Search Results (77)

Background/Objectives: The establishment of the first tertiary Neurointerventional Center at the University Hospital of Martinique in 2021, with full coverage of the populations of the French Antilles and Guyana, represents a paradigm shift in the treatment of intracranial aneurysms in the eastern Caribbean. We sought to evaluate the outcomes of the first cohort of patients treated for intracranial aneurysms from 2021 to 2024. Methods: We analyzed demographic, clinical, and angiographic data from a prospectively maintained database of patients treated from 1 January 2021 to 31 March 2024. The primary endpoint was the clinical outcome (mRS at discharge and at 4–6 months), and the secondary endpoint was the angiographic outcomes. Results: One hundred patients (mean age 56.7 ± 12.2 years old) with a total of 125 aneurysms (60.8% ruptured; 39.2% unruptured) were included from the following regions: 60% from Martinique, 21% from Guadeloupe, 13% from French Guyana, 1% from mainland France, 2% from St Martin, and 3% from abroad. The mean initial GCS value was 11.6 (median: 13; min: 4; max: 15); the mean mRS was 1.8 ± 1.7 before intervention, 1.8 ± 2 at discharge, and 1.7 ± 2 at 4–6 months. A total of 75% of the aneurysms were treated with coiling or remodeling, 23% received stents (20% FDs), and 0.8% were treated surgically. The procedure-related morbidity rate was 5.6% (7/125), and the mortality rate was 10.4%; both these percentages concerned only the ruptured cases. In the ruptured aneurysm subgroup, 32.8% (25/76) of complications were SAH-related, 9.2% (7/76) were hydrocephalus incidences, and 23.6% (18/76) were vasospasm cases. Satisfactory occlusion was obtained for 95.2% of the aneurysms post-procedure and for 96.7% at the last angiographic control. At the six-month control, 68% of the patients were independent in their everyday lives (mRS ≤ 2). Conclusions: The population was distinct in terms of the hyperexpression of risk factors, the multiplicity of IAs, and the severity of SAH. Female predominance was higher than usual in the population (81%). The organizational schema seemed effective; the treatments were safe and effective in terms of the clinical and angiographic outcomes. Full article

Dengue, an acute infectious disease caused by the dengue virus, remains a major public health problem in the 21st century. This study investigated the global dengue burden, identified high-risk regions, evaluated the long-term incidence trends, and can inform evidence-based control strategies. Using GBD 2021 data, we analysed the dengue incidence from 1992 to 2021 using age–period–cohort models. We determined the net drift (overall annual percentage change), local drift (annual percentage change for each age group), longitudinal age curves (expected longitudinal age-specific rates), and periods’ (cohorts’) relative risks. In 2021, the global age-standardised incidence rate reached 752.04/100,000 (95% UI: 196.33–1363.35), a 47.26% increase since 1992. High-risk regions included eastern sub-Saharan Africa, Southeast Asia, South Asia, and Latin America and the Caribbean. Southeast Asia experienced the largest rise (65.43%), with a net drift of 2.47% (1992–2021). While individuals aged 5–39 years bore the highest burden, those over 80 faced an elevated risk. Dengue remains a critical public health threat, disproportionately affecting younger populations but increasingly endangering older adults. Targeted interventions in high-risk regions and age groups, coupled with precision public health strategies, are essential to enhance prevention and control efforts. Full article

As close relatives of the vertebrates, cephalochordates have been the focus of significant evo–devo and genomic research; however, their biodiversity and systematics remain poorly known. In particular, few species have been documented in the eastern Pacific and there are few published observations for this region. Using sequences from COI and 16S DNA barcode markers and morphological observations from 16 animals collected incidentally during other studies, we document the presence of three species of amphioxus on the Pacific coast and one from the Caribbean coast of Panama. The high genetic diversity recovered from so few samples suggests that the application of molecular taxonomy to neotropical amphioxus would likely uncover additional species and could help to more easily delineate morphological differences among taxa. Full article

Marine heatwaves (MHWs) are increasingly affecting tropical seas, causing mass coral bleaching and mortality in the wider Caribbean (WC) and eastern tropical Pacific (ETP). This leads to significant coral loss, reduced biodiversity, and impaired ecological functions. Climate models forecast a troubling future for Latin American coral reefs, but downscaled projections for the WC and ETP remain limited. Understanding regional temperature thresholds that threaten coral reef futures and restoration efforts is critical. Our goals included analyzing historical trends in July–August–September–October (JASO) temperature anomalies and exploring future projections at subregional and country levels. From 1940 to 2023, JASO air and ocean temperature anomalies showed significant increases. Projections indicate that even under optimistic scenario 4.5, temperatures may exceed the +1.5 °C air threshold beyond pre-industrial levels by the 2040s and the +1.0 °C ocean threshold beyond historical annual maximums by the 2030s, resulting in severe coral bleaching and mortality. Business-as-usual scenario 8.5 suggests conditions will become intolerable for coral conservation and restoration by the 2030s, with decadal warming trends largely surpassing historical rates, under unbearable conditions for corals. The immediate development of regional and local adaptive coral reef conservation and restoration plans, along with climate change adaptation and mitigation strategies, is essential to provide time for optimistic scenarios to materialize. Full article

The common bottlenose dolphin (Tursiops truncatus) exhibits significant intraspecific diversity globally, with distinct ecotypes identified in various regions. In the Guadeloupe archipelago, the citizen science NGO OMMAG has been monitoring these dolphins for over a decade, documenting two distinct morphotypes. This study investigates whether these morphotypes represent coastal and oceanic ecotypes, which have not been previously identified in the region. We characterized morphological differences between the two morphotypes, analyzed genetic variation in individuals stranded around Guadeloupe over the past ten years, and modeled their habitats. Results revealed that these morphotypes align with the ecotypes described in the Atlantic Ocean, forming two distinct genetic groups corresponding to Caribbean ecotypes. Habitat modeling showed differences in habitat preferences between the morphotypes. These findings provide strong evidence for the existence of two distinct ecotypes of T. truncatus in Guadeloupe. Considering the varied risks of exposure to maritime traffic, our study suggests that these ecotypes should be managed as separate units within the species to better inform conservation strategies in the region. Full article

This study investigates the temporal trends and correlations between Saharan dust mass concentration densities (DMCD) and Sargassum concentrations (SCT) in the tropical North Atlantic. Average DMCD data for June, July, and August from 1980 to 2022, alongside SCT data for the same months from 2012 to 2022, were analyzed using Mann–Kendall tests for trends and lagged regression models to assess whether higher Saharan dust levels correlate with Sargassum outbreaks in the region. A comprehensive analysis reveals a significant upward trend in Saharan dust quantities over the study period, with the summer months of June, July, and August exhibiting consistent increases. Notably, 2018 and 2020 recorded the highest mean DMCD levels, with June showing the most significant increasing trend, peaking in 2019. These findings are consistent with previous studies indicating a continuous elevation in Saharan dust concentrations in the tropical atmosphere of the North Atlantic. Simultaneously, Sargassum concentrations also show a notable increasing trend, particularly in 2018, which experienced both peak SCT and elevated DMCD levels. Mann–Kendall tests confirm statistically significant upward trends in both Saharan dust and Sargassum concentrations. Simple linear regression and lagged regression analyses reveal positive correlations between DMCD and SCT, highlighting a temporal component with stronger associations observed in July and the overall June–July–August (JJA) period. These results underscore the potential contribution of elevated Saharan dust concentrations to the recent surge in Sargassum outbreaks in the tropical North Atlantic. Furthermore, the results from forward stepwise regression (FSR) models indicate that DMCD and chlorophyll (CHLO) are the most critical predictors of SCT for the summer months, while sea surface temperature (SST) was not a significant predictor. These findings emphasize the importance of monitoring Saharan dust and chlorophyll trends in the Eastern Caribbean, as both factors are essential for improving Sargassum modeling and prediction in the region. This study provides valuable insights into the climatic factors influencing marine ecosystems and highlights the need for integrated environmental monitoring to manage the impacts on coastal economies. Full article

Colombia, one of the world’s leading coffee suppliers, is experiencing a decline in its production capacity due to climate change, resulting in fewer suitable areas for growing its mild coffee varieties. The traditional Coffea arabica cultivation regions in the Andes are surrounded by high biodiversity, which cannot and should not be replaced by other agricultural activities. This situation has led to the consideration of cultivating Coffea canephora var. Robusta in Colombia. Identifying areas with the highest productive potential under current and future climate scenarios is necessary. Our objective was to pinpoint regions with the greatest biophysical and socio-economic potential for Robusta coffee cultivation in Colombia. To achieve this, we utilized an integrated model that combines climate suitability assessment and crop yield projections under current and future climate scenarios while accounting for soil limitations, pest risks, and socio-economic conditions. Our results indicated that most potential areas are at elevations below 600 m, thus avoiding interference with traditional and established Arabica coffee regions in Colombia. Under current climate scenarios, potential areas are located in the foothills along the eastern Andean ranges, the high plains of the Orinoquía region, and the humid parts of the Caribbean region. Under a global warming scenario with a 2 °C temperature increase, significant negative impacts on productive potential are projected for the Caribbean region. Consequently, the foothills of the eastern Andes and the high plains of the Orinoquía region emerge as the most promising areas for cultivating Coffea canephora var. Robusta. Full article

This pioneering study evaluates the digital divide and advances in virtual education (VE) and e-learning research in the Global South Countries (GSCs). Using metadata from bibliographic and World Bank data on research and development (R&D), we conduct quantitative bibliometric performance analyses and evaluate the connection between R&D expenditures on VE/e-learning research advances in GSCs. The results show that ‘East Asia and the Pacific’ (EAP) spent significantly more on (R&D) and achieved the highest scientific literature publication (SLP), with significant impacts. Other GSCs’ R&D expenditure was flat until 2020 (during COVID-19), when R&D funding increased, achieving a corresponding 42% rise in SLPs. About 67% of ‘Arab States’ (AS) SLPs and 60% of citation impact came from SLPs produced from global north and other GSCs regions, indicating high dependence. Also, 51% of high-impact SLPs were ‘Multiple Country Publications’, mainly from non-GSC institutions, indicating high collaboration impact. The EAP, AS, and ‘South Asia’ (SA) regions experienced lower disparity. In contrast, the less developed countries (LDCs), including ‘Sub-Sahara Africa’, ‘Latin America and the Caribbean’, and ‘Europe (Eastern) and Central Asia’, showed few dominant countries with high SLPs and higher digital divides. We advocate for increased educational research funding to enhance innovative R&D in GSCs, especially in LDCs. Full article

The movement and biomass fluctuations of sargassum across the Tropical Atlantic have profound implications when influxes reach the Eastern Caribbean. These influxes have cross-cutting impacts across ecological, economic, and social systems. The objective of this work is to quantify sargassum biomass accumulation in the Eastern Caribbean, accounting for the spatial variability in sea surface temperature and morphotype diversity. A parallel implementation of a climatological drifter-based model was used to simulate advection of sargassum across the model domain. After determining the trajectory of virtual sargassum particles, Monte Carlo simulations using 1000 realizations were run to quantify biomass accumulations along these tracks. For simulations with a single morphotype, the biomass accumulation as predicted by the model effectively reproduced the seasonal distributions of sargassum for the simulated period (May 2017 to August 2017). The model closely approximated an observed increase during the period from May to July 2017, followed by a subsequent decline in sargassum abundance. A major factor that led to the discrepancy between the simulated and observed biomass accumulation is the occlusion of the optical satellite signal from cloud cover, which led to underestimates of sargassum abundance. The mean maximum growth rate required to reproduce the observed sargassum biomass was 0.05 day⁻¹, which is consistent with other published experimental and computational studies that have reported similar growth rates for sargassum populations under comparable environmental conditions. An innovative aspect of this study was the investigation of the biomass dynamics of the three dominant morphotypes found in the study area. The results from these simulations show that the accumulation of the fastest growing morphotype, Sargassum fluitans var. fluitans, closely approximates the profiles of the overall prediction with a single morphotype. Full article

In May 2023, oceanic and atmospheric anomalies indicated El Niño conditions in the eastern Pacific, followed by coral bleaching in coral communities and reefs of Huatulco. We conducted surveys and sampled coral reef communities from late June to mid–August of 2023 to evaluate the intensity and extent of the changes associated with the warming event. From January of 2023, Huatulco experienced positive sea surface temperature (SST) anomalies; however, beginning in June, the high-temperature anomalies became extreme (>31 °C; ~2 °C above historical records). These high temperatures resulted in extensive coral bleaching in middle–late June and mortality from middle–late July (>50–93%). In addition, the area experienced significant reductions in echinoderm abundance and fish biomass. In 2023, severe bleaching affected coral systems in the Central Mexican Pacific, Gulf of Mexico, and Mexican Caribbean, making this the most devastating marine heatwave event, simultaneously impacting coral reefs across Mexico’s Pacific and Atlantic coasts. Full article

Objective: Regular physical activity is beneficial for health, but the effect of the number of days/week of physical activity on chronic pain (CP) remains unclear, so we used a two-sample Mendelian randomization (MR) analysis to explore the relationship between the number of days/weeks of different levels of physical activity and chronic pain in people of different races. Methods: We obtained summary data from genome-wide association studies (GWASs) on the number of days/week of physical activity and multisite chronic pain in European, South Asian, East Asian, Middle Eastern, and African American populations. The single-nucleotide polymorphisms (SNPs) of the exposed data were visualized with a Manhattan plot via the R program. MR analysis was performed by the MR-Base platform. Results: The results indicated that a higher number of days/week with ≥10 min of walking protects against CP in African American and Afro-Caribbean populations (inverse-variance weighting, IVW p < 0.05) but has little effect on people of different races (IVW p > 0.05). A higher number of days/week with ≥10 min of moderate physical activity increased the risk of CP in European and South Asia (IVW p < 0.05) but had little effect on people of different races (IVW p > 0.05). The number of days/week of ≥10 min of vigorous physical activity increased the risk of CP in Europeans (IVW p < 0.05) and protected against CP in African Americans and Afro-Caribbeans (IVW p < 0.05). Conclusions: A higher number of days/week of moderate and vigorous physical activity increased the risk of CP in Europeans; however, a higher number of days/week of walking and vigorous physical activity may protect against CP in African American and Afro-Caribbean individuals. Full article

Noncommunicable diseases (NCDs) account for a higher proportion of mortality and morbidity in the Caribbean and US territories—majority-minority communities—than in the United States or Canada. Strategies to address this disparity include enhancing data collection efforts among racial/ethnic communities. The ECHORN Cohort Study (ECS), a regional adult cohort study, estimates prevalence and assesses risk factors for NCDs in two United States territories and two Caribbean islands. Here, we describe the cohort study approach, sampling methods, data components, and demographic makeup for wave one participants. We enrolled ECS participants from each participating island using random and probability sampling frames. Data components include a clinical examination, laboratory tests, a brief clinical questionnaire, and a self-administered health survey. A subset of ECS participants provided a blood sample to biobank for future studies. Approximately 2961 participants were enrolled in wave one of the ECS. On average, participants are 57 years of age, and the majority self-identify as female. Data from the ECS allow for comparisons of NCD outcomes among racial/ethnic populations in the US territories and the US and evaluations of the impact of COVID-19 on NCD management and will help highlight opportunities for new research. Full article

Intrinsic tracers, such as stable isotopes of carbon and nitrogen, are common dietary markers that accumulate in the muscle tissue of consumers and can be used to determine the dietary sources and trophic positions of consumers. The aim of this study was to assess regional variation in the trophic ecology of wahoo (Acanthocybium solandri) using bulk stable isotopes. Muscle biopsies of wahoo were collected from four regions in the western Atlantic Ocean: the eastern Gulf of Mexico, western Gulf of Mexico, Northwest Atlantic Ocean, and Caribbean Sea. Muscle tissue δ¹³C and δ¹⁵N values for wahoo ranged from −15.8‰ to −18.8‰ and from 7.2‰ to 12.8‰, respectively. Wahoo collected in the Caribbean Sea displayed the highest mean δ¹³C value (−16.3‰), and individuals from this region were statistically different from the three other regions sampled. Mean δ¹⁵N values were elevated for wahoo collected in the eastern and western Gulf of Mexico (11.4‰ and 11.1‰, respectively), and the values were over 2‰ higher than samples from the Northwest Atlantic Ocean and Caribbean Sea. Trophic position (TP) was estimated using δ¹⁵N baselines (zooplankton) and δ¹⁵N wahoo values for each region, and mean TP was 0.4 to 0.9 higher in the Caribbean Sea relative to the three other regions, suggesting that wahoo in this region feed on higher-trophic-level prey. The results indicate that δ¹⁵N baselines and the trophic positions of wahoo each vary as a function of their geographic location, which supports the hypothesis that this species feeds opportunistically throughout its range. Full article

This study delves into the long-term atmospheric transport and deposition of ²¹⁰Pb in the Northern Hemisphere by using the atmospheric transport model HIRAT. The calculation for the four-year (2012–2015) period showed an average deposition flux of 13.0 Bq m⁻² month⁻¹ with significant seasonal variations characterized by higher deposition rates during summer and lower during winter. High deposition was found in the Northern Bay of Bengal and Bangladesh regions, Southern China, the Western Philippine Sea, the Eastern Japan Sea, the Northwestern Pacific region, the Eastern and Western coasts of North America, the Caribbean Sea, the Eastern Pacific region off of Central America, the Central Atlantic region between Central America and Africa, and the Northwestern Atlantic Ocean. Deposition patterns varied across latitudinal zones, with tropical areas experiencing the highest deposition and polar/subpolar zones the lowest. This study emphasized the impact of monsoons on the significantly large ²¹⁰Pb deposition in the Japan Sea region. Furthermore, this study showed that the lower troposphere (0 to 3 km) dominates with about 53%, and the middle troposphere (3 to 6 km) and upper troposphere (above 6 km) also contribute significantly to the total ²¹⁰Pb inventory with 37% and 10%, respectively. These findings provide essential insights into the characteristics of atmospheric transport and deposition of ²¹⁰Pb, and their mechanisms. Full article

Coastal areas of Grenada in the south-eastern Caribbean are particularly vulnerable to the adverse impacts of climate change. The effects of increasingly powerful hurricanes, sea-level rise, and reef degradation are often compounded by local anthropogenic activities. Many communities reside in low-lying areas, with development and infrastructure concentrated along the coast. Wave/storm surge models based on historic hurricanes Ivan and Lenny, and a hurricane with a predicted 100-year return period, were used to assess coastal inundation under different storm and sea-level rise scenarios. Coupled Tomawac and Telemac models were used in conjunction with high-resolution LiDAR data to provide a full vulnerability assessment across all coastal zones. Results were combined with census data at the Enumeration District level to assess impacts on the built environment. Qualitative and quantitative estimates were derived for the impact on natural features, land use, and infrastructure supporting critical economic activity in Grenada’s coastal zones. Estimation of both spatial extent and inundation depth improved the estimation of likely coastal impacts and associated costs at the national level. A general increase in extent and severity of inundation was predicted with projected future sea-level rise, with the potential for disruption to major coastal infrastructure evident in all scenarios, risking serious social and economic consequences for local communities. Coastal communities using poorer-quality building materials were most severely affected. This integrated method of assessment can guide disaster planning and decision-making to reduce risk and aid resilience in hurricane-prone regions. Full article