7 research outputs found

    iSAW: Integrating Structure, Actors, and Water to Study Socio-Hydro-Ecological Systems

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    Urbanization, climate, and ecosystem change represent major challenges for managing water resources. Although water systems are complex, a need exists for a generalized representation of these systems to identify important components and linkages to guide scientific inquiry and aid water management. We developed an integrated Structure-Actor-Water framework (iSAW) to facilitate the understanding of and transitions to sustainable water systems. Our goal was to produce an interdisciplinary framework for water resources research that could address management challenges across scales (e.g., plot to region) and domains (e.g., water supply and quality, transitioning, and urban landscapes). The framework was designed to be generalizable across all human–environment systems, yet with sufficient detail and flexibility to be customized to specific cases. iSAW includes three major components: structure (natural, built, and social), actors (individual and organizational), and water (quality and quantity). Key linkages among these components include: (1) ecological/hydrologic processes, (2) ecosystem/geomorphic feedbacks, (3) planning, design, and policy, (4) perceptions, information, and experience, (5) resource access and risk, and (6) operational water use and management. We illustrate the flexibility and utility of the iSAW framework by applying it to two research and management problems: understanding urban water supply and demand in a changing climate and expanding use of green storm water infrastructure in a semi-arid environment. The applications demonstrate that a generalized conceptual model can identify important components and linkages in complex and diverse water systems and facilitate communication about those systems among researchers from diverse disciplines

    Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

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    IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

    Comparison of African and North American velvet ant mimicry complexes: Another example of Africa as the \u27odd man out\u27

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    Africa has the most tropical and subtropical land of any continent, yet has relatively low species richness in several taxa. This depauperate nature of the African tropical fauna and flora has led some to call Africa the “odd man out.” One exception to this pattern is velvet ants (Hymenoptera: Mutillidae), wingless wasps that are known for MĂŒllerian mimicry. While North American velvet ants form one of the world’s largest mimicry complexes, mimicry in African species has not been investigated. Here we ask do African velvet ant MĂŒllerian mimicry rings exist, and how do they compare to the North American complex. We then explore what factors might contribute to the differences in mimetic diversity between continents. To investigate this we compared the color patterns of 304 African velvet ant taxa using nonmetric multidimensional scaling (NMDS). We then investigated distributions of each distinct mimicry ring. Finally, we compared lizard diversity and ecoregion diversity on the two continents. We found that African female velvet ants form four MĂŒllerian rings, which is half the number of North American rings. This lower mimetic diversity could be related to the relatively lower diversity of insectivorous lizard species or to the lower number of distinct ecoregions in Africa compared to North America

    Comparison of African and North American velvet ant mimicry complexes: Another example of Africa as the ‘odd man out’

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    <div><p>Africa has the most tropical and subtropical land of any continent, yet has relatively low species richness in several taxa. This depauperate nature of the African tropical fauna and flora has led some to call Africa the “odd man out.” One exception to this pattern is velvet ants (Hymenoptera: Mutillidae), wingless wasps that are known for MĂŒllerian mimicry. While North American velvet ants form one of the world’s largest mimicry complexes, mimicry in African species has not been investigated. Here we ask do African velvet ant MĂŒllerian mimicry rings exist, and how do they compare to the North American complex. We then explore what factors might contribute to the differences in mimetic diversity between continents. To investigate this we compared the color patterns of 304 African velvet ant taxa using nonmetric multidimensional scaling (NMDS). We then investigated distributions of each distinct mimicry ring. Finally, we compared lizard diversity and ecoregion diversity on the two continents. We found that African female velvet ants form four MĂŒllerian rings, which is half the number of North American rings. This lower mimetic diversity could be related to the relatively lower diversity of insectivorous lizard species or to the lower number of distinct ecoregions in Africa compared to North America.</p></div

    Velvet ant mimicry complex in 3D ordination space.

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    <p>Velvet ant mimicry complexes are differentiated in ordinal space (NMDS). In each comparison of the three NMDS axes, the mean values for each mimicry ring are denoted by symbols, with lines drawn from the means to individual species values.</p

    African velvet ant mimicry rings.

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    <p>The morphological and geographic ranges of the four African velvet ant mimicry rings. Each mimicry ring is represented here by five species. These species were selected because they are morphologically closest to the estimated mean for each mimicry ring (see <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0189482#pone.0189482.g001" target="_blank">Fig 1</a>). The geographic range of each mimicry ring is presented based on distributional analyses that examined the known range of each species involved in each mimicry ring. The species pictured here are as follows: A <i>Dasylabris arabica</i>, B <i>Stenomutilla argentata</i>, C <i>Ronisia maculosa</i>, D <i>Nemka viduata tunensis</i>, E <i>Smicromyrme mareotica</i>, F <i>Carinotilla</i> cf <i>stipnopyga</i>, G <i>Trispilotilla africana</i>, H <i>Smicromyrme tettensis melanothoracica</i>, I <i>Mutilla astarte ignava</i>, J <i>Dolichomutilla scutellata</i>, K <i>Tropidotilla fimbriata</i>, L <i>Sulcotilla sulcata</i>, M <i>Glossotilla mogadiscioana</i>, N <i>Dasylabroides latona ruficeps</i>, O <i>Dasylabris bassutorum</i>, P <i>Trogaspidia sulcicada</i>, Q <i>Stenomutilla analis</i>, R <i>Smicromyrme tettensis tettensis</i>, S <i>Odontomutilla calida calida</i>, T <i>Cephalotilla ceratophora</i>.</p

    Effect of Antiplatelet Therapy on Survival and Organ Support–Free Days in Critically Ill Patients With COVID-19

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