Climate change alters social-ecological trade-offs in achieving ocean futures' targets.

The effects of climate change on marine ecosystems are causing cascading impacts on livelihood, food security, and culture through fisheries. Such impacts interact and exacerbate the effects of overfishing on marine social-ecological systems, complicating the rebuilding of ecosystems to achieve desirable and sustainable ocean futures. Developing effective pathways for ecosystem rebuilding requires consideration of the co-benefits and trade-offs between ecological and social dimensions and between fishing sectors. However, the effects of intensifying climate change on such co-benefits or trade-offs are yet to be well understood, particularly in regions where ecosystem rebuilding is urgently needed. We applied a numerical optimization routine to define the scope for improvement toward the Pareto-frontier for ecological robustness and economic benefits of the northern South China Sea (NSCS) and the East China Sea (ECS) ecosystems. These two ecosystems were used to represent over-exploited low- and mid-latitude systems, respectively, and the optimization aimed to improve their status through fisheries management. We find that the ECS ecosystem has the possibility of increasing the economic benefits generated by the fisheries it supports under climate change by 2050 while increasing the uncertainty of achieving biodiversity objectives. Nevertheless, climate change is projected to reduce the scope to restore ecosystem structures and the potential economic benefits in the NSCS ecosystem. This study highlights the contrasting impacts of climate change on the co-benefits/trade-offs in ecosystem rebuilding and the benefits obtainable by different fishing sectors even in neighboring ecosystems. We conclude that consideration at the nexus of climate-biodiversity-fisheries is a key to developing effective ecosystem rebuilding plan.

Large potential impacts of marine heatwaves on ecosystem functioning.

Ocean warming is driving significant changes in the structure and functioning of marine ecosystems, shifting species' biogeography and phenology, changing body size and biomass and altering the trophodynamics of the system. Particularly, extreme temperature events such as marine heatwaves (MHWs) have been increasing in intensity, duration and frequency. MHWs are causing large-scale impacts on marine ecosystems, such as coral bleaching, mass mortality of seagrass meadows and declines in fish stocks and other marine organisms in recent decades. In this study, we developed and applied a dynamic version of the EcoTroph trophodynamic modelling approach to study the cascading effects of individual MHW on marine ecosystem functioning. We simulated theoretical user-controlled ecosystems and explored the consequences of various assumptions of marine species mortality along the food web, associated with different MHW intensities. We show that an MHW can lead to a significant biomass reduction of all consumers, with the severity of the declines being dependent on species trophic levels (TLs) and biomes, in addition to the characteristics of MHWs. Biomass of higher TLs declines more than lower TLs under an MHW, leading to changes in ecosystem structure. While tropical ecosystems are projected to be sensitive to low-intensity MHWs, polar and temperate ecosystems are expected to be impacted by more intense MHWs. The estimated time to recover from MHW impacts is twice as long for polar ecosystems and one-third longer for temperate biomes compared with tropical biomes. This study highlights the importance of considering extreme weather events in assessing the effects of climate change on the structures and functions of marine ecosystems.

The Provision and Perceptions of Telemedicine Services Among Traditional Chinese Medicine Practitioners During COVID-19: A Cross-Sectional Study in Hong Kong, China.

Objectives: Telemedicine has been widely used during the COVID-19 pandemic. Among other health care professionals, Chinese medicine practitioners (CMPs) face practical challenges in providing telemedicine consultations. This study aims to explore CMPs' experience and perceptions of telemedicine service provision before and during the pandemic. Methods: A territory-wide cross-sectional online survey was conducted in Hong Kong between April and May 2022. A structured questionnaire with open-ended questions was used to investigate the provision of and perception on telemedicine service, as well as usability of telemedicine among CMPs. Results: A total of 195 CMPs participated the survey. Before COVID-19, 42% (81/195) had been providing telemedicine services, and the proportion doubled during COVID-19. CMPs in the private sector are the main providers. Mobile apps including WhatsApp, WeChat, and Zoom were commonly used for consultations (75%, 120/161). Barriers in providing telemedicine included inability of conducting physical examination on patients (69%, 134/195), legal and ethical concerns over medical negligence (61%, 118/195), and patients' incompetence on e-literacy (50%, 98/195). Respondents urged professional and regulatory bodies to provide an explicit clinical guideline that demonstrate best practice in traditional Chinese medicine telemedicine, and to clarify legal and ethical implications of such practice. Conclusions: CMPs demonstrated their competency in telemedicine, and most of them provided telemedicine during COVID-19. Development of appropriate guidelines on the provision of telemedicine would support CMPs to continue provision after the pandemic, whereas a user-friendly and comprehensive telemedicine e-platform would enhance quality of such service. Facilitating patients with lower e-literacy to access telemedicine is key to reduce disparities.

Cointegrations in house price dynamics and ageing population risks.

How does the riskiness of an ageing population change with house price dynamics of rural areas? Why do rural house prices increase faster than cities despite their ageing populations? Life cycle theory predicts working age households have higher demand for housing than retirement households. An issue that has seen much less attention in the literature is that rural house prices have been increasing despite their populations age rapidly. To answer these issues, our paper introduces an empirical cointegration-based framework designed to be flexible for empirical settings. Our cointegration framework reveals crucial information about rural housing and ageing which has not been found previously: the short-term deviation of house prices from cointegration restrictions is a strong predictor of future rural house prices and migration rate from 1 to 4 year ahead. This is not the case for urban areas nor where cointegration restrictions are being ignored. Rural house prices, not urban ones, are the key to understand this cointegration restriction. Our framework is pertinent to most ageing societies with available housing and demographic data. When a government formulates macroprudential policies internalizing these cointegration restrictions and supporting rural developments, migration into rural areas and population increases are possible. Our evidence highlights the importance of cointegration-based long-run ageing risks for rural housing markets.

A traits-based approach to assess aquaculture's contributions to food, climate change, and biodiversity goals.

Aquaculture has the potential to support a sustainable and equitable food system in line with the United Nations Sustainable Development Goals (SDG) on food security, climate change, and biodiversity (FCB). Biological diversity amongst aquaculture organisms can drive diverse contributions to such goals. Existing studies have assessed the performance of a limited number of taxa in the general context of improving aquaculture production, but few explicitly consider the biological attributes of farmed aquatic taxa at the FCB nexus. Through a systematic literature review, we identify key traits associated with FCB and evaluate the potential of aquaculture to contribute to FCB goals using a fuzzy logic model. The majority of identified traits are associated with food security, and two-thirds of traits linked with food security are also associated with climate change or biodiversity, revealing potential co-benefits of optimizing a single trait. Correlations between FCB indices further suggest that challenges and opportunities in aquaculture are intertwined across FCB goals, but low mean FCB scores suggest that the focus of aquaculture research and development on food production is insufficient to address food security, much less climate or biodiversity issues. As expected, production-maximizing traits (absolute fecundity, the von Bertalanffy growth function coefficient K, macronutrient density, maximum size, and trophic level as a proxy for feed efficiency) highly influence a species' FCB potential, but so do species preferences for environmental conditions (tolerance to phosphates, nitrates, and pH levels, as well as latitudinal and geographic ranges). Many highly farmed species that are typically associated with food security, especially finfish, score poorly for food, climate, and biodiversity potential. Algae and mollusc species tend to perform well across FCB indices, revealing the importance of non-fish species in achieving FCB goals and potential synergies in integrated multi-trophic aquaculture systems. Overall, this study provides decision-makers with a biologically informed assessment of desirable aquaculture traits and species while illuminating possible strategies to increase support for FCB goals. Our findings can be used as a foundation for studying the socio-economic opportunities and barriers for aquaculture transitions to develop equitable pathways toward FCB-positive aquaculture across nuanced regional contexts.

Plasma-Induced Changes in the Metabolome Following Vistula Tart Cherry Consumption.

Evidence suggests that tart cherry (TC) supplementation has beneficial effects on health indices and recovery following strenuous exercise. However, little is known about the mechanisms and how TC might modulate the human metabolome. The aim of this study was to evaluate the influence of an acute high- and low-dose of Vistula TC supplementation on the metabolomic profile in humans. In a randomised, double-blind, placebo controlled, cross-over design, 12 healthy participants (nine male and three female; mean ± SD age, stature, and mass were 29 ± 7 years old, 1.75 ± 0.1 m, and 77.3 ± 10.5 kg, respectively) visited the laboratory on three separate occasions (high dose; HI, low dose; LO, or placebo), separated by at least seven days. After an overnight fast, a baseline venous blood sample was taken, followed by consumption of a standardised breakfast and dose conditions (HI, LO, or placebo). Subsequent blood draws were taken 1, 2, 3, 5, and 8 h post consumption. Following sample preparation, an untargeted metabolomics approach was adopted, and the extracts analysed by LCMS/MS. When all time points were collated, a principal component analysis showed a significant difference between the conditions (p < 0.05), such that the placebo trial had homogeneity, and HI showed greater heterogeneity. In a sub-group analysis, cyanidine-3-O-glucoside (C3G), cyanidine-3-O-rutinoside (C3R), and vanillic acid (VA) were detected in plasma and showed significant differences (p < 0.05) following acute consumption of Vistula TC, compared to the placebo group. These results provide evidence that phenolics are bioavailable in plasma and induce shifts in the metabolome following acute Vistula TC consumption. These data could be used to inform future intervention studies where changes in physiological outcomes could be influenced by metabolomic shifts following acute supplementation.

Exploiting residual cocoa biomass to extract advanced materials as building blocks for manufacturing nanoparticles aimed at alleviating formation-induced oxidative stress on human dermal fibroblasts.

The global adoption of by-product valorisation processes aligns with the circular economy framework, ensuring sustainability in the agricultural sector. In cocoa production, residual biomass can offer the opportunity to extract advanced materials, contributing to nanotherapeutic solutions for biomedical applications. This study explores extraction processes for valorising cocoa pod husks (CPHs) and optimising valuable cocoa-derived biocompounds for enhanced health benefits. Various extraction processes are compared, revealing the significant influence of CPH powder amount and extraction time. Furthermore, metabolic analysis identifies 124 compounds in the metabolite mix, including tartaric acid, gluconic acid and bioactive agents with antioxidant properties, resulting in a high total phenolic content of 3.88 ± 0.06 mg g-1. Moreover, the extracted pectin, obtained through alkaline and enzymatic routes, shows comparable yields but exhibits superior antioxidant capacity compared to commercial pectin. The study progresses to using these extracted biocompounds to develop Layer-by-Layer multifunctionalised nanoparticles (LbL-MNPs). Physico-chemical characterisation via ζ-potential, FTIR-ATR, and XPS confirms the successful multilayer coating on mesoporous silica nanoparticles (MNPs). TEM analysis demonstrates a uniform and spherical nanoparticle morphology, with a size increase after coating. In vitro biological characterisation with neo-dermal human fibroblast cells reveals enhanced metabolic activity and biocompatibility of LbL-MNPs compared to bare MNPs. Also, the engineered nanoparticles demonstrate a protective effect against H2O2-induced intracellular oxidative stress on human dermal fibroblast cell lines, showcasing their potential as antioxidant carriers for biomedical applications.

Case Report: Taxifolin for neurosurgery-associated early-onset cerebral amyloid angiopathy.

Cases of iatrogenic cerebral amyloid angiopathy (CAA) have been increasingly reported recently, particularly those associated with neurosurgery. Preclinical studies have shown taxifolin to be promising for treating CAA. We describe a young 42-year-old man with a history of childhood traumatic brain injury that required a craniotomy for hematoma evacuation. He later presented with recurrent lobar intracerebral hemorrhage (ICH) decades later, which was histologically confirmed to be CAA. Serial 11C-Pittsburgh compound B positron emission tomography (11C-PiB-PET) imaging showed a 24% decrease in global standardized uptake value ratio (SUVR) at 10 months after taxifolin use. During this period, the patient experienced clinical improvement with improved consciousness and reduced recurrent ICH frequency, which may be partly attributable to the potential amyloid-ß (Aß) clearing the effect of taxifolin. However, this effect seemed to have diminished at 15 months, CAA should be considered in young patients presenting with recurrent lobar ICH with a history of childhood neurosurgery, and serial 11C-PiB-PET scans warrant further validation as a strategy for monitoring treatment response in CAA for candidate Aß-clearing therapeutic agents such as taxifolin.