The language used by healthcare professionals can have a profound impact on how people living with diabetes, and those who care for them, experience their condition and feel about living with it day-to-day. At its best, good use of language, both verbal and written, can lower anxiety, build confidence, educate and help to improve self-care. Conversely, poor communication can be stigmatizing, hurtful and undermining of self-care and can have a detrimental effect on clinical outcomes. The language used in the care of those with diabetes has the power to reinforce negative stereotypes, but it also has the power to promote positive ones. The use of language is controversial and has many perspectives. The development of this position statement aimed to take account of these as well as the current evidence base. A working group, representing people with diabetes and key organizations with an interest in the care of people with diabetes, was established to review the use of language. The work of this group has culminated in this position statement for England. It follows the contribution of Australia and the USA to this important international debate. The group has set out practical examples of language that will encourage positive interactions with those living with diabetes and subsequently promote positive outcomes. These examples are based on a review of the evidence and are supported by a simple set of principles.
Parallel efforts by several genetic research groups have tackled common themes relating to management concerns about and recent rehabilitation opportunities for coaster brook trout Salvelinus fontinalis in Lake Superior. The questions that have been addressed include the evolutionary and genetic status of coaster brook trout, the degree of relatedness among coaster populations and their relationship to riverine tributary brook trout populations, and the role and effectiveness of stocking in maintaining and restoring coasters to Lake Superior. Congruent genetic results indicate that coasters are an ecotype (life history variant) rather than an evolutionarily significant unit or genetically distinct strain. Regional structure exists among brook trout stocks, coasters being produced from local populations. Introgression of hatchery genes into wild populations appears to vary regionally and may relate to local population size, habitat integrity, and anthropogenic pressures. Tracking the genetic diversity and integrity associated with captive breeding programs is helping to ensure that the fish used for stocking are representative of their source populations and appropriate for rehabilitation efforts. Comparative analysis of shared samples among collaborating laboratories is enabling standardization of genotype scoring and interpretation as well as the development of a common toolkit for assessing genetic structure and diversity. Incorporation of genetic data into rehabilitation projects will facilitate monitoring efforts and subsequent adaptive management. Together, these multifaceted efforts provide comprehensive insights into the biology of coaster brook trout and enhance restoration options.
Rebuilding wild populations often involves captive broodstocks derived from small, remnant populations. We measured a hatchery program's ability to conserve genetic diversity when founding captive broodstocks from such populations. Migratory coaster brook trout were extirpated from most of their historic range in US waters of Lake Superior and were proposed for listing under the Endangered Species Act. Two captive broodstocks, one with 19 founders and another with 99 founders, were established to rebuild US populations. We used microsatellite markers to examine genetic variation in source populations and early hatchery generations. Broodstocks retained the strong differentiation found between source populations; however, one founder, with a low probability of belonging to either source population, sired 5.7% of F 1 progeny. We found small changes in within-population genetic variation across successive wild and hatchery generations of broodstocks. Evaluation of stage-specific survivorship indicated that equalizing family sizes of embryos produced modest gains in the effective number of breeders, and that survival in the hatchery was nearly random across families. Our study demonstrates the value of genetic monitoring during initial stages of hatchery programs for small and declining populations.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.