Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

Historical impacts on linear habitats : the present distribution of grassland species in forest-edge vegetation

In highly fragmented agricultural landscapes, abandoned forests and dense coniferous plantations established on former semi-natural grassland remain potentially suitable sites for the restoration of grassland communities. The roadside vegetation along the edges of these remnant forests could be a key landscape component, because these communities retain pools of grassland species that are maintained by regular mowing alongside public roads to improve traffic safety. We evaluated the effect of land-use history and the proportion of suitable surrounding habitats on the present distribution of grassland species in roadside forest-edge vegetation. The average number of grassland species was significantly lower at sites that had been cultivated since the 1950s, but it did not differ between uncultivated sites and sites cultivated during the 1880s. Positive effects of the proportion of suitable habitats around the sites were detected at specific spatial scales (500- and 700-m squares), and these effects were indistinct at sites that had lost populations to cultivation. In addition to the present habitat conditions (e.g., forest type), the best-fit model for explaining the present distribution of grassland species at a site included both the site’s land-use history and the past proportion of suitable habitat around the sites. Even in remnant linear habitats such as forest-edge vegetation along roads, historical patterns of site conditions and the landscape matrix at optimum scales can provide useful knowledge to improve explanations of the present distributions of grassland species. These information can help identify abandoned or planted forest sites potentially suitable for restoration with grassland species

Climate and topography drives macroscale biodiversity through land-use change in a human-dominated world

Drivers of biodiversity at macroscales have long been of interest in ecology, and climate and topography are now considered to be major drivers. Because humans have transformed most of the Earth's land surface, land use may play a significant role as a driver of biodiversity at a macroscale. Here we disentangle the relationships among climate, topography, land use, available energy (measured by the normalized difference vegetation index [NDVI]), and species richness of Japanese forest birds. Species richness was better explained at 40- and 80-km resolutions than at 5-, 10- and 20-km resolutions; it was explained by climate, topography, and land use, and the effects of land use were fully incorporated into those of climate and topography. As temperature increased and elevation decreased, natural forest area decreased, and this decrease intensified in warm lowland areas. With the loss of natural forest, species richness decreased below a certain threshold. As temperature increased and elevation decreased, species richness and NDVI increased slightly or were unchanged in cool highland areas and decreased in warm lowland areas. Species richness increased linearly with the increase in NDVI. Most effects of climate/topography on species richness in warm lowland areas were shared by those of land use, suggesting that the decrease in species richness in warm lowland areas has been caused by loss of natural forest. Therefore, it is suggested that climate and topography determined land use intensity, which in turn, drove species richness through the depletion of available energy. Increasing temperature and decreasing elevation leads to both benefits (increase in potential available energy) and costs (depletion of energy by human land-use change) for forest birds. These costs seem to override benefits in warm lowland areas

Genomic reconstruction of 100 000-year grassland history in a forested country: population dynamics of specialist forbs

日本で草地が10万年以上維持されてきたことを実証 --近年の草地の激減は地質学的時間スケールで大きな出来事--. 京都大学プレスリリース. 2019-05-30.Grassland ecosystems worldwide have been extensively converted to other land uses and are globally imperiled. Because many grasslands have been maintained by human activities, understanding their origin and history is fundamentally important to better contemporary management. However, existing methods to reconstruct past vegetation can produce contrasting views on grassland history. Here, we inferred demographic histories of 40 populations of four grassland forb species throughout Japan using high-resolution genome sequences and model-flexible demographic simulation based on the site frequency spectrum. Although two species showed a slight decline in population size between 100 000-10 000 years ago, our results suggest that population sizes of studied species have been maintained within the range of 0.5-2.0 times the most recent estimates for at least 100 000 years across Japan. Our results suggest that greater than 90% declines in Japanese grasslands and subsequent losses of grassland species in the last 100 years are geologically and biologically important and will have substantial consequences for Japanese biota and culture. People have had critical roles in maintaining disturbance-dependent grassland ecosystems and biota in this warm and wet forested country. In these contexts, disturbances associated with forest harvesting and traditional extensive farming have the potential to maintain grassland ecosystems and can provide important opportunities to reconcile resource production and conservation of grassland biodiversity

Spatial and temporal variations in the use of rice-paddy dominated landscapes by birds in Japan

Agricultural landscapes with spatial and temporal variations interact with each other to affect the existing biodiversity. Though rice fields provide important habitats for birds all over the world, studies so far have rarely explored the effects of landscape heterogeneity on bird species in rice paddy areas. This study investigated the effects of habitat cover and landscape variables on the species richness and the abundance of birds in rice paddy areas in Japan. Data on bird occurrence and the environment were collected at 32 grid squares (1 x 1 km) in the Tone River basin. The richness and the abundance of agricultural wetland species were particularly high in landscapes with large areas of rice fields in summer, when rice fields were irrigated, but in those with large areas of open water in winter, when rice fields were drained. It is important to maintain a combination of rice fields and open water to satisfy multiple habitat requirements by agricultural wetland species throughout the year. Grassland species were positively associated with a rich diversity of land cover including fallow fields and open water, indicating the importance of a simultaneous existence of multiple landscape elements. Forest cover in landscapes positively affected edge species and woodland species. Since forest cover had a relatively strong correlation with edge density, the responses of bird species to changes in forest cover and edge density need to be explored further. This study illustrates the importance of spatial and temporal landscape complementation for bird species in rice paddy areas. (c) 2008 Elsevier Ltd. All rights reserved