Integrating trait-based empirical and modeling research to improve ecological restoration

A global ecological restoration agenda has led to ambitious programs in environmental policy to mitigate declines in biodiversity and ecosystem services. Current restoration programs can incompletely return desired ecosystem service levels, while resilience of restored ecosystems to future threats is unknown. It is therefore essential to advance understanding and better utilize knowledge from ecological literature in restoration approaches. We identified an incomplete linkage between global change ecology, ecosystem function research, and restoration ecology. This gap impedes a full understanding of the interactive effects of changing environmental factors on the long-term provision of ecosystem functions and a quantification of trade-offs and synergies among multiple services. Approaches that account for the effects of multiple changing factors on the composition of plant traits and their direct and indirect impact on the provision of ecosystem functions and services can close this gap. However, studies on this multilayered relationship are currently missing. We therefore propose an integrated restoration agenda complementing trait-based empirical studies with simulation modeling. We introduce an ongoing case study to demonstrate how this framework could allow systematic assessment of the impacts of interacting environmental factors on long-term service provisioning. Our proposed agenda will benefit restoration programs by suggesting plant species compositions with specific traits that maximize the supply of multiple ecosystem services in the long term. Once the suggested compositions have been implemented in actual restoration projects, these assemblages should be monitored to assess whether they are resilient as well as to improve model parameterization. Additionally, the integration of empirical and simulation modeling research can improve global outcomes by raising the awareness of which restoration goals can be achieved, due to the quantification of trade-offs and synergies among ecosystem services under a wide range of environmental conditions

Climate Sensitivity of the Arid Scrublands on the Tibetan Plateau Mediated by Plant Nutrient Traits and Soil Nutrient Availability

Climate models predict the further intensification of global warming in the future. Drylands, as one of the most fragile ecosystems, are vulnerable to changes in temperature, precipitation, and drought extremes. However, it is still unclear how plant traits interact with soil properties to regulate drylands’ responses to seasonal and interannual climate change. The vegetation sensitivity index (VSI) of desert scrubs in the Qaidam Basin (NE Tibetan Plateau) was assessed by summarizing the relative contributions of temperature (SGST), precipitation (SGSP), and drought (temperature vegetation dryness index, STVDI) to the dynamics of the normalized difference vegetation index (NDVI) during plant growing months yearly from 2000 to 2015. Nutrient contents, including carbon, nitrogen, phosphorus, and potassium in topsoils and leaves of plants, were measured for seven types of desert scrub communities at 22 sites in the summer of 2016. Multiple linear and structural equation models were used to reveal how leaf and soil nutrient regimes affect desert scrubs’ sensitivity to climate variability. The results showed that total soil nitrogen (STN) and leaf carbon content (LC), respectively, explained 25.9% and 17.0% of the VSI variance across different scrub communities. Structural equation modeling (SEM) revealed that STN and total soil potassium (STK) mediated desert scrub’s VSI indirectly via SGST (with standardized path strength of −0.35 and +0.32, respectively) while LC indirectly via SGST and SGSP (with standardized path strength of −0.31 and −0.19, respectively). Neither soil nor leave nutrient contents alone could explain the VSI variance across different sites, except for the indirect influences of STN and STK via STVDI (−0.18 and 0.16, respectively). Overall, this study disentangled the relative importance of plant nutrient traits and soil nutrient availability in mediating the climatic sensitivity of desert scrubs in the Tibetan Plateau. Integrating soil nutrient availability with plant functional traits together is recommended to better understand the mechanisms behind dryland dynamics under global climate change

Global change shifts trade‐offs among ecosystem functions in woodlands restored for multifunctionality

1. Ecological restoration increasingly aims at improving ecosystem multifunctionality and making landscapes resilient to future threats, especially in biodiversity hotspots such as Mediterranean-type ecosystems. Plants and their traits play a major role in the functioning of an ecosystem. Therefore, successful restoration towards long-term multifunctionality requires a fundamental mechanistic understanding of this link under changing climate. An integrated approach of empirical research and simulation modelling with a focus on plant traits can allow this understanding. 2. Based on empirical data from a large-scale restoration project in a Mediterranean-type ecosystem in Western Australia, we developed and validated the spatially explicit simulation model ModEST, which calculates coupled dynamics of nutrients, water and individual plants characterised by functional traits. We then simulated all possible combinations of eight plant species with different levels of diversity to assess the role of plant diversity and traits on multifunctionality, the provision of six ecosystem functions that can be linked to ecosystem services, as well as trade-offs and synergies among the functions under current and future climatic conditions. 3. Our results show that multifunctionality cannot fully be achieved because of trade-offs among functions that are attributable to sets of traits that affect functions differently. Our measure of multifunctionality was increased by higher levels of planted species richness under current, but not future climatic conditions. In contrast, single functions were differently impacted by increased plant diversity and thus the choice and weighting of these functions affected multifunctionality. In addition, we found that trade-offs and synergies among functions shifted with climate change due to different direct and indirect (mediated via community trait changes) effects of climate change on functions. 4. Synthesis and application: With our simulation model ModEST, we show that restoration towards multifunctionality might be challenging not only under current conditions, but also in the long-term. However, once ModEST is parameterized and validated for a specific restoration site, managers can assess which target goals can be achieved given the set of available plant species and site-specific conditions. It can also highlight which species combinations can best achieve long-term improved multifunctionality due to their trait diversity

The use of the Airtraq® optical laryngoscope for routine tracheal intubation in high-risk cardio-surgical patients

<p>Abstract</p> <p>Background</p> <p>The Airtraq^®optical laryngoscope (Prodol Ltd., Vizcaya, Spain) is a novel disposable device facilitating tracheal intubation in routine and difficult airway patients. No data investigating routine tracheal intubation using the Airtaq^®in patients at a high cardiac risk are available at present. Purpose of this study was to investigate the feasibility and hemodynamic implications of tracheal intubation with the Aitraq^®optical laryngoscope, in high-risk cardio-surgical patients.</p> <p>Methods</p> <p>123 consecutive ASA III patients undergoing elective coronary artery bypass grafting were routinely intubated with the Airtraq^®laryngoscope. Induction of anesthesia was standardized according to our institutional protocol. All tracheal intubations were performed by six anesthetists trained in the use of the Airtraq^®prior.</p> <p>Results</p> <p>Overall success rate was 100% (n = 123). All but five patients trachea could be intubated in the first attempt (95,9%). 5 patients were intubated in a 2nd (n = 4) or 3rd (n = 1) attempt. Mean intubation time was 24.3 s (range 16-128 s). Heart rate, arterial blood pressure and SpO₂were not significantly altered. Minor complications were observed in 6 patients (4,8%), i.e. two lesions of the lips and four minor superficial mucosal bleedings. Intubation duration (p = 0.62) and number of attempts (p = 0.26) were independent from BMI and Mallampati score.</p> <p>Conclusion</p> <p>Tracheal intubation with the Airtraq^®optical laryngoscope was feasible, save and easy to perform in high-risk patients undergoing cardiac surgery. In all patients, a sufficient view on the vocal cords could be obtained, independent from BMI and preoperative Mallampati score.</p> <p>Trial Registration</p> <p>DRKS 00003230</p

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Small-scale structures in noctilucent clouds observed by lidar

Noctilucent clouds (NLC) are mesospheric ice clouds occurring in the summer hemisphere at high latitudes and an altitude of about 83km. This region is the coldest of the earth's atmosphere and is characterized by the presence of wave interaction and dissipation. The processes involved here lead to a variety of structures and instabilities that become visible in noctilucent clouds and are observed by different instruments. In this work high-resolution lidar measurements are used to give a wide overview of the structures at small scales below the Brunt–Väisälä period of ∼5min. For the first time a large amount of NLC profiles from lidar with a temporal resolution of 1s is analyzed in detail, covering about 1400h during the summer from 2011 to 2018. A new categorization focusing on small-scale structures is introduced, and occurrence statistics for these categories in the season of 2014 are performed. Both wave structures with periods below 10min and thin layers of <100m thickness are commonly found. When taking simultaneous wind measurements into account, we find that structures often are advected by the wind. © 2020 The Author