1,658 research outputs found

    Human activity and demographics drive the fire regime in a highly developed European boreal region

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    Organization of successful wildfire prevention and suppression require detailed information on ignition causes, size distributions and relations to weather. From a large and highly detailed dataset of Swedish wildfire incidents (n = 124 000) we assess temporal, geographical and human-related patterns over a 25-year-period (1996-2020). We find strong positive correlations between population density and wildfire occurrence, primarily caused by a wide spectrum of human activities. However, fires >10 ha mostly occurred in sparsely populated regions and were more often ignited by lightning or heavy machinery. Further, large fires had a history of long response times and insufficient mop-up, in turn intimately linked to low population density. We detect no trend over the 25-year-period in either fire weather, number of ignitions or burned area, but a dramatic decline in wildfire caused by children's play as well as by springtime burning of dead grass, a traditional fire use in rural areas. Our results indicate that irrespective of climate change, societal changes such as rural depopulation and cultural shifts are imminently important for the future fire regime in this intensely managed part of the boreal, and may warrant more attention worldwide

    Clinical Decision-Making of Nurses Regarding Elder Abuse

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    A descriptive correlational design based on an adapted model of Donabedian’s Structure, Process, Outcome model and Benner’s Novice to Expert theory was used to examine the clinical decision-making of nurses regarding elder abuse. The relationship of the nurses applied knowledge (assessment cues) of elder abuse; demographic questions (e.g. years of experience as a Registered Nurse (RN) and their clinical level of practice status), the use of intuition in nursing practice; and clinical decision outcomes (interventions) for patients in cases of suspected elder abuse was examined. A convenience sample of RNs who worked in the emergency department (ED) in three acute care hospitals, in southeastern United States were asked to complete questionnaires on education about elder abuse, their intuition use, demographic information, applied knowledge of elder abuse, and clinical decision outcomes for suspected elder abuse. The majority of the nurses had participated in the clinical level of practice status program.The convenience sample of 84 RNs consisted of 68 females (81%) and 16 males (19%). The average age of the respondents was 41.43 years. The mean number of years worked as a RN was 13.87 years. Multiple regression results indicated an overall model of two predictors (RNs applied knowledge (assessment cues) and years worked as a RN) significantly predicted clinical decision outcomes (interventions). The model accounted for 25.1% variance in clinical decision outcomes. The t-test revealed there was no difference (applied knowledge (assessment cues) of elder abuse, intuition use in nursing, years working as a RN, clinical level of practice status, and clinical decision outcomes (interventions)) between RNs who received elder abuse education at orientation and those who did not receive the education. The study results suggest that years of working as a nurse supported elder abuse recognition and intervention. The clinical level of practice status of nurses was found not to be a sensitive indicator. Elder abuse education during orientation varied between the hospital settings. The results indicate the educational need for nurses regarding suspected elder abuse

    An Analytic Framework for Design-Oriented Research Concepts

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    Over the last few decades, the field of information systems has shown a steadily increasing interest in design-oriented research. This is manifested through the emergence of different ontological and epistemological positions among IS researchers. Some challenges arise from this development, such as (a) a need to understand design-oriented IS research in relation to design-oriented approaches in other disciplines, and (b) a need for design theory representation that targets and is useful to stakeholders in both research and practice. This paper proposes a conceptual framework for understanding designoriented research, and its implications for research with a focus on meeting the two challenges mentioned above

    Investigation of the limits of nanoscale filopodial interactions

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    Mesenchymal stem cells are sensitive to changes in feature height, order and spacing. We had previously noted that there was an inverse relationship between osteoinductive potential and feature height on 15-, 55- and 90 nm-high titania nanopillars, with 15 nm-high pillars being the most effective substrate at inducing osteogenesis of human mesenchymal stem cells. The osteoinductive effect was somewhat diminished by decreasing the feature height to 8 nm, however, which suggested that there was a cut-off point, potentially associated with a change in cell–nanofeature interactions. To investigate this further, in this study, a scanning electron microscopy/three-dimensional scanning electron microscopy approach was used to examine the interactions between mesenchymal stem cells and the 8 and 15 nm nanopillared surfaces. As expected, the cells adopted a predominantly filopodial mode of interaction with the 15 nm-high pillars. Interestingly, fine nanoscale membrane projections, which we have termed ‘nanopodia,’ were also employed by the cells on the 8 nm pillars, and it seems that this is analogous to the cells ‘clinging on with their fingertips’ to this scale of features

    Aridification of Central Asia and uplift of the Altai and Hangay mountains, Mongolia: stable isotope evidence

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    Central Asia has become increasingly arid during the Cenozoic, though the mechanisms behind this aridification remain unresolved. Much attention has focused on the influence and uplift history of the Tibetan Plateau. However, the role of ranges linked to India-Asia convergence but well north of the Plateau—including the Altai, Sayan, and Hangay—in creating the arid climate of Central Asia is poorly understood. Today, these ranges create a prominent rain shadow, effectively separating the boreal forest to the north from the deserts of Central Asia. To explore the role of these mountains in modifying climate since the late Eocene, we measured carbon and oxygen stable isotopes in paleosol carbonates from three basins along a 650 km long transect at the northern edge of the Gobi Desert in Mongolia and in the lee of the Altai and Hangay mountains. We combine these data with modern air-parcel back-trajectory modeling to understand regional moisture transport pathways at each basin. In all basins, δ¹³C increases, with the largest increase in western Mongolia. The first δ¹³C increase occurs in central and southwestern Mongolia in the Oligocene. δ¹³C again increases from the upper Miocene to the Quaternary in western and southwestern Mongolia. We use a 1-D soil diffusion model to demonstrate that these δ¹³C increases are linked to declines in soil respiration driven by dramatic increases in aridity. Using modern-day empirical relations between mean annual precipitation and soil respiration, we estimate that precipitation has likely more than halved over the Neogene. Given the importance of the Hangay and Altai in steering moisture in Mongolia, we attribute these changes to differential surface uplift of the Hangay and Altai. Surface uplift in the Hangay began by the early Oligocene, blocking Siberian moisture and aridifying the northern Gobi. In contrast, surface uplift of the Altai began in the late Miocene, blocking moisture from reaching western Mongolia. Thus, the northern Gobi became increasingly arid east to west since the late Eocene, likely driven by orographic development in the Hangay during the Oligocene and the Altai in the late Miocene through Pliocene

    Effects of the sodium-glucose co-transporter-2 inhibitor dapagliflozin on estimated plasma volume in patients with type 2 diabetes

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    Aims To compare the effects of the sodium-glucose co-transporter-2 (SGLT2) inhibitor dapagliflozin on estimated (ePV) and measured plasma volume (mPV) and to characterize the effects of dapagliflozin on ePV in a broad population of patients with type 2 diabetes. Materials and methods The Strauss formula was used to calculate changes in ePV. Change in plasma volume measured with I-125-human serum albumin (mPV) was compared with change in ePV in 10 patients with type 2 diabetes randomized to dapagliflozin 10 mg/d or placebo. Subsequently, changes in ePV were measured in a pooled database of 13 phase 2b/3 placebo-controlled clinical trials involving 4533 patients with type 2 diabetes who were randomized to dapagliflozin 10 mg daily or matched placebo. Results The median change in ePV was similar to the median change in mPV (-9.4% and -9.0%) during dapagliflozin treatment. In the pooled analysis of clinical trials, dapagliflozin decreased ePV by 9.6% (95% confidence interval 9.0 to 10.2) compared to placebo after 24 weeks. This effect was consistent in various patient subgroups, including subgroups with or without diuretic use or established cardiovascular disease. Conclusions ePV may be used as a proxy to assess changes in plasma volume during dapagliflozin treatment. Dapagliflozin consistently decreased ePV compared to placebo in a broad population of patients with type 2 diabetes

    Influence of Fiber-Bragg Grating-Induced Group-Delay Ripple in High-Speed Transmission Systems

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    The implementation of a chirped fiber-Bragg grating (FBG) for dispersion compensation in high-speed (up to 120 Gbit/s) transmission systems with differential and coherent detection is, for the first time, experimentally investigated. For systems with differential detection, we examine the influence of group-delay ripple (GDR) in 40 GBd 2-, 4-, and 8-ary differential phase shift keying (DPSK) systems. Furthermore, we conduct a nonlinear-tolerance comparison between the systems implementing dispersion-compensating fibers and FBG modules, using a 5 x 80 Gbit/s 100-GHz-spaced wavelength division multiplexing 4-ary DPSK signal. The results show that the FBG-based system provides a 2 dB higher optimal launch power, which leads to more than 3 dB optical signal-to-noise ratio (OSNR) improvement at the receiver. For systems with coherent detection, we evaluate the influence of GDR in a 112 Gbit/s dual-polarization quadrature phase shift keying system with respect to signal wavelength. In addition, we demonstrate that, at the optimal launch power, the 112 Gbit/s systems implementing FBG modules and that using electronic dispersion compensation provide similar performance after 840 km transmission despite the fact that the FBG-based system delivers lower OSNR at the receiver. Lastly, we quantify the GDR mitigation capability of a digital linear equalizer in the 112 Gbit/s coherent systems with respect to the equalizer tap number (N-tap). The results indicate that at least N-tap = 9 is required to confine Q-factor variation within 1 dB

    Prediction of the effect of dapagliflozin on kidney and heart failure outcomes based on short-term changes in multiple risk markers

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    BACKGROUND: Besides improving glucose control, sodium-glucose co-transporter 2 inhibition with dapagliflozin reduces blood pressure, body weight and urinary albumin:creatinine ratio (UACR) in patients with type 2 diabetes (T2DM). The parameter response efficacy (PRE) score was developed to predict how short-term drug effects on cardiovascular risk markers translate into long-term changes in clinical outcomes. We applied the PRE score to clinical trials of dapagliflozin to model the effect of the drug on kidney and heart failure (HF) outcomes in patients with T2DM and impaired kidney function. METHODS: The relationships between multiple risk markers and long-term outcome were determined in a background population of patients with T2DM with a multivariable Cox model. These relationships were then applied to short-term changes in risk markers observed in a pooled database of dapagliflozin trials (n = 7) that recruited patients with albuminuria to predict the drug-induced changes to kidney and HF outcomes. RESULTS: A total of 132 and 350 patients had UACR >200 mg/g and >30 mg/g at baseline, respectively, and were selected for analysis. The PRE score predicted a risk change for kidney events of -40.8% [95% confidence interval (CI) -51.7 to -29.4) and -40.4% (95% CI -48.4 to -31.1) with dapagliflozin 10 mg compared with placebo for the UACR >200 mg/g and >30 mg/g subgroups. The predicted change in risk for HF events was -27.3% (95% CI -47.7 to -5.1) and -21.2% (95% CI -35.0 to -7.8), respectively. Simulation analyses showed that even with a smaller albuminuria-lowering effect of dapagliflozin (10% instead of the observed 35% in both groups), the estimated kidney risk reduction was still 26.5 and 26.8%, respectively. CONCLUSIONS: The PRE score predicted clinically meaningful reductions in kidney and HF events associated with dapagliflozin therapy in patients with diabetic kidney disease. These results support a large long-term outcome trial in this population to confirm the benefits of the drug on these endpoints
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