Begriffe und Konzepte
In: Arendt-Handbuch, S. 263-339
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In: Arendt-Handbuch, S. 263-339
During the ADRIMED (Aerosol Direct Radiative Impact on the regional climate in the Mediterranean region) special observation period (SOP-1a), conducted in June 2013 in the framework of the ChArMEx (Chemistry-Aerosol Mediterranean Experiment) project, a moderate Saharan dust event swept the Western and Central Mediterranean Basin (WCMB) from west to east during a 9-day period between 16 and 24 June. This event was monitored from the ground by six EARLINET/ACTRIS (European Aerosol Research Lidar Network/Aerosols, Clouds, and Trace gases Research Infrastructure Network) lidar stations (Granada, Barcelona, Naples, Potenza, Lecce and Serra la Nave) and two ADRIMED/ChArMEx lidar stations specially deployed for the field campaign in Cap d'en Font and Ersa, in Minorca and Corsica Islands, respectively. The first part of the study shows the spatio-temporal monitoring of the dust event during its transport over the WCMB with ground-based lidar and co-located AERONET (Aerosol Robotic Network) Sun-photometer measurements. Dust layer optical depths, Ångström exponents, coarse mode fractions, linear particle depolarization ratios (LPDRs), dust layer heights and the dust radiative forcing estimated in the shortwave (SW) and longwave (LW) spectral ranges at the bottom of the atmosphere (BOA) and at the top of the atmosphere (TOA) with the Global Atmospheric Model (GAME), have been used to characterize the dust event. Peak values of the AERONET aerosol optical depth (AOD) at 440 nm ranged between 0.16 in Potenza and 0.37 in Cap d'en Font. The associated Ångström exponent and coarse mode fraction mean values ranged from 0.43 to 1.26 and from 0.25 to 0.51, respectively. The mineral dust produced a negative SW direct radiative forcing at the BOA ranging from −56.9 to −3.5 W m−2. The LW radiative forcing at the BOA was positive, ranging between +0.3 and +17.7 W m-2. The BOA radiative forcing estimates agree with the ones reported in the literature. At the TOA, the SW forcing varied between −34.5 and +7.5 W m−2. In seven cases, the forcing at the TOA resulted positive because of the aerosol strong absorbing properties (0.83 < single-scattering albedo (SSA) < 0.96). The multi-intrusion aspect of the event is examined by means of air- and space-borne lidar measurements, satellite images and back trajectories. The analysis reported in this paper underline the arrival of a second different intrusion of mineral dust observed over southern Italy at the end of the considered period which probably results in the observed heterogeneity in the dust properties. ; Spanish Ministry of Economy and Competitiveness (project TEC2012-34575 and TEC2015-63832-P) ; Science and Innovation (project UNPC10-4E-442) ; Andalusia Regional Government through projects P12-RNM-2409 and P10-RNM-6299
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Since its emergence in the 1990s, the field of Urban Political Ecology (UPE) has focused on unsettling traditional understandings of the 'city' as entirely distinct from nature, showing instead how cities are metabolically linked with ecological processes and the flow of resources. More recently, a new generation of scholars has turned the focus towards the climate emergency. Turning up the heat seeks to turn UPE's critical energies towards a politically engaged debate over the role of extensive urbanisation in addressing socio-environmental equality in the context of climate change.The collection brings together theoretical discussions and rigorous empirical analysis by key scholars spanning three generations, engaging UPE in current debates about urbanisation and climate change. Engaging with cutting edge approaches including feminist political ecology, circular economies, and the Anthropocene, case studies in the book range from Singapore and Amsterdam to Nairobi and Vancouver. Contributors make the case for a UPE better informed by situated knowledges: an embodied UPE that pays equal attention to the role of postcolonial processes and more-than-human ontologies of capital accumulation within the context of the climate emergency. Acknowledging UPE's rich intellectual history and aiming to enrich rather than split the field, Turning up the heat reveals how UPE is ideally positioned to address contemporary environmental issues in theory and practice
Grapevines are challenged by a range of diseases and pests, causing economic losses and requiring often costly approaches to mitigate damage. Public interest in reducing the use of chemicals is a related challenge, along with climate change. Yet, the Vitis gene pool provides vast resources for the development of genetic resistance in rootstock and scion cultivars. Traditional breeding approaches have made great strides in the development of adaptive traits, and recent access to 'omic technologies has further facilitated the identification of useful loci along with rapid trait introgression from wild species. Moreover, marker technologies are now used to stack multiple genes for the same trait into a single genotype, a heretofore barely accessible technology. Genomic technologies are also impacting germplasm characterization, and thereby facilitating "Breeding by Design" approaches. Genetic transformation and gene-editing technologies are also applicable for both cultivar improvement as well as functional studies of genes. The landscape for acceptance of new resistant cultivars is complex and with wine grapes, subject to high degrees of regulation especially in the European Union. With rootstocks, as well as table/raisin grapes, gaining acceptance in the marketplace for new cultivars developed through either traditional or marker-assisted approaches is routine. Yet even in the highly regulated EU environment, the adoption of new wine cultivars of interspecific origins is beginning to take place in both traditional wine growing regions as well as non-traditional regions nearby.
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Il volume tende all'esame approfondito del complessivo disegno regolatore oggi universalmente conosciuto come Jobs Act : di conseguenza, ripercorrere, come si cercherà di fare nelle pagine che seguono, la trama dell'opera e gli istituti introdotti o modfiicati dal legislatore significa riavvolgere l'ordito della riforma attorno ad un unico, forse immaginario, file rouge.
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Systematic measurements of dust concentration profiles at a continental scale were recently made possible by the development of synergistic retrieval algorithms using combined lidar and sun photometer data and the establishment of robust remote-sensing networks in the framework of Aerosols, Clouds, and Trace gases Research InfraStructure Network (ACTRIS)/European Aerosol Research Lidar Network (EARLINET). We present a methodology for using these capabilities as a tool for examining the performance of dust transport models. The methodology includes considerations for the selection of a suitable data set and appropriate metrics for the exploration of the results. The approach is demonstrated for four regional dust transport models (BSC-DREAM8b v2, NMMB/BSC-DUST, DREAMABOL, DREAM8-NMME-MACC) using dust observations performed at 10 ACTRIS/EARLINET stations. ; The financial support of the ACTRIS Research Infrastructure Project supported by the European Union Seventh Framework Programme (FP7/2007-2013) under grant agreement no. 262254 is gratefully acknowledged. This project has also received funding from the European Union's Seventh Framework Programme for research, technological development and demonstration under grant agreement no. 289923 – ITaRS. S. Basart and J. M. Baldasano acknowledge the CICYT project (CGL2010-19652 and CGL2013-46736) and Severo Ochoa (SEV- 2011-00067) programme of the Spanish Government. This program has received funding from the Ministry of Education and Science of the Republic of Serbia through project III43007.
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Systematic measurements of dust concentration profiles at a continental scale were recently made possible by the development of synergistic retrieval algorithms using combined lidar and sun photometer data and the establishment of robust remote-sensing networks in the framework of Aerosols, Clouds, and Trace gases Research InfraStructure Network (ACTRIS)/European Aerosol Research Lidar Network (EARLINET). We present a methodology for using these capabilities as a tool for examining the performance of dust transport models. The methodology includes considerations for the selection of a suitable data set and appropriate metrics for the exploration of the results. The approach is demonstrated for four regional dust transport models (BSC-DREAM8b v2, NMMB/BSC-DUST, DREAMABOL, DREAM8-NMME-MACC) using dust observations performed at 10 ACTRIS/EARLINET stations. ; The financial support of the ACTRIS Research Infrastructure Project supported by the European Union Seventh Framework Programme (FP7/2007-2013) under grant agreement no. 262254 is gratefully acknowledged. This project has also received funding from the European Union's Seventh Framework Programme for research, technological development and demonstration under grant agreement no. 289923 – ITaRS. S. Basart and J. M. Baldasano acknowledge the CICYT project (CGL2010-19652 and CGL2013-46736) and Severo Ochoa (SEV- 2011-00067) programme of the Spanish Government. This program has received funding from the Ministry of Education and Science of the Republic of Serbia through project III43007.
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The dataset provides the complete enumeration of gambling policies implemented by Italian Municipalities between 2003 and 2021. The dataset comprises information on all municipalities existing in 2017 and following years (thus considering also merging). The following variables are available: Municipality ISTAT Code (ID), Municipality Name (Name) Province, Region, Researcher, and a series of variables identifying the number and the type of rulings adopted ("regolamento", "ordinanza" and "delibera"). The rulings are distinguished between identified and downloaded or only identified (because the document is no longer available). Additional variables describe municipal activism with other administrative acts (Anti-gambling Manifesto, events, projects or tax reductions). Overall, the dataset comprises 8031 units.
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Cardiovascular disease (CVD) due to atherosclerosis of the arterial vessel wall and to thrombosis is the foremost cause of premature mortality and of disability-adjusted life years (DALYs) in Europe, and is also increasingly common in developing countries.1 In the European Union, the economic cost of CVD represents annually E192 billion1 in direct and indirect healthcare costs. The main clinical entities are coronary artery disease (CAD), ischaemic stroke, and peripheral arterial disease (PAD). The causes of these CVDs are multifactorial. Some of these factors relate to lifestyles, such as tobacco smoking, lack of physical activity, and dietary habits, and are thus modifiable. Other risk factors are also modifiable, such as elevated blood pressure, type 2 diabetes, and dyslipidaemias, or non-modifiable, such as age and male gender. These guidelines deal with the management of dyslipidaemias as an essential and integral part of CVD prevention. Prevention and treatment of dyslipidaemias should always be considered within the broader framework of CVD prevention, which is addressed in guidelines of the Joint European Societies' Task forces on CVD prevention in clinical practice.2 - 5 The latest version of these guidelines was published in 20075; an update will become available in 2012. These Joint ESC/European Atherosclerosis Society (EAS) guidelines on the management of dyslipidaemias are complementary to the guidelines on CVD prevention in clinical practice and address not only physicians [e.g. general practitioners (GPs) and cardiologists] interested in CVD prevention, but also specialists from lipid clinics or metabolic units who are dealing with dyslipidaemias that are more difficult to classify and treat. ; Peer reviewed
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Novel species of fungi described in this study include those from various countries as follows: Angola, Gnomoniopsis angolensis and Pseudopithomyces angolensis on unknown host plants. Australia, Dothiora corymbiae on Corymbia citriodora, Neoeucasphaeria eucalypti (incl. Neoeucasphaeria gen. nov.)on Eucalyptus sp., Fumagopsis stellae on Eucalyptus sp., Fusculina eucalyptorum (incl. Fusculinaceae fam. nov.) on Eucalyptus socialis, Harknessia corymbiicola on Corymbia maculata, Neocelosporium eucalypti (incl. Neocelosporium gen. nov., Neocelosporiaceae fam. nov. and Neocelosporiales ord. nov.) on Eucalyptus cyanophylla, Neophaeomoniella corymbiae on Corymbia citriodora, Neophaeomoniella eucalyptigena on Eucalyptus pilularis, Pseudoplagiostoma corymbiicola on Corymbia citriodora, Teratosphaeria gracilis on Eucalyptus gracilis, Zasmidium corymbiae on Corymbia citriodora. Brazil, Calonectria hemileiae on pustules of Hemileia vastatrix formed on leaves of Coffea arabica, Calvatia caatinguensis on soil, Cercospora solani-betacei on Solanum betaceum, Clathrus natalensis on soil, Diaporthe poincianellae on Poincianella pyramidalis, Geastrum piquiriunense on soil, Geosmithia carolliae on wing of Carollia perspicillata, Henningsia resupinata on wood, Penicillium guaibinense from soil, Periconia caespitosa from leaf litter, Pseudocercospora styracina on Styrax sp., Simplicillium filiforme as endophyte from Citrullus lanatus, Thozetella pindobacuensis on leaf litter, Xenosonderhenia coussapoae on Coussapoa floccosa. ; Canary Islands (Spain), Orbilia amarilla on Euphorbia canariensis. Cape Verde Islands, Xylodon jacobaeus on Eucalyptus camaldulensis. Chile, Colletotrichum arboricola on Fuchsia magellanica. Costa Rica, Lasiosphaeria miniovina ontreebranch. Ecuador, Ganoderma chocoense ontreetrunk. France, Neofitzroyomyces nerii (incl. Neofitzroyomyces gen. nov.) on Nerium oleander. Ghana, Castanediella tereticornis on Eucalyptus tereticornis, Falcocladium africanum on Eucalyptus brassiana, Rachicladosporium corymbiae on Corymbia citriodora. Hungary, Entoloma silvae-frondosae in Carpinus betulus-Pinus sylvestris mixedforest. Iran, Pseudopyricularia persiana on Cyperus sp. Italy, Inocybe roseascens onsoilinmixedforest. Laos, Ophiocordyceps houaynhangensis on Coleoptera larva. Malaysia, Monilochaetes melastomae on Melastoma sp. Mexico, Absidia terrestris fromsoil. Netherlands, Acaulium pannemaniae, Conioscypha boutwelliae, Fusicolla septimanifiniscientiae, Gibellulopsis simonii, Lasionectria hilhorstii, Lectera nordwiniana, Leptodiscella rintelii, Parasarocladium debruynii and Sarocladium dejongiae (incl. Sarocladiaceae fam. nov.) fromsoil. New Zealand, Gnomoniopsis rosae on Rosa sp. and Neodevriesia metrosideri on Metrosideros sp. Puerto Rico, Neodevriesia coccolobae on Coccoloba uvifera, Neodevriesia tabebuiae and Alfaria tabebuiae on Tabebuia chrysantha . Russia, Amanita paludosa on bogged soil in mixed deciduous forest, Entoloma tiliae in forest of Tilia × europaea, Kwoniella endophytica on Pyrus communis. ; South Africa, Coniella diospyri on Diospyros mespiliformis, Neomelanconiella combreti (incl. Neomelanconiellaceae fam. nov. and Neomelanconiella gen. nov.)on Combretum sp., Polyphialoseptoria natalensis on unidentified plant host, Pseudorobillarda bolusanthi on Bolusanthus speciosus, Thelonectria pelargonii on Pelargonium sp. Spain, Vermiculariopsiella lauracearum and Anungitopsis lauri on Laurus novocanariensis, Geosmithia xerotolerans from a darkened wall of a house, Pseudopenidiella gallaica on leaf litter. Thailand, Corynespora thailandica on wood, Lareunionomyces loeiensis on leaf litter, Neocochlearomyces chromolaenae (incl. Neocochlearomyces gen. nov.) on Chromolaena odorata, Neomyrmecridium septatum (incl. Neomyrmecridium gen. nov .), Pararamichloridium caricicola on Carex sp., Xenodactylaria thailandica (incl. Xenodactylariaceae fam. nov. and Xenodactylaria gen. nov.), Neomyrmecridium asiaticum and Cymostachys thailandica fromunidentifiedvine. USA, Carolinigaster bonitoi (incl. Carolinigaster gen. nov.)fromsoil, Penicillium fortuitum from house dust, Phaeotheca shathenatiana (incl. Phaeothecaceae fam. nov.) from twig and cone litter, Pythium wohlseniorum from stream water, Superstratomyces tardicrescens from human eye, Talaromyces iowaense from officeair. Vietnam, Fistulinella olivaceoalba onsoil. Morphological and culture characteristics along with DNA barcodes are provided Novel species of fungi described in this study include those from various countries as follows: Angola, Gnomoniopsis angolensis and Pseudopithomyces angolensis on unknown host plants. Australia, Dothiora corymbiae on Corymbia citriodora, Neoeucasphaeria eucalypti (incl. Neoeucasphaeria gen. nov.)on Eucalyptus sp., Fumagopsis stellae on Eucalyptus sp., Fusculina eucalyptorum (incl. Fusculinaceae fam. nov.) on Eucalyptus socialis, Harknessia corymbiicola on Corymbia maculata, Neocelosporium eucalypti (incl. Neocelosporium gen. nov., Neocelosporiaceae fam. nov. and Neocelosporiales ord. nov.) on Eucalyptus cyanophylla, Neophaeomoniella corymbiae on Corymbia citriodora, Neophaeomoniella eucalyptigena on Eucalyptus pilularis, Pseudoplagiostoma corymbiicola on Corymbia citriodora, Teratosphaeria gracilis on Eucalyptus gracilis, Zasmidium corymbiae on Corymbia citriodora. Brazil, Calonectria hemileiae on pustules of Hemileia vastatrix formed on leaves of Coffea arabica, Calvatia caatinguensis on soil, Cercospora solani-betacei on Solanum betaceum, Clathrus natalensis on soil, Diaporthe poincianellae on Poincianella pyramidalis, Geastrum piquiriunense on soil, Geosmithia carolliae on wing of Carollia perspicillata, Henningsia resupinata on wood, Penicillium guaibinense from soil, Periconia caespitosa from leaf litter, Pseudocercospora styracina on Styrax sp., Simplicillium filiforme as endophyte from Citrullus lanatus, Thozetella pindobacuensis on leaf litter, Xenosonderhenia coussapoae on Coussapoa floccosa. ; Canary Islands (Spain), Orbilia amarilla on Euphorbia canariensis. Cape Verde Islands, Xylodon jacobaeus on Eucalyptus camaldulensis. Chile, Colletotrichum arboricola on Fuchsia magellanica. Costa Rica, Lasiosphaeria miniovina ontreebranch. Ecuador, Ganoderma chocoense ontreetrunk. France, Neofitzroyomyces nerii (incl. Neofitzroyomyces gen. nov.) on Nerium oleander. Ghana, Castanediella tereticornis on Eucalyptus tereticornis, Falcocladium africanum on Eucalyptus brassiana, Rachicladosporium corymbiae on Corymbia citriodora. Hungary, Entoloma silvae-frondosae in Carpinus betulus-Pinus sylvestris mixedforest. Iran, Pseudopyricularia persiana on Cyperus sp. Italy, Inocybe roseascens onsoilinmixedforest. Laos, Ophiocordyceps houaynhangensis on Coleoptera larva. Malaysia, Monilochaetes melastomae on Melastoma sp. Mexico, Absidia terrestris fromsoil. Netherlands, Acaulium pannemaniae, Conioscypha boutwelliae, Fusicolla septimanifiniscientiae, Gibellulopsis simonii, Lasionectria hilhorstii, Lectera nordwiniana, Leptodiscella rintelii, Parasarocladium debruynii and Sarocladium dejongiae (incl. Sarocladiaceae fam. nov.) fromsoil. New Zealand, Gnomoniopsis rosae on Rosa sp. and Neodevriesia metrosideri on Metrosideros sp. Puerto Rico, Neodevriesia coccolobae on Coccoloba uvifera, Neodevriesia tabebuiae and Alfaria tabebuiae on Tabebuia chrysantha. ; Russia, Amanita paludosa on bogged soil in mixed deciduous forest, Entoloma tiliae in forest of Tilia × europaea, Kwoniella endophytica on Pyrus communis. South Africa, Coniella diospyri on Diospyros mespiliformis, Neomelanconiella combreti (incl. Neomelanconiellaceae fam. nov. and Neomelanconiella gen. nov.)on Combretum sp., Polyphialoseptoria natalensis on unidentified plant host, Pseudorobillarda bolusanthi on Bolusanthus speciosus, Thelonectria pelargonii on Pelargonium sp. Spain, Vermiculariopsiella lauracearum and Anungitopsis lauri on Laurus novocanariensis, Geosmithia xerotolerans from a darkened wall of a house, Pseudopenidiella gallaica on leaf litter. Thailand, Corynespora thailandica on wood, Lareunionomyces loeiensis on leaf litter, Neocochlearomyces chromolaenae (incl. Neocochlearomyces gen. nov.) on Chromolaena odorata, Neomyrmecridium septatum (incl. Neomyrmecridium gen. nov .), Pararamichloridium caricicola on Carex sp., Xenodactylaria thailandica (incl. Xenodactylariaceae fam. nov. and Xenodactylaria gen. nov.), Neomyrmecridium asiaticum and Cymostachys thailandica fromunidentifiedvine. USA, Carolinigaster bonitoi (incl. Carolinigaster gen. nov.)fromsoil, Penicillium fortuitum from house dust, Phaeotheca shathenatiana (incl. Phaeothecaceae fam. nov.) from twig and cone litter, Pythium wohlseniorum from stream water, Superstratomyces tardicrescens from human eye, Talaromyces iowaense from officeair. Vietnam, Fistulinella olivaceoalba onsoil. Morphological and culture characteristics along with DNA barcodes are provided. ; Tatiana M. Bulyonkova and colleagues are grateful to Dr Rodham Tulloss for his patient guidance and help, and to Dr Torbjørn Borgen Lindhardt for his invaluable advice. Thays G.L. Oliveira, Maria T.C. Felipe, Jadson D.P. Bezerra and Oliane M. C. Magalhães acknowledge financial support and/or scholarships from the CAPES (Finance Code 001), CNPq and FACEPE. Aline O.B. da Cunha, Alexandre R. Machado, Eder Barbier, Enrico Bernard and Cristina M. Souza-Motta acknowledge financial support and/or scholarships from the CAPES (Finance Code 001), CNPq, FACEPE, CECAV and ICMBio from Brazil. Rejane M.F. da Silva and colleagues express their gratitude to the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) for a scholarship to Rejane M.F. da Silva and to the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) for a research fellowships and/or financial support to Gladstone A. da Silva, Cristina M. Souza-Motta, José L. Bezerra and Rafael J.V. de Oliveira (Processes 458622/2014-1 and 312186/2016-9). Olinto L. Pereira, Vanessa P. Abreu, Jackeline P. Andrade and colleagues would like to thank the CNPq, CAPES and FAPEMIG for financial support. The study of Olga V. Morozova was carried out within the framework of a research project of the Komarov Botanical Institute RAS 'Herbarium funds of the BIN RAS' (АААА-А18-118022090078-2) with the support of the molecular work by the Russian Foundation for the Basic Research (project no. 15-29-02622). Anna M. Glushakova and Aleksey V. Kachalkin were supported by the Russian Foundation for Basic Research (RFBR), project no. 16-04-00624a. Janet Jennifer Luangsa-ard and colleagues were supported by 'The Promotion Project on Science, Technology and Innovation Collaboration with ASEAN Member Countries under the Office of International Cooperation, MOSTThailand'. They would also like to thank Ms Duangkaew Chongkachornphong, Ms Papawee Nupason (International Cooperation Section, BIOTEC) and Ms Bakeo Souvannalath (Director of Biotechnology Division, Biotechnology and Ecology Institute, BEI) for their kind cooperation. Javier Fernández-López and colleagues are grateful to Marian Glenn for checking the text, and were supported by DGICT projects CGL2012-35559 and CGL2015-67459-P. ; Javier Fernández-López was also supported by Predoctoral Grants (BES- 2013-066429) from the Ministerio de Economía y Competitividad (Spain). Maria E. Ordoñez and colleagues acknowledge Pontificia Universidad Católica del Ecuador for financial support for project M13415. Taimy Cantillo is thankful to PEC-PG/CAPES for the PhD grant (proc. 12636134/2014) (Finance Code 001) and to the International Association for Plant Taxonomy (IAPT) for the Research Grant. Luis F.P. Gusmão is grateful to CNPq for Grant support (Proc. 303062/2014-2). Hugo Madrid was partially funded by Comisión Nacional de Investigación Científica y Tecnológica (CONICYT), Fondo Nacional de Desarrollo Científico y Tecnológico (FONDECYT), Chile, project no. 11140562. Tor Erik Brandrud, Bálint Dima, Machiel E. Noordeloos and Egil Bendiksen thank the financial support of the Norwegian Taxonomy Initiative, with funding from the Norwegian Biodiversity Information Centre (NBIC) ; The Austrian Entoloma material (by Irmgard Krisai-Greilhuber) was sequenced within ABOL, subproject HRSFM University of Vienna, supported by the Austrian Federal Ministry of Education, Science and Research. Adriene M. Soares and colleagues would like to thank the Instituto Chico Mendes de Conservação da Biodiversidade (ICMBio) and the Instituto Brasileiro de Meio Ambiente (IBAMA) for support during field trips and R.L.M. Alvarenga for the figures. They also acknowledge CAPES for the Ph.D. scholarship of Adriene M. Soares, and CNPq (307601/2015-3), CAPES (CAPES-SIU 008/13), and FACEPE (APQ-0375-2.03/15) for financial support. Angus J. Carnegie acknowledges support from the Forestry Corporation of NSW, and David Sargeant for assistance with site photos. Adel Pordel and colleagues thank the University of Tehran for financial support. Luis Quijada acknowledges support from 'Fundación Ramón Areces'. Robert W. Barreto and colleagues thank the World Coffee Research/Texas Agrilife for financial support, as well as the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). Sara Salcedo-Sarmiento was supported by the 'Programa de Estudante-Convênio de Pós-Graduação' (PEC-PG) from CAPES. The research of Cobus M. Visagie and Keith A. Seifert was supported by grants from the Alfred P. Sloan Foundation Program on the Microbiology of the Built Environment. Blaise A. Darvaux acknowledges Keith A. Seifert for help with identification, Nicholas Mauriello for validating the Latin name, Mauricia Lawrence and Meagan Tillotson for help with material preparation. We are grateful to Gavin Phillips, Seed Bank Officer, Australian Botanic Garden, Mt Annan for field assistance and identification of plant species collected in New South Wales, Australia. Collection of specimens from Mungo National Park was supported by the ABRS Bush Blitz program, a partnership between the Australian Government, BHP and Earthwatch Australia. The National Geographic Okavango Wilderness Project is acknowledged for assistance and funding to J. Roux for material collected in Angola. ; Peer reviewed
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Background Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16–30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77–0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50–0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80–0·88; p<0·001), and full lockdowns (0·57, 0·54–0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services. Funding National Institute for Health Research Global Health Research Unit, Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, Medtronic, Sarcoma UK, The Urology Foundation, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
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Background Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16–30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77–0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50–0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80–0·88; p<0·001), and full lockdowns (0·57, 0·54–0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long- term investment in surge capacity for acute care during public health emergencies to protect elective staff and services. Funding National Institute for Health Research Global Health Research Unit, Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, Medtronic, Sarcoma UK, The Urology Foundation, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
BASE
Background: Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods: This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings: Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16-30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77-0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50-0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80-0·88; p<0·001), and full lockdowns (0·57, 0·54-0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation: Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services.
BASE