availability of SAC in MSF projects and increasing understanding of abortion-related dynamics in humanitarian settings. METHODOLOGY: From March 2017 to April 2018, MSF staff conducted support visits to 10 projects in a country in sub-Saharan Africa. Each visit followed a systematic approach with six key components and related tools that were later shared with teams worldwide. Data regarding women seeking abortion services and related outcomes were collected and analyzed retrospectively. RESULTS: From Q1 2017 through Q4 2019, SAC provision increased significantly in all 10 projects, rising from three to 759 safe abortions per quarter. Teams received 3831 patients seeking SAC and provided 3640 first and second trimester abortions, over 99% via medication methods. The overall complication rate was 4.29% and 0.3% for severe, life-threatening complications. No major security incidents were reported. MSF provision of SAC worldwide increased from 781 in 2016 (the year before this initiative began) to 21,546 in 2019. CONCLUSION: Implementation of SAC in humanitarian settings-even those with significant legal restrictions-is possible and necessary. Both first and second trimester medication abortion can be safely and effectively provided through both home- and facility-based models of care. Programmatic data provide valuable insights into abortion-related dynamics which must shape operational decision-making. Addressing internal barriers and providing direct field support were key to stimulating organizational cultural change.

Effects of ocean acidification and warming on the development and biochemical responses of juvenile shrimp Palaemon elegans (Rathke, 1837).

Anthropogenic CO2 emissions have led to the warming and acidification of the oceans. Although, there is a growing of evidence showing that simultaneous occurrence of ocean acidification and ocean warming are threats to marine organisms, information on their combined effect on coastal shrimp species remains scarce. The purpose of this study was to estimate the combined effects of seawater acidification and warming on growth-related traits and biochemical responses of P. elegans juveniles. In this work, shrimp were exposed for 65 days at 4 experimental conditions: pH 8.10 * 18 °C, pH 7.80 * 18 °C, pH 8.10 * 22 °C, pH 7.80 * 22 °C. The results showed that low pH decreases the lipid content by ∼13% (p < 0.05). Higher temperature reduced the condition factor by ∼11%, the protein content by ∼20%, the PUFA by ∼8,6% and shortened moulting events by 5 days (p > 0.05) while the SFA increased ∼9.4%. The decrease in condition factor and protein was however more prominent in organisms exposed to the combination of pH and temperature with a decrease of ∼13% and ∼21%, respectively. Furthermore, essential fatty acids as EPA and DHA also decreased by ∼20% and ∼6.6% in low pH and higher temperature condition. Despite this study suggest that warming may have a greater impact than acidification, it has been shown that their combined effect can exacerbate these impacts with consequences for the shrimp's body size and biochemical profile.

The strengths and weaknesses of Live Fluorescently Labelled Algae (LFLA) to estimate herbivory in protozooplankton and mixoplankton.

The Live Fluorescently Labelled Algae (LFLA) technique has been used numerous times to estimate microzooplankton herbivory. Yet, it is unknown how mixoplankton (i.e., single-cell organisms that can combine phototrophy and phagotrophy) affect the outcome of this technique. Hence, we conducted a broad-spectrum assessment of the strengths and weaknesses of the LFLA technique, using several mixoplanktonic and protozooplanktonic grazers. Species from different taxonomic groups and different feeding mechanisms were tested in short-term experiments (ca. 5 h) in the laboratory, at different prey concentrations and during light and dark periods of the day. Overall, our findings suggest that the LFLA technique, due to its short-term nature, is an effective tracker of diel ingestion and digestion rates, and can detect new mixoplanktonic predators. We recommend that, irrespective of the prey concentration, incubations to measure grazing rates with this technique should generally be concluded within 1 h (adaptable to the environmental temperature). Nevertheless, our results also call for caution whenever using LFLA in the field: feeding mechanisms other than direct engulfment (like peduncle feeding) may provide severely biased ingestion rates. Furthermore, size and species selectivity are very hard to circumvent. To reduce the effects of selectivity, we propose the combined use of two distinctly coloured fluorochromes (i.e., distinct emission spectra). With this modification, one could either label different size ranges of prey or account for species-specific interactions in the food web.

Ecological features of a rocky intertidal community exposed to sewage effluent.

Sewage is among the largest components of coastal pollution, showing a variable scale and size when causing an impact. In this study, temporal and spatial sewage-related gradients were identified using univariate and multivariate methods. Phosphates and nitrogen-based nutrients, except nitrate, were associated to sewage. Abundance and species richness decrease with distance from the sewage outfall while evenness increased. Filter-feeder bivalves and grazer crustaceans showed preference for the sewage discharge site. Gastropods were more abundant at an intermediate distance, likely reflecting primary production enhancement by sewage. Beta diversity was lower at the location and time with highest sewage loadings. The turnover component of beta diversity expressed as an absolute or proportional value was also useful to detect temporal and spatial sewage-related gradients. Highly energetic hydrodynamics contributes to ameliorate sewage impacts, yet not enough to veil the effect of pollution in this study.

Medusa polyps adherence inhibition: A novel experimental model for antifouling assays.

Although in the last decades significant advances have been made to improve antifouling formulations, the main current options continue to be highly toxic to marine environment, leading to an urgent need for new safer alternatives. For anti-adherence studies, barnacles and mussels are commonly the first choice for experimental purposes. However, the use of these organisms involves a series of laborious and time-consuming stages. In the present work, a new approach for testing antifouling formulations was developed under known formulations and novel proposed options. Due to their high resilience, ability of surviving in hostile environments and high abundance in different ecosystems, medusa polyps present themselves as prospect candidates for antifouling protocols. Thus, a complete protocol to test antifouling formulations using polyps is presented, while the antifouling properties of two invasive seaweeds, Asparagopsis armata and Sargassum muticum, were evaluated within this new test model framework. The use of medusa polyps as model to test antifouling substances revealed to be a reliable alternative to the conventional organisms, presenting several advantages since the protocol is less laborious, less time-consuming and reproductive. The results also show that the seaweeds A. armata and S. muticum produce compounds with anti-adherence properties being therefore potential candidates for the development of new greener antifouling formulations.

Antifungal and Antioxidant Properties of Chitosan Polymers Obtained from Nontraditional Polybius henslowii Sources.

Chitin was extracted from Polybius henslowii, a swimming crab, captured in large quantities throughout the Portuguese coast by purse seine vessels as bycatch. After standard chitin extraction procedures, water-soluble chitosan products were obtained via two different methods: (1) N-acetylation with the addition of acetic anhydride and (2) a reaction with hydrogen peroxide. The chemical structure and molecular weight of chitosan derivatives, water-soluble chitosan (WSC) and chitooligosaccharides (COS), were confirmed by Fourier Transform Infrared Spectroscopy (FT-IR) and gel permeation chromatography (GPC). Antioxidant and metal chelation activities were evaluated, and the growth inhibition capacity was tested on four phytopatogens. The chitooligosaccharides from pereopods (pCOS) and shell body parts (sCOS) inhibited all fungal species tested, particularly Cryphonectria parasitica with 84.7% and 85.5%, respectively. Both radical scavenging and antifungal activities proved to be dose-dependent. Chitooligosaccharides with a low molecular weight (2.7, 7.4, and 10.4 Kg·mol-1) showed the highest activity among all properties tested. These results suggested that chitosan derivatives from P. henslowii raw material could potentially be used against phytopathogens or as ingredient in cosmetics and other products related to oxidative stress.

Trophic links and nutritional condition of fish early life stages in a temperate estuary.

The physiological and nutritional condition of fish larvae affect their survival and thus, the success of estuaries as nursery areas. Fatty acid composition has been useful to determine fish nutritional condition, as well as trophic relationships in marine organisms. The present study analyses the fatty acid (FA) composition of fish larvae during spring and summer in the Mondego estuary, Portugal. FA composition, trophic markers (FATM) and fish nutritional condition was analysed for Gobiidae and Sardina pilchardus larvae and the relationships with the local environment evaluated. Results showed that both taxa differed mainly in the stearic acid (C18:0) and eicosapentaenoic acid (EPA) content, with important amounts in Gobiidae and S. pilchardus, respectively. Gobiidae larvae presenting high nutritional condition and omnivore FATM. Fatty acid composition seems to be related with their natural habitat selection and food availability, while fish larvae nutritional condition also showed a strong link with the water temperature and presence of potential predators. This study suggests that FA composition can be a useful tool in assessing planktonic trophic relationships and in identifying species natural habitat.

Interannual abundance changes of gelatinous carnivore zooplankton unveil climate-driven hydrographic variations in the Iberian Peninsula, Portugal.

The persistent massive blooms of gelatinous zooplankton recorded during recent decades may be indicative of marine ecosystem changes. In this study, we investigated the potential influence of the North Atlantic climate (NAO) variability on decadal abundance changes of gelatinous carnivore zooplankton in the Mondego estuary, Portugal, over the period 2003-2013. During the 11-year study, the community of gelatinous carnivores encompassed a larger diversity of hydromedusae than siphonophores; the former dominated by Obelia spp., Lizzia blondina, Clythia hemisphaerica, Liriope tetraphylla and Solmaris corona, while the latter dominated by Muggiaea atlantica. Gelatinous carnivore zooplankton displayed marked interannual variability and mounting species richness over the period examined. Their pattern of abundance shifted towards larger abundances ca. 2007 and significant phenological changes. The latter included a shift in the mean annual pattern (from unimodal to bimodal peak, prior and after 2007 respectively) and an earlier timing of the first annual peak concurrent with enhanced temperatures. These changes were concurrent with the climate-driven environmental variability mainly controlled by the NAO, which displayed larger variance after 2007 along with an enhanced upwelling activity. Structural equation modelling allowed depicting cascading effects derived from the NAO influence on regional climate and upwelling variability further shaping water temperature. Such cascading effect percolated the structure and dynamics of the community of gelatinous carnivore zooplankton in the Mondego estuary.

Mesozooplankton biomass and copepod estimated production in a temperate estuary (Mondego estuary): effects of processes operating at different timescales.

BACKGROUND: A fundamental step in characterizing marine planktonic communities is the knowledge of the variability of their biomass and production, in order to assess the flux of matter through the food web and estimate the fate of this energy. The zooplankton assemblage's dynamics of the Mondego estuary (Portugal) have been extensively characterized, but none have focused on biomass and secondary production. In the present study, zooplankton biomass and secondary production were investigated with a seasonal basis in a fixed station, located at the mouth of the Mondego estuary (Portugal), with emphasis on the copepod community. In order to study the influence of physical processes operating at different temporal scales, sub-surface and near-bottom samples were collected every 2 h in diel and tidal cycles, over neap tides. RESULTS: Copepodsdominated the biomass during spring (0.585 ± 0.671 mg C m-3),summer (0.287 ± 0.383 mg C m-3), andwinter (0.221 ± 0.128 mg C m-3).Lower observed biomass values were probably due to the higher mesh size used in comparison to previous studies in other estuarine systems. No differences were detected between seasons in total zooplankton biomass. Concerning diel cycle, significant variation occurred mainly in spring and winter, with substantially higher biomass values being registered at night for both the surface and bottom. Moreover, copepod biomass was consistently higher at the bottom during winter. In this season, bottom samples presented higher copepod biomass both at ebb and flood tides. From the GLM analyses run for each season, chlorophyll a, diel phase, and depth were significant factors. CONCLUSIONS: Theconsiderable complexity in the processes structuring the dynamics and composition of biomass and production rates has been shown. Our results demonstrated that along spring and winter, secondary production varied according to diel phase and depth. In winter, night and bottom samples revealed consistently higher daily secondary production rates. From this, it is possible to conclude that local factors (river flow, predation, food limitation) regulate the seasonal variations in zooplankton biomass and production in the Mondego estuary.

Changes in zooplankton communities along a mercury contamination gradient in a coastal lagoon (Ria de Aveiro, Portugal).

The main objective of this paper was to evaluate the impact of mercury on the zooplankton communities' structure and functioning and their bioaccumulation patterns along a contamination gradient in a temperate coastal lagoon. Our results demonstrated that total abundance was not negatively affected by Hg contamination, since the most contaminated areas presented the highest values, being the copepod Acartia tonsa the dominant species, which means that it is a very well adapted and tolerant species to mercury. Nevertheless, negative effects were observed in terms of species diversity, since the most contaminated areas presented the lowest values of species richness, evenness and heterogeneity. Moreover, the spatial mercury gradient was reflected on the bioaccumulation patterns of the zooplankton communities. This reinforces the idea that zooplankton can be considered as an important vehicle of mercury transfer through the food pelagic web since it constitutes a primordial food resource for several commercial fish species.

Environmental forcing on jellyfish communities in a small temperate estuary.

The impact of biological, hydrodynamic and large scale climatic variables on the jellyfish community of Mondego estuary was evaluated from 2003 to 2010. Plankton samples were collected at the downstream part of the estuary. Siphonophora Muggiaea atlantica and Diphyes spp. were the main jellyfish species. Jellyfish density was generally higher in summer and since 2005 densities had increased. Summer community analysis pointed out Acartia clausi, estuarine temperature and salinity as the main driven forces for the assemblage's structure. Also, Chl a, estuarine salinity, runoff and SST were identified as the major environmental factors influencing the siphonophores summer interannual variability. Temperature influenced directly and indirectly the community and fluctuation of jellyfish blooms in the Mondego estuary. This study represents a contribution to a better knowledge of the gelatinous plankton communities in small temperate estuaries.

Perfil de personalidade do médico cirurgião e do médico pronto-socorrista: um estudo exploratório / Psychological characteristics of surgeons and emergency room’s medical doctors: an exploratory study

O presente estudo teve como objetivo identificar diferenças no perfil depersonalidade do médico que escolhe cirurgia e o médico que escolhepronto-socorro. Como base teórica para a discussão, foi utilizada a proposta apresentada por Kersey e Bates (1984) na definição de temperamentos que define os diferentes tipos de personalidades e sua forma de atuar no mundo. Participaram deste estudo 50 médicos, sendo 25 cirurgiões e 25 prontos-socorristas. Os médicos responderam a um questionário de identificação pessoal contendo algumas questões sobre motivos de escolha da profissão. Também responderam ao questionário de inclinações pessoais para identificação de seus temperamentos. O índice de médicos cirurgiões com temperamento SJ foi superior aos demais temperamentos, assim como o de prontos-socorristas com temperamento SP. Conclui-se que, pelo menos nesta amostra, a imagemprofissional do médico condiz com os atributos valorizados e desejadospor indivíduos com temperamento realista judicativo para os cirurgiões,e realista perceptível para os prontos-socorristas. (AU)

The aim of this study was to identify differences of psychologicalcharacteristics between surgeons and medical doctors that belong toemergency rooms (ER). It was chosen the Kersey and Bates (1984)’sproposal of temperaments as the theoretical base to discuss the finds.Fifty medical doctors were contacted, 25 surgeons and 25 ER’s doctors.They answered questions about their motifs for choosing their areas of actuation. Afterwards they answered a Personal Inclinations Indicator, based on Kersey and Bates’ instrument. As was theoretically expected, it was possible to identify that the temperament most frequent among the surgeons was sensation/judgement - SJ and the temperament most frequent among the ER’s doctors was sensation/perception. (AU)

Prospective multicenter study of pegylated liposomal doxorubicin treatment in patients with advanced or refractory mycosis fungoides or Sézary syndrome.

OBJECTIVE: To assess the rate of objective response to pegylated liposomal doxorubicin hydrochloride (Caelyx) in patients with advanced or refractory cutaneous T-cell lymphoma (CTCL). DESIGN: Prospective, open, multicenter study. SETTING: Thirteen dermatology departments in France. PATIENTS: Twenty-five patients with either (1) stage II to stage IV CTCL previously unsuccessfully treated with at least 2 lines of treatments or (2) histologically transformed epidermotropic CTCL requiring chemotherapy. INTERVENTION: Administration of Caelyx intravenously once every 4 weeks at a dose of 40 mg/m(2). MAIN OUTCOME MEASURES: The response to treatment was evaluated by clinical evaluation. RESULTS: At the end of treatment, we observed an objective response (primary end point) in 56% of the patients (14 of 25): 5 complete responses and 9 partial responses. The median overall survival time was 43.7 months. For the 14 patients who experienced an objective response, the median progression-free survival time after the end of treatment was 5 months. CONCLUSIONS: This prospective study demonstrates the effectiveness of Caelyx in treating CTCL, with an overall response rate of 56% in spite of the high proportion of patients with advanced-stage disease. Responses were observed in 2 subpopulations of patients in which the prognosis is known to be poorer: Sézary syndrome (overall response rate, 60%) and transformed CTCL (overall response rate, 50%). Moreover, this study shows that dose escalation to 40 mg/m(2) does not seem to improve the effectiveness but increases toxic effects (especially hematologic toxic effects) compared with the dose previously tested of 20 mg/m(2).

Violência urbana: estereótipo do agressor e da vítima / Urban violence: agressor's and victm1s stereotype

A exposição à crminalidade transforma-a em acontecimento rotineiro e passa a ser desta forma representada pelos grupos sociais. As informações sobre o fenômeno da volêcia que fazem parte do cotidiano podem embasar as crenças dos indivíduos que, quando super generalizadas, denominam-se estereótipos, Buscando maiores informações, o presente estudo teve por objetivo investigar estereótipos formados pelos indivíduos a respeito da criminalidade. Para tal, foi elaborado um questionário misto a partir de um inventário de delitos e de informações provenientes do NEV/USP (Núcleo de Estudos da Violência / USP), visando identificar na opinião dos participantes (amostra não probabilística de adolescentes e adultos, de ambos os sexos, encontrados em locais públicos na região do Grande ABC) quais os delitos mais freqüentes, horáro e local onde ocorrem e os perfis dos agressores e das vítimas. Os resultados indicaram que os quatro delitos mais freqüentemente apontados foram: Roubo (6,4

), Seqüestro (69,1

), Furto (58

) e Homicídio 51,9

). Em relação aos agressores, são participantes afirmaram que são homens, com idade entre 19 e 25 anos, que não completaram o enxino fundamental, desempregados, de cor negra e na maioria estavam sob efeito de álcool e drogas. No que diz respeito às vítimas, os participantes apontaram a mulher como sendo maioria, com idade entre 19 e 25 anos, com ensino médio completo, trabalhando em atividade formal, de cor branca, não estando sob o efeito de álcool e drogas. E relação à leitura de jornal, 50,6

dos principantes afirmaram ter tal costume, porém relataram que seu principal veículo de informação é a televisão (54

). Concluiu-se: efetivamente os resultados apontaram que, questionadas sobre o fenômeno da violência, as pessoas recorrem aso esteriótiposenquanto estratégia heurística. Assim é que, enquanto avaros mentais, dentre as informações pedidas pelo instrumento, os indivíduos informaramos sinais considerados relevantes para ambos os perfis (agressor e vítima). De fato, para defender a identidade positiva desse mesmo grupo (vítimas), as pessoas construíram uma imagem positiva desse mesmo grupo em contraposição ao grupo dos agressores. Estas e outras conclusões sugerem a necessidade de estudos complementares(AU)