Patterns of Tree Mortality During an Uncontrolled Spruce Budworm Outbreak in Baxter State Park, 1983

A forest inventory of Baxter State Park, Maine, was done during the summer and fall of 1983 to study the patterns of mortality in balsam fir and in the red-black spruce complex during an uncontrolled spruce budworm outbreak. The volume of trees that died during the outbreak was estimated at 40% of the original quantity. Fir mortality was consistently greater than that of spruce. The percentage mortality of spruce was always greater in the higher elevation zone than in the lower elevation zone. Percentage mortality of fir and spruce showed inconsistent patterns in relation to the proportion of hardwood species basal area and to the proportion of fir basal area in a stand. However, those mortality patterns tended to be pronounced when the overall tree mortality was relatively high. Hypotheses on the mechanisms producing the tree mortality patterns during a budworm outbreak were summarized and observed tree mortality patterns were then interpreted according to those hypotheses. Most observed patterns could be explained by more than one hypothesis. It was suggested that complex processes were responsible for developing certain tree mortality patterns, and a deductive method based on the simple observations would not reveal the true mechanisms.https://digitalcommons.library.umaine.edu/aes_techbulletin/1081/thumbnail.jp

Patterns of Tree Mortality During an Uncontrolled Spruce Budworm Outbreak in Baxter State Park, 1983

A forest inventory of Baxter State Park, Maine, was done during the summer and fall of 1983 to study the patterns of mortality in balsam fir and in the red-black spruce complex during an uncontrolled spruce budworm outbreak. The volume of trees that died during the outbreak was estimated at 40% of the original quantity. Fir mortality was consistently greater than that of spruce. The percentage mortality of spruce was always greater in the higher elevation zone than in the lower elevation zone. Percentage mortality of fir and spruce showed inconsistent patterns in relation to the proportion of hardwood species basal area and to the proportion of fir basal area in a stand. However, those mortality patterns tended to be pronounced when the overall tree mortality was relatively high. Hypotheses on the mechanisms producing the tree mortality patterns during a budworm outbreak were summarized and observed tree mortality patterns were then interpreted according to those hypotheses. Most observed patterns could be explained by more than one hypothesis. It was suggested that complex processes were responsible for developing certain tree mortality patterns, and a deductive method based on the simple observations would not reveal the true mechanisms.https://digitalcommons.library.umaine.edu/aes_techbulletin/1081/thumbnail.jp

The analysis of spectra of novae taken near maximum

A project to analyze ultraviolet spectra of novae obtained at or near maximum optical light is presented. These spectra are characterized by a relatively cool continuum with superimposed permitted emission lines from ions such as Fe II, Mg II, and Si II. Spectra obtained late in the outburst show only emission lines from highly ionized species and in many cases these are forbidden lines. The ultraviolet data will be used with calculations of spherical, expanding, stellar atmospheres for novae to determine elemental abundances by spectral line synthesis. This method is extremely sensitive to the abundances and completely independent of the nebular analyses usually used to obtain novae abundances

Are there valid proxy measures of clinical behaviour?

Background: Accurate measures of health professionals' clinical practice are critically important to guide health policy decisions, as well as for professional self-evaluation and for research-based investigation of clinical practice and process of care. It is often not feasible or ethical to measure behaviour through direct observation, and rigorous behavioural measures are difficult and costly to use. The aim of this review was to identify the current evidence relating to the relationships between proxy measures and direct measures of clinical behaviour. In particular, the accuracy of medical record review, clinician self-reported and patient-reported behaviour was assessed relative to directly observed behaviour. Methods: We searched: PsycINFO; MEDLINE; EMBASE; CINAHL; Cochrane Central Register of Controlled Trials; science/social science citation index; Current contents (social & behavioural med/clinical med); ISI conference proceedings; and Index to Theses. Inclusion criteria: empirical, quantitative studies; and examining clinical behaviours. An independent, direct measure of behaviour (by standardised patient, other trained observer or by video/audio recording) was considered the 'gold standard' for comparison. Proxy measures of behaviour included: retrospective self-report; patient-report; or chart-review. All titles, abstracts, and full text articles retrieved by electronic searching were screened for inclusion and abstracted independently by two reviewers. Disagreements were resolved by discussion with a third reviewer where necessary. Results: Fifteen reports originating from 11 studies met the inclusion criteria. The method of direct measurement was by standardised patient in six reports, trained observer in three reports, and audio/video recording in six reports. Multiple proxy measures of behaviour were compared in five of 15 reports. Only four of 15 reports used appropriate statistical methods to compare measures. Some direct measures failed to meet our validity criteria. The accuracy of patient report and chart review as proxy measures varied considerably across a wide range of clinical actions. The evidence for clinician self-report was inconclusive. Conclusion: Valid measures of clinical behaviour are of fundamental importance to accurately identify gaps in care delivery, improve quality of care, and ultimately to improve patient care. However, the evidence base for three commonly used proxy measures of clinicians' behaviour is very limited. Further research is needed to better establish the methods of development, application, and analysis for a range of both direct and proxy measures of behaviour

Science and society: The Role of Long-term Studies in Environmental Stewardship

Long-term research should play a crucial role in addressing grand challenges in environmental stewardship. We examine the efforts of five Long Term Ecological Research Network sites to enhance policy, management, and conservation decisions for forest ecosystems. In these case studies, we explore the approaches used to inform policy on atmospheric deposition, public land management, land conservation, and urban forestry, including decisionmaker engagement and integration of local knowledge, application of models to analyze the potential consequences of policy and management decisions, and adaptive management to generate new knowledge and incorporate it into decisionmaking. Efforts to enhance the role of long-term research in informing major environmental challenges would benefit from the development of metrics to evaluate impact; stronger partnerships among research sites, professional societies, decisionmakers, and journalists; and greater investment in efforts to develop, test, and expand practice-based experiments at the interface of science and society

Association between potassium concentrations, variability and supplementation, and in‑hospital mortality in ICU patients: a retrospective analysis

BACKGROUND: Serum potassium concentrations are commonly between 3.5 and 5.0 mmol/l. Standardised protocols for potassium range and supplementation in the ICU are lacking. The purpose of this retrospective analysis of ICU patients was to investigate potassium concentrations, variability and supplementation, and their association with in-hospital mortality. METHODS: ICU patients ≥ 18 years, with ≥ 2 serum potassium values, treated at the Charité - Universitätsmedizin Berlin between 2006 and 2018 were eligible for inclusion. We categorised into groups of mean potassium concentrations:  3.5-4.0, > 4.0-4.5, > 4.5-5.0, > 5.0-5.5, > 5.5 mmol/l and potassium variability: 1st, 2nd and ≥ 3rd standard deviation (SD). We analysed the association between the particular groups and in-hospital mortality and performed binary logistic regression analysis. Survival curves were performed according to Kaplan-Meier and tested by Log-Rank. In a subanalysis, the association between potassium supplementation and in-hospital mortality was investigated. RESULTS: In 53,248 ICU patients with 1,337,742 potassium values, the lowest mortality (3.7%) was observed in patients with mean potassium concentrations between > 3.5 and 4.0 mmol/l and a low potassium variability within the 1st SD. Binary logistic regression confirmed these results. In a subanalysis of 22,406 ICU patients (ICU admission: 2013-2018), 12,892 (57.5%) received oral and/or intravenous potassium supplementation. Potassium supplementation was associated with an increase in in-hospital mortality in potassium categories from > 3.5 to 4.5 mmol/l and in the 1st, 2nd and ≥ 3rd SD (p < 0.001 each). CONCLUSIONS: ICU patients may benefit from a target range between 3.5 and 4.0 mmol/l and a minimal potassium variability. Clear potassium target ranges have to be determined. Criteria for widely applied potassium supplementation should be critically discussed. Trial registration German Clinical Trials Register, DRKS00016411. Retrospectively registered 11 January 2019, http://www.drks.de/DRKS00016411

Clinical Outcomes of Zirconia Dental Implants: A Systematic Review

To determine the survival rate and marginal bone loss (MBL) of zirconia dental implants restored with single crowns or fixed dental prostheses. An electronic search was conducted up to November 2015 (without any restriction regarding the publication time) through the databases MEDLINE (PubMed), Cochrane Library, and EMBASE to identify randomized controlled clinical trials and prospective clinical trials including >15 patients. Primary outcomes were survival rate and MBL. Furthermore, the influence of several covariates on MBL was evaluated. Qualitative assessment and statistical analyses were performed. This review was conducted according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines for systematic reviews. With the applied search strategy, 4,196 titles could be identified. After a screening procedure, 2 randomized controlled clinical trials and 7 prospective clinical trials remained for analyses. In these trials, a total of 326 patients received 398 implants. The follow-up ranged from 12 to 60 mo. Implant loss was mostly reported within the first year, especially within the healing period. Thereafter, nearly constant survival curves could be observed. Therefore, separate meta-analyses were performed for the first and subsequent years, resulting in an implant survival rate of 95.6% (95% confidence interval: 93.3% to 97.9%) after 12 mo and, thereafter, an expected decrease of 0.05% per year (0.25% after 5 y). Additionally, a meta-analysis was conducted for the mean MBL after 12 mo, resulting in 0.79 mm (95% confidence interval: 0.73 to 0.86 mm). Implant bulk material and design, restoration type, and the application of minor augmentation procedures during surgery, as well as the modes of temporization and loading, had no statistically significant influence on MBL. The short-term cumulative survival rates and the MBL of zirconia implants in the presented systematic review are promising. However, additional data are still needed to confirm the long-term predictability of these implants