73 research outputs found

    Combining local- and large-scale models to predict the distributions of invasive plant species

    Get PDF
    Habitat-distribution models are increasingly used to predict the potential distributions of invasive species and to inform monitoring. However, these models assume that species are in equilibrium with the environment, which is clearly not true for most invasive species. Although this assumption is frequently acknowledged, solutions have not been adequately addressed. There are several potential methods for improving habitat-distribution models. Models that require only presence data may be more effective for invasive species, but this assumption has rarely been tested. In addition, combining modeling types to form ‘ensemble’ models may improve the accuracy of predictions. However, even with these improvements, models developed for recently invaded areas are greatly influenced by the current distributions of species and thus reflect near- rather than long-term potential for invasion. Larger scale models from species’ native and invaded ranges may better reflect long-term invasion potential, but they lack finer scale resolution. We compared logistic regression (which uses presence/absence data) and two presence-only methods for modeling the potential distributions of three invasive plant species on the Olympic Peninsula in Washington State, USA. We then combined the three methods to create ensemble models. We also developed climate-envelope models for the same species based on larger scale distributions and combined models from multiple scales to create an index of near- and long-term invasion risk to inform monitoring in Olympic National Park (ONP). Neither presence-only nor ensemble models were more accurate than logistic regression for any of the species. Larger scale models predicted much greater areas at risk of invasion. Our index of near- and long-term invasion risk indicates that \u3c4% of ONP is at high near-term risk of invasion while 67-99% of the Park is at moderate or high long-term risk of invasion. We demonstrate how modeling results can be used to guide the design of monitoring protocols and monitoring results can in turn be used to refine models. We propose that by using models from multiple scales to predict invasion risk and by explicitly linking model development to monitoring, it may be possible to overcome some of the limitations of habitat-distribution models

    Background and First Results from the New AAO/UKST H α

    Get PDF

    Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass

    Get PDF
    Background and Aims The obesity epidemic has led to increased use of Roux-en-Y gastric bypass (RYGB). These patients have an increased incidence of pancreaticobiliary diseases yet standard ERCP is not possible due to surgically altered gastroduodenal anatomy. Laparoscopic-ERCP (LA-ERCP) has been proposed as an option but supporting data are derived from single center small case-series. Therefore, we conducted a large multicenter study to evaluate the feasibility, safety, and outcomes of LA-ERCP. Methods This is retrospective cohort study of adult patients with RYGB who underwent LA-ERCP in 34 centers. Data on demographics, indications, procedure success, and adverse events were collected. Procedure success was defined when all of the following were achieved: reaching the papilla, cannulating the desired duct and providing endoscopic therapy as clinically indicated. Results A total of 579 patients (median age 51, 84% women) were included. Indication for LA-ERCP was biliary in 89%, pancreatic in 8%, and both in 3%. Procedure success was achieved in 98%. Median total procedure time was 152 minutes (IQR 109-210) with median ERCP time 40 minutes (IQR 28-56). Median hospital stay was 2 days (IQR 1-3). Adverse events were 18% (laparoscopy-related 10%, ERCP-related 7%, both 1%) with the clear majority (92%) classified as mild/moderate whereas 8% were severe and 1 death occurred. Conclusion Our large multicenter study indicates that LA-ERCP in patients with RYGB is feasible with a high procedure success rate comparable with that of standard ERCP in patients with normal anatomy. ERCP-related adverse events rate is comparable with conventional ERCP, but the overall adverse event rate was higher due to the added laparoscopy-related events

    COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

    Get PDF
    Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≀ 18 years: 69, 48, 23; 85%), older adults (≄ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

    WILDFIRE AND SOIL ORGANIC CARBON IN SAGEBRUSH-BUNCHGRASS VEGETATION

    No full text
    Volume: 52Start Page: 284End Page: 28

    Spatial patterns of tree mortality in an old-growth Abies-Pseudotsuga stand

    No full text
    Spatial patterns of tree mortality in an old-growth Abies-Pseudotsuga standAcker et al "Spatial patterns of tree mortality in an old-growth Abies-Pseudotsuga stand." Northwest Science. 1996; 70(2): 132-13
    • 

    corecore