Below-ground carbon flux and partitioning: global patterns and response to temperature

Treesearch

C.M. Litton; C.P. Giardina

2008-01-01

1. The fraction of gross primary production (GPP) that is total below-ground carbon flux (TBCF) and the fraction of TBCF that is below-ground net primary production (BNPP) represent globally significant C fluxes that are fundamental in regulating ecosystem C balance. However, global estimates of the partitioning of GPP to TBCF and of TBCF to BNPP, as well as the...

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.

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

Two-step optimization of pressure and recovery of reverse osmosis desalination process.

PubMed

Liang, Shuang; Liu, Cui; Song, Lianfa

2009-05-01

Driving pressure and recovery are two primary design variables of a reverse osmosis process that largely determine the total cost of seawater and brackish water desalination. A two-step optimization procedure was developed in this paper to determine the values of driving pressure and recovery that minimize the total cost of RO desalination. It was demonstrated that the optimal net driving pressure is solely determined by the electricity price and the membrane price index, which is a lumped parameter to collectively reflect membrane price, resistance, and service time. On the other hand, the optimal recovery is determined by the electricity price, initial osmotic pressure, and costs for pretreatment of raw water and handling of retentate. Concise equations were derived for the optimal net driving pressure and recovery. The dependences of the optimal net driving pressure and recovery on the electricity price, membrane price, and costs for raw water pretreatment and retentate handling were discussed.

The relationship between safety net activities and hospital financial performance

PubMed Central

2010-01-01

Background During the 1990's hospitals in the U.S were faced with cost containment charges, which may have disproportionately impacted hospitals that serve poor patients. The purposes of this paper are to study the impact of safety net activities on total profit margins and operating expenditures, and to trace these relationships over the 1990s for all U.S urban hospitals, controlling for hospital and market characteristics. Methods The primary data source used for this analysis is the Annual Survey of Hospitals from the American Hospital Association and Medicare Hospital Cost Reports for years 1990-1999. Ordinary least square, hospital fixed effects, and two-stage least square analyses were performed for years 1990-1999. Logged total profit margin and operating expenditure were the dependent variables. The safety net activities are the socioeconomic status of the population in the hospital serving area, and Medicaid intensity. In some specifications, we also included uncompensated care burden. Results We found little evidence of negative effects of safety net activities on total margin. However, hospitals serving a low socioeconomic population had lower expenditure raising concerns for the quality of the services provided. Conclusions Despite potentially negative policy and market changes during the 1990s, safety net activities do not appear to have imperiled the survival of hospitals. There may, however, be concerns about the long-term quality of the services for hospitals serving low socioeconomic population. PMID:20074367

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.

Carbon-Water-Energy Relations for Selected River Basins

NASA Technical Reports Server (NTRS)

Choudhury, B. J.

1998-01-01

A biophysical process-based model was run using satellite, assimilated and ancillary data for four years (1987-1990) to calculate components of total evaporation (transpiration, interception, soil and snow evaporation), net radiation, absorbed photosynthetically active radiation and net primary productivity over the global land surface. Satellite observations provided fractional vegetation cover, solar and photosynthetically active radiation incident of the surface, surface albedo, fractional cloud cover, air temperature and vapor pressure. The friction velocity and surface air pressure are obtained from a four dimensional data assimilation results, while precipitation is either only surface observations or a blended product of surface and satellite observations. All surface and satellite data are monthly mean values; precipitation has been disaggregated into daily values. All biophysical parameters of the model are prescribed according to published records. From these global land surface calculations results for river basins are derived using digital templates of basin boundaries. Comparisons with field observations (micrometeorologic, catchment water balance, biomass production) and atmospheric water budget analysis for monthly evaporation from six river basins have been done to assess errors in the calculations. Comparisons are also made with previous estimates of zonal variations of evaporation and net primary productivity. Efficiencies of transpiration, total evaporation and radiation use, and evaporative fraction for selected river basins will be presented.

Arctic shelves as platforms for biogeochemical activity: Nitrogen and carbon transformations in the Chukchi Sea, Alaska

NASA Astrophysics Data System (ADS)

Hardison, Amber K.; McTigue, Nathan D.; Gardner, Wayne S.; Dunton, Kenneth H.

2017-10-01

Continental shelves comprise <5% of global ocean area but may account for a disproportionate 30% of primary production, 80% of organic matter burial, and >50% of marine denitrification. The Hanna Shoal region, part of the continental shelf system in the northeast Chukchi Sea, Alaska, is recognized for its high biodiversity and productivity. We investigated the role of sediments in organic matter decomposition and nutrient cycling at five stations on the shallow Hanna Shoal. In particular, we asked (1) how much sediment organic matter is remineralized in the Chukchi Sea, and what factors drive this degradation, (2) do sediments function as a net source for fixed nitrogen (thus fueling primary production in the overlying water), or as a net sink for fixed nitrogen (thereby removing it from the system), and (3) what is the balance between sediment NH4+ uptake and regeneration, and what factors drive NH4+ cycling? We conducted dark sediment core incubations to measure sediment O2 consumption, net N2 and nutrient (NH4+, NO3-, NO2-, PO43-) fluxes, and rates of sediment NH4+ cycling, including uptake and regeneration. Rates of sediment O2 consumption and NH4+ and PO43- efflux suggest that high organic matter remineralization rates occurred in these cold (-2 °C) sediments. We estimated that total organic carbon remineralization accounted for 20-57% of summer export production measured on the Chukchi Shelf. Net N2 release was the dominant nitrogen flux, indicating that sediments acted as a net sink for bioavailable nitrogen via denitrification. Organic carbon remineralization via denitrification accounted for 6-12% of summer export production, which made up 25% of the total organic carbon oxidized in Hanna Shoal sediments. These shallow, productive Arctic shelves are ;hotspots; for organic matter remineralization.

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.

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

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.

26 CFR 1.907(c)-3 - FOGEI and FORI taxes (for taxable years beginning after December 31, 1982).

Code of Federal Regulations, 2013 CFR

2013-04-01

...: Royalties 1.44 0 Lifting .20 0 Transporting 0 .80 Total 1.64 .80 Net Income 9.36 .20 (vii) Under paragraph... Example 3. Assume further that X refines the crude oil into primary products prior to export and Y imposes...

26 CFR 1.907(c)-3 - FOGEI and FORI taxes (for taxable years beginning after December 31, 1982).

Code of Federal Regulations, 2011 CFR

2011-04-01

...: Royalties 1.44 0 Lifting .20 0 Transporting 0 .80 Total 1.64 .80 Net Income 9.36 .20 (vii) Under paragraph... Example 3. Assume further that X refines the crude oil into primary products prior to export and Y imposes...

26 CFR 1.907(c)-3 - FOGEI and FORI taxes (for taxable years beginning after December 31, 1982).

Code of Federal Regulations, 2010 CFR

2010-04-01

...: Royalties 1.44 0 Lifting .20 0 Transporting 0 .80 Total 1.64 .80 Net Income 9.36 .20 (vii) Under paragraph... Example 3. Assume further that X refines the crude oil into primary products prior to export and Y imposes...

26 CFR 1.907(c)-3 - FOGEI and FORI taxes (for taxable years beginning after December 31, 1982).

Code of Federal Regulations, 2014 CFR

2014-04-01

...: Royalties 1.44 0 Lifting .20 0 Transporting 0 .80 Total 1.64 .80 Net Income 9.36 .20 (vii) Under paragraph... Example 3. Assume further that X refines the crude oil into primary products prior to export and Y imposes...

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.

Small phytoplankton and carbon export from the surface ocean.

PubMed

Richardson, Tammi L; Jackson, George A

2007-02-09

Autotrophic picoplankton dominate primary production over large oceanic regions but are believed to contribute relatively little to carbon export from surface layers. Using analyses of data from the equatorial Pacific Ocean and Arabian Sea, we show that the relative direct and indirect contribution of picoplankton to export is proportional to their total net primary production, despite their small size. We suggest that all primary producers, not just the large cells, can contribute to export from the surface layer of the ocean at rates proportional to their production rates.

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.

Modeling and Spatially Distributing Forest Net Primary Production at the Regional Scale

Treesearch

R.A. Mickler; T.S. Earnhardt; J.A. Moore

2002-01-01

Abstract - Forest, agricultural, rangeland, wetland, and urban landscapes have different rates of carbon sequestration and total carbon sequestration potential under alternative management options. Changes in the proportion and spatial distribution of land use could enhance or degrade that area’s ability to sequester carbon in terrestrial ecosystems...

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.

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.

Net primary productivity of China's terrestrial ecosystems from a process model driven by remote sensing.

PubMed

Feng, X; Liu, G; Chen, J M; Chen, M; Liu, J; Ju, W M; Sun, R; Zhou, W

2007-11-01

The terrestrial carbon cycle is one of the foci in global climate change research. Simulating net primary productivity (NPP) of terrestrial ecosystems is important for carbon cycle research. In this study, China's terrestrial NPP was simulated using the Boreal Ecosystem Productivity Simulator (BEPS), a carbon-water coupled process model based on remote sensing inputs. For these purposes, a national-wide database (including leaf area index, land cover, meteorology, vegetation and soil) at a 1 km resolution and a validation database were established. Using these databases and BEPS, daily maps of NPP for the entire China's landmass in 2001 were produced, and gross primary productivity (GPP) and autotrophic respiration (RA) were estimated. Using the simulated results, we explore temporal-spatial patterns of China's terrestrial NPP and the mechanisms of its responses to various environmental factors. The total NPP and mean NPP of China's landmass were 2.235 GtC and 235.2 gCm(-2)yr(-1), respectively; the total GPP and mean GPP were 4.418 GtC and 465 gCm(-2)yr(-1); and the total RA and mean RA were 2.227 GtC and 234 gCm(-2)yr(-1), respectively. On average, NPP was 50.6% of GPP. In addition, statistical analysis of NPP of different land cover types was conducted, and spatiotemporal patterns of NPP were investigated. The response of NPP to changes in some key factors such as LAI, precipitation, temperature, solar radiation, VPD and AWC are evaluated and discussed.

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...

COMBINING LIDAR ESTIMATES OF BIOMASS AND LANDSAT ESTIMATES OF STAND AGE FOR SPATIALLY EXTENSIVE VALIDATION OF MODELED FOREST PRODUCTIVITY. (R828309)

EPA Science Inventory

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 (NPP_Aw) is a major component
of total NPP and...

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.

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.

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.

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.

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.

Planning and Implementing a Hospital Recycling Program at Naval Hospital, Camp Pendleton, California

DTIC Science & Technology

1992-08-01

communities have refused to license incinerators, saying "not in my back yard!" Recycling is quick, it’s economical, it can save natural resources, and...total costs - total credits) 4. Net Savings <Costs>: Present disposal Net recycling Net savings costs program costs <costs> * Assign only a...RECYCLING PROGRAM COSTS $ 9,739 (total costs - total credits) 4. Net Savings <Costs>: $ 9.287 _ $ 9.739 - S > Present disposal Net recycling Net

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%.

[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.

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 (...

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.

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.

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

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

Benefit-cost analysis of Fort Collins' municipal forest

Treesearch

E.G. McPherson; J.R. Simpson; P.J. Peper; S.E. Maco; Q. Xiao

2003-01-01

The primary purpose of this report is to answer the question: Do the accrued benefits from Fort Collins’ urban forest justify an annual municipal budget that is nearly $1 million? Our results indicate that the 31,000 streets and park trees in Fort Collins produce substantial benefits. Net annual benefits total $1.17 million ($38/tree, $9/capita). For every $1 invested...

Biogeochemical controls on mercury methylation in the Allequash Creek wetland.

PubMed

Creswell, Joel E; Shafer, Martin M; Babiarz, Christopher L; Tan, Sue-Zanne; Musinsky, Abbey L; Schott, Trevor H; Roden, Eric E; Armstrong, David E

2017-06-01

We measured mercury methylation potentials and a suite of related biogeochemical parameters in sediment cores and porewater from two geochemically distinct sites in the Allequash Creek wetland, northern Wisconsin, USA. We found a high degree of spatial variability in the methylation rate potentials but no significant differences between the two sites. We identified the primary geochemical factors controlling net methylmercury production at this site to be acid-volatile sulfide, dissolved organic carbon, total dissolved iron, and porewater iron(II). Season and demethylation rates also appear to regulate net methylmercury production. Our equilibrium speciation modeling demonstrated that sulfide likely regulated methylation rates by controlling the speciation of inorganic mercury and therefore its bioavailability to methylating bacteria. We found that no individual geochemical parameter could explain a significant amount of the observed variability in mercury methylation rates, but we found significant multivariate relationships, supporting the widely held understanding that net methylmercury production is balance of several simultaneously occurring processes.

Interannual Variation in Phytoplankton Class-specific Primary Production at a Global Scale

NASA Technical Reports Server (NTRS)

Rousseaux, Cecile; Gregg, Watson

2014-01-01

Phytoplankton is responsible for over half of the net primary production on earth. The knowledge on the contribution of various phytoplankton groups to the total primary production is still poorly understood. Data from satellite observations suggest that for upwelling regions, photosynthetic rates by microplankton is higher than that of nanoplankton but that when the spatial extent is considered, the production by nanoplankton is comparable or even larger than microplankton. Here, we used the NASA Ocean Biogeochemical Model (NOBM) combined with remote sensing data via assimilation to evaluate the contribution of 4 phytoplankton groups to the total primary production. Globally, diatoms were the group that contributed the most to the total phytoplankton production (approx. 50%) followed by coccolithophores and chlorophytes. Primary production by diatoms was highest in high latitude (>45 deg) and in major upwelling systems (Equatorial Pacific and Benguela system). We assessed the effects of climate variability on the class-specific primary production using global (i.e. Multivariate El Nino Index, MEI) and 'regional' climate indices (e.g. Southern Annular Mode (SAM), Pacific Decadal Oscillation (PDO) and North Atlantic Oscillation (NAO)). Most interannual variability occurred in the Equatorial Pacific and was associated with climate variability. These results provide a modeling and data assimilation perspective to phytoplankton partitioning of primary production and contribute to our understanding of the dynamics of the carbon cycle in the oceans at a global scale.

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.

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.

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...

Simulating Spatiotemporal Dynamics of Sichuan Grassland Net Primary Productivity Using the CASA Model and In Situ Observations

PubMed Central

Tang, Chuanjiang; Fu, Xinyu; Jiang, Dong; Zhang, Xinyue; Zhou, Su

2014-01-01

Net primary productivity (NPP) is an important indicator for grassland resource management and sustainable development. In this paper, the NPP of Sichuan grasslands was estimated by the Carnegie-Ames-Stanford Approach (CASA) model. The results were validated with in situ data. The overall precision reached 70%; alpine meadow had the highest precision at greater than 75%, among the three types of grasslands validated. The spatial and temporal variations of Sichuan grasslands were analyzed. The absorbed photosynthetic active radiation (APAR), light use efficiency (ε), and NPP of Sichuan grasslands peaked in August, which was a vigorous growth period during 2011. High values of APAR existed in the southwest regions in altitudes from 2000 m to 4000 m. Light use efficiency (ε) varied in the different types of grasslands. The Sichuan grassland NPP was mainly distributed in the region of 3000–5000 m altitude. The NPP of alpine meadow accounted for 50% of the total NPP of Sichuan grasslands. PMID:25250396

Primary productivity of angiosperm and macroalgae dominated habitats in a New England Salt Marsh: a Comparative analysis

NASA Astrophysics Data System (ADS)

Roman, C. T.; Able, K. W.; Lazzari, M. A.; Heck, K. L.

1990-01-01

Net primary productivity estimates were made for the major macrophyte dominated habitats of the Nauset Marsh system, Cape Cod, Massachusetts. Above-ground primary productivity of short form Spartina alterniflora, the dominant habitat of the system, was 664 g m -2 y -1. Productivity of the other dominant angiosperm ( Zostera marina) was estimated to range from 444-987 g m -2 y -1. The marsh creekbank habitat was dominated by an intertidal zone of fucoid algae ( Ascophyllum nodosum ecad. scorpioides, 1179 g m -2 y -1; Fucus vesiculosus, 426 g m -2 y -1), mixed intertidal filamentous algae (91 g m -2 y -1), and a subtidal zone of assorted macroalgae (68 g m -2 y -1). Intertidal mudflats were dominated by Cladophora gracilis, with net production ranging from 59-637 g m -2 y -1. These angiosperm and macrophyte and macrophyte dominated habitats produce over 3 × 10 6 kg y -1 of biomass (1·2 × 10 6 kg carbon y -1). Twenty-eight per cent (28%) of this carbon production is derived from the Zostera and macroalgae habitats. Although S. alterniflora is considered the major macrophyte primary producer in Nauset Marsh and other north temperate salt marshes, it is concluded that other habitats also contribute significantly to total system carbon production.

Primary productivity of angiosperm and macroalgae dominated habitats in a New England salt marsh: a comparative analysis

USGS Publications Warehouse

Roman, C.T.; Able, K.W.; Lazzari, M.A.; Heck, K.L.

1990-01-01

Net primary productivity estimates were made for the major macrophyte dominated habitats of the Nauset Marsh system, Cape Cod, Massachusetts. Above-ground primary productivity of short form Spartina alterniflora, the dominant habitat of the system, was 664 g m-2 y-1. Productivity of the other dominant angiosperm (Zostera marina) was estimated to range from 444?987 g m-2 y-1. The marsh creekbank habitat was dominated by an intertidal zone of fucoid algae (Ascophyllum nodosum ecad. scorpioides, 1179 g m-2 y-1; Fucus vesiculosus, 426 g m-2 y-1), mixed intertidal filamentous algae (91 g m-2 y-1), and a subtidal zone of assorted macroalgae (68 g m-2 y-1). Intertidal mudflats were dominated by Cladophora gracilis, with net production ranging from 59?637 g m-2 y-1. These angiosperm and macrophyte and macrophyte dominated habitats produce over 3 ? 106 kg y-1 of biomass (1?2 ? 106 kg carbon y-1). Twenty-eight per cent (28%) of this carbon production is derived from the Zostera and macroalgae habitats. Although S. alterniflora is considered the major macrophyte primary producer in Nauset Marsh and other north temperate salt marshes, it is concluded that other habitats also contribute significantly to total system carbon production.

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

Structure of Radicals from X-irradiated Guanine Derivatives: An Experimental and Computational Study of Sodium Guanosine Dihydrate Single Crystals

PubMed Central

Jayatilaka, Nayana; Nelson, William H.

2008-01-01

In sodium guanosine dihydrate single crystals, the guanine moiety is deprotonated at N1 due to growth from high-pH (>12) solutions. EPR and ENDOR study of crystals x-irradiated at 10 K detected evidence for three radical forms. Radical R1,characterized by two proton and two nitrogen hyperfine interactions, was identified as the product of net hydrogenation at N7 of the N1-deprotonated guanine unit. R1 exhibited an unusually distorted structure leading to net positive isotropic components of the hydrogen couplings. Radical R2, characterized by one proton and one nitrogen hyperfine coupling was identified as the primary electron loss product. This product is equivalent to that of deprotonation at N1 by the guanine cation and represents the first ENDOR characterization of that product. Radical R3, characterized by a single hydrogen hyperfine coupling, was identified as the product of net dehydrogenation at C1 of the ribose moiety. The identification of radicals R1-R3 was supported by DFT calculations on several possible structures using the B3LYP/6-311G(2df,p)//6-31G(d,p) approach. Radical R4, detected after warming the crystals to room temperature, was identified as the well-known product of net hydrogenation of C8 of the (N1-deprotonated) guanine component. Radical R1, evidently formed by protonation of the primary electron addition product, was present as roughly 60% of the total radicals detected at 10 K. Radical R2 was present as roughly 27% of the total yield, and the concentration of R3 contributed the remaining 13%. R3 is evidently the product of oneelectron oxidation followed by deprotonation; thus, the balance of oxidation and reduction products is approximately equal within experimental uncertainty. PMID:17249824

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.

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.

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.

United Kingdom Country Analysis Brief

EIA Publications

2016-01-01

The United Kingdom (UK) is the fifth-largest economy in the world in terms of gross domestic product. Following years as a net exporter of crude oil and natural gas, the UK became a net importer of both fuels in 2004 and 2005, respectively. Production from UK oil and natural gas fields peaked in the late 1990s and has generally declined over the past several years as the discovery of new reserves and new production has not kept pace with the maturation of existing fields. Production of petroleum and other liquids increased in 2015, as investments made when oil prices were high came to fruition, but the UK remains a net importer. Renewable energy use, particularly in the electric power sector, has more than doubled over the past decade (2005-14). However, petroleum and natural gas continue to account for most of UK's energy consumption. In 2014, petroleum and natural gas accounted for 36% and 33%, respectively, of total energy consumption (Figure 2).1 Coal also continues to be a significant part of total energy consumption (16% in 2014). Energy use per unit of gross domestic product (GDP) in the UK is one of the lowest among western economies. The UK has seen total primary energy consumption decline by almost 20% over the past decade (2005-14). This decline resulted from smaller contribution of energy-intensive industry to the economy, economic contraction, and improvements in energy efficiency.

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...

A Budget Impact Model for Paclitaxel-eluting Stent in Femoropopliteal Disease in France

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

De Cock, Erwin, E-mail: erwin.decock@unitedbiosource.com; Sapoval, Marc, E-mail: Marc.sapoval2@egp.aphp.fr; Julia, Pierre, E-mail: pierre.julia@egp.aphp.fr

2013-04-15

The Zilver PTX drug-eluting stent (Cook Ireland Ltd., Limerick, Ireland) represents an advance in endovascular treatments for atherosclerotic superficial femoral artery (SFA) disease. Clinical data demonstrate improved clinical outcomes compared to bare-metal stents (BMS). This analysis assessed the likely impact on the French public health care budget of introducing reimbursement for the Zilver PTX stent. A model was developed in Microsoft Excel to estimate the impact of a progressive transition from BMS to Zilver PTX over a 5-year horizon. The number of patients undergoing SFA stenting was estimated on the basis of hospital episode data. The analysis from the payermore » perspective used French reimbursement tariffs. Target lesion revascularization (TLR) after primary stent placement was the primary outcome. TLR rates were based on 2-year data from the Zilver PTX single-arm study (6 and 9 %) and BMS rates reported in the literature (average 16 and 22 %) and extrapolated to 5 years. Net budget impact was expressed as the difference in total costs (primary stenting and reinterventions) for a scenario where BMS is progressively replaced by Zilver PTX compared to a scenario of BMS only. The model estimated a net cumulative 5-year budget reduction of Euro-Sign 6,807,202 for a projected population of 82,316 patients (21,361 receiving Zilver PTX). Base case results were confirmed in sensitivity analyses. Adoption of Zilver PTX could lead to important savings for the French public health care payer. Despite higher initial reimbursement for the Zilver PTX stent, fewer expected SFA reinterventions after the primary stenting procedure result in net savings.« less

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...

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 (...

Carbon source/sink function of a subtropical, eutrophic lake determined from an overall mass balance and a gas exchange and carbon burial balance.

PubMed

Yang, Hong; Xing, Yangping; Xie, Ping; Ni, Leyi; Rong, Kewen

2008-02-01

Although studies on carbon burial in lake sediments have shown that lakes are disproportionately important carbon sinks, many studies on gaseous carbon exchange across the water-air interface have demonstrated that lakes are supersaturated with CO(2) and CH(4) causing a net release of CO(2) and CH(4) to the atmosphere. In order to more accurately estimate the net carbon source/sink function of lake ecosystems, a more comprehensive carbon budget is needed, especially for gaseous carbon exchange across the water-air interface. Using two methods, overall mass balance and gas exchange and carbon burial balance, we assessed the carbon source/sink function of Lake Donghu, a subtropical, eutrophic lake, from April 2003 to March 2004. With the overall mass balance calculations, total carbon input was 14 905 t, total carbon output was 4950 t, and net carbon budget was +9955 t, suggesting that Lake Donghu was a great carbon sink. For the gas exchange and carbon burial balance, gaseous carbon (CO(2) and CH(4)) emission across the water-air interface totaled 752 t while carbon burial in the lake sediment was 9477 t. The ratio of carbon emission into the atmosphere to carbon burial into the sediment was only 0.08. This low ratio indicates that Lake Donghu is a great carbon sink. Results showed good agreement between the two methods with both showing Lake Donghu to be a great carbon sink. This results from the high primary production of Lake Donghu, substantive allochthonous carbon inputs and intensive anthropogenic activity. Gaseous carbon emission accounted for about 15% of the total carbon output, indicating that the total output would be underestimated without including gaseous carbon exchange.

The influence of health policy and market factors on the hospital safety net.

PubMed

Bazzoli, Gloria J; Lindrooth, Richard C; Kang, Ray; Hasnain-Wynia, Romana

2006-08-01

To examine how the financial pressures resulting from the Balanced Budget Act (BBA) of 1997 interacted with private sector pressures to affect indigent care provision. American Hospital Association Annual Survey, Area Resource File, InterStudy Health Maintenance Organization files, Current Population Survey, and Bureau of Primary Health Care data. We distinguished core and voluntary safety net hospitals in our analysis. Core safety net hospitals provide a large share of uncompensated care in their markets and have large indigent care patient mix. Voluntary safety net hospitals provide substantial indigent care but less so than core hospitals. We examined the effect of financial pressure in the initial year of the 1997 BBA on uncompensated care for three hospital groups. Data for 1996-2000 were analyzed using approaches that control for hospital and market heterogeneity. All urban U.S. general acute care hospitals with complete data for at least 2 years between 1996 and 2000, which totaled 1,693 institutions. Core safety net hospitals reduced their uncompensated care in response to Medicaid financial pressure. Voluntary safety net hospitals also responded in this way but only when faced with the combined forces of Medicaid and private sector payment pressures. Nonsafety net hospitals did not exhibit similar responses. Our results are consistent with theories of hospital behavior when institutions face reductions in payment. They raise concern given continuing state budget crises plus the focus of recent federal deficit reduction legislation intended to cut Medicaid expenditures.

Virtual atmospheric mercury emission network in China.

PubMed

Liang, Sai; Zhang, Chao; Wang, Yafei; Xu, Ming; Liu, Weidong

2014-01-01

Top-down analysis of virtual atmospheric mercury emission networks can direct efficient demand-side policy making on mercury reductions. Taking China-the world's top atmospheric mercury emitter-as a case, we identify key contributors to China's atmospheric mercury emissions from both the producer and the consumer perspectives. China totally discharged 794.9 tonnes of atmospheric mercury emissions in 2007. China's production-side control policies should mainly focus on key direct mercury emitters such as Liaoning, Hebei, Shandong, Shanxi, Henan, Hunan, Guizhou, Yunnan, and Inner Mongolia provinces and sectors producing metals, nonmetallic mineral products, and electricity and heat power, while demand-side policies should mainly focus on key underlying drivers of mercury emissions such as Shandong, Jiangsu, Zhejiang, and Guangdong provinces and sectors of construction activities and equipment manufacturing. China's interregional embodied atmospheric mercury flows are generally moving from the inland to the east coast. Beijing-Tianjin (with 4.8 tonnes of net mercury inflows) and South Coast (with 3.3 tonnes of net mercury inflows) are two largest net-inflow regions, while North (with 5.3 tonnes of net mercury outflows) is the largest net-outflow region. We also identify primary supply chains contributing to China's virtual atmospheric mercury emission network, which can be used to trace the transfers of production-side and demand-side policy effects.

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.

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.

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.

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.

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.

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

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

Microcystin distribution in physical size class separations of natural plankton communities

USGS Publications Warehouse

Graham, J.L.; Jones, J.R.

2007-01-01

Phytoplankton communities in 30 northern Missouri and Iowa lakes were physically separated into 5 size classes (>100 ??m, 53-100 ??m, 35-53 ??m, 10-35 ??m, 1-10 ??m) during 15-21 August 2004 to determine the distribution of microcystin (MC) in size fractionated lake samples and assess how net collections influence estimates of MC concentration. MC was detected in whole water (total) from 83% of takes sampled, and total MC values ranged from 0.1-7.0 ??g/L (mean = 0.8 ??g/L). On average, MC in the > 100 ??m size class comprised ???40% of total MC, while other individual size classes contributed 9-20% to total MC. MC values decreased with size class and were significantly greater in the >100 ??m size class (mean = 0.5 ??g /L) than the 35-53 ??m (mean = 0.1 ??g/L), 10-35 ??m (mean = 0.0 ??g/L), and 1-10 ??m (mean = 0.0 ??g/L) size classes (p < 0.01). MC values in nets with 100-??m, 53-??m, 35-??m, and 10-??m mesh were cumulatively summed to simulate the potential bias of measuring MC with various size plankton nets. On average, a 100-??m net underestimated total MC by 51%, compared to 37% for a 53-??m net, 28% for a 35-??m net, and 17% for a 10-??m net. While plankton nets consistently underestimated total MC, concentration of algae with net sieves allowed detection of MC at low levels (???0.01 ??/L); 93% of lakes had detectable levels of MC in concentrated samples. Thus, small mesh plankton nets are an option for documenting MC occurrence, but whole water samples should be collected to characterize total MC concentrations. ?? Copyright by the North American Lake Management Society 2007.

[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.

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

An elevated serum alkaline phosphatase level in hepatic metastases of grade 1 and 2 gastrointestinal neuroendocrine tumors is unusual and of prognostic value

PubMed Central

Andriantsoa, Maeva; Hoibian, Solene; Autret, Aurelie; Gilabert, Marine; Sarran, Anthony; Niccoli, Patricia

2017-01-01

Background In our clinical practice we have observed that despite a high hepatic metastatic tumor burden, serum alkaline phosphatase (AP) levels are frequently normal in cases of metastatic neuroendocrine tumor (NET). Patients and methods We retrospectively reviewed the records of patients with grade 1 and 2 NETs with liver metastases but without bone metastases seen at our institution in 2013. In total, 49 patients were included (22 female), with a median age of 60 years (range: 28 to 84 years). The primary tumors were located in the duodenum/pancreas (n = 29), small bowel (n = 17) or colon/rectum (n = 3); 10 cases were grade 1 and 39 grade 2. Hepatic involvement was bulky, with more than 10 lesions in 23 patients and a tumor burden above 10% of the liver volume in 26 patients. Results Serum AP levels were elevated (≥ upper limit of normal (ULN)) in 16 patients. In multiparametric analysis, elevated serum AP levels were not associated with the primary site, grade, or number or volume of metastases. In multiparametric analysis, progression-free survival was only correlated with grade (p = 0.010) and AP level (p = 0.017). Conclusions Serum AP levels are frequently normal in liver metastases from NET, even in the event of a major tumor burden, and the serum AP level can be of prognostic value. PMID:28562682

An elevated serum alkaline phosphatase level in hepatic metastases of grade 1 and 2 gastrointestinal neuroendocrine tumors is unusual and of prognostic value.

PubMed

Andriantsoa, Maeva; Hoibian, Solene; Autret, Aurelie; Gilabert, Marine; Sarran, Anthony; Niccoli, Patricia; Raoul, Jean-Luc

2017-01-01

In our clinical practice we have observed that despite a high hepatic metastatic tumor burden, serum alkaline phosphatase (AP) levels are frequently normal in cases of metastatic neuroendocrine tumor (NET). We retrospectively reviewed the records of patients with grade 1 and 2 NETs with liver metastases but without bone metastases seen at our institution in 2013. In total, 49 patients were included (22 female), with a median age of 60 years (range: 28 to 84 years). The primary tumors were located in the duodenum/pancreas (n = 29), small bowel (n = 17) or colon/rectum (n = 3); 10 cases were grade 1 and 39 grade 2. Hepatic involvement was bulky, with more than 10 lesions in 23 patients and a tumor burden above 10% of the liver volume in 26 patients. Serum AP levels were elevated (≥ upper limit of normal (ULN)) in 16 patients. In multiparametric analysis, elevated serum AP levels were not associated with the primary site, grade, or number or volume of metastases. In multiparametric analysis, progression-free survival was only correlated with grade (p = 0.010) and AP level (p = 0.017). Serum AP levels are frequently normal in liver metastases from NET, even in the event of a major tumor burden, and the serum AP level can be of prognostic value.

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.

To outsource or not to outsource: Examining the effects of outsourcing IT functions on financial performance in hospitals.

PubMed

Menachemi, Nir; Burkhardt, Jeffrey; Shewchuk, Richard; Burke, Darrell; Brooks, Robert G

2007-01-01

Outsourcing of information technology (IT) functions is a popular strategy with both potential benefits and risks for hospitals. Anecdotal evidence, based on case studies, suggests that outsourcing may be associated with significant cost savings. However, no generalizable evidence exists to support such assertions. This study examines whether outsourcing IT functions is related to improved financial performance in hospitals. Primary survey data on IT outsourcing behavior were combined with secondary data on hospital financial performance. Regression analyses examined the relationship between outsourcing and various measures of financial performance while controlling for bed size, average patient acuity, geographic location, and overall IT adoption. Complete data from a total of 83 Florida hospitals were available for analyses. Findings suggest that the decision to outsource IT functions is not related to any of the hospital financial performance measures that were examined. Specifically, outsourcing of IT functions did not correlate with net inpatient revenue, net patient revenue, hospital expenses, total expenses, cash flow ratio, operating margin, or total margin. In most cases, IT outsourcing is not necessarily a cost-lowering strategy, but instead, a cost-neutral manner in which to accomplish an organizational strategy.

County-level Estimates for Carbon Distribution in U.S. Croplands, 1990-2005

DOE Data Explorer

West, Tristram O. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

2008-01-01

Net Primary Productivity (NPP) for croplands can be estimated using a statistical method that includes factors for dry weight, harvest indices, and root:shoot ratios multiplied by yield data from the National Agricultural Statistics Service (NASS). This method has been documented and published by Prince et al. (2001), Hicke and Lobell (2004), and Hicke et al. (2004). We expanded this method by including factors for more crops and by using an estimated carbon content of 0.45 for agricultural crops to estimate (a) total net carbon uptake, (b) carbon in aboveground biomass, (c) carbon in belowground biomass, (d) carbon harvested and transported off site, and (e) the amount of carbon remaining on the surface following harvest. These five variables are included with their respective Federal Information Processing Standards (FIPS) codes for all counties in the contiguous U.S. from 1990-2005. A mean harvest efficiency of 0.95 was assumed across all crops. Total cropland NPP for the U.S. ranges from 378-527 Tg C yr^-1 within years 1990-2005, and total carbon harvested and removed ranges from 161-228 Tg C yr^-1 within years 1990-2005.

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...

The Influence of Health Policy and Market Factors on the Hospital Safety Net

PubMed Central

Bazzoli, Gloria J; Lindrooth, Richard C; Kang, R ay; Hasnain-Wynia, R omana

2006-01-01

Objective To examine how the financial pressures resulting from the Balanced Budget Act (BBA) of 1997 interacted with private sector pressures to affect indigent care provision. Data Sources/Study Setting American Hospital Association Annual Survey, Area Resource File, InterStudy Health Maintenance Organization files, Current Population Survey, and Bureau of Primary Health Care data. Study Design We distinguished core and voluntary safety net hospitals in our analysis. Core safety net hospitals provide a large share of uncompensated care in their markets and have large indigent care patient mix. Voluntary safety net hospitals provide substantial indigent care but less so than core hospitals. We examined the effect of financial pressure in the initial year of the 1997 BBA on uncompensated care for three hospital groups. Data for 1996–2000 were analyzed using approaches that control for hospital and market heterogeneity. Data Collection/Extraction Methods All urban U.S. general acute care hospitals with complete data for at least 2 years between 1996 and 2000, which totaled 1,693 institutions. Principal Findings Core safety net hospitals reduced their uncompensated care in response to Medicaid financial pressure. Voluntary safety net hospitals also responded in this way but only when faced with the combined forces of Medicaid and private sector payment pressures. Nonsafety net hospitals did not exhibit similar responses. Conclusions Our results are consistent with theories of hospital behavior when institutions face reductions in payment. They raise concern given continuing state budget crises plus the focus of recent federal deficit reduction legislation intended to cut Medicaid expenditures. PMID:16899001

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.

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...

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...

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...

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...

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.

Carbon and water fluxes from ponderosa pine forests disturbed by wildfire and thinning.

PubMed

Dore, S; Kolb, T E; Montes-Helu, M; Eckert, S E; Sullivan, B W; Hungate, B A; Kaye, J P; Hart, S C; Koch, G W; Finkral, A

2010-04-01

Disturbances alter ecosystem carbon dynamics, often by reducing carbon uptake and stocks. We compared the impact of two types of disturbances that represent the most likely future conditions of currently dense ponderosa pine forests of the southwestern United States: (1) high-intensity fire and (2) thinning, designed to reduce fire intensity. High-severity fire had a larger impact on ecosystem carbon uptake and storage than thinning. Total ecosystem carbon was 42% lower at the intensely burned site, 10 years after burning, than at the undisturbed site. Eddy covariance measurements over two years showed that the burned site was a net annual source of carbon to the atmosphere whereas the undisturbed site was a sink. Net primary production (NPP), evapotranspiration (ET), and water use efficiency were lower at the burned site than at the undisturbed site. In contrast, thinning decreased total ecosystem carbon by 18%, and changed the site from a carbon sink to a source in the first posttreatment year. Thinning also decreased ET, reduced the limitation of drought on carbon uptake during summer, and did not change water use efficiency. Both disturbances reduced ecosystem carbon uptake by decreasing gross primary production (55% by burning, 30% by thinning) more than total ecosystem respiration (TER; 33-47% by burning, 18% by thinning), and increased the contribution of soil carbon dioxide efflux to TER. The relationship between TER and temperature was not affected by either disturbance. Efforts to accurately estimate regional carbon budgets should consider impacts on carbon dynamics of both large disturbances, such as high-intensity fire, and the partial disturbance of thinning that is often used to prevent intense burning. Our results show that thinned forests of ponderosa pine in the southwestern United States are a desirable alternative to intensively burned forests to maintain carbon stocks and primary production.

Changes of net primary productivity in China during recent 11 years detected using an ecological model driven by MODIS data

NASA Astrophysics Data System (ADS)

Liu, Yibo; Ju, Weimin; He, Honglin; Wang, Shaoqiang; Sun, Rui; Zhang, Yuandong

2013-03-01

Net primary productivity (NPP) is an important component of the terrestrial carbon cycle. Accurately mapping the spatial-temporal variations of NPP in China is crucial for global carbon cycling study. In this study the process-based Boreal Ecosystem Productivity Simulator (BEPS) was employed to study the changes of NPP in China's ecosystems for the period from 2000 to 2010. The BEPS model was first validated using gross primary productivity (GPP) measured at typical flux sites and forest NPP measured at different regions. Then it was driven with leaf area index (LAI) inversed from the Moderate Resolution Imaging Spectroradiometer (MODIS) reflectance and land cover products and meteorological data interpolated from observations at 753 national basic meteorological stations to simulate NPP at daily time steps and a spatial resolution of 500 m from January 1, 2000 to December 31, 2010. Validations show that BEPS is able to capture the seasonal variations of tower-based GPP and the spatial variability of forest NPP in different regions of China. Estimated national total of annual NPP varied from 2.63 to 2.84Pg C·yr-1, averaging 2.74 Pg C·yr-1 during the study period. Simulated terrestrial NPP shows spatial patterns decreasing from the east to the west and from the south to the north, in association with land cover types and climate. South-west China makes the largest contribution to the national total of NPP while NPP in the North-west account for only 3.97% of the national total. During the recent 11 years, the temporal changes of NPP were heterogamous. NPP increased in 63.8% of China's landmass, mainly in areas north of the Yangtze River and decreased in most areas of southern China, owing to the low temperature freezing in early 2008 and the severe drought in late 2009.

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.

[Effects of selective cutting on the carbon density and net primary productivity of a mixed broadleaved-Korean pine forest in Northeast China].

PubMed

Liu, Qi; Cai, Hui-Ying; Jin, Guang-Ze

2013-10-01

To accurately quantify forest carbon density and net primary productivity (NPP) is of great significance in estimating the role of forest ecosystems in global carbon cycle. By using the forest inventory and allometry approaches, this paper measured the carbon density and NPP of the virgin broadleaved-Korean pine (Pinus koraiensis) forest and of the broadleaved-Korean pine forest after 34 years selective-cutting (the cutting intensity was 30%, and the cutting trees were in large diameter class). The total carbon density of the virgin and selective-cutting broadleaved-Korean pine forests was (397.95 +/- 93.82) and (355.61 +/- 59.37) t C x hm(-2), respectively. In the virgin forest, the carbon density of the vegetation, debris, and soil accounted for 31.0%, 3.1%, and 65.9% of the total carbon pool, respectively; in the selective-cutting forest, the corresponding values were 31.7%, 2.9%, and 65.4%, respectively. No significant differences were observed in the total carbon density and the carbon density of each component between the two forests. The total NPP of the virgin and selective-cutting forests was (36.27 +/- 0.36) and (6.35 +/- 0.70) t C x hm(-2) x a(-1), among which, the NPP of overstory, understory, and fine roots in virgin forest and selective-cutting forest accounted for 60.3%, 2.0%, and 37.7%, and 66.1%, 2.0%, and 31.2%, respectively. No significant differences were observed in the total NPP and the contribution rate of each component between the two forests. However, the ratios of the needle and broadleaf NPPs of the virgin and selective-cutting forests were 47.24:52.76 and 20.48:79.52, respectively, with a significant difference. The results indicated that the carbon density and NPP of the broadleaved-Korean pine forest after 34 years selective-cutting recovered to the levels of the virgin broadleaved-Korean pine forest.

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.

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.

Net primary productivity distribution in the BOREAS region from a process model using satellite and surface data

NASA Astrophysics Data System (ADS)

Liu, J.; Chen, J. M.; Cihlar, J.; Chen, W.

1999-11-01

The purpose of this paper is to upscale tower measurements of net primary productivity (NPP) to the Boreal Ecosystem-Atmosphere Study (BOREAS) study region by means of remote sensing and modeling. The Boreal Ecosystem Productivity Simulator (BEPS) with a new daily canopy photosynthesis model was first tested in one coniferous and one deciduous site. The simultaneous CO2 flux measurements above and below the tree canopy made it possible to isolate daily net primary productivity of the tree canopy for model validation. Soil water holding capacity and gridded daily meteorological data for the region were used as inputs to BEPS, in addition to 1 km resolution land cover and leaf area index (LAI) maps derived from the advanced very high resolution radiometer (AVHRR) data. NPP statistics for the various cover types in the BOREAS region and in the southern study area (SSA) and the northern study area (NSA) are presented. Strong dependence of NPP on LAI was found for the three major cover types: coniferous forest, deciduous forest and cropland. Since BEPS can compute total photosynthetically active radiation absorbed by the canopy in each pixel, light use efficiencies for NPP and gross primary productivity could also be analyzed. From the model results, the following area-averaged statistics were obtained for 1994: (1) mean NPP for the BOREAS region of 217 g C m-2 yr-1; (2) mean NPP of forests (excluding burnt areas in the region) equal to 234 g C m-2 yr-1; (3) mean NPP for the SSA and the NSA of 297 and 238 g C m-2 yr-1, respectively; and (4) mean light use efficiency for NPP equal to 0.40, 0.20, and 0.33 g C (MJ APAR)-1 for deciduous forest, coniferous forest, and crops, respectively.

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...

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...

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.

Coupling of remote sensing, field campaign, and mechanistic and empirical modeling to monitor spatiotemporal carbon dynamics of a Mediterranean watershed in a changing regional climate.

PubMed

Berberoglu, S; Donmez, C; Evrendilek, F

2015-04-01

The aim of this study was to simulate impacts of regional climate change in the 2070s on carbon (C) cycle of a Mediterranean watershed combining field measurements, Envisat MERIS and IKONOS data, and the Carnegie Ames Stanford Approach model. Simulation results indicated that the present total C sink status (1.36 Mt C year(-1)) of Mediterranean evergreen needleleaf forest, grassland and cropland ecosystems is expected to weaken by 7.6% in response to the climate change in the 2070s (Mt=10(12) g). This decreasing trend was mirrored in soil respiration (R H), aboveground and belowground net primary production (NPP), NEP, and net biome production (NBP). The decrease in NEP in the 2070s was the highest (21.9%) for mixed forest where the smallest present C sink of 0.03 Mt C year(-1) was estimated. The average present net ecosystem production (NEP) values were estimated at 110±15, 75±19, and 41±25 g C m(-2) years(-1) in forest, grassland, and cropland, respectively, with a watershed-scale mean of 95±30 g C m(-2) years(-1). The largest present C sink was in grassland, with a total C pool of 0.55 Mt C year(-1), through its greater spatial extent.

County community health associations of net voting shift in the 2016 U.S. presidential election

PubMed Central

Stewart, Charles; Bhambhani, Vijeta

2017-01-01

Importance In the U.S. presidential election of 2016, substantial shift in voting patterns occurred relative to previous elections. Although this shift has been associated with both education and race, the extent to which this shift was related to public health status is unclear. Objective To determine the extent to which county community health was associated with changes in voting between the presidential elections of 2016 and 2012. Design Ecological study with principal component analysis (PCA) using principal axis method to extract the components, then generalized linear regression. Setting General community. Participants All counties in the United States. Exposures Physically unhealthy days, mentally unhealthy days, percent food insecure, teen birth rate, primary care physician visit rate, age-adjusted mortality rate, violent crime rate, average health care costs, percent diabetic, and percent overweight or obese. Main outcome The percentage of Donald Trump votes in 2016 minus percentage of Mitt Romney votes in 2012 (“net voting shift”). Results Complete public health data was available for 3,009 counties which were included in the analysis. The mean net voting shift was 5.4% (+/- 5.8%). Of these 3,009 counties, 2,641 (87.8%) had positive net voting shift (shifted towards Trump) and 368 counties (12.2%) had negative net voting shift (shifted away from Trump). The first principal component (“unhealthy score”) accounted for 68% of the total variance in the data. The unhealthy score included all health variables except primary care physician rate, violent crime rate, and health care costs. The mean unhealthy score for counties was 0.39 (SD 0.16). Higher normalized unhealthy score was associated with positive net voting shift (22.1% shift per unit unhealthy, p < 0.0001). This association was stronger in states that switched Electoral College votes from 2012 to 2016 than in other states (5.9% per unit unhealthy, p <0.0001). Conclusions and relevance Substantial association exists between a shift toward voting for Donald Trump in 2016 relative to Mitt Romney in 2012 and measures of poor public health. Although these results do not demonstrate causality, these results suggest a possible role for health status in political choices. PMID:28968415

Peptide Receptor Radionuclide Therapy with 177Lu-DOTATATE for Metastatic Neuroendocrine Tumor Occurring in Association with Multiple Endocrine Neoplasia Type 1 and Cushing's Syndrome.

PubMed

Naik, Chinna; Basu, Sandip

2017-01-01

Neuroendocrine tumor (NET) occurring in association with other endocrine syndromes forms a distinct entity. The aim was to assess the therapy response profile of the routine peptide receptor radionuclide therapy (PRRT) in this relatively uncommon but clinically challenging subgroup of patients. A retrospective analysis was undertaken from the case records from those who were treated with 177 Lu-DOTATATE for metastatic NET. In addition to assessing the therapeutic efficacy, emphasis was also given to study lesional sites and scan pattern. A total of 5 cases were found: In this series of five cases, four belonged to multiple endocrine neoplasia type 1 (MEN1) syndrome; in these four MEN1 syndrome patients, the primary site of NET was thymic region ( n = 1), duodenum ( n = 1), and pancreas ( n = 2). The fifth case was of Cushing's syndrome with the primary site of NET in the thymus. A good symptomatic response was observed in all MEN1 syndrome cases (100%) and progression of symptoms in the patient with Cushing's syndrome. The biochemical response (assessed by measurement of tumor marker serum chromogranin A) demonstrated very good partial response (defined by more than 75% reduction of tumor marker) in 2 MEN1 cases and Cushing's syndrome, good partial response (25-75% reduction of tumor marker) in the remaining 2 MEN1 cases. Scan wise (assessed by technetium [ 99m Tc]-hydrazinonicotinamide [HYNIC]-tektrotyd [TOC]/ 68 Ga-DOTA-NOC/TATE positron emission tomography-computed tomography [PET-CT] and fluorodeoxyglucose [FDG] PET-CT) partial response was observed in 3 MEN1 cases, stable disease was noted in one MEN1 case and disease progression was noted in the patient with Cushing's syndrome. The change in FDG uptake was found to be an important sensitive scan parameter in the treatment evaluation of NETs compared to somatostatin receptor-based imaging in the cases with low MiB1 index. In our series, good palliative response to 177 Lu-DOTA-octreotate (DOTATATE) PRRT was observed in most NET patients associated with MEN1 syndrome without any major hematological or renal toxicity.

County community health associations of net voting shift in the 2016 U.S. presidential election.

PubMed

Wasfy, Jason H; Stewart, Charles; Bhambhani, Vijeta

2017-01-01

In the U.S. presidential election of 2016, substantial shift in voting patterns occurred relative to previous elections. Although this shift has been associated with both education and race, the extent to which this shift was related to public health status is unclear. To determine the extent to which county community health was associated with changes in voting between the presidential elections of 2016 and 2012. Ecological study with principal component analysis (PCA) using principal axis method to extract the components, then generalized linear regression. General community. All counties in the United States. Physically unhealthy days, mentally unhealthy days, percent food insecure, teen birth rate, primary care physician visit rate, age-adjusted mortality rate, violent crime rate, average health care costs, percent diabetic, and percent overweight or obese. The percentage of Donald Trump votes in 2016 minus percentage of Mitt Romney votes in 2012 ("net voting shift"). Complete public health data was available for 3,009 counties which were included in the analysis. The mean net voting shift was 5.4% (+/- 5.8%). Of these 3,009 counties, 2,641 (87.8%) had positive net voting shift (shifted towards Trump) and 368 counties (12.2%) had negative net voting shift (shifted away from Trump). The first principal component ("unhealthy score") accounted for 68% of the total variance in the data. The unhealthy score included all health variables except primary care physician rate, violent crime rate, and health care costs. The mean unhealthy score for counties was 0.39 (SD 0.16). Higher normalized unhealthy score was associated with positive net voting shift (22.1% shift per unit unhealthy, p < 0.0001). This association was stronger in states that switched Electoral College votes from 2012 to 2016 than in other states (5.9% per unit unhealthy, p <0.0001). Substantial association exists between a shift toward voting for Donald Trump in 2016 relative to Mitt Romney in 2012 and measures of poor public health. Although these results do not demonstrate causality, these results suggest a possible role for health status in political choices.

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.

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

Timber resource statistics for the Juneau inventory unit, Alaska, 1970.

Treesearch

Vernon J. LaBau; Willem W.S. Van Hees

1983-01-01

Statistics on forest area, total gross and net timber volumes, and annual net growth and mortality are presented for the 1970 timber inventory of the Juneau unit, Alaska. Estimates for commercial forest land area total 1.3 million acres (535 000 ha) with a net growing stock volume of 8.3 billion cubic feet (234 million m3), and annual net growth...

Cost-benefit analysis of comprehensive mental health prevention programs in Japanese workplaces: a pilot study.

PubMed

Iijima, Sachiko; Yokoyama, Kazuhito; Kitamura, Fumihiko; Fukuda, Takashi; Inaba, Ryoichi

2013-01-01

We examined the implementation of mental health prevention programs in Japanese workplaces and the costs and benefits. A cross-sectional survey targeting mental health program staff at 11 major companies was conducted. Questionnaires explored program implementation based on the guidelines of the Japanese Ministry of Health, Labor and Welfare. Labor, materials, outsourcing costs, overheads, employee mental discomfort, and absentee numbers, and work attendance were examined. Cost-benefit analyses were conducted from company perspectives assessing net benefits per employee and returns on investment. The surveyed companies employ an average of 1,169 workers. The implementation rate of the mental health prevention programs was 66% for primary, 51% for secondary, and 60% for tertiary programs. The program's average cost was 12,608 yen per employee and the total benefit was 19,530 yen per employee. The net benefit per employee was 6,921 yen and the return on investment was in the range of 0.27-16.85. Seven of the 11 companies gained a net benefit from the mental health programs.

Cost-benefit Analysis of Comprehensive Mental Health Prevention Programs in Japanese Workplaces: A Pilot Study

PubMed Central

IIJIMA, Sachiko; YOKOYAMA, Kazuhito; KITAMURA, Fumihiko; FUKUDA, Takashi; INABA, Ryoichi

2013-01-01

We examined the implementation of mental health prevention programs in Japanese workplaces and the costs and benefits. A cross-sectional survey targeting mental health program staff at 11 major companies was conducted. Questionnaires explored program implementation based on the guidelines of the Japanese Ministry of Health, Labor and Welfare. Labor, materials, outsourcing costs, overheads, employee mental discomfort, and absentee numbers, and work attendance were examined. Cost-benefit analyses were conducted from company perspectives assessing net benefits per employee and returns on investment. The surveyed companies employ an average of 1,169 workers. The implementation rate of the mental health prevention programs was 66% for primary, 51% for secondary, and 60% for tertiary programs. The program’s average cost was 12,608 yen per employee and the total benefit was 19,530 yen per employee. The net benefit per employee was 6,921 yen and the return on investment was in the range of 0.27–16.85. Seven of the 11 companies gained a net benefit from the mental health programs. PMID:24077445

[177Lu-DOTA]0-D-Phe1-Tyr3-Octreotide (177Lu-DOTATOC) For Peptide Receptor Radiotherapy in Patients with Advanced Neuroendocrine Tumours: A Phase-II Study

PubMed Central

Baum, Richard P.; Kluge, Andreas W.; Kulkarni, Harshad; Schorr-Neufing, Ulrike; Niepsch, Karin; Bitterlich, Norman; van Echteld, Cees J.A.

2016-01-01

Purpose: To characterise efficacy and safety of 177Lu-DOTATOC as agent for peptide receptor radiotherapy (PRRT) of advanced neuroendocrine tumours (NET). Patients and methods: Fifty-six subjects with metastasized and progressive NET (50% gastroenteral, 26.8% pancreatic, 23.2% other primary sites) treated consecutively with 177Lu-DOTATOC were analysed retrospectively. Subjects were administered 177Lu-DOTATOC (mean 2.1 cycles; range 1-4) as 7.0GBq (median) doses at three-monthly intervals. Efficacy was analysed using CT and/or MRI according to RECIST 1.1 criteria and results were stratified for the number of administered cycles and the primary tumour origin. Results: In the total NET population (A), median progression-free (PFS) and overall survival (OS) were 17.4 and 34.2 months, respectively, assessed in a follow-up time (mean ± SD) of 16.1 ± 12.4 months. In patients receiving more than one cycle, mean follow-up time was 22.4 ± 11.0 months for all NETs (B) and PFS was 32.0 months for all NETs (B), 34.5 months for GEP-NET (C), and 11.9 months for other NETs (D). Objective response rates (Complete/Partial Responses) were 33.9%, 40.6%, 54.2%, and 0% for A, B, C, and D groups, respectively, while disease control rates in the same were 66.1%, 93.8%, 100%, and 75%. Complete responses (16.1%, 18.8% and 25.0% for groups A, B and C) were high, 78% of which were maintained throughout the follow up. There were no serious adverse events. One case of self-limiting grade 3 myelotoxicity was reported. Although 20% of patients had mild renal insufficiency at baseline, there was no evidence of exacerbated or de novo renal toxicity after treatment. Conclusion: 177Lu-DOTATOC is a novel agent for PRRT with major potential to induce objective tumour responses and sustained disease control in progressive neuroendocrine tumours, even when administered in moderate activities. The observed safety profile suggests a particularly favourable therapeutic index, including in patients with impaired bone marrow or renal function, which reflects a uniquely low uptake of 177Lu-DOTATOC by normal organs. PMID:26941843

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

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...

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...

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...

[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.

Effect of decreasing dietary phosphorus supply on net recycling of inorganic phosphate in lactating dairy cows.

PubMed

Puggaard, L; Kristensen, N B; Sehested, J

2011-03-01

Five ruminally cannulated lactating Holstein cows, fitted with permanent indwelling catheters in the mesenteric vein, hepatic vein, portal vein, and an artery were used to study intestinal absorption and net recycling of inorganic phosphate (P(i)) to the gastrointestinal tract. Treatments were low P (LP; 2.4 g of P/kg of DM) and high P (HP; 3.4 g of P/kg of DM). The dietary total P (tP) concentrations were obtained by replacing 0.50% calcium carbonate in the LP diet with 0.50% monocalcium phosphate in the HP diet. Diets were fed for 14 d and cows were sampled on d 14 in each period. Cows were fed restrictively, resulting in equal dry matter intakes as well as milk, fat, and protein yields between treatments. Net P(i) recycling (primarily salivary) was estimated as the difference between net portal plasma flux (net absorption of P(i)) and apparently digested tP (feed - fecal tP difference). Phosphorus intake, apparently digested tP, and fecal tP excretion decreased with LP. An effect of decreased tP intake on net portal plasma flux of P(i) could not be detected. However, despite numerically minute net fluxes across the liver, the net splanchnic flux of P(i) was less in LP compared with that in HP. Though arterial plasma P(i) concentration decreased, net P(i) recycling was not decreased when tP intake was decreased, and recycling of P(i) was maintained at the expense of deposition of P(i) in bones. Data are not consistent with salivary P(i) secretion being the primary regulator of P(i) homeostasis at low tP intakes. On the contrary, maintaining salivary P(i) recycling at low tP intakes indicates that rumen function was prioritized at the expense of bone P reserves. Copyright © 2011 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

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

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

Money well spent: a comparison of hospital operating margin for laparoscopic and open colectomies.

PubMed

Koopmann, M C; Harms, B A; Heise, C P

2007-10-01

Cost analysis after laparoscopic colectomy has been examined, although reports evaluating the effects of laparoscopy on hospital operating margin are lacking. We compared several cost/revenue measures, including hospital operating margin, between open and laparoscopic colectomies at an academic center. Our cost-accounting database was queried for laparoscopic partial (LPC) and total colectomies (LTC), and open partial (OPC) and total colectomies (OTC) to analyze net revenue, total costs, and total hospital operating margin over a 4-year period. Laparoscopic and open colectomy cases were compared, with mean operating margin as the primary outcome. From July, 2002 through May, 2006, 842 patients were included for analysis with 138 undergoing laparoscopic colectomy. Net revenue was higher in the LTC group compared with open (US dollars 30,300 vs US dollars 26,800 [P = .02]), and lower in the LPC group (US dollars 15,300 vs US dollars 21,300 open [P < .0001]). Total costs were reduced in both the LPC and LTC groups compared with open [US dollars 11,700 vs US dollars 17,600 [P < .0001] and US dollars 18,000 vs US dollars 19,400 [P = .0019], respectively). LPC resulted in a similar HOM (US dollars 3,602) compared with OPC (US dollars 3,647; P = .35). LTC resulted in a higher HOM (US dollars 12,300) compared with OTC (US dollars 7,400; P = .02). LTC generates a significantly higher hospital operating margin than an OTC, although the margins are similar for LPC and OPC.

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.

Anthropogenic disturbance of element cycles at the Earth's surface.

PubMed

Sen, Indra S; Peucker-Ehrenbrink, Bernhard

2012-08-21

The extent to which humans are modifying Earth's surface chemistry can be quantified by comparing total anthropogenic element fluxes with their natural counterparts (Klee and Graedel, 2004). We quantify anthropogenic mass transfer of 77 elements from mining, fossil fuel burning, biomass burning, construction activities, and human apportionment of terrestrial net primary productivity, and compare it to natural mass transfer from terrestrial and marine net primary productivity, riverine dissolved and suspended matter fluxes to the ocean, soil erosion, eolian dust, sea-salt spray, cosmic dust, volcanic emissions, and for helium, hydrodynamic escape from the Earth's atmosphere. We introduce an approach to correct for losses during industrial processing of elements belonging to geochemically coherent groups, and explicitly incorporate uncertainties of element mass fluxes through Monte Carlo simulations. We find that at the Earth's surface anthropogenic fluxes of iridium, osmium, helium, gold, ruthenium, antimony, platinum, palladium, rhenium, rhodium and chromium currently exceed natural fluxes. For these elements mining is the major factor of anthropogenic influence, whereas petroleum burning strongly influences the surficial cycle of rhenium. Our assessment indicates that if anthropogenic contributions to soil erosion and eolian dust are considered, anthropogenic fluxes of up to 62 elements surpass their corresponding natural fluxes.

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.

Clams as CO2 generators: The Potamocorbula amurensis example in San Francisco Bay

USGS Publications Warehouse

Chauvaud, Laurent; Thompson, Janet K.; Cloern, James E.; Thouzeau, Gerard

2003-01-01

Respiration and calcium carbonate production by the invasive Asian clam, Potamocorbula amurensis, were calculated to assess their importance as CO2 sources in northern San Francisco Bay. Production, calculated using monthly population density and size structure measured at three sites over 7 yr and a shell length/CaCO3 conversion factor, averaged 221(±184)g CaCO3 m−2yr−1. Net calcium carbonate production by this exotic bivalve releases CO2 at a mean rate of 18(±17)g C m−2yr−1. Respiration by P. amurensis, estimated from secondary production, releases additional CO2 at a mean rate of 37(±34)g C m−2yr−1. Therefore, total net CO2 production by P. amurensis averages 55(±51)g C m−2yr−1 in an estuarine domain where net primary production consumes only 20g inorganic C m−2yr−1. CO2 production by P. amurensis in northern San Francisco Bay is an underestimate of the total CO2 supply from the calcified zoobenthic communities of San Francisco Bay, and results from other studies have suggested that this rate is not unusual for temperate estuaries. Global extrapolation yields a gross CO2 production rate in the world's estuaries of 1x1014g C yr−1, which suggests that calcified benthic organisms in estuaries generate CO2 equal in magnitude to the CO2 emissions from the world's lakes or from planetary volcanism (the net source is determined by the highly variable rate of CO2 consumption by carbonate dissolution). This biogenic CO2 source is increasing because of the continuing global translocation of mollusks and their successful colonization of new habitats.

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.

Dissolved inorganic carbon and total alkalinity of a Hawaiian fringing reef: chemical techniques for monitoring the effects of ocean acidification on coral reefs

NASA Astrophysics Data System (ADS)

Lantz, C. A.; Atkinson, M. J.; Winn, C. W.; Kahng, S. E.

2014-03-01

There is an interest in developing approaches to "ecosystem-based" management for coral reefs. One aspect of ecosystem performance is to monitor carbon metabolism of whole communities. In an effort to explore robust techniques to monitor the metabolism of fringing reefs, especially considering the possible effects of ocean acidification, a yearlong study of the carbonate chemistry of a nearshore fringing reef in Hawaii was conducted. Diurnal changes in seawater carbonate chemistry were measured once a week in an algal-dominated and a coral-dominated reef flat on the Waimanalo fringing reef, Hawaii, from April of 2010 until May of 2011. Calculated rates of gross primary production (GPP) and net community calcification ( G) were similar to previous estimates of community metabolism for other coral reefs (GPP 971 mmol C m-2 d-1; G 186 mmol CaCO3 m-2 d-1) and indicated that this reef was balanced in terms of organic metabolism, exhibited net calcification, and was a net source of CO2 to the atmosphere. Average slopes of total alkalinity versus dissolved inorganic carbon (TA-DIC slope) for the coral-dominated reef flat exhibited a greater calcification-to-net photosynthesis ratio than for the algal-dominated reef flat (coral slope vs. algal slope). Over the course of the time series, TA-DIC slopes remained significantly different between sites and were not correlated with diurnal averages in reef-water residence time or solar irradiance. These characteristic slopes for each reef flat reflect the relationship between carbon and carbonate community metabolism and can be used as a tool to monitor ecosystem function in response to ocean acidification.

Clams as CO2 generators: The Potamocorbula amurensis example in San Francisco Bay

USGS Publications Warehouse

Chauvaud, Laurent; Thompson, Janet K.; Cloern, James E.; Thouzeau, Gerard

2003-01-01

Respiration and calcium carbonate production by the invasive Asian clam, Potamocorbula amurensis, were calculated to assess their importance as CO2 sources in northern San Francisco Bay. Production, calculated using monthly population density and size structure measured at three sites over 7 yr and a shell length/CaCO3 conversion factor, averaged 221 (6184) g CaCO3 m22 yr21 . Net calcium carbonate production by this exotic bivalve releases CO2 at a mean rate of 18 (617) g C m22 yr21 . Respiration by P. amurensis, estimated from secondary production, releases additional CO2 at a mean rate of 37 (634) g C m22 yr21 . Therefore, total net CO2 production by P. amurensis averages 55 (651) g C m22 yr21 in an estuarine domain where net primary production consumes only 20 g inorganic C m22 yr21 . CO2 production by P. amurensis in northern San Francisco Bay is an underestimate of the total CO2 supply from the calcified zoobenthic communities of San Francisco Bay, and results from other studies have suggested that this rate is not unusual for temperate estuaries. Global extrapolation yields a gross CO2 production rate in the world’s estuaries of 1 3 1014 g C yr21 , which suggests that calcified benthic organisms in estuaries generate CO2 equal in magnitude to the CO2 emissions from the world’s lakes or from planetary volcanism (the net source is determined by the highly variable rate of CO2 consumption by carbonate dissolution). This biogenic CO2 source is increasing because of the continuing global translocation of mollusks and their successful colonization of new habitats.

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

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...

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...

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...

A theoretical framework for whole-plant carbon assimilation efficiency based on metabolic scaling theory: a test case using Picea seedlings.

PubMed

Wang, Zhiqiang; Ji, Mingfei; Deng, Jianming; Milne, Richard I; Ran, Jinzhi; Zhang, Qiang; Fan, Zhexuan; Zhang, Xiaowei; Li, Jiangtao; Huang, Heng; Cheng, Dongliang; Niklas, Karl J

2015-06-01

Simultaneous and accurate measurements of whole-plant instantaneous carbon-use efficiency (ICUE) and annual total carbon-use efficiency (TCUE) are difficult to make, especially for trees. One usually estimates ICUE based on the net photosynthetic rate or the assumed proportional relationship between growth efficiency and ICUE. However, thus far, protocols for easily estimating annual TCUE remain problematic. Here, we present a theoretical framework (based on the metabolic scaling theory) to predict whole-plant annual TCUE by directly measuring instantaneous net photosynthetic and respiratory rates. This framework makes four predictions, which were evaluated empirically using seedlings of nine Picea taxa: (i) the flux rates of CO(2) and energy will scale isometrically as a function of plant size, (ii) whole-plant net and gross photosynthetic rates and the net primary productivity will scale isometrically with respect to total leaf mass, (iii) these scaling relationships will be independent of ambient temperature and humidity fluctuations (as measured within an experimental chamber) regardless of the instantaneous net photosynthetic rate or dark respiratory rate, or overall growth rate and (iv) TCUE will scale isometrically with respect to instantaneous efficiency of carbon use (i.e., the latter can be used to predict the former) across diverse species. These predictions were experimentally verified. We also found that the ranking of the nine taxa based on net photosynthetic rates differed from ranking based on either ICUE or TCUE. In addition, the absolute values of ICUE and TCUE significantly differed among the nine taxa, with both ICUE and temperature-corrected ICUE being highest for Picea abies and lowest for Picea schrenkiana. Nevertheless, the data are consistent with the predictions of our general theoretical framework, which can be used to access annual carbon-use efficiency of different species at the level of an individual plant based on simple, direct measurements. Moreover, we believe that our approach provides a way to cope with the complexities of different ecosystems, provided that sufficient measurements are taken to calibrate our approach to that of the system being studied. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Facing the Recession: How Did Safety-Net Hospitals Fare Financially Compared with Their Peers?

PubMed Central

Reiter, Kristin L; Jiang, H Joanna; Wang, Jia

2014-01-01

Objective To examine the effect of the recession on the financial performance of safety-net versus non-safety-net hospitals. Data Sources/Study Setting Agency for Healthcare Research and Quality Hospital Cost and Utilization Project State Inpatient Databases, Medicare Cost Reports, American Hospital Association Annual Survey, InterStudy, and Area Health Resource File. Study Design Retrospective, longitudinal panel of hospitals, 2007–2011. Safety-net hospitals were identified using percentage of patients who were Medicaid or uninsured. Generalized estimating equations were used to estimate average effects of the recession on hospital operating and total margins, revenues and expenses in each year, 2008–2011, comparing safety-net with non-safety-net hospitals. Data Collection/Extraction Methods 1,453 urban, nonfederal, general acute hospitals in 32 states with complete data. Principal Findings Safety-net hospitals, as identified in 2007, had lower operating and total margins. The gap in operating margin between safety-net and non-safety-net hospitals was sustained throughout the recession; however, total margin was more negatively affected for non-safety-net hospitals in 2008. Higher percentages of Medicaid and uninsured patients were associated with lower revenue in private hospitals in all years, and lower revenue and expenses in public hospitals in 2011. Conclusions Safety-net hospitals may not be disproportionately vulnerable to macro-economic fluctuations, but their significantly lower margins leave less financial cushion to weather sustained financial pressure. PMID:25220012

Importance of Dissolved Neutral Hg-Sulfides, Energy Rich Organic Matter and total Hg Concentrations for Methyl Mercury Production in Sediments

NASA Astrophysics Data System (ADS)

Drott, A.; Skyllberg, U.

2007-12-01

Methyl mercury (MeHg) is the mercury form that biomagnifies to the greatest extent in aquatic food webs. Therefore information about factors determining MeHg concentrations is critical for accurate risk assessment of contaminated environments. The concentration of MeHg in wetlands and sediments is the net result of: 1) methylation rates, 2) demethylation rates, and 3) input/output processes. In this study, the main controls on Hg methylation rates and total concentrations of MeHg, were investigated at eight sites in Sweden with sediments that had been subjected to local Hg contamination either as Hg(0), or as phenyl-Hg. Sediments were selected to represent a gradient in total Hg concentration, temperature climate, salinity, primary productivity, and organic C content and quality. Most sediments were high in organic matter content due to wood fibre efflux from pulp and paper industry. The pore water was analysed for total Hg, MeHg, DOC, H2S(aq), pH, DOC, Cl and Br. The chemical speciation of Hg(II) and MeHg in pore water was calculated using equilibrium models. Potential methylation and demethylation rates in sediments were determined in incubation experiments at 23° C under N2(g) for 48 h, after addition of isotopically enriched 201Hg(II) and Me204Hg. In all surface (0-20 cm) sediments there was a significant (p<0.001) positive relationship between the experimentally determined specific potential methylation rate constant (Km, day-1) and % MeHg (concentrations of MeHg normalized to total Hg) in the sediment. This indicates that MeHg production overruled degradation and input/output processes of MeHg in surface sediments, and that % MeHg in surface sediments may be used as a proxy for net production of MeHg. To our knowledge, these are the first data showing significant positive relationships between short term (48 h) MeHg production and longer term accumulation of MeHg, across a range of sites with different properties (1). If MeHg was not normalized to total Hg, the relationship was not significant. For sub-sets of brackish waters (p<0.001, n=23), southern, high-productivity freshwaters (p<0.001, n=20) as well as northern, low-productivity freshwater (p=0.048, n=6), the sum of neutral Hg-sulfides [Hg(SH)20 (aq)] and [HgS0 (aq)] in the sediment pore water was significantly, positively correlated with both the potential methylation rate constant (Km) and total MeHg concentrations (2). This indicates that methylating sulphate reducing bacteria passively take up neutral Hg-sulfides, which are transformed to MeHg. Differences in slopes of the relationships were explained by differences in primary productivity and availability of energy-rich organic matter to methylating bacteria. High primary productivity at southern freshwater sites, reflected by a low C/N ratio (large contribution from free living algae and bacteria) in the sediment and a high annual temperature sum, resulted in high methylation rates. In conclusion, concentrations of neutral Hg-sulfides and availability of energy rich organic matter, but also total Hg concentrations in sediments are important factors behind net production and accumulation of MeHg . References: (1) Drott et. al. submitted, (2) Drott, A.; Lambertsson, L.; Björn, E.; Skyllberg, U. Importance of dissolved neutral mercury sulfides for methyl mercury production in contaminated sediments. Environmental Science & Technology 2007, 41, 2270-2276.

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.

Estimates of power requirements for a Manned Mars Rover powered by a nuclear reactor

NASA Technical Reports Server (NTRS)

Morley, Nicholas J.; El-Genk, Mohamed S.; Cataldo, Robert; Bloomfield, Harvey

1991-01-01

This paper assesses the power requirement for a Manned Mars Rover vehicle. Auxiliary power needs are fulfilled using a hybrid solar photovoltaic/regenerative fuel cell system, while the primary power needs are meet using an SP-100 type reactor. The primary electric power needs, which include 30-kW(e) net user power, depend on the reactor thermal power and the efficiency of the power conversion system. Results show that an SP-100 type reactor coupled to a Free Piston Stirling Engine yields the lowest total vehicle mass and lowest specific mass for the power system. The second lowest mass was for a SP-100 reactor coupled to a Closed Brayton Cycle using He/Xe as the working fluid. The specific mass of the nuclear reactor power system, including a man-rated radiation shield, ranged from 150-kg/kW(e) to 190-kg/KW(e) and the total mass of the Rover vehicle varied depend upon the cruising speed.

Primary and secondary organics in the tropical Amazonian rainforest aerosols: chiral analysis of 2-methyltetraols.

PubMed

González, N J D; Borg-Karlson, A-K; Artaxo, P; Guenther, A; Krejci, R; Nozière, B; Noone, K

2014-05-01

This work presents the application of a new method to facilitate the distinction between biologically produced (primary) and atmospherically produced (secondary) organic compounds in ambient aerosols based on their chirality. The compounds chosen for this analysis were the stereomers of 2-methyltetraols, (2R,3S)- and (2S,3R)-methylerythritol, (l- and d-form, respectively), and (2S,3S)- and (2R,3R)-methylthreitol (l- and d-form), shown previously to display some enantiomeric excesses in atmospheric aerosols, thus to have at least a partial biological origin. In this work PM10 aerosol fractions were collected in a remote tropical rainforest environment near Manaus, Brazil, between June 2008 and June 2009 and analysed. Both 2-methylerythritol and 2-methylthreitol displayed a net excess of one enantiomer (either the l- or the d-form) in 60 to 72% of these samples. These net enantiomeric excesses corresponded to compounds entirely biological but accounted for only about 5% of the total 2-methyltetrol mass in all the samples. Further analysis showed that, in addition, a large mass of the racemic fractions (equal mixtures of d- and l-forms) was also biological. Estimating the contribution of secondary reactions from the isomeric ratios measured in the samples (=ratios 2-methylthreitol over 2-methylerythritol), the mass fraction of secondary methyltetrols in these samples was estimated to a maximum of 31% and their primary fraction to a minimum of 69%. Such large primary fractions could have been expected in PM10 aerosols, largely influenced by biological emissions, and would now need to be investigated in finer aerosols. This work demonstrates the effectiveness of chiral and isomeric analyses as the first direct tool to assess the primary and secondary fractions of organic aerosols.

Diatoms Si uptake capacity drives carbon export in coastal upwelling systems

NASA Astrophysics Data System (ADS)

Abrantes, Fatima; Cermeno, Pedro; Lopes, Cristina; Romero, Oscar; Matos, Lélia; Van Iperen, Jolanda; Rufino, Marta; Magalhães, Vitor

2016-07-01

Coastal upwelling systems account for approximately half of global ocean primary production and contribute disproportionately to biologically driven carbon sequestration. Diatoms, silica-precipitating microalgae, constitute the dominant phytoplankton in these productive regions, and their abundance and assemblage composition in the sedimentary record is considered one of the best proxies for primary production. The study of the sedimentary diatom abundance (SDA) and total organic carbon content (TOC) in the five most important coastal upwelling systems of the modern ocean (Iberia-Canary, Benguela, Peru-Humboldt, California, and Somalia-Oman) reveals a global-scale positive relationship between diatom production and organic carbon burial. The analysis of SDA in conjunction with environmental variables of coastal upwelling systems such as upwelling strength, satellite-derived net primary production, and surface water nutrient concentrations shows different relations between SDA and primary production on the regional scale. On the global scale, SDA appears modulated by the capacity of diatoms to take up silicic acid, which ultimately sets an upper limit to global export production in these ocean regions.

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...

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.

Coexpression of α6β4 Integrin and Guanine Nucleotide Exchange Factor Net1 Identifies Node-Positive Breast Cancer Patients at High Risk for Distant Metastasis

PubMed Central

Gilcrease, Michael Z.; Kilpatrick, Shannan K.; Woodward, Wendy A.; Zhou, Xiao; Nicolas, Marlo M.; Corley, Lynda J.; Fuller, Gregory N.; Tucker, Susan L.; Diaz, Leslie K.; Buchholz, Thomas A.; Frost, Jeffrey A.

2009-01-01

Preclinical data indicate that α6β4 integrin signaling through Ras homolog gene family, member A, plays an important role in tumor cell motility. The objective of this study was to determine whether the combined expression of α6β4 integrin and neuroepithelioma transforming gene 1 (Net1), a guanine nucleotide exchange factor specific for Ras homolog gene family member A, is associated with adverse clinical outcome in breast cancer patients. Immunohistochemical expression of each protein was evaluated in a tumor tissue microarray prepared from the primary tumors of 94 node-positive patients with invasive breast carcinoma treated with total mastectomy and doxorubicin-based chemotherapy without radiation with a median follow-up of 12.5 years. Associations between staining results and multiple clinicopathologic variables were investigated. Although there was no significant association between α6β4 integrin or Net1 expression and clinical outcome when each marker was considered individually, coexpression of α6β4 and Net1 was associated with decreased distant metastasis–free survival (P = 0.030). In the subset of patients with hormone receptor–positive tumors, coexpression of α6β4 and Net1 was associated with a decrease in distant metastasis–free and overall survival (P < 0.001 and P = 0.006, respectively). Although an association between human epidermal growth factor receptor 2 expression and coexpression of α6β4 and Net1 (P = 0.008) was observed, coexpression of α6β4 and Net1 (hazard ratio, 1.63; P = 0.02) and lymphovascular invasion (hazard ratio, 2.35; P = 0.02) were the only factors independently associated with the development of distant metastasis in multivariate analysis. These findings suggest that coexpression of α6β4 integrin and Net1 could be a useful biomarker for aggressive disease in node-positive breast cancer patients. PMID:19124484

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.

Comparing the Affordable Care Act's Financial Impact on Safety-Net Hospitals in States That Expanded Medicaid and Those That Did Not.

PubMed

Dobson, Allen; DaVanzo, Joan E; Haught, Randy; Phap-Hoa, Luu

2017-11-01

Safety-net hospitals play a vital role in delivering health care to Medicaid enrollees, the uninsured, and other vulnerable patients. By reducing the number of uninsured Americans, the Affordable Care Act (ACA) was also expected to lower these hospitals’ significant uncompensated care costs and shore up their financial stability. To examine how the ACA’s Medicaid expansion affected the financial status of safety-net hospitals in states that expanded Medicaid and in states that did not. Using Medicare hospital cost reports for federal fiscal years 2012 and 2015, the authors compared changes in Medicaid inpatient days as a percentage of total inpatient days, Medicaid revenues as a percentage of total net patient revenues, uncompensated care costs as a percentage of total operating costs, and hospital operating margins. Medicaid expansion had a significant, favorable financial impact on safety-net hospitals. From 2012 to 2015, safety-net hospitals in expansion states, compared to those in nonexpansion states, experienced larger increases in Medicaid inpatient days and Medicaid revenues as well as reduced uncompensated care costs. These changes improved operating margins for safety-net hospitals in expansion states. Margins for safety-net hospitals in nonexpansion states, meanwhile, declined.

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.

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,…

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.

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.

Comparison of Bottomless Lift Nets and Breder Traps for Sampling Salt-Marsh Nekton

EPA Pesticide Factsheets

Data set contains: the length of mummichogs (Fundulus heteroclitus) caught on lift nets and Breder traps from May to September 2002; the sizes of green crabs caught in the lift nets and Breder traps during same time frame; the mean density and sample size data for each sampling time and each site (3 sites total) for total nekton sampled and total nekton minus shrimp.This dataset is associated with the following publication:Raposa, K., and M. Chintala. Comparison of Bottomless Lift Nets and Breder Traps for Sampling Salt-Marsh Nekton. TRANSACTIONS OF THE AMERICAN FISHERIES SOCIETY. American Fisheries Society, Bethesda, MD, USA, 145(1): 163-172, (2016).

Inorganic carbon and oxygen dynamics in a marsh‐dominated estuary

PubMed Central

Di Iorio, Daniela; Cai, Wei‐Jun; Hopkinson, Charles S.

2017-01-01

Abstract We conducted a free‐water mass balance‐based study 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. We measured open water diurnal O2 and dissolved inorganic carbon (DIC) dynamics 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 O2 to 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. PMID:29456267

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.

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.

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.

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.

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...

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...

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...

Partitioning direct and indirect effects reveals the response of water-limited ecosystems to elevated CO2.

PubMed

Fatichi, Simone; Leuzinger, Sebastian; Paschalis, Athanasios; Langley, J Adam; Donnellan Barraclough, Alicia; Hovenden, Mark J

2016-10-24

Increasing concentrations of atmospheric carbon dioxide are expected to affect carbon assimilation and evapotranspiration (ET), ultimately driving changes in plant growth, hydrology, and the global carbon balance. Direct leaf biochemical effects have been widely investigated, whereas indirect effects, although documented, elude explicit quantification in experiments. Here, we used a mechanistic model to investigate the relative contributions of direct (through carbon assimilation) and indirect (via soil moisture savings due to stomatal closure, and changes in leaf area index) effects of elevated CO 2 across a variety of ecosystems. We specifically determined which ecosystems and climatic conditions maximize the indirect effects of elevated CO 2 The simulations suggest that the indirect effects of elevated CO 2 on net primary productivity are large and variable, ranging from less than 10% to more than 100% of the size of direct effects. For ET, indirect effects were, on average, 65% of the size of direct effects. Indirect effects tended to be considerably larger in water-limited ecosystems. As a consequence, the total CO 2 effect had a significant, inverse relationship with the wetness index and was directly related to vapor pressure deficit. These results have major implications for our understanding of the CO 2 response of ecosystems and for global projections of CO 2 fertilization, because, although direct effects are typically understood and easily reproducible in models, simulations of indirect effects are far more challenging and difficult to constrain. Our findings also provide an explanation for the discrepancies between experiments in the total CO 2 effect on net primary productivity.

Recovery of Ecosystem Carbon and Energy Fluxes From the 2003 Drought in Europe and the 2012 Drought in the United States

NASA Astrophysics Data System (ADS)

He, Bin; Liu, Junjie; Guo, Lanlan; Wu, Xiuchen; Xie, Xaoming; Zhang, Yafeng; Chen, Chen; Zhong, Ziqian; Chen, Ziyue

2018-05-01

Recovery of an ecosystem from drought is an important indicator of ecosystem resilience. However, few investigations have heretofore focused on the recovery of ecosystem carbon and energy fluxes but have mainly focused on the drought recovery of plant growth and ecosystem productions. Therefore, the present study uses in situ observations from FLUXNET 2015 to examine the recovery of carbon flux and energy flux of ecosystems from the 2003 European drought and the 2012 U.S. drought on the daily scale. The results reveal the strong impact of these two extreme droughts on ecosystem gross primary production, total ecosystem respiration, net ecosystem exchange, and latent heat flux. In addition, the recovery time of these indicators differ significantly. At the regional scale, the recovery of gross primary production, total ecosystem respiration, net ecosystem exchange, and latent heat flux took 44, 23, 63, and 27 days after the 2003 European drought, and the recovery for corresponding indicators for the 2012 U.S. drought took 42, 63, 15, and 33 days, respectively. Further investigations suggest that indicator background conditions and drought-damage magnitudes played an important role in regulating drought recovery in the 2003 European drought, with lower background value and greater damage leading to a longer recovery time. The ecosystem recovery from the 2012 U.S. drought, however, was dominated by the precipitation condition during the recovery period, with more precipitation associated with a shorter recovery time. These results provide crucial insight into the divergent recovery trajectories for different carbon-water processes among diverse bioclimatic regions.

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.

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…

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…

Ion extraction capabilities of closely spaced grids

NASA Technical Reports Server (NTRS)

Rovang, D. C.; Wilbur, P. J.

1982-01-01

The ion extraction capabilities of accelerator systems with small screen hole diameters (less than 2.0 mm) are investigated at net-accelerating voltages of 100, 300, and 500 V. Results show that the impingement-limited perveance is not dramatically affected by reductions in screen hole diameter to 1.0 mm, but impingement-limited performance was found to be dependent on the grid separation distance, the discharge-to-total accelerating voltage ratio, and the net-to-total accelerating voltage ratio. Results obtained using small hole diameters and closely spaced grids indicate a new mode of grid operation where high current density operation can be achieved with a specified net acceleration voltage by operating the grids at a high rather than low net-to-total acceleration voltage. Beam current densities as high as 25 mA/sq cm were obtained using grids with 1.0 mm diameter holes operating at a net accelerating voltage of 500 V.

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.

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.

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.

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.

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

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)...

Analysis on biomass and productivity of epilithic algae and their relations to environmental factors in the Gufu River basin, Three Gorges Reservoir area, China.

PubMed

Ge, Jiwen; Wu, Shuyuan; Touré, Dado; Cheng, Lamei; Miao, Wenjie; Cao, Huafen; Pan, Xiaoying; Li, Jianfeng; Yao, Minmin; Feng, Liang

2017-12-01

The main purpose of this study conducted from August 2010 was to find biomass and productivity of epilithic algae and their relations to environmental factors and try to explore the restrictive factors affecting the growth of algae in the Gufu River, the one of the branches of Xiangxi River located in the Three Gorges Reservoir of the Yangtze River, Hubei Province, Central China. An improved method of in situ primary productivity measurement was utilized to estimate the primary production of the epilithic algae. It was shown that in rivers, lakes, and reservoirs, algae are the main primary producers and have a central role in the ecosystem. Chlorophyll a concentration and ash-free dry mass (AFDM) were estimated for epilithic algae of the Gufu River basin in Three Gorges Reservoir area. Environmental factors in the Gufu River ecosystem highlighted differences in periphyton chlorophyll a ranging from 1.49 mg m -2 (origin) to 69.58 mg m -2 (terminal point). The minimum and maximum gross primary productivity of epilithic algae were 96.12 and 1439.89 mg C m -2  day -1 , respectively. The mean net primary productivity was 290.24 mg C m -2  day -1 . The mean autotrophic index (AFDM:chlorophyll a) was 407.40. The net primary productivity, community respiration ratio (P/R ratio) ranged from 0.98 to 9.25 with a mean of 2.76, showed that autotrophic productivity was dominant in the river. Relationship between physicochemical characteristics and biomass was discussed through cluster and stepwise regression analysis which indicated that altitude, total nitrogen (TN), NO 3 - -N, and NH 4 + -N were significant environmental factors affecting the biomass of epilithic algae. However, a negative logarithmic relationship between altitude and the chlorophyll a of epilithic algae was high. The results also highlighted the importance of epilithic algae in maintaining the Gufu River basin ecosystems health.

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%.

Relationships among net primary productivity, nutrients and climate in tropical rain forest: A pan-tropical analysis

USGS Publications Warehouse

Cleveland, Cory C.; Townsend, Alan R.; Taylor, Philip; Alvarez-Clare, Silvia; Bustamante, Mercedes M.C.; Chuyong, George; Dobrowski, Solomon Z.; Grierson, Pauline; Harms, Kyle E.; Houlton, Benjamin Z.; Marklein, Alison; Parton, William; Porder, Stephen; Reed, Sasha C.; Sierra, Carlos A.; Silver, Whendee L.; Tanner, Edmund V.J.; Wieder, William R.

2011-01-01

Tropical rain forests play a dominant role in global biosphere-atmosphere CO2 exchange. Although climate and nutrient availability regulate net primary production (NPP) and decomposition in all terrestrial ecosystems, the nature and extent of such controls in tropical forests remain poorly resolved. We conducted a meta-analysis of carbon-nutrient-climate relationships in 113 sites across the tropical forest biome. Our analyses showed that mean annual temperature was the strongest predictor of aboveground NPP (ANPP) across all tropical forests, but this relationship was driven by distinct temperature differences between upland and lowland forests. Within lowland forests (< 1000 m), a regression tree analysis revealed that foliar and soil-based measurements of phosphorus (P) were the only variables that explained a significant proportion of the variation in ANPP, although the relationships were weak. However, foliar P, foliar nitrogen (N), litter decomposition rate (k), soil N and soil respiration were all directly related with total surface (0–10 cm) soil P concentrations. Our analysis provides some evidence that P availability regulates NPP and other ecosystem processes in lowland tropical forests, but more importantly, underscores the need for a series of large-scale nutrient manipulations – especially in lowland forests – to elucidate the most important nutrient interactions and controls.

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.

Patterns of Ecosystem Metabolism in the Tonle Sap Lake, Cambodia with Links to Capture Fisheries

PubMed Central

Holtgrieve, Gordon W.; Arias, Mauricio E.; Irvine, Kim N.; Lamberts, Dirk; Ward, Eric J.; Kummu, Matti; Koponen, Jorma; Sarkkula, Juha; Richey, Jeffrey E.

2013-01-01

The Tonle Sap Lake in Cambodia is a dynamic flood-pulsed ecosystem that annually increases its surface area from roughly 2,500 km2 to over 12,500 km2 driven by seasonal flooding from the Mekong River. This flooding is thought to structure many of the critical ecological processes, including aquatic primary and secondary productivity. The lake also has a large fishery that supports the livelihoods of nearly 2 million people. We used a state-space oxygen mass balance model and continuous dissolved oxygen measurements from four locations to provide the first estimates of gross primary productivity (GPP) and ecosystem respiration (ER) for the Tonle Sap. GPP averaged 4.1±2.3 g O2 m−3 d−1 with minimal differences among sites. There was a negative correlation between monthly GPP and lake level (r = 0.45) and positive correlation with turbidity (r = 0.65). ER averaged 24.9±20.0 g O2 m−3 d−1 but had greater than six-fold variation among sites and minimal seasonal change. Repeated hypoxia was observed at most sampling sites along with persistent net heterotrophy (GPP

Patterns of ecosystem metabolism in the Tonle Sap Lake, Cambodia with links to capture fisheries.

PubMed

Holtgrieve, Gordon W; Arias, Mauricio E; Irvine, Kim N; Lamberts, Dirk; Ward, Eric J; Kummu, Matti; Koponen, Jorma; Sarkkula, Juha; Richey, Jeffrey E

2013-01-01

The Tonle Sap Lake in Cambodia is a dynamic flood-pulsed ecosystem that annually increases its surface area from roughly 2,500 km(2) to over 12,500 km(2) driven by seasonal flooding from the Mekong River. This flooding is thought to structure many of the critical ecological processes, including aquatic primary and secondary productivity. The lake also has a large fishery that supports the livelihoods of nearly 2 million people. We used a state-space oxygen mass balance model and continuous dissolved oxygen measurements from four locations to provide the first estimates of gross primary productivity (GPP) and ecosystem respiration (ER) for the Tonle Sap. GPP averaged 4.1±2.3 g O2 m(-3) d(-1) with minimal differences among sites. There was a negative correlation between monthly GPP and lake level (r = 0.45) and positive correlation with turbidity (r = 0.65). ER averaged 24.9±20.0 g O2 m(-3) d(-1) but had greater than six-fold variation among sites and minimal seasonal change. Repeated hypoxia was observed at most sampling sites along with persistent net heterotrophy (GPP

16 CFR 801.11 - Annual net sales and total assets.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Annual net sales and total assets. 801.11 Section 801.11 Commercial Practices FEDERAL TRADE COMMISSION RULES, REGULATIONS, STATEMENTS AND... person; and (2) The total assets of a person shall be as stated on the last regularly prepared balance...

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

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.

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...

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.

Estimating the costs of supporting safety-net transformation into patient-centered medical homes in post-Katrina New Orleans.

PubMed

Shao, Hui; Brown, Lisanne; Diana, Mark L; Schmidt, Laura A; Mason, Karen; Oronce, Carlos Irwin; Shi, Lizheng

2016-09-01

There is a need to understand the costs associated with supporting, implementing, and maintaining the system redesign of small and medium-sized safety-net clinics. The authors aimed to understand the characteristics of clinics that transformed into patient-centered medical homes and the incremental cost for transformation.The sample was 74 clinics in Greater New Orleans that received funds from the Primary Care Access and Stabilization Grant program between 2007 and 2010 to support their transformation. The study period was divided into baseline (September 21, 2007-March 21, 2008), transformation (March 22, 2008-March 21, 2009), and maintenance (March 22, 2009-September 20, 2010) periods, and data were collected at 6-month intervals. Baseline characteristics for the clinics that transformed were compared to those that did not. Fixed-effect models were conducted for cost estimation, controlling for baseline differences, using propensity score weights.Half of the 74 primary care clinics achieved transformation by the end of the study period. The clinics that transformed had higher total cost, more clinic visits, and a larger female patient proportion at baseline. The estimated incremental cost for clinics that underwent transformation was $37.61 per visit per 6 months, and overall it cost $24.86 per visit per 6 months in grant funds to support a clinic's transformation.Larger-sized clinics and those with a higher female proportion were more likely to transform. The Primary Care Access and Stabilization Grant program provided approximately $24.86 per visit over the 2 and 1/2 years. This estimated incremental cost could be used to guide policy recommendations to support primary care transformation in the United States.

Estimating the costs of supporting safety-net transformation into patient-centered medical homes in post-Katrina New Orleans

PubMed Central

Shao, Hui; Brown, Lisanne; Diana, Mark L.; Schmidt, Laura A.; Mason, Karen; Oronce, Carlos Irwin; Shi, Lizheng

2016-01-01

Abstract There is a need to understand the costs associated with supporting, implementing, and maintaining the system redesign of small and medium-sized safety-net clinics. The authors aimed to understand the characteristics of clinics that transformed into patient-centered medical homes and the incremental cost for transformation. The sample was 74 clinics in Greater New Orleans that received funds from the Primary Care Access and Stabilization Grant program between 2007 and 2010 to support their transformation. The study period was divided into baseline (September 21, 2007–March 21, 2008), transformation (March 22, 2008–March 21, 2009), and maintenance (March 22, 2009–September 20, 2010) periods, and data were collected at 6-month intervals. Baseline characteristics for the clinics that transformed were compared to those that did not. Fixed-effect models were conducted for cost estimation, controlling for baseline differences, using propensity score weights. Half of the 74 primary care clinics achieved transformation by the end of the study period. The clinics that transformed had higher total cost, more clinic visits, and a larger female patient proportion at baseline. The estimated incremental cost for clinics that underwent transformation was $37.61 per visit per 6 months, and overall it cost $24.86 per visit per 6 months in grant funds to support a clinic's transformation. Larger-sized clinics and those with a higher female proportion were more likely to transform. The Primary Care Access and Stabilization Grant program provided approximately $24.86 per visit over the 2 and 1/2 years. This estimated incremental cost could be used to guide policy recommendations to support primary care transformation in the United States. PMID:27684855

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

Wolf, Julie; West, Tristram O.; Le Page, Yannick LB

Quantification of biogenic carbon fluxes from agricultural lands is needed to generate comprehensive bottom-up estimates of net carbon exchange for global and regional carbon monitoring. We estimated global agricultural carbon fluxes associated with annual crop net primary production (NPP), harvested biomass, and consumption of biomass by humans and livestock. These estimates were combined for a single estimate of net carbon exchange (NCE) and spatially distributed to 0.05 degree resolution using MODIS satellite land cover data. Global crop NPP in 2011 was estimated at 5.25 ± 0.46 Pg C yr-1, of which 2.05 ± 0.05 Pg C yr-1 was harvested andmore » 0.54 Pg C yr-1 was collected from crop residues for livestock fodder. Total livestock feed intake in 2011 was 2.42 ± 0.21 Pg C yr-1, of which 2.31 ± 0.21 Pg C yr-1 was emitted as CO2, 0.07 ± 0.01 Pg C yr-1 was emitted as CH4, and 0.04 Pg C yr-1 was contained within milk and egg production. Livestock grazed an estimated 1.27 Pg C yr-1 in 2011, which constituted 52.4% of total feed intake. Global human food intake was 0.57 ± 0.03 Pg C yr-1 in 2011, the majority of which is respired as CO2. Completed global cropland carbon budgets accounted for the ultimate use of ca. 80% of harvested biomass. The spatial distribution of these fluxes may be used for global carbon monitoring, estimation of regional uncertainty, and for use as input to Earth system models.« less

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

Carbon fluxes in ecosystems of Yellowstone National Park predicted from remote sensing data and simulation modeling

PubMed Central

2011-01-01

Background A simulation model based on remote sensing data for spatial vegetation properties has been used to estimate ecosystem carbon fluxes across Yellowstone National Park (YNP). The CASA (Carnegie Ames Stanford Approach) model was applied at a regional scale to estimate seasonal and annual carbon fluxes as net primary production (NPP) and soil respiration components. Predicted net ecosystem production (NEP) flux of CO2 is estimated from the model for carbon sinks and sources over multi-year periods that varied in climate and (wildfire) disturbance histories. Monthly Enhanced Vegetation Index (EVI) image coverages from the NASA Moderate Resolution Imaging Spectroradiometer (MODIS) instrument (from 2000 to 2006) were direct inputs to the model. New map products have been added to CASA from airborne remote sensing of coarse woody debris (CWD) in areas burned by wildfires over the past two decades. Results Model results indicated that relatively cooler and wetter summer growing seasons were the most favorable for annual plant production and net ecosystem carbon gains in representative landscapes of YNP. When summed across vegetation class areas, the predominance of evergreen forest and shrubland (sagebrush) cover was evident, with these two classes together accounting for 88% of the total annual NPP flux of 2.5 Tg C yr-1 (1 Tg = 1012 g) for the entire Yellowstone study area from 2000-2006. Most vegetation classes were estimated as net ecosystem sinks of atmospheric CO2 on annual basis, making the entire study area a moderate net sink of about +0.13 Tg C yr-1. This average sink value for forested lands nonetheless masks the contribution of areas burned during the 1988 wildfires, which were estimated as net sources of CO2 to the atmosphere, totaling to a NEP flux of -0.04 Tg C yr-1 for the entire burned area. Several areas burned in the 1988 wildfires were estimated to be among the lowest in overall yearly NPP, namely the Hellroaring Fire, Mink Fire, and Falls Fire areas. Conclusions Rates of recovery for burned forest areas to pre-1988 biomass levels were estimated from a unique combination of remote sensing and CASA model predictions. Ecosystem production and carbon fluxes in the Greater Yellowstone Ecosystem (GYE) result from complex interactions between climate, forest age structure, and disturbance-recovery patterns of the landscape. PMID:21835025

Carbon fluxes in ecosystems of Yellowstone National Park predicted from remote sensing data and simulation modeling.

PubMed

Potter, Christopher; Klooster, Steven; Crabtree, Robert; Huang, Shengli; Gross, Peggy; Genovese, Vanessa

2011-08-11

A simulation model based on remote sensing data for spatial vegetation properties has been used to estimate ecosystem carbon fluxes across Yellowstone National Park (YNP). The CASA (Carnegie Ames Stanford Approach) model was applied at a regional scale to estimate seasonal and annual carbon fluxes as net primary production (NPP) and soil respiration components. Predicted net ecosystem production (NEP) flux of CO2 is estimated from the model for carbon sinks and sources over multi-year periods that varied in climate and (wildfire) disturbance histories. Monthly Enhanced Vegetation Index (EVI) image coverages from the NASA Moderate Resolution Imaging Spectroradiometer (MODIS) instrument (from 2000 to 2006) were direct inputs to the model. New map products have been added to CASA from airborne remote sensing of coarse woody debris (CWD) in areas burned by wildfires over the past two decades. Model results indicated that relatively cooler and wetter summer growing seasons were the most favorable for annual plant production and net ecosystem carbon gains in representative landscapes of YNP. When summed across vegetation class areas, the predominance of evergreen forest and shrubland (sagebrush) cover was evident, with these two classes together accounting for 88% of the total annual NPP flux of 2.5 Tg C yr-1 (1 Tg = 1012 g) for the entire Yellowstone study area from 2000-2006. Most vegetation classes were estimated as net ecosystem sinks of atmospheric CO2 on annual basis, making the entire study area a moderate net sink of about +0.13 Tg C yr-1. This average sink value for forested lands nonetheless masks the contribution of areas burned during the 1988 wildfires, which were estimated as net sources of CO2 to the atmosphere, totaling to a NEP flux of -0.04 Tg C yr-1 for the entire burned area. Several areas burned in the 1988 wildfires were estimated to be among the lowest in overall yearly NPP, namely the Hellroaring Fire, Mink Fire, and Falls Fire areas. Rates of recovery for burned forest areas to pre-1988 biomass levels were estimated from a unique combination of remote sensing and CASA model predictions. Ecosystem production and carbon fluxes in the Greater Yellowstone Ecosystem (GYE) result from complex interactions between climate, forest age structure, and disturbance-recovery patterns of the landscape.

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.

5 CFR 1645.3 - Calculation of total net earnings for each TSP Fund.

Code of Federal Regulations, 2010 CFR

2010-01-01

... BOARD CALCULATION OF SHARE PRICES § 1645.3 Calculation of total net earnings for each TSP Fund. (a) Each... be used to calculate the share price for that business day. [70 FR 32214, June 1, 2005] ...

42 CFR 414.804 - Basis of payment.

Code of Federal Regulations, 2013 CFR

2013-10-01

... accurately the net total sales amount for the quarter to the nearest whole dollar.) The result of this... Drug Code 12345-6789-01 subject to the ASP reporting requirement equal $200,000, and the total in... for this National Drug Code for this quarter is: $50,000−(0.33333 × $50,000) = $33,334 (net total...

42 CFR 414.804 - Basis of payment.

Code of Federal Regulations, 2014 CFR

2014-10-01

... accurately the net total sales amount for the quarter to the nearest whole dollar.) The result of this... Drug Code 12345-6789-01 subject to the ASP reporting requirement equal $200,000, and the total in... for this National Drug Code for this quarter is: $50,000−(0.33333 × $50,000) = $33,334 (net total...

42 CFR 414.804 - Basis of payment.

Code of Federal Regulations, 2011 CFR

2011-10-01

... calculation of the price concessions percentage in order to round accurately the net total sales amount for... the ASP reporting requirement equal $200,000, and the total in dollars for the sales subject to the... for this quarter is: $50,000−(0.33333 × $50,000) = $33,334 (net total sales amount); $33,334/10,000...

42 CFR 414.804 - Basis of payment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... calculation of the price concessions percentage in order to round accurately the net total sales amount for... the ASP reporting requirement equal $200,000, and the total in dollars for the sales subject to the... for this quarter is: $50,000−(0.33333 × $50,000) = $33,334 (net total sales amount); $33,334/10,000...

42 CFR 414.804 - Basis of payment.

Code of Federal Regulations, 2012 CFR

2012-10-01

... accurately the net total sales amount for the quarter to the nearest whole dollar.) The result of this... Drug Code 12345-6789-01 subject to the ASP reporting requirement equal $200,000, and the total in... for this National Drug Code for this quarter is: $50,000−(0.33333 × $50,000) = $33,334 (net total...

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

PubMed

Cimpan, Ciprian; Wenzel, Henrik

2013-07-01

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), biogas 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 MJprimary/100 MJinput 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. Copyright © 2013 Elsevier Ltd. All rights reserved.

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.

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.

Benthic metabolic feedbacks to carbonate chemistry on coral reefs:implications for ocean acidification

NASA Astrophysics Data System (ADS)

Price, N.; Rohwer, F. L.; Stuart, S. A.; Andersson, A.; Smith, J.

2012-12-01

The metabolic activity of resident organisms can cause spatio-temporal variability in carbonate chemistry within the benthic boundary layer, and thus potentially buffer the global impacts of ocean acidification. But, little is known about the capacity for particular species assemblages to contribute to natural daily variability in carbonate chemistry. We encapsulated replicate areas (~3m2) of reef across six Northern Line Islands in the central Pacific for 24 hrs to quantify feedbacks to carbonate chemistry within the benthic boundary layer from community metabolism. Underneath each 'tent', we quantified relative abundance and biomass of each species of corals and algae. We coupled high temporal resolution time series data on the natural diurnal variability in pH, dissolved oxygen, salinity, and temperature (using autonomous sensors) with resident organisms' net community calcification and productivity rates (using change in total dissolved carbon and total alkalinity over time) to examine feedbacks from reef metabolism to boundary layer carbonate chemistry. These reefs experienced large ranges in pH (> 0.2 amplitude) each day, similar to the magnitude of 'acidification' expected over the next century. Daily benthic pH, pCO2, and aragonite saturation state (Ωaragonite) were contrasted with seasonal threshold values estimated from open ocean climatological data extrapolated at each island to determine relative inter-island feedbacks. Diurnal amplitude in pH, pCO2, and Ωaragonite at each island was dependent upon the resident species assemblage of the benthos and was particularly reliant upon the biomass, productivity, and calcification rate of Halimeda. Net primary productivity of fleshy algae (algal turfs and Lobophora spp.) predominated on degraded, inhabited islands where net community calcification was negligible. In contrast, the chemistry over reefs on 'pristine', uninhabited islands was driven largely by net calcification of calcareous algae and stony corals. Knowledge about species specific physiological rates and relative abundances of key taxa whose metabolism significantly alters carbonate chemistry may give insight to the ability for a reef to buffer against or exacerbate ocean acidification.

Net nitrogen mineralization and net nitrification rates in soils following deforestation for pasture across the southwestern Brazilian Amazon Basin landscape.

PubMed

Neill, Christopher; Piccolo, Marisa C; Cerri, Carlos C; Steudler, Paul A; Melillo, Jerry M; Brito, Marciano

1997-04-01

Previous studies of the effect of tropical forest conversion to cattle pasture on soil N dynamics showed that rates of net N mineralization and net nitrification were lower in pastures compared with the original forest. In this study, we sought to determine the generality of these patterns by examining soil inorganic N concentrations, net mineralization and nitrification rates in 6 forests and 11 pastures 3 years old or older on ultisols and oxisols that encompassed a wide variety of soil textures and spanned a 700-km geographical range in the southwestern Brazilian Amazon Basin state of Rondônia. We sampled each site during October-November and April-May. Forest soils had higher extractable NO 3 - -N and total inorganic N concentrations than pasture soils, but substantial NO 3 - -N occurred in both forest and pasture soils. Rates of net N mineralization and net nitrification were higher in forest soils. Greater concentrations of soil organic matter in finer textured soils were associated with greater rates of net N mineralization and net nitrification, but this relationship was true only under native forest vegetation; rates were uniformly low in pastures, regardless of soil type or texture. Net N mineralization and net nitrification rates per unit of total soil organic matter showed no pattern across the different forest sites, suggesting that controls of net N mineralization may be broadly similar across a wide range of soil types. Similar reductions in rates of net N transformations in pastures 3 years old or older across a range of textures on these soils suggest that changes to soil N cycling caused by deforestation for pasture may be Basin-wide in extent. Lower net N mineralization and net nitrification rates in established pastures suggest that annual N losses from largely deforested landscapes may be lower than losses from the original forest. Total ecosystem N losses since deforestation are likely to depend on the balance between lower N loss rates from established pastures and the magnitude and duration of N losses that occur in the years immediately following forest clearing.

Organic fertilizer application increases the soil respiration and net ecosystem carbon dioxide absorption of paddy fields under water-saving irrigation.

PubMed

Yang, Shihong; Xiao, Ya Nan; Xu, Junzeng

2018-04-01

Quantifying carbon sequestration in paddy soil is necessary to understand the effect of agricultural practices on carbon cycles. The objective of this study was to assess the effect of organic fertilizer addition (MF) on the soil respiration and net ecosystem carbon dioxide (CO 2 ) absorption of paddy fields under water-saving irrigation (CI) in the Taihu Lake Region of China during the 2014 and 2015 rice-growing seasons. Compared with the traditional fertilizer and water management (FC), the joint regulation of CI and MF (CM) significantly increased the rice yields and irrigation water use efficiencies of paddy fields by 4.02~5.08 and 83.54~109.97% (p < 0.05). The effects of organic fertilizer addition on soil respiration and net ecosystem CO 2 absorption rates showed inter-annual differences. CM paddy fields showed a higher soil respiration and net CO 2 absorption rates during some periods of the rice growth stage in the first year and during most periods of the rice growth stage in the second year. These fields also had significantly higher total CO 2 emission through soil respiration (total R soil ) and total net CO 2 absorption compared with FC paddy fields (p < 0.05). The total R soil and net ecosystem CO 2 absorption of CM paddy fields were 67.39~91.55 and 129.41~113.75 mol m -2 , which were 27.66~135.52 and 12.96~31.66% higher than those of FC paddy fields. The interaction between water and fertilizer management had significant effects on total net ecosystem CO 2 absorption. The frequent alternate wet-dry cycles of CI paddy fields increased the soil respiration and reduced the net CO 2 absorption. Organic fertilizer promoted the soil respiration of paddy soil but also increased its net CO 2 absorption and organic carbon content. Therefore, the joint regulation of water-saving irrigation and organic fertilizer is an effective measure for maintaining yield, increasing irrigation water use efficiency, mitigating CO 2 emission, and promoting paddy soil fertility.

Assessment of the Incremental Benefit of Computer-Aided Detection (CAD) for Interpretation of CT Colonography by Experienced and Inexperienced Readers

PubMed Central

Boone, Darren; Mallett, Susan; McQuillan, Justine; Taylor, Stuart A.; Altman, Douglas G.; Halligan, Steve

2015-01-01

Objectives To quantify the incremental benefit of computer-assisted-detection (CAD) for polyps, for inexperienced readers versus experienced readers of CT colonography. Methods 10 inexperienced and 16 experienced radiologists interpreted 102 colonography studies unassisted and with CAD utilised in a concurrent paradigm. They indicated any polyps detected on a study sheet. Readers’ interpretations were compared against a ground-truth reference standard: 46 studies were normal and 56 had at least one polyp (132 polyps in total). The primary study outcome was the difference in CAD net benefit (a combination of change in sensitivity and change in specificity with CAD, weighted towards sensitivity) for detection of patients with polyps. Results Inexperienced readers’ per-patient sensitivity rose from 39.1% to 53.2% with CAD and specificity fell from 94.1% to 88.0%, both statistically significant. Experienced readers’ sensitivity rose from 57.5% to 62.1% and specificity fell from 91.0% to 88.3%, both non-significant. Net benefit with CAD assistance was significant for inexperienced readers but not for experienced readers: 11.2% (95%CI 3.1% to 18.9%) versus 3.2% (95%CI -1.9% to 8.3%) respectively. Conclusions Concurrent CAD resulted in a significant net benefit when used by inexperienced readers to identify patients with polyps by CT colonography. The net benefit was nearly four times the magnitude of that observed for experienced readers. Experienced readers did not benefit significantly from concurrent CAD. PMID:26355745

Economic evaluation of occupational therapy in Parkinson's disease: A randomized controlled trial.

PubMed

Sturkenboom, Ingrid H W M; Hendriks, Jan C M; Graff, Maud J L; Adang, Eddy M M; Munneke, Marten; Nijhuis-van der Sanden, Maria W G; Bloem, Bastiaan R

2015-07-01

A large randomized clinical trial (the Occupational Therapy in Parkinson's Disease [OTiP] study) recently demonstrated that home-based occupational therapy improves perceived performance in daily activities of people with Parkinson's disease (PD). The aim of the current study was to evaluate the cost-effectiveness of this intervention. We performed an economic evaluation over a 6-month period for both arms of the OTiP study. Participants were 191 community-dwelling PD patients and 180 primary caregivers. The intervention group (n = 124 patients) received 10 weeks of home-based occupational therapy; the control group (n = 67 patients) received usual care (no occupational therapy). Costs were assessed from a societal perspective including healthcare use, absence from work, informal care, and intervention costs. Health utilities were evaluated using EuroQol-5d. We estimated cost differences and cost utility using linear mixed models and presented the net monetary benefit at different values for willingness to pay per quality-adjusted life-year gained. In our primary analysis, we excluded informal care hours because of substantial missing data for this item. The estimated mean total costs for the intervention group compared with controls were €125 lower for patients, €29 lower for caregivers, and €122 higher for patient-caregiver pairs (differences not significant). At a value of €40,000 per quality-adjusted life-year gained (reported threshold for PD), the net monetary benefit of the intervention per patient was €305 (P = 0.74), per caregiver €866 (P = 0.01) and per patient-caregiver pair €845 (P = 0.24). In conclusion, occupational therapy did not significantly impact on total costs compared with usual care. Positive cost-effectiveness of the intervention was only significant for caregivers. © 2015 International Parkinson and Movement Disorder Society.

Drivers of inorganic carbon dynamics in first-year sea ice: A model study

NASA Astrophysics Data System (ADS)

Moreau, Sébastien; Vancoppenolle, Martin; Delille, Bruno; Tison, Jean-Louis; Zhou, Jiayun; Kotovitch, Marie; Thomas, David N.; Geilfus, Nicolas-Xavier; Goosse, Hugues

2015-01-01

Sea ice is an active source or a sink for carbon dioxide (CO2), although to what extent is not clear. Here, we analyze CO2 dynamics within sea ice using a one-dimensional halothermodynamic sea ice model including gas physics and carbon biogeochemistry. The ice-ocean fluxes, and vertical transport, of total dissolved inorganic carbon (DIC) and total alkalinity (TA) are represented using fluid transport equations. Carbonate chemistry, the consumption, and release of CO2 by primary production and respiration, the precipitation and dissolution of ikaite (CaCO3·6H2O) and ice-air CO2 fluxes, are also included. The model is evaluated using observations from a 6 month field study at Point Barrow, Alaska, and an ice-tank experiment. At Barrow, results show that the DIC budget is mainly driven by physical processes, wheras brine-air CO2 fluxes, ikaite formation, and net primary production, are secondary factors. In terms of ice-atmosphere CO2 exchanges, sea ice is a net CO2 source and sink in winter and summer, respectively. The formulation of the ice-atmosphere CO2 flux impacts the simulated near-surface CO2 partial pressure (pCO2), but not the DIC budget. Because the simulated ice-atmosphere CO2 fluxes are limited by DIC stocks, and therefore <2 mmol m-2 d-1, we argue that the observed much larger CO2 fluxes from eddy covariance retrievals cannot be explained by a sea ice direct source and must involve other processes or other sources of CO2. Finally, the simulations suggest that near-surface TA/DIC ratios of ˜2, sometimes used as an indicator of calcification, would rather suggest outgassing.

Drivers of inorganic carbon dynamics in first-year sea ice: A model study

NASA Astrophysics Data System (ADS)

Moreau, Sébastien; Vancoppenolle, Martin; Delille, Bruno; Tison, Jean-Louis; Zhou, Jiayun; Kotovich, Marie; Thomas, David; Geilfus, Nicolas-Xavier; Goosse, Hugues

2015-04-01

Sea ice is an active source or a sink for carbon dioxide (CO2), although to what extent is not clear. Here, we analyze CO2 dynamics within sea ice using a one-dimensional halo-thermodynamic sea ice model including gas physics and carbon biogeochemistry. The ice-ocean fluxes, and vertical transport, of total dissolved inorganic carbon (DIC) and total alkalinity (TA) are represented using fluid transport equations. Carbonate chemistry, the consumption and release of CO2 by primary production and respiration, the precipitation and dissolution of ikaite (CaCO3•6H2O) and ice-air CO2 fluxes, are also included. The model is evaluated using observations from a 6-month field study at Point Barrow, Alaska and an ice-tank experiment. At Barrow, results show that the DIC budget is mainly driven by physical processes, wheras brine-air CO2 fluxes, ikaite formation, and net primary production, are secondary factors. In terms of ice-atmosphere CO2 exchanges, sea ice is a net CO2 source and sink in winter and summer, respectively. The formulation of the ice-atmosphere CO2 flux impacts the simulated near-surface CO2 partial pressure (pCO2), but not the DIC budget. Because the simulated ice-atmosphere CO2 fluxes are limited by DIC stocks, and therefore < 2 mmol m-2 day-1, we argue that the observed much larger CO2 fluxes from eddy covariance retrievals cannot be explained by a sea ice direct source and must involve other processes or other sources of CO2. Finally, the simulations suggest that near surface TA/DIC ratios of ~2, sometimes used as an indicator of calcification, would rather suggest outgassing.

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.

Sedimentation, sediment quality, and upstream channel stability, John Redmond Reservoir, east-central Kansas, 1964-2009

USGS Publications Warehouse

Juracek, Kyle E.

2010-01-01

A combination of available bathymetric-survey information, bottom-sediment coring, and historical streamgage information was used to investigate sedimentation, sediment quality, and upstream channel stability for John Redmond Reservoir, east-central Kansas. Ongoing sedimentation is reducing the ability of the reservoir to serve several purposes including flood control, water supply, and recreation. The total estimated volume and mass of bottom sediment deposited between 1964 and 2009 in the conservation pool of the reservoir was 1.46 billion cubic feet and 55.8 billion pounds, respectively. The estimated sediment volume occupied about 41 percent of the conservation-pool, water-storage capacity of the reservoir. Water-storage capacity in the conservation pool has been lost to sedimentation at a rate of about 1 percent annually. Mean annual net sediment deposition since 1964 in the conservation pool of the reservoir was estimated to be 1.24 billion pounds per year. Mean annual net sediment yield from the reservoir basin was estimated to be 411,000 pounds per square mile per year Information from sediment cores shows that throughout the history of John Redmond Reservoir, total nitrogen concentrations in the deposited sediment generally were uniform indicating consistent nitrogen inputs to the reservoir. Total phosphorus concentrations in the deposited sediment were more variable than total nitrogen indicating the possibility of changing phosphorus inputs to the reservoir. As the principal limiting factor for primary production in most freshwater environments, phosphorus is of particular importance because increased inputs can contribute to accelerated reservoir eutrophication and the production of algal toxins and taste-and-odor compounds. The mean annual net loads of total nitrogen and total phosphorus deposited in the bottom sediment of the reservoir were estimated to be 2,350,000 pounds per year and 1,030,000 pounds per year, respectively. The estimated mean annual net yields of total nitrogen and total phosphorus from the reservoir basin were 779 pounds per square mile per year and 342 pounds per square mile per year, respectively. Trace element concentrations in the bottom sediment of John Redmond Reservoir generally were uniform over time. As is typical for eastern Kansas reservoirs, arsenic, chromium, and nickel concentrations typically exceeded the threshold-effects guidelines, which represent the concentrations above which toxic biological effects occasionally occur. Trace element concentrations did not exceed the probable-effects guidelines (available for eight trace elements), which represent the concentrations above which toxic biological effects usually or frequently occur. Organochlorine compounds either were not detected or were detected at concentrations that were less than the threshold-effects guidelines. Stream channel banks, compared to channel beds, likely are a more important source of sediment to John Redmond Reservoir from the upstream basin. Other sediment sources include surface-soil erosion in the basin and shoreline erosion in the reservoir.

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

The importance of education to increase the use of bed nets in villages outside of Kinshasa, Democratic Republic of the Congo.

PubMed

Ndjinga, Julie K; Minakawa, Noboru

2010-10-12

Malaria is the most prominent disease in the Democratic Republic of the Congo (DRC), and long-lasting insecticide-treated nets (LLINs) have been distributed free of charge since 2006 to combat the disease. However, the success of this bed net campaign depends on sufficient bed net use in all age groups. This study was designed to examine the factors affecting bed net use in villages outside of Kinshasa. Two villages along the Congo River, totalling 142 households with 640 residents, were surveyed using a standard questionnaire. The interview determined the number, ages, and sexes of family members; the education level of the family head; the number, colour, and type of nets owned; and the number of nets used in the previous night. The size of house was also measured, and numbers of rooms and beds were recorded. These variables were examined to reveal important factors that affect bed net use. A total of 469 nets were counted, and nearly all nets were white LLINs. Of these nets, 229 (48.8%) nets were used by 284 (44.4%) residents. Bed nets were used by over 90% of children 5 to 15 years of age, whereas less than 50% of the residents in other age groups used bed nets. The important variables affecting bed net use were numbers of beds and rooms in the house and the education level of the family head of household. Education was the most important factor affecting bed net use in the villages outside Kinshasa. Development of an educational programme, particularly one directed toward parents, is necessary to reduce misconceptions and increase prevalence of bed net use among all age groups.

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.

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.

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

USGS Publications Warehouse

Mowll, Whitney; Blumenthal, Dana M.; Cherwin, Karie; Smith, Anine; Symstad, Amy J.; Vermeire, Lance; Collins, Scott L.; Smith, Melinda D.; Knapp, Alan K.

2015-01-01

Although climate models forecast warmer temperatures with a high degree of certainty, precipitation is the primary driver of aboveground net primary production (ANPP) in most grasslands. Conversely, variations in temperature seldom are related to patterns of ANPP. Thus forecasting responses to warming is a challenge, and raises the question: how sensitive will grassland ANPP be to warming? We evaluated climate and multi-year ANPP data (67 years) from eight western US grasslands arrayed along mean annual temperature (MAT; ~7-14 °C) and mean annual precipitation (MAP; ~250-500 mm) gradients. Weused regression and analysis of covariance to assess relationships between ANPP and temperature, as well as precipitation (annual and growing season) to evaluate temperature sensitivity of ANPP. We also related ANPP to the standardized precipitation evaporation index (SPEI), which combines precipitation and evapotranspiration to better represent moisture available for plant growth. Regression models indicated that variation in growing season temperature was negatively related to total and graminoid ANPP, but precipitation was a stronger predictor than temperature. Growing season temperature was also a significant parameter in more complex models, but again precipitation was consistently a stronger predictor of ANPP. Surprisingly, neither annual nor growing season SPEI were as strongly related to ANPP as precipitation. We conclude that forecasted warming likely will affect ANPP in these grasslands, but that predicting temperature effects from natural climatic gradients is difficult. This is because, unlike precipitation, warming effects can be positive or negative and moderated by shifts in the C3/C4 ratios of plant communities.

Improved assessment of gross and net primary productivity of Canada's landmass

NASA Astrophysics Data System (ADS)

Gonsamo, Alemu; Chen, Jing M.; Price, David T.; Kurz, Werner A.; Liu, Jane; Boisvenue, Céline; Hember, Robbie A.; Wu, Chaoyang; Chang, Kuo-Hsien

2013-12-01

assess Canada's gross primary productivity (GPP) and net primary productivity (NPP) using boreal ecosystem productivity simulator (BEPS) at 250 m spatial resolution with improved input parameter and driver fields and phenology and nutrient release parameterization schemes. BEPS is a process-based two-leaf enzyme kinetic terrestrial ecosystem model designed to simulate energy, water, and carbon (C) fluxes using spatial data sets of meteorology, remotely sensed land surface variables, soil properties, and photosynthesis and respiration rate parameters. Two improved key land surface variables, leaf area index (LAI) and land cover type, are derived at 250 m from Moderate Resolution Imaging Spectroradiometer sensor. For diagnostic error assessment, we use nine forest flux tower sites where all measured C flux, meteorology, and ancillary data sets are available. The errors due to input drivers and parameters are then independently corrected for Canada-wide GPP and NPP simulations. The optimized LAI use, for example, reduced the absolute bias in GPP from 20.7% to 1.1% for hourly BEPS simulations. Following the error diagnostics and corrections, daily GPP and NPP are simulated over Canada at 250 m spatial resolution, the highest resolution simulation yet for the country or any other comparable region. Total NPP (GPP) for Canada's land area was 1.27 (2.68) Pg C for 2008, with forests contributing 1.02 (2.2) Pg C. The annual comparisons between measured and simulated GPP show that the mean differences are not statistically significant (p > 0.05, paired t test). The main BEPS simulation error sources are from the driver fields.

Colored shade nets induced changes in growth, anatomy and essential oil of Pogostemon cablin.

PubMed

Ribeiro, Aurislaine S; Ribeiro, Mariana S; Bertolucci, Suzan K V; Bittencourt, Wanderley J M; Carvalho, Alexandre A DE; Tostes, Wesley N; Alves, Eduardo; Pinto, José E B P

2018-04-16

The purpose of this investigation was to determine the influence of colored shade nets on the growth, anatomy and essential oil content, yield and chemical composition of Pogostemon cablin. The plants were cultivated under full sunlight, black, blue and red nets. The harvesting was performed 5 months after planting and it was followed by the analysis of plant growth parameters, leaf anatomy, essential oil content, yield and chemical composition. The plants grown under red net have produced more leaf, shoot, total dry weight and leaf area. Plants cultivated under colored nets showed differences in morphological features. Plants maintained under red net had a higher leaf blade thickness and polar and equatorial diameter of the stomata ratio. Additionally, higher yield of essential oil in the leaves was observed under red and blue colored shade net. The essential oil of the plants grown under red net showed the highest relative percentage of patchoulol (66.84%). Therefore, it is possible using colored shade nets to manipulate P. cablin growth, as well as its essential oil production with several chemical compositions. The analyses of principal components allowed observing that pogostol has negative correlation with α-guaiene and α-bulnesene. There was difference in total dry weight and patchoulol content when the patchouli is cultured under the red colored shade nets.

Effects of Nitrogen Fertilization on Synthesis of Primary and Secondary Metabolites in Three Varieties of Kacip Fatimah (Labisia Pumila Blume)

PubMed Central

Ibrahim, Mohd Hafiz; Jaafar, Hawa Z.E.; Rahmat, Asmah; Rahman, Zaharah Abdul

2011-01-01

A split plot 3 by 4 experiment was designed to examine the impact of 15-week variable levels of nitrogen fertilization (0, 90, 180 and 270 kg N/ha) on the characteristics of total flavonoids (TF), total phenolics (TP), total non structurable carbohydrate (TNC), net assimilation rate, leaf chlorophyll content, carbon to nitrogen ratio (C/N), phenyl alanine lyase activity (PAL) and protein content, and their relationships, in three varieties of Labisia pumila Blume (alata, pumila and lanceolata). The treatment effects were solely contributed by nitrogen application; there was neither varietal nor interaction effect observed. As nitrogen levels increased from 0 to 270 kg N/ha, the production of TNC was found to decrease steadily. Production of TF and TP reached their peaks under 0 followed by 90, 180 and 270 kg N/ha treatment. However, net assimilation rate was enhanced as nitrogen fertilization increased from 0 to 270 kg N/ha. The increase in production of TP and TF under low nitrogen levels (0 and 90 kg N/ha) was found to be correlated with enhanced PAL activity. The enhancement in PAL activity was followed by reduction in production of soluble protein under low nitrogen fertilization indicating more availability of amino acid phenyl alanine (phe) under low nitrogen content that stimulate the production of carbon based secondary metabolites (CBSM). The latter was manifested by high C/N ratio in L. pumila plants. PMID:21954355

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.

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.

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...

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.

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

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

Status of Net Metering: Assessing the Potential to Reach Program Caps

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

Heeter, J.; Gelman, R.; Bird, L.

2014-09-01

Several states are addressing the issue of net metering program caps, which limit the total amount of net metered generating capacity that can be installed in a state or utility service territory. In this analysis, we examine net metering caps to gain perspective on how long net metering will be available in various jurisdictions under current policies. We also surveyed state practices and experience to understand important policy design considerations.

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.

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.

Italy Country Analysis Brief

EIA Publications

2016-01-01

Italy is the fourth largest energy consumer in Europe, after Germany, France, and United Kingdom. Italy's primary energy consumption is driven by oil and gas, which contributed to over three-quarters of Italy's total consumption. The remaining portion is made up of coal, hydro, and other renewable energy sources. Renewable energy sources, excluding hydroelectricity, have increased their share in Italy's energy consumption from less than 2% in 2005 to nearly 10% in 2015. As a net importer of crude oil and natural gas, Italy is heavily dependent on imports to meet about 90% of its oil and gas needs and to maintain its exports of refined petroleum products.

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...

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…

Carbon dioxide exchange in Norway spruce at the shoot, tree and ecosystem scale.

PubMed

Wallin, G; Linder, S; Lindroth, A; Räntfors, M; Flemberg, S; Grelle, A

2001-08-01

Net CO2 exchange in a 35-year-old boreal Norway spruce (Picea abies (L.) Karst.) forest in northern Sweden was measured at the shoot (NSE), tree (NTE) and ecosystem levels (NEE) by means of shoot cuvettes, whole-tree chambers and the eddy covariance technique, respectively. We compared the dynamics of gross primary production (GPP) at the three levels during the course of a single week. The diurnal dynamics of GPP at each level were estimated by subtracting half-hourly or hourly model-estimated values of total respiration (excluding light-dependent respiration) from net CO(2) exchange. The relationship between temperature and total respiration at each level was derived from nighttime measurements of NSE, NTE and NEE over the course of 1 month. There was a strong linear relationship (r2 = 0.93) between the hourly estimates of GPP at the shoot and tree levels, but the correlation between shoot- and ecosystem-level GPP was weaker (r2 = 0.69). However, the correlation between shoot- and ecosystem-level GPP was improved (r2 = 0.88) if eddy covariance measurements were restricted to periods when friction velocity was > or = 0.5 m s(-1). Daily means were less dependent on friction velocity, giving an r2 value of 0.94 between shoot- and ecosystem-level GPP. The correlation between shoot and tree levels also increased when daily means were compared (r2 = 0.98). Most of the measured variation in carbon exchange rate among the shoot, tree and ecosystem levels was the result of periodic low coupling between vegetation and the atmosphere at the ecosystem level. The results validate the use of measurements at the shoot and tree level for analyzing the contribution of different compartments to net ecosystem CO2 exchange.

Biogenic carbon fluxes from global agricultural production and consumption

NASA Astrophysics Data System (ADS)

Wolf, Julie; West, Tristram O.; Le Page, Yannick; Kyle, G. Page; Zhang, Xuesong; Collatz, G. James; Imhoff, Marc L.

2015-10-01

Quantification of biogenic carbon fluxes from agricultural lands is needed to generate comprehensive bottom-up estimates of net carbon exchange for global and regional carbon monitoring. We estimated global agricultural carbon fluxes associated with annual crop net primary production (NPP), harvested biomass, and consumption of biomass by humans and livestock. These estimates were combined for a single estimate of net carbon exchange and spatially distributed to 0.05° resolution using Moderate Resolution Imaging Spectroradiometer satellite land cover data. Global crop NPP in 2011 was estimated at 5.25 ± 0.46 Pg C yr-1, of which 2.05 ± 0.05 Pg C yr-1 was harvested and 0.54 Pg C yr-1 was collected from crop residues for livestock fodder. Total livestock feed intake in 2011 was 2.42 ± 0.21 Pg C yr-1, of which 2.31 ± 0.21 Pg C yr-1 was emitted as CO2, 0.07 ± 0.01 Pg C yr-1 was emitted as CH4, and 0.04 Pg C yr-1 was contained within milk and egg production. Livestock grazed an estimated 1.27 Pg C yr-1 in 2011, which constituted 52.4% of total feed intake. Global human food intake was 0.57 ± 0.03 Pg C yr-1 in 2011, the majority of which was respired as CO2. Completed global cropland carbon budgets accounted for the ultimate use of approximately 80% of harvested biomass. The spatial distribution of these fluxes may be used for global carbon monitoring, estimation of regional uncertainty, and for use as input to Earth system models.

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

Heeter, J.; Bird, L.; Gelman, R.

Several states are addressing the issue of net metering program caps, which limit the total amount of net metered generating capacity that can be installed in a state or utility service territory. In this analysis, we examine net metering caps to gain perspective on how long net metering will be available in various jurisdictions under current policies. We also surveyed state practices and experience to understand important policy design considerations.

Timber resource statistics for the Yakataga inventory unit, Alaska, 1976.

Treesearch

Willem W.S. van Hees

1985-01-01

Statistics on forest area, total gross and net timber volumes, and annual net growth and mortality are presented from the 1976 timber inventory of the Yakataga unit, Alaska. Timberland area is estimated at 209.3 thousand acres (84.7 thousand ha), net growing stock volume at 917.1 million cubic feet (26.0 million m3), and annual net growth and...

Timber resource statistics for the Ketchikan inventory unit, Alaska, 1974.

Treesearch

Willem W.S. van Hees

1984-01-01

Statistics on forest area, total gross and net timber volumes, and annual net growth and mortality are presented from the 1974 timber inventory of the Ketchikan. unit, Alaska. Timberland area is estimated at 1.16 million acres (470 040 ha), net growing stock volume at 6.39 billion cubic feet (181.04 million m3), and annual net growth and...

Sedimentation and occurrence and trends of selected nutrients, other chemical constituents, and cyanobacteria in bottom sediment, Clinton Lake, northeast Kansas, 1977-2009

USGS Publications Warehouse

Juracek, Kyle E.

2011-01-01

A combination of available bathymetric-survey information and bottom-sediment coring was used to investigate sedimentation and the occurrence of selected nutrients (total nitrogen and total phosphorus), organic and total carbon, 25 trace elements, cyanobacterial akinetes, and the radionuclide cesium-137 in the bottom sediment of Clinton Lake, northeast Kansas. The total estimated volume and mass of bottom sediment deposited from 1977 through 2009 in the conservation (multi-purpose) pool of the reservoir was 438 million cubic feet and 18 billion pounds, respectively. The estimated sediment volume occupied about 8 percent of the conservation-pool, water-storage capacity of the reservoir. Sedimentation in the conservation pool has occurred about 70 percent faster than originally projected at the time the reservoir was completed. Water-storage capacity in the conservation pool has been lost to sedimentation at a rate of about 0.25 percent annually. Mean annual net sediment deposition since 1977 in the conservation pool of the reservoir was estimated to be 563 million pounds per year. Mean annual net sediment yield from the Clinton Lake Basin was estimated to be 1.5 million pounds per square mile per year. Typically, the bottom sediment sampled in Clinton Lake was at least 99 percent silt and clay. The mean annual net loads of total nitrogen and total phosphorus deposited in the bottom sediment of Clinton Lake were estimated to be 1.29 million pounds per year and 556,000 pounds per year, respectively. The estimated mean annual net yields of total nitrogen and total phosphorus from the Clinton Lake Basin were 3,510 pounds per square mile per year and 1,510 pounds per square mile per year, respectively. Throughout the history of Clinton Lake, total nitrogen concentrations in the deposited sediment generally were uniform and indicated consistent inputs to the reservoir over time. Likewise, total phosphorus concentrations in the deposited sediment generally were uniform. Although, for two of three coring sites, a possible positive trend in phosphorus deposition was indicated. The Wakarusa River possibly was a larger contributor of nitrogen and phosphorus to Clinton Lake than was Rock Creek. As a principal limiting factor for primary production in most freshwater environments, phosphorus is of particular importance because increased inputs can contribute to accelerated reservoir eutrophication and the production of algal toxins and taste-and-odor compounds. Trace-element concentrations in the bottom sediment of Clinton Lake generally were uniform over time. As is typical for eastern Kansas reservoirs, arsenic, chromium, and nickel concentrations typically exceeded the threshold-effects guidelines, which represent the concentrations above which toxic biological effects occasionally occur. Zinc concentrations frequently exceeded the threshold-effects guideline. Trace-element concentrations did not exceed the probable-effects guidelines (available for eight trace elements), which represent the concentrations above which toxic biological effects usually or frequently occur. Cyanobacterial akinetes (cyanobacteria resting stage) in the bottom sediment of Clinton Lake, combined with historical water-quality data on chlorophyll-a and total phosphorus concentrations, indicated that the reservoir likely has been eutrophic throughout most of its history. A statistically significant increase in cyanobacterial akinetes in the bottom sediment indicated that Clinton Lake may have become more eutrophic over the life of the reservoir. The increase in cyanobacterial akinetes may, in part, be related to a possible increase in total phosphorus concentrations.

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).

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…

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.

Is College Affordable? Are Loans Manageable? What Do Colleges' Net Price Calculators Show? Policy Bulletin

ERIC Educational Resources Information Center

Advisory Committee on Student Financial Assistance, 2012

2012-01-01

A review of net price calculators--a financial aid tool mandated by the "Higher Education Opportunity Act" of 2008--reveals that students from low-, moderate-, and middle-income families face record-level net prices at 4-year public colleges today. These net prices will translate into levels of average total loan burden far in excess of…

Timber resource statistics for the Petersburg/Wrangell inventory unit, Alaska, 1972.

Treesearch

Willem W.S. Van Hees; Vernon J. LaBau

1983-01-01

Statistics on forest area, total gross and net timber volumes, and annual net growth and mortality are presented from the 1972 timber inventory of the Petersburg/Wrangell unit, Alaska. Timberland area is estimated at 1.3 million acres (520 770 ha), net growing stock volume at 7.1 billion cubic feet (200.2 million m3), and annual net growth and...

Timber resource statistics for the Prince of Wales inventory unit, Alaska, 1973.

Treesearch

Willem W.S. Van Hees; Vernon J. LaBau

1983-01-01

Statistics on forest area, total gross and net timber volumes, and annual net growth and mortality are presented from the 1973 timber inventory of the Prince of Wales unit, Alaska. Timberland area is estimated at 1.38 million acres (557 593 ha), net growing stock volume at 7.56 billion cubic feet (214 million m3), and annual net growth and...

Timber resource statistics for the Yakutat inventory unit, Alaska, 1975.

Treesearch

Willem W.S. Van Hees; Vernon J. LaBau

1984-01-01

Statistics on forest area, total gross and net,timber volumes, and annual net growth and mortality are presented from the 1975 timber inventory of the Yakutat unit, Alaska. Area of timberland is estimated at 236.3 thousand acres (95.6 thousand ha), net volume of growing stock at 1.1 billion cubic feet (29.9 million m3), and annual net growth and...

Three-year financial analysis of pharmacy services at an independent community pharmacy.

PubMed

Doucette, William R; McDonough, Randal P; Mormann, Megan M; Vaschevici, Renata; Urmie, Julie M; Patterson, Brandon J

2012-01-01

To assess the financial performance of pharmacy services including vaccinations, cholesterol screenings, medication therapy management (MTM), adherence management services, employee health fairs, and compounding services provided by an independent community pharmacy. Three years (2008-10) of pharmacy records were examined to determine the total revenue and costs of each service. Costs included products, materials, labor, marketing, overhead, equipment, reference materials, and fax/phone usage. Costs were allocated to each service using accepted principles (e.g., time for labor). Depending on the service, the total revenue was calculated by multiplying the frequency of the service by the revenue per patient or by adding the total revenue received. A sensitivity analysis was conducted for the adherence management services to account for average dispensing net profit. 7 of 11 pharmacy services showed a net profit each year. Those services include influenza and herpes zoster immunization services, MTM, two adherence management services, employee health fairs, and prescription compounding services. The services that realized a net loss included the pneumococcal immunization service, cholesterol screenings, and two adherence management services. The sensitivity analysis showed that all adherence services had a net gain when average dispensing net profit was included. Most of the pharmacist services had an annual positive net gain. It seems likely that these services can be sustained. Further cost management, such as reducing labor costs, could improve the viability of services with net losses. However, even with greater efficiency, external factors such as competition and reimbursement challenge the sustainability of these services.

User needs on Nursing Net (The Kango Net) - analyzing the total consultation page - http://www.kango-net.jp/en/index.html.

PubMed

Sakyo, Yumi; Nakayama, Kazuhiro; Komatsu, Hiroko; Setoyama, Yoko

2009-01-01

People are required to take in and comprehend a massive amount of health information and in turn make some serious decisions based on that information. We, at St. Luke's College of Nursing, provide a rich selection of high-quality health information, and have set up Nursing Net (The Kango Net:Kango is Nursing in Japanese). This website provides information for consumers as well as people interested in the nursing profession. In an attempt to identify the needs of users, this study conducted an analysis of the contents on the total consultation page. Many readers voted that responses to nursing techniques and symptoms questions proved instrumental in their queries. Based on the results of this study, we can conclude that this is an easy-to-access, convenient site for getting health information about physical symptoms and nursing techniques.

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.

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…

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

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.

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).

40 CFR 98.476 - Data reporting requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) of this section. (c) If you use more than one receiving flow meter, report the net total mass of CO2... section. (a) If you receive CO2 by pipeline, report the following for each receiving flow meter: (1) The total net mass of CO2 received (metric tons) annually. (2) If a volumetric flow meter is used to receive...

40 CFR 98.476 - Data reporting requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) of this section. (c) If you use more than one receiving flow meter, report the net total mass of CO2... section. (a) If you receive CO2 by pipeline, report the following for each receiving flow meter: (1) The total net mass of CO2 received (metric tons) annually. (2) If a volumetric flow meter is used to receive...

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.

31 CFR 356.13 - When must I report my net long position and how do I calculate it?

Code of Federal Regulations, 2010 CFR

2010-07-01

... auctioned you must report a zero. (iii) the total of your bids and your net long position in the security... blank) or report your net long position. (2) Also, if you have more than one bid in an auction and you must report either your net long position or a zero, you must report that figure only once. Finally, if...

Timber resource statistics for the Chatham area of the Tongass National Forest, Alaska, 1982.

Treesearch

George Rogers; Willern W.S. van Hees

1991-01-01

Statistics on forest area, total gross and net volumes, and annual net growth and mortality are presented from the 1980-82 timber inventory of the Chatham Area, Tongass National Forest, Alaska. Available timberland area is estimated at 1.4 million acres, net growing stock volume at 7.2 billion cubic feet, and annual net growth and mortality at 35.9 and 54.8 million...

Timber resource statistics for the Stikine area of the Tongass National Forest, Alaska, 1984.

Treesearch

George Rogers; Wlllem W.S. van Hees

1991-01-01

Statistics on forest area, total gross and net timber volumes, and annual net growth and mortality are presented from the 1983-84 timber inventory of the Stikine Area, Tongass National Forest, Alaska. Available timberland area is estimated at 1.2 million acres, net growing stock volume at 7.2 billion cubic feet, and annual net growth and mortality at 18.8 and 57.0...

Timber resource statistics for the Ketchikan area of the Tongass National Forest, Alaska, 1985.

Treesearch

George Rogers; Willem W.S. van Hees

1991-01-01

Statistics on forest area, total gross and net volumes, and annual net growth and mortality are presented from the 1984-85 timber inventory of the Ketchikan Area, Tongass National Forest, Alaska. Available timberland area is estimated at 1.5 million acres, net growing stock volume at 8.2 billion cubic feet, and annual net growth and mortality at 24.8 and 65.6 million...

Fiddler crabs facilitate Spartina alterniflora growth, mitigating periwinkle overgrazing of marsh habitat.

PubMed

Gittman, Rachel K; Keller, Danielle A

2013-12-01

Ecologists have long been interested in identifying and testing factors that drive top-down or bottom-up regulation of communities. Most studies have focused on factors that directly exert top-down (e.g., grazing) or bottom-up (e.g., nutrient availability) control on primary production. For example, recent studies in salt marshes have demonstrated that fronts of Littoraria irrorata periwinkles can overgraze Spartina alterniflora and convert marsh to mudflat. The importance of indirect, bottom-up effects, particularly facilitation, in enhancing primary production has also recently been explored. Previous field studies separately revealed that fiddler crabs, which burrow to depths of more than 30 cm, can oxygenate marsh sediments and redistribute nutrients, thereby relieving the stress of anoxia and enhancing S. alterniflora growth. However, to our knowledge, no studies to date have explored how nontrophic facilitators can mediate top-down effects (i.e., grazing) on primary-producer biomass. We conducted a field study testing whether fiddler crabs can facilitate S. alterniflora growth sufficiently to mitigate overgrazing by periwinkles and thus sustain S. alterniflora marsh. As inferred from contrasts to experimental plots lacking periwinkles and fiddler crabs, periwinkles alone exerted top-down control of total aboveground biomass and net growth of S. alterniflora. When fiddler crabs were included, they counteracted the effects of periwinkles on net S. alterniflora growth. Sediment oxygen levels were greater and S. alterniflora belowground biomass was lower where fiddler crabs were present, implying that fiddler crab burrowing enhanced S. alterniflora growth. Consequently, in the stressful interior S. alterniflora marsh, where subsurface soil anoxia is widespread, fiddler crab facilitation can mitigate top-down control by periwinkles and can limit and possibly prevent loss of biogenically structured marsh habitat and its ecosystem services.

Low pCO2 under sea-ice melt in the Canada Basin of the western Arctic Ocean

NASA Astrophysics Data System (ADS)

Kosugi, Naohiro; Sasano, Daisuke; Ishii, Masao; Nishino, Shigeto; Uchida, Hiroshi; Yoshikawa-Inoue, Hisayuki

2017-12-01

In September 2013, we observed an expanse of surface water with low CO2 partial pressure (pCO2sea) (< 200 µatm) in the Chukchi Sea of the western Arctic Ocean. The large undersaturation of CO2 in this region was the result of massive primary production after the sea-ice retreat in June and July. In the surface of the Canada Basin, salinity was low (< 27) and pCO2sea was closer to the air-sea CO2 equilibrium (˜ 360 µatm). From the relationships between salinity and total alkalinity, we confirmed that the low salinity in the Canada Basin was due to the larger fraction of meltwater input (˜ 0.16) rather than the riverine discharge (˜ 0.1). Such an increase in pCO2sea was not so clear in the coastal region near Point Barrow, where the fraction of riverine discharge was larger than that of sea-ice melt. We also identified low pCO2sea (< 250 µatm) in the depth of 30-50 m under the halocline of the Canada Basin. This subsurface low pCO2sea was attributed to the advection of Pacific-origin water, in which dissolved inorganic carbon is relatively low, through the Chukchi Sea where net primary production is high. Oxygen supersaturation (> 20 µmol kg-1) in the subsurface low pCO2sea layer in the Canada Basin indicated significant net primary production undersea and/or in preformed condition. If these low pCO2sea layers surface by wind mixing, they will act as additional CO2 sinks; however, this is unlikely because intensification of stratification by sea-ice melt inhibits mixing across the halocline.

A long-term risk-benefit analysis of low-dose aspirin in primary prevention.

PubMed

Wu, I-Chen; Hsieh, Hui-Min; Yu, Fang-Jung; Wu, Meng-Chieh; Wu, Tzung-Shiun; Wu, Ming-Tsang

2016-02-01

The long-term risk-benefit effect of occasional and regular use of low-dose aspirin (≤ 100 mg per day) in primary prevention of vascular diseases and cancers was calculated. One representative database of 1 000 000 participants from Taiwan's National Health Insurance scheme in 1997-2000 was used. The potential study subjects were those aged 30-95 years, were found not to have been prescribed aspirin before 1 January 2000, but to have first been prescribed low-dose aspirin (≤ 100 mg per day) after that date and were followed up to 31 December 2009. Participants prescribed low-dose aspirin < 20% during the study period were considered occasional users and those prescribed ≥ 80% regular users. After the propensity score matching, rate differences of haemorrhage, ischaemia and cancer between these users were calculated their net clinical risk. A total of 1720 pairs were analysed. During the study period, haemorrhage and ischaemia occurred in 25 (1·45%) and 67 participants (3·90%) in occasional users and 69 (4·01%) and 100 participants (5·81%) in regular users, whereas cancer occurred in 32 participants (1·86%) in occasional users and 26 participants (1·51%) in regular users. The crude and adjusted net clinical risks of low-dose aspirin use between the two frequency of users (≥ 80% vs. < 20%) were 4·12% (95% CI = 2·19%, 6·07%; P < 0·001) and 3·93% (95% CI = 2·01%, 5·84%; P < 0·001). A long-term regular use of low-dose aspirin might not be better than occasional use in the primary prevention against major vascular diseases and cancer. © 2015 Stichting European Society for Clinical Investigation Journal Foundation.

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...

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...

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...

Phytoplankton growth balanced by clam and zooplankton grazing and net transport into the low-salinity zone of the San Francisco Estuary

USGS Publications Warehouse

Kimmerer, Wim J.; Thompson, Janet K.

2014-01-01

We estimated the influence of planktonic and benthic grazing on phytoplankton in the strongly tidal, river-dominated northern San Francisco Estuary using data from an intensive study of the low salinity foodweb in 2006–2008 supplemented with long-term monitoring data. A drop in chlorophyll concentration in 1987 had previously been linked to grazing by the introduced clam Potamocorbula amurensis, but numerous changes in the estuary may be linked to the continued low chlorophyll. We asked whether phytoplankton continued to be suppressed by grazing and what proportion of the grazing was by benthic bivalves. A mass balance of phytoplankton biomass included estimates of primary production and grazing by microzooplankton, mesozooplankton, and clams. Grazing persistently exceeded net phytoplankton growth especially for larger cells, and grazing by microzooplankton often exceeded that by clams. A subsidy of phytoplankton from other regions roughly balanced the excess of grazing over growth. Thus, the influence of bivalve grazing on phytoplankton biomass can be understood only in the context of limits on phytoplankton growth, total grazing, and transport.

A simple fast pulse gas valve using a dynamic pressure differential as the primary closing mechanism

NASA Astrophysics Data System (ADS)

Thomas, J. C.; Hwang, D. Q.; Horton, R. D.; Rogers, J. H.; Raman, R.

1993-06-01

In this article we describe a simple fast pulse gas valve developed for use in a plasma discharge experiment. The valve delivers 1017-1019 molecules per pulse varied by changing the voltage on the electromagnetic driver power supply. Valve pulse widths are observed to be less than 300 μs full width at half maximum with a rise time of less than 100 μs resulting in a maximum gas flow rate of ˜1022 molecules per second. An optical transmission technique was used to determine the mechanical opening and closing characteristics of the valve piston. A fast ionization gauge (FIG) was used for diagnosis of the temporal character of the gas pulse while the total gas throughput was determined by measuring the change in pressure per pulse in a small test chamber with a convectron tube gauge. Calibration of the FIG was accomplished by comparing the net change in pressure in a large chamber as measured by the FIG to the net change in pressure in a small test chamber as measured by the convectron tube gauge.

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.

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.

Waterscape determinants of net mercury methylation in a tropical wetland.

PubMed

Lázaro, Wilkinson L; Díez, Sergi; da Silva, Carolina J; Ignácio, Áurea R A; Guimarães, Jean R D

2016-10-01

The periphyton associated with freshwater macrophyte roots is the main site of Hg methylation in different wetland environments in the world. The aim of this study was to test the use of connectivity metrics of water bodies, in the context of patches, in a tropical waterscape wetland (Guapore River, Amazonia, Brazil) as a predictor of potential net methylmercury (MeHg) production by periphyton communities. We sampled 15 lakes with different patterns of lateral connectivity with the main river channel, performing net mercury methylation potential tests in incubations with local water and Eichhornia crassipes root-periphyton samples, using (203)HgCl2 as a tracer. Physico-chemical variables, landscape data (morphological characteristics, land use, and lateral connection type of water bodies) using GIS resources and field data were analyzed with Generalized Additive Models (GAM). The net Me(203)Hg production (as % of total added (203)Hg) was expressive (6.2-25.6%) showing that periphyton is an important matrix in MeHg production. The model that best explained the variation in the net Me(203)Hg production (76%) was built by the variables: connection type, total phosphorus and dissolved organic carbon (DOC) in water (AICc=48.324, p=0.001). Connection type factor was the best factor to model fit (r(2)=0.32; p=0.008) and temporarily connected lakes had higher rates of net mercury methylation. Both DOC and total phosphorus showed positive significant covariation with the net methylation rates (r(2)=0.26; p=0.008 and r(2)=0.21; p=0.012 respectively). Our study suggests a strong relationship between rates of net MeHg production in this tropical area and the type of water body and its hydrological connectivity within the waterscape. Copyright © 2016 Elsevier Inc. All rights reserved.

Soil water content effects on net ecosystem CO2 exchange and actual evapotranspiration in a Mediterranean semiarid savanna of Central Chile.

PubMed

Meza, Francisco J; Montes, Carlo; Bravo-Martínez, Felipe; Serrano-Ortiz, Penélope; Kowalski, Andrew S

2018-06-05

Biosphere-atmosphere water and carbon fluxes depend on ecosystem structure, and their magnitudes and seasonal behavior are driven by environmental and biological factors. We studied the seasonal behavior of net ecosystem CO 2 exchange (NEE), Gross Primary Productivity (GPP), Ecosystem Respiration (RE), and actual evapotranspiration (ETa) obtained by eddy covariance measurements during two years in a Mediterranean Acacia savanna ecosystem (Acacia caven) in Central Chile. The annual carbon balance was -53 g C m -2 in 2011 and -111 g C m -2 in 2012, showing that the ecosystem acts as a net sink of CO 2 , notwithstanding water limitations on photosynthesis observed in this particularly dry period. Total annual ETa was of 128 mm in 2011 and 139 mm in 2012. Both NEE and ETa exhibited strong seasonality with peak values recorded in the winter season (July to September), as a result of ecosystem phenology, soil water content and rainfall occurrence. Consequently, the maximum carbon assimilation rate occurred in wintertime. Results show that soil water content is a major driver of GPP and RE, defining their seasonal patterns and the annual carbon assimilation capacity of the ecosystem, and also modulating the effect that solar radiation and air temperature have on NEE components at shorter time scales.

Risk factors, causes, and the economic implications of unplanned readmissions following total hip arthroplasty.

PubMed

Clement, Rutledge Carter; Derman, Peter B; Graham, Danielle S; Speck, Rebecca M; Flynn, David N; Levin, Lawrence Scott; Fleisher, Lee A

2013-09-01

In order to identify risk factors for readmissions following total hip arthroplasty (THA) and the causes and financial implications of such readmissions, we analyzed clinical and administrative data on 1583 consecutive primary THAs performed at a single institution. The 30-day readmission rate was 6.51%. Increased age, length of stay, and body mass index were associated with significantly higher readmission rates. The most common re-admitting diagnoses were deep infection, pain, and hematoma. Average profit was lower for episodes of care with readmissions ($1548 vs. $2872, P=0.028). If Medicare stops reimbursing for THA readmissions, the institution under review would sustain an average net loss of $11,494 for episodes of care with readmissions and would need to maintain readmission rates below 23.6% in order to remain profitable. © 2013 Elsevier Inc. All rights reserved.

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.

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.

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

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.

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.

Long-lasting insecticidal net source, ownership and use in the context of universal coverage: a household survey in eastern Rwanda.

PubMed

Kateera, Fredrick; Ingabire, Chantal M; Hakizimana, Emmanuel; Rulisa, Alexis; Karinda, Parfait; Grobusch, Martin P; Mutesa, Leon; van Vugt, Michèle; Mens, Petra F

2015-10-06

Universal long-lasting insecticidal net (LLIN) coverage (ULC) has reduced malaria morbidity and mortality across Africa. Although information is available on bed net use in specific groups, such as pregnant women and children under 5 years, there is paucity of data on their use among the general population. Bed net source, ownership and determinants of use among individuals from households in an eastern Rwanda community 8 months after a ULC were characterized. Using household-based, interviewer-administered questionnaires and interviewer-direct observations, data on bed net source, ownership and key determinants of net use, including demographics, socio-economic status indicators, house structure characteristics, as well as of bed net quantity, type and integrity, were collected from 1400 randomly selected households. Univariate and mixed effects logistic regression modelling was done to assess for determinants of bed net use. A total of 1410 households and 6598 individuals were included in the study. Overall, the proportion of households with at least one net was 92 % while bed net usage was reported among 72 % of household members. Of the households surveyed, a total ownership of 2768 nets was reported, of which about 96 % were reportedly LLINs received from the ULC. By interviewer-physical observation, 88 % of the nets owned were of the LLIN type with the remaining 12 % did not carry any mark to enable type recognition. The odds of bed net use were significantly lower among males and individuals: from households of low socio-economic status, from households with

Use of Contemporary Film as a Medium for Teaching an Online Death and Grief Course.

PubMed

Head, Barbara A; Smith, Lisa C

2016-01-01

Online education is becoming commonplace in the academic world. Schools now offer totally online degree programs or provide a hybrid of face-to-face and online courses for fulfilling academic requirements. Developing courses and teaching online requires instructors to rethink the educational paradigms they have relied upon in the past. The Net Generation of learners brings a different set of expectations, styles, and needs to the classroom than those of previous generations; this mandates that instructors redesign courses and use contemporary teaching modalities. This article describes how film was successfully used as the primary medium to teach a graduate online Social Work course, Death and Grief.

39 CFR 3060. 30 - Statement of allocated assets and liabilities for competitive products.

Code of Federal Regulations, 2012 CFR

2012-07-01

... on basis of: Total net assets Cash and Cash Equivalents $x,xxx $x,xxx $x,xxx Net Accounts Receivable x,xxx x,xxx x,xxx Supplies, Advances and Prepayments x,xxx x,xxx x,xxx Appropriations Receivable—Revenue Forgone x,xxx x,xxx x,xxx Total Current Assets x,xxx x,xxx x,xxx Property and Equipment: Buildings...

39 CFR 3060. 30 - Statement of allocated assets and liabilities for competitive products.

Code of Federal Regulations, 2013 CFR

2013-07-01

... on basis of: Total net assets Cash and Cash Equivalents $x,xxx $x,xxx $x,xxx Net Accounts Receivable x,xxx x,xxx x,xxx Supplies, Advances and Prepayments x,xxx x,xxx x,xxx Appropriations Receivable—Revenue Forgone x,xxx x,xxx x,xxx Total Current Assets x,xxx x,xxx x,xxx Property and Equipment: Buildings...

39 CFR 3060. 30 - Statement of allocated assets and liabilities for competitive products.

Code of Federal Regulations, 2014 CFR

2014-07-01

... on basis of: Total net assets Cash and Cash Equivalents $x,xxx $x,xxx $x,xxx Net Accounts Receivable x,xxx x,xxx x,xxx Supplies, Advances and Prepayments x,xxx x,xxx x,xxx Appropriations Receivable—Revenue Forgone x,xxx x,xxx x,xxx Total Current Assets x,xxx x,xxx x,xxx Property and Equipment: Buildings...

39 CFR 3060. 30 - Statement of allocated assets and liabilities for competitive products.

Code of Federal Regulations, 2011 CFR

2011-07-01

... on basis of: Total net assets Cash and Cash Equivalents $x,xxx $x,xxx $x,xxx Net Accounts Receivable x,xxx x,xxx x,xxx Supplies, Advances and Prepayments x,xxx x,xxx x,xxx Appropriations Receivable—Revenue Forgone x,xxx x,xxx x,xxx Total Current Assets x,xxx x,xxx x,xxx Property and Equipment: Buildings...

39 CFR 3060. 30 - Statement of allocated assets and liabilities for competitive products.

Code of Federal Regulations, 2010 CFR

2010-07-01

... on basis of: Total net assets Cash and Cash Equivalents $x,xxx $x,xxx $x,xxx Net Accounts Receivable x,xxx x,xxx x,xxx Supplies, Advances and Prepayments x,xxx x,xxx x,xxx Appropriations Receivable—Revenue Forgone x,xxx x,xxx x,xxx Total Current Assets x,xxx x,xxx x,xxx Property and Equipment: Buildings...

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.

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

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.

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

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.

Preliminary Analysis of the Hydrologic and Geochemical Controls on Acid-Neutralizing Capacity in Two Acidic Seepage Lakes in Florida

NASA Astrophysics Data System (ADS)

Pollman, Curtis D.; Lee, T. M.; Andrews, W. J.; Sacks, L. A.; Gherini, S. A.; Munson, R. K.

1991-09-01

In late 1988, parallel studies of Lake Five-O (pH 5.14) in the Florida panhandle and Lake Barco (pH 4.50) in north central Florida were initiated to develop hydrologic and major ion budgets of these lakes as part of an overall effort to improve understanding of the hydrologic, depositional, and biogeochemical factors that control acid-neutralizing capacity (ANC) in seepage lakes. Preliminary findings from these studies indicate that earlier perceptions of lake hydrology and mechanisms of ANC regulation in Florida seepage lakes may have to be revised. The traditional perspective of seepage lakes in the Florida panhandle views these systems as dominated by precipitation inputs and that ANC regulation is due largely to in-lake processes. Our results for Lake Five-O show modest to steep hydraulic gradients almost entirely around the lake. In addition, the horizontal hydraulic conductivity of the surficial aquifer is high (8-74 m day-1), indicating that large quantities of groundwater flow into Lake Five-O. Calculations of net groundwater flow from hydrologic budgets also indicate that groundwater may comprise at least 38 to 46% of the total inflow. For Lake Barco, net flow estimates of the minimum groundwater inflow range from 5 to 14% of total inflow. Enrichment factor and ion flux calculations for Lake Five-O and Lake Barco indicate that terrestrial as well as in-lake processes contribute significantly to ANC regulation. The extent that terrestrial processes contribute to ANC generation is directly related to the magnitude of groundwater inflow as well as the degree of ion enrichment or depletion that occurs in the surficial aquifer. Net ANC generation in both study lakes was dominated by anion retention (NO3- and SO42-). Where previous studies concluded that in-lake reduction was the primary sink for SO42-, our preliminary calculations show that adsorption of SO42- within the watershed is perhaps twice as important as in-lake reduction as a source of ANC. Net base cation enrichment in both lakes was negligible.

Impact of drought on the North America carbon balance: implications for global carbon mitigation.

NASA Astrophysics Data System (ADS)

Bowman, K. W.; Liu, J.; Parazoo, N.; Bloom, A. A.; Wunch, D.; Jiang, Z.; Gurney, K. R.; Schimel, D.

2017-12-01

Drought and heat events are significant contributors to the interanual variability of terrestrial biosphere carbon flux in temperate North America. In order to be understand the drivers of this variability, we quantified the impact of two drought events in Texas and Mexico in 2011 as wells as the United States Midwest in 2012 on Net Biome Exchange, Gross Primary Productivity, Biomass Burning, and total ecosystem respiration using the NASA Carbon Monitoring System Flux (CMS-Flux) carbon cycle data assimilation system constrained with a suite of satellite observations. The global spatial distribution of NBE was constrained by column CO2 (XCO2) observations from the Greenhouse Gases Observing Satellite (GOSAT) accounting for fossil fuel contributions, while GPP was estimated with Solar Induced Fluorescence (SIF) from the Global Ozone Monitoring Experiment-2 (GOME-2), and biomass burning was computed from CO emissions constrained by MOPITT. Total ecosystem respiration (TER) was calculated as a residual term. We found that both drought events greatly reduced NBE and GPP during the seasonal peak, but had quite different effects on the annual NBE. Due to the year-long duration of the 2011 Texas-Northern Mexico (Tex-Mex) drought, the annual net uptake was reduced by 0.28 ± 0.10 GtC, which was dominated by the reduction of GPP (-0.34 ± 0.14 GtC). The regional contribution to the atmospheric CO2 growth, which is the sum of fossil fuel emissions and the biosphere net uptake, increased by more than a factor of 3 from an average of 0.09 GtC to 0.30 GtC in 2011. In contrast, a seasonally enhanced NBE in the Midwest partially offset the drought leading to an annual NBE reduction of only 0.16 ± 0.16 GtC. The reduction of net carbon uptake from the 2011 and 2012 drought impact was 50% and 25% respectively of the regional annual fossil fuel emissions. The results show that climate variability needs to be considered in order to relate carbon mitigation strategies to regional and global CO2 growth rates.

Budget impact of everolimus for the treatment of progressive, well-differentiated, non-functional neuroendocrine tumors of gastrointestinal or lung origin that are advanced or metastatic.

PubMed

Rose, Darya B; Nellesen, Dave; Neary, Maureen P; Cai, Beilei

2017-04-01

Advanced neuroendocrine tumors (NETs) are a rare malignancy with considerable need for effective therapies. Everolimus is a mammalian target of rapamycin (mTOR) inhibitor approved by the US Food and Drug Administration (FDA) and European Medicines Agency (EMA) in 2016 for treatment of adults with progressive, well-differentiated, non-functional NETs of gastrointestinal (GI) or lung origin that are unresectable, locally advanced, or metastatic. To assess the 3-year budget impact for a typical US health plan following availability of everolimus for treatment of GI and lung NETs. Methods An economic model was developed that considered two perspectives: an entire health plan and a pharmacy budget. The total budget impact included costs of drug therapies, administration, hospitalizations, physician visits, monitoring, and adverse events (AEs). The pharmacy model only considered drug costs. In a US health plan with 1 million members, the model estimated 66 patients with well-differentiated, non-functional, and advanced or metastatic GI NETs and 20 with lung NETs undergoing treatment each year. Total budget impact in the first through third year after FDA approval ranged from $0.0568-$0.1443 per member per month (PMPM) for GI NETs and from $0.0181-$0.0355 PMPM for lung NETs. The total budget impact was lower than the pharmacy budget impact because it included cost offsets from administration and AE management for everolimus compared with alternative therapies (e.g. chemotherapies). Because GI and lung NETs are rare diseases with limited published data, several assumptions were made that may influence interpretation of results. The budget impact for everolimus was minimal in this rare disease area with a high unmet need, largely due to low disease prevalence. These results should be considered in the context of significant clinical benefits potentially provided by everolimus, including significantly longer progression-free survival (PFS) for advanced GI and lung NET patients.

Estimates of Global Rangeland Net Primary Productivity and its Consumption Based on Climate and Livestock Distribution Data

NASA Astrophysics Data System (ADS)

Asrar, G.; Wolf, J.; Rafique, R.; West, T. O.; Ogle, S. M.

2016-12-01

Rangelands play an important role in providing ecosystem services such as food, forage, and fuels in many parts of the world. The net primary productivity (NPP), a difference between CO2 fixed by plants and CO2 lost to autotrophic respiration, is a good indicator of the productivity of rangeland ecosystems, and their contribution to the cycling of carbon in the Earth system. In this study, we estimated the NPP of global rangelands, the consumption thereof by grazing livestock, and associated uncertainties, to better understand and quantify the contribution of rangelands to land-based carbon storage. We estimated rangeland NPP using mean annual precipitation data from Climate Research Unit (CRU), and a regression model based on global observations (Del Grosso et al., 2008). Spatial distributions of annual livestock consumption of rangeland NPP (Wolf et al., 2015) were combined with gridded annual rangeland NPP for the years 2000 - 2011. The uncertainty analysis of these estimates was conducted using a Monte Carlo approach. The rangeland NPP estimates with associated uncertainties were also compared with the total modeled GPP estimates obtained from vegetation dynamic model simulations. Our results showed that mean above-ground NPP of rangelands is 1017.5 MgC/km2, while mean below-ground NPP is 847.6 MgC/km2. The total rangeland NPP represents a significant portion of the total NPP of the terrestrial ecosystem. The livestock area requirements used to geographically distribute livestock spatially are based on optimal pasturage and are low relative to area requirements on less productive land. Even so, ca. 90% of annual livestock consumption of rangeland NPP were met with no adjustment of livestock distributions. Moreover, the results of this study allowed us to explicitly quantify the temporal and spatial variations of rangeland NPP under different climatic conditions. Uncertainty analysis was helpful in identifying the strength and weakness of the methods used to estimate rangeland NPP. Overall, the results from this study are useful in quantifying the contribution of rangelands to the carbon cycle and for providing geospatially distributed carbon fluxes associated with the production and consumption of rangeland biomass.

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

Particle flux in deep seas: regional characteristics and temporal variability

NASA Astrophysics Data System (ADS)

Lampitt, R. S.; Antia, A. N.

1997-08-01

Particle flux data have been collated from the literature representing most areas of the open ocean to determine regional trends in deep water flux and its seasonal variability. Organic carbon flux data normalised to a depth of 2000 m exhibits a range of an order of magnitude in areas outside the polar domains (0.38 to 4.2 g/m2/y). In polar regions the range is wider (0.01-5.9 g/m2/y). Latitudinal trends are not apparent for most components of the flux although calcite flux exhibits a poleward decrease. Limited data from polar regions show fluxes of opaline silica not significantly higher than elsewhere. The variability of flux over annual cycles was calculated and expressed as a Flux Stability Index (FSI) and the relationship between this and vertical flux of material examined. Somewhat surprisingly there is no significant relationship between FSI and fluxes of dry mass, organic carbon, inorganic carbon or opaline silica. At each site, net annual primary production was determined using published satellite derived estimates. There is a negative but weak relationship between FSI and the proportion of primary production exported to 2000 m (e2000 ratio). The most variable of the non-polar environments export to 2000 m about twice as much of the primary production as the most stable ones. Polar environments have very low e2000 ratios with no apparent relationship to FSI. At primary production levels below 200 g C/m2/y there is a positive correlation between production and organic carbon flux at 2000 m but above this level, flux remains constant at about 3.5g C/m2/y. A curve derived to describe this relationship was applied to estimates of annual primary production in each of 34 of the open ocean biogeochemical provinces proposed by Longhurst et al. (1995). Globally, open ocean flux of organic carbon at 2000 m is 0.34 Gt/yr which is 1% of the total net primary production in these regions. This flux is nearly equally divided between the Atlantic, Pacific and Southern Oceans. The Indian and Arctic oceans between them only contribute 5% to the total. The eight planktonic climatological categories proposed by Longhurst (1995) provide a most useful means of examining the data on flux and its variability. A characteristic level of FSI was found in each category with highest levels in the tropics and lowest levels in the Antarctic. There is also a characteristic level of export ratio in each category with the highest in monsoonal environments (1.7%) and the lowest in Antarctica (0.1%).

The relationship of hospital ownership and service composition to hospital charges

PubMed Central

Eskoz, Robin; Peddecord, K. Michael

1985-01-01

The relationship of hospital ownership and service composition to hospital charges was examined for 456 general acute hospitals in California. Ancillary services had higher profit margins, both gross and net profits, than daily hospital services. Ancillary services accounted for 55.3 percent of total patient revenue. Charges per day were 23 percent higher for ancillary services than for daily hospital services. Net profits for daily and ancillary services were lowest at county hospitals. Proprietary hospitals had the highest net profits for total ancillary services and the highest mean charges. Not-for-profit hospitals had the highest profit margins for daily hospital services. Neither direct nor total costs for ancillary services were significantly different among ownership groups, although direct costs for daily hospital services were significantly higher at proprietary hospitals. PMID:10311161

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.

Cost-analysis of an oral health outreach program for preschool children in a low socioeconomic multicultural area in Sweden.

PubMed

Wennhall, Inger; Norlund, Anders; Matsson, Lars; Twetman, Svante

2010-01-01

The aim was to calculate the total and the net costs per child included in a 3-year caries preventive program for preschool children and to make estimates of expected lowest and highest costs in a sensitivity analysis. The direct costs for prevention and dental care were applied retrospectively to a comprehensive oral health outreach project for preschool children conducted in a low-socioeconomic multi-cultural urban area. The outcome was compared with historical controls from the same area with conventional dental care. The cost per minute for the various dental professions was added to the cost of materials, rental facilities and equipment based on accounting data. The cost for fillings was extracted from a specified per diem list. Overhead costs were assumed to correspond to 50% of salaries and all costs were calculated as net present value per participating child in the program and expressed in Euro. The results revealed an estimated total cost of 310 Euro per included child (net present value) in the 3-year program. Half of the costs were attributed to the first year of the program and the costs of manpower constituted 45% of the total costs. When the total cost was reduced with the cost of conventional care and the revenue of avoided fillings, the net cost was estimated to 30 Euro. A sensitivity analysis displayed that a net gain could be possible with a maximal outcome of the program. In conclusion, the estimated net costs were displayed and available to those considering implementation of a similar population-based preventive program in areas where preschool children are at high caries risk.

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.

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.

Urban expansion brought stress to food security in China: Evidence from decreased cropland net primary productivity.

PubMed

He, Chunyang; Liu, Zhifeng; Xu, Min; Ma, Qun; Dou, Yinyin

2017-01-15

Cropland net primary productivity (CNPP) is a crucial indicator of grain productivity and food security. However, assessments of the impact of urban expansion on the CNPP in China have been inadequate owing to data limitations. In this paper, our objective was to assess the impact of urban expansion on the CNPP in China from 1992 to 2015 in a spatially explicit manner. We first obtained the CNPP before urban expansion between 1992 and 2015 in China using the Carnegie-Ames-Stanford Approach (CASA) model. We then assessed the impact of urban expansion on the CNPP from 1992 to 2015 at multiple scales (the whole country, agricultural zones, and urban expansion hotspots) by combining the CNPP before urban expansion with the urban land coverage time series extracted from multi-source remotely sensed data. We found that the total loss of the CNPP due to urban expansion from 1992 to 2015 was 13.77TgC, which accounts for 1.88% of the CNPP before urban expansion in China. This CNPP loss resulted in a 12.45-million-ton decrease in grain production in China, corresponding to a reduction in the mean annual grain self-sufficiency rate of 2%. Therefore, we concluded that rapid urban expansion from 1992 to 2015 caused stress to China's food security. We suggest that it is still vital for China to effectively protect cropland to improve the urbanization level to 60% by 2020. Copyright © 2016 Elsevier B.V. All rights reserved.

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...

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...

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…

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

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.

Contributions of secondary forest and nitrogen dynamics to terrestrial carbon uptake

NASA Astrophysics Data System (ADS)

Yang, X.; Richardson, T. K.; Jain, A. K.

2010-10-01

We use a terrestrial carbon-nitrogen cycle component of the Integrated Science Assessment Model (ISAM) to investigate the impacts of nitrogen dynamics on regrowing secondary forests over the 20th century. We further examine what the impacts of nitrogen deposition and land use change history are on terrestrial carbon uptake since preindustrial time. Our results suggest that global total net land use emissions for the 1990s associated with changes in cropland, pastureland, and wood harvest are 1.22 GtC/yr. Without considering the secondary forest regrowth, the estimated net global total land use emissions are 1.58 GtC/yr or about 0.36 GtC/yr higher than if secondary forest regrowth is considered. Results also show that without considering the nitrogen dynamics and deposition, the estimated global total secondary forest sink for the 1990s is 0.90 GtC/yr or about 0.54 GtC/yr higher than estimates that include the impacts of nitrogen dynamics and deposition. Nitrogen deposition alone is responsible for about 0.13 GtC/yr of the total secondary forest sink. While nitrogen is not a limiting nutrient in the intact primary forests in tropical regions, our study suggests that nitrogen becomes a limiting nutrient for regrowing secondary forests of the tropical regions, in particular Latin America and Tropical Africa. This is because land use change activities, especially wood harvest, removes large amounts of nitrogen from the system when slash is burnt or wood is removed for harvest. However, our model results show that carbon uptake is enhanced in the tropical secondary forests of the Indian region. We argue that this may be due to enhanced nitrogen mineralization and increased nitrogen availability following land use change in the Indian tropical forest ecosystems. Results also demonstrate that there is a significant amount of carbon accumulating in the Northern Hemisphere where most land use changes and forest regrowth has occurred in recent decades. This study indicates the significance of secondary forests to terrestrial carbon sinks, the importance of nitrogen dynamics to the magnitude of secondary forests carbon uptake, and therefore the need to include both primary and secondary forests and nitrogen dynamics in terrestrial ecosystem models.

Contributions of secondary forest and nitrogen dynamics to terrestrial carbon uptake

NASA Astrophysics Data System (ADS)

Yang, X.; Richardson, T. K.; Jain, A. K.

2010-04-01

We use a terrestrial carbon-nitrogen cycle component of the Integrated Science Assessment Model (ISAM) to investigate the impacts of nitrogen dynamics on regrowing secondary forests over the 20th century. We further examine what the impacts of nitrogen deposition and land use change history are on terrestrial carbon uptake since preindustrial time. Our results suggest that global total net land use emissions for the 1990s associated with changes in cropland, pastureland, and wood harvest are 1.22 GtC/yr. Without considering the secondary forest regrowth, the estimated net global total land use emissions are 1.58 GtC/yr or about 0.36 GtC/yr higher than if secondary forest regrowth is considered. Results also show that without considering the nitrogen dynamics and deposition, the estimated global total secondary forest sink for the 1990s is 0.90 GtC/yr or about 0.54 GtC/yr higher than estimates that include the impacts of nitrogen dynamics and deposition. Nitrogen deposition alone is responsible for about 0.13 GtC/yr of the total secondary forest sink. While nitrogen is not a limiting nutrient in the intact primary forests in tropical regions, our study suggests that nitrogen becomes a limiting nutrient for regrowing secondary forests of the tropical regions, in particular Latin America and Tropical Africa. This is because land use change activities, especially wood harvest, removes large amounts of nitrogen from the system when slash is burnt or wood is removed for harvest. However, our model results show that carbon uptake is enhanced in the tropical secondary forests of the Indian region. We argue that this may be due to enhanced nitrogen mineralization and increased nitrogen availability following land use change in the Indian tropical forest ecosystems. Results also demonstrate that there is a significant amount of carbon accumulating in the Northern Hemisphere where most land use changes and forest regrowth has occurred in recent decades. This study indicates the significance of secondary forests to terrestrial carbon sinks, the importance of nitrogen dynamics to the magnitude of secondary forests carbon uptake, and therefore the need to include both primary and secondary forests and nitrogen dynamics in terrestrial ecosystem models.

Dermatoses among returned Canadian travellers and immigrants: surveillance report based on CanTravNet data, 2009–2012

PubMed Central

Stevens, Michael S.; Geduld, Jennifer; Libman, Michael; Ward, Brian J.; McCarthy, Anne E.; Vincelette, Jean; Ghesquiere, Wayne; Hajek, Jan; Kuhn, Susan; Freedman, David O.; Kain, Kevin C.

2015-01-01

Background There is a lack of multicentre analyses of the spectrum of dermatologic illnesses acquired by Canadian travellers and immigrants. Our objective for this study was to provide a comprehensive, Canada-specific surveillance summary of travel-related dermatologic conditions in a cohort of returned Canadian travellers and immigrants. Methods Data for Canadian travellers and immigrants with a primary dermatologic diagnosis presenting to CanTravNet sites between September 2009 and September 2012 were extracted and analyzed. Data were collected using the GeoSentinel data platform. This network comprises 56 specialized travel and tropical medicine clinics, including 6 Canadian sites (Vancouver, Calgary, Toronto, Ottawa and Montréal), that contribute anonymous, de-linked, clinician- and questionnaire-based travel surveillance data on all ill travellers examined to a centralized Structure Query Language database. Results were analyzed according to reason for most recent ravel: immigration (including refugee); tourism; business; missionary/volunteer/research and aid work; visiting friends and relatives; and other, which included students, military personnel and medical tourists. Results During the study period, 6639 patients presented to CanTravNet sites across Canada and 1076 (16.2%) received a travel-related primary dermatologic diagnosis. Arthropod bites (n = 162, 21.5%), rash (n = 141, 18.7%), cutaneous larva migrans (n = 98, 13.0%), and skin and soft tissue infection (n = 92, 12.2%) were the most common dermatologic diagnoses or diagnostic bundles issued to returning Canadian tourists (n = 754, 70.1% of total sample). Patients travelling for the purpose of immigration (n = 63, 5.9%) were significantly more likely to require inpatient management of their dermatologic diagnoses (p < 0.001) than those travelling for other purposes. Interpretation This analysis of surveillance data details the spectrum of travel-related dermatological conditions among returning Canadian travellers in this cohort, and provides an epidemiologic framework for Canadian physicians encountering these patients. PMID:25844364

Dermatoses among returned Canadian travellers and immigrants: surveillance report based on CanTravNet data, 2009-2012.

PubMed

Stevens, Michael S; Geduld, Jennifer; Libman, Michael; Ward, Brian J; McCarthy, Anne E; Vincelette, Jean; Ghesquiere, Wayne; Hajek, Jan; Kuhn, Susan; Freedman, David O; Kain, Kevin C; Boggild, Andrea K

2015-01-01

There is a lack of multicentre analyses of the spectrum of dermatologic illnesses acquired by Canadian travellers and immigrants. Our objective for this study was to provide a comprehensive, Canada-specific surveillance summary of travel-related dermatologic conditions in a cohort of returned Canadian travellers and immigrants. Data for Canadian travellers and immigrants with a primary dermatologic diagnosis presenting to CanTravNet sites between September 2009 and September 2012 were extracted and analyzed. Data were collected using the GeoSentinel data platform. This network comprises 56 specialized travel and tropical medicine clinics, including 6 Canadian sites (Vancouver, Calgary, Toronto, Ottawa and Montréal), that contribute anonymous, de-linked, clinician- and questionnaire-based travel surveillance data on all ill travellers examined to a centralized Structure Query Language database. Results were analyzed according to reason for most recent ravel: immigration (including refugee); tourism; business; missionary/volunteer/research and aid work; visiting friends and relatives; and other, which included students, military personnel and medical tourists. During the study period, 6639 patients presented to CanTravNet sites across Canada and 1076 (16.2%) received a travel-related primary dermatologic diagnosis. Arthropod bites (n = 162, 21.5%), rash (n = 141, 18.7%), cutaneous larva migrans (n = 98, 13.0%), and skin and soft tissue infection (n = 92, 12.2%) were the most common dermatologic diagnoses or diagnostic bundles issued to returning Canadian tourists (n = 754, 70.1% of total sample). Patients travelling for the purpose of immigration (n = 63, 5.9%) were significantly more likely to require inpatient management of their dermatologic diagnoses (p < 0.001) than those travelling for other purposes. This analysis of surveillance data details the spectrum of travel-related dermatological conditions among returning Canadian travellers in this cohort, and provides an epidemiologic framework for Canadian physicians encountering these patients.

Influence of clinical outcome and outcome period definitions on estimates of absolute clinical and economic benefits of influenza vaccination in community dwelling elderly persons.

PubMed

Nichol, K L; Nordin, J; Mullooly, J

2006-03-06

Studies assessing the clinical and economic benefits of vaccination in the elderly have used different clinical outcomes (e.g. hospitalizations for pneumonia or influenza versus hospitalizations for respiratory and cardiovascular causes) and different outcome periods (e.g. peak versus total influenza season) on which to base estimates of clinical effectiveness and cost effectiveness. We explored the implications of these varying approaches by comparing two health economic analysis models of influenza vaccination of community-dwelling elderly persons. We developed computerized models using clinical data from 3 large US HMOs for the 1998-1999 and 1999-2000 influenza seasons. The primary health economic model used a broad definition of clinical events and outcome period and included hospitalizations for all respiratory and cardiovascular events that occurred during the entire influenza season. The alternative model used more restrictive definitions and included pneumonia or influenza hospitalizations occurring during the peak influenza season. The results of Monte Carlo simulation showed that, with the more inclusive primary model, influenza vaccination resulted in net medical care cost savings due to fewer respiratory or cardiovascular hospitalizations of Dollars 71/person vaccinated (5th-95th percentile Dollars 32-118) and net savings of Dollars 809/year of life saved (5th-95th percentile Dollars 331-1450). In contrast, the alternate model found costs of Dollars 3.50/person vaccinated (5th-95th percentile Dollars -11 to 5) and net costs of Dollars 91/year of life saved (5th-95th percentile Dollars -309 to 126). Our findings confirm that influenza vaccination of the elderly is most likely cost saving and supports policies and programs that advocate routine immunization of all persons 65 and older. They also highlight how different outcome definitions can influence the results of health economic analyses.

Effect of photo-selective nettings on post-harvest quality and bioactive compounds in selected tomato cultivars.

PubMed

Selahle, Maphoko Kamogelo; Sivakumar, Dharini; Soundy, Puffy

2014-08-01

Photo-selective coloured netting is referred to as a 'new agro-technological' concept adopted to manipulate light quality changes that can induce favourable responses in plants. Tomato (Solanum lycopersicum L.) cultivars AlvaV, Irit and SCX 248 grown under the black net (commercial net, 25% shading) showed higher weight loss, loss of firmness, ascorbic acid content and decline in the ratio of soluble solids content/titrable acidity during post-harvest storage (low-temperature storage at 10°C and 90% relative humidity for 21 days followed by market shelf conditions at 25°C for 2 days). During post-harvest storage, lycopene, β-carotene, total phenolic content and antioxidant scavenging activity were higher in cvs AlfaV and Irit grown under the black or pearl nets. However, the β-carotene, total phenolic content and antioxidant scavenging activity were higher in SCX 248 grown under the red net during post-harvest storage. Cultivar AlfaV grown under the red and pearl nets had a higher number of odour active aroma compounds during post-harvest storage. Panellists preferred cv. AlfaV grown under the pearl nets after storage based on taste, overall appearance and firm textured fruits. Pearl photo-selective nets retained the overall fruit quality and bioactive components in cvs AlfaV and Irit during post-harvest storage. Red photo-selective nets, however, showed greater influence on retention of overall fruit quality and bioactive compounds in cv. SCX 248 during post-harvest storage. © 2013 Society of Chemical Industry.

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.

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 ...

What are the cost savings associated with providing access to specialist care through the Champlain BASE eConsult service? A costing evaluation

PubMed Central

Liddy, Clare; Drosinis, Paul; Deri Armstrong, Catherine; McKellips, Fanny; Afkham, Amir; Keely, Erin

2016-01-01

Objective This study estimates the costs and potential savings associated with all eConsult cases completed between 1 April 2014 and 31 March 2015. Design Costing evaluation from the societal perspective estimating the costs and potential savings associated with all eConsults completed during the study period. Setting Champlain health region in Eastern Ontario, Canada. Population Primary care providers and specialists registered to use the eConsult service. Main outcome measures Costs included (1) delivery costs; (2) specialist remuneration; (3) costs associated with traditional (face-to-face) referrals initiated as a result of eConsult. Potential savings included (1) costs of traditional referrals avoided; (2) indirect patient savings through avoided travel and lost wages/productivity. Net potential societal cost savings were estimated by subtracting total costs from total potential savings. Results A total of 3487 eConsults were completed during the study period. In 40% of eConsults, a face-to-face specialist visit was originally contemplated but avoided as result of eConsult. In 3% of eConsults, a face-to-face specialist visit was not originally contemplated but was prompted as a result of the eConsult. From the societal perspective, total costs were estimated at $207 787 and total potential savings were $246 516. eConsult led to a net societal saving of $38 729 or $11 per eConsult. Conclusions Our findings demonstrate potential cost savings from the societal perspective, as patients avoided the travel costs and lost wages/productivity associated with face-to-face specialist visits. Greater savings are expected once we account for other costs such as avoided tests and visits and potential improved health outcomes associated with shorter wait times. Our findings are valuable for healthcare delivery decision-makers as they seek solutions to improve care in a patient-centred and efficient manner. PMID:27338880

Timber resource statistics for the Wood-Salcha Block, Tanana inventory unit, Alaska, 1975.

Treesearch

Kenneth C. Winterberger

1983-01-01

This statistical report on timber resources of the 4.1-million-acre Wood-Salcha block is the last of four reports on the 14-million-acre Tanana Valley inventory unit. Tables are provided for commercial and operable noncommercial forest land, total gross and net volumes, and annual net growth and mortality. Estimates for commercial forest land total 626,300 acres with...

Net mineral requirements of dairy goats during pregnancy.

PubMed

Härter, C J; Lima, L D; Castagnino, D S; Silva, H O; Figueiredo, F O M; St-Pierre, N R; Resende, K T; Teixeira, I A M A

2017-09-01

Mineral requirements of pregnant dairy goats are still not well defined; therefore, we investigated the net Ca, P, Mg, Na and K requirements for pregnancy and for maintenance during pregnancy in two separate experiments. Experiment 1 was performed to estimate the net Ca, P, Mg, Na and K requirements in goats carrying single or twin fetuses from 50 to 140 days of pregnancy (DOP). The net mineral requirements for pregnancy were determined by measuring mineral deposition in gravid uterus and mammary gland after comparative slaughter. In total, 57 dairy goats of two breeds (Oberhasli or Saanen), in their third or fourth parturition, were randomly assigned to groups based on litter size (single or twin) and day of slaughter (50, 80, 110 and 140 DOP) in a fully factorial design. Net mineral accretion for pregnancy did not differ by goat breed. The total daily Ca, P, Mg, Na and K requirements for pregnancy were greatest in goats carrying twins (P<0.05), and the requirements increased as pregnancy progressed. Experiment 2 was performed to estimate net Ca, P, Mg, Na and K requirements for dairy goat maintenance during pregnancy. In total, 58 dairy goats (Oberhasli and Saanen) carrying twin fetuses were assigned to groups based on slaughter day (80, 110 and 140 DOP) and feed restriction (ad libitum, 20% and 40% feed restriction) in a randomized block design. The net Ca, P and Mg requirements for maintenance did not vary by breed or over the course of pregnancy. The daily net requirements of Ca, P and Mg for maintenance were 60.4, 31.1 and 2.42 mg/kg live BW (LBW), respectively. The daily net Na requirement for maintenance was greater in Saanen goats (11.8 mg/kg LBW) than in Oberhasli goats (8.96 mg/kg LBW; P<0.05). Daily net K requirements increased as pregnancy progressed from 8.73 to 15.4 mg/kg LBW (P<0.01). The findings of this study will guide design of diets with adequate mineral content for pregnant goats throughout their pregnancy.

Carbonate system parameters of an algal-dominated reef along West Maui

NASA Astrophysics Data System (ADS)

Prouty, Nancy G.; Yates, Kimberly K.; Smiley, Nathan; Gallagher, Chris; Cheriton, Olivia; Storlazzi, Curt D.

2018-04-01

Constraining coral reef metabolism and carbon chemistry dynamics are fundamental for understanding and predicting reef vulnerability to rising coastal CO2 concentrations and decreasing seawater pH. However, few studies exist along reefs occupying densely inhabited shorelines with known input from land-based sources of pollution. The shallow coral reefs off Kahekili, West Maui, are exposed to nutrient-enriched, low-pH submarine groundwater discharge (SGD) and are particularly vulnerable to the compounding stressors from land-based sources of pollution and lower seawater pH. To constrain the carbonate chemistry system, nutrients and carbonate chemistry were measured along the Kahekili reef flat every 4 h over a 6-day sampling period in March 2016. Abiotic process - primarily SGD fluxes - controlled the carbonate chemistry adjacent to the primary SGD vent site, with nutrient-laden freshwater decreasing pH levels and favoring undersaturated aragonite saturation (Ωarag) conditions. In contrast, diurnal variability in the carbonate chemistry at other sites along the reef flat was driven by reef community metabolism. Superimposed on the diurnal signal was a transition during the second sampling period to a surplus of total alkalinity (TA) and dissolved inorganic carbon (DIC) compared to ocean endmember TA and DIC measurements. A shift from positive net community production and positive net community calcification to negative net community production and negative net community calcification was identified. This transition occurred during a period of increased SGD-driven nutrient loading, lower wave height, and reduced current speeds. This detailed study of carbon chemistry dynamics highlights the need to incorporate local effects of nearshore oceanographic processes into predictions of coral reef vulnerability and resilience.

Diagnosis and Treatment of Gastroenteropancreatic Neuroendocrine Tumors: Current Data on a Prospectively Collected, Retrospectively Analyzed Clinical Multicenter Investigation

PubMed Central

Niederle, Bruno

2011-01-01

Background. The aim of this prospectively collected, retrospectively analyzed clinical investigation was to describe “unmasked” clinical symptoms and methods of diagnosis, treatment, and short-term follow-up of gastroenteropancreatic neuroendocrine tumors (GEP-NETs) diagnosed during 1 year in Austria. Methods. In total, 277 patients with GEP-NETs were documented. All tumors were immunhistochemically defined according to recently summarized criteria (World Health Organization, European Neuroendocrine Tumour Society). A standardized questionnaire comprising 50 clinical and biochemical parameters (clinical symptoms, mode of diagnosis, treatment, follow-up) was completed by attending physicians. Results. The most common initial symptoms were episodes of abdominal pain, diarrhea, weight loss, gastrointestinal bleeding, flushing, and bowel obstruction. Overall, 48.1% of tumors were diagnosed by endoscopy, 43.7% were diagnosed during surgery, 5% were diagnosed by fine-needle aspiration of the primary or metastases, and 2.5% were diagnosed during autopsy; 44.5% of tumors were not suspected clinically and were diagnosed incidentally during various surgical procedures. Overall, 18.7% of tumors were removed endoscopically and 67.6% were removed surgically; 13.7% of patients were followed without interventional treatment. Endoscopic or surgical intervention was curative in 81.4% of patients and palliative in 18.6% of patients. At the time of diagnosis, information on metastasis was available in 83.7% of patients with malignant NETs. Lymph node or distant metastases were documented in 74.7% of patients. In 19.3% of patients, 41 secondary tumors were documented, with 78.0% classified histologically as adenocarcinomas. Conclusion. This investigation summarizes the clinical presentation and current practice of management of GEP-NETs and thereby extends the understanding and clinical experience. PMID:21467149

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

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.

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.

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.

Mesh-size effects on drift sample composition as determined with a triple net sampler

USGS Publications Warehouse

Slack, K.V.; Tilley, L.J.; Kennelly, S.S.

1991-01-01

Nested nets of three different mesh apertures were used to study mesh-size effects on drift collected in a small mountain stream. The innermost, middle, and outermost nets had, respectively, 425 ??m, 209 ??m and 106 ??m openings, a design that reduced clogging while partitioning collections into three size groups. The open area of mesh in each net, from largest to smallest mesh opening, was 3.7, 5.7 and 8.0 times the area of the net mouth. Volumes of filtered water were determined with a flowmeter. The results are expressed as (1) drift retained by each net, (2) drift that would have been collected by a single net of given mesh size, and (3) the percentage of total drift (the sum of the catches from all three nets) that passed through the 425 ??m and 209 ??m nets. During a two day period in August 1986, Chironomidae larvae were dominant numerically in all 209 ??m and 106 ??m samples and midday 425 ??m samples. Large drifters (Ephemerellidae) occurred only in 425 ??m or 209 ??m nets, but the general pattern was an increase in abundance and number of taxa with decreasing mesh size. Relatively more individuals occurred in the larger mesh nets at night than during the day. The two larger mesh sizes retained 70% of the total sediment/detritus in the drift collections, and this decreased the rate of clogging of the 106 ??m net. If an objective of a sampling program is to compare drift density or drift rate between areas or sampling dates, the same mesh size should be used for all sample collection and processing. The mesh aperture used for drift collection should retain all species and life stages of significance in a study. The nested net design enables an investigator to test the adequacy of drift samples. ?? 1991 Kluwer Academic Publishers.

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.

Carbon Stocks and Fluxes in Tropical Lowland Dipterocarp Rainforests in Sabah, Malaysian Borneo

PubMed Central

Saner, Philippe; Loh, Yen Yee; Ong, Robert C.; Hector, Andy

2012-01-01

Deforestation in the tropics is an important source of carbon C release to the atmosphere. To provide a sound scientific base for efforts taken to reduce emissions from deforestation and degradation (REDD+) good estimates of C stocks and fluxes are important. We present components of the C balance for selectively logged lowland tropical dipterocarp rainforest in the Malua Forest Reserve of Sabah, Malaysian Borneo. Total organic C in this area was 167.9 Mg C ha−1±3.8 (SD), including: Total aboveground (TAGC: 55%; 91.9 Mg C ha−1±2.9 SEM) and belowground carbon in trees (TBGC: 10%; 16.5 Mg C ha−1±0.5 SEM), deadwood (8%; 13.2 Mg C ha−1±3.5 SEM) and soil organic matter (SOM: 24%; 39.6 Mg C ha−1±0.9 SEM), understory vegetation (3%; 5.1 Mg C ha−1±1.7 SEM), standing litter (<1%; 0.7 Mg C ha−1±0.1 SEM) and fine root biomass (<1%; 0.9 Mg C ha−1±0.1 SEM). Fluxes included litterfall, a proxy for leaf net primary productivity (4.9 Mg C ha−1 yr−1±0.1 SEM), and soil respiration, a measure for heterotrophic ecosystem respiration (28.6 Mg C ha−1 yr−1±1.2 SEM). The missing estimates necessary to close the C balance are wood net primary productivity and autotrophic respiration. Twenty-two years after logging TAGC stocks were 28% lower compared to unlogged forest (128 Mg C ha−1±13.4 SEM); a combined weighted average mean reduction due to selective logging of −57.8 Mg C ha−1 (with 95% CI −75.5 to −40.2). Based on the findings we conclude that selective logging decreased the dipterocarp stock by 55–66%. Silvicultural treatments may have the potential to accelerate the recovery of dipterocarp C stocks to pre-logging levels. PMID:22235319

Logging disturbance shifts net primary productivity and its allocation in Bornean tropical forests.

PubMed

Riutta, Terhi; Malhi, Yadvinder; Kho, Lip Khoon; Marthews, Toby R; Huaraca Huasco, Walter; Khoo, MinSheng; Tan, Sylvester; Turner, Edgar; Reynolds, Glen; Both, Sabine; Burslem, David F R P; Teh, Yit Arn; Vairappan, Charles S; Majalap, Noreen; Ewers, Robert M

2018-01-24

Tropical forests play a major role in the carbon cycle of the terrestrial biosphere. Recent field studies have provided detailed descriptions of the carbon cycle of mature tropical forests, but logged or secondary forests have received much less attention. Here, we report the first measures of total net primary productivity (NPP) and its allocation along a disturbance gradient from old-growth forests to moderately and heavily logged forests in Malaysian Borneo. We measured the main NPP components (woody, fine root and canopy NPP) in old-growth (n = 6) and logged (n = 5) 1 ha forest plots. Overall, the total NPP did not differ between old-growth and logged forest (13.5 ± 0.5 and 15.7 ± 1.5 Mg C ha -1  year -1 respectively). However, logged forests allocated significantly higher fraction into woody NPP at the expense of the canopy NPP (42% and 48% into woody and canopy NPP, respectively, in old-growth forest vs 66% and 23% in logged forest). When controlling for local stand structure, NPP in logged forest stands was 41% higher, and woody NPP was 150% higher than in old-growth stands with similar basal area, but this was offset by structure effects (higher gap frequency and absence of large trees in logged forest). This pattern was not driven by species turnover: the average woody NPP of all species groups within logged forest (pioneers, nonpioneers, species unique to logged plots and species shared with old-growth plots) was similar. Hence, below a threshold of very heavy disturbance, logged forests can exhibit higher NPP and higher allocation to wood; such shifts in carbon cycling persist for decades after the logging event. Given that the majority of tropical forest biome has experienced some degree of logging, our results demonstrate that logging can cause substantial shifts in carbon production and allocation in tropical forests. © 2018 John Wiley & Sons Ltd.

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....

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,...

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

A method of studying wild bird populations by mist-netting and banding

USGS Publications Warehouse

Stamm, D.D.; Davis, D.E.; Robbins, C.S.

1960-01-01

1. Progress is reported toward development of a method of bird-population study based on mist-netting and banding. A definite pattern of arrangement and schedule of operation are presented. 2. Nets were operated for a total of 4200 net-hours during which 966 captures were made (23.0 birds per 100 net-hours). A total of 431 adult breeding birds were banded and 38 per cent of them were recaptured. 3. A breeding bird census was made simultaneously in the same area by the Williams spot-mapping technique. 4. Estimates of population by recapture agreed closely with the spot-mappmg census. 5. Some birds are demonstrated to have overlapping home-ranges much larger than their singing territories. 6. Recruitment and net-shyness distort recapture estimates of population .but the method allows detection and assessment of their influence in the population dealt with here. 7. The method produced integrated information on population density and dynamics, movement and behavior. 8. The procedure is especially well adapted to studies of disease agents in bird populations. 9. A simple scheme for description of the habitat in terms of relative abundance and frequency of occurrence of tree species was used.

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.

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.

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.

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

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.

Growth of the Maize Primary Root at Low Water Potentials 1

PubMed Central

Sharp, Robert E.; Hsiao, Theodore C.; Silk, Wendy Kuhn

1990-01-01

Primary roots of maize (Zea mays L. cv WF9 × Mo17) seedlings growing in vermiculite at various water potentials exhibited substantial osmotic adjustment in the growing region. We have assessed quantitatively whether the osmotic adjustment was attributable to increased net solute deposition rates or to slower rates of water deposition associated with reduced volume expansion. Spatial distributions of total osmotica, soluble carbohydrates, potassium, and water were combined with published growth velocity distributions to calculate deposition rate profiles using the continuity equation. Low water potentials had no effect on the rate of total osmoticum deposition per unit length close to the apex, and caused decreased deposition rates in basal regions. However, rates of water deposition decreased more than osmoticum deposition. Consequently, osmoticum deposition rates per unit water volume were increased near the apex and osmotic potentials were lower throughout the growing region. Because the stressed roots were thinner, osmotic adjustment occurred without osmoticum accumulation per unit length. The effects of low water potential on hexose deposition were similar to those for total osmotica, and hexose made a major contribution to the osmotic adjustment in middle and basal regions. In contrast, potassium deposition decreased at low water potentials in close parallel with water deposition, and increases in potassium concentration were small. The results show that growth of the maize primary root at low water potentials involves a complex pattern of morphogenic and metabolic events. Although osmotic adjustment is largely the result of a greater inhibition of volume expansion and water deposition than solute deposition, the contrasting behavior of hexose and potassium deposition indicates that the adjustment is a highly regulated process. PMID:16667622

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.

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.

Taking the metabolic pulse of the world's coral reefs.

PubMed

Cyronak, Tyler; Andersson, Andreas J; Langdon, Chris; Albright, Rebecca; Bates, Nicholas R; Caldeira, Ken; Carlton, Renee; Corredor, Jorge E; Dunbar, Rob B; Enochs, Ian; Erez, Jonathan; Eyre, Bradley D; Gattuso, Jean-Pierre; Gledhill, Dwight; Kayanne, Hajime; Kline, David I; Koweek, David A; Lantz, Coulson; Lazar, Boaz; Manzello, Derek; McMahon, Ashly; Meléndez, Melissa; Page, Heather N; Santos, Isaac R; Schulz, Kai G; Shaw, Emily; Silverman, Jacob; Suzuki, Atsushi; Teneva, Lida; Watanabe, Atsushi; Yamamoto, Shoji

2018-01-01

Worldwide, coral reef ecosystems are experiencing increasing pressure from a variety of anthropogenic perturbations including ocean warming and acidification, increased sedimentation, eutrophication, and overfishing, which could shift reefs to a condition of net calcium carbonate (CaCO3) dissolution and erosion. Herein, we determine the net calcification potential and the relative balance of net organic carbon metabolism (net community production; NCP) and net inorganic carbon metabolism (net community calcification; NCC) within 23 coral reef locations across the globe. In light of these results, we consider the suitability of using these two metrics developed from total alkalinity (TA) and dissolved inorganic carbon (DIC) measurements collected on different spatiotemporal scales to monitor coral reef biogeochemistry under anthropogenic change. All reefs in this study were net calcifying for the majority of observations as inferred from alkalinity depletion relative to offshore, although occasional observations of net dissolution occurred at most locations. However, reefs with lower net calcification potential (i.e., lower TA depletion) could shift towards net dissolution sooner than reefs with a higher potential. The percent influence of organic carbon fluxes on total changes in dissolved inorganic carbon (DIC) (i.e., NCP compared to the sum of NCP and NCC) ranged from 32% to 88% and reflected inherent biogeochemical differences between reefs. Reefs with the largest relative percentage of NCP experienced the largest variability in seawater pH for a given change in DIC, which is directly related to the reefs ability to elevate or suppress local pH relative to the open ocean. This work highlights the value of measuring coral reef carbonate chemistry when evaluating their susceptibility to ongoing global environmental change and offers a baseline from which to guide future conservation efforts aimed at preserving these valuable ecosystems.

Taking the metabolic pulse of the world’s coral reefs

PubMed Central

Andersson, Andreas J.; Langdon, Chris; Albright, Rebecca; Bates, Nicholas R.; Caldeira, Ken; Carlton, Renee; Corredor, Jorge E.; Dunbar, Rob B.; Enochs, Ian; Erez, Jonathan; Eyre, Bradley D.; Gattuso, Jean-Pierre; Gledhill, Dwight; Kayanne, Hajime; Kline, David I.; Koweek, David A.; Lantz, Coulson; Lazar, Boaz; Manzello, Derek; McMahon, Ashly; Meléndez, Melissa; Page, Heather N.; Santos, Isaac R.; Schulz, Kai G.; Shaw, Emily; Silverman, Jacob; Suzuki, Atsushi; Teneva, Lida; Watanabe, Atsushi; Yamamoto, Shoji

2018-01-01

Worldwide, coral reef ecosystems are experiencing increasing pressure from a variety of anthropogenic perturbations including ocean warming and acidification, increased sedimentation, eutrophication, and overfishing, which could shift reefs to a condition of net calcium carbonate (CaCO3) dissolution and erosion. Herein, we determine the net calcification potential and the relative balance of net organic carbon metabolism (net community production; NCP) and net inorganic carbon metabolism (net community calcification; NCC) within 23 coral reef locations across the globe. In light of these results, we consider the suitability of using these two metrics developed from total alkalinity (TA) and dissolved inorganic carbon (DIC) measurements collected on different spatiotemporal scales to monitor coral reef biogeochemistry under anthropogenic change. All reefs in this study were net calcifying for the majority of observations as inferred from alkalinity depletion relative to offshore, although occasional observations of net dissolution occurred at most locations. However, reefs with lower net calcification potential (i.e., lower TA depletion) could shift towards net dissolution sooner than reefs with a higher potential. The percent influence of organic carbon fluxes on total changes in dissolved inorganic carbon (DIC) (i.e., NCP compared to the sum of NCP and NCC) ranged from 32% to 88% and reflected inherent biogeochemical differences between reefs. Reefs with the largest relative percentage of NCP experienced the largest variability in seawater pH for a given change in DIC, which is directly related to the reefs ability to elevate or suppress local pH relative to the open ocean. This work highlights the value of measuring coral reef carbonate chemistry when evaluating their susceptibility to ongoing global environmental change and offers a baseline from which to guide future conservation efforts aimed at preserving these valuable ecosystems. PMID:29315312

Potential Improvements to Remote Primary Productivity Estimation in the Southern California Current System

NASA Astrophysics Data System (ADS)

Jacox, M.; Edwards, C. A.; Kahru, M.; Rudnick, D. L.; Kudela, R. M.

2012-12-01

A 26-year record of depth integrated primary productivity (PP) in the Southern California Current System (SCCS) is analyzed with the goal of improving satellite net primary productivity (PP) estimates. The ratio of integrated primary productivity to surface chlorophyll correlates strongly to surface chlorophyll concentration (chl0). However, chl0 does not correlate to chlorophyll-specific productivity, and appears to be a proxy for vertical phytoplankton distribution rather than phytoplankton physiology. Modest improvements in PP model performance are achieved by tuning existing algorithms for the SCCS, particularly by empirical parameterization of photosynthetic efficiency in the Vertically Generalized Production Model. Much larger improvements are enabled by improving accuracy of subsurface chlorophyll and light profiles. In a simple vertically resolved production model, substitution of in situ surface data for remote sensing estimates offers only marginal improvements in model r2 and total log10 root mean squared difference, while inclusion of in situ chlorophyll and light profiles improves these metrics significantly. Autonomous underwater gliders, capable of measuring subsurface fluorescence on long-term, long-range deployments, significantly improve PP model fidelity in the SCCS. We suggest their use (and that of other autonomous profilers such as Argo floats) in conjunction with satellites as a way forward for improved PP estimation in coastal upwelling systems.

Temporal evolution of carbon budgets of the Appalachian forests in the U.S. from 1972 to 2000

USGS Publications Warehouse

Liu, J.; Liu, S.; Loveland, Thomas R.

2006-01-01

Estimating dynamic terrestrial ecosystem carbon (C) sources and sinks over large areas is difficult. The scaling of C sources and sinks from the field level to the regional level has been challenging due to the variations of climate, soil, vegetation, and disturbances. As part of an effort to estimate the spatial, temporal, and sectional dimensions of the United States C sources and sinks (the U.S. Carbon Trends Project), this study estimated the forest ecosystem C sequestration of the Appalachian region (186,000 km2) for the period of 1972–2000 using the General Ensemble Biogeochemical Modeling System (GEMS) that has a strong capability of assimilating land use and land cover change (LUCC) data. On 82 sampling blocks in the Appalachian region, GEMS used sequential 60 m resolution land cover change maps to capture forest stand-replacing events and used forest inventory data to estimate non-stand-replacing changes. GEMS also used Monte Carlo approaches to deal with spatial scaling issues such as initialization of forest age and soil properties. Ensemble simulations were performed to incorporate the uncertainties of input data. Simulated results show that from 1972 to 2000 the net primary productivity (NPP), net ecosystem productivity (NEP), and net biome productivity (NBP) averaged 6.2 Mg C ha−1 y−1 (±1.1), 2.2 Mg C ha−1 y−1 (±0.6), and 1.8 Mg C ha−1 y−1(±0.6), respectively. The inter-annual variability was driven mostly by climate. Detailed C budgets for the year 2000 were also calculated. Within a total 148,000 km2 forested area, average forest ecosystem C density was estimated to be 186 Mg C ha−1 (±20), of which 98 Mg C ha−1 (±12) was in biomass and 88 Mg C ha−1 (±13) was in litter and soil. The total simulated C stock of the Appalachian forests was estimated to be 2751 Tg C (±296), including 1454 Tg C (±178) in living biomass and 1297 Tg C (±192) in litter and soil. The total net C sequestration (i.e. NBP) of the forest ecosystem in 2000 was estimated to be 19.5 Tg C y−1 (±6.8).

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...

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.

Hydrologic and water-quality characteristics of Caño Boquerón, Cabo Rojo, and Puerto Mosquito, Isla de Vieques, Puerto Rico, July 2015–July 2016

USGS Publications Warehouse

Gómez-Fragoso, Julieta M.; Santiago-Sáez, José A.

2018-05-07

Coastal lagoons are common features of the Puerto Rico shoreline that provide habitat for commercial and recreational species and serve important roles in the nutrient cycle of the ecosystems. The U.S. Geological Survey, in cooperation with the Puerto Rico Environmental Quality Board, conducted a limnological study at Caño Boquerón in Cabo Rojo and at Puerto Mosquito on Isla de Vieques, Puerto Rico, to assess the principal mechanisms affecting the hydrology and water-quality characteristics of these coastal lagoons and provide baseline information to the regulatory agencies responsible for the management and conservation of these coastal waters and the preservation of their aquatic life.Field measurements and water samples were collected and processed during July 2015–July 2016 for analysis of physical, chemical, biological, and bacteriological characteristics. In addition, bathymetric surveys were made and sediment cores were collected in each lagoon to determine water volume and sediment deposition rate. Physicochemical properties assessed at Caño Boquerón indicated values were generally in compliance with Puerto Rico Environmental Quality Board standards; turbidity was occasionally slightly greater than the established standards, and dissolved oxygen concentration at bottom depths was lower than standards limits. Water transparency was evaluated through the Secchi disk method, and the average depth of disappearance was 1.0 meter (m) for Caño Boquerón and 1.9 m for Puerto Mosquito.Assessment of biological characteristics at both sites included primary productivity calculations as well as carbon production equivalents and monthly water sampling for bacteriological and nutrient analyses. For Caño Boquerón, gross plankton primary productivity averaged 3.38 grams of oxygen per cubic meter per day (gO2/m3-d); this value was computed as the sum of net phytoplankton primary productivity (0.74 gO2/m3-d) and plankton respiration (2.64 gO2/m3-d). Net community primary productivity averaged 1.44 gO2/m3-d, and the community respiration rate averaged 8.10 gO2/m3-d, which indicates that the biological community, aside from phytoplankton, acts as a net consumer rather than a net producer of biomass. In Puerto Mosquito, gross plankton primary productivity averaged 2.07 gO2/m3-d, of which 0.39 gO2/m3-d could be ascribed to net phytoplankton primary productivity, and 1.68 gO2/m3-d could be ascribed to plankton respiration. Diel studies conducted at Puerto Mosquito reflected an average net community primary productivity of 2.43 gO2/m3-d, and the average respiration rate was 6.72 gO2/m3-d.In a bathymetric survey conducted in August 2015, the water volume for the Caño Boquerón lagoon was calculated as 967,000 cubic meters (m3), and the water volume at Puerto Mosquito was calculated as 1,182,200 m3, with an average depth of 1.5 m for Caño Boquerón and 1.8 m for Puerto Mosquito. The daily seawater exchange for Caño Boquerón and Puerto Mosquito was 13 and 5 percent of their water volumes referenced to mean sea level, respectively. A total of 20 sediment samples were processed and analyzed for cesium-137 (137Cs) and lead-210 (210Pb) radioisotopes. Analyses indicated that the sediment deposition rate at Caño Boquerón ranged from 0.32 to 0.36 centimeter per year, based on age dating analysis of 137Cs and 210Pb data; in Puerto Mosquito, the sediment deposition rate ranged from 0.26 to 0.27 centimeter per year, based on 137Cs and 210Pb data.Bacteriological analyses at Caño Boquerón and Puerto Mosquito indicated that fecal coliform and enterococci concentrations were below Puerto Rico Environmental Quality Board standards during the study. The highest concentrations of fecal coliform (22 colonies per 100 milliliters) and enterococci (9 colonies per 100 milliliters) at Caño Boquerón occurred in July, which coincided with the busiest season of vacation rentals near the lagoon. Bacteria concentrations were generally lower in Puerto Mosquito than in Caño Boquerón; maximum concentrations of fecal coliform and enterococci bacteria were measured in November 2015. The potential sources of contamination for Puerto Mosquito are limited, because it is within a conservation area.

The NIH's Funding to US Dental Institutions from 2005 to 2014.

PubMed

Ferland, C L; O'Hayre, M; Knosp, W M; Fox, C H; Horsford, D J

2017-01-01

This study examines funding from the National Institutes of Health (NIH) to US dental institutions between 2005 and 2014 based on publicly available data from the NIH Research Portfolio Online Reporting Tools. Over the 10-y span, 56 US dental institutions received approximately $2.2 billion from 20 Institutes, Centers, and Offices at the NIH. The National Institute of Dental and Craniofacial Research (NIDCR) is the largest NIH supporter of dental institutions, having invested 70% of the NIH total, about $1.5 billion. The NIDCR is also the primary supporter of research training and career development, as it has invested $177 million, which represents 92% of the total NIH investment of $192 million. Over the past 10 y, about half of the NIDCR's extramural award dollars have gone to dental schools, while the NIH has invested about 1%. There has been an approximately 10% net decrease in extramural dollars awarded to dental institutions over the past decade; however, given the year-to-year variability in support to dental institutions, it is unclear if this net decline reflects a long-term trend. In addition, there was an overall reduction in the extramural dollars awarded by the NIDCR and by the NIH. For example, from 2005 to 2014, the total NIDCR budget for extramural research decreased by roughly 4%, which represents a decrease of $20 million to dental institutions. After adjusting for inflation, the decline in funding to dental institutions from the NIDCR and NIH was approximately 30%. Although the NIDCR and NIH continue to invest in dental institutions, if the current decline were to continue, it could negatively affect the research conducted at dental institutions. Therefore, we discuss opportunities for dental institutions to increase NIDCR and NIH support and improve their capacity for research, research training, and career development.

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…

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...

Changes in Emergency Department Utilization After Early Medicaid Expansion in California.

PubMed

Sabik, Lindsay M; Cunningham, Peter J; Tehrani, Ali Bonakdar

2017-06-01

Medicaid expansions aim to improve access to primary care, which could reduce nonemergent (NE) use of the emergency department (ED). In contrast, Medicaid enrollees use the ED more than other groups, including the uninsured. Thus, the expected impact of Medicaid expansion on ED use is unclear. To estimate changes in total and NE ED visits as a result of California's early Medicaid expansion under the Affordable Care Act. In addition to overall changes in the number of visits, changes by payer and safety net hospital status are examined. We used a quasi-experimental approach to examine changes in ED utilization, comparing California expansion counties to comparison counties from California and 2 other states in the same region that did not implement Medicaid expansion during the study period. Regression estimates show no significant change in total number of ED visits following expansion. Medicaid visits increased by 145 visits per hospital-quarter in the first year following expansion and 242 visits subsequent to the first year, whereas visits among uninsured patients decreased by 129 visits per hospital-quarter in the first year and 175 visits in subsequent years, driven by changes at safety net hospitals. We also observe an increase in NE visits per hospital-quarter paid for by Medicaid, and a significant decrease in uninsured NE visits. Medicaid expansions in California were associated with increases in ED visits paid for by Medicaid and declines in uninsured visits. Expansion was also associated with changes in NE visits among Medicaid enrollees and the uninsured.

Insulation materials for commercial buildings in North America: An assessment of lifetime energy and environmental impacts

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

Biswas, Kaushik; Shrestha, Som S.; Bhandari, Mahabir S.

In the United States, commercial buildings accounted for about 19 percent of the total primary energy consumption in 2012. Further, 29 percent of the site energy in commercial buildings was consumed for space heating and cooling. Applying insulation materials to building envelopes is an effective way of reducing energy consumption for heating and cooling, and limiting the negative environmental impacts from the buildings sector. While insulation materials have a net positive impact on the environment due to reduced energy consumption, they also have some negative impacts associated with their 'embodied energy'. The total lifetime environmental impacts of insulation materials aremore » a summation of: (1) direct impacts due to their embodied energy, and (2) indirect or impacts avoided due to the reduced building energy consumption. Here, assessments of the lifetime environmental impacts of selected insulation materials are presented. Direct and indirect environmental impact factors were estimated for the cradle-to-grave insulation life cycle stages. Impact factors were calculated for two categories: primary energy consumption and global warming potential. The direct impact factors were calculated using data from existing literature and a life cycle assessment software. The indirect impact factors were calculated through simulations of a set of standard whole-building models.« less

Insulation materials for commercial buildings in North America: An assessment of lifetime energy and environmental impacts

DOE PAGES

Biswas, Kaushik; Shrestha, Som S.; Bhandari, Mahabir S.; ...

2015-12-12

In the United States, commercial buildings accounted for about 19 percent of the total primary energy consumption in 2012. Further, 29 percent of the site energy in commercial buildings was consumed for space heating and cooling. Applying insulation materials to building envelopes is an effective way of reducing energy consumption for heating and cooling, and limiting the negative environmental impacts from the buildings sector. While insulation materials have a net positive impact on the environment due to reduced energy consumption, they also have some negative impacts associated with their 'embodied energy'. The total lifetime environmental impacts of insulation materials aremore » a summation of: (1) direct impacts due to their embodied energy, and (2) indirect or impacts avoided due to the reduced building energy consumption. Here, assessments of the lifetime environmental impacts of selected insulation materials are presented. Direct and indirect environmental impact factors were estimated for the cradle-to-grave insulation life cycle stages. Impact factors were calculated for two categories: primary energy consumption and global warming potential. The direct impact factors were calculated using data from existing literature and a life cycle assessment software. The indirect impact factors were calculated through simulations of a set of standard whole-building models.« less

Carbon sequestration in harvested wood products.

Treesearch

K. Skog

2011-01-01

This section quantifies the net changes in C stocks in the five forest C pools and two harvested wood pools. The net change in stocks for each pool is estimated, and then the changes in stocks are summed over all pools to estimate total net flux. The focus on C implies that all C-based greenhouse gases are included, and the focus on stock change suggests that specific...

Aerosol Fluxes over Amazon Rain Forest Measured with the Eddy Covariance Method

NASA Astrophysics Data System (ADS)

Ahlm, L.; Nilsson, E. D.; Krejci, R.; Mårtensson, E. M.; Vogt, M.; Artaxo, P.

2008-12-01

We present measurements of vertical aerosol fluxes over the Amazon carried out on top of K34, a 50 meter high tower in the Cuieiras Reserve about 50 km north of Manaus in northern Brazil. The turbulent fluxes were measured with the eddy covariance method. The covariance of vertical wind speed from a sonic anemometer Gill Windmaster and total aerosol number concentration from a condensation particle counter (CPC) TSI 3010 provided the total number flux (diameter >0.01 μm). The covariance of vertical wind speed and size resolved number concentrations from an optical particle counter (OPC) Grimm 1.109 provided size resolved number fluxes in 15 bins from 0.25 μm to 2.5 μm diameter. Additionally fluxes of CO2 and H2O were derived from Li-7500 observations. The observational period, from early March to early August, includes both wet and dry season. OPC fluxes generally show net aerosol deposition both during wet and dry season with the largest downward fluxes during midday. CPC fluxes show different patterns in wet and dry season. During dry season, when number concentrations are higher, downward fluxes clearly dominate. In the wet season however, when number concentrations are lower, our data indicates that upward and downward fluxes are quite evenly distributed during course of a day. On average there is a peak in upward flux during late morning and another peak during the afternoon. Since the OPC fluxes in the same time show net deposition, there is an indication of net source of primary aerosol particles with diameters between 10 and 250 nm emitted from the rain forest. Future data analysis will hopefully shed light on origin and formation mechanism of these particles and thus provide a deeper insight in the rain forest - atmosphere interactions. The aerosol flux measurements were carried out as a part of the AMAZE project in collaboration with University of Sao Paulo, Brazil, and financial support was provided by Swedish International Development Cooperation Agency (SIDA).

Changing NPP consumption patterns in the Holocene: from Megafauna "liberated" NPP to "ecological bankruptcy"

NASA Astrophysics Data System (ADS)

Doughty, C.

2015-12-01

There have been vast changes in how net primary production (NPP) is consumed by humans and animals during the Holocene beginning with a potential increase in availability following the Pleistocene megafauna extinctions. This was followed by the development of agriculture which began to gradually restrict availability of NPP for wild animals. Finally, humans entered the industrial era using non-plant based energies to power societies. Here I ask the following questions about these three energy transitions: 1. How much NPP energy may have become available following the megafauna extinctions? 2. When did humans, through agriculture and domestic animals, consume more NPP than wild mammals in each country? 3. When did humans and wild mammals use more energy than was available in total NPP in each country? To answer this last question I calculate NPP consumed by wild animals, crops, livestock, and energy use (all converted to units of MJ) and compare this with the total potential NPP (also in MJ) for each country. We develop the term "ecological bankruptcy" to refer to the level of consumption where not all energy needs can be met by the country's NPP. Currently, 82 countries and a net population of 5.4 billion are in the state of ecologically bankruptcy, crossing this threshold at various times over the past 40 years. By contrast, only 52 countries with a net population of 1.2 billion remain ecologically solvent. Overall, the Holocene has seen remarkable changes in consumption patterns of NPP, passing through three distinct phases. Humans began in a world where there was 1.6-4.1% unclaimed NPP to consume. From 1700-1850, humans began to consume more than wild animals (globally averaged). At present, >82% of people live in countries where not even all available plant matter could satisfy our energy demands.

Cost-benefit analysis of second-generation antipsychotics and placebo in a randomized trial of the treatment of psychosis and aggression in Alzheimer disease.

PubMed

Rosenheck, Robert A; Leslie, Douglas L; Sindelar, Jody L; Miller, Edward A; Tariot, Peter N; Dagerman, Karen S; Davis, Sonia M; Lebowitz, Barry D; Rabins, Peter; Hsiao, John K; Lieberman, Jeffery A; Schneider, Lon S

2007-11-01

Second-generation antipsychotics (SGAs) are prescribed for psychosis, aggression, and agitation in Alzheimer disease (AD). To conduct a cost-benefit analysis of SGAs and placebo (taken to represent a "watchful waiting" treatment strategy) for psychosis and aggression in outpatients with AD. Randomized placebo-controlled trial of alternative SGA initiation strategies. Forty-two outpatient clinics. Outpatients with AD and psychosis, aggression, or agitation (N = 421). Intervention Participants were randomly assigned to treatment with olanzapine, quetiapine fumarate, risperidone, or placebo with the option of double-blind rerandomization to another antipsychotic or citalopram hydrobromide or open treatment over 9 months. Monthly interviews documented health service use and costs. The economic perspective addressed total health care and medication costs. Costs of study drugs were estimated from wholesale prices with adjustment for discounts and rebates. Quality-adjusted life-years (QALYs) were assessed with the Health Utilities Index Mark 3 and were supplemented with measures of functioning, activities of daily living, and quality of life. Primary analyses were conducted using all available data. Secondary analyses excluded observations after the first medication change (ie, phase 1 only). Cost-benefit analysis was conducted using the net health benefits approach in a sensitivity analysis in which QALYs were valued at $50,000 per year and $100,000 per year. Average total health costs, including medications, were significantly lower for placebo than for SGAs, by $50 to $100 per month. There were no differences between treatments in QALYs or other measures of function. Phase 1-only analyses were broadly similar. Net-benefit analysis showed greater net health benefits for placebo as compared with other treatments, with probabilities ranging from 50% to 90%. There were no differences in measures of effectiveness between initiation of active treatments or placebo (which represented watchful waiting) but the placebo group had significantly lower health care costs. clinicaltrials.gov Identifier: NCT00015548.

Carbon cycling and net ecosystem production at an early stage of secondary succession in an abandoned coppice forest.

PubMed

Ohtsuka, Toshiyuki; Shizu, Yoko; Nishiwaki, Ai; Yashiro, Yuichiro; Koizumi, Hiroshi

2010-07-01

Secondary mixed forests are one of the dominant forest cover types in human-dominated temperate regions. However, our understanding of how secondary succession affects carbon cycling and carbon sequestration in these ecosystems is limited. We studied carbon cycling and net ecosystem production (NEP) over 4 years (2004-2008) in a cool-temperate deciduous forest at an early stage of secondary succession (18 years after clear-cutting). Net primary production of the 18-year-old forest in this study was 5.2 tC ha(-1 )year(-1), including below-ground coarse roots; this was partitioned into 2.5 tC ha(-1 )year(-1) biomass increment, 1.6 tC ha(-1 )year(-1) foliage litter, and 1.0 tC ha(-1 )year(-1) other woody detritus. The total amount of annual soil surface CO(2) efflux was 6.8 tC ha(-1 )year(-1), which included root respiration (1.9 tC ha(-1 )year(-1)) and heterotrophic respiration (RH) from soils (4.9 tC ha(-1 )year(-1)). The 18-year forest at this study site exhibited a great increase in biomass pool as a result of considerable total tree growth and low mortality of tree stems. In contrast, the soil organic matter (SOM) pool decreased markedly (-1.6 tC ha(-1 )year(-1)), although further study of below-ground detritus production and RH of SOM decomposition is needed. This young 18-year forest was a weak carbon sink (0.9 tC ha(-1 )year(-1)) at this stage of secondary succession. The NEP of this 18-year forest is likely to increase gradually because biomass increases with tree growth and with the improvement of the SOM pool through increasing litter and dead wood production with stand development.

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.

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...

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...

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.

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.

Retrospective financial analysis of medication therapy management services from the pharmacy's perspective.

PubMed

McDonough, Randal P; Harthan, Aaron A; McLeese, Kelly E; Doucette, William R

2010-01-01

To determine the net financial gain or loss for medication therapy management (MTM) services provided to patients by an independent community pharmacy during 16 months of operation. Retrospective study. Independent community pharmacy in Iowa City, IA, from September 1, 2006, to December 31, 2007. Patients receiving MTM services during the specified period who had proper documentation of reimbursement for the services. MTM services were provided to the patient and documented by the pharmacist or student pharmacist. Net financial gains or losses for providing MTM services. Sensitivity analyses included costs that might be incurred under various conditions of operation. 103 initial and 88 follow-up MTM visits were conducted during a 16-month time period. The total cost for these services to the pharmacy was $11,191.72. Total revenue from these services was $11,195.00; therefore, the pharmacy experienced a net financial gain of $3.28. Sensitivity analyses were conducted, revealing the net gain/loss to the pharmacy if a student pharmacist was used and the net gain/loss if the pharmacist needed extra training to provide the services. Using a student pharmacist resulted in a net gain of $6,308.48, while extra training for the pharmacist resulted in a net loss of $1,602.72. The MTM service programs showed a positive financial gain after 16 months of operation, which should encourage pharmacists to incorporate these services into their practice.

Ion extraction capabilities of two-grid accelerator systems. [for spacecraft propulsion

NASA Technical Reports Server (NTRS)

Rovang, D. C.; Wilbur, P. J.

1984-01-01

An experimental investigation into the ion extraction capabilities of two-grid accelerator systems common to electrostatic ion thrusters is described. A large body of experimental data which facilitates the selection of the accelerator system geometries and operating parameters necessary to maximize the extracted ion current is presented. Results suggest that the impingement-limited perveance is not dramatically affected by reductions in screen hole diameter to 0.5 mm. Impingement-limited performance is shown to depend most strongly on grid separation distance, accelerator hole diameter ratio, the discharge-to-total accelerating voltage ratio, and the net-to-total accelerating voltage ratio. Results obtained at small grid separation ratios suggest a new grid operating condition where high beam current per hole levels are achieved at a specified net accelerating voltage. It is shown that this operating condition is realized at an optimum ratio of net-to-total accelerating voltage ratio which is typically quite high.

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...

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.

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.

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.

Multi-site assimilation of a terrestrial biosphere model (BETHY) using satellite derived soil moisture data

NASA Astrophysics Data System (ADS)

Wu, Mousong; Sholze, Marko

2017-04-01

We investigated the importance of soil moisture data on assimilation of a terrestrial biosphere model (BETHY) for a long time period from 2010 to 2015. Totally, 101 parameters related to carbon turnover, soil respiration, as well as soil texture were selected for optimization within a carbon cycle data assimilation system (CCDAS). Soil moisture data from Soil Moisture and Ocean Salinity (SMOS) product was derived for 10 sites representing different plant function types (PFTs) as well as different climate zones. Uncertainty of SMOS soil moisture data was also estimated using triple collocation analysis (TCA) method by comparing with ASCAT dataset and BETHY forward simulation results. Assimilation of soil moisture to the system improved soil moisture as well as net primary productivity(NPP) and net ecosystem productivity (NEP) when compared with soil moisture derived from in-situ measurements and fluxnet datasets. Parameter uncertainties were largely reduced relatively to prior values. Using SMOS soil moisture data for assimilation of a terrestrial biosphere model proved to be an efficient approach in reducing uncertainty in ecosystem fluxes simulation. It could be further used in regional an global assimilation work to constrain carbon dioxide concentration simulation by combining with other sources of measurements.

A dynamic box model of bioactive elements in the southern Taiwan Strait

NASA Astrophysics Data System (ADS)

Hua-Sheng, Hong; Shao-Ling, Shang

1994-06-01

A dynamic box model was applied to study the characteristics of biogeochemical cycling of PO4-P, NO3-N, AOU, POC and PON in the southern Taiwan Strait region based on the field data of the “Minnan Taiwan Bank Fishing Ground Upwelling Ecosystem Study” during the period of Dec. 1987-Nov. 1988. According to the unique hydrological and topographical features of the region, six boxes and three layers were considered in the model. The variation rates and fluxes of elements induced by horizontal current, upwelling, by diffusion, sinking of particles and biogeochemical processes were estimated respectively. Results further confirmed that upwellings had important effects in this region. The nearshore upwelling areas had net input fluxes of nutrients brought by upwelling water, also had high depletion rates of nutrients and production rates of particulate organic matter and dissolved oxygen. The abnormal net production of nutrients in the middle layer, (10-30 m) indicated the important role of bacteria in this high production region. The phytoplankton POC contributed about 28% of the total POC. POC settling out from the euphotic zone was estimated to be 2×10-6 g/(m2·s) which was about 35% of the primary production.

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.

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.

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

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.

Postharvest responses of red and yellow sweet peppers grown under photo-selective nets.

PubMed

Selahle, Kamogelo M; Sivakumar, Dharini; Jifon, John; Soundy, Puffy

2015-04-15

Postharvest responses of red ('HTSP-3') and yellow ('Celaya') sweet pepper fruit yield, quality parameters and bioactive compounds (to three types of photo-selective nets and a standard black net) were investigated in this study. Red and yellow peppers produced under the black net retained higher β-carotene, lower total phenolic contents and showed deep red and orange colour after storage. Both peppers produced under the pearl net retained a higher ascorbic content, antioxidant scavenging activity, fruit firmness and also reduced weight loss after storage. Red and yellow peppers grown under pearl and yellow nets resulted in a higher percentage of marketable fruit, after storage. Red pepper grown under the yellow net showed a higher number of odour active aroma compounds in the fruit, while black nets significantly affected the synthesis of odour active aroma compounds during storage. Sensory analysis indicated a preference for red pepper fruits after storage from plants grown under pearl nets. Copyright © 2014 Elsevier Ltd. All rights reserved.

SeaDataNet network services monitoring: Definition and Implementation of Service availability index

NASA Astrophysics Data System (ADS)

Lykiardopoulos, Angelos; Mpalopoulou, Stavroula; Vavilis, Panagiotis; Pantazi, Maria; Iona, Sissy

2014-05-01

SeaDataNet (SDN) is a standardized system for managing large and diverse data sets collected by the oceanographic fleets and the automatic observation systems. The SeaDataNet network is constituted of national oceanographic data centres of 35 countries, active in data collection. SeaDataNetII project's objective is to upgrade the present SeaDataNet infrastructure into an operationally robust and state-of-the-art infrastructure; therefore Network Monitoring is a step to this direction. The term Network Monitoring describes the use of system that constantly monitors a computer network for slow or failing components and that notifies the network administrator in case of outages. Network monitoring is crucial when implementing widely distributed systems over the Internet and in real-time systems as it detects malfunctions that may occur and notifies the system administrator who can immediately respond and correct the problem. In the framework of SeaDataNet II project a monitoring system was developed in order to monitor the SeaDataNet components. The core system is based on Nagios software. Some plug-ins were developed to support SeaDataNet modules. On the top of Nagios Engine a web portal was developed in order to give access to local administrators of SeaDataNet components, to view detailed logs of their own service(s). Currently the system monitors 35 SeaDataNet Download Managers, 9 SeaDataNet Services, 25 GeoSeas Download Managers and 23 UBSS Download Managers . Taking advantage of the continuous monitoring of SeaDataNet system components a total availability index will be implemented. The term availability can be defined as the ability of a functional unit to be in a state to perform a required function under given conditions at a given instant of time or over a given time interval, assuming that the required external resources are provided. Availability measures can be considered as a are very important benefit becauseT - The availability trends that can be extracted from the stored availability measurements will give an indication of the condition of the service modules. - Will help in planning upgrades planning - and the maintenance of the network service. - It is a prerequisite in case of signing a Service Level Agreement. To construct the service availability index, a method for measuring availability of SeaDataNet network is developed and a database is implemented to store the measured values. Although the measurements of availability of a single component in a network service can be considered as simple (is a percentage of time in a year that the service is available to the users), the ipmlementation of a method to measure the total availability of a composite system can be complicated and there is no a standardized method to deal with it. The method followed to calculate the total availability index in case of SeaDataNet can be described as follows: The whole system was divided in operational modules providing a single service in which the availability can be measured by monitoring portal. Next the dependences between these modules were defined in order to formulate the influence of availability of each module against the whole system. For each module a weight coefficient depending on module's involvement in total system productivity was defined. A mathematical formula was developed to measure the index.

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.

Spatial and temporal patterns in the hyperbenthic community structure in a warm temperate southern African permanently open estuary

NASA Astrophysics Data System (ADS)

Heyns, Elodie; Froneman, William

2010-06-01

The spatial and temporal patterns in the hyperbenthic community structure (>500 μm) in the warm temperate, permanently open Kariega Estuary situated along the south-eastern coastline of South Africa was investigated monthly over a period of twelve months. Data were collected using a modified hyperbenthic sledge at six stations along the length of the estuary. Physico-chemical data indicate the presence of a constant reverse salinity gradient, with highest salinities measured in the upper reaches and lowest at the mouth of the estuary. Strong seasonal patterns in temperature, dissolved oxygen and total chlorophyll- a (chl- a) concentration were evident. Total average hyperbenthic densities ranged between 0.4 and 166 ind.m -3 in the lower net and between 0.2 and 225 ind.m -3 in the upper net. Hyperbenthic biomass values ranged between 0.02 and 11.9 mg.dry weight.m -3 in the lower net and between 0.02 and 17.4 mg.dry weight.m -3 in the upper net. Both the lower and upper nets were numerically dominated by decapods (mainly brachyuran crab zoea) with the exception of June and July 2008 when mysids (mainly Mesopodopsis wooldridgei) dominated, comprising up to 72.4 ± 58.14% of the total abundance in the lower net. A redundancy analysis (RDA) indicated that 99.2% of the variance in the hyperbenthic community structure could be explained by the first two canonical axes. Axis one, which accounted for 96.8% of the total variation detected in the ordination plot was highly correlated with sedimentary organic content and to a lesser extent the chl- a concentration within the Kariega Estuary. The correlations with the second canonical axis (2.4%) were less obvious, however, salinity and seston concentration were weakly correlated with this axis.

Analysis of the ecosystem structure of Laguna Alvarado, western Gulf of Mexico, by means of a mass balance model

NASA Astrophysics Data System (ADS)

Cruz-Escalona, V. H.; Arreguín-Sánchez, F.; Zetina-Rejón, M.

2007-03-01

Alvarado is one of the most productive estuary-lagoon systems in the Mexican Gulf of Mexico. It has great economic and ecological importance due to high fisheries productivity and because it serves as a nursery, feeding, and reproduction area for numerous populations of fishes and crustaceans. Because of this, extensive studies have focused on biology, ecology, fisheries (e.g. shrimp, oysters) and other biological components of the system during the last few decades. This study presents a mass-balanced trophic model for Laguna Alvarado to determine it's structure and functional form, and to compare it with similar coastal systems of the Gulf of Mexico and Mexican Pacific coast. The model, based on the software Ecopath with Ecosim, consists of eighteen fish groups, seven invertebrate groups, and one group each of sharks and rays, marine mammals, phytoplankton, sea grasses and detritus. The acceptability of the model is indicated by the pedigree index (0.5) which range from 0 to 1 based on the quality of input data. The highest trophic level was 3.6 for marine mammals and snappers. Total system throughput reached 2680 t km -2 year -1, of which total consumption made up 47%, respiratory flows made up 37% and flows to detritus made up 16%. The total system production was higher than consumption, and net primary production higher than respiration. The mean transfer efficiency was 13.8%. The mean trophic level of the catch was 2.3 and the primary production required to sustain the catch was estimated in 31 t km -2 yr -1. Ecosystem overhead was 2.4 times the ascendancy. Results suggest a balance between primary production and consumption. In contrast with other Mexican coastal lagoons, Laguna Alvarado differs strongly in relation to the primary source of energy; here the primary producers (seagrasses) are more important than detritus pathways. This fact can be interpreted a response to mangrove deforest, overfishing, etc. Future work might include the compilation of fishing and biomass time trends to develop historical verification and fitting of temporal simulations.

Composition, buoyancy regulation and fate of ice algal aggregates in the Central Arctic Ocean.

PubMed

Fernández-Méndez, Mar; Wenzhöfer, Frank; Peeken, Ilka; Sørensen, Heidi L; Glud, Ronnie N; Boetius, Antje

2014-01-01

Sea-ice diatoms are known to accumulate in large aggregates in and under sea ice and in melt ponds. There is recent evidence from the Arctic that such aggregates can contribute substantially to particle export when sinking from the ice. The role and regulation of microbial aggregation in the highly seasonal, nutrient- and light-limited Arctic sea-ice ecosystem is not well understood. To elucidate the mechanisms controlling the formation and export of algal aggregates from sea ice, we investigated samples taken in late summer 2011 and 2012, during two cruises to the Eurasian Basin of the Central Arctic Ocean. Spherical aggregates densely packed with pennate diatoms, as well as filamentous aggregates formed by Melosira arctica showed sign of different stages of degradation and physiological stoichiometries, with carbon to chlorophyll a ratios ranging from 110 to 66700, and carbon to nitrogen molar ratios of 8-35 and 9-40, respectively. Sub-ice algal aggregate densities ranged between 1 and 17 aggregates m(-2), maintaining an estimated net primary production of 0.4-40 mg C m(-2) d(-1), and accounted for 3-80% of total phototrophic biomass and up to 94% of local net primary production. A potential factor controlling the buoyancy of the aggregates was light intensity, regulating photosynthetic oxygen production and the amount of gas bubbles trapped within the mucous matrix, even at low ambient nutrient concentrations. Our data-set was used to evaluate the distribution and importance of Arctic algal aggregates as carbon source for pelagic and benthic communities.

Composition, Buoyancy Regulation and Fate of Ice Algal Aggregates in the Central Arctic Ocean

PubMed Central

Fernández-Méndez, Mar; Wenzhöfer, Frank; Peeken, Ilka; Sørensen, Heidi L.; Glud, Ronnie N.; Boetius, Antje

2014-01-01

Sea-ice diatoms are known to accumulate in large aggregates in and under sea ice and in melt ponds. There is recent evidence from the Arctic that such aggregates can contribute substantially to particle export when sinking from the ice. The role and regulation of microbial aggregation in the highly seasonal, nutrient- and light-limited Arctic sea-ice ecosystem is not well understood. To elucidate the mechanisms controlling the formation and export of algal aggregates from sea ice, we investigated samples taken in late summer 2011 and 2012, during two cruises to the Eurasian Basin of the Central Arctic Ocean. Spherical aggregates densely packed with pennate diatoms, as well as filamentous aggregates formed by Melosira arctica showed sign of different stages of degradation and physiological stoichiometries, with carbon to chlorophyll a ratios ranging from 110 to 66700, and carbon to nitrogen molar ratios of 8–35 and 9–40, respectively. Sub-ice algal aggregate densities ranged between 1 and 17 aggregates m−2, maintaining an estimated net primary production of 0.4–40 mg C m−2 d−1, and accounted for 3–80% of total phototrophic biomass and up to 94% of local net primary production. A potential factor controlling the buoyancy of the aggregates was light intensity, regulating photosynthetic oxygen production and the amount of gas bubbles trapped within the mucous matrix, even at low ambient nutrient concentrations. Our data-set was used to evaluate the distribution and importance of Arctic algal aggregates as carbon source for pelagic and benthic communities. PMID:25208058

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.

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

Impact of Soil Composition and Electrochemistry on Corrosion of Rock-cut Slope Nets along Railway Lines in China.

PubMed

Chen, Jiao; Chen, Zhaoqiong; Ai, Yingwei; Xiao, Jingyao; Pan, Dandan; Li, Wei; Huang, Zhiyu; Wang, Yumei

2015-10-09

Taking the slope of Suiyu Railway to study, the research separately studied soil resistivity, soil electrochemistry (corrosion potential, oxidization reduction potential, electric potential gradient and pH), soil anions (total soluble salt, Cl(-), SO4(2-) and ), and soil nutrition (moisture content, organic matter, total nitrogen, alkali-hydrolysable nitrogen, available phosphorus, and available potassium) at different slope levels, and conducted corrosion grade evaluation on artificial soil according to its single index and comprehensive indexes. Compared with other factors, water has the biggest impact on the corrosion of slope protection net, followed by anion content. Total soluble salt has the moderate impact on the corrosion of slope protection net, and stray current has the moderate impact on the corrosion of mid-slope protection net. Comprehensive evaluation on the corrosive degree of soil samples indicates that the corrosion of upper slope is moderate, and the corrosion of mid-slope and lower slope is strong. Organic matter in soil is remarkably relevant to electric potential gradient. Available nitrogen, available potassium and available phosphorus are remarkably relevant to anions. The distribution of soil nutrient is indirectly relevant to slope type.

Impact of Soil Composition and Electrochemistry on Corrosion of Rock-cut Slope Nets along Railway Lines in China

PubMed Central

Chen, Jiao; Chen, Zhaoqiong; Ai, Yingwei; Xiao, Jingyao; Pan, Dandan; Li, Wei; Huang, Zhiyu; Wang, Yumei

2015-01-01

Taking the slope of Suiyu Railway to study, the research separately studied soil resistivity, soil electrochemistry (corrosion potential, oxidization reduction potential, electric potential gradient and pH), soil anions (total soluble salt, Cl−, SO42− and ), and soil nutrition (moisture content, organic matter, total nitrogen, alkali-hydrolysable nitrogen, available phosphorus, and available potassium) at different slope levels, and conducted corrosion grade evaluation on artificial soil according to its single index and comprehensive indexes. Compared with other factors, water has the biggest impact on the corrosion of slope protection net, followed by anion content. Total soluble salt has the moderate impact on the corrosion of slope protection net, and stray current has the moderate impact on the corrosion of mid-slope protection net. Comprehensive evaluation on the corrosive degree of soil samples indicates that the corrosion of upper slope is moderate, and the corrosion of mid-slope and lower slope is strong. Organic matter in soil is remarkably relevant to electric potential gradient. Available nitrogen, available potassium and available phosphorus are remarkably relevant to anions. The distribution of soil nutrient is indirectly relevant to slope type. PMID:26450811

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.

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...

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...

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...

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...

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...

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...

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.

Is it All About the Money? Not All Surgical Subspecialization Leads to Higher Lifetime Revenue when Compared to General Surgery.

PubMed

Baimas-George, Maria; Fleischer, Brian; Slakey, Douglas; Kandil, Emad; Korndorffer, James R; DuCoin, Christopher

It is believed that spending additional years gaining expertise in surgical subspecialization leads to higher lifetime revenue. Literature shows that more surgeons are pursuing fellowship training and dedicated research years; however, there are no data looking at the aggregate economic impact when training time is accounted for. It is hypothesized that there will be a discrepancy in lifetime income when delay to practice is considered. Data were collected from the Medical Group Management Association's 2015 report of average annual salaries. Fixed time of practice was set at 30 years, and total adjusted revenue was calculated based on variable years spent in research and fellowship. All total revenue outcomes were compared to general surgery and calculated in US dollars. The financial data on general surgeons and 9 surgical specialties (vascular, pediatric, plastic, breast, surgical oncology, cardiothoracic, thoracic primary, transplant, and trauma) were examined. With fellowship and no research, breast and surgical oncology made significantly less than general surgery (-$1,561,441, -$1,704,958), with a difference in opportunity cost equivalent to approximately 4 years of work. Pediatric and cardiothoracic surgeons made significantly more than general surgeons, with an increase of opportunity cost equivalent to $5,301,985 and $3,718,632, respectively. With 1 research year, trauma surgeons ended up netting less than a general surgeon by $325,665. With 2 research years, plastic and transplant surgeons had total lifetime revenues approximately equivalent to that of a general surgeon. Significant disparities exist in lifetime total revenue between surgical subspecialties and in comparison, to general surgery. Although most specialists do gross more than general surgeons, breast and surgical oncologists end up netting significantly less over their lifetime as well as trauma surgeons if they do 1 year of research. Thus, the economic advantage of completing additional training is dependent on surgical field and duration of research. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

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.

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.

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.

Comparison of fish catches with buoyant pop nets and seines in vegetated and nonvegetated habitats

USGS Publications Warehouse

Dewey, M.R.; Holland-Bartels, L. E.; Zigler, S.J.

1989-01-01

Two models of pop nets were developed to sample fish in shallow riverine waters, one for use in vegetated areas and the other for nonvegetated areas. Both nets have a mechanical release mechanism that can be tripped from the water surface. Replicated field tests were conducted to compare pop-net catches with bag-seine collections every 2 weeks from May through mid-October. Overall, total catch per effort did not vary significantly (P 2) was smaller than the area swept by the average seine haul (70-140 m2). The pop net effectively sampled fish in shallow nonvegetated habitats and was useful in heavily vegetated areas where seining or electroshocking was difficult.

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.

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.

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

Decision-making deficits in patients with chronic schizophrenia: Iowa Gambling Task and Prospect Valence Learning model.

PubMed

Kim, Myung-Sun; Kang, Bit-Na; Lim, Jae Young

2016-01-01

Decision-making is the process of forming preferences for possible options, selecting and executing actions, and evaluating the outcome. This study used the Iowa Gambling Task (IGT) and the Prospect Valence Learning (PVL) model to investigate deficits in risk-reward related decision-making in patients with chronic schizophrenia, and to identify decision-making processes that contribute to poor IGT performance in these patients. Thirty-nine patients with schizophrenia and 31 healthy controls participated. Decision-making was measured by total net score, block net scores, and the total number of cards selected from each deck of the IGT. PVL parameters were estimated with the Markov chain Monte Carlo sampling scheme in OpenBugs and BRugs, its interface to R, and the estimated parameters were analyzed with the Mann-Whitney U-test. The schizophrenia group received significantly lower total net scores compared to the control group. In terms of block net scores, an interaction effect of group × block was observed. The block net scores of the schizophrenia group did not differ across the five blocks, whereas those of the control group increased as the blocks progressed. The schizophrenia group obtained significantly lower block net scores in the fourth and fifth blocks of the IGT and selected cards from deck D (advantageous) less frequently than the control group. Additionally, the schizophrenia group had significantly lower values on the utility-shape, loss-aversion, recency, and consistency parameters of the PVL model. These results indicate that patients with schizophrenia experience deficits in decision-making, possibly due to failure in learning the expected value of each deck, and incorporating outcome experiences of previous trials into expectancies about options in the present trial.

Long-term impacts of manure amendments on carbon and greenhouse gas dynamics of rangelands.

PubMed

Owen, Justine J; Parton, William J; Silver, Whendee L

2015-12-01

Livestock manure is applied to rangelands as an organic fertilizer to stimulate forage production, but the long-term impacts of this practice on soil carbon (C) and greenhouse gas (GHG) dynamics are poorly known. We collected soil samples from manured and nonmanured fields on commercial dairies and found that manure amendments increased soil C stocks by 19.0 ± 7.3 Mg C ha(-1) and N stocks by 1.94 ± 0.63 Mg N ha(-1) compared to nonmanured fields (0-20 cm depth). Long-term historical (1700-present) and future (present-2100) impacts of management on soil C and N dynamics, net primary productivity (NPP), and GHG emissions were modeled with DayCent. Modeled total soil C and N stocks increased with the onset of dairying. Nitrous oxide (N2 O) emissions also increased by ~2 kg N2 O-N ha(-1)  yr(-1) . These emissions were proportional to total N additions and offset 75-100% of soil C sequestration. All fields were small net methane (CH4 ) sinks, averaging -4.7 ± 1.2 kg CH4 -C ha(-1)  yr(-1) . Overall, manured fields were net GHG sinks between 1954 and 2011 (-0.74 ± 0.73 Mg CO2 e ha(-1)  yr(-1) , CO2 e are carbon dioxide equivalents), whereas nonmanured fields varied around zero. Future soil C pools stabilized 40-60 years faster in manured fields than nonmanured fields, at which point manured fields were significantly larger sources than nonmanured fields (1.45 ± 0.52 Mg CO2 e ha(-1)  yr(-1) and 0.51 ± 0.60 Mg CO2 e ha(-1)  yr(-1) , respectively). Modeling also revealed a large background loss of soil C from the passive soil pool associated with the shift from perennial to annual grasses, equivalent to 29.4 ± 1.47 Tg CO2 e in California between 1820 and 2011. Manure applications increased NPP and soil C storage, but plant community changes and GHG emissions decreased, and eventually eliminated, the net climate benefit of this practice. © 2015 John Wiley & Sons Ltd.

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.

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.

Propulsion and Power Rapid Response Research and Development Support. Delivery Order 0042: Demonstration and Evaluation of Fischer-Tropsch Research Fuels for the DoD Assured Fuels Program

DTIC Science & Technology

2006-12-01

7 Figure 3.1-3. Net Heat of Combustion ...No. 1 Aromatic Carbon, max ASTM D-5292 Mol % < 0.5 Sulfur, Total, Max ASTM D-5453 ppm 1 Cetane Index ASTM D-976 Report Net Heat of Combustion , min ASTM...12 /2 00 6 8/ 19 /2 00 6 8/ 26 /2 00 6 9/ 2/ 20 06 8 Figure 3.1-3. Net Heat of Combustion Trend Figure 3.1-4. Freezing Point Trend Net

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.

Rotation Control In A Cylindrical Acoustic Levitator

NASA Technical Reports Server (NTRS)

Barmatz, M. B.; Allen, J. L.

1988-01-01

Second driver introduces net circulation around levitated sample. Two transducers produce two sets of equal counterrotating acoustic fields. By appropriate adjustment of amplitudes and phases in two transducers, total acoustic field made to consist of two unequal counterrotating fields, producing net torque on levitated sample.

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

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...

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...

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...

BOREAS TE-19 Ecosystem Carbon Balance Model

NASA Technical Reports Server (NTRS)

Hall, Forrest G. (Editor); Papagno, Andrea (Editor); Frolking, Steve

2000-01-01

The BOREAS TE-19 team developed a model called the Spruce and Moss Model (SPAM) designed to simulate the daily carbon balance of a black spruce/moss boreal forest ecosystem. It is driven by daily weather conditions, and consists of four components: (1) soil climate, (2) tree photosynthesis and respiration, (3) moss photosynthesis and respiration, and (4) litter decomposition and associated heterotrophic respiration. The model simulates tree gross and net photosynthesis, wood respiration, live root respiration, moss gross and net photosynthesis, and heterotrophic respiration (decomposition of root litter, young needle and moss litter, and humus). These values can be combined to generate predictions of total site net ecosystem exchange of carbon (NEE), total soil dark respiration (live roots + heterotrophs + live moss), spruce and moss net productivity, and net carbon accumulation in the soil. To date, simulations have been of the BOREAS NSA-OBS and SSA-OBS tower sites, from 1968-95 (except 1990-93). The files include source code and sample input and output files in ASCII format. The data files are available on a CD-ROM (see document number 20010000884), or from the Oak Ridge National Laboratory (ORNL) Distributed Activity Archive Center (DAAC).

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

Root biomass, turnover and net primary productivity of a coffee agroforestry system in Costa Rica: effects of soil depth, shade trees, distance to row and coffee age

PubMed Central

Defrenet, Elsa; Roupsard, Olivier; Van den Meersche, Karel; Charbonnier, Fabien; Pastor Pérez-Molina, Junior; Khac, Emmanuelle; Prieto, Iván; Stokes, Alexia; Roumet, Catherine; Rapidel, Bruno; de Melo Virginio Filho, Elias; Vargas, Victor J.; Robelo, Diego; Barquero, Alejandra; Jourdan, Christophe

2016-01-01

Background and Aims In Costa Rica, coffee (Coffea arabica) plants are often grown in agroforests. However, it is not known if shade-inducing trees reduce coffee plant biomass through root competition, and hence alter overall net primary productivity (NPP). We estimated biomass and NPP at the stand level, taking into account deep roots and the position of plants with regard to trees. Methods Stem growth and root biomass, turnover and decomposition were measured in mixed coffee/tree (Erythrina poeppigiana) plantations. Growth ring width and number at the stem base were estimated along with stem basal area on a range of plant sizes. Root biomass and fine root density were measured in trenches to a depth of 4 m. To take into account the below-ground heterogeneity of the agroforestry system, fine root turnover was measured by sequential soil coring (to a depth of 30 cm) over 1 year and at different locations (in full sun or under trees and in rows/inter-rows). Allometric relationships were used to calculate NPP of perennial components, which was then scaled up to the stand level. Key Results Annual ring width at the stem base increased up to 2·5 mm yr−1 with plant age (over a 44-year period). Nearly all (92 %) coffee root biomass was located in the top 1·5 m, and only 8 % from 1·5 m to a depth of 4 m. Perennial woody root biomass was 16 t ha−1 and NPP of perennial roots was 1·3 t ha−1 yr−1. Fine root biomass (0–30 cm) was two-fold higher in the row compared with between rows. Fine root biomass was 2·29 t ha−1 (12 % of total root biomass) and NPP of fine roots was 2·96 t ha−1 yr−1 (69 % of total root NPP). Fine root turnover was 1·3 yr−1 and lifespan was 0·8 years. Conclusions Coffee root systems comprised 49 % of the total plant biomass; such a high ratio is possibly a consequence of shoot pruning. There was no significant effect of trees on coffee fine root biomass, suggesting that coffee root systems are very competitive in the topsoil. PMID:27551026

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.

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.

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.

Efficacy of mosquito netting for sustainable small holders' cabbage production in Africa.

PubMed

Martin, T; Assogba-Komlan, F; Houndete, T; Hougard, J M; Chandre, F

2006-04-01

The efficacy of a mosquito netting to protect cabbages, Brassica oleracea L., against pests was investigated in field trials in Benin, West Africa. A polyester net covered the plants at night by using a wood armature. The net was removed during the day to prevent overheating and excessive shade, both problems of insect-proof screens used under tropical conditions. The number of all lepidopteran larvae with netting protection and foliar insecticide sprays was significantly lower than the unprotected control. The number of diamondback moth, Plutella xylostella (L.), was significantly lower with netting protection compared with foliar insecticide sprays and control. Netting treated with deltamethrin gave total protection of young plants against the aphid Lipaphis erysimi (Kaltenbach). At harvest, the number of marketable cabbages protected with untreated netting was significantly higher compared with the production with foliar insecticide sprays. The protection of cabbages with netting can be an economically viable method. Considering the price of cabbages on local markets (US dollars 1/unit), the net returns per 100 m2 were US dollars 247 by using netting, US dollars 149 by using insecticides, and US dollars 117 for controls. The net returns for using netting are based on replacing the netting each crop cycle. But netting can be reused several times, depending upon conditions, increasing the profit margin. The netting protection may be an alternative to the growing unsustainable practices of vegetable cropping in peri-urban areas of tropical countries.

PHASE DIFFERENTIAL INDICATING CIRCUIT

DOEpatents

Kirsten, F.A.

1962-01-01

An electronic circuit for totalizing the net phase difference between two alternating current signals is designed which responds to both increasing and decreasing phase changes. A phase comparator provldes an output pulse for each 360 deg of phase difference occurring, there being a negative pulse for phase shtft in one direction and a positive pulse for a phase shift in the opposite direction. A counting circuit utilizing glow discharge tubes receives the negative and positive pulses at a single input terminal and provides a running net total, pulses of one polarity dded and pulses of the opposite polarity being subtracted. The glow discharge tubes may be decaded to increase the total count capacity. (AEC)

Study on the ecosystem construction of using ecopath model in inland waterway

NASA Astrophysics Data System (ADS)

Zhao, Junjie; Bai, Jing; Zhang, Lu; Wang, Ning; Shou, Youping

2018-04-01

In this paper, Ecopath with Ecosim 5.1 software is used to simulate the constructed water ecosystem of inland waterway. According to the characteristics of feeding relationship, the ecopath model of water ecosystem is divided into seven functional groups: phytoplankton, hydrophyte, zooplankton, herbivorous, omnivorous, polychaetes and detritus. By analyzing the important ecological parameters of the ecosystem, such as biomass, biomass / biomass, consumption / biomass, trophic level and ecological nutrient conversion efficiency, the software integrates the energy flow process of the ecosystem, the ratio of the total net primary production and the sum of all respiratory flows is 1.314, it’s indicating that the ecosystem is equilibrium. The research method of this paper can be widely used to evaluate the stability of the ecosystem of the domestic river.

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

Globalization and pollution: tele-connecting local primary PM2.5 emissions to global consumption.

PubMed

Meng, Jing; Liu, Junfeng; Xu, Yuan; Guan, Dabo; Liu, Zhu; Huang, Ye; Tao, Shu

2016-11-01

Globalization pushes production and consumption to geographically diverse locations and generates a variety of sizeable opportunities and challenges. The distribution and associated effects of short-lived primary fine particulate matter (PM 2.5 ), a representative of local pollution, are significantly affected by the consumption through global supply chain. Tele-connection is used here to represent the link between production and consumption activity at large distances. In this study, we develop a global consumption-based primary PM 2.5 emission inventory to track primary PM 2.5 emissions embodied in the supply chain and evaluate the extent to which local PM 2.5 emissions are triggered by international trade. We further adopt consumption-based accounting and identify the global original source that produced the emissions. We find that anthropogenic PM 2.5 emissions from industrial sectors accounted for 24 Tg globally in 2007; approximately 30% (7.2 Tg) of these emissions were embodied in export of products principally from Brazil, South Africa, India and China (3.8 Tg) to developed countries. Large differences (up to 10 times) in the embodied emissions intensity between net importers and exporters greatly increased total global PM 2.5 emissions. Tele-connecting production and consumption activity provides valuable insights with respect to mitigating long-range transboundary air pollution and prompts concerted efforts aiming at more environmentally conscious globalization.

Globalization and pollution: tele-connecting local primary PM2.5 emissions to global consumption

NASA Astrophysics Data System (ADS)

Meng, Jing; Liu, Junfeng; Xu, Yuan; Guan, Dabo; Liu, Zhu; Huang, Ye; Tao, Shu

2016-11-01

Globalization pushes production and consumption to geographically diverse locations and generates a variety of sizeable opportunities and challenges. The distribution and associated effects of short-lived primary fine particulate matter (PM2.5), a representative of local pollution, are significantly affected by the consumption through global supply chain. Tele-connection is used here to represent the link between production and consumption activity at large distances. In this study, we develop a global consumption-based primary PM2.5 emission inventory to track primary PM2.5 emissions embodied in the supply chain and evaluate the extent to which local PM2.5 emissions are triggered by international trade. We further adopt consumption-based accounting and identify the global original source that produced the emissions. We find that anthropogenic PM2.5 emissions from industrial sectors accounted for 24 Tg globally in 2007; approximately 30% (7.2 Tg) of these emissions were embodied in export of products principally from Brazil, South Africa, India and China (3.8 Tg) to developed countries. Large differences (up to 10 times) in the embodied emissions intensity between net importers and exporters greatly increased total global PM2.5 emissions. Tele-connecting production and consumption activity provides valuable insights with respect to mitigating long-range transboundary air pollution and prompts concerted efforts aiming at more environmentally conscious globalization.

Globalization and pollution: tele-connecting local primary PM2.5 emissions to global consumption

PubMed Central

Meng, Jing; Xu, Yuan; Guan, Dabo; Liu, Zhu; Huang, Ye; Tao, Shu

2016-01-01

Globalization pushes production and consumption to geographically diverse locations and generates a variety of sizeable opportunities and challenges. The distribution and associated effects of short-lived primary fine particulate matter (PM2.5), a representative of local pollution, are significantly affected by the consumption through global supply chain. Tele-connection is used here to represent the link between production and consumption activity at large distances. In this study, we develop a global consumption-based primary PM2.5 emission inventory to track primary PM2.5 emissions embodied in the supply chain and evaluate the extent to which local PM2.5 emissions are triggered by international trade. We further adopt consumption-based accounting and identify the global original source that produced the emissions. We find that anthropogenic PM2.5 emissions from industrial sectors accounted for 24 Tg globally in 2007; approximately 30% (7.2 Tg) of these emissions were embodied in export of products principally from Brazil, South Africa, India and China (3.8 Tg) to developed countries. Large differences (up to 10 times) in the embodied emissions intensity between net importers and exporters greatly increased total global PM2.5 emissions. Tele-connecting production and consumption activity provides valuable insights with respect to mitigating long-range transboundary air pollution and prompts concerted efforts aiming at more environmentally conscious globalization. PMID:27956874

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.

Investigating ego modules and pathways in osteosarcoma by integrating the EgoNet algorithm and pathway analysis.

PubMed

Chen, X Y; Chen, Y H; Zhang, L J; Wang, Y; Tong, Z C

2017-02-16

Osteosarcoma (OS) is the most common primary bone malignancy, but current therapies are far from effective for all patients. A better understanding of the pathological mechanism of OS may help to achieve new treatments for this tumor. Hence, the objective of this study was to investigate ego modules and pathways in OS utilizing EgoNet algorithm and pathway-related analysis, and reveal pathological mechanisms underlying OS. The EgoNet algorithm comprises four steps: constructing background protein-protein interaction (PPI) network (PPIN) based on gene expression data and PPI data; extracting differential expression network (DEN) from the background PPIN; identifying ego genes according to topological features of genes in reweighted DEN; and collecting ego modules using module search by ego gene expansion. Consequently, we obtained 5 ego modules (Modules 2, 3, 4, 5, and 6) in total. After applying the permutation test, all presented statistical significance between OS and normal controls. Finally, pathway enrichment analysis combined with Reactome pathway database was performed to investigate pathways, and Fisher's exact test was conducted to capture ego pathways for OS. The ego pathway for Module 2 was CLEC7A/inflammasome pathway, while for Module 3 a tetrasaccharide linker sequence was required for glycosaminoglycan (GAG) synthesis, and for Module 6 was the Rho GTPase cycle. Interestingly, genes in Modules 4 and 5 were enriched in the same pathway, the 2-LTR circle formation. In conclusion, the ego modules and pathways might be potential biomarkers for OS therapeutic index, and give great insight of the molecular mechanism underlying this tumor.

Investigating ego modules and pathways in osteosarcoma by integrating the EgoNet algorithm and pathway analysis

PubMed Central

Chen, X.Y.; Chen, Y.H.; Zhang, L.J.; Wang, Y.; Tong, Z.C.

2017-01-01

Osteosarcoma (OS) is the most common primary bone malignancy, but current therapies are far from effective for all patients. A better understanding of the pathological mechanism of OS may help to achieve new treatments for this tumor. Hence, the objective of this study was to investigate ego modules and pathways in OS utilizing EgoNet algorithm and pathway-related analysis, and reveal pathological mechanisms underlying OS. The EgoNet algorithm comprises four steps: constructing background protein-protein interaction (PPI) network (PPIN) based on gene expression data and PPI data; extracting differential expression network (DEN) from the background PPIN; identifying ego genes according to topological features of genes in reweighted DEN; and collecting ego modules using module search by ego gene expansion. Consequently, we obtained 5 ego modules (Modules 2, 3, 4, 5, and 6) in total. After applying the permutation test, all presented statistical significance between OS and normal controls. Finally, pathway enrichment analysis combined with Reactome pathway database was performed to investigate pathways, and Fisher's exact test was conducted to capture ego pathways for OS. The ego pathway for Module 2 was CLEC7A/inflammasome pathway, while for Module 3 a tetrasaccharide linker sequence was required for glycosaminoglycan (GAG) synthesis, and for Module 6 was the Rho GTPase cycle. Interestingly, genes in Modules 4 and 5 were enriched in the same pathway, the 2-LTR circle formation. In conclusion, the ego modules and pathways might be potential biomarkers for OS therapeutic index, and give great insight of the molecular mechanism underlying this tumor. PMID:28225867

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.

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

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.

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

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

Patient-Reported Burden of a Neuroendocrine Tumor (NET) Diagnosis: Results From the First Global Survey of Patients With NETs

PubMed Central

Granberg, Dan; Wolin, Edward; Warner, Richard; Sissons, Maia; Kolarova, Teodora; Goldstein, Grace; Pavel, Marianne; Öberg, Kjell; Leyden, John

2017-01-01

Purpose Despite the considerable impact of neuroendocrine tumors (NETs) on patients’ daily lives, the journey of the patient with a NET has rarely been documented, with published data to date being limited to small qualitative studies. NETs are heterogeneous malignancies with nonspecific symptomology, leading to extensive health care use and diagnostic delays that affect survival. A large, international patient survey was conducted to increase understanding of the experience of the patient with a NET and identify unmet needs, with the aim of improving disease awareness and care worldwide. Methods An anonymous, self-reported survey was conducted (online or on paper) from February to May 2014, recruiting patients with NETs from > 12 countries as a collaboration between the International Neuroendocrine Cancer Alliance and Novartis Pharmaceuticals. Survey questions captured information on sociodemographics, clinical characteristics, NET diagnostic experience, disease impact/management, interaction with medical teams, NET knowledge/awareness, and sources of information. This article reports the most relevant findings on patient experience with NETs and the impact of NETs on health care system resources. Results A total of 1,928 patients with NETs participated. A NET diagnosis had a substantially negative impact on patients’ personal and work lives. Patients reported delayed diagnosis and extensive NET-related health care resource use. Patients desired improvement in many aspects of NET care, including availability of a wider range of NET-specific treatment options, better access to NET experts or specialist centers, and a more knowledgeable, better-coordinated/-aligned NET medical team. Conclusion This global patient-reported survey demonstrates the considerable burden of NETs with regard to symptoms, work and daily life, and health care resource use, and highlights considerable unmet needs. Further intervention is required to improve the patient experience among those with NETs. PMID:28717741

Patient-Reported Burden of a Neuroendocrine Tumor (NET) Diagnosis: Results From the First Global Survey of Patients With NETs.

PubMed

Singh, Simron; Granberg, Dan; Wolin, Edward; Warner, Richard; Sissons, Maia; Kolarova, Teodora; Goldstein, Grace; Pavel, Marianne; Öberg, Kjell; Leyden, John

2017-02-01

Despite the considerable impact of neuroendocrine tumors (NETs) on patients' daily lives, the journey of the patient with a NET has rarely been documented, with published data to date being limited to small qualitative studies. NETs are heterogeneous malignancies with nonspecific symptomology, leading to extensive health care use and diagnostic delays that affect survival. A large, international patient survey was conducted to increase understanding of the experience of the patient with a NET and identify unmet needs, with the aim of improving disease awareness and care worldwide. An anonymous, self-reported survey was conducted (online or on paper) from February to May 2014, recruiting patients with NETs from > 12 countries as a collaboration between the International Neuroendocrine Cancer Alliance and Novartis Pharmaceuticals. Survey questions captured information on sociodemographics, clinical characteristics, NET diagnostic experience, disease impact/management, interaction with medical teams, NET knowledge/awareness, and sources of information. This article reports the most relevant findings on patient experience with NETs and the impact of NETs on health care system resources. A total of 1,928 patients with NETs participated. A NET diagnosis had a substantially negative impact on patients' personal and work lives. Patients reported delayed diagnosis and extensive NET-related health care resource use. Patients desired improvement in many aspects of NET care, including availability of a wider range of NET-specific treatment options, better access to NET experts or specialist centers, and a more knowledgeable, better-coordinated/-aligned NET medical team. This global patient-reported survey demonstrates the considerable burden of NETs with regard to symptoms, work and daily life, and health care resource use, and highlights considerable unmet needs. Further intervention is required to improve the patient experience among those with NETs.

The impacts of climate change on crops in China: A Ricardian analysis

NASA Astrophysics Data System (ADS)

Chen, Yongfu; Wu, Zhigang; Okamoto, Katsuo; Han, Xinru; Ma, Guoying; Chien, Hsiaoping; Zhao, Jing

2013-05-01

This paper assesses the impact of climate change on China's agricultural production at a cross-provincial level using the Ricardian approach, incorporating a multilevel model with farm-level group data. The farm-level group data includes 13,379 farm households, across 316 villages, distributed in 31 provinces. The empirical results show that, firstly, the marginal effects and elasticities of net crop revenue per hectare with respect to climate factors indicated that the annual impact of temperature on net crop revenue per hectare was positive, and the effect of increased precipitation was negative when looking at the national totals; secondly, the total impact of simulated climate change scenarios on net crop revenues per hectare at a Chinese national total level, was an increase of between 79 USD per hectare and 207 USD per hectare for the 2050s, and an increase from 140 USD per hectare to 355 USD per hectare for the 2080s. As a result, climate change may create a potential advantage for the development of Chinese agriculture, rather than a risk, especially for agriculture in the provinces of the Northeast, Northwest and North regions. However, the increased precipitation can lead to a loss of net crop revenue per hectare, especially for the provinces of the Southwest, Northwest, North and Northeast regions.

Adaptations of hepatic amino acid uptake and net utilisation contributes to nitrogen economy or waste in lambs fed nitrogen- or energy-deficient diets.

PubMed

Kraft, G; Ortigues-Marty, I; Durand, D; Rémond, D; Jardé, T; Bequette, B; Savary-Auzeloux, I

2011-04-01

We investigated the effect of relative changes in dietary nitrogen (N) and energy supply and the subsequent variations in net portal appearance (NPA) of nitrogenous and energy nutrients on the net amino acid (AA) uptake by the liver and net N supply to the peripheral tissues. Six lambs were catheterised across the splanchnic tissues and received, in a replicated Latin square, one of three dietary treatments. The diets were formulated to either match the requirements of N and energy (C), or supply only 0.8 of the N requirement (LN) or 0.8 of the energy requirement (LE). Net fluxes of AA and urea-N were measured across the portal-drained viscera, and estimation of arterial hepatic flow allowed the estimation of hepatic fluxes. Catheters were implanted into the portal and hepatic veins as well as in the abdominal aorta for the measurement of AA fluxes. Animals fed the LN diet showed more efficient N retention (0.59 of digested N) than did the C and LE diet (0.50 and 0.33, respectively; P < 0.001). The NPA of total AA-N for the LN diet was only 0.60 of the value measured for the control (C) diet (P < 0.01). Despite this, the total estimated AA-N net splanchnic fluxes were not significantly different across the three diets (3.3, 1.9 and 2.6 g total AA-N/day for C, LN and LE, respectively, P = 0.52). Thus, different metabolic regulations must have taken place across the liver between the three experimental diets. A combination of decreased net uptake of total AA-N by the liver of animals in the LN diet (0.61 of the C diet; P = 0.002) and reduced urinary urea-N production (0.52 of the C diet; P = 0.001) spared AA from catabolism in the LN diet relative to the other two diets. For the LE diet, the urinary urea-N output was 1.3 times the value of the C diet (P = 0.01). This may relate to an increased catabolism of AA by the muscle and/or, to a lesser extent, to an increased utilisation of AA for gluconeogenesis in the liver. These effects may explain the reduced whole body protein retention observed with the LE diet.

Bottom-up assessment of the Net Ecosystem Carbon Balance of Russian forests in 2010 for comparison to Top-down estimates.

NASA Astrophysics Data System (ADS)

Maksyutov, S. S.; Shvidenko, A.; Shchepashchenko, D.

2014-12-01

The verified full carbon assessment of Russian forests (FCA) is based on an Integrated Land Information System (ILIS) that includes a multi-layer and multi-scale GIS with basic resolution of 1 km and corresponding attributive databases. The ILIS aggregates all available information about ecosystems and landscapes, sets of empirical and semi-empirical data and aggregations, data of different inventories and surveys, and multi-sensor remote sensing data. The ILIS serves as an information base for application of the landscape-ecosystem approach (LEA) of the FCA and as a systems design for comparison and mutual constraints with other methods of study of carbon cycling of forest ecosystems (eddy covariance; process models; inverse modeling; and multi-sensor application of remote sensing). The LEA is based on a complimentary use of the flux-based method with some elements of the pool-based method. Introduction of climatic parameters of individual years in the LEA, as well as some process-based elements, allows providing a substantial decrease of the uncertainties of carbon cycling yearly indicators of forest ecosystems. Major carbon pools (live biomass, coarse woody debris, soil organic carbon) are estimated based on data on areas, distribution and major biometric characteristics of Russian forests presented in form of the ILIS for the country. The major fluxes accounted for include Net Primary Production (NPP), Soil Heterotrophic Respiration (SHR), as well as fluxes caused by decomposition of Coarse Woody Debris (CWD), harvest and use of forest products, fluxes caused by natural disturbances (fire, insect outbreaks, impacts of unfavorable environment) and lateral fluxes to hydrosphere and lithosphere. Use of landscape-ecosystem approach resulted in the NECB at 573±140 Tg C yr-1 (CI 0.9). While the total carbon sink is high, large forest areas, particularly on permafrost, serve as a carbon source. The ratio between net primary production and soil heterotrophic respiration, together with natural and human-induced disturbances are major drivers of the magnitude and spatial distribution of the NECB of forest ecosystems. We also present comparison to the recent top-down estimates of the Siberian carbon sink.

A cost-benefit analysis of the outpatient smoking cessation services in Taiwan from a societal viewpoint.

PubMed

Chen, Pei-Ching; Lee, Yue-Chune; Tsai, Shih-Tzu; Lai, Chih-Kuan

2012-05-01

This study applied a cost-benefit analysis from a societal viewpoint to evaluate the Outpatient Smoking Cessation Services (OSCS) program. The costs measured in this study include the cost to the health sector, non-health sectors, the patients and their family, as well as the loss of productivity as a result of smoking. The benefits measured the medical costs savings and the earnings due to the increased life expectancy of a person that has stopped smoking for 15 years. Data were obtained from the primary data of a telephone survey, the literatures and reports from the Outpatient Smoking Cessation Management Center and government. Sensitivity analyses were conducted to verify the robustness of the results. There were 169,761 cases that participated in the outpatient smoking cessation program in the years 2007 and 2008, of those cases, 8,282 successfully stopped smoking. The total cost of the OSCS program was 18 million USD. The total benefits of the program were 215 million USD with a 3% discount rate; the net benefit to society was 196 million USD. After conducting sensitivity analyses on the different abstinence, relapse, and discount rates, from a societal perspective, the benefits still far exceeded the costs, while from a health care perspective, there was only a net benefit when the respondent's abstinence rate was used. From a societal perspective, the OSCS program in Taiwan is cost-beneficial. This study provides partial support for the policy makers to increase the budget and expand the OSCS program.

Oxygen in the Southern Ocean From Argo Floats: Determination of Processes Driving Air-Sea Fluxes

NASA Astrophysics Data System (ADS)

Bushinsky, Seth M.; Gray, Alison R.; Johnson, Kenneth S.; Sarmiento, Jorge L.

2017-11-01

The Southern Ocean is of outsized significance to the global oxygen and carbon cycles with relatively poor measurement coverage due to harsh winters and seasonal ice cover. In this study, we use recent advances in the parameterization of air-sea oxygen fluxes to analyze 9 years of oxygen data from a recalibrated Argo oxygen data set and from air-calibrated oxygen floats deployed as part of the Southern Ocean Carbon and Climate Observations and Modeling (SOCCOM) project. From this combined data set of 150 floats, we find a total Southern Ocean oxygen sink of -183 ± 80 Tmol yr-1 (positive to the atmosphere), greater than prior estimates. The uptake occurs primarily in the Polar-Frontal Antarctic Zone (PAZ, -94 ± 30 Tmol O2 yr-1) and Seasonal Ice Zone (SIZ, -111 ± 9.3 Tmol O2 yr-1). This flux is driven by wintertime ventilation, with a large portion of the flux in the SIZ passing through regions with fractional sea ice. The Subtropical Zone (STZ) is seasonally driven by thermal fluxes and exhibits a net outgassing of 47 ± 29 Tmol O2 yr-1 that is likely driven by biological production. The Subantarctic Zone (SAZ) uptake is -25 ± 12 Tmol O2 yr-1. Total oxygen fluxes were separated into a thermal and nonthermal component. The nonthermal flux is correlated with net primary production and mixed layer depth in the STZ, SAZ, and PAZ, but not in the SIZ where seasonal sea ice slows the air-sea gas flux response to the entrainment of deep, low-oxygen waters.

What are the cost savings associated with providing access to specialist care through the Champlain BASE eConsult service? A costing evaluation.

PubMed

Liddy, Clare; Drosinis, Paul; Deri Armstrong, Catherine; McKellips, Fanny; Afkham, Amir; Keely, Erin

2016-06-23

This study estimates the costs and potential savings associated with all eConsult cases completed between 1 April 2014 and 31 March 2015. Costing evaluation from the societal perspective estimating the costs and potential savings associated with all eConsults completed during the study period. Champlain health region in Eastern Ontario, Canada. Primary care providers and specialists registered to use the eConsult service. Costs included (1) delivery costs; (2) specialist remuneration; (3) costs associated with traditional (face-to-face) referrals initiated as a result of eConsult. Potential savings included (1) costs of traditional referrals avoided; (2) indirect patient savings through avoided travel and lost wages/productivity. Net potential societal cost savings were estimated by subtracting total costs from total potential savings. A total of 3487 eConsults were completed during the study period. In 40% of eConsults, a face-to-face specialist visit was originally contemplated but avoided as result of eConsult. In 3% of eConsults, a face-to-face specialist visit was not originally contemplated but was prompted as a result of the eConsult. From the societal perspective, total costs were estimated at $207 787 and total potential savings were $246 516. eConsult led to a net societal saving of $38 729 or $11 per eConsult. Our findings demonstrate potential cost savings from the societal perspective, as patients avoided the travel costs and lost wages/productivity associated with face-to-face specialist visits. Greater savings are expected once we account for other costs such as avoided tests and visits and potential improved health outcomes associated with shorter wait times. Our findings are valuable for healthcare delivery decision-makers as they seek solutions to improve care in a patient-centred and efficient manner. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Estimating California ecosystem carbon change using process model and land cover disturbance data: 1951-2000

USGS Publications Warehouse

Liu, Jinxun; Vogelmann, James E.; Zhu, Zhiliang; Key, Carl H.; Sleeter, Benjamin M.; Price, D.T.; Chen, Jing M.; Cochrane, Mark A.; Eidenshink, Jeffery C.; Howard, Stephen M.; Bliss, Norman B.; Jiang, Hong

2011-01-01

Land use change, natural disturbance, and climate change directly alter ecosystem productivity and carbon stock level. The estimation of ecosystem carbon dynamics depends on the quality of land cover change data and the effectiveness of the ecosystem models that represent the vegetation growth processes and disturbance effects. We used the Integrated Biosphere Simulator (IBIS) and a set of 30- to 60-m resolution fire and land cover change data to examine the carbon changes of California's forests, shrublands, and grasslands. Simulation results indicate that during 1951–2000, the net primary productivity (NPP) increased by 7%, from 72.2 to 77.1 Tg C yr−1 (1 teragram = 1012 g), mainly due to CO2 fertilization, since the climate hardly changed during this period. Similarly, heterotrophic respiration increased by 5%, from 69.4 to 73.1 Tg C yr−1, mainly due to increased forest soil carbon and temperature. Net ecosystem production (NEP) was highly variable in the 50-year period but on average equalled 3.0 Tg C yr−1 (total of 149 Tg C). As with NEP, the net biome production (NBP) was also highly variable but averaged −0.55 Tg C yr−1 (total of –27.3 Tg C) because NBP in the 1980s was very low (–5.34 Tg C yr−1). During the study period, a total of 126 Tg carbon were removed by logging and land use change, and 50 Tg carbon were directly removed by wildland fires. For carbon pools, the estimated total living upper canopy (tree) biomass decreased from 928 to 834 Tg C, and the understory (including shrub and grass) biomass increased from 59 to 63 Tg C. Soil carbon and dead biomass carbon increased from 1136 to 1197 Tg C.Our analyses suggest that both natural and human processes have significant influence on the carbon change in California. During 1951–2000, climate interannual variability was the key driving force for the large interannual changes of ecosystem carbon source and sink at the state level, while logging and fire were the dominant driving forces for carbon balances in several specific ecoregions. From a long-term perspective, CO2fertilization plays a key role in maintaining higher NPP. However, our study shows that the increase in C sequestration by CO2 fertilization is largely offset by logging/land use change and wildland fires.

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.

46 CFR 283.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... the sum of: (1) The present value of all capital leases, as defined and computed in accordance with... similar property. (c) Equity (net worth) means, as of any date, the total of paid-in-capital stock, paid... with generally accepted accounting principles, but adjustable as follows. The net worth shall be...

Skeletal Muscle Mitochondria and Aging: A Review

PubMed Central

Peterson, Courtney M.; Johannsen, Darcy L.; Ravussin, Eric

2012-01-01

Aging is characterized by a progressive loss of muscle mass and muscle strength. Declines in skeletal muscle mitochondria are thought to play a primary role in this process. Mitochondria are the major producers of reactive oxygen species, which damage DNA, proteins, and lipids if not rapidly quenched. Animal and human studies typically show that skeletal muscle mitochondria are altered with aging, including increased mutations in mitochondrial DNA, decreased activity of some mitochondrial enzymes, altered respiration with reduced maximal capacity at least in sedentary individuals, and reduced total mitochondrial content with increased morphological changes. However, there has been much controversy over measurements of mitochondrial energy production, which may largely be explained by differences in approach and by whether physical activity is controlled for. These changes may in turn alter mitochondrial dynamics, such as fusion and fission rates, and mitochondrially induced apoptosis, which may also lead to net muscle fiber loss and age-related sarcopenia. Fortunately, strategies such as exercise and caloric restriction that reduce oxidative damage also improve mitochondrial function. While these strategies may not completely prevent the primary effects of aging, they may help to attenuate the rate of decline. PMID:22888430

Influence of eutrophication on the distribution of total mercury and methylmercury in hydroelectric reservoirs.

PubMed

Meng, Bo; Feng, X B; Chen, C X; Qiu, G L; Sommar, J; Guo, Y N; Liang, P; Wan, Q

2010-01-01

The distribution of mercury (Hg) and the characteristics of its methylation were investigated in Wujiangdu (WJD) and Yinzidu (YZD) reservoirs in Guizhou province, China. The two reservoirs are characterized by high and low levels of primary productivity, respectively. Mercury species in water samples from depth profiles in both reservoirs and from interface water in the WJD were analyzed each season during 2007. The concentrations of total Hg (HgT(unf)) and methylmercury (MeHgT(unf)) in unfiltered water samples from the WJD varied from 3.0 to 18 pmol dm(-3) and from 0.17 to 15 pmol dm(-3), respectively; ranges were 2.0 to 9.5 pmol dm(-3) for HgT(unf) and 0.14 to 2.2 pmol dm(-3) for MeHgT(unf) in the YZD. Elevated methylmercury concentrations in water samples from the bottom water and water-sediment interface demonstrated an active net Hg methylation in the downstream reach of the WJD. There was no discernable Hg methylation occurring in the YZD, nor in the upstream and middle reaches of the WJD. The results suggest that high primary productivity resulting from cage aquaculture activities in the WJD is an important control on Hg methylation in the reservoir, increasing the concentrations of MeHg in water in the Wujiang River basin Southwestern China.

The impacts of recent permafrost thaw on land-atmosphere greenhouse gas exchange

USGS Publications Warehouse

Hayes, Daniel J.; Kicklighter, David W.; McGuire, A. David; Chen, Min; Zhuang, Qianlai; Yuan, Fengming; Melillo, Jerry M.; Wullschleger, Stan D.

2014-01-01

Permafrost thaw and the subsequent mobilization of carbon (C) stored in previously frozen soil organic matter (SOM) have the potential to be a strong positive feedback to climate. As the northern permafrost region experiences as much as a doubling of the rate of warming as the rest of the Earth, the vast amount of C in permafrost soils is vulnerable to thaw, decomposition and release as atmospheric greenhouse gases. Diagnostic and predictive estimates of high-latitude terrestrial C fluxes vary widely among different models depending on how dynamics in permafrost, and the seasonally thawed 'active layer' above it, are represented. Here, we employ a process-based model simulation experiment to assess the net effect of active layer dynamics on this 'permafrost carbon feedback' in recent decades, from 1970 to 2006, over the circumpolar domain of continuous and discontinuous permafrost. Over this time period, the model estimates a mean increase of 6.8 cm in active layer thickness across the domain, which exposes a total of 11.6 Pg C of thawed SOM to decomposition. According to our simulation experiment, mobilization of this previously frozen C results in an estimated cumulative net source of 3.7 Pg C to the atmosphere since 1970 directly tied to active layer dynamics. Enhanced decomposition from the newly exposed SOM accounts for the release of both CO2 (4.0 Pg C) and CH4 (0.03 Pg C), but is partially compensated by CO2 uptake (0.3 Pg C) associated with enhanced net primary production of vegetation. This estimated net C transfer to the atmosphere from permafrost thaw represents a significant factor in the overall ecosystem carbon budget of the Pan-Arctic, and a non-trivial additional contribution on top of the combined fossil fuel emissions from the eight Arctic nations over this time period.

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…

17 CFR 190.03 - Operation of the debtor's estate subsequent to the primary liquidation date.

Code of Federal Regulations, 2011 CFR

2011-04-01

... § 190.02(f)(1). The opening balance of such statement must be equal to its funded balance, less the... accounts. The opening balance of any statement generated on the primary liquidation date in accordance with... the funded balance of the claimant's net equity claim adjusted for corrections and subsequent...

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...

Carbon and oxygen dynamics on the Louisiana continental shelf: role of water column primary production and respiration

EPA Science Inventory

We conducted a multi-year study of the Louisiana continental shelf (LCS) to better understand the linkages between water column net metabolism and the formation of hypoxia (dissolved oxygen <2 ml O2 L-1) in the region. Rates of water column community respiration (R) and primary p...

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...

Uncertainty in predictions of forest carbon dynamics: separating driver error from model error.

PubMed

Spadavecchia, L; Williams, M; Law, B E

2011-07-01

We present an analysis of the relative magnitude and contribution of parameter and driver uncertainty to the confidence intervals on estimates of net carbon fluxes. Model parameters may be difficult or impractical to measure, while driver fields are rarely complete, with data gaps due to sensor failure and sparse observational networks. Parameters are generally derived through some optimization method, while driver fields may be interpolated from available data sources. For this study, we used data from a young ponderosa pine stand at Metolius, Central Oregon, and a simple daily model of coupled carbon and water fluxes (DALEC). An ensemble of acceptable parameterizations was generated using an ensemble Kalman filter and eddy covariance measurements of net C exchange. Geostatistical simulations generated an ensemble of meteorological driving variables for the site, consistent with the spatiotemporal autocorrelations inherent in the observational data from 13 local weather stations. Simulated meteorological data were propagated through the model to derive the uncertainty on the CO2 flux resultant from driver uncertainty typical of spatially extensive modeling studies. Furthermore, the model uncertainty was partitioned between temperature and precipitation. With at least one meteorological station within 25 km of the study site, driver uncertainty was relatively small ( 10% of the total net flux), while parameterization uncertainty was larger, 50% of the total net flux. The largest source of driver uncertainty was due to temperature (8% of the total flux). The combined effect of parameter and driver uncertainty was 57% of the total net flux. However, when the nearest meteorological station was > 100 km from the study site, uncertainty in net ecosystem exchange (NEE) predictions introduced by meteorological drivers increased by 88%. Precipitation estimates were a larger source of bias in NEE estimates than were temperature estimates, although the biases partly compensated for each other. The time scales on which precipitation errors occurred in the simulations were shorter than the temporal scales over which drought developed in the model, so drought events were reasonably simulated. The approach outlined here provides a means to assess the uncertainty and bias introduced by meteorological drivers in regional-scale ecological forecasting.

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

On INM's Use of Corrected Net Thrust for the Prediction of Jet Aircraft Noise

NASA Technical Reports Server (NTRS)

McAninch, Gerry L.; Shepherd, Kevin P.

2011-01-01

The Federal Aviation Administration s (FAA) Integrated Noise Model (INM) employs a prediction methodology that relies on corrected net thrust as the sole correlating parameter between aircraft and engine operating states and aircraft noise. Thus aircraft noise measured for one set of atmospheric and aircraft operating conditions is assumed to be applicable to all other conditions as long as the corrected net thrust remains constant. This hypothesis is investigated under two primary assumptions: (1) the sound field generated by the aircraft is dominated by jet noise, and (2) the sound field generated by the jet flow is adequately described by Lighthill s theory of noise generated by turbulence.

Active surveillance for localized prostate cancer: an analysis of patient contacts and utilization of healthcare resources.

PubMed

Thomsen, Frederik B; Berg, Kasper D; Røder, M Andreas; Iversen, Peter; Brasso, Klaus

2015-02-01

Evidence supports active surveillance (AS) as a means to reduce overtreatment of low-risk prostate cancer (PCa). The consequences of close and long-standing follow-up with regard to outpatient visits, tests and repeated biopsies are widely unknown. This study investigated the trajectory and costs of AS in patients with localized PCa. In total, 317 PCa patients were followed in a prospective, single-arm AS cohort. The primary outcomes were number of patient contacts, prostate-specific antigen (PSA) tests, biopsies, hospital admissions due to biopsy complications and patients eventually undergoing curative treatment. The secondary outcome was cost. The 5 year cumulative incidence of discontinued AS in a competing-risk model was 40%. During the first 5 years of AS patients underwent a median of two biopsy sets, and patients were seen in an outpatient clinic including PSA testing three to four times annually. In total, 38 of the 406 biopsy sessions led to hospital admission and 87 of the 317 patients required treatment for bladder outlet obstruction (BOO). With a median of 3.7 years' follow-up, the total cost of AS was euro (€) 1,240,286. Assuming all patients had otherwise undergone primary radical prostatectomy, the cost difference favoured AS with a net benefit of €662,661 (35% reduction). AS entails a close clinical follow-up with a considerable risk of rebiopsy complication, treatment of BOO and subsequent delayed definitive therapy. This risk should be weighed against a potential economic benefit and reduction in the risk of overtreatment compared to immediate radical treatment.

Sedimentation and occurrence and trends of selected chemical constituents in bottom sediment of 10 small reservoirs, Eastern Kansas

USGS Publications Warehouse

Juracek, Kyle E.

2004-01-01

Many municipalities in Kansas rely on small reservoirs as a source of drinking water and for recreational activities. Because of their significance to the community, management of the reservoirs and the associated basins is important to protect the reservoirs from degradation. Effective reservoir management requires information about water quality, sedimentation, and sediment quality. A combination of bathymetric surveying and bottom-sediment coring during 2002 and 2003 was used to investigate sediment deposition and the occurrence of selected nutrients (total nitrogen and total phosphorus), organic and total carbon, 26 trace elements, 15 organochlorine compounds, and 1 radionuclide in the bottom sediment of 10 small reservoirs in eastern Kansas. Original reservoir water-storage capacities ranged from 23 to 5,845 acre-feet. The mostly agricultural reservoir basins range in area from 0.6 to 14 square miles. The mean annual net volume of deposited sediment, estimated separately for several of the reservoirs, ranged from about 43,600 to about 531,000 cubic feet. The estimated mean annual net mass of deposited sediment ranged from about 1,360,000 to about 23,300,000 pounds. The estimated mean annual net sediment yields from the reservoir basins ranged from about 964,000 to about 2,710,000 pounds per square mile. Compared to sediment yield estimates provided by a statewide study published in 1965, the estimates determined in this study differed substantially and were typically smaller. A statistically significant positive correlation was determined for the relation between sediment yield and mean annual precipitation. Nutrient concentrations in the bottom sediment varied substantially among the 10 reservoirs. Median total nitrogen concentrations ranged from 1,400 to 3,700 milligrams per kilogram. Median total phosphorus concentrations ranged from 550 to 1,300 milligrams per kilogram. A statistically significant positive trend (that is, nutrient concentration increased toward the top of the sediment core) was indicated in one reservoir for total nitrogen and in two reservoirs for total phosphorus. Also, a possible positive trend for total nitrogen was indicated in two other reservoirs. These trends in nutrient concentrations may be related to a statewide increase in fertilizer use. Alternatively, the trends may be indicative of diagenesis (that is, postdepositional changes in the sediment caused by various processes including decomposition). Nutrient loads and yields also varied substantially among the five reservoirs for which loads and yields were estimated. Estimated mean annual net loads of total nitrogen deposited in the bottom sediment ranged from 4,080 to 49,100 pounds. Estimated mean annual net loads of total phosphorus deposited in the bottom sediment ranged from 1,120 to 20,800 pounds. Estimated mean annual net yields of total nitrogen from the basins ranged from 2,210 to 6,800 pounds per square mile. Estimated mean annual net yields of total phosphorus from the basins ranged from 598 to 2,420 pounds per square mile. Compared to nonenforceable sediment-quality guidelines adopted by the U.S. Environmental Protection Agency, bottom-sediment concentrations of arsenic, chromium, copper, and nickel in samples from all 10 reservoirs typically exceeded the threshold-effects levels (TELs) but were less than the probable-effects levels (PELs). TELs represent the concentrations above which toxic biological effects occasionally occur in aquatic organisms, whereas PELs represent the concentrations above which toxic biological effects usually or frequently occur. Concentrations of cadmium, lead, and zinc exceeded the TELs but were less than the PELs in sediment samples from about one-half of the reservoirs and were less than the TELs in samples from the remaining reservoirs. Mercury concentrations were less than the TEL (information only available for four reservoirs). Silver was not detected in the bottom sediment fro

Grizzly bear (Ursus arctos horribilis) locomotion: forelimb joint mechanics across speed in the sagittal and frontal planes.

PubMed

Shine, Catherine L; Robbins, Charles T; Nelson, O Lynne; McGowan, Craig P

2017-04-01

The majority of terrestrial locomotion studies have focused on parasagittal motion and paid less attention to forces or movement in the frontal plane. Our previous research has shown that grizzly bears produce higher medial ground reaction forces (lateral pushing from the animal) than would be expected for an upright mammal, suggesting frontal plane movement may be an important aspect of their locomotion. To examine this, we conducted an inverse dynamics analysis in the sagittal and frontal planes, using ground reaction forces and position data from three high-speed cameras of four adult female grizzly bears. Over the speed range collected, the bears used walks, running walks and canters. The scapulohumeral joint, wrist and the limb overall absorb energy (average total net work of the forelimb joints, -0.97 W kg -1 ). The scapulohumeral joint, elbow and total net work of the forelimb joints have negative relationships with speed, resulting in more energy absorbed by the forelimb at higher speeds (running walks and canters). The net joint moment and power curves maintain similar patterns across speed as in previously studied species, suggesting grizzly bears maintain similar joint dynamics to other mammalian quadrupeds. There is no significant relationship with net work and speed at any joint in the frontal plane. The total net work of the forelimb joints in the frontal plane was not significantly different from zero, suggesting that, despite the high medial ground reaction forces, the forelimb acts as a strut in that plane. © 2017. Published by The Company of Biologists Ltd.

Financial impact of hand surgery programs on academic medical centers.

PubMed

Hasan, Jafar S; Chung, Kevin C; Storey, Amy F; Bolg, Mary L; Taheri, Paul A

2007-02-01

This study analyzes the financial performance of hand surgery in the Department of Surgery at the University of Michigan. This analysis can serve as a reference for other medical centers in the financial evaluation of a hand surgery program. Fiscal year 2004 billing records for all patients (n = 671) who underwent hand surgery procedures were examined. The financial data were separated into professional revenues and costs (relating to the hand surgery program in the Section of Plastic Surgery) and into facility revenues and costs (relating to the overall University of Michigan Health System). Professional net revenue was calculated by applying historical collection rates to procedural and clinic charges. Facility revenue was calculated by applying historical collection rates to the following charge categories: inpatient/operating room, clinic facility, neurology/electromyography, radiology facilities, and occupational therapy. Total professional costs were calculated by adding direct costs and allocated overhead costs. Facility costs were obtained from the hospital's cost accounting system. Professional and facility incomes were calculated by subtracting costs from revenues. The net professional revenue and total costs were 1,069,836 and 1,027,421 dollars, respectively. Professional operating income was 42,415 dollars, or 3.96 percent of net professional revenue. Net facility revenue and total costs were 5,500,606 and 4,592,534 dollars, respectively. Facility operating income was 908,071 dollars, or 16.51 percent of net facility revenues. While contributing to the academic mission of the institution, hand surgery is financially rewarding for the Department of Surgery. In addition, hand surgery activity contributes substantially to the financial well-being of the academic medical center.

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.

Remote sensing investigations of wetland biomass and productivity for global biosystems research

NASA Technical Reports Server (NTRS)

Harkisky, M.; Klemas, V.

1983-01-01

Monitoring biomass of wetlands ecosystems can provide information on net primary production and on the chemical and physical status of wetland soils relative to anaerobic microbial transformation of key elements. Multispectral remote sensing techniques successfully estimated macrophytic biomass in wetlands systems. Regression models developed from ground spectral data for predicting Spartina alterniflora biomass over an entire growing season include seasonal variations in biomass density and illumination intensity. An independent set of biomass and spectral data were collected and the standing crop biomass and net primary productivity were estimated. The improved spatial, radiometric and spectral resolution of th LANDSAT-4 Thematic Mapper over the LANDSAT MSS can greatly enhance multispectral techniques for estimating wetlands biomass over large areas. These techniques can provide the biomass data necessary for global ecology studies.

A Study of Aerosol Direct Radiative Effect and Its Impacts on Global Terrestrial Ecosystem Cycles

NASA Astrophysics Data System (ADS)

Zhang, J.; Shao, S.; Zhou, L.

2017-12-01

Aerosols can absorb and scatter solar radiation, thus cause the total solar radiation reaching the surface to drop and the fraction of diffuse radiation to increase, which influence the surface radiation budget. The global surface radiation with and without consideration of aerosols are calculated by the Fu-Liou atmospheric radiative transfer model based on the MODIS aerosol products, CERES cloud products and other remote sensing data. The aerosol direct radiative effect is calculated based on the two scenarios of aerosols. Our calculation showed that in 2007, aerosols decreased the global total radiation by 9.16 W m-2 on average. Large decrease generally occurred in places with high AOD. As for the diffuse radiation, aerosol-induced changes were either positive or negative. Large increase generally occurred in places with high surface albedo, while large decrease generally occurred in places with high cloud fraction. The global aerosol-induced diffuse radiation change averaged 8.17 W m-2 in 2007. The aerosol direct radiative effect causes the photosynthetic active radiation to increase, and its influences on the global carbon cycle of terrestrial ecosystem are studied by using the Community Land Model (CLM). Calculations show that the aerosol direct radiative effects caused the global averages of terrestrial gross primary productivity (GPP), net primary productivity (NPP), heterotrophic respiration (RH), autotrophic respiration (RA), and net ecosystem productivity (Reco) to increase in 2007, with significant spatial variations however. The global average changes of GPP, NPP, NEP, RA, RH and Reco in 2007 were +6.47 gC m-2, +2.23 gC m-2, +0.34 gC m-2, +4.24 gC m-2, +1.89 gC m-2, +6.13 gC m-2, respectively. Examinations of the carbon fluxes show that the aerosol direct radiative effects influence the terrestrial ecosystem carbon cycles via the following two approaches: First, the diffuse fertilization effect, i.e. more diffuse radiation absorbed by vegetation shade leaves (photosynthetic active radiation, PAR) results in higher photosynthetic rates; Second, the radiation changes lead to changes in temperature and humidity, thereby changing the rates of the plant biophysical and chemical processes.

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

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

Comparing cropland net primary production estimates from inventory, a satellite-based model, and a process-based model in the Midwest of the United States

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

Li, Zhengpeng; Liu, Shuguang; Tan, Zhengxi

2014-04-01

Accurately quantifying the spatial and temporal variability of net primary production (NPP) for croplands is essential to understand regional cropland carbon dynamics. We compared three NPP estimates for croplands in the Midwestern United States: inventory-based estimates using crop yield data from the U.S. Department of Agriculture (USDA) National Agricultural Statistics Service (NASS); estimates from the satellite-based Moderate Resolution Imaging Spectroradiometer (MODIS) NPP product; and estimates from the General Ensemble biogeochemical Modeling System (GEMS) process-based model. The three methods estimated mean NPP in the range of 469–687 g C m -2 yr -1 and total NPP in the range of 318–490more » Tg C yr -1 for croplands in the Midwest in 2007 and 2008. The NPP estimates from crop yield data and the GEMS model showed the mean NPP for croplands was over 650 g C m -2 yr -1 while the MODIS NPP product estimated the mean NPP was less than 500 g C m -2 yr -1. MODIS NPP also showed very different spatial variability of the cropland NPP from the other two methods. We found these differences were mainly caused by the difference in the land cover data and the crop specific information used in the methods. Our study demonstrated that the detailed mapping of the temporal and spatial change of crop species is critical for estimating the spatial and temporal variability of cropland NPP. Finally, we suggest that high resolution land cover data with species–specific crop information should be used in satellite-based and process-based models to improve carbon estimates for croplands.« less

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.

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.

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.

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

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.

Belowground impacts of perennial grass cultivation for sustainable biofuel feedstock production in the tropics

DOE PAGES

Sumiyoshi, Yudai; Crow, Susan E.; Litton, Creighton M.; ...

2016-07-08

Perennial grasses can sequester soil organic carbon (SOC) in sustainably managed biofuel systems, directly mitigating atmospheric CO 2 concentrations while simultaneously generating biomass for renewable energy. Our objective was to quantify SOC accumulation and identify the primary drivers of belowground C dynamics in a zero-tillage production system of tropical perennial C4 grasses grown for biofuel feedstock in Hawaii. Specifically, the quantity, quality, and fate of soil C inputs were determined for eight grass accessions – four varieties each of napier grass and guinea grass. Carbon fluxes (soil CO 2 efflux, aboveground net primary productivity, litterfall, total belowground carbon flux, rootmore » decay constant), C pools (SOC pool and root biomass), and C quality (root chemistry, C and nitrogen concentrations, and ratios) were measured through three harvest cycles following conversion of a fallow field to cultivated perennial grasses. A wide range of SOC accumulation occurred, with both significant species and accession effects. Aboveground biomass yield was greater, and root lignin concentration was lower for napier grass than guinea grass. Structural equation modeling revealed that root lignin concentration was the most important driver of SOC pool: varieties with low root lignin concentration, which was significantly related to rapid root decomposition, accumulated the greatest amount of SOC. Roots with low lignin concentration decomposed rapidly, but the residue and associated microbial biomass/by-products accumulated as SOC. In general, napier grass was better suited for promoting soil C sequestration in this system. Further, high-yielding varieties with low root lignin concentration provided the greatest climate change mitigation potential in a ratoon system. By understanding the factors affecting SOC accumulation and the net greenhouse gas trade-offs within a biofuel production system will aid in crop selection to meet multiple goals toward environmental and economic sustainability.« less

Comparing cropland net primary production estimates from inventory, a satellite-based model, and a process-based model in the Midwest of the United States

USGS Publications Warehouse

Li, Zhengpeng; Liu, Shuguang; Tan, Zhengxi; Bliss, Norman B.; Young, Claudia J.; West, Tristram O.; Ogle, Stephen M.

2014-01-01

Accurately quantifying the spatial and temporal variability of net primary production (NPP) for croplands is essential to understand regional cropland carbon dynamics. We compared three NPP estimates for croplands in the Midwestern United States: inventory-based estimates using crop yield data from the U.S. Department of Agriculture (USDA) National Agricultural Statistics Service (NASS); estimates from the satellite-based Moderate Resolution Imaging Spectroradiometer (MODIS) NPP product; and estimates from the General Ensemble biogeochemical Modeling System (GEMS) process-based model. The three methods estimated mean NPP in the range of 469–687 g C m−2 yr−1and total NPP in the range of 318–490 Tg C yr−1 for croplands in the Midwest in 2007 and 2008. The NPP estimates from crop yield data and the GEMS model showed the mean NPP for croplands was over 650 g C m−2 yr−1 while the MODIS NPP product estimated the mean NPP was less than 500 g C m−2 yr−1. MODIS NPP also showed very different spatial variability of the cropland NPP from the other two methods. We found these differences were mainly caused by the difference in the land cover data and the crop specific information used in the methods. Our study demonstrated that the detailed mapping of the temporal and spatial change of crop species is critical for estimating the spatial and temporal variability of cropland NPP. We suggest that high resolution land cover data with species–specific crop information should be used in satellite-based and process-based models to improve carbon estimates for croplands.

Fishers' knowledge identifies environmental changes and fish abundance trends in impounded tropical rivers.

PubMed

Hallwass, Gustavo; Lopes, Priscila F; Juras, Anastácio A; Silvano, Renato A M

2013-03-01

The long-term impacts of large hydroelectric dams on small-scale fisheries in tropical rivers are poorly known. A promising way to investigate such impacts is to compare and integrate the local ecological knowledge (LEK) of resource users with biological data for the same region. We analyzed the accuracy of fishers' LEK to investigate fisheries dynamics and environmental changes in the Lower Tocantins River (Brazilian Amazon) downstream from a large dam. We estimated fishers' LEK through interviews with 300 fishers in nine villages and collected data on 601 fish landings in five of these villages, 22 years after the dam's establishment (2006-2008). We compared these two databases with each other and with data on fish landings from before the dam's establishment (1981) gathered from the literature. The data obtained based on the fishers' LEK (interviews) and from fisheries agreed regarding the primary fish species caught, the most commonly used type of fishing gear (gill nets) and even the most often used gill net mesh sizes but disagreed regarding seasonal fish abundance. According to the interviewed fishers, the primary environmental changes that occurred after the impoundment were an overall decrease in fish abundance, an increase in the abundance of some fish species and, possibly, the local extinction of a commercial fish species (Semaprochilodus brama). These changes were corroborated by comparing fish landings sampled before and 22 years after the impoundment, which indicated changes in the composition of fish landings and a decrease in the total annual fish production. Our results reinforce the hypothesis that large dams may adversely affect small-scale fisheries downstream and establish a feasible approach for applying fishers' LEK to fisheries management, especially in regions with a low research capacity.

The potential for improving remote primary productivity estimates through subsurface chlorophyll and irradiance measurement

NASA Astrophysics Data System (ADS)

Jacox, Michael G.; Edwards, Christopher A.; Kahru, Mati; Rudnick, Daniel L.; Kudela, Raphael M.

2015-02-01

A 26-year record of depth integrated primary productivity (PP) in the Southern California Current System (SCCS) is analyzed with the goal of improving satellite net primary productivity (PP) estimates. Modest improvements in PP model performance are achieved by tuning existing algorithms for the SCCS, particularly by parameterizing carbon fixation rate in the vertically generalized production model as a function of surface chlorophyll concentration and distance from shore. Much larger improvements are enabled by improving the accuracy of subsurface chlorophyll and light profiles. In a simple vertically resolved production model for the SCCS (VRPM-SC), substitution of in situ surface data for remote sensing estimates offers only marginal improvements in model r2 (from 0.54 to 0.56) and total log10 root mean squared difference (from 0.22 to 0.21), while inclusion of in situ chlorophyll and light profiles improves these metrics to 0.77 and 0.15, respectively. Autonomous underwater gliders, capable of measuring subsurface properties on long-term, long-range deployments, significantly improve PP model fidelity in the SCCS. We suggest their use (and that of other autonomous profilers such as Argo floats) in conjunction with satellites as a way forward for large-scale improvements in PP estimation.

Cost-outcome description of clinical pharmacist interventions in a university teaching hospital.

PubMed

Gallagher, James; Byrne, Stephen; Woods, Noel; Lynch, Deirdre; McCarthy, Suzanne

2014-04-17

Pharmacist interventions are one of the pivotal parts of a clinical pharmacy service within a hospital. This study estimates the cost avoidance generated by pharmacist interventions due to the prevention of adverse drug events (ADE). The types of interventions identified are also analysed. Interventions recorded by a team of hospital pharmacists over a one year time period were included in the study. Interventions were assigned a rating score, determined by the probability that an ADE would have occurred in the absence of an intervention. These scores were then used to calculate cost avoidance. Net cost benefit and cost benefit ratio were the primary outcomes. Categories of interventions were also analysed. A total cost avoidance of €708,221 was generated. Input costs were calculated at €81,942. This resulted in a net cost benefit of €626,279 and a cost benefit ratio of 8.64: 1. The most common type of intervention was the identification of medication omissions, followed by dosage adjustments and requests to review therapies. This study provides further evidence that pharmacist interventions provide substantial cost avoidance to the healthcare payer. There is a serious issue of patient's regular medication being omitted on transfer to an inpatient setting in Irish hospitals.

Global estimate of net annual carbon flow to phenylpropanoid metabolism

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

Walton, A.B.; Norman, E.G.; Turpin, D.H.

1993-05-01

The steady increase in the concentration of CO[sub 2] in the atmosphere is the focus of renewed interest in the global carbon cycle. Current research is centered upon modeling the effects of the increasing CO[sub 2] concentrations, and thus global warning, on global plant homeostasis. It has been estimated that the annual net primary production (NPP) values for terrestrial and oceanic biomes are 59.9 and 35 Pg C-yr[sup [minus]1], respectively (Melillo et al., 1990). Based on these NPP values, we have estimated the annual C flow to phenlpropanoid metabolism. In our calculation, lignin was used as a surrogate for phenylpropanoidmore » compounds, as lignin is the second most abundant plant polymer. This approach means that our estimate defines the lower limit of C flow to phenylpropanoid metabolism. Each biome was considered separately to determine the percent of the NPP which was directed to the biosynthesis of leaves, stems/branches, and roots. From published values of the lignin content of these organs, the total amount of C directed to the biosynthesis of lignin in each biome was determined. This was used to obtain a global value. Implications of these estimates will be discussed with reference to plant carbon and nitrogen metabolism.« less

Seasonal oceanography from physics to micronekton in the south-west Pacific

NASA Astrophysics Data System (ADS)

Menkes, C. E.; Allain, V.; Rodier, M.; Gallois, F.; Lebourges-Dhaussy, A.; Hunt, B. P. V.; Smeti, H.; Pagano, M.; Josse, E.; Daroux, A.; Lehodey, P.; Senina, I.; Kestenare, E.; Lorrain, A.; Nicol, S.

2015-03-01

Tuna catches represent a major economic and food source in the Pacific Ocean, yet are highly variable. This variability in tuna catches remains poorly explained. The relationships between the distributions of tuna and their forage (micronekton) have been mostly derived from model estimates. Observations of micronekton and other mid-trophic level organisms, and their link to regional oceanography, however are scarce and constitute an important gap in our knowledge and understanding of the dynamics of pelagic ecosystems. To fill this gap, we conducted two multidisciplinary cruises (Nectalis1 and Nectalis2) in the New Caledonian Exclusive Economic Zone (EEZ) at the southeastern edge the Coral Sea, in 2011 to characterize the oceanography of the region during the cool (August) and the hot (December) seasons. The physical and biological environments were described by hydrology, nutrients and phytoplankton size structure and biomass. Zooplankton biomass was estimated from net sampling and acoustics and micronecton was estimated from net sampling, the SEAPODYM ecosystem model, a dedicated echosounder and non-dedicated acoustics. Results demonstrated that New Caledonia is located in an oligotrophic area characterized by low nutrient and low primary production which is dominated by a high percentage of picoplankton cyanobacteria Prochlorococcus (>90%). The area exhibits a large-scale north-south temperature and salinity gradient. The northern area is influenced by the equatorial Warm Pool and the South Pacific Convergence Zone and is characterized by higher temperature, lower salinity, lower primary production and micronekton biomass. The southern area is influenced by the Tasman Sea and is characterized by cooler temperature, higher salinity, higher primary production and micronekton biomass. The dynamic oceanography and the complex topography create a myriad of mesoscale features including eddies, inducing patchy structures in the ecosystem. During the cool season, a tight coupling existed between the ocean dynamics and primary production, while there was a stronger decoupling during the hot season. There was little difference in the composition of mid-trophic level organisms (zooplankton and micronekton) between the two seasons. This may be due to different turn-over times and delays in the transmission of primary production to upper trophic levels. Examination of various sampling gears for zooplankton and micronekton showed that net biomass estimates and acoustic-derived estimates compared reasonably well. Estimates of micronekton from net observations and the SEAPODYM model were in the same range. The non-dedicated acoustics adequately reproduced trends observed in zooplankton from nets, but the acoustics could not differentiate between zooplankton and micronekton and absolute biomasses could not be calculated. Understanding the impact of mesoscale features on higher trophic levels will require further investigation and patchiness induced by eddies raises the question of how to best sample highly dynamic areas via sea experiments.

Externalized decondensed neutrophil chromatin occludes pancreatic ducts and drives pancreatitis

PubMed Central

Leppkes, Moritz; Maueröder, Christian; Hirth, Sebastian; Nowecki, Stefanie; Günther, Claudia; Billmeier, Ulrike; Paulus, Susanne; Biermann, Mona; Munoz, Luis E.; Hoffmann, Markus; Wildner, Dane; Croxford, Andrew L.; Waisman, Ari; Mowen, Kerri; Jenne, Dieter E.; Krenn, Veit; Mayerle, Julia; Lerch, Markus M.; Schett, Georg; Wirtz, Stefan; Neurath, Markus F.; Herrmann, Martin; Becker, Christoph

2016-01-01

Ductal occlusion has been postulated to precipitate focal pancreatic inflammation, while the nature of the primary occluding agents has remained elusive. Neutrophils make use of histone citrullination by peptidyl arginine deiminase-4 (PADI4) in contact to particulate agents to extrude decondensed chromatin as neutrophil extracellular traps (NETs). In high cellular density, NETs form macroscopically visible aggregates. Here we show that such aggregates form inside pancreatic ducts in humans and mice occluding pancreatic ducts and thereby driving pancreatic inflammation. Experimental models indicate that PADI4 is critical for intraductal aggregate formation and that PADI4-deficiency abrogates disease progression. Mechanistically, we identify the pancreatic juice as a strong instigator of neutrophil chromatin extrusion. Characteristic single components of pancreatic juice, such as bicarbonate ions and calcium carbonate crystals, induce aggregated NET formation. Ductal occlusion by aggregated NETs emerges as a pathomechanism with relevance in a plethora of inflammatory conditions involving secretory ducts. PMID:26964500

Greenhouse Gas and Carbon Profile of the U.S. Forest Products Industry Value Chain

PubMed Central

2010-01-01

A greenhouse gas and carbon accounting profile was developed for the U.S. forest products industry value chain for 1990 and 2004−2005 by examining net atmospheric fluxes of CO2 and other greenhouse gases (GHGs) using a variety of methods and data sources. Major GHG emission sources include direct and indirect (from purchased electricity generation) emissions from manufacturing and methane emissions from landfilled products. Forest carbon stocks in forests supplying wood to the industry were found to be stable or increasing. Increases in the annual amounts of carbon removed from the atmosphere and stored in forest products offset about half of the total value chain emissions. Overall net transfers to the atmosphere totaled 91.8 and 103.5 TgCO2-eq. in 1990 and 2005, respectively, although the difference between these net transfers may not be statistically significant. Net transfers were higher in 2005 primarily because additions to carbon stored in forest products were less in 2005. Over this same period, energy-related manufacturing emissions decreased by almost 9% even though forest products output increased by approximately 15%. Several types of avoided emissions were considered separately and were collectively found to be notable relative to net emissions. PMID:20355695

Seasonal and Interannual Variations of Evaporation and their Relations with Precipitation, Net Radiation, and Net Carbon Accumulation for the Gediz Basin Area

NASA Technical Reports Server (NTRS)

Choudhury, Bhaskar J.

1999-01-01

A model combining the rate of carbon assimilation with water and energy balance equations has been run using satellite and ancillary data for a period of 60 months (January 1986 to December 1990). Calculations for the Gediz basin area give mean annual evaporation as 395 mm, which is composed of 45% transpiration, 42% soil evaporation and 13% interception. The coefficient of interannual variation of evaporation is found to be 6%, while that for precipitation and net radiation are, respectively, 16% and 2%, illustrating that net radiation has an important effect in modulating interannual variation of evaporation. The mean annual water use efficiency (i.e., the ratio of net carbon accumulation and total evaporation) is ca. 1 g/sq m/mm, and has a coefficient of interannual variation of 5%. A comparison of the mean water use efficiency with field observations suggests that evaporation over the area is utilized well for biomass production. The reference crop evaporation for irrigated areas has annual mean and coefficient of variation as, respectively, 1176 mm and 3%. The total evaporation during three summer months of peak evaporation (June-August) is estimated to be about 575 mm for irrigated crops like maize and cotton. Seasonal variations of the fluxes are presented.

Catastrophic shifts in the aquatic primary production revealed by a small low-flow section of tropical downstream after dredging.

PubMed

Marotta, H; Enrich-Prast, A

2015-11-01

Dredging is a catastrophic disturbance that directly affects key biological processes in aquatic ecosystems, especially in those small and shallow. In the tropics, metabolic responses could still be enhanced by the high temperatures and solar incidence. Here, we assessed changes in the aquatic primary production along a small section of low-flow tropical downstream (Imboassica Stream, Brazil) after dredging. Our results suggested that these ecosystems may show catastrophic shifts between net heterotrophy and autotrophy in waters based on three short-term stages following the dredging: (I) a strongly heterotrophic net primary production -NPP- coupled to an intense respiration -R- likely supported by high resuspended organic sediments and nutrients from the bottom; (II) a strongly autotrophic NPP coupled to an intense gross primary production -GPP- favored by the high nutrient levels and low solar light attenuation from suspended solids or aquatic macrophytes; and (III) a NPP near to the equilibrium coupled to low GPP and R rates following, respectively, the shading by aquatic macrophytes and high particulate sedimentation. In conclusion, changes in aquatic primary production could be an important threshold for controlling drastic shifts in the organic matter cycling and the subsequent silting up of small tropical streams after dredging events.

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.

The Resilience of the Health Care Safety Net, 1996–2001

PubMed Central

Felland, Laurie E; Lesser, Cara S; Staiti, Andrea Benoit; Katz, Aaron; Lichiello, Patricia

2003-01-01

Objective To determine how the capacity and viability of local health care safety nets changed over the last six years and to draw lessons from these changes. Data Source The first three rounds (May 1996 to March 2001) of Community Tracking Study site visits to 12 communities. Study Design Researchers visited the study communities every two years to interview leaders of local health care systems about changes in the organization, delivery, and financing of health care and the impact of these changes on people. For this analysis, we collected data on safety net capacity and viability through interviews with public and not-for-profit hospitals, community health centers, health departments, government officials, consumer advocates, academics, and others. We asked about the effects of market and policy changes on the safety net and how the safety net responded, as well as the impact of these changes on care for the low-income uninsured. Principal Findings The safety net in three-quarters of the communities was stable or improved by the end of the study period, leading to improved access to primary and preventive care for the low-income uninsured. Policy responses to pressures such as the Balanced Budget Act and Medicaid managed care, along with effective safety net strategies and supportive conditions, helped reinforce the safety net. However, the safety net in three sites deteriorated and access to specialty services remained inadequate across the 12 sites. Conclusions Despite pessimistic predictions and some notable exceptions, the health care safety net grew stronger over the past six years. Given considerable community variation, however, this analysis indicates that policymakers can apply a number of lessons from strong and improving safety nets to strengthen those that are weaker, particularly as the current economy poses new challenges. PMID:12650377

Somatostatin Analogues according to Ki67 index in neuroendocrine tumours: an observational retrospective-prospective analysis from real life

PubMed Central

Faggiano, Antongiulio; Carratù, Anna Chiara; Guadagno, Elia; Tafuto, Salvatore; Tatangelo, Fabiana; Riccardi, Ferdinando; Mocerino, Carmela; Palmieri, Giovannella; Damiano, Vincenzo; Siciliano, Roberta; Leo, Silvana; Mauro, Annamaria; Tozzi, Lucia Franca; Battista, Claudia; De Rosa, Gaetano; Colao, Annamaria

2016-01-01

Somatostatin analogues (SSAs) have shown limited and variable antiproliferative effects in neuroendocrine tumours (NETs). Whether tumour control by SSAs depends on grading based on the 2010 WHO NET classification is still unclear. The aim of this study is to evaluate the efficacy of long-acting SSAs in NETs according to Ki67 index. An observational Italian multicentre study was designed to collect data in patients with gastro-entero-pancreatic or thoracic NETs under SSA treatment. Both retrospective and prospective data were included and they were analysed in line with Ki67 index, immunohistochemically evaluated in tumour samples and graded according to WHO classification (G1 = Ki67 index 0-2%, G2 = Ki67 index 3-20%, G3 = Ki67 index > 20%). Among 601 patients with NET, 140 with a histologically confirmed gastro-entero-pancreatic or thoracic NET or NET with unknown primary were treated with lanreotide autogel or octreotide LAR. An objective tumour response was observed in 11%, stability in 58% and progression in 31%. Objective response and tumour stability were not significantly different between G1 and G2 NETs. Progression free survival was longer but not significantly different in G1 than G2 NETs (median: 89 vs 43 months, p = 0.15). The median PFS was significantly longer in NETs showing Ki67 < 5% than in those showing Ki67 ≥5% (89 vs 35 months, p = 0.005). SSA therapy shows significant antiproliferative effects in well differentiated low/intermediate-proliferating NETs, not only G1 but also in G2 type. A Ki67 index of 5% seems to work better than 3% to select the best candidates for SSA therapy. PMID:26701729

Somatostatin analogues according to Ki67 index in neuroendocrine tumours: an observational retrospective-prospective analysis from real life.

PubMed

Faggiano, Antongiulio; Carratù, Anna Chiara; Guadagno, Elia; Tafuto, Salvatore; Tatangelo, Fabiana; Riccardi, Ferdinando; Mocerino, Carmela; Palmieri, Giovannella; Damiano, Vincenzo; Siciliano, Roberta; Leo, Silvana; Mauro, Annamaria; Tozzi, Lucia Franca; Battista, Claudia; De Rosa, Gaetano; Colao, Annamaria

2016-02-02

Somatostatin analogues (SSAs) have shown limited and variable antiproliferative effects in neuroendocrine tumours (NETs). Whether tumour control by SSAs depends on grading based on the 2010 WHO NET classification is still unclear. The aim of this study is to evaluate the efficacy of long-acting SSAs in NETs according to Ki67 index. An observational Italian multicentre study was designed to collect data in patients with gastro-entero-pancreatic or thoracic NETs under SSA treatment. Both retrospective and prospective data were included and they were analysed in line with Ki67 index, immunohistochemically evaluated in tumour samples and graded according to WHO classification (G1 = Ki67 index 0-2%, G2 = Ki67 index 3-20%, G3 = Ki67 index > 20%). Among 601 patients with NET, 140 with a histologically confirmed gastro-entero-pancreatic or thoracic NET or NET with unknown primary were treated with lanreotide autogel or octreotide LAR. An objective tumour response was observed in 11%, stability in 58% and progression in 31%. Objective response and tumour stability were not significantly different between G1 and G2 NETs. Progression free survival was longer but not significantly different in G1 than G2 NETs (median: 89 vs 43 months, p = 0.15). The median PFS was significantly longer in NETs showing Ki67 < 5% than in those showing Ki67 ≥ 5% (89 vs 35 months, p = 0.005). SSA therapy shows significant antiproliferative effects in well differentiated low/intermediate-proliferating NETs, not only G1 but also in G2 type. A Ki67 index of 5% seems to work better than 3% to select the best candidates for SSA therapy.

Long-term field performance of a polyester-based long-lasting insecticidal mosquito net in rural Uganda

PubMed Central

Kilian, Albert; Byamukama, Wilson; Pigeon, Olivier; Atieli, Francis; Duchon, Stephan; Phan, Chi

2008-01-01

Background In order to evaluate whether criteria for LLIN field performance (phase III) set by the WHO Pesticide Evaluation Scheme are met, first and second generations of one of these products, PermaNet®, a polyester net using the coating technology were tested. Methods A randomized, double blinded study design was used comparing LLIN to conventionally treated nets and following LLIN for three years under regular household use in rural conditions. Primary outcome measures were deltamethrin residue and bioassay performance (60 minute knock-down and 24 hour mortality after a three minute exposure) using a strain of Anopheles gambiae s.s. sensitive to pyrethroid insecticides. Results Baseline concentration of deltamethrin was within targets for all net types but was rapidly lost in conventionally treated nets and first generation PermaNet® with median of 0.7 and 2.5 mg/m2 after six months respectively. In contrast, second generation PermaNet® retained insecticide well and had 41.5% of baseline dose after 36 months (28.7 mg/m2). Similarly, vector mortality and knockdown dropped to 18% and 70% respectively for first generation LLIN after six months but remained high (88.5% and 97.8% respectively) for second generation PermaNet® after 36 months of follow up at which time 90.0% of nets had either a knockdown rate ≥ 95% or mortality rate ≥ 80%. Conclusion Second generation PermaNet® showed excellent results after three years of field use and fulfilled the WHOPES criteria for LLIN. Loss of insecticide on LLIN using coating technology under field conditions was far more influenced by factors associated with handling rather than washing. PMID:18355408

Comparative Effectiveness of a Technology-Facilitated Depression Care Management Model in Safety-Net Primary Care Patients With Type 2 Diabetes: 6-Month Outcomes of a Large Clinical Trial

PubMed Central

Ell, Kathleen; Jin, Haomiao; Vidyanti, Irene; Chou, Chih-Ping; Lee, Pey-Jiuan; Gross-Schulman, Sandra; Sklaroff, Laura Myerchin; Belson, David; Nezu, Arthur M; Hay, Joel; Wang, Chien-Ju; Scheib, Geoffrey; Di Capua, Paul; Hawkins, Caitlin; Liu, Pai; Ramirez, Magaly; Wu, Brian W; Richman, Mark; Myers, Caitlin; Agustines, Davin; Dasher, Robert; Kopelowicz, Alex; Allevato, Joseph; Roybal, Mike; Ipp, Eli; Haider, Uzma; Graham, Sharon; Mahabadi, Vahid; Guterman, Jeffrey

2018-01-01

Background Comorbid depression is a significant challenge for safety-net primary care systems. Team-based collaborative depression care is effective, but complex system factors in safety-net organizations impede adoption and result in persistent disparities in outcomes. Diabetes-Depression Care-management Adoption Trial (DCAT) evaluated whether depression care could be significantly improved by harnessing information and communication technologies to automate routine screening and monitoring of patient symptoms and treatment adherence and allow timely communication with providers. Objective The aim of this study was to compare 6-month outcomes of a technology-facilitated care model with a usual care model and a supported care model that involved team-based collaborative depression care for safety-net primary care adult patients with type 2 diabetes. Methods DCAT is a translational study in collaboration with Los Angeles County Department of Health Services, the second largest safety-net care system in the United States. A comparative effectiveness study with quasi-experimental design was conducted in three groups of adult patients with type 2 diabetes to compare three delivery models: usual care, supported care, and technology-facilitated care. Six-month outcomes included depression and diabetes care measures and patient-reported outcomes. Comparative treatment effects were estimated by linear or logistic regression models that used generalized propensity scores to adjust for sampling bias inherent in the nonrandomized design. Results DCAT enrolled 1406 patients (484 in usual care, 480 in supported care, and 442 in technology-facilitated care), most of whom were Hispanic or Latino and female. Compared with usual care, both the supported care and technology-facilitated care groups were associated with significant reduction in depressive symptoms measured by scores on the 9-item Patient Health Questionnaire (least squares estimate, LSE: usual care=6.35, supported care=5.05, technology-facilitated care=5.16; P value: supported care vs usual care=.02, technology-facilitated care vs usual care=.02); decreased prevalence of major depression (odds ratio, OR: supported care vs usual care=0.45, technology-facilitated care vs usual care=0.33; P value: supported care vs usual care=.02, technology-facilitated care vs usual care=.007); and reduced functional disability as measured by Sheehan Disability Scale scores (LSE: usual care=3.21, supported care=2.61, technology-facilitated care=2.59; P value: supported care vs usual care=.04, technology-facilitated care vs usual care=.03). Technology-facilitated care was significantly associated with depression remission (technology-facilitated care vs usual care: OR=2.98, P=.04); increased satisfaction with care for emotional problems among depressed patients (LSE: usual care=3.20, technology-facilitated care=3.70; P=.05); reduced total cholesterol level (LSE: usual care=176.40, technology-facilitated care=160.46; P=.01); improved satisfaction with diabetes care (LSE: usual care=4.01, technology-facilitated care=4.20; P=.05); and increased odds of taking an glycated hemoglobin test (technology-facilitated care vs usual care: OR=3.40, P<.001). Conclusions Both the technology-facilitated care and supported care delivery models showed potential to improve 6-month depression and functional disability outcomes. The technology-facilitated care model has a greater likelihood to improve depression remission, patient satisfaction, and diabetes care quality. PMID:29685872

Arizona | Midmarket Solar Policies in the United States | Solar Research |

Science.gov Websites

standard. Arizona has a net-metering program with no size limit but is specific to the customer's load % of customer's total connected load Aggregate cap: Not addressed Credit: Net excess generation is are exempt from Arizona Corporation Commission regulation. Community Solar There are currently no

ScaleNet: a literature-based model of scale insect biology and systematics.

PubMed

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. Published by Oxford University Press 2016. This work is written by US Government employees and is in the public domain in the US.

Bivalirudin or Unfractionated Heparin in Acute Coronary Syndromes.

PubMed

Valgimigli, Marco; Frigoli, Enrico; Leonardi, Sergio; Rothenbühler, Martina; Gagnor, Andrea; Calabrò, Paolo; Garducci, Stefano; Rubartelli, Paolo; Briguori, Carlo; Andò, Giuseppe; Repetto, Alessandra; Limbruno, Ugo; Garbo, Roberto; Sganzerla, Paolo; Russo, Filippo; Lupi, Alessandro; Cortese, Bernardo; Ausiello, Arturo; Ierna, Salvatore; Esposito, Giovanni; Presbitero, Patrizia; Santarelli, Andrea; Sardella, Gennaro; Varbella, Ferdinando; Tresoldi, Simone; de Cesare, Nicoletta; Rigattieri, Stefano; Zingarelli, Antonio; Tosi, Paolo; van 't Hof, Arnoud; Boccuzzi, Giacomo; Omerovic, Elmir; Sabaté, Manel; Heg, Dik; Jüni, Peter; Vranckx, Pascal

2015-09-10

Conflicting evidence exists on the efficacy and safety of bivalirudin administered as part of percutaneous coronary intervention (PCI) in patients with an acute coronary syndrome. We randomly assigned 7213 patients with an acute coronary syndrome for whom PCI was anticipated to receive either bivalirudin or unfractionated heparin. Patients in the bivalirudin group were subsequently randomly assigned to receive or not to receive a post-PCI bivalirudin infusion. Primary outcomes for the comparison between bivalirudin and heparin were the occurrence of major adverse cardiovascular events (a composite of death, myocardial infarction, or stroke) and net adverse clinical events (a composite of major bleeding or a major adverse cardiovascular event). The primary outcome for the comparison of a post-PCI bivalirudin infusion with no post-PCI infusion was a composite of urgent target-vessel revascularization, definite stent thrombosis, or net adverse clinical events. The rate of major adverse cardiovascular events was not significantly lower with bivalirudin than with heparin (10.3% and 10.9%, respectively; relative risk, 0.94; 95% confidence interval [CI], 0.81 to 1.09; P=0.44), nor was the rate of net adverse clinical events (11.2% and 12.4%, respectively; relative risk, 0.89; 95% CI, 0.78 to 1.03; P=0.12). Post-PCI bivalirudin infusion, as compared with no infusion, did not significantly decrease the rate of urgent target-vessel revascularization, definite stent thrombosis, or net adverse clinical events (11.0% and 11.9%, respectively; relative risk, 0.91; 95% CI, 0.74 to 1.11; P=0.34). In patients with an acute coronary syndrome, the rates of major adverse cardiovascular events and net adverse clinical events were not significantly lower with bivalirudin than with unfractionated heparin. The rate of the composite of urgent target-vessel revascularization, definite stent thrombosis, or net adverse clinical events was not significantly lower with a post-PCI bivalirudin infusion than with no post-PCI infusion. (Funded by the Medicines Company and Terumo Medical; MATRIX ClinicalTrials.gov number, NCT01433627.).

Bevacizumab plus capecitabine in patients with progressive advanced well-differentiated neuroendocrine tumors of the gastro-intestinal (GI-NETs) tract (BETTER trial)--a phase II non-randomised trial.

PubMed

Mitry, Emmanuel; Walter, Thomas; Baudin, Eric; Kurtz, Jean-Emmanuel; Ruszniewski, Philippe; Dominguez-Tinajero, Sophie; Bengrine-Lefevre, Leïla; Cadiot, Guillaume; Dromain, Clarisse; Farace, Françoise; Rougier, Philippe; Ducreux, Michel

2014-12-01

Gastro-intestinal neuroendocrine tumours (GI-NETs) are chemotherapy-resistant tumours. Bevacizumab, an inhibitor of vascular endothelial growth factor (VEGF), has shown promising results in several phase II trials of gastro-entero-pancreatic-NETs. We assessed bevacizumab combined with capecitabine, specifically in GI-NET patients. BEvacizumab in The Treament of neuroEndocrine tumoRs (BETTER) was a multicentre, open-label, non-randomised, two-group phase II trial. Here we present the group of patients with progressive, metastatic, well-differentiated GI-NETs. Patients Eastern Cooperative Oncology Group-performance status (ECOG-PS)⩽2, Ki-67 proliferation rate <15% and no prior systemic chemotherapy were treated with bevacizumab (7.5 mg/kg/q3w) and capecitabine (1000 mg/m2 twice daily, orally d1-14, resumed on d22) for 6-24 months. The primary end-point was progression-free survival (PFS); secondary end-points included overall survival (OS), response rate, safety and quality of life. Of the 49 patients included, 53% were men, median age was 60 years (41-82), primary tumour site was ileal in 82% patients and Ki-67 was <15% in 48 patients and not available for one patient. After a maximum of 24 month follow-up per patient, the median PFS by investigator assessment was 23.4 months [95% confidence interval (CI): 13.2; not reached] and the overall disease control rate was 88% (18% partial response, 70% stable disease). The 2-year survival rate was 85%. Median OS was not reached. The most frequent grade 3-4 adverse events were hypertension (31%), diarrhoea (14%) and hand-foot syndrome (10%). The combination of bevacizumab and capecitabine showed clinical activity and a manageable safety profile in the treatment of GI-NETs that warrant confirmation in a randomised phase III trial. Copyright © 2014 Elsevier Ltd. All rights reserved.

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.

Net alkalinity and net acidity 1: Theoretical considerations

USGS Publications Warehouse

Kirby, C.S.; Cravotta, C.A.

2005-01-01

Net acidity and net alkalinity are widely used, poorly defined, and commonly misunderstood parameters for the characterization of mine drainage. The authors explain theoretical expressions of 3 types of alkalinity (caustic, phenolphthalein, and total) and acidity (mineral, CO2, and total). Except for rarely-invoked negative alkalinity, theoretically defined total alkalinity is closely analogous to measured alkalinity and presents few practical interpretation problems. Theoretically defined "CO 2-acidity" is closely related to most standard titration methods with an endpoint pH of 8.3 used for determining acidity in mine drainage, but it is unfortunately named because CO2 is intentionally driven off during titration of mine-drainage samples. Using the proton condition/mass- action approach and employing graphs to illustrate speciation with changes in pH, the authors explore the concept of principal components and how to assign acidity contributions to aqueous species commonly present in mine drainage. Acidity is defined in mine drainage based on aqueous speciation at the sample pH and on the capacity of these species to undergo hydrolysis to pH 8.3. Application of this definition shows that the computed acidity in mg L -1 as CaCO3 (based on pH and analytical concentrations of dissolved FeII, FeIII, Mn, and Al in mg L -1):aciditycalculated=50{1000(10-pH)+[2(FeII)+3(FeIII)]/56+2(Mn)/ 55+3(Al)/27}underestimates contributions from HSO4- and H+, but overestimates the acidity due to Fe3+ and Al3+. However, these errors tend to approximately cancel each other. It is demonstrated that "net alkalinity" is a valid mathematical construction based on theoretical definitions of alkalinity and acidity. Further, it is shown that, for most mine-drainage solutions, a useful net alkalinity value can be derived from: (1) alkalinity and acidity values based on aqueous speciation, (2) measured alkalinity minus calculated acidity, or (3) taking the negative of the value obtained in a standard method "hot peroxide" acidity titration, provided that labs report negative values. The authors recommend the third approach; i.e., net alkalinity = -Hot Acidity. ?? 2005 Elsevier Ltd. All rights reserved.

Adrenal Gland Tumors: Statistics

MedlinePlus

... Gland Tumor: Statistics Request Permissions Adrenal Gland Tumor: Statistics Approved by the Cancer.Net Editorial Board , 03/ ... primary adrenal gland tumor is very uncommon. Exact statistics are not available for this type of tumor ...

Who is Using Telehealth in Primary Care? Safety Net Clinics and Health Maintenance Organizations (HMOs).

PubMed

Coffman, Megan; Moore, Miranda; Jetty, Anuradha; Klink, Kathleen; Bazemore, Andrew

2016-01-01

Despite rapid advancements in telehealth services, only 15% of family physicians in a 2014 survey reported using telehealth; use varied widely according to the physician's practice setting or designation. Users were significantly more likely than nonusers to work in federally designated "safety net" clinics and health maintenance organizations (HMOs) but not more likely than nonusers to report working in a patient-centered medical home (PCMH) or accountable care organization. © Copyright 2016 by the American Board of Family Medicine.

'Operation recovery'--the Atlantic coastal netting project

USGS Publications Warehouse

Baird, J.; Robbins, C.S.; Bagg, A.M.; Dennis, J.V.

1958-01-01

In August and September, 1957, 22 netting stations were operated on and near the Atlantic coast from Nova Scotia to North Carolina. Two were manned for the entire two-month period, half of the others from 1 to 5 weeks, and the remainder for only a few days. Total bandings amounted to 11,613 individuals of 130 species, of which passerine birds made up 97 per cent of the total individuals. Nearly half the birds handled belonged to two families, Parulidae and Fringillidae. The 3 top species, Catbird, Song Sparrow, and Swainson's Thrush, comprised 30 percent of the total. A brief summary of location, habitat, and principal species banded is given for each station. At Middletown, R. I., 92 specimens of 3 species of Hippoboscidae were collected from netted birds. Eleven direct recoveries were reported in 1957, as compared with one each in the 2 preceding years. Two of the 11 were subsequently taken at another coastal netting station, and a third was trapped at a feeding station. The shortest interval of recovery was 5 days for a Northern Waterthrush that was banded at Plum Island, Mass., on September 2 and recaptured at Island Beach, N. J., on September 7, 1957. Observed direction of migration and of local movement at netting stations is discussed, as is distribution of recovery records. Three of the first four recovery records came from north or east of the netting station, quite contrary to the expected direction of fall migration. All cold-frontal passages during August and September are discussed, together with a brief review of their effects on migration at various coastal netting stations. The movement of a high pressure cell from the Great Lakes toward the Maritime Provinces results in a sustained northerly (southward) flow of polar air for two or more days after passage of a cold front; this produces several days of migratory activity, the second frequently being the best. If, however, the High drifts southeastward, stations to the north of its center soon experience a shift to warm, southwesterly winds and a rapid diminution of migration. The status of 21 species of 'rarities' is discussed. The importance of repeat records is reviewed, and examples are given of transients that remained at netting stations from one to four weeks. Station returns from prior years are summarized. Plans for the autumn of 1958 are announced.

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.