Sample records for increased net primary

  1. Glyoxalase 1 copy number variation in patients with well differentiated gastro-entero-pancreatic neuroendocrine tumours (GEP-NET)

    PubMed Central

    Xue, Mingzhan; Shafie, Alaa; Qaiser, Talha; Rajpoot, Nasir M.; Kaltsas, Gregory; James, Sean; Gopalakrishnan, Kishore; Fisk, Adrian; Dimitriadis, Georgios K.; Grammatopoulos, Dimitris K.; Rabbani, Naila; Thornalley, Paul J.; Weickert, Martin O.

    2017-01-01

    Background The glyoxalase-1 gene (GLO1) is a hotspot for copy-number variation (CNV) in human genomes. Increased GLO1 copy-number is associated with multidrug resistance in tumour chemotherapy, but prevalence of GLO1 CNV in gastro-entero-pancreatic neuroendocrine tumours (GEP-NET) is unknown. Methods GLO1 copy-number variation was measured in 39 patients with GEP-NET (midgut NET, n = 25; pancreatic NET, n = 14) after curative or debulking surgical treatment. Primary tumour tissue, surrounding healthy tissue and, where applicable, additional metastatic tumour tissue were analysed, using real time qPCR. Progression and survival following surgical treatment were monitored over 4.2 ± 0.5 years. Results In the pooled GEP-NET cohort, GLO1 copy-number in healthy tissue was 2.0 in all samples but significantly increased in primary tumour tissue in 43% of patients with pancreatic NET and in 72% of patients with midgut NET, mainly driven by significantly higher GLO1 copy-number in midgut NET. In tissue from additional metastases resection (18 midgut NET and one pancreatic NET), GLO1 copy number was also increased, compared with healthy tissue; but was not significantly different compared with primary tumour tissue. During mean 3 - 5 years follow-up, 8 patients died and 16 patients showed radiological progression. In midgut NET, a high GLO1 copy-number was associated with earlier progression. In NETs with increased GLO1 copy number, there was increased Glo1 protein expression compared to non-malignant tissue. Conclusions GLO1 copy-number was increased in a large percentage of patients with GEP-NET and correlated positively with increased Glo1 protein in tumour tissue. Analysis of GLO1 copy-number variation particularly in patients with midgut NET could be a novel prognostic marker for tumour progression. PMID:29100361

  2. Increased light-use efficiency sustains net primary productivity of shaded coffee plants in agroforestry system.

    PubMed

    Charbonnier, Fabien; Roupsard, Olivier; le Maire, Guerric; Guillemot, Joannès; Casanoves, Fernando; Lacointe, André; Vaast, Philippe; Allinne, Clémentine; Audebert, Louise; Cambou, Aurélie; Clément-Vidal, Anne; Defrenet, Elsa; Duursma, Remko A; Jarri, Laura; Jourdan, Christophe; Khac, Emmanuelle; Leandro, Patricia; Medlyn, Belinda E; Saint-André, Laurent; Thaler, Philippe; Van Den Meersche, Karel; Barquero Aguilar, Alejandra; Lehner, Peter; Dreyer, Erwin

    2017-08-01

    In agroforestry systems, shade trees strongly affect the physiology of the undergrown crop. However, a major paradigm is that the reduction in absorbed photosynthetically active radiation is, to a certain extent, compensated by an increase in light-use efficiency, thereby reducing the difference in net primary productivity between shaded and non-shaded plants. Due to the large spatial heterogeneity in agroforestry systems and the lack of appropriate tools, the combined effects of such variables have seldom been analysed, even though they may help understand physiological processes underlying yield dynamics. In this study, we monitored net primary productivity, during two years, on scales ranging from individual coffee plants to the entire plot. Absorbed radiation was mapped with a 3D model (MAESPA). Light-use efficiency and net assimilation rate were derived for each coffee plant individually. We found that although irradiance was reduced by 60% below crowns of shade trees, coffee light-use efficiency increased by 50%, leaving net primary productivity fairly stable across all shade levels. Variability of aboveground net primary productivity of coffee plants was caused primarily by the age of the plants and by intraspecific competition among them (drivers usually overlooked in the agroforestry literature) rather than by the presence of shade trees. © 2017 John Wiley & Sons Ltd.

  3. Health reform and primary care capacity: evidence from Houston/Harris County, Texas.

    PubMed

    Begley, Charles; Le, Phuc; Lairson, David; Hanks, Jeanne; Omojasola, Anthony

    2012-02-01

    This study estimated the possible surge in demand for primary care among the low-income population in Houston/Harris County under the Patient Protection and Affordable Care Act, and related it to existing supply by safety-net providers. A model of the demand for primary care visits was developed based on California Health Interview Survey data and applied to the Houston/Harris County population. The current supply of primary care visits by safety-net providers was determined by a local survey. Comparisons indicate that safety-net providers in Houston/Harris County are currently meeting about 30% of the demand for primary care visits by the low-income population, and the rest are either met by private practice physicians or are unmet. Demand for primary care by this population is projected to increase by 30% under health reform leading to a drop in demand met by safety-net providers to less than 25%.

  4. GPs' understanding and practice of safety netting for potential cancer presentations: a qualitative study in primary care.

    PubMed

    Evans, Julie; Ziebland, Sue; MacArtney, John I; Bankhead, Clare R; Rose, Peter W; Nicholson, Brian D

    2018-05-08

    Safety netting is a diagnostic strategy used in UK primary care to ensure patients are monitored until their symptoms or signs are explained. Despite being recommended in cancer diagnosis guidelines, little evidence exists about which components are effective and feasible in modern-day primary care. To understand the reality of safety netting for cancer in contemporary primary care. A qualitative study of GPs in Oxfordshire primary care. In-depth interviews with a purposive sample of 25 qualified GPs were undertaken. Interviews were recorded and transcribed verbatim, and analysed thematically using constant comparison. GPs revealed uncertainty about which aspects of clinical practice are considered safety netting. They use bespoke personal strategies, often developed from past mistakes, without knowledge of their colleagues' practice. Safety netting varied according to the perceived risk of cancer, the perceived reliability of each patient to follow advice, GP working patterns, and time pressures. Increasing workload, short appointments, and a reluctance to overburden hospital systems or create unnecessary patient anxiety have together led to a strategy of selective active follow-up of patients perceived to be at higher risk of cancer or less able to act autonomously. This left patients with low-risk-but-not-no-risk symptoms of cancer with less robust or absent safety netting. GPs would benefit from clearer guidance on which aspects of clinical practice contribute to effective safety netting for cancer. Practice systems that enable active follow-up of patients with low-risk-but-not-no-risk symptoms, which could represent malignancy, could reduce delays in cancer diagnosis without increasing GP workload. © British Journal of General Practice 2018.

  5. Neutrophil extracellular traps are pathogenic in primary graft dysfunction after lung transplantation.

    PubMed

    Sayah, David M; Mallavia, Beñat; Liu, Fengchun; Ortiz-Muñoz, Guadalupe; Caudrillier, Axelle; DerHovanessian, Ariss; Ross, David J; Lynch, Joseph P; Saggar, Rajan; Ardehali, Abbas; Ware, Lorraine B; Christie, Jason D; Belperio, John A; Looney, Mark R

    2015-02-15

    Primary graft dysfunction (PGD) causes early mortality after lung transplantation and may contribute to late graft failure. No effective treatments exist. The pathogenesis of PGD is unclear, although both neutrophils and activated platelets have been implicated. We hypothesized that neutrophil extracellular traps (NETs) contribute to lung injury in PGD in a platelet-dependent manner. To study NETs in experimental models of PGD and in lung transplant patients. Two experimental murine PGD models were studied: hilar clamp and orthotopic lung transplantation after prolonged cold ischemia (OLT-PCI). NETs were assessed by immunofluorescence microscopy and ELISA. Platelet activation was inhibited with aspirin, and NETs were disrupted with DNaseI. NETs were also measured in bronchoalveolar lavage fluid and plasma from lung transplant patients with and without PGD. NETs were increased after either hilar clamp or OLT-PCI compared with surgical control subjects. Activation and intrapulmonary accumulation of platelets were increased in OLT-PCI, and platelet inhibition reduced NETs and lung injury, and improved oxygenation. Disruption of NETs by intrabronchial administration of DNaseI also reduced lung injury and improved oxygenation. In bronchoalveolar lavage fluid from human lung transplant recipients, NETs were more abundant in patients with PGD. NETs accumulate in the lung in both experimental and clinical PGD. In experimental PGD, NET formation is platelet-dependent, and disruption of NETs with DNaseI reduces lung injury. These data are the first description of a pathogenic role for NETs in solid organ transplantation and suggest that NETs are a promising therapeutic target in PGD.

  6. Dimensions of the local health care environment and use of care by uninsured children in rural and urban areas.

    PubMed

    Gresenz, Carole Roan; Rogowski, Jeannette; Escarce, José J

    2006-03-01

    Despite concerted policy efforts, a sizeable percentage of children lack health insurance coverage. This article examines the impact of the health care safety net and health care market structure on the use of health care by uninsured children. We used the Medical Expenditure Panel Survey linked with data from multiple sources to analyze health care utilization among uninsured children. We ran analyses separately for children who lived in rural and urban areas and assessed the effects on utilization of the availability of safety net providers, safety net funding, supply of primary care physicians, health maintenance organization penetration, and the percentage of people who are uninsured, controlling for other factors that influence use. Fewer than half of uninsured children had office-based visits to health care providers during the year, 8% of rural and 10% of urban children visited the emergency department at least once, and just over half of children had medical expenditures or charges during the year. Among uninsured children in rural areas, living closer to a safety net provider and living in an area with a higher supply of primary care physicians were positively associated with higher use and medical expenditures. In urban areas, the supply of primary care physicians and the level of safety net funding were positively associated with uninsured children's medical expenditures, whereas the percentage of the population that was uninsured was negatively associated with use of the emergency department. Uninsured children had low levels of utilization over a range of different health care provider types and settings. The availability of safety net providers in the local area and the safety net's capacity to serve the uninsured influence access to care among children. Possible measures for ensuring access to health care among uninsured children include increasing the density of safety net providers in rural areas, enhancing funding for the safety net, and policies to increase primary care physician supply.

  7. Neutrophil Extracellular Traps Are Pathogenic in Primary Graft Dysfunction after Lung Transplantation

    PubMed Central

    Mallavia, Beñat; Liu, Fengchun; Ortiz-Muñoz, Guadalupe; Caudrillier, Axelle; DerHovanessian, Ariss; Ross, David J.; Lynch III, Joseph P.; Saggar, Rajan; Ardehali, Abbas; Ware, Lorraine B.; Christie, Jason D.; Belperio, John A.; Looney, Mark R.

    2015-01-01

    Rationale: Primary graft dysfunction (PGD) causes early mortality after lung transplantation and may contribute to late graft failure. No effective treatments exist. The pathogenesis of PGD is unclear, although both neutrophils and activated platelets have been implicated. We hypothesized that neutrophil extracellular traps (NETs) contribute to lung injury in PGD in a platelet-dependent manner. Objectives: To study NETs in experimental models of PGD and in lung transplant patients. Methods: Two experimental murine PGD models were studied: hilar clamp and orthotopic lung transplantation after prolonged cold ischemia (OLT-PCI). NETs were assessed by immunofluorescence microscopy and ELISA. Platelet activation was inhibited with aspirin, and NETs were disrupted with DNaseI. NETs were also measured in bronchoalveolar lavage fluid and plasma from lung transplant patients with and without PGD. Measurements and Main Results: NETs were increased after either hilar clamp or OLT-PCI compared with surgical control subjects. Activation and intrapulmonary accumulation of platelets were increased in OLT-PCI, and platelet inhibition reduced NETs and lung injury, and improved oxygenation. Disruption of NETs by intrabronchial administration of DNaseI also reduced lung injury and improved oxygenation. In bronchoalveolar lavage fluid from human lung transplant recipients, NETs were more abundant in patients with PGD. Conclusions: NETs accumulate in the lung in both experimental and clinical PGD. In experimental PGD, NET formation is platelet-dependent, and disruption of NETs with DNaseI reduces lung injury. These data are the first description of a pathogenic role for NETs in solid organ transplantation and suggest that NETs are a promising therapeutic target in PGD. PMID:25485813

  8. Global Patterns in Human Consumption of Net Primary Production

    NASA Technical Reports Server (NTRS)

    Imhoff, Marc L.; Bounoua, Lahouari; Ricketts, Taylor; Loucks, Colby; Harriss, Robert; Lawrence William T.

    2004-01-01

    The human population and its consumption profoundly affect the Earth's ecosystems. A particularly compelling measure of humanity's cumulative impact is the fraction of the planet's net primary production that we appropriate for our Net primary production-the net amount of solar energy converted to plant organic matter through photosynthesis-can be measured in units of elemental carbon and represents the primary food energy source for the world's ecosystems. Human appropriation of net primary production, apart from leaving less for other species to use, alters the composition of the atmosphere, levels of biodiversity, flows within food webs and the provision of important primary production required by humans and compare it to the total amount generated on the landscape. We then derive a spatial ba!mce sheet of net primary production supply and demand for the world. We show that human appropriation of net primary production varies spatially from almost zero to many times the local primary production. These analyses reveal the uneven footprint of human consumption and related environmental impacts, indicate the degree to which human populations depend on net primary production "imports" and suggest policy options for slowing future growth of human appropriation of net primary production.

  9. Net production of oxygen in the subtropical ocean.

    PubMed

    Riser, Stephen C; Johnson, Kenneth S

    2008-01-17

    The question of whether the plankton communities in low-nutrient regions of the ocean, comprising 80% of the global ocean surface area, are net producers or consumers of oxygen and fixed carbon is a key uncertainty in the global carbon cycle. Direct measurements in bottle experiments indicate net oxygen consumption in the sunlit zone, whereas geochemical evidence suggests that the upper ocean is a net source of oxygen. One possible resolution to this conflict is that primary production in the gyres is episodic and thus difficult to observe: in this model, oligotrophic regions would be net consumers of oxygen during most of the year, but strong, brief events with high primary production rates might produce enough fixed carbon and dissolved oxygen to yield net production as an average over the annual cycle. Here we examine the balance of oxygen production over three years at sites in the North and South Pacific subtropical gyres using the new technique of oxygen sensors deployed on profiling floats. We find that mixing events during early winter homogenize the upper water column and cause low oxygen concentrations. Oxygen then increases below the mixed layer at a nearly constant rate that is similar to independent measures of net community production. This continuous oxygen increase is consistent with an ecosystem that is a net producer of fixed carbon (net autotrophic) throughout the year, with episodic events not required to sustain positive oxygen production.

  10. Decoupling of soil carbon and nitrogen turnover partly explains increased net ecosystem production in response to nitrogen fertilization

    NASA Astrophysics Data System (ADS)

    Ehtesham, Emad; Bengtson, Per

    2017-04-01

    During the last decade there has been an ongoing controversy regarding the extent to which nitrogen fertilization can increase carbon sequestration and net ecosystem production in forest ecosystems. The debate is complicated by the fact that increased nitrogen availability caused by nitrogen deposition has coincided with increasing atmospheric carbon dioxide concentrations. The latter could further stimulate primary production but also result in increased allocation of carbon to root exudates, which could potentially ‘prime’ the decomposition of soil organic matter. Here we show that increased input of labile carbon to forest soil caused a decoupling of soil carbon and nitrogen cycling, which was manifested as a reduction in respiration of soil organic matter that coincided with a substantial increase in gross nitrogen mineralization. An estimate of the magnitude of the effect demonstrates that the decoupling could potentially result in an increase in net ecosystem production by up to 51 kg C ha-1 day-1 in nitrogen fertilized stands during peak summer. Even if the effect is several times lower on an annual basis, the results still suggest that nitrogen fertilization can have a much stronger influence on net ecosystem production than can be expected from a direct stimulation of primary production alone.

  11. Net carbon exchange across the Arctic tundra-boreal forest transition in Alaska 1981-2000

    USGS Publications Warehouse

    Thompson, Catharine Copass; McGuire, A.D.; Clein, Joy S.; Chapin, F. S.; Beringer, J.

    2006-01-01

    Shifts in the carbon balance of high-latitude ecosystems could result from differential responses of vegetation and soil processes to changing moisture and temperature regimes and to a lengthening of the growing season. Although shrub expansion and northward movement of treeline should increase carbon inputs, the effects of these vegetation changes on net carbon exchange have not been evaluated. We selected low shrub, tall shrub, and forest tundra sites near treeline in northwestern Alaska, representing the major structural transitions expected in response to warming. In these sites, we measured aboveground net primary production (ANPP) and vegetation and soil carbon and nitrogen pools, and used these data to parameterize the Terrestrial Ecosystem Model. We simulated the response of carbon balance components to air temperature and precipitation trends during 1981-2000. In areas experiencing warmer and dryer conditions, Net Primary Production (NPP) decreased and heterotrophic respiration (R H ) increased, leading to a decrease in Net Ecosystem Production (NEP). In warmer and wetter conditions NPP increased, but the response was exceeded by an increase in R H ; therefore, NEP also decreased. Lastly, in colder and wetter regions, the increase in NPP exceeded a small decline in R H , leading to an increase in NEP. The net effect for the region was a slight gain in ecosystem carbon storage over the 20 year period. This research highlights the potential importance of spatial variability in ecosystem responses to climate change in assessing the response of carbon storage in northern Alaska over the last two decades. ?? Springer 2005.

  12. Influence of coral and algal exudates on microbially mediated reef metabolism.

    PubMed

    Haas, Andreas F; Nelson, Craig E; Rohwer, Forest; Wegley-Kelly, Linda; Quistad, Steven D; Carlson, Craig A; Leichter, James J; Hatay, Mark; Smith, Jennifer E

    2013-01-01

    Benthic primary producers in tropical reef ecosystems can alter biogeochemical cycling and microbial processes in the surrounding seawater. In order to quantify these influences, we measured rates of photosynthesis, respiration, and dissolved organic carbon (DOC) exudate release by the dominant benthic primary producers (calcifying and non-calcifying macroalgae, turf-algae and corals) on reefs of Mo'orea French Polynesia. Subsequently, we examined planktonic and benthic microbial community response to these dissolved exudates by measuring bacterial growth rates and oxygen and DOC fluxes in dark and daylight incubation experiments. All benthic primary producers exuded significant quantities of DOC (roughly 10% of their daily fixed carbon) into the surrounding water over a diurnal cycle. The microbial community responses were dependent upon the source of the exudates and whether the inoculum of microbes included planktonic or planktonic plus benthic communities. The planktonic and benthic microbial communities in the unamended control treatments exhibited opposing influences on DO concentration where respiration dominated in treatments comprised solely of plankton and autotrophy dominated in treatments with benthic plus plankon microbial communities. Coral exudates (and associated inorganic nutrients) caused a shift towards a net autotrophic microbial metabolism by increasing the net production of oxygen by the benthic and decreasing the net consumption of oxygen by the planktonic microbial community. In contrast, the addition of algal exudates decreased the net primary production by the benthic communities and increased the net consumption of oxygen by the planktonic microbial community thereby resulting in a shift towards net heterotrophic community metabolism. When scaled up to the reef habitat, exudate-induced effects on microbial respiration did not outweigh the high oxygen production rates of benthic algae, such that reef areas dominated with benthic primary producers were always estimated to be net autotrophic. However, estimates of microbial consumption of DOC at the reef scale surpassed the DOC exudation rates suggesting net consumption of DOC at the reef-scale. In situ mesocosm experiments using custom-made benthic chambers placed over different types of benthic communities exhibited identical trends to those found in incubation experiments. Here we provide the first comprehensive dataset examining direct primary producer-induced, and indirect microbially mediated alterations of elemental cycling in both benthic and planktonic reef environments over diurnal cycles. Our results highlight the variability of the influence of different benthic primary producers on microbial metabolism in reef ecosystems and the potential implications for energy transfer to higher trophic levels during shifts from coral to algal dominance on reefs.

  13. Incentivizing primary care providers to innovate: building medical homes in the post-Katrina New Orleans safety net.

    PubMed

    Rittenhouse, Diane R; Schmidt, Laura A; Wu, Kevin J; Wiley, James

    2014-02-01

    To evaluate safety-net clinics' responses to a novel community-wide Patient-Centered Medical Home (PCMH) financial incentive program in post-Katrina New Orleans. Between June 2008 and June 2010, we studied 50 primary care clinics in New Orleans receiving federal funds to expand services and improve care delivery. Multiwave, longitudinal, observational study of a local safety-net primary care system. Clinic-level data from a semiannual survey of clinic leaders (89.3 percent response rate), augmented by administrative records. Overall, 62 percent of the clinics responded to financial incentives by achieving PCMH recognition from the National Committee on Quality Assurance (NCQA). Higher patient volume, higher baseline PCMH scores, and type of ownership were significant predictors of achieving NCQA recognition. The steepest increase in adoption of PCMH processes occurred among clinics achieving the highest, Level 3, NCQA recognition. Following NCQA recognition, 88.9 percent stabilized or increased their use of PCMH processes, although several specific PCMH processes had very low rates of adoption overall. Findings demonstrate that widespread PCMH implementation is possible in a safety-net environment when external financial incentives are aligned with the goal of practice innovation. © Health Research and Educational Trust.

  14. Concordance between results of somatostatin receptor scintigraphy with 111In-DOTA-DPhe 1-Tyr 3-octreotide and chromogranin A assay in patients with neuroendocrine tumours.

    PubMed

    Rodrigues, Margarida; Gabriel, Michael; Heute, Dirk; Putzer, Daniel; Griesmacher, Andrea; Virgolini, Irene

    2008-10-01

    Somatostatin receptor scintigraphy (SRS) and chromogranin A (CgA) assay have successfully been implemented in the clinical work-up and management of neuroendocrine tumour (NET) patients. However, there is still a lack of studies comparing results in these patients. Our aim was to compare directly in NET patients SRS and CgA assay results with special regard to tumour features such as grade of malignancy, primary origin, disease extent and function. One hundred twenty consecutive patients with histological confirmed NETs were investigated with (111)In-DOTA-DPhe(1)-Tyr(3)-octreotide ((111)In-DOTA-TOC) SRS and CgA immunoradiometric assay. Tumours were classified by cell characteristics [well-differentiated NETs, well-differentiated neuroendocrine carcinomas, poorly differentiated neuroendocrine carcinomas (PDNECs)], primary origin (foregut, midgut, hindgut, undetermined), disease extent (limited disease, metastases, primary tumour and metastases) and functionality (secretory, nonsecretory). SRS was positive in 107 (89%) patients; CgA levels were increased in 95 (79%) patients. Overall, concordance between SRS and CgA results was found in 84 patients. Positive SRS but normal CgA level were found in 24 patients, with higher prevalence (p<0.05) in patients with nonsecretory tumours. Conversely, negative SRS but CgA level increased were seen in 12 patients, with higher proportion (p<0.05) in patients with PDNECs and tumours of hindgut origin. Overall, (111)In-DOTA-TOC SRS proved to be more sensitive than CgA in NETs patients. Tumour differentiation, disease extent and presence of liver metastases impact both SRS and CgA results, whereas nonsecretory activity is a negative predictor of only CgA increase. PDNECs and hindgut origin of tumours predispose to discrepancies with negative SRS but increased CgA levels.

  15. The Added Diagnostic Value of 18F-Fluorodihydroxyphenylalanine PET/CT in the Preoperative Work-Up of Small Bowel Neuroendocrine Tumors.

    PubMed

    Addeo, Pietro; Poncet, Gilles; Goichot, Bernard; Leclerc, Loic; Brigand, Cécile; Mutter, Didier; Romain, Benoit; Namer, Izzie-Jacques; Bachellier, Philippe; Imperiale, Alessio

    2018-04-01

    The precise localization of the primary tumor and/or the identification of multiple primary tumors improves the preoperative work-up in patients with small bowel (SB) neuroendocrine tumor (NET). The present study assesses the diagnostic value of 18 F-fluorodihydroxyphenylalanine ( 18 F-FDOPA) positron emission tomography/computed tomography (PET/CT) during the preoperative wok-up of SB NETs. Between January 2010 and June 2017, all consecutive patients with SB NETs undergoing preoperative 18 F-FDOPA PET/CT and successive resection were analyzed. Preoperative work-up included computed tomography (CT), somatostatin receptor scintigraphy (SRS), and 18 F-FDOPA PET/CT. Sensitivity and accuracy ratio for primary and multiple tumor detection were compared with data from surgery and pathology. There were 17 consecutive patients with SB NETs undergoing surgery. Nine patients (53%) had multiple tumors, 15 (88%) metastatic lymph nodes, 3 (18%) peritoneal carcinomatosis, and 9 patients (53%) liver metastases. A total of 70 SB NETs were found by pathology. Surgery identified the primary in 17/17 (100%) patients and recognized seven of 9 patients (78%) with multiple synchronous SB. Preoperatively, 18 F-FDOPA PET/CT displayed a statistically significant higher sensitivity for primary tumor localization (100 vs. 23.5 vs. 29.5%) and multiple tumor detection (78 vs. 22 vs. 11%) over SRS and CT. Compared with pathology, 18 F-FDOPA PET/CT displayed the highest accuracy ratio for number of tumor detected over CT and SRS (2.0 ± 2.2 vs. 0.4 ± 0.7 vs. 0.6 ± 1.5, p = 0.0003). 18 F-FDOPA PET/CT significantly increased the sensitivity and accuracy for primary and multiple SB NET identification. 18 F-FDOPA PET/CT should be included systematically in the preoperative work-up of SB NET.

  16. Acceptability of text messages for safety netting patients with low-risk cancer symptoms: a qualitative study.

    PubMed

    Hirst, Yasemin; Lim, Anita Wey Wey

    2018-05-01

    Safety netting is an important diagnostic strategy for patients presenting to primary care with potential (low-risk) cancer symptoms. Typically, this involves asking patients to return if symptoms persist. However, this relies on patients re-appraising their symptoms and making follow-up appointments, which could contribute to delays in diagnosis. Text messaging is increasingly used in primary care to communicate with patients, and could be used to improve safety netting. To explore the acceptability and feasibility of using text messages to safety net patients presenting with low-risk cancer symptoms in GP primary care (txt-netting). Qualitative focus group and interview study with London-based GPs. Participants were identified using convenience sampling methods. Five focus groups and two interviews were conducted with 22 GPs between August and December 2016. Sessions were audiorecorded, transcribed verbatim, and analysed using thematic analysis. GPs were amenable to the concept of using text messages in cancer safety netting, identifying it as an additional tool that could help manage patients and promote symptom awareness. There was wide variation in GP preferences for text message content, and a number of important potential barriers to txt-netting were identified. Concerns were raised about the difficulties of conveying complex safety netting advice within the constraints of a text message, and about confidentiality, widening inequalities, and workload implications. Text messages were perceived to be an acceptable potential strategy for safety netting patients with low-risk cancer symptoms. Further work is needed to ensure it is cost-effective, user friendly, confidential, and acceptable to patients. © British Journal of General Practice 2018.

  17. Primary production control of methane emission from wetlands

    NASA Technical Reports Server (NTRS)

    Whiting, G. J.; Chanton, J. P.

    1993-01-01

    Based on simultaneous measurements of CO2 and CH4 exchange in wetlands extending from subarctic peatlands to subtropical marshes, a positive correlation between CH4 emission and net ecosystem production is reported. It is suggested that net ecosystem production is a master variable integrating many factors which control CH4 emission in vegetated wetlands. It is found that about 3 percent of the daily net ecosystem production is emitted back to the atmosphere as CH4. With projected stimulation of primary production and soil microbial activity in wetlands associated with elevated atmospheric CO2 concentration, the potential for increasing CH4 emission from inundated wetlands, further enhancing the greenhouse effect, is examined.

  18. Safety-net providers in some US communities have increasingly embraced coordinated care models.

    PubMed

    Cunningham, Peter; Felland, Laurie; Stark, Lucy

    2012-08-01

    Safety-net organizations, which provide health services to uninsured and low-income people, increasingly are looking for ways to coordinate services among providers to improve access to and quality of care and to reduce costs. In this analysis, a part of the Community Tracking Study, we examined trends in safety-net coordination activities from 2000 to 2010 within twelve communities in the United States and found a notable increase in such activities. Six of the twelve communities had made formal efforts to link uninsured people to medical homes and coordinate care with specialists in 2010, compared to only two communities in 2000. We also identified key attributes of safety-net coordinated care systems, such as reliance on a medical home for meeting patients' primary care needs, and lingering challenges to safety-net integration, such as competition among hospitals and community health centers for Medicaid patients.

  19. Model of a coral reef ecosystem

    NASA Astrophysics Data System (ADS)

    Atkinson, Marlin J.; Grigg, Richard W.

    1984-08-01

    The ECOPATH model for French Frigate Shoals estimates the benthic plant production (net primary production in kg wet weight) required to support the atoll food chain. In this section we estimate the benthic net primary production and net community production of the atoll based on metabolism studies of reef flat, knolls, and lagoon communities at French Frigate Shoals Hawaii. Community metabolism was measured during winter and summer. The reef communities at French Frigate Shoals exhibited patterns and rates of organic carbon production and calcification similar to other reefs in the world. The estimate of net primary production is 6.1·106 kg wet weight km-2 year-1±50%, a value remarkably close to the estimate by the ECOPATH model of 4.3·106 kg wet weight km-2 year-1. Our estimate of net community production or the amount of carbon not consumed by the benthos was high; approximately 15% of the net primary production. Model results indicate that about 5% of net primary production is passed up the food chain to mobile predators. This suggests about 10% of net primary production (˜6% of gross primary production) may be permanently lost to the system via sediment burial or export offshore.

  20. Agricultural conversion without external water and nutrient inputs reduces terrestrial vegetation productivity

    USGS Publications Warehouse

    Smith, W. Kolby; Cleveland, Cory C.; Reed, Sasha C.; Running, Steven W.

    2014-01-01

    Driven by global population and standard of living increases, humanity co-opts a growing share of the planet's natural resources resulting in many well-known environmental trade-offs. In this study, we explored the impact of agriculture on a resource fundamental to life on Earth: terrestrial vegetation growth (net primary production; NPP). We demonstrate that agricultural conversion has reduced terrestrial NPP by ~7.0%. Increases in NPP due to agricultural conversion were observed only in areas receiving external inputs (i.e., irrigation and/or fertilization). NPP reductions were found for ~88% of agricultural lands, with the largest reductions observed in areas formerly occupied by tropical forests and savannas (~71% and ~66% reductions, respectively). Without policies that explicitly consider the impact of agricultural conversion on primary production, future demand-driven increases in agricultural output will likely continue to drive net declines in global terrestrial productivity, with potential detrimental consequences for net ecosystem carbon storage and subsequent climate warming.

  1. Transient nature of CO2 fertilization in arctic tundra

    Treesearch

    Walter C. Oechel; Sid Cowles; Nancy Grulke; Steven J. Hastings; Bill Lawrence; Tom Prudhomme; George Riechers; Boyd Strain; David Tissue; George Vourlitis

    1994-01-01

    There has been much debate about the effect of increased atmospheric CO2 concentrations on plant net primary production1,3 and on net ecosystem CO2 flux3–10. Apparently conflicting experimental findings could be the result of differences in genetic potential11–15...

  2. Finance at the front line. The effects of financial slack on community health center clinical process quality.

    PubMed

    Beauvais, Brad; Wells, Rebecca; Vasey, Joseph; DelliFraine, Jami L

    2007-01-01

    As the number of health centers increases through a federal initiative, questions remain about these primary care providers' capacity to provide sufficient care to the underserved. In the current study, the authors hypothesize that health centers with greater financial latitude or "slack" will provide medically appropriate primary care to greater proportions of their patients. Annual data from all US federally funded community health centers between 1998 and 2004 provide unusually rich data through which to test this hypothesis. Multilevel model results indicate positive associations between higher levels of net revenue and percentages of patients receiving preventive health care at baseline, as well as between initial net revenue and increases over time in post partum care access. Contrary to expectation, higher net revenue was also negatively associated with percentages of women getting post partum care at baseline. Also contrary to expectation, higher baseline levels of net revenue were associated with decreasing preventive care access over time. These mixed results imply that organizations' financial slack can affect quality, but in ways that vary across outcomes and over time.

  3. Small town health care safety nets: report on a pilot study.

    PubMed

    Taylor, Pat; Blewett, Lynn; Brasure, Michelle; Call, Kathleen Thiede; Larson, Eric; Gale, John; Hagopian, Amy; Hart, L Gary; Hartley, David; House, Peter; James, Mary Katherine; Ricketts, Thomas

    2003-01-01

    Very little is known about the health care safety net in small towns, especially in towns where there is no publicly subsidized safety-net health care. This pilot study of the primary care safety net in 7 such communities was conducted to start building knowledge about the rural safety net. Interviews were conducted and secondary data collected to assess the community need for safety-net care, the health care safety-net role of public officials, and the availability of safety-net care at private primary care practices and its financial impact on these practices. An estimated 20% to 40% of the people in these communities were inadequately insured and needed access to affordable health care, and private primary care practices in most towns played an important role in making primary care available to them. Most of the physician practices were owned or subsidized by a hospital or regional network, though not explicitly to provide charity care. It is likely this ownership or support enabled the practices to sustain a higher level of charity care than would have been possible otherwise. In the majority of communities studied, the leading public officials played no role in ensuring access to safety-net care. State and national government policy makers should consider subsidy programs for private primary care practices that attempt to meet the needs of the inadequately insured in the many rural communities where no publicly subsidized primary safety-net care is available. Subsidies should be directed to physicians in primary care shortage areas who provide safety-net care; this will improve safety-net access and, at the same time, improve physician retention by bolstering physician incomes. Options include enhanced Medicare physician bonuses and grants or tax credits to support income-related sliding fee scales.

  4. Fire as the dominant driver of central Canadian boreal forest carbon balance.

    PubMed

    Bond-Lamberty, Ben; Peckham, Scott D; Ahl, Douglas E; Gower, Stith T

    2007-11-01

    Changes in climate, atmospheric carbon dioxide concentration and fire regimes have been occurring for decades in the global boreal forest, with future climate change likely to increase fire frequency--the primary disturbance agent in most boreal forests. Previous attempts to assess quantitatively the effect of changing environmental conditions on the net boreal forest carbon balance have not taken into account the competition between different vegetation types on a large scale. Here we use a process model with three competing vascular and non-vascular vegetation types to examine the effects of climate, carbon dioxide concentrations and fire disturbance on net biome production, net primary production and vegetation dominance in 100 Mha of Canadian boreal forest. We find that the carbon balance of this region was driven by changes in fire disturbance from 1948 to 2005. Climate changes affected the variability, but not the mean, of the landscape carbon balance, with precipitation exerting a more significant effect than temperature. We show that more frequent and larger fires in the late twentieth century resulted in deciduous trees and mosses increasing production at the expense of coniferous trees. Our model did not however exhibit the increases in total forest net primary production that have been inferred from satellite data. We find that poor soil drainage decreased the variability of the landscape carbon balance, which suggests that increased climate and hydrological changes have the potential to affect disproportionately the carbon dynamics of these areas. Overall, we conclude that direct ecophysiological changes resulting from global climate change have not yet been felt in this large boreal region. Variations in the landscape carbon balance and vegetation dominance have so far been driven largely by increases in fire frequency.

  5. Response of plant community structure and primary productivity to experimental drought and flooding in an Alaskan fen

    USGS Publications Warehouse

    Churchill, A.C.; Turetsky, Merritt R.; McGuire, A. David; Hollingsworth, Teresa N.

    2014-01-01

    Northern peatlands represent a long-term net sink for atmospheric CO2, but these ecosystems can shift from net carbon (C) sinks to sources based on changing climate and environmental conditions. In particular, changes in water availability associated with climate control peatland vegetation and carbon uptake processes. We examined the influence of changing hydrology on plant species abundance and ecosystem primary production in an Alaskan fen by manipulating the water table in field treatments to mimic either sustained flooding (raised water table) or drought (lowered water table) conditions for 6 years. We found that water table treatments altered plant species abundance by increasing sedge and grass cover in the raised water table treatment and reducing moss cover while increasing vascular green area in the lowered water table treatment. Gross primary productivity was lower in the lowered treatment than in the other plots, although there were no differences in total biomass or vascular net primary productivity among the treatments. Overall, our results indicate that vegetation abundance was more sensitive to variation in water table than total biomass and vascular biomass accrual. Finally, in our experimental peatland, drought had stronger consequences for change in vegetation abundance and ecosystem function than sustained flooding.

  6. Human Appropriation of Net Primary Production - Can Earth Keep Up?

    NASA Technical Reports Server (NTRS)

    Imhoff, Marc L.

    2006-01-01

    The amount of Earth's vegetation or net primary production required to support human activities is powerful measure of aggregate human impacts on the biosphere. Biophysical models applied to consumption statistics were used to estimate the annual amount of net primary production in the form of elemental carbon required for food, fibre, and fuel-wood by the global population. The calculations were then compared to satellite-based estimates of Earth's average net primary production to produce a geographically explicit balance sheet of net primary production "supply" and "demand". Humans consume 20% of Earth's net primary production (11.5 petagrams carbon) annually and this percentage varies regionally from 6% (South America) to over 70% (Europe and Asia), and locally from near 0% (central Australia) to over 30,000% (New York City, USA). The uneven footprint of human consumption and related environmental impacts, indicate the degree to which human populations are vulnerable to climate change and suggest policy options for slowing future growth of NPP demand.

  7. Net primary productivity of subalpine meadows in Yosemite National Park in relation to climate variability

    Treesearch

    Peggy E. Moore; Jan W. van Wagtendonk; Julie L. Yee; Mitchel P. McClaran; David N. Cole; Neil K. McDougald; Matthew L. Brooks

    2013-01-01

    Subalpine meadows are some of the most ecologically important components of mountain landscapes, and primary productivity is important to the maintenance of meadow functions. Understanding how changes in primary productivity are associated with variability in moisture and temperature will become increasingly important with current and anticipated changes in climate....

  8. Primary production and carbon allocation in relation to nutrient supply in a tropical experimental forest

    Treesearch

    Christian P. Giardina; Michael G. Ryan; Dan Binkley; Dan Binkley; James H. Fownes

    2003-01-01

    Nutrient supply commonly limits aboveground plant productivity in forests, but the effects of an altered nutrient supply on gross primary production (GPP) and patterns of carbon (C) allocation remain poorly characterized. Increased nutrient supply may lead to a higher aboveground net primary production (ANPP), but a lower total belowground carbon allocation (TBCA),...

  9. Do HMO and its for-profit expansion jeopardize the survival of hospital safety net services?

    PubMed

    Shen, Yu-Chu

    2009-03-01

    This study examines the effect of health maintenance organizations (HMOs) and for-profit HMO share on the survival of safety net services in hospitals between 1990 and 2004. The primary data sources are the American Hospital Association Annual Surveys, the Medicare hospital cost reports, and the HMO enrollment and ownership data from Interstudy. I analyze the risks of shutting down each safety net service separately using the proportional hazard models. I find that the risks of shutting down hospital safety net services do not vary by different levels of overall HMO penetration. However, conditional on the overall HMO penetration level, increasing for-profit presence of HMO does increase the risks of shutting down several safety net services. Policies evaluating the for-profit expansion or ownership conversion of health plans should take this potential adverse effect into consideration.

  10. Seasonal distribution of net primary production by functional groups in Chihuahuan Desert, and the role of seasonal precipitation

    USDA-ARS?s Scientific Manuscript database

    In hot deserts, precipitation is the principal driver for net primary production.  This study tested two hypotheses regarding aboveground net primary production (ANPP) and the effects of precipitation on ANPP in the Chihuahuan Desert, with emphasis on differences among seasons and among functional g...

  11. Changes in aboveground primary production and carbon and nitrogen pools accompanying woody plant encroachment in a temperate savanna

    Treesearch

    R. Flint Hughes; Seeven R. Archer; Gegory P. Asner; Carol A. Wessman; Chad McMurtry; Jim Nelson; R. James. Ansley

    2006-01-01

    When woody plant abundance increases in grasslands and savannas, a phenomenon widely observed worldwide, there is considerable uncertainty as to whether aboveground net primary productivity (ANPP) and ecosystem carbon (C) and nitrogen (N) pools increase, decrease, or remain the same. We estimated ANPP and C and N pools in aboveground vegetation and surface soils on...

  12. Analysis of Spatial and Temporal Patterns of Aboveground Net Primary Productivity in the Eurasian Steppe from 1982 to 2013

    NASA Astrophysics Data System (ADS)

    Jiao, C.; Yu, G.; He, N.; Chen, X.; Zhang, C.; Hu, Z.; Ge, J.

    2016-12-01

    Aboveground net primary productivity (NPPA) is a key integrator for characterizing vegetation activity and assessing the carbon balance of ecosystem. In this study, we combined datasets of Global Inventory Modeling and Mapping Studies (GIMMS) normalized difference vegetation index (NDVI) and NPPA field observations to propose a remote sensing-based model for NPPA (ENPPAModel) estimation in the Eurasian steppe Region (EASR). About 25% of NPPA field observations were extracted randomly to validate ENPPAModel. ENPPAModel was then used to discuss spatiotemporal dynamics of NPPA in EASR from 1982 to 2013. Validation against field observations showed good performance of ENPPAModel over the study region, with an overall coefficient of determination (R2) of 0.66 and root mean square error (RMSE) of 19.33 g C m-2 yr-1. The annual total aboveground net primary productivity (TNPPA) of EASR was 378.97 Tg C yr-1, accounting for 26.46% of the global grasslands. For 3 subregions in EASR, the Black Sea-Kazakhstan steppe subregion had highest TNPPA, amounting to 45.67% of the EASR. The annual average aboveground net primary productivity (NPPA) was 43.78 g C m-2 yr-1 in EASR, lower than that of global grasslands and higher than that of global temperate grasslands (excluding savannas).NPPA showed apparent spatial variations, which was consistent with geographical patterns of vegetation types, reflecting hydrothermal conditions in EASR. TNPPA displayed an overall increasing trend by 0.49% per year in EASR from 1982 to 2013. TNPPA increasing trend was much greater than that of global average and North America. Temporal trends of TNPPA of EASR were significantly various during three different periods. During 1982-1995, TNPPA of EASR increased obviously due to lengthened growing season associated with warming. In the period of 1996 - 2007, TNPPA of EASR decreased significantly attributed to decreasing spring temperature in the Tibetan Plateau alpine steppe subregion and decreasing summer precipitation in the Mongolian Plateau steppe subregion. During 2008 -2013, TNPPA of EASR increased weakly resulted from increasing summer precipitation in the Mongolian Plateau steppe subregion.

  13. Relationships between climate, productivity and vegetation in southern Mongolian drylands

    PubMed Central

    von Wehrden, H.; Wesche, K.

    2011-01-01

    We assessed the relationship between open-source data on net primary production and precipitation for the southern Mongolian Gobi, and related this information to data obtained from a set of 1418 vegetation relevés sampled in the region. Gradients determining plant community diversity and composition were examined, and the relation between α-diversity and key environmental parameters was tested. The correlation between net primary production and precipitation within our working area was fairly high (r2 = 0.66). The variance of the net primary production was related to the average annual precipitation; at sites with more than ~220 mm/a precipitation the median coefficient of variation in productivity data decreased, indicating a rather gradual shift from a non-equilibrium ecosystem towards an equilibrium ecosystem with increasing moisture. A DCA-ordination showed that the main gradient in plant community composition was closely correlated to environmental variables for altitude, precipitation and net primary production. All three parameters were also significant predictors of the species diversity. The final model, which included an additional quadratic term for longitude, predicted local plant biodiversity at r2 = 0.57. The results can be directly applied to both resource management and nature conservation within the area. For future studies a closer focus on the characterisation of non-equilibrium rangelands based on modelled productivity layers is suggested. PMID:22318349

  14. Adaptive physiological response, carbon partitioning, and biomass production of Withania somnifera (L.) Dunal grown under elevated CO2 regimes.

    PubMed

    Sharma, Rupali; Singh, Hukum; Kaushik, Monica; Nautiyal, Raman; Singh, Ombir

    2018-06-01

    Winter cherry or Ashwagandha ( Withania somnifera ) is an important medicinal plant used in traditional and herbal medicine system. Yet, there is no information available on response of this plant to changing climatic conditions particularly elevated atmospheric CO 2 concentrations. Therefore, we conducted an experiment to examine the effect of elevated CO 2 concentrations (ECs) on Withania somnifera . The variations in traits of physiological adaptation, net primary productivity, carbon partitioning, morphology, and biomass in response to elevated CO 2 concentrations (ambient, 600 and 800 µmol mol -1 ) during one growth cycle were investigated within the open top chamber (OTC) facility in the foothill of the Himalayas, Dehardun, India. ECs significantly increased photosynthetic rate, transpiration rate, stomatal conductance, water use efficiency, soil respiration, net primary productivity and the carbon content of plant tissues (leaf, stem, and root), and soil carbon. Furthermore, ECs significantly enhanced biomass production (root and shoot), although declined night leaf respiration. Overall, it was summarized that photosynthesis, stomatal conductance, water use efficiency, leaf, and soil carbon and biomass increased under ECs rendering the physiological adaptation to the plant. Increased net primary productivity might facilitate mitigation effects by sequestering elevated levels of carbon dioxide. We advocate further studies to investigate the effects of ECs on the accumulation of secondary metabolites and health-promoting substances of this as well as other medicinal plants.

  15. Small global effect on terrestrial net primary production due to increased fossil fuel aerosol emissions from East Asia since the turn of the century.

    PubMed

    O'Sullivan, M; Rap, A; Reddington, C L; Spracklen, D V; Gloor, M; Buermann, W

    2016-08-16

    The global terrestrial carbon sink has increased since the start of this century at a time of growing carbon emissions from fossil fuel burning. Here we test the hypothesis that increases in atmospheric aerosols from fossil fuel burning enhanced the diffuse light fraction and the efficiency of plant carbon uptake. Using a combination of models, we estimate that at global scale changes in light regimes from fossil fuel aerosol emissions had only a small negative effect on the increase in terrestrial net primary production over the period 1998-2010. Hereby, the substantial increases in fossil fuel aerosol emissions and plant carbon uptake over East Asia were effectively canceled by opposing trends across Europe and North America. This suggests that if the recent increase in the land carbon sink would be causally linked to fossil fuel emissions, it is unlikely via the effect of aerosols but due to other factors such as nitrogen deposition or nitrogen-carbon interactions.

  16. Supporting Medical Home Transformation Through Evaluation of Patient Experience in a Large Culturally Diverse Primary Care Safety Net.

    PubMed

    Cook, Nicole; Hollar, T Lucas; Zunker, Christie; Peterson, Michael; Phillips, Teina; De Lucca, Michael

    2016-01-01

    The prevalence of chronic disease in the United States is rapidly increasing, with a disproportionate number of underserved, vulnerable patients sharing the burden. The Patient-Centered Medical Home (PCMH) is a care delivery model that has shown promise to improve primary care and address the burden of chronic illness. The purpose of this study was to (1) understand patient characteristics that might influence perceived patient experience in a large primary care safety net undergoing PCMH transformation; (2) identify community-level quality improvement opportunities to support ongoing transformation activities; and (3) establish a baseline of patient experience across the primary care safety net that could be used in repeated evaluations over the course of transformation. A cross-sectional study design was used to conduct this research. A total of 351 racially and ethnically diverse patients of 4 primary care safety net organizations in Broward County, Florida, were surveyed regarding their experience with access to care and coordination of care. Reported access to care and coordination of care. Patients with chronic disease who reported having visited the clinic 3 or more times in the past 12 months reported a better coordination of care experience than patients who had fewer than 3 visits in the past 12 months (odds ratio = 3.57; 95% confidence interval, 1.76-7.24). Patients without chronic disease who had been receiving care at the clinic for 2 or more years of care reported worse experience with access to care than patients with less than 2 years of care (odds ratio = 0.26; 95% confidence interval, 0.11-0.60.) Race, ethnicity, language, and education were not significant predictors of patient experience. Findings support ongoing efforts to improve patient engagement among all patients and to enhance resources to manage chronic disease, including community-based self-management programs, in primary care safety nets undergoing PCMH transformation.

  17. Effects of New Funding Models for Patient-Centered Medical Homes on Primary Care Practice Finances and Services: Results of a Microsimulation Model.

    PubMed

    Basu, Sanjay; Phillips, Russell S; Song, Zirui; Landon, Bruce E; Bitton, Asaf

    2016-09-01

    We assess the financial implications for primary care practices of participating in patient-centered medical home (PCMH) funding initiatives. We estimated practices' changes in net revenue under 3 PCMH funding initiatives: increased fee-for-service (FFS) payments, traditional FFS with additional per-member-per-month (PMPM) payments, or traditional FFS with PMPM and pay-for-performance (P4P) payments. Net revenue estimates were based on a validated microsimulation model utilizing national practice surveys. Simulated practices reflecting the national range of practice size, location, and patient population were examined under several potential changes in clinical services: investments in patient tracking, communications, and quality improvement; increased support staff; altered visit templates to accommodate longer visits, telephone visits or electronic visits; and extended service delivery hours. Under the status quo of traditional FFS payments, clinics operate near their maximum estimated possible net revenue levels, suggesting they respond strongly to existing financial incentives. Practices gained substantial additional net annual revenue per full-time physician under PMPM or PMPM plus P4P payments ($113,300 per year, 95% CI, $28,500 to $198,200) but not under increased FFS payments (-$53,500, 95% CI, -$69,700 to -$37,200), after accounting for costs of meeting PCMH funding requirements. Expanding services beyond minimum required levels decreased net revenue, because traditional FFS revenues decreased. PCMH funding through PMPM payments could substantially improve practice finances but will not offer sufficient financial incentives to expand services beyond minimum requirements for PCMH funding. © 2016 Annals of Family Medicine, Inc.

  18. Effects of New Funding Models for Patient-Centered Medical Homes on Primary Care Practice Finances and Services: Results of a Microsimulation Model

    PubMed Central

    Basu, Sanjay; Phillips, Russell S.; Song, Zirui; Landon, Bruce E.; Bitton, Asaf

    2016-01-01

    PURPOSE We assess the financial implications for primary care practices of participating in patient-centered medical home (PCMH) funding initiatives. METHODS We estimated practices’ changes in net revenue under 3 PCMH funding initiatives: increased fee-for-service (FFS) payments, traditional FFS with additional per-member-per-month (PMPM) payments, or traditional FFS with PMPM and pay-for-performance (P4P) payments. Net revenue estimates were based on a validated microsimulation model utilizing national practice surveys. Simulated practices reflecting the national range of practice size, location, and patient population were examined under several potential changes in clinical services: investments in patient tracking, communications, and quality improvement; increased support staff; altered visit templates to accommodate longer visits, telephone visits or electronic visits; and extended service delivery hours. RESULTS Under the status quo of traditional FFS payments, clinics operate near their maximum estimated possible net revenue levels, suggesting they respond strongly to existing financial incentives. Practices gained substantial additional net annual revenue per full-time physician under PMPM or PMPM plus P4P payments ($113,300 per year, 95% CI, $28,500 to $198,200) but not under increased FFS payments (−$53,500, 95% CI, −$69,700 to −$37,200), after accounting for costs of meeting PCMH funding requirements. Expanding services beyond minimum required levels decreased net revenue, because traditional FFS revenues decreased. CONCLUSIONS PCMH funding through PMPM payments could substantially improve practice finances but will not offer sufficient financial incentives to expand services beyond minimum requirements for PCMH funding. PMID:27621156

  19. Net one, net two: the primary care network income statement.

    PubMed

    Halley, M D; Little, A W

    1999-10-01

    Although hospital-owned primary care practices have been unprofitable for most hospitals, some hospitals are achieving competitive advantage and sustainable practice operations. A key to the success of some has been a net income reporting tool that separates practice operating expenses from the costs of creating and operating a network of practices to help healthcare organization managers, physicians, and staff to identify opportunities to improve the network's financial performance. This "Net One, Net Two" reporting allows operations leadership to be held accountable for Net One expenses and strategic leadership to be held accountable for Net Two expenses.

  20. Army Incentives for the PCMH

    DTIC Science & Technology

    2011-01-24

    Performance Metrics Community Based Medical Homes Slide 8 of 10 2011 MHS Conference  Increase our primary care market share Net increase in primary... Sharing Knowledge: Achieving Breakthrough Performance 2011 Military Health System Conference Army Incentives for the PCMH 24 January 2011 Mr. Ken...enroll as soon as fully staffed  Operate at economic advantage to DoD Improve ER/ UCC usage rates Improve utilization rates Business Rules Army

  1. Evaluating the convergence between eddy-covariance and biometric methods for assessing carbon budgets of forests.

    PubMed

    Campioli, M; Malhi, Y; Vicca, S; Luyssaert, S; Papale, D; Peñuelas, J; Reichstein, M; Migliavacca, M; Arain, M A; Janssens, I A

    2016-12-14

    The eddy-covariance (EC) micro-meteorological technique and the ecology-based biometric methods (BM) are the primary methodologies to quantify CO 2 exchange between terrestrial ecosystems and the atmosphere (net ecosystem production, NEP) and its two components, ecosystem respiration and gross primary production. Here we show that EC and BM provide different estimates of NEP, but comparable ecosystem respiration and gross primary production for forest ecosystems globally. Discrepancies between methods are not related to environmental or stand variables, but are consistently more pronounced for boreal forests where carbon fluxes are smaller. BM estimates are prone to underestimation of net primary production and overestimation of leaf respiration. EC biases are not apparent across sites, suggesting the effectiveness of standard post-processing procedures. Our results increase confidence in EC, show in which conditions EC and BM estimates can be integrated, and which methodological aspects can improve the convergence between EC and BM.

  2. Evaluating the convergence between eddy-covariance and biometric methods for assessing carbon budgets of forests

    NASA Astrophysics Data System (ADS)

    Campioli, M.; Malhi, Y.; Vicca, S.; Luyssaert, S.; Papale, D.; Peñuelas, J.; Reichstein, M.; Migliavacca, M.; Arain, M. A.; Janssens, I. A.

    2016-12-01

    The eddy-covariance (EC) micro-meteorological technique and the ecology-based biometric methods (BM) are the primary methodologies to quantify CO2 exchange between terrestrial ecosystems and the atmosphere (net ecosystem production, NEP) and its two components, ecosystem respiration and gross primary production. Here we show that EC and BM provide different estimates of NEP, but comparable ecosystem respiration and gross primary production for forest ecosystems globally. Discrepancies between methods are not related to environmental or stand variables, but are consistently more pronounced for boreal forests where carbon fluxes are smaller. BM estimates are prone to underestimation of net primary production and overestimation of leaf respiration. EC biases are not apparent across sites, suggesting the effectiveness of standard post-processing procedures. Our results increase confidence in EC, show in which conditions EC and BM estimates can be integrated, and which methodological aspects can improve the convergence between EC and BM.

  3. Evaluating the convergence between eddy-covariance and biometric methods for assessing carbon budgets of forests

    PubMed Central

    Campioli, M.; Malhi, Y.; Vicca, S.; Luyssaert, S.; Papale, D.; Peñuelas, J.; Reichstein, M.; Migliavacca, M.; Arain, M. A.; Janssens, I. A.

    2016-01-01

    The eddy-covariance (EC) micro-meteorological technique and the ecology-based biometric methods (BM) are the primary methodologies to quantify CO2 exchange between terrestrial ecosystems and the atmosphere (net ecosystem production, NEP) and its two components, ecosystem respiration and gross primary production. Here we show that EC and BM provide different estimates of NEP, but comparable ecosystem respiration and gross primary production for forest ecosystems globally. Discrepancies between methods are not related to environmental or stand variables, but are consistently more pronounced for boreal forests where carbon fluxes are smaller. BM estimates are prone to underestimation of net primary production and overestimation of leaf respiration. EC biases are not apparent across sites, suggesting the effectiveness of standard post-processing procedures. Our results increase confidence in EC, show in which conditions EC and BM estimates can be integrated, and which methodological aspects can improve the convergence between EC and BM. PMID:27966534

  4. Modeling Test and Treatment Strategies for Presymptomatic Alzheimer Disease

    PubMed Central

    Burke, James F.; Langa, Kenneth M.; Hayward, Rodney A.; Albin, Roger L.

    2014-01-01

    Objectives In this study, we developed a model of presymptomatic treatment of Alzheimer disease (AD) after a screening diagnostic evaluation and explored the circumstances required for an AD prevention treatment to produce aggregate net population benefit. Methods Monte Carlo simulation methods were used to estimate outcomes in a simulated population derived from data on AD incidence and mortality. A wide variety of treatment parameters were explored. Net population benefit was estimated in aggregated QALYs. Sensitivity analyses were performed by individually varying the primary parameters. Findings In the base-case scenario, treatment effects were uniformly positive, and net benefits increased with increasing age at screening. A highly efficacious treatment (i.e. relative risk 0.6) modeled in the base-case is estimated to save 20 QALYs per 1000 patients screened and 221 QALYs per 1000 patients treated. Conclusions Highly efficacious presymptomatic screen and treat strategies for AD are likely to produce substantial aggregate population benefits that are likely greater than the benefits of aspirin in primary prevention of moderate risk cardiovascular disease (28 QALYS per 1000 patients treated), even in the context of an imperfect treatment delivery environment. PMID:25474698

  5. Productivity in the barents sea--response to recent climate variability.

    PubMed

    Dalpadado, Padmini; Arrigo, Kevin R; Hjøllo, Solfrid S; Rey, Francisco; Ingvaldsen, Randi B; Sperfeld, Erik; van Dijken, Gert L; Stige, Leif C; Olsen, Are; Ottersen, Geir

    2014-01-01

    The temporal and spatial dynamics of primary and secondary biomass/production in the Barents Sea since the late 1990s are examined using remote sensing data, observations and a coupled physical-biological model. Field observations of mesozooplankton biomass, and chlorophyll a data from transects (different seasons) and large-scale surveys (autumn) were used for validation of the remote sensing products and modeling results. The validation showed that satellite data are well suited to study temporal and spatial dynamics of chlorophyll a in the Barents Sea and that the model is an essential tool for secondary production estimates. Temperature, open water area, chlorophyll a, and zooplankton biomass show large interannual variations in the Barents Sea. The climatic variability is strongest in the northern and eastern parts. The moderate increase in net primary production evident in this study is likely an ecosystem response to changes in climate during the same period. Increased open water area and duration of open water season, which are related to elevated temperatures, appear to be the key drivers of the changes in annual net primary production that has occurred in the northern and eastern areas of this ecosystem. The temporal and spatial variability in zooplankton biomass appears to be controlled largely by predation pressure. In the southeastern Barents Sea, statistically significant linkages were observed between chlorophyll a and zooplankton biomass, as well as between net primary production and fish biomass, indicating bottom-up trophic interactions in this region.

  6. Productivity in the Barents Sea - Response to Recent Climate Variability

    PubMed Central

    Dalpadado, Padmini; Arrigo, Kevin R.; Hjøllo, Solfrid S.; Rey, Francisco; Ingvaldsen, Randi B.; Sperfeld, Erik; van Dijken, Gert L.; Stige, Leif C.; Olsen, Are; Ottersen, Geir

    2014-01-01

    The temporal and spatial dynamics of primary and secondary biomass/production in the Barents Sea since the late 1990s are examined using remote sensing data, observations and a coupled physical-biological model. Field observations of mesozooplankton biomass, and chlorophyll a data from transects (different seasons) and large-scale surveys (autumn) were used for validation of the remote sensing products and modeling results. The validation showed that satellite data are well suited to study temporal and spatial dynamics of chlorophyll a in the Barents Sea and that the model is an essential tool for secondary production estimates. Temperature, open water area, chlorophyll a, and zooplankton biomass show large interannual variations in the Barents Sea. The climatic variability is strongest in the northern and eastern parts. The moderate increase in net primary production evident in this study is likely an ecosystem response to changes in climate during the same period. Increased open water area and duration of open water season, which are related to elevated temperatures, appear to be the key drivers of the changes in annual net primary production that has occurred in the northern and eastern areas of this ecosystem. The temporal and spatial variability in zooplankton biomass appears to be controlled largely by predation pressure. In the southeastern Barents Sea, statistically significant linkages were observed between chlorophyll a and zooplankton biomass, as well as between net primary production and fish biomass, indicating bottom-up trophic interactions in this region. PMID:24788513

  7. Land Use Effects on Net Greenhouse Gas Fluxes in the US Great Plains: Historical Trends and Model Projections

    NASA Astrophysics Data System (ADS)

    Del Grosso, S. J.; Parton, W. J.; Ojima, D. S.; Mosier, A. R.; Mosier, A. R.; Paustian, K.; Peterson, G. A.

    2001-12-01

    We present maps showing regional patterns of land use change and soil C levels in the US Great Plains during the 20th century and time series of net greenhouse gas fluxes associated with different land uses. Net greenhouse gas fluxes were calculated by accounting for soil CO2 fluxes, the CO2 equivalents of N2O emissions and CH4 uptake, and the CO2 costs of N fertilizer production. Both historical and modern agriculture in this region have been net sources of greenhouse gases. The primary reason for this, prior to 1950, is that agriculture mined soil C and resulted in net CO2 emissions. When chemical N fertilizer became widely used in the 1950's agricultural soils began to sequester CO2-C but these soils were still net greenhouse gas sources if the effects of increased N2O emissions and decreased CH4 uptake are included. The sensitivity of net greenhouse gas fluxes to conventional and alternative land uses was explored using the DAYCENT ecosystem model. Model projections suggest that conversion to no-till, reduction of the fallow period, and use of nitrification inhibitors can significantly decrease net greenhouse gas emissions in dryland and irrigated systems, while maintaining or increasing crop yields.

  8. Grazing alters net ecosystem C fluxes and the global warming potential of a subtropical pasture.

    PubMed

    Gomez-Casanovas, Nuria; DeLucia, Nicholas J; Bernacchi, Carl J; Boughton, Elizabeth H; Sparks, Jed P; Chamberlain, Samuel D; DeLucia, Evan H

    2018-03-01

    The impact of grazing on C fluxes from pastures in subtropical and tropical regions and on the environment is uncertain, although these systems account for a substantial portion of global C storage. We investigated how cattle grazing influences net ecosystem CO 2 and CH 4 exchange in subtropical pastures using the eddy covariance technique. Measurements were made over several wet-dry seasonal cycles in a grazed pasture, and in an adjacent pasture during the first three years of grazer exclusion. Grazing increased soil wetness but did not affect soil temperature. By removing aboveground biomass, grazing decreased ecosystem respiration (R eco ) and gross primary productivity (GPP). As the decrease in R eco was larger than the reduction in GPP, grazing consistently increased the net CO 2 sink strength of subtropical pastures (55, 219 and 187 more C/m 2 in 2013, 2014, and 2015). Enteric ruminant fermentation and increased soil wetness due to grazers, increased total net ecosystem CH 4 emissions in grazed relative to ungrazed pasture (27-80%). Unlike temperate, arid, and semiarid pastures, where differences in CH 4 emissions between grazed and ungrazed pastures are mainly driven by enteric ruminant fermentation, our results showed that the effect of grazing on soil CH 4 emissions can be greater than CH 4 produced by cattle. Thus, our results suggest that the interactions between grazers and soil hydrology affecting soil CH 4 emissions play an important role in determining the environmental impacts of this management practice in a subtropical pasture. Although grazing increased total net ecosystem CH 4 emissions and removed aboveground biomass, it increased the net storage of C and decreased the global warming potential associated with C fluxes of pasture by increasing its net CO 2 sink strength. © 2017 by the Ecological Society of America.

  9. Periphyton metabolism: A chamber approach

    NASA Astrophysics Data System (ADS)

    Brock, James T.; Royer, Todd V.; Snyder, Eric B.; Thomas, Steven A.

    In lotic ecosystems, the metabolism of periphyton is influenced strongly by natural and anthropogenic disturbances such as floods. Using recirculating metabolism chambers, we measured the metabolic activity of the Cladophora glomerata-dominated periphyton community in the Glen Canyon Dam tailwater, in relation to the 1996 controlled flood. Because scouring removes senescent plant material and detritus from periphyton, we hypothesized that productivity rates and the gross productivity/respiration (P/R) ratio of the periphyton community would be greater after the flood. Gross and net primary production (as chlorophyll-a) increased significantly after the flood and an approximately 2-fold increase was observed in net daily metabolism. Mean P/R ratio increased significantly from 1.3 in the pre-flood community to 2.6 in the post-flood community. Following the flood, periphyton on the rocks exhibited increased photosynthetic efficiency relative to measurements made before the flood. Given the importance of primary producers in desert rivers, such changes have implications for ecologically sound management of the Colorado and other rivers.

  10. [Improving Health Care for Patients with Somatoform and Functional Disorders: A Collaborative Stepped Care Network (Sofu-Net)].

    PubMed

    Shedden-Mora, Meike; Lau, Katharina; Kuby, Amina; Groß, Beatrice; Gladigau, Maria; Fabisch, Alexandra; Löwe, Bernd

    2015-07-01

    The management of somatoform disorders in primary care is often limited due to low diagnostic accuracy, delayed referral to psychotherapy and overuse of health care. To address these difficulties, this study aimed to establish a collaborative stepped health care network (Sofu-Net). Sofu-Net was established among 41 primary care physicians, 35 psychotherapists and 8 mental health clinics. Baseline assessment in primary care showed elevated psychopathology and deficits in health care among patients with somatoform symptoms. Network partners provided positive evaluations of Sofu-Net. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Simple three-pool model accurately describes patterns of long-term litter decomposition in diverse climates

    Treesearch

    E. Carol Adair; William J. Parton; Steven J. Del Grosso; Shendee L. Silver; Mark E. Harmon; Sonia A. Hall; Ingrid C. Burke; Stephen C. Hart

    2008-01-01

    As atmospheric CO2 increases, ecosystem carbon sequestration will largely depend on how global changes in climate will alter the balance between net primary production and decomposition. The response of primary production to climatic change has been examined using well-validated mechanistic models, but the same is not true for decomposition, a...

  12. Impacts of droughts and extreme-temperature events on gross primary production and ecosystem respiration: a systematic assessment across ecosystems and climate zones

    USDA-ARS?s Scientific Manuscript database

    Extreme climatic events, such as droughts and heat stress induce anomalies in ecosystem-atmosphere CO2 fluxes, such as gross primary production (GPP) and ecosystem respiration (Reco), and, hence, can change the net ecosystem carbon balance. However, despite our increasing understanding of the underl...

  13. Effects of experimental water table and temperature manipulations on ecosystem CO2 fluxes in an Alaskan rich fen

    USGS Publications Warehouse

    Chivers, M.R.; Turetsky, M.R.; Waddington, J.M.; Harden, J.W.; McGuire, A.D.

    2009-01-01

    Peatlands store 30% of the world's terrestrial soil carbon (C) and those located at northern latitudes are expected to experience rapid climate warming. We monitored growing season carbon dioxide (CO2) fluxes across a factorial design of in situ water table (control, drought, and flooded plots) and soil warming (control vs. warming via open top chambers) treatments for 2 years in a rich fen located just outside the Bonanza Creek Experimental Forest in interior Alaska. The drought (lowered water table position) treatment was a weak sink or small source of atmospheric CO2 compared to the moderate atmospheric CO2 sink at our control. This change in net ecosystem exchange was due to lower gross primary production and light-saturated photosynthesis rather than increased ecosystem respiration. The flooded (raised water table position) treatment was a greater CO2 sink in 2006 due largely to increased early season gross primary production and higher light-saturated photosynthesis. Although flooding did not have substantial effects on rates of ecosystem respiration, this water table treatment had lower maximum respiration rates and a higher temperature sensitivity of ecosystem respiration than the control plot. Surface soil warming increased both ecosystem respiration and gross primary production by approximately 16% compared to control (ambient temperature) plots, with no net effect on net ecosystem exchange. Results from this rich fen manipulation suggest that fast responses to drought will include reduced ecosystem C storage driven by plant stress, whereas inundation will increase ecosystem C storage by stimulating plant growth. ?? 2009 Springer Science+Business Media, LLC.

  14. Impacts of tropospheric ozone and climate change on net primary productivity and net carbon exchange of China’s forest ecosystems

    Treesearch

    Wei Ren; Hanqin Tian; Bo Tao; Art Chappelka; Ge Sun; et al

    2011-01-01

    Aim We investigated how ozone pollution and climate change/variability have interactively affected net primary productivity (NPP) and net carbon exchange (NCE) across China’s forest ecosystem in the past half century. Location Continental China. Methods Using the dynamic land ecosystem model (DLEM) in conjunction with 10-km-resolution gridded historical data sets (...

  15. Exploring the rising incidence of neuroendocrine tumors: a population-based analysis of epidemiology, metastatic presentation, and outcomes.

    PubMed

    Hallet, Julie; Law, Calvin How Lim; Cukier, Moises; Saskin, Refik; Liu, Ning; Singh, Simron

    2015-02-15

    An increased incidence of neuroendocrine tumors (NETs) has been reported worldwide, but the reasons underlying this rise have not been identified. By assessing patterns of metastatic presentation, this study sought to examine the epidemiologic characteristics of NETs and the contribution of early-stage detection to the rising incidence. A population-based retrospective cohort study was conducted with prospectively maintained databases linked at the Institute for Clinical Evaluative Sciences. Adult patients with a NET diagnosis from 1994 to 2009 in Ontario, Canada were included. The main outcomes included the overall and site-specific incidence, proportion of metastatic disease, overall survival (OS), and recurrence-free survival (RFS). Five thousand six hundred nineteen NET cases were identified. The incidence of NETs increased from 2.48 to 5.86 per 100,000 per year. Metastases were found in 20.8% at presentation and in another 38% after the initial diagnosis. The proportion of metastases at presentation decreased from 1994 to 2009 (from 29% to 13%). Therefore, although the incidence of all NETs increased, the overall incidence of metastases did not change (0.63-0.69 per 100,000 per year). The 10-year OS rate was 46.5%, and the RFS rate was 64.6%. In addition to the primary tumor site, independent predictors of worse OS included an advanced age (P < .0001), male sex (P < .0001), a low socioeconomic status (P < .0001), and rural living (P = 0.049). The incidence of NETs has markedly increased over the course of 15 years. This is the first study to provide evidence suggesting that the increase in the incidence of NETs may be due to increased detection. In addition to tumor characteristics, low income and rural residency portend worse survival for patients with NETs. © 2014 American Cancer Society.

  16. Small global effect on terrestrial net primary production due to increased fossil fuel aerosol emissions from East Asia since the turn of the century

    DOE PAGES

    O'Sullivan, M.; Rap, A.; Reddington, C. L.; ...

    2016-07-29

    The global terrestrial carbon sink has increased since the start of this century at a time of growing carbon emissions from fossil fuel burning. Here we test the hypothesis that increases in atmospheric aerosols from fossil fuel burning enhanced the diffuse light fraction and the efficiency of plant carbon uptake. Using a combination of models, we estimate that at global scale changes in light regimes from fossil fuel aerosol emissions had only a small negative effect on the increase in terrestrial net primary production over the period 1998–2010. Hereby, the substantial increases in fossil fuel aerosol emissions and plant carbonmore » uptake over East Asia were effectively canceled by opposing trends across Europe and North America. This suggests that if the recent increase in the land carbon sink would be causally linked to fossil fuel emissions, it is unlikely via the effect of aerosols but due to other factors such as nitrogen deposition or nitrogen-carbon interactions.« less

  17. Small global effect on terrestrial net primary production due to increased fossil fuel aerosol emissions from East Asia since the turn of the century

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    O'Sullivan, M.; Rap, A.; Reddington, C. L.

    The global terrestrial carbon sink has increased since the start of this century at a time of growing carbon emissions from fossil fuel burning. Here we test the hypothesis that increases in atmospheric aerosols from fossil fuel burning enhanced the diffuse light fraction and the efficiency of plant carbon uptake. Using a combination of models, we estimate that at global scale changes in light regimes from fossil fuel aerosol emissions had only a small negative effect on the increase in terrestrial net primary production over the period 1998–2010. Hereby, the substantial increases in fossil fuel aerosol emissions and plant carbonmore » uptake over East Asia were effectively canceled by opposing trends across Europe and North America. This suggests that if the recent increase in the land carbon sink would be causally linked to fossil fuel emissions, it is unlikely via the effect of aerosols but due to other factors such as nitrogen deposition or nitrogen-carbon interactions.« less

  18. Funding Instability Reduces the Impact of the Federal Teaching Health Center Graduate Medical Education Program.

    PubMed

    Kurz, Troy; Liaw, Winston; Wingrove, Peter; Petterson, Stephen; Bazemore, Andrew

    2017-01-01

    The Teaching Health Center Graduate Medical Education (THCGME) program is a decentralized residency training component of the Affordable Care Act, created to combat critical shortages and maldistribution of primary care physicians. The Accreditation Council of Graduate Medical Education and federal data reveal that the THCGME program accounted for 33% of the net increase in family medicine residency positions between 2011 and 2015. However, amid concerns about the program's stability, the contribution of the THCGME program to the net increase fell to 7% after 2015. © Copyright 2017 by the American Board of Family Medicine.

  19. Controls on the variability of net infiltration to desert sandstone

    USGS Publications Warehouse

    Heilweil, Victor M.; McKinney, Tim S.; Zhdanov, Michael S.; Watt, Dennis E.

    2007-01-01

    As populations grow in arid climates and desert bedrock aquifers are increasingly targeted for future development, understanding and quantifying the spatial variability of net infiltration becomes critically important for accurately inventorying water resources and mapping contamination vulnerability. This paper presents a conceptual model of net infiltration to desert sandstone and then develops an empirical equation for its spatial quantification at the watershed scale using linear least squares inversion methods for evaluating controlling parameters (independent variables) based on estimated net infiltration rates (dependent variables). Net infiltration rates used for this regression analysis were calculated from environmental tracers in boreholes and more than 3000 linear meters of vadose zone excavations in an upland basin in southwestern Utah underlain by Navajo sandstone. Soil coarseness, distance to upgradient outcrop, and topographic slope were shown to be the primary physical parameters controlling the spatial variability of net infiltration. Although the method should be transferable to other desert sandstone settings for determining the relative spatial distribution of net infiltration, further study is needed to evaluate the effects of other potential parameters such as slope aspect, outcrop parameters, and climate on absolute net infiltration rates.

  20. Plant functional traits improve diversity-based predictions of temporal stability of grassland productivity

    USDA-ARS?s Scientific Manuscript database

    Aboveground net primary productivity (ANPP) varies in response to temporal fluctuations in weather. Temporal stability (mean/standard deviation) of community ANPP may be increased, on average, by increasing plant species richness, but stability also may differ widely at a given richness level imply...

  1. Feasibility of a Video-Based Advance Care Planning Website to Facilitate Group Visits among Diverse Adults from a Safety-Net Health System.

    PubMed

    Zapata, Carly; Lum, Hillary D; Wistar, Emily; Horton, Claire; Sudore, Rebecca L

    2018-02-20

    Primary care providers in safety-net settings often do not have time to discuss advance care planning (ACP). Group visits (GV) may be an efficient means to provide ACP education. To assess the feasibility and impact of a video-based website to facilitate GVs to engage diverse adults in ACP. Feasibility pilot among patients who were ≥55 years of age from two primary care clinics in a Northern California safety-net setting. Participants attended two 90-minute GVs and viewed the five steps of the movie version of the PREPARE website ( www.prepareforyourcare.org ) concerning surrogates, values, and discussing wishes in video format. Two clinician facilitators were available to encourage participation. We assessed pre-to-post ACP knowledge, whether participants designated a surrogate or completed an advance directive (AD), and acceptability of GVs and PREPARE materials. We conducted two GVs with 22 participants. Mean age was 64 years (±7), 55% were women, 73% nonwhite, and 55% had limited literacy. Knowledge improved about surrogate designation (46% correct pre vs. 85% post, p = 0.01) and discussing decisions with others (59% vs. 90%, p = 0.01). Surrogate designation increased (48% vs. 85%, p = 0.01) and there was a trend toward AD completion (9% vs. 24%, p = 0.21). Participants rated the GVs and PREPARE materials a mean of 8 (±3.1) on a 10-point acceptability scale. Using the PREPARE movie to facilitate ACP GVs for diverse adults in safety net, primary care settings is feasible and shows potential for increasing ACP engagement.

  2. Temperature effects on stocks and stability of a phytoplankton-zooplankton model and the dependence on light and nutrients

    USGS Publications Warehouse

    Norberg, J.; DeAngelis, D.L.

    1997-01-01

    A model of a closed phytoplankton—zooplankton ecosystem was analyzed for effects of temperature on stocks and stability and the dependence of these effects on light and total nutrient concentration of the system. An analysis of the steady state equations showed that the effect of temperature on zooplankton and POM biomass was levelled when primary production is nutrient limited. Temperature increase had a generally negative effect on all biomasses at high nutrient levels due to increased maintenance costs. Nutrient limitation of net primary production is the main factor governing the effect of stocks and flows as well as the stability of the system. All components of the system, except for phytoplankton biomass, are proportional to net production and thus to the net effect of light on photosynthesis. However, temperature determines the slope of that relationship. The resilience of the system was measured by calculating the eigenvalues of the steady state. Under oligotrophic conditions, the system can be stable, but an increase in temperature can cause instability or a decrease in resilience. This conclusion is discussed in the face of recent models that take spatial heterogeneity into account and display far more stable behavior, in better agreement to empirical data. Using simulations, we found that the amplitude of fluctuations of the herbivore stock increases with temperature while the mean biomass and minimum values decrease in comparison with steady state predictions

  3. Aboveground and belowground net primary production

    Treesearch

    Hal O. Liechty; Mark H. Eisenbies

    2000-01-01

    The relationship among net primary productivity (NPP), hydroperiod, and fertility in forested wetlands is poorly understood (Burke and others 1999), particularly with respect to belowground NPP (Megonigal and others 1997). Although some researchers have studied aboveground and belowground primary production in depressional, forested wetland systems, e.g., Day and...

  4. Effects of climate change on rangeland vegetation in the northern Rockies [Chapter 6

    Treesearch

    Matt C. Reeves; Mary E. Manning; Jeff P. DiBenedetto; Kyle A. Palmquist; William K. Lauenroth; John B. Bradford; Daniel R. Schlaepfer

    2017-01-01

    A longer growing season with climate change is expected to increase net primary productivity of many rangeland types, especially those dominated by grasses, although responses will depend on local climate and soil conditions. Elevated atmospheric carbon dioxide may increase water use efficiency and productivity of some species. In many cases, increasing wildfire...

  5. Site-level evaluation of satellite-based global terrestrial gross primary production and net primary production monitoring.

    Treesearch

    David P. Turner; William D. Ritts; Warren B. Cohen; Thomas K. Maeirsperger; Stith T. Gower; Al A. Kirschbaum; Steve W. Runnings; Maosheng Zhaos; Steven C. Wofsy; Allison L. Dunn; Beverly E. Law; John L. Campbell; Walter C. Oechel; Hyo Jung Kwon; Tilden P. Meyers; Eric E. Small; Shirley A. Kurc; John A. Gamon

    2005-01-01

    Operational monitoring of global terrestrial gross primary production (GPP) and net primary production (NPP) is now underway using imagery from the satellite-borne Moderate Resolution Imaging Spectroradiometer (MODIS) sensor. Evaluation of MODIS GPP and NPP products will require site-level studies across a range of biomes, with close attention to numerous scaling...

  6. A Mixed-Methods Study of Patient-Provider E-mail Content in a Safety-Net Setting

    PubMed Central

    Mirsky, Jacob B.; Tieu, Lina; Lyles, Courtney; Sarkar, Urmimala

    2016-01-01

    Objective To explore the content of patient-provider e-mails in a safety-net primary care clinic. Methods We conducted a content analysis using inductive and deductive coding of e-mail exchanges (n=31) collected from January through November of 2013. Participants were English-speaking adult patients with a chronic condition (or their caregivers) cared for at a single publicly-funded general internal medicine clinic and their primary care providers (attending general internist physicians, clinical fellows, internal medicine residents, and nurse practitioners). Results All e-mails were non-urgent. Patients included a medical update in 19% of all e-mails. Patients requested action in 77% of e-mails, and the most common requests overall were for action regarding medications or treatment (29%). Requests for information were less common (45% of e-mails). Patient requests (n=56) were resolved in 84% of e-mail exchanges, resulting in 63 actions. Conclusion Patients in safety-net clinics are capable of safely and effectively using electronic messaging for between-visit communication with providers. Practical Implications Safety-net systems should implement electronic communications tools as soon as possible to increase healthcare access and enhance patient involvement in their care. PMID:26332306

  7. A Constrained Maximization Model for inspecting the impact of leaf shape on optimal leaf size and stoma resistance

    NASA Astrophysics Data System (ADS)

    Ding, J.; Johnson, E. A.; Martin, Y. E.

    2017-12-01

    Leaf is the basic production unit of plants. Water is the most critical resource of plants. Its availability controls primary productivity of plants by affecting leaf carbon budget. To avoid the damage of cavitation from lowering vein water potential t caused by evapotranspiration, the leaf must increase the stomatal resistance to reduce evapotranspiration rate. This comes at the cost of reduced carbon fixing rate as increasing stoma resistance meanwhile slows carbon intake rate. Studies suggest that stoma will operate at an optimal resistance to maximize the carbon gain with respect to water. Different plant species have different leaf shapes, a genetically determined trait. Further, on the same plant leaf size can vary many times in size that is related to soil moisture, an indicator of water availability. According to metabolic scaling theory, increasing leaf size will increase total xylem resistance of vein, which may also constrain leaf carbon budget. We present a Constrained Maximization Model of leaf (leaf CMM) that incorporates metabolic theory into the coupling of evapotranspiration and carbon fixation to examine how leaf size, stoma resistance and maximum net leaf primary productivity change with petiole xylem water potential. The model connects vein network structure to leaf shape and use the difference between petiole xylem water potential and the critical minor vein cavitation forming water potential as the budget. The CMM shows that both maximum net leaf primary production and optimal leaf size increase with petiole xylem water potential while optimal stoma resistance decreases. Narrow leaf has overall lower optimal leaf size and maximum net leaf carbon gain and higher optimal stoma resistance than those of broad leaf. This is because with small width to length ratio, total xylem resistance increases faster with leaf size. Total xylem resistance of narrow leaf increases faster with leaf size causing higher average and marginal cost of xylem water potential with respect to net leaf carbon gain. With same leaf area, total xylem resistance of narrow leaf is higher than broad leaf. Given same stoma resistance and petiole water potential, narrow leaf will lose more xylem water potential than broad leaf. Consequently, narrow leaf has smaller size and higher stoma resistance at optimum.

  8. Medicare Chronic Care Management Payments and Financial Returns to Primary Care Practices: A Modeling Study.

    PubMed

    Basu, Sanjay; Phillips, Russell S; Bitton, Asaf; Song, Zirui; Landon, Bruce E

    2015-10-20

    Physicians have traditionally been reimbursed for face-to-face visits. A new non-visit-based payment for chronic care management (CCM) of Medicare patients took effect in January 2015. To estimate financial implications of CCM payment for primary care practices. Microsimulation model incorporating national data on primary care use, staffing, expenditures, and reimbursements. National Ambulatory Medical Care Survey and other published sources. Medicare patients. 10 years. Practice-level. Comparison of CCM delivery approaches by staff and physicians. Net revenue per full-time equivalent (FTE) physician; time spent delivering CCM services. If nonphysician staff were to deliver CCM services, net revenue to practices would increase despite opportunity and staffing costs. Practices could expect approximately $332 per enrolled patient per year (95% CI, $234 to $429) if CCM services were delivered by registered nurses (RNs), approximately $372 (CI, $276 to $468) if services were delivered by licensed practical nurses, and approximately $385 (CI, $286 to $485) if services were delivered by medical assistants. For a typical practice, this equates to more than $75 ,00 of net annual revenue per FTE physician and 12 hours of nursing service time per week if 50% of eligible patients enroll. At a minimum, 131 Medicare patients (CI, 115 to 140 patients) must enroll for practices to recoup the salary and overhead costs of hiring a full-time RN to provide CCM services. If physicians were to deliver all CCM services, approximately 25% of practices nationwide could expect net revenue losses due to opportunity costs of face-to-face visit time. The CCM program may alter long-term primary care use, which is difficult to predict. Practices that rely on nonphysician team members to deliver CCM services will probably experience substantial net revenue gains but must enroll a sufficient number of eligible patients to recoup costs. None.

  9. Climatic controls of aboveground net primary production in semi-arid grasslands along a latitudinal gradient portend low sensitivity to warming

    USDA-ARS?s Scientific Manuscript database

    Although climate models forecast warmer temperatures with a high degree of certainty, precipitation is the primary driver of aboveground net primary productivity (ANPP) in most grasslands. In contrast, variations in temperature seldom are related to patterns of ANPP. Thus forecasting responses to wa...

  10. Coral-algae metabolism and diurnal changes in the CO2-carbonate system of bulk sea water.

    PubMed

    Jokiel, Paul L; Jury, Christopher P; Rodgers, Ku'ulei S

    2014-01-01

    Precise measurements were conducted in continuous flow seawater mesocosms located in full sunlight that compared metabolic response of coral, coral-macroalgae and macroalgae systems over a diurnal cycle. Irradiance controlled net photosynthesis (P net), which in turn drove net calcification (G net), and altered pH. P net exerted the dominant control on [CO3 (2-)] and aragonite saturation state (Ωarag) over the diel cycle. Dark calcification rate decreased after sunset, reaching zero near midnight followed by an increasing rate that peaked at 03:00 h. Changes in Ωarag and pH lagged behind G net throughout the daily cycle by two or more hours. The flux rate P net was the primary driver of calcification. Daytime coral metabolism rapidly removes dissolved inorganic carbon (DIC) from the bulk seawater and photosynthesis provides the energy that drives G net while increasing the bulk water pH. These relationships result in a correlation between G net and Ωarag, with Ωarag as the dependent variable. High rates of H(+) efflux continued for several hours following mid-day peak G net suggesting that corals have difficulty in shedding waste protons as described by the Proton Flux Hypothesis. DIC flux (uptake) followed P net and G net and dropped off rapidly following peak P net and peak G net indicating that corals can cope more effectively with the problem of limited DIC supply compared to the problem of eliminating H(+). Over a 24 h period the plot of total alkalinity (AT ) versus DIC as well as the plot of G net versus Ωarag revealed a circular hysteresis pattern over the diel cycle in the coral and coral-algae mesocosms, but not the macroalgae mesocosm. Presence of macroalgae did not change G net of the corals, but altered the relationship between Ωarag and G net. Predictive models of how future global changes will effect coral growth that are based on oceanic Ωarag must include the influence of future localized P net on G net and changes in rate of reef carbonate dissolution. The correlation between Ωarag and G net over the diel cycle is simply the response of the CO2-carbonate system to increased pH as photosynthesis shifts the equilibria and increases the [CO3 (2-)] relative to the other DIC components of [HCO3 (-)] and [CO2]. Therefore Ωarag closely tracked pH as an effect of changes in P net, which also drove changes in G net. Measurements of DIC flux and H(+) flux are far more useful than concentrations in describing coral metabolism dynamics. Coral reefs are systems that exist in constant disequilibrium with the water column.

  11. Effects of climate change and shifts in forest composition on forest net primary production

    Treesearch

    Jyh-Min Chiang; Louts [Louis] R. Iverson; Anantha Prasad; Kim J. Brown

    2008-01-01

    Forests are dynamic in both structure and species composition, and these dynamics are strongly influenced by climate. However, the net effects of future tree species composition on net primary production (NPP) are not well understood. The objective of this work was to model the potential range shifts of tree species (DISTRIB Model) and predict their impacts on NPP (...

  12. MIB-1 Index-Stratified Assessment of Dual-Tracer PET/CT with 68Ga-DOTATATE and 18F-FDG and Multimodality Anatomic Imaging in Metastatic Neuroendocrine Tumors of Unknown Primary in a PRRT Workup Setting.

    PubMed

    Sampathirao, Nikita; Basu, Sandip

    2017-03-01

    Our aim was to comparatively assess dual-tracer PET/CT ( 68 Ga-DOTATATE and 18 F-FDG) and multimodality anatomic imaging in studying metastatic neuroendocrine tumors (NETs) of unknown primary (CUP-NETs) scheduled for peptide receptor radionuclide therapy for divergence of tracer uptake on dual-tracer PET/CT, detection of primary, and overall lesion detection vis-a-vis tumor proliferation index (MIB-1/Ki-67). Methods: Fifty-one patients with CUP-NETs (25 men, 26 women; age, 22-74 y), histopathologically proven and thoroughly investigated with conventional imaging modalities (ultrasonography, CT/contrast-enhanced CT, MRI, and endoscopic ultrasound, wherever applicable), were retrospectively analyzed. Patients were primarily referred for deciding on feasibility of peptide receptor radionuclide therapy (except 2 patients), and all had undergone 68 Ga-DOTATATE and 18 F-FDG PET/CT as part of pretreatment workup. The sites of metastases included liver, lung/mediastinum, skeleton, abdominal nodes, and other soft-tissue sites. Patients were divided into 5 groups on the basis of MIB-1/Ki-67 index on a 5-point scale: group I (1%-5%) ( n = 35), group II (6%-10%) ( n = 8), group III (11%-15%) ( n = 4), group IV (16%-20%) ( n = 2), and group V (>20%) ( n = 2). Semiquantitative analysis of tracer uptake was undertaken by SUV max of metastatic lesions and the primary (when detected). The SUV max values were studied over increasing MIB-1/Ki-67 index. The detection sensitivity of 68 Ga-DOTATATE for primary and metastatic lesions was assessed and compared with other imaging modalities including 18 F-FDG PET/CT. Results: Unknown primary was detected on 68 Ga-DOTATATE in 31 of 51 patients, resulting in sensitivity of 60.78% whereas overall lesion detection sensitivity was 96.87%. The overall lesion detection sensitivities (individual groupwise from group I to group V) were 97.75%, 87.5%, 100%, 100%, and 66.67%, respectively. As MIB-1/Ki-67 index increased, 68 Ga-DOTATATE uptake decreased in metastatic and primary lesions (mean SUV max , 43.5 and 22.68 g/dL in group I to 22.54 and 16.83 g/dL in group V, respectively), whereas 18 F-FDG uptake showed a gradual rise (mean SUV max , 3.66 and 2.86 g/dL in group I to 7.53 and 9.58 g/dL in group V, respectively). There was a corresponding decrease in the 68 Ga-DOTATATE-to- 18 F-FDG uptake ratio with increasing MIB-1/Ki-67 index (from 11.89 in group I to 2.99 in group V). Conclusion: In CUP-NETs, the pattern of uptake on dual-tracer PET ( 68 Ga-DOTATATE and 18 F-FDG) correlates well with tumor proliferation index with a few outliers; combined dual-tracer PET/CT with MIB-1/Ki-67 index would aid in better whole-body assessment of tumor biology in CUP-NETs. © 2017 by the Society of Nuclear Medicine and Molecular Imaging.

  13. Fire intensity impacts on post-fire temperate coniferous forest net primary productivity

    NASA Astrophysics Data System (ADS)

    Sparks, Aaron M.; Kolden, Crystal A.; Smith, Alistair M. S.; Boschetti, Luigi; Johnson, Daniel M.; Cochrane, Mark A.

    2018-02-01

    Fire is a dynamic ecological process in forests and impacts the carbon (C) cycle through direct combustion emissions, tree mortality, and by impairing the ability of surviving trees to sequester carbon. While studies on young trees have demonstrated that fire intensity is a determinant of post-fire net primary productivity, wildland fires on landscape to regional scales have largely been assumed to either cause tree mortality, or conversely, cause no physiological impact, ignoring the impacted but surviving trees. Our objective was to understand how fire intensity affects post-fire net primary productivity in conifer-dominated forested ecosystems on the spatial scale of large wildland fires. We examined the relationships between fire radiative power (FRP), its temporal integral (fire radiative energy - FRE), and net primary productivity (NPP) using 16 years of data from the MOderate Resolution Imaging Spectrometer (MODIS) for 15 large fires in western United States coniferous forests. The greatest NPP post-fire loss occurred 1 year post-fire and ranged from -67 to -312 g C m-2 yr-1 (-13 to -54 %) across all fires. Forests dominated by fire-resistant species (species that typically survive low-intensity fires) experienced the lowest relative NPP reductions compared to forests with less resistant species. Post-fire NPP in forests that were dominated by fire-susceptible species were not as sensitive to FRP or FRE, indicating that NPP in these forests may be reduced to similar levels regardless of fire intensity. Conversely, post-fire NPP in forests dominated by fire-resistant and mixed species decreased with increasing FRP or FRE. In some cases, this dose-response relationship persisted for more than a decade post-fire, highlighting a legacy effect of fire intensity on post-fire C dynamics in these forests.

  14. Inorganic nitrogen availability after severe stand-replacing fire in the Greater Yellowstone ecosystem

    PubMed Central

    Turner, Monica G.; Smithwick, Erica A. H.; Metzger, Kristine L.; Tinker, Daniel B.; Romme, William H.

    2007-01-01

    Understanding ecosystem processes as they relate to wildfire and vegetation dynamics is of growing importance as fire frequency and extent increase throughout the western United States. However, the effects of severe, stand-replacing wildfires are poorly understood. We studied inorganic nitrogen pools and mineralization rates after stand-replacing wildfires in the Greater Yellowstone Ecosystem, Wyoming. After fires that burned in summer 2000, soil ammonium concentration peaked in 2001 (33 mg NH4-N· kgsoil−1); soil nitrate increased subsequently (2.7 mg NO3-N·kgsoil−1 in 2003) but was still low. However, annual net ammonification rates were largely negative from 2001 to 2004, indicating ammonium depletion. Thus, although net nitrification rates were positive, annual net nitrogen mineralization (net ammonification plus net nitrification) remained low. Aboveground net primary production (ANPP) increased from 0.25 to 1.6 Mg·ha−1·yr−1 from 2001 to 2004, but variation in ANPP among stands was not related to net nitrogen mineralization rates. Across a broader temporal gradient (stand age zero to >250 yr), negative rates of net annual ammonification were especially pronounced in the first postfire year. Laboratory incubations using 15N isotope pool dilution revealed that gross production of ammonium was reduced and ammonium consumption greatly exceeded gross production during the initial postfire years. Our results suggest a microbial nitrogen sink for several years after severe, stand-replacing fire, confirming earlier hypotheses about postdisturbance succession and nutrient cycling in cold, fire-dominated coniferous forests. Postfire forests in Yellowstone seem to be highly conservative for nitrogen, and microbial immobilization of ammonium plays a key role during early succession. PMID:17360349

  15. The global land-potential knowledge system (LandPKS): Supporting evidence-based, site-specific land use and management through cloud computing, mobile applications and crowdsourcing

    USDA-ARS?s Scientific Manuscript database

    Agricultural production must increase significantly to meet the needs of a growing global population with increasing per capita consumption of food, fiber, building materials, and fuel. Consumption already exceeds net primary production in many parts of the world. In addition to reducing consumptio...

  16. Effect of thinning on partitioning of aboveground biomass in naturally regenerated shortleaf pine (Pinus echinata mill.)

    Treesearch

    Charles O. Sabatia; Rodney E. Will; Thomas B. Lynch

    2010-01-01

    In traditional harvesting systems, yield of forest stands may increase if a greater proportion of net primary production is allocated to bole wood. However, for management related to whole-tree harvesting, carbon sequestration, biofuels, and wildland fire avoidance, assessments of biomass partitioning to all aboveground components is needed. Thinning increases bole...

  17. Global climate change and terrestrial net primary production

    NASA Technical Reports Server (NTRS)

    Melillo, Jerry M.; Mcguire, A. D.; Kicklighter, David W.; Moore, Berrien, III; Vorosmarty, Charles J.; Schloss, Annette L.

    1993-01-01

    A process-based model was used to estimate global patterns of net primary production and soil nitrogen cycling for contemporary climate conditions and current atmospheric CO2 concentration. Over half of the global annual net primary production was estimated to occur in the tropics, with most of the production attributable to tropical evergreen forest. The effects of CO2 doubling and associated climate changes were also explored. The responses in tropical and dry temperate ecosystems were dominated by CO2, but those in northern and moist temperate ecosystems reflected the effects of temperature on nitrogen availability.

  18. Defining Appropriate Use of Proton-Pump Inhibitors Among Medical Inpatients.

    PubMed

    Pappas, Matt; Jolly, Sanjay; Vijan, Sandeep

    2016-04-01

    Proton-pump inhibitors (PPIs) are commonly used among medical inpatients, both for prophylaxis against upper gastrointestinal bleeding (UGIB) and continuation of outpatient use. While PPIs reduce the risk of UGIB, they also appear to increase the risk of hospital-acquired pneumonia (HAP) and Clostridium difficile infection (CDI). Depending upon the underlying risks of these conditions and the changes in those risks with PPIs, use of proton-pump inhibitors may lead to a net benefit or net harm among medical inpatients. We aimed to determine the net impact of PPIs on hospital mortality among medical inpatients. A microsimulation model, using literature-derived estimates of the risks of UGIB, HAP, and CDI among medical inpatients, along with the changes in risk associated with PPI use for each of these outcomes. The primary outcome was change in inpatient mortality. Simulated general medical inpatients outside the intensive care unit (ICU). Change in overall mortality during hospitalization. New initiation of PPI therapy led to an increase in hospital mortality in about 90% of simulated patients. Continuation of outpatient PPI therapy on admission led to net increase in hospital mortality in 79% of simulated patients. Results were robust to both one-way and multivariate sensitivity analyses, with net harm occurring in at least two-thirds of patients in all scenarios. For the majority of medical inpatients outside the ICU, use of PPIs likely leads to a net increase in hospital mortality. Even in patients at particularly high risk of UGIB, only those at the very lowest risk of HCAP and CDI should be considered for prophylactic PPI use. Continuation of outpatient PPIs may also increase expected hospital mortality. Apart from patients with active UGIB, use of PPIs in hospitalized patients should be discouraged.

  19. Comparative field evaluation of combinations of long-lasting insecticide treated nets and indoor residual spraying, relative to either method alone, for malaria prevention in an area where the main vector is Anopheles arabiensis

    PubMed Central

    2013-01-01

    Background Long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) are commonly used together in the same households to improve malaria control despite inconsistent evidence on whether such combinations actually offer better protection than nets alone or IRS alone. Methods Comparative tests were conducted using experimental huts fitted with LLINs, untreated nets, IRS plus untreated nets, or combinations of LLINs and IRS, in an area where Anopheles arabiensis is the predominant malaria vector species. Three LLIN types, Olyset®, PermaNet 2.0® and Icon Life® nets and three IRS treatments, pirimiphos-methyl, DDT, and lambda cyhalothrin, were used singly or in combinations. We compared, number of mosquitoes entering huts, proportion and number killed, proportions prevented from blood-feeding, time when mosquitoes exited the huts, and proportions caught exiting. The tests were done for four months in dry season and another six months in wet season, each time using new intact nets. Results All the net types, used with or without IRS, prevented >99% of indoor mosquito bites. Adding PermaNet 2.0® and Icon Life®, but not Olyset® nets into huts with any IRS increased mortality of malaria vectors relative to IRS alone. However, of all IRS treatments, only pirimiphos-methyl significantly increased vector mortality relative to LLINs alone, though this increase was modest. Overall, median mortality of An. arabiensis caught in huts with any of the treatments did not exceed 29%. No treatment reduced entry of the vectors into huts, except for marginal reductions due to PermaNet 2.0® nets and DDT. More than 95% of all mosquitoes were caught in exit traps rather than inside huts. Conclusions Where the main malaria vector is An. arabiensis, adding IRS into houses with intact pyrethroid LLINs does not enhance house-hold level protection except where the IRS employs non-pyrethroid insecticides such as pirimiphos-methyl, which can confer modest enhancements. In contrast, adding intact bednets onto IRS enhances protection by preventing mosquito blood-feeding (even if the nets are non-insecticidal) and by slightly increasing mosquito mortality (in case of LLINs). The primary mode of action of intact LLINs against An. arabiensis is clearly bite prevention rather than insecticidal activity. Therefore, where resources are limited, priority should be to ensure that everyone at risk consistently uses LLINs and that the nets are regularly replaced before being excessively torn. Measures that maximize bite prevention (e.g. proper net sizes to effectively cover sleeping spaces, stronger net fibres that resist tears and burns and net use practices that preserve net longevity), should be emphasized. PMID:23433393

  20. Marine-derived nutrients, bioturbation, and ecosystem metabolism: reconsidering the role of salmon in streams.

    PubMed

    Holtgrieve, Gordon W; Schindler, Daniel E

    2011-02-01

    In coastal areas of the North Pacific Ocean, annual returns of spawning salmon provide a substantial influx of nutrients and organic matter to streams and are generally believed to enhance the productivity of recipient ecosystems. Loss of this subsidy from areas with diminished salmon runs has been hypothesized to limit ecosystem productivity in juvenile salmon rearing habitats (lakes and streams), thereby reinforcing population declines. Using five to seven years of data from an Alaskan stream supporting moderate salmon densities, we show that salmon predictably increased stream water nutrient concentrations, which were on average 190% (nitrogen) and 390% (phosphorus) pre-salmon values, and that primary producers incorporated some of these nutrients into tissues. However, benthic algal biomass declined by an order of magnitude despite increased nutrients. We also measured changes in stream ecosystem metabolic properties, including gross primary productivity (GPP) and ecosystem respiration (ER), from three salmon streams by analyzing diel measurements of oxygen concentrations and stable isotopic ratios (delta O-O2) within a Bayesian statistical model of oxygen dynamics. Our results do not support a shift toward higher primary productivity with the return of salmon, as is expected from a nutrient fertilization mechanism. Rather, net ecosystem metabolism switched from approximately net autotrophic (GPP > or = ER) to a strongly net heterotrophic state (GPP < ER) in response to bioturbation of benthic habitats by salmon. Following the seasonal arrival of salmon, GPP declined to <12% of pre-salmon rates, while ER increased by over threefold. Metabolism by live salmon could not account for the observed increase in ER early in the salmon run, suggesting salmon nutrients and disturbance enhanced in situ heterotrophic respiration. Salmon also changed the physical properties of the stream, increasing air-water gas exchange by nearly 10-fold during peak spawning. We suggest that management efforts to restore salmon ecosystems should consider effects on ecosystem metabolic properties and how salmon disturbance affects the incorporation of marine-derived nutrients into food webs.

  1. Response of Sphagnum fuscum to Nitrogen Deposition: A Case Study of Ombrogenous Peatlands in Alberta, Canada

    USGS Publications Warehouse

    Vitt, D.H.; Wieder, K.; Halsey, L.A.; Turetsky, M.

    2003-01-01

    Peatlands cover about 30% of northeastern Alberta and are ecosystems that are sensitive to nitrogen deposition. In polluted areas of the UK, high atmospheric N deposition (as a component of acid deposition) has been considered among the causes of Sphagnum decline in bogs (ombrogenous peatlands). In relatively unpolluted areas of western Canada and northern Sweden, short-term experimental studies have shown that Sphagnum responds quickly to nutrient loading, with uptake and retention of nitrogen and increased production. Here we examine the response of Sphagnum fuscum to enhanced nitrogen deposition generated during 34 years of oil sands mining through the determination of net primary production (NPP) and nitrogen concentrations in the upper peat column. We chose six continental bogs receiving differing atmospheric nitrogen loads (modeled using a CALPUFF 2D dispersion model). Sphagnum fuscum net primary production (NPP) at the high deposition site (Steepbank - mean of 600 g/m2; median of 486 g/m2) was over three times as high than at five other sites with lower N deposition. Additionally, production of S. fuscum may be influenced to some extent by distance of the moss surface from the water table. Across all sites, peat nitrogen concentrations are highest at the surface, decreasing in the top 3 cm with no significant change with increasing depth. We conclude that elevated N deposition at the Steepbank site has enhanced Sphagnum production. Increased N concentrations are evident only in the top 1-cm of the peat profile. Thus, 34 years after mine startup, increased N-deposition has increased net primary production of Sphagnum fuscum without causing elevated levels of nitrogen in the organic matter profile. A response to N-stress for Sphagnum fuscum is proposed at 14-34 kg ha-1 yr-1. A review of N-deposition values reveals a critical N-deposition value of between 14.8 and 15.7 kg ha -1 yr-1 for NPP of Sphagnum species.

  2. Net ecosystem calcification and net primary production in two Hawaii back-reef systems

    NASA Astrophysics Data System (ADS)

    Kiili, S.; Colbert, S.; Hart, K.

    2016-02-01

    Back-reef systems have complex carbon cycling, driven by dominant benthic communities that change with environmental conditions and display characteristic patterns of net primary production (NP) and net ecosystem calcification (G). The G/NP ratio provides a fundamental community-level assessment to compare systems spatially and to evaluate temporal changes in carbon cycling. Carbon dynamics were examined at leeward Hōnaunau and windward Waíōpae, Hawaíi Island. Both locations discharge brackish groundwater, including geothermal water at Waíōpae. The change in total CO2 (TCO2) and total alkalinity (TA) between morning and afternoon was measured to calculate the G/NP ratio along a salinity gradient. At both sites, aragonite saturation (ΩAr) was lower than open ocean conditions, and increased with salinity. Between the morning and afternoon, ΩAr increased by at least 1 as photosynthesis consumed CO2. At Waíōpae, water was corrosive to aragonite due to the input of acidic groundwater, but not at Honaunau, demonstrating the importance of local watershed characteristics on ΩAr. Across the salinity gradient, TA and TCO2 decreased between morning and afternoon. At Hōnaunau, G/NP increased from 0.11 to 0.31 with salinity, consistent with an offshore increase in coral cover. But at Waíōpae, G/NP decreased from 0.49 to 0.0 with salinity, despite an increase in coral cover with salinity. Low G may be caused by benthic processes, including coral bleaching or high rates of carbonate dissolution in interstitial waters between tide pools. Broader environmental conditions than just salinity, including pH of fresh groundwater inputs, shape the carbon cycling in the back-reef system. Examining the G/NP ratio of a back-reef system allows for a simple method to establish community level activity, and possibly indicate changes in a dynamic system.

  3. Quantifying and mapping the human appropriation of net primary production in earth's terrestrial ecosystems.

    PubMed

    Haberl, Helmut; Erb, K Heinz; Krausmann, Fridolin; Gaube, Veronika; Bondeau, Alberte; Plutzar, Christoph; Gingrich, Simone; Lucht, Wolfgang; Fischer-Kowalski, Marina

    2007-07-31

    Human appropriation of net primary production (HANPP), the aggregate impact of land use on biomass available each year in ecosystems, is a prominent measure of the human domination of the biosphere. We present a comprehensive assessment of global HANPP based on vegetation modeling, agricultural and forestry statistics, and geographical information systems data on land use, land cover, and soil degradation that localizes human impact on ecosystems. We found an aggregate global HANPP value of 15.6 Pg C/yr or 23.8% of potential net primary productivity, of which 53% was contributed by harvest, 40% by land-use-induced productivity changes, and 7% by human-induced fires. This is a remarkable impact on the biosphere caused by just one species. We present maps quantifying human-induced changes in trophic energy flows in ecosystems that illustrate spatial patterns in the human domination of ecosystems, thus emphasizing land use as a pervasive factor of global importance. Land use transforms earth's terrestrial surface, resulting in changes in biogeochemical cycles and in the ability of ecosystems to deliver services critical to human well being. The results suggest that large-scale schemes to substitute biomass for fossil fuels should be viewed cautiously because massive additional pressures on ecosystems might result from increased biomass harvest.

  4. Spatiotemporal changes in vegetation net primary productivity in the arid region of Northwest China, 2001 to 2012

    NASA Astrophysics Data System (ADS)

    Li, Zhen; Pan, Jinghu

    2018-03-01

    Net primary productivity (NPP) is recognized as an important index of ecosystem conditions and a key variable of the terrestrial carbon cycle. It also represents the comprehensive effects of climate change and anthropogenic activity on terrestrial vegetation. In this study, the temporal-spatial pattern of NPP for the period 2001-2012 was analyzed using a remote sensing-based carbon model (i.e., the Carnegie-Ames-Stanford Approach, CASA) in addition to other methods, such as linear trend analysis, standard deviation, and the Hurst index. Temporally, NPP showed a significant increasing trend for the arid region of Northwest China (ARNC), with an annual increase of 2.327 g C. Maximum and minimum productivity values appeared in July and December, respectively. Spatially, the NPP was relatively stable in the temperate and warm-temperate desert regions of Northwest China, while temporally, it showed an increasing trend. However, some attention should be given to the northwestern warm-temperate desert region, where there is severe continuous degradation and only a slight improvement trend.

  5. Global radiative adjustment after a collapse of the Atlantic meridional overturning circulation

    NASA Astrophysics Data System (ADS)

    Drijfhout, Sybren S.

    2015-10-01

    The transient climate response to a collapse of the Atlantic meridional overturning circulation (AMOC) is analysed from the difference between two ensembles of climate model simulations with ECHAM5/MPI-OM, one with hosing and the other without hosing. The primary effect of the collapse is to redistribute heat over the two hemispheres. However, Northern Hemisphere sea ice increase in response to the AMOC collapse induces a hemisphere-wide cooling, amplified by atmospheric feedbacks, in particular water vapour. The Southern Hemisphere warming is governed by slower processes. After 25 years the global cooling peaks. Thereafter, the response is characterised by a gradual readjustment of global mean temperature. During the AMOC collapse a downward radiation anomaly arises at the top of the atmosphere (TOA), heating the earth's surface. The net downward radiation anomaly at TOA arises from reduced longwave emission by the atmosphere, overcompensating the increased net upward anomalies in shortwave and longwave radiation at the surface. This radiation anomaly is associated with net ocean heat uptake: cooling of the overlying atmosphere results from reduced ocean heat release through the increase of sea-ice cover in the North Atlantic. The change in energy flow arises from the reduction in latent and sensible heat flux, which dominate the surface radiation budget. Similar experiments with a climate model of intermediate complexity reveal a stronger shortwave response that acts to reduce the net downward radiation anomaly at TOA. The net shortwave and longwave radiation anomalies at TOA always decrease during the first 100 years after the AMOC collapse, but in the intermediate complexity model this is associated with a sign change after 90 years when the net radiation anomaly at TOA becomes upward, accompanied by net ocean heat loss. After several hundred years the longwave and shortwave anomalies increase again, while the net residual at TOA remains small. This radiative adjustment is associated with the transition to a colder climate.

  6. MODIS EVI-based net primary production in the Sahel 2000-2014

    NASA Astrophysics Data System (ADS)

    Ardö, Jonas; Tagesson, Torbern; Jamali, Sadegh; Khatir, Abdelrahman

    2018-03-01

    Africa is facing resource problems due to increasing demand combined with potential climate-induced changes in supply. Here we aim to quantify resources in terms of net primary production (NPP [g C m-2 yr-1]) of vegetation in the Sahel region for 2000-2014. Using time series of the enhanced vegetation index (EVI) from MODIS, NPP was estimated for the Sahel region with a 500 × 500 m spatial resolution and 8-day temporal resolution. The estimates were based on local eddy covariance flux measurements from six sites in the Sahel region and the carbon use efficiency originating from a dynamic vegetation model. No significant NPP change was found for the Sahel as a region but, for sub-regions, significant changes, both increasing and decreasing, were observed. Substantial uncertainties related to NPP estimates and the small availability of evaluation data makes verification difficult. The simplicity of the methodology used, dependent on earth observation only, is considered an advantage.

  7. Net primary productivity of subalpine meadows in Yosemite National Park in relation to climate variability

    USGS Publications Warehouse

    Moore, Peggy E.; Van Wagtendonk, Jan W.; Yee, Julie L.; McClaran, Mitchel P.; Cole, David N.; McDougald, Neil K.; Brooks, Matthew L.

    2013-01-01

    Subalpine meadows are some of the most ecologically important components of mountain landscapes, and primary productivity is important to the maintenance of meadow functions. Understanding how changes in primary productivity are associated with variability in moisture and temperature will become increasingly important with current and anticipated changes in climate. Our objective was to describe patterns and variability in aboveground live vascular plant biomass in relation to climatic factors. We harvested aboveground biomass at peak growth from four 64-m2 plots each in xeric, mesic, and hydric meadows annually from 1994 to 2000. Data from nearby weather stations provided independent variables of spring snow water content, snow-free date, and thawing degree days for a cumulative index of available energy. We assembled these climatic variables into a set of mixed effects analysis of covariance models to evaluate their relationships with annual aboveground net primary productivity (ANPP), and we used an information theoretic approach to compare the quality of fit among candidate models. ANPP in the xeric meadow was negatively related to snow water content and thawing degree days and in the mesic meadow was negatively related to snow water content. Relationships between ANPP and these 2 covariates in the hydric meadow were not significant. Increasing snow water content may limit ANPP in these meadows if anaerobic conditions delay microbial activity and nutrient availability. Increased thawing degree days may limit ANPP in xeric meadows by prematurely depleting soil moisture. Large within-year variation of ANPP in the hydric meadow limited sensitivity to the climatic variables. These relationships suggest that, under projected warmer and drier conditions, ANPP will increase in mesic meadows but remain unchanged in xeric meadows because declines associated with increased temperatures would offset the increases from decreased snow water content.

  8. Increased resource use efficiency amplifies positive response of aquatic primary production to experimental warming.

    PubMed

    Hood, James M; Benstead, Jonathan P; Cross, Wyatt F; Huryn, Alexander D; Johnson, Philip W; Gíslason, Gísli M; Junker, James R; Nelson, Daniel; Ólafsson, Jón S; Tran, Chau

    2018-03-01

    Climate warming is affecting the structure and function of river ecosystems, including their role in transforming and transporting carbon (C), nitrogen (N), and phosphorus (P). Predicting how river ecosystems respond to warming has been hindered by a dearth of information about how otherwise well-studied physiological responses to temperature scale from organismal to ecosystem levels. We conducted an ecosystem-level temperature manipulation to quantify how coupling of stream ecosystem metabolism and nutrient uptake responded to a realistic warming scenario. A ~3.3°C increase in mean water temperature altered coupling of C, N, and P fluxes in ways inconsistent with single-species laboratory experiments. Net primary production tripled during the year of experimental warming, while whole-stream N and P uptake rates did not change, resulting in 289% and 281% increases in autotrophic dissolved inorganic N and P use efficiency (UE), respectively. Increased ecosystem production was a product of unexpectedly large increases in mass-specific net primary production and autotroph biomass, supported by (i) combined increases in resource availability (via N mineralization and N 2 fixation) and (ii) elevated resource use efficiency, the latter associated with changes in community structure. These large changes in C and nutrient cycling could not have been predicted from the physiological effects of temperature alone. Our experiment provides clear ecosystem-level evidence that warming can shift the balance between C and nutrient cycling in rivers, demonstrating that warming will alter the important role of in-stream processes in C, N, and P transformations. Moreover, our results reveal a key role for nutrient supply and use efficiency in mediating responses of primary producers to climate warming. © 2017 John Wiley & Sons Ltd.

  9. Aspirin for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: A Decision Analysis for the U.S. Preventive Services Task Force.

    PubMed

    Dehmer, Steven P; Maciosek, Michael V; Flottemesch, Thomas J; LaFrance, Amy B; Whitlock, Evelyn P

    2016-06-21

    Evidence indicates that aspirin is effective for the primary prevention of cardiovascular disease (CVD) and colorectal cancer (CRC) but also increases the risk for gastrointestinal (GI) and cerebral hemorrhages. To assess the net balance of benefits and harms from routine aspirin use across clinically relevant age, sex, and CVD risk groups. Decision analysis using a microsimulation model. 3 systematic evidence reviews. Men and women aged 40 to 79 years with a 10-year CVD risk of 20% or less, and no history of CVD and without elevated risk for GI or cerebral hemorrhages that would contraindicate aspirin use. Lifetime, 20 years, and 10 years. Clinical. Low-dose aspirin (≤100 mg/d). Primary outcomes are length and quality of life measured in net life-years and quality-adjusted life-years. Benefits include reduced nonfatal myocardial infarction, nonfatal ischemic stroke, fatal CVD, CRC incidence, and CRC mortality. Harms include increased fatal and nonfatal GI bleeding and hemorrhagic stroke. Lifetime net quality-adjusted life-years are positive for most adults initiating aspirin at ages 40 to 69 years, and life expectancy gains are expected for most men and women initiating aspirin at ages 40 to 59 years and 60 to 69 years with higher CVD risk. Harms may exceed benefits for persons starting aspirin in their 70s and for many during the first 10 to 20 years of use. Results are most sensitive to the relative risk for hemorrhagic stroke and CVD mortality but are affected by all relative risk estimates, baseline GI bleeding incidence and case-fatality rates, and disutilities associated with aspirin use. Aspirin effects by age are uncertain. Stroke benefits are conservatively estimated. Gastrointestinal bleeding incidence and case-fatality rates account only for age and sex. Lifetime aspirin use for primary prevention initiated at younger ages (40 to 69 years) and in persons with higher CVD risk shows the greatest potential for positive net benefit. Agency for Healthcare Research and Quality.

  10. Integrating evidence-based practices for increasing cancer screenings in safety net health systems: a multiple case study using the Consolidated Framework for Implementation Research.

    PubMed

    Liang, Shuting; Kegler, Michelle C; Cotter, Megan; Emily, Phillips; Beasley, Derrick; Hermstad, April; Morton, Rentonia; Martinez, Jeremy; Riehman, Kara

    2016-08-02

    Implementing evidence-based practices (EBPs) to increase cancer screenings in safety net primary care systems has great potential for reducing cancer disparities. Yet there is a gap in understanding the factors and mechanisms that influence EBP implementation within these high-priority systems. Guided by the Consolidated Framework for Implementation Research (CFIR), our study aims to fill this gap with a multiple case study of health care safety net systems that were funded by an American Cancer Society (ACS) grants program to increase breast and colorectal cancer screening rates. The initiative funded 68 safety net systems to increase cancer screening through implementation of evidence-based provider and client-oriented strategies. Data are from a mixed-methods evaluation with nine purposively selected safety net systems. Fifty-two interviews were conducted with project leaders, implementers, and ACS staff. Funded safety net systems were categorized into high-, medium-, and low-performing cases based on the level of EBP implementation. Within- and cross-case analyses were performed to identify CFIR constructs that influenced level of EBP implementation. Of 39 CFIR constructs examined, six distinguished levels of implementation. Two constructs were from the intervention characteristics domain: adaptability and trialability. Three were from the inner setting domain: leadership engagement, tension for change, and access to information and knowledge. Engaging formally appointed internal implementation leaders, from the process domain, also distinguished level of implementation. No constructs from the outer setting or individual characteristics domain differentiated systems by level of implementation. Our study identified a number of influential CFIR constructs and illustrated how they impacted EBP implementation across a variety of safety net systems. Findings may inform future dissemination efforts of EBPs for increasing cancer screening in similar settings. Moreover, our analytic approach is similar to previous case studies using CFIR and hence could facilitate comparisons across studies.

  11. Epidemiological features of gastroenteropancreatic neuroendocrine tumors in Chengdu city with a population of 14 million based on data from a single institution.

    PubMed

    Guo, Lin-Jie; Wang, Chun-Hui; Tang, Cheng-Wei

    2016-09-01

    Recent studies on gastroenteropancreatic neuroendocrine tumors (GEP-NETs) in the United States as well as the European studies demonstrate an increasing GEP-NETs incidence. Most information on the epidemiology of neuroendocrine tumors comes from western countries. However, the epidemiological profile of GEP-NETs in West China is still unclear. The aim of study was to reflect the regional features of GEP-NETs in Chengdu city of West China based on data from a single institution. West China Hospital (WCH), the largest university hospital located in Chengdu (West China) with population of 14.04 million, has established a serial of databases in recent years. According to the data from Medical Records Section of WCH and Chengdu Health Bureau, the total patients per year in WCH covered about 25.6-28% patients of Chengdu city during the 5 years. Therefore, we have used GEP-NETs diagnosed in WCH from 2009 to 2013 to reflect the regional epidemiological profile of GEP-NETs. GEP-NETs proportion in WCH increased 1.6-folds during past 5 years from 1.28/10(5) to 2.03/10(5) , P < 0.05. The average duration of symptom before diagnosis was 16.8 months. About 46.6% (115/248) of GEP-NETs were metastatic. Seventy-seven percent (190/248) of patients were over 40 years. Proportions of GEP-NETs from primary sites were rectum 30.6% (76/248), pancreas 23.4% (58/248), gastric 13.3% (33/248) and esophagus 11.3% (28/248). Proportions of insulinoma, vipoma and nonfunctional pancreatic neuroendocrine tumors (P-NETs) were 43.1% (25/58), 1.7% (1/58) and 55.2% (32/58) separately in the P-NETs. There is a distinct epidemiologic profile between West China and western countries based on a single institution data. The delayed diagnosis reflects inadequate disease awareness of GEP-NETs and paucity of research funding. © 2016 John Wiley & Sons Australia, Ltd.

  12. Using Geographic Information Systems (GIS) to understand a community's primary care needs.

    PubMed

    Dulin, Michael F; Ludden, Thomas M; Tapp, Hazel; Blackwell, Joshua; de Hernandez, Brisa Urquieta; Smith, Heather A; Furuseth, Owen J

    2010-01-01

    A key element for reducing health care costs and improving community health is increased access to primary care and preventative health services. Geographic information systems (GIS) have the potential to assess patterns of health care utilization and community-level attributes to identify geographic regions most in need of primary care access. GIS, analytical hierarchy process, and multiattribute assessment and evaluation techniques were used to examine attributes describing primary care need and identify areas that would benefit from increased access to primary care services. Attributes were identified by a collaborative partnership working within a practice-based research network using tenets of community-based participatory research. Maps were created based on socioeconomic status, population density, insurance status, and emergency department and primary care safety-net utilization. Individual and composite maps identified areas in our community with the greatest need for increased access to primary care services. Applying GIS to commonly available community- and patient-level data can rapidly identify areas most in need of increased access to primary care services. We have termed this a Multiple Attribute Primary Care Targeting Strategy. This model can be used to plan health services delivery as well as to target and evaluate interventions designed to improve health care access.

  13. A model of regional primary production for use with coarse resolution satellite data

    NASA Technical Reports Server (NTRS)

    Prince, S. D.

    1991-01-01

    A model of crop primary production, which was originally developed to relate the amount of absorbed photosynthetically active radiation (APAR) to net production in field studies, is discussed in the context of coarse resolution regional remote sensing of primary production. The model depends on an approximately linear relationship between APAR and the normalized difference vegetation index. A more comprehensive form of the conventional model is shown to be necessary when different physiological types of plants or heterogeneous vegetation types occur within the study area. The predicted variable in the new model is total assimilation (net production plus respiration) rather than net production alone or harvest yield.

  14. Assessing the impact of urbanization on regional net primary productivity in Jiangyin County, China.

    PubMed

    Xu, C; Liu, M; An, S; Chen, J M; Yan, P

    2007-11-01

    Urbanization is one of the most important aspects of global change. The process of urbanization has a significant impact on the terrestrial ecosystem carbon cycle. The Yangtze Delta region has one of the highest rates of urbanization in China. In this study, carried out in Jiangyin County as a representative region within the Yangtze Delta, land use and land cover changes were estimated using Landsat TM and ETM+ imagery. With these satellite data and the BEPS process model (Boreal Ecosystem Productivity Simulator), the impacts of urbanization on regional net primary productivity (NPP) and annual net primary production were assessed for 1991 and 2002. Landsat-based land cover maps in 1991 and 2002 showed that urban development encroached large areas of cropland and forest. Expansion of residential areas and reduction of vegetated areas were the major forms of land transformation in Jiangyin County during this period. Mean NPP of the total area decreased from 818 to 699 gCm(-2)yr(-1) during the period of 1991 to 2002. NPP of cropland was only reduced by 2.7% while forest NPP was reduced by 9.3%. Regional annual primary production decreased from 808 GgC in 1991 to 691 GgC in 2002, a reduction of 14.5%. Land cover changes reduced regional NPP directly, and the increasing intensity and frequency of human-induced disturbance in the urbanized areas could be the main reason for the decrease in forest NPP.

  15. MODIS-Derived Terrestrial Primary Production

    NASA Astrophysics Data System (ADS)

    Zhao, Maosheng; Running, Steven; Heinsch, Faith Ann; Nemani, Ramakrishna

    Temporal and spatial changes in terrestrial biological productivity have a large impact on humankind because terrestrial ecosystems not only create environments suitable for human habitation, but also provide materials essential for survival, such as food, fiber and fuel. A recent study estimated that consumption of terrestrial net primary production (NPP; a list of all the acronyms is available in the appendix at the end of the chapter) by the human population accounts for about 14-26% of global NPP (Imhoff et al. 2004). Rapid global climate change is induced by increased atmospheric greenhouse gas concentration, especially CO2, which results from human activities such as fossil fuel combustion and deforestation. This directly impacts terrestrial NPP, which continues to change in both space and time (Melillo et al. 1993; Prentice et al. 2001; Nemani et al. 2003), and ultimately impacts the well-being of human society (Milesi et al. 2005). Additionally, substantial evidence show that the oceans and the biosphere, especially terrestrial ecosystems, currently play a major role in reducing the rate of the atmospheric CO2 increase (Prentice et al. 2001; Schimel et al. 2001). NPP is the first step needed to quantify the amount of atmospheric carbon fixed by plants and accumulated as biomass. Continuous and accurate measurements of terrestrial NPP at the global scale are possible using satellite data. Since early 2000, for the first time, the MODIS sensors onboard the Terra and Aqua satellites, have operationally provided scientists with near real-time global terrestrial gross primary production (GPP) and net photosynthesis (PsnNet) data. These data are provided at 1 km spatial resolution and an 8-day interval, and annual NPP covers 109,782,756 km2 of vegetated land. These GPP, PsnNet and NPP products are collectively known as MOD17 and are part of a larger suite of MODIS land products (Justice et al. 2002), one of the core Earth System or Climate Data Records (ESDR or CDR).

  16. Greenhouse gas balance over thaw-freeze cycles in discontinuous zone permafrost

    NASA Astrophysics Data System (ADS)

    Wilson, R. M.; Fitzhugh, L.; Whiting, G. J.; Frolking, S.; Harrison, M. D.; Dimova, N.; Burnett, W. C.; Chanton, J. P.

    2017-02-01

    Peat in the discontinuous permafrost zone contains a globally significant reservoir of carbon that has undergone multiple permafrost-thaw cycles since the end of the mid-Holocene ( 3700 years before present). Periods of thaw increase C decomposition rates which leads to the release of CO2 and CH4 to the atmosphere creating potential climate feedback. To determine the magnitude and direction of such feedback, we measured CO2 and CH4 emissions and modeled C accumulation rates and radiative fluxes from measurements of two radioactive tracers with differing lifetimes to describe the C balance of the peatland over multiple permafrost-thaw cycles since the initiation of permafrost at the site. At thaw features, the balance between increased primary production and higher CH4 emission stimulated by warmer temperatures and wetter conditions favors C sequestration and enhanced peat accumulation. Flux measurements suggest that frozen plateaus may intermittently (order of years to decades) act as CO2 sources depending on temperature and net ecosystem respiration rates, but modeling results suggest that—despite brief periods of net C loss to the atmosphere at the initiation of thaw—integrated over millennia, these sites have acted as net C sinks via peat accumulation. In greenhouse gas terms, the transition from frozen permafrost to thawed wetland is accompanied by increasing CO2 uptake that is partially offset by increasing CH4 emissions. In the short-term (decadal time scale) the net effect of this transition is likely enhanced warming via increased radiative C emissions, while in the long-term (centuries) net C deposition provides a negative feedback to climate warming.

  17. Grassland Npp Monitoring Based on Multi-Source Remote Sensing Data Fusion

    NASA Astrophysics Data System (ADS)

    Cai, Y. R.; Zheng, J. H.; Du, M. J.; Mu, C.; Peng, J.

    2018-04-01

    Vegetation is an important part of the terrestrial ecosystem. It plays an important role in the energy and material exchange of the ground-atmosphere system and is a key part of the global carbon cycle process.Climate change has an important influence on the carbon cycle of terrestrial ecosystems. Net Primary Productivity (Net Primary Productivity)is an important parameter for evaluating global terrestrial ecosystems. For the Xinjiang region, the study of grassland NPP has gradually become a hot issue in the ecological environment.Increasing the estimation accuracy of NPP is of great significance to the development of the ecosystem in Xinjiang. Based on the third-generation GIMMS AVHRR NDVI global vegetation dataset and the MODIS NDVI (MOD13A3) collected each month by the United States Atmospheric and Oceanic Administration (NOAA),combining the advantages of different remotely sensed datasets, this paper obtained the maximum synthesis fusion for New normalized vegetation index (NDVI) time series in 2006-2015.Analysis of Net Primary Productivity of Grassland Vegetation in Xinjiang Using Improved CASA Model The method described in this article proves the feasibility of applying data processing, and the accuracy of the NPP calculation using the fusion processed NDVI has been greatly improved. The results show that: (1) The NPP calculated from the new normalized vegetation index (NDVI) obtained from the fusion of GIMMS AVHRR NDVI and MODIS NDVI is significantly higher than the NPP calculated from these two raw data; (2) The grassland NPP in Xinjiang Interannual changes show an overall increase trend; interannual changes in NPP have a certain relationship with precipitation.

  18. Climate warming shifts carbon allocation from stemwood to roots in calcium-depleted spruce forests

    Treesearch

    Andrei G. ​Lapenis; Gregory B. Lawrence; Alexander Heim; Chengyang Zheng; Walter Shortle

    2013-01-01

    Increased greening of northern forests, measured by the Normalized Difference Vegetation Index (NDVI), has been presented as evidence that a warmer climate has increased both net primary productivity (NPP) and the carbon sink in boreal forests. However, higher production and greener canopies may accompany changes in carbon allocation that favor foliage or fine roots...

  19. Alternative Lengthening of Telomeres and Loss of DAXX/ATRX Expression Predicts Metastatic Disease and Poor Survival in Patients with Pancreatic Neuroendocrine Tumors.

    PubMed

    Singhi, Aatur D; Liu, Ta-Chiang; Roncaioli, Justin L; Cao, Dengfeng; Zeh, Herbert J; Zureikat, Amer H; Tsung, Allan; Marsh, J Wallis; Lee, Kenneth K; Hogg, Melissa E; Bahary, Nathan; Brand, Randall E; McGrath, Kevin M; Slivka, Adam; Cressman, Kristi L; Fuhrer, Kimberly; O'Sullivan, Roderick J

    2017-01-15

    Pancreatic neuroendocrine tumors (PanNET) are a heterogeneous group of neoplasms with increasing incidence and unpredictable behavior. Whole-exome sequencing has identified recurrent mutations in the genes DAXX and ATRX, which correlate with loss of protein expression and alternative lengthening of telomeres (ALT). Both ALT and DAXX/ATRX loss were initially reported to be associated with a favorable prognosis; however, recent studies suggest the contrary. Our aims were to assess the prevalence and prognostic significance of ALT and DAXX/ATRX in both primary and metastatic PanNETs. Telomere-specific FISH and DAXX/ATRX IHC was performed on a multi-institutional cohort of 321 patients with resected PanNET and 191 distant metastases from 52 patients. These results were correlated with clinicopathologic features, including disease-free survival (DFS) and disease-specific survival (DSS). The prevalence of ALT and DAXX/ATRX loss in resected PanNETs was 31% and 26%, respectively, and associated with larger tumor size, higher WHO grade, lymph node metastasis, and distant metastasis (P < 0.001). The 5-year DFS and 10-year DSS of patients with ALT-positive and DAXX/ATRX-negative PanNETs were 40% and 50%, respectively, as compared with 96% and 89%, respectively, for wild-type PanNETs. Among distant metastases, ALT and DAXX/ATRX loss was 67% and 52%, respectively, and only occurred in the setting of an ALT-positive and DAXX/ATRX-negative primary PanNET. By multivariate analysis, both ALT and DAXX/ATRX loss were negative, independent prognostic factors for DFS. ALT and DAXX/ATRX loss in PanNETs was associated with shorter DFS and DSS and likely plays a significant role in driving metastatic disease. Clin Cancer Res; 23(2); 600-9. ©2016 AACR. ©2016 American Association for Cancer Research.

  20. Efficacy of community-based physiotherapy networks for patients with Parkinson's disease: a cluster-randomised trial.

    PubMed

    Munneke, Marten; Nijkrake, Maarten J; Keus, Samyra Hj; Kwakkel, Gert; Berendse, Henk W; Roos, Raymund Ac; Borm, George F; Adang, Eddy M; Overeem, Sebastiaan; Bloem, Bastiaan R

    2010-01-01

    Many patients with Parkinson's disease are treated with physiotherapy. We have developed a community-based professional network (ParkinsonNet) that involves training of a selected number of expert physiotherapists to work according to evidence-based recommendations, and structured referrals to these trained physiotherapists to increase the numbers of patients they treat. We aimed to assess the efficacy of this approach for improving health-care outcomes. Between February, 2005, and August, 2007, we did a cluster-randomised trial with 16 clusters (defined as community hospitals and their catchment area). Clusters were randomly allocated by use of a variance minimisation algorithm to ParkinsonNet care (n=8) or usual care (n=8). Patients were assessed at baseline and at 8, 16, and 24 weeks of follow-up. The primary outcome was a patient preference disability score, the patient-specific index score, at 16 weeks. Health secondary outcomes were functional mobility, mobility-related quality of life, and total societal costs over 24 weeks. Analysis was by intention to treat. This trial is registered, number NCT00330694. We included 699 patients. Baseline characteristics of the patients were comparable between the ParkinsonNet clusters (n=358) and usual-care clusters (n=341). The primary endpoint was similar for patients within the ParkinsonNet clusters (mean 47.7, SD 21.9) and control clusters (48.3, 22.4). Health secondary endpoints were also similar for patients in both study groups. Total costs over 24 weeks were lower in ParkinsonNet clusters compared with usual-care clusters (difference euro727; 95% CI 56-1399). Implementation of ParkinsonNet networks did not change health outcomes for patients living in ParkinsonNet clusters. However, health-care costs were reduced in ParkinsonNet clusters compared with usual-care clusters. ZonMw; Netherlands Organisation for Scientific Research; Dutch Parkinson's Disease Society; National Parkinson Foundation; Stichting Robuust. Copyright 2010 Elsevier Ltd. All rights reserved.

  1. Uncertainty analysis of terrestrial net primary productivity and net biome productivity in China during 1901-2005

    NASA Astrophysics Data System (ADS)

    Shao, Junjiong; Zhou, Xuhui; Luo, Yiqi; Zhang, Guodong; Yan, Wei; Li, Jiaxuan; Li, Bo; Dan, Li; Fisher, Joshua B.; Gao, Zhiqiang; He, Yong; Huntzinger, Deborah; Jain, Atul K.; Mao, Jiafu; Meng, Jihua; Michalak, Anna M.; Parazoo, Nicholas C.; Peng, Changhui; Poulter, Benjamin; Schwalm, Christopher R.; Shi, Xiaoying; Sun, Rui; Tao, Fulu; Tian, Hanqin; Wei, Yaxing; Zeng, Ning; Zhu, Qiuan; Zhu, Wenquan

    2016-05-01

    Despite the importance of net primary productivity (NPP) and net biome productivity (NBP), estimates of NPP and NBP for China are highly uncertain. To investigate the main sources of uncertainty, we synthesized model estimates of NPP and NBP for China from published literature and the Multi-scale Synthesis and Terrestrial Model Intercomparison Project (MsTMIP). The literature-based results showed that total NPP and NBP in China were 3.35 ± 1.25 and 0.14 ± 0.094 Pg C yr-1, respectively. Classification and regression tree analysis based on literature data showed that model type was the primary source of the uncertainty, explaining 36% and 64% of the variance in NPP and NBP, respectively. Spatiotemporal scales, land cover conditions, inclusion of the N cycle, and effects of N addition also contributed to the overall uncertainty. Results based on the MsTMIP data suggested that model structures were overwhelmingly important (>90%) for the overall uncertainty compared to simulations with different combinations of time-varying global change factors. The interannual pattern of NPP was similar among diverse studies and increased by 0.012 Pg C yr-1 during 1981-2000. In addition, high uncertainty in China's NPP occurred in areas with high productivity, whereas NBP showed the opposite pattern. Our results suggest that to significantly reduce uncertainty in estimated NPP and NBP, model structures should be substantially tested on the basis of empirical results. To this end, coordinated distributed experiments with multiple global change factors might be a practical approach that can validate specific structures of different models.

  2. Forecasting annual aboveground net primary production in the intermountain west

    USDA-ARS?s Scientific Manuscript database

    For many land manager’s annual aboveground net primary production, or plant growth, is a key factor affecting business success, profitability and each land manager's ability to successfully meet land management objectives. The strategy often utilized for forecasting plant growth is to assume every y...

  3. Asymmetric responses of primary productivity to altered precipitation simulated by ecosystem models across three long-term grassland sites

    NASA Astrophysics Data System (ADS)

    Wu, Donghai; Ciais, Philippe; Viovy, Nicolas; Knapp, Alan K.; Wilcox, Kevin; Bahn, Michael; Smith, Melinda D.; Vicca, Sara; Fatichi, Simone; Zscheischler, Jakob; He, Yue; Li, Xiangyi; Ito, Akihiko; Arneth, Almut; Harper, Anna; Ukkola, Anna; Paschalis, Athanasios; Poulter, Benjamin; Peng, Changhui; Ricciuto, Daniel; Reinthaler, David; Chen, Guangsheng; Tian, Hanqin; Genet, Hélène; Mao, Jiafu; Ingrisch, Johannes; Nabel, Julia E. S. M.; Pongratz, Julia; Boysen, Lena R.; Kautz, Markus; Schmitt, Michael; Meir, Patrick; Zhu, Qiuan; Hasibeder, Roland; Sippel, Sebastian; Dangal, Shree R. S.; Sitch, Stephen; Shi, Xiaoying; Wang, Yingping; Luo, Yiqi; Liu, Yongwen; Piao, Shilong

    2018-06-01

    Field measurements of aboveground net primary productivity (ANPP) in temperate grasslands suggest that both positive and negative asymmetric responses to changes in precipitation (P) may occur. Under normal range of precipitation variability, wet years typically result in ANPP gains being larger than ANPP declines in dry years (positive asymmetry), whereas increases in ANPP are lower in magnitude in extreme wet years compared to reductions during extreme drought (negative asymmetry). Whether the current generation of ecosystem models with a coupled carbon-water system in grasslands are capable of simulating these asymmetric ANPP responses is an unresolved question. In this study, we evaluated the simulated responses of temperate grassland primary productivity to scenarios of altered precipitation with 14 ecosystem models at three sites: Shortgrass steppe (SGS), Konza Prairie (KNZ) and Stubai Valley meadow (STU), spanning a rainfall gradient from dry to moist. We found that (1) the spatial slopes derived from modeled primary productivity and precipitation across sites were steeper than the temporal slopes obtained from inter-annual variations, which was consistent with empirical data; (2) the asymmetry of the responses of modeled primary productivity under normal inter-annual precipitation variability differed among models, and the mean of the model ensemble suggested a negative asymmetry across the three sites, which was contrary to empirical evidence based on filed observations; (3) the mean sensitivity of modeled productivity to rainfall suggested greater negative response with reduced precipitation than positive response to an increased precipitation under extreme conditions at the three sites; and (4) gross primary productivity (GPP), net primary productivity (NPP), aboveground NPP (ANPP) and belowground NPP (BNPP) all showed concave-down nonlinear responses to altered precipitation in all the models, but with different curvatures and mean values. Our results indicated that most models overestimate the negative drought effects and/or underestimate the positive effects of increased precipitation on primary productivity under normal climate conditions, highlighting the need for improving eco-hydrological processes in those models in the future.

  4. Effects of climate and lifeform on dry matter yield (epsilon) from simulations using BIOME BGC. [ecosystem process model for vegetation biomass production using daily absorbed photosynthetically active radiation

    NASA Technical Reports Server (NTRS)

    Hunt, E. R., Jr.; Running, Steven W.

    1992-01-01

    An ecosystem process simulation model, BIOME-BGC, is used in a sensitivity analysis to determine the factors that may cause the dry matter yield (epsilon) and annual net primary production to vary for different ecosystems. At continental scales, epsilon is strongly correlated with annual precipitation. At a single location, year-to-year variation in net primary production (NPP) and epsilon is correlated with either annual precipitation or minimum air temperatures. Simulations indicate that forests have lower epsilon than grasslands. The most sensitive parameter affecting forest epsilon is the total amount of living woody biomass, which affects NPP by increasing carbon loss by maintenance respiration. A global map of woody biomass should significantly improve estimates of global NPP using remote sensing.

  5. The likely impact of elevated [CO2], nitrogen deposition, increased temperature and management on carbon sequestration in temperate and boreal forest ecosystems: a literature review

    Treesearch

    Riitta Hyvönen; Göran I. Ågren; Sune Linder; Tryggve Persson; M. Francesca Cotrufo; Alf Ekblad; Michael Freeman; Achim Grelle; Ivan A. Janssens; Paul G. Jarvis; Seppo Kellomäki; Anders Lindroth; Denis Loustau; Tomas Lundmark; Richard J. Norby; Ram Oren; Kim Pilegaard; Michael G. Ryan; Bjarni D. Sigurdsson; Monika Strömgren; Marcel van Oijen; Göran Wallin

    2007-01-01

    Temperate and boreal forest ecosystems contain a large part of the carbon stored on land, in the form of both biomass and soil organic matter. Increasing atmospheric [CO2], increasing temperature, elevated nitrogen deposition and intensified management will change this C store. Well documented single-factor responses of net primary production are: higher photosynthetic...

  6. Estimating the Net Career Income of a Geriatrician and a Nurse Practitioner: Still Want to Be a Doctor?

    PubMed

    Golden, Adam G; Xu, Peixin; Wan, Thomas T H; Issenberg, Saul Barry

    2016-07-01

    With a continual shortage of geriatricians, adult-gerontology primary care nurse practitioners have assumed a greater role in the delivery of outpatient care for older adults. Given the long duration of physician training, the high cost of medical school, and the lower salaries compared with subspecialists, the financial advantage of a career as a geriatrician as opposed to a nurse practitioner is uncertain. This study compares the estimated career earnings of a geriatrician and an adult-gerontology primary care nurse practitioner. We used a synthetic model of estimated net earnings during a 43-year career span for a 22-year old person embarking on a career as a geriatrician versus a career as an adult-gerontology primary care nurse practitioner. We estimated annual net income and net retirement savings using different annual compound rates and calculated the financial impact of forgiving medical student loans, shortening the duration of physician training, and reinstituting the practice pathway for geriatric medicine certification. Career net incomes for the geriatrician did not match the nurse practitioner until almost age 40. At 65 years of age, the difference between the geriatrician and nurse practitioner was 30.6%. A higher annual compound rate was associated with an even smaller percentage difference. Combining all three health policy interventions lowered the break-even age to 28 and more than doubled the difference in career earnings. Small estimated differences in net career earnings exist between geriatricians and adult-gerontology primary care nurse practitioners. Health policy interventions had a dramatic positive effect on geriatricians' lifetime net earnings in calculated estimates.

  7. The effect of small solar powered 'Bͻkͻͻ' net fans on mosquito net use: results from a randomized controlled cross-over trial in southern Ghana.

    PubMed

    Briët, Olivier J T; Yukich, Joshua O; Pfeiffer, Constanze; Miller, William; Jaeger, Mulako S; Khanna, Nitin; Oppong, Samuel; Nardini, Peter; Ahorlu, Collins K; Keating, Joseph

    2017-01-03

    Long-lasting insecticidal nets (LLINs) are ineffective malaria transmission prevention tools if they are unused. Discomfort due to heat is the most commonly reported reason for not using nets, but this problem is largely unaddressed. With increasing rural electrification and the dropping price of solar power, fans could improve comfort inside nets and be affordable to populations in malaria endemic areas. Here, results are presented from a pilot randomized controlled cross-over study testing the effect of fans on LLIN use. Eighty-three households from two rural communities in Greater Accra, Ghana, randomized into three groups, participated in a 10-month cross-over trial. After a screening survey to identify eligible households, all households received new LLINs. Bͻkͻͻ net fan systems (one fan per member) were given to households in Group 1 and water filters were given to households in Group 2. At mid-point, Group 1 and 2 crossed over interventions. Households in Group 1 and 2 participated in fortnightly surveys on households' practices related to nets, fans and water filters, while households in Group 3 were surveyed only at screening, mid-point and study end. Entomological and weather data were collected throughout the study. Analysis took both 'per protocol' (PP) and 'intention to treat' (ITT) approaches. The mid- and end-point survey data from Group 1 and 2 were analysed using Firth logistic regressions. Fortnightly survey data from all groups were analysed using logistic regressions with random effects. Provision of fans to households appeared to increase net use in this study. Although the increase in net use explained by fans was not significant in the primary analyses (ITT odds ratio 3.24, p > 0.01; PP odds ratio = 1.17, p > 0.01), it was significant in secondary PP analysis (odds ratio = 1.95, p < 0.01). Net use was high at screening and even higher after provision of new LLINs and with follow up. Fan use was 90-100% depending on the fortnightly visit. This pilot study could not provide definitive evidence that fans increase net use. A larger study with additional statistical power is needed to assess this association across communities with diverse environmental and socio-demographic characteristics.

  8. Primary care visit use after positive fecal immunochemical test for colorectal cancer screening.

    PubMed

    Hillyer, Grace Clarke; Jensen, Christopher D; Zhao, Wei K; Neugut, Alfred I; Lebwohl, Benjamin; Tiro, Jasmin A; Kushi, Lawrence H; Corley, Douglas A

    2017-10-01

    For some patients, positive cancer screening test results can be a stressful experience that can affect future screening compliance and increase the use of health care services unrelated to medically indicated follow-up. Among 483,216 individuals aged 50 to 75 years who completed a fecal immunochemical test to screen for colorectal cancer at a large integrated health care setting between 2007 and 2011, the authors evaluated whether a positive test was associated with a net change in outpatient primary care visit use within the year after screening. Multivariable regression models were used to evaluate the relationship between test result group and net changes in primary care visits after fecal immunochemical testing. In the year after the fecal immunochemical test, use increased by 0.60 clinic visits for patients with true-positive results. The absolute change in visits was largest (3.00) among individuals with positive test results who were diagnosed with colorectal cancer, but significant small increases also were found for patients treated with polypectomy and who had no neoplasia (0.36) and those with a normal examination and no polypectomy performed (0.17). Groups of patients who demonstrated an increase in net visit use compared with the true-negative group included patients with true-positive results (odds ratio [OR], 1.60; 95% confidence interval [95% CI], 1.54-1.66), and positive groups with a colorectal cancer diagnosis (OR, 7.19; 95% CI, 6.12-8.44), polypectomy/no neoplasia (OR, 1.37; 95% CI, 1.27-1.48), and normal examination/no polypectomy (OR, 1.24; 95% CI, 1.18-1.30). Given the large size of outreach programs, these small changes can cumulatively generate thousands of excess visits and have a substantial impact on total health care use. Therefore, these changes should be included in colorectal cancer screening cost models and their causes investigated further. Cancer 2017;123:3744-3753. © 2017 American Cancer Society. © 2017 American Cancer Society.

  9. Seasonal Oxygen Dynamics in a Warm Temperate Estuary: Effects of Hydrologic Variability on Measurements of Primary Production, Respiration, and Net Metabolism

    EPA Science Inventory

    Seasonal responses in estuarine metabolism (primary production, respiration, and net metabolism) were examined using two complementary approaches. Total ecosystem metabolism rates were calculated from dissolved oxygen time series using Odum’s open water method. Water column rates...

  10. QUANTIFYING UNCERTAINTY IN NET PRIMARY PRODUCTION MEASUREMENTS

    EPA Science Inventory

    Net primary production (NPP, e.g., g m-2 yr-1), a key ecosystem attribute, is estimated from a combination of other variables, e.g. standing crop biomass at several points in time, each of which is subject to errors in their measurement. These errors propagate as the variables a...

  11. Aboveground net primary production responses to water availability in the Chihuhuan Desert: importance of legacy effects

    USDA-ARS?s Scientific Manuscript database

    In arid ecosystems, current year precipitation explains a small proportion of annual aboveground net primary production (ANPP). Precipitation that occurred in previous years may be responsible for the observed difference between actual and expected ANPP, a concept that we called legacy. Thus, previo...

  12. MODIS EVI as a proxy for net primary production across precipitation regimes

    USDA-ARS?s Scientific Manuscript database

    Above ground net primary production (ANPP) is a measure of the rate of photosynthesis in an ecosystem, and is indicative of its biomass productivity. Prior studies have reported a relationship between ANPP and annual precipitation which converged across biomes in dry years. This deserves further s...

  13. Estimating herbaceous biomass of grassland vegetation using the reference unit method

    Treesearch

    Eric D. Boyda; Jack L. Butler; Lan Xu

    2015-01-01

    Aboveground net primary production provides valuable information on wildlife habitat, fire fuel loads, and forage availability. Aboveground net primary production in herbaceous plant communities is typically measured by clipping aboveground biomass. However, the high costs associated with physically harvesting plant biomass may prevent collecting sufficient...

  14. Legacy effects of a regional drought on aboveground net primary production in six central US grasslands

    USDA-ARS?s Scientific Manuscript database

    Global climate models predict increases in the frequency and severity of drought worldwide, directly affecting most ecosystem types. Consequently, drought legacy effects (drought-induced alterations in ecosystem function postdrought) are expected to become more common in ecosystems varying from dese...

  15. Modelling the combined impacts of climate change and direct anthropogenic drivers on the ecosystem of the northwest European continental shelf

    NASA Astrophysics Data System (ADS)

    Wakelin, Sarah L.; Artioli, Yuri; Butenschön, Momme; Allen, J. Icarus; Holt, Jason T.

    2015-12-01

    The potential response of the marine ecosystem of the northwest European continental shelf to climate change under a medium emissions scenario (SRES A1B) is investigated using the coupled hydrodynamics-ecosystem model POLCOMS-ERSEM. Changes in the near future (2030-2040) and the far future (2082-2099) are compared to the recent past (1983-2000). The sensitivity of the ecosystem to potential changes in multiple anthropogenic drivers (river nutrient loads and benthic trawling) in the near future is compared to the impact of changes in climate. With the exception of the biomass of benthic organisms, the influence of the anthropogenic drivers only exceeds the impact of climate change in coastal regions. Increasing river nitrogen loads has a limited impact on the ecosystem whilst reducing river nitrogen and phosphate concentrations affects net primary production (netPP) and phytoplankton and zooplankton biomass. Direct anthropogenic forcing is seen to mitigate/amplify the effects of climate change. Increasing river nitrogen has the potential to amplify the effects of climate change at the coast by increasing netPP. Reducing river nitrogen and phosphate mitigates the effects of climate change for netPP and the biomass of small phytoplankton and large zooplankton species but amplifies changes in the biomass of large phytoplankton and small zooplankton.

  16. Seasonal and Inter-Annual Variations in Carbon Dioxide Exchange over an Alpine Grassland in the Eastern Qinghai-Tibetan Plateau.

    PubMed

    Shang, Lunyu; Zhang, Yu; Lyu, Shihua; Wang, Shaoying

    2016-01-01

    This work analyzed carbon dioxide exchange and its controlling factors over an alpine grassland on the eastern Qinghai-Tibetan Plateau. The main results show that air temperature and photosynthetically active radiation are two dominant factors controlling daily gross primary production. Soil temperature and soil water content are the main factors controlling ecosystem respiration. Canopy photosynthetic activity is also responsible for the variation of daily ecosystem respiration other than environmental factors. No clear correlation between net ecosystem exchange and environmental factors was observed at daily scale. Temperature sensitive coefficient was observed to increase with larger soil water content. High values of temperature sensitive coefficient occurred during the periods when soil water content was high and grass was active. Annual integrated net ecosystem exchange, gross primary production and ecosystem respiration were -191, 1145 and 954 g C m-2 for 2010, and -250, 975 and 725 g C m-2 for 2011, respectively. Thus, this alpine grassland was a moderate carbon sink in both of the two years. Compared to alpine grasslands on the Qinghai-Tibetan Plateau, this alpine grassland demonstrated a much greater potential for carbon sequestration than others. Annual precipitation is a dominant factor controlling the variation of annual net ecosystem exchange over this grassland. The difference in gross primary production between the two years was not caused by the variation in annual precipitation. Instead, air temperature and the length of growing season had an important impact on annual gross primary production. Variation of annual ecosystem respiration was closely related to annual gross primary production and soil water content during the growing season.

  17. Seasonal and Inter-Annual Variations in Carbon Dioxide Exchange over an Alpine Grassland in the Eastern Qinghai-Tibetan Plateau

    PubMed Central

    Shang, Lunyu; Zhang, Yu; Lyu, Shihua; Wang, Shaoying

    2016-01-01

    This work analyzed carbon dioxide exchange and its controlling factors over an alpine grassland on the eastern Qinghai-Tibetan Plateau. The main results show that air temperature and photosynthetically active radiation are two dominant factors controlling daily gross primary production. Soil temperature and soil water content are the main factors controlling ecosystem respiration. Canopy photosynthetic activity is also responsible for the variation of daily ecosystem respiration other than environmental factors. No clear correlation between net ecosystem exchange and environmental factors was observed at daily scale. Temperature sensitive coefficient was observed to increase with larger soil water content. High values of temperature sensitive coefficient occurred during the periods when soil water content was high and grass was active. Annual integrated net ecosystem exchange, gross primary production and ecosystem respiration were -191, 1145 and 954 g C m-2 for 2010, and -250, 975 and 725 g C m-2 for 2011, respectively. Thus, this alpine grassland was a moderate carbon sink in both of the two years. Compared to alpine grasslands on the Qinghai-Tibetan Plateau, this alpine grassland demonstrated a much greater potential for carbon sequestration than others. Annual precipitation is a dominant factor controlling the variation of annual net ecosystem exchange over this grassland. The difference in gross primary production between the two years was not caused by the variation in annual precipitation. Instead, air temperature and the length of growing season had an important impact on annual gross primary production. Variation of annual ecosystem respiration was closely related to annual gross primary production and soil water content during the growing season. PMID:27861616

  18. Can the collection of expired long-lasting insecticidal nets reduce their coverage and use? Sociocultural aspects related to LLIN life cycle management and use in four districts in Madagascar.

    PubMed

    Ramanantsoa, Ambinina; Wilson-Barthes, Marta; Rahenintsoa, Rindra; Hoibak, Sarah; Ranaivoharimina, Harilala; Rahelimalala, Martha Delphine; Rakotomanga, Avotiana; Finlay, Alyssa; Muela Ribera, Joan; Peeters Grietens, Koen

    2017-10-10

    There is growing awareness of the likely impact increased numbers of LLINs will have on the environment, if not disposed of or recycled appropriately. As part of a World Health Organization (WHO) and United Nations Environment Programme (UNEP) pilot study to assess environmentally-sound and cost-effective LLIN recycling strategies, the USAID-Deliver Project collected 22,559 used bed nets in Madagascar. A social science study was conducted to provide data on socio-cultural factors related to collection and replacement of LLINs, including impact on primary and other net uses. Ethnographic exploratory research was carried out following the pilot USAID-Deliver net collection and recycling campaign in Betioky, Tsihombe, Fenerive Est and Ambanja districts of Madagascar, triangulating participant observation, interviewing and group discussions. Sampling was theoretical and data analysis was a continuous and iterative process concurrent to data collection. Final analysis was conducted using NVivo10. The following themes emerged as contributing to the success of collecting expired LLINs in the community for recycling purposes: (i) net adequacy and preference: characteristic differences between collected and newly distributed nets lead to communities' reticence to relinquish old nets before confirming new nets were appropriate for intended use. Where newly distributed nets failed to meet local requirements, this was expected to increase alternative uses and decrease household turn over. (ii) Net collection strategies: the net collection campaign brought net use out of the private sphere and into the public arena. Net owners reported feeling ashamed when presenting damaged nets in public for collection, leading to reduced net relinquishment. (iii) Net lifecycle: communities perceived nets as being individually owned and economic value was attributed both to good-condition nets for sleeping and to worn nets for alternative/secondary purposes. Collecting nets at the stage of waste rather than at their prescribed end of life was locally acceptable. The collection of LLINs for recycling/disposal can lead to lower coverage under certain conditions. Collecting used LLINs may be appropriate under the following conditions: (i) nets are collected at the stage of waste; (ii) new nets are in line with community preferences; and (iii) collection strategies have been agreed upon within the community prior to replacement activities. Any collection/recycling of old LLINs should be based on in-depth understanding of the local context and include participatory processes to prevent reduced coverage.

  19. Country-level net primary production distribution and response to drought and land cover change

    USDA-ARS?s Scientific Manuscript database

    Carbon sequestration by terrestrial ecosystems can offset emissions and thereby offers an alternative way of achieving the target of reducing the concentration of CO2 in the atmosphere. Net primary production (NPP) is the first step in the sequestration of carbon by terrestrial ecosystems. This stud...

  20. Effects of precipitation changes on aboveground net primary production and soil respiration in a switchgrass field

    USDA-ARS?s Scientific Manuscript database

    This study attempted to test whether switchgrass aboveground net primary production (ANPP) responds to precipitation (PPT) changes in a double asymmetry pattern as framed by Knapp et al. (2016), and whether it is held true for other ecosystem processes such as soil respiration (SR). Data were colle...

  1. Whole-genome landscape of pancreatic neuroendocrine tumours.

    PubMed

    Scarpa, Aldo; Chang, David K; Nones, Katia; Corbo, Vincenzo; Patch, Ann-Marie; Bailey, Peter; Lawlor, Rita T; Johns, Amber L; Miller, David K; Mafficini, Andrea; Rusev, Borislav; Scardoni, Maria; Antonello, Davide; Barbi, Stefano; Sikora, Katarzyna O; Cingarlini, Sara; Vicentini, Caterina; McKay, Skye; Quinn, Michael C J; Bruxner, Timothy J C; Christ, Angelika N; Harliwong, Ivon; Idrisoglu, Senel; McLean, Suzanne; Nourse, Craig; Nourbakhsh, Ehsan; Wilson, Peter J; Anderson, Matthew J; Fink, J Lynn; Newell, Felicity; Waddell, Nick; Holmes, Oliver; Kazakoff, Stephen H; Leonard, Conrad; Wood, Scott; Xu, Qinying; Nagaraj, Shivashankar Hiriyur; Amato, Eliana; Dalai, Irene; Bersani, Samantha; Cataldo, Ivana; Dei Tos, Angelo P; Capelli, Paola; Davì, Maria Vittoria; Landoni, Luca; Malpaga, Anna; Miotto, Marco; Whitehall, Vicki L J; Leggett, Barbara A; Harris, Janelle L; Harris, Jonathan; Jones, Marc D; Humphris, Jeremy; Chantrill, Lorraine A; Chin, Venessa; Nagrial, Adnan M; Pajic, Marina; Scarlett, Christopher J; Pinho, Andreia; Rooman, Ilse; Toon, Christopher; Wu, Jianmin; Pinese, Mark; Cowley, Mark; Barbour, Andrew; Mawson, Amanda; Humphrey, Emily S; Colvin, Emily K; Chou, Angela; Lovell, Jessica A; Jamieson, Nigel B; Duthie, Fraser; Gingras, Marie-Claude; Fisher, William E; Dagg, Rebecca A; Lau, Loretta M S; Lee, Michael; Pickett, Hilda A; Reddel, Roger R; Samra, Jaswinder S; Kench, James G; Merrett, Neil D; Epari, Krishna; Nguyen, Nam Q; Zeps, Nikolajs; Falconi, Massimo; Simbolo, Michele; Butturini, Giovanni; Van Buren, George; Partelli, Stefano; Fassan, Matteo; Khanna, Kum Kum; Gill, Anthony J; Wheeler, David A; Gibbs, Richard A; Musgrove, Elizabeth A; Bassi, Claudio; Tortora, Giampaolo; Pederzoli, Paolo; Pearson, John V; Waddell, Nicola; Biankin, Andrew V; Grimmond, Sean M

    2017-03-02

    The diagnosis of pancreatic neuroendocrine tumours (PanNETs) is increasing owing to more sensitive detection methods, and this increase is creating challenges for clinical management. We performed whole-genome sequencing of 102 primary PanNETs and defined the genomic events that characterize their pathogenesis. Here we describe the mutational signatures they harbour, including a deficiency in G:C > T:A base excision repair due to inactivation of MUTYH, which encodes a DNA glycosylase. Clinically sporadic PanNETs contain a larger-than-expected proportion of germline mutations, including previously unreported mutations in the DNA repair genes MUTYH, CHEK2 and BRCA2. Together with mutations in MEN1 and VHL, these mutations occur in 17% of patients. Somatic mutations, including point mutations and gene fusions, were commonly found in genes involved in four main pathways: chromatin remodelling, DNA damage repair, activation of mTOR signalling (including previously undescribed EWSR1 gene fusions), and telomere maintenance. In addition, our gene expression analyses identified a subgroup of tumours associated with hypoxia and HIF signalling.

  2. Comparing the impact of the 2003 and 2010 heatwaves on Net Primary Production in Europe

    NASA Astrophysics Data System (ADS)

    Bastos, Ana; Gouveia, Célia M.; Trigo, Ricardo M.; Running, Steve W.

    2013-04-01

    Climate variability is known to influence primary productivity on land ecosystems (Nemani et al., 2003). In particular, extreme climatic events such as major droughts and heatwaves are known to have severe impact on primary productivity and, therefore, to affect significantly the carbon dioxide uptake by land ecosystems at regional (Ciais et al., 2005) or even global scale (Zhao and Running, 2010). In the last decade, Europe was struck by two outstanding heatwaves, the 2003 event in Western Europe and the recent 2010 episode over Eastern Europe. Both were characterised by record breaking temperatures at the daily, weekly, monthly and seasonal scales, although the amplitude and spatial extent of the 2010 mega-heatwave surpassed the 2003 event (Barriopedro et al., 2011). This work aims to assess the influence of both mega-heatwaves on yearly Net Primary Production (NPP) and seasonal Net Photosynthesis (NP), which corresponds to the difference between Gross Primary Production and maintenance respiration. The work relies on yearly NPP and monthly NP data derived from satellite imagery obtained from MODIS (Moderate Resolution Imaging Spectroradiometer) sensor at 1km spatial resolution. Data were selected for the period between 2000 and 2011 over a region extending from 34.6N to 73.5N and 12.1W to 46.8E, covering Eurasia. In 2010 very low primary production anomalies are observed over a very large area in Eastern Europe, at the monthly, seasonal and yearly scale. In western Russia, yearly NPP anomalies fall below 50% of average. These widespread negative anomalous values of NP fields over the western Russia region match the patterns of very high temperature values combined with below-average precipitation, at the seasonal (summer) scale. Moreover, the impact of the heatwave is not only evident at the regional level but also at the wider continental (European) scale and is significantly more extensive and intense than the corresponding heatwave of 2003 in Western Europe (Ciais et al., 2005). References Barriopedro, D., E. M. Fischer, J. Luterbacher, R. M. Trigo, and R. Garcia-Herrera (2011), The hot summer of 2010: Redrawing the temperature record map of Europe, Science, 332 (6026), 220224, doi:10.1126/science.1201224. Ciais, P., et al. (2005), Europe-wide reduction in primary productivity caused by the heat and drought in 2003, Nature, 437 (7058), 529-533. Nemani, R. R., C. D. Keeling, H. Hashimoto, W. M. Jolly, S. C. Piper, C. J. Tucker, R. B. Myneni, and S. W. Running (2003), Climate-driven increases in global terrestrial net primary production from 1982 to 1999, Science, 300 (5625), 156-1563, doi:10.1126/science.1082750. Zhao, M., and S. W. Running (2010), Drought-induced reduction in global terrestrial net primary production from 2000 through 2009, Science, 329 (5994), 940-943, doi:10.1126/science.1192666.

  3. Identification of tumorigenic cells and therapeutic targets in pancreatic neuroendocrine tumors

    PubMed Central

    Krampitz, Geoffrey Wayne; George, Benson M.; Willingham, Stephen B.; Volkmer, Jens-Peter; Weiskopf, Kipp; Jahchan, Nadine; Newman, Aaron M.; Sahoo, Debashis; Zemek, Allison J.; Yanovsky, Rebecca L.; Nguyen, Julia K.; Schnorr, Peter J.; Mazur, Pawel K.; Sage, Julien; Longacre, Teri A.; Visser, Brendan C.; Poultsides, George A.; Norton, Jeffrey A.; Weissman, Irving L.

    2016-01-01

    Pancreatic neuroendocrine tumors (PanNETs) are a type of pancreatic cancer with limited therapeutic options. Consequently, most patients with advanced disease die from tumor progression. Current evidence indicates that a subset of cancer cells is responsible for tumor development, metastasis, and recurrence, and targeting these tumor-initiating cells is necessary to eradicate tumors. However, tumor-initiating cells and the biological processes that promote pathogenesis remain largely uncharacterized in PanNETs. Here we profile primary and metastatic tumors from an index patient and demonstrate that MET proto-oncogene activation is important for tumor growth in PanNET xenograft models. We identify a highly tumorigenic cell population within several independent surgically acquired PanNETs characterized by increased cell-surface protein CD90 expression and aldehyde dehydrogenase A1 (ALDHA1) activity, and provide in vitro and in vivo evidence for their stem-like properties. We performed proteomic profiling of 332 antigens in two cell lines and four primary tumors, and showed that CD47, a cell-surface protein that acts as a “don’t eat me” signal co-opted by cancers to evade innate immune surveillance, is ubiquitously expressed. Moreover, CD47 coexpresses with MET and is enriched in CD90hi cells. Furthermore, blocking CD47 signaling promotes engulfment of tumor cells by macrophages in vitro and inhibits xenograft tumor growth, prevents metastases, and prolongs survival in vivo. PMID:27035983

  4. Estimating the Net Career Income of a Geriatrician and a Nurse Practitioner: Still Want to Be a Doctor?

    PubMed Central

    Golden, Adam G.; Xu, Peixin; Wan, Thomas T.H.; Issenberg, S. Barry

    2016-01-01

    Objectives With a continual shortage of geriatricians, adult-gerontology primary care nurse practitioners have assumed a greater role in the delivery of outpatient care for older adults. Given the long duration of physician training, the high cost of medical school, and the lower salaries compared with subspecialists, the financial advantage of a career as a geriatrician as opposed to a nurse practitioner is uncertain. This study compares the estimated career earnings of a geriatrician and an adult-gerontology primary care nurse practitioner. Methods We used a synthetic model of estimated net earnings during a 43-year career span for a 22-year old person embarking on a career as a geriatrician versus a career as an adult-gerontology primary care nurse practitioner. We estimated annual net income and net retirement savings using different annual compound rates and calculated the financial impact of forgiving medical student loans, shortening the duration of physician training, and reinstituting the practice pathway for geriatric medicine certification. Results Career net incomes for the geriatrician did not match the nurse practitioner until almost age 40. At 65 years of age, the difference between the geriatrician and nurse practitioner was 30.6%. A higher annual compound rate was associated with an even smaller percentage difference. Combining all three health policy interventions lowered the break-even age to 28 and more than doubled the difference in career earnings. Conclusions Small estimated differences in net career earnings exist between geriatricians and adult-gerontology primary care nurse practitioners. Health policy interventions had a dramatic positive effect on geriatricians’ lifetime net earnings in calculated estimates. PMID:27364024

  5. The presence of a membrane-bound progesterone receptor induces growth of breast cancer with norethisterone but not with progesterone: A xenograft model.

    PubMed

    Zhao, Yue; Ruan, Xiangyan; Wang, Husheng; Li, Xue; Gu, Muqing; Wang, Lijuan; Li, Yanglu; Seeger, Harald; Mueck, Alfred O

    2017-08-01

    During menopausal hormone therapy (MHT) a possible increase in breast cancer risk is thought to depend mainly on the progestogen component. In vitro studies have shown that the progesterone receptor membrane component 1 (PGRMC1) is important for tumor proliferation induced by progestogens. The primary aim of this study was to compare for the first time the natural progestogen, progesterone (P), with a synthetic progestogen, norethisterone (NET), using a xenograft model. MCF7 cells, transfected with PGRMC1 plasmid or empty vector, were injected into nude mice and estradiol (E2) pellets were implanted. After 12days, NET or P or placebo pellets were implanted. Tumor volumes in all groups (6 mice/group) were monitored for 6-7 weeks. Immunohistochemical expression of PGRMC1 and KI-67 was assessed. These experiments were repeated using T47D cells. Compared with the control condition, E2 and sequential E2/NET combination increased xenograft tumor growth with MCF7 and T47D cells that transgenically expressed PGRMC1 (p<0.01); progesterone did not increase growth. Breast cancer cells transfected with empty vectors did not respond to either progestogen. Comparing KI-67 and PGRMC1 expression, the Pearson correlation was r=0.848, p=0.002. E2 plus NET increases tumor growth in human breast cancer cells overexpressing PGRMC1, but there is no change with progesterone. To our knowledge, this is the first comparison of both progestogens in vivo using nude mice, which are frequently used in xenograft models. Clinical trials are needed to determine whether women with overexpression of PGRMC1 are at increased risk of breast cancer if NET instead of progesterone is used in MHT. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Primary Productivity in Meduxnekeag River, Maine, 2005

    USGS Publications Warehouse

    Goldstein, Robert M.; Schalk, Charles W.; Kempf, Joshua P.

    2009-01-01

    During August and September 2005, dissolved oxygen, temperature, pH, specific conductance, streamflow, and light intensity (LI) were determined continuously at six sites defining five reaches on Meduxnekeag River above and below Houlton, Maine. These data were collected as input for a dual-station whole-stream metabolism model to evaluate primary productivity in the river above and below Houlton. The river receives nutrients and organic matter from tributaries and the Houlton wastewater treatment plant (WWTP). Model output estimated gross and net primary productivity for each reach. Gross primary productivity (GPP) varied in each reach but was similar and positive among the reaches. GPP was correlated to LI in the four reaches above the WWTP but not in the reach below. Net primary productivity (NPP) decreased in each successive downstream reach and was negative in the lowest two reaches. NPP was weakly related to LI in the upper two reaches and either not correlated or negatively correlated in the lower three reaches. Relations among GPP, NPP, and LI indicate that the system is heterotrophic in the downstream reaches. The almost linear decrease in NPP (the increase in metabolism and respiration) indicates a cumulative effect of inputs of nutrients and organic matter from tributaries that drain agricultural land, the town of Houlton, and the discharges from the WWTP.

  7. Modeling the spatial-temporal dynamics of net primary production in Yangtze River Basin using IBIS model

    USGS Publications Warehouse

    Zhang, Z.; Jiang, H.; Liu, J.; Zhu, Q.; Wei, X.; Jiang, Z.; Zhou, G.; Zhang, X.; Han, J.

    2011-01-01

    The climate change has significantly affected the carbon cycling in Yangtze River Basin. To better understand the alternation pattern for the relationship between carbon cycling and climate change, the net primary production (NPP) were simulated in the study area from 1956 to 2006 by using the Integrated Biosphere Simulator (IBIS). The results showed that the average annual NPP per square meter was about 0.518 kg C in Yangtze River Basin. The high NPP levels were mainly distributed in the southeast area of Sichuan, and the highest value reached 1.05 kg C/m2. The NPP increased based on the simulated temporal trends. The spatiotemporal variability of the NPP in the vegetation types was obvious, and it was depended on the climate and soil condition. We found the drought climate was one of critical factor that impacts the alterations of the NPP in the area by the simulation. ?? 2011 IEEE.

  8. Uncertainty analysis of terrestrial net primary productivity and net biome productivity in China during 1901-2005

    DOE PAGES

    Shao, Junjiong; Zhou, Xuhui; Luo, Yiqi; ...

    2016-04-28

    Here, despite the importance of net primary productivity (NPP) and net biome productivity (NBP), estimates of NPP and NBP for China are highly uncertain. To investigate the main sources of uncertainty, we synthesized model estimates of NPP and NBP for China from published literature and the Multi-scale Synthesis and Terrestrial Model Intercomparison Project (MsTMIP). The literature-based results showed that total NPP and NBP in China were 3.35 ± 1.25 and 0.14 ± 0.094 Pg C yr –1, respectively. Classification and regression tree analysis based on literature data showed that model type was the primary source of the uncertainty, explaining 36%more » and 64% of the variance in NPP and NBP, respectively. Spatiotemporal scales, land cover conditions, inclusion of the N cycle, and effects of N addition also contributed to the overall uncertainty. Results based on the MsTMIP data suggested that model structures were overwhelmingly important (>90%) for the overall uncertainty compared to simulations with different combinations of time-varying global change factors. The interannual pattern of NPP was similar among diverse studies and increased by 0.012 Pg C yr –1 during 1981–2000. In addition, high uncertainty in China's NPP occurred in areas with high productivity, whereas NBP showed the opposite pattern. Our results suggest that to significantly reduce uncertainty in estimated NPP and NBP, model structures should be substantially tested on the basis of empirical results. To this end, coordinated distributed experiments with multiple global change factors might be a practical approach that can validate specific structures of different models.« less

  9. Uncertainty analysis of terrestrial net primary productivity and net biome productivity in China during 1901-2005

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Shao, Junjiong; Zhou, Xuhui; Luo, Yiqi

    Here, despite the importance of net primary productivity (NPP) and net biome productivity (NBP), estimates of NPP and NBP for China are highly uncertain. To investigate the main sources of uncertainty, we synthesized model estimates of NPP and NBP for China from published literature and the Multi-scale Synthesis and Terrestrial Model Intercomparison Project (MsTMIP). The literature-based results showed that total NPP and NBP in China were 3.35 ± 1.25 and 0.14 ± 0.094 Pg C yr –1, respectively. Classification and regression tree analysis based on literature data showed that model type was the primary source of the uncertainty, explaining 36%more » and 64% of the variance in NPP and NBP, respectively. Spatiotemporal scales, land cover conditions, inclusion of the N cycle, and effects of N addition also contributed to the overall uncertainty. Results based on the MsTMIP data suggested that model structures were overwhelmingly important (>90%) for the overall uncertainty compared to simulations with different combinations of time-varying global change factors. The interannual pattern of NPP was similar among diverse studies and increased by 0.012 Pg C yr –1 during 1981–2000. In addition, high uncertainty in China's NPP occurred in areas with high productivity, whereas NBP showed the opposite pattern. Our results suggest that to significantly reduce uncertainty in estimated NPP and NBP, model structures should be substantially tested on the basis of empirical results. To this end, coordinated distributed experiments with multiple global change factors might be a practical approach that can validate specific structures of different models.« less

  10. Productivity is a poor predictor of plant species richness

    Treesearch

    P.B. Adler; E.T. Borer; H. Hillebrand; Y. Hautier; A. Hector; S. Harpole; L.R. O’Halloran; J.B. Grace; M. Anderson; J.D. Bakker; L.A. Biederman; C.S. Brown; Y.M. Buckley; L.B. Calabrese; C.-J. Chu; E.E. Cleland; S.L. Collins; K.L. Cottingham; M.J. Crawley; E.I. Damschen; K.W. Davies; N.M. DeCrappeo; P.A. Fay; J. Firn; P. Frater; E.I. Gasarch; D.S. Gruner; N. Hagenah; J. Hille Ris Lambers

    2011-01-01

    For more than 30 years, the relationship between net primary productivity and species richness has generated intense debate in ecology about the processes regulating local diversity. The original view, which is still widely accepted, holds that the relationship is hump-shaped, with richness first rising and then declining with increasing productivity. Although recent...

  11. Population of North American elk: effects on plant diversity

    Treesearch

    Kelley M. Stewart; R. Terry Bowyer; John G. Kier; Brian L. Dick; Roger W. Ruess

    2009-01-01

    We tested for indirect effects of population density of large herbivores on plant species richness and diversity in a montane ecosystem, where increased net aboveground primary productivity (NAPP) in response to low levels of herbivory has been reported. We documented a positive, linear relationship between plant-species diversity and richness with NAPP. Structural...

  12. Net effects of nitrogen fertilization on the nutritive value and digestibility of oat forages

    USDA-ARS?s Scientific Manuscript database

    Applications of soil amendments containing N are part of routine forage management strategies for grasses, with a primary goal of increasing forage yield. However, the effects of N fertilization on forage nutritive value, estimates of energy density, and in-vitro DM or NDF disappearance often have b...

  13. Impact of insecticide-treated bed nets on malaria transmission indices on the south coast of Kenya

    PubMed Central

    2011-01-01

    Background Besides significantly reducing malaria vector densities, prolonged usage of bed nets has been linked to decline of Anopheles gambiae s.s. relative to Anopheles arabiensis, changes in host feeding preference of malaria vectors, and behavioural shifts to exophagy (outdoor biting) for the two important malaria vectors in Africa, An. gambiae s.l. and Anopheles funestus. In southern coastal Kenya, bed net use was negligible in 1997-1998 when Anopheles funestus and An. gambiae s.s. were the primary malaria vectors, with An. arabiensis and Anopheles merus playing a secondary role. Since 2001, bed net use has increased progressively and reached high levels by 2009-2010 with corresponding decline in malaria transmission. Methods To evaluate the impact of the substantial increase in household bed net use within this area on vector density, vector composition, and human-vector contact, indoor and outdoor resting mosquitoes were collected in the same region during 2009-2010 using pyrethrum spray catches and clay pots for indoor and outdoor collections respectively. Information on bed net use per sleeping spaces and factors influencing mosquito density were determined in the same houses using Poisson regression analysis. Species distribution was determined, and number of mosquitoes per house, human-biting rates (HBR), and entomological inoculation rate (EIR) were compared to those reported for the same area during 1997-1998, when bed net coverage had been minimal. Results Compared to 1997-1998, a significant decline in the relative proportion of An. gambiae s.s. among collected mosquitoes was noted, coupled with a proportionate increase of An. arabiensis. Following > 5 years of 60-86% coverage with bed nets, the density, human biting rate and EIR of indoor resting mosquitoes were reduced by more than 92% for An. funestus and by 75% for An. gambiae s.l. In addition, the host feeding choice of both vectors shifted more toward non-human vertebrates. Besides bed net use, malaria vector abundance was also influenced by type of house construction and according to whether one sleeps on a bed or a mat (both of these are associated with household wealth). Mosquito density was positively associated with presence of domestic animals. Conclusions These entomological indices indicate a much reduced human biting rate and a diminishing role of An. gambiae s.s. in malaria transmission following high bed net coverage. While increasing bed net coverage beyond the current levels may not significantly reduce the transmission potential of An. arabiensis, it is anticipated that increasing or at least sustaining high bed net coverage will result in a diminished role for An. funestus in malaria transmission. PMID:22165904

  14. Bacterial and primary production in the Greenland Sea

    NASA Astrophysics Data System (ADS)

    Børsheim, Knut Yngve

    2017-12-01

    Bacterial production rates were measured in water profiles collected in the Greenland Sea and adjacent areas. Hydrography and nutrients throughout the water column were measured along 75°N from 12°W to 10°E at 20 km distance intervals. Net primary production rates from satellite sensed data were compared with literature values from 14C incubations and used for regional and seasonal comparisons. Maximum bacterial production rates were associated with the region close to the edge of the East Greenland current, and the rates decreased gradually towards the center of the Greenland Sea central gyre. Integrated over the upper 20 m the maximum bacterial production rate was 17.9 mmol C m- 2 day- 1, and east of the center of the gyre the average integrated rate was 4.6 mmol C m- 2 day- 1. It is hypothesized that high bacterial production rates in the western Greenland Sea were sustained by organic material carried from the Arctic Ocean by the East Greenland Current. The depth profiles of nitrate and phosphate were very similar both sides of the Arctic front, with 2% higher values between 500 m and 2000 m in the Arctic domain, and a N/P ratio of 13.6. The N/Si ratio varied by depth and region, with increasing silicate depletion from 1500 m depth to the surface. The rate of depletion from 1500 m depth to surface in the Atlantic domain was twice as high as in the Arctic domain. Net primary production rates in the area between the edge of the East Greenland current and the center of the Greenland Sea gyre was 96 mmol C m- 2 day- 1 at the time of the expedition in 2006, and 78 mmol C m- 2 day- 1 east of the center including the Atlantic domain. Annual net primary production estimated from satellite data in the Greenland Sea increased substantially in the period between 2003 and 2016, and the rate of increase was lowest close to the East Greenland Current.

  15. Estimating aboveground net primary productivity in forest-dominated ecosystems

    Treesearch

    Brian D. Kloeppel; Mark E. Harmon; Timothy J. Fahey

    2007-01-01

    The measurement of net primary productivity (NPP) in forest ecosystems presents a variety of challenges because of the large and complex dimensions of trees and the difficulties of quantifying several components of NPP. As summarized by Clark et al. (2001a), these methodological challenges can be overcome, and more reliable spatial and temporal comparisons can be...

  16. Tradeoffs in overstory and understory aboveground net primary productivity in southwestern ponderosa pine stands

    Treesearch

    Kyla E. Sabo; Stephen C. Hart; Carolyn Hull Sieg; John Duff Bailey

    2008-01-01

    Previous studies in ponderosa pine forests have quantified the relationship between overstory stand characteristics and understory production using tree measurements such as basal area. We built on these past studies by evaluating the tradeoff between overstory and understory aboveground net primary productivity (ANPP) in southwestern ponderosa pine forests at the...

  17. Estimation of livestock appropriation of net primary productivity in Texas Drylands

    Treesearch

    Robert Washington-Allen; Jody Fitzgerald; Stephanie Grounds; Faisar Jihadi; John Kretzschmar; Kathryn Ramirez; John Mitchell

    2009-01-01

    The ecological state of US Drylands is unknown. This research is developing procedures to determine the impact of the ecological footprint of grazing livestock on the productive capacity of US Drylands. A pilot geodatabase was developed for the state of Texas that includes 2002 data for county boundaries, net primary productivity (NPP) derived from the Moderate...

  18. Characterizing the drivers of seedling leaf gas exchange responses to warming and altered precipitation: indirect and direct effects.

    PubMed

    Smith, Nicholas G; Pold, Grace; Goranson, Carol; Dukes, Jeffrey S

    2016-01-01

    Anthropogenic forces are projected to lead to warmer temperatures and altered precipitation patterns globally. The impact of these climatic changes on the uptake of carbon by the land surface will, in part, determine the rate and magnitude of these changes. However, there is a great deal of uncertainty in how terrestrial ecosystems will respond to climate in the future. Here, we used a fully factorial warming (four levels) by precipitation (three levels) manipulation experiment in an old-field ecosystem in the northeastern USA to examine the impact of climatic changes on leaf carbon exchange in five species of deciduous tree seedlings. We found that photosynthesis generally increased in response to increasing precipitation and decreased in response to warming. Respiration was less sensitive to the treatments. The net result was greater leaf carbon uptake in wetter and cooler conditions across all species. Structural equation modelling revealed the primary pathway through which climate impacted leaf carbon exchange. Net photosynthesis increased with increasing stomatal conductance and photosynthetic enzyme capacity (V cmax ), and decreased with increasing respiration of leaves. Soil moisture and leaf temperature at the time of measurement most heavily influenced these primary drivers of net photosynthesis. Leaf respiration increased with increasing soil moisture, leaf temperature, and photosynthetic supply of substrates. Counter to the soil moisture response, respiration decreased with increasing precipitation amount, indicating that the response to short- (i.e. soil moisture) versus long-term (i.e. precipitation amount) water stress differed, possibly as a result of changes in the relative amounts of growth and maintenance demand for respiration over time. These data (>500 paired measurements of light and dark leaf gas exchange), now publicly available, detail the pathways by which climate can impact leaf gas exchange and could be useful for testing assumptions in land surface models. © The Authors 2016. Published by Oxford University Press on behalf of the Annals of Botany Company.

  19. Characterizing the drivers of seedling leaf gas exchange responses to warming and altered precipitation: indirect and direct effects

    PubMed Central

    Smith, Nicholas G.; Pold, Grace; Goranson, Carol; Dukes, Jeffrey S.

    2016-01-01

    Anthropogenic forces are projected to lead to warmer temperatures and altered precipitation patterns globally. The impact of these climatic changes on the uptake of carbon by the land surface will, in part, determine the rate and magnitude of these changes. However, there is a great deal of uncertainty in how terrestrial ecosystems will respond to climate in the future. Here, we used a fully factorial warming (four levels) by precipitation (three levels) manipulation experiment in an old-field ecosystem in the northeastern USA to examine the impact of climatic changes on leaf carbon exchange in five species of deciduous tree seedlings. We found that photosynthesis generally increased in response to increasing precipitation and decreased in response to warming. Respiration was less sensitive to the treatments. The net result was greater leaf carbon uptake in wetter and cooler conditions across all species. Structural equation modelling revealed the primary pathway through which climate impacted leaf carbon exchange. Net photosynthesis increased with increasing stomatal conductance and photosynthetic enzyme capacity (Vcmax), and decreased with increasing respiration of leaves. Soil moisture and leaf temperature at the time of measurement most heavily influenced these primary drivers of net photosynthesis. Leaf respiration increased with increasing soil moisture, leaf temperature, and photosynthetic supply of substrates. Counter to the soil moisture response, respiration decreased with increasing precipitation amount, indicating that the response to short- (i.e. soil moisture) versus long-term (i.e. precipitation amount) water stress differed, possibly as a result of changes in the relative amounts of growth and maintenance demand for respiration over time. These data (>500 paired measurements of light and dark leaf gas exchange), now publicly available, detail the pathways by which climate can impact leaf gas exchange and could be useful for testing assumptions in land surface models. PMID:27658816

  20. Ruminal and intermediary metabolism of propylene glycol in lactating Holstein cows.

    PubMed

    Kristensen, N B; Raun, B M L

    2007-10-01

    Four lactating Holstein cows fitted with ruminal cannulas and permanent indwelling catheters in the mesenteric artery, mesenteric vein, hepatic portal vein, and hepatic vein were used in a cross-over design to study the metabolism of propylene glycol (PG). Each cow received 2 treatments: control (no infusion) and infusion of 650 g of PG into the rumen at the time of the morning feeding. Propylene glycol was infused on the day of sampling only. Samples of arterial, portal, and hepatic blood as well as ruminal fluid were obtained at 0.5 h before feeding and at 0.5, 1.5, 2.5, 3.5, 5, 7, 9, and 11 h after feeding. Infusion of PG did not affect ruminal pH or the total concentration of ruminal volatile fatty acids, but did decrease the molar proportion of ruminal acetate. The ruminal concentrations of PG, propanol, and propanal as well as the molar proportion of propionate increased with PG infusion. The plasma concentrations of PG, ethanol, propanol, propanal, glucose, L-lactate, propionate, and insulin increased with PG and the plasma concentrations of acetate and beta-hydroxybutyrate decreased. The net portal flux of PG, propanol, and propanal increased with PG. The hepatic uptake of PG was equivalent to 19% of the intraruminal dose. When cows were dosed with PG, the hepatic extraction of PG was between 0 and 10% depending on the plasma concentration of PG, explaining the slow decrease in arterial PG. The increased net hepatic flux of L-lactate with PG could account for the entire hepatic uptake of PG, which suggests that the primary hepatic pathway for PG is oxidation to l-lactate. The hepatic uptake of propanol increased with PG, but no effects of PG on the net hepatic and net splanchnic flux of glucose were observed. Despite no effect of PG on net portal flux and net hepatic flux of propionate, the net splanchnic flux of propionate increased and the data suggest that propionate produced from hepatic metabolism of propanol is partly released to the blood. The data suggest that PG affects metabolism of the cows by 2 modes of action: 1) increased supply of l-lactate and propionate to gluconeogenesis and 2) insulin resistance of peripheral tissues induced by increased concentrations of PG and propanol as well as a decreased ratio of ketogenic to glucogenic metabolites in arterial blood plasma.

  1. Net Primary Production of Terrestrial Ecosystems from 2000 to 2009

    NASA Technical Reports Server (NTRS)

    Potter, Christopher; Klooster, Steven; Genovese, Vanessa

    2012-01-01

    The CASA (Carnegie-Ames-Stanford) ecosystem model has been used to estimate monthly carbon fluxes in terrestrial ecosystems from 2000 to 2009, with global data inputs from NASA's Terra Moderate Resolution Imaging Spectroradiometer (MODIS) vegetation cover mapping. Net primary production (NPP) flux for atmospheric carbon dioxide has varied slightly from year-to-year, but was predicted to have increased over short multi-year periods in the regions of the high-latitude Northern Hemisphere, South Asia, Central Africa, and the western Amazon since the year 2000. These CASA results for global NPP were found to be in contrast to other recently published modeling trends for terrestrial NPP with high sensitivity to regional drying patterns. Nonetheless, periodic declines in regional NPP were predicted by CASA for the southern and western Untied States, the southern Amazon, and southern and eastern Africa. NPP in tropical forest zones was examined in greater detail to discover lower annual production values than previously reported in many global models across the tropical rainforest zones, likely due to the enhanced detection of lower production ecosystems replacing primary rainforest.

  2. Nitrate fertilisation does not enhance CO2 responses in two tropical seagrass species

    NASA Astrophysics Data System (ADS)

    Ow, Y. X.; Vogel, N.; Collier, C. J.; Holtum, J. A. M.; Flores, F.; Uthicke, S.

    2016-03-01

    Seagrasses are often considered “winners” of ocean acidification (OA); however, seagrass productivity responses to OA could be limited by nitrogen availability, since nitrogen-derived metabolites are required for carbon assimilation. We tested nitrogen uptake and assimilation, photosynthesis, growth, and carbon allocation responses of the tropical seagrasses Halodule uninervis and Thalassia hemprichii to OA scenarios (428, 734 and 1213 μatm pCO2) under two nutrients levels (0.3 and 1.9 μM NO3-). Net primary production (measured as oxygen production) and growth in H. uninervis increased with pCO2 enrichment, but were not affected by nitrate enrichment. However, nitrate enrichment reduced whole plant respiration in H. uninervis. Net primary production and growth did not show significant changes with pCO2 or nitrate by the end of the experiment (24 d) in T. hemprichii. However, nitrate incorporation in T. hemprichii was higher with nitrate enrichment. There was no evidence that nitrogen demand increased with pCO2 enrichment in either species. Contrary to our initial hypothesis, nutrient increases to levels approximating present day flood plumes only had small effects on metabolism. This study highlights that the paradigm of increased productivity of seagrasses under ocean acidification may not be valid for all species under all environmental conditions.

  3. Nitrate fertilisation does not enhance CO2 responses in two tropical seagrass species.

    PubMed

    Ow, Y X; Vogel, N; Collier, C J; Holtum, J A M; Flores, F; Uthicke, S

    2016-03-15

    Seagrasses are often considered "winners" of ocean acidification (OA); however, seagrass productivity responses to OA could be limited by nitrogen availability, since nitrogen-derived metabolites are required for carbon assimilation. We tested nitrogen uptake and assimilation, photosynthesis, growth, and carbon allocation responses of the tropical seagrasses Halodule uninervis and Thalassia hemprichii to OA scenarios (428, 734 and 1213 μatm pCO2) under two nutrients levels (0.3 and 1.9 μM NO3(-)). Net primary production (measured as oxygen production) and growth in H. uninervis increased with pCO2 enrichment, but were not affected by nitrate enrichment. However, nitrate enrichment reduced whole plant respiration in H. uninervis. Net primary production and growth did not show significant changes with pCO2 or nitrate by the end of the experiment (24 d) in T. hemprichii. However, nitrate incorporation in T. hemprichii was higher with nitrate enrichment. There was no evidence that nitrogen demand increased with pCO2 enrichment in either species. Contrary to our initial hypothesis, nutrient increases to levels approximating present day flood plumes only had small effects on metabolism. This study highlights that the paradigm of increased productivity of seagrasses under ocean acidification may not be valid for all species under all environmental conditions.

  4. Nitrate fertilisation does not enhance CO2 responses in two tropical seagrass species

    PubMed Central

    Ow, Y. X.; Vogel, N.; Collier, C. J.; Holtum, J. A. M.; Flores, F.; Uthicke, S.

    2016-01-01

    Seagrasses are often considered “winners” of ocean acidification (OA); however, seagrass productivity responses to OA could be limited by nitrogen availability, since nitrogen-derived metabolites are required for carbon assimilation. We tested nitrogen uptake and assimilation, photosynthesis, growth, and carbon allocation responses of the tropical seagrasses Halodule uninervis and Thalassia hemprichii to OA scenarios (428, 734 and 1213 μatm pCO2) under two nutrients levels (0.3 and 1.9 μM NO3−). Net primary production (measured as oxygen production) and growth in H. uninervis increased with pCO2 enrichment, but were not affected by nitrate enrichment. However, nitrate enrichment reduced whole plant respiration in H. uninervis. Net primary production and growth did not show significant changes with pCO2 or nitrate by the end of the experiment (24 d) in T. hemprichii. However, nitrate incorporation in T. hemprichii was higher with nitrate enrichment. There was no evidence that nitrogen demand increased with pCO2 enrichment in either species. Contrary to our initial hypothesis, nutrient increases to levels approximating present day flood plumes only had small effects on metabolism. This study highlights that the paradigm of increased productivity of seagrasses under ocean acidification may not be valid for all species under all environmental conditions. PMID:26976685

  5. Effects of climate warming on net primary productivity in China during 1961-2010.

    PubMed

    Gu, Fengxue; Zhang, Yuandong; Huang, Mei; Tao, Bo; Guo, Rui; Yan, Changrong

    2017-09-01

    The response of ecosystems to different magnitudes of climate warming and corresponding precipitation changes during the last few decades may provide an important reference for predicting the magnitude and trajectory of net primary productivity (NPP) in the future. In this study, a process-based ecosystem model, Carbon Exchange between Vegetation, Soil and Atmosphere (CEVSA), was used to investigate the response of NPP to warming at both national and subregional scales during 1961-2010. The results suggest that a 1.3°C increase in temperature stimulated the positive changing trend in NPP at national scale during the past 50 years. Regardless of the magnitude of temperature increase, warming enhanced the increase in NPP; however, the positive trend of NPP decreased when warming exceeded 2°C. The largest increase in NPP was found in regions where temperature increased by 1-2°C, and this rate of increase also contributed the most to the total increase in NPP in China's terrestrial ecosystems. Decreasing precipitation depressed the positive trend in NPP that was stimulated by warming. In northern China, warming depressed the increasing trend of NPP and warming that was accompanied by decreasing precipitation led to negative changing trends in NPP in large parts of northern China, especially when warming exceeded 2°C. However, warming stimulated the increase in NPP until warming was greater than 2°C, and decreased precipitation helped to increase the NPP in southern China.

  6. Exchange of nitrogen and phosphorus between a shallow lagoon and coastal waters

    USGS Publications Warehouse

    Hayn, Melanie; Howarth, Robert W.; Ganju, Neil K.; Berg, Peter; Foreman, Kenneth H.; Giblin, Anne E.; McGlathery, Karen

    2014-01-01

    West Falmouth Harbor, a shallow lagoon on Cape Cod, has experienced a threefold increase in nitrogen load since the mid- to late 1990s due to input from a groundwater plume contaminated by a municipal wastewater treatment plant. We measured the exchange of nitrogen and phosphorus between the harbor and the coastal waters of Buzzards Bay over several years when the harbor was experiencing this elevated nitrogen load. During summer months, the harbor not only retained the entire watershed nitrogen load but also had a net import of nitrogen from Buzzards Bay. During the spring and fall, the harbor had a net export of nitrogen to Buzzards Bay. We did not measure the export in winter, but assuming the winter net export was less than 112 % of the load, the harbor exported less than half of the watershed nitrogen load on an annual basis. For phosphorus, the harbor had a net import from coastal waters in the spring and summer months and a net export in the fall. Despite the large increase in nitrogen load to the harbor, the summertime import of phosphorus from Buzzards Bay was sufficient to maintain nitrogen limitation of primary productivity during the summer. Our findings illustrate that shallow systems dominated by benthic producers have the potential to retain large terrestrial nitrogen loads when there is sufficient supply of phosphorus from exchange with coastal waters.

  7. Ga-68 DOTANOC PET/CT imaging in detection of primary site in patients with metastatic neuroendocrine tumours of unknown origin and its impact on clinical decision making: experience from a tertiary care centre in India

    PubMed Central

    Pankaj, Promila; Verma, Ritu; Jain, Anjali; Belho, Ethel S.; Mahajan, Harsh

    2016-01-01

    Background Neuroendocrine tumours (NETs) are rare, heterogeneous group of tumours which usually originate from small, occult primary sites and are characterized by over-expression of somatostatin receptors (SSTRs). Positron emission tomography/computed tomography (PET/CT) using Ga-68-labeled-somatostatin-analogues have shown superiority over other modalities for imaging of NETs. The objective of the study was to retrospectively evaluate the efficacy of Ga-68 DOTANOC PET/CT imaging in detecting the primary site in patients with metastatic NETs of unknown origin and its impact on clinical decision making in such patients. Methods Between December 2011 and September 2014, a total of 263 patients underwent Ga-68 DOTANOC PET/CT study in our department for various indications. Out of them, 68 patients (45 males, 23 females; mean age, 54.9±10.7 years; range, 31–78 years) with histopathologically proven metastatic NETs and unknown primary site (CUP-NET) on conventional imaging, who underwent Ga-68 DOTANOC PET/CT scan as part of their clinical work-up were included for analyses. Histopathology (wherever available) and/or follow-up imaging were taken as reference standard. Quantitative estimation of SSTR expression in the form of maximal standardized uptake value (SUVmax) of detected primary and metastatic sites was calculated. Follow-up data of individual patients was collected through careful survey of hospital medical records and telephonic interviews. Results Maximum patients presented to our department with hepatic metastasis (50 out of 68 patients) and grade I NETs (>50%). Ga-68 DOTANOC PET/CT scan identified primary sites in 40 out of these 68 patients i.e., in approximately 59% patients. Identified primary sites were: small intestine [19], rectum [8], pancreas [7], stomach [4], lung [1] and one each in rare sites in kidney and prostate. In one patient, 2 primary sites were identified (one each in stomach and duodenum). Mean SUVmax of the detected primary sites was 25.1±18.0 (median: 16.25; range, 2.1–150). Significant positive correlation was found between SUVmax of detected primary site and SUVmax of the histopathologically proven sites of metastasis (r=0.662; P<0.0001). Based on the findings of the Ga-68 DOTANOC PET/CT scan, 3 out of 40 patients underwent definitive treatment for their primary tumour (1 gastric, 1 ileal and 1 prostatic tumour). One patient was being planned for resection of primary rectal lesion at the time of data-collection. Thirty-six out of 68 patients were started on long-acting somatostatin analogues or chemotherapy or targeted therapy. Two patients underwent multiple cycles of peptide receptor radionuclide therapy (PRRNT) using 90Y and 177Lu labeled somatostatin analogues. Conclusions Our findings indicate that Ga-68 DOTANOC PET/CT is a promising imaging modality in patients with metastatic NETs of unknown origin for detection of the primary site and in guiding their therapeutic management. PMID:27284479

  8. An exploratory study of treated-bed nets in Timor-Leste: patterns of intended and alternative usage

    PubMed Central

    2011-01-01

    Background The Timor-Leste Ministry of Health has recently finalized the National Malaria Control Strategy for 2010-2020. A key component of this roadmap is to provide universal national coverage with long-lasting insecticide-treated nets (LLINs) in support of achieving the primary goal of reducing both morbidity and mortality from malaria by 30% in the first three years, followed by a further reduction of 20% by end of the programme cycle in 2020 [1]. The strategic plan calls for this target to be supported by a comprehensive information, education and communication (IEC) programme; however, there is limited prior research into household and personal usage patterns to assist in the creation of targeted, effective, and socio-culturally specific behaviour change materials. Methods Nine separate focus group discussions (FGDs) were carried out in Dili, Manatuto, and Covalima districts, Democratic Republic of Timor-Leste, in July 2010. These focus groups primarily explored themes of perceived malaria risk, causes of malaria, net usage patterns within families, barriers to correct and consistent usage, and the daily experience of users (both male and female) in households with at least one net. Comprehensive qualitative analysis utilized open source analysis software. Results The primary determinants of net usage were a widespread perception that nets could or should only be used by pregnant women and young children, and the availability of sufficient sleeping space under a limited number of nets within households. Both nuisance biting and disease prevention were commonly cited as primary motivations for usage, while seasonality was not a significant factor. Long-term net durability and ease of hanging were seen as key attributes in net design preference. Very frequent washing cycles were common, potentially degrading net effectiveness. Finally, extensive re-purposing of nets (fishing, protecting crops) was both reported and observed, and may significantly decrease availability of nighttime sleeping space for all family members if distributed nets do not remain within the household. Conclusions Emphasizing that net usage is acceptable and important for all family members regardless of age or gender, and addressing the complex behavioural economics of alternative net usages could have significant impacts on malaria control efforts in Timor-Leste, as the country's programmes make progress towards universal net coverage. PMID:21777415

  9. Patient-centered technological assessment and monitoring of depression for low-income patients.

    PubMed

    Wu, Shinyi; Vidyanti, Irene; Liu, Pai; Hawkins, Caitlin; Ramirez, Magaly; Guterman, Jeffrey; Gross-Schulman, Sandra; Sklaroff, Laura Myerchin; Ell, Kathleen

    2014-01-01

    Depression is a significant challenge for ambulatory care because it worsens health status and outcomes, increases health care utilizations and costs, and elevates suicide risk. An automatic telephonic assessment (ATA) system that links with tasks and alerts to providers may improve quality of depression care and increase provider productivity. We used ATA system in a trial to assess and monitor depressive symptoms of 444 safety-net primary care patients with diabetes. We assessed system properties, evaluated preliminary clinical outcomes, and estimated cost savings. The ATA system is feasible, reliable, valid, safe, and likely cost-effective for depression screening and monitoring for low-income primary care population.

  10. Performance of 177Lu-DOTATATE-based peptide receptor radionuclide therapy in metastatic gastroenteropancreatic neuroendocrine tumor: a multiparametric response evaluation correlating with primary tumor site, tumor proliferation index, and dual tracer imaging characteristics.

    PubMed

    Thapa, Pradeep; Ranade, Rohit; Ostwal, Vikas; Shrikhande, Shailesh V; Goel, Mahesh; Basu, Sandip

    2016-10-01

    To assess the performance of Lu-DOTATATE peptide receptor radionuclide therapy (PRRT) in metastatic gastroenteropancreatic neuroendocrine tumor (GEP-NET) and correlate it with primary tumor site, tumor proliferation index, and dual tracer imaging characteristics. Fifty patients (M : F 33 : 17, age: 26-71 years) with histopathologically confirmed metastatic/inoperable NETs who had undergone at least three cycles of PRRT with Lu-DOTATATE were included in the analysis. As part of the pretreatment evaluation, they underwent either Tc-HYNIC TOC (n=40)/Ga-DOTATATE PET (n=10) or fluorine-18-fluorodeoxyglucose (F-FDG) PET-computed tomography (CT). Response was assessed after three and five cycles PRRT on the basis of three parameters: (a) symptomatic and subjective scale, (b) biochemical tumor marker level, and (c) objective imaging (F-FDG/Ga DOTATATE PET/CT, Tc-HYNIC TOC, ceCT), and was categorized using predefined criteria (detailed in methods). Stable disease on imaging assessment with response on symptomatic or biochemical tumor marker scales or both were included in the responder group. The study population was broadly classified into (a) metastatic GEP-NET with known primary (n=43 i.e. 86%), which was further subclassified according to the site of primary and (b) those with unknown primary (n=7 i.e. 14%). Symptomatic response: 96% of patients showed a symptomatic response or improvement in health-related quality of life, irrespective of tumor proliferation index, dual tracer imaging characteristics, and response or progression of disease in the scan. Biochemical tumor marker response: 83% of scan responders showed a decrease, 10% showed a stable value, and 7% showed an increase in tumor marker levels. Among the scan nonresponders, 67% patients showed a corresponding increase in the tumor marker level, 22% patient showed a decrease, whereas 11% showed stable values. Scan response: 31 out of total 50 patients (62%) showed a partial scan response with either a decrease in the number of somatostatin receptor (SSTR)-positive lesions or metabolic activity in F-FDG/Ga-DOTATATE PET-CT or both, 10 patients (20%) showed stable disease, and nine patients (18%) showed progressive disease. The higher objective partial scan response documented can be explained by the introduction of the F-FDG-PET/CT parameter as a determinant criterion. Among the responders category (n=41), 32 (78.04%) showed discordance between F-FDG-PET/CT-based and SSTR-based imaging, whereas eight out of nine patients with nonresponse category (88.89%) showed concordance between SSTR-based imaging and F-FDG-PET/CT. Conversely, 32 of 33 patients (96.97%) with SSTR/F-FDG discordance and nine out of 17 (52.94%) with concordance were finally classified as responders, whereas the remaining, that is, 1/33 (3.03%) in the 'discordant' category and 8/17 (47.06%) with imaging concordance were classified as nonresponders, respectively. Our data show that high pretherapy F-FDG maximum standardized uptake values were associated with increased chances of treatment refractoriness in GEP-NETs. However, symptomatic improvement was observed in most cases irrespective of grade and F-FDG uptake. High pretherapy F-FDG maximum standardized uptake value in both low-grade and high-grade NET predicted a poor outcome and was associated with disease progression. Introduction of F-FDG-PET/CT parameter as a determinant of response classification increases the percentage of objective scan responders among patients with grades I and II GEP-NETs as F-FDG activity was observed to decrease before SSTR-based imaging and more frequently compared with the latter.

  11. VARIABILITY IN NET PRIMARY PRODUCTION AND CARBON STORAGE IN BIOMASS ACROSS OREGON FORESTS - AN ASSESSMENT INTEGRATING DATA FROM FOREST INVENTORIES, INTENSIVE SITES, AND REMOTE SENSING. (R828309)

    EPA Science Inventory

    We used a combination of data from USDA Forest Service inventories, intensive
    chronosequences, extensive sites, and satellite remote sensing, to estimate biomass
    and net primary production (NPP) for the forested region of western Oregon. The
    study area was divided int...

  12. Drivers of variation in aboveground net primary productivity and plant community composition differe across a broad precipitation gradient

    USDA-ARS?s Scientific Manuscript database

    It has long been a goal of ecology to determine what factors drive variation in aboveground net primary production (ANPP). Total annual precipitation has been shown to be a strong predictor of ANPP across broad spatial scales, but a poor predictor at local scales. Here we aim to determine the amount...

  13. Tropospheric O3 compromises net primary production in young stands of trembling aspen, paper birch and sugar maple in response to elevated atmospheric CO2

    Treesearch

    John S. King; Mark E. Kubiske; Kurt S. Pregitzer; George R. Hendrey; Evan P. McDonald; Christian P. Giardina; Vanessa S. Quinn; David F. Karnosky

    2005-01-01

    Concentrations of atmospheric CO2 and tropospheric ozone (O3) are rising concurrently in the atmosphere, with potentially antagonistic effects on forest net primary production (NPP) and implications for terrestrial carbon sequestration. Using free-air CO2 enrichment (FACE) technology, we exposed north...

  14. Relationships between net primary productivity and forest stand age in U.S. forests

    Treesearch

    Liming He; Jing M. Chen; Yude Pan; Richard Birdsey; Jens Kattge

    2012-01-01

    Net primary productivity (NPP) is a key flux in the terrestrial ecosystem carbon balance, as it summarizes the autotrophic input into the system. Forest NPP varies predictably with stand age, and quantitative information on the NPP-age relationship for different regions and forest types is therefore fundamentally important for forest carbon cycle modeling. We used four...

  15. Sensitivity analysis of a model of CO2 exchange in tundra ecosystems by the adjoint method

    NASA Technical Reports Server (NTRS)

    Waelbroek, C.; Louis, J.-F.

    1995-01-01

    A model of net primary production (NPP), decomposition, and nitrogen cycling in tundra ecosystems has been developed. The adjoint technique is used to study the sensitivity of the computed annual net CO2 flux to perturbation in initial conditions, climatic inputs, and model's main parameters describing current seasonal CO2 exchange in wet sedge tundra at Barrow, Alaska. The results show that net CO2 flux is most sensitive to parameters characterizing litter chemical composition and more sensitive to decomposition parameters than to NPP parameters. This underlines the fact that in nutrient-limited ecosystems, decomposition drives net CO2 exchange by controlling mineralization of main nutrients. The results also indicate that the short-term (1 year) response of wet sedge tundra to CO2-induced warming is a significant increase in CO2 emission, creating a positive feedback to atmosphreic CO2 accumulation. However, a cloudiness increase during the same year can severely alter this response and lead to either a slight decrease or a strong increase in emitted CO2, depending on its exact timing. These results demonstrate that the adjoint method is well suited to study systems encountering regime changes, as a single run of the adjoint model provides sensitivities of the net CO2 flux to perturbations in all parameters and variables at any time of the year. Moreover, it is shown that large errors due to the presence of thresholds can be avoided by first delimiting the range of applicability of the adjoint results.

  16. Observational study of patients with gastroenteropancreatic and bronchial neuroendocrine tumors in Argentina: Results from the large database of a multidisciplinary group clinical multicenter study

    PubMed Central

    O’CONNOR, JUAN MANUEL; MARMISSOLLE, FABIANA; BESTANI, CLAUDIA; PESCE, VERONICA; BELLI, SUSANA; DOMINICHINI, ENZO; MENDEZ, GUILLERMO; PRICE, PAOLA; GIACOMI, NORA; PAIROLA, ALEJANDRO; LORIA, FERNANDO SÁNCHEZ; HUERTAS, EDUARDO; MARTIN, CLAUDIO; PATANE, KARINA; POLERI, CLAUDIA; ROSENBERG, MOISES; CABANNE, ANA; KUJARUK, MIRTA; CAINO, ANALIA; ZAMORA, VICTOR; MARIANI, JAVIER; DIOCA, MARIANO; PARMA, PATRICIA; PODESTA, GUSTAVO; ANDRIANI, OSCAR; GONDOLESI, GABRIEL; ROCA, ENRIQUE

    2014-01-01

    Neuroendocrine tumors (NET) include a spectrum of malignancies arising from neuroendocrine cells throughout the body. The objective of this clinical investigation of retrospectively and prospectively collected data was to describe the prevalence, demographic data, clinical symptoms and methods of diagnosis of NET and the treatment and long-term follow-up of patients with NET. Data were provided by the participating centers and assessed for consistency by internal reviewers. All the cases were centrally evaluated (when necessary) by the pathologists in our group. The tissue samples were reviewed by hematoxylin and eosin and immunohistochemical staining techniques to confirm the diagnosis of NET. In total, 532 cases were documented: 461 gastroenteropancreatic-NET (GEP-NET) and 71 bronchial NET (BNET). All the tumors were immunohistochemically defined according to the World Health Organization (WHO) and European Neuroendocrine Tumor Society criteria. The most common initial symptoms in GEP-NET were abdominal pain, diarrhea, bowel obstruction, flushing, gastrointestinal bleeding and weight loss. The most common tumor types were carcinoid (58.0%), non-functional pancreatic tumor (23.0%), metastatic NET of unknown primary (16.0%) and functional pancreatic tumor (3.0%). Of the BNET, 89.0% were typical and 11.0% atypical carcinoids. Of the patients with GEP-NET, 59.2% had distant metastasis at diagnosis. The locations of the primary tumors in GEP-NET were the small bowel (26.9%), pancreas (25.2%), colon-rectum (12.4%), appendix (7.6%), stomach (6.9%), esophagus (2.8%), duodenum (2.0%) and unknown primary (16.3%). The histological subtypes based on the WHO classification were well-differentiated NET (20.1%), well-differentiated neuroendocrine carcinomas (66.5%) and poorly differentiated neuroendocrine carcinomas (10.3%). Overall, 67.3% of the patients underwent surgery, 41.2% with curative intent and 26.1% for palliative purposes. The 5-year survival rates were 65.1% (95% confidence interval, 58.0–71.4%) in GEP-NET and 100.0% in typical carcinoid of the lung. This observational, non-interventional, longitudinal study aimed to accumulate relevant information regarding the epidemiology, clinical presentation and current practices in the treatment of NET patients in Argentina, providing insight into regional differences and patterns of care in this heterogeneous disease. PMID:25054030

  17. Neutrophils extracellular traps damage Naegleria fowleri trophozoites opsonized with human IgG.

    PubMed

    Contis-Montes de Oca, A; Carrasco-Yépez, M; Campos-Rodríguez, R; Pacheco-Yépez, J; Bonilla-Lemus, P; Pérez-López, J; Rojas-Hernández, S

    2016-08-01

    Naegleria fowleri infects humans through the nasal mucosa causing a disease in the central nervous system known as primary amoebic meningoencephalitis (PAM). Polymorphonuclear cells (PMNs) play a critical role in the early phase of N. fowleri infection. Recently, a new biological defence mechanism called neutrophil extracellular traps (NETs) has been attracting attention. NETs are composed of nuclear DNA combined with histones and antibacterial proteins, and these structures are released from the cell to direct its antimicrobial attack. In this work, we evaluate the capacity of N. fowleri to induce the liberation of NETs by human PMN cells. Neutrophils were cocultured with unopsonized or IgG-opsonized N. fowleri trophozoites. DNA, histone, myeloperoxidase (MPO) and neutrophil elastase (NE) were stained, and the formation of NETs was evaluated by confocal microscopy and by quantifying the levels of extracellular DNA. Our results showed N. fowleri induce the liberation of NETs including release of MPO and NE by human PMN cells as exposure interaction time is increased, but N. fowleri trophozoites evaded killing. However, when trophozoites were opsonized, they were susceptible to the neutrophils activity. Therefore, our study suggests that antibody-mediated PMNs activation through NET formation may be crucial for antimicrobial responses against N. fowleri. © 2016 John Wiley & Sons Ltd.

  18. Recent Changes in Global Photosynthesis and Terrestrial Ecosystem Respiration Constrained From Multiple Observations

    NASA Astrophysics Data System (ADS)

    Li, Wei; Ciais, Philippe; Wang, Yilong; Yin, Yi; Peng, Shushi; Zhu, Zaichun; Bastos, Ana; Yue, Chao; Ballantyne, Ashley P.; Broquet, Grégoire; Canadell, Josep G.; Cescatti, Alessandro; Chen, Chi; Cooper, Leila; Friedlingstein, Pierre; Le Quéré, Corinne; Myneni, Ranga B.; Piao, Shilong

    2018-01-01

    To assess global carbon cycle variability, we decompose the net land carbon sink into the sum of gross primary productivity (GPP), terrestrial ecosystem respiration (TER), and fire emissions and apply a Bayesian framework to constrain these fluxes between 1980 and 2014. The constrained GPP and TER fluxes show an increasing trend of only half of the prior trend simulated by models. From the optimization, we infer that TER increased in parallel with GPP from 1980 to 1990, but then stalled during the cooler periods, in 1990-1994 coincident with the Pinatubo eruption, and during the recent warming hiatus period. After each of these TER stalling periods, TER is found to increase faster than GPP, explaining a relative reduction of the net land sink. These results shed light on decadal variations of GPP and TER and suggest that they exhibit different responses to temperature anomalies over the last 35 years.

  19. Effects of Progressive Resistance Strength Training on Knee Biomechanics During Single Leg Step-up in Persons with Mild Knee Osteoarthritis

    PubMed Central

    McQuade, Kevin James; de Oliveira, Anamaria Siriani

    2011-01-01

    Background The goal of this study was to determine if increasing strength in primary knee extensors and flexors would directly affect net knee joint moments during a common functional task in persons with knee osteoarthritis. Methods An exploratory single sample clinical trial with pre-post treatment measures was used to study volunteers with clinical diagnosis of mild knee OA in one knee. Subjects participated in an individually supervised training program 3 times a week for eight weeks consisting of progressive resistive exercises for knee extensors and knee flexors. Pre and post training outcome assessments included: 1. Net internal knee joint moments, 2. Electromyography of primary knee extensors and flexors, and 3. Self-report measures of knee pain and function. The distribution of lower extremity joint moments as a percent of the total support moment was also investigated. Findings Pain, symptoms, activities of daily life, quality of life, stiffness, and function scores showed significant improvement following strength training. Knee internal valgus and hip internal rotation moments showed increasing but non-statistically significant changes post-training. There were no significant differences in muscle co-contraction activation of the Quadriceps and Hamstrings. Interpretations While exercise continues to be an important element of OA management, the results of this study suggest improvements in function, pain, and other symptoms, as a result of strength training may not be causally related to specific biomechanical changes in net joint moments. PMID:21514018

  20. Potential cost savings of medication therapy management in safety-net clinics.

    PubMed

    Truong, Hoai-An; Groves, C Nicole; Congdon, Heather B; Dang, Diem-Thanh Tanya; Botchway, Rosemary; Thomas, Jennifer

    2015-01-01

    To evaluate potential cost savings based on estimated cost avoidance from medication therapy management (MTM) services delivered in safety-net clinics over 4 years. High-risk patients taking multiple medications and with chronic conditions were referred for MTM services in primary care safety-net clinics in Maryland from October 1, 2009, to September 30, 2013. Medication-related problems (MRPs) were identified and pharmacists' costs determined to evaluate the estimated cost savings and return on investment (ROI). A range of potential economic outcomes for each MRP identified was assigned to a cost avoidance for outpatient visit, urgent care visit, emergency department visit, and/or hospitalization. Over 4 years, 246 patients received MTM, nearly 2,100 medications were reviewed, and 814 MRPs were identified. The most common MRPs identified were subtherapeutic doses, nonadherence, and untreated indications, with respective prevalences of 38%, 19%, and 16%. The corresponding costs of medical services were estimated at $115,220-$614,570 for all MRPs identified, yielding a mean of $141.55-$755.00 per identified MRP. Pharmacists' expenses for encounters were calculated at a total expenditure of $57,307.50 for 16,965 minutes. ROI based on the time spent during billable face-to-face encounters ranged from 1:5 to 1:25. Pharmacist-provided MTM in safety-net clinics yielded potential economic benefits to the organization. The Primary Care Coalition of Montgomery County plans to expand MTM services to additional clinics to improve patient care and increase cost savings through preventable medical services.

  1. Mechanism of ion transport by avian salt gland primary cell cultures.

    PubMed

    Lowy, R J; Dawson, D C; Ernst, S A

    1989-06-01

    Confluent sheets formed from primary culture of avian salt gland secretory cells exhibit a short-circuit current (Isc) in response to cholinergic and beta-adrenergic stimulation [Lowy, R. J., D. C. Dawson, and S. A. Ernst. Am J. Physiol. 249 (Cell Physiol. 18): C41-C47, 1985]. To establish the ionic basis for the Isc, transmural fluxes of 22Na and 36Cl were measured. Under short-circuit conditions there was little net flux of either ion in the absence of agonists. Addition of carbachol elevated net serosal-to-mucosal Cl flux to 1.71 mu eq.h-1.cm-2, whereas a smaller increase to 0.85 mu eq.h-1.cm-2 occurred with isoproterenol. Neither agonist altered net Na flux. The stimulated Isc accounted for 70% of the net Cl flux induced by carbachol and nearly 100% of that induced by isoproterenol. Replacement of Cl by gluconate or Na by choline abolished (carbachol) or greatly reduced (isoproterenol) the Isc, which could be restored in a dose-dependent fashion by ion restitution. Active ion transport was preferentially inhibited by basal (vs. apical) addition of ouabain, furosemide, or barium. The results provide evidence that cholinergic and beta-adrenergic agonists elicit active transmural Cl secretion. They further suggest that transport is dependent on the Na+-K+-adenosine-triphosphatase, a Na-Cl cotransport process, and a basal K conductance, all features of a secondary active Cl secretory mechanism.

  2. Estimating climate change effects on net primary production of rangelands in the United States

    Treesearch

    Matthew C. Reeves; Adam L. Moreno; Karen E. Bagne; Steven W. Running

    2014-01-01

    The potential effects of climate change on net primary productivity (NPP) of U.S. rangelands were evaluated using estimated climate regimes from the A1B, A2 and B2 global change scenarios imposed on the biogeochemical cycling model, Biome-BGC from 2001 to 2100. Temperature, precipitation, vapor pressure deficit, day length, solar radiation, CO2 enrichment and nitrogen...

  3. Climate-mediated nitrogen and carbon dynamics in a tropical watershed

    NASA Astrophysics Data System (ADS)

    Ballantyne, A. P.; Baker, P. A.; Fritz, S. C.; Poulter, B.

    2011-06-01

    Climate variability affects the capacity of the biosphere to assimilate and store important elements, such as nitrogen and carbon. Here we present biogeochemical evidence from the sediments of tropical Lake Titicaca indicating that large hydrologic changes in response to global glacial cycles during the Quaternary were accompanied by major shifts in ecosystem state. During prolonged glacial intervals, lake level was high and the lake was in a stable nitrogen-limited state. In contrast, during warm dry interglacials lake level fell and rates of nitrogen concentrations increased by a factor of 4-12, resulting in a fivefold to 24-fold increase in organic carbon concentrations in the sediments due to increased primary productivity. Observed periods of increased primary productivity were also associated with an apparent increase in denitrification. However, the net accumulation of nitrogen during interglacial intervals indicates that increased nitrogen supply exceeded nitrogen losses due to denitrification, thereby causing increases in primary productivity. Although primary productivity in tropical ecosystems, especially freshwater ecosystems, tends to be nitrogen limited, our results indicate that climate variability may lead to changes in nitrogen availability and thus changes in primary productivity. Therefore some tropical ecosystems may shift between a stable state of nitrogen limitation and a stable state of nitrogen saturation in response to varying climatic conditions.

  4. Innovation in the safety net: integrating community health centers through accountable care.

    PubMed

    Lewis, Valerie A; Colla, Carrie H; Schoenherr, Karen E; Shortell, Stephen M; Fisher, Elliott S

    2014-11-01

    Safety net primary care providers, including as community health centers, have long been isolated from mainstream health care providers. Current delivery system reforms such as Accountable Care Organizations (ACOs) may either reinforce the isolation of these providers or may spur new integration of safety net providers. This study examines the extent of community health center involvement in ACOs, as well as how and why ACOs are partnering with these safety net primary care providers. Mixed methods study pairing the cross-sectional National Survey of ACOs (conducted 2012 to 2013), followed by in-depth, qualitative interviews with a subset of ACOs that include community health centers (conducted 2013). One hundred and seventy-three ACOs completed the National Survey of ACOs. Executives from 18 ACOs that include health centers participated in in-depth interviews, along with leadership at eight community health centers participating in ACOs. Key survey measures include ACO organizational characteristics, care management and quality improvement capabilities. Qualitative interviews used a semi-structured interview guide. Interviews were recorded and transcribed, then coded for thematic content using NVivo software. Overall, 28% of ACOs include a community health center (CHC). ACOs with CHCs are similar to those without CHCs in organizational structure, care management and quality improvement capabilities. Qualitative results showed two major themes. First, ACOs with CHCs typically represent new relationships or formal partnerships between CHCs and other local health care providers. Second, CHCs are considered valued partners brought into ACOs to expand primary care capacity and expertise. A substantial number of ACOs include CHCs. These results suggest that rather than reinforcing segmentation of safety net providers from the broader delivery system, the ACO model may lead to the integration of safety net primary care providers.

  5. Pharmacogenetics in neuroendocrine tumors of the pancreas.

    PubMed

    Rizvi, Syed Mujtaba; Wong, Joyce; Saif, Muhammad Wasif; Jia, Yuxia

    2014-07-28

    Neuroendocrine tumors (NETs) arise from cells distributed throughout the endocrine system. Although, NETs are heterogeneous in their behavior, they tend to be more aggressive when arising in the pancreas. Pancreatic NET (panNET) represents three percent of all primary pancreatic neoplasms. Symptomatic and progressive panNETs are generally treated with cytotoxic chemotherapy, whereas molecular targeted therapy is used for nonfunctional tumors without aggressive features. Pharmacogenetics has increasingly been used recently to better identify potential targets for therapy and help select patient-specific therapy. In this review, we discuss two abstracts (Abstracts #4113 and #e15169) presented at the ASCO Annual Meeting in Chicago this year, outlining the potential role of tumor gene and gene product profiling in disease management. We describe what is known about the pathogenesis of these tumors, role of decreased gene product expression (MGMT, RRM1, MET) and its application in cytotoxic therapy selection, as well as genetic mutations that can be used for molecular targeted therapy. With an overall shift towards personalized medicine, it has become ever more important to identify the molecular signature of a tumor as it appears to dictate the clinical behavior and response to therapy.

  6. Ozone and haze pollution weakens net primary productivity in China

    NASA Astrophysics Data System (ADS)

    Yue, Xu; Unger, Nadine; Harper, Kandice; Xia, Xiangao; Liao, Hong; Zhu, Tong; Xiao, Jingfeng; Feng, Zhaozhong; Li, Jing

    2017-05-01

    Atmospheric pollutants have both beneficial and detrimental effects on carbon uptake by land ecosystems. Surface ozone (O3) damages leaf photosynthesis by oxidizing plant cells, while aerosols promote carbon uptake by increasing diffuse radiation and exert additional influences through concomitant perturbations to meteorology and hydrology. China is currently the world's largest emitter of both carbon dioxide and short-lived air pollutants. The land ecosystems of China are estimated to provide a carbon sink, but it remains unclear whether air pollution acts to inhibit or promote carbon uptake. Here, we employ Earth system modeling and multiple measurement datasets to assess the separate and combined effects of anthropogenic O3 and aerosol pollution on net primary productivity (NPP) in China. In the present day, O3 reduces annual NPP by 0.6 Pg C (14 %) with a range from 0.4 Pg C (low O3 sensitivity) to 0.8 Pg C (high O3 sensitivity). In contrast, aerosol direct effects increase NPP by 0.2 Pg C (5 %) through the combination of diffuse radiation fertilization, reduced canopy temperatures, and reduced evaporation leading to higher soil moisture. Consequently, the net effects of O3 and aerosols decrease NPP by 0.4 Pg C (9 %) with a range from 0.2 Pg C (low O3 sensitivity) to 0.6 Pg C (high O3 sensitivity). However, precipitation inhibition from combined aerosol direct and indirect effects reduces annual NPP by 0.2 Pg C (4 %), leading to a net air pollution suppression of 0.8 Pg C (16 %) with a range from 0.6 Pg C (low O3 sensitivity) to 1.0 Pg C (high O3 sensitivity). Our results reveal strong dampening effects of air pollution on the land carbon uptake in China today. Following the current legislation emission scenario, this suppression will be further increased by the year 2030, mainly due to a continuing increase in surface O3. However, the maximum technically feasible reduction scenario could drastically relieve the current level of NPP damage by 70 % in 2030, offering protection of this critical ecosystem service and the mitigation of long-term global warming.

  7. T cell infiltrate and outcome following resection of intermediate-grade primary neuroendocrine tumours and liver metastases.

    PubMed

    Katz, Steven C; Donkor, Charan; Glasgow, Kristen; Pillarisetty, Venu G; Gönen, Mithat; Espat, N Joseph; Klimstra, David S; D'Angelica, Michael I; Allen, Peter J; Jarnagin, William; Dematteo, Ronald P; Brennan, Murray F; Tang, Laura H

    2010-12-01

    Tumour-infiltrating lymphocytes (TILs) have been shown to predict survival in numerous malignancies. The importance of TILs in primary pancreatic neuroendocrine tumours (NETs) and NET liver metastases (NETLMs) has not been defined. We identified 87 patients with NETs and 39 with NETLMs who had undergone resection. Immunohistochemistry was performed to determine TIL counts. Recurrence-free survival (RFS) and overall survival (OS) were determined using the log-rank test. The median follow-up time was 62 months in NET patients and 48 months in NETLM patients. Vascular invasion and histologic grade were the only independent predictors of outcome for NETs and NETLMs, respectively. Analysis of intermediate-grade NETs indicated that a dense T cell (CD3+) infiltrate was associated with a median RFS of 128 months compared with 61 months for those with low levels of intratumoral T cells (P= 0.05, univariate analysis). Examination of NETLMs revealed that a low level of infiltrating regulatory T cells (Treg, FoxP3+) was a predictor of prolonged survival (P < 0.01, univariate analysis). A robust T cell infiltrate is associated with improved RFS following resection of intermediate-grade NETs, whereas the presence of more Treg correlated with shorter OS after treatment of NETLMs. Further study of the immune response to intermediate-grade NETs and NETLMs is warranted.

  8. Changes in net ecosystem productivity of boreal black spruce stands in response to changes in temperature at diurnal and seasonal time scales.

    PubMed

    Grant, R F; Margolis, H A; Barr, A G; Black, T A; Dunn, A L; Bernier, P Y; Bergeron, O

    2009-01-01

    Net ecosystem productivity (NEP) of boreal coniferous forests is believed to rise with climate warming, thereby offsetting some of the rise in atmospheric CO(2) concentration (C(a)) by which warming is caused. However, the response of conifer NEP to warming may vary seasonally, with rises in spring and declines in summer. To gain more insight into this response, we compared changes in CO(2) exchange measured by eddy covariance and simulated by the ecosystem process model ecosys under rising mean annual air temperatures (T(a)) during 2004-2006 at black spruce stands in Saskatchewan, Manitoba and Quebec. Hourly net CO(2) uptake was found to rise with warming at T(a) < 15 degrees C and to decline with warming at T(a) > 20 degrees C. As mean annual T(a) rose from 2004 to 2006, increases in net CO(2) uptake with warming at lower T(a) were greater than declines with warming at higher T(a) so that annual gross primary productivity and hence NEP increased. Increases in net CO(2) uptake measured at lower T(a) were explained in the model by earlier recovery of photosynthetic capacity in spring, and by increases in carboxylation activity, using parameters for the Arrhenius temperature functions of key carboxylation processes derived from independent experiments. Declines in net CO(2) uptake measured at higher T(a) were explained in the model by sharp declines in mid-afternoon canopy stomatal conductance (g(c)) under higher vapor pressure deficits (D). These declines were modeled from a hydraulic constraint to water uptake imposed by low axial conductivity of conifer roots and boles that forced declines in canopy water potential (psi(c)), and hence in g(c) under higher D when equilibrating water uptake with transpiration. In a model sensitivity study, the contrasting responses of net CO(2) uptake to specified rises in T(a) caused annual NEP of black spruce in the model to rise with increases in T(a) of up to 6 degrees C, but to decline with further increases at mid-continental sites with lower precipitation. However, these contrasting responses to warming also indicate that rises in NEP with climate warming would depend on the seasonality (spring versus summer) as well as the magnitude of rises in T(a).

  9. Gastrointestinal neuroendocrine (carcinoid) tumours: current diagnosis and management.

    PubMed

    Modlin, Irvin M; Moss, Steven F; Oberg, Kjell; Padbury, Robert; Hicks, Rodney J; Gustafsson, Bjorn I; Wright, Nicholas A; Kidd, Mark

    2010-07-05

    Neuroendocrine tumours (NETs) are increasing in both incidence and prevalence and, as a group, are more prevalent than either gastric, pancreatic, oesophageal or hepatobiliary adenocarcinomas, or any two of these cancers combined. Clinical awareness of the protean and intermittent symptoms of NETs (eg, sweating, flushing, diarrhoea, and bronchospasm) is critical for timely diagnosis; however, the classical carcinoid syndrome is relatively uncommon. The most useful diagnostic test for gastrointestinal NETs is measurement of plasma chromogranin A (CgA) levels. Disease extent is assessed by both anatomical imaging, and nuclear imaging with radiolabelled somatostatin analogues. Pathological evaluation comprises tumour-node-metastasis classification, a minimum pathological dataset, CgA and synaptophysin immunostaining, as well as mitotic count or Ki-67 index (a marker of cell proliferation) to define grading. Resection of the primary lesion and as much metastatic disease as possible increases the efficacy of medical therapy. Other management strategies include hepatic embolisation and peptide receptor radionuclide therapy. Patients with tumours expressing somatostatin receptors should be treated with somatostatin analogues. Depending on the tumour grade, other effective agents include cytotoxics, tyrosine kinase inhibitors, and antiangiogenics. The overarching requirement for best management of patients with NETs is to ensure that they have ready access to experienced multidisciplinary clinician groups located within centres of appropriate subspecialty expertise.

  10. Illinois WorkNet System, NOCTI Partner for Real-World Credentials

    ERIC Educational Resources Information Center

    Telger, Natasha; Foster, John C.

    2011-01-01

    This article describes one assessment that provides a college- and career-ready individual for employers. In Illinois, workNet is the state's primary online workforce development Web site and resource for Workforce Investment Act services. With help from NOCTI, workNet offers assessments that identify the skills and interests of participants,…

  11. The role of fire in the boreal carbon budget

    USGS Publications Warehouse

    Harden, J.W.; Trumbore, S.E.; Stocks, B.J.; Hirsch, A.; Gower, S.T.; O'Neill, K. P.; Kasischke, E.S.

    2000-01-01

    To reconcile observations of decomposition rates, carbon inventories, and net primary production (NPP), we estimated long-term averages for C exchange in boreal forests near Thompson, Manitoba. Soil drainage as defined by water table, moss cover, and permafrost dynamics, is the dominant control on direct fire emissions. In upland forests, an average of about 10-30% of annual NPP was likely consumed by fire over the past 6500 years since these landforms and ecosystems were established. This long-term, average fire emission is much larger than has been accounted for in global C cycle models and may forecast an increase in fire activity for this region. While over decadal to century times these boreal forests may be acting as slight net sinks for C from the atmosphere to land, periods of drought and severe fire activity may result in net sources of C from these systems.

  12. Characteristics of Patient-Centered Medical Home Initiatives that Generated Savings for Medicare: a Qualitative Multi-Case Analysis.

    PubMed

    Burton, Rachel A; Lallemand, Nicole M; Peters, Rebecca A; Zuckerman, Stephen

    2018-02-05

    Through the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration, Medicare, Medicaid, and private payers offered supplemental payments to 849 primary care practices that became patient-centered medical homes (PCMHs) in eight states; practices also received technical assistance and data reports. Average Medicare payments were capped at $10 per beneficiary per month in each state. Since there was variation in the eight participating states' demonstration designs, experiences, and outcomes, we conducted a qualitative multi-case analysis to identify the key factors that differentiated states that were estimated to have generated net savings for Medicare from states that did not. States' MAPCP Demonstration initiatives were comprehensively profiled in case studies based on secondary document review, three rounds of annual interviews with state staff, payers, practices, and other stakeholders, and other data sources. Case study findings were summarized in a case-ordered predictor-outcome matrix, which identified the presence or absence of key demonstration design features and experiences and arrayed states based on the amount of net savings or losses they generated for Medicare. We then used this matrix to identify initiative features that were present in at least three of the four states that generated net savings and absent from at least three of the four states that did not generate savings. A majority of the states that generated net savings: required practices to be recognized PCMHs to enter the demonstration, did not allow late entrants into the demonstration, used a consistent demonstration payment model across participating payers, and offered practices opportunities to earn performance bonuses. Practices in states that generated net savings also tended to report receiving the demonstration payments and bonuses they expected to receive, without any issues. Designers of future PCMH initiatives may increase their likelihood of generating net savings by incorporating the demonstration features we identified.

  13. Continental-scale decrease in net primary productivity in streams due to climate warming

    NASA Astrophysics Data System (ADS)

    Song, Chao; Dodds, Walter K.; Rüegg, Janine; Argerich, Alba; Baker, Christina L.; Bowden, William B.; Douglas, Michael M.; Farrell, Kaitlin J.; Flinn, Michael B.; Garcia, Erica A.; Helton, Ashley M.; Harms, Tamara K.; Jia, Shufang; Jones, Jeremy B.; Koenig, Lauren E.; Kominoski, John S.; McDowell, William H.; McMaster, Damien; Parker, Samuel P.; Rosemond, Amy D.; Ruffing, Claire M.; Sheehan, Ken R.; Trentman, Matt T.; Whiles, Matt R.; Wollheim, Wilfred M.; Ballantyne, Ford

    2018-06-01

    Streams play a key role in the global carbon cycle. The balance between carbon intake through photosynthesis and carbon release via respiration influences carbon emissions from streams and depends on temperature. However, the lack of a comprehensive analysis of the temperature sensitivity of the metabolic balance in inland waters across latitudes and local climate conditions hinders an accurate projection of carbon emissions in a warmer future. Here, we use a model of diel dissolved oxygen dynamics, combined with high-frequency measurements of dissolved oxygen, light and temperature, to estimate the temperature sensitivities of gross primary production and ecosystem respiration in streams across six biomes, from the tropics to the arctic tundra. We find that the change in metabolic balance, that is, the ratio of gross primary production to ecosystem respiration, is a function of stream temperature and current metabolic balance. Applying this relationship to the global compilation of stream metabolism data, we find that a 1 °C increase in stream temperature leads to a convergence of metabolic balance and to a 23.6% overall decline in net ecosystem productivity across the streams studied. We suggest that if the relationship holds for similarly sized streams around the globe, the warming-induced shifts in metabolic balance will result in an increase of 0.0194 Pg carbon emitted from such streams every year.

  14. Global Human Appropriation of Net Primary Production and Associated Resource Decoupling: 2010-2050.

    PubMed

    Zhou, Chuanbin; Elshkaki, Ayman; Graedel, T E

    2018-02-06

    Human appropriation of net primary production (HANPP) methodology has previously been developed to assess the intensity of anthropogenic extraction of biomass resources. However, there is limited analysis concerning future trends of HANPP. Here we present four scenarios for global biomass demand and HANPP harv (the most key component of HANPP) from 2010 to 2050 by incorporating data on expanded historical drivers and disaggregated biomass demand (food, wood material, and fuelwood). The results show that the biomass demand has the lowest value in the equitability world scenario (an egalitarian vision) and the highest value in the security foremost scenario (an isolationist vision). The biomass demand for food and materials increases over time, while fuelwood demand decreases over time. Global HANPP harv rises to between 8.5 and 10.1 Pg C/yr in 2050 in the four scenarios, 14-35% above its value in 2010, and some 50% of HANPP harv is calculated to be crop residues, wood residues, and food losses in the future. HANPP harv in developing regions (Asia, Africa, and Latin America) increases faster than that in more-developed regions (North America and Europe), due to urbanization, population growth, and increasing income. Decoupling of HANPP harv and socioeconomic development is also discussed in this work.

  15. Remote sensing of biomass and annual net aerial primary productivity of a salt marsh

    NASA Technical Reports Server (NTRS)

    Hardisky, M. A.; Klemas, V.; Daiber, F. C.; Roman, C. T.

    1984-01-01

    Net aerial primary productivity is the rate of storage of organic matter in above-ground plant issues exceeding the respiratory use by the plants during the period of measurement. It is pointed out that this plant tissue represents the fixed carbon available for transfer to and consumption by the heterotrophic organisms in a salt marsh or the estuary. One method of estimating annual net aerial primary productivity (NAPP) required multiple harvesting of the marsh vegetation. A rapid nondestructive remote sensing technique for estimating biomass and NAPP would, therefore, be a significant asset. The present investigation was designed to employ simple regression models, equating spectral radiance indices with Spartina alterniflora biomass to nondestructively estimate salt marsh biomass. The results of the study showed that the considered approach can be successfully used to estimate salt marsh biomass.

  16. Exploring factors that might influence primary-care provider discussion of and recommendation for prostate and colon cancer screening.

    PubMed

    Kistler, Christine E; Vu, Maihan; Sutkowi-Hemstreet, Anne; Gizlice, Ziya; Harris, Russell P; Brewer, Noel T; Lewis, Carmen L; Dolor, Rowena J; Barclay, Colleen; Sheridan, Stacey L

    2018-01-01

    Primary-care providers may contribute to the use of low-value cancer screening. We sought to examine circumstances under which primary-care providers would discuss and recommend two types of cancer screening services across a spectrum of net benefit and other factors known to influence screening. This was a cross sectional survey of 126 primary-care providers in 24 primary-care clinics in the US. Participants completed surveys with two hypothetical screening scenarios for prostate or colorectal cancer (CRC). Patients in the scenarios varied by age and screening-request status. For each scenario, providers indicated whether they would discuss and recommend screening. Providers also reported on their screening attitudes and the influence of other factors known to affect screening (short patient visits, worry about lawsuits, clinical reminders/performance measures, and screening guidelines). We examined associations between providers' attitudes and their screening recommendations for hypothetical 90-year-olds (the lowest-value screening). Providers reported they would discuss cancer screening more often than they would recommend it ( P <0.001). More providers would discuss and recommend screening for CRC than prostate cancer ( P <0.001), for younger than older patients ( P <0.001), and when the patient requested it than when not ( P <0.001). For a 90-year-old patient, every point increase in cancer-specific screening attitude increased the likelihood of a screening recommendation (30% for prostate cancer and 30% for CRC). While most providers' reported practice patterns aligned with net benefit, some providers would discuss and recommend low-value cancer screening, particularly when faced with a patient request. More work appears to be needed to help providers to discuss and recommend screening that aligns with value.

  17. Exploring factors that might influence primary-care provider discussion of and recommendation for prostate and colon cancer screening

    PubMed Central

    Kistler, Christine E; Vu, Maihan; Sutkowi-Hemstreet, Anne; Gizlice, Ziya; Harris, Russell P; Brewer, Noel T; Lewis, Carmen L; Dolor, Rowena J; Barclay, Colleen; Sheridan, Stacey L

    2018-01-01

    Background Primary-care providers may contribute to the use of low-value cancer screening. Objective We sought to examine circumstances under which primary-care providers would discuss and recommend two types of cancer screening services across a spectrum of net benefit and other factors known to influence screening. Patients and methods This was a cross sectional survey of 126 primary-care providers in 24 primary-care clinics in the US. Participants completed surveys with two hypothetical screening scenarios for prostate or colorectal cancer (CRC). Patients in the scenarios varied by age and screening-request status. For each scenario, providers indicated whether they would discuss and recommend screening. Providers also reported on their screening attitudes and the influence of other factors known to affect screening (short patient visits, worry about lawsuits, clinical reminders/performance measures, and screening guidelines). We examined associations between providers’ attitudes and their screening recommendations for hypothetical 90-year-olds (the lowest-value screening). Results Providers reported they would discuss cancer screening more often than they would recommend it (P<0.001). More providers would discuss and recommend screening for CRC than prostate cancer (P<0.001), for younger than older patients (P<0.001), and when the patient requested it than when not (P<0.001). For a 90-year-old patient, every point increase in cancer-specific screening attitude increased the likelihood of a screening recommendation (30% for prostate cancer and 30% for CRC). Discussion While most providers’ reported practice patterns aligned with net benefit, some providers would discuss and recommend low-value cancer screening, particularly when faced with a patient request. Conclusion More work appears to be needed to help providers to discuss and recommend screening that aligns with value. PMID:29844698

  18. A Value Chain Analysis of ghost nets in the Arafura Sea: identifying trans-boundary stakeholders, intervention points and livelihood trade-offs.

    PubMed

    Butler, J R A; Gunn, R; Berry, H L; Wagey, G A; Hardesty, B D; Wilcox, C

    2013-07-15

    Lost or discarded fishing nets are a significant component of marine debris which has trans-boundary impacts in large marine ecosystems. Such 'ghost nets' cause the by-catch of marine fauna and require retrieval from coastlines where they wash up. Identifying the causes of discarded nets and feasible intervention points requires analysis of a complex value chain and the stakeholders within it, yet no studies have attempted this. In this paper we combine Value Chain Analysis, commonly applied to understand value-adding for a commodity, with elements of Life Cycle Assessment and social network analysis to examine the drivers, stakeholders, economic, environmental and social costs and benefits in the life of a trawl net. We use the Arafura Sea as a case study, which is shared by Indonesia, Papua New Guinea and Australia, and is the focus of a Trans-boundary Diagnostic Assessment (TDA) within the Arafura-Timor Seas Ecosystem Action program (ATSEA). We follow a trawl net through four sub-systems: manufacture of webbing in South Korea, fishing and loss by an Indonesian vessel, retrieval as ghost net on the northern Australian coastline by Indigenous rangers, and disposal or re-cycling as 'GhostNet Art' by Indigenous artists. Primary stakeholders along the value chain incur economic and social benefits, and economic and environmental costs. There is an anomaly in the chain between Indonesian fishermen and Indigenous rangers, artists and communities due to the lack of market linkages between these primary stakeholders. The first 'nexus of influence' where reductions in net losses and environmental costs can be achieved is through interactions between GhostNets Australia, the World Wide Fund for Nature and the Australian Government, which can influence Indonesian fishery management institutions and fishing crews. The second nexus is via the international art market which by publicising GhostNet Art can raise awareness amongst fish consumers about the impacts of ghost nets, and hence influence Indonesian fishing companies. GhostNets Australia is a key bridging organisation in the network, linking stakeholders across scales and sub-systems. Feasible preventative interventions are discussed to rectify the anomaly in the value chain. The importance of GhostNets Australia and ATSEA in the evolving adaptive co-management and trans-boundary governance of fisheries is highlighted. However, the prevention of ghost nets will result in trade-offs in benefits for the livelihoods of primary stakeholders. The utility of the method for analysing marine debris in TDAs, and ATSEA in particular, is discussed. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

  19. Improving timeliness and efficiency in the referral process for safety net providers: application of the Lean Six Sigma methodology.

    PubMed

    Deckard, Gloria J; Borkowski, Nancy; Diaz, Deisell; Sanchez, Carlos; Boisette, Serge A

    2010-01-01

    Designated primary care clinics largely serve low-income and uninsured patients who present a disproportionate number of chronic illnesses and face great difficulty in obtaining the medical care they need, particularly the access to specialty physicians. With limited capacity for providing specialty care, these primary care clinics generally refer patients to safety net hospitals' specialty ambulatory care clinics. A large public safety net health system successfully improved the effectiveness and efficiency of the specialty clinic referral process through application of Lean Six Sigma, an advanced process-improvement methodology and set of tools driven by statistics and engineering concepts.

  20. BOREAS RSS-8 BIOME-BGC Model Simulations at Tower Flux Sites in 1994

    NASA Technical Reports Server (NTRS)

    Hall, Forrest G. (Editor); Nickeson, Jaime (Editor); Kimball, John

    2000-01-01

    BIOME-BGC is a general ecosystem process model designed to simulate biogeochemical and hydrologic processes across multiple scales (Running and Hunt, 1993). In this investigation, BIOME-BGC was used to estimate daily water and carbon budgets for the BOREAS tower flux sites for 1994. Carbon variables estimated by the model include gross primary production (i.e., net photosynthesis), maintenance and heterotrophic respiration, net primary production, and net ecosystem carbon exchange. Hydrologic variables estimated by the model include snowcover, evaporation, transpiration, evapotranspiration, soil moisture, and outflow. The information provided by the investigation includes input initialization and model output files for various sites in tabular ASCII format.

  1. Serotonin, ATRX, and DAXX Expression in Pituitary Adenomas: Markers in the Differential Diagnosis of Neuroendocrine Tumors of the Sellar Region.

    PubMed

    Casar-Borota, Olivera; Botling, Johan; Granberg, Dan; Stigare, Jerker; Wikström, Johan; Boldt, Henning Bünsow; Kristensen, Bjarne Winther; Pontén, Fredrik; Trouillas, Jacqueline

    2017-09-01

    Differential diagnosis based on morphology and immunohistochemistry between a clinically nonfunctioning pituitary neuroendocrine tumor (NET)/pituitary adenoma and a primary or secondary NET of nonpituitary origin in the sellar region may be difficult. Serotonin, a frequently expressed marker in the NETs, has not been systematically evaluated in pituitary NETs. Although mutations in ATRX or DAXX have been reported in a significant proportion of pancreatic NETs, the mutational status of ATRX and DAXX and their possible pathogenetic role in pituitary NETs are unknown. Facing a difficult diagnostic case of an invasive serotonin and adrenocorticotroph hormone immunoreactive NET in the sellar region, we explored the immunohistochemical expression of serotonin, ATRX, and DAXX in a large series of pituitary endocrine tumors of different types from 246 patients and in 2 corticotroph carcinomas. None of the pituitary tumors expressed serotonin, suggesting that serotonin immunoreactive sellar tumors represent primary or secondary NETs of nonpituitary origin. Normal expression of ATRX and DAXX in pituitary tumors suggests that ATRX and DAXX do not play a role in the pathogenesis of pituitary endocrine tumors that remain localized to the sellar and perisellar region. A lack of ATRX or DAXX in a sellar NET suggests a nonpituitary NET, probably of pancreatic origin. One of the 2 examined corticotroph carcinomas, however, demonstrated negative ATRX immunolabeling due to an ATRX gene mutation. Further studies on a larger cohort of pituitary carcinomas are needed to clarify whether ATRX mutations may contribute to the metastatic potential in a subset of pituitary NETs.

  2. Contribution by Macroalgal Mats to Primary Production of a Shallow Embayment Under High and Low Nitrogen-loading Rates

    NASA Astrophysics Data System (ADS)

    Peckol, P.; Rivers, J. S.

    1996-09-01

    The limits on primary production in areas undergoing eutrophication may be set by indirect effects of nitrogen loading, i.e. decreasing irradiances, associated with proliferating opportunistic algae. Using in situphoton flux density (PFD) availability estimates within unattached algal mats and photosynthetic parameters determined from photosynthesis vs.irradiance (P vs.I) curves generated for the dominant components of mat assemblages, Cladophora vagabundaand Gracilaria tikvahiae, seasonal net mat production rate for estuaries (Waquoit Bay, Massachusetts, U.S.A.) receiving high (Childs River) and low (Sage Lot Pond) N-loading rates were determined. Although abundance of C. vagabundawas 2× greater than G. tikvahiae, the former species contributed only about 50% of total mat productivity, due largely to rapid light attenuation within the dense algal mat. While mat production was low and similar at both sides during winter (≈0·35 g C m -2 day -1), for other seasons, the net mat daytime productivity at Childs River, the N-loaded site, was 2·5× higher than rates determined for Sage Lot Pond. Although annual net daytime production at Childs River (1094 g C m -2 year -1) was comparable to estimates for other algal mat assemblages in eutrophic systems, primary production of the Waquoit Bay system was found to become self-limiting as available PFD controls maximum productivity. In photosynthetically inactive portions of the algal mat, carbon release was estimated from tissue-loss measurements at 0·14 g C m -2 day -1for C. vagabundaand 0·05 g C m -2 day -1for G. tikvahiae. Annual in situC release of 73 g C m -2is ≈20% of annual net mat production (fixed carbon not respired by algae) in this embayment. Although both estuaries showed net autotrophy year round (Pg:R>1), the high metabolic cost of a large, inactive mat resulted in lower Pg:R ratios at Childs Rivers than at Sage Lot Pond, particularly during the summer period of peak production. Thus, it is predicted that the Waquoit Bay system will experience an overall decline in Pg:R ratios and consequent increase in anoxic events as eutrophication continues.

  3. Asymmetric warming significantly affects net primary production, but not ecosystem carbon balances of forest and grassland ecosystems in northern China

    NASA Astrophysics Data System (ADS)

    Su, Hongxin; Feng, Jinchao; Axmacher, Jan C.; Sang, Weiguo

    2015-03-01

    We combine the process-based ecosystem model (Biome-BGC) with climate change-scenarios based on both RegCM3 model outputs and historic observed trends to quantify differential effects of symmetric and asymmetric warming on ecosystem net primary productivity (NPP), heterotrophic respiration (Rh) and net ecosystem productivity (NEP) of six ecosystem types representing different climatic zones of northern China. Analysis of covariance shows that NPP is significant greater at most ecosystems under the various environmental change scenarios once temperature asymmetries are taken into consideration. However, these differences do not lead to significant differences in NEP, which indicates that asymmetry in climate change does not result in significant alterations of the overall carbon balance in the dominating forest or grassland ecosystems. Overall, NPP, Rh and NEP are regulated by highly interrelated effects of increases in temperature and atmospheric CO2 concentrations and precipitation changes, while the magnitude of these effects strongly varies across the six sites. Further studies underpinned by suitable experiments are nonetheless required to further improve the performance of ecosystem models and confirm the validity of these model predictions. This is crucial for a sound understanding of the mechanisms controlling the variability in asymmetric warming effects on ecosystem structure and functioning.

  4. Asymmetric warming significantly affects net primary production, but not ecosystem carbon balances of forest and grassland ecosystems in northern China.

    PubMed

    Su, Hongxin; Feng, Jinchao; Axmacher, Jan C; Sang, Weiguo

    2015-03-13

    We combine the process-based ecosystem model (Biome-BGC) with climate change-scenarios based on both RegCM3 model outputs and historic observed trends to quantify differential effects of symmetric and asymmetric warming on ecosystem net primary productivity (NPP), heterotrophic respiration (Rh) and net ecosystem productivity (NEP) of six ecosystem types representing different climatic zones of northern China. Analysis of covariance shows that NPP is significant greater at most ecosystems under the various environmental change scenarios once temperature asymmetries are taken into consideration. However, these differences do not lead to significant differences in NEP, which indicates that asymmetry in climate change does not result in significant alterations of the overall carbon balance in the dominating forest or grassland ecosystems. Overall, NPP, Rh and NEP are regulated by highly interrelated effects of increases in temperature and atmospheric CO2 concentrations and precipitation changes, while the magnitude of these effects strongly varies across the six sites. Further studies underpinned by suitable experiments are nonetheless required to further improve the performance of ecosystem models and confirm the validity of these model predictions. This is crucial for a sound understanding of the mechanisms controlling the variability in asymmetric warming effects on ecosystem structure and functioning.

  5. Asymmetric warming significantly affects net primary production, but not ecosystem carbon balances of forest and grassland ecosystems in northern China

    PubMed Central

    Su, Hongxin; Feng, Jinchao; Axmacher, Jan C.; Sang, Weiguo

    2015-01-01

    We combine the process-based ecosystem model (Biome-BGC) with climate change-scenarios based on both RegCM3 model outputs and historic observed trends to quantify differential effects of symmetric and asymmetric warming on ecosystem net primary productivity (NPP), heterotrophic respiration (Rh) and net ecosystem productivity (NEP) of six ecosystem types representing different climatic zones of northern China. Analysis of covariance shows that NPP is significant greater at most ecosystems under the various environmental change scenarios once temperature asymmetries are taken into consideration. However, these differences do not lead to significant differences in NEP, which indicates that asymmetry in climate change does not result in significant alterations of the overall carbon balance in the dominating forest or grassland ecosystems. Overall, NPP, Rh and NEP are regulated by highly interrelated effects of increases in temperature and atmospheric CO2 concentrations and precipitation changes, while the magnitude of these effects strongly varies across the six sites. Further studies underpinned by suitable experiments are nonetheless required to further improve the performance of ecosystem models and confirm the validity of these model predictions. This is crucial for a sound understanding of the mechanisms controlling the variability in asymmetric warming effects on ecosystem structure and functioning. PMID:25766381

  6. Patient-Centered Technological Assessment and Monitoring of Depression for Low-Income Patients

    PubMed Central

    Wu, Shinyi; Vidyanti, Irene; Liu, Pai; Hawkins, Caitlin; Ramirez, Magaly; Guterman, Jeffrey; Gross-Schulman, Sandra; Sklaroff, Laura Myerchin; Ell, Kathleen

    2014-01-01

    Depression is a significant challenge for ambulatory care because it worsens health status and outcomes, increases health care utilizations and costs, and elevates suicide risk. An automatic telephonic assessment (ATA) system that links with tasks and alerts to providers may improve quality of depression care and increase provider productivity. We used ATA system in a trial to assess and monitor depressive symptoms of 444 safety-net primary care patients with diabetes. We assessed system properties, evaluated preliminary clinical outcomes, and estimated cost savings. The ATA system is feasible, reliable, valid, safe, and likely cost-effective for depression screening and monitoring for low-income primary care population. PMID:24525531

  7. Inter-annual variability and spatial coherence of net primary productivity across a western Oregon Cascades landscape

    Treesearch

    Travis J. Woolley; Mark E. Harmon; Kari B. O’Connell

    2015-01-01

    Inter-annual variability (IAV) of forest Net Primary Productivity (NPP) is a function of both extrinsic (e.g., climate) and intrinsic (e.g., stand dynamics) drivers. As estimates of NPP in forests are scaled from trees to stands to the landscape, an understanding of the relative effects of these factors on spatial and temporal behavior of NPP is important. Although a...

  8. Net primary production and canopy nitrogen in a temperate forest landscape: an analysis using imaging spectroscopy, modeling and field data

    Treesearch

    Scott V. Ollinger; Marie-Louise Smith

    2005-01-01

    Understanding spatial patterns of net primary production (NPP) is central to the study of terrestrial ecosystems, but efforts are frequently hampered by a lack of spatial information regarding factors such as nitrogen availability and site history. Here, we examined the degree to which canopy nitrogen can serve as an indicator of patterns of NPP at the Bartlett...

  9. Improved estimates of net primary productivity from MODIS satellite data at regional and local scales

    Treesearch

    Yude Pan; Richard Birdsey; John Hom; Kevin McCullough; Kenneth Clark

    2006-01-01

    We compared estimates of net primary production (NPP) from the MODIS satellite with estimates from a forest ecosystem process model (PnET-CN) and forest inventory and analysis (FIA) data for forest types of the mid-Atlantic region of the United States. The regional means were similar for the three methods and for the dominant oak? hickory forests in the region. However...

  10. Community Level Offset of Rain Use- and Transpiration Efficiency for a Heavily Grazed Ecosystem in Inner Mongolia Grassland

    PubMed Central

    Gao, Ying Z.; Giese, Marcus; Gao, Qiang; Brueck, Holger; Sheng, Lian X.; Yang, Hai J.

    2013-01-01

    Water use efficiency (WUE) is a key indicator to assess ecosystem adaptation to water stress. Rain use efficiency (RUE) is usually used as a proxy for WUE due to lack of transpiration data. Furthermore, RUE based on aboveground primary productivity (RUEANPP) is used to evaluate whole plant water use because root production data is often missing as well. However, it is controversial as to whether RUE is a reliable parameter to elucidate transpiration efficiency (TE), and whether RUEANPP is a suitable proxy for RUE of the whole plant basis. The experiment was conducted at three differently managed sites in the Inner Mongolia steppe: a site fenced since 1979 (UG79), a winter grazing site (WG) and a heavily grazed site (HG). Site HG had consistent lowest RUEANPP and RUE based on total net primary productivity (RUENPP). RUEANPP is a relatively good proxy at sites UG79 and WG, but less reliable for site HG. Similarly, RUEANPP is good predictor of transpiration efficiency based on aboveground net primary productivity (TEANPP) at sites UG79 and WG but not for site HG. However, if total net primary productivity is considered, RUENPP is good predictor of transpiration efficiency based on total net primary productivity (TENPP) for all sites. Although our measurements indicate decreased plant transpiration and consequentially decreasing RUE under heavy grazing, productivity was relatively compensated for with a higher TE. This offset between RUE and TE was even enhanced under water limited conditions and more evident when belowground net primary productivity (BNNP) was included. These findings suggest that BNPP should be considered when studies fucus on WUE of more intensively used grasslands. The consideration of the whole plant perspective and “real” WUE would partially revise our picture of system performance and therefore might affect the discussion on the C-sequestration and resilience potential of ecosystems. PMID:24058632

  11. Community level offset of rain use- and transpiration efficiency for a heavily grazed ecosystem in inner Mongolia grassland.

    PubMed

    Gao, Ying Z; Giese, Marcus; Gao, Qiang; Brueck, Holger; Sheng, Lian X; Yang, Hai J

    2013-01-01

    Water use efficiency (WUE) is a key indicator to assess ecosystem adaptation to water stress. Rain use efficiency (RUE) is usually used as a proxy for WUE due to lack of transpiration data. Furthermore, RUE based on aboveground primary productivity (RUEANPP) is used to evaluate whole plant water use because root production data is often missing as well. However, it is controversial as to whether RUE is a reliable parameter to elucidate transpiration efficiency (TE), and whether RUEANPP is a suitable proxy for RUE of the whole plant basis. The experiment was conducted at three differently managed sites in the Inner Mongolia steppe: a site fenced since 1979 (UG79), a winter grazing site (WG) and a heavily grazed site (HG). Site HG had consistent lowest RUEANPP and RUE based on total net primary productivity (RUENPP). RUEANPP is a relatively good proxy at sites UG79 and WG, but less reliable for site HG. Similarly, RUEANPP is good predictor of transpiration efficiency based on aboveground net primary productivity (TEANPP) at sites UG79 and WG but not for site HG. However, if total net primary productivity is considered, RUENPP is good predictor of transpiration efficiency based on total net primary productivity (TENPP) for all sites. Although our measurements indicate decreased plant transpiration and consequentially decreasing RUE under heavy grazing, productivity was relatively compensated for with a higher TE. This offset between RUE and TE was even enhanced under water limited conditions and more evident when belowground net primary productivity (BNNP) was included. These findings suggest that BNPP should be considered when studies fucus on WUE of more intensively used grasslands. The consideration of the whole plant perspective and "real" WUE would partially revise our picture of system performance and therefore might affect the discussion on the C-sequestration and resilience potential of ecosystems.

  12. Soil nitrogen cycling under elevated CO2: a synthesis of forest FACE experiments

    Treesearch

    Donald R. Zak; William E. Holmes; Adrien C. Finzi; Richard J. Norby; William H. Schlesinger

    2003-01-01

    The extent to which greater net primary productivity (NPP) will be sustained as the atmospheric CO2 concentration increases will depend, in part, on the long-term supply of N for plant growth. Over a two-year period, we used common field and laboratory methods to quantify microbial N, gross N mineralization, microbial N immobilization, and...

  13. Fertilization effects on forest carbon storage and exchange, and net primary production: A new hybrid process model for stand management

    Treesearch

    D. A. Sampson; R. H. Waring; C. A. Maier; C. M. Gough; M. J. Ducey; K. H. Johnsen

    2006-01-01

    A critical ecological question in plantation management is whether fertilization, which generally increases yield, results in enhanced C sequestration over short rotations. We present a rotation-length hybrid process model (SECRETS-3PG) that was calibrated (using control treatments; CW) and verified (using fertilized treatments; FW) using daily estimates of H

  14. Fertilization effects on forest carbon storage and exchange, and net primary production: a new hybrid process model for stand management

    Treesearch

    D.A. Sampson; R.H. Waring; C.A. Maier; C.M. Gough; M.J. Ducey; K.H. Kohnsen

    2006-01-01

    A critical ecological question in plantation management is whether fertilization, which generally increases yield, results in enhanced C sequestration over short rotations. We present a rotation-length hybrid process model (SECRETS-3PG) that was calibrated (using control treatments; CW) and verified (using fertilized treatments; FW) using daily estimates of H

  15. Carbon budget of oligotrophic mires in the Southern Taiga of Western Siberia under anthropogenic impact

    NASA Astrophysics Data System (ADS)

    Golovatskaya, Eugenia; Dyukarev, Egor

    2010-05-01

    Role of peatlands in the global greenhouse gases budget is highly relevant. According to present estimates peatlands in undisturbed conditions act as a sink for the atmospheric carbon. Anthropogenic impact on peatlands (melioration, changes in land use, influence of underground water catchments) results in water table lowering, changing in vegetation cover, and degradation of peat deposit. Peatlands could provide a significant positive feedback for climate changes if warming and peatlands drying stimulates bulk soil organic matter decomposition which enhances CO2 release to the atmosphere. Western Siberian peatlands usually represented big bog massifs. Big peatlands have higher stability to external influence. Small peatlands have all signs of big bogs but react on changes in environmental variables more quickly. The present study is devoted to investigation of primary carbon fluxes (CO2 emission and net primary productivity) and carbon balance at oligotrophic bogs in native condition (key area "Bakchar") and under anthropogenic impact (key area "Ob'-Tom'"). The key area "Bakchar" is located between the Iksa and Bakchar rivers (56o58`N 82o36`E) at the Bakcharskoe bog (area 1400 km2). The key area "Ob'-Tom'"is located in the northern part of Ob' and Tom' interfluve (56o21`N 82o31`E). The "Bakchar" key area includes the following ecosystems: pine- shrub-sphagnum community, a similar community with stunted (low) pine trees, and sedge-sphagnum fen. Two small peatlands were studied at Ob' and Tom' interfluve. Kirsanovskoe bog includes pine- shrub-sphagnum community and sedge fen. Timiryazevskoe bog was represented by pine- shrub-sphagnum (TPSS) community and sedge fen. An infrared gas analyzer OPTOGAS 500.4 (OPTEC Corp., St.-Petersburg, Russia) attached to a static opaque plastic been used for carbon dioxide emission measurements. The net primary productivity was measured by clipping method (Golovatskaya and Dyukarev, Plant Soil 2009). Peatlands at "Ob'-Tom'" key area are under impact of water catchments for Tomsk city supply. Changes in deep waters results in changes of hydrological regime and environment transformations. Water level drawdown leads to increase of aerobic layer thickness, intensification of plant remains decomposition, peat layers compacting and rises of CO2 emission from the surface. Carbon dioxide emission from bogs of "Ob'-Tom'" key area is about two times higher than emission from pristine bogs ("Bakchar" key area). Aboveground net primary productivity determined without tree layer at all studied peatlands has similar values. Belowground net primary productivity at "Ob'-Tom'" key area if 4-7 times higher than at "Bakchar" key area depending on the ecosystem type. An essential increase in root density after water level depletion results in increase on total net productivity by 2.4 times. Carbon budget for pristine peatlands ("Bakchar" key area) varies from 27 (open fen) to 46 (low ryam) gC/m2/yr. Peatlands of "Ob'-Tom'" key area accumulates about 210 gC/m2/yr in average. Our observations of the elements of carbon exchange have shown that at present all studied peatlands act as carbon sinks. Long-term water table lowering at least at first stage stipulates carbon removing from the atmosphere and accumulation in a form of peat. Work was partially supported by Russian Fund of Basic Researches (08-05-00426/a, 08-05-92501).

  16. The impact of electronic health records on workflow and financial measures in primary care practices.

    PubMed

    Fleming, Neil S; Becker, Edmund R; Culler, Steven D; Cheng, Dunlei; McCorkle, Russell; da Graca, Briget; Ballard, David J

    2014-02-01

    To estimate a commercially available ambulatory electronic health record's (EHR's) impact on workflow and financial measures. Administrative, payroll, and billing data were collected for 26 primary care practices in a fee-for-service network that rolled out an EHR on a staggered schedule from June 2006 through December 2008. An interrupted time series design was used. Staffing, visit intensity, productivity, volume, practice expense, payments received, and net income data were collected monthly for 2004-2009. Changes were evaluated 1-6, 7-12, and >12 months postimplementation. Data were accessed through a SQLserver database, transformed into SAS®, and aggregated by practice. Practice-level data were divided by full-time physician equivalents for comparisons across practices by month. Staffing and practice expenses increased following EHR implementation (3 and 6 percent after 12 months). Productivity, volume, and net income decreased initially but recovered to/close to preimplementation levels after 12 months. Visit intensity did not change significantly, and a secular trend offset the decrease in payments received. Expenses increased and productivity decreased following EHR implementation, but not as much or as persistently as might be expected. Longer term effects still need to be examined. © Health Research and Educational Trust.

  17. Assessing the Spatiotemporal Variation and Impact Factors of Net Primary Productivity in China

    NASA Astrophysics Data System (ADS)

    Wang, Xue; Tan, Kun; Chen, Baozhang; Du, Peijun

    2017-03-01

    In this study, the net primary productivity (NPP) in China from 2001 to 2012 was estimated based on the Carnegie-Ames-Stanford Approach (CASA) model using Moderate Resolution Imaging Spectroradiometer (MODIS) and meteorological datasets, and the accuracy was verified by a ChinaFLUX dataset. It was found that the spatiotemporal variations in NPP present a downward trend with the increase of latitude and longitude. Moreover, the influence of climate change on the evolution of NPP shows that NPP has had different impact factors in different regions and periods over the 12 years. The eastern region has shown the largest increase in gross regional product (GRP) and a significant fluctuation in NPP over the 12 years. Meanwhile, NPP in the eastern and central regions is significantly positively correlated with annual solar radiation, while NPP in these two regions is significantly negatively correlated with the growth rate of GRP. It is concluded that both the development of the economy and climate change have influenced NPP evolution in China. In addition, NPP has shown a steadily rising trend over the 12 years as a result of the great importance attributed to ecological issues when developing the economy.

  18. Responses of Terrestrial Ecosystems’ Net Primary Productivity to Future Regional Climate Change in China

    PubMed Central

    Zhao, Dongsheng; Wu, Shaohong; Yin, Yunhe

    2013-01-01

    The impact of regional climate change on net primary productivity (NPP) is an important aspect in the study of ecosystems’ response to global climate change. China’s ecosystems are very sensitive to climate change owing to the influence of the East Asian monsoon. The Lund–Potsdam–Jena Dynamic Global Vegetation Model for China (LPJ-CN), a global dynamical vegetation model developed for China’s terrestrial ecosystems, was applied in this study to simulate the NPP changes affected by future climate change. As the LPJ-CN model is based on natural vegetation, the simulation in this study did not consider the influence of anthropogenic activities. Results suggest that future climate change would have adverse effects on natural ecosystems, with NPP tending to decrease in eastern China, particularly in the temperate and warm temperate regions. NPP would increase in western China, with a concentration in the Tibetan Plateau and the northwest arid regions. The increasing trend in NPP in western China and the decreasing trend in eastern China would be further enhanced by the warming climate. The spatial distribution of NPP, which declines from the southeast coast to the northwest inland, would have minimal variation under scenarios of climate change. PMID:23593325

  19. Responses of terrestrial ecosystems' net primary productivity to future regional climate change in China.

    PubMed

    Zhao, Dongsheng; Wu, Shaohong; Yin, Yunhe

    2013-01-01

    The impact of regional climate change on net primary productivity (NPP) is an important aspect in the study of ecosystems' response to global climate change. China's ecosystems are very sensitive to climate change owing to the influence of the East Asian monsoon. The Lund-Potsdam-Jena Dynamic Global Vegetation Model for China (LPJ-CN), a global dynamical vegetation model developed for China's terrestrial ecosystems, was applied in this study to simulate the NPP changes affected by future climate change. As the LPJ-CN model is based on natural vegetation, the simulation in this study did not consider the influence of anthropogenic activities. Results suggest that future climate change would have adverse effects on natural ecosystems, with NPP tending to decrease in eastern China, particularly in the temperate and warm temperate regions. NPP would increase in western China, with a concentration in the Tibetan Plateau and the northwest arid regions. The increasing trend in NPP in western China and the decreasing trend in eastern China would be further enhanced by the warming climate. The spatial distribution of NPP, which declines from the southeast coast to the northwest inland, would have minimal variation under scenarios of climate change.

  20. Increases in the flux of carbon belowground stimulate nitrogen uptake and sustain the long-term enhancement of forest productivity under elevated CO2

    Treesearch

    John E Drake; Anne Gallet-Budynek; Kirsten S Hofmockel; Emily S Bernhardt; Sharon A Billings; Robert B Jackson; Kurt S Johnsen; al. et.

    2011-01-01

    The earth’s future climate state is highly dependent upon changes in terrestrial C storage in response to rising concentrations of atmospheric CO2. Here we show that consistently enhanced rates of net primary production (NPP) are sustained by a C-cascade through the root-microbe-soil system; increases in the flux of C belowground under elevated CO2 stimulated microbial...

  1. Assessing the impact of the urbanization process on net primary productivity in China in 1989-2000.

    PubMed

    Tian, Guangjin; Qiao, Zhi

    2014-01-01

    Urban development affects the material circulation and energy flow of ecosystems, thereby affecting the Net Primary Productivity (NPP). The loss of NPP due to urban expansion was calculated integrating GLO-PEM with remote sensing and GIS techniques in China during the period of 1989-2000. Using urban expansion and the mean NPP for the different land use types in the fourteen regions, the total loss of NPP was calculated as 0.95 Tg C, which accounted for 0.03% of the national NPP of 1989. The total loss of NPP due to the transformation from cropland to urban land accounted for 91.93%, followed by forest (7.17%) and grassland (0.69%). However, the conversion from unused land, industrial and construction land, and water bodies to urban land resulted in an increase in the NPP. The regions locating in eastern China and middle China had large reductions in the total NPP due to urban expansion. Copyright © 2013 Elsevier Ltd. All rights reserved.

  2. Global spatial indexing of the human impact on Al, Cu, Fe, and Zn mobilization.

    PubMed

    Rauch, Jason N

    2010-08-01

    With increasing consumption of material by human activity, the extent of human influence relative to nature in the mobilization of metals and other elements on Earth continues to grow. Recognizing people as modern geomorphic agents, I produced global data layers at 1 degreesx1 degrees of human-mediated mass flows (coal combustion, biomass burning, and mining) and nature-mediated mass flows (net primary productivity, sea salt aerosol emission, and denudation to the oceans) for the industrial metals of aluminum, iron, copper, and zinc for the year 2000. The major mobilization processes are denudation (natural) and mining (anthropic), though net primary productivity for Zn and Cu and coal combustion for Al are nearly as significant. All flows are subsequently combined into an index representing human versus nature flow dominance. As the first maps of mobilization flows of metals widely used by modern technology, they reveal that approximately 1-5% (depending upon the metal) of Earth's land surface now has metal flow dominated by human activity.

  3. Energy implications of mechanical and mechanical–biological treatment compared to direct waste-to-energy

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Cimpan, Ciprian, E-mail: cic@kbm.sdu.dk; Wenzel, Henrik

    2013-07-15

    Highlights: • Compared systems achieve primary energy savings between 34 and 140 MJ{sub primary}/100 MJ{sub input} {sub waste.} • Savings magnitude is foremost determined by chosen primary energy and materials production. • Energy consumption and process losses can be upset by increased technology efficiency. • Material recovery accounts for significant shares of primary energy savings. • Direct waste-to-energy is highly efficient if cogeneration (CHP) is possible. - Abstract: Primary energy savings potential is used to compare five residual municipal solid waste treatment systems, including configurations with mechanical (MT) and mechanical–biological (MBT) pre-treatment, which produce waste-derived fuels (RDF and SRF), biogasmore » and/or recover additional materials for recycling, alongside a system based on conventional mass burn waste-to-energy and ash treatment. To examine the magnitude of potential savings we consider two energy efficiency levels (state-of-the-art and best available technology), the inclusion/exclusion of heat recovery (CHP vs. PP) and three different background end-use energy production systems (coal condensing electricity and natural gas heat, Nordic electricity mix and natural gas heat, and coal CHP energy quality allocation). The systems achieved net primary energy savings in a range between 34 and 140 MJ{sub primary}/100 MJ{sub input} {sub waste}, in the different scenario settings. The energy footprint of transportation needs, pre-treatment and reprocessing of recyclable materials was 3–9.5%, 1–18% and 1–8% respectively, relative to total energy savings. Mass combustion WtE achieved the highest savings in scenarios with CHP production, nonetheless, MBT-based systems had similarly high performance if SRF streams were co-combusted with coal. When RDF and SRF was only used in dedicated WtE plants, MBT-based systems totalled lower savings due to inherent system losses and additional energy costs. In scenarios without heat recovery, the biodrying MBS-based system achieved the highest savings, on the condition of SRF co-combustion. As a sensitivity scenario, alternative utilisation of SRF in cement kilns was modelled. It supported similar or higher net savings for all pre-treatment systems compared to mass combustion WtE, except when WtE CHP was possible in the first two background energy scenarios. Recovery of plastics for recycling before energy recovery increased net energy savings in most scenario variations, over those of full stream combustion. Sensitivity to assumptions regarding virgin plastic substitution was tested and was found to mostly favour plastic recovery.« less

  4. EFFECTS OF ELEVATED CO2 ON ROOT FUNCTION AND SOIL RESPIRATION IN A MOJAVE DESERT ECOSYSTEM

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Nowak, Robert S.

    2007-12-19

    Increases in atmospheric CO{sub 2} concentration during the last 250 years are unequivocal, and CO{sub 2} will continue to increase at least for the next several decades (Houghton et al. 2001, Keeling & Whorf 2002). Arid ecosystems are some of the most important biomes globally on a land surface area basis, are increasing in area at an alarming pace (Dregne 1991), and have a strong coupling with regional climate (Asner & Heidebrecht 2005). These water-limited ecosystems also are predicted to be the most sensitive to elevated CO{sub 2}, in part because they are stressful environments where plant responses to elevatedmore » CO{sub 2} may be amplified (Strain & Bazzaz 1983). Indeed, all C{sub 3} species examined at the Nevada Desert FACE Facility (NDFF) have shown increased A{sub net} under elevated CO{sub 2} (Ellsworth et al. 2004, Naumburg et al. 2003, Nowak et al. 2004). Furthermore, increased shoot growth for individual species under elevated CO{sub 2} was spectacular in a very wet year (Smith et al. 2000), although the response in low to average precipitation years has been smaller (Housman et al. 2006). Increases in perennial cover and biomass at the NDFF are consistent with long term trends in the Mojave Desert and elsewhere in the Southwest, indicating C sequestration in woody biomass (Potter et al. 2006). Elevated CO{sub 2} also increases belowground net primary production (BNPP), with average increases of 70%, 21%, and 11% for forests, bogs, and grasslands, respectively (Nowak et al. 2004). Although detailed studies of elevated CO{sub 2} responses for desert root systems were virtually non-existent prior to our research, we anticipated that C sequestration may occur by desert root systems for several reasons. First, desert ecosystems exhibit increases in net photosynthesis and primary production at elevated CO{sub 2}. If large quantities of root litter enter the ecosystem at a time when most decomposers are inactive, significant quantities of carbon may be stored belowground in relatively recalcitrant forms. Indeed, a model-based analysis predicted that the arid/semiarid southwestern bioclimatic region had one of the highest rates of net carbon storage in the United States over the past century (Schimel et al. 2000). Second, root systems of desert plants are often extensive (Foxx et al. 1984, Hartle et al. 2006) with relatively large proportions of roots deep in the soil (Schenk & Jackson 2002). Thus, an understanding of belowground processes in desert ecosystems provides information on the potential for terrestrial carbon sequestration in desert ecosystems.« less

  5. Net primary productivity, allocation pattern and carbon use efficiency in an apple orchard assessed by integrating eddy-covariance, biometric and continuous soil chamber measurements

    NASA Astrophysics Data System (ADS)

    Zanotelli, D.; Montagnani, L.; Manca, G.; Tagliavini, M.

    2012-10-01

    Carbon use efficiency (CUE) is a functional parameter that could possibly link the current increasingly accurate global estimates of gross primary production with those of net ecosystem exchange, for which global predictors are still unavailable. Nevertheless, CUE estimates are actually available for only a few ecosystem types, while information regarding agro-ecosystems is scarce, in spite of the simplified spatial structure of these ecosystems that facilitates studies on allocation patterns and temporal growth dynamics. We combined three largely deployed methods, eddy covariance, soil respiration and biometric measurements, to assess monthly values of CUE, net primary production (NPP) and allocation patterns in different plant organs in an apple orchard during a complete year (2010). We applied a~measurement protocol optimized for quantifying monthly values of carbon fluxes in this ecosystem type, which allows for a cross-check between estimates obtained from different methods. We also attributed NPP components to standing biomass increments, detritus cycle feeding and lateral exports. We found that in the apple orchard both net ecosystem production and gross primary production on yearly basis, 380 ± 30 g C m-2 and 1263 ± 189 g C m-2 respectively, were of a magnitude comparable to those of natural forests growing in similar climate conditions. The largest differences with respect to forests are in the allocation pattern and in the fate of produced biomass. The carbon sequestered from the atmosphere was largely allocated to production of fruits: 49% of annual NPP was taken away from the ecosystem through apple production. Organic material (leaves, fine root litter, pruned wood and early fruit falls) contributing to the detritus cycle was 46% of the NPP. Only 5% was attributable to standing biomass increment, while this NPP component is generally the largest in forests. The CUE, with an annual average of 0.71 ± 0.09, was higher than the previously suggested constant values of 0.47-0.50. Low nitrogen investment in fruits, the limited root-apparatus, and the optimal growth temperature and nutritional condition observed at the site are suggested to be explanatory variables for the high CUE observed.

  6. Role of primary sedimentation on plant-wide energy recovery and carbon footprint.

    PubMed

    Gori, Riccardo; Giaccherini, Francesca; Jiang, Lu-Man; Sobhani, Reza; Rosso, Diego

    2013-01-01

    The goal of this paper is to show the effect of primary sedimentation on the chemical oxygen demand (COD) and solids fractionation and consequently on the carbonaceous and energy footprints of wastewater treatment processes. Using a simple rational procedure for COD and solids fraction quantification, we quantify the effects of varying fractions on CO2 and CO2-equivalent mass flows, process energy demand and energy recovery. Then we analysed two treatment plants with similar biological nutrient removal processes in two different climatic regions and quantified the net benefit of gravity separation before biological treatment. In the cases analysed, primary settling increases the solid fraction of COD that is processed in anaerobic digestion, with an associated increase in biogas production and energy recovery, and a reduction in overall emissions of CO2 and CO2-equivalent from power importation.

  7. Partitioning of net carbon dioxide flux measured by automatic transparent chamber

    NASA Astrophysics Data System (ADS)

    Dyukarev, EA

    2018-03-01

    Mathematical model was developed for describing carbon dioxide fluxes at open sedge-sphagnum fen during growing season. The model was calibrated using the results of observations from automatic transparent chamber and it allows us to estimate autotrophic, heterotrophic and ecosystem respiration fluxes, gross and net primary vegetation production, and the net carbon balance.

  8. Career Guidance in India Based on O*NET and Cultural Variables

    ERIC Educational Resources Information Center

    Bhatnagar, Mohit

    2018-01-01

    The Occupational Information Network (O*NET) is the primary source of occupational information in the United States (US). In this study, I review O*NET's usage for career guidance in India and conceive a career intervention based on it. In an empirical evaluation adopting a posttest-only experimental design with post-graduate management students…

  9. A Vision for the Net Generation Media Center. Media Matters

    ERIC Educational Resources Information Center

    Johnson, Doug

    2005-01-01

    Many children today have never lived in a home without a computer. They are the "Net Generation," constantly "connected" by iPod, cell phone, keyboard, digital video camera, or game controller to various technologies. Recent studies have found that Net Genners see technology as "embedded in society," a primary means of connection with friends, and…

  10. The added value of 68Ga-DOTA-TATE-PET to contrast-enhanced CT for primary site detection in CUP of neuroendocrine origin.

    PubMed

    Kazmierczak, Philipp M; Rominger, Axel; Wenter, Vera; Spitzweg, Christine; Auernhammer, Christoph; Angele, Martin K; Rist, Carsten; Cyran, Clemens C

    2017-04-01

    To quantify the additional value of 68 Ga-DOTA-TATE PET/CT in comparison with contrast-enhanced CT alone for primary tumour detection in neuroendocrine cancer of unknown primary (CUP-NET). In total, 38 consecutive patients (27 men, 11 women; mean age 62 years) with histologically proven CUP-NET who underwent a contrast-enhanced 68 Ga-DOTA-TATE PET/CT scan for primary tumour detection and staging between 2010 and 2014 were included in this IRB-approved retrospective study. Two blinded readers independently analysed the contrast-enhanced CT and 68 Ga-DOTA-TATE PET datasets separately and noted from which modality they suspected a primary tumour. Consensus was reached if the results were divergent. Postoperative histopathology (24 patients) and follow-up 68 Ga-DOTA-TATE PET/CT imaging (14 patients) served as the reference standards and statistical measures of diagnostic accuracy were calculated accordingly. The majority of confirmed primary tumours were located in the abdomen (ileum in 19 patients, pancreas in 12, lung in 2, small pelvis in 1). High interobserver agreement was noted regarding the suspected primary tumour site (Cohen's k 0.90, p < 0.001). 68 Ga-DOTA-TATE PET demonstrated a significantly higher sensitivity (94 % vs. 63 %, p = 0.005) and a significantly higher accuracy (87 % vs. 68 %, p = 0.003) than contrast-enhanced CT. Ga-DOTA-TATE PET/CT compared with contrast-enhanced CT alone provides an improvement in sensitivity of 50 % and an improvement in accuracy of 30 % in primary tumour detection in CUP-NET. • 68 Ga-DOTA-TATE PET augments the sensitivity of contrast-enhanced CT by 50 % • 68 Ga-DOTA-TATE PET augments the accuracy of contrast-enhanced CT by 30 % • Somatostatin receptor-targeted hybrid imaging optimizes primary tumour detection in CUP-NET.

  11. Baseline and Projected Future Carbon Stocks and Fluxes in the Hawaiian Islands

    NASA Astrophysics Data System (ADS)

    Selmants, P. C.; Sleeter, B. M.; Giardina, C. P.; Zhu, Z.; Asner, G. P.

    2016-12-01

    Hawaii is characterized by steep climatic gradients and heterogeneous land cover within a small geographic area, presenting a model tropical system to capture ecosystem carbon dynamics across a wide range of climate, soil, and land use conditions. However, ecosystem carbon balance is poorly understood on a statewide level, and the potential for climate and land use change to affect carbon dynamics in Hawaii has not been formally assessed. We estimated current baseline and projected future ecosystem carbon stocks and fluxes on the seven main Hawaiian Islands using a combination of remote sensing, published plot-level data, and simulation modeling. Total ecosystem carbon storage during the baseline period was estimated at 258 TgC, with 70% stored as soil organic carbon, 25% as live biomass and 5% as surface detritus, and gross primary production was estimated at 20 TgC y-1. Net ecosystem carbon balance, which incorporated carbon losses from freshwater aquatic fluxes to nearshore waters and wildland fire emissions, was estimated as 0.34 TgC y-1 during the baseline period, offsetting 7% of anthropogenic emissions. We used a state and transition simulation model to estimate the response of ecosystem carbon stocks and fluxes to potential changes in climate, land use, and wildfire over a 50-year projection period (2012-2061). Total ecosystem carbon storage was projected to increase by 5% by the year 2061, but net ecosystem carbon balance was projected to decline by 35% due to climate change induced reductions in statewide net primary production and increased carbon losses from land use and land cover change. Our analysis indicates that the State of Hawaii would remain a net carbon sink overall, primarily because of ecosystem carbon sequestration on Hawaii Island, but predicted changes in climate and land use on Kauai and Oahu would convert these islands to net carbon sources. The Hawaii carbon assessment is part of a larger effort by the U.S. Geological Survey to assess the carbon sequestration potential of ecosystems across the United States and should provide valuable information for setting research and policy priorities for sustainable carbon management strategies aimed at offsetting anthropogenic carbon emissions.

  12. Outcomes of polio eradication activities in Uttar Pradesh, India: the Social Mobilization Network (SM Net) and Core Group Polio Project (CGPP)

    PubMed Central

    2011-01-01

    Background The primary strategy to interrupt transmission of wild poliovirus in India is to improve supplemental immunization activities and routine immunization coverage in priority districts with a focus on 107 high-risk blocks of western Uttar Pradesh and central Bihar. Villages or urban areas with a history of wild poliovirus transmission, or hard-to-reach or resistant populations are categorized as high-risk areas within blocks. The Social Mobilization Network (SM Net) was formed in Uttar Pradesh in 2003 to support polio eradication efforts through improved planning, implementation and monitoring of social mobilization activities in those high-risk areas. In this paper, we examine the vaccination outcomes in districts of SM Net where the CORE Group works. Methods We carried out a secondary data analysis of routine monitoring information collected by the SM Net and the Government of India. These data include information about vaccination outcomes in SM Net areas and non-SM Net areas within the districts where the CORE Group operates. Statistical analysis was used to compare, between SM Net and non-SM Net areas, vaccination outcomes considered sensitive to social mobilization efforts of the SM Net. We employed Generalized Estimating Equations (GEE) statistical method to account for Intra-cluster Correlation (ICC), and used 'Quasi-likelihood under the independence model criterion (QIC)' as the model selection method. Results Vaccination outcomes in SM Net areas were as high as or higher than in non-SM Net areas. There was considerable variation in vaccination outcomes between districts. Conclusions While not conclusive, the results suggest that the social mobilization efforts of the SM Net and the CORE Group are helping to increase vaccination levels in high-risk areas of Uttar Pradesh. Vaccination outcomes in CORE Group areas were equal or higher than in non-CORE, non-SM Net areas. This occurred even though SM Net areas are those with more community resistance to polio vaccination and/or are have harder-to-reach populations than non-SM Net areas. Other likely explanations for the relatively good vaccination performance in SM Net areas are not apparent. PMID:21569256

  13. Financial implications of ventral hernia repair: a hospital cost analysis.

    PubMed

    Reynolds, Drew; Davenport, Daniel L; Korosec, Ryan L; Roth, J Scott

    2013-01-01

    Complicated ventral hernias are often referred to tertiary care centers. Hospital costs associated with these repairs include direct costs (mesh materials, supplies, and nonsurgeon labor costs) and indirect costs (facility fees, equipment depreciation, and unallocated labor). Operative supplies represent a significant component of direct costs, especially in an era of proprietary synthetic meshes and biologic grafts. We aim to evaluate the cost-effectiveness of complex abdominal wall hernia repair at a tertiary care referral facility. Cost data on all consecutive open ventral hernia repairs (CPT codes 49560, 49561, 49565, and 49566) performed between 1 July 2008 and 31 May 2011 were analyzed. Cases were analyzed based upon hospital status (inpatient vs. outpatient) and whether the hernia repair was a primary or secondary procedure. We examined median net revenue, direct costs, contribution margin, indirect costs, and net profit/loss. Among primary hernia repairs, cost data were further analyzed based upon mesh utilization (no mesh, synthetic, or biologic). Four-hundred and fifteen patients underwent ventral hernia repair (353 inpatients and 62 outpatients); 173 inpatients underwent ventral hernia repair as the primary procedure; 180 inpatients underwent hernia repair as a secondary procedure. Median net revenue ($17,310 vs. 10,360, p < 0.001) and net losses (3,430 vs. 1,700, p < 0.025) were significantly greater for those who underwent hernia repair as a secondary procedure. Among inpatients undergoing ventral hernia repair as the primary procedure, 46 were repaired without mesh; 79 were repaired with synthetic mesh and 48 with biologic mesh. Median direct costs for cases performed without mesh were $5,432; median direct costs for those using synthetic and biologic mesh were $7,590 and 16,970, respectively (p < .01). Median net losses for repairs without mesh were $500. Median net profit of $60 was observed for synthetic mesh-based repairs. The median contribution margin for cases utilizing biologic mesh was -$4,560, and the median net financial loss was $8,370. Outpatient ventral hernia repairs, with and without synthetic mesh, resulted in median net losses of $1,560 and 230, respectively. Ventral hernia repair is associated with overall financial losses. Inpatient synthetic mesh repairs are essentially budget neutral. Outpatient and inpatient repairs without mesh result in net financial losses. Inpatient biologic mesh repairs result in a negative contribution margin and striking net financial losses. Cost-effective strategies for managing ventral hernias in a tertiary care environment need to be developed in light of the financial implications of this patient population.

  14. Long-term soil warming and Carbon Cycle Feedbacks to the Climate System

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Melillo, Jerry M.

    2014-04-30

    The primary objective of the proposed research was to quantify and explain the effects of a sustained in situ 5oC soil temperature increase on net carbon (C) storage in a northeastern deciduous forest ecosystem. The research was done at an established soil warming experiment at the Harvard Forest in central Massachusetts – Barre Woods site established in 2001. In the field, a series of plant and soil measurements were made to quantify changes in C storage in the ecosystem and to provide insights into the possible relationships between C-storage changes and nitrogen (N) cycling changes in the warmed plots. Fieldmore » measurements included: 1) annual woody increment; 2) litterfall; 3) carbon dioxide (CO2) efflux from the soil surface; 4) root biomass and respiration; 5) microbial biomass; and 6) net N mineralization and net nitrification rates. This research was designed to increase our understanding of how global warming will affect the capacity of temperate forest ecosystems to store C. The work explored how soil warming changes the interactions between the C and N cycles, and how these changes affect land-atmosphere feedbacks. This core research question framed the project – What are the effects of a sustained in situ 5oC soil temperature increase on net carbon (C) storage in a northeastern deciduous forest ecosystem? A second critical question was addressed in this research – What are the effects of a sustained in situ 5{degrees}C soil temperature increase on nitrogen (N) cycling in a northeastern deciduous forest ecosystem?« less

  15. Predicted effect of landscape position on wildlife habitat value of Conservation Reserve Enhancement Program wetlands in a tile-drained agricultural region

    USGS Publications Warehouse

    Otis, David L.; Crumpton, William R.; Green, David; Loan-Wilsey, Anna; Cooper, Tom; Johnson, Rex R.

    2013-01-01

    Justification for investment in restored or constructed wetland projects are often based on presumed net increases in ecosystem services. However, quantitative assessment of performance metrics is often difficult and restricted to a single objective. More comprehensive performance assessments could help inform decision-makers about trade-offs in services provided by alternative restoration program design attributes. The primary goal of the Iowa Conservation Reserve Enhancement Program is to establish wetlands that efficiently remove nitrates from tile-drained agricultural landscapes. A secondary objective is provision of wildlife habitat. We used existing wildlife habitat models to compare relative net change in potential wildlife habitat value for four alternative landscape positions of wetlands within the watershed. Predicted species richness and habitat value for birds, mammals, amphibians, and reptiles generally increased as the wetland position moved lower in the watershed. However, predicted average net increase between pre- and post-project value was dependent on taxonomic group. The increased average wetland area and changes in surrounding upland habitat composition among landscape positions were responsible for these differences. Net change in predicted densities of several grassland bird species at the four landscape positions was variable and species-dependent. Predicted waterfowl breeding activity was greater for lower drainage position wetlands. Although our models are simplistic and provide only a predictive index of potential habitat value, we believe such assessment exercises can provide a tool for coarse-level comparisons of alternative proposed project attributes and a basis for constructing informed hypotheses in auxiliary empirical field studies.

  16. Transforming primary care in the New Orleans safety-net: the patient experience.

    PubMed

    Schmidt, Laura A; Rittenhouse, Diane R; Wu, Kevin J; Wiley, James A

    2013-02-01

    The patient-centered medical home (PCMH) is a key service delivery innovation in health reform. However, there are growing questions about whether the changes in clinics promoted by the PCMH model lead to improvements in the patient experience. To test the hypothesis that PCMH improvements in safety-net primary care clinics are associated with a more positive patient experience. Multilevel cross-sectional analysis of patients nested within the primary care clinics that serve them. Primary care clinic leaders and patients throughout the City of New Orleans health care safety-net. Dependent variables included patient ratings of accessibility, coordination, and confidence in the quality/safety of care. The key independent variable was a score measuring PCMH structural and process improvements at the clinic level. Approximately two thirds of patients in New Orleans gave positive ratings to their clinics on access and quality/safety, but only one third did for care coordination. In all but the largest clinics, patient experiences of care coordination were positively associated with the clinic's use of PCMH structural and process changes. Results for patient ratings of access and quality/safety were mixed. Among primary care clinics in the New Orleans safety-net, use of more PCMH improvements at the clinic level led to more positive patient rating of care coordination, but not of accessibility or confidence in quality/safety. Ongoing efforts to pilot, demonstrate, implement, and evaluate the PCMH should consider how the impact of medical practice transformation could vary across different aspects of the patient experience.

  17. Shared decision making in the safety net: where do we go from here?

    PubMed

    Bouma, Angelique B; Tiedje, Kristina; Poplau, Sara; Boehm, Deborah H; Shah, Nilay D; Commers, Matthew J; Linzer, Mark; Montori, Victor M

    2014-01-01

    Shared decision making (SDM) is an interactive process between clinicians and patients in which both share information, deliberate together, and make clinical decisions. Clinics serving safety net patients face special challenges, including fewer resources and more challenging work environments. The use of SDM within safety net institutions has not been well studied. We recruited a convenience sample of 15 safety net primary care clinicians (13 physicians, 2 nurse practitioners). Each answered a 9-item SDM questionnaire and participated in a semistructured interview. From the transcribed interviews and questionnaire data, we identified themes and suggestions for introducing SDM into a safety net environment. Clinicians reported only partially fulfilling the central components of SDM (sharing information, deliberating, and decision making). Most clinicians expressed interest in SDM by stating that they "selected a treatment option together" with patients (8 of 15 in strong or complete agreement), but only a minority (3 of 15) "thoroughly weighed the different treatment options" together with patients. Clinicians attributed this gap to many barriers, including time pressure, overwhelming visit content, patient preferences, and lack of available resources. All clinicians believed that lack of time made it difficult to practice SDM. To increase use of SDM in the safety net, efficient SDM interventions designed for this environment, team care, and patient engagement in SDM will need further development. Future studies should focus on adapting SDM to safety net settings and determine whether SDM can reduce health care disparities.

  18. Cyber Defence in the Armed Forces of the Czech Republic

    DTIC Science & Technology

    2010-11-01

    undesirable action backward discovery. This solution is based on special tools using NetFlow protocol. Active network elements or specialized hardware...probes attached to the backbone network using a tap can be the sources of NetFlow data. The principal advantage of NetFlow protocol is the fact that it...provides primary data in the open form, which can be easily utilized in the subsequent operations. The FlowMon Probe 4000 is mostly used NetFlow

  19. Model estimates of net primary productivity, evaportranspiration, and water use efficiency in the terrestrial ecosystems of the southern United States

    Treesearch

    Hanqin Tian; Guangsheng Chen; Mingliang Liu; Chi Zhang; Ge Sun; Chaoqun Lu; Xiaofeng Xu; Wei Ren; Shufen Pan; Arthur Chappelka

    2010-01-01

    The effects of global change on ecosystem productivity and water resources in the southern United States (SUS), a traditionally ‘water-rich’ region and the ‘timber basket’ of the country, are not well quantified. We carried out several simulation experiments to quantify ecosystem net primary productivity (NPP), evapotranspiration (ET)...

  20. 21st century tundra shrubification could enhance net carbon uptake of North America Arctic tundra under an RCP8.5 climate trajectory

    NASA Astrophysics Data System (ADS)

    Mekonnen, Zelalem A.; Riley, William J.; Grant, Robert F.

    2018-05-01

    Recent observed shifts in Arctic tundra shrub cover have uncertain impacts on 21st century net ecosystem carbon exchanges. Here we applied a well-tested ecosystem model, ecosys, to examine the effects of North America Arctic tundra plant dynamics on ecosystem carbon balances from 1980–2100 under the RCP8.5 scenario. Tundra productivity was modeled to increase from enhanced carbon fixation and N mineralization under recent and future climates. Between 1982 and 2100 and averaged across the region, predicted increases in relative dominance of woody versus non-woody plants increased ecosystem annual net primary productivity by 244 g C m‑2 that offset concurrent increases in annual heterotrophic respiration (139 g C m‑2), resulting in an increasing net carbon sink over the 21st century. However, smaller increases in seasonal carbon uptake during winter (1 g C m‑2) and autumn (22 g C m‑2) and greater increases in ecosystem respiration (winter (23 g C m‑2) and autumn (47 g C m‑2)) by 2100 versus 1982 resulted in larger carbon losses during these seasons that completely offset the gains in spring (13 g C m‑2) and 25% of the gains in summer (140 g C m‑2). Modeled soil temperatures were predicted to increase more slowly than air temperatures (~0.6 °C for every 1 °C increase in air temperature over the 21st century). This slower soil versus air warming, and thus greater increases in CO2 fixation versus soil respiration rates, also contributed to the tundra remaining a carbon sink through 2100. However, these higher gains versus losses of carbon may be a transient response and not sustainable under further soil warming beyond 2100. Our modeling analysis allows us to extend beyond results from short-term warming experiments, which cannot characterize effects associated with decadal-scale changes in plant communities.

  1. The axon guidance molecule semaphorin 3F is a negative regulator of tumor progression and proliferation in ileal neuroendocrine tumors

    PubMed Central

    Vercherat, Cécile; Blanc, Martine; Lepinasse, Florian; Gadot, Nicolas; Couderc, Christophe; Poncet, Gilles; Walter, Thomas; Joly, Marie-Odile; Hervieu, Valérie; Scoazec, Jean-Yves; Roche, Colette

    2015-01-01

    Gastro-intestinal neuroendocrine tumors (GI-NETs) are rare neoplasms, frequently metastatic, raising difficult clinical and therapeutic challenges due to a poor knowledge of their biology. As neuroendocrine cells express both epithelial and neural cell markers, we studied the possible involvement in GI-NETs of axon guidance molecules, which have been shown to decrease tumor cell proliferation and metastatic dissemination in several tumor types. We focused on the role of Semaphorin 3F (SEMA3F) in ileal NETs, one of the most frequent subtypes of GI-NETs. SEMA3F expression was detected in normal neuroendocrine cells but was lost in most of human primary tumors and all their metastases. SEMA3F loss of expression was associated with promoter gene methylation. After increasing endogenous SEMA3F levels through stable transfection, enteroendocrine cell lines STC-1 and GluTag showed a reduced proliferation rate in vitro. In two different xenograft mouse models, SEMA3F-overexpressing cells exhibited a reduced ability to form tumors and a hampered liver dissemination potential in vivo. This resulted, at least in part, from the inhibition of mTOR and MAPK signaling pathways. This study demonstrates an anti-tumoral role of SEMA3F in ileal NETs. We thus suggest that SEMA3F and/or its cellular signaling pathway could represent a target for ileal NET therapy. PMID:26447612

  2. Quantifying the role of fire in the Earth system - Part 2: Impact on the net carbon balance of global terrestrial ecosystems for the 20th century

    NASA Astrophysics Data System (ADS)

    Li, F.; Bond-Lamberty, B.; Levis, S.

    2014-03-01

    Fire is the primary form of terrestrial ecosystem disturbance on a global scale. It affects the net carbon balance of terrestrial ecosystems by emitting carbon directly and immediately into the atmosphere from biomass burning (the fire direct effect), and by changing net ecosystem productivity and land-use carbon loss in post-fire regions due to biomass burning and fire-induced vegetation mortality (the fire indirect effect). Here, we provide the first quantitative assessment of the impact of fire on the net carbon balance of global terrestrial ecosystems during the 20th century, and investigate the roles of fire's direct and indirect effects. This is done by quantifying the difference between the 20th century fire-on and fire-off simulations with the NCAR Community Land Model CLM4.5 (prescribed vegetation cover and uncoupled from the atmospheric model) as a model platform. Results show that fire decreases the net carbon gain of global terrestrial ecosystems by 1.0 Pg C yr-1 averaged across the 20th century, as a result of the fire direct effect (1.9 Pg C yr-1) partly offset by the indirect effect (-0.9 Pg C yr-1). Post-fire regions generally experience decreased carbon gains, which is significant over tropical savannas and some North American and East Asian forests. This decrease is due to the direct effect usually exceeding the indirect effect, while they have similar spatial patterns and opposite sign. The effect of fire on the net carbon balance significantly declines until ∼1970 with a trend of 8 Tg C yr-1 due to an increasing indirect effect, and increases subsequently with a trend of 18 Tg C yr-1 due to an increasing direct effect. These results help constrain the global-scale dynamics of fire and the terrestrial carbon cycle.

  3. Shifting the Arctic Carbon Balance: Effects of a Long-Term Fertilization Experiment and Anomalously Warm Temperatures on Net Ecosystem Exchange in the Alaskan Tundra

    NASA Astrophysics Data System (ADS)

    Ludwig, S.; Natali, S.; Rastetter, E. B.; Shaver, G. R.; Graham, L. M.; Jastrow, J. D.

    2017-12-01

    The arctic is warming at an accelerated rate relative to the globe. Among the predicted consequences of warming temperatures in the arctic are increased gross primary productivity (GPP), ecosystem respiration (ER), and nutrient availability. The net effect of these changes on the carbon (C) cycle and resulting C balance and feedback to climate change remain unclear. Historically the Arctic has been a C sink, but evidence from recent years suggests some regions in the Arctic are becoming C sources. To predict the role of the Arctic in global C cycling, the mechanisms affecting arctic C balances need to be better resolved. We measured net ecosystem exchange (NEE) in a long-term, multi-level, fertilization experiment at Toolik Lake, AK during an anomalously warm summer. We modeled NEE, ER, and GPP using a Bayesian network model. The best-fit model included Q10 temperature functions and linear fertilization functions for both ER and GPP. ER was more strongly affected by temperature and GPP was driven more by fertilization level. As a result, fertilization increased the C sink capacity, but only at moderate and low temperatures. At high temperatures (>28 °C) the NEE modeled for the highest level of fertilization was not significantly different from zero. In contrast, at ambient nutrient levels modeled NEE was significantly below zero (net uptake) until 35 °C, when it becomes neutral. Regardless of the level of fertilization, NEE never decreased with warming. Temperature in low ranges (5-15°C) had no net effect on NEE, whereas NEE began to increase exponentially with temperature after a threshold of 15°C until becoming a net source to the atmosphere at 37°C. Our results indicate that the C sink strength of tundra ecosystems can be increased with small increases in nutrient availability, but that large increase in nutrient availability can switch tundra ecosystems into C sources under warm conditions. Warming temperatures in tundra ecosystems will only decrease C sink strength, and the continued increase in days with anomalously high summer temperatures could lead to the Arctic tundra becoming a source of C and a positive feed back to climate change.

  4. Public housing relocations in Atlanta, Georgia, and declines in spatial access to safety net primary care

    PubMed Central

    Cooper, Hannah LF; Wodarski, Stephanie; Cummings, Janet; Hunter-Jones, Josalin; Karnes, Conny; Ross, Zev; Druss, Ben; Bonney, Loida E

    2012-01-01

    This analysis investigates changes in spatial access to safety-net primary care in a sample of US public housing residents relocating via the HOPE VI initiative from public housing complexes to voucher-subsidized rental units; substance misusers were oversampled. We used gravity-based models to measure spatial access to care, and used mixed models to assess pre-/post-relocation changes in access. Half the sample experienced declines in spatial access of ≥79.83%; declines did not vary by substance misuse status. Results suggest that future public housing relocation initiatives should partner with relocaters, particularly those in poor health, to help them find housing near safety-net clinics. PMID:23060002

  5. Collaborative depression care among Latino patients in diabetes disease management, Los Angeles, 2011-2013.

    PubMed

    Wu, Brian; Jin, Haomiao; Vidyanti, Irene; Lee, Pey-Jiuan; Ell, Kathleen; Wu, Shinyi

    2014-08-28

    The prevalence of comorbid diabetes and depression is high, especially in low-income Hispanic or Latino patients. The complex mix of factors in safety-net care systems impedes the adoption of evidence-based collaborative depression care and results in persistent disparities in depression outcomes. The Diabetes-Depression Care-Management Adoption Trial examined whether the collaborative depression care model is an effective approach in safety-net clinics to improve clinical care outcomes of depression and diabetes. A sample of 964 patients with diabetes from 5 safety-net clinics were enrolled in a quasi-experimental study that included 2 arms: usual care, in which primary medical providers and staff translated and adopted evidence-based depression care; and supportive care, in which providers of a disease management program delivered protocol-driven depression care. Because the study design established individual treatment centers as separate arms, we calculated propensity scores that interpreted the probability of treatment assignment conditional on observed baseline characteristics. Primary outcomes were 5 depression care outcomes and 7 diabetes care measures. Regression models with propensity score covariate adjustment were applied to analyze 6-month outcomes. Compared with usual care, supportive care significantly decreased Patient Health Questionnaire-9 scores, reduced the number of patients with moderate or severe depression, improved depression remission, increased satisfaction in care for patients with emotional problems, and significantly reduced functional impairment. Implementing collaborative depression care in a diabetes disease management program is a scalable approach to improve depression outcomes and patient care satisfaction among patients with diabetes in a safety-net care system.

  6. Collaborative Depression Care Among Latino Patients in Diabetes Disease Management, Los Angeles, 2011–2013

    PubMed Central

    Wu, Brian; Jin, Haomiao; Vidyanti, Irene; Lee, Pey-Jiuan; Ell, Kathleen

    2014-01-01

    Introduction The prevalence of comorbid diabetes and depression is high, especially in low-income Hispanic or Latino patients. The complex mix of factors in safety-net care systems impedes the adoption of evidence-based collaborative depression care and results in persistent disparities in depression outcomes. The Diabetes–Depression Care-Management Adoption Trial examined whether the collaborative depression care model is an effective approach in safety-net clinics to improve clinical care outcomes of depression and diabetes. Methods A sample of 964 patients with diabetes from 5 safety-net clinics were enrolled in a quasi-experimental study that included 2 arms: usual care, in which primary medical providers and staff translated and adopted evidence-based depression care; and supportive care, in which providers of a disease management program delivered protocol-driven depression care. Because the study design established individual treatment centers as separate arms, we calculated propensity scores that interpreted the probability of treatment assignment conditional on observed baseline characteristics. Primary outcomes were 5 depression care outcomes and 7 diabetes care measures. Regression models with propensity score covariate adjustment were applied to analyze 6-month outcomes. Results Compared with usual care, supportive care significantly decreased Patient Health Questionnaire-9 scores, reduced the number of patients with moderate or severe depression, improved depression remission, increased satisfaction in care for patients with emotional problems, and significantly reduced functional impairment. Conclusion Implementing collaborative depression care in a diabetes disease management program is a scalable approach to improve depression outcomes and patient care satisfaction among patients with diabetes in a safety-net care system. PMID:25167093

  7. Quality of Anticoagulation Control in Preventing Adverse Events in Heart Failure Patients in Sinus Rhythm: A Warfarin Aspirin Reduced Cardiac Ejection Fraction Trial (WARCEF) Substudy

    PubMed Central

    Homma, Shunichi; Thompson, John L.P.; Qian, Min; Ye, Siqin; Di Tullio, Marco R.; Lip, Gregory Y.H.; Mann, Douglas L.; Sacco, Ralph L.; Levin, Bruce; Pullicino, Patrick M.; Freudenberger, Ronald S.; Teerlink, John R.; Graham, Susan; Mohr, J.P.; Labovitz, Arthur J.; Buchsbaum, Richard; Estol, Conrado J.; Lok, Dirk J.; Ponikowski, Piotr; Anker, Stefan D.

    2015-01-01

    Background The aim of this study is to examine the relationship between time in therapeutic range (TTR) and clinical outcomes in heart failure (HF) patients in sinus rhythm (SR) treated with warfarin. Methods and Results We used data from the Warfarin vs. Aspirin in Reduced Cardiac Ejection Fraction Trial (WARCEF) to assess the relationship of TTR with the WARCEF primary outcome (ischemic stroke, intracerebral hemorrhage, or death); with death alone; ischemic stroke alone; major hemorrhage alone; and net clinical benefit (primary outcome and major hemorrhage combined). Multivariable Cox models were used to examine how the event risk changed with TTR and to compare the high TTR, low TTR, and aspirin patients, with TTR being treated as a time-dependent covariate. 2,217 patients were included in the analyses, among whom 1,067 were randomized to warfarin and 1,150 were randomized to aspirin. The median (IQR) follow-up duration was 3.6 (2.0–5.0) years. Mean (±SD) age was 61±11.3 years, with 80% being men. The mean (±SD) TTR was 57% (±28.5%). Increasing TTR was significantly associated with reduction in primary outcome (adjusted p<0.001), death alone (adjusted p=0.001), and improved net clinical benefit (adjusted p<0.001). A similar trend was observed for the other two outcomes but significance was not reached (adjusted p=0.082 for ischemic stroke, adjusted p=0.109 for major hemorrhage). Conclusions In HF patients in SR, increasing TTR is associated with better outcome and improved net clinical benefit. Patients in whom good quality anticoagulation can be achieved may benefit from the use of anticoagulants. Clinical Trial Registration URL: http://www.clinicaltrials.gov. Unique identifier: NCT00041938. PMID:25850425

  8. Investigating the Contribution of Climate Variables to Estimates of Net Primary Productivity in a Tropical Ecosystem in India

    NASA Astrophysics Data System (ADS)

    Tripathi, P.; Behera, M. D.; Behera, S. K.; Sahu, N.

    2016-12-01

    Investigating the impact of climate variables on net primary productivity is crucial to evaluate the ecosystem health and the status of forest type response to climate change. The objective of this paper is (1) to analyze the spatio-temporal pattern of net primary productivity (NPP) in a tropical forest ecosystem situated along the Himalayan foothills in India and (2) to investigate the continuous and delayed effects of climatic variables. Weapplied simple Monteith equation based Light use efficiency model for two dominant plant functional types; sal (Shorea robusta) forest and teak (Tectona grandis) plantation to estimate the NPP for a decadal period from 2001 to 2010. The impact of climate variables on NPP for these 10 years was seen by applying two correlation analyses; generalized linear modelling (GLM) and time lag correlation approach.The impact of different climate variables was observed to vary throughout the study period.A decline in mean NPP during 2002-2003, 2005 and 2008 to 2010 could be attributed to drought, increased vapour pressure deficit, and decreased humidity and solar radiation. In time lag correlation analysis, precipitation and humidity were observed to be the major variables affecting NPP; whereas combination of temperature, humidity and VPD showed dominant effect on NPP in GLM. Shorea robusta forest showed slightly higher NPP than that of Tectona grandis plantation throughout the study period. Highest decrease in NPP was observed during 2010,pertaining to lower solar radiation, humidity and precipitation along with increased VPD.Higher gains in NPP by sal during all years indicates their better adaptability to climate compared to teak. Contribution of different climatic variables through some link process is revealed in statistical analysis clearly indicates the co-dominance of all the variables in explaining NPP. Lacking of site specific meteorological observations and microclimate put constraint on broad level analyses.

  9. Metabolism of a nitrogen-enriched coastal marine lagoon during the summertime

    USGS Publications Warehouse

    Howarth, Robert W.; Hayn, Melanie; Marino, Roxanne M.; Ganju, Neil; Foreman, Kenneth H.; McGlathery, Karen; Giblin, Anne E.; Berg, Peter; Walker, Jeffrey D.

    2014-01-01

    We measured metabolism rates in a shallow, nitrogen-enriched coastal marine ecosystem on Cape Cod (MA, USA) during seven summers using an open-water diel oxygen method. We compared two basins, one directly receiving most of the nitrogen (N) load (“Snug Harbor”) and another further removed from the N load and better flushed (“Outer Harbor”). Both dissolved oxygen and pH varied greatly over the day, increasing in daylight and decreasing at night. The more N-enriched basin frequently went hypoxic during the night, and the pH in both basins was low (compared to standard seawater) when the oxygen levels were low, due to elevated carbon dioxide. Day-to-day variation in gross primary production (GPP) was high and linked in part to variation in light. Whole-ecosystem respiration tended to track this short-term variation in GPP, suggesting that respiration by the primary producers often dominated whole-system respiration. GPP was higher in the more N-loaded Snug Harbor. Seagrasses covered over 60 % of the area of the better-flushed, Outer Harbor throughout our study and were the major contributors to GPP there. Seagrasses covered 20 % of the area in Snug Harbor for the first 5 years of our study, and their contribution to GPP was relatively small. The seagrasses in Snug Harbor died off completely in the 6th year, but GPP remained high then and in the subsequent year. Overall, rates of phytoplankton GPP were relatively low, suggesting that benthic micro- and macro-algae may be the dominant primary producers in Snug Harbor in most years. Net ecosystem production in both Snug Harbor and the Outer Harbor was variable from year to year, showing net heterotrophy in some years and net autotrophy in others, with a trend towards increasing autotrophy over the 7 years reported here.

  10. Decadal-Scale Reduction in Forest Net Ecosystem Production Following Insect Defoliation Contrasts with Short-Term Impacts of Prescribed Fires

    Treesearch

    Kenneth L. Clark; Heidi J. Renninger; Nicholas Skowronski; Michael Gallagher; Karina V.R.  Schäfer

    2018-01-01

    Understanding processes underlying forest carbon dynamics is essential for accurately predicting the outcomes of non-stand-replacing disturbance in intermediate-age forests. We quantified net ecosystem production (NEP), aboveground net primary production (ANPP), and the dynamics of major carbon (C) pools before and during the decade following invasive insect...

  11. Nitrogen Cycling throughout Secondary Succession following Agricultural Disturbance in North-Central Virginia

    NASA Astrophysics Data System (ADS)

    Parisien, A.; Epstein, H. E.

    2017-12-01

    While much is known about the carbon cycle during succession that follows agricultural disturbance, less understood are the dynamics of the nitrogen cycle throughout secondary succession, and how plant-available nitrogen may or may not limit vegetation transitions and net primary productivity over time. Two chronosequences at the Blandy Experimental Farm in Boyce, north-central Virginia were examined to elucidate the complexities of the nitrogen cycle over a temporal successional gradient. Each chronosequence consists of one early, one mid, and one late secondary successional field ( 15 years, 30 years, and 100 years post agricultural abandonment, respectively). Five 10x10 m plots were established in each of the 6 fields for a total of 30 plots. Total soil nitrogen (and carbon) data were collected from soils to 30 cm depth at 10-cm intervals, and net nitrogen mineralization and nitrification were estimated using an in situ soil core with anion-cation exchange resin bag technique. Previous studies of carbon cycling at this location have indicated relatively constant soil CO2 efflux of approximately 1100 g C/m2, as well as increasing net primary production and therefore net ecosystem production, with time since abandonment. In addition, soil C and N, and the soil C:N ratio have been shown to increase from the early to late successional plots. Our current study marks the first comprehensive examination of soil nitrogen dynamics including mineralization and nitrification over a successional gradient at Blandy Farm. A thorough understanding of nitrogen dynamics during secondary succession is especially important in the southeastern United States, where a large portion of previously cultivated land has been abandoned over the past century, due to advances in farming efficiency and the move westward to more fertile soils. Much of the southeastern U.S. is now undergoing secondary succession, and quality data on the dynamics of nitrogen cycling during this procession can help guide future land management decisions and carbon cycling predictions.

  12. Secondary succession: Composition of the vegetation and primary production in the field-to-forest at Brookhaven, Long Island, N.Y.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Woodwell,G.M.; Holt, B. R.; Flaccus, E.

    1973-08-23

    Natural communities respond to disruption through a series of changes in plant and animal communities that are broadly predictable. The field-to-forest sere of central Long Island follows the pattern set forth earlier for the Piedmont of North Carolina and for New Jersey. The communities of herbs that occur in the years immediately after abandonment are followed by an Andropogon stage which is replaced before the 20th year by pine forest. The pine is replaced in the next 25 years by oak-pine, which in the normal Course is followed by oak-hickory. With repeated burning the oak-pine stage in various combinations ofmore » oaks and pine may be maintained indefinitely. Diversity, measured as number of species per unit land area, increased in this sere through the 3-5th years after abandonment to a maximum, dropped, and rose again in the later forest stages. Exotics were a conspicuous part of the communities of the earlier stages but their importance diminished as succession progressed and their contribution to net production was zero beyond the 20th year. The removal of exotics would probably not have changed the pattern of diversity appreciably. Net primary production increased with succession in this sere with major changes occurring as life-forms of the dominants shifted to woody plants. The peak net production was in the most mature forest, about 1200 g/m{sup 2}/yr. Root/shoot ratios declined from 4-5 in the early stages of succession to 0.3-0.5 with later stages. The standing crop of organic matter including humus throughout the sere was about 15 times the net production, indicating a halftime of residence for all organic matter throughout the sere of about 10 years.« less

  13. 99mTc-EDDA/HYNIC-TOC somatostatin receptor scintigraphy in daily clinical practice.

    PubMed

    Chrapko, Beata Ewa; Nocuń, Anna; Gołebiewska, Renata; Stefaniak, Bogusław; Korobowicz, Elzbieta; Czekajska-Chehab, Elzbieta; Sawicki, Marek; Polkowski, Wojciech Piotr

    2010-04-01

    This study aimed to assess the impact of 99mTc-EDDA/HYNIC-TOC (99mTc-TOC) somatostatin receptor scintigraphy (SRS) in clinical practice. One hundred seventeen patients were divided into 6 groups: 1, initial detection and localization of suspected neuroendocrine tumor (NET); 2, tumor staging before therapy; 3, staging of NET of unknown origin, 4, restaging after surgery of primary tumor; 5, diagnosis of solitary pulmonary nodules (SPNs), and 6, follow-up after "cold" somatostatin analogues treatment. In group 1, clinical suspicions were not confirmed in any of the patients; in group 2, most of the primary lesions showed overexpression of somatostatin receptors (SSRT); in group 3, the primary tumor was not identified in any of the patients; in group 4, recurrences were depicted in 7 out of 47 patients; in group 5, only 1 malignant SPN was detected, and in group 6, regression of primary mass and metastases were seen on follow-up SRS in 1 patient. 99mTc-TOC SRS is useful in staging of SSRT-overexpressing tumors of known and unknown primary origin, as well as in restaging after primary tumor surgery. This method is less effective in detecting suspected NET and assessing SPNs. Further investigation is necessary to evaluate the usefulness of SRS in monitoring patients after biological treatment.

  14. Global Ocean Phytoplankton

    NASA Technical Reports Server (NTRS)

    Franz, B. A.; Behrenfeld, M. J.; Siegel, D. A.; Werdell, P. J.

    2013-01-01

    Phytoplankton are free-floating algae that grow in the euphotic zone of the upper ocean, converting carbon dioxide, sunlight, and available nutrients into organic carbon through photosynthesis. Despite their microscopic size, these photoautotrophs are responsible for roughly half the net primary production on Earth (NPP; gross primary production minus respiration), fixing atmospheric CO2 into food that fuels our global ocean ecosystems. Phytoplankton thus play a critical role in the global carbon cycle, and their growth patterns are highly sensitive to environmental changes such as increased ocean temperatures that stratify the water column and prohibit the transfer of cold, nutrient richwaters to the upper ocean euphotic zone.

  15. Life Cycle Assessment of Connected and Automated Vehicles: Sensing and Computing Subsystem and Vehicle Level Effects.

    PubMed

    Gawron, James H; Keoleian, Gregory A; De Kleine, Robert D; Wallington, Timothy J; Kim, Hyung Chul

    2018-03-06

    Although recent studies of connected and automated vehicles (CAVs) have begun to explore the potential energy and greenhouse gas (GHG) emission impacts from an operational perspective, little is known about how the full life cycle of the vehicle will be impacted. We report the results of a life cycle assessment (LCA) of Level 4 CAV sensing and computing subsystems integrated into internal combustion engine vehicle (ICEV) and battery electric vehicle (BEV) platforms. The results indicate that CAV subsystems could increase vehicle primary energy use and GHG emissions by 3-20% due to increases in power consumption, weight, drag, and data transmission. However, when potential operational effects of CAVs are included (e.g., eco-driving, platooning, and intersection connectivity), the net result is up to a 9% reduction in energy and GHG emissions in the base case. Overall, this study highlights opportunities where CAVs can improve net energy and environmental performance.

  16. Drivers and uncertainties of future global marine primary production in marine ecosystem models

    NASA Astrophysics Data System (ADS)

    Laufkötter, C.; Vogt, M.; Gruber, N.; Aita-Noguchi, M.; Aumont, O.; Bopp, L.; Buitenhuis, E.; Doney, S. C.; Dunne, J.; Hashioka, T.; Hauck, J.; Hirata, T.; John, J.; Le Quéré, C.; Lima, I. D.; Nakano, H.; Seferian, R.; Totterdell, I.; Vichi, M.; Völker, C.

    2015-12-01

    Past model studies have projected a global decrease in marine net primary production (NPP) over the 21st century, but these studies focused on the multi-model mean rather than on the large inter-model differences. Here, we analyze model-simulated changes in NPP for the 21st century under IPCC's high-emission scenario RCP8.5. We use a suite of nine coupled carbon-climate Earth system models with embedded marine ecosystem models and focus on the spread between the different models and the underlying reasons. Globally, NPP decreases in five out of the nine models over the course of the 21st century, while three show no significant trend and one even simulates an increase. The largest model spread occurs in the low latitudes (between 30° S and 30° N), with individual models simulating relative changes between -25 and +40 %. Of the seven models diagnosing a net decrease in NPP in the low latitudes, only three simulate this to be a consequence of the classical interpretation, i.e., a stronger nutrient limitation due to increased stratification leading to reduced phytoplankton growth. In the other four, warming-induced increases in phytoplankton growth outbalance the stronger nutrient limitation. However, temperature-driven increases in grazing and other loss processes cause a net decrease in phytoplankton biomass and reduce NPP despite higher growth rates. One model projects a strong increase in NPP in the low latitudes, caused by an intensification of the microbial loop, while NPP in the remaining model changes by less than 0.5 %. While models consistently project increases NPP in the Southern Ocean, the regional inter-model range is also very substantial. In most models, this increase in NPP is driven by temperature, but it is also modulated by changes in light, macronutrients and iron as well as grazing. Overall, current projections of future changes in global marine NPP are subject to large uncertainties and necessitate a dedicated and sustained effort to improve the models and the concepts and data that guide their development.

  17. The German national registry for primary immunodeficiencies (PID)

    PubMed Central

    Gathmann, B; Goldacker, S; Klima, M; Belohradsky, B H; Notheis, G; Ehl, S; Ritterbusch, H; Baumann, U; Meyer-Bahlburg, A; Witte, T; Schmidt, R; Borte, M; Borte, S; Linde, R; Schubert, R; Bienemann, K; Laws, H-J; Dueckers, G; Roesler, J; Rothoeft, T; Krüger, R; Scharbatke, E C; Masjosthusmann, K; Wasmuth, J-C; Moser, O; Kaiser, P; Groß-Wieltsch, U; Classen, C F; Horneff, G; Reiser, V; Binder, N; El-Helou, S M; Klein, C; Grimbacher, B; Kindle, G

    2013-01-01

    In 2009, a federally funded clinical and research consortium (PID–NET, http://www.pid-net.org) established the first national registry for primary immunodeficiencies (PID) in Germany. The registry contains clinical and genetic information on PID patients and is set up within the framework of the existing European Database for Primary Immunodeficiencies, run by the European Society for Primary Immunodeficiencies. Following the example of other national registries, a central data entry clerk has been employed to support data entry at the participating centres. Regulations for ethics approvals have presented a major challenge for participation of individual centres and have led to a delay in data entry in some cases. Data on 630 patients, entered into the European registry between 2004 and 2009, were incorporated into the national registry. From April 2009 to March 2012, the number of contributing centres increased from seven to 21 and 738 additional patients were reported, leading to a total number of 1368 patients, of whom 1232 were alive. The age distribution of living patients differs significantly by gender, with twice as many males than females among children, but 15% more women than men in the age group 30 years and older. The diagnostic delay between onset of symptoms and diagnosis has decreased for some PID over the past 20 years, but remains particularly high at a median of 4 years in common variable immunodeficiency (CVID), the most prevalent PID. PMID:23607573

  18. Evaluation of a Hospital-Based Pneumonia Nurse Navigator Program.

    PubMed

    Seldon, Lisa E; McDonough, Kelly; Turner, Barbara; Simmons, Leigh Ann

    2016-12-01

    The aim of this study is to evaluate the effectiveness of a hospital-based pneumonia nurse navigator program. This study used a retrospective, formative evaluation. Data of patients admitted from January 2012 through December 2014 to a large community hospital with a primary or secondary diagnosis of pneumonia, excluding aspiration pneumonia, were used. Data included patient demographics, diagnoses, insurance coverage, core measures, average length of stay (ALOS), disposition, readmission rate, financial outcomes, and patient barriers to care were collected. Descriptive statistics and parametric testing were used to analyze data. Core measure performance was sustained at the 90th percentile 2 years after the implementation of the navigator program. The ALOS did not decrease to established benchmarks; however, the SD for ALOS decreased by nearly half after implementation of the navigator program, suggesting the program decreased the number and length of extended stays. Charges per case decreased by 21% from 2012 to 2014. Variable costs decreased by 4% over a 2-year period, which increased net profit per case by 5%. Average readmission payments increased by 8% from 2012 to 2014, and the net revenue per case increased by 8.3%. The pneumonia nurse navigator program may improve core measures, reduce ALOS, and increase net revenue. Future evaluations are necessary to substantiate these findings and optimize the cost and quality performance of navigator programs.

  19. Maintenance of coat protein N-terminal net charge and not primary sequence is essential for zucchini yellow mosaic virus systemic infectivity.

    PubMed

    Kimalov, Boaz; Gal-On, Amit; Stav, Ran; Belausov, Eduard; Arazi, Tzahi

    2004-11-01

    Zucchini yellow mosaic virus (ZYMV) surface exposed coat protein (CP) N-terminal domain (Nt) is 43 aa long and contains an equal number of positively and negatively charged amino acid residues (CP-Nt net charge = 0). A ZYMV-AGII truncation mutant lacking the first 20 aa of its CP-Nt (AGII-CP Delta 20; CP-Nt net charge = +2) was found to be systemically non-infectious even though AGII mutants harbouring larger CP-Nt deletions were previously demonstrated to be fully infectious. Nevertheless, AGII-CP Delta 20 infectivity was restored by fusion to its CP-Nt two Asp residues or a negatively charged Myc peptide, both predicted to neutralize CP-Nt net positive charge. To evaluate further the significance of CP-Nt net charge for AGII infectivity, a series of CP-Nt net charge mutants was generated and analysed for systemic infectivity of squash plants. AGII-CP(KKK) harbouring a CP-Nt amino fusion of three Lys residues (CP-Nt net charge = +3) was not systemically infectious. Addition of up to four Asp residues to CP-Nt did not abolish virus infectivity, although certain mutants were genetically unstable and had delayed infectivity. Addition of five negatively charged residues abolished infectivity (AGII-CP(DDDDD); CP-Nt net charge = -5) even though a recombinant CP(DDDDD) could assemble into potyviral-like particle in bacteria. Neutralization of CP-Nt net charge by fusing Asp or Lys residues recovered infectivity of AGII-CP(KKK) and AGII-CP(DDDDD). GFP-tagging of these mutants has demonstrated that both viruses have defective cell-to-cell movement. Together, these findings suggest that maintenance of CP-Nt net charge and not primary sequence is essential for ZYMV infectivity.

  20. Severe summer heatwave and drought strongly reduced carbon uptake in Southern China

    DOE PAGES

    Yuan, Wenping; Cai, Wenwen; Chen, Yang; ...

    2016-01-07

    Increasing heatwave and drought events can potentially alter the carbon cycle. Few studies have investigated the impacts of hundred-year return heatwaves and droughts, as those events are rare. In the summer of 2013, southern China experienced its strongest drought and heatwave on record for the past 113 years. We show that the record-breaking heatwave and drought lasted two months (from July to August), significantly reduced the satellite-based vegetation index and gross primary production, substantially altered the regional carbon cycle, and produced the largest negative crop yield anomaly since 1960. The event resulted in a net reduction of 101.54 Tg Cmore » in carbon sequestration in the region during these two months, which was 39–53% of the annual net carbon sink of China’s terrestrial ecosystems (190–260 Tg C yr -1). Moreover, model experiments showed that heatwaves and droughts consistently decreased ecosystem vegetation primary production but had opposite impacts on ecosystem respiration (TER), with increased TER by 6.78 ± 2.15% and decreased TER by 15.34 ± 3.57% assuming only changed temperature and precipitation, respectively. As a result, in light of increasing frequency and severity of future heatwaves and droughts, our study highlights the importance of accounting for the impacts of heatwaves and droughts in assessing the carbon sequestration in terrestrial ecosystems.« less

  1. Early spring, severe frost events, and drought induce rapid carbon loss in high elevation meadows.

    PubMed

    Arnold, Chelsea; Ghezzehei, Teamrat A; Berhe, Asmeret Asefaw

    2014-01-01

    By the end of the 20th century, the onset of spring in the Sierra Nevada mountain range of California has been occurring on average three weeks earlier than historic records. Superimposed on this trend is an increase in the presence of highly anomalous "extreme" years, where spring arrives either significantly late or early. The timing of the onset of continuous snowpack coupled to the date at which the snowmelt season is initiated play an important role in the development and sustainability of mountain ecosystems. In this study, we assess the impact of extreme winter precipitation variation on aboveground net primary productivity and soil respiration over three years (2011 to 2013). We found that the duration of snow cover, particularly the timing of the onset of a continuous snowpack and presence of early spring frost events contributed to a dramatic change in ecosystem processes. We found an average 100% increase in soil respiration in 2012 and 2103, compared to 2011, and an average 39% decline in aboveground net primary productivity observed over the same time period. The overall growing season length increased by 57 days in 2012 and 61 days in 2013. These results demonstrate the dependency of these keystone ecosystems on a stable climate and indicate that even small changes in climate can potentially alter their resiliency.

  2. Severe summer heatwave and drought strongly reduced carbon uptake in Southern China

    PubMed Central

    Yuan, Wenping; Cai, Wenwen; Chen, Yang; Liu, Shuguang; Dong, Wenjie; Zhang, Haicheng; Yu, Guirui; Chen, Zhuoqi; He, Honglin; Guo, Weidong; Liu, Dan; Liu, Shaoming; Xiang, Wenhua; Xie, Zhenghui; Zhao, Zhonghui; Zhou, Guomo

    2016-01-01

    Increasing heatwave and drought events can potentially alter the carbon cycle. Few studies have investigated the impacts of hundred-year return heatwaves and droughts, as those events are rare. In the summer of 2013, southern China experienced its strongest drought and heatwave on record for the past 113 years. We show that the record-breaking heatwave and drought lasted two months (from July to August), significantly reduced the satellite-based vegetation index and gross primary production, substantially altered the regional carbon cycle, and produced the largest negative crop yield anomaly since 1960. The event resulted in a net reduction of 101.54 Tg C in carbon sequestration in the region during these two months, which was 39–53% of the annual net carbon sink of China’s terrestrial ecosystems (190–260 Tg C yr−1). Moreover, model experiments showed that heatwaves and droughts consistently decreased ecosystem vegetation primary production but had opposite impacts on ecosystem respiration (TER), with increased TER by 6.78 ± 2.15% and decreased TER by 15.34 ± 3.57% assuming only changed temperature and precipitation, respectively. In light of increasing frequency and severity of future heatwaves and droughts, our study highlights the importance of accounting for the impacts of heatwaves and droughts in assessing the carbon sequestration in terrestrial ecosystems. PMID:26739761

  3. Severe summer heatwave and drought strongly reduced carbon uptake in Southern China

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Yuan, Wenping; Cai, Wenwen; Chen, Yang

    Increasing heatwave and drought events can potentially alter the carbon cycle. Few studies have investigated the impacts of hundred-year return heatwaves and droughts, as those events are rare. In the summer of 2013, southern China experienced its strongest drought and heatwave on record for the past 113 years. We show that the record-breaking heatwave and drought lasted two months (from July to August), significantly reduced the satellite-based vegetation index and gross primary production, substantially altered the regional carbon cycle, and produced the largest negative crop yield anomaly since 1960. The event resulted in a net reduction of 101.54 Tg Cmore » in carbon sequestration in the region during these two months, which was 39–53% of the annual net carbon sink of China’s terrestrial ecosystems (190–260 Tg C yr -1). Moreover, model experiments showed that heatwaves and droughts consistently decreased ecosystem vegetation primary production but had opposite impacts on ecosystem respiration (TER), with increased TER by 6.78 ± 2.15% and decreased TER by 15.34 ± 3.57% assuming only changed temperature and precipitation, respectively. As a result, in light of increasing frequency and severity of future heatwaves and droughts, our study highlights the importance of accounting for the impacts of heatwaves and droughts in assessing the carbon sequestration in terrestrial ecosystems.« less

  4. Interactions among resource partitioning, sampling effect, and facilitation on the biodiversity effect: a modeling approach.

    PubMed

    Flombaum, Pedro; Sala, Osvaldo E; Rastetter, Edward B

    2014-02-01

    Resource partitioning, facilitation, and sampling effect are the three mechanisms behind the biodiversity effect, which is depicted usually as the effect of plant-species richness on aboveground net primary production. These mechanisms operate simultaneously but their relative importance and interactions are difficult to unravel experimentally. Thus, niche differentiation and facilitation have been lumped together and separated from the sampling effect. Here, we propose three hypotheses about interactions among the three mechanisms and test them using a simulation model. The model simulated water movement through soil and vegetation, and net primary production mimicking the Patagonian steppe. Using the model, we created grass and shrub monocultures and mixtures, controlled root overlap and grass water-use efficiency (WUE) to simulate gradients of biodiversity, resource partitioning and facilitation. The presence of shrubs facilitated grass growth by increasing its WUE and in turn increased the sampling effect, whereas root overlap (resource partitioning) had, on average, no effect on sampling effect. Interestingly, resource partitioning and facilitation interacted so the effect of facilitation on sampling effect decreased as resource partitioning increased. Sampling effect was enhanced by the difference between the two functional groups in their efficiency in using resources. Morphological and physiological differences make one group outperform the other; once these differences were established further differences did not enhance the sampling effect. In addition, grass WUE and root overlap positively influence the biodiversity effect but showed no interactions.

  5. Ocean acidification decreases plankton respiration: evidence from a mesocosm experiment

    NASA Astrophysics Data System (ADS)

    Spilling, Kristian; Paul, Allanah J.; Virkkala, Niklas; Hastings, Tom; Lischka, Silke; Stuhr, Annegret; Bermúdez, Rafael; Czerny, Jan; Boxhammer, Tim; Schulz, Kai G.; Ludwig, Andrea; Riebesell, Ulf

    2016-08-01

    Anthropogenic carbon dioxide (CO2) emissions are reducing the pH in the world's oceans. The plankton community is a key component driving biogeochemical fluxes, and the effect of increased CO2 on plankton is critical for understanding the ramifications of ocean acidification on global carbon fluxes. We determined the plankton community composition and measured primary production, respiration rates and carbon export (defined here as carbon sinking out of a shallow, coastal area) during an ocean acidification experiment. Mesocosms ( ˜ 55 m3) were set up in the Baltic Sea with a gradient of CO2 levels initially ranging from ambient ( ˜ 240 µatm), used as control, to high CO2 (up to ˜ 1330 µatm). The phytoplankton community was dominated by dinoflagellates, diatoms, cyanobacteria and chlorophytes, and the zooplankton community by protozoans, heterotrophic dinoflagellates and cladocerans. The plankton community composition was relatively homogenous between treatments. Community respiration rates were lower at high CO2 levels. The carbon-normalized respiration was approximately 40 % lower in the high-CO2 environment compared with the controls during the latter phase of the experiment. We did not, however, detect any effect of increased CO2 on primary production. This could be due to measurement uncertainty, as the measured total particular carbon (TPC) and combined results presented in this special issue suggest that the reduced respiration rate translated into higher net carbon fixation. The percent carbon derived from microscopy counts (both phyto- and zooplankton), of the measured total particular carbon (TPC), decreased from ˜ 26 % at t0 to ˜ 8 % at t31, probably driven by a shift towards smaller plankton (< 4 µm) not enumerated by microscopy. Our results suggest that reduced respiration leads to increased net carbon fixation at high CO2. However, the increased primary production did not translate into increased carbon export, and consequently did not work as a negative feedback mechanism for increasing atmospheric CO2 concentration.

  6. NASA Helps Design the 'Cockpit of the Future'

    NASA Technical Reports Server (NTRS)

    2006-01-01

    One of the initiatives at Langley involved the research and development of a Small Aircraft Transportation System Network (SATS-Net), which was the communications infrastructure for NASA s SATS program.The primary goal of SATS-Net was to develop secure virtual travel portals for the Nation s general aviation airports and to offer an alternative to commercial air and ground transportation through general aviation. The secondary goals were to increase mobility, reduce door-to- door travel times, and provide air transportation to underserved markets at an affordable cost. One of the specific plans was to create a network of information about the 2,000-plus non-tower, non-radar airports in the Nation. This information would be accessible from a person s home, office, PDA, or local airport. This network provides real-time information and would be a "one-stop shop" portal with dynamic access to real-time Web cameras for weather conditions, flight planning information, local lodging, restaurants, and attraction information. SATS-Net would provide membership services much like that of AAA.

  7. Health reform holds both risks and rewards for safety-net providers and racially and ethnically diverse patients.

    PubMed

    Andrulis, Dennis P; Siddiqui, Nadia J

    2011-10-01

    The Affordable Care Act of 2010 creates both opportunities and risks for safety-net providers in caring for low-income, diverse patients. New funding for health centers; support for coordinated, patient-centered care; and expansion of the primary care workforce are some of the opportunities that potentially strengthen the safety net. However, declining payments to safety-net hospitals, existing financial hardships, and shifts in the health care marketplace may intensify competition, thwart the ability to innovate, and endanger the financial viability of safety-net providers. Support of state and local governments, as well as philanthropies, will be crucial to helping safety-net providers transition to the new health care environment and to preventing the unintended erosion of the safety net for racially and ethnically diverse populations.

  8. A stochastic model to determine the economic value of changing diagnostic test characteristics for identification of cattle for treatment of bovine respiratory disease.

    PubMed

    Theurer, M E; White, B J; Larson, R L; Schroeder, T C

    2015-03-01

    Bovine respiratory disease is an economically important syndrome in the beef industry, and diagnostic accuracy is important for optimal disease management. The objective of this study was to determine whether improving diagnostic sensitivity or specificity was of greater economic value at varied levels of respiratory disease prevalence by using Monte Carlo simulation. Existing literature was used to populate model distributions of published sensitivity, specificity, and performance (ADG, carcass weight, yield grade, quality grade, and mortality risk) differences among calves based on clinical respiratory disease status. Data from multiple cattle feeding operations were used to generate true ranges of respiratory disease prevalence and associated mortality. Input variables were combined into a single model that calculated estimated net returns for animals by diagnostic category (true positive, false positive, false negative, and true negative) based on the prevalence, sensitivity, and specificity for each iteration. Net returns for each diagnostic category were multiplied by the proportion of animals in each diagnostic category to determine group profitability. Apparent prevalence was categorized into low (<15%) and high (≥15%) groups. For both apparent prevalence categories, increasing specificity created more rapid, positive change in net returns than increasing sensitivity. Improvement of diagnostic specificity, perhaps through a confirmatory test interpreted in series or pen-level diagnostics, can increase diagnostic value more than improving sensitivity. Mortality risk was the primary driver for net returns. The results from this study are important for determining future research priorities to analyze diagnostic techniques for bovine respiratory disease and provide a novel way for modeling diagnostic tests.

  9. Primary Care Providers’ Experiences with Urine Toxicology Tests to Manage Prescription Opioid Misuse and Substance Use Among Chronic Non-Cancer Pain Patients in Safety Net Healthcare Settings

    PubMed Central

    Ceasar, Rachel; Chang, Jamie; Zamora, Kara; Hurstak, Emily; Kushel, Margot; Miaskowski, Christine; Knight, Kelly

    2016-01-01

    Background Guideline recommendations to reduce prescription opioid misuse among patients with chronic non-cancer pain include the routine use of urine toxicology tests for high-risk patients. Yet little is known about how the implementation of urine toxicology tests among patients with co-occurring chronic non-cancer pain and substance use impacts primary care providers’ management of misuse. In this paper, we present clinicians’ perspectives on the benefits and challenges of implementing urine toxicology tests in the monitoring of opioid misuse and substance use in safety net healthcare settings. Methods We interviewed 23 primary care providers from six safety net healthcare settings whose patients had a diagnosis of co-occurring chronic non-cancer pain and substance use. We transcribed, coded, and analyzed interviews using grounded theory methodology. Results The benefits of implementing urine toxicology tests for primary care providers included less reliance on intuition to assess for misuse and the ability to identify unknown opioid misuse and/or substance use. The challenges of implementing urine toxicology tests included insufficient education and training about how to interpret and implement tests, and a lack of clarity on how and when to act on tests that indicated misuse and/or substance use. Conclusions These data suggest that primary care clinicians’ lack of education and training to interpret and implement urine toxicology tests may impact their management of patient opioid misuse and/or substance use. Clinicians may benefit from additional education and training about the clinical implementation and use of urine toxicology tests. Additional research is needed on how primary care providers implementation and use of urine toxicology tests impacts chronic non-cancer pain management in primary care and safety net healthcare settings among patients with co-occurring chronic non-cancer pain and substance use. PMID:26682471

  10. Ambulatory electronic medical record payback analysis 7 years after implementation in a tertiary care county medical system.

    PubMed

    Kaelber, David C; Miller, Vince; Fisher, Nancy; Schlesinger, Jim; Norris, Greg

    2007-10-11

    Electronic medical records (EMRs) are gaining increasing prominence in healthcare, however still have low market penetration. EMR implementation cost is a primary perceived barrier. Here we present a payback analysis on an outpatient EMR implementation, showing capital expense recovery (net of operating costs) at 6 years and now generating $6 million yearly in direct savings for our healthcare system.

  11. The Impact of Electronic Health Records on Workflow and Financial Measures in Primary Care Practices

    PubMed Central

    Fleming, Neil S; Becker, Edmund R; Culler, Steven D; Cheng, Dunlei; McCorkle, Russell; da Graca, Briget; Ballard, David J

    2014-01-01

    Objective To estimate a commercially available ambulatory electronic health record’s (EHR’s) impact on workflow and financial measures. Data Sources/Study Setting Administrative, payroll, and billing data were collected for 26 primary care practices in a fee-for-service network that rolled out an EHR on a staggered schedule from June 2006 through December 2008. Study Design An interrupted time series design was used. Staffing, visit intensity, productivity, volume, practice expense, payments received, and net income data were collected monthly for 2004–2009. Changes were evaluated 1–6, 7–12, and >12 months postimplementation. Data Collection/Extraction Methods Data were accessed through a SQLserver database, transformed into SAS®, and aggregated by practice. Practice-level data were divided by full-time physician equivalents for comparisons across practices by month. Principal Findings Staffing and practice expenses increased following EHR implementation (3 and 6 percent after 12 months). Productivity, volume, and net income decreased initially but recovered to/close to preimplementation levels after 12 months. Visit intensity did not change significantly, and a secular trend offset the decrease in payments received. Conclusions Expenses increased and productivity decreased following EHR implementation, but not as much or as persistently as might be expected. Longer term effects still need to be examined. PMID:24359533

  12. Assessing the impact of urbanization on net primary productivity using multi-scale remote sensing data: a case study of Xuzhou, China

    NASA Astrophysics Data System (ADS)

    Tan, Kun; Zhou, Songyang; Li, Erzhu; Du, Peijun

    2015-06-01

    An improved Carnegie Ames Stanford Approach (CASA) model based on two kinds of remote sensing (RS) data, Landsat Enhanced Thematic Mapper Plus (ETM +) and Moderate Resolution Imaging Spectro-radiometer (MODIS), and climate variables were applied to estimate the Net Primary Productivity (NPP) of Xuzhou in June of each year from 2001 to 2010. The NPP of the study area decreased as the spatial scale increased. The average NPP of terrestrial vegetation in Xuzhou showed a decreasing trend in recent years, likely due to changes in climate and environment. The study area was divided into four sub-regions, designated as highest, moderately high, moderately low, and lowest in NPP. The area designated as the lowest sub-region in NPP increased with expanding scale, indicating that the NPP distribution varied with different spatial scales. The NPP of different vegetation types was also significantly influenced by scale. In particular, the NPP of urban woodland produced lower estimates because of mixed pixels. Similar trends in NPP were observed with different RS data. In addition, expansion of residential areas and reduction of vegetated areas were the major reasons for NPP change. Land cover changes in urban areas reduced NPP, which could chiefly be attributed to human-induced disturbance.

  13. Current Status of Interventional Radiology in the Management of Gastro-Entero-Pancreatic Neuroendocrine Tumours (GEP-NETs)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Orgera, Gianluigi; Krokidis, Miltiadis, E-mail: mkrokidis@hotmail.com; Cappucci, Matteo

    2015-02-15

    Within the group of Gastro-Entero-Pancreatic Neuroendocrine tumours (GEP-NETs), several heterogeneous malignancies are included with a variety of clinical manifestations and imaging characteristics. Often these cases are inoperable and minimal invasive treatment offered by image-guided procedures appears to be the only option. Interventional radiology offers a valid solution in the management of primary and metastatic GEP-NETs. The purpose of this review article is to describe the current status of the role of Interventional Radiology in the management of GEP-NETs.

  14. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kang, Guozheng, E-mail: guozhengkang@home.swjtu.edu.cn; Dong, Yawei; Liu, Yujie

    The uniaxial ratchetting of Ti–6Al–4V alloy with two phases (i.e., primary hexagonal close packed (HCP) α and secondary body-centered cubic (BCC) β phases) was investigated by macroscopic and microscopic experiments at room temperature. Firstly, the effects of cyclic softening/hardening feature, applied mean stress and stress amplitude on the uniaxial ratchetting of the alloy were discussed. The macroscopic investigation of Ti–6Al–4V alloy presents obvious strain-amplitude-dependent cyclic softening, as well as a three-staged evolution curve with regard to the ratchetting strain rate. The ratchetting depends greatly on the applied mean stress and stress amplitude while the ratchetting strain increases with the increasingmore » applied mean stress and stress amplitude. Then, the evolution of dislocation patterns and deformation twinning during the uniaxial ratchetting of two-phase Ti–6Al–4V alloy were observed using transmission electron microscopy (TEM). The microscopic observation shows that deformation twinning occurs in the primary α phase and its amount increases gradually during the uniaxial ratchetting. Simultaneously, the planar dislocation evolves from discrete lines to some dislocation nets and parallel lines with the increasing number of cycles. The deformation twinning in the primary α phase is one of main contributions to the uniaxial ratchetting of Ti–6Al–4V alloy, and should be considered in the construction of corresponding constitutive model. - Highlights: • A three-staged ratchetting occurs in the stress-controlled cyclic tests of Ti–6Al–4V alloy. • Dislocation patterns change from discrete lines to nets and parallel lines. • Deformation twinning occurs during the uniaxial ratchetting. • Both dislocation slipping and twinning are the causes of ratchetting.« less

  15. Immunocompromised Travelers: Demographic Characteristics, Travel Destinations, and Pretravel Health Care from the U.S. Global TravEpiNet Consortium

    PubMed Central

    Schwartz, Brian S.; Rosen, Jessica; Han, Pauline V.; Hynes, Noreen A.; Hagmann, Stefan H.; Rao, Sowmya R.; Jentes, Emily S.; Ryan, Edward T.; LaRocque, Regina C.

    2015-01-01

    An increasing number of immunocompromised individuals are pursuing international travel, and a better understanding of their international travel patterns and pretravel health care is needed. We evaluated the clinical features, itineraries, and pretravel health care of 486 immunocompromised international travelers seen at Global TravEpiNet sites from January 2009 to June 2012. We used bivariate analyses and logistic regressions using random intercept models to compare demographic and travel characteristics, vaccines administered, and medications prescribed for immunocompromised travelers versus 30,702 immunocompetent travelers. Immunocompromised travelers pursued itineraries that were largely similar to those of immunocompetent travelers, with nearly one-third of such travelers visiting countries with low human development indices. Biological agents, including tumor necrosis factor blockers, were commonly used immunosuppressive medications among immunocompromised travelers. A strong collaboration between travel-medicine specialists, primary care doctors, and specialist physicians is needed to prepare immunocompromised people for international travel. Incorporating routine questioning and planning regarding travel into the primary care visits of immunocompromised people may be useful. PMID:26304922

  16. Immunocompromised Travelers: Demographic Characteristics, Travel Destinations, and Pretravel Health Care from the U.S. Global TravEpiNet Consortium.

    PubMed

    Schwartz, Brian S; Rosen, Jessica; Han, Pauline V; Hynes, Noreen A; Hagmann, Stefan H; Rao, Sowmya R; Jentes, Emily S; Ryan, Edward T; LaRocque, Regina C

    2015-11-01

    An increasing number of immunocompromised individuals are pursuing international travel, and a better understanding of their international travel patterns and pretravel health care is needed. We evaluated the clinical features, itineraries, and pretravel health care of 486 immunocompromised international travelers seen at Global TravEpiNet sites from January 2009 to June 2012. We used bivariate analyses and logistic regressions using random intercept models to compare demographic and travel characteristics, vaccines administered, and medications prescribed for immunocompromised travelers versus 30,702 immunocompetent travelers. Immunocompromised travelers pursued itineraries that were largely similar to those of immunocompetent travelers, with nearly one-third of such travelers visiting countries with low human development indices. Biological agents, including tumor necrosis factor blockers, were commonly used immunosuppressive medications among immunocompromised travelers. A strong collaboration between travel-medicine specialists, primary care doctors, and specialist physicians is needed to prepare immunocompromised people for international travel. Incorporating routine questioning and planning regarding travel into the primary care visits of immunocompromised people may be useful. © The American Society of Tropical Medicine and Hygiene.

  17. Amazon Forests Maintain Consistent Canopy Structure and Greenness During the Dry Season

    NASA Technical Reports Server (NTRS)

    Morton, Douglas C.; Nagol, Jyoteshwar; Carabajal, Claudia C.; Rosette, Jacqueline; Palace, Michael; Cook, Bruce D.; Vermote, Eric F.; Harding, David J.; North, Peter R. J.

    2014-01-01

    The seasonality of sunlight and rainfall regulates net primary production in tropical forests. Previous studies have suggested that light is more limiting than water for tropical forest productivity, consistent with greening of Amazon forests during the dry season in satellite data.We evaluated four potential mechanisms for the seasonal green-up phenomenon, including increases in leaf area or leaf reflectance, using a sophisticated radiative transfer model and independent satellite observations from lidar and optical sensors. Here we show that the apparent green up of Amazon forests in optical remote sensing data resulted from seasonal changes in near-infrared reflectance, an artefact of variations in sun-sensor geometry. Correcting this bidirectional reflectance effect eliminated seasonal changes in surface reflectance, consistent with independent lidar observations and model simulations with unchanging canopy properties. The stability of Amazon forest structure and reflectance over seasonal timescales challenges the paradigm of light-limited net primary production in Amazon forests and enhanced forest growth during drought conditions. Correcting optical remote sensing data for artefacts of sun-sensor geometry is essential to isolate the response of global vegetation to seasonal and interannual climate variability.

  18. Amazon forests maintain consistent canopy structure and greenness during the dry season.

    PubMed

    Morton, Douglas C; Nagol, Jyoteshwar; Carabajal, Claudia C; Rosette, Jacqueline; Palace, Michael; Cook, Bruce D; Vermote, Eric F; Harding, David J; North, Peter R J

    2014-02-13

    The seasonality of sunlight and rainfall regulates net primary production in tropical forests. Previous studies have suggested that light is more limiting than water for tropical forest productivity, consistent with greening of Amazon forests during the dry season in satellite data. We evaluated four potential mechanisms for the seasonal green-up phenomenon, including increases in leaf area or leaf reflectance, using a sophisticated radiative transfer model and independent satellite observations from lidar and optical sensors. Here we show that the apparent green up of Amazon forests in optical remote sensing data resulted from seasonal changes in near-infrared reflectance, an artefact of variations in sun-sensor geometry. Correcting this bidirectional reflectance effect eliminated seasonal changes in surface reflectance, consistent with independent lidar observations and model simulations with unchanging canopy properties. The stability of Amazon forest structure and reflectance over seasonal timescales challenges the paradigm of light-limited net primary production in Amazon forests and enhanced forest growth during drought conditions. Correcting optical remote sensing data for artefacts of sun-sensor geometry is essential to isolate the response of global vegetation to seasonal and interannual climate variability.

  19. Organic carbon balance and net ecosystem metabolism in Chesapeake Bay

    USGS Publications Warehouse

    Kemp, W.M.; Smith, E.M.; Marvin-DiPasquale, M.; Boynton, W.R.

    1997-01-01

    The major fluxes of organic carbon associated with physical transport and biological metabolism were compiled, analyzed and compared for the mainstem portion of Chesapeake Bay (USA). In addition, 5 independent methods were used to calculate the annual mean net ecosystem metabolism (NEM = production - respiration) for the integrated Bay. These methods, which employed biogeochemical models, nutrient mass-balances anti summation of individual organic carbon fluxes, yielded remarkably similar estimates, with a mean NEM of +50 g C m-2 yr-1 (?? SE = 751, which is approximately 8% of the estimated annual average gross primary production. These calculations suggest a strong cross-sectional pattern in NEM throughout the Bay, wherein net heterotrophic metabolism prevails in the pelagic zones of the main channel, while net autotrophy occurs in the littoral zones which flank the deeper central area. For computational purposes, the estuary was separated into 3 regions along the land-sea gradient: (1) the oligohaline Upper Bay (11% of total area); (2) the mesohaline Mid Bay (36% of area); and (3) the polyhaline Lower Bay (53% of area). A distinct regional trend in NEM was observed along this salinity gradient, with net here(atrophy (NEM = 87 g C m-2 yr-1) in the Upper Bay, balanced metabolism in the Mid Bay and net autotrophy (NEM = +92 g C m-2 yr-1) in the Lower Bay. As a consequence of overall net autotrophy, the ratio of dissolved inorganic nitrogen (DIN) to total organic nitrogen (TON) changed from DIN:TON = 5.1 for riverine inputs to DIN:TON = 0.04 for water exported to the ocean. A striking feature of this organic C mass-balance was the relative dominance of biologically mediated metabolic fluxes compared to physical transport fluxes. The overall ratio of physical TOC inputs (1) to biotic primary production (P) was 0.08 for the whole estuary, but varied dramatically from 2.3 in the Upper Bay to 0.03 in the Mid and Lower Bay regions. Similarly, ecosystem respiration was some 6-fold higher than the sum of all physical carbon sinks. This general negative correspondence between I:P ratio and NEM, which occurred among Bay regions, was also evident in data available for organic C fluxes in other coastal ecosystems. An inverse relationship between NEM and P, postulated in a previous study, did not apply to Chesapeake Bay, and closer examination of available data revealed the importance of the loading ratio of DIN:TOC as a key control on coastal NEM. It is proposed here that the general global trend of coastal eutrophication will lead to increasing values of NEM in estuaries worldwide. The management implications of this trend are complex, involving both increased potential fisheries harvest and decreased demersal habitat.

  20. Flowpath contributions of weathering products to stream fluxes at the Panola Mountain Research Watershed, Georgia

    USGS Publications Warehouse

    Peters, Norman E.; Aulenbach, Brent T.

    2009-01-01

    Short-term weathering rates (chemical denudation) of primary weathering products were derived from an analysis of fluxes in precipitation and streamwater. Rainfall, streamflow (runoff), and related water quality have been monitored at the Panola Mountain Research Watershed (PMRW) since 1985. Regression relations of stream solute concentration of major ions including weathering products [sodium (Na), magnesium (Mg), calcium (Ca) and silica (H4SiO4)] were derived from weekly and storm-based sampling from October 1986 through September 1998; runoff, seasonality, and hydrologic state were the primary independent variables. The regression relations explained from 74 to 90 percent of the variations in solute concentration. Chloride (Cl) fluxes for the study period were used to estimate dry atmospheric deposition (DAD) by subtracting the precipitation flux from the stream flux; net Cl flux varied from years of net retention during dry years to >3 times more exported during wet years. On average, DAD was 56 percent of the total atmospheric deposition (also assumed for the other solutes); average annual net cation and H4SiO4 fluxes were 50.6 and 85.9 mmol m-2, respectively. The annual cumulative density functions of solute flux as a function of runoff were evaluated and compared among solutes to evaluate relative changes in solute sources during stormflows. Stream flux of weathering solutes is primarily associated with groundwater discharge. During stormflow, Ca and Mg contributions increase relative to Na and H4SiO4, particularly during wet years when the contribution is 10 percent of the annual flux. The higher Ca and Mg contributions to the stream during stormflow are consistent with increased contribution from shallow soil horizons where these solutes dominate.

  1. Money for nothing? The net costs of medical training.

    PubMed

    Barros, Pedro P; Machado, Sara R

    2010-09-01

    One of the stages of medical training is the residency programme. Hosting institutions often claim compensation for the training provided. How much should this compensation be? According to our results, given the benefits arising from having residents among the house staff, no transfer (either tuition fee or subsidy) should be set to compensate the hosting institution for providing medical training. This paper quantifies the net costs of medical training, defined as the training costs over and above the wage paid. We jointly consider two effects. On the one hand, residents take extra time and resources from both the hosting institution and the supervisor. On the other hand, residents can be regarded as a less expensive substitute to nurses and/or graduate physicians, in the production of health care, both in primary care centres and hospitals. The net effect can be either positive or negative. We use the fact that residents, in Portugal, are centrally allocated to National Health Service hospitals to treat them as a fixed exogenous production factor. The data used comes from Portuguese hospitals and primary care centres. Cost function estimates point to a small negative marginal impact of residents on hospitals' (-0.02%) and primary care centres' (-0.9%) costs. Nonetheless, there is a positive relation between size and cost to the very large hospitals and primary care centres. Our approach to estimation of residents' costs controls for other teaching activities hospitals might have (namely undergraduate Medical Schools). Overall, the net costs of medical training appear to be quite small.

  2. Net ecosystem CO2 exchange of a primary tropical peat swamp forest in Sarawak, Malaysia

    NASA Astrophysics Data System (ADS)

    Tang Che Ing, A.; Stoy, P. C.; Melling, L.

    2014-12-01

    Tropical peat swamp forests are widely recognized as one of the world's most efficient ecosystems for the sequestration and storage of carbon through both their aboveground biomass and underlying thick deposits of peat. As the peat characteristics exhibit high spatial and temporal variability as well as the structural and functional complexity of forests, tropical peat ecosystems can act naturally as both carbon sinks and sources over their life cycles. Nonetheless, few reports of studies on the ecosystem-scale CO2 exchange of tropical peat swamp forests are available to-date and their present roles in the global carbon cycle remain uncertain. To quantify CO2 exchange and unravel the prevailing factors and potential underlying mechanism regulating net CO2 fluxes, an eddy covariance tower was erected in a tropical peat swamp forest in Sarawak, Malaysia. We observed that the diurnal and seasonal patterns of net ecosystem CO2 exchange (NEE) and its components (gross primary productivity (GPP) and ecosystem respiration (RE)) varied between seasons and years. Rates of NEE declined in the wet season relative to the dry season. Conversely, both the gross primary productivity (GPP) and ecosystem respiration (RE) were found to be higher during the wet season than the dry season, in which GPP was strongly negatively correlated with NEE. The average annual NEE was 385 ± 74 g C m-2 yr-1, indicating the primary peat swamp forest functioned as net source of CO2 to the atmosphere over the observation period.

  3. Primary and Photochemically Aged Aerosol Emissions from Biomass Cookstoves: Chemical and Physical Characterization.

    PubMed

    Reece, Stephen M; Sinha, Aditya; Grieshop, Andrew P

    2017-08-15

    Secondary organic aerosol (SOA) formation during photo-oxidation of primary emissions from cookstoves used in developing countries may make important contributions to their climate and air quality impacts. We present results from laboratory experiments with a field portable oxidation flow reactor (F-OFR) to study the evolution of emissions over hours to weeks of equivalent atmospheric aging. Lab tests, using dry red oak, measured fresh and aged emissions from a 3 stone fire (TSF), a "rocket" natural draft stove (NDS), and a forced draft gasifier stove (FDGS), in order of increasing modified combustion efficiency (MCE) and decreasing particulate matter emission factors (EF). SOA production was observed for all stoves/tests; organic aerosol (OA) enhancement factor ranged from 1.2 to 3.1, decreasing with increased MCE. In primary emissions, OA mass spectral fragments associated with oxygenated species (primary biomass burning markers) increased (decreased) with MCE; fresh OA from FDGS combustion was especially oxygenated. OA oxygenation increased with further oxidation for all stove emissions, even where minimal enhancement was observed. More efficient stoves emit particles with greater net direct specific warming than TSFs, with the difference increasing with aging. Our results show that the properties and evolution of cookstove emissions are a strong function of combustion efficiency and atmospheric aging.

  4. Thermal adaptation of net ecosystem exchange

    USDA-ARS?s Scientific Manuscript database

    Thermal adaptation of gross primary production and ecosystem respiration has been well documented over broad thermal gradients. However, no study has examined their interaction as a function of temperature, i.e. the thermal responses of net ecosystem exchange of carbon (NEE). In this study, we const...

  5. The Relationship of Financial Pressures and Community Characteristics to Closure of Private Safety Net Clinics.

    PubMed

    Li, Suhui; Dor, Avi; Pines, Jesse M; Zocchi, Mark S; Hsia, Renee Y

    2016-10-01

    In order to better understand what threatens vulnerable populations' access to primary care, it is important to understand the factors associated with closing safety net clinics. This article examines how a clinic's financial position, productivity, and community characteristics are associated with its risk of closure. We examine patterns of closures among private-run primary care clinics (PCCs) in California between 2006 and 2012. We use a discrete-time proportional hazard model to assess relative hazard ratios of covariates, and a random-effect hazard model to adjust for unobserved heterogeneity among PCCs. We find that lower net income from patient care, smaller amount of government grants, and lower productivity were associated with significantly higher risk of PCC closure. We also find that federally qualified health centers and nonfederally qualified health centers generally faced the same risk factors of closure. These results underscore the critical role of financial incentives in the long-term viability of safety net clinics. © The Author(s) 2015.

  6. Thermal adaptation of net ecosystem exchange

    DOE PAGES

    Yuan, W.; Luo, Y.; Liang, S.; ...

    2011-06-06

    Thermal adaptation of gross primary production and ecosystem respiration has been well documented over broad thermal gradients. However, no study has examined their interaction as a function of temperature, i.e. the thermal responses of net ecosystem exchange of carbon (NEE). Here in this study, we constructed temperature response curves of NEE against temperature using 380 site-years of eddy covariance data at 72 forest, grassland and shrubland ecosystems located at latitudes ranging from ~29° N to 64° N. The response curves were used to define two critical temperatures: transition temperature (T b) at which ecosystem transfer from carbon source to sinkmore » and optimal temperature (T o) at which carbon uptake is maximized. T b was strongly correlated with annual mean air temperature. T o was strongly correlated with mean temperature during the net carbon uptake period across the study ecosystems. Our results imply that the net ecosystem exchange of carbon adapts to the temperature across the geographical range due to intrinsic connections between vegetation primary production and ecosystem respiration.« less

  7. Thermal adaptation of net ecosystem exchange

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Yuan, W.; Luo, Y.; Liang, S.

    Thermal adaptation of gross primary production and ecosystem respiration has been well documented over broad thermal gradients. However, no study has examined their interaction as a function of temperature, i.e. the thermal responses of net ecosystem exchange of carbon (NEE). Here in this study, we constructed temperature response curves of NEE against temperature using 380 site-years of eddy covariance data at 72 forest, grassland and shrubland ecosystems located at latitudes ranging from ~29° N to 64° N. The response curves were used to define two critical temperatures: transition temperature (T b) at which ecosystem transfer from carbon source to sinkmore » and optimal temperature (T o) at which carbon uptake is maximized. T b was strongly correlated with annual mean air temperature. T o was strongly correlated with mean temperature during the net carbon uptake period across the study ecosystems. Our results imply that the net ecosystem exchange of carbon adapts to the temperature across the geographical range due to intrinsic connections between vegetation primary production and ecosystem respiration.« less

  8. Changes in production and respiration during a spring phytoplankton bloom in San Francisco Bay, California, USA: Implications for net ecosystem metabolism

    USGS Publications Warehouse

    Caffrey, J.M.; Cloern, J.E.; Grenz, C.

    1998-01-01

    We present results of an intensive sampling program designed to measure weekly changes in ecosystem respiration (oxygen consumption in the water column and sediments) around the 1996 spring bloom in South San Francisco Bay, California, USA. Measurements were made at a shallow site (2 m, where mean photic depth was 60% of the water column height) and a deep site (15 m, mean photic depth was only 20% of the water column). We also estimated phytoplankton primary production weekly at both sites to develop estimates of net oxygen flux as the sum of pelagic production (PP), pelagic respiration (PR) and benthic respiration (BR). Over the 14 wk period from February 5 to May 14, PP ranged from 2 to 210, PR from 9 to 289, and BR from 0.1 to 48 mmol O2 m-2 d-1, illustrating large variability of estuarine oxygen fluxes at the weekly time scale. Pelagic production exceeded total respiration at the shallow site, but not at the deep site, demonstrating that the shallow domains are net autotrophic but the deep domains are net heterotrophic, even during the period of the spring bloom. If we take into account the potential primary production by benthic microalgae, the estuary as a whole is net autotrophic during spring, net heterotrophic during the nonbloom seasons, and has a balanced net metabolism over a full annual period. The seasonal shift from net autotrophy to heterotrophy during the transition from spring to summer was accompanied by a large shift from dominance by pelagic respiration to dominance by benthic respiration. This suggests that changes in net ecosystem metabolism can reflect changes in the pathways of energy flow in shallow coastal ecosystems.

  9. Ecosystem vs. community recovery 25 years after grass invasions and fire in a subtropical woodland

    USGS Publications Warehouse

    D'Antonio, Carla M.; Yelenik, Stephanie G.; Mack, Michelle C.

    2017-01-01

    Despite a large body of research documenting invasive plant impacts, few studies have followed individual invaded sites over decades to observe how they change, and none have contrasted how compositional impacts from invasion compare to ecosystem-process impacts over a multi-decadal time-scale. Using direct measurements of plant density and composition and of ecosystems processes, we evaluate how ecosystem structure, above-ground net primary production (ANPP), and above-ground and soil nutrient pools compare over 25 years since fire and C4 grass invasions disrupted seasonally dry Hawaiian woodlands. We compare structure and function between primary woodland that has never burned and is largely native species-dominated, with sites that had been the same woodland type but burned in alien-grass-fuelled fires in the 1970s and 1980s. The sites have not experienced fires since 1987. We report here that woody plant composition and structure continue to be dramatically changed by the initial invasions and fires that occurred 25 years ago and invaders continue to dominate in burned sites. This is reflected in continued low plant carbon pools in burned compared to unburned sites. Yet ANPP and N storage, which were dramatically lower in the initial decade after invasive-grass fuelled fires, have increased and are now indistinguishable from values measured in intact woodlands. Soil carbon pools were resilient to both invasion and fire initially and over time. Above-ground net primary production has recovered because of invasion of burned sites by a non-native N-fixing tree rather than because of recovery of native species. This invasive N-fixing tree is unlikely to return C storage of the invaded sites to those of unburned woodland because of its tissue and growth characteristics and its interactions with invasive grasses. It does not facilitate native species but rather promotes a persistent invasive grass/N-fixer savanna. Synthesis. We conclude that fire, an unusual disturbance in this system, has perpetuated the dominance of these sites by invasive species and that despite the dramatic recovery of above-ground net primary production and N pools, the ecosystem continues to be in a distinctly different state than the pre-fire, pre-Melinis community. Thus, despite the absence of further disturbance (fire), there is no evidence that succession towards the original ecosystem is occurring. The fact that N pools and above-ground net primary production recover because of a new invader (Morella faya), highlights the unpredictability of ecosystem trajectories in the face of altered regional species pools.

  10. Net primary productivity, allocation pattern and carbon use efficiency in an apple orchard assessed by integrating eddy covariance, biometric and continuous soil chamber measurements

    NASA Astrophysics Data System (ADS)

    Zanotelli, D.; Montagnani, L.; Manca, G.; Tagliavini, M.

    2013-05-01

    Carbon use efficiency (CUE), the ratio of net primary production (NPP) over gross primary production (GPP), is a functional parameter that could possibly link the current increasingly accurate global GPP estimates with those of net ecosystem exchange, for which global predictors are still unavailable. Nevertheless, CUE estimates are actually available for only a few ecosystem types, while information regarding agro-ecosystems is scarce, in spite of the simplified spatial structure of these ecosystems that facilitates studies on allocation patterns and temporal growth dynamics. We combined three largely deployed methods, eddy covariance, soil respiration and biometric measurements, to assess monthly values of CUE, NPP and allocation patterns in different plant organs in an apple orchard during a complete year (2010). We applied a measurement protocol optimized for quantifying monthly values of carbon fluxes in this ecosystem type, which allows for a cross check between estimates obtained from different methods. We also attributed NPP components to standing biomass increments, detritus cycle feeding and lateral exports. We found that in the apple orchard, both net ecosystem production and gross primary production on a yearly basis, 380 ± 30 g C m-2 and 1263 ± 189 g C m-2 respectively, were of a magnitude comparable to those of natural forests growing in similar climate conditions. The largest differences with respect to forests are in the allocation pattern and in the fate of produced biomass. The carbon sequestered from the atmosphere was largely allocated to production of fruit: 49% of annual NPP was taken away from the ecosystem through apple production. Organic material (leaves, fine root litter, pruned wood and early fruit falls) contributing to the detritus cycle was 46% of the NPP. Only 5% was attributable to standing biomass increment, while this NPP component is generally the largest in forests. The CUE, with an annual average of 0.71 ± 0.12, was higher than the previously suggested constant values of 0.47-0.50. Low nitrogen investment in fruit, the limited root apparatus, and the optimal growth temperature and nutritional condition observed at the site are suggested to be explanatory variables for the high CUE observed.

  11. Methane Emissions From Western Siberian Wetlands: Heterogeneity and Sensitivity to Climate Change

    NASA Astrophysics Data System (ADS)

    Bohn, T. J.; Lettenmaier, D. P.; Podest, E.; McDonald, K. C.; Sathulur, K.; Bowling, L. C.; Friborg, T.

    2007-12-01

    Prediction of methane emissions from high-latitude wetlands is important given concerns about their sensitivity to a warming climate. As a basis for prediction of wetland methane emissions at regional scales, we have coupled the Variable Infiltration Capacity macroscale hydrological model (VIC) with the Biosphere-Energy-Transfer- Hydrology terrestrial ecosystem model (BETHY) and a wetland methane emissions model to make large-scale estimates of methane emissions as a function of soil temperature, water table depth, and net primary productivity (NPP), with a parameterization of the sub-grid heterogeneity of the water table depth based on topographic wetness index. Using landcover classifications derived from L-band satellite synthetic aperture radar imagery, we simulated methane emissions for the Chaya River basin in western Siberia, an area that includes the Bakchar Bog, for a retrospective baseline period of 1980-1999, and evaluated their sensitivity to increases in temperature of 0-5 °C and increases in precipitation of 0-15%. The interactions of temperature and precipitation, through their effects on the water table depth, play an important role in determining methane emissions from these wetlands. The balance between these effects varies spatially, and their net effect depends in part on sub- grid topographic heterogeneity. Higher temperatures alone increase methane production in saturated areas, but cause those saturated areas to shrink in extent, resulting in a net reduction in methane emissions. Higher precipitation alone raises water tables and expands the saturated area, resulting in a net increase in methane emissions. Combining a temperature increase of 3 °C and an increase of 10% in precipitation, to represent the climate conditions likely in western Siberia at the end of this century, results in roughly a doubling of annual methane emissions. This work was carried out at the University of Washington, at Purdue University, and at the Jet Propulsion Laboratory, California Institute of Technology, under contract with the National Aeronautics and Space Administration.

  12. Climate-driven shifts in continental net primary production implicated as a driver of a recent abrupt increase in the land carbon sink

    NASA Astrophysics Data System (ADS)

    Buermann, Wolfgang; Beaulieu, Claudie; Parida, Bikash; Medvigy, David; Collatz, George J.; Sheffield, Justin; Sarmiento, Jorge L.

    2016-03-01

    The world's ocean and land ecosystems act as sinks for anthropogenic CO2, and over the last half century their combined sink strength grew steadily with increasing CO2 emissions. Recent analyses of the global carbon budget, however, have uncovered an abrupt, substantial ( ˜ 1 PgC yr-1) and sustained increase in the land sink in the late 1980s whose origin remains unclear. In the absence of this prominent shift in the land sink, increases in atmospheric CO2 concentrations since the late 1980s would have been ˜ 30 % larger than observed (or ˜ 12 ppm above current levels). Global data analyses are limited in regards to attributing causes to changes in the land sink because different regions are likely responding to different drivers. Here, we address this challenge by using terrestrial biosphere models constrained by observations to determine if there is independent evidence for the abrupt strengthening of the land sink. We find that net primary production significantly increased in the late 1980s (more so than heterotrophic respiration), consistent with the inferred increase in the global land sink, and that large-scale climate anomalies are responsible for this shift. We identify two key regions in which climatic constraints on plant growth have eased: northern Eurasia experienced warming, and northern Africa received increased precipitation. Whether these changes in continental climates are connected is uncertain, but North Atlantic climate variability is important. Our findings suggest that improved understanding of climate variability in the North Atlantic may be essential for more credible projections of the land sink under climate change.

  13. Effects of nutrient loading on the carbon balance of coastal wetland sediments

    USGS Publications Warehouse

    Morris, J.T.; Bradley, P.M.

    1999-01-01

    Results of a 12-yr study in an oligotrophic South Carolina salt marsh demonstrate that soil respiration increased by 795 g C m-2 yr-1 and that carbon inventories decreased in sediments fertilized with nitrogen and phosphorus. Fertilized plots became net sources of carbon to the atmosphere, and sediment respiration continues in these plots at an accelerated pace. After 12 yr of treatment, soil macroorganic matter in the top 5 cm of sediment was 475 g C m-2 lower in fertilized plots than in controls, which is equivalent to a constant loss rate of 40 g C m-2 yr-1. It is not known whether soil carbon in fertilized plots has reached a new equilibrium or continues to decline. The increase in soil respiration in the fertilized plots was far greater than the loss of sediment organic matter, which indicates that the increase in soil respiration was largely due to an increase in primary production. Sediment respiration in laboratory incubations also demonstrated positive effects of nutrients. Thus, the results indicate that increased nutrient loading of oligotrophic wetlands can lead to an increased rate of sediment carbon turnover and a net loss of carbon from sediments.

  14. Which nets are being used: factors associated with mosquito net use in Amhara, Oromia and Southern Nations, Nationalities and Peoples' Regions of Ethiopia.

    PubMed

    Ngondi, Jeremiah M; Graves, Patricia M; Gebre, Teshome; Mosher, Aryc W; Shargie, Estifanos B; Emerson, Paul M; Richards, Frank O

    2011-04-17

    There has been recent large scale-up of malaria control interventions in Ethiopia where transmission is unstable. While household ownership of long-lasting insecticidal nets (LLIN) has increased greatly, there are concerns about inadequate net use. This study aimed to investigate factors associated with net use at two time points, before and after mass distribution of nets. Two cross sectional surveys were carried out in 2006 and 2007 in Amhara, Oromia and SNNP regions. The latter was a sub-sample of the national Malaria Indicator Survey (MIS 3R). Each survey wave used multi-stage cluster random sampling with 25 households per cluster (224 clusters with 5,730 households in Baseline 2006 and 245 clusters with 5,910 households in MIS 3R 2007). Net ownership was assessed by visual inspection while net utilization was reported as use of the net the previous night. This net level analysis was restricted to households owning at least one net of any type. Logistic regression models of association between net use and explanatory variables including net type, age, condition, cost and other household characteristics were undertaken using generalized linear latent and mixed models (GLLAMM). A total of 3,784 nets in 2,430 households were included in the baseline 2006 analysis while the MIS 3R 2007 analysis comprised 5,413 nets in 3,328 households. The proportion of nets used the previous night decreased from 85.1% to 56.0% between baseline 2006 and MIS 3R 2007, respectively. Factors independently associated with increased proportion of nets used were: LLIN net type (at baseline 2006); indoor residual spraying (at MIS 3R 2007); and increasing wealth index at both surveys. At both baseline 2006 and MIS 3R 2007, reduced proportion of nets used was independently associated with increasing net age, increasing damage of nets, increasing household net density, and increasing altitude (>2,000 m). This study identified modifiable factors affecting use of nets that were consistent across both surveys. While net replacement remains important, the findings suggest that: more education about use and care of nets; making nets more resistant to damage; and encouraging net mending are likely to maximize the huge investment in scale up of net ownership by ensuring they are used. Without this step, the widespread benefits of LLIN cannot be realized.

  15. Primary controls on species richness in higher taxa.

    PubMed

    Rabosky, Daniel L

    2010-12-01

    The disparity in species richness across the tree of life is one of the most striking and pervasive features of biological diversity. Some groups are exceptionally diverse, whereas many other groups are species poor. Differences in diversity among groups are frequently assumed to result from primary control by differential rates of net diversification. However, a major alternative explanation is that ecological and other factors exert primary control on clade diversity, such that apparent variation in net diversification rates is a secondary consequence of ecological limits on clade growth. Here, I consider a likelihood framework for distinguishing between these competing hypotheses. I incorporate hierarchical modeling to explicitly relax assumptions about the constancy of diversification rates across clades, and I propose several statistics for a posteriori evaluation of model adequacy. I apply the framework to a recent dated phylogeny of ants. My results reject the hypothesis that net diversification rates exert primary control on species richness in this group and demonstrate that clade diversity is better explained by total time-integrated speciation. These results further suggest that it may not possible to estimate meaningful speciation and extinction rates from higher-level phylogenies of extant taxa only.

  16. Comparison between remote sensing and a dynamic vegetation model for estimating terrestrial primary production of Africa.

    PubMed

    Ardö, Jonas

    2015-12-01

    Africa is an important part of the global carbon cycle. It is also a continent facing potential problems due to increasing resource demand in combination with climate change-induced changes in resource supply. Quantifying the pools and fluxes constituting the terrestrial African carbon cycle is a challenge, because of uncertainties in meteorological driver data, lack of validation data, and potentially uncertain representation of important processes in major ecosystems. In this paper, terrestrial primary production estimates derived from remote sensing and a dynamic vegetation model are compared and quantified for major African land cover types. Continental gross primary production estimates derived from remote sensing were higher than corresponding estimates derived from a dynamic vegetation model. However, estimates of continental net primary production from remote sensing were lower than corresponding estimates from the dynamic vegetation model. Variation was found among land cover classes, and the largest differences in gross primary production were found in the evergreen broadleaf forest. Average carbon use efficiency (NPP/GPP) was 0.58 for the vegetation model and 0.46 for the remote sensing method. Validation versus in situ data of aboveground net primary production revealed significant positive relationships for both methods. A combination of the remote sensing method with the dynamic vegetation model did not strongly affect this relationship. Observed significant differences in estimated vegetation productivity may have several causes, including model design and temperature sensitivity. Differences in carbon use efficiency reflect underlying model assumptions. Integrating the realistic process representation of dynamic vegetation models with the high resolution observational strength of remote sensing may support realistic estimation of components of the carbon cycle and enhance resource monitoring, providing suitable validation data is available.

  17. Triple antithrombotic therapy versus dual antiplatelet therapy in patients with atrial fibrillation undergoing drug-eluting stent implantation.

    PubMed

    Kang, Dong Oh; Yu, Cheol Woong; Kim, Hee Dong; Cho, Jae Young; Joo, Hyung Joon; Choi, Rak Kyong; Park, Jin Sik; Lee, Hyun Jong; Kim, Je Sang; Park, Jae Hyung; Hong, Soon Jun; Lim, Do-Sun

    2015-08-01

    The optimal antithrombotic regimen in patients with atrial fibrillation (AF) undergoing drug-eluting stent (DES) implantation for complex coronary artery disease is unclear. We compared the net clinical outcomes of triple antithrombotic therapy (TAT; aspirin, thienopyridine, and warfarin) and dual antiplatelet therapy (DAPT; aspirin and thienopyridine) in AF patients who had undergone DES implantation. A total of 367 patients were enrolled and analyzed retrospectively; 131 patients (35.7%) received TAT and 236 patients (64.3%) received DAPT. DAPT and warfarin were maintained for a minimum of 12 and 24 months, respectively. The primary endpoint was the 2-year net clinical outcomes, a composite of major bleeding and major adverse cardiac and cerebral events (MACCE). Propensity score-matching analysis was carried out in 99 patient pairs. The 2-year net clinical outcomes of the TAT group were worse than those of the DAPT group (34.3 vs. 21.1%, P=0.006), which was mainly due to the higher incidence of major bleeding (16.7 vs. 4.6%, P<0.001), without any significant increase in MACCE (22.1 vs. 17.7%, P=0.313). In the multivariate analysis, TAT was an independent predictor of worse net clinical outcomes (odds ratio 1.63, 95% confidence interval 1.06-2.50) and major bleeding (odds ratio 3.54, 95% confidence interval 1.65-7.58). After propensity score matching, the TAT group still had worse net clinical outcomes and a higher incidence of major bleeding compared with the DAPT group. In AF patients undergoing DES implantation, prolonged administration of TAT may be harmful due to the substantial increase in the risk for major bleeding without any reduction in MACCE.

  18. CARBON STORAGE AND FLUXES IN PONDEROSA PINE AT DIFFERENT SUCCESSIONAL STAGES

    EPA Science Inventory

    We compared carbon storage and fluxes in young and old ponderosa pine stands in Oregon, including plant and soil storage, net primary productivity, respiration fluxes, and eddy flux estimates of net ecosystem exchange. The young site (Y site) was previously an old-growth pondero...

  19. Game Theory .net.

    ERIC Educational Resources Information Center

    Shor, Mikhael

    2003-01-01

    States making game theory relevant and accessible to students is challenging. Describes the primary goal of GameTheory.net is to provide interactive teaching tools. Indicates the site strives to unite educators from economics, political and computer science, and ecology by providing a repository of lecture notes and tests for courses using…

  20. A Patient Navigator Intervention to Reduce Hospital Readmissions among High-Risk Safety-Net Patients: A Randomized Controlled Trial.

    PubMed

    Balaban, Richard B; Galbraith, Alison A; Burns, Marguerite E; Vialle-Valentin, Catherine E; Larochelle, Marc R; Ross-Degnan, Dennis

    2015-07-01

    Evidence-based interventions to reduce hospital readmissions may not generalize to resource-constrained safety-net hospitals. To determine if an intervention by patient navigators (PNs), hospital-based Community Health Workers, reduces readmissions among high risk, low socioeconomic status patients. Randomized controlled trial. General medicine inpatients having at least one of the following readmission risk factors: (1) age ≥60 years, (2) any in-network inpatient admission within the past 6 months, (3) length of stay ≥3 days, (4) admission diagnosis of heart failure, or (5) chronic obstructive pulmonary disease. The analytic sample included 585 intervention patients and 925 controls. PNs provided coaching and assistance in navigating the transition from hospital to home through hospital visits and weekly telephone outreach, supporting patients for 30 days post-discharge with discharge preparation, medication management, scheduling of follow-up appointments, communication with primary care, and symptom management. The primary outcome was in-network 30-day hospital readmissions. Secondary outcomes included rates of outpatient follow-up. We evaluated outcomes for the entire cohort and stratified by patient age >60 years (425 intervention/584 controls) and ≤60 years (160 intervention/341 controls). Overall, 30-day readmission rates did not differ between intervention and control patients. However, the two age groups demonstrated marked differences. Intervention patients >60 years showed a statistically significant adjusted absolute 4.1% decrease [95% CI: -8.0%, -0.2%] in readmission with an increase in 30-day outpatient follow-up. Intervention patients ≤60 years showed a statistically significant adjusted absolute 11.8% increase [95% CI: 4.4%, 19.0%] in readmission with no change in 30-day outpatient follow-up. A patient navigator intervention among high risk, safety-net patients decreased readmission among older patients while increasing readmissions among younger patients. Care transition strategies should be evaluated among diverse populations, and younger high risk patients may require novel strategies.

  1. The spatio-temporal responses of the carbon cycle to climate and land use/land cover changes between 1981-2000 in China

    NASA Astrophysics Data System (ADS)

    Gao, Zhiqiang; Cao, Xiaoming; Gao, Wei

    2013-03-01

    This paper represents the first national effort of its kind to systematically investigate the impact of changes in climate and land use and land cover (LULC) on the carbon cycle with high-resolution dynamic LULC data at the decadal scale (1990s and 2000s). Based on simulations using well calibrated and validated Carbon Exchanges in the Vegetation-Soil-Atmosphere (CEVSA) model, temporal and spatial variations in carbon storage and fluxes in China may be generated empower us to relate these variations to climate variability and LULC with respect to net primary productivity (NPP), heterotrophic respiration (HR), net ecosystem productivity (NEP), storage and soil carbon (SOC), and vegetation carbon (VEGC) individually or collectively. Overall, the increases in NPP were greater than HR in most cases due to the effect of global warming with more precipitation in China from 1981 to 2000. With this trend, the NEP remained positive during that period, resulting in a net increase of total amount of carbon being stored by about 0.296 PgC within a 20-year time frame. Because the climate effect was much greater than that of changes of LULC, the total carbon storage in China actually increased by about 0.17 PgC within the 20-year time period. Such findings will contribute to the generation of carbon emissions control policies under global climate change impacts.

  2. Factors associated with mosquito net use by individuals in households owning nets in Ethiopia

    PubMed Central

    2011-01-01

    Background Ownership of insecticidal mosquito nets has dramatically increased in Ethiopia since 2006, but the proportion of persons with access to such nets who use them has declined. It is important to understand individual level net use factors in the context of the home to modify programmes so as to maximize net use. Methods Generalized linear latent and mixed models (GLLAMM) were used to investigate net use using individual level data from people living in net-owning households from two surveys in Ethiopia: baseline 2006 included 12,678 individuals from 2,468 households and a sub-sample of the Malaria Indicator Survey (MIS) in 2007 included 14,663 individuals from 3,353 households. Individual factors (age, sex, pregnancy); net factors (condition, age, net density); household factors (number of rooms [2006] or sleeping spaces [2007], IRS, women's knowledge and school attendance [2007 only], wealth, altitude); and cluster level factors (rural or urban) were investigated in univariate and multi-variable models for each survey. Results In 2006, increased net use was associated with: age 25-49 years (adjusted (a) OR = 1.4, 95% confidence interval (CI) 1.2-1.7) compared to children U5; female gender (aOR = 1.4; 95% CI 1.2-1.5); fewer nets with holes (Ptrend = 0.002); and increasing net density (Ptrend < 0.001). Reduced net use was associated with: age 5-24 years (aOR = 0.2; 95% CI 0.2-0.3). In 2007, increased net use was associated with: female gender (aOR = 1.3; 95% CI 1.1-1.6); fewer nets with holes (aOR [all nets in HH good] = 1.6; 95% CI 1.2-2.1); increasing net density (Ptrend < 0.001); increased women's malaria knowledge (Ptrend < 0.001); and urban clusters (aOR = 2.5; 95% CI 1.5-4.1). Reduced net use was associated with: age 5-24 years (aOR = 0.3; 95% CI 0.2-0.4); number of sleeping spaces (aOR [per additional space] = 0.6, 95% CI 0.5-0.7); more old nets (aOR [all nets in HH older than 12 months] = 0.5; 95% CI 0.3-0.7); and increasing household altitude (Ptrend < 0.001). Conclusion In both surveys, net use was more likely by women, if nets had fewer holes and were at higher net per person density within households. School-age children and young adults were much less likely to use a net. Increasing availability of nets within households (i.e. increasing net density), and improving net condition while focusing on education and promotion of net use, especially in school-age children and young adults in rural areas, are crucial areas for intervention to ensure maximum net use and consequent reduction of malaria transmission. PMID:22165821

  3. Impact of climate and land use/cover changes on the carbon cycle in China (1981-2000): a system-based assessment

    NASA Astrophysics Data System (ADS)

    Gao, Z.; Gao, W.; Chang, N.-B.

    2010-07-01

    In China, cumulative changes in climate and land use/land cover (LULC) from 1981 to 2000 had collectively affected the net productivity in the terrestrial ecosystem and thus the net carbon flux, both of which are intimately linked with the global carbon cycle. This paper represents the first national effort of its kind to systematically investigate the impact of changes of LULC on carbon cycle with high-resolution dynamic LULC data at the decadal scale (1990s and 2000s). The CEVSA was applied and driven by high resolution LULC data retrieved from remote sensing and climate data collected from two ground-based meteorological stations. In particular, it allowed us to simulate carbon fluxes (net primary productivity (NPP), vegetation carbon (VEGC) storage, soil carbon (SOC) storage, heterotrophic respiration (HR), and net ecosystem productivity (NEP)) and carbon storage from 1981 to 2000. Simulations generally agree with output from other models and results from bookkeeping approach. Based on these simulations, temporal and spatial variations in carbon storage and fluxes in China may be confirmed and we are able to relate these variations to climate variability during this period for detailed analyses to show influences of the LULC and environmental controls on NPP, NEP, HR, SOC, and VEGC. Overall, the increases in NPP were greater than HR in most of the time due to the effect of global warming with more precipitation in China from 1981 to 2000. With this trend, the NEP remained positive during that period, resulting in the net increase of total amount of carbon being stored by about 0.296 Pg C within the 20-years time frame. Because the climate effect was much greater than that of changes of LULC, the total carbon storage in China actually increased by about 0.17 Pg C within the 20 years. Such findings will contribute to the generation of control policies of carbon emissions under global climate change.

  4. Quantifying the role of fire in the Earth system - Part 2: Impact on the net carbon balance of global terrestrial ecosystems for the 20th century

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Li, Fang; Bond-Lamberty, Benjamin; Levis, Samuel

    Fire is the primary terrestrial ecosystem disturbance agent on a global scale. It affects carbon balance of global terrestrial ecosystems by emitting carbon to atmosphere directly and immediately from biomass burning (i.e., fire direct effect), and by changing net ecosystem productivity and land-use carbon loss in post-fire regions due to biomass burning and fire-induced vegetation mortality (i.e., fire indirect effect). Here, we provide the first quantitative assessment about the impact of fire on the net carbon balance of global terrestrial ecosystems for the 20th century, and investigate the roles of fire direct and indirect effects. This study is done bymore » quantifying the difference between the 20th century fire-on and fire-off simulations with NCAR community land model CLM4.5 as the model platform. Results show that fire decreases net carbon gain of the global terrestrial ecosystems by 1.0 Pg C yr-1 average across the 20th century, as a results of fire direct effect (1.9 Pg C yr-1) partly offset by indirect effect (-0.9 Pg C yr-1). Fire generally decreases the average carbon gains of terrestrial ecosystems in post-fire regions, which are significant over tropical savannas and part of forests in North America and the east of Asia. The general decrease of carbon gains in post-fire regions is because fire direct and indirect effects have similar spatial patterns and the former (to decrease carbon gain) is generally stronger. Moreover, the effect of fire on net carbon balance significantly declines prior to ~1970 with trend of 8 Tg C yr-1 due to increasing fire indirect effect and increases afterward with trend of 18 Tg C yr-1 due to increasing fire direct effect.« less

  5. Direct and indirect climate change effects on carbon dioxide fluxes in a thawing boreal forest-wetland landscape.

    PubMed

    Helbig, Manuel; Chasmer, Laura E; Desai, Ankur R; Kljun, Natascha; Quinton, William L; Sonnentag, Oliver

    2017-08-01

    In the sporadic permafrost zone of northwestern Canada, boreal forest carbon dioxide (CO 2 ) fluxes will be altered directly by climate change through changing meteorological forcing and indirectly through changes in landscape functioning associated with thaw-induced collapse-scar bog ('wetland') expansion. However, their combined effect on landscape-scale net ecosystem CO 2 exchange (NEE LAND ), resulting from changing gross primary productivity (GPP) and ecosystem respiration (ER), remains unknown. Here, we quantify indirect land cover change impacts on NEE LAND and direct climate change impacts on modeled temperature- and light-limited NEE LAND of a boreal forest-wetland landscape. Using nested eddy covariance flux towers, we find both GPP and ER to be larger at the landscape compared to the wetland level. However, annual NEE LAND (-20 g C m -2 ) and wetland NEE (-24 g C m -2 ) were similar, suggesting negligible wetland expansion effects on NEE LAND . In contrast, we find non-negligible direct climate change impacts when modeling NEE LAND using projected air temperature and incoming shortwave radiation. At the end of the 21st century, modeled GPP mainly increases in spring and fall due to reduced temperature limitation, but becomes more frequently light-limited in fall. In a warmer climate, ER increases year-round in the absence of moisture stress resulting in net CO 2 uptake increases in the shoulder seasons and decreases during the summer. Annually, landscape net CO 2 uptake is projected to decline by 25 ± 14 g C m -2 for a moderate and 103 ± 38 g C m -2 for a high warming scenario, potentially reversing recently observed positive net CO 2 uptake trends across the boreal biome. Thus, even without moisture stress, net CO 2 uptake of boreal forest-wetland landscapes may decline, and ultimately, these landscapes may turn into net CO 2 sources under continued anthropogenic CO 2 emissions. We conclude that NEE LAND changes are more likely to be driven by direct climate change rather than by indirect land cover change impacts. © 2017 John Wiley & Sons Ltd.

  6. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Raz-Yaseef, Naama; Billesbach, Dave P.; Fischer, Marc L.

    The Southern Great Plains are characterized by a fine-scale mixture of different land-cover types, predominantly winter-wheat and grazed pasture, with relatively small areas of other crops, native prairie, and switchgrass. Recent droughts and predictions of increased drought in the Southern Great Plains, especially during the summer months, raise concern for these ecosystems. We measured ecosystem carbon and water fluxes with eddy-covariance systems over cultivated cropland for 10 years, and over lightly grazed prairie and new switchgrass fields for 2 years each. Growing-season precipitation showed the strongest control over net carbon uptake for all ecosystems, but with a variable effect: grassesmore » (prairie and switchgrass) needed at least 350 mm of precipitation during the growing season to become net carbon sinks, while crops needed only 100 mm. In summer, high temperatures enhanced evaporation and led to higher likelihood of dry soil conditions. Therefore, summer-growing native prairie species and switchgrass experienced more seasonal droughts than spring-growing crops. For wheat, the net reduction in carbon uptake resulted mostly from a decrease in gross primary production rather than an increase in respiration. Flux measurements suggested that management practices for crops were effective in suppressing evapotranspiration and decomposition (by harvesting and removing secondary growth), and in increasing carbon uptake (by fertilizing and conserving summer soil water). In light of future projections for wetter springs and drier and warmer summers in the Southern Great Plains, our study indicates an increased vulnerability in native ecosystems and summer crops over time.« less

  7. The Hyperspectral Absorption Sensor - Advantages and challenges of continuous, in situ absorption coefficient measurements

    NASA Astrophysics Data System (ADS)

    Wollschläger, J.; Röttgers, R.; Petersen, W.; Zielinski, O.

    2016-12-01

    A free-water mass balance-based study was conducted to address the rate of metabolism and net carbon exchange for the tidal wetland and estuarine portion of the coastal ocean and the uncertainties associated with this approach were assessed. Open water diurnal O2 and dissolved inorganic carbon (DIC) were measured seasonally in a salt marsh-estuary in Georgia, U.S.A. with a focus on the marsh-estuary linkage associated with tidal flooding. We observed that the overall estuarine system was a net source of CO2 to the atmosphere and coastal ocean and a net sink for oceanic and atmospheric O2. Rates of metabolism were extremely high, with respiration (43 mol m-2 yr-1) greatly exceeding gross primary production (28 mol m-2 yr-1), such that the overall system was net heterotrophic. Metabolism measured with DIC were higher than with O2, which we attribute to high rates of anaerobic respiration and reduced sulfur storage in salt marsh sediments, and we assume substantial levels of anoxygenic photosynthesis. We found gas exchange from a flooded marsh is substantial, accounting for about 28% of total O2 and CO2 air-water exchange. A significant percentage of the overall estuarine aquatic metabolism is attributable to metabolism of marsh organisms during inundation. Our study suggests not rely on oceanographic stoichiometry to convert from O2to C based measurements when constructing C balances for the coastal ocean. We also suggest eddy covariance measurements of salt marsh net ecosystem exchange underestimate net ecosystem production as they do not account for lateral DIC exchange associated with marsh tidal inundation. With the increase of global temperature and sea level rise, salt marshes are likely to export more inorganic carbon to the atmosphere and the coastal ocean due to the decrease of solubility, the increase of aquatic and benthic metabolic activities and the longer marsh inundation.

  8. Inorganic Carbon and Oxygen Dynamics in a Marsh-dominated Estuary

    NASA Astrophysics Data System (ADS)

    Wang, S. R.; Di Iorio, D.; Cai, W. J.; Hopkinson, C.

    2017-12-01

    A free-water mass balance-based study was conducted to address the rate of metabolism and net carbon exchange for the tidal wetland and estuarine portion of the coastal ocean and the uncertainties associated with this approach were assessed. Open water diurnal O2 and dissolved inorganic carbon (DIC) were measured seasonally in a salt marsh-estuary in Georgia, U.S.A. with a focus on the marsh-estuary linkage associated with tidal flooding. We observed that the overall estuarine system was a net source of CO2 to the atmosphere and coastal ocean and a net sink for oceanic and atmospheric O2. Rates of metabolism were extremely high, with respiration (43 mol m-2 yr-1) greatly exceeding gross primary production (28 mol m-2 yr-1), such that the overall system was net heterotrophic. Metabolism measured with DIC were higher than with O2, which we attribute to high rates of anaerobic respiration and reduced sulfur storage in salt marsh sediments, and we assume substantial levels of anoxygenic photosynthesis. We found gas exchange from a flooded marsh is substantial, accounting for about 28% of total O2 and CO2 air-water exchange. A significant percentage of the overall estuarine aquatic metabolism is attributable to metabolism of marsh organisms during inundation. Our study suggests not rely on oceanographic stoichiometry to convert from O2to C based measurements when constructing C balances for the coastal ocean. We also suggest eddy covariance measurements of salt marsh net ecosystem exchange underestimate net ecosystem production as they do not account for lateral DIC exchange associated with marsh tidal inundation. With the increase of global temperature and sea level rise, salt marshes are likely to export more inorganic carbon to the atmosphere and the coastal ocean due to the decrease of solubility, the increase of aquatic and benthic metabolic activities and the longer marsh inundation.

  9. Biogeochemistry of a temperate forest nitrogen gradient

    USGS Publications Warehouse

    Perakis, Steven S.; Sinkhorn, Emily R.

    2011-01-01

    Wide natural gradients of soil nitrogen (N) can be used to examine fundamental relationships between plant–soil–microbial N cycling and hydrologic N loss, and to test N-saturation theory as a general framework for understanding ecosystem N dynamics. We characterized plant production, N uptake and return in litterfall, soil gross and net N mineralization rates, and hydrologic N losses of nine Douglas-fir (Pseudotsuga menziesii) forests across a wide soil N gradient in the Oregon Coast Range (USA). Surface mineral soil N (0–10 cm) ranged nearly three-fold from 0.29% to 0.78% N, and in contrast to predictions of N-saturation theory, was linearly related to 10-fold variation in net N mineralization, from 8 to 82 kg N·ha−1·yr−1. Net N mineralization was unrelated to soil C:N, soil texture, precipitation, and temperature differences among sites. Net nitrification was negatively related to soil pH, and accounted for −1·yr−1. Aboveground net primary production per unit net N mineralization varied inversely with soil N, suggesting progressive saturation of plant N demands at high soil N. Hydrologic N losses were dominated by dissolved organic N at low-N sites, with increased nitrate loss causing a shift to dominance by nitrate at high-N sites, particularly where net nitrification exceeded plant N demands. With the exception of N mineralization patterns, our results broadly support the application of the N-saturation model developed from studies of anthropogenic N deposition to understand N cycling and saturation of plant and microbial sinks along natural soil N gradients. This convergence of behavior in unpolluted and polluted forest N cycles suggests that where future reductions in deposition to polluted sites do occur, symptoms of N saturation are most likely to persist where soil N content remains elevated.

  10. National Educational Technology. Standards for Students.

    ERIC Educational Resources Information Center

    International Society for Technology in Education, Eugene, OR.

    The primary goals of the National Educational Technology Standards (NETS) project is to enable stakeholders in PreK-12 education to develop national standards for the educational uses of technology that will facilitate school improvement in the United States. The NETS Project will develop standards to guide educational leaders in recognizing and…

  11. [Estimation of net primary productivity in arid region based on coupling model.

    PubMed

    Yang, Hui Jin; Li, Xiao Yu; Liu, Li Juan; Ma, Jin Long; Wang, Jin

    2016-06-01

    Net primary productivity (NPP), as the base for the research of matter recycling and energy flow in terrestrial ecosystem, is sensitive to the changes of environment and climate in arid region, and also is an important indicator of eco-environmental characteristics. Based on remote sensing (RS) and geographic information system (GIS), using meteorological data, eddy cova-riance data, Landsat 8 and MODIS data, this study coupled SEBAL model and light utility efficiency model to estimate the NPP of vegetation in Manas River Watershed, and the spatial pattern of NPP and the relationships between NPP and terrain factors (elevation and slope) were analyzed. Results showed that the estimated result of NPP in Manas River Watershed by coupling model was reasonable and could actually reflect the NPP of vegetation. The total annual NPP of vegetation and the mean annual NPP in Manas River Watershed in 2013 were 7066.72 Tg C·a -1 and 278.06 g C·m -2 ·a -1 respectively. With the variation of geomorphic type and land cover, the NPP changed remarkably from south to north in a trend of increase-decrease-increase-decrease pattern. The temporal variations of NPP were also obvious, with the NPP in July and August accounting for 52.2% of total annual NPP. With the increase of the elevation and slope, the mean annual NPP decreased as a whole with fluctuations induced by different land covers and environmental factors.

  12. Cost analysis of a patient navigation system to increase screening colonoscopy adherence among urban minorities.

    PubMed

    Jandorf, Lina; Stossel, Lauren M; Cooperman, Julia L; Graff Zivin, Joshua; Ladabaum, Uri; Hall, Diana; Thélémaque, Linda D; Redd, William; Itzkowitz, Steven H

    2013-02-01

    Patient navigation (PN) is being used increasingly to help patients complete screening colonoscopy (SC) to prevent colorectal cancer. At their large, urban academic medical center with an open-access endoscopy system, the authors previously demonstrated that PN programs produced a colonoscopy completion rate of 78.5% in a cohort of 503 patients (predominantly African Americans and Latinos with public health insurance). Very little is known about the direct costs of implementing PN programs. The objective of the current study was to perform a detailed cost analysis of PN programs at the authors' institution from an institutional perspective. In 2 randomized controlled trials, average-risk patients who were referred for SC by primary care providers were recruited for PN between May 2008 and May 2010. Patients were randomized to 1 of 4 PN groups. The cost of PN and net income to the institution were determined in a cost analysis. Among 395 patients who completed colonoscopy, 53.4% underwent SC alone, 30.1% underwent colonoscopy with biopsy, and 16.5% underwent snare polypectomy. Accounting for the average contribution margins of each procedure type, the total revenue was $95,266.00. The total cost of PN was $14,027.30. Net income was $81,238.70. In a model sample of 1000 patients, net incomes for the institutional completion rate (approximately 80%), the historic PN program (approximately 65%), and the national average (approximately 50%) were compared. The current PN program generated additional net incomes of $35,035.50 and $44,956.00, respectively. PN among minority patients with mostly public health insurance generated additional income to the institution, mainly because of increased colonoscopy completion rates. Copyright © 2012 American Cancer Society.

  13. Atmospheric redistribution of reactive nitrogen and phosphorus by wildfires and implications for global carbon cycling

    NASA Astrophysics Data System (ADS)

    Randerson, J. T.; Xu, L.; Wiggins, E. B.; Chen, Y.; Riley, W. J.; Mekonnen, Z. A.; Pellegrini, A.; Mahowald, N. M.

    2017-12-01

    Fires are an important process regulating the redistribution of nutrients within terrestrial ecosystems. Frequently burning ecosystems such as savannas are a net source of N and P to the atmosphere each year, with atmospheric transport and dry and wet deposition increasing nutrient availability in downwind ecosystems and over the open ocean. Transport of N and P aerosols from savanna fires within the Hadley circulation contributes to nutrient deposition over tropical forests, yielding an important cross-biome nutrient transfer. Pyrodenitrification of reactive N increases with fire temperature and modified combustion efficiency, generating a global net biospheric loss of approximately 14 Tg N per year. Here we analyze atmospheric N and P redistribution using the Global Fire Emissions Database version 4s and the Accelerated Climate Modeling for Energy earth system model. We synthesize literature estimates of N and P concentrations in fire-emitted aerosols and ecosystem mass balance measurements to help constrain model estimates of these biosphere-atmosphere fluxes. In our analysis, we estimate the fraction of terrestrial net primary production (NPP) that is sustained by fire-emitted P and reactive N from upwind ecosystems. We then evaluate how recent global declines in burned area in savanna and grassland ecosystems may be changing nutrient availability in downwind ecosystems.

  14. Hydrologic connectivity to streams increases nitrogen and phosphorus inputs and cycling in soils of created and natural floodplain wetlands

    USGS Publications Warehouse

    Wolf, Kristin L.; Noe, Gregory B.; Ahn, Changwoo

    2013-01-01

    Greater connectivity to stream surface water may result in greater inputs of allochthonous nutrients that could stimulate internal nitrogen (N) and phosphorus (P) cycling in natural, restored, and created riparian wetlands. This study investigated the effects of hydrologic connectivity to stream water on soil nutrient fluxes in plots (n = 20) located among four created and two natural freshwater wetlands of varying hydrology in the Piedmont physiographic province of Virginia. Surface water was slightly deeper; hydrologic inputs of sediment, sediment-N, and ammonium were greater; and soil net ammonification, N mineralization, and N turnover were greater in plots with stream water classified as their primary water source compared with plots with precipitation or groundwater as their primary water source. Soil water-filled pore space, inputs of nitrate, and soil net nitrification, P mineralization, and denitrification enzyme activity (DEA) were similar among plots. Soil ammonification, N mineralization, and N turnover rates increased with the loading rate of ammonium to the soil surface. Phosphorus mineralization and ammonification also increased with sedimentation and sediment-N loading rate. Nitrification flux and DEA were positively associated in these wetlands. In conclusion, hydrologic connectivity to stream water increased allochthonous inputs that stimulated soil N and P cycling and that likely led to greater retention of sediment and nutrients in created and natural wetlands. Our findings suggest that wetland creation and restoration projects should be designed to allow connectivity with stream water if the goal is to optimize the function of water quality improvement in a watershed.

  15. Lake Roosevelt Fisheries Evaluation Program : Lake Whatcom Kokanee Salmon (Oncorhynchus nerka kennerlyi) : Investigations in Lake Roosevelt Annual Report 1999-2000.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    McLellan, Holly J.; Scholz, Allan T.; McLellan, Jason G.

    2001-07-01

    Lake Whatcom stock kokanee have been planted in Lake Roosevelt since 1988 with the primary goal of establishing a self-sustaining fishery. Returns of hatchery kokanee to egg collection facilities and recruitment to the creel have been minimal. Therefore, four experiments were conducted to determine the most appropriate release strategy that would increase kokanee returns. The first experiment compared morpholine and non-morpholine imprinted kokanee return rates, the second experiment compared early and middle run Whatcom kokanee, the third experiment compared early and late release dates, and the fourth experiment compared three net pen release strategies: Sherman Creek hatchery vs. Sherman Creekmore » net pens, Colville River net pens vs. Sherman Creek net pens, and upper vs. lower reservoir net pen releases. Each experiment was tested in three ways: (1) returns to Sherman Creek, (2) returns to other tributaries throughout the reservoir, and (3) returns to the creel. Chi-square analysis of hatchery and tributary returns indicated no significant difference between morpholine imprinted and non-imprinted fish, early run fish outperformed middle run fish, early release date outperformed late release fish, and the hatchery outperformed all net pen releases. Hatchery kokanee harvest was estimated at 3,323 fish, which was 33% of the total harvest. Return rates (1998 = 0.52%) of Whatcom kokanee were low indicating an overall low performance that could be caused by high entrainment, predation, and precocity. A kokanee stock native to the upper Columbia, as opposed to the coastal Whatcom stock, may perform better in Lake Roosevelt.« less

  16. Keeping the Promise: Five Benefits of Girls' Secondary Education

    ERIC Educational Resources Information Center

    Rihani, May A.

    2006-01-01

    Countries around the world have achieved huge gains in primary education, reaching a world average of 83.8 percent in net primary enrollment. However, large numbers of students still do not complete primary education, and even fewer continue on to secondary school. Since so few children complete primary school, those who do must be able to…

  17. Impact of Replacing the Pooled Cohort Equation With Other Cardiovascular Disease Risk Scores on Atherosclerotic Cardiovascular Disease Risk Assessment (from the Multi-Ethnic Study of Atherosclerosis [MESA]).

    PubMed

    Qureshi, Waqas T; Michos, Erin D; Flueckiger, Peter; Blaha, Michael; Sandfort, Veit; Herrington, David M; Burke, Gregory; Yeboah, Joseph

    2016-09-01

    The increase in statin eligibility by the new cholesterol guidelines is mostly driven by the Pooled Cohort Equation (PCE) criterion (≥7.5% 10-year PCE). The impact of replacing the PCE with either the modified Framingham Risk Score (FRS) or the Systematic Coronary Risk Evaluation (SCORE) on assessment of atherosclerotic cardiovascular disease (ASCVD) risk assessment and statin eligibility remains unknown. We assessed the comparative benefits of using the PCE, FRS, and SCORE for ASCVD risk assessment in the Multi-Ethnic Study of Atherosclerosis. Of 6,815 participants, 654 (mean age 61.4 ± 10.3; 47.1% men; 37.1% whites; 27.2% blacks; 22.3% Hispanics; 12.0% Chinese-Americans) were included in analysis. Area under the curve (AUC) and decision curve analysis were used to compare the 3 risk scores. Decision curve analysis is the plot of net benefit versus probability thresholds; net benefit = true positive rate - (false positive rate × weighting factor). Weighting factor = Threshold probability/1 - threshold probability. After a median of 8.6 years, 342 (6.0%) ASCVD events (myocardial infarction, coronary heart disease death, fatal or nonfatal stroke) occurred. All 4 risk scores had acceptable discriminative ability for incident ASCVD events; (AUC [95% CI] PCE: 0.737 [0.713 to 0.762]; FRS: 0.717 [0.691 to 0.743], SCORE (high risk) 0.722 [0.696 to 0.747], and SCORE (low risk): 0.721 [0.696 to 0.746]. At the ASCVD risk threshold recommended for statin eligibility for primary prevention (≥7.5%), the PCE provides the best net benefit. Replacing the PCE with the SCORE (high), SCORE (low) and FRS results in a 2.9%, 8.9%, and 17.1% further increase in statin eligibility. The PCE has the best discrimination and net benefit for primary ASCVD risk assessment in a US-based multiethnic cohort compared with the SCORE or the FRS. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. The Progestin-Only Contraceptive Medroxyprogesterone Acetate, but Not Norethisterone Acetate, Enhances HIV-1 Vpr-Mediated Apoptosis in Human CD4+ T Cells through the Glucocorticoid Receptor

    PubMed Central

    Tomasicchio, Michele; Avenant, Chanel; Du Toit, Andrea; Ray, Roslyn M.; Hapgood, Janet P.

    2013-01-01

    The glucocorticoid receptor (GR) regulates several physiological functions, including immune function and apoptosis. The HIV-1 virus accessory protein, viral protein R (Vpr), can modulate the transcriptional response of the GR. Glucocorticoids (GCs) and Vpr have been reported to induce apoptosis in various cells, including T-cells. We have previously shown that the injectable contraceptive, medroxyprogesterone acetate (MPA) is a partial to full agonist for the GR, unlike norethisterone acetate (NET-A). We investigated the functional cross talk between the GR and Vpr in inducing apoptosis in CD4+ T-cells, in the absence and presence of GCs and these progestins, as well as progesterone. By using flow cytometry, we show that, in contrast to NET-A and progesterone, the synthetic GR ligand dexamethasone (Dex), cortisol and MPA induce apoptosis in primary CD4+ T-cells. Furthermore, the C-terminal part of the Vpr peptide, or HIV-1 pseudovirus, together with Dex or MPA further increased the apoptotic phenotype, unlike NET-A and progesterone. By a combination of Western blotting, PCR and the use of receptor- selective agonists, we provide evidence that the GR and the estrogen receptor are the only steroid receptors expressed in peripheral blood mononuclear cells. These results, together with the findings that RU486, a GR antagonist, prevents Dex-, MPA- and Vpr-mediated apoptosis, provide evidence for the first time that GR agonists or partial agonists increase apoptosis in primary CD4+ T-cells via the GR. We show that apoptotic induction involves differential expression of key apoptotic genes by both Vpr and GCs/MPA. This work suggests that contraceptive doses of MPA but not NET-A or physiological doses of progesterone could potentially accelerate depletion of CD4+ T-cells in a GR-dependent fashion in HIV-1 positive women, thereby contributing to immunodeficiency. The results imply that choice of progestin used in contraception may be critical to susceptibility and progression of diseases such as HIV-1. PMID:23658782

  19. The Impact of PD-L1 Expression in Patients with Metastatic GEP-NETs

    PubMed Central

    Kim, Seung Tae; Ha, Sang Yun; Lee, Sujin; Ahn, Soomin; Lee, Jeeyun; Park, Se Hoon; Park, Joon Oh; Lim, Ho Yeong; Kang, Won Ki; Kim, Kyoung-Mee; Park, Young Suk

    2016-01-01

    Programmed death-ligand 1 (PD-L1), which is expressed on many cancer cells, interacts with PD1 expressed on the surface of T cells, inhibiting the T cells and blocking the antitumor immune response. Expression of PD-L1 in gastroenteropancreatic neuroendocrine tumors (GEP-NETs) has not been studied. We investigated the impact of PD-L1 expression in 32 patients with metastatic GEP-NET. The expression of PD-L1 was evaluated using an anti-PD-L1 immunohistochemistry (IHC) antibody optimized for staining of formalin-fixed paraffin-embedded (FFPE) tissue samples. The correlation between PD-L1 and clinicopathological data including survival and response to systemic treatments was analyzed. Primary sites were 24 foregut-derived GEP-NETs, including stomach (n=1), duodenum (n=2), biliary tract (n=7), and pancreas (n=14), and 8 hindgut-derived GEP-NETs of the distal colon and rectum. Among the 32 patients with metastatic GEP-NET analyzed in this study, 7 (21.9%) had expression of PD-L1 in tumor tissues. Expression of PD-L1 was significantly associated with high-grade WHO classification (grade 3) (p=0.008) but not with gender, primary site, and number of metastatic sites (p>0.05). The status of PD-L1 expression was statistically associated with progression-free survival (PFS) for first-line systemic treatment (p=0.047). Moreover, the status of PD-L1 expression could significantly predict overall survival (p=0.037). The expression of PD-L1 was associated with higher WHO tumor grade (grade 3) in metastatic GEP-NETs. PD-L1 expression had both predictive and prognostic value for survival of patients with metastatic GEP-NETs. PMID:26958083

  20. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Mills, M.P.

    The United States` competitive position in world markets will be determined by many forces. Two of the fundamental factors are the increased use of new technologies, and the availability of low-cost electricity to operate those technologies. The US currently has an will likely continue to have market dominance in both these critical areas. Both of these factors are intimately related since the primary source of new technologies is electric in nature. And, because low-cost coal now dominates and will continue to dominate the electric supply system, and because the US has both an abundance of coal and the world`s largestmore » fleet of coal-fired power plants, the US will have an expanding base of low-cost electricity that will secure its current competitive advantage for years to come. Electric technologies and, increasingly, computer-based technologies integrated with electric technologies are the primary sources of innovative advancement and economic growth. As a consequence, the growth in electricity, which has historically tracked GNP growth, is expected to continue. And, with the restructuring of the electric utility industry and the emergence of vigorous competition, prices are expected to decline as competition increases. The net effect of these forces will be to dramatically increase the use of electric technologies -- and those sources of electricity that can provide low-cost electricity. The data show that coal, the primary source of new los-cost electricity, will supply between one-half and three-fourths of all new electric supply through 2010, at prices of about 3{cents}/kWh, and can do so without new power plant construction. Since the use of coal is expected to rise by at least 200 to 250 million tons/year over the current consumption of 850 million tons, and could increase as much as 400 million tons/yr, some have raised concerns about the emissions impact from the power plants. This report also shows that the net effect of increased electric use, assuming coal dominance, will be a decrease in emissions. This decrease will occur for two reasons: (a) power plants are becoming increasingly clean, and (b) the electric technologies that consume the electricity displace more emissions than are created at the power plants.« less

  1. Malaria-related knowledge and prevention practices in four neighbourhoods in and around Mumbai, India: a cross-sectional study.

    PubMed

    Dhawan, Gaurav; Joseph, Nidhin; Pekow, Penelope S; Rogers, Christine A; Poudel, Krishna C; Bulzacchelli, Maria T

    2014-08-07

    India accounts for the highest number of malaria cases outside of Africa. Eighty per cent of India's population lives in malaria-risk areas, with cases increasing in urban areas. Mumbai, India, one of the most populous cities in the world, has experienced such an increase. To be successful, many malaria control efforts require community participation, which in turn depends on individuals' knowledge and awareness of the disease. This study assessed the knowledge and prevention practices regarding malaria in residents of four different areas of Mumbai, India, around the time of a malaria outbreak and the start of a widespread awareness campaign. A cross-sectional comparative study assessed malaria-related knowledge and prevention practices in four geographically and socio-demographically distinct areas of Mumbai, India. A structured interviewer-administered questionnaire was administered to a stratified random sample of 119 households between 16 December 2010 and 30 January 2011. Participant socio-demographic characteristics, malaria knowledge, malaria prevention practices, and household environmental factors were examined overall and compared across the four areas of Mumbai. Overall, respondents had excellent knowledge of the mosquito as the means of transmission of malaria, mosquito biting times and breeding sites, and fever as a symptom of malaria. However, many respondents also held misconceptions about malaria transmission and symptoms. Respondents generally knew that bed nets are an effective prevention strategy, but only 30% used them, and only 4% used insecticide-treated bed nets. Knowledge and prevention practices varied across the four areas of Mumbai. Although most residents know that bed nets are effective in preventing malaria, usage of bed nets is very low, and almost no residents use insecticide-treated bed nets. As the four areas of Mumbai differed in knowledge, prevention practices, and primary sources of information, malaria control campaigns should be tailored according to the knowledge gaps, practices, environments, resources, and preferences in different areas of the city, using the interpersonal and media channels most likely to reach the target audiences. Malaria control efforts involving bed nets should emphasize use of insecticide-treated bed nets.

  2. Understanding the Temporal Variation of CO2 and CH4 Fluxes in a Subtropical Seasonal Wetland

    NASA Astrophysics Data System (ADS)

    Gomez-Casanovas, N.; DeLucia, N.; DeLucia, E. H.; Boughton, E.; Bernacchi, C.

    2017-12-01

    The magnitude of the net greenhouse gas (GHG) sink strength of wetlands and mechanisms driving C fluxes remain uncertain, particularly for subtropical and tropical wetlands that are responsible for the majority of wetland CH4 emissions globally. We determined the exchange of CO2 and CH4 fluxes between a subtropical wetland and the atmosphere, and investigated how changes in water table (WT), soil temperature (ST), and Gross Primary Productivity (GPP) alter CH4 fluxes. Measurements were made using the eddy covariance technique from June, 2013 to December, 2015. As GPP was greater than ecosystem respiration, wetland was consistently a net sink of CO2 from the atmosphere (-480 gC m-2 in 2013, -275 gC m-2 in 2014 and -258 gC m-2 in 2015). Though variable among years, wetland was a net source of CH4 to the atmosphere (24.5 gC m-2 in 2013, 26.1 gC m-2 in 2014, 32.7 gC m-2 in 2015). WT and ST were strong drivers of net CH4 fluxes. Fluxes of CH4 exponentially increased with WT near the soil surface, and they were maximal and sustained after 3 days or more of preceding flooding suggesting that flooding duration and intensity drives CH4 emissions in this system. GPP also exerted a strong control on these fluxes, particularly when water was near the soil surface. The system emitted an average of 2 g more C-CH4 m-2 during the wet seasons of 2013 and 2015 than the wet season of 2014 due to higher WT, and increases in flooding days and cumulative GPP for days with water at near-surface (GPPWT). Although WT was higher during the dry season of 2015 than the wet season of 2014, CH4 fluxes were similar likely because of increased ST and GPPWT in the wet season of 2014. The contribution of CH4 fluxes during the dry season to annual fluxes was 41% in 2014 and 48% in 2015. Wetland was a strong sink of C, and it was a net sink of GHGs in 2014 and a net source in 2015 mainly attributable to increases in net CH4 emissions. Climate models predict that subtropical and tropical regions will experience more frequent floods and droughts as well as higher temperatures, conditions that will likely alter ecosystem attributes such as GPP. Our results indicate that CH4 emissions from subtropical wetlands will likely respond to projected changes in precipitation, temperature and productivity, substantially affecting the net GHG sink strength of these systems in future climate scenarios.

  3. Neutrophil extracellular traps in vasculitis, friend or foe?

    PubMed

    Söderberg, Daniel; Segelmark, Mårten

    2018-01-01

    Neutrophil extracellular traps (NETs) can be found at the sites of vascular lesions and in the circulation of patients with active small vessel vasculitis. Neutrophils from vasculitis patients release more NETs in vitro, and NETs have properties that can harm the vasculature both directly and indirectly. There are several ways to interfere with NET formation, which open for new therapeutic options. However, there are several types of NETs and different mechanisms of NET formation, and these might have different effects on inflammation. Here we review recent findings regarding the pathogenesis and therapeutic potentials of NETs in vasculitis. Experimental mouse models support a role for NETs in promoting vascular damage, where histones and mitochondrial DNA appear to be driving forces. Impaired formation of NETs, however, in an SLE-like mouse model leads to more severe disease, suggesting that NETs can be important in limiting inflammation. Studies on drug-induced vasculitis reveal that levamisole can induce NETosis via muscarinic receptors, predisposing for the generation of autoantibodies, including antineutrophil cytoplasmic autoantibodies (ANCA). This supports the notion that NETs can bridge the innate and adaptive immune systems. NETs can participate in the pathogenesis of vasculitis, but in some models there also seem to be protective effects of NETs. This complexity needs further evaluation with experimental models that are as specific as possible for human primary vasculitis.

  4. The effects of prescribed fire and silvicultural thinning on the aboveground carbon stocks and net primary production of overstory trees in an oak-hickory ecosystem in southern Ohio

    Treesearch

    Jyh-Min Chiang; Ryan W. McEwan; Daniel A. Yaussy; Kim J. Brown

    2008-01-01

    More than 70 years of fire suppression has influenced forest dynamics and led to the accumulation of fuels in many forests of the United States. To address these changes, forest managers increasingly seek to restore historical ecosystem structure and function through the reintroduction of fire and disturbance processes that mimic fire such as silvicultural thinning. In...

  5. Screening and prevention of breast cancer in primary care.

    PubMed

    Tice, Jeffrey A; Kerlikowske, Karla

    2009-09-01

    Mammography remains the mainstay of breast cancer screening. There is little controversy that mammography reduces the risk of dying from breast cancer by about 23% among women between the ages of 50 and 69 years, although the harms associated with false-positive results and overdiagnosis limit the net benefit of mammography. Women in their 70s may have a small benefit from screening mammography, but overdiagnosis increases in this age group as do competing causes of death. While new data support a 16% reduction in breast cancer mortality for 40- to 49-year-old women after 10 years of screening, the net benefit is less compelling in part because of the lower incidence of breast cancer in this age group and because mammography is less sensitive and specific in women younger than 50 years. Digital mammography is more sensitive than film mammography in young women with similar specificity, but no improvements in breast cancer outcomes have been demonstrated. Magnetic resonance imaging may benefit the highest risk women. Randomized trials suggest that self-breast examination does more harm than good. Primary prevention with currently approved medications will have a negligible effect on breast cancer incidence. Public health efforts aimed at increasing mammography screening rates, promoting regular exercise in all women, maintaining a healthy weight, limiting alcohol intake, and limiting postmenopausal hormone therapy may help to continue the recent trend of lower breast cancer incidence and mortality among American women.

  6. [Variation trends of natural vegetation net primary productivity in China under climate change scenario].

    PubMed

    Zhao, Dong-sheng; Wu, Shao-hong; Yin, Yun-he

    2011-04-01

    Based on the widely used Lund-Potsdam-Jena Dynamic Global Vegetation Model (LPJ) for climate change study, and according to the features of natural environment in China, the operation mechanism of the model was adjusted, and the parameters were modified. With the modified LPJ model and taking 1961-1990 as baseline period, the responses of natural vegetation net primary productivity (NPP) in China to climate change in 1991-2080 were simulated under the Special Report on Emissions Scenarios (SRES) B2 scenario. In 1961-1990, the total NPP of natural vegetation in China was about 3.06 Pg C a(-1); in 1961-2080, the total NPP showed a fluctuant decreasing trend, with an accelerated decreasing rate. Under the condition of slight precipitation change, the increase of mean air temperature would have definite adverse impact on the NPP. Spatially, the NPP decreased from southeast coast to northwest inland, and this pattern would have less variation under climate change. In eastern China with higher NPP, especially in Northeast China, east of North China, and Loess Plateau, the NPP would mainly have a decreasing trend; while in western China with lower NPP, especially in the Tibetan Plateau and Tarim Basin, the NPP would be increased. With the intensive climate change, such a variation trend of NPP would be more obvious.

  7. Global Potential Net Prmary Production Predicted from Vegetation Class, Precipitation, and Temperature

    USDA-ARS?s Scientific Manuscript database

    Net Primary Production (NPP), the difference between CO2 fixed by photosynthesis and CO2 lost to autotrophic respiration, is one of the most important components of the carbon cycle. Our goal was to develop a simple regression model to estimate global NPP using climate and land cover data. Approxima...

  8. Production, respiration, and overall carbon balance in an old-growth Pseudotsuga-Tsuga forest ecosystem

    Treesearch

    Mark E. Harmon; Ken Bible; Michael G. Ryan; David C. Shaw; H. Chen; Jeffrey Klopatek; Xia Li

    2004-01-01

    Ground-based measurements of stores, growth, mortality, litterfall, respiration, and decomposition were conducted in an old-growth forest at Wind River Experimental Forest, Washington. These measurements were used to estimate: Gross (GPP) and Net Primary Production (NPP); autotrophic (Ra) and heterotrophic (Rh) respiration; and Net Ecosystem Production (NEP). Monte...

  9. Effects of precipitation and clipping intensity on net primary productivity and composition of a Leymus chinensis temperate grassland steppe.

    PubMed

    He, Feng; Wang, Kun; Hannaway, David B; Li, Xianglin

    2017-01-01

    Leymus chinensis (Trin.) is the dominant vegetation type in eastern Eurasian temperate grasslands but is decreasing due to the combined pressure of reduced precipitation and overgrazing. This study evaluated the separate and combined effects of precipitation and defoliation on net primary productivity (NPP) and composition of a L. chinensis steppe to promote the sustainable development of temperate grasslands through improved management practices. The effects of three precipitation gradients (precipitation unchanged, reduced by 50%, and increased by 50%) and two clipping intensities (clipping once or twice per year) were examined on NPP and composition of the L. chinensis community using a 7-year in situ controlled trial at the Guyuan State Key Monitoring and Research Station of Grassland Ecosystem in China. The results showed that: (1) a 50% reduction in natural precipitation significantly decreased NPP; a 50% increase in precipitation did not significantly increase NPP, but it decreased the importance value of L. chinensis because more water promoted the growth of competing species. (2) Clipping twice per year increased NPP, but the increase was from the dry matter of other species (DMO) component, and not from the dry matter of L. chinensis. (3) The standardized coefficients of a regression model (β) for DMO, NPP, and the importance value of L. chinensis were 0.685, 0.532, and -0.608 for precipitation, and 0.369, 0.419, and -0.276 for clipping mode, respectively. This study demonstrated that variation in precipitationis the key driver of NPP and composition of a L. chinensis steppe under the precipitation range and clipping intensities evaluated. This improved understanding of the effects of precipitation and clipping on NPP and composition will allow for improved, sustainable management of L. chinensis temperate grassland steppes.

  10. Effects of precipitation and clipping intensity on net primary productivity and composition of a Leymus chinensis temperate grassland steppe

    PubMed Central

    Wang, Kun; Hannaway, David B.; Li, Xianglin

    2017-01-01

    Leymus chinensis (Trin.) is the dominant vegetation type in eastern Eurasian temperate grasslands but is decreasing due to the combined pressure of reduced precipitation and overgrazing. This study evaluated the separate and combined effects of precipitation and defoliation on net primary productivity (NPP) and composition of a L. chinensis steppe to promote the sustainable development of temperate grasslands through improved management practices. The effects of three precipitation gradients (precipitation unchanged, reduced by 50%, and increased by 50%) and two clipping intensities (clipping once or twice per year) were examined on NPP and composition of the L. chinensis community using a 7-year in situ controlled trial at the Guyuan State Key Monitoring and Research Station of Grassland Ecosystem in China. The results showed that: (1) a 50% reduction in natural precipitation significantly decreased NPP; a 50% increase in precipitation did not significantly increase NPP, but it decreased the importance value of L. chinensis because more water promoted the growth of competing species. (2) Clipping twice per year increased NPP, but the increase was from the dry matter of other species (DMO) component, and not from the dry matter of L. chinensis. (3) The standardized coefficients of a regression model (β) for DMO, NPP, and the importance value of L. chinensis were 0.685, 0.532, and −0.608 for precipitation, and 0.369, 0.419, and −0.276 for clipping mode, respectively. This study demonstrated that variation in precipitationis the key driver of NPP and composition of a L. chinensis steppe under the precipitation range and clipping intensities evaluated. This improved understanding of the effects of precipitation and clipping on NPP and composition will allow for improved, sustainable management of L. chinensis temperate grassland steppes. PMID:29287115

  11. Chromosome numbers in three species groups of freshwater flatworms increase with increasing latitude.

    PubMed

    Lorch, Sven; Zeuss, Dirk; Brandl, Roland; Brändle, Martin

    2016-03-01

    Polyploidy in combination with parthenogenesis offers advantages for plasticity and the evolution of a broad ecological tolerance of species. Therefore, a positive correlation between the level of ploidy and increasing latitude as a surrogate for environmental harshness has been suggested. Such a positive correlation is well documented for plants, but examples for animals are still rare. Species of flatworms (Platyhelminthes) are widely distributed, show a remarkably wide range of chromosome numbers, and offer therefore good model systems to study the geographical distribution of chromosome numbers. We analyzed published data on counts of chromosome numbers and geographical information of three flatworm "species" (Phagocata vitta, Polycelis felina and Crenobia alpina) sampled across Europe (220 populations). We used the mean chromosome number across individuals of a population as a proxy for the level of ploidy within populations, and we tested for relationships of this variable with latitude, mode of reproduction (sexual, asexual or both) and environmental variables (annual mean temperature, mean diurnal temperature range, mean precipitation and net primary production). The mean chromosome numbers of all three species increased with latitude and decreased with mean annual temperature. For two species, chromosome number also decreased with mean precipitation and net primary production. Furthermore, high chromosome numbers within species were accompanied with a loss of sexual reproduction. The variation of chromosome numbers within individuals of two of the three species increased with latitude. Our results support the hypothesis that polyploid lineages are able to cope with harsh climatic conditions at high latitudes. Furthermore, we propose that asexual reproduction in populations with high levels of polyploidization stabilizes hybridization events. Chromosomal irregularities within individuals tend to become more frequent at the extreme environments of high latitudes, presumably because of mitotic errors and downsizing of the genome.

  12. Seasonality constraints to livestock grazing intensity.

    PubMed

    Fetzel, Tamara; Havlik, Petr; Herrero, Mario; Erb, Karl-Heinz

    2017-04-01

    Increasing food production is essential to meet the future food demand of a growing world population. In light of pressing sustainability challenges such as climate change and the importance of the global livestock system for food security as well as GHG emissions, finding ways to increasing food production sustainably and without increasing competition for food crops is essential. Yet, many unknowns relate to livestock grazing, in particular grazing intensity, an essential variable to assess the sustainability of livestock systems. Here, we explore ecological limits to grazing intensity (GI; i.e. the fraction of net primary production consumed by grazing animals) by analysing the role of seasonality in natural grasslands. We estimate seasonal limitations to GI by combining monthly net primary production data and a map of global livestock distribution with assumptions on the length of nonfavourable periods that can be bridged by livestock (e.g. by browsing dead standing biomass, storage systems or biomass conservation). This allows us to derive a seasonality-limited potential GI, which we compare with the GI prevailing in 2000. We find that GI in 2000 lies below its potential on 39% of the total global natural grasslands, which has a potential for increasing biomass extraction of up to 181 MtC/yr. In contrast, on 61% of the area GI exceeds the potential, made possible by management. Mobilizing this potential could increase milk production by 5%, meat production by 4% or contribute to free up to 2.8 Mio km² of grassland area at the global scale if the numerous socio-ecological constraints can be overcome. We discuss socio-ecological trade-offs, which may reduce the estimated potential considerably and require the establishment of sound monitoring systems and an improved understanding of livestock system's role in the Earth system. © 2017 John Wiley & Sons Ltd.

  13. Net Primary Productivity and Edaphic Fertility in Two Pluvial Tropical Forests in the Chocó Biogeographical Region of Colombia

    PubMed Central

    Quinto-Mosquera, Harley

    2017-01-01

    The net primary productivity (NPP) of tropical forests is a key process of the carbon cycle and therefore for the mitigation of global climate change. It has been proposed that NPP is limited by the availability of soil nutrients in lowland tropical forests and that belowground NPP decreases as edaphic fertility increases. This hypothesis was evaluated in two localities (Opogodó and Pacurita) of the Chocó Biogeographical region, one of the rainiest of the world, where the aboveground (litter and wood) and belowground (fine and coarse roots) components of NPP were measured. Fertility parameters (pH, nutrients, and texture) were also determined and related to NPP. Total NPP was similar between locations (23.7 vs. 24.2 t ha-1 year-1 for Opogodó and Pacurita, respectively). However, components of NPP showed differences: in Pacurita, with steeper topography, NPP of wood and coarse roots were higher; therefore, differences of topography and drainage between localities probably affected the NPP of wood. On the other hand, soils of Opogodó, where NPP of fine roots was higher, showed higher contents of sand, N+, and organic matter (OM). With the increase of pH, OM, N+, K, Mg, and sand, the NPP of leaves and fine roots as well as the percentage of NPP belowground also increased, which suggests NPP limitation by multiple nutrients. The increase of NPP belowground with the availability of edaphic nutrients evidenced a redistribution of the aboveground and belowground components of NPP with the increase of soil fertility in oligotrophic systems, probably as a mechanism to improve the capture of resources. PMID:28114418

  14. Net Primary Productivity and Edaphic Fertility in Two Pluvial Tropical Forests in the Chocó Biogeographical Region of Colombia.

    PubMed

    Quinto-Mosquera, Harley; Moreno, Flavio

    2017-01-01

    The net primary productivity (NPP) of tropical forests is a key process of the carbon cycle and therefore for the mitigation of global climate change. It has been proposed that NPP is limited by the availability of soil nutrients in lowland tropical forests and that belowground NPP decreases as edaphic fertility increases. This hypothesis was evaluated in two localities (Opogodó and Pacurita) of the Chocó Biogeographical region, one of the rainiest of the world, where the aboveground (litter and wood) and belowground (fine and coarse roots) components of NPP were measured. Fertility parameters (pH, nutrients, and texture) were also determined and related to NPP. Total NPP was similar between locations (23.7 vs. 24.2 t ha-1 year-1 for Opogodó and Pacurita, respectively). However, components of NPP showed differences: in Pacurita, with steeper topography, NPP of wood and coarse roots were higher; therefore, differences of topography and drainage between localities probably affected the NPP of wood. On the other hand, soils of Opogodó, where NPP of fine roots was higher, showed higher contents of sand, N+, and organic matter (OM). With the increase of pH, OM, N+, K, Mg, and sand, the NPP of leaves and fine roots as well as the percentage of NPP belowground also increased, which suggests NPP limitation by multiple nutrients. The increase of NPP belowground with the availability of edaphic nutrients evidenced a redistribution of the aboveground and belowground components of NPP with the increase of soil fertility in oligotrophic systems, probably as a mechanism to improve the capture of resources.

  15. New Treatments Have Changed the Game: Hepatitis C Treatment in Primary Care.

    PubMed

    Facente, Shelley N; Burk, Katie; Eagen, Kelly; Mara, Elise S; Smith, Aaron A; Lynch, Colleen S

    2018-06-01

    In the pre-direct-acting antiviral era, hepatitis C virus (HCV) treatments were complex and largely managed by hepatologists, gastroenterologists, and infectious disease physicians. As direct-acting antivirals have driven up demand for treatment, the relative scarcity of these specialists has created a bottleneck effect, resulting in only a fraction of HCV-infected individuals offered treatment. The San Francisco Health Network is a safety net system of care. Its intervention was designed to be sustainable and scalable; with minimal time commitments for training providers, primary care-based HCV treatment increased 3-fold in a period of just over 3 years. Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.

  16. Differential effects of changes in spectral irradiance on photoacclimation, primary productivity and growth in Rhodomonas salina (Cryptophyceae) and Skeletonema costatum (Bacillariophyceae) in simulated blackwater environments.

    PubMed

    Lawrenz, Evelyn; Richardson, Tammi L

    2017-12-01

    The underwater light field in blackwater environments is strongly skewed toward the red end of the electromagnetic spectrum due to blue light absorption by colored dissolved organic matter (CDOM). Exposure of phytoplankton to full spectrum irradiance occurs only when cells are mixed up to the surface. We studied the potential effects of mixing-induced changes in spectral irradiance on photoacclimation, primary productivity and growth in cultures of the cryptophyte Rhodomonas salina and the diatom Skeletonema costatum. We found that these taxa have very different photoacclimation strategies. While S. costatum showed classical complementary chromatic adaption, R. salina showed inverse chromatic adaptation, a strategy previously unknown in the cryptophytes. Transfer of R. salina to periodic full spectrum light (PFSL) significantly enhanced growth rate (μ) by 1.8 times and primary productivity from 0.88 to 1.35 mg C · (mg Chl -1 ) · h -1 . Overall, R. salina was less dependent on PFSL than was S. costatum, showing higher μ and net primary productivity rates. In the high-CDOM simulation, carbon metabolism of the diatom was impaired, leading to suppression of growth rate, short-term 14 C uptake and net primary production. Upon transfer to PFSL, μ of the diatom increased by up to 3-fold and carbon fixation from 2.4 to 6.0 mg C · (mg Chl -1 ) · h -1 . Thus, a lack of PFSL differentially impairs primarily CO 2 -fixation and/or carbon metabolism, which, in turn, may determine which phytoplankton dominate the community in blackwater habitats and may therefore influence the structure and function of these ecosystems. © 2017 Phycological Society of America.

  17. Predicting the impact of insecticide-treated bed nets on malaria transmission: the devil is in the detail.

    PubMed

    Gu, Weidong; Novak, Robert J

    2009-11-16

    Insecticide-treated bed nets (ITNs), including long-lasting insecticidal nets (LLINs), play a primary role in global campaigns to roll back malaria in tropical Africa. Effectiveness of treated nets depends on direct impacts on individual mosquitoes including killing and excite-repellency, which vary considerably among vector species due to variations in host-seeking behaviours. While monitoring and evaluation programmes of ITNs have focuses on morbidity and all-cause mortality in humans, local entomological context receives little attention. Without knowing the dynamics of local vector species and their responses to treated nets, it is difficult to predict clinical outcomes when ITN applications are scaled up across African continent. Sound model frameworks incorporating intricate interactions between mosquitoes and treated nets are needed to develop the predictive capacity for scale-up applications of ITNs. An established agent-based model was extended to incorporate the direct outcomes, e.g. killing and avoidance, of individual mosquitoes exposing to ITNs in a hypothetical village setting with 50 houses and 90 aquatic habitats. Individual mosquitoes were tracked throughout the life cycle across the landscape. Four levels of coverage, i.e. 40, 60, 80 and 100%, were applied at the household level with treated houses having only one bed net. By using Latin hypercube sampling scheme, parameters governing killing, diverting and personal protection of net users were evaluated for their relative roles in containing mosquito populations, entomological inoculation rates (EIRs) and malaria incidence. There were substantial gaps in coverage between households and individual persons, and 100% household coverage resulted in circa 50% coverage of the population. The results show that applications of ITNs could give rise to varying impacts on population-level metrics depending on values of parameters governing interactions of mosquitoes and treated nets at the individual level. The most significant factor in determining effectiveness was killing capability of treated nets. Strong excito-repellent effect of impregnated nets might lead to higher risk exposure to non-bed net users. With variabilities of vector mosquitoes in host-seeking behaviours and the responses to treated nets, it is anticipated that scale-up applications of INTs might produce varying degrees of success dependent on local entomological and epidemiological contexts. This study highlights that increased ITN coverage led to significant reduction in risk exposure and malaria incidence only when treated nets yielded high killing effects. It is necessary to test efficacy of treated nets on local dominant vector mosquitoes, at least in laboratory, for monitoring and evaluation of ITN programmes.

  18. Unraveling net carbon exchange into its component processes of photosynthesis and respiration

    NASA Astrophysics Data System (ADS)

    Ballantyne, A.

    2017-12-01

    The recent `warming hiatus' presents an excellent opportunity to investigate climate sensitivity of carbon cycle processes. Herewe combine satellite and atmospheric observations to show that the rate of net biome productivity (NBP) has significantlyaccelerated from 0.007+/-0.065 PgC yr-2 over the warming period (1982 to 1998) to 0.119+/-0.071 PgC yr-2 over thewarminghiatus (1998-2012). This acceleration in NBP is not due to increased primary productivity, but rather reduced respiration thatis correlated (r2 0.58; P = 0.0007) and sensitive ( gamma= 4.05 to 9.40 PgC yr-1 per deg C) to land temperatures. Global landmodels do not fully capture this apparent reduced respiration over the warming hiatus; however, an empirical model includingsoil temperature and moisture observations seems to better captures the reduced respiration.

  19. VOEventNet: An Open Source of Transient Alerts for Astronomers.

    NASA Astrophysics Data System (ADS)

    Drake, Andrew J.; Williams, R.; Graham, M. J.; Mahabal, A.; Djorgovski, S. G.; White, R. R.; Vestrand, W. T.; Bloom, J.

    2007-12-01

    Event based astronomy is acquiring an increasingly important role in astronomy as large time-domain surveys such as Palomar Transient Factory (PTF), Pan-STARRs, SkyMapper and Allan Telescope Array (ATA) surveys come online. These surveys are expected to discover thousands of transients each year ranging from near earth asteroids to distant SNe. Although the primary instruments for of these surveys are in place, in order to fully utilize these event discovery streams, automated alerting and follow-up is a necessity. For the past two years the VOEventNet network has been globally distributing information about transient astronomical events using the VOEvent format, a Virtual Observatory standard. Events messages are openly distributed so that follow-up can utilize the most appropriate resources available in order to characterize the nature of the transients. Since its inception VOEventNet has broadcast more than 3500 SDSSSS Supernova candidates, 3300 GRB alert and follow-up notices from GCN, 700 OGLE microlensing event candidates, and 4300 newly discovered asteroid and optical transient candidates from the Palomar Quest survey. Additional transient event streams are expected this season including optical transients from the Catalina Sky Survey. VOEventNet astronomical transient events streams are available to all astronomers via traditional HTML tables, RSS news-feeds, real-time publication (via Jabber and TCP), and Google Sky mashups. VOEventNet currently carries out optical transient event follow-up with the Palomar 60 and 200in (Caltech), Faulkes Telescopes North and South (LCOGTN), RAPTOR (LANL), and PARITEL (UCB; CfA).

  20. In1-ghrelin, a splice variant of ghrelin gene, is associated with the evolution and aggressiveness of human neuroendocrine tumors: Evidence from clinical, cellular and molecular parameters.

    PubMed

    Luque, Raul M; Sampedro-Nuñez, Miguel; Gahete, Manuel D; Ramos-Levi, Ana; Ibáñez-Costa, Alejandro; Rivero-Cortés, Esther; Serrano-Somavilla, Ana; Adrados, Magdalena; Culler, Michael D; Castaño, Justo P; Marazuela, Mónica

    2015-08-14

    Ghrelin system comprises a complex family of peptides, receptors (GHSRs), and modifying enzymes [e.g. ghrelin-O-acyl-transferase (GOAT)] that control multiple pathophysiological processes. Aberrant alternative splicing is an emerging cancer hallmark that generates altered proteins with tumorigenic capacity. Indeed, In1-ghrelin and truncated-GHSR1b splicing variants can promote development/progression of certain endocrine-related cancers. Here, we determined the expression levels of key ghrelin system components in neuroendocrine tumor (NETs) and explored their potential functional role. Twenty-six patients with NETs were prospectively/retrospectively studied [72 samples from primary and metastatic tissues (30 normal/42 tumors)] and clinical data were obtained. The role of In1-ghrelin in aggressiveness was studied in vitro using NET cell lines (BON-1/QGP-1). In1-ghrelin, GOAT and GHSR1a/1b expression levels were elevated in tumoral compared to normal/adjacent tissues. Moreover, In1-ghrelin, GOAT, and GHSR1b expression levels were positively correlated within tumoral, but not within normal/adjacent samples, and were higher in patients with progressive vs. with stable/cured disease. Finally, In1-ghrelin increased aggressiveness (e.g. proliferation/migration) of NET cells. Altogether, our data strongly suggests a potential implication of ghrelin system in the pathogenesis and/or clinical outcome of NETs, and warrant further studies on their possible value for the future development of molecular biomarkers with diagnostic/prognostic/therapeutic value.

  1. In1-ghrelin, a splice variant of ghrelin gene, is associated with the evolution and aggressiveness of human neuroendocrine tumors: Evidence from clinical, cellular and molecular parameters

    PubMed Central

    Gahete, Manuel D.; Ramos-Levi, Ana; Ibáñez-Costa, Alejandro; Rivero-Cortés, Esther; Serrano-Somavilla, Ana; Adrados, Magdalena; Culler, Michael D.; Castaño, Justo P.; Marazuela, Mónica

    2015-01-01

    Ghrelin system comprises a complex family of peptides, receptors (GHSRs), and modifying enzymes [e.g. ghrelin-O-acyl-transferase (GOAT)] that control multiple pathophysiological processes. Aberrant alternative splicing is an emerging cancer hallmark that generates altered proteins with tumorigenic capacity. Indeed, In1-ghrelin and truncated-GHSR1b splicing variants can promote development/progression of certain endocrine-related cancers. Here, we determined the expression levels of key ghrelin system components in neuroendocrine tumor (NETs) and explored their potential functional role. Twenty-six patients with NETs were prospectively/retrospectively studied [72 samples from primary and metastatic tissues (30 normal/42 tumors)] and clinical data were obtained. The role of In1-ghrelin in aggressiveness was studied in vitro using NET cell lines (BON-1/QGP-1). In1-ghrelin, GOAT and GHSR1a/1b expression levels were elevated in tumoral compared to normal/adjacent tissues. Moreover, In1-ghrelin, GOAT, and GHSR1b expression levels were positively correlated within tumoral, but not within normal/adjacent samples, and were higher in patients with progressive vs. with stable/cured disease. Finally, In1-ghrelin increased aggressiveness (e.g. proliferation/migration) of NET cells. Altogether, our data strongly suggests a potential implication of ghrelin system in the pathogenesis and/or clinical outcome of NETs, and warrant further studies on their possible value for the future development of molecular biomarkers with diagnostic/prognostic/therapeutic value. PMID:26124083

  2. Simulating forest productivity and surface-atmosphere carbon exchange in the BOREAS study region.

    PubMed

    Kimball, John S.; Thornton, Peter E.; White, Mike A.; Running, Steven W.

    1997-01-01

    A process-based, general ecosystem model (BIOME-BGC) was used to simulate daily gross primary production, maintenance and heterotrophic respiration, net primary production and net ecosystem carbon exchange of boreal aspen, jack pine and black spruce stands. Model simulations of daily net carbon exchange of the ecosystem (NEE) explained 51.7% (SE = 1.32 g C m(-2) day(-1)) of the variance in daily NEE derived from stand eddy flux measurements of CO(2) during 1994. Differences between measured and simulated results were attributed to several factors including difficulties associated with measuring nighttime CO(2) fluxes and model assumptions of site homogeneity. However, comparisons between simulations and field data improved markedly at coarser time-scales. Model simulations explained 66.1% (SE = 0.97 g C m(-2) day(-1)) of the variance in measured NEE when 5-day means of daily results were compared. Annual simulations of aboveground net primary production ranged from 0.6-2.4 Mg C ha(-1) year(-1) and were concurrent with results derived from tree increment core measurements and allometric equations. Model simulations showed that all of the sites were net sinks (0.1-4.1 Mg C ha(-1) year(-1)) of atmospheric carbon for 1994. Older conifer stands showed narrow margins between uptake of carbon by net photosynthesis and carbon release through respiration. Younger stands were more productive than older stands, primarily because of lower maintenance respiration costs. However, all sites appeared to be less productive than temperate forests. Productivity simulations were strongly linked to stand morphology and site conditions. Old jack pine and aspen stands showed decreased productivity in response to simulated low soil water contents near the end of the 1994 growing season. Compared with the aspen stand, the jack pine stand appeared better adapted to conserve soil water through lower daily evapotranspiration losses but also exhibited a narrower margin between daily net photosynthesis and respiration. Stands subjected to water stress during the growing season may exist on the edge between being annual sources or sinks for atmospheric carbon.

  3. Differential Signalling and Kinetics of Neutrophil Extracellular Trap Release Revealed by Quantitative Live Imaging.

    PubMed

    van der Linden, Maarten; Westerlaken, Geertje H A; van der Vlist, Michiel; van Montfrans, Joris; Meyaard, Linde

    2017-07-26

    A wide variety of microbial and inflammatory factors induce DNA release from neutrophils as neutrophil extracellular traps (NETs). Consensus on the kinetics and mechanism of NET release has been hindered by the lack of distinctive methods to specifically quantify NET release in time. Here, we validate and refine a semi-automatic live imaging approach for quantification of NET release. Importantly, our approach is able to correct for neutrophil input and distinguishes NET release from neutrophil death by other means, aspects that are lacking in many NET quantification methods. Real time visualization shows that opsonized S. aureus rapidly induces cell death by toxins, while actual NET formation occurs after 90 minutes, similar to the kinetics of NET release by immune complexes and PMA. Inhibition of SYK, PI3K and mTORC2 attenuates NET release upon challenge with physiological stimuli but not with PMA. In contrast, neutrophils from chronic granulomatous disease patients show decreased NET release only in response to PMA. With this refined method, we conclude that NET release in primary human neutrophils is dependent on the SYK-PI3K-mTORC2 pathway and that PMA stimulation should be regarded as mechanistically distinct from NET formation induced by natural triggers.

  4. Release of cystic fibrosis airway inflammatory markers from Pseudomonas aeruginosa-stimulated human neutrophils involves NADPH oxidase-dependent extracellular DNA trap formation.

    PubMed

    Yoo, Dae-goon; Winn, Matthew; Pang, Lan; Moskowitz, Samuel M; Malech, Harry L; Leto, Thomas L; Rada, Balázs

    2014-05-15

    Cystic fibrosis (CF) airways are characterized by bacterial infections, excess mucus production, and robust neutrophil recruitment. The main CF airway pathogen is Pseudomonas aeruginosa. Neutrophils are not capable of clearing the infection. Neutrophil primary granule components, myeloperoxidase (MPO) and human neutrophil elastase (HNE), are inflammatory markers in CF airways, and their increased levels are associated with poor lung function. Identifying the mechanism of MPO and HNE release from neutrophils is of high clinical relevance for CF. In this article, we show that human neutrophils release large amounts of neutrophil extracellular traps (NETs) in the presence of P. aeruginosa. Bacteria are entangled in NETs and colocalize with extracellular DNA. MPO, HNE, and citrullinated histone H4 are all associated with DNA in Pseudomonas-triggered NETs. Both laboratory standard strains and CF isolates of P. aeruginosa induce DNA, MPO, and HNE release from human neutrophils. The increase in peroxidase activity of neutrophil supernatants after Pseudomonas exposure indicates that enzymatically active MPO is released. P. aeruginosa induces a robust respiratory burst in neutrophils that is required for extracellular DNA release. Inhibition of the cytoskeleton prevents Pseudomonas-initiated superoxide production and DNA release. NADPH oxidase inhibition suppresses Pseudomonas-induced release of active MPO and HNE. Blocking MEK/ERK signaling results in only minimal inhibition of DNA release induced by Pseudomonas. Our data describe in vitro details of DNA, MPO, and HNE release from neutrophils activated by P. aeruginosa. We propose that Pseudomonas-induced NET formation is an important mechanism contributing to inflammatory conditions characteristic of CF airways.

  5. The utility of estimating net primary productivity over Alaska using baseline AVHRR data

    USGS Publications Warehouse

    Markon, C.J.; Peterson, Kim M.

    2002-01-01

    Net primary productivity (NPP) is a fundamental ecological variable that provides information about the health and status of vegetation communities. The Normalized Difference Vegetation Index, or NDVI, derived from the Advanced Very High Resolution Radiometer (AVHRR) is increasingly being used to model or predict NPP, especially over large remote areas. In this article, seven seasonally based metrics calculated from a seven-year baseline NDVI dataset were used to model NPP over Alaska, USA. For each growing season, they included maximum, mean and summed NDVI, total days, product of total days and maximum NDVI, an integral estimate of NDVI and a summed product of NDVI and solar radiation. Field (plot) derived NPP estimates were assigned to 18 land cover classes from an Alaskan statewide land cover database. Linear relationships between NPP and each NDVI metric were analysed at four scales: plot, 1-km, 10-km and 20-km pixels. Results show moderate to poor relationship between any of the metrics and NPP estimates for all data sets and scales. Use of NDVI for estimating NPP may be possible, but caution is required due to data seasonality, the scaling process used and land surface heterogeneity.

  6. Protein cross-linking by chlorinated polyamines and transglutamylation stabilizes neutrophil extracellular traps.

    PubMed

    Csomós, Krisztián; Kristóf, Endre; Jakob, Bernadett; Csomós, István; Kovács, György; Rotem, Omri; Hodrea, Judit; Bagoly, Zsuzsa; Muszbek, Laszlo; Balajthy, Zoltán; Csősz, Éva; Fésüs, László

    2016-08-11

    Neutrophil extracellular trap (NET) ejected from activated dying neutrophils is a highly ordered structure of DNA and selected proteins capable to eliminate pathogenic microorganisms. Biochemical determinants of the non-randomly formed stable NETs have not been revealed so far. Studying the formation of human NETs we have observed that polyamines were incorporated into the NET. Inhibition of myeloperoxidase, which is essential for NET formation and can generate reactive chlorinated polyamines through hypochlorous acid, decreased polyamine incorporation. Addition of exogenous primary amines that similarly to polyamines inhibit reactions catalyzed by the protein cross-linker transglutaminases (TGases) has similar effect. Proteomic analysis of the highly reproducible pattern of NET components revealed cross-linking of NET proteins through chlorinated polyamines and ɛ(γ-glutamyl)lysine as well as bis-γ-glutamyl polyamine bonds catalyzed by the TGases detected in neutrophils. Competitive inhibition of protein cross-linking by monoamines disturbed the cross-linking pattern of NET proteins, which resulted in the loss of the ordered structure of the NET and significantly reduced capacity to trap bacteria. Our findings provide explanation of how NETs are formed in a reproducible and ordered manner to efficiently neutralize microorganisms at the first defense line of the innate immune system.

  7. Protein cross-linking by chlorinated polyamines and transglutamylation stabilizes neutrophil extracellular traps

    PubMed Central

    Csomós, Krisztián; Kristóf, Endre; Jakob, Bernadett; Csomós, István; Kovács, György; Rotem, Omri; Hodrea, Judit; Bagoly, Zsuzsa; Muszbek, Laszlo; Balajthy, Zoltán; Csősz, Éva; Fésüs, László

    2016-01-01

    Neutrophil extracellular trap (NET) ejected from activated dying neutrophils is a highly ordered structure of DNA and selected proteins capable to eliminate pathogenic microorganisms. Biochemical determinants of the non-randomly formed stable NETs have not been revealed so far. Studying the formation of human NETs we have observed that polyamines were incorporated into the NET. Inhibition of myeloperoxidase, which is essential for NET formation and can generate reactive chlorinated polyamines through hypochlorous acid, decreased polyamine incorporation. Addition of exogenous primary amines that similarly to polyamines inhibit reactions catalyzed by the protein cross-linker transglutaminases (TGases) has similar effect. Proteomic analysis of the highly reproducible pattern of NET components revealed cross-linking of NET proteins through chlorinated polyamines and ɛ(γ-glutamyl)lysine as well as bis-γ-glutamyl polyamine bonds catalyzed by the TGases detected in neutrophils. Competitive inhibition of protein cross-linking by monoamines disturbed the cross-linking pattern of NET proteins, which resulted in the loss of the ordered structure of the NET and significantly reduced capacity to trap bacteria. Our findings provide explanation of how NETs are formed in a reproducible and ordered manner to efficiently neutralize microorganisms at the first defense line of the innate immune system. PMID:27512953

  8. Anti-proliferative and anti-secretory effects of everolimus on human pancreatic neuroendocrine tumors primary cultures: is there any benefit from combination with somatostatin analogs?

    PubMed

    Mohamed, Amira; Romano, David; Saveanu, Alexandru; Roche, Catherine; Albertelli, Manuela; Barbieri, Federica; Brue, Thierry; Niccoli, Patricia; Delpero, Jean-Robert; Garcia, Stephane; Ferone, Diego; Florio, Tullio; Moutardier, Vincent; Poizat, Flora; Barlier, Anne; Gerard, Corinne

    2017-06-20

    Therapeutic management of gastroenteropancreatic neuroendocrine tumors (GEP-NETs) is challenging. The mammalian target of rapamycin (mTOR) inhibitor everolimus recently obtained approval from the Food and Drug Administration for the treatment of patients with advanced pancreatic neuroendocrine tumors (pNETs). Despite its promising antitumor efficacy observed in cell lines, clinical benefit for patients is unsatisfactory. The limited therapeutic potential of everolimus in cancer cells has been attributed to Akt activation due to feedback loops relief following mTOR inhibition. Combined inhibition of Akt might then improve everolimus antitumoral effect. In this regard, the somatostatin analog (SSA) octreotide has been shown to repress the PI3K/Akt pathway in some tumor cell lines. Moreover, SSAs are well tolerated and routinely used to reduce symptoms caused by peptide release in patients carrying functional GEP-NETs. We have recently established and characterized primary cultures of human pNETs and demonstrated the anti-proliferative effects of both octreotide and pasireotide. In this study, we aim at determining the antitumor efficacy of everolimus alone or in combination with the SSAs octreotide and pasireotide in primary cultures of pNETs. Everolimus reduced both Chromogranin A secretion and cell viability and upregulated Akt activity in single treatment. Its anti-proliferative and anti-secretory efficacy was not improved combined with the SSAs. Both SSAs did not overcome everolimus-induced Akt upregulation. Furthermore, caspase-dependent apoptosis induced by SSAs was lost in combined treatments. These molecular events provide the first evidence supporting the lack of marked benefit in patients co-treated with everolimus and SSA.

  9. Anti-proliferative and anti-secretory effects of everolimus on human pancreatic neuroendocrine tumors primary cultures: is there any benefit from combination with somatostatin analogs?

    PubMed Central

    Mohamed, Amira; Romano, David; Saveanu, Alexandru; Roche, Catherine; Albertelli, Manuela; Barbieri, Federica; Brue, Thierry; Niccoli, Patricia; Delpero, Jean-Robert; Garcia, Stephane; Ferone, Diego; Florio, Tullio; Moutardier, Vincent; Gerard, Corinne

    2017-01-01

    Therapeutic management of gastroenteropancreatic neuroendocrine tumors (GEP-NETs) is challenging. The mammalian target of rapamycin (mTOR) inhibitor everolimus recently obtained approval from the Food and Drug Administration for the treatment of patients with advanced pancreatic neuroendocrine tumors (pNETs). Despite its promising antitumor efficacy observed in cell lines, clinical benefit for patients is unsatisfactory. The limited therapeutic potential of everolimus in cancer cells has been attributed to Akt activation due to feedback loops relief following mTOR inhibition. Combined inhibition of Akt might then improve everolimus antitumoral effect. In this regard, the somatostatin analog (SSA) octreotide has been shown to repress the PI3K/Akt pathway in some tumor cell lines. Moreover, SSAs are well tolerated and routinely used to reduce symptoms caused by peptide release in patients carrying functional GEP-NETs. We have recently established and characterized primary cultures of human pNETs and demonstrated the anti-proliferative effects of both octreotide and pasireotide. In this study, we aim at determining the antitumor efficacy of everolimus alone or in combination with the SSAs octreotide and pasireotide in primary cultures of pNETs. Everolimus reduced both Chromogranin A secretion and cell viability and upregulated Akt activity in single treatment. Its anti-proliferative and anti-secretory efficacy was not improved combined with the SSAs. Both SSAs did not overcome everolimus-induced Akt upregulation. Furthermore, caspase-dependent apoptosis induced by SSAs was lost in combined treatments. These molecular events provide the first evidence supporting the lack of marked benefit in patients co-treated with everolimus and SSA. PMID:28454119

  10. Implementation and Evaluation of a Large-Scale Teleretinal Diabetic Retinopathy Screening Program in the Los Angeles County Department of Health Services

    PubMed Central

    Vasquez, Carolina; Martinez, Carlos; Tseng, Chi-Hong; Mangione, Carol M.

    2017-01-01

    Importance Diabetic retinopathy (DR) is the leading cause of blindness in adults of working age in the United States. In the Los Angeles County safety net, a nonvertically integrated system serving underinsured and uninsured patients, the prevalence of DR is approximately 50%, and owing to limited specialty care resources, the average wait times for screening for DR have been 8 months or more. Objective To determine whether a primary care–based teleretinal DR screening (TDRS) program reduces wait times for screening and improves timeliness of needed care in the Los Angeles County safety net. Design, Setting, and Participants Quasi-experimental, pretest-posttest evaluation of exposure to primary care–based TDRS at 5 of 15 Los Angeles County Department of Health Services safety net clinics from September 1, 2013, to December 31, 2015, with a subgroup analysis of random samples of 600 patients before and after the intervention (1200 total). Exposure Primary care clinic–based teleretinal screening for DR. Main Outcomes and Measures Annual rates of screening for DR before and after implementation of the TDRS program across the 5 clinics, time to screening for DR in a random sample of patients from these clinics, and a description of the larger framework of program implementation. Results Among the 21 222 patients who underwent the screening (12 790 female, 8084 male, and 348 other gender or not specified; mean [SD] age, 57.4 [9.6] years), the median time to screening for DR decreased from 158 days (interquartile range, 68-324 days) before the intervention to 17 days (interquartile range, 8-50 days) after initiation of the program (P < .001). Overall annual screening rates for DR increased from 5942 of 14 633 patients (40.6%) before implementation to 7470 of 13 133 patients (56.9%) after initiation of the program at all 15 targeted clinics (odds ratio, 1.9; 95% CI, 1.3-2.9; P = .002). Of the 21 222 patients who were screened, 14 595 (68.8%) did not require referral to an eye care professional, 4160 (19.6%) were referred for treatment or monitoring of DR, and 2461 (11.6%) were referred for other ophthalmologic conditions. Conclusions and Relevance A digital TDRS program was successfully implemented for the largest publicly operated county safety net population in the United States, resulting in the elimination of the need for more than 14 000 visits to specialty care professionals, a 16.3% increase in annual rates of screening for DR, and an 89.2% reduction in wait times for screening. Teleretinal DR screening programs have the potential to maximize access and efficiency in the safety net, where the need for such programs is most critical. PMID:28346590

  11. Shifting grassland plant community structure drives positive interactive effects of warming and diversity on aboveground net primary productivity.

    PubMed

    Cowles, Jane M; Wragg, Peter D; Wright, Alexandra J; Powers, Jennifer S; Tilman, David

    2016-02-01

    Ecosystems worldwide are increasingly impacted by multiple drivers of environmental change, including climate warming and loss of biodiversity. We show, using a long-term factorial experiment, that plant diversity loss alters the effects of warming on productivity. Aboveground primary productivity was increased by both high plant diversity and warming, and, in concert, warming (≈1.5 °C average above and belowground warming over the growing season) and diversity caused a greater than additive increase in aboveground productivity. The aboveground warming effects increased over time, particularly at higher levels of diversity, perhaps because of warming-induced increases in legume and C4 bunch grass abundances, and facilitative feedbacks of these species on productivity. Moreover, higher plant diversity was associated with the amelioration of warming-induced environmental conditions. This led to cooler temperatures, decreased vapor pressure deficit, and increased surface soil moisture in higher diversity communities. Root biomass (0-30 cm) was likewise consistently greater at higher plant diversity and was greater with warming in monocultures and at intermediate diversity, but at high diversity warming had no detectable effect. This may be because warming increased the abundance of legumes, which have lower root : shoot ratios than the other types of plants. In addition, legumes increase soil nitrogen (N) supply, which could make N less limiting to other species and potentially decrease their investment in roots. The negative warming × diversity interaction on root mass led to an overall negative interactive effect of these two global change factors on the sum of above and belowground biomass, and thus likely on total plant carbon stores. In total, plant diversity increased the effect of warming on aboveground net productivity and moderated the effect on root mass. These divergent effects suggest that warming and changes in plant diversity are likely to have both interactive and divergent impacts on various aspects of ecosystem functioning. © 2015 John Wiley & Sons Ltd.

  12. Effects of nitrogen deposition and cattle grazing on productivity, invasion impact, and soil microbial processes in a serpentine grassland

    NASA Astrophysics Data System (ADS)

    Pasari, J.; Hernandez, D.; Selmants, P. C.; Keck, D.

    2010-12-01

    In recent decades, human activities have vastly increased the amount of biologically available nitrogen (N) in the biosphere. The resulting increase in N availability has broadly affected ecosystems through increased productivity, changes in species composition, altered nutrient cycles, and increases in invasion by exotic plant species, especially in systems that were historically low in N. California serpentine grasslands are N-limited ecosystems historically dominated by native species including several threatened and endangered plants and animals. Cattle grazing has emerged as the primary tool for controlling the impact of nitrophilic exotic grasses whose increased abundance has paralleled the regional traffic-derived increase in atmospheric N deposition. We examined the interactive effects of cattle grazing and N deposition on plant community composition, productivity, invasion resistance, and microbial processes in the Bay Area's largest serpentine grassland to determine the efficacy of current management strategies as well as the biogeochemical consequences of exotic species invasion. In the first two years of the study, aboveground net primary productivity decreased in response to grazing and increased in response to nitrogen addition. However, contrary to our hypotheses the change in productivity was not due to an increase in exotic species cover as there was little overall effect of grazing or N addition on species composition. Microbial activity was more responsive to grazing and N. Potential net N mineralization rates increased with N addition, but were not affected by grazing. In contrast, soil respiration rates were inhibited by grazing, but were not affected by N addition; suggesting strong carbon-limitation of soil microbial activity, particularly under grazing. Site differences in soil depth and grazing intensity were often more important than treatment effects. We suspect that the unusually dry conditions in the first two growing seasons inhibited the growth of exotic species and minimized the effects of cattle exclusion and N addition on species composition.

  13. An electronic consumer health library: NetWellness.

    PubMed Central

    Guard, R; Haag, D; Kaya, B; Marine, S; Morris, T; Schick, L; Shoemaker, S

    1996-01-01

    NetWellness is a community-based, consumer-defined grant program supporting the delivery of electronic health information to rural residents of southern Ohio and urban and suburban communities in the Greater Cincinnati tri-state region. NetWellness is a collaboratively developed and publicly and privately funded demonstration project. Information is delivered via ISDN, standard dial, dedicated network connections, and the Internet. TriState Online (Greater Cincinnati's Free-Net) and other southern Ohio Free-Nets are key access points in the larger project communities. The other access points are more than forty workstations distributed at public sites throughout the project's primary geographical area. Design strengths and limitations, training initiatives, technical issues, and the project's impact on medical librarianship are examined in this paper. Also discussed are ways of determining community needs and interest, building political alliances, finding and developing funding sources, and overcoming technical obstacles. NetWellness's Internet address is: http:@www.netwellness.org. PMID:8913548

  14. Relationships of Leaf Net Photosynthesis, Stomatal Conductance, and Mesophyll Conductance to Primary Metabolism: A Multispecies Meta-Analysis Approach1

    PubMed Central

    Gago, Jorge; Daloso, Danilo de Menezes; Flexas, Jaume; Fernie, Alisdair Robert

    2016-01-01

    Plant metabolism drives plant development and plant-environment responses, and data readouts from this cellular level could provide insights in the underlying molecular processes. Existing studies have already related key in vivo leaf gas-exchange parameters with structural traits and nutrient components across multiple species. However, insights in the relationships of leaf gas-exchange with leaf primary metabolism are still limited. We investigated these relationships through a multispecies meta-analysis approach based on data sets from 17 published studies describing net photosynthesis (A) and stomatal (gs) and mesophyll (gm) conductances, alongside the 53 data profiles from primary metabolism of 14 species grown in different experiments. Modeling results highlighted the conserved patterns between the different species. Consideration of species-specific effects increased the explanatory power of the models for some metabolites, including Glc-6-P, Fru-6-P, malate, fumarate, Xyl, and ribose. Significant relationships of A with sugars and phosphorylated intermediates were observed. While gs was related to sugars, organic acids, myo-inositol, and shikimate, gm showed a more complex pattern in comparison to the two other traits. Some metabolites, such as malate and Man, appeared in the models for both conductances, suggesting a metabolic coregulation between gs and gm. The resulting statistical models provide the first hints for coregulation patterns involving primary metabolism plus leaf water and carbon balances that are conserved across plant species, as well as species-specific trends that can be used to determine new biotechnological targets for crop improvement. PMID:26977088

  15. Comparing the impact of the 2003 and 2010 heatwaves on Net Ecosystem Production in Europe

    NASA Astrophysics Data System (ADS)

    Bastos, A. F.; Gouveia, C. M.; Trigo, R. M.

    2012-12-01

    Climate variability is known to influence primary productivity on land ecosystems (Nemani et al., 2003). In particular, extreme climatic events such as major droughts and heatwaves are known to have severe impact on primary productivity and, therefore, to affect significantly the carbon dioxide uptake by land ecosystems at regional (Ciais et al., 2005) or even global scale (Zhao and Running, 2010). In the last decade, Europe was struck by two outstanding heatwaves, the 2003 event in Western Europe and the recent 2010 episode over Eastern Europe. Both were characterised by record breaking temperatures at the daily, weekly, monthly and seasonal scales, although the amplitude and spatial extent of the 2010 mega-heatwave surpassed the 2003 event (Barriopedro et al., 2011). This work aims to assess the influence of both mega-heatwaves on seasonal and yearly Net Ecosystem Production (NEP). The work relies on monthly NEP data derived from satellite imagery obtained from MODIS (Moderate Resolution Imaging Spectroradiometer) sensor at 1km spatial resolution. Data were selected for the period between 2000 and 2011 over a region extending from 34.6 oN to 73.5 oN and 12.1 oW to 46.8 oE, covering Eurasia. In 2010 very low NEP anomalies are observed over a very large area in Eastern Europe, at the monthly, seasonal and yearly scale. In western Russia, yearly NEP anomalies fall below 50% of average cumulative NEP. These widespread negative anomalous values of NEP fields over the western Russia region match the patterns of very high temperature values combined with below-average precipitation, at the seasonal (summer) scale. Moreover, the impact of the heatwave is not only evident at the regional level but also at the wider continental (European) scale and is significantly more extensive and intense than the corresponding heatwave of 2003 in Western Europe (Ciais et al., 2005). References: Barriopedro, D., E. M. Fischer, J. Luterbacher, R. M. Trigo, and R. Garcia-Herrera (2011), The hot summer of 2010: Redrawing the temperature record map of Europe, Science, 332 (6026), 220 224, doi:10.1126/science.1201224. Ciais, P., et al. (2005), Europe-wide reduction in primary productivity caused by the heat and drought in 2003, Nature, 437 (7058), 529-533. Nemani, R. R., C. D. Keeling, H. Hashimoto, W. M. Jolly, S. C. Piper, C. J. Tucker, R. B. Myneni, and S. W. Running (2003), Climate-driven increases in global terrestrial net primary production from 1982 to 1999, Science, 300 (5625), 156-1563, doi:10.1126/science.1082750. Zhao, M., and S. W. Running (2010), Drought-induced reduction in global terrestrial net primary production from 2000 through 2009, Science, 329 (5994), 940-943, doi:10.1126/science.1192666.

  16. Impact of lambdacyhalothrin capsule suspension treated bed nets on malaria in tribal villages of Malkangiri district, Orissa, India.

    PubMed

    Sahu, S S; Vijayakumar, T; Kalyanasundaram, M; Subramanian, S; Jambulingam, P

    2008-09-01

    Insecticide treated mosquito nets are increasingly being used in malaria control programmes. One of the problems with the treatment of bed nets with conventional formulations of insecticides was that regular washing of treated nets diminish insecticidal effect. Lambdacyhalothrin 2.5 capsule suspension (CS) (2.5% a.i., w/v), a new water-based microencapsulated formulation is reported to have wash-resistant property and longer persistence on the netting material than other formulations. We evaluated the impact of the use of nylon bed nets treated with lambdacyhalothrin 2.5 CS at 10 mg (a.i.)/m(2) in comparison to untreated nets and no nets on malaria in tribal villages in Orissa. Nine foothill villages, highly endemic for falciparum malaria, from the Primary Health Centre (PHC) areas of Khairput and Kudumulugumma of Malkangiri district, Orissa, were divided into three groups, each with a population of about 500 and allocated randomly for treated (TN) and untreated nets (UN) and no nets (NN). Bed nets were distributed in September 2001 and retreatment was done in June 2002. The impact was assessed based on the changes in vector density, parous rate, malaria incidence and parasite rates. Indoor-resting collections of Anopheles fluviatilis and An. culicifacies were made at fortnightly intervals from fixed human dwellings. Mass blood surveys before and after distribution of nets and fortnightly active surveillance were carried out to assess the change in parasite rates and malaria incidence. Bioassays were conducted at fortnightly intervals on the bed nets supplied to the villagers. The reductions in indoor resting catches of An. fluviatilis and An. culicifacies were 96 and 38 per cent in villages with treated nets and 2.6 and 23 per cent in villages with untreated nets respectively compared to no net villages. For six months following treatment, 100 per cent mortality of An. fluviatilis was observed on the unwashed nets and on the nets washed once or twice. After re-treatment, 100 per cent mortality of An. fluviatilis or An. culicifacies was observed for nine months even after two washes. Usage rates of treated and untreated nets varied seasonally; 58.9 and 46.3 per cent in rainy season, 48.6 and 37.1 per cent in winter season and 38.1 and 31.6 per cent in summer season respectively. Reductions in malaria parasite rates were about 65 per cent in the treated net villages and 39 per cent in the untreated net villages compared to no net villages. About 75 per cent of treated nets and 60 per cent of untreated nets were in usable condition 19 months after distribution. The estimated protection factor based on malaria incidence was 86 per cent for the treated nets during both post-treatment and post-retreatment periods and 34 and 51 per cent for untreated nets for the corresponding periods compared to no nets. The results of the study showed that the use of bed nets treated nets with CS formulation of lambdacyhalothrin at 10 mg (a.i.)/m(2) was acceptable to the community and re-treatment of nets at nine-monthly intervals can significantly reduce density and survival of An. fluviatilis and incidence of falciparum malaria.

  17. Exploring Global Patterns in Human Appropriation of Net Primary Production Using Earth Observation Satellites and Statistical Data

    NASA Astrophysics Data System (ADS)

    Imhoff, M.; Bounoua, L.

    2004-12-01

    A unique combination of satellite and socio-economic data were used to explore the relationship between human consumption and the carbon cycle. Biophysical models were applied to consumption data to estimate the annual amount of Earth's terrestrial net primary production humans require for food, fiber and fuel using the same modeling architecture as satellite-supported NPP measurements. The amount of Earth's NPP required to support human activities is a powerful measure of the aggregate human impacts on the biosphere and indicator of societal vulnerability to climate change. Equations were developed estimating the amount of landscape-level NPP required to generate all the products consumed by 230 countries including; vegetal foods, meat, milk, eggs, wood, fuel-wood, paper and fiber. The amount of NPP required was calculated on a per capita basis and projected onto a global map of population to create a spatially explicit map of NPP-carbon demand in units of elemental carbon. NPP demand was compared to a map of Earth's average annual net primary production or supply created using 17 years (1982-1998) of AVHRR vegetation index to produce a geographically accurate balance sheet of terrestrial NPP-carbon supply and demand. Globally, humans consume 20 percent of Earth's total net primary production on land. Regionally the NPP-carbon balance percentage varies from 6 to over 70 percent and locally from near 0 to over 30,000 percent in major urban areas. The uneven distribution of NPP-carbon supply and demand, indicate the degree to which various human populations rely on NPP imports, are vulnerable to climate change and suggest policy options for slowing future growth in NPP demand.

  18. Microstructural investigation of D2 tool steel during rapid solidification

    NASA Astrophysics Data System (ADS)

    Delshad Khatibi, Pooya

    Solidification is considered as a key processing step in developing the microstructure of most metallic materials. It is, therefore, important that the solidification process can be designed and controlled in such a way so as to obtain the desirable properties in the final product. Rapid solidification refers to the system's high undercooling and high cooling rate, which can yield a microstructure with unique chemical composition and mechanical properties. An area of interest in rapid solidification application is high-chromium, high-carbon tool steels which experience considerable segregation of alloying elements during their solidification in a casting process. In this dissertation, the effect of rapid solidification (undercooling and cooling rate) of D2 tool steel on the microstructure and carbide precipitation during annealing was explored. A methodology is described to estimate the eutectic and primary phase undercooling of solidifying droplets. The estimate of primary phase undercooling was confirmed using an online measurement device that measured the radiation energy of the droplets. The results showed that with increasing primary phase and eutectic undercooling and higher cooling rate, the amount of supersaturation of alloying element in metastable retained austenite phase also increases. In the case of powders, the optimum hardness after heat treatment is achieved at different temperatures for constant periods of time. Higher supersaturation of austenite results in obtaining secondary hardness at higher annealing temperature. D2 steel ingots generated using spray deposition have high eutectic undercooling and, as a result, high supersaturation of alloying elements. This can yield near net shape D2 tool steel components with good mechanical properties (specifically hardness). The data developed in this work would assist in better understanding and development of near net shape D2 steel spray deposit products with good mechanical properties.

  19. Vulnerability of crops and native grasses to summer drying in the U.S. Southern Great Plains

    DOE PAGES

    Raz-Yaseef, Naama; Billesbach, Dave P.; Fischer, Marc L.; ...

    2015-08-31

    The Southern Great Plains are characterized by a fine-scale mixture of different land-cover types, predominantly winter-wheat and grazed pasture, with relatively small areas of other crops, native prairie, and switchgrass. Recent droughts and predictions of increased drought in the Southern Great Plains, especially during the summer months, raise concern for these ecosystems. We measured ecosystem carbon and water fluxes with eddy-covariance systems over cultivated cropland for 10 years, and over lightly grazed prairie and new switchgrass fields for 2 years each. Growing-season precipitation showed the strongest control over net carbon uptake for all ecosystems, but with a variable effect: grassesmore » (prairie and switchgrass) needed at least 350 mm of precipitation during the growing season to become net carbon sinks, while crops needed only 100 mm. In summer, high temperatures enhanced evaporation and led to higher likelihood of dry soil conditions. Therefore, summer-growing native prairie species and switchgrass experienced more seasonal droughts than spring-growing crops. For wheat, the net reduction in carbon uptake resulted mostly from a decrease in gross primary production rather than an increase in respiration. Flux measurements suggested that management practices for crops were effective in suppressing evapotranspiration and decomposition (by harvesting and removing secondary growth), and in increasing carbon uptake (by fertilizing and conserving summer soil water). In light of future projections for wetter springs and drier and warmer summers in the Southern Great Plains, our study indicates an increased vulnerability in native ecosystems and summer crops over time.« less

  20. Indicators of nitrate export from forested watersheds of the Chesapeake Bay region

    Treesearch

    Karl W. J. Williard

    1997-01-01

    Soil net nitrogen mineralization and nitrification rates were studied on nine relatively undisturbed, forested watersheds in an effort to explain the large variations in nitrate export in streamflow within the Chesapeake Bay region. The primary hypothesis tested was that nitrate export from the watersheds was positively associated with rates of net soil nitrogen...

  1. Net nitrogen mineralization in natural ecosystems across the conterminous US

    Treesearch

    LeeAnna Y. Chapman; Steven G. McNulty; Ge Sun; Yang Zhang

    2013-01-01

    Nitrogen is the primary nutrient limiting ecosystem productivity over most of the US. Although soil nitrogen content is important, knowledge about its spatial extent at the continental scale is limited. The objective of this study was to estimate net nitrogen mineralization for the conterminous US (CONUS) using an empirical modeling approach by scaling up site level...

  2. Children's Schemes for Anticipating the Validity of Nets for Solids

    ERIC Educational Resources Information Center

    Wright, Vince; Smith, Ken

    2017-01-01

    There is growing acknowledgement of the importance of spatial abilities to student achievement across a broad range of domains and disciplines. Nets are one way to connect three-dimensional shapes and their two-dimensional representations and are a common focus of geometry curricula. Thirty-four students at year 6 (upper primary school) were…

  3. Rapid Increase in Ownership and Use of Long-Lasting Insecticidal Nets and Decrease in Prevalence of Malaria in Three Regional States of Ethiopia (2006-2007)

    PubMed Central

    Shargie, Estifanos Biru; Ngondi, Jeremiah; Graves, Patricia M.; Getachew, Asefaw; Hwang, Jimee; Gebre, Teshome; Mosher, Aryc W.; Ceccato, Pietro; Endeshaw, Tekola; Jima, Daddi; Tadesse, Zerihun; Tenaw, Eskindir; Reithinger, Richard; Emerson, Paul M.; Richards, Frank O.; Ghebreyesus, Tedros Adhanom

    2010-01-01

    Following recent large scale-up of malaria control interventions in Ethiopia, this study aimed to compare ownership and use of long-lasting insecticidal nets (LLIN), and the change in malaria prevalence using two population-based household surveys in three regions of the country. Each survey used multistage cluster random sampling with 25 households per cluster. Household net ownership tripled from 19.6% in 2006 to 68.4% in 2007, with mean LLIN per household increasing from 0.3 to 1.2. Net use overall more than doubled from 15.3% to 34.5%, but in households owning LLIN, use declined from 71.7% to 48.3%. Parasitemia declined from 4.1% to 0.4%. Large scale-up of net ownership over a short period of time was possible. However, a large increase in net ownership was not necessarily mirrored directly by increased net use. Better targeting of nets to malaria-risk areas and sustained behavioural change communication are needed to increase and maintain net use. PMID:20936103

  4. Obesity does not impair walking economy across a range of speeds and grades.

    PubMed

    Browning, Raymond C; Reynolds, Michelle M; Board, Wayne J; Walters, Kellie A; Reiser, Raoul F

    2013-05-01

    Despite the popularity of walking as a form of physical activity for obese individuals, relatively little is known about how obesity affects the metabolic rate, economy, and underlying mechanical energetics of walking across a range of speeds and grades. The purpose of this study was to quantify metabolic rate, stride kinematics, and external mechanical work during level and gradient walking in obese and nonobese adults. Thirty-two obese [18 women, mass = 102.1 (15.6) kg, BMI = 33.9 (3.6) kg/m(2); mean (SD)] and 19 nonobese [10 women, mass = 64.4 (10.6) kg, BMI = 21.6 (2.0) kg/m(2)] volunteers participated in this study. We measured oxygen consumption, ground reaction forces, and lower extremity kinematics while subjects walked on a dual-belt force-measuring treadmill at 11 speeds/grades (0.50-1.75 m/s, -3° to +9°). We calculated metabolic rate, stride kinematics, and external work. Net metabolic rate (Ė net/kg, W/kg) increased with speed or grade across all individuals. Surprisingly and in contrast with previous studies, Ė net/kg was 0-6% less in obese compared with nonobese adults (P = 0.013). External work, although a primary determinant of Ė net/kg, was not affected by obesity across the range of speeds/grades used in this study. We also developed new prediction equations to estimate oxygen consumption and Ė net/kg and found that Ė net/kg was positively related to relative leg mass and step width and negatively related to double support duration. These results suggest that obesity does not impair walking economy across a range of walking speeds and grades.

  5. Counterintuitive effects of global warming-induced wind patterns on primary production in the Northern Humboldt Current System.

    PubMed

    Mogollón, Rodrigo; R Calil, Paulo H

    2018-07-01

    It has been hypothesized that global warming will strengthen upwelling-favorable winds in the Northern Humboldt Current System (NHCS) as a consequence of the increase of the land-sea thermal gradient along the Peruvian coast. The effect of strengthened winds in this region is assessed with the use of a coupled physical-biogeochemical model forced with projected and climatological winds. Strengthened winds induce an increase in primary production of 2% per latitudinal degree from 9.5°S to 5°S. In some important coastal upwelling sites primary production is reduced. This is due to a complex balance between nutrient availability, nutrient use efficiency, as well as eddy- and wind-driven factors. Mesoscale activity induces a net offshore transport of inorganic nutrients, thus reducing primary production in the coastal upwelling region. Wind mixing, in general disadvantageous for primary producers, leads to shorter residence times in the southern and central coastal zones. Overall, instead of a proportional enhancement in primary production due to increased winds, the NHCS becomes only 5% more productive (+5 mol C m -2 year -1 ), 10% less limited by nutrients and 15% less efficient due to eddy-driven effects. It is found that regions with a initial strong nutrient limitation are more efficient in terms of nutrient assimilation which makes them more resilient in face of the acceleration of the upwelling circulation. © 2018 John Wiley & Sons Ltd.

  6. Grassland productivity limited by multiple nutrients

    USDA-ARS?s Scientific Manuscript database

    Limitation of aboveground net primary productivity (ANPP) by nitrogen (N) is widely accepted, but the roles of phosphorus (P), potassium (K) and their combinations remain unclear. Thus we may underestimate nutrient limitation of primary productivity. We conducted standardized sampling of ANPP and ...

  7. Drag of Clean and Fouled Net Panels – Measurements and Parameterization of Fouling

    PubMed Central

    Gansel, Lars Christian; Plew, David R.; Endresen, Per Christian; Olsen, Anna Ivanova; Misimi, Ekrem; Guenther, Jana; Jensen, Østen

    2015-01-01

    Biofouling is a serious problem in marine aquaculture and it has a number of negative impacts including increased forces on aquaculture structures and reduced water exchange across nets. This in turn affects the behavior of fish cages in waves and currents and has an impact on the water volume and quality inside net pens. Even though these negative effects are acknowledged by the research community and governmental institutions, there is limited knowledge about fouling related effects on the flow past nets, and more detailed investigations distinguishing between different fouling types have been called for. This study evaluates the effect of hydroids, an important fouling organism in Norwegian aquaculture, on the forces acting on net panels. Drag forces on clean and fouled nets were measured in a flume tank, and net solidity including effect of fouling were determined using image analysis. The relationship between net solidity and drag was assessed, and it was found that a solidity increase due to hydroids caused less additional drag than a similar increase caused by change in clean net parameters. For solidities tested in this study, the difference in drag force increase could be as high as 43% between fouled and clean nets with same solidity. The relationship between solidity and drag force is well described by exponential functions for clean as well as for fouled nets. A method is proposed to parameterize the effect of fouling in terms of an increase in net solidity. This allows existing numerical methods developed for clean nets to be used to model the effects of biofouling on nets. Measurements with other types of fouling can be added to build a database on effects of the accumulation of different fouling organisms on aquaculture nets. PMID:26151907

  8. The Ethanol-Induced Stimulation of Rat Duodenal Mucosal Bicarbonate Secretion In Vivo Is Critically Dependent on Luminal Cl–

    PubMed Central

    Sommansson, Anna; Wan Saudi, Wan Salman; Nylander, Olof; Sjöblom, Markus

    2014-01-01

    Alcohol may induce metabolic and functional changes in gastrointestinal epithelial cells, contributing to impaired mucosal barrier function. Duodenal mucosal bicarbonate secretion (DBS) is a primary epithelial defense against gastric acid and also has an important function in maintaining the homeostasis of the juxtamucosal microenvironment. The aim in this study was to investigate the effects of the luminal perfusion of moderate concentrations of ethanol in vivo on epithelial DBS, fluid secretion and paracellular permeability. Under thiobarbiturate anesthesia, a ∼30-mm segment of the proximal duodenum with an intact blood supply was perfused in situ in rats. The effects on DBS, duodenal transepithelial net fluid flux and the blood-to-lumen clearance of 51Cr-EDTA were investigated. Perfusing the duodenum with isotonic solutions of 10% or 15% ethanol-by-volume for 30 min increased DBS in a concentration-dependent manner, while the net fluid flux did not change. Pre-treatment with the CFTR inhibitor CFTRinh172 (i.p. or i.v.) did not change the secretory response to ethanol, while removing Cl− from the luminal perfusate abolished the ethanol-induced increase in DBS. The administration of hexamethonium (i.v.) but not capsazepine significantly reduced the basal net fluid flux and the ethanol-induced increase in DBS. Perfusing the duodenum with a combination of 1.0 mM HCl and 15% ethanol induced significantly greater increases in DBS than 15% ethanol or 1.0 mM HCl alone but did not influence fluid flux. Our data demonstrate that ethanol induces increases in DBS through a mechanism that is critically dependent on luminal Cl− and partly dependent on enteric neural pathways involving nicotinic receptors. Ethanol and HCl appears to stimulate DBS via the activation of different bicarbonate transporting mechanisms. PMID:25033198

  9. The ethanol-induced stimulation of rat duodenal mucosal bicarbonate secretion in vivo is critically dependent on luminal Cl-.

    PubMed

    Sommansson, Anna; Wan Saudi, Wan Salman; Nylander, Olof; Sjöblom, Markus

    2014-01-01

    Alcohol may induce metabolic and functional changes in gastrointestinal epithelial cells, contributing to impaired mucosal barrier function. Duodenal mucosal bicarbonate secretion (DBS) is a primary epithelial defense against gastric acid and also has an important function in maintaining the homeostasis of the juxtamucosal microenvironment. The aim in this study was to investigate the effects of the luminal perfusion of moderate concentrations of ethanol in vivo on epithelial DBS, fluid secretion and paracellular permeability. Under thiobarbiturate anesthesia, a ∼30-mm segment of the proximal duodenum with an intact blood supply was perfused in situ in rats. The effects on DBS, duodenal transepithelial net fluid flux and the blood-to-lumen clearance of 51Cr-EDTA were investigated. Perfusing the duodenum with isotonic solutions of 10% or 15% ethanol-by-volume for 30 min increased DBS in a concentration-dependent manner, while the net fluid flux did not change. Pre-treatment with the CFTR inhibitor CFTRinh172 (i.p. or i.v.) did not change the secretory response to ethanol, while removing Cl- from the luminal perfusate abolished the ethanol-induced increase in DBS. The administration of hexamethonium (i.v.) but not capsazepine significantly reduced the basal net fluid flux and the ethanol-induced increase in DBS. Perfusing the duodenum with a combination of 1.0 mM HCl and 15% ethanol induced significantly greater increases in DBS than 15% ethanol or 1.0 mM HCl alone but did not influence fluid flux. Our data demonstrate that ethanol induces increases in DBS through a mechanism that is critically dependent on luminal Cl- and partly dependent on enteric neural pathways involving nicotinic receptors. Ethanol and HCl appears to stimulate DBS via the activation of different bicarbonate transporting mechanisms.

  10. Technical Efficiency of Automotive Industry Cluster in Chennai

    NASA Astrophysics Data System (ADS)

    Bhaskaran, E.

    2012-07-01

    Chennai is also called as Detroit of India due to its automotive industry presence producing over 40 % of the India's vehicle and components. During 2001-2002, diagnostic study was conducted on the Automotive Component Industries (ACI) in Ambattur Industrial Estate, Chennai and in SWOT analysis it was found that it had faced problems on infrastructure, technology, procurement, production and marketing. In the year 2004-2005 under the cluster development approach (CDA), they formed Chennai auto cluster, under public private partnership concept, received grant from Government of India, Government of Tamil Nadu, Ambattur Municipality, bank loans and stake holders. This results development in infrastructure, technology, procurement, production and marketing interrelationships among ACI. The objective is to determine the correlation coefficient, regression equation, technical efficiency, peer weights, slack variables and return to scale of cluster before and after the CDA. The methodology adopted is collection of primary data from ACI and analyzing using data envelopment analysis (DEA) of input oriented Banker-Charnes-Cooper model. There is significant increase in correlation coefficient and the regression analysis reveals that for one percent increase in employment and net worth, the gross output increases significantly after the CDA. The DEA solver gives the technical efficiency of ACI by taking shift, employment, net worth as input data and quality, gross output and export ratio as output data. From the technical score and ranking of ACI, it is found that there is significant increase in technical efficiency of ACI when compared to CDA. The slack variables obtained clearly reveals the excess employment and net worth and no shortage of gross output. To conclude there is increase in technical efficiency of not only Chennai auto cluster in general but also Chennai auto components industries in particular.

  11. Sensitivity of tropical forest aboveground productivity to climate anomalies in SW Costa Rica

    NASA Astrophysics Data System (ADS)

    Hofhansl, Florian; Kobler, Johannes; Ofner, Joachim; Drage, Sigrid; Pölz, Eva-Maria; Wanek, Wolfgang

    2014-12-01

    The productivity of tropical forests is driven by climate (precipitation, temperature, and light) and soil fertility (geology and topography). While large-scale drivers of tropical productivity are well established, knowledge on the sensitivity of tropical lowland net primary production to climate anomalies remains scarce. We here analyze seven consecutive years of monthly recorded tropical forest aboveground net primary production (ANPP) in response to a recent El Niño-Southern Oscillation (ENSO) anomaly. The ENSO transition period resulted in increased temperatures and decreased precipitation during the El Niño dry period, causing a decrease in ANPP. However, the subsequent La Niña wet period caused strong increases in ANPP such that drought-induced reductions were overcompensated. Most strikingly, the climatic controls differed between canopy production (CP) and wood production (WP). Whereas CP showed strong seasonal variation but was not affected by ENSO, WP decreased significantly in response to a 3°C increase in annual maximum temperatures during the El Niño period but subsequently recovered to above predrought levels during the La Niña period. Moreover, the climate sensitivity of tropical forest ANPP components was affected by local topography (water availability) and disturbance history (species composition). Our results suggest that projected increases in temperature and dry season length could impact tropical carbon sequestration by shifting ANPP partitioning toward decreased WP, thus decreasing the carbon storage of highly productive lowland forests. We conclude that the impact of climate anomalies on tropical forest productivity is strongly related to local site characteristics and will therefore likely prevent uniform responses of tropical lowland forests to projected global changes.

  12. Net primary production and phenology on a southern Appalachian watershed

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Day, F.P. Jr.; Monk, C.D.

    1977-01-01

    Net primary production (NPP) is an important function of plant communities which has not often been examined seasonally in a forested ecosystem. The major objective of the study was to measure above-ground NPP seasonally and relate it to phenological activity on a hardwood forest watershed at Coweeta Hydrologic Laboratory, North Carolina. NPP was estimated as the increase in biomass, estimated from regression equations on diameter. Diameter increases were measured by venier tree bands. Phenological observations were made on bud break, leaf emergence, flowering, mature fruit, leaf senescence, and leaf fall. The species studied intensively were Acer rubrum, Quercus prinus, Caryamore » glabra, Cornus florida, and Liriodendron tulipifera. Liriodendron was found to be the most productive species per individual, but Quercus prinus was the most productive per unit ground area. The total watershed estimate of aboveground NPP was 8,754 kg ha/sup -1/yr/sup -1/ and included 47.9 percent leaves, 33.2 percent wood, 7.8 percent bark, 4.8 percent reproductive tissues, 4.2 percent loss to consumers, and 2.1 percent twigs. Increases in leaf biomass were most rapid in the spring, but woody tissue production peaked in June and continued through August. Since leaf production peaked in the spring, the plants' photosynthetic machinery was activated early in the growing season to support woody tissue production, which followed the period of rapid leaf growth, and reproductive activity. Flowering occurred during the leaf expansion period except for Acer rubrum, which flowered before leaf emergence. Fruit maturation occurred during late summer to early fall, when there were no additional biomass increases. Acer rubrum was an exception as its fruit matured during the period of leaf expansion.« less

  13. Net primary production and phenology on a southern Appalachian watershed

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Day, F.P. Jr.; Monk, C.D.

    1977-10-01

    Net primary production (NPP) is an important function of plant communities which has not often been examined seasonally in a forested ecosystem. The major objective of the study was to measure above-ground NPP seasonally and relate it to phenological activity on a hardwood forest watershed at Coweeta Hydrologic Laboratory, North Carolina. NPP was estimated as the increase in biomass, estimated from regression equations on diameter. Diameter increases were measured by vernier tree bands. Phenological observations were made on bud break, leaf emergence, flowering, mature fruit, leaf senescence, and leaf fall. The species studied intensively were Acer rubrum, Quercus prinus, Caryamore » glabra, Cornus florida, and Liriodendron tulipifera. Liriodendron was found to be the most productive species per individual, but Quercus prinus was the most productive per unit ground area. The total watershed estimate of aboveground NPP was 8,754 kg ha/sup -1/ yr/sup -1/ and included 47.9% leaves, 33.2% wood, 7.8% bark, 4.8% reproductive tissues, 4.2% loss to consumers, and 2.1% twigs. Increases in leaf biomass were most rapid in the spring, but woody tissue production peaked in June and continued through August. Since leaf production peaked in the spring, the plants' photosynthetic machinery was activated early in the growing season to support woody tissue production, which followed the period of rapid leaf growth, and reproductive activity. Flowering ocurred during the leaf expansion period except for Acer rubrum, which flowered before leaf emergence. Fruit maturation occurred during late summer to early fall, when there were no additional biomass increases. Acer rubrum was an exception as its fruit matured during the period of leaf expansion.« less

  14. Changes in carbon allocation to aboveground versus belowground forest components is driven by a trade-off involving mycorrhizal fungi, not fine roots

    NASA Astrophysics Data System (ADS)

    Ouimette, A.; Ollinger, S. V.; Hobbie, E. A.; Lepine, L. C.; Stephens, R.; Rowe, R.; Vadeboncoeur, M. A.; Tumber-Davila, S. J.

    2017-12-01

    Species composition and resource availability exert a strong influence on the dynamics of carbon allocation among different forest ecosystem components. Recent work in temperate forests has highlighted a tradeoff between carbon allocation to aboveground woody tissues (access to light), and belowground to fine roots (access to soil nutrients). Although root-associated mycorrhizal fungi are crucial for N acquisition and can receive 20% or more of annual net primary production, most studies fail to explicitly include carbon allocation to mycorrhizal fungi. In part, this is due to the inherent difficulties in accurately quantifying fungal production. We took several approaches to quantify production of mycorrhizal fungi, including a carbon budget approach and isotopic techniques. Here we present data on patterns of carbon allocation to aboveground (wood and foliar production), and belowground components (production of fine roots and mycorrhizal fungi), across temperate forest stands spanning a range of nitrogen availability and species composition. We found that as the proportion of conifer species decreased, and stand nitrogen availability increased, both the absolute amount and the fraction of net primary production increased for foliage, aboveground wood, and fine roots ("a rising tide lifts all boats"). While allocation to plant pools increased, allocation to mycorrhizal fungi significantly decreased with decreasing conifer dominance and increasing soil nitrogen availability. We did not find a strong trade-off between carbon allocation to fine roots and aboveground wood or foliage. Instead, a negative relationship is seen between allocation to mycorrhizal fungi and other plant pools. Effort to estimate carbon allocation to mycorrhizal fungi is important for gaining a more complete understanding of how ecosystems respond to changes in growth-limiting resources.

  15. Decreased summer drought affects plant productivity and soil carbon dynamics in a Mediterranean woodland

    NASA Astrophysics Data System (ADS)

    Cotrufo, M. F.; Alberti, G.; Inglima, I.; Marjanović, H.; Lecain, D.; Zaldei, A.; Peressotti, A.; Miglietta, F.

    2011-09-01

    Precipitation patterns are expected to change in the Mediterranean region within the next decades, with projected decreases in total rainfall and increases in extreme events. We manipulated precipitation patterns in a Mediterranean woodland, dominated by Arbutus unedo L., to study the effects of changing precipitation regimes on above-ground net primary production (ANPP) and soil C dynamics, specifically plant-derived C input to soil and soil respiration (SR). Experimental plots were exposed to either a 20 % reduction of throughfall or to water addition targeted at maintaining soil water content above a minimum of 10 % v/v. Treatments were compared to control plots which received ambient precipitation. Enhanced soil moisture during summer months highly stimulated annual stem primary production, litter fall, SR and net annual plant-derived C input to soil which on average increased by 130 %, 26 %, 58 % and 220 %, respectively, as compared to the control. In contrast, the 20 % reduction in throughfall (equivalent to 10 % reduction in precipitation) did not significantly change soil moisture at the site, and therefore did not significantly affect ANPP or SR. We conclude that minor changes (around 10 % reduction) in precipitation amount are not likely to significantly affect ANPP or soil C dynamics in Mediterranean woodlands. However, if summer rain increases, C cycling will significantly accelerate but soil C stocks are not likely to be changed in the short-term. More studies involving modelling of long-term C dynamics are needed to predict if the estimated increases in soil C input under wet conditions is going to be sustained and if labile C is being substituted to stable C, with a negative effect on long-term soil C stocks.

  16. Decreased summer drought affects plant productivity and soil carbon dynamics in Mediterranean woodland

    NASA Astrophysics Data System (ADS)

    Cotrufo, M. F.; Alberti, G.; Inglima, I.; Marjanović, H.; Lecain, D.; Zaldei, A.; Peressotti, A.; Miglietta, F.

    2011-06-01

    Precipitation patterns are expected to change in the Mediterranean region within the next decades, with projected decreases in total rainfall and increases in extreme events. We manipulated precipitation patterns in a Mediterranean woodland, dominated by Arbutus unedo L., to study the effects of changing precipitation regimes on above-ground net primary production (ANPP) and soil C dynamics, specifically plant-derived C input to soil and soil respiration (SR). Experimental plots were exposed to either a 20 % reduction of throughfall or to water addition targeted at maintaining soil water content above a minimum of 10 % v/v. Treatments were compared to control plots which received ambient precipitation. The throughfall manipulation experiment started in 2004 and we report data up to the 2009 growing season. Enhanced soil moisture during summer months highly stimulated annual stem primary production, litter fall, SR and net annual plant-derived C input to soil which on average increased by 130 %, 26 %, 50 % and 220 %, respectively, as compared to control. In contrast, the 20 % reduction in throughfall (equivalent to 10 % reduction of precipitation) did not significantly change soil moisture at the site, and therefore did not significantly affect ANPP or SR. We conclude that minor changes (around 10 % reduction) in precipitation amount are not likely to significantly affect ANPP or soil C dynamics in Mediterranean woodland. However, if summer rain increases, C cycling will significantly accelerate but soil C stocks are not likely to be changed in the short-term. More studies involving modelling of long term C dynamics are needed to predict if the estimated increases in soil C input under wet conditions is going to be sustained and if labile C is being substituted to stable C, with a negative effect on long term soil C stocks.

  17. Climate change and its impacts on vegetation distribution and net primary productivity of the alpine ecosystem in the Qinghai-Tibetan Plateau.

    PubMed

    Gao, Qingzhu; Guo, Yaqi; Xu, Hongmei; Ganjurjav, Hasbagen; Li, Yue; Wan, Yunfan; Qin, Xiaobo; Ma, Xin; Liu, Shuo

    2016-06-01

    Changes in climate have caused impacts on ecosystems on all continents scale, and climate change is also projected to be a stressor on most ecosystems even at the rate of low- to medium-range warming scenarios. Alpine ecosystem in the Qinghai-Tibetan Plateau is vulnerable to climate change. To quantify the climate change impacts on alpine ecosystems, we simulated the vegetation distribution and net primary production in the Qinghai-Tibetan Plateau for three future periods (2020s, 2050s and 2080s) using climate projection for RCPs (Representative Concentration Pathways) RCP4.5 and RCP8.5 scenarios. The modified Lund-Potsdam-Jena Dynamic Global Vegetation Model (LPJ model) was parameter and test to make it applicable to the Qinghai-Tibetan Plateau. Climate projections that were applied to LPJ model in the Qinghai-Tibetan Plateau showed trends toward warmer and wetter conditions. Results based on climate projections indicated changes from 1.3°C to 4.2°C in annual temperature and changes from 2% to 5% in annual precipitation. The main impacts on vegetation distribution was increase in the area of forests and shrubs, decrease in alpine meadows which mainly replaced by shrubs which dominated the eastern plateau, and expanding in alpine steppes to the northwest dominated the western and northern plateau. The NPP was projected to increase by 79% and 134% under the RCP4.5 and RCP8.5. The projected NPP generally increased about 200gC·m(-2)·yr(-1) in most parts of the plateau with a gradual increase from the eastern to the western region of the Qinghai-Tibetan Plateau at the end of this century. Copyright © 2016 Elsevier B.V. All rights reserved.

  18. Mesozooplankton production, grazing and respiration in the Bay of Bengal: Implications for net heterotrophy

    NASA Astrophysics Data System (ADS)

    Fernandes, Veronica; Ramaiah, N.

    2016-03-01

    Mesozooplankton samples were collected from the mixed layer along a central (along 88°E) and a western transect in the Bay of Bengal during four seasons covered between 2001 and 2006 in order to investigate spatio-temporal variability in their biomass. At these stations, grazing and respiration rates were measured from live zooplankton hauled in from the surface during December 2005. Akin to the mesozooplankton "paradox" in the central and eastern Arabian Sea, biomass in the mixed layer was more or less invariant in the central and western Bay of Bengal, even as the chl a showed marginal temporal variation. By empirical equation, the mesozooplankton production rate calculated to be 70-246 mg C m- 2 d- 1 is on par with the Arabian Sea. Contrary to the conventional belief, mesozooplankton grazing impact was up to 83% on primary production (PP). Low PP coupled with very high zooplankton production (70% of PP) along with abundant bacterial production (50% of the PP; Ramaiah et al., 2009) is likely to render the Bay of Bengal net heterotrophic, especially during the spring intermonsoon. Greater estimates of fecal pellet-carbon egestion by mesozooplankton compared to the average particulate organic carbon flux in sediment traps, implies that much of the matter is recycled by heterotrophic communities in the mixed layer facilitating nutrient regeneration for phytoplankton growth. We also calculated that over a third of the primary production is channelized for basin-wide zooplankton respiration that accounts for 52 Mt C annually. In the current scenario of global warming, if low (primary) productive warm pools like the Bay of Bengal continue to be net heterotrophic, negative implications like enhanced emission of CO2 to the atmosphere, increased particulate flux to the deeper waters and greater utilization of dissolved oxygen resulting in expansion of the existing oxygen minimum zone are imminent.

  19. Neuroendocrine tumor recurrence: diagnosis with 68Ga-DOTATATE PET/CT.

    PubMed

    Haug, Alexander R; Cindea-Drimus, Ramona; Auernhammer, Christoph J; Reincke, Martin; Beuschlein, Felix; Wängler, Björn; Uebleis, Christopher; Schmidt, Gerwin P; Spitzweg, Christine; Bartenstein, Peter; Hacker, Marcus

    2014-02-01

    To evaluate diagnostic performance of gallium 68-tetraazacyclododecane tetraacetic acid-octreotate ((68)Ga-DOTATATE) in detection of recurrent neuroendocrine tumors (NETs). Approval was waived by the local ethics committee for this retrospective study. Between 2007 and 2011, 63 patients (mean age, 58 years) were examined with (68)Ga-DOTATATE positron emission tomography (PET)/computed tomography (CT) after primary NET curative resection. Reasons for PET/CT were regular follow-up examinations (n = 30), increased plasma levels of tumor markers (n = 27), or clinical suspicion of recurrence (n = 6). Final diagnosis was determined with histopathologic verification (n = 25) or clinical follow-up (n = 38). PET/CT scans were evaluated in consensus by two readers without blinding to clinical information and independently by two readers with blinding. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated. Final diagnosis of NET recurrence was determined in 29 patients. In three other patients, tumors of nonneuroendocrine origin were diagnosed. (68)Ga-DOTATATE PET/CT helped identify NET recurrence in 26 of 29 patients (sensitivity, 90%) and exclude presence of recurrent NET in 28 of 34 patients (specificity, 82% ). PET/CT provided false-positive and false-negative results in six and three patients (PPV, 81% [26 of 32]; NPV, 90% [28 of 31]; accuracy, 86% [54 of 63]). In gastroenteropancreatic NET (n = 45), sensitivity was 94% (17 of 18); specificity was 89% (24 of 27); PPV was 85% (17 of 20); NPV was 96% (24 of 25); and accuracy was 91% (41 of 45). Two blinded readers achieved sensitivity of 79% (23 of 29) and 76% (22 of 29); specificity of 85% (29 of 34) and 94% (32 of 34) (κ = 0.80); and accuracy of 83% and 86%. (68)Ga-DOTATATE PET/CT is accurate in detection of recurrent NET. Blinded PET/CT review markedly decreased sensitivity, underlining importance of considering clinical parameters in NET recurrence. Present results must be further validated to substantiate use of (68)Ga-DOTATATE PET/CT in routine follow-up after curative resection of NET. © RSNA, 2013

  20. Utility of a thematic network in primary health care: a controlled interventional study in a rural area

    PubMed Central

    Coma del Corral, Maria Jesús; Abaigar Luquín, Pedro; Cordero Guevara, José; Olea Movilla, Angel; Torres Torres, Gerardo; Lozano Garcia, Javier

    2005-01-01

    Background UniNet is an Internet-based thematic network for a virtual community of users (VCU). It supports a virtual multidisciplinary community for physicians, focused on the improvement of clinical practice. This is a study of the effects of a thematic network such as UniNet on primary care medicine in a rural area, specifically as a platform of communication between specialists at the hospital and doctors in the rural area. Methods In order to study the effects of a thematic network such as UniNet on primary care medicine in a rural area, we designed an interventional study that included a control group. The measurements included the number of patient displacements due to disease, number of patient hospital stays and the number of prescriptions of drugs of low therapeutic utility and generic drug prescriptions by doctors. These data were analysed and compared with those of the control center. Results Our study showed positive changes in medical practice, reflected in the improvement of the evaluated parameters in the rural health area where the interventional study was carried out, compared with the control area. We discuss the strengths and weaknesses of UniNet as a potential medium to improve the quality of medical care in rural areas. Conclusion The rural doctors had an effective, useful, user-friendly and cheap source of medical information that may have contributed to the improvement observed in the medical quality indices. PMID:16042778

  1. Hidden Treasures and Secret Pitfalls: Application of the Capability Approach to ParkinsonNet.

    PubMed

    Canoy, Marcel; Faber, Marjan J; Munneke, Marten; Oortwijn, Wija; Nijkrake, Maarten J; Bloem, Bastiaan R

    2015-01-01

    In the Netherlands, the largest health technology assessment (HTA) program funds mainly (cost-)effectiveness studies and implementation research. The cost-effectiveness studies are usually controlled clinical trials which simultaneously collect cost data. The success of a clinical trial typically depends on the effect size for the primary outcome, such as health gains or mortality rates. A drawback is that in case of a negative primary outcome, relevant other (and perhaps more implicit) benefits might be missed. Conversely, positive trials can contain adverse outcomes that may also remain hidden. The capability approach (developed by Nobel Prize winner and philosopher Sen) is an instrument that may reveal such "hidden treasures and secret pitfalls" that lie embedded within clinical trials, beyond the more traditional outcomes. Here, we exemplify the possible merits of the capability approach using a large clinical trial (funded by the HTA program in the Netherlands) that aimed to evaluate the ParkinsonNet concept, an innovative network approach for Parkinson patients. This trial showed no effects for the primary outcome, but the ParkinsonNet concept tested in this study was nevertheless met with great enthusiasm and was rapidly implemented throughout an entire country, and meanwhile also internationally. We applied the capability approach to the ParkinsonNet concept, and this analysis yielded additional benefits within several capability domains. These findings seems to substantiate the claim that richer policy debates may ensue by applying the capability approach to clinical trial data, in addition to traditional outcomes.

  2. NET-Works: Linking families, communities and primary care to prevent obesity in preschool-age children.

    PubMed

    Sherwood, Nancy E; French, Simone A; Veblen-Mortenson, Sara; Crain, A Lauren; Berge, Jerica; Kunin-Batson, Alicia; Mitchell, Nathan; Senso, Meghan

    2013-11-01

    Obesity prevention in children offers a unique window of opportunity to establish healthful eating and physical activity behaviors to maintain a healthful body weight and avoid the adverse proximal and distal long-term health consequences of obesity. Given that obesity is the result of a complex interaction between biological, behavioral, family-based, and community environmental factors, intervention at multiple levels and across multiple settings is critical for both short- and long-term effectiveness. The Minnesota NET-Works (Now Everybody Together for Amazing and Healthful Kids) study is one of four obesity prevention and/or treatment trials that are part of the Childhood Obesity Prevention and Treatment (COPTR) Consortium. The goal of the NET-Works study is to evaluate an intervention that integrates home, community, primary care and neighborhood strategies to promote healthful eating, activity patterns, and body weight among low income, racially/ethnically diverse preschool-age children. Critical to the success of this intervention is the creation of linkages among the settings to support parents in making home environment and parenting behavior changes to foster healthful child growth. Five hundred racially/ethnically diverse, two-four year old children and their parent or primary caregiver will be randomized to the multi-component intervention or to a usual care comparison group for a three-year period. This paper describes the study design, measurement and intervention protocols, and statistical analysis plan for the NET-Works trial. © 2013 Elsevier Inc. All rights reserved.

  3. Decreases in net primary production and net ecosystem production along a repeated-fires induced forest/grassland gradient

    NASA Astrophysics Data System (ADS)

    Cheng, C. H.; Huang, Y. H.; Chung-Yu, L.; Menyailo, O.

    2016-12-01

    Fire is one of the most important disturbances in ecosystems. Fire rapidly releases stored carbon into atmosphere and also plays critical roles on soil properties, light and moisture regimes, and plant structures and communities. With the interventions of climate change and human activities, fire regimes become more severe and frequent. In many parts of world, forest fire regimes can be further altered by grass invasion because the invasive grasses create a positive feedback cycle through their rapid recovery after fires and their high flammability during dry periods and allow forests to be burned repeatedly in a relatively short time. For such invasive grass-fire cycle, a great change of native vegetation community can occur. In this study, we examined a C4 invasive grass () fire-induced forest/grassland gradient to quantify the changes of net primary production (NPP) and net ecosystem production (NEP) from an unburned forest to repeated fire grassland. Our results demonstrated negative effects of repeated fires on NPP and NEP. Within 4 years of the onset of repeated fires on the unburned forest, NPP declined by 14%, mainly due to the reduction in aboveground NPP but offset by increase of belowground NPP. Subsequent fires cumulatively caused reductions in both aboveground and belowground NPP. A total of 40% reduction in the long-term repeated fire induced grassland was found. Soil respiration rate were not significantly different along the forest/grassland gradient. Thus, a great reduction in NEP were shown in grassland, which shifted from 4.6 Mg C ha-1 yr-1 in unburnt forest to -2.6 Mg C ha-1 yr-1. Such great losses are critical within the context of forest carbon cycling and long-term sustainability. Forest management practices that can effectively reduce the likelihood of repeated fires and consequent likelihood of establishment of the grass fire cycle are essential for protecting the forest.

  4. Spring-summer net community production, new production, particle export and related water column biogeochemical processes in the marginal sea ice zone of the Western Antarctic Peninsula 2012-2014.

    PubMed

    Ducklow, Hugh W; Stukel, Michael R; Eveleth, Rachel; Doney, Scott C; Jickells, Tim; Schofield, Oscar; Baker, Alex R; Brindle, John; Chance, Rosie; Cassar, Nicolas

    2018-06-28

    New production (New P, the rate of net primary production (NPP) supported by exogenously supplied limiting nutrients) and net community production (NCP, gross primary production not consumed by community respiration) are closely related but mechanistically distinct processes. They set the carbon balance in the upper ocean and define an upper limit for export from the system. The relationships, relative magnitudes and variability of New P (from 15 NO 3 - uptake), O 2  : argon-based NCP and sinking particle export (based on the 238 U :  234 Th disequilibrium) are increasingly well documented but still not clearly understood. This is especially true in remote regions such as polar marginal ice zones. Here we present a 3-year dataset of simultaneous measurements made at approximately 50 stations along the Western Antarctic Peninsula (WAP) continental shelf in midsummer (January) 2012-2014. Net seasonal-scale changes in water column inventories (0-150 m) of nitrate and iodide were also estimated at the same stations. The average daily rates based on inventory changes exceeded the shorter-term rate measurements. A major uncertainty in the relative magnitude of the inventory estimates is specifying the start of the growing season following sea-ice retreat. New P and NCP(O 2 ) did not differ significantly. New P and NCP(O 2 ) were significantly greater than sinking particle export from thorium-234. We suggest this is a persistent and systematic imbalance and that other processes such as vertical mixing and advection of suspended particles are important export pathways.This article is part of the theme issue 'The marine system of the west Antarctic Peninsula: status and strategy for progress in a region of rapid change'. © 2018 The Author(s).

  5. Impact of a Primary Care CKD Registry in a US Public Safety-Net Health Care Delivery System: A Pragmatic Randomized Trial.

    PubMed

    Tuot, Delphine S; McCulloch, Charles E; Velasquez, Alexandra; Schillinger, Dean; Hsu, Chi-Yuan; Handley, Margaret; Powe, Neil R

    2018-04-23

    Many individuals with chronic kidney disease (CKD) do not receive guideline-concordant care. We examined the impact of a team-based primary care CKD registry on clinical measures and processes of care among patients with CKD cared for in a public safety-net health care delivery system. Pragmatic trial of a CKD registry versus a usual-care registry for 1 year. Primary care providers (PCPs) and their patients with CKD in a safety-net primary care setting in San Francisco. The CKD registry identified at point of care all patients with CKD, those with blood pressure (BP)>140/90mmHg, those without angiotensin-converting enzyme (ACE) inhibitor/angiotensin receptor blocker (ARB) prescription, and those without albuminuria quantification in the past year. It also provided quarterly feedback pertinent to these metrics to promote "outreach" to patients with CKD. The usual-care registry provided point-of-care cancer screening and immunization data. Changes in systolic BP at 12 months (primary outcome), proportion of patients with BP control, prescription of ACE inhibitors/ARBs, quantification of albuminuria, severity of albuminuria, and estimated glomerular filtration rate. The patient population (n=746) had a mean age of 56.7±12.1 (standard deviation) years, was 53% women, and was diverse (8% non-Hispanic white, 35.7% black, 24.5% Hispanic, and 24.4% Asian). Randomization to the CKD registry (30 PCPs, 285 patients) versus the usual-care registry (49 PCPs, 461 patients) was associated with 2-fold greater odds of ACE inhibitor/ARB prescription (adjusted OR, 2.25; 95% CI, 1.45-3.49) and albuminuria quantification (adjusted OR, 2.44; 95% CI, 1.38-4.29) during the 1-year study period. Randomization to the CKD registry was not associated with changes in systolic BP, proportion of patients with uncontrolled BP, or degree of albuminuria or estimated glomerular filtration rate. Potential misclassification of CKD; missing baseline medication data; limited to study of a public safety-net health care system. A team-based safety-net primary care CKD registry did not improve BP parameters, but led to greater albuminuria quantification and more ACE inhibitor/ARB prescriptions after 1 year. Adoption of team-based CKD registries may represent an important step in translating evidence into practice for CKD management. Copyright © 2018 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

  6. Detecting a Terrestrial Biosphere Sink for Carbon Dioxide: Interannual Ecosystem Modeling for the Mid-1980s

    NASA Technical Reports Server (NTRS)

    Potter, Christopher S.; Klooster, Steven A.; Brooks, Vanessa; Gore, Warren J. (Technical Monitor)

    1998-01-01

    There is considerable uncertainty as to whether interannual variability in climate and terrestrial ecosystem production is sufficient to explain observed variation in atmospheric carbon content over the past 20-30 years. In this paper, we investigated the response of net CO2 exchange in terrestrial ecosystems to interannual climate variability (1983 to 1988) using global satellite observations as drivers for the NASA-CASA (Carnegie-Ames-Stanford Approach) simulation model. This computer model of net ecosystem production (NEP) is calibrated for interannual simulations driven by monthly satellite vegetation index data (NDVI) from the NOAA Advanced Very High Resolution Radiometer (AVHRR) at 1 degree spatial resolution. Major results from NASA-CASA simulations suggest that from 1985 to 1988, the northern middle-latitude zone (between 30 and 60 degrees N) was the principal region driving progressive annual increases in global net primary production (NPP; i.e., the terrestrial biosphere sink for carbon). The average annual increase in NPP over this predominantly northern forest zone was on the order of +0.4 Pg (10 (exp 15) g) C per year. This increase resulted mainly from notable expansion of the growing season for plant carbon fixation toward the zonal latitude extremes, a pattern uniquely demonstrated in our regional visualization results. A net biosphere source flux of CO2 in 1983-1984, coinciding with an El Nino event, was followed by a major recovery of global NEP in 1985 which lasted through 1987 as a net carbon sink of between 0.4 and 2.6 Avg C per year. Analysis of model controls on NPP and soil heterotrophic CO2 fluxes (Rh) suggests that regional warming in northern forests can enhance ecosystem production significantly. In seasonally dry tropical zones, periodic drought and temperature drying effects may carry over with at least a two-year lag time to adversely impact ecosystem production. These yearly patterns in our model-predicted NEP are consistent in magnitude with the estimated exchange of CO2 by the terrestrial biosphere with the atmosphere, as determined by previous isotopic (delta (sup 13 C) convolution analysis. Ecosystem simulation results can help further target locations where net carbon sink fluxes have occurred in the past or may be verified in subsequent field studies.

  7. Simulating coupled carbon and nitrogen dynamics following mountain pine beetle outbreaks in the western United States

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Edburg, Steven L.; Hicke, Jeffrey A.; Lawrence, David M.

    2011-01-01

    Insect outbreaks are major ecosystem disturbances, affecting a similar area as forest fires annually across North America. Tree mortality caused by epidemics of bark beetles alters carbon cycling in the first several years following the disturbance by reducing stand-level primary production and increasing decomposition rates. The few studies of biogeochemical cycling following outbreaks have shown a range of impacts from small responses of net carbon fluxes in the first several years after a severe outbreak to large forest areas that are sources of carbon to the atmosphere for decades. To gain more understanding about causes of this range of responses,more » we used an ecosystem model to assess impacts of different bark beetle outbreak conditions on coupled carbon and nitrogen cycling. We modified the Community Land Model with prognostic carbon and nitrogen to include prescribed bark beetle outbreaks. We then compared control simulations (without a bark beetle outbreak) to simulations with various mortality severity, durations of outbreak, and snagfall dynamics to quantify the range of carbon flux responses and recovery rates of net ecosystem exchange to a range of realistic outbreak conditions. Prescribed mortality by beetles reduced leaf area and thus productivity. Gross primary productivity decreased by as much as 80% for a severe outbreak (95% mortality) and by 10% for less severe outbreaks (25% mortality). Soil mineral nitrogen dynamics (immobilization and plant uptake) were important in governing post-outbreak productivity, and were strongly modulated by carbon inputs to the soil from killed trees. Initial increases in heterotrophic respiration caused by a pulse of labile carbon from roots were followed by a slight reduction (from pre-snagfall reduced inputs), then a secondary increase (from inputs due to snagfall). Secondary increases in heterotrophic respiration were largest for simulated windthrow of snags after a prescribed snagfall delay period. Net ecosystem productivity recovered within 40 years for all simulations, with the largest increases in the first 10 years. Our simulations illustrate that, given the large variability in bark beetle outbreak conditions, a wide range of responses in carbon and nitrogen dynamics can occur. The fraction of trees killed, timing of snagfall, snagfall rate, and management decisions as to whether or not to remove snags for harvesting or for fire prevention will have a major impact on post-outbreak carbon fluxes up to 100 years following an outbreak.« less

  8. Incremental cost effectiveness evaluation in clinical research.

    PubMed

    Krummenauer, Frank; Landwehr, I

    2005-01-28

    The health economic evaluation of therapeutic and diagnostic strategies is of increasing importance in clinical research. Therefore also clinical trialists have to involve health economic aspects more frequently. However, whereas they are quite familiar with classical effect measures in clinical trials, the corresponding parameters in health economic evaluation of therapeutic and diagnostic procedures are still not this common. The concepts of incremental cost effectiveness ratios (ICERs) and incremental net health benefit (INHB) will be illustrated and contrasted along the cost effectiveness evaluation of cataract surgery with monofocal and multifocal intraocular lenses. ICERs relate the costs of a treatment to its clinical benefit in terms of a ratio expression (indexed as Euro per clinical benefit unit). Therefore ICERs can be directly compared to a pre-specified willingness to pay (WTP) benchmark, which represents the maximum costs, health insurers would invest to achieve one clinical benefit unit. INHBs estimate a treatment's net clinical benefit after accounting for its cost increase versus an established therapeutic standard. Resource allocation rules can be formulated by means of both effect measures. Both the ICER and the INHB approach enable the definition of directional resource allocation rules. The allocation decisions arising from these rules are identical, as long as the willingness to pay benchmark is fixed in advance. Therefore both strategies crucially call for a priori determination of both the underlying clinical benefit endpoint (such as gain in vision lines after cataract surgery or gain in quality-adjusted life years) and the corresponding willingness to pay benchmark. The use of incremental cost effectiveness and net health benefit estimates provides a rationale for health economic allocation discussions and founding decisions. It implies the same requirements on trial protocols as yet established for clinical trials, that is the a priori definition of primary hypotheses (formulated as an allocation rule involving a pre-specified willingness to pay benchmark) and the primary clinical benefit endpoint (as a rationale for effectiveness evaluation).

  9. The changing global carbon cycle: linking local plant-soil carbon dynamics to global consequences

    Treesearch

    F. Stuart Chapin; Jack McFarland; A. David McGuire; Eugenie S. Euskirchen; Roger W. Ruess; Knut Kielland

    2009-01-01

    Most current climate-carbon cycle models that include the terrestrial carbon (C) cycle are based on a model developed 40 years ago by Woodwell & Whittaker (1968) and omit advances in biogeochemical understanding since that time. Their model treats net C emissions from ecosystems as the balance between net primary production (NPP) and heterotrophic respiration (HR,...

  10. Combining LIDAR estimates of aboveground biomass and Landsat estimates of stand age for spatially extensive validation of modeled forest productivity.

    Treesearch

    M.A. Lefsky; D.P. Turner; M. Guzy; W.B. Cohen

    2005-01-01

    Extensive estimates of forest productivity are required to understand the relationships between shifting land use, changing climate and carbon storage and fluxes. Aboveground net primary production of wood (NPPAw) is a major component of total NPP and of net ecosystem production (NEP). Remote sensing of NPP and NPPAw is...

  11. Accelerating Net Terrestrial Carbon Uptake During the Warming Hiatus Due to Reduced Respiration

    NASA Technical Reports Server (NTRS)

    Ballantyne, Ashley; Smith, William; Anderegg, William; Kauppi, Pekka; Sarmiento, Jorge; Tans, Pieter; Shevliakova, Elena; Pan, Yude; Poulter, Benjamin; Anav, Alessandro; hide

    2017-01-01

    The recent warming hiatus presents an excellent opportunity to investigate climate sensitivity of carbon cycle processes. Here we combine satellite and atmospheric observations to show that the rate of net biome productivity (NBP) has significantly accelerated from - 0.007 +/- 0.065 PgC yr(exp -2) over the warming period (1982 to 1998) to 0.119 +/- 0.071 PgC yr(exp -2) over the warming hiatus (19982012). This acceleration in NBP is not due to increased primary productivity, but rather reduced respiration that is correlated (r = 0.58; P = 0.0007) and sensitive ( y = 4.05 to 9.40 PgC yr(exp -1) per C) to land temperatures. Global land models do not fully capture this apparent reduced respiration over the warming hiatus; however, an empirical model including soil temperature and moisture observations better captures the reduced respiration.

  12. Metastatic Neuroendocrine Tumour in a Renal Transplant Recipient: Dual-Tracer PET-CT with (18)F-FDG and (68)Ga-DOTANOC in This Rare Setting.

    PubMed

    Karunanithi, Sellam; Roy, Shambo Guha; Sharma, Punit; Yadav, Rajni; Bal, Chandrasekhar; Kumar, Rakesh

    2015-03-01

    Recipients of renal transplant are at increased risk of developing various malignancies, especially post-transplant lymphoproliferative disorder (PTLD) and skin cancers. Neuroendocrine tumours (NET) of the gastrointestinal tract have not been reported in this setting. Here we describe the case of a 75-year-old male who had undergone renal transplant 8 years back and now presented with significant weight loss and backache, clinically suspected as PTLD. (18)F-Fluordeoxyglucose ((18)F-FDG) positron emission tomography-computed tomography (PET-CT) showed hypermetabolic lesions in the liver and rectum, raising the suspicion of PTLD. However, biopsy from the liver lesion showed poorly differentiated NET. (68)Ga-labelled [1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid]-1-NaI(3)-octreotide ((68)Ga-DOTANOC) PET-CT was then done, which confirmed the primary lesion in the rectum with liver metastases.

  13. Accelerating net terrestrial carbon uptake during the warming hiatus due to reduced respiration

    NASA Astrophysics Data System (ADS)

    Ballantyne, Ashley; Smith, William; Anderegg, William; Kauppi, Pekka; Sarmiento, Jorge; Tans, Pieter; Shevliakova, Elena; Pan, Yude; Poulter, Benjamin; Anav, Alessandro; Friedlingstein, Pierre; Houghton, Richard; Running, Steven

    2017-01-01

    The recent `warming hiatus' presents an excellent opportunity to investigate climate sensitivity of carbon cycle processes. Here we combine satellite and atmospheric observations to show that the rate of net biome productivity (NBP) has significantly accelerated from -0.007 +/- 0.065 PgC yr-2 over the warming period (1982 to 1998) to 0.119 +/- 0.071 PgC yr-2 over the warming hiatus (1998-2012). This acceleration in NBP is not due to increased primary productivity, but rather reduced respiration that is correlated (r = 0.58 P = 0.0007) and sensitive (γ = 4.05 to 9.40 PgC yr-1 per °C) to land temperatures. Global land models do not fully capture this apparent reduced respiration over the warming hiatus; however, an empirical model including soil temperature and moisture observations better captures the reduced respiration.

  14. Acid-Base and the Skeleton

    NASA Astrophysics Data System (ADS)

    Bushinsky, David A.

    2008-09-01

    Chronic metabolic acidosis increases urine calcium (Ca) excretion in the absence of a concomitant increase in intestinal Ca absorption resulting in a net loss of total body. The source of this additional urine Ca is almost certainly the skeleton, the primary reservoir of body Ca. In vitro metabolic acidosis, modeled as a primary reduction in medium bicarbonate concentration, acutely (<24 h) stimulates Ca efflux primarily through physicochemical mineral dissolution while at later time periods (>24 h) cell-mediated mechanisms predominate. In cultured neonatal mouse calvariae, acidosis-induced, cell-mediated Ca efflux is mediated by effects on both osteoblasts and osteoclasts. Metabolic acidosis inhibits extracellular matrix production by osteoblasts, as determined by measurement of collagen levels and levels for the non-collagenous matrix proteins osteopontin and matrix gla protein. Metabolic acidosis upregulates osteoblastic expression of RANKL (Receptor Activator of NFκB Ligand), an important osteoclastogenic and osteoclast-activating factor. Acidosis also increases osteoclastic activity as measured by release of β-glucuronidase, an enzyme whose secretion correlates with osteoclast-mediated bone resorption.

  15. Interactions between CO2 enhancement and N addition on net primary productivity and water-use efficiency in a mesocosm with multiple subtropical tree species.

    PubMed

    Yan, Junhua; Zhang, Deqiang; Liu, Juxiu; Zhou, Guoyi

    2014-07-01

    Carbon dioxide (CO2 ) enhancement (eCO2 ) and N addition (aN) have been shown to increase net primary production (NPP) and to affect water-use efficiency (WUE) for many temperate ecosystems, but few studies have been made on subtropical tree species. This study compared the responses of NPP and WUE from a mesocosm composing five subtropical tree species to eCO2 (700 ppm), aN (10 g N m(-2) yr(-1) ) and eCO2 × aN using open-top chambers. Our results showed that mean annual ecosystem NPP did not changed significantly under eCO2 , increased by 56% under aN and 64% under eCO2 × aN. Ecosystem WUE increased by 14%, 55%, and 61% under eCO2 , aN and eCO2 × aN, respectively. We found that the observed responses of ecosystem WUE were largely driven by the responses of ecosystem NPP. Statistical analysis showed that there was no significant interactions between eCO2 and aN on ecosystem NPP (P = 0.731) or WUE (P = 0.442). Our results showed that increasing N deposition was likely to have much stronger effects on ecosystem NPP and WUE than increasing CO2 concentration for the subtropical forests. However, different tree species responded quite differently. aN significantly increased annual NPP of the fast-growing species (Schima superba). Nitrogen-fixing species (Ormosia pinnata) grew significantly faster only under eCO2 × aN. eCO2 had no effects on annual NPP of those two species but significantly increased annual NPP of other two species (Castanopsis hystrix and Acmena acuminatissima). Differential responses of the NPP among different tree species to eCO2 and aN will likely have significant implications on the species composition of subtropical forests under future global change. © 2013 John Wiley & Sons Ltd.

  16. Aquatic metabolism response to the hydrologic alteration in the Yellow River estuary, China

    NASA Astrophysics Data System (ADS)

    Shen, Xiaomei; Sun, Tao; Liu, Fangfang; Xu, Jing; Pang, Aiping

    2015-06-01

    Successful artificial hydrologic regulation and environmental flow assessments for the ecosystem protection require an accurate understanding of the linkages between flow events and biotic responses. To explore an ecosystem's functional responses to hydrologic alterations, we analysed spatial and temporal variations in aquatic metabolism and the main factors influenced by artificial hydrologic alterations based on the data collected from 2009 to 2012 in the Yellow River estuary, China. Gross primary production (GPP) ranged from 0.002 to 8.488 mg O2 L-1 d-1. Ecosystem respiration (ER) ranged from 0.382 to 8.968 mg O2 L-1 d-1. Net ecosystem production (NEP) ranged from -5.792 to 7.293 mg O2 L-1 d-1 and the mean of NEP was -0.506 mg O2 L-1 d-1, which means that the trophic status of entire estuary was near to balance. The results showed that seasonal variations in the aquatic metabolism are influenced by the hydrologic alteration in the estuary. High water temperature and solar radiation in summer are associated with low turbidity and consequently high rates of GPP and ER, making the estuary net autotrophic in summer, and that also occurred after water-sediment regulation in August. Turbidity and water temperature were identified as two particularly important factors that influenced the variation in the metabolic balance. As a result, metabolism rate did not decrease but increased after the regulation. ER increased significantly in summer and autumn and reached a maximum after the water-sediment regulation in September. GPP and NEP reached a maximum value after the water-sediment regulation in August, and then decreased in autumn. Estuarine ecosystem shifted from net heterotrophy in spring to net autotrophy in summer, and then to net heterotrophy in autumn. Our study indicated that estuarine metabolism may recover to a high level faster in summer than that in other seasons after the short-term water-sediment regulation due to higher water temperature and nutrients.

  17. Detecting Recent Changes in the Arctic-Boreal Carbon Sink Using Satellite Remote Sensing, Flux Tower Data and Biophysical Models

    NASA Astrophysics Data System (ADS)

    Watts, J. D.; Kimball, J. S.; Du, J.; Zona, D.; Euskirchen, E. S.; Helbig, M.; Sonnentag, O.; Bruhwiler, L.; Kochendorfer, J.; Parmentier, F. J. W.; Humphreys, E.; Nadeau, D.; Miller, C. E.; Sachs, T.; Rinne, J.; Lund, M.; Tagesson, T.; Jackowicz-Korczynski, M.; Ueyama, M.; Aurela, M.; Commane, R.; Natali, S.; Oechel, W. C.

    2017-12-01

    High latitude warming and changes in hydrology are expected to substantially impact the terrestrial net ecosystem carbon balance, particularly in permafrost affected landscapes. Changing environmental conditions can yield divergent regional responses observed in gross primary productivity (GPP), ecosystem respiration (Reco) of carbon dioxide (CO2), net ecosystem CO2 exchange (NEE) and net methane fluxes (CH4). Wetland CH4 emissions are sensitive to climate and permafrost related changes in landscape wetness, which could alter regional carbon sink or source activity. Here we examine a 13-year record (2003-2015) of net carbon budgets and flux components for the Arctic-boreal region (>45°N). We applied an enhanced Terrestrial Carbon Flux (TCF) model developed for satellite remote sensing applications, with input optical-infrared (MODIS) and microwave (AMSR) sensor observations, and reanalysis data. Eddy covariance records from over 34 tower sites were used for model assessments and to identify high latitude landscape differences in CO2 and CH4 response. The TCF model results indicate a respective annual NEE sink of -38 +/- 18 TgC and -722 +/- 60 TgC for tundra (defined by the Circumpolar Arctic Vegetation Map) and boreal ecosystems, without accounting for carbon loss from fire. Annual CH4 emissions are estimated at 7 +/- 0.3 TgC/yr for tundra and 52 +/- 1.7 TgC/yr for boreal wetlands. The carbon flux record indicates a significant (a = 0.05) increase in carbon uptake for the Arctic-boreal region. A net change in annual CH4 emissions was not detected, although local landscapes including some permafrost affected northern boreal wetlands show signs of significant increase. This analysis indicates that continued monitoring of the carbon budget through integration of tower flux measurements, ecosystem models, satellite remote sensing and atmospheric inverse modeling is necessary to identify shifts in landscape carbon exchange and the vulnerability of northern ecosystems to climate change.

  18. Tuberculosis cure rates and the ETR.Net: investigating the quality of reporting treatment outcomes from primary healthcare facilities in Mpumalanga province, South Africa.

    PubMed

    Dreyer, A W; Mbambo, D; Machaba, M; Oliphant, C E M; Claassens, M M

    2017-03-10

    Tuberculosis control programs rely on accurate collection of routine surveillance data to inform program decisions including resource allocation and specific interventions. The electronic TB register (ETR.Net) is dependent on accurate data transcription from both paperbased clinical records and registers at the facilities to report treatment outcome data. The study describes the quality of reporting of TB treatment outcomes from facilities in the Ehlanzeni District, Mpumalanga Province. A descriptive crossectional study of primary healthcare facilities in the district for the period 1 January - 31 December 2010 was performed. New smear positive TB cure rate data was obtained from the ETR.Net followed by verification of paperbased clinical records, both TB folders and the TB register, of 20% of all new smear positive cases across the district for correct reporting to the ETR.Net. Facilities were grouped according to high (>70%) and low cure rates (≤ 70%) as well as high (> 20%) and low (≤ 20%) error proportions in reporting. Kappa statistic was used to determine agreement between paperbased record, TB register and ETR.Net. Of the100 facilities (951 patient clinical records), 51(51%) had high cure rates and high error proportions, 14(14%) had a high cure rate and low error proportion whereas 30(30%) had low cure rates and high error proportions and five (5%) had a low cure rate with low error proportion. Fair agreement was observed (Kappa = 0.33) overall and between registers. Of the 473 patient clinical records which indicated cured, 383(81%) was correctly captured onto the ETR.Net, whereas 51(10.8%) was incorrectly captured and 39(8.2%) was not captured at all. Over reporting of treatment success of 12% occurred on the ETR.Net. The high error proportion in reporting onto the ETR.Net could result in a false sense of improvement in the TB control programme in the Ehlanzeni district.

  19. Effect of climate warming on the annual terrestrial net ecosystem CO 2 exchange globally in the boreal and temperate regions

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Zhang, Zhiyuan; Zhang, Renduo; Cescatti, Alessandro

    The net ecosystem CO 2 exchange is the result of the imbalance between the assimilation process (gross primary production, GPP) and ecosystem respiration (RE). The aim of this study was to investigate temperature sensitivities of these processes and the effect of climate warming on the annual terrestrial net ecosystem CO 2 exchange globally in the boreal and temperate regions. A database of 403 site-years of ecosystem flux data at 101 sites in the world was collected and analyzed. Temperature sensitivities of rates of RE and GPP were quantified with Q 10, defined as the increase of RE (or GPP) ratesmore » with a temperature rise of 10 °C. Results showed that on the annual time scale, the intrinsic temperature sensitivity of GPP (Q 10sG) was higher than or equivalent to the intrinsic temperature sensitivity of RE (Q 10sR). Q 10sG was negatively correlated to the mean annual temperature (MAT), whereas Q 10sR was independent of MAT. The analysis of the current temperature sensitivities and net ecosystem production suggested that temperature rise might enhance the CO 2 sink of terrestrial ecosystems both in the boreal and temperate regions. Additionally, ecosystems in these regions with different plant functional types should sequester more CO 2 with climate warming.« less

  20. Effect of climate warming on the annual terrestrial net ecosystem CO2 exchange globally in the boreal and temperate regions.

    PubMed

    Zhang, Zhiyuan; Zhang, Renduo; Cescatti, Alessandro; Wohlfahrt, Georg; Buchmann, Nina; Zhu, Juan; Chen, Guanhong; Moyano, Fernando; Pumpanen, Jukka; Hirano, Takashi; Takagi, Kentaro; Merbold, Lutz

    2017-06-08

    The net ecosystem CO 2 exchange is the result of the imbalance between the assimilation process (gross primary production, GPP) and ecosystem respiration (RE). The aim of this study was to investigate temperature sensitivities of these processes and the effect of climate warming on the annual terrestrial net ecosystem CO 2 exchange globally in the boreal and temperate regions. A database of 403 site-years of ecosystem flux data at 101 sites in the world was collected and analyzed. Temperature sensitivities of rates of RE and GPP were quantified with Q 10 , defined as the increase of RE (or GPP) rates with a temperature rise of 10 °C. Results showed that on the annual time scale, the intrinsic temperature sensitivity of GPP (Q 10sG ) was higher than or equivalent to the intrinsic temperature sensitivity of RE (Q 10sR ). Q 10sG was negatively correlated to the mean annual temperature (MAT), whereas Q 10sR was independent of MAT. The analysis of the current temperature sensitivities and net ecosystem production suggested that temperature rise might enhance the CO 2 sink of terrestrial ecosystems both in the boreal and temperate regions. In addition, ecosystems in these regions with different plant functional types should sequester more CO 2 with climate warming.

  1. Effect of climate warming on the annual terrestrial net ecosystem CO 2 exchange globally in the boreal and temperate regions

    DOE PAGES

    Zhang, Zhiyuan; Zhang, Renduo; Cescatti, Alessandro; ...

    2017-06-08

    The net ecosystem CO 2 exchange is the result of the imbalance between the assimilation process (gross primary production, GPP) and ecosystem respiration (RE). The aim of this study was to investigate temperature sensitivities of these processes and the effect of climate warming on the annual terrestrial net ecosystem CO 2 exchange globally in the boreal and temperate regions. A database of 403 site-years of ecosystem flux data at 101 sites in the world was collected and analyzed. Temperature sensitivities of rates of RE and GPP were quantified with Q 10, defined as the increase of RE (or GPP) ratesmore » with a temperature rise of 10 °C. Results showed that on the annual time scale, the intrinsic temperature sensitivity of GPP (Q 10sG) was higher than or equivalent to the intrinsic temperature sensitivity of RE (Q 10sR). Q 10sG was negatively correlated to the mean annual temperature (MAT), whereas Q 10sR was independent of MAT. The analysis of the current temperature sensitivities and net ecosystem production suggested that temperature rise might enhance the CO 2 sink of terrestrial ecosystems both in the boreal and temperate regions. Additionally, ecosystems in these regions with different plant functional types should sequester more CO 2 with climate warming.« less

  2. Benthic reef primary production in response to large amplitude internal waves at the Similan Islands (Andaman Sea, Thailand).

    PubMed

    Jantzen, Carin; Schmidt, Gertraud M; Wild, Christian; Roder, Cornelia; Khokiattiwong, Somkiat; Richter, Claudio

    2013-01-01

    Coral reefs are facing rapidly changing environments, but implications for reef ecosystem functioning and important services, such as productivity, are difficult to predict. Comparative investigations on coral reefs that are naturally exposed to differing environmental settings can provide essential information in this context. One prevalent phenomenon regularly introducing alterations in water chemistry into coral reefs are internal waves. This study therefore investigates the effect of large amplitude internal waves (LAIW) on primary productivity in coral reefs at the Similan Islands (Andaman Sea, Thailand). The LAIW-exposed west sides of the islands are subjected to sudden drops in water temperature accompanied by enhanced inorganic nutrient concentrations compared to the sheltered east. At the central island, Ko Miang, east and west reefs are only few hundred meters apart, but feature pronounced differences. On the west lower live coral cover (-38 %) coincides with higher turf algae cover (+64 %) and growth (+54 %) compared to the east side. Turf algae and the reef sand-associated microphytobenthos displayed similar chlorophyll a contents on both island sides, but under LAIW exposure, turf algae exhibited higher net photosynthesis (+23 %), whereas the microphytobenthos displayed reduced net and gross photosynthesis (-19 % and -26 %, respectively) accompanied by lower respiration (-42 %). In contrast, the predominant coral Porites lutea showed higher chlorophyll a tissues contents (+42 %) on the LAIW-exposed west in response to lower light availability and higher inorganic nutrient concentrations, but net photosynthesis was comparable for both sides. Turf algae were the major primary producers on the west side, whereas microphytobenthos dominated on the east. The overall primary production rate (comprising all main benthic primary producers) was similar on both island sides, which indicates high primary production variability under different environmental conditions.

  3. Benthic Reef Primary Production in Response to Large Amplitude Internal Waves at the Similan Islands (Andaman Sea, Thailand)

    PubMed Central

    Jantzen, Carin; Schmidt, Gertraud M.; Wild, Christian; Roder, Cornelia; Khokiattiwong, Somkiat; Richter, Claudio

    2013-01-01

    Coral reefs are facing rapidly changing environments, but implications for reef ecosystem functioning and important services, such as productivity, are difficult to predict. Comparative investigations on coral reefs that are naturally exposed to differing environmental settings can provide essential information in this context. One prevalent phenomenon regularly introducing alterations in water chemistry into coral reefs are internal waves. This study therefore investigates the effect of large amplitude internal waves (LAIW) on primary productivity in coral reefs at the Similan Islands (Andaman Sea, Thailand). The LAIW-exposed west sides of the islands are subjected to sudden drops in water temperature accompanied by enhanced inorganic nutrient concentrations compared to the sheltered east. At the central island, Ko Miang, east and west reefs are only few hundred meters apart, but feature pronounced differences. On the west lower live coral cover (-38 %) coincides with higher turf algae cover (+64 %) and growth (+54 %) compared to the east side. Turf algae and the reef sand-associated microphytobenthos displayed similar chlorophyll a contents on both island sides, but under LAIW exposure, turf algae exhibited higher net photosynthesis (+23 %), whereas the microphytobenthos displayed reduced net and gross photosynthesis (-19 % and -26 %, respectively) accompanied by lower respiration (-42 %). In contrast, the predominant coral Porites lutea showed higher chlorophyll a tissues contents (+42 %) on the LAIW-exposed west in response to lower light availability and higher inorganic nutrient concentrations, but net photosynthesis was comparable for both sides. Turf algae were the major primary producers on the west side, whereas microphytobenthos dominated on the east. The overall primary production rate (comprising all main benthic primary producers) was similar on both island sides, which indicates high primary production variability under different environmental conditions. PMID:24312365

  4. Effects of long-term nutrient additions on Arctic tundra, stream, and lake ecosystems: beyond NPP.

    PubMed

    Gough, Laura; Bettez, Neil D; Slavik, Karie A; Bowden, William B; Giblin, Anne E; Kling, George W; Laundre, James A; Shaver, Gaius R

    2016-11-01

    Primary producers form the base of food webs but also affect other ecosystem characteristics, such as habitat structure, light availability, and microclimate. Here, we examine changes caused by 5-30+ years of nutrient addition and resulting increases in net primary productivity (NPP) in tundra, streams, and lakes in northern Alaska. The Arctic provides an important opportunity to examine how ecosystems characterized by low diversity and low productivity respond to release from nutrient limitation. We review how responses of algae and plants affect light availability, perennial biotic structures available for consumers, oxygen levels, and temperature. Sometimes, responses were similar across all three ecosystems; e.g., increased NPP significantly reduced light to the substrate following fertilization. Perennial biotic structures increased in tundra and streams but not in lakes, and provided important new habitat niches for consumers as well as other producers. Oxygen and temperature responses also differed. Life history traits (e.g., longevity) of the primary producers along with the fate of detritus drove the responses and recovery. As global change persists and nutrients become more available in the Arctic and elsewhere, incorporating these factors as response variables will enable better prediction of ecosystem changes and feedbacks in this biome and others.

  5. Anthropogenic Disturbance of Montane Meadows May Cause Substantial Loss of Soil Carbon to the Atmosphere

    NASA Astrophysics Data System (ADS)

    Reed, C. C.; Sullivan, B. W.; Hart, S. C.; Drew, M.; Merrill, A.

    2016-12-01

    High-elevation meadows are biological hotspots that contain high densities of soil carbon (C). The capacity of these ecosystems to sequester C depends on a combination of high primary productivity, seasonally low temperatures, and anaerobic soil conditions associated with water tables at or near the soil surface. However, anthropogenic disturbances in many montane meadows in California's Sierra Nevada have lowered water tables, decreased primary productivity, and created aerobic soil conditions - changes that may alter the balance of greenhouse gas (GHG) emissions and reverse meadows from a net C sink to a net source. Recently, C policy in California has spurred interest in the potential of hydrologic restoration to increase C sequestration in meadows. However, soil C pools and fluxes in degraded meadows must be quantified before the impacts of restoration can accurately be assessed. In this study, we measured soil C stocks in surface soil (1 m) and annual soil GHG fluxes (carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O)) in three degraded, northern Sierra Nevada meadows. In a parallel laboratory incubation, we manipulated meadow soil water content to determine target goals for restoration of anaerobic conditions. Our results suggest that degraded meadows contain large reservoirs of existing C, but that this C may be vulnerable to decomposition under current conditions. Soil CO2 fluxes ranged from 26.7-33.1 Mg of CO2 ha-1 y-1, roughly equivalent to the amount of C sequestered annually by 70 acres of U.S. forests. These high rates of soil respiration, combined with low primary productivity, resulted in substantial losses of soil C with implications for climate change, ecosystem function, and restoration. Soils from these meadows were a net source of N2O and a net sink of CH4, but these fluxes were 4 orders of magnitude smaller than CO2. Also, we found substantial GHG emissions persist in these organic soils at peak soil moisture, suggesting that restoration may need to sustain soil water holding capacities in excess of 115%, and possibly 200%, for anaerobic soil conditions to return. These findings highlight the need to conserve properly functioning meadows and provide target conditions for optimal restoration of degraded meadows.

  6. Growing Season Carbon Dioxide Exchange in Flooded Non-Mulching and Non-Flooded Mulching Cotton

    PubMed Central

    Li, Zhi-guo; Zhang, Run-hua; Wang, Xiu-jun; Chen, Fang; Tian, Chang-yan

    2012-01-01

    There is much interest in the role that agricultural practices might play in sequestering carbon to help offset rising atmospheric CO2 concentrations. However, limited information exists regarding the potential for increased carbon sequestration of different management strategies. The objective of this study was to quantify and contrast carbon dioxide exchange in traditional non-mulching with flooding irrigation (TF) and plastic film mulching with drip irrigation (PM) cotton (Gossypium hirsutum L.) fields in northwest China. Net primary productivity (NPP), soil heterotrophic respiration (R h) and net ecosystem productivity (NEP) were measured during the growing seasons in 2009 and 2010. As compared with TF, PM significantly increased the aboveground and belowground biomass and the NPP (340 g C m−2 season−1) of cotton, and decreased the R h (89 g C m−2 season−1) (p<0.05). In a growing season, PM had a higher carbon sequestration in terms of NEP of ∼ 429 g C m−2 season−1 than the TF. These results demonstrate that conversion of this type of land use to mulching practices is an effective way to increase carbon sequestration in the short term in cotton systems of arid areas. PMID:23226376

  7. Impact of fire on global land carbon, water, and energy budgets and climate during the 20th century through changing ecosystems

    NASA Astrophysics Data System (ADS)

    Li, F.; Lawrence, D. M.; Bond-Lamberty, B. P.; Levis, S.

    2016-12-01

    Fire is an integral Earth system process and the primary form of terrestrial ecosystem disturbance on a global scale. Here we provide the first quantitative assessment and understanding on fire's impact on global land carbon, water, and energy budgets and climate through changing ecosystems. This is done by quantifying the difference between 20th century fire-on and fire-off simulations using the Community Earth System Model (CESM1.2). Results show that fire decreases the net carbon gain of global terrestrial ecosystems by 1.0 Pg C/yr averaged across the 20th century, as a result of biomass and peat burning (1.9 Pg C/yr) partly offset by changing gross primary productivity, respiration, and land-use carbon loss (-0.9 Pg C/yr). In addition, fire's effect on global carbon budget intensifies with time. Fire significantly reduces land evapotranspiration (ET) by 600 km3/yr and increases runoff, but has limited impact on precipitation. The impact on ET and runoff is most clearly seen in the tropical savannas, African rainforest, and some boreal and Southern Asian forests mainly due to fire-induced reduction in the vegetation canopy. It also weakens both the significant upward trend in global land ET prior to the 1950s and the downward trend from 1950 to 1985 by 35%. Fire-induced changes in land ecosystems affects global energy budgets by significantly reducing latent heating and surface net radiation. Fire changes surface radiative budget dominantly by raising surface upward longwave radiation and net longwave radiation. It also increases the global land average surface air temperature (Tas) by 0.04°C, and significantly increases wind speed and decreases surface relative humidity. The fire-induced change in wind speed, Tas, and relative humidity implies a positive feedback loop between fire and climate. Moreover, fire-induced changes in land ecosystems contribute 20% of strong global land warming during 1910-1940, which provides a new mechanism for the early 20th century global land warming. The results emphasize the importance of fire disturbance in the Earth's carbon, water, and energy cycles and climate by changing terrestrial ecosystems.

  8. Divergence in Forest-Type Response to Climate and Weather: Evidence for Regional Links Between Forest-Type Evenness and Net Primary Productivity

    USGS Publications Warehouse

    Bradford, J.B.

    2011-01-01

    Climate change is altering long-term climatic conditions and increasing the magnitude of weather fluctuations. Assessing the consequences of these changes for terrestrial ecosystems requires understanding how different vegetation types respond to climate and weather. This study examined 20 years of regional-scale remotely sensed net primary productivity (NPP) in forests of the northern Lake States to identify how the relationship between NPP and climate or weather differ among forest types, and if NPP patterns are influenced by landscape-scale evenness of forest-type abundance. These results underscore the positive relationship between temperature and NPP. Importantly, these results indicate significant differences among broadly defined forest types in response to both climate and weather. Essentially all weather variables that were strongly related to annual NPP displayed significant differences among forest types, suggesting complementarity in response to environmental fluctuations. In addition, this study found that forest-type evenness (within 8 ?? 8 km2 areas) is positively related to long-term NPP mean and negatively related to NPP variability, suggesting that NPP in pixels with greater forest-type evenness is both higher and more stable through time. This is landscape- to subcontinental-scale evidence of a relationship between primary productivity and one measure of biological diversity. These results imply that anthropogenic or natural processes that influence the proportional abundance of forest types within landscapes may influence long-term productivity patterns. ?? 2011 Springer Science+Business Media, LLC (outside the USA).

  9. Satellite Supported Estimates of Human Rate of NPP Carbon Use on Land: Challenges Ahead

    NASA Astrophysics Data System (ADS)

    Imhoff, M. L.; Bounoua, L.; Zhang, P.; Wolfe, R. E.

    2010-12-01

    The human demand for products of photosynthesis is a powerful measure of the aggregate impact of human action on the biosphere and indicator of societal vulnerability to climate change. We show results from several studies that use satellite and statistical data to estimate the amount of Earth’s net primary production (NPP) on land required to support regional and global use of food, fiber and NPP-based fuel products across a ten-year period. Earth’s planetary NPP ‘supply’ was estimated using AVHRR vegetation index and MODIS derived NPP products to establish a baseline extending from 1982 - 2005. NPP carbon ‘demand’ was estimated by applying biophysical models to consumption data from the UN Food and Agriculture Organization to calculate the annual amount of NPP required for the products consumed. Results show that globally, humans consume more than 20% of Earth’s total net primary production on land and that both populations and per capita consumption increased between 1995 and 2005. Regionally, the NPP-carbon balance percentage varies from 6% to over 70% and locally from near 0% to over 30,000% in major urban areas. Large uncertainties exist in both supply and demand calculations but while the supply trend varies in sign demand continues to rise. Scenarios modeling the impact of per capita consumption, population growth, and technology suggest that NPP demand as percent of supply is likely to increase substantially in the next 40 years despite better harvesting and processing efficiencies.

  10. Patterns of new versus recycled primary production in the terrestrial biosphere

    USDA-ARS?s Scientific Manuscript database

    Nitrogen (N) and phosphorus (P) availability regulate plant productivity throughout the terrestrial biosphere, influencing the patterns and magnitude of net primary production (NPP) by land plants both now and into the future. These nutrients enter ecosystems via geologic and atmospheric pathways, a...

  11. Fluorochemical Mass Flows in a Municipal Wastewater Treatment Facility

    PubMed Central

    Schultz, Melissa M.; Higgins, Christopher P.; Huset, Carin A.; Luthy, Richard G.; Barofsky, Douglas F.; Field, Jennifer A.

    2008-01-01

    Fluorochemicals have widespread applications and are released into municipal wastewater treatment plants via domestic wastewater. A field study was conducted at a full-scale municipal wastewater treatment plant to determine the mass flows of selected fluorochemicals. Flow-proportional, 24-h samples of raw influent, primary effluent, trickling filter effluent, secondary effluent, and final effluent and grab samples of primary, thickened, activated, and anaerobically-digested sludge were collected over ten days and analyzed by liquid chromatography electrospray-ionization tandem mass spectrometry. Significant decreases in the mass flows of perfluorohexane sulfonate and perfluorodecanoate occurred during trickling filtration and primary clarification, while activated sludge treatment decreased the mass flow of perfluorohexanoate. Mass flows of the 6:2 fluorotelomer sulfonate and perfluorooctanoate were unchanged as a result of wastewater treatment, which indicates that conventional wastewater treatment is not effective for removal of these compounds. A net increase in the mass flows for perfluorooctane and perfluorodecane sulfonates occurred from trickling filtration and activated sludge treatment. Mass flows for perfluoroalkylsulfonamides and perfluorononanoate also increased during activated sludge treatment and are attributed to degradation of precursor molecules. PMID:17180988

  12. Behavioral Health Integration into Primary Care: a Microsimulation of Financial Implications for Practices.

    PubMed

    Basu, Sanjay; Landon, Bruce E; Williams, John W; Bitton, Asaf; Song, Zirui; Phillips, Russell S

    2017-12-01

    New payments from Medicare encourage behavioral health services to be integrated into primary care practice activities. To evaluate the financial impact for primary care practices of integrating behavioral health services. Microsimulation model. We simulated patients and providers at federally qualified health centers (FQHCs), non-FQHCs in urban and rural high-poverty areas, and practices outside of high-poverty areas surveyed by the National Association of Community Health Centers, National Ambulatory Medical Care Survey, National Health and Nutrition Examination Survey, and National Health Interview Survey. A collaborative care model (CoCM), involving telephone-based follow-up from a behaviorist care manager, or a primary care behaviorist model (PCBM), involving an in-clinic behaviorist. Net revenue change per full-time physician. When behavioral health integration services were offered only to Medicare patients, net revenue was higher under CoCM (averaging $25,026 per MD in year 1 and $28,548/year in subsequent years) than PCBM (-$7052 in year 1 and -$3706/year in subsequent years). When behavioral health integration services were offered to all patients and were reimbursed by Medicare and private payers, only practices adopting the CoCM approach consistently gained net revenues. The outcomes of the model were sensitive to rates of patient referral acceptance, presentation, and therapy completion, but the CoCM approach remained consistently financially viable whereas PCBM would not be in the long-run across practice types. New Medicare payments may offer financial viability for primary care practices to integrate behavioral health services, but this viability depends on the approach toward care integration.

  13. Computer guided restoration of joint line and femoral offset in cruciate substituting total knee arthroplasty.

    PubMed

    Shetty, Gautam M; Mullaji, Arun; Bhayde, Sagar

    2012-10-01

    This prospective study aimed to evaluate radiographically, change in joint line and femoral condylar offset with the optimized gap balancing technique in computer-assisted, primary, cruciate-substituting total knee arthroplasties (TKAs). One hundred and twenty-nine consecutive computer-assisted TKAs were evaluated radiographically using pre- and postoperative full-length standing hip-to-ankle, antero-posterior and lateral radiographs to assess change in knee deformity, joint line height and posterior condylar offset. In 49% of knees, there was a net decrease (mean 2.2mm, range 0.2-8.4mm) in joint line height postoperatively whereas 46.5% of knees had a net increase in joint line height (mean 2.5mm, range 0.2-11.2mm). In 93% of the knees, joint line was restored to within ± 5 mm of preoperative values. In 53% of knees, there was a net increase (mean 2.9 mm, range 0.2-12 mm) in posterior offset postoperatively whereas 40% of knees had a net decrease in posterior offset (mean 4.2mm, range 0.6-20mm). In 82% of knees, the posterior offset was restored within ± 5 mm of preoperative values. Based on radiographic evaluation in extension and at 30° flexion, the current study clearly demonstrates that joint line and posterior femoral condylar offset can be restored in the majority of computer-assisted, cruciate-substituting TKAs to within 5mm of their preoperative value. The optimized gap balancing feature of the computer software allows the surgeon to simulate the effect of simultaneously adjusting femoral component size, position and distal femoral resection level on joint line and posterior femoral offset. Copyright © 2011 Elsevier B.V. All rights reserved.

  14. Universal Primary Education in Nepal: Fulfilling the Right to Education

    ERIC Educational Resources Information Center

    Lohani, Shiva; Singh, Ram Balak; Lohani, Jeevan

    2010-01-01

    With the net enrollment ratio in primary education in Nepal at 94%, most children are in the school system, but the system fails to ensure that all enrolled children will continue in school cycle and complete primary education of acceptable quality. Given the system's poor internal efficiency, Nepal is not likely to achieve the MDG and EFA goals…

  15. Modeling the spatial and temporal variability in climate and primary productivity across the Luquillo Mountains, Puerto Rico.

    Treesearch

    Hongqing Wanga; Charles A.S. Halla; Frederick N. Scatenab; Ned Fetcherc; Wei Wua

    2003-01-01

    There are few studies that have examined the spatial variability of forest productivity over an entire tropical forested landscape. In this study, we used a spatially-explicit forest productivity model, TOPOPROD, which is based on the FORESTBGC model, to simulate spatial patterns of gross primary productivity (GPP), net primary productivity (NPP), and respiration over...

  16. Asymmetric Responses of Primary Productivity to Altered Precipitation Simulated by Land Surface Models across Three Long-term Grassland Sites

    NASA Astrophysics Data System (ADS)

    Wu, D.; Ciais, P.; Viovy, N.; Knapp, A.; Wilcox, K.; Bahn, M.; Smith, M. D.; Ito, A.; Arneth, A.; Harper, A. B.; Ukkola, A.; Paschalis, A.; Poulter, B.; Peng, C.; Reick, C. H.; Hayes, D. J.; Ricciuto, D. M.; Reinthaler, D.; Chen, G.; Tian, H.; Helene, G.; Zscheischler, J.; Mao, J.; Ingrisch, J.; Nabel, J.; Pongratz, J.; Boysen, L.; Kautz, M.; Schmitt, M.; Krohn, M.; Zeng, N.; Meir, P.; Zhang, Q.; Zhu, Q.; Hasibeder, R.; Vicca, S.; Sippel, S.; Dangal, S. R. S.; Fatichi, S.; Sitch, S.; Shi, X.; Wang, Y.; Luo, Y.; Liu, Y.; Piao, S.

    2017-12-01

    Changes in precipitation variability including the occurrence of extreme events strongly influence plant growth in grasslands. Field measurements of aboveground net primary production (ANPP) in temperate grasslands suggest a positive asymmetric response with wet years resulting in ANPP gains larger than ANPP declines in dry years. Whether land surface models used for historical simulations and future projections of the coupled carbon-water system in grasslands are capable to simulate such non-symmetrical ANPP responses remains an important open research question. In this study, we evaluate the simulated responses of grassland primary productivity to altered precipitation with fourteen land surface models at the three sites of Colorado Shortgrass Steppe (SGS), Konza prairie (KNZ) and Stubai Valley meadow (STU) along a rainfall gradient from dry to wet. Our results suggest that: (i) Gross primary production (GPP), NPP, ANPP and belowground NPP (BNPP) show nonlinear response curves (concave-down) in all the models, but with different curvatures and mean values. In contrast across the sites, primary production increases and then saturates along increasing precipitation with a flattening at the wetter site. (ii) Slopes of spatial relationships between modeled primary production and precipitation are steeper than the temporal slopes (obtained from inter-annual variations). (iii) Asymmetric responses under nominal precipitation range with modeled inter-annual primary production show large uncertainties, and model-ensemble median generally suggests negative asymmetry (greater declines in dry years than increases in wet years) across the three sites. (iv) Primary production at the drier site is predicted to more sensitive to precipitation compared to wetter site, and median sensitivity consistently indicates greater negative impacts of reduced precipitation than positive effects of increased precipitation under extreme conditions. This study implies that most models overemphasize the drought effects or underestimate the watering impacts on primary production in the normal-state, with the direct consequence that carbon-water interactions need to be improved in future model generations with improved mechanistic representations.

  17. Bi-directional transition nets

    NASA Astrophysics Data System (ADS)

    Staines, Anthony Spiteri

    2017-06-01

    Ordinary Petri nets are forward directed transition systems. Modern transition systems events and event flows are reversible. Hence modeling structures that reflect this are important. The creation of a bi-directional Petri net extends the modeling power of Petri nets. This work presents the successful implementation of a bi-directional transition net. Some toy examples in comparison to Petri nets are given showing the increased modeling power in a compacted form. The results show some interesting findings on how the expressive power of these structures has been increased.

  18. An assessment of net primary productivity estimates using coupled physical-biogeochemical/earth system models in the Arctic Ocean

    NASA Astrophysics Data System (ADS)

    Lee, Y. J.; Matrai, P.; Friedrichs, M. A.; Saba, V. S.

    2016-02-01

    Net primary production (NPP) is the major source of energy for the Arctic Ocean (AO) ecosystem, as in most ecosystems. Reproducing current patterns of NPP is essential to understand the physical and biogeochemical controls in the present and the future AO. The Primary Productivity Algorithm Round Robin (PPARR) activity provides a framework to evaluate the skill and sensitivity of NPP as estimated by coupled global/regional climate models and earth system models in the AO. Here we compare results generated from 18 global/regional climate models and three earth system models with observations from a unique pan-Arctic data set (1959-2011) that includes in situ NPP (N=928 stations) and nitrate (N=678 stations). Models results showed a distribution similar to the in situ data distribution, except for the high values of integrated NPP data. Model skill of integrated NPP exhibited little difference as a function of sea ice condition (ice-free vs. ice-covered) and depth (shallow vs. deep), but performance of models varied significantly as a function of seasons. For example, simulated integrated NPP was underestimated in the beginning of the production season (April-June) compared to mid-summer (July and August) and had the highest variability in late summer and early fall (September-October). While models typically underestimated mean NPP, nitrate concentrations were overestimated. Overall, models performed better in reproducing nitrate than NPP in terms of differences in variability. The model performance was similar at all depths within the top 100 m, both in NPP and nitrate. Continual feedback, modification and improvement of the participating models and the resulting increase in model skill are the primary goals of the PPARR-5 AO exercise.

  19. How do general practitioners use 'safety netting' in acutely ill children?

    PubMed

    Bertheloot, Karen; Deraeve, Pieterjan; Vermandere, Mieke; Aertgeerts, Bert; Lemiengre, Marieke; De Sutter, An; Buntinx, Frank; Verbakel, Jan Y

    2016-01-01

    'Safety netting' advice allows general practitioners (GPs) to cope with diagnostic uncertainty in primary care. It informs patients on 'red flag' features and when and how to seek further help. There is, however, insufficient evidence to support useful choices regarding 'safety netting' procedures. To explore how GPs apply 'safety netting' in acutely ill children in Flanders. We designed a qualitative study consisting of semi-structured interviews with 37 GPs across Flanders. Two researchers performed qualitative analysis based on grounded theory components. Although unfamiliar with the term, GPs perform 'safety netting' in every acutely ill child, guided by their intuition without the use of specific guidelines. They communicate 'red flag' features, expected time course of illness and how and when to re-consult and try to tailor their advice to the context, patient and specific illness. Overall, GPs perceive 'safety netting' as an important element of the consultation, acknowledging personal and parental limitations, such as parents' interpretation of their advice. GPs do not feel a need for any form of support in the near future. GPs apply 'safety netting' intuitively and tailor the content. Further research should focus on the impact of 'safety netting' on morbidity and how the advice is conveyed to parents.

  20. Response of plant community structure and primary productivity to experimental drought and flooding in an Alaskan fen

    Treesearch

    Amber C. Churchill; Merritt R. Turetsky; A. David McGuire; Teresa N. Hollingsworth

    2015-01-01

    Northern peatlands represent a long-term net sink for atmospheric CO2, but these ecosystems can shift from net carbon (C) sinks to sources based on changing climate and environmental conditions. In particular, changes in water availability associated with climate control peatland vegetation and carbon uptake processes. We examined the influence of changing hydrology on...

  1. Radiation-use efficiency and gas exchange responses to water and nutrient availability in irrigated and fertilized stands of sweetgum and sycamore

    Treesearch

    Christopher B. Allen; Rodney E. Will; Robert C. McGravey; David R. Coyle; Mark D. Coleman

    2005-01-01

    We investigated how water and nutrient availability affect radiation-use effeciency (e) and assessed leaf gas exchange as a possible mechanism for shifts in e. We measured aboveground net primary production (ANPP) and annual photosynthetically active radiation (PAR) capture to calculate e as well as leaf-level physiological variables (light-saturated net photosynthesis...

  2. SeqDepot: streamlined database of biological sequences and precomputed features.

    PubMed

    Ulrich, Luke E; Zhulin, Igor B

    2014-01-15

    Assembling and/or producing integrated knowledge of sequence features continues to be an onerous and redundant task despite a large number of existing resources. We have developed SeqDepot-a novel database that focuses solely on two primary goals: (i) assimilating known primary sequences with predicted feature data and (ii) providing the most simple and straightforward means to procure and readily use this information. Access to >28.5 million sequences and 300 million features is provided through a well-documented and flexible RESTful interface that supports fetching specific data subsets, bulk queries, visualization and searching by MD5 digests or external database identifiers. We have also developed an HTML5/JavaScript web application exemplifying how to interact with SeqDepot and Perl/Python scripts for use with local processing pipelines. Freely available on the web at http://seqdepot.net/. RESTaccess via http://seqdepot.net/api/v1. Database files and scripts maybe downloaded from http://seqdepot.net/download.

  3. Impact of Icebergs on Net Primary Productivity in the Southern Ocean

    NASA Astrophysics Data System (ADS)

    Wu, Shuang-Ye; Hou, Shugui

    2017-04-01

    Productivity in the Southern Ocean (SO) is iron-limited, and supply of iron dissolved from aeolian dust is believed to be the main source from outside the marine environment. However, recent studies show that icebergs could provide comparable amount of bioavailable iron to the SO as aeolian dust. In addition, small scale areal studies suggest increased concentrations of chlorophyll, krill, and seabirds surrounding icebergs. Based on previous research, this study aims to examine whether iceberg occurrence has a significant impact on marine productivity at the scale of the SO, using remote sensing data of iceberg occurrences and ocean net primary productivity (NPP) covering the period 2002-2014. The impacts of both large and small icebergs are examined in four major ecological zones of the SO: the continental shelf zone (CSZ), the seasonal ice zone (SIZ), the permanent open ocean zone (POOZ) and the polar front zone (PFZ). We found that both large and small icebergs have an observable positive impact on NPP, but their impacts vary in different zones. Small icebergs on average increase NPP in most iron deficient zones: by 21% for the SIZ, 16% for the POOZ, and 12% for the PFZ, but have relatively small effect in the CSZ where iron is supplied from melt water and sediment input from the continent. Large icebergs on average increase the NPP by about 10%. Their impacts are stronger at higher latitudes, where they are more concentrated. From 1992-2014, there is a significant increasing trend for both small and large icebergs. The increase was most rapid in the early 2000s, and has levelled off since then. As the climate continues to warm, the Antarctic Ice Sheet is expected to experience increased mass loss as a whole, which could lead to more icebergs in the region. Based on our study, this could result in higher level of NPP in the SO as a whole, providing a negative feedback for global warming.

  4. Contrasting above- and belowground sensitivity of three Great Plains grasslands to altered rainfall regimes.

    PubMed

    Wilcox, Kevin R; von Fischer, Joseph C; Muscha, Jennifer M; Petersen, Mark K; Knapp, Alan K

    2015-01-01

    Intensification of the global hydrological cycle with atmospheric warming is expected to increase interannual variation in precipitation amount and the frequency of extreme precipitation events. Although studies in grasslands have shown sensitivity of aboveground net primary productivity (ANPP) to both precipitation amount and event size, we lack equivalent knowledge for responses of belowground net primary productivity (BNPP) and NPP. We conducted a 2-year experiment in three US Great Plains grasslands--the C4-dominated shortgrass prairie (SGP; low ANPP) and tallgrass prairie (TGP; high ANPP), and the C3-dominated northern mixed grass prairie (NMP; intermediate ANPP)--to test three predictions: (i) both ANPP and BNPP responses to increased precipitation amount would vary inversely with mean annual precipitation (MAP) and site productivity; (ii) increased numbers of extreme rainfall events during high-rainfall years would affect high and low MAP sites differently; and (iii) responses belowground would mirror those aboveground. We increased growing season precipitation by as much as 50% by augmenting natural rainfall via (i) many (11-13) small or (ii) fewer (3-5) large watering events, with the latter coinciding with naturally occurring large storms. Both ANPP and BNPP increased with water addition in the two C4 grasslands, with greater ANPP sensitivity in TGP, but greater BNPP and NPP sensitivity in SGP. ANPP and BNPP did not respond to any rainfall manipulations in the C3 -dominated NMP. Consistent with previous studies, fewer larger (extreme) rainfall events increased ANPP relative to many small events in SGP, but event size had no effect in TGP. Neither system responded consistently above- and belowground to event size; consequently, total NPP was insensitive to event size. The diversity of responses observed in these three grassland types underscores the challenge of predicting responses relevant to C cycling to forecast changes in precipitation regimes even within relatively homogeneous biomes such as grasslands. © 2014 John Wiley & Sons Ltd.

  5. Differential modification of seawater carbonate chemistry by major coral reef benthic communities

    NASA Astrophysics Data System (ADS)

    Page, Heather N.; Andersson, Andreas J.; Jokiel, Paul L.; Rodgers, Ku'ulei S.; Lebrato, Mario; Yeakel, Kiley; Davidson, Charlie; D'Angelo, Sydney; Bahr, Keisha D.

    2016-12-01

    Ocean acidification (OA) resulting from uptake of anthropogenic CO2 may negatively affect coral reefs by causing decreased rates of biogenic calcification and increased rates of CaCO3 dissolution and bioerosion. However, in addition to the gradual decrease in seawater pH and Ω a resulting from anthropogenic activities, seawater carbonate chemistry in these coastal ecosystems is also strongly influenced by the benthic metabolism which can either exacerbate or alleviate OA through net community calcification (NCC = calcification - CaCO3 dissolution) and net community organic carbon production (NCP = primary production - respiration). Therefore, to project OA on coral reefs, it is necessary to understand how different benthic communities modify the reef seawater carbonate chemistry. In this study, we used flow-through mesocosms to investigate the modification of seawater carbonate chemistry by benthic metabolism of five distinct reef communities [carbonate sand, crustose coralline algae (CCA), corals, fleshy algae, and a mixed community] under ambient and acidified conditions during summer and winter. The results showed that different communities had distinct influences on carbonate chemistry related to the relative importance of NCC and NCP. Sand, CCA, and corals exerted relatively small influences on seawater pH and Ω a over diel cycles due to closely balanced NCC and NCP rates, whereas fleshy algae and mixed communities strongly elevated daytime pH and Ω a due to high NCP rates. Interestingly, the influence on seawater pH at night was relatively small and quite similar across communities. NCC and NCP rates were not significantly affected by short-term acidification, but larger diel variability in pH was observed due to decreased seawater buffering capacity. Except for corals, increased net dissolution was observed at night for all communities under OA, partially buffering against nighttime acidification. Thus, algal-dominated areas of coral reefs and increased net CaCO3 dissolution may partially counteract reductions in seawater pH associated with anthropogenic OA at the local scale.

  6. ESTUARINE PHYTOPLANKTON PRIMARY PRODUCTION AND SIZE AS DETERMINED REMOTELY FROM AIRCRAFT AND COASTAL OBSERVATION

    EPA Science Inventory

    We used remotely sensed estimates of chlorophyll a and sea surface temperature, incorporated into the Chesapeake Bay Productivity Model (Harding et al., 2002), to estimate the spatial and temporal variation of phytoplankton net primary production and species size in the Narragans...

  7. A Model based Investigation of the Relative Importance of CO2-fertilization, Climate Warming, Nitrogen deposition and Land Use Change on the Global Terrestrial Carbon Cycle in the Historical Period

    NASA Astrophysics Data System (ADS)

    Bala, G.; N, D.

    2015-12-01

    In this work, using the fully coupled NCAR Community Earth System Model (CESM1.0.4), we investigate the relative importance of CO2-fertilization, climate warming, anthropogenic nitrogen deposition, and land use and land cover change (LULCC) for terrestrial carbon uptake during the historical period (1850-2005). In our simulations, between the beginning and end of this period, we find an increase in global net primary productivity (NPP) on land of about 4 PgCyr-1 (8.1%) with a contribution of 2.3 PgCyr-1 from CO2-fertilization and 2.0 PgCyr-1 from nitrogen deposition. Climate warming also causes NPP to increase by 0.35 PgCyr-1 but LULCC causes a decline of 0.7 PgCyr-1. These results indicate that the recent increase in vegetation productivity is most likely driven by CO2 fertilization and nitrogen deposition. Further, we find that this configuration of CESM projects that the global terrestrial ecosystem has been a net source of carbon during 1850-2005 (release of 45.1±2.4 PgC), largely driven by historical LULCC related CO2 fluxes to the atmosphere. During the recent three decades (early 1970s to early 2000s), however, our model simulations project that the terrestrial ecosystem acts as a sink, taking up about 10 PgC mainly due to CO2 fertilization and nitrogen deposition. Our results are in good qualitative agreement with recent studies that indicate an increase in vegetation production and water use efficiency in the satellite era and that the terrestrial ecosystem has been a net sink for carbon in recent decades.

  8. The incidence of Clostridioides difficile and Clostridium perfringens netF-positive strains in diarrheic dogs.

    PubMed

    Diniz, Amanda Nadia; Coura, Fernanda Morcatti; Rupnik, Maja; Adams, Vicki; Stent, Thomas L; Rood, Julian I; de Oliveira, Carlos Augusto; Lobato, Francisco Carlos Faria; Silva, Rodrigo Otávio Silveira

    2018-02-01

    The aim of this study was to examine the incidence of Clostridioides (previously Clostridium) difficile and Clostridium perfringens in the feces of diarrheic and non-diarrheic dogs. Also, the presence of other common canine enteropathogens was examined. Toxigenic C. difficile and C. perfringens positive for the NetF-encoding gene (netF) were detected in 11 (11.9%) and seven (7.6%) diarrheic dogs, respectively. Three dogs were diagnosed simultaneously with toxigenic C. difficile and netF-positive C. perfringens. Among other enteropathogens, Giardia sp. was the most common agent detected in dogs positive for toxigenic C. difficile or netF-positive C. perfringens. The results suggest that C. difficile and C. perfringens occur more frequently as a primary cause of diarrhea. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Neutrophil Extracellular Traps in Pulmonary Diseases: Too Much of a Good Thing?

    PubMed

    Porto, Bárbara Nery; Stein, Renato Tetelbom

    2016-01-01

    Neutrophil extracellular traps (NETs) arise from the release of granular and nuclear contents of neutrophils in the extracellular space in response to different classes of microorganisms, soluble factors, and host molecules. NETs are composed by decondensed chromatin fibers coated with antimicrobial granular and cytoplasmic proteins, such as myeloperoxidase, neutrophil elastase (NE), and α-defensins. Besides being expressed on NET fibers, NE and MPO also regulate NET formation. Furthermore, histone deimination by peptidylarginine deiminase 4 (PAD4) is a central step to NET formation. NET formation has been widely demonstrated to be an effective mechanism to fight against invading microorganisms, as deficiency in NET release or dismantling NET backbone by bacterial DNases renders the host susceptible to infections. Therefore, the primary role of NETs is to prevent microbial dissemination, avoiding overwhelming infections. However, an excess of NET formation has a dark side. The pathogenic role of NETs has been described for many human diseases, infectious and non-infectious. The detrimental effect of excessive NET release is particularly important to lung diseases, because NETs can expand more easily in the pulmonary alveoli, causing lung injury. Moreover, NETs and its associated molecules are able to directly induce epithelial and endothelial cell death. In this regard, massive NET formation has been reported in several pulmonary diseases, including asthma, chronic obstructive pulmonary disease, cystic fibrosis, respiratory syncytial virus bronchiolitis, influenza, bacterial pneumonia, and tuberculosis, among others. Thus, NET formation must be tightly regulated in order to avoid NET-mediated tissue damage. Recent development of therapies targeting NETs in pulmonary diseases includes DNA disintegration with recombinant human DNase, neutralization of NET proteins, with anti-histone antibodies and protease inhibitors. In this review, we summarize the recent knowledge on the pathophysiological role of NETs in pulmonary diseases as well as some experimental and clinical approaches to modulate their detrimental effects.

  10. Evasion of Neutrophil Extracellular Traps by Respiratory Pathogens.

    PubMed

    Storisteanu, Daniel M L; Pocock, Joanna M; Cowburn, Andrew S; Juss, Jatinder K; Nadesalingam, Angalee; Nizet, Victor; Chilvers, Edwin R

    2017-04-01

    The release of neutrophil extracellular traps (NETs) is a major immune mechanism intended to capture pathogens. These histone- and protease-coated DNA structures are released by neutrophils in response to a variety of stimuli, including respiratory pathogens, and have been identified in the airways of patients with respiratory infection, cystic fibrosis, acute lung injury, primary graft dysfunction, and chronic obstructive pulmonary disease. NET production has been demonstrated in the lungs of mice infected with Staphylococcus aureus, Klebsiella pneumoniae, and Aspergillus fumigatus. Since the discovery of NETs over a decade ago, evidence that "NET evasion" might act as an immune protection strategy among respiratory pathogens, including group A Streptococcus, Bordetella pertussis, and Haemophilus influenzae, has been growing, with the majority of these studies being published in the past 2 years. Evasion strategies fall into three main categories: inhibition of NET release by down-regulating host inflammatory responses; degradation of NETs using pathogen-derived DNases; and resistance to the microbicidal components of NETs, which involves a variety of mechanisms, including encapsulation. Hence, the evasion of NETs appears to be a widespread strategy to allow pathogen proliferation and dissemination, and is currently a topic of intense research interest. This article outlines the evidence supporting the three main strategies of NET evasion-inhibition, degradation, and resistance-with particular reference to common respiratory pathogens.

  11. Evasion of Neutrophil Extracellular Traps by Respiratory Pathogens

    PubMed Central

    Storisteanu, Daniel M. L.; Pocock, Joanna M.; Cowburn, Andrew S.; Juss, Jatinder K.; Nadesalingam, Angalee; Nizet, Victor

    2017-01-01

    The release of neutrophil extracellular traps (NETs) is a major immune mechanism intended to capture pathogens. These histone- and protease-coated DNA structures are released by neutrophils in response to a variety of stimuli, including respiratory pathogens, and have been identified in the airways of patients with respiratory infection, cystic fibrosis, acute lung injury, primary graft dysfunction, and chronic obstructive pulmonary disease. NET production has been demonstrated in the lungs of mice infected with Staphylococcus aureus, Klebsiella pneumoniae, and Aspergillus fumigatus. Since the discovery of NETs over a decade ago, evidence that “NET evasion” might act as an immune protection strategy among respiratory pathogens, including group A Streptococcus, Bordetella pertussis, and Haemophilus influenzae, has been growing, with the majority of these studies being published in the past 2 years. Evasion strategies fall into three main categories: inhibition of NET release by down-regulating host inflammatory responses; degradation of NETs using pathogen-derived DNases; and resistance to the microbicidal components of NETs, which involves a variety of mechanisms, including encapsulation. Hence, the evasion of NETs appears to be a widespread strategy to allow pathogen proliferation and dissemination, and is currently a topic of intense research interest. This article outlines the evidence supporting the three main strategies of NET evasion—inhibition, degradation, and resistance—with particular reference to common respiratory pathogens. PMID:27854516

  12. Modeling the effects of hydrology on gross primary productivity and net ecosystem productivity at Mer Bleue bog

    NASA Astrophysics Data System (ADS)

    Dimitrov, Dimitre D.; Grant, Robert F.; Lafleur, Peter M.; Humphreys, Elyn R.

    2011-12-01

    The ecosys model was applied to investigate the effects of water table and subsurface hydrology changes on carbon dioxide exchange at the ombrotrophic Mer Bleue peatland, Ontario, Canada. It was hypothesized that (1) water table drawdown would not affect vascular canopy water potential, hence vascular productivity, because roots would penetrate deeper to compensate for near-surface dryness, (2) moss canopy water potential and productivity would be severely reduced because rhizoids occupy the uppermost peat that is subject to desiccation with water table decline, and (3) given that in a previous study of Mer Bleue, ecosystem respiration showed little sensitivity to water table drawdown, gross primary productivity would mainly determine the net ecosystem productivity through these vegetation-subsurface hydrology linkages. Model output was compared with literature reports and hourly eddy-covariance measurements during 2000-2004. Our findings suggest that late-summer water table drawdown in 2001 had only a minor impact on vascular canopy water potential but greatly impacted hummock moss water potential, where midday values declined to -250 MPa on average in the model. As a result, simulated moss productivity was reduced by half, which largely explained a reduction of 2-3 μmol CO2 m-2 s-1 in midday simulated and measurement-derived gross primary productivity and an equivalent reduction in simulated and measured net ecosystem productivity. The water content of the near-surface peat (top 5-10 cm) was found to be the most important driver of interannual variability of annual net ecosystem productivity through its effects on hummock moss productivity and on ecosystem respiration.

  13. Neuro emotional technique effects on brain physiology in cancer patients with traumatic stress symptoms: preliminary findings.

    PubMed

    Monti, Daniel A; Tobia, Anna; Stoner, Marie; Wintering, Nancy; Matthews, Michael; He, Xiao-Song; Doucet, Gaelle; Chervoneva, Inna; Tracy, Joseph I; Newberg, Andrew B

    2017-08-01

    The purpose of this study was to characterize the neurophysiological and clinical effects that may result from the neuro emotional technique (NET) in patients with traumatic stress symptoms associated with a cancer-related event. We hypothesized that self-regulatory processing of traumatic memories would be observable as physiological changes in key brain areas after undergoing the NET intervention and that these changes would be associated with improvement of traumatic stress symptoms. We enrolled 23 participants with a prior cancer diagnosis who expressed a distressing cancer-related memory that was associated with traumatic stress symptoms of at least 6 months in duration. Participants were randomized to either the NET intervention or a waitlist control condition. To evaluate the primary outcome of neurophysiological effects, all participants received functional magnetic resonance imaging (fMRI) during the auditory presentation of both a neutral stimulus and a description of the specific traumatic event. Pre/post-comparisons were performed between the traumatic and neutral condition, within and between groups. Psychological measures included the Impact of Event Scale (IES), State Trait Anxiety Index (STAI), Brief Symptom Inventory (BSI)-18, and Posttraumatic Cognitions Inventory (PTCI). The initial fMRI scans in both groups showed significant increases in the bilateral parahippocampus and brainstem. After NET, reactivity in the parahippocampus, brainstem, anterior cingulate, and insula was significantly decreased during the traumatic stimulus. Likewise, participants receiving the NET intervention had significant reductions (p < 0.05) compared to the control group in distress as measured by the BSI-18 global severity index, anxiety as measured by the STAI, and traumatic stress as measured by the IES and PTCI. This study is an initial step towards understanding mechanistic features of the NET intervention. Specifically, brain regions involved with traumatic memories and distress such as the brainstem, insula, anterior cingulate gyrus, and parahippocampus had significantly reduced activity after the NET intervention and were associated with clinical improvement of symptoms associated with distressing recollections. This preliminary study suggests that the NET intervention may be effective at reducing emotional distress in patients who suffer from traumatic stress symptoms associated with a cancer-related event.

  14. Monitoring of Typical Steppe Desertification Based on Time Series of Net Primary Productivity Data

    NASA Astrophysics Data System (ADS)

    Wang, Hongyan; Li, Qiangzi; Gao, Zhihai

    2014-11-01

    Monitoring of grassland condition is a basic prerequisite for finding the degradation of a territory under climatic and human pressures leading to desertification. The temporal change in vegetation productivity is a key indicator of grassland degradation. In this paper, taking the Xilin Gol League as a case, the net primary production (NPP) dynamic trends during 2001-2010 were analyzed, with the Mann-Kendall test. In this paper, in the study area where precipitation and NPP has significantly positive correlation, the residual trend method (RESTREND) was used to remove the annual NPP fluctuation caused by rainfall fluctuation and reduce the effect of precipitation on vegetation monitoring indicators. The results showed that An overall strong liner correlation between NPP and precipitation was observed in the Xilin Gol grassland, with 68.52% of the pixels analyzed being significantly correlated (α =0.1). The statistical analysis reveals that the NPP trend estimation generally shows a decreasing trend, with 13.02% of the Xilin Gol grassland being analyzed showing a significant trend (11.47% decrease and 1.55% increase). However, the Xilin Gol grassland desertification was not serious in the past ten years, only 5.16% of the study area where the vegetation productivity was significantly decreases (reducing the effect of precipitation).

  15. Effects of topography on simulated net primary productivity at landscape scale.

    PubMed

    Chen, X F; Chen, J M; An, S Q; Ju, W M

    2007-11-01

    Local topography significantly affects spatial variations of climatic variables and soil water movement in complex terrain. Therefore, the distribution and productivity of ecosystems are closely linked to topography. Using a coupled terrestrial carbon and hydrological model (BEPS-TerrainLab model), the topographic effects on the net primary productivity (NPP) are analyzed through four modelling experiments for a 5700 km(2) area in Baohe River basin, Shaanxi Province, northwest of China. The model was able to capture 81% of the variability in NPP estimated from tree rings, with a mean relative error of 3.1%. The average NPP in 2003 for the study area was 741 gCm(-2)yr(-1) from a model run including topographic effects on the distributions of climate variables and lateral flow of ground water. Topography has considerable effect on NPP, which peaks near 1350 m above the sea level. An elevation increase of 100 m above this level reduces the average annual NPP by about 25 gCm(-2). The terrain aspect gives rise to a NPP change of 5% for forests located below 1900 m as a result of its influence on incident solar radiation. For the whole study area, a simulation totally excluding topographic effects on the distributions of climatic variables and ground water movement overestimated the average NPP by 5%.

  16. Climate-change impacts on terrestrial ecosystems and water resources at different global warming levels

    NASA Astrophysics Data System (ADS)

    Tanaka, A.; Takahashi, K.; Shiogama, H.; Hanasaki, N.; Masaki, Y.; Ito, A.; Noda, H.; Hijioka, Y.; Emori, S.

    2016-12-01

    The Paris Agreement of 2015 includes pursuing efforts to limit the increase in the global mean temperature from preindustrial levels (ΔGMT) to 1.5°C, as well as suppressing ΔGMT well below 2°C. However, how impacts of 1.5°C differ from the impacts of 2°C or greater warming is unclear, and further studies covering wider ranges of ΔGMT are required. We arranged climate-change impacts at different ΔGMT levels by employing the outputs from impact assessment simulations based on climate scenarios of five climate models and four radiative forcing scenarios. We then tested whether climate-change impacts at different ΔGMT levels in a range ΔGMT = 1.5-4°C can be derived from those at ΔGMT = 2°C by linear scaling. We assessed impacts on net primary production, CO2 emissions from biomass burning, soil erosion, and surface runoff, at global and regional scales. We found that linearity holds in most regions for net primary production, biomass burning, and surface runoff, but fails for soil erosion. In this session, we discuss at what value of ΔGMT linearity fails for both world and several regional domains.

  17. Investigating smoke's influence on primary production throughout the Amazon

    NASA Astrophysics Data System (ADS)

    Flanner, M. G.; Mahowald, N. M.; Zender, C. S.; Randerson, J. T.; Tosca, M. G.

    2007-12-01

    Smoke from annual burning in the Amazon causes large reduction in surface insolation and increases the diffuse fraction of photosynthetically-active radiation (PAR). These effects have competing influence on gross primary production (GPP). Recent studies indicate that the sign of net influence depends on aerosol optical depth, but the magnitude of smoke's effect on continental-scale carbon cycling is very poorly constrained and may constitute an important term of fire's net impact on carbon storage. To investigate widespread effects of Amazon smoke on surface radiation properties, we apply a version of the NCAR Community Atmosphere Model with prognostic aerosol transport, driven with re-analysis winds. Carbon aerosol emissions are derived from the Global Fire Emissions Database (GFED). We use AERONET observations to identify model biases in aerosol optical depth, single-scatter albedo, and surface radiative forcing, and prescribe new aerosol optical properties based on field observations to improve model agreement with AERONET data. Finally, we quantify a potential range of smoke-induced change in large-scale GPP based on: 1) ground measurements of GPP in the Amazon as a function of aerosol optical depth and diffuse fraction of PAR, and 2) empirical functions of ecosystem-scale photosynthesis rates currently employed in models such as the Community Land Model (CLM).

  18. Analysis of Terrestrial Conditions and Dynamics

    NASA Technical Reports Server (NTRS)

    Goward, S. N.

    1985-01-01

    An ecological model is developed to estimate annual net primary productivity of vegetation in twelve major North American biomes. Three models are adapted and combined, each addressing a different factor known to govern primary productivity, i.e., photosynthesis, respiration, and moisture availability. Measures of intercepted photosynthetically active radiation (1PAR) for input to the photosynthesis model are derived from spectral vegetation index data. Normalized Difference Vegetation Index (NDVI) data are produced from NOAA-7 Advanced Very High Resolution Radiometer (AVHRR) observations for April 1982 through March 1983. NDVI values are sampled from within the biomes at locations for which climatological data are available. Monthly estimates of Net Primary Productivity (NPP) for each sample location are generated and summed over the twelve month period. These monthly estimates are averaged to produce a single annual estimated NPP value for each biomes. Comparison of estimated NPP values with figures reported in the literature produces a correlation coefficient of 85.

  19. Air-sea Exchange of Polycyclic Aromatic Hydrocarbons (PAHs), Polychlorinated Biphenyls (PCBs), Organochlorine Pesticides (OCPs) and Polybrominated Diphenyl Ethers (PBDEs) in the Mediterranean Sea

    NASA Astrophysics Data System (ADS)

    Lammel, G. P.; Heil, A.; Kukucka, P.; Meixner, F. X.; Mulder, M. D.; Prybilova, P.; Prokes, R.; Rusina, T. S.; Song, G. Z.; Vrana, B.

    2015-12-01

    The marine atmospheric environment is a receptor for persistent organic pollutants (POPs) which are advected from sources on land, primary, such as biomass burning by-products (PAHs, dioxins), and secondary, such as volatilization from contaminated soils (PCBs, pesticides). Primary sources do not exist in the marine environment, except for PAHs (ship engines) but following previous atmospheric deposition, the sea surface may turn to a secondary source by reversal of diffusive air-sea mass exchange. No monitoring is in place. We studied the vertical fluxes of a wide range of primary and secondary emitted POPs based on measurements in air and surface seawater at a remote coastal site in the eastern Mediterranean (2012). To this end, silicon rubbers were used as passive water samplers, vertical concentration gradients were determined in air and fluxes were quantified based on Eddy covariance. Diffusive air-sea exchange fluxes of hexachlorocyclohexanes (HCHs) and semivolatile PAHs were found close to phase equilibrium, except one PAH, retene, a wood burning tracer, was found seasonally net-volatilisational. Some PCBs, p,p'-DDE, penta- and hexachlorobenzene (PeCB, HCB) were mostly net-depositional, while PBDEs were net-volatilizational. Fluxes determined at a a remote coastal site ranged -33 - +2.4 µg m-2 d-1 for PAHs and -4.0 - +0.3 µg m-2 d-1for halogenated compounds (< 0 means net-deposition, > 0 means net-volatilization). It is concluded that nowadays in open seas more pollutants are undergoing reversal of the direction of air-sea exchange. Recgional fire activity records in combination with box model simulations suggest that deposition of retene during summer is followed by a reversal of air-sea exchange. The seawater surface as secondary source of pollution should be assessed based on flux measurements across seasons and over longer time periods.

  20. Seasonal and interannual patterns in primary production, respiration and net ecosystem metabolism in three estuaries in the northeast Gulf of Mexico

    EPA Science Inventory

    Measurements of primary production and respiration provide fundamental information about the trophic status of aquatic ecosystems, yet such measurements are logistically difficult and expensive to sustain as part of long-term monitoring programs. However, ecosystem metabolism par...

  1. Critical soil water period for primary production in Chihuahuan Desert ecosystems

    USDA-ARS?s Scientific Manuscript database

    In desert ecosystems where water is the main limiting factor, it is expected that net primary production (NPP) is largely determined by precipitation. However, precipitation alone often explains only a small portion of the variation in NPP, and the critical precipitation period for NPP varies by pla...

  2. Preliminary response of primary production and community composition to precipitation variation in a temperate grassland

    USDA-ARS?s Scientific Manuscript database

    a) Background/Questions/Methods Grassland ecosystems are water-limited and show the highest interannual ANPP variability across biomes. Changes in annual amounts or seasonality of rainfall may interact with soil texture to impact grassland ecosystem functions including net primary productivity (NPP...

  3. Legacies of precipitation fluctuations on primary production: Theory and data synthesis

    USDA-ARS?s Scientific Manuscript database

    Variability of aboveground net primary production (ANPP) of arid to sub-humid ecosystems displays a closer association with precipitation when considered across space, based on multiyear averages for different locations, than through time, based on year to year change at single locations. Here, we p...

  4. Legacies of precipitation fluctuations on primary production: theory and data synthesis

    USDA-ARS?s Scientific Manuscript database

    Variability of above-ground net primary production (ANPP) of arid to sub-humid ecosystems displays a closer association with precipitation when considered across space (based on multiyear averages for different locations) than through time (based on year-to-year change at single locations). Here, we...

  5. CARBON BUDGET FOR A SUB-TROPICAL SEAGRASS DOMINATED COASTAL LAGOON: HOW IMPORTANT ARE SEAGRASSES TO TOTAL ECOSYSTEM NET PRIMARY PRODUCTION?

    EPA Science Inventory

    Seagrasses dominate macrophyte biomass in many estuaries. Historically, it has been assumed that because of the large standing stock seagrasses also dominate primary production. We tested this assumption by developing 3 carbon budgets to examine the contribution of autotrophic ...

  6. 76 FR 147 - Proposed Data Collections Submitted for Public Comment and Recommendations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-03

    ... one from a non-safety-net hospital), two primary care providers (one from a large practice and one... information is necessary for the proper performance of the functions of the agency, including whether the... a broad range of stakeholders (including primary care providers) in communities with different...

  7. Making Stronger Twine With Matched Strands

    NASA Technical Reports Server (NTRS)

    Kirkland, W. L.

    1985-01-01

    Higher tensil strength achieved with same production equipment. Strong twine made by using spools in one of two-step manufacturing process. Three primary strands twisted together in opposite direction to form threeply twine. Technique used successfully in manufacture of safety netting with 600- to 700-lb (2,700-to 3,100-N) tensil strength and 60-ton (54 x 10 to third power kg) tuna seine with area of 86 acres (3.5 x 10 to fifth power m2). Increase in tensil strength of completed twine found experimentally 10 to 12 percent.

  8. Grassland establishment under varying resource availability: a test of positive and negative feedback.

    PubMed

    Baer, Sara G; Blair, John M

    2008-07-01

    The traditional logic of carbon (C) and nitrogen (N) interactions in ecosystems predicts further increases or decreases in productivity (positive feedback) in response to high and low fertility in the soil, respectively; but the potential for development of feedback in ecosystems recovering from disturbance is less well understood. Furthermore, this logic has been challenged in grassland ecosystems where frequent fires or grazing may reduce the contribution of aboveground litter inputs to soil organic matter pools and nutrient supply for plant growth, relative to forest ecosystems. Further, if increases in plant productivity increase soil C content more than soil N content, negative feedback may result from increased microbial demand for N making less available for plant growth. We used a field experiment to test for feedback in an establishing grassland by comparing aboveground net primary productivity (ANPP) and belowground pools and fluxes of C and N in soil with enriched, ambient, and reduced N availability. For eight years annual N enrichment increased ANPP, root N, and root tissue quality, but root C:N ratios remained well above the threshold for net mineralization of N. There was no evidence that N enrichment increased root biomass, soil C or N accrual rates, or storage of C in total, microbial, or mineralizable pools within this time frame. However, the net nitrogen mineralization potential (NMP) rate was greater following eight years of N enrichment, and we attributed this to N saturation of the microbial biomass. Grassland developing under experimentally imposed N limitation through C addition to the soil exhibited ANPP, root biomass and quality, and net NMP rate similar to the ambient soil. Similarity in productivity and roots in the reduced and ambient N treatments was attributed to the potentially high nitrogen-use efficiency (NUE) of the dominant C4 grasses, and increasing cover of legumes over time in the C-amended soil. Thus, in a developing ecosystem, positive feedback between soil N supply and plant productivity may promote enhanced long-term N availability and override progressive N limitation as C accrues in plant and soil pools. However, experimentally imposed reduction in N availability did not feed back to reduce ANPP, possibly due to shifts in NUE and functional group composition.

  9. Stimulation of Mojave Desert net ecosystem CO2 uptake after winter precipitation with the opposite effect after summer rains based on 7 years of flux data

    NASA Astrophysics Data System (ADS)

    Jasoni, Richard; Arnone, John; Fenstermaker, Lynn; Wohlfahrt, Georg

    2014-05-01

    Eddy covariance measurements of net ecosystem CO2 exchange (NEE) in the Mojave Desert (Jasoni et al. 2005-Global Change Biology 11:749-756; Wohlfahrt et al. 2008-Global Change Biology 14:1475-1487), and in other deserts of the world (e.g., Hastings et al. 2005- Global Change Biology 14:927-939, indicate greater rates of net CO2 uptake (more negative NEE values) and net ecosystem productivity (NEP) than would have been expected for deserts (as high as -120 g C m-2 year-1). We continue to observe high rates of NEE and NEP and seek explanations for these findings at interannual, seasonal, and sub-seasonal time scales. Because moisture availability most strongly constrains biological activity in deserts, responses to rains probably play a significant role in defining components of NEE-namely net primary productivity (NPP, or roughly net photosynthesis by vascular and non-vascular plants) and heterotrophic respiration (Rh, mainly by soil microorganisms). Most precipitation in the Mojave Desert falls from October through April and periodically in the summer as convective storms. The main objective of this study was to quantify the extent to which NEE and the net flux of CO2 from/to biological soil crust (BSC) covered soil surfaces respond to rain pulses occurring during cool/cold and warm/hot times of the year. Flux data from 7 years (2005-2011) of measurements at our shub land desert site (average 150 mm rain per year) located 120 km northwest of Las Vegas showed a range in NEP from -111±34 to -47±28 g C m-2 year-1. Cool season rains usually stimulated NEE (more negative NEE values or net CO2 uptake) while warm season rains reversed this effect and led to positive NEE values (net ecosystem CO2 efflux. Cool season stimulation of NEE often occurred in the absence of green leaves on vascular plants, suggesting that photosynthesis of BSCs (up to 70% of soil surface covered by cyanobacteria, mosses, and lichens) were responsible for this net uptake. At other times during the cool season, herbaceous vascular plants also contributed to increases in NEE. Parallel experiments in which we simulated rain pulses (10 mm) in the cool (February) and warm (May) seasons and measured net CO2 fluxes from BSC covered soil surfaces showed responses similar to those observed at the level of the ecosystem. Earlier continuous measurements of soil air relative humidity (RH; 2001-2006) showed that soil moisture increases occurring after rains in the cool season persist up to 3 weeks after events (a total of 48-108 day equivalent per year at >98% RH) indicating conditions favorable for photosynthetic activity. Thus, net CO2 uptake by BSCs during cool months may largely determine large NEEs measured under moist conditions during this time of year and, together with NPP of herbaceous vascular plants, help explain overall consistently high annual NEP in these ecosystems.

  10. [Level of microwave radiation from mobile phone base stations built in residential districts].

    PubMed

    Hu, Ji; Lu, Yiyang; Zhang, Huacheng; Xie, Hebing; Yang, Xinwen

    2009-11-01

    To investigate the condition of microwave radiation pollution from mobile phone base station built in populated area. Random selected 18 residential districts where had base station and 10 residential districts where had no base stations. A TES-92 electromagnetic radiation monitor were used to measure the intensity of microwave radiation in external and internal living environment. The intensities of microwave radiation in the exposure residential districts were more higher than those of the control residential districts (p < 0.05). There was a intensity peak at about 10 m from the station, it would gradually weaken with the increase of the distance. The level of microwave radiation in antenna main lobe region is not certainly more higher than the side lobe direction, and the side lobe direction also is not more lower. At the same district, where there were two base stations, the electromagnetic field nestification would take place in someplace. The intensities of microwave radiation outside the exposure windows in the resident room not only changed with distance but also with the height of the floor. The intensities of microwave radiation inside the aluminum alloys security net were more lower than those of outside the aluminum alloys security net (p < 0.05), but the inside or outside of glass-window appears almost no change (p > 0.05). Although all the measure dates on the ground around the base station could be below the primary standard in "environment electromagnetic wave hygienic standard" (GB9175-88), there were still a minorities of windows which exposed to the base station were higher, and the outside or inside of a few window was even higher beyond the primary safe level defined standard. The aluminum alloys security net can partly shield the microwave radiation from the mobile phone base station.

  11. Unchanged carbon balance driven by equivalent responses of production and respiration to climate change in a mixed-grass prairie.

    PubMed

    Xu, Xia; Shi, Zheng; Chen, Xuecheng; Lin, Yang; Niu, Shuli; Jiang, Lifen; Luo, Ruiseng; Luo, Yiqi

    2016-05-01

    Responses of grassland carbon (C) cycling to climate change and land use remain a major uncertainty in model prediction of future climate. To explore the impacts of global change on ecosystem C fluxes and the consequent changes in C storage, we have conducted a field experiment with warming (+3 °C), altered precipitation (doubled and halved), and annual clipping at the end of growing seasons in a mixed-grass prairie in Oklahoma, USA, from 2009 to 2013. Results showed that although ecosystem respiration (ER) and gross primary production (GPP) negatively responded to warming, net ecosystem exchange of CO2 (NEE) did not significantly change under warming. Doubled precipitation stimulated and halved precipitation suppressed ER and GPP equivalently, with the net outcome being unchanged in NEE. These results indicate that warming and altered precipitation do not necessarily have profound impacts on ecosystem C storage. In addition, we found that clipping enhanced NEE due to a stronger positive response of GPP compared to ER, indicating that clipping could potentially be an effective land practice that could increase C storage. No significant interactions between warming, altered precipitation, and clipping were observed. Meanwhile, we found that belowground net primary production (BNPP) in general was sensitive to climate change and land use though no significant changes were found in NPP across treatments. Moreover, negative correlations of the ER/GPP ratio with soil temperature and moisture did not differ across treatments, highlighting the roles of abiotic factors in mediating ecosystem C fluxes in this grassland. Importantly, our results suggest that belowground C cycling (e.g., BNPP) could respond to climate change with no alterations in ecosystem C storage in the same period. © 2015 John Wiley & Sons Ltd.

  12. Estimating changes in riparian and channel features along the Trinity River downstream of Lewiston Dam, California, 1980 to 2011

    USGS Publications Warehouse

    Curtis, Jennifer A.

    2015-01-01

    Dam construction, flow diversion, and legacy landuse effects reduced the transport capacity, sediment supply, channel complexity and floodplain-connectivity along the Trinity River, CA below Lewiston Dam. This study documents the geomorphic evolution of the Trinity River Restoration Program’s intensively managed 65-km long restoration reach from 1980 to 2011. The nature and extent of riparian and channel changes were assessed using a series of geomorphic feature maps constructed from ortho-rectified photography acquired at low flow conditions in 1980, 1997, 2001, 2006, 2009, and 2011. Since 1980 there has been a general conversion of riparian to channel features and expansion of the active channel area. The primary mechanism for expansion of the active channel was bank erosion from 1980 to 1997 and channel widening was well distributed longitudinally throughout the study reach. Subsequent net bar accretion from 1997 to 2001, followed by slightly higher net bar scour from 2001 to 2006, occurred primarily in the central and lower reaches of the study area. In comparison, post-2006 bank and bar changes were spatially-limited to reaches with sufficient local transport capacity or sediment supply supported by gravel augmentation, mechanical channel rehabilitation, and tributary contributions to flow and sediment supply. A series of tributary floods in 1997, 1998 and 2006 were the primary factors leading to documented increases in channel complexity and floodplain connectivity. During the post-2006 period managed flow releases, in the absence of large magnitude tributary flooding, combined with gravel augmentation and mechanical restoration caused localized increases in sediment supply and transport capacity leading to smaller but measurable increases in channel complexity and floodplain connectivity primarily in the upper river below Lewiston Dam.

  13. Effectiveness of a medical education intervention to treat hypertension in primary care.

    PubMed

    Martínez-Valverde, Silvia; Castro-Ríos, Angélica; Pérez-Cuevas, Ricardo; Klunder-Klunder, Miguel; Salinas-Escudero, Guillermo; Reyes-Morales, Hortensia

    2012-04-01

    In Mexico, hypertension is among the top five causes for visits to primary care clinics; its complications are among the main causes of emergency and hospital care. The present study reports the effectiveness of a continuing medical education (CME) intervention to improve appropriate care for hypertension, on blood pressure control of hypertensive patients in primary care clinics. A secondary data analysis was carried out using data of hypertensive patients treated by family doctors who participated in the CME intervention. The evaluation was designed as a pre-/post-intervention study with control group in six primary care clinics. The effect of the CME intervention was analysed using multiple logistic regression modelling in which the dependent variable was uncontrolled blood pressure in the post-intervention patient measurement. After the CME intervention, the net reduction of uncontrolled blood pressure between stages in the intervention group was 10.3%. The model results were that being treated by a family doctor who participated in the CME intervention reduced by 53% the probability of lack of control of blood pressure; receiving dietary recommendations reduced 57% the probability of uncontrolled blood pressure. Having uncontrolled blood pressure at the baseline stage increased the probability of lack of control in 166%, and per each unit of increase in body mass index the lack of control increased 7%. CME intervention improved the medical decision-making process to manage hypertension, thus increasing the probability of hypertensive patients to have blood pressure under control. © 2010 Blackwell Publishing Ltd.

  14. Effect of metabolic and respiratory acidosis on intracellular calcium in osteoblasts

    PubMed Central

    Bushinsky, David A.

    2010-01-01

    In vivo, metabolic acidosis {decreased pH from decreased bicarbonate concentration ([HCO3−])} increases urine calcium (Ca) without increased intestinal Ca absorption, resulting in a loss of bone Ca. Conversely, respiratory acidosis [decreased pH from increased partial pressure of carbon dioxide (Pco2)] does not appreciably alter Ca homeostasis. In cultured bone, chronic metabolic acidosis (Met) significantly increases cell-mediated net Ca efflux while isohydric respiratory acidosis (Resp) does not. The proton receptor, OGR1, appears critical for cell-mediated, metabolic acid-induced bone resorption. Perfusion of primary bone cells or OGR1-transfected Chinese hamster ovary (CHO) cells with Met induces transient peaks of intracellular Ca (Cai). To determine whether Resp increases Cai, as does Met, we imaged Cai in primary cultures of bone cells. pH for Met = 7.07 ([HCO3−] = 11.8 mM) and for Resp = 7.13 (Pco2 = 88.4 mmHg) were similar and lower than neutral (7.41). Both Met and Resp induced a marked, transient increase in Cai in individual bone cells; however, Met stimulated Cai to a greater extent than Resp. We used OGR1-transfected CHO cells to determine whether OGR1 was responsible for the greater increase in Cai in Met than Resp. Both Met and Resp induced a marked, transient increase in Cai in OGR1-transfected CHO cells; however, in these cells Met was not different than Resp. Thus, the greater induction of Cai by Met in primary bone cells is not a function of OGR1 alone, but must involve H+ receptors other than OGR1, or pathways sensitive to Pco2, HCO3−, or total CO2 that modify the effect of H+ in primary bone cells. PMID:20504884

  15. Effect of metabolic and respiratory acidosis on intracellular calcium in osteoblasts.

    PubMed

    Frick, Kevin K; Bushinsky, David A

    2010-08-01

    In vivo, metabolic acidosis {decreased pH from decreased bicarbonate concentration ([HCO(3)(-)])} increases urine calcium (Ca) without increased intestinal Ca absorption, resulting in a loss of bone Ca. Conversely, respiratory acidosis [decreased pH from increased partial pressure of carbon dioxide (Pco(2))] does not appreciably alter Ca homeostasis. In cultured bone, chronic metabolic acidosis (Met) significantly increases cell-mediated net Ca efflux while isohydric respiratory acidosis (Resp) does not. The proton receptor, OGR1, appears critical for cell-mediated, metabolic acid-induced bone resorption. Perfusion of primary bone cells or OGR1-transfected Chinese hamster ovary (CHO) cells with Met induces transient peaks of intracellular Ca (Ca(i)). To determine whether Resp increases Ca(i), as does Met, we imaged Ca(i) in primary cultures of bone cells. pH for Met = 7.07 ([HCO(3)(-)] = 11.8 mM) and for Resp = 7.13 (Pco(2) = 88.4 mmHg) were similar and lower than neutral (7.41). Both Met and Resp induced a marked, transient increase in Ca(i) in individual bone cells; however, Met stimulated Ca(i) to a greater extent than Resp. We used OGR1-transfected CHO cells to determine whether OGR1 was responsible for the greater increase in Ca(i) in Met than Resp. Both Met and Resp induced a marked, transient increase in Ca(i) in OGR1-transfected CHO cells; however, in these cells Met was not different than Resp. Thus, the greater induction of Ca(i) by Met in primary bone cells is not a function of OGR1 alone, but must involve H(+) receptors other than OGR1, or pathways sensitive to Pco(2), HCO(3)(-), or total CO(2) that modify the effect of H(+) in primary bone cells.

  16. Carbon sequestration in croplands is mainly driven by management leading to increased net primary production - evidence from long-term field experiments in Northern Europe

    NASA Astrophysics Data System (ADS)

    Kätterer, Thomas; Bolinder, Martin Anders; Börjesson, Gunnar; Kirchmann, Holger; Poeplau, Christopher

    2014-05-01

    Sustainable intensification of agriculture in regions with high production potential is a prerequisite for providing services for an increasing human population, not only food, animal feed, fiber and biofuel but also to promote biodiversity and the beauty of landscapes. We investigated the effect of different management practices on soil fertility and carbon sequestration in long-term experiments, mainly from Northern Europe. In addition, a meta-analysis on the effect of catch crops was conducted. Improved management of croplands was found to be a win-win strategy resulting in both increased soil fertility and carbon sequestration. We quantified the effect of different management practices such as N fertilization, organic amendments, catch crops and ley-arable rotations versus continuous annual cropping systems on soil carbon stocks. Increasing net primary productivity (NPP) was found to be the main driver for higher soil carbon storage. Mineral N fertilization increased soil carbon stocks by 1-2 kg C ha-1 for each kg of N applied to cropland. Ley-arable rotations, being a combination of annual and perennial crops, are expected to have C stocks intermediate between those of continuous grass- and croplands. A summary of data from 15 long-term sites showed that on average 0.5 Mg ha-1 yr-1 (range 0.3 to 1.1; median 0.4 Mg ha-1 yr-1) more carbon was retained in soils in ley-arable compared to exclusively annual systems, depending on species composition, management, soil depth and the duration of the studies. The annual C accumulation rate for catch crops determined in the meta-analysis was well within that range (0.32±0.08 Mg C ha-1 yr-1). Retention factors calculated for straw, manure, sawdust, peat, sewage sludge and composted household waste varied widely in a decadal time scale. Retention of root and rhizodeposit carbon was higher than for above-ground crop residues. We conclude that NPP is the major driver for C sequestration and emphasize that increased soil carbon stocks not always lead to net sequestration of atmospheric CO2 and that C sequestration not always leads to mitigation of greenhouse gas emissions. The consequences of different land use and management are discussed, taking into account two critical boundaries - the limited area of agricultural land on Earth and requirements to produce sufficient food, fibres and energy for a growing population.

  17. Effects of wastewater treatment plant effluent inputs on planktonic metabolic rates and microbial community composition in the Baltic Sea

    NASA Astrophysics Data System (ADS)

    Vaquer-Sunyer, Raquel; Reader, Heather E.; Muthusamy, Saraladevi; Lindh, Markus V.; Pinhassi, Jarone; Conley, Daniel J.; Kritzberg, Emma S.

    2016-08-01

    The Baltic Sea is the world's largest area suffering from eutrophication-driven hypoxia. Low oxygen levels are threatening its biodiversity and ecosystem functioning. The main causes for eutrophication-driven hypoxia are high nutrient loadings and global warming. Wastewater treatment plants (WWTP) contribute to eutrophication as they are important sources of nitrogen to coastal areas. Here, we evaluated the effects of wastewater treatment plant effluent inputs on Baltic Sea planktonic communities in four experiments. We tested for effects of effluent inputs on chlorophyll a content, bacterial community composition, and metabolic rates: gross primary production (GPP), net community production (NCP), community respiration (CR) and bacterial production (BP). Nitrogen-rich dissolved organic matter (DOM) inputs from effluents increased bacterial production and decreased primary production and community respiration. Nutrient amendments and seasonally variable environmental conditions lead to lower alpha-diversity and shifts in bacterial community composition (e.g. increased abundance of a few cyanobacterial populations in the summer experiment), concomitant with changes in metabolic rates. An increase in BP and decrease in CR could be caused by high lability of the DOM that can support secondary bacterial production, without an increase in respiration. Increases in bacterial production and simultaneous decreases of primary production lead to more carbon being consumed in the microbial loop, and may shift the ecosystem towards heterotrophy.

  18. Ecosystem carbon partitioning: aboveground net primary productivity correlates with the root carbon input in different land use types of Southern Alps

    NASA Astrophysics Data System (ADS)

    Rodeghiero, Mirco; Martinez, Cristina; Gianelle, Damiano; Camin, Federica; Zanotelli, Damiano; Magnani, Federico

    2013-04-01

    Terrestrial plant carbon partitioning to above- and below-ground compartments can be better understood by integrating studies on biomass allocation and estimates of root carbon input based on the use of stable isotopes. These experiments are essential to model ecosystem's metabolism and predict the effects of global change on carbon cycling. Using in-growth soil cores in conjunction with the 13C natural abundance method we quantified net plant-derived root carbon input into the soil, which has been pointed out as the main unaccounted NPP (net primary productivity) component. Four land use types located in the Trentino Region (northern Italy) and representing a range of aboveground net primary productivity (ANPP) values (155-868 gC m-2 y-1) were investigated: conifer forest, apple orchard, vineyard and grassland. Cores, filled with soil of a known C4 isotopic signature were inserted at 18 sampling points for each site and left in place for twelve months. After extraction, cores were analysed for %C and d13C, which were used to calculate the proportion of new plant-derived root C input by applying a mass balance equation. The GPP (gross primary productivity) of each ecosystem was determined by the eddy covariance technique whereas ANPP was quantified with a repeated inventory approach. We found a strong and significant relationship (R2 = 0.93; p=0.03) between ANPP and the fraction of GPP transferred to the soil as root C input across the investigated sites. This percentage varied between 10 and 25% of GPP with the grassland having the lowest value and the apple orchard the highest. Mechanistic ecosystem carbon balance models could benefit from this general relationship since ANPP is routinely and easily measured at many sites. This result also suggests that by quantifying site-specific ANPP, root carbon input can be reliably estimated, as opposed to using arbitrary root/shoot ratios which may under- or over-estimate C partitioning.

  19. Development and Validation of a Short-Form Safety Net Medical Home Scale.

    PubMed

    Nocon, Robert S; Gunter, Kathryn E; Gao, Yue; Lee, Sang Mee; Chin, Marshall H

    2017-12-01

    To develop a short-form Safety Net Medical Home Scale (SNMHS) for assessing patient-centered medical home (PCMH) capability in safety net clinics. National surveys of federally qualified health centers (FQHCs). Interviews with FQHC directors. We constructed three short-form SNMHS versions and examined correlations with full SNMHS and related primary care assessments. We tested usability with FQHC directors and reviewed scale development with an advisory group. Federally qualified health center surveys were administered in 2009 and 2013, by mail and online. Usability testing was conducted through telephone interviews with FQHC directors in 2013. Six-, 12-, and 18-question short-form SNMHS versions had Pearson correlations with full scale of 0.84, 0.92, and 0.96, respectively. All versions showed a level of convergent validity with other primary care assessment scales comparable to the full SNMHS. User testers found short forms to be low-burden, though missing some PCMH concepts. Advisory group members expressed caution over missing concepts and appropriate use of short-form self-assessments. Short-form versions of SNMHS showed strong correlations with full scale and may be useful for brief assessment of safety net PCMH capability. Each short-form SNMHS version may be appropriate for different research, quality improvement, and assessment purposes. © Health Research and Educational Trust.

  20. Climate change impacts on net primary production (NPP) and export production (EP) regulated by increasing stratification and phytoplankton community structure in the CMIP5 models

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fu, Weiwei; Randerson, James T.; Moore, J. Keith

    We examine climate change impacts on net primary production (NPP) and export production (sinking particulate flux; EP) with simulations from nine Earth system models (ESMs) performed in the framework of the fifth phase of the Coupled Model Intercomparison Project (CMIP5). Global NPP and EP are reduced by the end of the century for the intense warming scenario of Representative Concentration Pathway (RCP) 8.5. Relative to the 1990s, NPP in the 2090s is reduced by 2–16% and EP by 7–18%. The models with the largest increases in stratification (and largest relative declines in NPP and EP) also show the largest positivemore » biases in stratification for the contemporary period, suggesting overestimation of climate change impacts on NPP and EP. All of the CMIP5 models show an increase in stratification in response to surface–ocean warming and freshening, which is accompanied by decreases in surface nutrients, NPP and EP. There is considerable variability across the models in the magnitudes of NPP, EP, surface nutrient concentrations and their perturbations by climate change. The negative response of NPP and EP to increasing stratification reflects primarily a bottom-up control, as upward nutrient flux declines at the global scale. Models with dynamic phytoplankton community structure show larger declines in EP than in NPP. This pattern is driven by phytoplankton community composition shifts, with reductions in productivity by large phytoplankton as smaller phytoplankton (which export less efficiently) are favored under the increasing nutrient stress. Thus, the projections of the NPP response to climate change are critically dependent on the simulated phytoplankton community structure, the efficiency of the biological pump and the resulting levels of regenerated production, which vary widely across the models. In conclusion, community structure is represented simply in the CMIP5 models, and should be expanded to better capture the spatial patterns and climate-driven changes in export efficiency.« less

  1. Climate change impacts on net primary production (NPP) and export production (EP) regulated by increasing stratification and phytoplankton community structure in the CMIP5 models

    DOE PAGES

    Fu, Weiwei; Randerson, James T.; Moore, J. Keith

    2016-09-16

    We examine climate change impacts on net primary production (NPP) and export production (sinking particulate flux; EP) with simulations from nine Earth system models (ESMs) performed in the framework of the fifth phase of the Coupled Model Intercomparison Project (CMIP5). Global NPP and EP are reduced by the end of the century for the intense warming scenario of Representative Concentration Pathway (RCP) 8.5. Relative to the 1990s, NPP in the 2090s is reduced by 2–16% and EP by 7–18%. The models with the largest increases in stratification (and largest relative declines in NPP and EP) also show the largest positivemore » biases in stratification for the contemporary period, suggesting overestimation of climate change impacts on NPP and EP. All of the CMIP5 models show an increase in stratification in response to surface–ocean warming and freshening, which is accompanied by decreases in surface nutrients, NPP and EP. There is considerable variability across the models in the magnitudes of NPP, EP, surface nutrient concentrations and their perturbations by climate change. The negative response of NPP and EP to increasing stratification reflects primarily a bottom-up control, as upward nutrient flux declines at the global scale. Models with dynamic phytoplankton community structure show larger declines in EP than in NPP. This pattern is driven by phytoplankton community composition shifts, with reductions in productivity by large phytoplankton as smaller phytoplankton (which export less efficiently) are favored under the increasing nutrient stress. Thus, the projections of the NPP response to climate change are critically dependent on the simulated phytoplankton community structure, the efficiency of the biological pump and the resulting levels of regenerated production, which vary widely across the models. In conclusion, community structure is represented simply in the CMIP5 models, and should be expanded to better capture the spatial patterns and climate-driven changes in export efficiency.« less

  2. Redistribution of benefits but not detection in a fisheries bycatch-reduction management initiative.

    PubMed

    McClanahan, T R; Kosgei, J K

    2018-02-01

    Reducing the capture of small fish, discarded fish, and bycatch is a primary concern of fisheries managers who propose to maintain high yields, species diversity, and ecosystem functions. Modified fishing gear is one of the primary ways to reduce by-catch and capture of small fish. The outcomes of gear modification may depend on competition among fishers using other similar resources and other gears in the same fishing grounds and the subsequent adoption or abandonment of modified gears by fishers. We evaluated adoption of modified gear, catch size, catch per unit effort (CPUE), yield, and fisher incomes in a coral reef fishery in which a 3-cm escape gap was introduced into traditional traps. There were 26.1 (SD 4.9) fishers who used the experimental landing sites and 228(SD 15.7) fishers who used the control landing sites annually over 7 years. The size of fish increased by 10.6% in the modified traps, but the catch of smaller fish increased by 11.2% among the other gears. There was no change in the overall CPUE, yields, or per area incomes; rather, yield benefits were redistributed in favor of the unmodified gears. For example, estimated incomes of fishers who adopted the modified traps remained unchanged but increased for net and spear fishers. Fishers using escape-gap traps had a high proportion of income from larger fish, which may have led to a perception of benefits, high status, and no abandonment of the modified traps. The commensal rather than competitive outcome may explain the continued use of escape-gap traps 3 years after their introduction. Trap fishers showed an interest in negotiating other management improvements, such as increased mesh sizes for nets, which could ultimately catalyze community-level decisions and restrictions that could increase their profits. © 2017 Society for Conservation Biology.

  3. Response of net primary production to land use and land cover change in mainland China since the late 1980s.

    PubMed

    Li, Jun; Wang, Zhaoli; Lai, Chengguang; Wu, Xiaoqing; Zeng, Zhaoyang; Chen, Xiaohong; Lian, Yanqing

    2018-05-19

    Land use and land cover patterns in mainland China have substantially changed in the recent decades under the economic reform policies of the government. The terrestrial carbon cycle, particularly the net primary productivity (NPP), has been substantially changed on both local and national scales. With the growing concern over the effects of the terrestrial carbon cycle on global climate changes, the impacts of land use and cover change (LUCC) on NPP need to be understood. In this study, variations in NPP caused by LUCC (e.g., urbanization and conversion of other land use to forest and grassland) in mainland China from the late 1980s to 2015 were evaluated based on land cover datasets and NPPs simulated from the Carnegie-Ames-Stanford Approach model. The results indicate that the national total losses in NPP attributed to urbanization reached 1.695 TgC between the late 1980s and 2015. A large proportion (63.02%) of the total losses was due to the transformation from cropland to urban land. Urban expansion decreased the monthly and total NPPs over southern China, which includes the South China Region, Southwest China Region, and the middle and lower regions of the Yangtze River. However, the total NPP increased in the majority of urbanized areas in Northern China, including the Huang-Huai-Hai Region, Inner Mongolia Region (MGR), Gan-Xin Region (GXR), and Northeast China Region; monthly NPP in GXR and MGR increased throughout the year. By contrast, the conversion to grassland or forestland increased the monthly and total NPPs of Northern China, suggesting that returning to forestland and grassland could increase the carbon sequestration capacity of terrestrial ecosystems in mainland China. Among the sub-regions, the Loess Plateau Region contributed the largest increase in NPP, which was prompted by the conversion to grassland and forestland. Copyright © 2018 Elsevier B.V. All rights reserved.

  4. Innate Immune Dysfunctions in Aged Mice Facilitate the Systemic Dissemination of Methicillin-Resistant S. aureus

    PubMed Central

    Tseng, Ching Wen; Kyme, Pierre A.; Arruda, Andrea; Ramanujan, V. Krishnan; Tawackoli, Wafa; Liu, George Y.

    2012-01-01

    Elderly humans show increased susceptibility to invasive staphylococcal disease after skin and soft tissue infection. However, it is not understood how host immunity changes with aging, and how that predisposes to invasive disease. In a model of severe skin infection, we showed that aged mice (16- to 20-month-old) exhibit dramatic bacterial dissemination compared with young adult mice (2-month-old). Bacterial dissemination was associated with significant reductions of CXCL1 (KC), polymorphonuclear cells (PMNs), and extracellular DNA traps (NETs) at the infection site. PMNs and primary skin fibroblasts isolated from aged mice showed decreased secretion of CXCL2 (MIP-2) and KC in response to MRSA, and in vitro analyses of mitochondrial functions revealed that the mitochondrial electron transport chain complex I plays a significant role in induction of chemokines in the cells isolated from young but not old mice. Additionally, PMNs isolated from aged mice have reduced ability to form NETs and to kill MRSA. Expression of nuclease by S. aureus led to increased bacterial systemic dissemination in young but not old mice, suggesting that defective NETs formation in elderly mice permitted nuclease and non-nuclease expressing S. aureus to disseminate equally well. Overall, these findings suggest that gross impairment of both skin barrier function and innate immunity contributes to the propensity for MRSA to disseminate in aged mice. Furthermore, the study indicates that contribution of bacterial factors to pathogenicity may vary with host age. PMID:22844481

  5. Holding up the oral health safety net: the role of National Health Service Corps alumni dentists in North Carolina.

    PubMed

    Bhatavadekar, Neel B; Rozier, R Gary; Konrad, Thomas R

    2011-06-01

      Access to oral health care among low income populations is a growing problem. The National Health Service Corps (NHSC) might increase the supply of dentists motivated to provide services for this population.   To determine if North Carolina dentists who began a service obligation with the NHSC in 1990-1999 continued to provide care for underserved populations and if they differ from non-NHSC alumni primary care dentists who started practice in the state during that same period.   All 19 NHSC alumni and 50 comparison dentists were surveyed by mail. NHSC alumni also responded to selected items in a telephone follow-up interview. The two groups were compared using difference of means tests and multivariate contingency tables.   National Health Service Corps alumni were more likely to be African-American (38%vs. 10%), work in safety net practices (84%vs. 23%), and see more publicly insured patients (60%vs. 19%) than comparison dentists. Yet their job satisfaction was comparable to non-NHSC alumni dentists. Analyses suggested that current practice in safety net settings is affected by dentists' race, altruistic motivations and previous NHSC participation. CONCLUSION AND POLICY IMPLICATION:  Targeted recruitment of African-American dentists and others wanting to work in underserved communities could amplify the effectiveness of the financial incentive of NHSC loan repayment and induce dentists to remain in 'safety net' settings. © 2011 FDI World Dental Federation.

  6. Climate warming impacts on boreal landscape net CO2 exchange

    NASA Astrophysics Data System (ADS)

    Helbig, Manuel; Kljun, Natascha; E Chasmer, Laura; Desai, Ankur R.; Quinton, William L.; Sonnentag, Oliver

    2017-04-01

    In boreal peatlands of the North American sporadic permafrost zone, climate change causes permafrost thaw and induces changes in vegetation composition and structure. Boreal landscape net carbon dioxide (CO2) fluxes in these regions will thus be modified directly through the changes in the meteorological forcing of ecosystem processes and indirectly through changes in landscape functioning associated with thaw-induced land cover changes. How the combined effects alter net ecosystem CO2 exchange of these landscapes (NEELAND), resulting from changes in gross primary productivity (GPP) and ecosystem respiration (ER), remains unknown. Here, we quantify indirect land cover and direct climate change impacts on NEELAND for a boreal forest-wetland landscape in the organic-rich Taiga Plains of northwestern Canada. Using 1.5 years of nested eddy covariance flux tower measurements, we observe both larger GPP and ER at the landscape-level (50% forested permafrost plateaus & 50% permafrost-free wetlands) compared to the wetland-level (100% permafrost-free wetland). However, the resulting annual NEELAND (-20±6 g C m-2) was similar to NEE of the wetland (-24±8 g C m-2). Indirect thaw-induced wetland expansion effects thus appear to have negligible effects on NEELAND. In contrast, we find larger direct climate change impacts when modeling end-of-the-21st-century NEELAND (2091-2100) using downscaled air temperature and incoming shortwave radiation projections. Modeled GPP indicates large spring and fall increases due to reduced temperature-limitation. At the same time, light-limitation of GPP becomes more frequent in fall. The projected warmer air temperatures increase ER year-round in the absence of moisture stress. As a result, larger net CO2 uptake is projected for the shoulder seasons while the peak growing season net CO2 uptake declines. The modeled annual NEELAND is projected to decline by 25±15 g C m-2 for a moderate (RCP 4.5) and 103±37 g C m-2 for a high warming scenario (RCP 8.5), potentially reversing recently observed increasing net CO2 uptake trends across the boreal zone. At the end of the 21st-century, modeled annual NEELAND was not significantly different from 0 g C m-2 for the RCP 4.5 scenario (+16±42 g C m-2) and positive for the RCP 8.5 scenario with +94±54 g C m-2. Thus, even without moisture stress, net CO2 uptake of boreal forest-wetland landscapes may decline - and likely cease - if anthropogenic CO2 emissions are not reduced. Future NEELAND changes are thus more likely driven by direct climate than by indirect land cover change impacts.

  7. Unintended consequences of eliminating Medicare payments for consultations1

    PubMed Central

    Song, Zirui; Ayanian, John Z.; Wallace, Jacob; He, Yulei; Gibson, Teresa B.; Chernew, Michael E.

    2013-01-01

    Background Prior to 2010, Medicare payments for consultations (commonly billed by specialists) were substantially higher than for office visits of similar complexity (commonly billed by primary care physicians). In January 2010, Medicare eliminated consultation payments from the Part B Physician Fee Schedule and increased fees for office visits. This change was intended to be budget neutral and to decrease payments to specialists while increasing payments to primary care physicians. We assessed the impact of this policy on spending, volume, and complexity for outpatient office encounters in 2010. Methods We examined 2007–2010 outpatient claims for 2,247,810 Medicare beneficiaries with Medicare Supplemental (Medigap) coverage through large employers in the Thomson Reuters MarketScan Database. We used segmented regression analysis to study changes in spending, volume, and complexity of office encounters adjusted for age, sex, health status, secular trends, seasonality, and hospital referral region. Results “New” office visits largely replaced consultations in 2010. An average of $10.20 (6.5 percent) more was spent per beneficiary per quarter on physician encounters after the policy. The total volume of physician encounters did not change significantly. The increase in spending was largely explained by higher office visit fees from the policy and a shift toward higher complexity visits to both specialists and primary care physicians. Conclusions The elimination of consultations led to a net increase in spending on visits to both primary care physicians and specialists. Higher prices, partially due to the subjectivity of codes in the physician fee schedule, explained the spending increase, rather than higher volumes. PMID:23336095

  8. Lymphoma as a second malignancy in a patient with neuroendocrine tumor: mimicking dedifferentiation on dual-tracer PET/CT with 68Ga-DOTANOC and 18F-FDG.

    PubMed

    Jain, Sachin; Sharma, Punit; Dhull, Varun Singh; Bal, Chandrasekhar; Kumar, Rakesh

    2014-04-01

    Neuroendocrine tumors (NETs) are rare tumors which express somatostatin receptors (SSTRs). We here present a case of a 50-year-old female patient with metastatic bronchial carcinoid. She underwent 68Ga-DOTANOC PET/CT and 18F-FDG PET/CT which suggested a diagnosis of poorly differentiated NET. Biopsy of the lesion, however, revealed a second malignancy in the form of diffuse large B-cell lymphoma. Thus, very rarely, other primary tumors can mimic NETs on dual-tracer PET/CT, and biopsy is advised in doubtful cases.

  9. KM3NeT - ORCA: measuring the neutrino mass ordering in the Mediterranean

    NASA Astrophysics Data System (ADS)

    Kouchner, Antoine

    2016-05-01

    ORCA (Oscillations Research with Cosmics in the Abyss) is the low-energy branch of KM3NeT, the underwater Cherenkov neutrino detector in the Mediterranean. Its primary goal is to resolve the long-standing unsolved question of the neutrino mass ordering by measuring matter oscillation effects in atmospheric neutrinos. To be deployed at the French KM3NeT site, ORCA’s multi-PMT optical modules will exploit the excellent optical properties of deep seawater to reconstruct cascade and track events with a few GeV of energy. This contribution reviews the methods and technology, and discusses the current expected performances.

  10. Neutrophil extracellular trap formation is increased in psoriasis and induces human β-defensin-2 production in epidermal keratinocytes

    PubMed Central

    Hu, Stephen Chu-Sung; Yu, Hsin-Su; Yen, Feng-Lin; Lin, Chi-Ling; Chen, Gwo-Shing; Lan, Cheng-Che E.

    2016-01-01

    Neutrophil extracellular traps (NETs) have been implicated in the development of certain immune-mediated diseases, but their role in psoriasis has not been clearly defined. Human β-defensin-2 (HBD-2) is an important antimicrobial peptide overexpressed in psoriasis epidermis. We evaluated whether the amount of NETs is increased in psoriasis and determined the effect of NETs on HBD-2 production in epidermal keratinocytes. Using fluorescent microscopy, we found that patients with psoriasis (n = 48) had higher amount of NETotic cells in their peripheral blood compared to healthy controls (n = 48) and patients with eczema (n = 35). Psoriasis sera showed increased ability to induce NET formation in control neutrophils but normal NET degradation ability. The amount of NETs in the peripheral blood correlated with psoriasis disease severity. NETosis was also observed in the majority (18 of 20) of psoriasis skin specimens. Furthermore, NETs induced HBD-2 mRNA and protein production in keratinocytes, and immunohistochemical analysis confirmed strong expression of HBD-2 in psoriasis lesional skin. In summary, NET formation is increased in peripheral blood and lesional skin of psoriasis patients and correlates with disease severity. Additionally, NET-induced HBD-2 production may provide a novel mechanism for the decreased susceptibility of psoriasis plaques to microbial infections. PMID:27493143

  11. Secondary mediation and regression analyses of the PTClinResNet database: determining causal relationships among the International Classification of Functioning, Disability and Health levels for four physical therapy intervention trials.

    PubMed

    Mulroy, Sara J; Winstein, Carolee J; Kulig, Kornelia; Beneck, George J; Fowler, Eileen G; DeMuth, Sharon K; Sullivan, Katherine J; Brown, David A; Lane, Christianne J

    2011-12-01

    Each of the 4 randomized clinical trials (RCTs) hosted by the Physical Therapy Clinical Research Network (PTClinResNet) targeted a different disability group (low back disorder in the Muscle-Specific Strength Training Effectiveness After Lumbar Microdiskectomy [MUSSEL] trial, chronic spinal cord injury in the Strengthening and Optimal Movements for Painful Shoulders in Chronic Spinal Cord Injury [STOMPS] trial, adult stroke in the Strength Training Effectiveness Post-Stroke [STEPS] trial, and pediatric cerebral palsy in the Pediatric Endurance and Limb Strengthening [PEDALS] trial for children with spastic diplegic cerebral palsy) and tested the effectiveness of a muscle-specific or functional activity-based intervention on primary outcomes that captured pain (STOMPS, MUSSEL) or locomotor function (STEPS, PEDALS). The focus of these secondary analyses was to determine causal relationships among outcomes across levels of the International Classification of Functioning, Disability and Health (ICF) framework for the 4 RCTs. With the database from PTClinResNet, we used 2 separate secondary statistical approaches-mediation analysis for the MUSSEL and STOMPS trials and regression analysis for the STEPS and PEDALS trials-to test relationships among muscle performance, primary outcomes (pain related and locomotor related), activity and participation measures, and overall quality of life. Predictive models were stronger for the 2 studies with pain-related primary outcomes. Change in muscle performance mediated or predicted reductions in pain for the MUSSEL and STOMPS trials and, to some extent, walking speed for the STEPS trial. Changes in primary outcome variables were significantly related to changes in activity and participation variables for all 4 trials. Improvement in activity and participation outcomes mediated or predicted increases in overall quality of life for the 3 trials with adult populations. Variables included in the statistical models were limited to those measured in the 4 RCTs. It is possible that other variables also mediated or predicted the changes in outcomes. The relatively small sample size in the PEDALS trial limited statistical power for those analyses. Evaluating the mediators or predictors of change between each ICF level and for 2 fundamentally different outcome variables (pain versus walking) provided insights into the complexities inherent across 4 prevalent disability groups.

  12. Accounting for between-study variation in incremental net benefit in value of information methodology.

    PubMed

    Willan, Andrew R; Eckermann, Simon

    2012-10-01

    Previous applications of value of information methods for determining optimal sample size in randomized clinical trials have assumed no between-study variation in mean incremental net benefit. By adopting a hierarchical model, we provide a solution for determining optimal sample size with this assumption relaxed. The solution is illustrated with two examples from the literature. Expected net gain increases with increasing between-study variation, reflecting the increased uncertainty in incremental net benefit and reduced extent to which data are borrowed from previous evidence. Hence, a trial can become optimal where current evidence is sufficient assuming no between-study variation. However, despite the expected net gain increasing, the optimal sample size in the illustrated examples is relatively insensitive to the amount of between-study variation. Further percentage losses in expected net gain were small even when choosing sample sizes that reflected widely different between-study variation. Copyright © 2011 John Wiley & Sons, Ltd.

  13. Worldwide estimates and bibliography of net primary productivity derived from pre-1982 publications

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Esser, G.; Lieth, H.F.H.; Scurlock, J.M.O.

    An extensive compilation of more than 700 field estimates of net primary productivity of natural and agricultural ecosystems worldwide was synthesized in Germany in the 1970s and early 1980s. Although the Osnabrueck data set has not been updated since the 1980s, it represents a wealth of information for use in model development and validation. This report documents the development of this data set, its contents, and its recent availability on the Internet from the Oak Ridge National Laboratory Distributed Active Archive Center for Biogeochemical Dynamics. Caution is advised in using these data, which necessarily include assumptions and conversions that maymore » not be universally applicable to all sites.« less

  14. Evaluation of MODIS NPP and GPP products across multiple biomes.

    Treesearch

    David P. Turner; William D. Ritts; Warren B. Cohen; Stith T. Gower; Steve W. Running; Maosheng Zhao; Marcos H. Costa; Al A. Kirschbaum; Jay M. Ham; Scott R. Saleska; Douglas E. Ahl

    2006-01-01

    Estimates of daily gross primary production (GPP) and annual net primary production (NPP) at the 1 km spatial resolution are now produced operationally for the global terrestrial surface using imagery from the MODIS (Moderate Resolution Imaging Spectroradiometer) sensor. Ecosystem-level measurements of GPP at eddy covariance flux towers and plot-level measurements of...

  15. Biomass distribution and productivity of Pinus edulis-Juniperus monosperma woodlands of north-central Arizona

    Treesearch

    Charles C. Grier; Katherine J. Elliott; Deborah G. McCullough

    1992-01-01

    Above-ground biomass distribution, leaf area, above-ground net primary productivity and foliage characteristics were determined for 90- and 350-year-old Pinus edulis-Juniperus monosperma ecosystems on the Colorado Plateau of northern Arizona. These ecosystems have low biomass, leaf area and primary productivity compared with forests in wetter...

  16. MODIS-derived terrestrial primary production [chapter 28

    Treesearch

    Maosheng Zhao; Steven Running; Faith Ann Heinsch; Ramakrishna Nemani

    2011-01-01

    Temporal and spatial changes in terrestrial biological productivity have a large impact on humankind because terrestrial ecosystems not only create environments suitable for human habitation, but also provide materials essential for survival, such as food, fiber and fuel. A recent study estimated that consumption of terrestrial net primary production (NPP; a list of...

  17. ScaleNet: a literature-based model of scale insect biology and systematics

    PubMed Central

    García Morales, Mayrolin; Denno, Barbara D.; Miller, Douglass R.; Miller, Gary L.; Ben-Dov, Yair; Hardy, Nate B.

    2016-01-01

    Scale insects (Hemiptera: Coccoidea) are small herbivorous insects found on all continents except Antarctica. They are extremely invasive, and many species are serious agricultural pests. They are also emerging models for studies of the evolution of genetic systems, endosymbiosis and plant-insect interactions. ScaleNet was launched in 1995 to provide insect identifiers, pest managers, insect systematists, evolutionary biologists and ecologists efficient access to information about scale insect biological diversity. It provides comprehensive information on scale insects taken directly from the primary literature. Currently, it draws from 23 477 articles and describes the systematics and biology of 8194 valid species. For 20 years, ScaleNet ran on the same software platform. That platform is no longer viable. Here, we present a new, open-source implementation of ScaleNet. We have normalized the data model, begun the process of correcting invalid data, upgraded the user interface, and added online administrative tools. These improvements make ScaleNet easier to use and maintain and make the ScaleNet data more accurate and extendable. Database URL: http://scalenet.info PMID:26861659

  18. Comparison of simulation modeling and satellite techniques for monitoring ecological processes

    NASA Technical Reports Server (NTRS)

    Box, Elgene O.

    1988-01-01

    In 1985 improvements were made in the world climatic data base for modeling and predictive mapping; in individual process models and the overall carbon-balance models; and in the interface software for mapping the simulation results. Statistical analysis of the data base was begun. In 1986 mapping was shifted to NASA-Goddard. The initial approach involving pattern comparisons was modified to a more statistical approach. A major accomplishment was the expansion and improvement of a global data base of measurements of biomass and primary production, to complement the simulation data. The main accomplishments during 1987 included: production of a master tape with all environmental and satellite data and model results for the 1600 sites; development of a complete mapping system used for the initial color maps comparing annual and monthly patterns of Normalized Difference Vegetation Index (NDVI), actual evapotranspiration, net primary productivity, gross primary productivity, and net ecosystem production; collection of more biosphere measurements for eventual improvement of the biological models; and development of some initial monthly models for primary productivity, based on satellite data.

  19. Prospective evaluation of 68 Ga-DOTATATE PET/CT in limited disease neuroendocrine tumors and/or elevated serum neuroendocrine biomarkers.

    PubMed

    Gabriel, Sophie; Garrigue, Philippe; Dahan, Laetitia; Castinetti, Frédéric; Sebag, Frédéric; Baumstark, Karine; Archange, Cendrine; Abhishek, Jha; Pacak, Karel; Guillet, Benjamin; Taïeb, David

    2018-05-22

    The 68 Ga-labelled somatostatin analogues ( 68 Ga-DOTA-SSAs) is becoming popular as an important diagnostic tool in neuroendocrine tumors as evidenced by a growing number of reports detailing institutional experience with various DOTA peptides. However, only few prospective studies have compared 68 Ga-DOTA-SSAs and somatostatin receptor scintigraphy (SRS) in gastroenteropancreatic neuroendocrine tumors (GEP-NETs) and pulmonary neuroendocrine tumors. The aim of our prospective study was to perform head-to-head comparison between 68 Ga-DOTATATE PET/CT and standard imaging work-up (SI) that included multiphasic CT, liver MRI, and SRS using single photon emission computed tomography. In this prospective study, the patients were enrolled only if they met any of the following inclusion criteria were: i- initial staging of a NETs without distant metastases on SI or neuroendocrine tumor with unknown primary on SI; ii-restaging of NETs that could be treated by focused therapeutic interventions; iii- elevated serum neuroendocrine hormones or peptides. The exclusion criteria was grade 3 GEP-NETs. Thirty-two patients were enrolled in the study. Eleven patients (6 pancreas, 4 ileum, 1 duodenal) were included for initial evaluation and staging of NETs, 8 patients (5 pancreas, 1 ileal, 1 lung, 1 duodenal gastrinoma) for restaging, and 13 patients for elevated serum neuroendocrine biomarkers (5 ectopic Cushing's syndrome, 5 organic hypoglycemia, 1 patient each with elevated vasoactive inhibitory peptide, chromogranin A, and neuron-specific enolase). 68 Ga-DOTATATE PET/CT detected more primary tumors than SRS (15/18 vs 10/18: p=0.074). The missed tumors on 68 Ga-DOTATATE PET/CT were located in the lung in 2 cases and duodenum in 1 case. For other anatomical regions (nodal and distant metastasis), no statistical difference was observed between imaging modalities using 68 Ga-DOTATATE PET/CT and SRS. Overall, 68 Ga-DOTATATE PET/CT+CT+MRI detected 31/33 of the involved regions (including primaries) (29 and 22 for 68 Ga-DOTATATE and SRS, respectively). Our study shows that 68 Ga-DOTATATE PET/CT detected similar number of sites than combination of SRS, liver MRI and thoraco-abdominopelvic CT region-based analysis. 68 Ga-DOTATATE PET/CT missed half of primary lung carcinoids with ectopic Cushing's syndrome. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  20. C, N and P stoichiometric mismatch between resources and consumers influence the dynamics of a marine microbial food web model and its response to atmospheric N and P inputs

    NASA Astrophysics Data System (ADS)

    Pondaven, P.; Pivière, P.; Ridame, C.; Guien, C.

    2014-02-01

    Results from the DUNE experiments reported in this issue have shown that nutrient input from dust deposition in large mesocosms deployed in the western Mediterranean induced a response of the microbial food web, with an increase of primary production rates (PP), bacterial respiration rates (BR), as well as autotrophic and heterotrophic biomasses. Additionally, it was found that nutrient inputs strengthened the net heterotrophy of the system, with NPP : BR ratios < 1. In this study we used a simple microbial food web model, inspired from previous modelling studies, to explore how C, N and P stoichiometric mismatch between producers and consumers along the food chain can influence the dynamics and the trophic status of the ecosystem. Attention was paid to the mechanisms involved in the balance between net autotrophy vs. net heterotrophy. Although the model was kept simple, predicted changes in biomass and PP were qualitatively consistent with observations from DUNE experiments. Additionally, the model shed light on how ecological stoichiometric mismatch between producers and consumers can control food web dynamics and drive the system toward net heterotrophy. In the model, net heterotrophy was notably driven by the parameterisation of the production and excretion of extra DOC from phytoplankton under nutrient-limited conditions. This mechanism yielded to high C : P and C : N ratios of the DOM pool, and subsequent postabsorptive respiration of C by bacteria. The model also predicted that nutrient inputs from dust strengthened the net heterotrophy of the system; a pattern also observed during two of the three DUNE experiments (P and Q). However, the model was not able to account for the low NPP : BR ratios (down to 0.1) recorded during the DUNE experiments. Possible mechanisms involved in this discrepancy were discussed.

  1. Characterizing uncertainties in recent trends of global terrestrial net primary production through ensemble modeling

    NASA Astrophysics Data System (ADS)

    Wang, W.; Hashimoto, H.; Ganguly, S.; Votava, P.; Nemani, R. R.; Myneni, R. B.

    2010-12-01

    Large uncertainties exist in our understanding of the trends and variability in global net primary production (NPP) and its controls. This study attempts to address this question through a multi-model ensemble experiment. In particular, we drive ecosystem models including CASA, LPJ, Biome-BGC, TOPS-BGC, and BEAMS with a long-term climate dataset (i.e., CRU-NCEP) to estimate global NPP from 1901 to 2009 at a spatial resolution of 0.5 x 0.5 degree. We calculate the trends of simulated NPP during different time periods and test their sensitivities to climate variables of solar radiation, air temperature, precipitation, vapor pressure deficit (VPD), and atmospheric CO2 levels. The results indicate a large diversity among the simulated NPP trends over the past 50 years, ranging from nearly no trend to an increasing trend of ~0.1 PgC/yr. Spatial patterns of the NPP generally show positive trends in boreal forests, induced mainly by increasing temperatures in these regions; they also show negative trends in the tropics, although the spatial patterns are more diverse. These diverse trends result from different climatic sensitivities of NPP among the tested models. Depending the ecological processes (e.g., photosynthesis or respiration) a model emphasizes, it can be more or less responsive to changes in solar radiation, temperatures, water, or atmospheric CO2 levels. Overall, these results highlight the limit of current ecosystem models in simulating NPP, which cannot be easily observed. They suggest that the traditional single-model approach is not ideal for characterizing trends and variability in global carbon cycling.

  2. Aboveground Net Primary Productivity in a Riparian Wetland Following Restoration of Hydrology

    PubMed Central

    Koontz, Melissa; Lundberg, Christopher; Lane, Robert; Day, John; Pezeshki, Reza

    2016-01-01

    This research presents the initial results of the effects of hydrological restoration on forested wetlands in the Mississippi alluvial plain near Memphis, Tennessee. Measurements were carried out in a secondary channel, the Loosahatchie Chute, in which rock dikes were constructed in the 1960s to keep most flow in the main navigation channel. In 2008–2009, the dikes were notched to allow more flow into the secondary channel. Study sites were established based on relative distance downstream of the notched dikes. Additionally, a reference site was established north of the Loosahatchie Chute where the dikes remained unnotched. We compared various components of vegetation composition and productivity at sites in the riparian wetlands for two years. Salix nigra had the highest Importance Value at every site. Species with minor Importance Values were Celtis laevigata, Acer rubrum, and Plantanus occidentalis. Productivity increased more following the introduction of river water in affected sites compared to the reference. Aboveground net primary productivity was highest at the reference site (2926 ± 458.1 g·m−2·year−1), the intact site; however, there were greater increase at the sites in the Loosahatchie Chute, where measurements ranged from 1197.7 ± 160.0 g m−2·year−1·to 2874.2 ± 794.0 g·m−2·year−1. The site furthest from the notching was the most affected. Pulsed inputs into these wetlands may enhance forested wetland productivity. Continued monitoring will quantify impacts of restored channel hydrology along the Mississippi River. PMID:26861409

  3. Aboveground Net Primary Productivity in a Riparian Wetland Following Restoration of Hydrology.

    PubMed

    Koontz, Melissa; Lundberg, Christopher; Lane, Robert; Day, John; Pezeshki, Reza

    2016-02-04

    This research presents the initial results of the effects of hydrological restoration on forested wetlands in the Mississippi alluvial plain near Memphis, Tennessee. Measurements were carried out in a secondary channel, the Loosahatchie Chute, in which rock dikes were constructed in the 1960s to keep most flow in the main navigation channel. In 2008-2009, the dikes were notched to allow more flow into the secondary channel. Study sites were established based on relative distance downstream of the notched dikes. Additionally, a reference site was established north of the Loosahatchie Chute where the dikes remained unnotched. We compared various components of vegetation composition and productivity at sites in the riparian wetlands for two years. Salix nigra had the highest Importance Value at every site. Species with minor Importance Values were Celtis laevigata, Acer rubrum, and Plantanus occidentalis. Productivity increased more following the introduction of river water in affected sites compared to the reference. Aboveground net primary productivity was highest at the reference site (2926 ± 458.1 g·m(-2)·year(-1)), the intact site; however, there were greater increase at the sites in the Loosahatchie Chute, where measurements ranged from 1197.7 ± 160.0 g m(-2)·year(-1)·to 2874.2 ± 794.0 g·m(-2)·year(-1). The site furthest from the notching was the most affected. Pulsed inputs into these wetlands may enhance forested wetland productivity. Continued monitoring will quantify impacts of restored channel hydrology along the Mississippi River.

  4. Net primary productivity and rain-use efficiency as affected by warming, altered precipitation, and clipping in a mixed-grass prairie.

    PubMed

    Xu, Xia; Sherry, Rebecca A; Niu, Shuli; Li, Dejun; Luo, Yiqi

    2013-09-01

    Grassland productivity in response to climate change and land use is a global concern. In order to explore the effects of climate change and land use on net primary productivity (NPP), NPP partitioning [fBNPP , defined as the fraction of belowground NPP (BNPP) to NPP], and rain-use efficiency (RUE) of NPP, we conducted a field experiment with warming (+3 °C), altered precipitation (double and half), and annual clipping in a mixed-grass prairie in Oklahoma, USA since July, 2009. Across the years, warming significantly increased BNPP, fBNPP , and RUEBNPP by an average of 11.6%, 2.8%, and 6.6%, respectively. This indicates that BNPP was more sensitive to warming than aboveground NPP (ANPP) since warming did not change ANPP and RUEANPP much. Double precipitation stimulated ANPP, BNPP, and NPP but suppressed RUEANPP , RUEBNPP , and RUENPP while half precipitation decreased ANPP, BNPP, and NPP but increased RUEANPP , RUEBNPP , and RUENPP . Clipping interacted with altered precipitation in impacting RUEANPP , RUEBNPP , and RUENPP , suggesting land use could confound the effects of precipitation changes on ecosystem processes. Soil moisture was found to be a main factor in regulating variation in ANPP, BNPP, and NPP while soil temperature was the dominant factor influencing fBNPP . These findings suggest that BNPP is critical point to future research. Additionally, results from single-factor manipulative experiments should be treated with caution due to the non-additive interactive effects of warming with altered precipitation and land use (clipping). © 2013 John Wiley & Sons Ltd.

  5. Spatio-Temporal Changes of Net Primary Productivity and its Response to Phenology in Northeast China during 2000-2015

    NASA Astrophysics Data System (ADS)

    Qiu, Y.; Zhang, L.; Fan, D.

    2018-04-01

    The relationship between net primary productivity (NPP) and phenological changes is of great significance to the study of regional ecosystem processes. In this study, firstly, NPP was estimated with the remote sensing model based on the SPOT-VGT NDVI dataset (2000-2015), meteorological data and the vegetation map in Northeast China. Then, using NDVI time series data which was reconstructed by polynomial fitting, phenology was extracted with the dynamic threshold method. Finally, the relationship between NPP and phenology was analyzed. The results showed that NPP mainly increased in the cropland, grassland, forestland and shrubland; however, vegetation NPP decreased in the ecotone among cropland, grassland and forestland. Correlation analysis suggested that the relationships between NPP and phenological metrics (i.e., the start of the growing season (SOS), the end of the growing season (EOS), the length of the growing season (LOS)) were different due to geographical location. On the whole, there was a positive correlation between NPP and the LOS in the forestland, and negative in the cropland and grassland, indicating that extended LOS can promote the accumulation of forestland NPP. By analyzing the monthly NDVI data during the vigorous growth period, the increase of NPP in the grassland and cropland was mainly due to the better growth from June to August, and shortened LOS did not lead to reduce the NPP. Generally, the response of NPP to phenology in Northeast China were more complex, showing obvious difference of vegetation types and spatial variability, we need to consider topography, community structure and other factors in the further studies.

  6. Root mass, net primary production and turnover in aspen, jack pine and black spruce forests in Saskatchewan and Manitoba, Canada.

    PubMed

    Steele, Sarah J.; Gower, Stith T.; Vogel, Jason G.; Norman, John M.

    1997-01-01

    Root biomass, net primary production and turnover were studied in aspen, jack pine and black spruce forests in two contrasting climates. The climate of the Southern Study Area (SSA) near Prince Albert, Saskatchewan is warmer and drier in the summer and milder in the winter than the Northern Study Area (NSA) near Thompson, Manitoba, Canada. Ingrowth soil cores and minirhizotrons were used to quantify fine root net primary production (NPPFR). Average daily fine root growth (m m(-2) day(-1)) was positively correlated with soil temperature at 10-cm depth (r(2) = 0.83-0.93) for all three species, with black spruce showing the strongest temperature effect. At both study areas, fine root biomass (measured from soil cores) and fine root length (measured from minirhizotrons) were less for jack pine than for the other two species. Except for the aspen stands, estimates of NPPFR from minirhizotrons were significantly greater than estimates from ingrowth cores. The core method underestimated NPPFR because it does not account for simultaneous fine root growth and mortality. Minirhizotron NPPFR estimates ranged from 59 g m(-2) year(-1) for aspen stands at SSA to 235 g m(-2) year(-1) for black spruce at NSA. The ratio of NPPFR to total detritus production (aboveground litterfall + NPPFR) was greater for evergreen forests than for deciduous forests, suggesting that carbon allocation patterns differ between boreal evergreen and deciduous forests. In all stands, NPPFR consistently exceeded annual fine root turnover and the differences were larger for stands in the NSA than for stands in the SSA, whereas the difference between study areas was only significant for black spruce. The imbalance between NPPFR and fine root turnover is sufficient to explain the net accumulation of carbon in boreal forest soils.

  7. Crop physiology calibration in the CLM

    DOE PAGES

    Bilionis, I.; Drewniak, B. A.; Constantinescu, E. M.

    2015-04-15

    Farming is using more of the land surface, as population increases and agriculture is increasingly applied for non-nutritional purposes such as biofuel production. This agricultural expansion exerts an increasing impact on the terrestrial carbon cycle. In order to understand the impact of such processes, the Community Land Model (CLM) has been augmented with a CLM-Crop extension that simulates the development of three crop types: maize, soybean, and spring wheat. The CLM-Crop model is a complex system that relies on a suite of parametric inputs that govern plant growth under a given atmospheric forcing and available resources. CLM-Crop development used measurementsmore » of gross primary productivity (GPP) and net ecosystem exchange (NEE) from AmeriFlux sites to choose parameter values that optimize crop productivity in the model. In this paper, we calibrate these parameters for one crop type, soybean, in order to provide a faithful projection in terms of both plant development and net carbon exchange. Calibration is performed in a Bayesian framework by developing a scalable and adaptive scheme based on sequential Monte Carlo (SMC). The model showed significant improvement of crop productivity with the new calibrated parameters. We demonstrate that the calibrated parameters are applicable across alternative years and different sites.« less

  8. Crop physiology calibration in the CLM

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bilionis, I.; Drewniak, B. A.; Constantinescu, E. M.

    Farming is using more of the land surface, as population increases and agriculture is increasingly applied for non-nutritional purposes such as biofuel production. This agricultural expansion exerts an increasing impact on the terrestrial carbon cycle. In order to understand the impact of such processes, the Community Land Model (CLM) has been augmented with a CLM-Crop extension that simulates the development of three crop types: maize, soybean, and spring wheat. The CLM-Crop model is a complex system that relies on a suite of parametric inputs that govern plant growth under a given atmospheric forcing and available resources. CLM-Crop development used measurementsmore » of gross primary productivity (GPP) and net ecosystem exchange (NEE) from AmeriFlux sites to choose parameter values that optimize crop productivity in the model. In this paper, we calibrate these parameters for one crop type, soybean, in order to provide a faithful projection in terms of both plant development and net carbon exchange. Calibration is performed in a Bayesian framework by developing a scalable and adaptive scheme based on sequential Monte Carlo (SMC). The model showed significant improvement of crop productivity with the new calibrated parameters. We demonstrate that the calibrated parameters are applicable across alternative years and different sites.« less

  9. The impact of a hybrid social marketing intervention on inequities in access, ownership and use of insecticide-treated nets.

    PubMed

    Agha, Sohail; Van Rossem, Ronan; Stallworthy, Guy; Kusanthan, Thankian

    2007-01-29

    An ITN intervention was initiated in three predominantly rural districts of Eastern Province, Zambia, that lacked commercial distribution and communication infrastructures. Social marketing techniques were used for product and message development. Public sector clinics and village-based volunteers promoted and distributed subsidized ITNs priced at 2.5 dollars per net. A study was conducted to assess the effects of the intervention on inequities in knowledge, access, ownership and use of ITNs. A post-test only quasi-experimental study design was used to compare intervention and comparison districts. A total of 2,986 respondents were interviewed. Survey respondents were grouped into four socio-economic (SES) categories: low, medium-low, medium and high. Knowledge, access, ownership and use indicators are compared. Concentration index scores are calculated. Interactions between intervention status and SES help determine how different SES groups benefited from the intervention. Although overall use of nets remained relatively low, post-test data show that knowledge, access, ownership and use of mosquito nets was higher in intervention districts. A decline in SES inequity in access to nets occurred in intervention districts, resulting from a disproportionately greater increase in access among the low SES group. Declines in SES inequities in net ownership and use of nets were associated with the intervention. The largest increases in net ownership and use occurred among medium and high SES categories. Increasing access to nets among the poorest respondents in rural areas may not lead to increases in net use unless the price of nets is no longer a barrier to their purchase.

  10. The Strategy to Survive Primary Malaria Infection: An Experimental Study on Behavioural Changes in Parasitized Birds

    PubMed Central

    Mukhin, Andrey; Palinauskas, Vaidas; Platonova, Elena; Kobylkov, Dmitry; Vakoliuk, Irina; Valkiūnas, Gediminas

    2016-01-01

    Avian malaria parasites (Haemosporida, Plasmodium) are of cosmopolitan distribution, and they have a significant impact on vertebrate host fitness. Experimental studies show that high parasitemia often develops during primary malaria infections. However, field studies only occasionally reveal high parasitemia in free-living birds sampled using the traditional methods of mist-netting or trapping, and light chronic infections predominate. The reason for this discrepancy between field observation and experimental data remains insufficiently understood. Since mist-netting is a passive capture method, two main parameters determine its success in sampling infected birds in wildlife, i. e. the presence of parasitized birds at a study site and their mobility. In other words, the trapping probability depends on the survival rate of birds and their locomotor activity during infection. Here we test (1) the mortality rate of wild birds infected with Plasmodium relictum (the lineage pSGS1), (2) the changes in their behaviour during presence of an aerial predator, and (3) the changes in their locomotor activity at the stage of high primary parasitemia.We show that some behavioural features which might affect a bird's survival during a predator attack (time of reaction, speed of flush flight and take off angle) did not change significantly during primary infection. However, the locomotor activity of infected birds was almost halved compared to control (non-infected) birds during the peak of parasitemia. We report (1) the markedly reduced mobility and (2) the 20% mortality rate caused by P. relictum and conclude that these factors are responsible for the underrepresentation of birds in mist nets and traps during the stage of high primary parasitemia in wildlife. This study indicates that the widespread parasite, P. relictum (pSGS1) influences the behaviour of birds during primary parasitemia. Experimental studies combined with field observations are needed to better understand the mechanisms of pathogenicity of avian malaria parasites and their influence on bird populations. PMID:27434058

  11. The Costs and Cost-effectiveness of Collaborative Care for Adolescents With Depression in Primary Care Settings: A Randomized Clinical Trial.

    PubMed

    Wright, Davene R; Haaland, Wren L; Ludman, Evette; McCauley, Elizabeth; Lindenbaum, Jeffrey; Richardson, Laura P

    2016-11-01

    Depression is one of the most common adolescent chronic health conditions and can lead to increased health care use. Collaborative care models have been shown to be effective in improving adolescent depressive symptoms, but there are few data on the effect of such a model on costs. To evaluate the costs and cost-effectiveness of a collaborative care model for treatment of adolescent major depressive disorder in primary care settings. This randomized clinical trial was conducted between April 1, 2010, and April 30, 2013, at 9 primary care clinics in the Group Health system in Washington State. Participants were adolescents (age range, 13-17 years) with depression who participated in the Reaching Out to Adolescents in Distress (ROAD) collaborative care intervention trial. A 12-month collaborative care intervention included an initial in-person engagement session, delivery of evidence-based treatments, and regular follow-up by master's level clinicians. Youth in the usual care control condition received depression screening results and could access mental health services and obtain medications through Group Health. Cost outcomes included intervention costs and per capita health plan costs, calculated from the payer perspective using administrative records. The primary effectiveness outcome was the difference in quality-adjusted life-years (QALYs) between groups from baseline to 12 months. The QALYs were calculated using Child Depression Rating Scale-Revised scores measured during the clinical trial. Cost and QALYs were used to calculate an incremental cost-effectiveness ratio. Of those screened, 105 youths met criteria for entry into the study, and 101 were randomized to the intervention (n = 50) and usual care (n = 51) groups. Overall health plan costs were not significantly different between the intervention ($5161; 95% CI, $3564-$7070) and usual care ($5752; 95% CI, $3814-$7952) groups. Intervention delivery cost an additional $1475 (95% CI, $1230-$1695) per person. The intervention group had a mean daily utility value of 0.78 (95% CI, 0.75-0.80) vs 0.73 (95% CI, 0.71-0.76) for the usual care group. The net mean difference in effectiveness was 0.04 (95% CI, 0.02-0.09) QALY at $883 above usual care. The mean incremental cost-effectiveness ratio was $18 239 (95% CI, dominant to $24 408) per QALY gained, with dominant indicating that the intervention resulted in both a net cost savings and a net increase in QALYs. Collaborative care for adolescent depression appears to be cost-effective, with 95% CIs far below the strictest willingness-to-pay thresholds. These findings support the use of collaborative care interventions to treat depression among adolescent youth. clinicaltrials.gov Identifier: NCT01140464.

  12. The role of 68Ga-DOTA-NOC PET/CT in evaluating neuroendocrine tumors: real-world experience from two large neuroendocrine tumor centers.

    PubMed

    Haidar, Mohamad; Shamseddine, Ali; Panagiotidis, Emmanouil; Jreige, Mario; Mukherji, Deborah; Assi, Rita; Abousaid, Rayan; Ibrahim, Toni; Haddad, Marwan M; Vinjamuri, Sobhan

    2017-02-01

    Our aim was to assess the role of Ga-DOTA-NOC PET/CT as a tool for the management of neuroendocrine tumors (NETs), evaluating the clinical impact on patients from two large NET centers in different geopolitical settings. This is a retrospective study of patients with NETs who underwent Ga-DOTA-NOC PET/CT at Royal Liverpool University Hospital (UK) and at Mount Lebanon Hospital (Lebanon). Indications for imaging and findings of the PET/CT along with demographic and clinical outcome data were recorded and evaluated. Four hundred and forty-five patients fulfilled the inclusion criteria, with a median age at the time of diagnosis of 56 (range: 3-90) years; 248 (55.7%) patients were male.Ga-DOTA-NOC PET/CT was indicated for staging in 193 (43.4%) patients, for diagnosis in 124 (27.9%) patients, for follow-up in 97 (21.7%) patients, and for identification of a primary NET site in 31 (7%) patients.One hundred and four (27.9%) patients underwent Ga-DOTA-NOC PET/CT for the primary diagnosis of NET, of whom 66 (52.7%) patients presented with a clinical suspicion of NET, 10 (8.3%) patients presented with a biochemical suspicion of NET only, and 48 (38.8%) patients presented with a suspicious NET lesion discovered on another imaging modality. The most common clinical presentation was typical carcinoid syndrome [4 (33%) patients].Results on the basis of histology were used as the gold standard for the diagnosis in 57% of patients and the remaining on the basis of follow-up as per established clinical consensus. Sensitivity, specificity, negative-predictive value, and positive-predictive value of PET/CT were 87.1, 97.7, 79.6, and 98.7%, respectively, for the entire sample. Accuracy was measured using the receiver operating characteristic curve analysis with an area under the curve of 0.924 (95% confidence interval: 0.874-0.974). Ga-DOTA-NOC PET/CT is a highly sensitive and specific study for the diagnosis and follow-up of patients with neuroendocrine tumors. These results support the use of Ga-DOTA-NOC PET/CT contributing significantly toward the clinical management of NET patients.

  13. Pasireotide and octreotide antiproliferative effects and sst2 trafficking in human pancreatic neuroendocrine tumor cultures.

    PubMed

    Mohamed, Amira; Blanchard, Marie-Pierre; Albertelli, Manuela; Barbieri, Federica; Brue, Thierry; Niccoli, Patricia; Delpero, Jean-Robert; Monges, Genevieve; Garcia, Stephane; Ferone, Diego; Florio, Tullio; Enjalbert, Alain; Moutardier, Vincent; Schonbrunn, Agnes; Gerard, Corinne; Barlier, Anne; Saveanu, Alexandru

    2014-10-01

    Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) raise difficult therapeutic problems despite the emergence of targeted therapies. Somatostatin analogs (SSA) remain pivotal therapeutic drugs. However, the tachyphylaxis and the limited antitumoral effects observed with the classical somatostatin 2 (sst2) agonists (octreotide and lanreotide) led to the development of new SSA, such as the pan sst receptor agonist pasireotide. Our aim was to compare the effects of pasireotide and octreotide on cell survival, chromogranin A (CgA) secretion, and sst2 phosphorylation/trafficking in pancreatic NET (pNET) primary cells from 15 tumors. We established and characterized the primary cultures of human pancreatic tumors (pNETs) as powerful preclinical models for understanding the biological effects of SSA. At clinically relevant concentrations (1-10 nM), pasireotide was at least as efficient as octreotide in inhibiting CgA secretion and cell viability through caspase-dependent apoptosis during short treatments, irrespective of the expression levels of the different sst receptors or the WHO grade of the parental tumor. Interestingly, unlike octreotide, which induces a rapid and persistent partial internalization of sst2 associated with its phosphorylation on Ser341/343, pasireotide did not phosphorylate sst2 and induced a rapid and transient internalization of the receptor followed by a persistent recycling at the cell surface. These results provide the first evidence, to our knowledge, of striking differences in the dynamics of sst2 trafficking in pNET cells treated with the two SSAs, but with similar efficiency in the control of CgA secretion and cell viability. © 2014 Society for Endocrinology.

  14. Provider Experiences With the Identification, Management, and Treatment of Co-Occurring Chronic Non-cancer Pain and Substance Use in the Safety Net

    PubMed Central

    Chang, Jamie Suki; Kushel, Margot; Miaskowski, Christine; Ceasar, Rachel; Zamora, Kara; Hurstak, Emily; Knight, Kelly R.

    2017-01-01

    Background In the US and internationally, providers have adopted guidelines on the management of prescription opioids for chronic non-cancer pain (CNCP). For “high-risk” patients with co-occurring CNCP and a history of substance use, guidelines advise providers to monitor patients using urine toxicology screening tests, develop opioid management plans, and refer patients to substance use treatment. Objective We report primary care provider experiences in the safety net interpreting and implementing guideline recommendations for patients with CNCP and substance use. Methods We interviewed primary care providers who work in the safety net (N=23) on their experiences managing CNCP and substance use. We analyzed interviews using a content analysis method. Results Providers found management plans and urine toxicology screening tests useful for informing patients about clinic expectations of opioid therapy and substance use. However, they described that guideline-based clinic policies had unintended consequences, such as raising barriers to open, honest dialogue about substance use and treatment. While substance use treatment was recommended for “high-risk” patients, providers described lack of integration with and availability of substance use treatment programs. Conclusions Our findings indicate that clinicians in the safety net found guideline-based clinic policies helpful. However, effective implementation was challenged by barriers to open dialogue about substance use and limited linkages with treatment programs. Further research is needed to examine how the context of safety net settings shapes the management and treatment of co-occurring CNCP and substance use. PMID:27754719

  15. Seasonal Differences in the CO2 Exchange of a Short-Hydroperiod Florida Everglades Marsh

    NASA Astrophysics Data System (ADS)

    Schedlbauer, J. L.; Oberbauer, S. F.; Starr, G.; Jimenez, K. L.

    2009-12-01

    Although wetlands are among the world’s most productive ecosystems, little is known of long-term CO2 exchange in tropical and subtropical wetlands. As human pressure on wetlands increases and climate change proceeds, there is growing need to increase our knowledge of wetland ecosystem function. The Everglades is a highly managed wetlands complex occupying >6000 km2 in south Florida. This ecosystem is oligotrophic, but extremely high rates of productivity have been previously reported. To evaluate annual and seasonal (dry vs. wet season) ecosystem production, CO2 exchange was determined by eddy covariance in a short-hydroperiod marl marsh. Rates of net ecosystem exchange and ecosystem respiration were small year-round and declined in the wet season relative to the dry season. Inundation submerged approximately half of the marsh’s leaf area, substantially limiting gross ecosystem production. While light and air temperature exerted the primary controls on net ecosystem exchange and ecosystem respiration in the dry season, inundation weakened these relationships. The ecosystem shifted from a CO2 sink in the dry season to a CO2 source in the wet season; however, the marsh was a small carbon sink on an annual basis. Net ecosystem production, ecosystem respiration, and gross ecosystem production were -27.9, 394.3, and 422.2 g C m-2 year-1, respectively. Unexpectedly low CO2 flux rates and annual production distinguish the Everglades from many other wetlands. Nonetheless, impending changes in water management and climate are likely to alter the CO2 balance of this wetland and may increase the source strength of these extensive short-hydroperiod marshes.

  16. Drought sensitivity of Amazonian carbon balance revealed by atmospheric measurements

    NASA Astrophysics Data System (ADS)

    Gatti, L. V.; Gloor, M.; Miller, J. B.; Doughty, C. E.; Malhi, Y.; Domingues, L. G.; Basso, L. S.; Martinewski, A.; Correia, C. S. C.; Borges, V. F.; Freitas, S.; Braz, R.; Anderson, L. O.; Rocha, H.; Grace, J.; Phillips, O. L.; Lloyd, J.

    2014-02-01

    Feedbacks between land carbon pools and climate provide one of the largest sources of uncertainty in our predictions of global climate. Estimates of the sensitivity of the terrestrial carbon budget to climate anomalies in the tropics and the identification of the mechanisms responsible for feedback effects remain uncertain. The Amazon basin stores a vast amount of carbon, and has experienced increasingly higher temperatures and more frequent floods and droughts over the past two decades. Here we report seasonal and annual carbon balances across the Amazon basin, based on carbon dioxide and carbon monoxide measurements for the anomalously dry and wet years 2010 and 2011, respectively. We find that the Amazon basin lost 0.48+/-0.18 petagrams of carbon per year (PgCyr-1) during the dry year but was carbon neutral (0.06+/-0.1PgCyr-1) during the wet year. Taking into account carbon losses from fire by using carbon monoxide measurements, we derived the basin net biome exchange (that is, the carbon flux between the non-burned forest and the atmosphere) revealing that during the dry year, vegetation was carbon neutral. During the wet year, vegetation was a net carbon sink of 0.25+/-0.14PgCyr-1, which is roughly consistent with the mean long-term intact-forest biomass sink of 0.39+/-0.10PgCyr-1 previously estimated from forest censuses. Observations from Amazonian forest plots suggest the suppression of photosynthesis during drought as the primary cause for the 2010 sink neutralization. Overall, our results suggest that moisture has an important role in determining the Amazonian carbon balance. If the recent trend of increasing precipitation extremes persists, the Amazon may become an increasing carbon source as a result of both emissions from fires and the suppression of net biome exchange by drought.

  17. Outdoor-sleeping and other night-time activities in northern Ghana: implications for residual transmission and malaria prevention.

    PubMed

    Monroe, April; Asamoah, Obed; Lam, Yukyan; Koenker, Hannah; Psychas, Paul; Lynch, Matthew; Ricotta, Emily; Hornston, Sureyya; Berman, Amanda; Harvey, Steven A

    2015-01-28

    Despite targeted indoor residual spraying (IRS) over a six-year period and free mass distribution of long-lasting insecticide-treated nets (ITNs), malaria rates in northern Ghana remain high. Outdoor sleeping and other night-time social, cultural and economic activities that increase exposure to infective mosquito bites are possible contributors. This study was designed to document these phenomena through direct observation, and to explore the context in which they occur. During the late dry season months of February and March 2014, study team members carried out continuous household observations from dusk to dawn in one village in Ghana's Northern Region and one in Upper West Region. In-depth interviews with health workers and community residents helped supplement observational findings. Study team members completed observations of 182 individuals across 24 households, 12 households per site. Between the two sites, they interviewed 14 health workers, six community health volunteers and 28 community residents. In early evening, nearly all study participants were observed to be outdoors and active. From 18.00-23.00 hours, socializing, night school, household chores, and small-scale economic activities were common. All-night funerals, held outdoors and attended by large numbers of community members, were commonly reported and observed. Outdoor sleeping was frequently documented at both study sites, with 42% of the study population sleeping outdoors at some time during the night. While interviewees mentioned bed net use as important to malaria prevention, observed use was low for both indoor and outdoor sleeping. Net access within households was 65%, but only 17% of those with access used a net at any time during the night. Participants cited heat as the primary barrier and reported higher net use during the rainy season. Outdoor sleeping and other night-time activities were extensive, and could significantly increase malaria risk. These findings suggest that indoor-oriented control measures such as ITNs and IRS are insufficient to eliminate malaria in this setting, especially given the low net use observed. Development and evaluation of complementary outdoor control strategies should be prioritized. A research agenda is proposed to quantify the relative risk of outdoor night-time activities and test potential vector control interventions that might reduce that risk.

  18. Internal loading of phosphorus in a sedimentation pond of a treatment wetland: effect of a phytoplankton crash.

    PubMed

    Palmer-Felgate, Elizabeth J; Mortimer, Robert J G; Krom, Michael D; Jarvie, Helen P; Williams, Richard J; Spraggs, Rachael E; Stratford, Charlie J

    2011-05-01

    Sedimentation ponds are widely believed to act as a primary removal process for phosphorus (P) in nutrient treatment wetlands. High frequency in-situ P, ammonium (NH(4)(+)) and dissolved oxygen measurements, alongside occasional water quality measurements, assessed changes in nutrient concentrations and productivity in the sedimentation pond of a treatment wetland between March and June. Diffusive equilibrium in thin films (DET) probes were used to measure in-situ nutrient and chemistry pore-water profiles. Diffusive fluxes across the sediment-water interface were calculated from the pore-water profiles, and dissolved oxygen was used to calculate rates of primary productivity and respiration. The sedimentation pond was a net sink for total P (TP), soluble reactive P (SRP) and NH(4)(+) in March, but became subject to a net internal loading of TP, SRP and NH(4)(+) in May, with SRP concentrations increasing by up to 41μM (1300μl(-1)). Reductions in chlorophyll a and dissolved oxygen concentrations also occurred at this time. The sediment changed from a small net sink of SRP in March (average diffusive flux: -8.2μmolm(-2)day(-1)) to a net source of SRP in June (average diffusive flux: +1324μmolm(-2)day(-1)). A diurnal pattern in water column P concentrations, with maxima in the early hours of the morning, and minima in the afternoon, occurred during May. The diurnal pattern and release of SRP from the sediment were attributed to microbial degradation of diatom biomass, causing reduction of the dissolved oxygen concentration and leading to redox-dependent release of P from the sediment. In June, 2.7mol-Pday(-1) were removed by photosynthesis and 23mol-Pday(-1) were supplied by respiration in the lake volume. SRP was also released through microbial respiration within the water column, including the decomposition of algal matter. It is imperative that consideration to internal recycling is given when maintaining sedimentation ponds, and before the installation of new ponds designed to treat nutrient waste. Copyright © 2011 Elsevier B.V. All rights reserved.

  19. Impact of Tranexamic Acid in Total Knee and Total Hip Replacement.

    PubMed

    Boyle, Jaclyn A; Soric, Mate M

    2017-02-01

    To evaluate the net clinical benefit of tranexamic acid use in patients undergoing total knee or total hip replacement. This is a retrospective study of patients undergoing total knee or total hip replacement. The primary outcome was the net clinical benefit of tranexamic acid use. Secondary outcomes included length of stay, incidence of venous thromboembolism, change in hemoglobin, and number of units of blood transfused. Four hundred and six patients were screened for inclusion and 327 patients met inclusion criteria; 174 patients received tranexamic acid versus 153 patients who received usual care. Tranexamic acid demonstrated a positive net clinical benefit versus usual care (40.8% vs 13.7%, P < .01) but did not affect length of stay (3.39 vs 3.37 days, respectively, P = .76). Venous thromboembolism was comparable between groups (2.3% vs 0.7%, P = .38). Average change in hemoglobin and need for transfusion were lower in the treatment group versus the usual care group, respectively (3.46 vs 4.26 mg/dL, P < .01). Tranexamic acid demonstrated a significant benefit in decreasing change in hemoglobin as well as the need for blood transfusion with no increase in the risk of venous thromboembolism in patients undergoing total knee or total hip replacement.

  20. Norepinephrine transporter inhibition alters the hemodynamic response to hypergravitation.

    PubMed

    Strempel, Sebastian; Schroeder, Christoph; Hemmersbach, Ruth; Boese, Andrea; Tank, Jens; Diedrich, André; Heer, Martina; Luft, Friedrich C; Jordan, Jens

    2008-03-01

    Sympathetically mediated tachycardia and vasoconstriction maintain blood pressure during hypergravitational stress, thereby preventing gravitation-induced loss of consciousness. Norepinephrine transporter (NET) inhibition prevents neurally mediated (pre)syncope during gravitational stress imposed by head-up tilt testing. Thus it seems reasonable that NET inhibition could increase tolerance to hypergravitational stress. We performed a double-blind, randomized, placebo-controlled crossover study in 11 healthy men (26 +/- 1 yr, body mass index 24 +/- 1 kg/m2), who ingested the selective NET inhibitor reboxetine (4 mg) or matching placebo 25, 13, and 1 h before testing on separate days. We monitored heart rate, blood pressure, and thoracic impedance in three different body positions (supine, seated, standing) and during a graded centrifuge run (incremental steps of 0.5 g for 3 min each, up to a maximal vertical acceleration load of 3 g). NET inhibition increased supine blood pressure and heart rate. With placebo, blood pressure increased in the seated position and was well maintained during standing. However, with NET inhibition, blood pressure decreased in the seated and standing position. During hypergravitation, blood pressure increased in a graded fashion with placebo. With NET inhibition, the increase in blood pressure during hypergravitation was profoundly diminished. Conversely, the tachycardic responses to sitting, standing, and hypergravitation all were greatly increased with NET inhibition. In contrast to our expectation, short-term NET inhibition did not improve tolerance to hypergravitation. Redistribution of sympathetic activity to the heart or changes in baroreflex responses could explain the excessive tachycardia that we observed.

  1. Phytoplankton Productivity in an Arctic Fjord (West Greenland): Estimating Electron Requirements for Carbon Fixation and Oxygen Production

    PubMed Central

    Hancke, Kasper; Dalsgaard, Tage; Sejr, Mikael Kristian; Markager, Stiig; Glud, Ronnie Nøhr

    2015-01-01

    Accurate quantification of pelagic primary production is essential for quantifying the marine carbon turnover and the energy supply to the food web. Knowing the electron requirement (Κ) for carbon (C) fixation (Κ C) and oxygen (O2) production (Κ O2), variable fluorescence has the potential to quantify primary production in microalgae, and hereby increasing spatial and temporal resolution of measurements compared to traditional methods. Here we quantify Κ C and Κ O2 through measures of Pulse Amplitude Modulated (PAM) fluorometry, C fixation and O2 production in an Arctic fjord (Godthåbsfjorden, W Greenland). Through short- (2h) and long-term (24h) experiments, rates of electron transfer (ETRPSII), C fixation and/or O2 production were quantified and compared. Absolute rates of ETR were derived by accounting for Photosystem II light absorption and spectral light composition. Two-hour incubations revealed a linear relationship between ETRPSII and gross 14C fixation (R2 = 0.81) during light-limited photosynthesis, giving a Κ C of 7.6 ± 0.6 (mean ± S.E.) mol é (mol C)−1. Diel net rates also demonstrated a linear relationship between ETRPSII and C fixation giving a Κ C of 11.2 ± 1.3 mol é (mol C)−1 (R2 = 0.86). For net O2 production the electron requirement was lower than for net C fixation giving 6.5 ± 0.9 mol é (mol O2)−1 (R2 = 0.94). This, however, still is an electron requirement 1.6 times higher than the theoretical minimum for O2 production [i.e. 4 mol é (mol O2)−1]. The discrepancy is explained by respiratory activity and non-photochemical electron requirements and the variability is discussed. In conclusion, the bio-optical method and derived electron requirement support conversion of ETR to units of C or O2, paving the road for improved spatial and temporal resolution of primary production estimates. PMID:26218096

  2. Carbon Dynamics of Bioenergy Cropping Systems Compared to Conventional Cotton Cropping Systems in the Southern Cotton Belt Region of the U.S.

    NASA Astrophysics Data System (ADS)

    Rajan, N.; Sharma, S.; Casey, K.; Maas, S. J.

    2015-12-01

    We are facing an unprecedented challenge in securing America's energy future. To address this challenge, increased biofuel crop production is needed. Second-generation biofuels are made from the by-products of intensive agriculture or from less-intensive agriculture on more marginal lands. The Southwestern U.S. Cotton Belt can play a significant role in this effort through a change from more conventional crops (like continuous cotton) to second-generation biofuel feedstocks (biomass sorghum and perennial grasses). We have established eddy covariance flux towers in producer fields in the Southern High Plains region. Among the four land uses compared, the net carbon uptake was the highest for the biomass sorghum field. During the year 2014, the biomass sorghum field gained approximately 672 gC m-2y-1. The next highest carbon uptake was recorded for the Old World Bluestem grass field, which was approximately 301 gC m-2y-1. The dominant land use in the region is cotton. While the forage sorghum and grass fields acted as net carbon sinks, the irrigated cotton field acted as a net carbon source to the atmosphere during the same period. The irrigated cotton field exhibited a net carbon loss of approximately 246 gC m-2y-1. In contrast, the dryland cotton field acted as a net carbon sink, with a total uptake of approximately 58 g C m-2y-1. The net primary production of the irrigated cotton field was higher than that of the dryland cotton field, yet the irrigated field was a significant carbon source to the atmosphere. This was due to conventional tillage practices combined with irrigation which enhanced the ecosystem respiration significantly compared to the dryland field. In 2014, an early spring cold front caused poor germination of seeds in the majority of the cotton fields in the region, including the eddy covariance site. This site was re-planted on 9 June, which shortened the growing season for cotton. This was also a contributing factor to this field being a net carbon source. When only seasonal data were considered (i.e, from planting to harvest), the biomass sorghum field was the largest net C sink (-668 g C m-2y-1) followed by the grassland field (-298 g C m-2y-1). Among the two cotton fields, the irrigated cotton field remained a net carbon source (38 g C m-2y-1), while the dryland field was a net carbon sink (-127 g C m-2y-1).

  3. Serum Hepatocyte Growth Factor Is Probably Associated With 3-Month Prognosis of Acute Ischemic Stroke.

    PubMed

    Zhu, Zhengbao; Xu, Tan; Guo, Daoxia; Huangfu, Xinfeng; Zhong, Chongke; Yang, Jingyuan; Wang, Aili; Chen, Chung-Shiuan; Peng, Yanbo; Xu, Tian; Wang, Jinchao; Sun, Yingxian; Peng, Hao; Li, Qunwei; Ju, Zhong; Geng, Deqin; Chen, Jing; Zhang, Yonghong; He, Jiang

    2018-02-01

    Serum hepatocyte growth factor (HGF) is positively associated with poor prognosis of heart failure and myocardial infarction, and it can also predict the risk of ischemic stroke in population. The goal of this study was to investigate the association between serum HGF and prognosis of ischemic stroke. A total of 3027 acute ischemic stroke patients were included in this post hoc analysis of the CATIS (China Antihypertensive Trial in Acute Ischemic Stroke). The primary outcome was composite outcome of death or major disability (modified Rankin Scale score ≥3) within 3 months. After multivariate adjustment, elevated HGF levels were associated with an increased risk of primary outcome (odds ratio, 1.50; 95% confidence interval, 1.10-2.03; P trend =0.015) when 2 extreme quartiles were compared. Each SD increase of log-transformed HGF was associated with 14% (95% confidence interval, 2%-27%) increased risk of primary outcome. Adding HGF quartiles to a model containing conventional risk factors improved the predictive power for primary outcome (net reclassification improvement: 17.50%, P <0.001; integrated discrimination index: 0.23%, P =0.022). The association between serum HGF and primary outcome could be modified by heparin pre-treatment ( P interaction =0.001), and a positive linear dose-response relationship between HGF and primary outcome was observed in patients without heparin pre-treatment ( P linearity <0.001) but not in those with heparin pre-treatment. Serum HGF levels were higher in the more severe stroke at baseline, and elevated HGF levels were probably associated with 3-month poor prognosis independently of stroke severity among ischemic stroke patients, especially in those without heparin pre-treatment. Further studies from other samples of ischemic stroke patients are needed to validate our findings. © 2018 American Heart Association, Inc.

  4. Impact of patient-centered medical home assignment on emergency room visits among uninsured patients in a county health system.

    PubMed

    Roby, Dylan H; Pourat, Nadereh; Pirritano, Matthew J; Vrungos, Shelley M; Dajee, Himmet; Castillo, Dan; Kominski, Gerald F

    2010-08-01

    The Medical Services Initiative program--a safety net-based system of care--in Orange County included assignment of uninsured, low-income residents to a patient-centered medical home. The medical home provided case management, a team-based approach for treating disease, and increased access to primary and specialty care among other elements of a patient-centered medical home. Providers were paid an enhanced fee and pay-for-performance incentives to ensure delivery of comprehensive treatment. Medical Services Initiative enrollees who were assigned to a medical home for longer time periods were less likely to have any emergency room (ER) visits or multiple ER visits. Switching medical homes three or more times was associated with enrollees being more likely to have any ER visits or multiple ER visits. The findings provide evidence that successful implementation of the patient-centered medical home model in a county-based safety net system is possible and can reduce unnecessary ER use.

  5. Biophysical feedbacks mediate carbonate chemistry in coastal ecosystems across spatiotemporal gradients.

    PubMed

    Silbiger, Nyssa J; Sorte, Cascade J B

    2018-01-15

    Ocean acidification (OA) projections are primarily based on open ocean environments, despite the ecological importance of coastal systems in which carbonate dynamics are fundamentally different. Using temperate tide pools as a natural laboratory, we quantified the relative contribution of community composition, ecosystem metabolism, and physical attributes to spatiotemporal variability in carbonate chemistry. We found that biological processes were the primary drivers of local pH conditions. Specifically, non-encrusting producer-dominated systems had the highest and most variable pH environments and the highest production rates, patterns that were consistent across sites spanning 11° of latitude and encompassing multiple gradients of natural variability. Furthermore, we demonstrated a biophysical feedback loop in which net community production increased pH, leading to higher net ecosystem calcification. Extreme spatiotemporal variability in pH is, thus, both impacting and driven by biological processes, indicating that shifts in community composition and ecosystem metabolism are poised to locally buffer or intensify the effects of OA.

  6. Metadata management and semantics in microarray repositories.

    PubMed

    Kocabaş, F; Can, T; Baykal, N

    2011-12-01

    The number of microarray and other high-throughput experiments on primary repositories keeps increasing as do the size and complexity of the results in response to biomedical investigations. Initiatives have been started on standardization of content, object model, exchange format and ontology. However, there are backlogs and inability to exchange data between microarray repositories, which indicate that there is a great need for a standard format and data management. We have introduced a metadata framework that includes a metadata card and semantic nets that make experimental results visible, understandable and usable. These are encoded in syntax encoding schemes and represented in RDF (Resource Description Frame-word), can be integrated with other metadata cards and semantic nets, and can be exchanged, shared and queried. We demonstrated the performance and potential benefits through a case study on a selected microarray repository. We concluded that the backlogs can be reduced and that exchange of information and asking of knowledge discovery questions can become possible with the use of this metadata framework.

  7. The relative effectiveness of managed care penetration and the healthcare safety net in reducing avoidable hospitalizations.

    PubMed

    Pracht, Etienne E; Orban, Barbara L; Comins, Meg M; Large, John T; Asin-Oostburg, Virginia

    2011-01-01

    Avoidable hospitalizations represent a key indicator for access to, and the quality of, primary care. Therefore, understanding their behavior is essential in terms of management of healthcare resources and costs. This analysis examines the affect of 2 healthcare strategies on the rate of avoidable hospitalization, managed care and the healthcare safety net. The avoidable hospitalizations definition developed by Weissman et al. (1992) was used to identify relevant inpatient episodes. A 2-stage simultaneous equations multivariate regression model with instrumental variables was used to estimate the relative influence of HMO penetration and the composition of local hospital markets on the rate of avoidable hospitalizations. Control variables in the model include healthcare supply and demand, demographic, socioeconomic, and health status characteristics. Increased market presence of public hospitals significantly reduced avoidable hospitalizations. HMO penetration did not influence the rate of avoidable hospitalizations. The results suggest that public investments in healthcare facilities and infrastructure are more effective in reducing avoidable hospitalizations. © 2011 National Association for Healthcare Quality.

  8. Global change-type drought-induced tree mortality: vapor pressure deficit is more important than temperature per se in causing decline in tree health

    PubMed Central

    Eamus, Derek; Boulain, Nicolas; Cleverly, James; Breshears, David D

    2013-01-01

    Abstract Drought-induced tree mortality is occurring across all forested continents and is expected to increase worldwide during the coming century. Regional-scale forest die-off influences terrestrial albedo, carbon and water budgets, and land-surface energy partitioning. Although increased temperatures during drought are widely identified as a critical contributor to exacerbated tree mortality associated with “global-change-type drought”, corresponding changes in vapor pressure deficit (D) have rarely been considered explicitly and have not been disaggregated from that of temperature per se. Here, we apply a detailed mechanistic soil–plant–atmosphere model to examine the impacts of drought, increased air temperature (+2°C or +5°C), and increased vapor pressure deficit (D; +1 kPa or +2.5 kPa), singly and in combination, on net primary productivity (NPP) and transpiration and forest responses, especially soil moisture content, leaf water potential, and stomatal conductance. We show that increased D exerts a larger detrimental effect on transpiration and NPP, than increased temperature alone, with or without the imposition of a 3-month drought. Combined with drought, the effect of increased D on NPP was substantially larger than that of drought plus increased temperature. Thus, the number of days when NPP was zero across the 2-year simulation was 13 or 14 days in the control and increased temperature scenarios, but increased to approximately 200 days when D was increased. Drought alone increased the number of days of zero NPP to 88, but drought plus increased temperature did not increase the number of days. In contrast, drought and increased D resulted in the number of days when NPP = 0 increasing to 235 (+1 kPa) or 304 days (+2.5 kPa). We conclude that correct identification of the causes of global change-type mortality events requires explicit consideration of the influence of D as well as its interaction with drought and temperature. This study disaggregates the influence of temperature and vapour pressure deficit on net primary productivity of an Australian woodland and their interactions with drought as potential causal agents in recent widespread forest mortality. PMID:24567834

  9. Recent evolution of China's virtual water trade: analysis of selected crops and considerations for policy

    NASA Astrophysics Data System (ADS)

    Shi, J.; Liu, J.; Pinter, L.

    2014-04-01

    China has dramatically increased its virtual water import over recent years. Many studies have focused on the quantity of traded virtual water, but very few go into analysing geographic distribution and the properties of China's virtual water trade network. This paper provides a calculation and analysis of the crop-related virtual water trade network of China based on 27 major primary crops between 1986 and 2009. The results show that China is a net importer of virtual water from water-abundant areas of North America and South America, and a net virtual water exporter to water-stressed areas of Asia, Africa, and Europe. Virtual water import is far larger than virtual water export, and in both import and export a small number of trade partners control the supply chain. Grain crops are the major contributors to virtual water trade, and among grain crops, soybeans, mostly imported from the US, Brazil and Argentina, are the most significant. In order to mitigate water scarcity and secure the food supply, virtual water should actively be incorporated into national water management strategies. And the sources of virtual water import need to be further diversified to reduce supply chain risks and increase resilience.

  10. An Economic Analysis of Pigeonpea Seed Production Technology and Its Adoption Behavior: Indian Context.

    PubMed

    Pal, Govind; Channanamchery, Radhika; Singh, R K; Kethineni, Udaya Bhaskar; Ram, H; Prasad, S Rajendra

    2016-01-01

    The present study was based on primary data collected from 100 farmers in Gulbarga district of Karnataka, India, during the agricultural year 2013-2014. Study shows that average land holding size of pigeonpea seed farmers was higher in comparison to grain farmers and district average. The study illustrates a ratio of 32 : 68 towards fixed and variable costs in pigeonpea certified seed production with a total cost of ₹ 39436 and the gross and net returns were ₹ 73300 and ₹ 33864 per hectare, respectively. The total cost of cultivation, gross return, and net return in pigeonpea seed production were higher by around 23, 32, and 44 percent than grain production, respectively. Hence, production of certified seed has resulted in a win-win situation for the farmers with higher yield and increased returns. The decision of the farmer on adoption of seed production technology was positively influenced by his education, age, land holding, irrigated land, number of crops grown, and extension contacts while family size was influencing negatively. Higher yield and profitability associated with seed production can be effectively popularized among farmers, resulting in increased certified seed production.

  11. Grazing impacts on soil carbon fractions and soil water dynamics in subalpine ecosystems

    NASA Astrophysics Data System (ADS)

    Gill, R. A.

    2005-12-01

    The mountain lands of the intermountain west are vital to the wellbeing of human communities in the adjacent valleys, providing these communities with water, important summer forage for wildlife and domestic livestock, and possibly the sequestration of anthropogenic carbon. In this work, I build on a 90-year old grazing experiment in mountain meadows on the Wasatch Plateau in central Utah. Long-term grazing significantly reduced aboveground net primary production (ANPP) in all years compared with plots within grazing exclosures, even though these plots were not grazed during the study period. Livestock grazing had no impacts on total soil C or particulate organic matter stocks, although grazing did alter soil C chemistry and soil water dynamics. Grazing significantly increased the proportion of total soil C stocks that were potentially mineralizable in the laboratory. Volumetric soil moisture was consistently higher in ungrazed plots than grazed plots. In addition, there was a 0.5-1% increase in ^13C in grazed plots compared to paired ungrazed plots, supporting the conclusion that grazing significantly increases periods of water stress. Because grazing has resulted in an accumulation of easily decomposable organic material, if temperatures warm and summer precipitation increases as is anticipated, these soils may become net sources of carbon to the atmosphere creating a positive feedback between climate change and atmospheric CO2.

  12. Changing ecophysiological processes and carbon budget in East Asian ecosystems under near-future changes in climate: implications for long-term monitoring from a process-based model.

    PubMed

    Ito, Akihiko

    2010-07-01

    Using a process-based model, I assessed how ecophysiological processes would respond to near-future global changes predicted by coupled atmosphere-ocean climate models. An ecosystem model, Vegetation Integrative SImulator for Trace gases (VISIT), was applied to four sites in East Asia (different types of forest in Takayama, Tomakomai, and Fujiyoshida, Japan, and an Alpine grassland in Qinghai, China) where observational flux data are available for model calibration. The climate models predicted +1-3 degrees C warming and slight change in annual precipitation by 2050 as a result of an increase in atmospheric CO2. Gross primary production (GPP) was estimated to increase substantially at each site because of improved efficiency in the use of water and radiation. Although increased respiration partly offset the GPP increase, the simulation showed that these ecosystems would act as net carbon sinks independent of disturbance-induced uptake for recovery. However, the carbon budget response relied strongly on nitrogen availability, such that photosynthetic down-regulation resulting from leaf nitrogen dilution largely decreased GPP. In relation to long-term monitoring, these results indicate that the impacts of global warming may be more evident in gross fluxes (e.g., photosynthesis and respiration) than in the net CO2 budget, because changes in these fluxes offset each other.

  13. Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Women: US Preventive Services Task Force Recommendation Statement.

    PubMed

    Grossman, David C; Curry, Susan J; Owens, Douglas K; Barry, Michael J; Davidson, Karina W; Doubeni, Chyke A; Epling, John W; Kemper, Alex R; Krist, Alex H; Kurth, Ann E; Landefeld, C Seth; Mangione, Carol M; Phipps, Maureen G; Silverstein, Michael; Simon, Melissa A; Tseng, Chien-Wen

    2017-12-12

    Menopause occurs at a median age of 51.3 years, and the average US woman who reaches menopause is expected to live another 30 years. The prevalence and incidence of most chronic conditions, such as coronary heart disease, dementia, stroke, fractures, and breast cancer, increase with age; however, the excess risk for these conditions that can be attributed to menopause alone is uncertain. Since the publication of findings from the Women's Health Initiative that hormone therapy use is associated with serious adverse health effects in postmenopausal women, use of menopausal hormone therapy has declined. To update the 2012 US Preventive Services Task Force (USPSTF) recommendation on the use of menopausal hormone therapy for the primary prevention of chronic conditions. The USPSTF reviewed the evidence on the benefits and harms of systemic (ie, oral or transdermal) hormone therapy for the prevention of chronic conditions in postmenopausal women and whether outcomes vary among women in different subgroups or by timing of intervention after menopause. The review did not address hormone therapy for preventing or treating menopausal symptoms. Although the use of hormone therapy to prevent chronic conditions in postmenopausal women is associated with some benefits, there are also well-documented harms. The USPSTF determined that the magnitude of both the benefits and the harms of hormone therapy in postmenopausal women is small to moderate. Therefore, the USPSTF concluded with moderate certainty that combined estrogen and progestin has no net benefit for the primary prevention of chronic conditions for most postmenopausal women with an intact uterus and that estrogen alone has no net benefit for the primary prevention of chronic conditions for most postmenopausal women who have had a hysterectomy. The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women. (D recommendation) The USPSTF recommends against the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy. (D recommendation).

  14. Linking Net Community Production and Hydrography Under La Nina and El Nino conditions in the Eastern Tropical South Pacific (ETSP)

    NASA Astrophysics Data System (ADS)

    Prokopenko, M. G.

    2016-02-01

    Presence of the Subantarctic Mode Water (SAMW) in the upper thermocline of the ETSP results in steep vertical gradients in the major nutrient stoichiometry, specifically the silicate to nitrate ratio. Thus, biological export production within the High Nutrient Low Chlorophyll (HNLC) and low-silicate waters of the northern ETSP, the region of high CO2 outgassing, is likely to be particularly sensitive to the variability in the hydrographic conditions that determine the depth of origin for the waters upwelled into the euphotic zone. During two cruises, in spring 2010 (mild El Nino), and in spring 2011 (moderately strong La Nina), we quantified Net Community Production rates (NCP, as Net biological O2 production), based on O2/Ar supersaturation ratios measured along 10S between the coast of Peru and 100W. Biases in the estimates of the net biological O2 production within the mixed layer arising from non-equilibrium O2 fluxes from the Oxygen Minimum Zone below, were quantified with a regional box model of coupled oxygen-nitrate mass balances. Potential export efficiencies along the 10S transect were derived from the comparison between satellite-based Net Primary Production and our field-based NCP estimates. Somewhat predictably, regional NCP rates and potential export efficiency, as well as the degree of the biological nitrate uptake were higher under the La Nina than under the El Nino conditions, likely due to deeper origin of the upwelled waters characterized by the higher silicate to nitrate ratios. A less intuitive implication is that while reducing the CO2 outgassing by the increased biological carbon uptake locally, the La Nina-enhanced export production within the ETSP may transiently diminish basin-scale capacity for the oceanic biological CO2 uptake by enhancing the fixed nitrogen losses, This may occur via expanding the vertical extent of the regional OMZ, as was observed at several stations along the cruise tracks in 2011, which in turn may drive an increase in the magnitude of regional denitrification. Further work would test this hypothesis.

  15. Cotransfecting norepinephrine transporter and vesicular monoamine transporter 2 genes for increased retention of metaiodobenzylguanidine labeled with iodine 131 in malignant hepatocarcinoma cells.

    PubMed

    Zhao, Yanlin; Zhong, Xiao; Ou, Xiaohong; Cai, Huawei; Wu, Xiaoai; Huang, Rui

    2017-03-01

    Norepinephrine transporter (NET) transfection leads to significant uptake of iodine-131-labeled metaiodobenzylguanidine ( 131 I-MIBG) in non-neuroendocrine tumors. However, the use of 131 I-MIBG is limited by its short retention time in target cells. To prolong the retention of 131 I-MIBG in target cells, we infected hepatocarcinoma (HepG2) cells with Lentivirus-encoding human NET and vesicular monoamine transporter 2 (VMAT2) genes to obtain NET-expressing, NET-VMAT2-coexpressing, and negative-control cell lines. We evaluated the uptake and efflux of 131 I-MIBG both in vitro and in vivo in mice bearing transfected tumors. NET-expressing and NET-VMAT2-coexpressing cells respectively showed 2.24 and 2.22 times higher 131 I-MIBG uptake than controls. Two hours after removal of 131 I-MIBG-containing medium, 25.4% efflux was observed in NET-VMAT2-coexpressing cells and 38.6% in NET-expressing cells. In vivo experiments were performed in nude mice bearing transfected tumors; results revealed that NET-VMAT2-coexpressing tumors had longer 131 I-MIBG retention time than NET-expressing tumors. Meanwhile, NET-VMAT2-coexpressing and NET-expressing tumors displayed 0.54% and 0.19%, respectively, of the injected dose per gram of tissue 24 h after 131 I-MIBG administration. Cotransfection of HepG2 cells with NET and VMAT2 resulted in increased 131 I-MIBG uptake and retention. However, the degree of increase was insufficient to be therapeutically effective in target cells.

  16. Agricultural conversion reduces biospheric vegetation productivity in the absence of external inputs

    NASA Astrophysics Data System (ADS)

    Smith, W. K.; Cleveland, C. C.; Reed, S.; Running, S. W.

    2013-12-01

    Increasing global population, energy demand, and standard of living has driven humanity to co-opt a growing share of the planet's natural resources resulting in many well-known environmental trade-offs. Here, we explored the impact of global-scale agricultural production on a basic resource fundamental to life on Earth: global terrestrial vegetation growth (net primary production; NPP). First, we compared current rates of agricultural NPP - derived from crop-specific agricultural statistics - with rates of natural NPP - derived from satellite measurements. Next, we disaggregated our results by climate zone, conversion type, crop type, management intensity, and region to identify where agricultural conversion has driven significant degradation of biospheric NPP. At the global-scale, our data indicate that agricultural conversion has resulted in a ~7% reduction in biospheric NPP (ΔNPP), although the impact varied widely at the pixel level. Positive ΔNPP values, signifying an increase in NPP due to agricultural conversion, occurred only in areas receiving significant external water and nutrient inputs (i.e., intensively managed areas). Conversely, negative ΔNPP values, signifying a reduction in NPP due to agricultural conversion, occurred over ~90% of agricultural lands globally, with the largest reductions in areas formerly occupied by tropical forests and savannas (71% and 66% reductions in NPP, respectively). Without new global-scale policies that explicitly consider changes in NPP due to land cover conversion, future demand-driven increases in agricultural output - likely dependent on some level of expansion into natural ecosystems - could continue to drive net declines in biospheric NPP, with potential detrimental consequences for global carbon storage. A spatially explicit estimate of the effect of agricultural land cover conversion on natural primary production for 20 staple crops. ΔNPP was estimated independently for a) irrigated, b) high input, c) low input, and d) subsistence management intensities. All remaining vegetated land is represented in grey, while barren land is represented in white. Globally, agricultural land cover conversion has reduced natural primary production by 3.0 × 0.68 Pg C y-1 (i.e., a ~7% reduction in biospheric NPP), with a disproportionately large percentage of this reduction attributable to the conversion of temperate (~44%) and tropical (~50%) ecosystems.

  17. Insights into mechanisms governing forest carbon response to nitrogen deposition: a model-data comparison using observed responses to nitrogen addition

    NASA Astrophysics Data System (ADS)

    Thomas, R. Q.; Bonan, G. B.; Goodale, C. L.

    2013-01-01

    In many forest ecosystems, nitrogen (N) deposition enhances plant uptake of carbon dioxide, thus reducing climate warming from fossil fuel emissions. Therefore, accurately modeling how forest carbon (C) sequestration responds to N deposition is critical for understanding how future changes in N availability will influence climate. Here, we use observations of forest C response to N inputs along N deposition gradients and at five temperate forest sites with fertilization experiments to test and improve a~global biogeochemical model (CLM-CN 4.0). We show that the CLM-CN plant C growth response to N deposition was smaller than observed and the modeled response to N fertilization was larger than observed. A set of modifications to the CLM-CN improved the correspondence between model predictions and observational data (1) by increasing the aboveground C storage in response to historical N deposition (1850-2004) from 14 to 34 kg C per additional kg N added through deposition and (2) by decreasing the aboveground net primary productivity response to N fertilization experiments from 91 to 57 g C m-2 yr-1. Modeled growth response to N deposition was most sensitive to altering the processes that control plant N uptake and the pathways of N loss. The response to N deposition also increased with a more closed N cycle (reduced N fixation and N gas loss) and decreased when prioritizing microbial over plant uptake of soil inorganic N. The net effect of all the modifications to the CLM-CN resulted in greater retention of N deposition and a greater role of synergy between N deposition and rising atmospheric CO2 as a mechanism governing increases in temperate forest primary production over the 20th century. Overall, testing models with both the response to gradual increases in N inputs over decades (N deposition) and N pulse additions of N over multiple years (N fertilization) allows for greater understanding of the mechanisms governing C-N coupling.

  18. Insights into mechanisms governing forest carbon response to nitrogen deposition: a model-data comparison using observed responses to nitrogen addition

    NASA Astrophysics Data System (ADS)

    Thomas, R. Q.; Bonan, G. B.; Goodale, C. L.

    2013-06-01

    In many forest ecosystems, nitrogen (N) deposition enhances plant uptake of carbon dioxide, thus reducing climate warming from fossil fuel emissions. Therefore, accurately modeling how forest carbon (C) sequestration responds to N deposition is critical for understanding how future changes in N availability will influence climate. Here, we use observations of forest C response to N inputs along N deposition gradients and at five temperate forest sites with fertilization experiments to test and improve a global biogeochemical model (CLM-CN 4.0). We show that the CLM-CN plant C growth response to N deposition was smaller than observed and the modeled response to N fertilization was larger than observed. A set of modifications to the CLM-CN improved the correspondence between model predictions and observational data (1) by increasing the aboveground C storage in response to historical N deposition (1850-2004) from 14 to 34 kg C per additional kg N added through deposition and (2) by decreasing the aboveground net primary productivity response to N fertilization experiments from 91 to 57 g C m-2 yr-1. Modeled growth response to N deposition was most sensitive to altering the processes that control plant N uptake and the pathways of N loss. The response to N deposition also increased with a more closed N cycle (reduced N fixation and N gas loss) and decreased when prioritizing microbial over plant uptake of soil inorganic N. The net effect of all the modifications to the CLM-CN resulted in greater retention of N deposition and a greater role of synergy between N deposition and rising atmospheric CO2 as a mechanism governing increases in temperate forest primary production over the 20th century. Overall, testing models with both the response to gradual increases in N inputs over decades (N deposition) and N pulse additions of N over multiple years (N fertilization) allows for greater understanding of the mechanisms governing C-N coupling.

  19. Patterns of net migration by age for U.S. counties 1950-1980: the impact of increasing spatial differentiation by life cycle.

    PubMed

    Mueser, P R; White, M J; Tierney, J P

    1988-01-01

    This paper examines age patterns of net migration for US counties, arguing that the shift in the character of population redistribution will be reflected in the age structure of net migration across counties. The authors hypothesize that the increased specialization of counties with respect to activities characteristic of particular states of the life cycle would be evident in the greater dispersion of net migration rates at selected ages. For the 1950s and the 1960s, the authors used net migration estimates for US counties calculated by age, race, and sex by Gladys Bowles and colleagues. For 1970-1980, the authors constructed estimates. The study analyzed over 3000 counties or county equivalents. The results of the analysis confirm the importance of changes in age- specific patterns and provide support for the hypothesis. The increasing importance of localized amenities and an associated growth of age-specialized institutional structures across location, serves to increase concentration of net migration in certain age groups. Specifically, 1) nonmetropolitan counties become particularly attractive to migrants in their late 20s and early 30s; 2) since 1970, the dispersion of net migration rates for those over 30 have increased appreciably; 3) the degree of dispersion differs greatly across regions and is especially large among counties in the West; 4) metropolitan counties exhibit declines in the dispersion of net migration rate from the 1950s to the 1960s, which may indicate the exhaustion of the most attractive urban opportunities; and 5) since 1970, dispersion has increased, especially for rates applying to those over age 55, suggesting increased age specialization among metropolitan counties. Thus, changes in both the median rates of net migration and the dispersion of those rates are consistent with increased specialization in the age-related opportunities and services those counties provide. New patterns of net migration by age suggest that change in both the causes and effects of migration go far beyond a simple shift in the balance of population flows.

  20. Medicaid Managed Care Model of Primary Care and Health Care Management for Individuals with Developmental Disabilities

    ERIC Educational Resources Information Center

    Kastner, Theodore A.; Walsh, Kevin K.

    2006-01-01

    Lack of sufficient accessible community-based health care services for individuals with developmental disabilities has led to disparities in health outcomes and an overreliance on expensive models of care delivered in hospitals and other safety net or state-subsidized providers. A functioning community-based primary health care model, with an…

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