9 research outputs found

    Population structure of Araucaria angustifolia in the Iguaçu National Park.

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    Estrutura populacional de Araucaria angustifolia no Parque Nacional do Iguaçu. O objetivo do presente trabalho foi analisar a estrutura populacional, regeneração e distribuição espacial de Araucaria angustifolia (Bertol.) Kuntz no interior de uma floresta natural e na borda de uma floresta com monocultura agrícola. Todos os indivíduos de araucária a partir de 10 cm de altura foram registrados em 200 parcelas de 10 x 10 m, sendo amostrados 479 indivíduos (416 na borda e 63 no interior). Desses, 33 eram fêmeas, 37 machos, 49 juvenis e 360 regenerantes. A estrutura da população apresentou padrão semelhante ao J-invertido. Os indivíduos regenerantes apresentaram principalmente o padrão agregado de distribuição, já para os juvenis, machos e fêmeas o padrão foi uniforme. A densidade do dossel influenciou a frequência de indivíduos, sendo observadas maiores frequências em maiores densidades, indicando que a regeneração da espécie é mais efetiva em ambientes sombreados. Devido ao grande número de indivíduos amostrados em diferentes classes de tamanho, o Parque Nacional do Iguaçu representa um importante remanescente na conservação de A. angustifolia

    Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

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    Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42\ub74% vs 44\ub72%; absolute difference \u20131\ub769 [\u20139\ub758 to 6\ub711] p=0\ub767; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5\u20138] vs 6 [5\u20138] cm H2O; p=0\ub70011). ICU mortality was higher in MICs than in HICs (30\ub75% vs 19\ub79%; p=0\ub70004; adjusted effect 16\ub741% [95% CI 9\ub752\u201323\ub752]; p<0\ub70001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0\ub780 [95% CI 0\ub775\u20130\ub786]; p<0\ub70001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status. Funding: No funding

    POPULATION STRUCTURE OF Araucaria angustifolia IN THE IGUAÇU NATIONAL PARK

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    AbstractThe aim of this study was to analyze the population structure, regeneration and spatial distribution of Araucaria angustifolia (Bertol.) Kuntz. within a natural forest and in forest edge with agricultural monoculture. All araucaria individuals from 10 cm high were recorded in 200 plots of 10 x 10 m. 479 individuals were sampled (416 at the edge and 63 inside). Of these, 33 were females, 37 males, 49 juveniles and 360 regenerating individuals. The population structure performance was similar to standard inverted-J. Regenerating individuals had mainly the aggregate distribution pattern, while juveniles, males and females had a uniform pattern. Density of the canopy affected frequency of the individuals, where higher frequencies at higher densities were observed, indicating that regeneration of this species is more effective in shadowed environments. Due to the large number of individuals sampled in different size classes, the Iguaçu National Park is an important conservation remaining of A. angustifolia.Keyword: Density canopy; mixed temperate rain forest; spatial distribution; regeneration.  ResumoEstrutura populacional de Araucaria angustifolia no Parque Nacional do Iguaçu. O objetivo do presente trabalho foi analisar a estrutura populacional, regeneração e distribuição espacial de Araucaria angustifolia (Bertol.) Kuntz no interior de uma floresta natural e na borda de uma floresta com monocultura agrícola. Todos os indivíduos de araucária a partir de 10 cm de altura foram registrados em 200 parcelas de 10 x 10 m, sendo amostrados 479 indivíduos (416 na borda e 63 no interior). Desses, 33 eram fêmeas, 37 machos, 49 juvenis e 360 regenerantes. A estrutura da população apresentou padrão semelhante ao J-invertido. Os indivíduos regenerantes apresentaram principalmente o padrão agregado de distribuição, já para os juvenis, machos e fêmeas o padrão foi uniforme. A densidade do dossel influenciou a frequência de indivíduos, sendo observadas maiores frequências em maiores densidades, indicando que a regeneração da espécie é mais efetiva em ambientes sombreados. Devido ao grande número de indivíduos amostrados em diferentes classes de tamanho, o Parque Nacional do Iguaçu representa um importante remanescente na conservação de A. angustifolia.Palavras-chave: Densidade do dossel; Floresta Ombrófila Mista; distribuição espacial; regeneração.The aim of this study was to analyze the population structure, regeneration and spatial distribution of Araucaria angustifolia (Bertol.) Kuntz. within a natural forest and in forest edge with agricultural monoculture. All araucaria individuals from 10 cm high were recorded in 200 plots of 10 x 10 m. 479 individuals were sampled (416 at the edge and 63 inside). Of these, 33 were females, 37 males, 49 juveniles and 360 regenerating individuals. The population structure performance was similar to standard inverted-J. Regenerating individuals had mainly the aggregate distribution pattern, while juveniles, males and females had a uniform pattern. Density of the canopy affected frequency of the individuals, where higher frequencies at higher densities were observed, indicating that regeneration of this species is more effective in shadowed environments. Due to the large number of individuals sampled in different size classes, the Iguaçu National Park is an important conservation remaining of A. angustifolia.Keyword: Density canopy; mixed temperate rain forest; spatial distribution; regeneration.

    Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

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    Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42·4% vs 44·2%; absolute difference -1·69 [-9·58 to 6·11] p=0·67; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5-8] vs 6 [5-8] cm H2O; p=0·0011). ICU mortality was higher in MICs than in HICs (30·5% vs 19·9%; p=0·0004; adjusted effect 16·41% [95% CI 9·52-23·52]; p<0·0001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0·80 [95% CI 0·75-0·86]; p<0·0001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status
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