Vascular Flora of the Rocky Fork Tract, Tennessee, USA, and Its Use in Conservation and Management

A flora of the 3800 ha Rocky Fork Tract in northeast Tennessee produced 749 species of which 19 were on the Tennessee Rare Plant List and 34 were on the Cherokee National Forest Species Viability List with 87 county records from Greene County and 217 from Unicoi County. Rare species were particularly numerous in the Cyperaceae and Orchidaceae. The tract serves as a refuge for several regionally uncommon species by supporting either large populations or metapopulations of these species. Exotic species comprised 15% of the flora and were most common in the Fabaceae and Poaceae. The most unique habitat was a heath bald dominated by Rhododendron catawbiense with abundant Xerophyllum asphodeloides in the herbaceous layer. While species richness was relatively high compared to regional sites of comparable area, diversity was limited by the absence of high elevation spruce-fir communities and the paucity of wetlands

Pattern and Rate of Decline of a Population of Carolina Hemlock (Tsuga caroliniana Engelm.) in North Carolina

We monitored a population of Carolina Hemlocks in northwestern North Carolina for four years to examine the rate and pattern of decline in response to infestation by Adelges tsugae (Hemlock Woolly Adelgid). Our yearly census of hemlock condition and severity of the adelgid infestation included trees of all sizes. We estimated declines in condition as the portions of the leaf canopy that were lost. Initially, infestation occurred throughout the population but was severe in only a small cluster of individuals. Within 1 year, the area of severe infestation increased in size to encompass 48% of the population. In another region of the population, there was a cluster of relatively healthy individuals comprised largely of seedlings. Of the 4 size-classes of trees, sapling-sized individuals experienced the highest rates of decline in condition. Most trees declined to poor health within 3 years of an observation of moderate to severe infestation

Deidamia Inscriptum (lettered Sphinx Moth) Caterpillars Feeding on Oxydendrum Arboreum (sourwood) and Their Predation by Black Bears in Northeast Tennessee

An outbreak of Deidamia inscriptum (Lettered Sphinx Moth) caterpillars was noted in northeast Tennessee where Oxydendrum arboreum (Sourwood) trees were defoliated. Nearly all published literature and online resources list only plants in the grape family (Vitaceae) as larval food plants. Food-plant preference trials using fresh leaves of 3 woody plant species showed that Deidamiacaterpillars from this region had a preference for Sourwood over Parthenocissus quinquefolia(Virginia Creeper), and rejected Acer rubrum (Red Maple), a non-host species. Ursus americanus(Black Bear) were feeding on the caterpillars as evidenced by bent and broken Sourwood saplings bearing claw marks and by abundant sphingid remains in bear scat

Factors Affecting Access to Administrative Health Data for Research in Canada: A Study Protocol

In Canada, most provinces have established administrative health data repositories to facilitate access to these data for research. Anecdotally, researchers have described delays and substantial inter-provincial variations in the timeliness of data access approvals and receipt of data. Currently, the reasons for these delays and variations in timeliness are not well understood. This paper provides a study protocol for (1) identifying the factors affecting access to administrative health data for research within select Canadian provinces, and (2) comparing factors across provinces to assess whether and how they contribute to inter-provincial variations in access to administrative health data for research

The effect of liner design and materials selection on prosthesis interface heat dissipation

Background and aim: Thermal discomfort often affects prosthesis wearers and could be addressed by increasing liner thermal conductivity. This note explores a liner made from thermally conductive silicone and two additional alternative liner designs. Technique: Thermally conductive silicone was used to create a conductive liner and a hybrid liner. Additionally, one with open elements was made. These were compared with a plain silicone liner and a no liner scenario. Scaled down liner prototypes were used due to the high-cost of the thermally conductive silicone. Temperature decay profiles were collected by attaching thermistors to a heated liner phantom and used to evaluate scenarios. Discussion: No scenario performed much better than the plain silicone liner. Implementation of passive solutions may be easier, but alternative liner materials are unlikely to affect dissipation enough to address thermal discomfort. Based on this work, future research efforts may be better spent developing active thermal discomfort solutions. Clinical relevance Thermal discomfort can increase the probability of skin damage, reduce prosthesis satisfaction and, ultimately, the quality of life. The prosthesis-wearing experience could be improved if thermal discomfort can be addressed by technological improvements

Consumer antibacterial soaps: Effective or just risky?

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/55477/1/Consumer antibacterial soaps Effective or just risky.web 2007 aiello.pd

Idarucizumab for Dabigatran Reversal - Full Cohort Analysis.

BACKGROUND: Idarucizumab, a monoclonal antibody fragment, was developed to reverse the anticoagulant effect of dabigatran. METHODS: We performed a multicenter, prospective, open-label study to determine whether 5 g of intravenous idarucizumab would be able to reverse the anticoagulant effect of dabigatran in patients who had uncontrolled bleeding (group A) or were about to undergo an urgent procedure (group B). The primary end point was the maximum percentage reversal of the anticoagulant effect of dabigatran within 4 hours after the administration of idarucizumab, on the basis of the diluted thrombin time or ecarin clotting time. Secondary end points included the restoration of hemostasis and safety measures. RESULTS: A total of 503 patients were enrolled: 301 in group A, and 202 in group B. The median maximum percentage reversal of dabigatran was 100% (95% confidence interval, 100 to 100), on the basis of either the diluted thrombin time or the ecarin clotting time. In group A, 137 patients (45.5%) presented with gastrointestinal bleeding and 98 (32.6%) presented with intracranial hemorrhage; among the patients who could be assessed, the median time to the cessation of bleeding was 2.5 hours. In group B, the median time to the initiation of the intended procedure was 1.6 hours; periprocedural hemostasis was assessed as normal in 93.4% of the patients, mildly abnormal in 5.1%, and moderately abnormal in 1.5%. At 90 days, thrombotic events had occurred in 6.3% of the patients in group A and in 7.4% in group B, and the mortality rate was 18.8% and 18.9%, respectively. There were no serious adverse safety signals. CONCLUSIONS: In emergency situations, idarucizumab rapidly, durably, and safely reversed the anticoagulant effect of dabigatran. (Funded by Boehringer Ingelheim; RE-VERSE AD ClinicalTrials.gov number, NCT02104947 .)

Governing the UN Sustainable Development Goals: Interactions, Infrastructures, and Institutions

Three of the eight Millennium Development Goals (MDGs) concerned health. There is only one health goal in 17 proposed Sustainable Development Goals (SDGs). Critiques of the MDGs included missed opportunities to realise positive interactions between goals. Here we report on an interdisciplinary analytical review of the SDG process, in which experts in different SDG areas identified potential interactions through a series of interdisciplinary workshops. This process generated a framework that reveals potential conflicts and synergies between goals, and how their interactions might be governed