The abundance of yellow-legged gulls Larus michahellis breeding in the historic centre of Venice, Italy and the initial effects of the new waste collection policy on the population

The yellow-legged gull Larus michahellis has undergone widespread colonization of the urban environment in the recent past. The first urban breeding gulls were recorded in the historical centre of Venice, Italy, in 2000, and by 2005 there were already 24 roof-nesting pairs, with this number increasing significantly over the last decade. In 2016, a new door-to-door garbage collection system was introduced in Venice to prevent the accumulation of rubbish in the streets and limit the trophic resources available for the species. This study provides an up-to-date estimate of the Venice yellow-legged gull urban population using distance sampling method. We also studied the effect of the new waste collection system on the species by comparing the population estimate before (2017) and after (2018) the full implementation of this change and by analysing the trend of individuals collected in the old town by the wildlife recovery service during 2010–2018. Results estimated ca. 430 breeding pairs in June 2018 showing a 36% decrease with respect to 2017. We also found a decrease in the number of 1-year-old birds and pulli collected by the wildlife recovery service starting from 2016, when the policy implementation began. Our data did not show a significant decrease in the overall number of individuals, suggesting that the new policy has a stronger effect on the breeding success of the species than on adult survival. This study emphasizes the importance of preventing rubbish accumulation in the streets as factor for reducing the abundance of urban yellow-legged gulls.

Prevalence, predictors and outcome of carotid stenosis: a sub study in the Preventive Antibiotics in Stroke Study (PASS)

Background The prevalence of carotid artery stenosis (CAS) in acute ischaemic stroke (AIS) patients is historically reported at 15–20%, but an up-to-date estimate is lacking. We hypothesise it is lower than historically reported, due to better risk management to date. The study aims to study prevalence, predictors and survival of CAS in AIS patients. Methods We included patients with AIS from the Preventive Antibiotics in Stroke Study (PASS), a large Dutch randomized, multicentre, open-label phase III trial that included 2538 patients with acute stroke and randomised between standard care or preventive ceftriaxone. Patients with stroke in the anterior circulation that underwent diagnostic testing of the internal carotid artery (ICA) were eligible for this sub study and used in these secondary analyses. Logistic regression analyses were performed to identify predictors for CAS ≥ 50%. Additionally, an ordinal regression was performed to assess the association between presence of CAS at baseline and functional outcome at three months on the modified Rankin scale (mRS). Results 1480 patients with AIS were included; 277 had CAS (18.7%; 95%CI:17.7-19.7). Age, hypertension, smoking and male gender were found as best-fit predictors for presence of CAS. Significant shift in mRS score after 90 days for CAS ≥50% towards a higher mRS score with an OR of 1.66 (95% CI 1.30-2.10) was found. Conclusions Current prevalence of CAS is 18.7%, which is higher than we expected. Gender, smoking and hypertension are important factors associated with CAS. Patients with CAS had a significantly higher mRs score after 90 days. Trial registration Unique identifier:ISRCTN66140176

More than expected: the abundance of yellow-legged gulls Larus michahellis breeding in the historic centre of Venice and the initial effects of the new waste collection policy on the population

Yellow-legged gull, Larus michahellis, has undergone widespread colonization of the urban environment in recent past. Starting in 2000 this affected the historical centre of Venice, 24 roof-nesting pairs being recorded in 2005, with this number increasing significantly in the last decade. In 2016, the waste management company of Venice established a new door to door garbage collection system to prevent the accumulation of rubbish in the streets and limit the trophic resources available for the species. The study provides an up-to-date estimate of the urban population of yellow-legged gulls, using Distance Sampling method. We also studied the effect of the new system on the species by comparing the population estimate before and after the change and by analysing the trend of individuals collected in the old town by the service of wildlife recovery during 2010-2018. Results estimate 440 breeding pairs (95s% confidence interval: 326-593) in June 2018 and show a 34% decrease of breeding pairs in 2018 with respect to 2017, as well as a decrease in number of 1-year birds and pulli collected by wildlife recovery service starting from 2016, year of the policy implementation. Our data did not show a significant decrease in the overall number of individuals, suggesting the new policy has a stronger effect on the breeding success of the species than on adult survival. This study emphasizes the importance of preventing rubbish accumulation in the streets as factor for reducing the abundance of urban yellow-legged gulls.

Patency of ePTFE Arteriovenous Graft Placements in Hemodialysis Patients: Systematic Literature Review and Meta-Analysis

Arteriovenous grafts (AVGs) are an appropriate option for vascular access in certain hemodialysis patients. Expanded polytetrafluoroethylene (ePTFE) has become the dominant material for such grafts, due in part to innovations in graft design and surgical interventions to reduce complications and improve patency rates. Comprehensive evidence syntheses have not been conducted to update AVG performance in an era in which both access choice and ePTFE graft functioning may have changed. We conducted a systematic review and meta-analysis summarizing outcomes from recent studies of ePTFE AVGs in hemodialysis, following PRISMA standards. Literature searches were conducted in multiple databases to identify observational and interventional studies of AVG patency and infection risk. Primary, primary-assisted, and secondary patency rates were analyzed at 6, 12, 18, and 24 months postplacement. Kaplan–Meier graft survival plots were digitized to recreate individual patient-level data. Patency rates were pooled using a random effects model. We identified 32 studies meeting our selection criteria that were published from 2004 through 2019. A total of 38 study arms of ePTFE grafts were included, representing 3381 AVG accesses placed. The mean primary, primary-assisted, and secondary patency rates at 1 year were 41% (95% CI, 35% to 47%), 46% (95% CI, 41% to 51%), and 70% (95% CI, 64% to 75%), respectively. Mean 24-month patency rates were 28% (95% CI, 22% to 33%), 34% (95% CI, 27% to 41%), and 54% (95% CI, 47% to 61%), respectively. A high degree of heterogeneity across studies was observed. Overall risk of infection was not consistently reported, but among available studies the pooled estimate was 9% per patient-year (95% CI, 6% to 12%). This meta-analysis provides an up-to-date estimate of the performance of ePTFE AVGs, within the context of improved graft designs and improved interventional techniques.

Prevalence, predictors and outcome of carotid stenosis. A sub study in the Preventive Antibiotics in Stroke Study (PASS)

Background: The prevalence of carotid artery stenosis (CAS) in acute ischaemic stroke (AIS) patients is historically reported at 15-20%, but an up-to-date estimate is lacking. We hypothesise it is lower than historically reported, due to better risk management to date. The study aims to study prevalence, predictors and survival of CAS in AIS patients. Methods: We included patients with AIS from the Preventive Antibiotics in Stroke Study (PASS), a large Dutch randomized, multicentre, open-label phase III trial that included 2538 patients with acute stroke and randomised between standard care or preventive ceftriaxone. Patients with stroke in the anterior circulation that underwent diagnostic testing of the internal carotid artery (ICA) were eligible for this sub study and used in these secondary analyses. Logistic regression analyses were performed to identify predictors for CAS ≥50%. Additionally, an ordinal regression was performed to assess the association between presence of CAS at baseline and functional outcome at three months on the modified Rankin scale (mRS). Results: 1480 patients with AIS were included; 277 had CAS (18.7%; 95%CI:17.7-19.7). Age, hypertension, smoking and male gender were found as best-fit predictors for presence of CAS. Significant shift in mRS score after 90 days for CAS ≥50% towards a higher mRS score with an OR of 1.66 (95% CI 1.30-2.10) was found.Conclusions: Current prevalence of CAS is 18.7%, which is higher than we expected. Gender, smoking and hypertension are important factors associated with CAS. Patients with CAS had a significantly higher mRs score after 90 days. Clinical Trial Registration-URL: https://doi.org/10.1186/ISRCTN66140176 Unique identifier: ISRCTN66140176

Incidence of interval breast cancer among women aged 45–49 in an organised mammography screening setting

Objective To estimate the proportional incidence (PI) of first- and second-year interval breast cancer among women aged 45–49. Methods In the Emilia-Romagna Region (northern Italy), women aged 45–49 are invited to mammography screening annually, and women aged 50–74 biennially. For younger ones, the proportional incidence of interval cancer in the first and unique interval year was calculated using standard methods. For the second, hypothetical year, it was estimated using two different estimates of the ratio between the second- and the first-year proportional incidence observed among women aged 50–54. Overall, 567,151 negative mammography records were used. Results In the first interval year, the observed proportional incidence of interval cancer among women aged 45–49 was 0.27 (95% confidence interval (CI), 0.22–0.33), within the European limit considered desirable for women aged 50–69 (<0.30). In the second, hypothetical interval year, the estimated proportional incidence ranged from 0.61 (95% CI, 0.43–0.86) to 0.48 (95% CI, 0.31–0.76) depending on whether the estimate was based on data from the pre-digital or digital era, respectively. Conclusion The more up-to-date estimate of 0.48, slightly below the maximum limit considered acceptable for women aged 50–69 (<0.50), suggests that a screening interval of two years may also be an acceptable option for women aged 45–49.

Prevalence, predictors and outcome of carotid stenosis. A sub study in the Preventive Antibiotics in Stroke Study (PASS)

Background:The prevalence of carotid artery stenosis (CAS) in acute ischaemic stroke (AIS) patients is historically reported at 15-20%, but an up-to-date estimate is lacking. We hypothesise it is lower than historically reported, due to better risk management to date. The study aims to study prevalence, predictors and survival of CAS in AIS patients. Methods:We included patients with AIS from the Preventive Antibiotics in Stroke Study (PASS), a large Dutch randomized, multicentre, open-label phase III trial that included 2538 patients with acute stroke and randomised between standard care or preventive ceftriaxone. Patients with stroke in the anterior circulation that underwent diagnostic testing of the internal carotid artery (ICA) were eligible for this sub study and used in these secondary analyses. Logistic regression analyses were performed to identify predictors for CAS ≥50%. Additionally, an ordinal regression was performed to assess the association between presence of CAS at baseline and functional outcome at three months on the modified Rankin scale (mRS). Results:1480 patients with AIS were included; 277 had CAS (18.7%; 95%CI:17.7-19.7). Age, hypertension, smoking and male gender were found as best-fit predictors for presence of CAS. Significant shift in mRS score after 90 days for CAS ≥50% towards a higher mRS score with an OR of 1.66 (95% CI 1.30-2.10) was found.Conclusions:Current prevalence of CAS is 18.7%, which is higher than we expected. Gender, smoking and hypertension are important factors associated with CAS. Patients with CAS had a significantly higher mRs score after 90 days. Clinical Trial Registration-URL: https://doi.org/10.1186/ISRCTN66140176 Unique identifier: ISRCTN66140176

The association between depression and later educational attainment in children and adolescents: a systematic review protocol

IntroductionDepression represents a major public health concern for children and adolescents, and is thought to negatively impact subsequent educational attainment. However, the extent to which depression and educational attainment are directly associated, and whether other factors play a role, is uncertain. Therefore, we aim to systematically review the literature to provide an up-to-date estimate on the strength of this association, and to summarise potential mediators and moderators on the pathway between the two.Methods and analysisTo identify relevant studies, we will systematically search Embase, PsycINFO, PubMed, Education Resources Information Centre and British Education Index, manually search reference lists and contact experts in the field. Studies will be included if they investigate and report on the association between major depression diagnosis or depressive symptoms in children and adolescents aged 4–18 years (exposure) and later educational attainment (outcome). Two independent reviewers will screen titles, abstracts and full texts according to eligibility criteria, perform data extraction and assess study quality according to a modified version of the Newcastle-Ottawa Scale. If sufficiently homogeneous studies are identified, summary effect estimates will be pooled in meta-analysis, with further tests for study heterogeneity, publication bias and the effects of moderators using meta-regression.Ethics and disseminationBecause this review will make use of already published data, ethical approval will not be sought. The review will be submitted for publication in a peer-reviewed journal, presented at practitioner-facing conferences, and a lay summary will be written for non-scientific audiences such as parents, young people and teachers. The work will inform upcoming investigations on the association between child and adolescent mental health and educational attainment.PROSPERO registration numberCRD42019123068

HEALTH RISK ASSESSMENT OF HEAVY METALS IN URBAN SOIL

Rapid industrialization and modernization of urban cities has resulted to serious environmental contamination by metals, as a result the exposed inhabitants experienced health consequences. Therefore health risk assessment through multiple pathways is required for the health safety of the population. However, few studies to date estimate the health risk of heavy metals via different pathways on urban soils. Samples of urban soils were collected from urban environments of Petaling Jaya, and were analysed for As, Cd, Cr, Cu and Pb. The health risks for adults as a result of ingestion, dermal and inhalation exposure were then estimated. The results showed that the urban soils were polluted with these metals. This could be due to anthropoenic input. The concentration of the metals in soils follows the decreasing order Pb > As > Cr > Cu and Cd. Ingestion is the main route for exposure to heavy metals. Both the carcinogenic and non-carcinogenic risk values are within the permissible limits. Adults could be vulnerable to non-carcinogenic health risk (HI) on exposure to As in urban soil. Keyword: health risk, heavy metals, soils, dusts

Updates to the zoonotic niche map of Ebola virus disease in Africa

As the outbreak of Ebola virus disease (EVD) in West Africa is now contained, attention is turning from control to future outbreak prediction and prevention. Building on a previously published zoonotic niche map (<xref ref-type="bibr" rid="bib27">Pigott et al., 2014</xref>), this study incorporates new human and animal occurrence data and expands upon the way in which potential bat EVD reservoir species are incorporated. This update demonstrates the potential for incorporating and updating data used to generate the predicted suitability map. A new data portal for sharing such maps is discussed. This output represents the most up-to-date estimate of the extent of EVD zoonotic risk in Africa. These maps can assist in strengthening surveillance and response capacity to contain viral haemorrhagic fevers.