11 research outputs found

    Association of kidney disease measures with risk of renal function worsening in patients with type 1 diabetes

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    Background: Albuminuria has been classically considered a marker of kidney damage progression in diabetic patients and it is routinely assessed to monitor kidney function. However, the role of a mild GFR reduction on the development of stage 653 CKD has been less explored in type 1 diabetes mellitus (T1DM) patients. Aim of the present study was to evaluate the prognostic role of kidney disease measures, namely albuminuria and reduced GFR, on the development of stage 653 CKD in a large cohort of patients affected by T1DM. Methods: A total of 4284 patients affected by T1DM followed-up at 76 diabetes centers participating to the Italian Association of Clinical Diabetologists (Associazione Medici Diabetologi, AMD) initiative constitutes the study population. Urinary albumin excretion (ACR) and estimated GFR (eGFR) were retrieved and analyzed. The incidence of stage 653 CKD (eGFR < 60 mL/min/1.73 m2) or eGFR reduction > 30% from baseline was evaluated. Results: The mean estimated GFR was 98 \ub1 17 mL/min/1.73m2 and the proportion of patients with albuminuria was 15.3% (n = 654) at baseline. About 8% (n = 337) of patients developed one of the two renal endpoints during the 4-year follow-up period. Age, albuminuria (micro or macro) and baseline eGFR < 90 ml/min/m2 were independent risk factors for stage 653 CKD and renal function worsening. When compared to patients with eGFR > 90 ml/min/1.73m2 and normoalbuminuria, those with albuminuria at baseline had a 1.69 greater risk of reaching stage 3 CKD, while patients with mild eGFR reduction (i.e. eGFR between 90 and 60 mL/min/1.73 m2) show a 3.81 greater risk that rose to 8.24 for those patients with albuminuria and mild eGFR reduction at baseline. Conclusions: Albuminuria and eGFR reduction represent independent risk factors for incident stage 653 CKD in T1DM patients. The simultaneous occurrence of reduced eGFR and albuminuria have a synergistic effect on renal function worsening

    Co-limitation towards lower latitudes shapes global forest diversity gradients

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    The latitudinal diversity gradient (LDG) is one of the most recognized global patterns of species richness exhibited across a wide range of taxa. Numerous hypotheses have been proposed in the past two centuries to explain LDG, but rigorous tests of the drivers of LDGs have been limited by a lack of high-quality global species richness data. Here we produce a high-resolution (0.025° × 0.025°) map of local tree species richness using a global forest inventory database with individual tree information and local biophysical characteristics from ~1.3 million sample plots. We then quantify drivers of local tree species richness patterns across latitudes. Generally, annual mean temperature was a dominant predictor of tree species richness, which is most consistent with the metabolic theory of biodiversity (MTB). However, MTB underestimated LDG in the tropics, where high species richness was also moderated by topographic, soil and anthropogenic factors operating at local scales. Given that local landscape variables operate synergistically with bioclimatic factors in shaping the global LDG pattern, we suggest that MTB be extended to account for co-limitation by subordinate drivers

    Composição florística de uma floresta estacional semidecidual montana no município de Viçosa-MG Floristic composition of a montane seasonal semideciduous tropical forest in Viçosa, MG, Brasil

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    O objetivo do presente estudo foi investigar a composição florística arbórea da Mata da Silvicultura (20º45'S e 42º55'W), município de Viçosa, Zona da Mata de Minas Gerais, com o intuito de avaliar sua similaridade com outras florestas. Para comparação florística foi utilizada a análise de agrupamentos pelo método de médias aritméticas não-ponderadas (UPGMA), a partir dos índices binários de similaridade de Sørensen entre as florestas comparadas. Foram relacionadas 154 espécies de 47 famílias botânicas para a Mata da Silvicultura. Esta mata mostrou-se mais similar às florestas semideciduais de altitude de Lavras (MG) e de Atibaia (SP) e menos similar às florestas submontanas e litorâneas. Estes resultados evidenciam uma importante influência das temperaturas na determinação do tipo florístico das florestas do Sudeste e Sul brasileiros.<br>This study aims to investigate the floristic composition of the Silvicultura forest (20º45`S and 42º55&acute;W) by comparing it to other forest compositions. Thus, the cluster analysis method of unweighted pair-group using arithmetic averages (UPGMA) was used, applying the Sørensen binary similarity index found among compared forests. A list of 154 species of 47 families was recorded. The Silvicultura forest is more similar to the montane semideciduous forests of Lavras and Atibaia, but less similar to submontane and coastal forests. These results show that temperature plays an important role in the floristic differentiation of the southern and southeastern Brazilian forest types

    Co-limitation towards lower latitudes shapes global forest diversity gradients

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    The latitudinal diversity gradient (LDG) is one of the most recognized global patterns of species richness exhibited across a wide range of taxa. Numerous hypotheses have been proposed in the past two centuries to explain LDG, but rigorous tests of the drivers of LDGs have been limited by a lack of high-quality global species richness data. Here we produce a high-resolution (0.025 degrees x 0.025 degrees) map of local tree species richness using a global forest inventory database with individual tree information and local biophysical characteristics from similar to 1.3 million sample plots. We then quantify drivers of local tree species richness patterns across latitudes. Generally, annual mean temperature was a dominant predictor of tree species richness, which is most consistent with the metabolic theory of biodiversity (MTB). However, MTB underestimated LDG in the tropics, where high species richness was also moderated by topographic, soil and anthropogenic factors operating at local scales. Given that local landscape variables operate synergistically with bioclimatic factors in shaping the global LDG pattern, we suggest that MTB be extended to account for co-limitation by subordinate drivers

    Co-limitation towards lower latitudes shapes global forest diversity gradients

    Get PDF
    The latitudinal diversity gradient (LDG) is one of the most recognized global patterns of species richness exhibited across a wide range of taxa. Numerous hypotheses have been proposed in the past two centuries to explain LDG, but rigorous tests of the drivers of LDGs have been limited by a lack of high-quality global species richness data. Here we produce a high-resolution (0.025° × 0.025°) map of local tree species richness using a global forest inventory database with individual tree information and local biophysical characteristics from ~1.3 million sample plots. We then quantify drivers of local tree species richness patterns across latitudes. Generally, annual mean temperature was a dominant predictor of tree species richness, which is most consistent with the metabolic theory of biodiversity (MTB). However, MTB underestimated LDG in the tropics, where high species richness was also moderated by topographic, soil and anthropogenic factors operating at local scales. Given that local landscape variables operate synergistically with bioclimatic factors in shaping the global LDG pattern, we suggest that MTB be extended to account for co-limitation by subordinate drivers

    Proceedings of the 23rd Paediatric Rheumatology European Society Congress: part one

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