The uptake, assimilation, and retention of Se, Co, Ag, Ce, Eu, and Gd by crustacean larvae were measured to assess the suitability of these elements as tags for determining larval dispersal patterns and mortality rates. Gamma-emitting radioisotopes were used to determine the uptake and retention of each element by larvae of three crabs, Dyspanopeus sayi, Uca pugnax, and Sesarma reticulatum, and one barnacle, Semibalanus balanoides. Selenium was readily taken up by larvae from their food, was assimilated at efficiencies of 61-93%, was retained at concentrations detectable above background levels for weeks, and did not consistently affect larval survival or development in the laboratory. The other elements were not absorbed sufficiently from food or were not retained long enough to serve as appropriate tags for monitoring larval dispersal. Thus, only Se seemed to be transferred efficiently between trophic levels and is suitable as a larval tag.

The ODYSSEY OUTCOMES trial, comprising over 47 000 patient-years of placebo-controlled observation, demonstrated important reductions in the risk of recurrent ischaemic cardiovascular events with the monoclonal antibody to proprotein convertase subtilisin/kexin type 9 alirocumab, as well as lower all-cause death. These benefits were observed in the context of substantial and persistent lowering of low-density lipoprotein cholesterol with alirocumab compared with that achieved with placebo. The safety profile of alirocumab was indistinguishable from matching placebo except for a ∼1.7% absolute increase in local injection site reactions. Further, the safety of alirocumab compared with placebo was evident in vulnerable groups identified before randomization, such as the elderly and those with diabetes mellitus, previous ischaemic stroke, or chronic kidney disease. The frequency of adverse events and laboratory-based abnormalities was generally similar to that in placebo-treated patients. Thus, alirocumab appears to be a safe and effective lipid-modifying treatment over a duration of at least 5 years.