18 research outputs found
Collection development in the era of big deals
Drawing on an original methodology using citations, downloads, and survey data, this paper analyzes journal usage patterns across 28 Canadian universities. Results show that usage levels vary across disciplines and that different academic platforms varied in their importance to different institutions, with for-profit platforms generally exhibiting lower usage. These results suggest economic inefficiencies exist in “big deal” academic journal subscriptions for universities, as most journals in such bundles are seldom or never used. We recommend that universities coordinate resource sharing and negotiate strategies with academic journal expenditures based on shared interests and usage trends
Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19
IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19.
Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19.
DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022).
INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days.
MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes.
RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively).
CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes.
TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570
The Extratropical Transition of Tropical Cyclones. Part II: Interaction with the Midlatitude Flow, Downstream Impacts, and Implications for Predictability
The article of record as published may be found at http://dx.doi.org/10.1175/MWR-D-17-0329.1This review was partly initiated at the
World Meteorological Organization’s Eighth International
Workshop on Tropical Cyclones in 2014.The extratropical transition (ET) of tropical cyclones often has an important impact on the nature and predictability
of the midlatitude flow. This review synthesizes the current understanding of the dynamical and physical
processes that govern this impact and highlights the relationship of downstream development during ET to highimpact
weather, with a focus on downstreamregions. It updates a previous review from2003 and identifies new and
emerging challenges and future research needs. First, the mechanisms through which the transitioning cyclone impacts
the midlatitude flow in its immediate vicinity are discussed. This ‘‘direct impact’’manifests in the formation of a
jet streak and the amplification of a ridge directly downstream of the cyclone. This initial flow modification triggers or
amplifies amidlatitude Rossby wave packet,which disperses the impact ofETinto downstream regions (downstream
impact) and may contribute to the formation of high-impact weather. Details are provided concerning the impact of
ET on forecast uncertainty in downstream regions and on the impact of observations on forecast skill. The sources
and characteristics of the following key features and processes thatmay determine the manifestation of the impact of
ET on the midlatitude flow are discussed: the upper-tropospheric divergent outflow, mainly associated with latent
heat release in the troposphere below, and the phasing between the transitioning cyclone and the midlatitude wave
pattern. Improving the representation of diabatic processes during ET in models and a climatological assessment of
the ET’s impact on downstream high-impact weather are examples for future research directions.German Science Foundation (DFG)Swiss National Science Foundation (SNSF) PZ00P2_148177/1Helmholtz Association VH-NG-1243Transregional Collaborative Research Center SFB/TRR 165NSF AGS-1240502NSF AGS- 1355960NRL Base Program PE 0601153NONR PE 0602435NAustralian Research Council Centre of Excellence CE110001028NSF ATM-1461753ONR N00014091052
The extratropical transition of tropical cyclones. Part I:Cyclone evolution and direct impacts
ISSN:1520-0493ISSN:0027-064
The Extratropical Transition of Tropical Cyclones. Part I: Cyclone Evolution and Direct Impacts
Extratropical transition (ET) is the process by which a tropical cyclone, upon encountering a baroclinic environment and reduced sea surface temperature at higher latitudes, transforms into an extratropical cyclone. This process is influenced by, and influences, phenomena from the tropics to the midlatitudes and from themeso- to the planetary scales to extents that vary between individual events. Motivated in part by recent high-impact and/or extensively observed events such as NorthAtlanticHurricane Sandy in 2012 and western North Pacific Typhoon Sinlaku in 2008, this review details advances in understanding and predicting ET since the publication of an earlier review in 2003. Methods for diagnosing ETin reanalysis, observational, andmodel-forecast datasets are discussed.New climatologies for the eastern North Pacific and southwest Indian Oceans are presented alongside updates to western North Pacific and North Atlantic Ocean climatologies. Advances in understanding and, in some cases, modeling the direct impacts of ET-related wind, waves, and precipitation are noted. Improved understanding of structural evolution throughout the transformation stage of ET fostered in large part by novel aircraft observations collected in several recent ET events is highlighted. Predictive skill for operational and numerical model ET-related forecasts is discussed along with environmental factors influencing posttransition cyclone structure and evolution. Operational ET forecast and analysis practices and challenges are detailed. In particular, somechallenges of effective hazard communication for the evolving threats posed by a tropical cyclone during and after transition are introduced. This review concludes with recommendations for future work to further improve understanding, forecasts, and hazard communication.</p
Rumors and Runs in Opaque Markets: Evidence from the Panic of 1907
Using a new daily dataset for all stocks traded on the New York Stock Exchange between 1905 and 1910, we study the impact of information asymmetry during the liquidity freeze and market run of October 1907 - one of the most severe financial crises of the 20th century. We estimate that the market run drove up spreads from 0.5% to 3% during the peak of the crisis and, using a spread decomposition, we identify information risk as the largest component of illiquidity. Information costs rose most in the mining sector - the origin of the stock corner and a sector with among the worst track records of corporate governance and accounting. We find other hallmarks of information-based illiquidity: trading volume dropped and price impact rose. Despite short-term cash infusions into the market, the market remained relatively illiquid for several months following the peak of the panic. Notably, market illiquidity risk is priced in the cross section of stock returns. Thus, our findings demonstrate how opaque systems allow idiosyncratic rumors to spread and amplify into a long-lasting, market-wide crisis
Global COVID-19 lockdown highlights humans as both threats and custodians of the environment
The global lockdown to mitigate COVID-19 pandemic health risks has altered human interactions with nature. Here, we report immediate impacts of changes in human activities on wildlife and environmental threats during the early lockdown months of 2020, based on 877 qualitative reports and 332 quantitative assessments from 89 different studies. Hundreds of reports of unusual species observations from around the world suggest that animals quickly responded to the reductions in human presence. However, negative effects of lockdown on conservation also emerged, as confinement resulted in some park officials being unable to perform conservation, restoration and enforcement tasks, resulting in local increases in illegal activities such as hunting. Overall, there is a complex mixture of positive and negative effects of the pandemic lockdown on nature, all of which have the potential to lead to cascading responses which in turn impact wildlife and nature conservation. While the net effect of the lockdown will need to be assessed over years as data becomes available and persistent effects emerge, immediate responses were detected across the world. Thus initial qualitative and quantitative data arising from this serendipitous global quasi-experimental perturbation highlights the dual role that humans play in threatening and protecting species and ecosystems. Pathways to favorably tilt this delicate balance include reducing impacts and increasing conservation effectiveness