Megafaunal isotopes reveal role of increased moisture on rangeland during late Pleistocene extinctions.

The role of environmental change in the late Pleistocene megafaunal extinctions remains a key question, owing in part to uncertainty about landscape changes at continental scales. We investigated the influence of environmental changes on megaherbivores using bone collagen nitrogen isotopes (n = 684, 63 new) as a proxy for moisture levels in the rangelands that sustained late Pleistocene grazers. An increase in landscape moisture in Europe, Siberia and the Americas during the Last Glacial-Interglacial Transition (LGIT; ~25-10 kyr bp) directly affected megaherbivore ecology on four continents, and was associated with a key period of population decline and extinction. In all regions, the period of greatest moisture coincided with regional deglaciation and preceded the widespread formation of wetland environments. Moisture-driven environmental changes appear to have played an important part in the late Quaternary megafaunal extinctions through alteration of environments such as rangelands, which supported a large biomass of specialist grazers. On a continental scale, LGIT moisture changes manifested differently according to regional climate and geography, and the stable presence of grasslands surrounding the central forested belt of Africa during this period helps to explain why proportionally fewer African megafauna became extinct during the late Pleistocene.

Taxonomic review of the late Cenozoic megapodes (Galliformes: Megapodiidae) of Australia.

Megapodes are unusual galliform birds that use passive heat sources to incubate their eggs. Evolutionary relationships of extant megapode taxa have become clearer with the advent of molecular analyses, but the systematics of large, extinct forms (Progura gallinacea, Progura naracoortensis) from the late Cenozoic of Australia has been a source of confusion. It was recently suggested that the two species of Progura were synonymous, and that this taxon dwarfed into the extant malleefowl Leipoa ocellata in the Late Pleistocene. Here, we review previously described fossils along with newly discovered material from several localities, and present a substantial taxonomic revision. We show that P. gallinacea and P. naracoortensis are generically distinct, describe two new species of megapode from the Thylacoleo Caves of south-central Australia, and a new genus from Curramulka Quarry in southern Australia. We also show that L. ocellata was contemporaneous with larger species. Our phylogenetic analysis places four extinct taxa in a derived clade with the extant Australo-Papuan brush-turkeys Talegalla fuscirostris, L. ocellata, Alectura lathami and Aepypodius bruijnii. Therefore, diversity of brush-turkeys halved during the Quaternary, matching extinction rates of scrubfowl in the Pacific. Unlike extant brush-turkeys, all the extinct taxa appear to have been burrow-nesters.

Women's views and knowledge regarding healthcare seeking for gestational diabetes in the postpartum period: A systematic review of qualitative/survey studies.

AIM: To identify factors influencing postpartum healthcare seeking, from the perspective of women who have experienced gestational diabetes mellitus (GDM). METHODS: Systematic review that searched PubMed, Web of Science, EMBASE and CINAHL on 27th February 2013. Qualitative studies and surveys, with women as participants, which reported pre-specified outcomes, including barriers and facilitators to healthcare seeking for GDM after birth, were included. Two authors independently extracted data and assessed quality. Results were thematically synthesised. RESULTS: Forty-two studies were included, with data from 7949 women in several countries. The diagnosis of GDM was sometimes a concerning or upsetting experience. A need for more specific information about GDM to be available around the time of diagnosis was identified. Women had varied experiences of antenatal GDM care and management, ranging from very positive to difficult and confusing. Non-judgemental and positively focussed care was preferred. While women were often knowledgeable about type 2 diabetes risk and prevention, they faced multiple barriers to undertaking preventive behaviours. A need for lifestyle change support and more pro-active postpartum care was identified. CONCLUSIONS: Provision of improved GDM education, as well as positive and pro-active care from diagnosis until postpartum follow-up may increase healthcare seeking by women with recent GDM.

Vaccinations for waste-handling workers. A review of the literature.

A review of the literature relating to the need for vaccination against infectious disease in the solid waste industry was conducted, focusing on hepatitis A, hepatitis B and tetanus. Databases (Medline, PreMedline, EMBASE, CINAHL, Current Contents, Cochrane Database, HTA Database, DARE, OSHROM) were searched up to and including August 2003. Articles were included in the review if they reported the prevalence of immunity to hepatitis A, hepatitis B or tetanus in solid waste workers or the incidence of clinical infection with any of these diseases. Papers about hazardous or medical waste, incineration or other infectious diseases were excluded. Forty-four papers constituted the evidence database. Only one paper studied the prevalence of antibodies to hepatitis A and hepatitis B in solid waste workers compared with sewage plant workers and office workers, and no difference was found between these groups of workers. There was some evidence to support a theoretical risk of infection with hepatitis A, B and tetanus; however, no studies could be found of the risk of these diseases in solid waste workers. No single cases of these diseases being acquired occupationally in solid waste management were identified in the literature. Workers in the solid waste industry may theoretically be at increased risk of acquiring infectious diseases occupationally. However, at present no studies could be found which have documented this risk.