Modeling projected changes of mangrove biomass in different climatic scenarios in the Sunda Banda Seascapes

Mangroves are critical in the ecological, economic and social development of coastal rural and urban communities. However, they are under threat by climate change and anthropogenic activities. The Sunda Banda Seascape (SBS), Indonesia, is among the world’s richest regions of mangrove biomass and biodiversity. To inform current and future management strategies, it is critical to provide estimates of how mangroves will respond to climate change in this region. Therefore, this paper utilized spatial analysis with model-based climatic indicators (temperature and precipitation) and mangrove distribution maps to estimate a benchmark for the mangrove biomass of the SBS in six scenarios, namely the Last Inter-glacial Period, the current scenario (1950–2000) and all four projected Representative Concentration Pathways in 2070 due to climate change. Despite mangroves gaining more biomass with climate change (the increase in CO2 concentration), this paper highlighted the great proportion of below-ground biomass in mangrove forests. It also showed that the changes in spatial distribution of mangrove biomass became more variable in the context of climate change. As mangroves have been proposed as an essential component of climate change strategies, this study can serve as a baseline for future studies and resource management strategies

Macro Micro Studio: A Prototype Energy Autonomous Laboratory - supplementary information

Supplementary information including concept development, design drawings, shell geometry and technical data. © The University of Dunde

Tele-education model for primary care providers to advance diabetes equity: Findings from Project ECHO Diabetes

IntroductionIn the US, many individuals with diabetes do not have consistent access to endocrinologists and therefore rely on primary care providers (PCPs) for their diabetes management. Project ECHO (Extension for Community Healthcare Outcomes) Diabetes, a tele-education model, was developed to empower PCPs to independently manage diabetes, including education on diabetes technology initiation and use, to bridge disparities in diabetes.MethodsPCPs (n=116) who participated in Project ECHO Diabetes and completed pre- and post-intervention surveys were included in this analysis. The survey was administered in California and Florida to participating PCPs via REDCap and paper surveys. This survey aimed to evaluate practice demographics, protocols with adult and pediatric T1D management, challenges, resources, and provider knowledge and confidence in diabetes management. Differences and statistical significance in pre- and post-intervention responses were evaluated via McNemar’s tests.ResultsPCPs reported improvement in all domains of diabetes education and management. From baseline, PCPs reported improvement in their confidence to serve as the T1D provider for their community (pre vs post: 43.8% vs 68.8%, p=0.005), manage insulin therapy (pre vs post: 62.8% vs 84.3%, p=0.002), and identify symptoms of diabetes distress (pre vs post: 62.8% vs 84.3%, p=0.002) post-intervention. Compared to pre-intervention, providers reported significant improvement in their confidence in all aspects of diabetes technology including prescribing technology (41.2% vs 68.6%, p=0.001), managing insulin pumps (41.2% vs 68.6%, p=0.001) and hybrid closed loop (10.2% vs 26.5%, p=0.033), and interpreting sensor data (41.2% vs 68.6%, p=0.001) post-intervention.DiscussionPCPs who participated in Project ECHO Diabetes reported increased confidence in diabetes management, with notable improvement in their ability to prescribe, manage, and troubleshoot diabetes technology. These data support the use of tele-education of PCPs to increase confidence in diabetes technology management as a feasible strategy to advance equity in diabetes management and outcomes