La Red Internacional de Inventarios Forestales (BIOTREE-NET) en Mesoamérica: avances, retos y perspectivas futuras

Conservation efforts in Neotropical regions are often hindered by lack of data, since for many species there is a vacuum of information, and many species have not even been described yet. The International Network of Forest Inventory Plots (BIOTREE-NET) gathers and facilitates access to tree data from forest inventory plots in Mesoamerica, while encouraging data exchange between researchers, managers and conservationists. The information is organised and standardised into a single database that includes spatially explicit data. This article describes the scope and objectives of the network, its progress, and the challenges and future perspectives. The database includes above 50000 tree records of over 5000 species from more than 2000 plots distributed from southern Mexico through to Panama. Information is heterogeneous, both in nature and shape, as well as in the geographical coverage of inventory plots. The database has a relational structure, with 12 inter-connected tables that include information about plots, species names, dbh, and functional attributes of trees. A new system that corrects typographical errors and achieves taxonomic and nomenclatural standardization was developed using The Plant List (http://theplantlist.org/) as reference. Species distribution models have been computed for around 1700 species using different methods, and they will be publicly accessible through the web site in the future (http://portal.biotreenet.com). Although BIOTREE-NET has contributed to the development of improved species distribution models, its main potential lies, in our opinion, in studies at the community level. Finally, we emphasise the need to expand the network and encourage researchers willing to share data and to join the network and contribute to the generation of further knowledge about forest biodiversity in Neotropical regions

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome

Aplicaciones móviles en la enfermedad de Parkinson: una revisión sistemática

Resumen: Introducción: La enfermedad de Parkinson (EP) es la segunda enfermedad neurodegenerativa más frecuente, pero su diagnóstico, valoración y tratamiento son complejos y requiere de una atención sanitaria continuada en el tiempo. En este sentido, las características de los teléfonos móviles inteligentes o smartphones hacen que se plantee su uso en el ámbito de la asistencia del paciente con EP. Objetivo: El objetivo del presente trabajo es realizar una revisión sistemática sobre el uso de aplicaciones móviles (apps) en la EP. Material y métodos: Se llevó a cabo una búsqueda bibliográfica incluyendo artículos publicados en inglés o castellano, del año 2011 hasta el 2016, y que presentasen, analizasen o validasen un sistema basado en una app con utilidad o diseño específico para la EP. A su vez, se llevó a cabo una búsqueda de aplicaciones móviles en los principales mercados de aplicaciones móviles. Conclusiones: Se encontraron mediante ambas búsquedas 125 aplicaciones, de las cuales 56 se clasificaron con potencial utilidad en la EP, y 69 con un diseño específico para la EP, siendo 23 apps de información sobre EP, 29 apps de valoración, 13 apps de tratamiento y 4 apps de valoración y tratamiento. Existen un gran número de aplicaciones móviles con potencial utilidad y diseño específico en la EP; sin embargo; la evidencia científica acerca de los mismos es escasa y de baja calidad. Son necesarios estudios posteriores para validar esta tecnología, así como una regulación por parte de organismos acerca de su uso. Abstract: Introduction: Parkinson's disease (PD) is the second most common neurodegenerative disease. However, diagnosing, assessing, and treating these patients is a complex process requiring continuous monitoring. In this context, smartphones may be useful in the management of patients with PD. Objective: The purpose of this study is to perform a systematic review of the literature addressing the use of mobile phone applications (apps) in PD. Materials and methods: We conducted a literature search of articles published in English or Spanish between 2011 and 2016 analysing or validating apps specifically designed for or useful in PD. In addition, we searched for apps potentially useful for PD patients in the leading app stores. Conclusions: The literature and app searches yielded a total of 125 apps, 56 of which were classified as potentially useful in PD and 69 as specifically designed for PD (23 information apps, 29 assessment apps, 13 treatment apps, and 4 assessment and treatment apps). Numerous mobile apps are potentially useful in or specifically designed for PD management. However, scientific evidence of their usefulness is scarce and of poor quality. Further studies are needed to validate these tools and regulate their use. Palabras clave: Apps, Aplicaciones móviles, eHealth, Enfermedad de Parkinson, mHealth, Rehabilitación, Keywords: Apps, Mobile phone applications, eHealth, Parkinson's disease, mHealth, Rehabilitatio

Forest structure drives the expected growth of Pinus nigra along its latitudinal gradient under warming climate

Droughts chronically alter resource availability in forest ecosystems. The increased frequency and severity of such extreme climate events challenge the acclimation potential of tree species especially across the droughtprone Mediterranean region. Pinus nigra is a widely distributed tree species in the Mediterranean region and considered vulnerable to extreme droughts. We used a 1000 km latitudinal gradient from northern Morocco to north-eastern Spain incorporating four regions (Edge-South, Core-South, Core-North and Edge-North) and including different P. nigra provenances. We aim to identify the climate and forest structure related drivers that influence tree radial growth (BAI, basal area increment). We developed statistical models for BAI by incorporating the potential effects of climate and forest structure (diameter and age distributions). Then, we forecasted the future growth of P. nigra forests during the 21st century considering the emission scenario A2 with an expected increase of +2.7 ◦C at the end of this century. Our results showed large variability across P. nigra populations in terms of environmental conditions, forest structure, and growth. The northernmost P. nigra populations, subjected to wetter and cooler conditions were those presenting the lowest BAI (4.9 cm2 ), whereas the southernmost P. nigra populations subjected to drier and warmer conditions presented the highest BAI values (11.5 cm2 ). Pinus nigra growth was enhanced by high spring precipitation, but this positive effect was probably modulated by forest structure. Temperature explained a higher proportion of the BAI variance than precipitation, with warmer summer conditions decreasing growth. Growth projections forecasted a decline in BAI (from 9.6 to 7.0 cm2 ) across all ecological regions starting around the mid-21st century but being lower in Edge-North populations compared to the other populations. Our study provides quantitative knowledge related to how P. nigra populations have been growing across four distinctive ecological regions. We also provide a forecasting tool that incorporates both climate and stand structure related information to project dynamics in tree populations

La Red Internacional de Inventarios Forestales (BIOTREE-NET) en Mesoamérica: avances, retos y perspectivas futuras

Los esfuerzos de conservación en la región neotropical están limitados por la falta de información disponible sobre las especies, ya que muchas no han sido descritas o se tiene poca información sobre ellas. La Red Internacional de Inventarios Forestales (BIOTREE-NET) concentra y facilita el acceso a la información y el intercambio entre investigadores, gestores y conservacionistas, organizando y estandarizando los datos de especies de árboles procedentes de inventarios forestales en la región mesoamericana en una única base de datos que incluya información espacial. Este artículo explica el ámbito y objetivos de la red, describe la estructura de la base de datos e identifica los principales avances realizados, así como los retos y perspectivas futuras. La base de datos contiene más de 50 000 registros de árboles de unas 5000 especies, distribuidas en más de 2000 parcelas muestreadas desde el suroeste de México hasta Panamá. La información es heterogénea, tanto en su naturaleza y forma como en la cobertura geográfica de los inventarios. La base de datos tiene una estructura relacional, con 12 tablas interconectadas, incluyendo información sobre las parcelas, los nombres de las especies, el diámetro a la altura del pecho de los árboles medidos y sus atributos funcionales. Se ha desarrollado un sistema para la corrección de errores tipográficos y la estandarización taxonómica y nomenclatural utilizando como referencia The Plant List (http://theplantlist.org/). También se han generado modelos de distribución potencial para cerca de 1700 especies utilizando distintos métodos y en el futuro se prevé habilitar también el acceso público a los modelos de distribución de especies a través del portal web (http://portal.biotreenet.com). Aunque BIOTREE-NET ha contribuido al desarrollo de mejores modelos de distribución, su mayor potencial radica, en nuestra opinión, en el estudio a nivel de comunidades. Finalmente, se reconoce la necesidad de expandir la red a través de la participación de más investigadores interesados en colaborar con datos para ampliar el conocimiento sobre la biodiversidad forestal en la región neotropica