The Diatom Flora of Phosphorus-Enriched And Unenriched Sites in an Everglades Marsh

Diatoms are used as environmental indicators in the Florida Everglades, a large subtropical wetland highly impacted by phosphorus pollution. However, the taxonomy of the diatom flora, a mix of temperate and tropical diatoms, is understudied. Therefore, we analyzed the taxonomy of 71 diatom taxa collected in Water Conservation Area 2A (WCA-2A). Diatoms were analyzed from sediment cores and from floating algal mats collected in phosphorus-enriched northern WCA-2A and in relatively unenriched southern WCA-2A. In addition, diatoms were analyzed from experimental mesocosms in southern WCA- 2A dosed with 0-126 µgL-1 P-PO4. Total phosphorus optima were calculated for dominant taxa. Average percent abundances in phosphorus-enriched and unenriched conditions are given for all taxa. Eleven taxa were dominant (\u3e5% abundance in at least one sample) in unenriched conditions, 17 taxa were observed only in phosphorus-enriched conditions, and 9 taxa were observed only below 2 cm in sediment cores. We compared the flora to taxonomical accounts of diatoms from temperate and tropical regions, with a special focus on nearby Antillean islands (Cuba, Jamaica, and Puerto Rico). Light microscope images of each taxon and SEM images of selected taxa are presented. Taxonomical measurements are given for each taxon, and differences from descriptions in other taxonomical accounts are discussed. A new combination, Achnanthes caledonica Lange-Bertalot = Achnanthidium caledonicum (Lange-Bertalot) comb nov. is proposed

Establishing smoke-free homes in the Indigenous populations of Australia, New Zealand, Canada and the United States: a systematic literature review

A smoke-free home can have multiple benefits by reducing exposure to secondhand smoke (SHS), supporting quit attempts among active smokers, and discouraging adolescents from taking up smoking. The aim of this review was to summarize the literature on the establishment of smoke-free homes in Indigenous populations and identify the supporting influences and barriers, using the Social Cognitive Theory lens. A search of the Medline, CINAHL, Cochrane Collaboration and PyscINFO databases and manual searches of relevant peer-reviewed literature was completed, focusing on Indigenous populations in developed economies of North America and Oceania. Of 2567 articles identified, 15 studies were included. Ten studies included Indigenous participants only, and of these just three focused entirely on SHS in the home. Knowledge of the harms associated with SHS was the most common theme represented in all the studies. This knowledge fueled parents' motivation to protect their children from SHS by establishing smoke-free homes. Individuals who approached implementation with confidence, coupled with clear communication about smoke-free home rules were more successful. Barriers included challenges for families with multiple smokers living in the same dwelling. There is limited research regarding managing smoking behaviors in the home among Indigenous populations, even though this approach is a successful catalyst for smoking prevention and cessation. Research to understand the influences that support the establishment of smoke-free homes is required for better-informed intervention studies

Improving survival for patients with advanced heart failure: A study of 737 consecutive patients

Objectives.This study sought to determine whether survival and risk of sudden death have improved for patients with advanced heart failure referred for consideration for heart transplantation as advances in medical therapy were systematically implemented over an 8-year period.Background.Recent survival trials in patients with mild to moderate heart failure and patients after a myocardial infarction have shown that angiotensin-converting enzyme inhibitors are beneficial, type I antiarrhythmic drugs can be detrimental, and amiodarone may be beneficial in some groups. The impact of advances in therapy may be enhanced or blunted when applied to severe heart failure.Methods.One-year mortality and sudden death were determined in relation to time, baseline variables and therapeutics for 737 consecutive patients referred for heart transplantation and discharged home on medical therapy from 1986 to 1988, 1989 to 1990 and 1991 to 1993. Medical care was directed by a single team of physicians with policies established by consensus. From 1986 to 1990, the hydralazine/isosorbide dinitrate combination or angiotensin-converting enzyme inhibitors were the initial vasodilators, and class I antiarrhythmic drugs were allowed. After 1990, captopril was the initial vasodilator, given to 86% of patients compared with 46% of patients before 1989. After mid-1989, class I agents were routinely withdrawn, and amiodarone was used for frequent ventricular ectopic beats or atrial fibrillation (53% of patients after 1990 vs. 10% before 1989).Results.The total 1-year mortality rate decreased from 33% before 1989 to 16% after 1990 (p = 0.0001), and sudden death decreased from 20% to 8% (p = 0.0006). Adjusted for clinical and hemodynamic variables in multivariate proportional hazards models, total mortality and sudden death were lower after 1990.Conclusions.The large reduction in mortality, particularly in sudden death, from advanced heart failure since 1990 may reflect an enhanced impact of therapeutic advances shown in large randomized trials when they are incorporated into a comprehensive approach in this population. This improved survival supports the growing practice of maintaining potential heart transplant candidates on optimal medical therapy until clinical decompensation mandates transplantation

Algae–P relationships, thresholds, and frequency distributions guide nutrient criterion development

Abstract. We used complementary information collected using different conceptual approaches to develop recommendations for a stream nutrient criterion based on responses of algal assemblages to anthropogenic P enrichment. Benthic algal attributes, water chemistry, physical habitat, and human activities in watersheds were measured in streams of the Mid-Atlantic Highlands region as part of the Environmental Monitoring and Assessment Program of the US Environmental Protection Agency. Diatom species composition differed greatly between low-and high-pH reference streams; therefore, analyses for criterion development were limited to a subset of 149 well-buffered streams to control for natural variability among streams caused by pH. Regression models showed that TP concentrations were ;10 lg/L in streams with low levels of human activities in watersheds and that TP increased with % agriculture and urban land uses in watersheds. The 75 th percentile at reference sites was 12 lg TP/L. Chlorophyll a and ash-free dry mass increased and acid and alkaline phosphatase activities decreased with increasing TP concentration. The number of diatom taxa, evenness, proportion of expected native taxa, and number of high-P taxa increased with TP concentration in streams. In contrast, the number of low-P native taxa and % low-P individuals decreased with increasing TP. Lowess regression and regression tree analysis indicated nonlinear relationships for many diversity indices and attributes of taxonomic composition with respect to TP. Thresholds in these responses occurred between 10 and 20 lg/L and helped justify recommending a P criterion between 10 and 12 lg TP/L to protect highquality biological conditions in streams of the Mid-Atlantic Highlands

Gorenstein homological algebra and universal coefficient theorems

We study criteria for a ring—or more generally, for a small category—to be Gorenstein and for a module over it to be of finite projective dimension. The goal is to unify the universal coefficient theorems found in the literature and to develop machinery for proving new ones. Among the universal coefficient theorems covered by our methods we find, besides all the classic examples, several exotic examples arising from the KK-theory of C*-algebras and also Neeman’s Brown–Adams representability theorem for compactly generated categories

Winning Fights Induces Hyperaggression via the Action of the Biogenic Amine Octopamine in Crickets

Winning an agonistic interaction against a conspecific is known to heighten aggressiveness, but the underlying events and mechanism are poorly understood. We quantified the effect of experiencing successive wins on aggression in adult male crickets (Gryllus bimaculatus) by staging knockout tournaments and investigated its dependence on biogenic amines by treatment with amine receptor antagonists. For an inter-fight interval of 5 min, fights between winners escalated to higher levels of aggression and lasted significantly longer than the preceding round. This winner effect is transient, and no longer evident for an inter-fight interval of 20 min, indicating that it does not result from selecting individuals that were hyper-aggressive from the outset. A winner effect was also evident in crickets that experienced wins without physical exertion, or that engaged in fights that were interrupted before a win was experienced. Finally, the winner effect was abolished by prior treatment with epinastine, a highly selective octopamine receptor blocker, but not by propranolol, a ß-adrenergic receptor antagonist, nor by yohimbine, an insect tyramine receptor blocker nor by fluphenazine an insect dopamine-receptor blocker. Taken together our study in the cricket indicates that the physical exertion of fighting, together with some rewarding aspect of the actual winning experience, leads to a transient increase in aggressive motivation via activation of the octopaminergic system, the invertebrate equivalent to the adrenergic system of vertebrates

Patient Care Teams in treatment of diabetes and chronic heart failure in primary care: an observational networks study

Contains fulltext : 97203.pdf (publisher's version ) (Open Access)ABSTRACT: BACKGROUND: Patient care teams have an important role in providing medical care to patients with chronic disease, but insight into how to improve their performance is limited. Two potentially relevant determinants are the presence of a central care provider with a coordinating role and an active role of the patient in the network of care providers. In this study, we aimed to develop and test measures of these factors related to the network of care providers of an individual patient. METHODS: We performed an observational study in patients with type 2 diabetes or chronic heart failure, who were recruited from three primary care practices in The Netherlands. The study focused on medical treatment, advice on physical activity, and disease monitoring. We used patient questionnaires and chart review to measure connections between the patient and care providers, and a written survey among care providers to measure their connections. Data on clinical performance were extracted from the medical records. We used network analysis to compute degree centrality coefficients for the patient and to identify the most central health professional in each network. A range of other network characteristics were computed including network centralization, density, size, diversity of disciplines, and overlap among activity-specific networks. Differences across the two chronic conditions and associations with disease monitoring were explored. RESULTS: Approximately 50% of the invited patients participated. Participation rates of health professionals were close to 100%. We identified 63 networks of 25 patients: 22 for medical treatment, 16 for physical exercise advice, and 25 for disease monitoring. General practitioners (GPs) were the most central care providers for the three clinical activities in both chronic conditions. The GP's degree centrality coefficient varied substantially, and higher scores seemed to be associated with receiving more comprehensive disease monitoring. The degree centrality coefficient of patients also varied substantially but did not seem to be associated with disease monitoring. CONCLUSIONS: Our method can be used to measure connections between care providers of an individual patient, and to examine the association between specific network parameters and healthcare received. Further research is needed to refine the measurement method and to test the association of specific network parameters with quality and outcomes of healthcare

Comment on Bachmann et al. (2013): A nonrepresentative sample cannot describe the extent of cultural eutrophication of natural lakes in the United States

In their recent paper, Bachmann et al. (2013) evaluate the extent to which natural lakes in the contiguous United States have been affected by cultural eutrophication since Europe-an settlement, using paleolimnological data collected during the 2007 National Lakes Assessment (NLA; U.S. Environ-mental Protection Agency [USEPA] 2009). The NLA sites were selected using a statistically valid sampling design that allows for the overall ecological condition of the nation’s lakes to be accurately characterized (USEPA 2009). Given the current consensus among limnologists regarding the prevalence of culturally eutrophic lakes (Finlayson and D’Cruz 2005; Carpenter et al. 2011), the conclusion of Bachmann et al. that ‘‘in the United States of America, the extent that natural lakes have been changed by cultural eutrophication does not seem to be large’’ (Bachmann et al. 2013, p. 950) is surprising. The findings of Bachmann et al. supporting this statement are not based on the entire NLA sample of natural lakes but rather on a subset of them. We demonstrate below that not only is this subset not representative of the entire population of natural lakes in the United States, but that it is biased toward lakes in regions with less anthropogenic activity and substantially lower nutrient concentrations. Consequently, we argue that the conclusions drawn by Bachmann et al. (2013) at the national scale are based upon a statistically flawed analysis