16 research outputs found
Post-flood recovery and distributions of fishes in the New River Gorge National River, West Virginia
The following thesis contains three chapters. The first chapter introduces and reviews literature on disturbances in streams (e.g. flood and drought), recovery of impacted lotic systems, introduced species and New River fish distributions. Chapter 2 provides a synthesis of native and nonnative fish distribution data of the New River Gorge National River (NRGNR). Sixty-two species were documented within or near the NRGNR. Thirty-one (50%) are considered nonnative. The third chapter consists of a study that estimated seasonal abundances of native and nonnative fishes in small tributaries of NRGNR during a 20 month time period following July 2001 floods, and examined among-season stability in abundances of native and nonnative fishes across the 20-month time series. Twenty-nine species were observed (15 native and 14 nonnative) and patterns of recovery were influenced primarily by four natives (stoneroller, blacknose, dace, creek chub, and green sunfish) and four nonnatives (telescope shiner, whitetail shiner, smallmouth bass, and rainbow darter). Abundances of most species did not increase monotonically over the 20-month study period, but fluctuated among seasons. Abundances of nonnative fishes were generally less stable than those of natives across the 20-month time series. Seasonal variation in abundances among species was attributed to historic ecological factors, summer drought, immigration and emigration associated with seasonal habitat shifts, and juvenile recruitment
Untangling knowledge creation and knowledge integration in enterprise wikis
A central challenge organizations face is how to build, store, and maintain knowledge over time. Enterprise wikis are community-based knowledge systems situated in an organizational context. These systems have the potential to play an important role in managing knowledge within organizations, but the motivating factors that drive individuals to contribute their knowledge to these systems is not very well understood. We theorize that enterprise wiki initiatives require two separate and distinct types of knowledge-sharing behaviors to succeed: knowledge creation (KC) and knowledge integration (KI). We examine a Wiki initiative at a major German bank to untangle the motivating factors behind KC and KI. Our results suggest KC and KI are indeed two distinct behaviors, reconcile inconsistent findings from past studies on the role of motivational factors for knowledge sharing to establish shared electronic knowledge resources in organizations, and identify factors that can be leveraged to tilt behaviors in favor of KC or KI
Immunoglobulin, glucocorticoid, or combination therapy for multisystem inflammatory syndrome in children: a propensity-weighted cohort study
Background Multisystem inflammatory syndrome in children (MIS-C), a hyperinflammatory condition associated with SARS-CoV-2 infection, has emerged as a serious illness in children worldwide. Immunoglobulin or glucocorticoids, or both, are currently recommended treatments. Methods The Best Available Treatment Study evaluated immunomodulatory treatments for MIS-C in an international observational cohort. Analysis of the first 614 patients was previously reported. In this propensity-weighted cohort study, clinical and outcome data from children with suspected or proven MIS-C were collected onto a web-based Research Electronic Data Capture database. After excluding neonates and incomplete or duplicate records, inverse probability weighting was used to compare primary treatments with intravenous immunoglobulin, intravenous immunoglobulin plus glucocorticoids, or glucocorticoids alone, using intravenous immunoglobulin as the reference treatment. Primary outcomes were a composite of inotropic or ventilator support from the second day after treatment initiation, or death, and time to improvement on an ordinal clinical severity scale. Secondary outcomes included treatment escalation, clinical deterioration, fever, and coronary artery aneurysm occurrence and resolution. This study is registered with the ISRCTN registry, ISRCTN69546370. Findings We enrolled 2101 children (aged 0 months to 19 years) with clinically diagnosed MIS-C from 39 countries between June 14, 2020, and April 25, 2022, and, following exclusions, 2009 patients were included for analysis (median age 8·0 years [IQR 4·2–11·4], 1191 [59·3%] male and 818 [40·7%] female, and 825 [41·1%] White). 680 (33·8%) patients received primary treatment with intravenous immunoglobulin, 698 (34·7%) with intravenous immunoglobulin plus glucocorticoids, 487 (24·2%) with glucocorticoids alone; 59 (2·9%) patients received other combinations, including biologicals, and 85 (4·2%) patients received no immunomodulators. There were no significant differences between treatments for primary outcomes for the 1586 patients with complete baseline and outcome data that were considered for primary analysis. Adjusted odds ratios for ventilation, inotropic support, or death were 1·09 (95% CI 0·75–1·58; corrected p value=1·00) for intravenous immunoglobulin plus glucocorticoids and 0·93 (0·58–1·47; corrected p value=1·00) for glucocorticoids alone, versus intravenous immunoglobulin alone. Adjusted average hazard ratios for time to improvement were 1·04 (95% CI 0·91–1·20; corrected p value=1·00) for intravenous immunoglobulin plus glucocorticoids, and 0·84 (0·70–1·00; corrected p value=0·22) for glucocorticoids alone, versus intravenous immunoglobulin alone. Treatment escalation was less frequent for intravenous immunoglobulin plus glucocorticoids (OR 0·15 [95% CI 0·11–0·20]; p<0·0001) and glucocorticoids alone (0·68 [0·50–0·93]; p=0·014) versus intravenous immunoglobulin alone. Persistent fever (from day 2 onward) was less common with intravenous immunoglobulin plus glucocorticoids compared with either intravenous immunoglobulin alone (OR 0·50 [95% CI 0·38–0·67]; p<0·0001) or glucocorticoids alone (0·63 [0·45–0·88]; p=0·0058). Coronary artery aneurysm occurrence and resolution did not differ significantly between treatment groups. Interpretation Recovery rates, including occurrence and resolution of coronary artery aneurysms, were similar for primary treatment with intravenous immunoglobulin when compared to glucocorticoids or intravenous immunoglobulin plus glucocorticoids. Initial treatment with glucocorticoids appears to be a safe alternative to immunoglobulin or combined therapy, and might be advantageous in view of the cost and limited availability of intravenous immunoglobulin in many countries. Funding Imperial College London, the European Union's Horizon 2020, Wellcome Trust, the Medical Research Foundation, UK National Institute for Health and Care Research, and National Institutes of Health
Social Network Type and Long-Term Condition Management Support: A Cross-Sectional Study in Six European Countries
Ideal Femoral Head Size in Total Hip Arthroplasty Balances Stability and Volumetric Wear
Is Australia a tectonically stable continent? Analysis of a myth and suggested morphological evidence of tectonism
Occasional references to the relative tectonic instability of the Australian continent have been published over the last hundred years or so. Youthful tectonic forms were described from various parts of the continent throughout that period. Despite this, it was repeatedly claimed that the shield lands in particular were tectonically stable, and as recently as this century reference has been made to a concept embracing a tectonically inert continent. However, some 60 years ago, the accumulated evidence convinced E.S. Hills that in Australia all land surfaces, including the shield lands, and even recent alluvial plains, were tectonically disturbed. This conclusion was reinforced by analyses of seismicity and faulting; by regional geological mapping that revealed widely distributed tectonic forms and especially fault-related features, many of them of neotectonic age; by technological advances that allow faulting episodes to be closely dated; by the recognition of underprinting; and by the realization that many minor forms, previously unrecognized or attributed to other mechanisms or processes, are associated with crustal stress and are of tectonic origin. Thus, while Australia is a relatively stable continent, it is subject to widespread small-magnitude earth movements. Ironically, in view of earlier thinking, neotectonic forms may be better developed and preserved on the shields than elsewhere.C. R. Twidal
Plate fixation and bone grafting of distal clavicle nonunions: radiologic and functional outcomes
Anti-obesogenic and antidiabetic effects of plants and mushrooms
Obesity is reaching global epidemic proportions as a result of factors such as high-calorie diets and lack of physical exercise. Obesity is now considered to be a medical condition, which not only contributes to the risk of developing type 2 diabetes mellitus, cardiovascular disease and cancer, but also negatively affects longevity and quality of life. To combat this epidemic, anti-obesogenic approaches are required that are safe, widely available and inexpensive. Several plants and mushrooms that are consumed in traditional Chinese medicine or as nutraceuticals contain antioxidants, fibre and other phytochemicals, and have anti-obesogenic and antidiabetic effects through the modulation of diverse cellular and physiological pathways. These effects include appetite reduction, modulation of lipid absorption and metabolism, enhancement of insulin sensitivity, thermogenesis and changes in the gut microbiota. In this Review, we describe the molecular mechanisms that underlie the anti-obesogenic and antidiabetic effects of these plants and mushrooms, and propose that combining these food items with existing anti-obesogenic approaches might help to reduce obesity and its complications