Sunday, April 06, 2025

 

Scientists link a phytoplankton bloom to starving dolphins in Florida



A phytoplankton bloom damaged habitats, deprived bottlenose dolphins of nutritious prey, and led to a sharp rise in strandings and deaths



Frontiers

A deceased stranded dolphin photographed by researchers 

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A deceased stranded dolphin photographed by researchers. Photograph supplied by Hubbs-SeaWorld Research Institute. Stranding response conducted under a Stranding Agreement between HSWRI and NOAA Fisheries.

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Credit: Hubbs-Seaworld Research Institute




In 2013, 8% of the bottlenose dolphins living in Florida’s Indian River Lagoon died. Investigations have now revealed that the dolphins may have starved because key habitats for nutritious prey were destroyed by a phytoplankton bloom. This bloom was driven by the accumulation in the lagoon of fertilizer, effluent from septic tanks, and other by-products of human activity that are rich in nutrients like nitrogen and phosphorus.  

“We linked mortality and malnutrition to a decreased intake of energy following a shift in dolphins’ diets,” said Dr Charles Jacoby of the Florida Flood Hub for Applied Research and Innovation, corresponding author of the article in Frontiers in Marine Science. “We linked the dietary shifts to changes in prey availability, and we connected changes in prey to system-wide reductions in the abundance of seagrass and drifting macroalgae. These reductions were driven by shading from an intense, extensive, and long-lasting bloom of phytoplankton.” 

Signs of trouble 

In 2013, scientists monitoring the Indian River Lagoon noticed that the dolphin population was struggling. 64% of the 337 dolphins they observed were underweight, 5% were emaciated, and 77 died: a toll classified as an unusual mortality event.  

“An unusual mortality event is a stranding event that is unexpected and involves a significant die-off of any marine mammal,” explained Megan Stolen of the Blue World Research Institute, first author of the article. “The 2013 event was characterized by a marked increase in mortality and widespread evidence of malnourishment.” 

Bottlenose dolphins are large, long-lived animals that eat relatively large amounts of many different types of prey, which means that any disruption to the local ecosystem can affect them. In this case, researchers suspected that critical changes were caused by a 2011 phytoplankton bloom that was fueled by nutrient-rich by-products of human activity flowing into, and accumulating in, the lagoon. The bloom shaded bottom-dwelling seagrass and macroalgae in large parts of the lagoon, killing off these key habitats for dolphins’ prey and potentially compromising the dolphins’ ability to hunt. But it’s difficult to prove what dolphins are eating: observations of dolphins feeding at the water’s surface don’t yield a full picture of their diets, and stranded dolphins often have empty stomachs. 

Instead, the researchers focused on isotopic analysis of muscle biopsies collected from stranded dolphins between 1993 and 2013. The ratios of stable isotopes of carbon and nitrogen in muscle from dolphins represent a mixture of similar ratios in their prey, so — using reference values from prey species — the scientists could track dietary changes over time and compare them to contemporary fisheries monitoring and the presence of seagrass and macroalgae.  

Ripple effect 

The scientists found a shift in the dolphins’ diets: during 2011-2013, they ate more sea bream and less ladyfish — a more energy-dense fish associated with seagrass. This agreed with the fisheries monitoring, which recorded changes in the availability of the two species: less ladyfish and more sea bream. It also matched the falling abundance of seagrass and macroalgae habitat over the same period. The shift from ladyfish to sea bream meant that dolphins would need to eat about 15% more prey to acquire the same amount of energy. 

“In combination, the shift in diets and the widespread presence of malnourishment suggest that dolphins were struggling to catch enough prey of any type,” said Wendy Noke Durden of Hubbs-SeaWorld Research Institute, a co-author. “The loss of key structural habitats may have reduced overall foraging success by causing changes in the abundance and distribution of prey.” 

The data also tallied with causes of death recorded for stranded dolphins. Between 2000 and 2020, malnutrition caused 17% of all recorded deaths, but in 2013, this figure rose to 61%. 

“All studies have their limitations,” cautioned co-author Dr Graham Worthy of the University of Central Florida. “We did not have data on ratios of stable isotopes in all the prey that dolphins were eating from 1993 to 1999, so we could not fully explain the shift in diets observed from that early period to 2000–2010. Additionally, the link between malnourishment and a change in diet would have been enhanced by stable isotope data from the muscle of surviving dolphins.” 

“Blooms of phytoplankton are part of productive ecological systems,” said Jacoby. “Detrimental effects arise when the quantities of nutrients entering a system fuel unusually intense, widespread, or long-lasting blooms. In most cases, people’s activities drive these excess loads. Managing our activities to keep nutrients at a safe level is key to preventing blooms that disrupt ecological systems.”  


 

Local access to abortion services expanded with mifepristone in community pharmacies



Canadian Medical Association Journal





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Before 2017, abortions were generally performed as procedures in fewer than 100 hospitals and clinics mostly in urban centres, leading to delayed care, particularly for people living in rural areas. Medication abortions, mainly via off-label use of methotrexate, were infrequent.

Researchers looked at population data from ICES to examine abortion service availability changes in Ontario from January 2017 to December 2022. Between 2017 and 2022, there were more than 226 000 abortions provided to 175 091 people. The proportion of regions with a pharmacy that dispensed mifepristone increased from 20% in 2017 to 82% in 2022. Only 37% of abortion service users lived in a region with either a mifepristone-dispensing pharmacy or procedural provider in 2017, but this increased to 91% by 2022.

Access to abortion services increased in both urban and rural areas.

“Despite these rapid gains in access to procedural or medication abortion services, in 2022, 6% of regions had no pharmacy at all, nearly 20% of regions with a pharmacy still lacked a pharmacy that dispensed mifepristone, and roughly 9% of abortion service users lived in a region without a local procedural provider or a pharmacy that dispensed mifepristone,” writes Dr. Laura Schummers, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, with coauthors.

The authors note that the expansion of mifepristone to community pharmacies shifted the delivery of abortions from procedural abortions to more accessible mifepristone abortions, a trend they expect to continue.

“Abortion service needs are time-sensitive, as risks of abortion complications increase exponentially with increasing gestational age. It is likely that the proportion of abortions provided by medication in Ontario will continue to increase beyond our study period, mirroring trends elsewhere.”

“Changes in local access to mifepristone dispensed by community pharmacies for medication abortion in Ontario: a population-based repeated cross-sectional cohort study” is published April 7, 2025.

Media contact: Media relations, ICES, media@ices.on.ca

General media contact: Kim Barnhardt, CMAJkim.barnhardt@cmaj.ca

Please credit CMAJ, not the Canadian Medical Association (CMA). CMAJ is an independent medical journal; views expressed do not necessarily reflect those of its owner, CMA Impact Inc., a CMA company, or CMA.

 

Dietary shift after migration increases cardiovascular risk by altering the composition of an individual's gut microbiome



Amsterdam University Medical Center





An Amsterdam UMC-led study has found that migrants, this case from West Africa to Europe, experience a ‘clear change’ in their microbiome composition as compared to their non-migrant peers in West Africa, which expose them to an increase of cardiovascular disease. These peer-reviewed findings are published today in the journal Gut Microbes demonstrating that participants who lost specific groups of microbes or acquired specific new groups of microbes had higher rates of cardiovascular risk factors such as hypertension, diabetes, obesity, and poor kidney function. 

“The results clearly demonstrate the importance of our findings in the relation to migration-related health outcomes,” explains postdoctoral researcher at Amsterdam UMC and first author of the study, Barbara Verhaar, who carried out the research together with colleagues at the University of Ghana, and Kwame Nkrumah University of Science & Technology (KNUST). 

"It was already thought that migration had an effect on an individual's microbiome, but previous studies have either lacked in the number of individuals included, didn't control for variations in diet or only compared first- and second-generation migrants. Our study makes use of our own RODAM study cohort to definitively demonstrate this change,” says Verhaar.  

The Amsterdam UMC led study included more than 1100 individuals from two separate continents and three locations: rural Ghana, urban Ghana or Netherlands. Respondents completed identical dietary questionnaires and provided both fecal and blood samples to determine the composition of their gut microbiomes. Analyses revealed the presence of different microbes across the three groups, in line with the hypothesis that migration would affect microbiome composition. The findings show that some groups of microbes disappear, and new ones emerge along the migration axis. 

Health Outcomes 

Previous studies, as well as the World Health Organisation, note that migrants frequently experience poorer health outcomes than native residents and research from Amsterdam UMC has found this also to be the case in the Netherlands.  

"This research underscores the relevance of gut health and how we look at the adverse health outcomes that are often associated with migration. It is fascinating to learn that when we migrate, we lose some relevant microbes we acquired in our home countries and pick up new microbes in the new countries, and this can influence our health very importantly. We found that macronutrient groups such as protein, fat and salt in food were strongest associated with gut microbiota composition and these were higher in migrants, which might have contributed to the shift in gut microbiota composition. Future longitudinal studies are needed to verify these findings,” adds Charles Agyemang, Professor of Global Migration, Ethnicity & Health at Amsterdam UMC and senior author of the study. 

Cardiometabolic risk is a growing concern for researchers across the globe and Agyemang is currently leading a host of projects, both in the Netherlands and several African countries, that aim to develop better interventions to lower the risk of developing cardiometabolic diseases, such as diabetes and hypertension; and to improve management of cardiometabolic diseases.  

As part of these efforts, as in this study, he works with the several institutions across the globe especially in the African region to ensure that research in Amsterdam is strengthened with international data and, also, that research findings are translated into concrete policy.  

"The findings of this study provide important insights into how migration can reshape our gut microbiota and subsequent health outcomes and emphasizes the needs for north-south collaborations,” adds Ellis Owusu-Dabo, Professor of Epidemiology and Global Health, KNUST.  

 

Viability of hospital-based emergency care in US faces peril


Report finds that reforms needed to boost payments, support workers




RAND Corporation




The viability of hospital-based emergency care in the U.S. is at risk, threatened by issues such as patients with increasingly complex needs and falling payments for physicians, according to a new RAND report.

Many of the problems facing emergency medicine are expanding in scale, including long emergency department wait times, boarding patients in emergency department beds and a high amount of uncompensated care. 

The issues are in focus as the use of hospital emergency departments return to levels seen before restrictions prompted by the COVID-19 pandemic limited use of emergency departments, according to researchers.

“Urgent action is needed to sustain hospital emergency departments, which act as a safeguard for patients who use the services and communities that rely on them during a crisis,” said Mahshid Abir, the report’s lead author and a senior physician policy researcher at RAND, a nonprofit research organization. “Unless these challenges are addressed, there is an increasing risk that emergency departments will close, more doctors and nurses will leave emergency medicine, and patients will face even longer waits for care.”

Researchers say a key problem facing hospital-based emergency medicine is that many of the services provided are not directly reimbursed by public or private payors. 

Under federal law, all people who arrive at emergency departments must be assessed and stabilized, regardless of their ability to pay. In addition, activities such as coordination for follow-up care, responding to mass casualty incidents and preparing for public health emergencies are not directly reimbursed. 

RAND researchers recommend a new, tiered payment model that would build upon the existing payment system to address those shortcomings. 
The recommendations include new payments from public and private payors to emergency health care professionals for the public health services not already covered by insurance, such as mental health and infectious disease screening. 
Researchers also recommend expanding Medicaid payments directed to hospitals that care for large numbers of uninsured patients and increasing payments from public insurance programs to reduce the gap between private and public reimbursements. 
Hospital-based emergency departments have been at the forefront of responding to the opioid and gun violence epidemics, and played a critical role in providing care throughout the COVID-19 pandemic. 

Nationally, hospital emergency departments handle 120 to 140 million visits each year, compared with about 1 billion physician office visits annually. The number of hospital emergency departments is declining, with most closures occurring in rural areas.

The RAND study found that the scope of work for emergency physicians in the U.S. health system is expanding, with evidence that emergency departments have become hubs that offer various services beyond emergency care. This expanded focus includes inpatient observation care, hospital-at-home and remote patient-monitoring programs, and emergency department critical care units.

Researchers found that Medicare and Medicaid payments to emergency department physicians fell 3.8% from 2018 to 2022. Reductions in payments for commercially insured patient visits were much steeper, dropping 10.9% for commercial in-network and 48% for commercial out-of-network visits over the period.

The RAND report is based on interviews and focus groups with emergency medicine professionals, a survey of more than 200 emergency medicine department leaders, case studies, a review of other published research, and analysis of administrative data. The study was overseen by a 13-member advisory board that included emergency medicine professionals, emergency care policy experts and other health care experts. 

Support for the project was provided by the Emergency Medicine Policy Institute.

The report, “Strategies for Sustaining Emergency Care in the United States,” is available at www.rand.org. Other authors of the report are Brian Briscombe, Carl T. Berdahl, Kirstin W. Scott, Sydney Cortner, Daniel Wang, Rose Kerber and Wilson Nham.

RAND Health Care promotes healthier societies by improving health care systems in the United States and other countries.
 

 

Does teamwork fulfill the goal of project-based learning?



Examining group effects on motivation in English as second language classes



Osaka Metropolitan University


Collaborative work in project-based learning 

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Motivation of English as second language learners is largely impacted by the environment, an Osaka Metropolitan University researcher finds.

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Credit: Osaka Metropolitan University



Project-based learning (PBL), which improves skills through various challenges, is a technique utilized in foreign language and general education classes. Though group work in PBL is actively carried out, the impact of the environment and team size on the motivation to learn has not been fully examined. Further, individual factors, such as language ability, can affect motivation, but it is not clear what effect group work has on these differences.

Therefore, Associate Professor Mitsuko Tanaka at Osaka Metropolitan University’s Graduate School of Sustainable System Sciences examined the impact of a PBL group work environment on student motivation using 154 university students who had taken an English as a second language class. Separated into 50 groups ranging from three to five members, the students were tasked with topic-based projects and presentations. At the end of the semester, a questionnaire that analyzed gender, group size, and individual factors, including learner beliefs and competence, was distributed to assess the group work environment.

The results of the analysis showed that there was no effect due to the size of the group, but there was a significant difference depending on the group work environment and individual factors. In addition, it was also found that if the group work environment is good, motivation tends to increase regardless of such factors.

“This research has shown that appropriate environmental preparation is essential for the success of project-based learning,” stated Professor Tanaka. “I believe these findings can be an important guideline for educational practitioners to recognize the importance of the group work environment in PBL.” 

The findings were published in System.

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About OMU 

Established in Osaka as one of the largest public universities in Japan, Osaka Metropolitan University is committed to shaping the future of society through “Convergence of Knowledge” and the promotion of world-class research. For more research news, visit https://www.omu.ac.jp/en/ and follow us on social media: XFacebookInstagramLinkedIn.