Negative Functional Consequences Research Articles

Children had smaller brain volumes and cortical surface areas after prenatal opioid maintenance therapy exposure.

The studies have shown that infants with prenatal OMT exposure had smaller brain volumes than non-exposed controls, but long-term outcome data are lacking. We examined 5-13-year-old OMT-exposed children with brain MRI and tested motor and visual-motor functions and possible associations between brain morphology and outcome. To this retrospective cohort study, we recruited 55 children with prenatal OMT exposure and 59 age- and gender-matched controls. They were examined with brain MRI, Movement-ABC and Beery-VMI. MRI images were processed with the Free Surfer® software to obtain volumetrics and estimates of cortical surface area and thickness. We used a general linear regression model (GLM) to calculate group differences. The children in the OMT group had smaller mean total intracranial volume (ICV), 1407 cm3 (CI 95% 1379-1434) versus 1450 cm3 (CI 95% 1423-1476) in the control group (p = 0.026). After adjusting for ICV, significant group differences persisted for volumes of amygdala, basal ganglia and mid-posterior part of corpus callosum. Cortical surface area was smaller in the left caudal middle frontal gyrus and the right inferior parietal lobule in the OMT-group. Visual-motor function was significantly correlated with ICV. Prenatal OMT exposure may alter early brain development with possible negative long-term functional consequences.

Conceptualizing problematic use of medicinal Cannabis: Development and preliminary validation of a brief screening questionnaire.

The use of Medicinal Cannabis (MC) for treating chronic pain is increasing, globally, yet the definition of problematic MC use remains unclear. Defining problematic use of cannabis in medical and non-medical contexts may be fundamentally different since individuals prescribed MC often experience physical dependence, which do not necessarily imply pathology. We aimed to conceptualize problematic use of MC and develop a brief questionnaire for identifying and quantifying problematic MC use. Content validation used a broad definition of problematic substance use, adapting and compiling an initial list of 36 items from various sources: (a) screening tools for assessing problematic prescription opioid medication use; (b) screening tools for problematic recreational cannabis use and (c) qualitative interviews with MC patients. 390 American self-identified chronic pain patients holding a MC card rated each item from the initial list on a 5-point frequency scale and filled out questionnaires assessing various clinical outcomes. Following initial item titration, a multi-group measurement invariance comparison strategy, using two external indicators: alcohol-related problems and depression, resulted a final eight-item list that met fit quality in a baseline model, presented excellent internal consistency reliability (α=0.929), and significantly correlated with anxiety and low quality of life. Items in the final list related predominantly to negative consequences of MC use. Problematic use of MC is characterized by negative physiological, social, emotional and functional consequences. The final eight-item list was named the Medicinal Cannabis Negative Consequences Scale (MCNCS), emerging as a brief measure for problematic MC use and demonstrating preliminary reliability and validity, which could aid clinicians and researchers.

Quality of life of patients with permanent colostomy and low anterior resections (meta-analysis)

BACKGROUND: patients with rectal cancer after low anterior resections and with permanent colostomy inevitably face negative functional consequences of treatment. The question of anastomosis performing often remains unanswered. AIM: to compare the quality of life of patients with rectal cancer after low anterior resections and surgical treatment with a permanent colostomy.MATERIALS AND METHODS: literature search was performed in MEDLINE database according to PRISMA criteria using the keywords: “QoL”, “Quality of life”, “EORTC”, “low anterior resection” “rectal”, “stoma”, “ostomy” using suffixes [OR], [AND]. The meta-analysis included 9 retrospective studies with 2438 patients.RESULTS: no significant differences were found in global health status between the groups (p = 0.11). A significant difference with a worse score in ostomy patients is noted on the physical (p = 0.003), role (p = 0.002), emotional (p = 0.03) and social functioning (p = 0.004). In contrast, patients undergoing sphincter-preserving surgery have a higher incidence of constipation and diarrhea (p < 0.00001).CONCLUSION: patients with permanent stoma and after low anterior resections have comparable global health status. These patients have different profiles of disturbances in QoL patterns and functional consequences of surgery.

Changes in soil microbial diversity under present land degradation scenario

Soil biological characteristics are drastically altered by land degradation. Degradation may reduce the number of microorganisms in the soil. Multiple activities and services provided by grassland ecosystems are impacted by land use change because of the resulting shifts in plant community composition and soil characteristics. A large body of research has examined the geographical and temporal dynamics of bacterial community structure and bacterial responses to human management in grassland ecosystems. As one of the most consequential environmental shifts occurring today, land use modification can affect microbial communities through modifying soil environmental parameters, nutritional conditions, and biological interactions. Whereas, soil microbes play crucial roles in nutrient cycling, organic matter decomposition, disease suppression, and overall soil health. Land degradation practices, such as deforestation, overgrazing, intensive agriculture, and improper land management, can disrupt the balance and diversity of soil microbial communities, leading to negative consequences for ecosystem functioning. To mitigate the negative effects of land degradation on soil microbial communities, sustainable land management practices should be adopted. These practices include soil conservation, reforestation, crop rotation, reduced tillage, organic farming methods, and proper nutrient management. By promoting soil health and restoring ecosystem processes, these approaches can help rebuild and maintain diverse and functional soil microbial communities.The purpose of this review is twofold: (1) to assess the diversity and composition of soil microorganisms in response to distinct land-use scenarios; and (2) to compare the relative importance of environmental factors driving these variations.

Effect of family-centered care on the anxiety levels among family members of patients undergoing cardiac surgery: a randomized controlled trial.

The present study aims to determine the effect of family-centered care on anxiety levels among family members of patients undergoing cardiac surgery. This study was a randomized clinical trial study that was conducted on the families of Iranian cardiac surgery patients. In the intervention group, family-centered care was implemented, and the content of the intervention included providing informational and emotional support to the family member and the family member's participation in patient care according to the set framework. A total of 144 family members of patients undergoing cardiac surgery were included in this study. Among the 144 family members, 71 were in the intervention group, and 73 were in the control group. The changes in the state anxiety score before and after the intervention were significant between the two groups, and the changes were higher in the control group (P=0.043). Also, there was no significant difference in the changes in trait anxiety before and after the intervention between the two groups (P>0.05). In general, the high prevalence of anxiety in patients' families has negative functional consequences on both patients and their families. To reduce the level of anxiety, special attention should be paid to knowing the effective factors and appropriate coping methods. Nevertheless, it is important to note that additional research is warranted to delve deeper into this matter in future studies.

A Machine Learning and Remote Sensing‐Based Model for Algae Pigment and Dissolved Oxygen Retrieval on a Small Inland Lake

AbstractExcessive algae growth can lead to negative consequences for ecosystem function, economic opportunity, and human and animal health. Due to the cost‐effectiveness and temporal availability of satellite imagery, remote sensing has become a powerful tool for water quality monitoring. The use of remotely sensed products to monitor water quality related to algae and cyanobacteria productivity during a bloom event may help inform management strategies for inland waters. To evaluate the ability of satellite imagery to monitor algae pigments and dissolved oxygen conditions in a small inland lake, chlorophyll‐a, phycocyanin, and dissolved oxygen concentrations are measured using a YSI EXO2 sonde during Sentinel‐2 and Sentinel‐3 overpasses from 2019 to 2022 on Lake Mendota, WI. Machine learning methods are implemented with existing algorithms to model chlorophyll‐a, phycocyanin, and Pc:Chla. A novel machine learning‐based dissolved oxygen modeling approach is developed using algae pigment concentrations as predictors. Best model results based on Sentinel‐2 (Sentinel‐3) imagery achieved R2 scores of 0.47 (0.42) for chlorophyll‐a, 0.69 (0.22) for phycocyanin, and 0.70 (0.41) for Pc:Chla. Dissolved oxygen models achieved an R2 of 0.68 (0.36) when applied to Sentinel‐2 (Sentinel‐3) imagery, and Pc:Chla is found to be the most important predictive feature. Random forest models are better suited to water quality estimations in this system given built in methods for feature selection and a relatively small data set. Use of these approaches for estimation of Pc:Chla and dissolved oxygen can increase the water quality information extracted from satellite imagery and improve characterization of algae conditions among inland waters.

Astrocyte Regulation of Cerebral Blood Flow in Health and Disease.

Astrocytes play an important role in controlling microvascular diameter and regulating local cerebral blood flow (CBF) in several physiological and pathological scenarios. Neurotransmitters released from active neurons evoke Ca2+ increases in astrocytes, leading to the release of vasoactive metabolites of arachidonic acid (AA) from astrocyte endfeet. Synthesis of prostaglandin E2 (PGE2) and epoxyeicosatrienoic acids (EETs) dilate blood vessels while 20-hydroxyeicosatetraenoic acid (20-HETE) constricts vessels. The release of K+ from astrocyte endfeet also contributes to vasodilation or constriction in a concentration-dependent manner. Whether astrocytes exert a vasodilation or vasoconstriction depends on the local microenvironment, including the metabolic status, the concentration of Ca2+ reached in the endfoot, and the resting vascular tone. Astrocytes also contribute to the generation of steady-state vascular tone. Tonic release of both 20-HETE and ATP from astrocytes constricts vascular smooth muscle cells, generating vessel tone, whereas tone-dependent elevations in endfoot Ca2+ produce tonic prostaglandin dilators to limit the degree of constriction. Under pathological conditions, including Alzheimer's disease, epilepsy, stroke, and diabetes, disruption of normal astrocyte physiology can compromise the regulation of blood flow, with negative consequences for neurological function.

Current evidence and future perspectives in the exploration of sleep-related eating disorder-a systematic literature review.

Sleep-related eating disorder (SRED) is a non-REM parasomnia with potentially significant negative effects on general health (dangerous activities during night eating episodes, obesity, or metabolic syndrome, for example). Although the history of SRED encompasses more than six decades, public awareness and even the awareness of the mental health specialists of this disorder is very limited, a phenomenon that hinders the development of research in this field. Therefore, a systematic review based on PRISMA 2020 guidelines explored the available evidence for SRED found in four electronic databases (PubMed, Cochrane Collaboration, Google Scholar, and Clarivate/Web of Science). A number of 94 primary and secondary reports were retrieved, investigating aspects regarding the risk factors, epidemiology, clinical data and differential diagnosis, epidemiology, structured evaluation, and treatment of SRED. Based on the results of these reports, Z-drugs, but also certain benzodiazepines, antidepressants, antipsychotics, and psychostimulants may trigger the onset of SRED. Psychiatric and neurologic disorders have also been associated with SRED, either as risk factors or comorbid conditions. Cerebral glucose metabolism dysfunctions, neurotransmitter dysfunctions, and genetic factors have been invoked as pathogenetic contributors. Structured assessment of SRED is possible, but there is a dearth of instruments dedicated to this purpose. Data on the prevalence and treatment of SRED exist, but good-quality epidemiological studies and clinical trials are still missing. In conclusion, future research is expected to address the shortcomings of SRED exploration by creating the conditions for better quality and larger group clinical research. The need for such investigation is granted by the importance of this pathology and its negative functional consequences.

Using Hot and Cool Measures to Phenotype and Predict Functional Outcomes Across Dimensions of ADHD and Typical Development in Adolescents.

Multiple pathway models propose that attention deficit hyperactivity disorder (ADHD) arises from dysfunction in separate systems comprised of a "cool" or cognitive pathway versus a "hot" or emotional/reward pathway. Interactions between these pathways and the degree of maturation may further determine functional outcomes for adolescents ranging from those diagnosed with ADHD to typical development (TD). We used a latent profile analysis on rating scales and behavioral task performance assessing emotion, irritability, impulsivity, risk-taking, future orientation, and processing speed (PS) to identify subgroups of TD adolescents and adolescents with ADHD (N = 152) based on the hot and cool pathway model. We identified four classes: 1) High-Complex Challenges; 2) Moderate-Mixed Challenges; 3) Non-Emotive Impulsivity; and 4) High Regulation and Control. A multiple pathway model of ADHD is supported with classes differing in degree of emotional lability and irritability, types of impulsivity, and ability to use future consequences to modulate impulsivity and PS. The classes differed regarding functional behavior, with the High-Complex class demonstrating the most severe functional challenges in academic-related functioning. The Moderate-Mixed class also displayed significant functional challenges but with moderate emotional lability and irritability ratings. The Non-Emotive Impulsivity class exhibited low emotionality and low irritability, yet high impulsivity with limited negative functional consequences, and was composed of a mix of ADHD and TD adolescents. Differences between classes suggest ADHD symptomatology may represent both categorical and dimensional differences. Precision health interventions may be more effective in addressing the specific challenges associated with the classes rather than a one-size-fits-all approach to treating ADHD.

Global warming impairs the olfactory floral signaling in strawberry

BackgroundGlobal warming is expected to impact the chemical communication between flowering plants and their pollinators. Surprisingly, it is unknown whether and how temperature-induced changes in scent emission affect pollinator behavior. Strawberry (Fragaria x ananassa) is a plant primarily pollinated by bees and hoverflies, with the former group being particularly attracted to the floral scent they emit.ResultsUsing chemical analytical, electrophysiological, and behavioral approaches we tested whether temperature-induced shifts in floral scent of strawberry affect chemical communication with its main bee pollinators (Apis mellifera, Bombus terrestris, Osmia bicornis). While strawberry flowers in the optimum scenario released 10.4 ng/flower/hour, mainly p-anisaldehyde (81%) and seven other scent compounds, in the warmer scenario, the flowers did not emit any detectable scent. In the behavioral experiments, the pollinators were attracted by the scents of the optimum scenario.ConclusionsWe predict that the absence of detectable scent emissions from strawberry plants grown under heat stress will reduce the attractiveness of the flowers to the bee pollinators. Our study raises important ecological and agricultural questions, as decreased attractiveness of flowers to pollinators might potentially lead to insufficient bee pollination, with potential negative consequences for ecosystem functioning and crop yields, particularly in regions reliant on bees as primary pollinators. Given that our study centered on bee pollinators, it is needed to conduct further research to evaluate the impact on hoverflies.

Comparative investigation of glutamate and GABA gene expression in the hippocampus after focal brain ischemia and central lps administration

Among the responses in the early stages of stroke, activation of neurodegenerative and proinflammatory processes in the hippocampus is of key importance for the development of negative post-ischemic functional consequences. However, it remains unclear which genes are involved in these processes. The aim of this work was a comparative study of the expression of genes encoding glutamate and GABA transporters and receptors, as well as inflammation markers in the hippocampus one day after two types of ischemic exposure (according to Koizumi - MCAO-MK, and Longa - MCAO-ML), as well as after direct pro-inflammatory activation by central administration of lipopolysaccharide (LPS). The results obtained revealed both differences and similarities between the responses to the impacts applied in the work. A greater number of genes that changed the expression associated with the activation of apoptosis and neuroinflammation, glutamate reception, and markers of the GABAergic system were found after MCAO-ML and LPS, than after MCAO-MK. In turn, MCAO-MK and LPS were characterized, in comparison with MCAO-ML, by changes in a larger number of genes involved in glutamate transport. The most pronounced difference between MCAO-ML and MCAO-MK and LPS was changes in the expression of genes for calmodulin and calmodulin-dependent kinases. The revealed features of the responses of the hippocampal transcriptome to two types of ischemia and a pro-inflammatory stimulus will contribute to further understanding of the causes of the diversity of stroke consequences, both in model studies and in the clinic.

“I just feel better about myself”: Feasibility of a fitness-focused & women-centered complement to treatment

ABSTRACT Exercise may be a useful complement to treatment programs aimed at reducing the negative neural and functional consequences of alcohol and drug use. While some empirical studies have examined the impact of physical activity (PA) as a complement to treatment, they are limited in sample size or they fail to consider the unique physiological status of women. In preparation for a developmental study, we took steps to examine the feasibility of a fitness-focused intervention with women (n = 25) in treatment. To that end, we conducted a mixed method study with actual physical wellness and perceptions of physical wellness as the target domains. Participation in PA was viewed positively; however, women wished they engaged in exercise more consistently. Ultimately, women viewed exercise as a means to feeling better about themselves emotionally and physically. Recommendations link findings to practice including psycho education, group-based goal setting, and offering a variety of PA modalities.

Hyperurikemia in chronic kidney disease stage 4 — the issue of suitability of urate-lowering therapy

For almost 20 years, the issue of hyperuricemia has been studied in nephrology, rheumatology, cardiology, endocrinology, and neurology areas of medicine. In all countries of the world, new aspects of this clinical symptom are being revealed almost simultaneously, some facts are being disproved, and updated practical recommendations are being implemented. The main medical axiom now is that hyperuricemia is a symptom of chronic kidney disease (CKD) of any stage, but the pathogenetic mechanisms of the effect of a high uric acid level on kidney function are not known for sure. It is necessary to correct its level under certain clinical and laboratory criteria in order to reduce the risk of cardiovascular disease and the risk of increased mortality, to influence the course of diabetes and possibly prevent obesity. There are still a lot of questions and unexplained facts. For example, what is the role of hyperuricemia in CKD, what level of uric acid reduction is safe and appropriate? What is the causal relationship between uric acid levels and CKD progression? Is the treatment of asymptomatic hyperuricemia effective for absolutely all patients? Is a differentiated approach to lowering the level of uric acid necessary depending on the stage of CKD? When should one take into account the physiological positive effect of hyperuricemia on kidney and vascular cells and not prescribe urate-lowering therapy? Our observation of two patients, which took place within the randomized patient-oriented study “Development of technology to preserve kidney function in patients with CKD and hyperuricemia”, does not provide direct answers to all these questions, but allows us to assume that hyperuricemia can be compensatory for kidney function, and it will not always be appropriate to actively reduce its level. The article aims to draw attention to the fact that when hyperuricemia causes hyperfiltration to preserve kidney function, lowering its level may be inappropriate for absolutely all patients. And maybe in certain conditions and individual clinical situation, the doctor has the option not to prescribe this type of therapy without negative consequences for kidney function.

Comparative Investigation of Expression of Glutamatergic and GABAergic Genes in the Rat Hippocampus after Focal Brain Ischemia and Central LPS Administration

Among the responses in the early stages of stroke, activation of neurodegenerative and proinflammatory processes in the hippocampus is of key importance for the development of negative post-ischemic functional consequences. However, it remains unclear, what genes are involved in these processes. The aim of this work was a comparative study of the expression of genes encoding glutamate and GABA transporters and receptors, as well as inflammation markers in the hippocampus one day after two types of middle cerebral artery occlusion (according to Koizumi et al. method, MCAO-MK, and Longa et al. method, MCAO-ML), and direct pro-inflammatory activation by central administration of bacterial lipopolysaccharide (LPS). Differences and similarities in the effects of these challenges on gene expression were observed. Expression of a larger number of genes associated with activation of apoptosis and neuroinflammation, glutamate reception, and markers of the GABAergic system changed after the MCAO-ML and LPS administration than after the MCAO-MK. Compared with the MCAO-ML, the MCAO-MK and LPS challenges caused changes in the expression of more genes involved in glutamate transport. The most pronounced difference between the responses to different challenges was the changes in expression of calmodulin and calmodulin-dependent kinases genes observed after MCAO, especially MCAO-ML, but not after LPS. The revealed specific features of the hippocampal gene responses to the two types of ischemia and a pro-inflammatory stimulus could contribute to further understanding of the molecular mechanisms underlying diversity of the post-stroke consequences both in the model studies and in the clinic.

“I just feel better about myself”: feasibility of a fitness-focused & women-centered complement to treatment

ABSTRACT Exercise may be a useful complement to treatment programs aimed at reducing the negative neural and functional consequences of alcohol and drug use. While some empirical studies have examined the impact of physical activity (PA) as a complement to treatment, they are limited in sample size or they fail to consider the unique physiological status of women. In preparation for a developmental study, we took steps to examine the feasibility of a fitness-focused intervention with women (n = 25) in treatment. To that end, we conducted a mixed method study with actual physical wellness and perceptions of physical wellness as the target domains. Participation in PA was viewed positively; however, women wished they engaged in exercise more consistently. Ultimately, women viewed exercise as a means to feeling better about themselves emotionally and physically. Recommendations link findings to practice including psycho education, group-based goal setting, and offering a variety of PA modalities.

Terrestrial invasive species alter marine vertebrate behaviour

Human-induced environmental changes, such as the introduction of invasive species, are driving declines in the movement of nutrients across ecosystems with negative consequences for ecosystem function. Declines in nutrient inputs could thus have knock-on effects at higher trophic levels and broader ecological scales, yet these interconnections remain relatively unknown. Here we show that a terrestrial invasive species (black rats, Rattus rattus) disrupts a nutrient pathway provided by seabirds, ultimately altering the territorial behaviour of coral reef fish. In a replicated ecosystem-scale natural experiment, we found that reef fish territories were larger and the time invested in aggression lower on reefs adjacent to rat-infested islands compared with rat-free islands. This response reflected changes in the economic defendability of lower-quality resources, with reef fish obtaining less nutritional gain per unit foraging effort adjacent to rat-infested islands with low seabird populations. These results provide a novel insight into how the disruption of nutrient flows by invasive species can affect variation in territorial behaviour. Rat eradication as a conservation strategy therefore has the potential to restore species interactions via territoriality, which can scale up to influence populations and communities at higher ecological levels.

Changing intra‐ and interspecific interactions across sedimentary and environmental stress gradients

AbstractIntensifying land use and accelerated erosion has resulted in increased delivery and deposition of fine terrestrially derived sediment to coastal ecosystems, increasing sediment mud content in estuarine ecosystems. This change in the sedimentary environment is known to have negative consequences for ecosystem functioning. Yet indirect and cyclical relationships between species and the environment are rarely investigated, despite being crucial for understanding ecosystem resilience. We investigate changes in intra‐ and inter‐specific interactions between two key intertidal species (Austrovenus stutchburyiandMacomona liliana) with different but overlapping environmental preferences. We use a large dataset spanning 29 estuaries and 0%–87% mud content to predict the effects of increases in mud. We observed important changes in feedback loops betweenAustrovenusrecent recruits, older individuals, and sediment shell content, and betweenMacomonaand chlorophyll with increasing stress (mud). These loops show different characteristics in the high and low mud content ecosystems and are not apparent in moderate mud. Increases in the number of paths and weaker/more variable relationships between low and moderate mud also occurred. Thus, our moderate (12%–25%) mud content model may be encompassing a transition point in ecosystem dynamics where interaction networks break down and shift to an alternate state.

Chronic hypothalamic-pituitary-adrenal axis disruption alters glutamate homeostasis and neural responses to stress in male C57Bl6/N mice

It is now well-established that stress elicits brain- and body-wide changes in physiology and has significant impacts on many aspects of health. The hypothalamic-pituitary-adrenal (HPA) axis is the major neuroendocrine system mediating the integrated response to stress. Appropriate engagement and termination of HPA activity enhances survival and optimizes physiological and behavioral responses to stress, while dysfunction of this system is linked to negative health outcomes such as depression, anxiety, and post-traumatic stress disorder. Glutamate signaling plays a large role in the transmission of stress-related information throughout the brain. Furthermore, aberrant glutamate signaling has negative consequences for neural plasticity and synaptic function and is linked to stress-related pathology. However, the connection between HPA dysfunction and glutamate signaling is not fully understood. We tested how HPA axis dysfunction (using low dose chronic corticosterone in the drinking water) affects glutamate homeostasis and neural responses under baseline and acute stress in male C57BL/6N mice. Using laser microdissection and transcriptomic analyses, we show that chronic disruption of the HPA axis alters the expression of genes related to glutamate signaling in the medial prefrontal cortex (mPFC), hippocampus, and amygdala. While neural responses to stress (as measured by FOS) in the hippocampus and amygdala were not affected in our model of HPA dysfunction, we observed an exaggerated response to stress in the mPFC. To further probe this we undertook in vivo biosensor measurements of the dynamics of extracellular glutamate responses to stress in the mPFC in real-time, and found glutamate dynamics in the mPFC were significantly altered by chronic HPA dysfunction. Together, these findings support the hypothesis that chronic HPA axis dysfunction alters glutamatergic signaling in regions known to regulate emotional behavior, providing more evidence linking HPA dysfunction and stress vulnerability.

Severity of deforestation mediates biotic homogenisation in an island archipelago

Anthropogenic‐driven species extinctions are radically changing the biosphere. Biological communities may become increasingly similar to or dissimilar from one another via the processes of biotic homogenisation or heterogenisation. A key question is how the conversion of native forests to agriculture may influence these processes by driving changes in the occurrence patterns of restricted‐range endemic species versus wide‐ranging generalists. We examined biotic homogenisation and heterogenisation in bird communities on the Southeast Asian islands of Borneo, Sulawesi, Seram, Buru, Talaud and Sangihe. Each island is characterised by high levels of avian endemism and unique spatial configuration of forest conversion to agriculture. Forest conversion to agriculture influenced the patterns of biotic homogenisation on five islands. Bird communities became increasingly dissimilar to forest reference communities relative to localised patterns of deforestation. Turnover led to species with larger global range‐sizes dominating communities at the expense of island endemics and ecological specialists. Within islands, forest conversion did not result in clear changes to β‐diversity, whereas between‐island communities became increasingly similar with greater deforestation, implying that patterns of forest conversion profoundly affect biotic homogenisation. Our findings elucidate how continued conversion of forests is causing the replacement of endemic species by a small cohort of shared ubiquitous species with potentially strong negative consequences for ecosystem functioning and resilience. Halting reorganisation of the biosphere via the loss of range‐restricted species and spread of wide‐ranged generalists will require improved efforts to reduce the impacts of deforestation, particularly in regions with high endemism.

Prenatal exposure to the Dutch famine is associated with more self-perceived cognitive problems at 72 years of age

BackgroundUndernutrition during critical periods of neurodevelopment can hinder the developing brain with lasting negative consequences for brain size, structure and function. In this study, we describe self-perceived cognitive problems of men and women who were born around the time of the Dutch famine of 1944–45.MethodsWe compared self-perceived cognitive problems between men and women who had been exposed to the 1944–45 Dutch famine in late, mid or early gestation and those who were born before or conceived after the famine (and had thus not been exposed prenatally). We included 595 participants aged 71–74 years.ResultsWomen who had been exposed to famine in late gestation more often reported cognitive problems compared to those who had not been exposed (OR 2.2 [95% CI 1.1–4.4]), whereas for men, this was the case for those exposed in early gestation (OR 2.3 [0.9–5.5]). Furthermore, men and women exposed in early gestation more often reported consulting a healthcare practitioner for cognitive problems in the past 12 months (OR 3.2 [1.3–8.1]). Especially men exposed in early gestation reported having consulted a healthcare practitioner more often than unexposed men (OR 4.4 [1.2–16.0]).ConclusionsThese findings suggest that prenatal undernutrition does not only have lasting effects on brain size, but also on its function, with more self-perceived cognitive problems at older age, which also require more medical attention. Also, the effects of undernutrition depend on sex and its timing during gestation.