Systems medicine and integrated care to combat chronic noncommunicable diseases

We propose an innovative, integrated, cost-effective health system to combat major non-communicable diseases (NCDs), including cardiovascular, chronic respiratory, metabolic, rheumatologic and neurologic disorders and cancers, which together are the predominant health problem of the 21st century. This proposed holistic strategy involves comprehensive patient-centered integrated care and multi-scale, multi-modal and multi-level systems approaches to tackle NCDs as a common group of diseases. Rather than studying each disease individually, it will take into account their intertwined gene-environment, socio-economic interactions and co-morbidities that lead to individual-specific complex phenotypes. It will implement a road map for predictive, preventive, personalized and participatory (P4) medicine based on a robust and extensive knowledge management infrastructure that contains individual patient information. It will be supported by strategic partnerships involving all stakeholders, including general practitioners associated with patient-centered care. This systems medicine strategy, which will take a holistic approach to disease, is designed to allow the results to be used globally, taking into account the needs and specificities of local economies and health systems

<scp>ReSurveyEurope</scp>: A database of resurveyed vegetation plots in Europe

AbstractAimsWe introduce ReSurveyEurope — a new data source of resurveyed vegetation plots in Europe, compiled by a collaborative network of vegetation scientists. We describe the scope of this initiative, provide an overview of currently available data, governance, data contribution rules, and accessibility. In addition, we outline further steps, including potential research questions.ResultsReSurveyEurope includes resurveyed vegetation plots from all habitats. Version 1.0 of ReSurveyEurope contains 283,135 observations (i.e., individual surveys of each plot) from 79,190 plots sampled in 449 independent resurvey projects. Of these, 62,139 (78%) are permanent plots, that is, marked in situ, or located with GPS, which allow for high spatial accuracy in resurvey. The remaining 17,051 (22%) plots are from studies in which plots from the initial survey could not be exactly relocated. Four data sets, which together account for 28,470 (36%) plots, provide only presence/absence information on plant species, while the remaining 50,720 (64%) plots contain abundance information (e.g., percentage cover or cover–abundance classes such as variants of the Braun‐Blanquet scale). The oldest plots were sampled in 1911 in the Swiss Alps, while most plots were sampled between 1950 and 2020.ConclusionsReSurveyEurope is a new resource to address a wide range of research questions on fine‐scale changes in European vegetation. The initiative is devoted to an inclusive and transparent governance and data usage approach, based on slightly adapted rules of the well‐established European Vegetation Archive (EVA). ReSurveyEurope data are ready for use, and proposals for analyses of the data set can be submitted at any time to the coordinators. Still, further data contributions are highly welcome.</jats:sec

Plant co-existence patterns and High-Arctic vegetation composition in three common plant communities in north-east Greenland

Arctic regions are expected to experience substantial changes in climate in the coming decades. In order to predict potential changes of Arctic vegetation, it is important to understand the distinct role of life forms of plants and of individual species in relation to plant co-existence patterns. Our aim is to investigate if three common Arctic plant patch types dominated by contrasting life forms (by the dwarf shrubs Salix arctica or Dryas octopetala×intermedia or by mosses) are related (a) to the co-existence of vascular plants and species richness at patch scale and (b) to the floristic composition in three distinct plant communities (Salix snowbed, Dryas heath and fell-field) associated with contrasting abiotic regimes. The study was conducted at Zackenberg, in north-east Greenland. Dryas patches showed a clear negative effect on small-scale plant richness and co-existence in the fell-field. Salix and moss patches showed a similar pattern in all the plant communities, although the number of individuals growing in Salix patches was lower than in moss patches. Salix and mosses in the fell-fields hosted a high number of species in spite of the much less vegetated aspect of this harsh, upper zone. The floristic composition varied between plant communities, but it did not change substantially between patch types within each community. This study provides novel background knowledge of plant co-existence patterns at patch scale and of the structure of contrasting Arctic plant communities, which will help to better assess the potential effects of varying abiotic stress regimes on Arctic vegetation