18 research outputs found
Spatial and temporal changes in aeolian redistribution of sediments and nutrients following fire
Wildfires can profoundly alter rates, magnitudes, and ecological influences of aeolian redistribution of sediments and nutrients. This study examines the influence of fire in a semi-arid ecosystem using 2 years of continuous passive dust trap data in the northern Great Basin, USA. We analyse the mass flux, organic material content, grain size distribution, and geochemistry of the collected samples to trace the fingerprint of the 2015 Soda Fire through space and time. In areas not affected by fire, dust is characterized by silt-sized median grains, a geochemical signature consistent with a playa source area, and spatially consistent but seasonally variable dust flux rates. Following fire, dust flux increases significantly within and near the burned area. At burned and topographically sheltered sites, dust deposition in the eighth month following fire was 190% higher than dust deposition 2 years post-revegetation. Topographically exposed sites recorded only modest increases in dust deposition following fire. Analysis of organic matter indicates all dust samples (both burned and unburned) contained an average of 45% organic matter compared to a watershed average of 1.6% organic matter in soils.
Geochemical and seasonal dust deposition data from 12 dust traps at a range of elevations indicate that with the removal of stabilizing vegetation after wildfire, differences in topographic position and wind direction lead to preferential redistribution of material across a burned landscape over hillslope scales (0â10âkm). We posit post-fire aeolian redistribution of locally derived material to topographically controlled positions is an important control on the spatial variability of soil depth and characteristics in drylands with complex topography
Guidelines for Management of Urgent Symptoms in Patients with Cholangiocarcinoma and Biliary Stents or Catheters Using the Modified RAND/UCLA Delphi Process
Background: Patients with cholangiocarcinoma often have indwelling biliary stents or catheters which are prone to obstructions and/or infections; studies show that 20â40% present with fever and/or jaundice requiring urgent treatment in the outpatient setting for which there are no uniform guidelines. The goal was to develop an expert panel consensus on this topic using the modified RAND/UCLA Delphi process to rate treatment appropriateness.
/
Methods: Thirteen expert physicians from relevant specialties, geography, and practice settings were recruited for the panel. Patient scenarios were developed and panelists rated the therapies before and after a face-to-face discussion. The appropriateness of various therapies was rated on a scale from 1â9 and classified as appropriate, inappropriate, or uncertain. Scenarios with greater than 2 (>2) ratings of 1â3 (inappropriate) and greater than 2 (>2) ratings of 7â9 (appropriate) were considered to have disagreement and were not assigned an appropriateness rating.
/
Results: Panelists were from all US regions and the UK (8%) and had practiced for a mean 16.5 years (4â33 years). Panelists rated 480 scenarios before the meeting and re-rated 288 of the clinical scenarios after the meeting. The panelists agreed that ongoing treatment with chemotherapy did not influence decision-making and, therefore, 192 scenarios were excluded from the final list. Disagreement decreased from 37.5% before to 10.4% after the meeting. Consensus on stent/tube manipulation and inpatient antibiotic therapy was obtained and summarized in patients as âappropriateâ or âmaybe appropriateâ based on a patientâs bilirubin level at presentation.
/
Conclusions: The Delphi process produced consensus guidelines to fill an unmet need in the urgent management of ascending cholangitis in patients with cholangiocarcinoma
An antibiotic produced by an insect-pathogenic bacterium suppresses host defenses through phenoloxidase inhibition
Photorhabdus is a virulent pathogen that kills its insect host by overcoming immune responses. The bacterium also secretes a range of antibiotics to suppress the growth of other invading microorganisms. Here we show that Photorhabdus produces a small-molecule antibiotic (E)-1,3-dihydroxy-2-(isopropyl)-5-(2-phenylethenyl)benzene (ST) that also acts as an inhibitor of phenoloxidase (PO) in the insect host Manduca sexta. The Photorhabdus gene stlA encodes an enzyme that produces cinnamic acid, a key precursor for production of ST, and a mutation in stlA results in loss of ST production and PO inhibitory activity, which are both restored by genetic complementation of the mutant and also by supplying cinnamic acid. ST is produced both in vitro and in vivo in sufficient quantities to account for PO inhibition and is the only detectable solvent-extractable inhibitor. A Photorhabdus stlAâ mutant is significantly less virulent, proliferates slower within the host, and provokes the formation of significantly more melanotic nodules than wild-type bacteria. Virulence of the stlAâ mutant is also rescued by supplying cinnamic acid. The proximate cause of the virulence effect, however, is the inhibition of PO, because the effect of the stlAâ mutation on virulence is abolished in insects in which PO has been knocked down by RNA interference (RNAi). Thus, ST has a dual function both as a PO inhibitor to counter host immune reactions and also as an antibiotic to exclude microbial competitors from the insect cadaver