Short-term root and leaf decomposition of two dominant plant species in a Siberian tundra

In tundra ecosystems, global warming is expected to accelerate litter decomposition and to lead to shifts in vegetation composition. To understand these shifts, it is important to understand the interactions between global warming, vegetation composition, litter quality and decomposition in the tundra. In addition, it is important to consider root litter since roots are the major part of plant biomass in the tundra. In order to increase our understanding of decomposition, and root decomposition in particular, we performed a litter transplant experiment in northeastern Siberia, in which we measured mass loss for leaf and root litter (live and dead material) of the two dominant plant species, graminoid Eriophorum vaginatum and shrub Betula nana, in three vegetation types (E. vaginatum or B. nana dominated and mixed vegetation) during the growing season.Our results show that although leaf decomposition did not differ between the two species, root decomposition showed significant differences. Mass loss of live roots was higher for E. vaginatum than for B. nana, but mass loss of E. vaginatum dead roots was lowest. In addition, we found evidence for home-field advantage in litter decomposition: litter of a plant decomposed faster in vegetation where it was dominant. Mass loss rates of the litter types were significantly correlated with phosphorus content, rather than nitrogen content. This indicates that phosphorus limits decomposition in this tundra site.The low decomposition rate of B. nana live roots compared to E. vaginatum live roots suggests that the acceleration of decomposition in the Arctic may be partly counteracted by the expected expansion of shrubs. However, more information on litter input rates and direct effects of climate change on decomposition rates are needed to accurately predict the effects of climate change on carbon dynamics in tundra ecosystems.</p

Deciduous Tundra Shrubs Shift Toward More Acquisitive Light Absorption Strategy Under Climate Change Treatments

The effects of climate change on plants are particularly pronounced in the Arctic region. Warming relaxes the temperature and nutrients boundaries that limit tundra plant growth. Increased resource availability under future climate conditions may induce a shift from a conservative economic strategy to an acquisitive one. Following the leaf economics spectrum that hypothesizes a strategy gradient between survival, plant size and costs for the photosynthetic leaf area, light absorption of tundra plants may increase. We investigated climate change effects on light absorptance and the relationship between light absorptance (fraction of absorbed photosynthetically active radiation, FAPAR) and structural and nutritional leaf traits, performing a soil warming and surface soil fertilization experiment on two deciduous tundra shrub species. Our results show that fertilization and warming combined increase light absorptance in Arctic shrubs and that FAPAR is correlated with leaf nutrients but not with structural leaf traits. This indicates an economic strategy shift of shrubs from conservative to acquisitive induced by warming and fertilization combined. We found species‐specific differences: FAPAR was influenced by warming alone in Betula nana but not in Salix pulchra, and FAPAR was correlated with leaf phosphorus in B. nana but not in S. pulchra. We attribute this to water limitation of B. nana that generally grows in drier areas within the study site compared to S. pulchra. We conclude that FAPAR is a measure that opens up more possibilities to estimate nutritional leaf traits and nutrient cycles, plant economic strategies, and ecological feedbacks of the tundra ecosystem on broader scales

Comparing the effectiveness and cost-effectiveness of self-management interventions in four high-priority chronic conditions in Europe (COMPAR-EU): a research protocol

Introduction Population ageing and increasing chronic illness burden have sparked interest in innovative care models. While self-management interventions (SMIs) are drawing increasing attention, evidence of their efficacy is mostly based on pairwise meta-analysis, generally derived from randomised controlled trials comparing interventions versus a control or no intervention. As such, relevant efficacy data for comparisons among dif

The Perspectives of Patients with Chronic Diseases and Their Caregivers on Self-Management Interventions : A Scoping Review of Reviews

Self-management (SM) interventions are supportive interventions systematically provided by healthcare professionals, peers, or laypersons to increase the skills and confidence of patients in their ability to manage chronic diseases. We had two objectives: (1) to summarise the preferences and experiences of patients and their caregivers (informal caregivers and healthcare professionals) with SM in four chronic diseases and (2) to identify and describe the relevant outcomes for SM interventions from these perspectives. We conducted a mixed-methods scoping review of reviews. We searched three databases until December 2020 for quantitative, qualitative, or mixed-methods reviews exploring patients' and caregivers' preferences or experiences with SM in type 2 diabetes mellitus (T2DM), obesity, chronic obstructive pulmonary disease (COPD), and heart failure (HF). Quantitative data were narratively synthesised, and qualitative data followed a three-step descriptive thematic synthesis. Identified themes were categorised into outcomes or modifiable factors of SM interventions. We included 148 reviews covering T2DM (n = 53 [35.8%]), obesity (n = 20 [13.5%]), COPD (n = 32 [21.6%]), HF (n = 38 [25.7%]), and those with more than one disease (n = 5 [3.4%]). We identified 12 main themes. Eight described the process of SM (disease progression, SM behaviours, social support, interaction with healthcare professionals, access to healthcare, costs for patients, culturally defined roles and perceptions, and health knowledge), and four described their experiences with SM interventions (the perceived benefit of the intervention, individualised care, sense of community with peers, and usability of equipment). Most themes and subthemes were categorised as outcomes of SM interventions. The process of SM shaped the perspectives of patients and their caregivers on SM interventions. Their perspectives were influenced by the perceived benefit of the intervention, the sense of community with peers, the intervention's usability, and the level of individualised care. Our findings can inform the selection of patient-important outcomes, decision-making processes, including the formulation of recommendations, and the design and implementation of SM interventions

A robust and standardized method to isolate and expand mesenchymal stromal cells from human umbilical cord

Background aimsHuman umbilical cord–derived mesenchymal stromal cells (hUC-MSCs) are increasingly used in research and therapy. To obtain hUC-MSCs, a diversity of isolation and expansion methods are applied. Here, we report on a robust and standardized method for hUC-MSC isolation and expansion.MethodsUsing 90 hUC donors, we compared and optimized critical variables during each phase of the multi-step procedure involving UC collection, processing, MSC isolation, expansion and characterization. Furthermore, we assessed the effect of donor-to-donor variability regarding UC morphology and donor attributes on hUC-MSC characteristics.ResultsWe demonstrated robustness of our method across 90 UC donors at each step of the procedure. With our method, UCs can be collected up to 6 h after birth, and UC-processing can be initiated up to 48 h after collection without impacting on hUC-MSC characteristics. The removal of blood vessels before explant cultures improved hUC-MSC purity. Expansion in Minimum essential medium α supplemented with human platelet lysate increased reproducibility of the expansion rate and MSC characteristics as compared with Dulbecco's Modified Eagle's Medium supplemented with fetal bovine serum. The isolated hUC-MSCs showed a purity of ∼98.9%, a viability of >97% and a high proliferative capacity. Trilineage differentiation capacity of hUC-MSCs was reduced as compared with bone marrow-derived MSCs. Functional assays indicated that the hUC-MSCs were able to inhibit T-cell proliferation demonstrating their immune-modulatory capacity.ConclusionsWe present a robust and standardized method to isolate and expand hUC-MSCs, minimizing technical variability and thereby lay a foundation to advance reliability and comparability of results obtained from different donors and different studies.Molecular Epidemiolog

Exploring the Effectiveness of Self-Management Interventions in Type 2 Diabetes:A Systematic Review and Network Meta-Analysis

Background: Chronic diseases are a leading cause of global morbidity and mortality. In response to this challenge, self-management interventions (SMIs) have emerged as an essential tool in improving patient outcomes. However, the diverse and complex nature of SMIs pose significant challenges in measuring their effectiveness. This work aims to investigate the comparative effectiveness of SMIs on Type 2 diabetes mellitus (T2DM) outcomes. Methods: A rigorous analytical framework was employed to assess the relative effectiveness of different SMIs, encompassing both pairwise and network meta-analysis (NMA), as well as component network meta-analysis (CNMA). Various outcomes were considered, including glycated hemoglobin (HbA1c) control, body mass index (BMI) reduction and low-density lipoprotein (LDL) cholesterol. Visualization tools were also utilized to enhance the interpretation of results. Results: SMIs were found promising in improving clinical outcomes and patient-reported measures. However, considerable heterogeneity and inconsistency across studies challenged the validity of NMA results. CNMA along with various visualization tools offered insights into the contributions of individual SMI components, highlighting the complexity of these interventions. Discussion/Conclusions: SMIs represent a valuable approach to managing chronic conditions, but their effectiveness is context-dependent. Further research is needed to elucidate the contextual factors influencing SMI outcomes. This work contributes to a comprehensive understanding of SMIs’ role in T2DM management, aiming to aid decision-makers, clinicians, and patients in selecting tailored interventions.</p

Exploring the Effectiveness of Self-Management Interventions in Type 2 Diabetes:A Systematic Review and Network Meta-Analysis

Background: Chronic diseases are a leading cause of global morbidity and mortality. In response to this challenge, self-management interventions (SMIs) have emerged as an essential tool in improving patient outcomes. However, the diverse and complex nature of SMIs pose significant challenges in measuring their effectiveness. This work aims to investigate the comparative effectiveness of SMIs on Type 2 diabetes mellitus (T2DM) outcomes. Methods: A rigorous analytical framework was employed to assess the relative effectiveness of different SMIs, encompassing both pairwise and network meta-analysis (NMA), as well as component network meta-analysis (CNMA). Various outcomes were considered, including glycated hemoglobin (HbA1c) control, body mass index (BMI) reduction and low-density lipoprotein (LDL) cholesterol. Visualization tools were also utilized to enhance the interpretation of results. Results: SMIs were found promising in improving clinical outcomes and patient-reported measures. However, considerable heterogeneity and inconsistency across studies challenged the validity of NMA results. CNMA along with various visualization tools offered insights into the contributions of individual SMI components, highlighting the complexity of these interventions. Discussion/Conclusions: SMIs represent a valuable approach to managing chronic conditions, but their effectiveness is context-dependent. Further research is needed to elucidate the contextual factors influencing SMI outcomes. This work contributes to a comprehensive understanding of SMIs’ role in T2DM management, aiming to aid decision-makers, clinicians, and patients in selecting tailored interventions.</p