Plain Language Summary Research Articles

Abemaciclib plus endocrine therapy for HR+, HER2-, node-positive, high-risk early breast cancer: a plain language summary of the monarchE study.

This article summarizes the most recent results of the monarchE study. This study was completed in participants with a type of breast cancer called HR+, HER2-, node-positive, high-risk early breast cancer. In this study, abemaciclib, a non-chemotherapy treatment, was administered with standard of care endocrine therapy after curative surgery. Most participants had received prior chemotherapy and/or radiotherapy. The study investigated if abemaciclib helped participants live longer without their cancer returning compared with participants who only received standard of care endocrine therapy. The study participants were assigned to 1 of 2 treatment groups. Participants in Group A were assigned to receive standard of care endocrine therapy with abemaciclib for 2years, followed by endocrine therapy for a total of at least 5years. Participants in Group B were assigned to receive standard of care endocrine therapy only for at least 5years. The effect of treatment was compared between these 2 groups. Overall, the results showed that the cancer was 34% less likely to come back after surgery in the participants in Group A (abemaciclib plus endocrine therapy) compared with those in Group B (endocrine therapy only). At 4years since the start of the study treatment, more participants who received the combination of abemaciclib plus endocrine therapy remained free of cancer compared with participants who received endocrine therapy alone (86% versus 79%). Participants who received abemaciclib plus endocrine therapy had more side effects than those who received endocrine therapy alone, but most of these effects were mild to moderate and reversible upon the end of therapy. The most common side effects in the abemaciclib group were diarrhea, infections, low number of white blood cells, and tiredness. This study found that administering abemaciclib in combination with standard endocrine therapy after curative breast surgery helped lower the risk of cancer returning in people with HR+, HER2-, node-positive, high-risk early breast cancer. Abemaciclib is a new treatment option for people with this diagnosis. People with high-risk early breast cancer should always talk to their doctors and nurses before making any decisions about their treatment.Clinical Trial Registration: NCT03155997 (monarchE study).

Foliar phosphorus concentration modulates the defensive mutualism of an endophytic fungus in a perennial host grass

Abstract Grasses hosting Epichloë endophytes are protected against herbivores due to the production of various fungal alkaloids. Previous research has found that high foliar phosphorus concentrations reduce the level of the alkaloid ergovaline, thereby reducing the endophyte‐mediated herbivore resistance. Yet, the impact of phosphorus on ergovaline biosynthesis versus its influence on endophyte growth and synthesis of other fungal alkaloids remains unresolved. Our objective was to elucidate these relationships. We grew endophyte‐symbiotic and non‐symbiotic Festuca arundinacea plants and fertilised them with different doses of phosphorus. Later, half of the plants from each treatment were challenged with larvae of the generalist chewing insect Spodoptera frugiperda. We assessed the relationships between foliar phosphorus levels, fungal mycelium and alkaloid concentrations, as well as their impacts on larvae performance, herbivore‐caused damage and plant biomass. Endophyte mycelial biomass in plant tissue was found to be independent of foliar phosphorus concentration. The alkaloids lolines and peramine showed a linear relationship with mycelial biomass but no correlation with foliar phosphorus. Surprisingly, high ergovaline concentrations were positively associated with an interaction between endophyte mycelial biomass and foliar phosphorus concentration. Although herbivory increased loline concentration, only high concentrations of ergovaline and peramine were related to reduced S. frugiperda larvae weight gain. However, endophyte presence did not reduce herbivory damage on plants. Contrary to expectation, we did not find a negative but a positive association between concentrations of foliar phosphorus and ergovaline alkaloid, through its interaction with endophyte mycelial biomass. Alternatively, our findings suggest that phosphorus plays a crucial role in modulating the Epichloë‐mediated defensive mutualism, primarily through its effects on ergovaline rather than on endophyte concentration or production of other alkaloids. Read the free Plain Language Summary for this article on the Journal blog.

A survey of the prevalence and patterns of neuropsychological assessment practices across epilepsy surgery centers in India: Toward establishing a national guideline.

Neuropsychology plays an important role in optimizing epilepsy management, but there are no practice guidelines for low- and middle-income countries with emerging services. The National Epilepsy Surgery Support Activity Network (NESSAN), a national working group that supports and optimizes epilepsy surgery programs in India, explored the present status of pre- and post epilepsy surgery neuropsychological assessment practices across India as an initial step in developing national evidence-based test guidelines. An online survey was conducted using two questionnaires, one for neurologists and the second for neuropsychologists and speech-language pathologists working in epilepsy surgery centers. The questions to neurologists covered the setting, description, and nature of the neuropsychology services provided for adults and children as part of the epilepsy surgery program, and their perceptions about the importance and indications for neuropsychological assessment in epilepsy surgery. The questions to neuropsychologists inquired about their qualifications and training, pre- and postsurgical assessment procedures, and domain-specific cognitive tests and scales for mood, quality of life, and language evaluations. Forty-three centers responded, and neuropsychology services were available at three fourth of the centers, but a dedicated full-time neuropsychologist was available in only 16% of centers. Ninety percent of the neurologists considered neuropsychological evaluation an indispensable part of presurgical evaluation. However, only a few of them believed that the results influenced their decision about the extent of resection and ruling against surgery. The survey found considerable heterogeneity in terms of qualifications and training of neuropsychologists, evaluation procedures, test protocols, and normative data that will need to be harmonized to ensure uniform practice across the country. We believe that the results from this survey provide a road map for implementing measures to minimize existing inadequacies and harmonize neuropsychology services in India and as well as in other countries with emerging neuropsychology services. PLAIN LANGUAGE SUMMARY: Neuropsychological assessment is an integral part of the pre- and post epilepsy surgery evaluations. In India, the National Epilepsy Surgery Support Activity Network (NESSAN), a body of multidisciplinary professionals, conducted a survey to examine existing neuropsychology practices. The responses from 43 centers across the country revealed considerable heterogeneity in tests and few trained and qualified neuropsychologists. In low- and middle-income countries (LMIC) with emerging neuropsychology services, there is a need to have uniform test protocols, specialized training, and guidelines for optimizing neuropsychology services across all the epilepsy surgery centers.

Plain language summary of PAPILLON: amivantamab plus chemotherapy in untreated EGFR-mutated non-small-cell lung cancer.

Plain language summary of PAPILLON: amivantamab plus chemotherapy in untreated EGFR-mutated non-small-cell lung cancer.

Plain Language Summary Publication: Characterizing neck pain during headache among people with migraine: Multicountry results from the Chronic Migraine Epidemiology and Outcomes - International (CaMEO-I) cross-sectional study.

Plain Language Summary Publication: Characterizing neck pain during headache among people with migraine: Multicountry results from the Chronic Migraine Epidemiology and Outcomes - International (CaMEO-I) cross-sectional study.

Consensus panel recommendations for the optimization of EPIDIOLEX® treatment for seizures associated with Lennox-Gastaut syndrome, Dravet syndrome, and tuberous sclerosis complex.

Following the approval of Epidiolex® (cannabidiol; CBD) for the treatment of seizures associated with Lennox-Gastaut syndrome (LGS), Dravet syndrome (DS), and tuberous sclerosis complex (TSC), healthcare professionals (HCPs) have had substantial experience in treating patients with Epidiolex. However, confusion still remains among HCPs, caregivers, and patients regarding dosing, drug interactions, safety monitoring, and differentiation between Epidiolex and nonapproved CBD products. To establish consensus recommendations for Epidiolex treatment optimization in LGS, DS, and TSC, a panel of seven HCPs with expertise in epilepsy was convened. Panelists participated in a premeeting survey based on a literature review of Epidiolex for the treatment of LGS, DS, and TSC, and survey responses were compiled for discussion. A modified Delphi method was used to assess agreement among panelists regarding recommendation statements following two rounds of discussion. Panelists identified two broad themes - overcoming barriers to initiation and optimization of treatment for seizures associated with LGS, DS, and TSC - for consensus guidelines. Accurate identification of patients with these rare epilepsies is critical for optimization of Epidiolex treatment. Providers should differentiate Epidiolex from nonapproved CBD products and set expectations for the therapeutic effect and safety/tolerability of Epidiolex. Initial target dose and titration rate should be individualized by baseline variables, prior response to antiseizure medications, and therapeutic goals. Awareness of strategies to manage adverse events and concomitant medications, including drug-drug interactions, is critical. Tracking response to the maximum tolerated dose is an important measure of effectiveness. These consensus recommendations provide real-world experience from neurology HCPs with experience in prescribing Epidiolex and can inform optimal use of Epidiolex for the treatment of seizures associated with LGS, DS, and TSC. PLAIN LANGUAGE SUMMARY: Epidiolex® (cannabidiol) is approved for treating seizures in Lennox-Gastaut syndrome, Dravet syndrome, and tuberous sclerosis complex. Although healthcare professionals have experience in treating patients with Epidiolex, there is a need for better understanding of dosing, drug interactions, and safety of this drug. Therefore, a group of epilepsy experts developed guidelines for best practices in Epidiolex treatment. Two main areas were identified: overcoming barriers to starting Epidiolex and considerations related to Epidiolex dosing. Within these areas, topics, including correct disease identification, managing adverse events, and determining individualized dose, were discussed. These guidelines provide real-world experience to inform optimal Epidiolex use.

Enhanced plant litter impacts nematode communities and carbon use efficiency in a mixed forest

Abstract Rising temperatures and higher atmospheric CO2 levels can potentially increase plant photosynthesis and boost forest productivity, thereby spurring litter inputs to soils on a global scale. Understanding the feedback loops between increased litter inputs and soil biota activity will allow for better prediction of organic matter and carbon (C) cycling in terrestrial ecosystems. Nematodes represent the full spectrum of trophic groups within the soil biota. Accordingly, we studied the link between nematode metabolic activities and plant litter input. For this, different litter input levels were manipulated in a temperate forest, including control zones without litter, natural litter input zones and zones with double, triple and quadruple amounts of natural litter input. Soil top layers (0–10 cm) were then collected to study the responses of nematode communities. Increased litter input positively influenced the abundance and diversity of nematodes, except for plant‐parasitic species. Higher litter input levels led to an enhancement in the ratio of bacterivores to the total of bacterivores and fungivores. More litter increased the K/r strategist ratio among bacterivores and the corresponding nematode metabolic footprints. More litter also stimulated nematode production and respiration components and improved the carbon use efficiency of bacterivores. Moreover, structural equation modelling revealed the crucial role of bacterivores in influencing soil organic C under increased litter input. In conclusion, our study shows that increased plant above‐ground litter input modifies the taxonomic and functional communities of soil nematodes, ultimately regulating carbon cycling in forest soils. Read the free Plain Language Summary for this article on the Journal blog.

Defining socioecological reciprocity: Intentionality, mutualism or collateral effect

Abstract This perspective piece discusses the history of the use of the term ‘reciprocity’ across environmental social sciences in the analysis of the interactions between the social and the natural systems. Reciprocity, as a concept, these days, seems to be used in a rather uncritical fashion. These pages do not intend to be exhaustive, instead they focus on the role that the idea of explicit intentionality (or its absence) has had on the different ways reciprocity has been conceptualized. The literature identifies two clusters of approaches to this subject. On the one hand, we encounter a group of schools in which the notion of reciprocity demands explicit intentionality, an articulation of the concept that requires intend and consciousness of the consequences of agency and the directionality of causality. On the other hand, a wider definition of reciprocity that does not depend on awareness has also been used to discuss the relationships between human and non‐human actors. Thanks to this wider definition, reciprocity has been used as well to describe interactions between human and non‐human entities in which one or both parties were not explicitly intending to benefit each other. The aim of this article was not to determine which approach is correct and which is not. The goal was to underscore the significance of requiring or not requiring intentionality on the construction and use of the notion of reciprocity and the analytical and representational consequences of this choice. Read the free Plain Language Summary for this article on the Journal blog.

The evolution of sensitive periods beyond early ontogeny: Bridging theory and data

Abstract Sensitive periods, in which experiences have a large impact on phenotypic development, are most common early in ontogeny. Yet, they may also occur at later ontogenetic stages, such as adolescence. At present, however, we know little about why natural selection favours sensitive periods for some traits early in ontogeny and for others later in ontogeny. This article synthesizes recent mathematical models and empirical studies that explore sensitive periods beyond early ontogeny. Across mathematical models, we observe two general patterns. First, sensitive periods emerge beyond early ontogeny when an organism's uncertainty about the environment‐phenotype fit increases at later developmental stages. Second, sensitive periods emerge beyond early ontogeny when cues at later stages reduce this uncertainty more than earlier cues do. In the empirical literature, we observe that traits showing sensitive periods beyond early ontogeny tend to be social traits, particularly among mammals. Connecting theory to data, we hypothesize that mammals have evolved to expect reliable information from peers in adolescence to reduce uncertainty about the current and future social environment (e.g. social dominance, mate value). Finally, we highlight current gaps in our understanding and suggest future directions for strengthening bridges between empirical and theoretical studies of sensitive periods. Ultimately, we hope our synthesis will contribute towards an integrative science of sensitive periods across the biological and the social sciences. Read the free Plain Language Summary for this article on the Journal blog.

Seasonal precipitation distribution determines ecosystem CO2 and H2O exchange by regulating spring soil water–salt dynamics in a brackish wetland

Abstract The intensification of the global hydrological cycle is anticipated to increase the variability of precipitation patterns. Brackish wetlands respond to changes in precipitation patterns by regulating the absorption and release of CO2 and H2O to maintain the stability of ecosystem functions. However, there is limited understanding of how the inter‐seasonal precipitation distribution (SPD) affects ecosystem CO2 and H2O exchange compared with annual precipitation totals. Here, we conducted four consecutive years of field experiments in a brackish wetland, manipulating the proportion of precipitation across different seasons while maintaining a constant annual precipitation total. We utilized five inter‐SPD proportions (+73%, +56%, control (CK), −56%, −73%) to examine the effects of SPD on ecosystem CO2 and H2O exchange. Our findings revealed that the annual ecosystem CO2 and H2O fluxes showed a trend of decreasing with the decrease in spring precipitation distribution. Among them, the annual net ecosystem CO2 exchange, evapotranspiration, carbon use efficiency and water use efficiency were shown to be more sensitive to decrease in spring precipitation distribution and increase in summer and autumn precipitation distribution. This negative asymmetric response pattern suggests that annual ecosystem CO2 and H2O exchange is primarily governed by seasonal precipitation variability, with spring soil water–salt dynamics identified as the key driver. Therefore, this association can be explained by the fact that drought of the early growth stage exacerbates soil salinization and inhibits vegetation colonization and growth, thereby greatly impairing the annual CO2–H2O exchange capacity of brackish wetlands. Our results emphasized that the spring extreme precipitation‐induced soil water–salt conditions will greatly influence CO2 and H2O exchange in brackish wetlands in the future. These findings are crucial for improving predictions of the carbon sequestration and water‐holding capacity of brackish wetlands. Read the free Plain Language Summary for this article on the Journal blog.

Plain language summary of the results from the TALAPRO-2 study: Talazoparib plus enzalutamide versus placebo plus enzalutamide for patients with advanced prostate cancer.

This summary describes the results from the TALAPRO-2 research study (also known as a clinical trial). The TALAPRO-2 study tested the combination of two medicines called talazoparib plus enzalutamide. This combination of medicines was used as the first treatment for adult patients with metastatic castration-resistant prostate cancer. The combination of talazoparib plus enzalutamide was compared with a placebo plus enzalutamide. Metastatic castration-resistant prostate cancer is a type of cancer that starts in the prostate and has spread to other parts of the body. Castration-resistant means that the cancer continues to grow even when testosterone levels in the blood are reduced to very low levels. Taking medicines to lower testosterone levels in the blood is a standard treatment for men with advanced prostate cancer. TALAPRO-2 looked at if combining talazoparib plus enzalutamide would increase the length of time patients lived before their cancer got worse or they died compared with a placebo plus enzalutamide. Researchers looked at how treatment affected the size and number of tumors and the length of time before patients needed to change to a new cancer medicine. Researchers also looked at any side effects patients had during the study. A total of 805 patients with metastatic castration-resistant prostate cancer took part in the study. Compared with patients who took a placebo plus enzalutamide, the group of patients who took talazoparib plus enzalutamide had a 37% reduced risk of their cancer getting worse or dying. Some patients had tumors that at the start of the study could be measured with scans. Sixty-two percent of patients who took talazoparib plus enzalutamide had their tumors decrease or shrink to the point that they could no longer be seen on scans versus 44% of patients who took a placebo plus enzalutamide. Patients who took talazoparib plus enzalutamide were more likely to have a longer time before they needed to change to a new cancer medicine. The most common side effects of talazoparib plus enzalutamide were low levels of red blood cells (66% of patients) and neutrophils (36% of patients), and excessive tiredness or exhaustion (34% of patients).Clinical Trial Registration: NCT03395197 (TALAPRO-2) (ClinicalTrials.gov).

A Plain Language Summary of "Dostarlimab for primary advanced or recurrent endometrial cancer".

A Plain Language Summary of "Dostarlimab for primary advanced or recurrent endometrial cancer".

Dynamic reciprocal contributions between Indigenous communities and cultural keystone species: A study case in Western Ecuador

Abstract The reciprocal contributions concept provides a holistic approach to understanding management of natural resources in social‐ecological systems. The purpose of this study was to understand how Indigenous peoples build reciprocal contributions with cultural keystone species (CKS) through their dynamic knowledge systems. We explore the cultural value and reciprocal contributions between an endemic palm locally known as tagua (Phytelephas aequatorialis Spruce) and the Indigenous Commune of Salanguillo in western Ecuador. We use a multidisciplinary, mixed methods approach (including participant observation, focus group discussions, talking maps and social surveys) to identify reciprocity at three human dimensions (institutional‐social‐political, biophysical and symbolic–linguistic–cultural). Our study revealed multiple and diverse reciprocal contributions between people and tagua across all dimensions, and the tagua palm was identified as a CKS. Interactions with tagua reflect broader social‐ecological changes in the region. Reciprocal contributions between tagua and the Commune are built through direct individual experience, but also rely on communal and national institutional agreements. Integration of Indigenous knowledge with the global environmental discourse underpins the place‐based learning strategies for the sustainable use and management of tagua and human well‐being. Read the free Plain Language Summary for this article on the Journal blog.

Guideline for reporting systematic reviews of outcome measurement instruments (OMIs): PRISMA-COSMIN for OMIs 2024

PurposeAlthough comprehensive and widespread guidelines on how to conduct systematic reviews of outcome measurement instruments (OMIs) exist, for example from the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) initiative, key information is often missing in published reports. This article describes the development of an extension of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guideline: PRISMA-COSMIN for OMIs 2024.MethodsThe development process followed the Enhancing the QUAlity and Transparency Of health Research (EQUATOR) guidelines and included a literature search, expert consultations, a Delphi study, a hybrid workgroup meeting, pilot testing, and an end-of-project meeting, with integrated patient/public involvement.ResultsFrom the literature and expert consultation, 49 potentially relevant reporting items were identified. Round 1 of the Delphi study was completed by 103 panelists, whereas round 2 and 3 were completed by 78 panelists. After 3 rounds, agreement (≥ 67%) on inclusion and wording was reached for 44 items. Eleven items without consensus for inclusion and/or wording were discussed at a workgroup meeting attended by 24 participants. Agreement was reached for the inclusion and wording of 10 items, and the deletion of 1 item. Pilot testing with 65 authors of OMI systematic reviews further improved the guideline through minor changes in wording and structure, finalized during the end-of-project meeting. The final checklist to facilitate the reporting of full systematic review reports contains 54 (sub)items addressing the review’s title, abstract, plain language summary, open science, introduction, methods, results, and discussion. Thirteen items pertaining to the title and abstract are also included in a separate abstract checklist, guiding authors in reporting for example conference abstracts.ConclusionPRISMA-COSMIN for OMIs 2024 consists of two checklists (full reports; abstracts), their corresponding explanation and elaboration documents detailing the rationale and examples for each item, and a data flow diagram. PRISMA-COSMIN for OMIs 2024 can improve the reporting of systematic reviews of OMIs, fostering their reproducibility and allowing end-users to appraise the quality of OMIs and select the most appropriate OMI for a specific application.NoteIn order to encourage its wide dissemination this article is freely accessible on the web sites of the journals: Health and Quality of Life Outcomes; Journal of Clinical Epidemiology; Journal of Patient-Reported Outcomes; Quality of Life Research.

Guideline for reporting systematic reviews of outcome measurement instruments (OMIs): PRISMA-COSMIN for OMIs 2024

PurposeAlthough comprehensive and widespread guidelines on how to conduct systematic reviews of outcome measurement instruments (OMIs) exist, for example from the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) initiative, key information is often missing in published reports. This article describes the development of an extension of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guideline: PRISMA-COSMIN for OMIs 2024.MethodsThe development process followed the Enhancing the QUAlity and Transparency Of health Research (EQUATOR) guidelines and included a literature search, expert consultations, a Delphi study, a hybrid workgroup meeting, pilot testing, and an end-of-project meeting, with integrated patient/public involvement.ResultsFrom the literature and expert consultation, 49 potentially relevant reporting items were identified. Round 1 of the Delphi study was completed by 103 panelists, whereas round 2 and 3 were completed by 78 panelists. After 3 rounds, agreement (≥ 67%) on inclusion and wording was reached for 44 items. Eleven items without consensus for inclusion and/or wording were discussed at a workgroup meeting attended by 24 participants. Agreement was reached for the inclusion and wording of 10 items, and the deletion of 1 item. Pilot testing with 65 authors of OMI systematic reviews further improved the guideline through minor changes in wording and structure, finalized during the end-of-project meeting. The final checklist to facilitate the reporting of full systematic review reports contains 54 (sub)items addressing the review’s title, abstract, plain language summary, open science, introduction, methods, results, and discussion. Thirteen items pertaining to the title and abstract are also included in a separate abstract checklist, guiding authors in reporting for example conference abstracts.ConclusionPRISMA-COSMIN for OMIs 2024 consists of two checklists (full reports; abstracts), their corresponding explanation and elaboration documents detailing the rationale and examples for each item, and a data flow diagram. PRISMA-COSMIN for OMIs 2024 can improve the reporting of systematic reviews of OMIs, fostering their reproducibility and allowing end-users to appraise the quality of OMIs and select the most appropriate OMI for a specific application.NoteIn order to encourage its wide dissemination this article is freely accessible on the web sites of the journals: Health and Quality of Life Outcomes; Journal of Clinical Epidemiology; Journal of Patient-Reported Outcomes; Quality of Life Research.

Guideline for reporting systematic reviews of outcome measurement instruments (OMIs): PRISMA-COSMIN for OMIs 2024

PurposeAlthough comprehensive and widespread guidelines on how to conduct systematic reviews of outcome measurement instruments (OMIs) exist, for example from the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) initiative, key information is often missing in published reports. This article describes the development of an extension of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guideline: PRISMA-COSMIN for OMIs 2024.MethodsThe development process followed the Enhancing the QUAlity and Transparency Of health Research (EQUATOR) guidelines and included a literature search, expert consultations, a Delphi study, a hybrid workgroup meeting, pilot testing, and an end-of-project meeting, with integrated patient/public involvement.ResultsFrom the literature and expert consultation, 49 potentially relevant reporting items were identified. Round 1 of the Delphi study was completed by 103 panelists, whereas round 2 and 3 were completed by 78 panelists. After 3 rounds, agreement (≥67%) on inclusion and wording was reached for 44 items. Eleven items without consensus for inclusion and/or wording were discussed at a workgroup meeting attended by 24 participants. Agreement was reached for the inclusion and wording of 10 items, and the deletion of 1 item. Pilot testing with 65 authors of OMI systematic reviews further improved the guideline through minor changes in wording and structure, finalized during the end-of-project meeting. The final checklist to facilitate the reporting of full systematic review reports contains 54 (sub)items addressing the review’s title, abstract, plain language summary, open science, introduction, methods, results, and discussion. Thirteen items pertaining to the title and abstract are also included in a separate abstract checklist, guiding authors in reporting for example conference abstracts.ConclusionPRISMA-COSMIN for OMIs 2024 consists of two checklists (full reports; abstracts), their corresponding explanation and elaboration documents detailing the rationale and examples for each item, and a data flow diagram. PRISMA-COSMIN for OMIs 2024 can improve the reporting of systematic reviews of OMIs, fostering their reproducibility and allowing end-users to appraise the quality of OMIs and select the most appropriate OMI for a specific application.NoteIn order to encourage its wide dissemination this article is freely accessible on the web sites of the journals: Health and Quality of Life Outcomes; Journal of Clinical Epidemiology; Journal of Patient-Reported Outcomes; Quality of Life Research.

Cultural stewardship in urban spaces: Reviving Indigenous knowledge for the restoration of nature

Abstract Relationships to nature are important for the health and well‐being of peoples globally and should be actively protected. Indigenous Māori people in Aotearoa New Zealand recognize this important relationship to nature through narratives of lineage and express this through concepts such as kaitiakitanga; a cultural place‐based practice of stewardship that intertwines relationships of responsibility between people, nature and culture. However, many Māori now live outside of tribal areas in urban settings, putting relationships with nature into question. We asked how urban Māori people practice kaitiakitanga, and what factors might predict flourishing relationships with nature. We surveyed 214 urban Māori who shared their perceptions of kaitiakitanga, cultural practices and restoration activities. The data were analysed by identifying qualitative themes and using linear mixed effect models. Māori who were exposed to kaitiakitanga as children were more likely to attend marae and family restoration activities, and less likely to attend events led by local councils. Pressingly, young people in urban areas were more at risk of losing cultural knowledge and opportunities to practice cultural practices in urban areas. Age, distance from tribal area and early exposure all affected decision‐making and expression of kaitiakitanga in urban areas. Knowledge associated with kaitiakitanga can create inclusive and effective urban restoration activities. We suggest that partnership between Māori groups including local marae, and local councils, may provide accessible, best practice urban restoration models that attract local Māori and act to support cultural knowledge, in turn encouraging diverse pathways to nature restoration to develop in urban areas. Likewise, such partnerships will ensure that Māori in cities are supported to express and maintain cultural knowledge and practice into the future. Read the free Plain Language Summary for this article on the Journal blog.

Communities in ecosystem restoration: The role of inclusive values and local elites' narrative innovations

Abstract Ecosystem restoration practices are gaining prominence in coping with the crisis of ecosystem degradation. To improve the long‐term effectiveness of restoration activities, community engagement in restoration projects needs to be strengthened. In communities where traditional and local values drive adaptation to environmental changes, a community‐engaged restoration approach requires the integration of restoration techniques and local value systems. In two pastoral communities on the Qinghai‐Tibetan Plateau, we used the Q method to explore pastoralists' attitudes towards grassland degradation and restoration and to understand different levels of community engagement in grassland restoration activities. Through this study, we aim to promote an understanding of the value‐based approach of local communities to enable better community engagement for the long‐term effectiveness of ecosystem restoration projects and contribute to the achievement and synergy of global Sustainable Development Goals (SDGs). The study revealed eight types of pastoralists with different attitudes in two communities, with the type of Active Agents leverages transformative restoration action through creating value‐inclusive narratives of grassland restoration in the community with a higher level of engagement in restoration practices. Alongside this, we explored the pastoralists' perspectives of biodiversity in restoration and the importance of local elites in facilitating multiple‐actor cooperation in restoration projects. We recommend that decision‐makers recognize the significance of local worldviews and values in facilitating environmental adaptations, as well as the irreplaceable role played by local people in developing value‐inclusive narratives that align with the local cultural context. Open dialogues and sufficient communication between multiple stakeholders are needed to build mutual trust and accumulate social capital for driving transformative actions in traditional communities. Such approaches are essential to foster community engagement and gain better momentum in ecosystem management initiatives. Read the free Plain Language Summary for this article on the Journal blog.

Thermal plasticity in protective wing pigmentation is modulated by genotype and food availability in an insect model of seasonal polyphenism

Abstract Phenotypic variation in natural populations results from complex interactions between organisms and their changing environments. The environment shapes both phenotypic frequencies (during adaptation) and organismal phenotypes (through phenotypic plasticity). Developmental plasticity, in particular, refers to the phenomenon whereby an organism's phenotype depends on the environmental conditions during development. It can match phenotype to ecological conditions and help organisms to cope with environmental heterogeneity, including differences between alternating seasons. Experimental studies of developmental plasticity often focus on the impact of individual environmental cues and do not take explicit account of genetic variation. In contrast, natural environments are complex, comprising multiple variables with combined effects that are poorly understood and may vary among genotypes. We investigated the effects of multifactorial environments on the development of the seasonally plastic eyespots of Bicyclus anynana butterflies. Eyespot size depends on developmental temperature and is involved in alternative seasonal strategies for predator avoidance. In nature, both temperature and food availability undergo seasonal fluctuations. However, our understanding of how thermal plasticity in eyespot size varies in response to food availability and across genotypes remains limited. To address this, we investigated the combined effects of temperature (T; two levels: 20°C and 27°C) and food availability (N; two levels: control and limited) during development. We examined their impact on wing and eyespot size in adult males and females from multiple genotypes (G; 28 families). We found evidence of thermal and nutritional plasticity and temperature‐by‐nutrition interactions (significant T × N) on the size of eyespots in both sexes. Food limitation resulted in relatively smaller eyespots and tempered the effects of temperature. Additionally, we found differences among families for thermal plasticity (significant G × T effects), but not for nutritional plasticity (non‐significant G × N effects) nor for the combined effects of temperature and food limitation (non‐significant G × T × N effects). Our results reveal the context dependence of thermal plasticity, with the slope of thermal reaction norms varying across genotypes and across nutritional environments. We discuss these results in the light of the ecological significance of pigmentation and the value of considering thermal plasticity in studies of the biological impact of climate change. Read the free Plain Language Summary for this article on the Journal blog.

Is maintenance therapy following previous treatment better than observation or placebo for treating chronic lymphocytic leukaemia in adults? (Russian translation of the Plain Language Summary (PLS) of the Cochrane Systematic Review)

This publication is the Russian translation of the Plain Language Summary (PLS) of the Cochrane Systematic Review: Lee C-H, Wu Y-Y, Huang T-C, Lin C, Zou Y-F, Cheng J-C, Chen P-H, Jhou H-J, Ho C-L. Maintenance therapy for chronic lymphocytic leukaemia. Cochrane Database of Systematic Reviews 2024, Issue 1. Art. No.: CD013474. DOI: 10.1002/14651858.CD013474.pub2