43 research outputs found

    Pervasive gaps in Amazonian ecological research

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    Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

    Pervasive gaps in Amazonian ecological research

    Get PDF

    Pervasive gaps in Amazonian ecological research

    Get PDF
    Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

    Why Are Outcomes Different for Registry Patients Enrolled Prospectively and Retrospectively? Insights from the Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF).

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    Background: Retrospective and prospective observational studies are designed to reflect real-world evidence on clinical practice, but can yield conflicting results. The GARFIELD-AF Registry includes both methods of enrolment and allows analysis of differences in patient characteristics and outcomes that may result. Methods and Results: Patients with atrial fibrillation (AF) and ≥1 risk factor for stroke at diagnosis of AF were recruited either retrospectively (n = 5069) or prospectively (n = 5501) from 19 countries and then followed prospectively. The retrospectively enrolled cohort comprised patients with established AF (for a least 6, and up to 24 months before enrolment), who were identified retrospectively (and baseline and partial follow-up data were collected from the emedical records) and then followed prospectively between 0-18 months (such that the total time of follow-up was 24 months; data collection Dec-2009 and Oct-2010). In the prospectively enrolled cohort, patients with newly diagnosed AF (≤6 weeks after diagnosis) were recruited between Mar-2010 and Oct-2011 and were followed for 24 months after enrolment. Differences between the cohorts were observed in clinical characteristics, including type of AF, stroke prevention strategies, and event rates. More patients in the retrospectively identified cohort received vitamin K antagonists (62.1% vs. 53.2%) and fewer received non-vitamin K oral anticoagulants (1.8% vs . 4.2%). All-cause mortality rates per 100 person-years during the prospective follow-up (starting the first study visit up to 1 year) were significantly lower in the retrospective than prospectively identified cohort (3.04 [95% CI 2.51 to 3.67] vs . 4.05 [95% CI 3.53 to 4.63]; p = 0.016). Conclusions: Interpretations of data from registries that aim to evaluate the characteristics and outcomes of patients with AF must take account of differences in registry design and the impact of recall bias and survivorship bias that is incurred with retrospective enrolment. Clinical Trial Registration: - URL: http://www.clinicaltrials.gov . Unique identifier for GARFIELD-AF (NCT01090362)

    Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

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    BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

    Seasonal movements of terrestrial vertebrate between Amazonian flooded and unflooded forests

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    The flood pulse is the main factor structuring and differentiating the ecological communities of Amazonian unflooded (terra firme) and seasonally-flooded (várzea) forests as they require unique adaptations to survive the prolonged annual floods. Therefore, várzea and terra firme forests hammer out a spatio-temporal mosaic of resource availability, which may result in landscape scale seasonal movements of terrestrial vertebrates between adjacent forest types. Yet the lateral movements of terrestrial vertebrates between hydrologically distinct neighbouring forest types exhibiting staggered resource availability remains poorly understood, despite the important implications of this spatial dynamic for the ecology and conservation of forest wildlife. We examined the hypothesis of seasonal movements between two adjacent forest types at two contiguous sustainable-use forest reserves in Western Brazilian Amazonia, investigating the effects of water level, landscape and anthropogenic disturbance on the overall species richness, composition, and abundance of nine major vertebrate trophic guilds. Species richness differed in neighboring terra firme forests between the high-and low-water phases of the flood pulse and terra firme forests were more species rich than várzea forests. There were clear differences in species composition between both forest types and seasons. Generalized Linear Models showed that water level was the main factor explaining aggregate abundance of all species and three trophic guilds. Anthropogenic disturbance and geographic setting of camera trap stations, including distance to the nearest urban center, the number of residents of the nearest community, elevation and the surrounding area of várzea of each camera trap station, had a variety of effects on the terrestrial vertebrate assemblage. Overall vertebrate biomass increased with distance from the nearest urban center. Our results indicate that the persistence of viable populations of large terrestrial vertebrates adjacent to major Amazonian rivers requires large, wellconnected forest landscapes encompassing different forest types to ensure large-scale lateral movements by forest wildlife.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoO pulso de inundação é o principal fator para a estruturação e diferenciação das comunidades ecológicas de florestas de terra firme e de várzea na Amazônia, uma vez que são requeridas adaptações exclusivas para sobreviver às prolongadas enchentes anuais. Desta forma, as várzeas e a terra firme constituem um mosaico espaço-temporal da disponibilidade de recursos, o qual provavelmente resulta em um movimento lateral e sazonal na fauna terrestre entre esses dois ambientes adjacentes. Apesar das importantes implicações desta dinâmica sazonal para a ecologia e conservação da biodiversidade este fenômeno ainda é pouco conhecido. Nós testamos a hipótese de movimentação sazonal entre dois tipos florestais adjacente em duas reservas de uso sustentável na Amazônia ocidental, investigando os efeitos do nível da água bem como características da paisagem e de distúrbio antropogênico sobre a riqueza, composição e abundancia de nove guildas tróficas de vertebrados terrestres. A riqueza de espécies se diferenciou entre as fases seca e cheia do pulso de inundação, florestas de terra firme apresentaram maior riqueza do que as florestas de várzea. Encontramos uma clara diferença na composição de espécies tanto entre as duas fases do pulso de inundação quanto entre os dois tipos florestais. Os modelos lineares generalizados mostram que o nível da água é a principal variável para explicar a variação na abundancia de todas espécies e de três guildas tróficas em particular. As caraterísticas da paisagem e variáveis de distúrbio antopogenico, incluindo distância para o centro urbano mais próximo, elevação e área de várzea no entorno de cada armadilha fotográfica apresentaram uma variedade de efeitos sobre a assembleia de vertebrados terrestres. A biomassa total apresentou uma relação positiva com a distância do centro urbano mais próximo. Nossos resultados indicam que a persistência de populações viáveis de grandes vertebrados terrestres em regiões adjacentes aos grandes rios Amazônicos, requer grandes paisagens bem conectadas e que englobem diferentes formações florestais para assegurar os movimentos laterais d fauna terrestre
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