Climate change is transforming the risks individuals and households face, with potentially profound socioeconomic consequences including increased poverty, inequality, and social instability. Social protection is a policy tool that governments have used to help individuals and households manage risks linked to income and livelihoods, and to achieve societal outcomes such as reducing poverty and inequality. Despite its potential as a policy response to climate change, the integration of social protection within the climate policy agenda is currently limited. While the concept of risk is key to both sectors, different understandings of the nature and scope of climate change impacts, their implications, and of the adequacy of social protection instruments to address them, contribute to the lack of policy and practice integration. Our goal is to bridge this cognitive gap by highlighting the potential of social protection as a policy response to climate change. Using a climate risk lens, we first explore how climate change drives risks that are within the realm of social protection, and their implications, including likely future trends in demand for social protection. Based on this analysis, we critically review existing arguments for what social protection can do and evidence of what it currently does to manage risks arising from climate change. From the analysis, a set of reconceptualised roles emerge for social protection to strategically contribute to climate resilient development.

In wildlife captive management, contraception is highly desirable due to inbreeding risk and needed control of intra- and inter-specific aggressions. Deer, for which surgical castration can cause abnormal growth of the antlers, are suitable candidates for pharmacological castration. The aim of this study was to evaluate the effect of pharmacological castration on the physiological patterns and volatile chemical profiles of two deer species. We placed a subcutaneous implant of deslorelin acetate (4.7 mg) on four male red deer (Cervus elaphus) and two male fallow deer (Dama dama) (N=6) living together in a mixed-sex and -species group housed at a wildlife rescue centre in Tuscany, Italy. We combined hormone measurements and chemical investigation of metatarsal scent-gland odour secretions to test whether pharmacological castration will influence the volatile chemical profile, potentially modifying the olfactory communication during the rutting season. We used radioimmunoassay technique to determine faecal and plasma testosterone as well as faecal cortisol levels, and solid-phase microextraction coupled to gas chromatography-mass spectrometry to analyse the scent-gland odour secretions. We found that deer testosterone levels decreased after the subcutaneous deposition of the implant. However, castrated red deer exhibited more variability in testosterone concentrations throughout the study period compared to fallow deer, whose testosterone levels remained low after the implant. We detected a total of 124 (red deer) and 88 (fallow deer) volatile compounds in male scent-gland odour secretions, including naturally occurring ketones, alcohols, aldehydes, terpenes, carboxylic acids, esters, volatile fatty acids, and hydrocarbons. Odour richness, but not total abundance or ratios of compounds, changed with testosterone levels in red deer. In conclusion, our preliminary findings suggest that deslorelin acetate, causing a decrease of testosterone level and impacting the chemical profile of odour secretions, could work as a non-invasive contraception approach in human-managed populations of deer.

We describe the management and the prevalence of iron deficiency anaemia (IDA) during pregnancy by comparison to standards. A cross-sectional national cohort study of women who had given birth six weeks prior to data collection was conducted at maternity units in the UK and Ireland. Participating centres collected data from 10 consecutive pregnant women. Analysis was descriptive to define the prevalence of IDA in pregnancy and the puerperium, and to compare the outcomes in women who had IDA with women who did not have anaemia anytime during pregnancy. Eighty-six maternity units contributed data on 860 pregnancies and births. The overall prevalence of IDA during pregnancy was 30.4% and in the puerperium 20%. Anaemic women were more likely to be from ethnic minorities, odds ratio 2.23 (1.50, 3.32). Adherence to national guidance was suboptimal, and the prevalence of anaemia in pregnancy remains very high. There is pressing need to explore barriers to early identification and effective management of iron deficiency. IDA should be considered a major public health problem in the UK.

The purpose of this study was to look into how Information and Communication Technology (ICT) is used in teaching English language from the point-of-view of English language teachers in Palestine. A quantitative approach was employed to collect data from 780 language school teachers from 260 schools who participated in a course project utilizing ICT in English as a Foreign Language teaching (TEFL). These participants responded to a questionnaire survey about the effects of the Covid-19 epidemic on language education and how they dealt with these. We statistically analysed the responses through four domains: the use of ICT in students’ lives; the use of ICT in education generally; the use of ICT to support learning and teaching in EFL; and teachers’ perceived skills for using ICT in education. Results indicated that English language teachers in Palestinian public schools believed that ICT has clear potential to support the learning of English, but that there remain barriers to its implementation. Teachers feel equipped to use ICT but would like to see a greater emphasis on training in order to maximise their teaching.

Collaboration is encouraged because it is believed to improve academic research, supported by indirect evidence in the form of more co-authored articles being more cited. Nevertheless, this might not reflect quality but increased self-citations or the “audience effect”: citations from increased awareness through multiple author networks. We address this with the first science wide investigation into whether author numbers associate with journal article quality, using expert peer quality judgements for 122,331 articles from the 2014-20 UK national assessment. Spearman correlations between authors numbers and quality scores show moderately strong positive associations (0.2-0.4) in the health, life, and physical sciences, but weak or no positive associations in engineering and social sciences, with weak negative/positive or no association in various arts and humanities, and a possible negative association for decision sciences. This gives the first systematic evidence that greater numbers of authors associates with higher quality journal articles in the majority of academia outside the arts and humanities, at least for the UK. Positive associations between team size and citation counts in areas with little association between team size and quality also show that audience effects or other non-quality factors account for the higher citation rates of co-authored articles in some fields.

Background: Increased fish consumption reduces the risk of dementia. However, it is unknown whether fish consumption reduced all-cause mortality in people with dementia. The purpose of the study is to investigate the association of fish consumption with all-cause mortality in older people with dementia versus those without dementia. Methods: Using a standard method of the Geriatric Mental State, we interviewed 4165 participants aged ≥ 60 years who were randomly recruited from five provinces in China during 2007–2009 to collect the baseline data of socio-demography, disease risk factors, histories of disease, and details of dietary intakes, and diagnosed dementia (n = 406). They were followed up for vital status until 2012. Results: The cohort follow-up documented 329 deaths; 61 were in participants with dementia (55.3 per 1000 person-years) and 224 were those without dementia (22.3). In all participants, the risk of all-cause mortality was reduced with fish intake at “ ≥ twice a week” (multivariate-adjusted hazard ratio 0.58, 95% CI 0.34–0.96) and at “once a week or less” (0.79, 0.53–1.18) compared to “never eat” over the past two years. In participants without baseline dementia, the corresponding HRs for all-cause mortality were 0.57 (0.33–0.98) and 0.85 (0.55–1.31), while in participants with dementia were 1.36 (0.28–6.60) and 1.05 (0.30–3.66), respectively. Conclusion: This study reveals that consumption of fish in older age reduced all-cause mortality in older people without dementia, but not in people with dementia. Fish intake should be increased in older people in general, prior to the development of dementia in the hope of preventing dementia and prolonging life.

Purpose The Anhui Maternal-Child Health Study (AMCHS) aims to examine determinants of reproduction, pregnancy and postpartum maternal and child health outcomes in Chinese women who received assisted reproductive technology (ART). Study design and participants AMCHS is an ongoing cohort study starting from May 2017. AMCHS recruits participants from all couples who sought ART treatment in the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. The participants are interviewed to document baseline sociodemography, lifestyles, dietary intake and environmental exposure. Their clinical characteristics are obtained from hospital records. Samples of blood, follicular fluid and semen are collected at the clinic. Participants receive a standard long pituitary downregulation or a short protocol with an antagonist for the treatment. They are followed up from preconception to delivery, or discontinuation of ART treatment. Details of their children's health are documented through a questionnaire focusing on developmental status and anthropometry measurement. Findings to date Until April 2021, AMCHS had recruited 2042 couples in the study. 111 women withdrew from the study and 19 failed to retrieve oocytes. Among the 1475 confirmed pregnancies, 146 had miscarriages or terminated their pregnancies, 9 had stillbirths and 263 were ongoing pregnancies. The implantation failure increased with maternal age; adjusted OR was 1.43 (95% CI 1.16 to 1.77) in the age of 31-35 years, 1.97 (95% CI 1.46 to 2.66) in 35-39 years and 6.52 (95% CI 3.35 to 12.68) in ≥40 years compared with those aged 20-30 years. Among the 1057 couples with successful ART who were followed up for delivering babies, 576 had their children examined at age 30-42 days, 459 at 6 months and 375 at 12 months. Future plans The AMCHS will identify comprehensive risk factors for poor ART outcomes and explore potential interaction effects of multiple factors including sociopsychological aspects of environmental exposure, dietary intake and genetics on maternal and child health.

Background: Associations of depressive and anxiety symptoms with non-suicidal self-injury (NSSI) and suicide attempt (SA) are not well understood. We aimed to examine these associations among Chinese adolescents, and whether any potential association is mediated through sleep quality. Methods: We conducted a cross-sectional study among 1,771 (994 boys [56.1%] and 777 girls [43.9%], mean [SD] age was 12.9 [0.6] years) adolescents who participated in the baseline survey of the Chinese Adolescent Health Growth Cohort (CAHGC) study. Depressive symptoms, anxiety symptoms, NSSI, SA and sleep quality were measured by validated questionnaire. Logistic regression models were employed to estimate the associations of depression and anxiety with NSSI and SA. Mediation analyses were conducted to explore the mediate effect of sleep quality. Results: The 12-month prevalence of NSSI and SA was 17.1 and 8.3%, respectively. Depressive and anxiety symptoms were significantly associated with NSSI (the adjusted odds ratio [aOR] was 1.89 [95% CI 1.34–2.65] for depressive symptoms and 2.84 [95% CI 2.05–3.94] for anxiety symptoms) and SA (the aOR was 3.20 [95% CI 2.03–5.05] for depressive symptoms and 2.98 [95% CI 1.84–4.84] for anxiety symptoms). No significant gender differences were found in the associations. The mediation proportion of sleep quality on the association of depressive and anxiety symptoms with NSSI, as well as depressive and anxiety symptoms with SA were 21.1, 13.9, 13.6, and 14.7, respectively. Conclusion: Independent associations of depressive and anxiety symptoms with NSSI and SA were observed in Chinese adolescents, and there were no significant gender differences in the associations. Moreover, these associations were partially mediated through sleep quality. Targeted interventions for adolescents’ NSSI and SA should focus on those who have depressive and anxiety symptoms, and poor sleep quality.