9 research outputs found

    Use of anticoagulants and antiplatelet agents in stable outpatients with coronary artery disease and atrial fibrillation. International CLARIFY registry

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    Effects of travertine and flow on leaf retention in Fossil Creek, Arizona

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    Abstract Leaf retention is important in transferring energy from riparian trees to stream food webs. Retention increases with geomorphic complexity such as substrate coarseness, sinuosity, and the presence of debris dams. High discharge can reduce retention, particularly when streams lack physical trapping features. Travertine formations, caused by calcium carbonate deposition, can alter stream morphology. To date, however, we know of no study testing the effect of travertine on leaf retention. This study capitalized on a river restoration project in Fossil Creek, Arizona, where water was returned to the channel after a century of diversion. We examined how the fixed factors Flow (before and after restoration) and Morphology (travertine and rifflepool sites) affected leaf retention. Leaf retention was higher in sites where travertine forms barriers across the river, relative to sites with riffle-pool morphology. Most leaves retained in travertine reaches were concentrated at the bottom of pools formed between dams. Although flow restoration did not alter retention rates across all sites, it diminished them at travertine sites, indicating an interaction between stream flow and morphology. We conclude that stream complexity and leaf retention are enhanced by travertine deposition but that high discharge can reduce the retentive capacity of in-stream structures

    Functional trait-based approaches as a common framework for aquatic ecologists

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    Aquatic ecologists face challenges in identifying the general rules of the functioning of ecosystems. A common framework, including freshwater, marine, benthic, and pelagic ecologists, is needed to bridge communication gaps and foster knowledge sharing. This framework should transcend local specificities and taxonomy in order to provide a common ground and shareable tools to address common scientific challenges. Here, we advocate the use of functional trait-based approaches (FTBAs) for aquatic ecologists and propose concrete paths to go forward. Firstly, we propose to unify existing definitions in FTBAs to adopt a common language. Secondly, we list the numerous databases referencing functional traits for aquatic organisms. Thirdly, we present a synthesis on traditional as well as recent promising methods for the study of aquatic functional traits, including imaging and genomics. Finally, we conclude with a highlight on scientific challenges and promising venues for which FTBAs should foster opportunities for future research. By offering practical tools, our framework provides a clear path forward to the adoption of trait-based approaches in aquatic ecology.ISSN:0024-3590ISSN:1939-559

    Functional trait‐based approaches as a common framework for aquatic ecologists

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    Colorectal Endoscopic Stenting Trial (CReST) for obstructing left-sided colorectal cancer: randomized clinical trial

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    Background Colorectal cancer often presents with obstruction needing urgent, potentially life-saving decompression. The comparative efficacy and safety of endoluminal stenting versus emergency surgery as initial treatment for such patients is uncertain. Methods Patients with left-sided colonic obstruction and radiological features of carcinoma were randomized to endoluminal stenting using a combined endoscopic/fluoroscopic technique followed by elective surgery 1–4 weeks later, or surgical decompression with or without tumour resection. Treatment allocation was via a central randomization service using a minimization procedure stratified by curative intent, primary tumour site, and severity score (Acute Physiology And Chronic Health Evaluation). Co-primary outcome measures were duration of hospital stay and 30-day mortality. Secondary outcomes were stoma formation, stenting completion and complication rates, perioperative morbidity, 6-month survival, 3-year recurrence, resource use, adherence to chemotherapy, and quality of life. Analyses were undertaken by intention to treat. Results Between 23 April 2009 and 22 December 2014, 245 patients from 39 hospitals were randomized. Stenting was attempted in 119 of 123 allocated patients (96.7 per cent), achieving relief of obstruction in 98 of 119 (82.4 per cent). For the 89 per cent treated with curative intent, there were no significant differences in 30-day postoperative mortality (3.6 per cent (4 of 110) versus 5.6 per cent (6 of 107); P = 0.48), or duration of hospital stay (median 19 (i.q.r. 11–34) versus 18 (10–28) days; P = 0.94) between stenting followed by delayed elective surgery and emergency surgery. Among patients undergoing potentially curative treatment, stoma formation occurred less frequently in those allocated to stenting than those allocated to immediate surgery (47 of 99 (47.5 per cent) versus 72 of 106 (67.9 per cent); P = 0.003). There were no significant differences in perioperative morbidity, critical care use, quality of life, 3-year recurrence or mortality between treatment groups. Conclusion Stenting as a bridge to surgery reduces stoma formation without detrimental effects. Registration number: ISRCTN13846816 (http://www.controlled-trials.com)
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