Survey of the Illinois Endangered Kankakee Mallow, Iliamna remote, in Kankakee County

Iliamna remota Greene (Malvaceae), endemic only to Langham Island in the Kankakee River, Kankakee County, Illinois, is a state endangered species. During the present study, the size of the population was determined, the habitat structure in and around the individual colonies analyzed, and management recommendation made to potentially increase the size of the population. During the summer of 2005, the I remota population consisted of 1,074 stems in 12 colonies, located along the northwest side of the island. In late June, flowering appeared to be prolific, where means and standard deviations of floral buds and open flowers were 1.6 :t 1.2 and 2.1 :t 1.7 per stem, respectively. By late July, however, flowering was sporadic, but many flowering stems had set seed with the mean number of fruits being 1.2 :t 0.9 per stem. Forty percent of sampled seeds germinated after being treated in hot water (80°C) for 10 seconds. Common species associated with I remota colonies were the cool-season Eurasian grass, Poa pratensis, and the East Asian shrub Lonicera maackii, along with 22 native species and a few other exotics. Previous management included cutting and burning of the shrubby vegetation in and around the l remota colonies. A return to these management practices is suggested

Survey of the Illinois Endangered Kankakee Mallow, Iliamna remote, in Kankakee County

Iliamna remota Greene (Malvaceae), endemic only to Langham Island in the Kankakee River, Kankakee County, Illinois, is a state endangered species. During the present study, the size of the population was determined, the habitat structure in and around the individual colonies analyzed, and management recommendation made to potentially increase the size of the population. During the summer of 2005, the I remota population consisted of 1,074 stems in 12 colonies, located along the northwest side of the island. In late June, flowering appeared to be prolific, where means and standard deviations of floral buds and open flowers were 1.6 :t 1.2 and 2.1 :t 1.7 per stem, respectively. By late July, however, flowering was sporadic, but many flowering stems had set seed with the mean number of fruits being 1.2 :t 0.9 per stem. Forty percent of sampled seeds germinated after being treated in hot water (80°C) for 10 seconds. Common species associated with I remota colonies were the cool-season Eurasian grass, Poa pratensis, and the East Asian shrub Lonicera maackii, along with 22 native species and a few other exotics. Previous management included cutting and burning of the shrubby vegetation in and around the l remota colonies. A return to these management practices is suggested

Survey of the Illinois Endangered Kankakee Mallow, Iliamna remota, in Kankakee County

Iliamna remota Greene (Malvaceae), endemic only to Langham Island in the Kankakee River, Kankakee County, Illinois, is a state endangered species. During the present study, the size of the population was determined, the habitat structure in and around the individual colonies analyzed, and management recommendation made to potentially increase the size of the population. During the summer of 2005, the I remota population consisted of 1,074 stems in 12 colonies, located along the northwest side of the island. In late June, flowering appeared to be prolific, where means and standard deviations of floral buds and open flowers were 1.6 :t 1.2 and 2.1 :t 1.7 per stem, respectively. By late July, however, flowering was sporadic, but many flowering stems had set seed with the mean number of fruits being 1.2 :t 0.9 per stem. Forty percent of sampled seeds germinated after being treated in hot water (80°C) for 10 seconds. Common species associated with I remota colonies were the cool-season Eurasian grass, Poa pratensis, and the East Asian shrub Lonicera maackii, along with 22 native species and a few other exotics. Previous management included cutting and burning of the shrubby vegetation in and around the l remota colonies. A return to these management practices is suggested

The crustal structure of the north-eastern Gulf of Aden continental margin: insights from wide-angle seismic data

International audienceThe wide-angle seismic (WAS) and gravity data of the Encens survey allow us to determinethe deep crustal structure of the north-eastern Gulf of Aden non-volcanic passive margin.The Gulf of Aden is a young oceanic basin that began to open at least 17.6 Ma ago. Itscurrent geometry shows first- and second-order segmentation: our study focusses on theAshawq–Salalah second-order segment, between Alula–Fartak and Socotra–Hadbeen fracturezones. Modelling of theWAS and gravity data (three profiles across and three along the margin)gives insights into the first- and second-order structures. (1) Continental thinning is abrupt(15–20 km thinning across 50–100 km distance). It is accommodated by several tilted blocks.(2) The ocean–continent transition (OCT) is narrow (15 km wide). The velocity modellingprovides indications on its geometry: oceanic-type upper-crust (4.5 km s−1) and continentaltypelower crust (>6.5 km s−1). (3) The thickness of the oceanic crust decreases from West(10 km) to the East (5.5 km). This pattern is probably linked to a variation of magma supplyalong the nascent slow-spreading ridge axis. (4) A 5 km thick intermediate velocity body (7.6to 7.8 kms−1) exists at the crust-mantle interface below the thinned margin, the OCT and theoceanic crust. We interpret it as an underplated mafic body, or partly intruded mafic materialemplaced during a ‘post-rift’ event, according to the presence of a young volcano evidencedby heat-flow measurement (Encens-Flux survey) and multichannel seismic reflection (Encenssurvey). We propose that the non-volcanic passive margin is affected by post-rift volcanismsuggesting that post-rift melting anomalies may influence the late evolution of non-volcanicpassive margins

Diagnostic value of tachycardia features and pacing maneuvers during paroxysmal supraventricular tachycardia

AbstractOBJECTIVESThe purpose of this prospective study was to quantitate the diagnostic value of several tachycardia features and pacing maneuvers in patients with paroxysmal supraventricular tachycardia (PSVT) in the electrophysiology laboratory.BACKGROUNDNo study has prospectively compared the value of multiple diagnostic tools in a large group of patients with PSVT.METHODSOne hundred ninety-six consecutive patients who had 200 inducible sustained PSVTs during an electrophysiology procedure were included. The diagnostic values of four baseline electrophysiologic parameters, nine tachycardia features and five diagnostic pacing maneuvers were quantified.RESULTSThe only tachycardia characteristic that was diagnostic of atrioventricular (AV) nodal reentry was a septal ventriculoatrial (VA) time of <70 ms, and no pacing maneuver was diagnostic for AV nodal reentry. An increase in the VA interval with the development of a bundle branch block was the only tachycardia characteristic that was diagnostic for orthodromic tachycardia, but it occurred in only 7% of all tachycardias. An atrial-atrial-ventricular response upon cessation of ventricular overdrive pacing was diagnostic of atrial tachycardia, and this maneuver could be applied to 78% of all tachycardias. Burst ventricular pacing excluded atrial tachycardia when the tachycardia terminated without depolarization of the atrium, but the result could be obtained only in 27% of patients.CONCLUSIONSThis prospective study quantitates the diagnostic value of multiple observations and pacing maneuvers that are commonly used during PSVT in the electrophysiology laboratory. The findings demonstrate that diagnostic techniques rarely provide a diagnosis when used individually. Therefore, careful observations and multiple pacing maneuvers are often required for an accurate diagnosis during PSVT. The results of this study provide a useful reference with which new diagnostic techniques can be compared

Point of care coagulometry in prehospital emergency care: an observational study

Background: Haemostatic impairment can have a crucial impact on the outcome of emergency patients, especially in cases of concomitant antithrombotic drug treatment. In this prospective observational study we used a point of care (POC) coagulometer in a prehospital physician-based emergency medical system in order to test its validity and potential value in the treatment of emergency patients. Methods: During a study period of 12 months, patients could be included if venous access was mandatory for further treatment. The POC device CoaguChek® was used to assess international normalized ratio (INR) after ambulance arrival at the scene. Results were compared with in-hospital central laboratory assessment of INR. The gain of time was analysed as well as the potential value of POC testing through a questionnaire completed by the responsible prehospital emergency physician. Results: A total of 103 patients were included in this study. POC INR results were highly correlated with results of conventional assessment of INR (Bland-Altman-bias: 0.014). Using a cutoff value of INR >1.3, the device’s sensitivity to detect coagulopathy was 100 % with a specificity of 98.7 %. The median gain of time was 69 min. Treating emergency physicians considered the value of prehospital POC INR testing ‘high’ in 9 % and ‘medium’ in 21 % of all patients. In patients with tracer diagnosis ‘neurology’, the value of prehospital INR assessment was considered ‘high’ or ‘medium’ (63 %) significantly more often than in patients with non-neurological tracer diagnoses (24 %). Conclusions: Assessment of INR through a POC coagulometer is feasible in prehospital emergency care and provides valuable information on haemostatic parameters in patients. Questionnaire results suggest that POC INR testing may present a valuable technique in selected patients. Whether this information translates into an improved management of respective patients has to be evaluated in further studies

High-Throughput Precision Phenotyping of Left Ventricular Hypertrophy with Cardiovascular Deep Learning

Left ventricular hypertrophy (LVH) results from chronic remodeling caused by a broad range of systemic and cardiovascular disease including hypertension, aortic stenosis, hypertrophic cardiomyopathy, and cardiac amyloidosis. Early detection and characterization of LVH can significantly impact patient care but is limited by under-recognition of hypertrophy, measurement error and variability, and difficulty differentiating etiologies of LVH. To overcome this challenge, we present EchoNet-LVH - a deep learning workflow that automatically quantifies ventricular hypertrophy with precision equal to human experts and predicts etiology of LVH. Trained on 28,201 echocardiogram videos, our model accurately measures intraventricular wall thickness (mean absolute error [MAE] 1.4mm, 95% CI 1.2-1.5mm), left ventricular diameter (MAE 2.4mm, 95% CI 2.2-2.6mm), and posterior wall thickness (MAE 1.2mm, 95% CI 1.1-1.3mm) and classifies cardiac amyloidosis (area under the curve of 0.83) and hypertrophic cardiomyopathy (AUC 0.98) from other etiologies of LVH. In external datasets from independent domestic and international healthcare systems, EchoNet-LVH accurately quantified ventricular parameters (R2 of 0.96 and 0.90 respectively) and detected cardiac amyloidosis (AUC 0.79) and hypertrophic cardiomyopathy (AUC 0.89) on the domestic external validation site. Leveraging measurements across multiple heart beats, our model can more accurately identify subtle changes in LV geometry and its causal etiologies. Compared to human experts, EchoNet-LVH is fully automated, allowing for reproducible, precise measurements, and lays the foundation for precision diagnosis of cardiac hypertrophy. As a resource to promote further innovation, we also make publicly available a large dataset of 23,212 annotated echocardiogram videos