1,182 research outputs found
Biotic responses to climate extremes in terrestrial ecosystems
Anthropogenic climate change is increasing the incidence of climate extremes. Consequences of climate extremes on biodiversity can be highly detrimental,
yet few studies also suggest beneficial effects of climate extremes on certain organisms. To obtain a general understanding of ecological responses to climate extremes, we present a review of how 16 major taxonomic/functional groups
(including microorganisms, plants, invertebrates, and vertebrates) respond during
extreme drought, precipitation, and temperature.Most taxonomic/functional
groups respond negatively to extreme events, whereas groups such as mosses,
legumes, trees, and vertebrate predators respond most negatively to climate extremes. We further highlight that ecological recovery after climate extremes is
challenging to predict purely based on ecological responses during or immediately
after climate extremes. By accounting for the characteristics of the recovering
species, resource availability, and species interactions with neighboring
competitors or facilitators, mutualists, and enemies, we outline a conceptual
framework to better predict ecological recovery in terrestrial ecosystems
Risk factors associated with challenging behaviour in people with profound intellectual and multiple disabilities
BACKGROUND: Several factors that correlate with the onset or continuation of challenging behaviour are mentioned in research. These are factors related to persons with ID, but also to direct support professionals and the context. Although many of these factors seem to affect the onset or continuation of challenging behaviour in people with ID in general, results are often inconclusive and have little focus on people with profound intellectual and multiple disabilities (PIMD). The present study aimed to assess the extent to which known factors related to challenging behaviour are also applicable to a group of 198 people with PIMD. METHOD: To determine which factors were associated with challenging behaviour, univariate analyses on associations between known risk factors and challenging behaviour were conducted. The associated factors were then subject to a regression analysis to determine the extent to which they explain the prevalence of challenging behaviour and can thus be seen as factors associated with challenging behaviour. RESULTS: The results show that, in particular, factors concerning the personal characteristics of people with PIMD, such as sleeping problems and auditory problems, were related to the variance in mean frequency of challenging behaviour. Only one factor related to the direct support professionals was found: when these professionals had been offered training on the subject of challenging behaviour in people with intellectual disabilities in general, they identified significantly more withdrawn behaviour. We found no contextual factors related to challenging behaviour. CONCLUSION: These findings are generally consistent with findings reported in other studies, especially concerning the personal characteristics of people with PIMD. Further research should focus on the effects of providing safe auditory environments and appropriate sleep schedules for people with PIMD on the occurrence of challenging behaviour
Needs of Direct Support Professionals to Support People With Intellectual Disabilities in Leading a Healthy Lifestyle
Background For a healthy lifestyle, people with moderate, severe, and profound intellectual disabilities living in residential facilities and/or participating in day activity centers are dependent on their direct support professionals. However, it is unclear what knowledge and skills these direct support professionals require to support these individuals in living a healthy lifestyle. Therefore, the aim of this study was to identify the needs of direct support professionals for supporting these people with moderate to profound intellectual disabilities to achieve and maintain a healthy lifestyle. Method Direct support professionals (n = 28) were interviewed with the use of a semi-structured protocol based on the theoretical domains framework. The interviews were analyzed with a theory-driven content analysis. Results The most frequently mentioned needs referred to the following domains of the theoretical domains framework: environmental context and resources (n = 27), social/professional role and identity (n = 25), social influence (n = 25), skills (n = 24), and knowledge (n = 23). Conclusion To support people with moderate to profound intellectual disabilities in leading a healthy lifestyle, direct support professionals (DSPs) primarily needed support related to the domain environmental context and resources. Within this domain available time, dealing with different seasons, and a healthy lifestyle policy in the organization need attention. Development of interventions targeting these DSPs needs is required
Use of behaviour change techniques by direct support professionals to support healthy lifestyle behaviour for people with moderate to profound intellectual disabilities
Background Behaviour change techniques (BCTs) can be employed to support a healthy lifestyle for people with intellectual disabilities. The aim of this study is to determine whether and which BCTs are used by direct support professionals (DSPs) for supporting healthy lifestyle behaviour of people with moderate to profound intellectual disabilities. Method Direct support professionals (n = 18) were observed in their daily work using audio-visual recordings. To code BCTs, the Coventry Aberdeen London Refined (CALO-RE-NL) taxonomy was employed. Results Direct support professionals used 33 BCTs out of 42. The most used BCTs were as follows: 'feedback on performance', 'instructions on how to perform the behaviour', 'doing together', 'rewards on successful behaviour', 'reward effort towards behaviour', 'DSP changes environment', 'graded tasks', 'prompt practice' and 'model/demonstrate behaviour'. Conclusions Although a variety of BCTs is used by DSPs in their support of people with moderate to profound intellectual disabilities when facilitating healthy lifestyle behaviour, they rely on nine of them
Plant–soil feedback of native and range-expanding plant species is insensitive to temperature
Temperature change affects many aboveground and belowground ecosystem processes. Here we investigate the effect of a 5°C temperature increase on plant–soil feedback. We compare plant species from a temperate climate region with immigrant plants that originate from warmer regions and have recently shifted their range polewards. We tested whether the magnitude of plant–soil feedback is affected by ambient temperature and whether the effect of temperature differs between these groups of plant species. Six European/Eurasian plant species that recently colonized the Netherlands (non-natives), and six related species (natives) from the Netherlands were selected. Plant–soil feedback of these species was determined by comparing performance in conspecific and heterospecific soils. In order to test the effect of temperature on these plant–soil feedback interactions, the experiments were performed at two greenhouse temperatures of 20/15°C and 25/20°C, respectively. Inoculation with unconditioned soil had the same effect on natives and non-natives. However, the effect of conspecific conditioned soil was negative compared to heterospecific soil for natives, but was positive for non-natives. In both cases, plant–soil interactions were not affected by temperature. Therefore, we conclude that the temperature component of climate change does not affect the direction, or strength of plant–soil feedback, neither for native nor for non-native plant species. However, as the non-natives have a more positive soil feedback than natives, climate warming may introduce new plant species in temperate regions that have less soil-borne control of abundance
A phase II dose-ranging study of mirabegron in patients with overactive bladder
Introduction and hypothesis Mirabegron is a potent and
selective β3-adrenoceptor agonist that may represent an
alternative treatment option in place of antimuscarinics for
patients with overactive bladder.
Methods Patients completed a single-blinded, 2-week placebo
run-in period followed by 12 weeks of randomized
(n=928) double-blinded treatment with mirabegron oral
controlled absorption system (OCAS) 25, 50, 100, or
200 mg once-daily (QD), placebo or tolterodine extended
release (ER) 4 mg QD. The primary endpoint was
change from baseline to end-of-treatment in mean number
of micturition episodes/24 h. Secondary endpoints
included changes in mean volume voided per micturition;
mean number of urinary incontinence, urgency urinary
incontinence, and urgency episodes/24 h; severity of urgency;
nocturia; and quality of life measures. Safety
parameters included vital signs, adverse events, laboratory
tests, electrocardiogram measurements and post-void residual
volume.
Results Mirabegron 25, 50, 100, and 200 mg resulted in dosedependent
reductions (improvements) from baseline to end-oftreatment
in micturition frequency of 1.9, 2.1, 2.1, and 2.2
micturitions/24 h respectively, versus 1.4 micturitions/24 h with
placebo (p≤0.05 for the mirabegron 50-, 100-, and 200-mg
comparisons). There was a statistically significant improvement
with mirabegron compared with placebo for most secondary
endpoints including quality of life variables. While there was a
significant (p<0.05) increase from baseline in pulse rate in the
mirabegron 100-mg and 200-mg groups, this was not associated
with an increased incidence of cardiovascular adverse events.
Conclusions The favorable efficacy and tolerability of mirabegron
in this phase II dose-finding study has led to its successful
advancement into a phase III clinical development program
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Ecological intensification: bridging the gap between science and practice
There is worldwide concern about the environmental costs of conventional intensification of agriculture. Growing evidence suggests that ecological intensification of mainstream farming can safeguard food production, with accompanying environmental benefits; however, the approach is rarely adopted by farmers. Our review of the evidence for replacing external inputs with ecosystem services shows that scientists tend to focus on processes (e.g., pollination) rather than outcomes (e.g., profits), and express benefits at spatio-temporal scales that are not always relevant to farmers. This results in mismatches in perceived benefits of ecological intensification between scientists and farmers, which hinders its uptake. We provide recommendations for overcoming these mismatches and highlight important additional factors driving uptake of nature-based management practices, such as social acceptability of farming
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