Significant Deficiencies Research Articles

The whole grain manifesto: From Green Revolution to Grain Evolution

Grains have historically represented a major component of human diets and were predominantly consumed in whole form until the first half of the 19th century, when a combination of technological innovations and market dynamics made refined grains, hitherto a premium product, affordable and available to the masses. Grains still account for more than half of the total caloric intake among vulnerable populations worldwide, and their dominant consumption in refined form turns a nutrient-dense, protective food into a nutrient-poor one contributing to growing rates of obesity and noncommunicable disease. Shifting a substantial portion of global grain consumption to whole grains is potentially one of the most significant and achievable improvements to diets and food systems worldwide. In countries with significant micronutrient deficiencies, a switch from refined to fortified whole grain foods can enable institutional channels such as school feeding programs to measurably improve diet quality in a budget-neutral way.

Life Cycle Greenhouse Gas Emissions of the USPS Next-Generation Delivery Vehicle Fleet.

The United States Postal Service (USPS) plans to purchase 165,000 next-generation delivery vehicles (NGDVs) between 2023 and 2032. The USPS submitted an environmental impact statement (EIS) for two NGDV procurement scenarios: (1) 90% internal combustion engine vehicles (ICEVs) and 10% battery electric vehicles (BEVs) ("ICEV scenario") and (2) 100% BEVs ("BEV scenario"). To correct several significant deficiencies in the EIS, we conduct a cradle-to-grave life cycle greenhouse gas (GHG) assessment of these two scenarios. Our analysis improves upon the USPS's EIS by including vehicle production and end-of-life emissions, future grid decarbonization, and more accurate vehicle operating emissions. In our base case, we find that the ICEV and BEV scenarios would result in 15% greater and 8% fewer GHG emissions, respectively, than the USPS estimate. Favorable vehicle and grid development would result in 63% lower BEV scenario emissions than the USPS estimate. Consequently, we calculate a cumulative lifetime emission reduction of 57-82% (14.7-21.4 Mt CO2e) from procuring 100% BEVs instead of 10% BEVs, compared to the USPS's estimate of 10.3 Mt. Given the long NGDV lifetimes, committing to the ICEV scenario squanders an ideal use case for BEVs, jeopardizes meeting our climate goals, and forgoes potential climate and environmental justice co-benefits.

Multi-omics in classical galactosemia: Evidence for the involvement of multiple metabolic pathways.

Classical galactosemia (CG) is one of the more frequent inborn errors of metabolism affecting approximately 1:40.000 people. Despite a life-saving galactose-restricted diet, patients develop highly variable long-term complications including intellectual disability and movement disorders. The pathophysiology of these complications is still poorly understood and development of new therapies is hampered by a lack of valid prognostic biomarkers. Multi-omics approaches may discover new biomarkers and improve prediction of patient outcome. In the current study, (semi-)targeted mass-spectrometry based metabolomics and lipidomics were performed in erythrocytes of 40 patients with both classical and variant phenotypes and 39 controls. Lipidomics did not show any significant changes or deficiencies. The metabolomics analysis revealed that CG does not only compromise the Leloir pathway, but also involves other metabolic pathways including glycolysis, the pentose phosphate pathway, and nucleotide metabolism in the erythrocyte. Moreover, the energy status of the cell appears to be compromised, with significantly decreased levels of ATP and ADP. This possibly is the consequence of two different mechanisms: impaired formation of ATP from ADP possibly due to reduced flux though the glycolytic pathway and trapping of phosphate in galactose-1-phosphate (Gal-1P) which accumulates in CG. Our findings are in line with the current notion that the accumulation of Gal-1P plays a key role in the pathophysiology of CG not only by depletion of intracellular phosphate levels but also by decreasing metabolite abundance downstream in the glycolytic pathway and affecting other pathways. New therapeutic options for CG could be directed towards the restoration of intracellular phosphate homeostasis.

Do market conditions interfere with the transmission of uncertainty from oil market to stock market? Evidence from a modified quantile-on-quantile approach

This paper explores the asymmetric and dynamic effects of oil market uncertainty on stock market uncertainty in BRICS countries. To highlight this issue, we propose a modified quantile-on-quantile method by remedying two significant deficiencies of the current quantile-on-quantile approach that has been widely deployed recently. The results show that the influences of oil market uncertainty on BRICS equity market uncertainty are overall positive and asymmetric across various market circumstances. When oil and stock markets are both in bear market conditions, the impacts of uncertainty regarding the oil market on stock markets are more pronounced. Moreover, this asymmetric relationship is significantly heterogeneous across BRICS countries. Dynamic analysis confirms that oil market uncertainty has a time-varying shock on stock market uncertainty. Our study has momentous implications for investors and policymakers attempting to guard against uncertainty in oil and stock markets.

Global patterns of antigen receptor repertoire disruption across adaptive immune compartments in COVID-19

Whereas pathogen-specific T and B cells are a primary focus of interest during infectious disease, we have used COVID-19 to ask whether their emergence comes at a cost of broader B cell and T cell repertoire disruption. We applied a genomic DNA-based approach to concurrently study the immunoglobulin-heavy (IGH) and T cell receptor (TCR) β and δ chain loci of 95 individuals. Our approach detected anticipated repertoire focusing for the IGH repertoire, including expansions of clusters of related sequences temporally aligned with SARS-CoV-2-specific seroconversion, and enrichment of some shared SARS-CoV-2-associated sequences. No significant age-related or disease severity-related deficiencies were noted for the IGH repertoire. By contrast, whereas focusing occurred at the TCRβ and TCRδ loci, including some TCRβ sequence-sharing, disruptive repertoire narrowing was almost entirely limited to many patients aged older than 50 y. By temporarily reducing T cell diversity and by risking expansions of nonbeneficial T cells, these traits may constitute an age-related risk factor for COVID-19, including a vulnerability to new variants for which T cells may provide key protection.

A Smart Campus Framework: Challenges and Opportunities for Education Based on the Sustainable Development Goals

Although technology improvements boosted the digital transition of universities, which built a path for smart campuses, the smartization process is more than simply promoting digitalization. This research aims to identify the essential elements and the most significant deficiencies in the smart campus dimensions and its variables from the user’s viewpoint to offer a list of priorities for decision-makers. Through an importance-performance analysis (IPA) performed using IBP SPSS 26, we tested an integrative smart campus framework in a Brazilian university, previously validated with Latin American experts. This research confirmed that eight dimensions are important for a smart campus evaluation and provided a list of priorities for academic managers. The results indicated the main gaps among importance and performance. This research concluded that the smartization process could not rely on technology attributes only. Universities should meet the modern society’s present and emerging needs and the labor market in a sustainable, social, and technological manner. Smart campuses in developing countries may prioritize different components than developed countries, such as infrastructure. We propose that more studies should apply the framework in more universities.

Anmerkungen zur Edition „De Saksenspiegel in Nederland, Eerste stuk – Oudere tekst“ von Barthold Jacob Lintelo Baron de Geer van Jutphaas

Abstract Notes on the edition ‘De Saksenspiegel in Nederland, Eerste stuk – Oudere tekst’ of Barthold Jacob Lintelo Baron de Geer van Jutphaas. The article sheds light on the Dutch Sachsenspiegel, which has hardly been noticed in research so far, and gives an overview of the manuscripts, their history and relationship. The only comparative edition from 1888 contains both textual and methodological errors in the first volume on the older text. This article concludes with a correction of the edition’s most significant deficiencies.

An Evaluation of National Park System Pilot Area Using the AHP-Delphi Approach: A Case Study of the Qianjiangyuan National Park System Pilot Area, China

With the national park as an important measure of ecological protection, China has started 10 national park system pilot areas. However, the research on the comprehensive evaluation of national park construction and development is insufficient. The main purpose of this study was to establish a comprehensive evaluation index system for the pilot area of the national park system. The method of the Analytic Hierarchy Process combined with the Delphi method by ten relevant experts was used. The comprehensive evaluation index system for the national park system pilot areas was composed of the objective level and the criteria level which includes three items: natural resource conditions; research, education and recreation functions; and protection and management conditions. The indicator level involved seven items and the factor level included 31 items. Furthermore, the weight of each item in these levels was obtained through the Delphi method by the judgement of selected experts. The Qianjiangyuan National Park System Pilot Area (QNPSPA) was selected as the study case for empirical research. The score of the comprehensive evaluation of the QNPSPA was 90.801, which belongs to Grade I in the five catalogues, indicating its comprehensive construction level was very high and its protection and management measures were efficient. However, significant deficiencies also existed in the area suitability, recreation facilities and production, natural resource property rights, human landscape value and ecosystem integrity. To address these problems, five suggestions were proposed. For example, strengthening cross-administrative cooperation and communication, improving the construction of recreational facilities, etc. The evaluation framework proposed in this study could play a positive role in the construction evaluation of the pilot areas of national parks in China and is conducive to promoting the evaluation research of national parks in China and promoting the development of conservation and construction.

Sociolinguistic Competence and Training Needs of Future Primary Education Teachers

Sociolinguistic competence deals with the social dimension of language use, of vital importance for teaching. This work delves into sociolinguistic competence level of 380 students from the universities of Jaen, Granada and Oviedo (Spain), identifying the post-test impact of the online “Affective e-learning+” program. Data analysis was performed through a pre-post-test quasi-experimental study with a non-equivalent control group. A descriptive study was conducted, followed by inferential examination. Data were analyzed with the program SPSS v23. The results provided evidence of different levels of initial performance, showing in some cases significant deficiencies. The online program produced significant differences, with a “high” impact with regards to improvement in “registry use and adaptation to the context,” “talking slowly and vocalizing” and improvement in “use of non-verbal language.” It is concluded that there is the need to pay attention to the communicative competence of future teachers, noting the benefits of the program “Affective e-learning+”, designed to improve this competence.

VARS2 Depletion Leads to Activation of the Integrated Stress Response and Disruptions in Mitochondrial Fatty Acid Oxidation.

Mutations in mitochondrial aminoacyl-tRNA synthetases (mtARSs) have been reported in patients with mitochondriopathies: most commonly encephalopathy, but also cardiomyopathy. Through a GWAS, we showed possible associations between mitochondrial valyl-tRNA synthetase (VARS2) dysregulations and non-ischemic cardiomyopathy. We aimed to investigate the possible consequences of VARS2 depletion in zebrafish and cultured HEK293A cells. Transient VARS2 loss-of-function was induced in zebrafish embryos using Morpholinos. The enzymatic activity of VARS2 was measured in VARS2-depleted cells via northern blot. Heterozygous VARS2 knockout was established in HEK293A cells using CRISPR/Cas9 technology. BN-PAGE and SDS-PAGE were used to investigate electron transport chain (ETC) complexes, and the oxygen consumption rate and extracellular acidification rate were measured using a Seahorse XFe96 Analyzer. The activation of the integrated stress response (ISR) and possible disruptions in mitochondrial fatty acid oxidation (FAO) were explored using RT-qPCR and western blot. Zebrafish embryos with transient VARS2 loss-of-function showed features of heart failure as well as indications of CNS and skeletal muscle involvements. The enzymatic activity of VARS2 was significantly reduced in VARS2-depleted cells. Heterozygous VARS2-knockout cells showed a rearrangement of ETC complexes in favor of complexes III2, III2 + IV, and supercomplexes without significant respiratory chain deficiencies. These cells also showed the enhanced activation of the ISR, as indicated by increased eIF-2α phosphorylation and a significant increase in the transcript levels of ATF4, ATF5, and DDIT3 (CHOP), as well as disruptions in FAO. The activation of the ISR and disruptions in mitochondrial FAO may underlie the adaptive changes in VARS2-depleted cells.

The system and spatial distribution of protected areas in Hungary, Slovakia, Romania, Serbia and Croatia

Protected areas play a key role in nature conservation but are also crucial for tourism. There are international recommendations in nature conservation (IUCN), and several international conservation conventions exist. Nevertheless, the protection categories are different in each country, and the proportion of protected areas also varies. Here we compare the nature conservation systems of some countries (Hungary, Slovakia, Romania, Serbia and Croatia) taking into consideration their nature protection laws. The selection of countries is based on an international project dealing with “Karst and National Parks”. For the comparison, national data sources and an international database (WDPA) are used. Our results show that the protection categories of the studied countries are largely similar, but there are unique characteristics as well (such as “forest park”, “monument of park architecture” in Croatia; “nature conservation area” in Hungary or “protected landscape element” in Slovakia, etc.). On the other hand, the internal proportions of protection categories are more heterogeneous, like, for example, the proportion of national parks within all protected areas which is 57.0 percent in Hungary but 11 percent in Croatia. International protection categories (Natura 2000, Ramsar, UNESCO World Heritage natural sites, UNESCO MAB reserves) are more or less similarly present in the countries studied (except Serbia, where there are no Natura 2000 areas yet). If national categories and Natura 2000 sites are all taken into consideration (and the overlapping areas are counted only once), then Croatia has the highest proportion of protected areas (39.1%), Slovakia is in second place with 37.5 percent, while Romania (23.5%) and Hungary (22.0%) show a similar proportion, and with the lack of Natura 2000, Serbia has 9.1 percent at present. As for the reliability of the WDPA, we found that this varies from country to country, with significant deficiencies for certain countries (e.g. Serbia) and very good reliability for others (e.g. Hungary, Slovakia). However, the availability of WDPA is in many cases better than that of national data, and since it also provides GIS data, it can be considered a useful tool for examining international trends and mapping protected areas.

Cross-Level fusion for rotating machinery fault diagnosis under compound variable working conditions

Rotating machinery fault diagnosis based on deep learning has been successfully applied in modern industrial equipment. However, many existing types of research suffer from two significant deficiencies. First, most deep neural networks are based on a single or same kind of similarity measurement method, which cannot fully exploit the data to extract different levels of feature information. Second, most intelligent fault diagnosis methods can only partially solve the data sparsity and domain shift problems caused by small samples, noise, variable working conditions or compound faults. The model's performance will degenerate rapidly when the above problems occur simultaneously. To address this problem, this paper develops a cross-level fusion neural network method that extracts abundant information on features by calculating spatial-level, channel-level, and second-order statistical information and adaptively fusing the three levels to obtain the final relationship score. First, the signal is input into the embedding module through a Fast Fourier Transform to obtain the feature embedding of the one-dimensional sequence signal. Then, the cross-level metrics learning module calculates the similarity of query sets and support sets at different levels. Finally, the similarities of different levels are fused through the adaptive fusion module to output the final relationship score. The bearing fault diagnosis experiments in the compound variable condition scenario show that the proposed method improves at least 78.53% compared to the traditional deep learning method, at least 3.22% and at most 35.52% compared to multiple few-shot learning methods. In addition, the ablation test analyzes the contribution of different level measurement methods to the model, and the maximum difference between them will reach 32.49%. In summary, the cross-level fusion method can effectively alleviate the data sparsity and domain shift problems.

STEM Education as a Concept Borrowing Issue: Perspectives of School Administrators in Turkey

Purpose As a borrowed concept, science, technology, engineering, and mathematics (STEM) education holds limited relevance in many country contexts. This study investigates how school administrators in Turkey view STEM education from three dimensions: (a) their understanding of STEM education, (b) their experiences of STEM implementations, and (c) their perception of their roles in STEM implementation. Design/Approach/Methods This phenomenological study analyzes the perceptions of school principals working in prominent high schools in Turkey. Findings The findings indicate that there are gaps in STEM implementation at both the conceptual level and the school level, including epistemological issues, infrastructural gaps, mismatch with overall organizational culture, and knowledge and skill gaps. Despite efforts to integrate STEM education into educational practices, significant deficiencies are making it an unrealistic practice in Turkey. Originality/Value While the literature on STEM education is expanding, a few empirical studies focus on school management in relation to STEM education. Arguably, despite promising to transform science and mathematics teaching, STEM education appears to have limited relevance to science and mathematics teaching in Turkey—rendering it yet another example of concept and policy borrowing in education.

Experimental and modeling investigations of hydrate phase equilibria in natural clayey-silty sediments

Rapid and accurate acquisition of hydrate phase equilibria in sediments is crucial for gas hydrate resource assessment and exploitation and hydrate-based technological applications. However, current models have significant limitations and deficiencies in predicting hydrate phase equilibria in sediments, especially clayey-silty sediments prevalent in nature. To this end, a unified hydrate phase equilibrium model was developed, which considers the combined inhibitions of surface adsorption, capillary effect, and salt solution. It is derived that water content and salinity can be used as direct input parameters to the model to estimate the hydrate dissociation temperature depression. Using the stepwise heating method, the hydrate dissociation conditions in various natural sediments were measured. It suggests that montmorillonite has the greatest dissociation temperature depression, followed by SA sediments and kaolin, while pore hydrates in silts exhibit almost the same thermodynamic equilibrium conditions as bulk hydrates unless the water content is below 15%. Special attention was also paid to the additional inhibition of surface adsorption on hydrate phase equilibria in sediments with salt solutions. This inhibition was found to be quite pronounced in clay-rich sediments, especially expansive clays, but essentially negligible in silty or sandy sediments. The maximum average error of 3.29% was observed between model predictions and measured data. Additionally, the amounts of clathrated water (CW), non-equilibrium unclathrated water (NEUW), and equilibrium unclathrated water (EUW) in sediments after the end of hydrate formation were determined using the model. It reveals that CW has the highest proportion in silts, reaching 68.9%, while only 0.231 in montmorillonite; in contrast, EUW is dominant in montmorillonite; NEUW seems to be independent of lithology but shows a strong dependence on the water content. It implies that silty sediments are more conductive to hydrate-based gas storage and CO2 sequestration than clayey sediments. This study provides some practical insights and implications for hydrate phase behaviors in natural sediments and can potentially be employed as a tool for phase equilibrium prediction with universality and accuracy.

Still Invisible after All These Years? Female God-Language in the Hebrew Bible: A Response to David J. A. Clines

Abstract In a recent JBL article, David J. A. Clines reviews twenty-two Hebrew Bible texts that allegedly include female god-language. His review concludes: “There is not a single instance of female language about the deity in the Hebrew Bible.” Three major methodological difficulties undermine this unqualified conclusion: the selective choice of conversation partners, together with an inattention to the history of feminist biblical scholarship; the author’s decision to exclude metaphor theory from the scope of his article; and, finally, his paradoxical failure to define at the outset what “female” language means in reference to the deity. The article’s significant methodological deficiencies make its conclusions inevitable and, in effect, yield a literalist reading. Given the importance of the topic to the discipline, the present response provides a more hermeneutically self-aware analysis of the methodological and theoretical issues. This study demonstrates that feminist scholarship has an intellectual history essential to exegetical studies of such texts, and that metaphor theory is essential to any discussion of gendered language for the deity in the Hebrew Bible.

Impact of Climate Change on Soil Water Content in Southern Saskatchewan, Canada

The main objective of this research was to understand the effects of climate change on soil water content (SWC) across the Qu’Appelle River basin in southern Saskatchewan, Canada. The Soil and Water Assessment Tool (SWAT) and output from 11 high-resolution (0.22°) regional climate models (RCM) were used over three 30-year periods: the near future (2021–2050) and distant future (2051–2080) and the historical reference (1975–2005). The RCM data are from the CORDEX North American domain, which employs the RCP8.5 high-emission scenario. SWC was modeled at the hydrological response units (HRU) level and at daily and monthly (warm season only) intervals for 2015–2020. The model was calibrated and validated using SUFI-2 in SWAT-CUP based on observations for streamflow and SWC, including measured data and Soil Moisture Active Passive (SMAP) Level 4 for surface (up to 5 cm deep) soil moisture. Values of the Nash–Sutcliffe model efficiency (NS) ranged from 0.616 and 0.784 and the coefficient of determination (R2) was 0.8 for calibration and 0.82 for validation. Likewise, the correlation coefficients between ground measurements and SWAT were 0.698 and 0.633, respectively. Future climate forcing of the calibrated SWAT model revealed that warmer and drier growing seasons will prevail in the region. Similarly, the ensemble of all RCMs indicated that the mean temperature will increase by 2.1 °C and 3.4 °C for the middle and late periods, respectively, along with a precipitation increase of 10% and 11.2%. SWC is expected to decrease with an increase in potential evapotranspiration, despite an increase in precipitation. Likewise, the annual SWC is expected to decrease by 3.6% and 4% in the middle and late periods, respectively. The monthly SWC changes showed the highest decreases (5.4%) in April in the late period. The spatial pattern of SWC for 11 RCMs was similar such that the northwest and west of the river basin are wetter than the south and east. SWC projections suggest that southern Saskatchewan could experience significant SWC deficiencies in the summer by the end of this century.

Revisional Surgery of One Anastomosis Gastric Bypass for Severe Protein-Energy Malnutrition.

Background: One anastomosis gastric bypass (OAGB) is safe and effective. Its strong malabsorptive component might cause severe protein–energy malnutrition (PEM), necessitating revisional surgery. We aimed to evaluate the safety and outcomes of OAGB revision for severe PEM. Methods: This was a single-center retrospective analysis of OAGB patients undergoing revision for severe PEM (2015–2021). Perioperative data and outcomes were retrieved. Results: Ten patients underwent revision for severe PEM. Our center’s incidence is 0.63% (9/1425 OAGB). All patients were symptomatic. Median (interquartile range) EWL and lowest albumin were 103.7% (range 57.6, 114) and 24 g/dL (range 19, 27), respectively, and 8/10 patients had significant micronutrient deficiencies. Before revision, nutritional optimization was undertaken. Median OAGB to revision interval was 18.4 months (range 15.7, 27.8). Median BPL length was 200 cm (range 177, 227). Reversal (n = 5), BPL shortening (n = 3), and conversion to Roux-en-Y gastric bypass (RYGB) (n = 2) were performed. One patient had anastomotic leak after BPL shortening. No death occurred. Median BMI and albumin increased from 22.4 kg/m2 (range 20.6, 30.3) and 35.5 g/dL (range 29.2, 41), respectively, at revision to 27.5 (range 22.2, 32.4) kg/m2 and 39.5 g/dL (range 37.2, 41.7), respectively, at follow-up (median 25.4 months, range 3.1, 45). Complete resolution occurs after conversion to RYGB or reversal to normal anatomy, but not after BPL shortening. Conclusions: Revisional surgery of OAGB for severe PEM is feasible and safe after nutritional optimization. Our results suggest that the type of revision may be an important factor for PEM resolution. Comparative studies are needed to define the role of each revisional option.

Evaluation of Abattoir Practices in Ijebu Ode, Nigeria

If used properly, abattoirs can help with disease management, ante- or postmortem investigation of animals and the meat, and can protect the population from most zoonotic illnesses that can develop after eating unsanitary, unsafe, or unwholesome meat or meat products. This underscores the need to examine and explore present abattoir practises in order to better understand the current situation of meat production in Ijebu Ode, Nigeria. Data was retrieved from three (3) government-approved abattoirs using self-administered structured questionnaires, personal interviews, and observations, and the data were computed descriptively using a statistical software for social scientists. Findings from the empirical observation and evidence indicated significant deficiencies in the essential hygiene facilities and services, with the lack of a veterinary laboratory for microbiological confirmation of suspected meat, and all the butchers reported no utilisation of protective gear during slaughtering activities. 66.7% of the abattoirs disposed of their solid waste by open dumping in the nearby bushes, while the wastewater was discharged into public drains. The study revealed that the abattoir practises in Ijebu Ode are unsatisfactory, with unsanitary practises and shortfalls in fundamental hygiene facilities and services, which are critical for producing healthy meat for public consumption. As a result, standardisation of facilities, including the closure of substandard ones, and educational training of abattoir workers were proposed as ways to improve hygiene facilities and practises.

Endoscopy Reports for Rectosigmoid Tumors: Frequently Missing Key Information Needed for Surgical Planning

IntroductionEndoscopy reports by gastroenterologists describing rectosigmoid tumors often are missing crucial data for surgical planning, leading to high rates of repeat exams before surgical decision-making. We hypothesize that there will be significant deficiencies in the endoscopic reporting of rectosigmoid lesions leading to high rates of repeat endoscopic examination at our institution. MethodsRetrospective review from January 2016 to November 2019 included 188 patients with rectosigmoid lesions referred for surgery with an outside endoscopy report. Three criteria were abstracted from these reports or included pictures: (1) distance from the tumor to an anatomical landmark (anal verge, dentate line, sphincter), (2) Tattoo placement (if performed) and location, and (3) tumor relationship to the valves of Houston. Reports were classified exemplary, nearly adequate, or inadequate if 3, 2, and ≤ 1 of these criteria were met, respectively. ResultsDistance was reported in 38.8% (n = 73) of reports, with the anal verge being the most commonly reported anatomical landmark (32.4%, n = 61 reports). Tattoo was placed in 34.6% (n = 65), though only 21.8% (n = 41) described the location of the tattoo relative to the tumor. Relationship to the valves of Houston was seen in 29.2% (n = 55) of reports. Only 5.3% (n = 10) of outside endoscopy reports were graded as exemplary, 20.2% (n = 38) nearly adequate, and the remaining 74.5% (n = 140) inadequate. A total of 87.5% (n = 165) of patients required repeat endoscopy with a significantly higher proportion from the inadequate group. ConclusionsMany referring endoscopy reports contain inadequate information for the surgical planning of rectosigmoid tumor resection. Efforts to improve documentation (particularly about distance and location within the rectum) must be undertaken.

Are Environmental Impact Assessments effectively addressing the biodiversity issues in Brazil?

Environmental Impact Assessment (EIA) is the main legal instrument for controlling the impacts of human development projects in many countries, including Brazil. However, the way biodiversity is addressed as part of the EIA process has been discussed around the world, with concerns raised about poor-quality studies and a failure to achieve evidence-based decisions. To explore these concerns, we evaluated: 1) the quality of baseline biodiversity studies used to inform EIAs; 2) the predictions made about the impacts of the development on biodiversity and their relationship to baseline studies; and 3) the relevance of the quality of these baseline studies and the predicted impacts on the decisions made by the relevant licensing agency. To do this, we collected and analyzed EIAs associated with 78 development proposals from the State of Minas Gerais in southeastern Brazil, using medium and large-sized terrestrial mammals as indicators. We found baseline studies were basic and lacking scientific rigor, with no guiding questions or hypotheses, few ecological analyses, and that they omitted essential information about study design. The poor quality of biodiversity information in most baseline studies led to significant deficiencies in impact reports, with inadequate descriptions of the likely impacts of developments on biodiversity. Finally, we found that the shortcomings in both baseline studies and impact assessment reports had no relationship to decision-making, with poor quality EIAs still obtaining environmental licenses, which is alarming. Only in two decisions were cited some shortcoming of baseline studies as a reason for conditional approval. We conclude by providing a range of recommendations to help promote evidence-based decision-making in EIAs and improve the quality and transparency of the biodiversity data produced throughout Strategic Environmental Assessment (SEA) and EIA.