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More data, better data or improved evidence translation: what will improve cardiovascular outcomes? As countries must focus more on the value of and access to health services over effectiveness alone, we argue that data on key aspects of interventions are predominantly missing from the current evidence-base. We examine this need in relation to secondary prevention of the most burdensome disease in the world: coronary heart disease and consider the wider forms of evidence about interventions needed by professionals, systems and governments to promote effective, accessible and efficient chronic disease management.

Background. The burden of illness associated with Coronary Heart Disease (CHD) has determined this as a key focus for research at a basic science, individual and population level. Although considerable research has been conducted on specific aspects of the experience of CHD, such as anxiety or depression, there is a lack of research investigating the global aspects of the illness experience from the individual's perspective. Furthermore, there is a paucity of research examining the cross-cultural experiences of patients from Non-English Speaking Backgrounds (NESB). Given the multicultural nature of Australian society, and that health and illness are culturally constructed experiences (Manderson 1990), it is important to include the perspectives of people from minority cultures in health related research in order to provide culturally sensitive and appropriate health care and information during an illness. Eurther, the potential to prevent and modulate the course of CHD, by strategies such as smoking cessation and lipid management, mandate a health promotion agenda based on equity and access for all members of society. Aims. This article discusses cultural aspects of CHD in relation to nursing and allied health care during the recovery phase of an acute cardiac event. It reviews the research that has been conducted in this area, focusing on the Chinese-Australian population. Literature search. The CINAHL, MEDLlNE, FAMILY (Australian Family and Society Abstracts Database), PsychINFO, and Multicultural Australian and immigration Studies (MAIS) databases were searched, identifying literature published from 1982. Keywords used were Chin * (Chinese, China), Asia * (Asia, Asian), experience, adjustment, psychological, heart, coronary, cardiac, health and services. Reports not written in English were excluded. Australian Government reports were also searched, as well as hand searching of nursing and medical textbooks. These searches resulted in over 1000 articles. However, only around 50 were relevant for this review. Implications. Chinese-Australians are one of the fastest growing populations in Australia, and are at increased risk of CHD upon settling to Australia. Recommendations for future research and for the practice of nursing are provided.

Background: The emergence of COVID-19 has been an ordeal for nurses worldwide. It is crucial to understand their experiences at the frontline, attempt to allay their concerns, and help inform future pandemic response capabilities. Aims: To explore nurses' lived experiences at the frontline in order to identify and address their concerns and help enhance future responses to infectious disease outbreaks. Methods: A qualitative study was carried out. Semi-structured interviews were conducted with 60 registered nurses who came to Hubei from different parts of China to care for patients with COVID-19. Interviews were audio-recorded and transcribed verbatim for thematic analysis. Results: Six major themes emerged: emotional turmoil due to personal and professional concerns, quality issues with personal protective equipment and associated physical discomfort, witnessing and managing patient distress, readiness of emergency response mechanisms in the health system, collective community awareness and preparedness, and heightened professional pride and confidence in future epidemic control. Discussion: Nurses were placed in challenging and unfamiliar situations to deal with unexpected and unpredictable events which caused considerable psychological and physical distress. Support in the form of government edicts, hospital management policies, community generosity and collegiality was highly welcomed by the nurses. Policy makers and managers should ensure that nurses are provided with the support and resources necessary for dealing with large-scale infectious disease outbreaks. Priority should be given to risk assessment, infection prevention and control, and patient and staff health and safety.

This section, multilevel policies, reviews the impact that has been and can be made by health policy changes at multiple levels, strategies and resources for increasing adherence to population prevention recommendations, and how changes at the microlevel and macrolevel of the environment can provide opportunities and rewards for healthy behaviors and disincentives for unhealthy behaviors. Policies that support primary prevention of cardiovascular disease require the participation of numerous stakeholders at multiple levels, such as governmental and regulatory agencies. Such policy changes support a healthy lifestyle, as in designated smoke-free areas; laws that mandate that food purveyors reduce sodium and fat content or, eliminate trans-fats; and availability of safe parks and bike and walking trails; and also provide a supportive environment that in turn reinforces adherence to primary prevention. Health-related policies have a major impact at the societal level in both developed and developing countries; thus, it is important to understand the role that policy plays in promoting a healthier lifestyle and the prevention of cardiovascular disease. This section discusses how health policies can impact primary prevention and adherence to healthful recommendations, with examples focused on physical activity and diet.

This section, multilevel policies, reviews the impact that has been and can be made by health policy changes at multiple levels, strategies and resources for increasing adherence to population prevention recommendations, and how changes at the microlevel and macrolevel of the environment can provide opportunities and rewards for healthy behaviors and disincentives for unhealthy behaviors. Policies that support primary prevention of cardiovascular disease require the participation of numerous stakeholders at multiple levels, such as governmental and regulatory agencies. Such policy changes support a healthy lifestyle, as in designated smoke-free areas; laws that mandate that food purveyors reduce sodium and fat content or, eliminate trans-fats; and availability of safe parks and bike and walking trails; and also provide a supportive environment that in turn reinforces adherence to primary prevention. Health-related policies have a major impact at the societal level in both developed and developing countries; thus, it is important to understand the role that policy plays in promoting a healthier lifestyle and the prevention of cardiovascular disease. This section discusses how health policies can impact primary prevention and adherence to healthful recommendations, with examples focused on physical activity and diet.

The large uncertainty in the mineral dust direct radiative effect (DRE) hinders projections of future climate change due to anthropogenic activity. Resolving modeled dust mineral speciation allows for spatially and temporally varying refractive indices consistent with dust aerosol composition. Here, for the first time, we quantify the range in dust DRE at the top of the atmosphere (TOA) due to current uncertainties in the surface soil mineralogical content using a dust mineral-resolving climate model. We propagate observed uncertainties in soil mineral abundances from two soil mineralogy atlases along with the optical properties of each mineral into the DRE and compare the resultant range with other sources of uncertainty across six climate models. The shortwave DRE responds region-specifically to the dust burden depending on the mineral speciation and underlying shortwave surface albedo: positively when the regionally averaged annual surface albedo is larger than 0.28 and negatively otherwise. Among all minerals examined, the shortwave TOA DRE and single scattering albedo at the 0.44–0.63 µm band are most sensitive to the fractional contribution of iron oxides to the total dust composition. The global net (shortwave plus longwave) TOA DRE is estimated to be within −0.23 to +0.35 W m−2. Approximately 97 % of this range relates to uncertainty in the soil abundance of iron oxides. Representing iron oxide with solely hematite optical properties leads to an overestimation of shortwave DRE by +0.10 W m−2 at the TOA, as goethite is not as absorbing as hematite in the shortwave spectrum range. Our study highlights the importance of iron oxides to the shortwave DRE: they have a disproportionally large impact on climate considering their small atmospheric mineral mass fractional burden (∼2 %). An improved description of iron oxides, such as those planned in the Earth Surface Mineral Dust Source Investigation (EMIT), is thus essential for more accurate estimates of the dust DRE. ; A portion of this work was funded by the Earth Surface Mineral Dust Source Investigation (EMIT), a NASA Earth Ventures-Instrument (EVI-4) Mission. Longlei Li, Natalie M. Mahowald, and Douglas S. Hamilton were supported by the Atkinson Centre for a Sustainable Future. Jasper F. Kok received support from NSF grant 1552519. Martina Klose received funding from the European Union's Horizon 2020 research and innovation program under Marie Skłodowska-Curie grant agreement no. 789630 (DUST.ES). Carlos Pérez García-Pando and Maria Gonçalves Ageitos received support from the European Research Council (grant no. 773051, FRAGMENT), EU H2020 project FORCES (grant no. 821205), the AXA Research Fund, the Spanish Ministry of Science, Innovation and Universities (RYC-2015-18690 and NUTRIENT: CGL2017- 88911-R), and PRACE and RES for awarding access to MareNostrum at the Barcelona Supercomputing Center to run MONARCH. Ron L. Miller received for support from the NASA Modeling, Analysis and Prediction Program (NNG14HH42I). ; Peer Reviewed ; Postprint (published version)

Migratory marine species cross political borders and enter the high seas, where the lack of an effective global management framework for biodiversity leaves them vulnerable to threats. Here, we combine 10,108 tracks from 5775 individual birds at 87 sites with data on breeding population sizes to estimate the relative year-round importance of national jurisdictions and high seas areas for 39 species of albatrosses and large petrels. Populations from every country made extensive use of the high seas, indicating the stake each country has in the management of biodiversity in international waters. We quantified the links among national populations of these threatened seabirds and the regional fisheries management organizations (RFMOs) which regulate fishing in the high seas. This work makes explicit the relative responsibilities that each country and RFMO has for the management of shared biodiversity, providing invaluable information for the conservation and management of migratory species in the marine realm. ; This project has received funding from the European Union's Horizon 2020 Research and Innovation Programme under the Marie Skłodowska-Curie grant agreement no. 766417. Research made possible with the support, permissions, and funding granted by the following organizations, institutions, and grant agreements: Marine Conservation Program of DPIPWE Tasmania; American Bird Conservancy; Bureau of Ocean Energy Management; communities of Isla Mocha and Islas Juan Fernández; Corporación Nacional Forestal and Servicio Agrícola y Ganadería (Chile); Environment Canada; the National Fish and Wildlife Foundation; the National Geographic Society; ProDelphinus; and the Wallis Foundation; NSF grants DEB 9304579, DEB 9629539, DEB9806606, DEB0235818, and DEB 0842199 to D.J.A.; the National Geographic Society; the U.S. Fish and Wildlife Service; U.S. Geological Survey Ecosystems Mission Area, Wake Forest University; Max-Planck Society and State of Baden-Wuerttemberg Innovation funding; Colorado State University International Programs; Swiss Friends of Galapagos; the International Center for Tropical Ecology at University of Missouri-St. Louis; the Instituto Antartico Chileno (INACH) and the Australian Antarctic Division (AAD); LIFE "Marine IBAs IN Spain" (LIFE04NAT/ES/000049, 2004-2009) and LIFE+ INDEMARES (2009-2014); Sea World Research and Rescue Foundation Inc.; Holsworth Wildlife Research Endowment; and Winifred Violet Scott Trust; FCT-Portugal through projects (UIDB/04292/2020 and UIDP/04292/2020 and UIDP/50017/2020 and UIDB/50017/2020, granted to MARE and CESAM, respectively); the Falklands Islands Government; Natural Environmental Research Council (NERC) core funding to British Antarctic Survey Ecosystems Programme and Official Development Assistance Atlantic Islands project (NE/ R000 107/1); the New Zealand Department of Conservation; Ministry for Primary Industries; Ngāti Rehua Ngāti Wai ki Aotea; Falklands Island Conservation; University of Barcelona (APIF/2015, to M.C.-F.); the French Polar Institute (program IPEV n°109 to H.W.); Réserve Naturelle Nationale des Terres Australes Françaises; and the Zones Atelier Antarctique (LTSER France, CNRS-INEE); European funds through the European Commission Training and Mobility of Researchers Programme (ERBFMBICT983030); Spanish funds through the Ministerio de Ciencia y Tecnología (REN2002-01164/GLO), Ministerio de Educación y Ciencia (CGL2006-01315/BOS), Ministerio de Ciencia e Innovación (CGL2009-11278/BOS), and Ministerio de Economía y Competitividad (CGL2013-42585-P); Catalan funds through the Generalitat de Catalunya (2001SGR00091); and additional funding from SEO/BirdLife (programa Migra & proyecto LIFE+ Indemares), Fundación Banco Bilbao Vizcaya Argentaria (BIOCON04/099) and Fundación Biodiversidad (18PCA4328, 2012-2013); NSERC Discovery Grant and Government of Canada's Program for International Polar Year to W.A.M.; and an ACAP AC Grant in 2013-14, predoctoral contract BES-2017-079874 of the Spanish Ministerio de Industria, Economía y Competitividad (to L.N.-H.); Spanish Foundation for Biodiversity and Spanish Ministry of Science grant ref. CGL2013-42203-R; the Pew Environment Group via the Pew Fellowship Award in Marine Conservation (to M.L.C.); National Research Foundation; South Africa and Oceans and Coasts; Department of Environment, Agriculture and Fisheries; Malta Seabird Project (LIFE10NAT/MT/090) co-funded by the LIFE program of the European Commission and the Maltese Ministry for the Environment, Sustainable Development and Climate Change, in partnership with the Royal Society for the Protection of Bird and the Portuguese Society for the Study of Birds; predoctoral contract BES-2014-068025 of the Spanish Ministerio de Industria, Economía y Competitividad (to V.M.-P.); Scientific Expert PIM initiative (Petites Iles de Méditerranée); the PIM initiative (Petites Iles de Méditerranée); the Tunisian Coastal Protection and Planning Agency (APAL); Ministry of the Environment, Japan; Funding by Fundación Ecocentro, Argentina; Wildlife Conservation Society, USA; and Ministerio de Ciencia, Tecnología e Innovación, Argentina; Centro Nacional Patagónico (CONICET), postdoctoral contracts by Beatriu de Pinós (2010-BP_A-00173), Juan de la Cierva (JCI-2009-05426), PLEAMAR (2017/2349), and Ramón y Cajal (RYC-2017-22055) programme (to R.R.); Seventh Framework Programme (Research Executive Agency of the European Commission, 618841, FP7-PEOPLE-2013-CIG); Fondation Total pour la Biodiversité (project: Trophic ecology and impacts of bycatch on the avifauna communities of Zembra archipelago); Agence de Protection et d'Aménagement du Littoral (APAL-Tunisia); Killam Postdoctoral fellowship from Dalhousie University; South African National Antarctic Programme; ACAP; Papahānaumokuākea Marine National Monument; NOAA; Japan Society for the Promotion of Science Kakenhi grant 19651100 and 15H02857; National Parks and Conservation Service (Mauritius) (to M.L.C.); IPEV Prog 109; and NASA. The use of trade, product, or firm names in this publication is for descriptive purposes only and does not imply endorsement by the U.S. government. The scientific results and conclusions, as well as any views or opinions expressed herein, are those of the authors and do not necessarily reflect those of the NOAA or the Department of Commerce. This communication reflects only the authors' view, and the Research Executive Agency of the European Union is not responsible for any use that may be made of the information it contains. Z.Z. acknowledges funding from a predoctoral grant (APIF/2012) from the University of Barcelona. J.Ad. acknowledges funding from the U.S. Geological Survey Ecosystems Mission Area, U.S. Bureau of Ocean Energy Management, Pacific OCS Region.

Migratory marine species cross political borders and enter the high seas, where the lack of an effective global management framework for biodiversity leaves them vulnerable to threats. Here, we combine 10,108 tracks from 5775 individual birds at 87 sites with data on breeding population sizes to estimate the relative year-round importance of national jurisdictions and high seas areas for 39 species of albatrosses and large petrels. Populations from every country made extensive use of the high seas, indicating the stake each country has in the management of biodiversity in international waters. We quantified the links among national populations of these threatened seabirds and the regional fisheries management organizations (RFMOs) which regulate fishing in the high seas. This work makes explicit the relative responsibilities that each country and RFMO has for the management of shared biodiversity, providing invaluable information for the conservation and management of migratory species in the marine realm.