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1.
Conserv Physiol ; 12(1): coae067, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39391558

RESUMEN

Sea otters are keystone predators whose recovery and expansion from historical exploitation throughout their range can serve to enhance local biodiversity, promote community stability, and buffer against habitat loss in nearshore marine systems. Bioenergetics models have become a useful tool in conservation and management efforts of marine mammals generally, yet no bioenergetics model exists for sea otters. Previous research provides abundant data that can be used to develop bioenergetics models for this species, yet important data gaps remain. Here we review the available data that could inform a bioenergetics model, and point to specific open questions that could be answered to more fully inform such an effort. These data gaps include quantifying energy intake through foraging by females with different aged pups in different quality habitats, the influence of body size on energy intake through foraging, and determining the level of fat storage that is possible in sea otters of different body sizes. The more completely we fill these data gaps, the more confidence we can have in the results and predictions produced by future bioenergetics modeling efforts for this species.

2.
J Exp Biol ; 2024 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-39319443

RESUMEN

Energy is a common currency for any living organism, yet estimating energy expenditure in wild animals is challenging. Accelerometers are commonly used to estimate energy expenditure, via a dynamic body acceleration (DBA) or time-energy budget approach. The dynamic body acceleration approach estimates energy expenditure directly from acceleration but may lead to erroneous estimates during inactivity when acceleration is zero but energy expenditure is not. The time-energy budget approach uses accelerometers and other data streams to assign a behaviour to each time step, and then calculates energy expenditure based on activity-specific metabolic rates assigned to each behaviour. Here, used GPS-accelerometry in breeding black-legged kittiwakes (Rissa tridactyla, n=80) to calculate DBA and time-energy budgets derived from simple biologging metrics (speed, wing beat frequency, GPS position). We then compared these two approaches to estimates of energy expenditure from doubly-labelled water. Energy expenditure estimated from DLW correlated with DBA, but the best model to estimate energy expenditure was based on time-energy budgets. Energy costs of flapping flight were higher than all other kittiwake behaviours (5.54 x basal metabolic rate, BMR). Energetic costs of gliding flight (0.80 x BMR) were the lowest of all behaviours, and equivalent to the cost of resting at the colony. DEE for our birds estimated from our calibration coefficients are similar to DEE for our birds estimated with the model coefficient published using different methods. We conclude that once calibrated with DLW, GPS-accelerometry provides a simple method for measuring energy expenditure in wild kittiwakes based on time-energy budgets.

3.
Artículo en Inglés | MEDLINE | ID: mdl-39338056

RESUMEN

BACKGROUND: The rising costs of drugs are putting health care systems under pressure. We report on the Bavarian Drug Agreement, which employs prescribing targets for preferred and generic drugs in ambulatory care. Under this agreement, providers are regularly profiled with individual feedback but also possible sanctions. We investigated the degree to which targets were being met (or not) and why failure occurred. METHODS: We analysed prescribing data aggregated by practice for the quarter 1/2018. We chose eight specialisation groups and analysed their drug targets with a high prescribing volume, widely missed drug targets (<90%), and drugs preventing drug target achievement. Characterisation of drug targets and preventing drugs was undertaken. RESULTS: Drug targets with a high prescribing volume are mostly achieved, while highly missed drug targets mostly do not affect the main indication area of the specialisation groups considered. Generic drug targets seem to be more easily achieved than recommended drug targets. Paediatrics accounts for the largest number of missed drug targets. CONCLUSIONS: The Bavarian tool implemented uses the prescribing volume (DDD) and price components to evaluate the prescription behaviour of physicians. Well-established drugs with demonstrated effectiveness, safety, and lower costs are preferred. Nevertheless, me-too drugs, combination drugs, costly innovations with unclear value, and drugs with application methods of variable convenience challenge the drug prescribers and are reasons for missed drug targets.


Asunto(s)
Prescripciones de Medicamentos , Pautas de la Práctica en Medicina , Alemania , Pautas de la Práctica en Medicina/estadística & datos numéricos , Humanos , Prescripciones de Medicamentos/estadística & datos numéricos , Medicamentos Genéricos/uso terapéutico
4.
Rand Health Q ; 11(4): 5, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39346111

RESUMEN

The Department of Defense (DoD) requires both current and projected estimates of the size of its workforce population with specific categories of disabilities. These estimates support the requirements under the Rehabilitation Act of 1973 as well as the goals outlined in multiple executive orders, including Executive Order 14035, directing DoD to hire employees with disabilities and provide them with reasonable accommodations. These estimates are necessary to determine the assistive technology (AT) required and its anticipated costs through 2031. AT also furthers DoD's goals in aiding the recovery and retention of injured service members, as well as the broader DoD and U.S. Department of Veteran Affairs (VA) community in aiding in the post-service employment of service members who are medically separating. Thus, the authors seek to estimate the potential demand for AT from these groups. The authors give projections of the DoD civilian employee population-and of injured and wounded service members-with specific disabilities categorized by DoD's centralized AT procurer (hearing, vision, cognitive, and dexterity disabilities), as well as the potential anticipated requests for AT by these populations and their costs between 2021 and 2031.

5.
Am J Bot ; 111(8): e16387, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39113228

RESUMEN

PREMISE: Whole-genome duplication (WGD, polyploidization) has been identified as a driver of genetic and phenotypic novelty, having pervasive consequences for the evolution of lineages. While polyploids are widespread, especially among plants, the long-term establishment of polyploids is exceedingly rare. Genome doubling commonly results in increased cell sizes and metabolic expenses, which may be sufficient to modulate polyploid establishment in environments where their diploid ancestors thrive. METHODS: We developed a mechanistic simulation model of photosynthetic individuals to test whether changes in size and metabolic efficiency allow autopolyploids to coexist with, or even invade, ancestral diploid populations. Central to the model is metabolic efficiency, which determines how energy obtained from size-dependent photosynthetic production is allocated to basal metabolism as opposed to somatic and reproductive growth. We expected neopolyploids to establish successfully if they have equal or higher metabolic efficiency as diploids or to adapt their life history to offset metabolic inefficiency. RESULTS: Polyploid invasion was observed across a wide range of metabolic efficiency differences between polyploids and diploids. Polyploids became established in diploid populations even when they had a lower metabolic efficiency, which was facilitated by recurrent formation. Competition for nutrients is a major driver of population dynamics in this model. Perenniality did not qualitatively affect the relative metabolic efficiency from which tetraploids tended to establish. CONCLUSIONS: Feedback between size-dependent metabolism and energy allocation generated size and age differences between plants with different ploidies. We demonstrated that even small changes in metabolic efficiency are sufficient for the establishment of polyploids.


Asunto(s)
Poliploidía , Modelos Biológicos , Evolución Biológica , Fotosíntesis , Diploidia , Rasgos de la Historia de Vida
6.
Front Pain Res (Lausanne) ; 5: 1410302, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39109240

RESUMEN

Introduction: Pain assessment in horses presents a significant challenge due to their nonverbal nature and their tendency to conceal signs of discomfort in the presence of potential threats, including humans. Therefore, this study aimed to identify pain-associated behaviors amenable to automated AI-based detection in video recordings. Additionally, it sought to determine correlations between pain intensity and behavioral and postural parameters by analyzing factors such as time budgets, weight shifting, and unstable resting. The ultimate goal is to facilitate the development of AI-based quantitative tools for pain assessment in horses. Materials and methods: A cohort of 20 horses (mean age 15 ± 8) admitted to a university equine hospital underwent 24-h video recording. Behaviors were manually scored and retrospectively analyzed using Loopy® software. Three pain groups were established based on the Pain Score Vetmeduni Vienna : pain-free (P0), mild to moderate pain (P1), and severe pain (P2). Results: Weight shifting emerged as a reliable indicator for discriminating between painful and pain-free horses, with significant differences observed between pain groups (p < 0.001) and before and after administration of analgesia. Additionally, severely painful horses (P2 group) exhibited lower frequencies of feeding and resting standing per hour compared to pain-free horses, while displaying a higher frequency of unstable resting per hour. Discussion: The significant differences observed in these parameters between pain groups offer promising prospects for AI-based analysis and automated pain assessment in equine medicine. Further investigation is imperative to establish precise thresholds. Leveraging such technology has the potential to enable more effective pain detection and management in horses, ultimately enhancing welfare and informing clinical decision-making in equine medicine.

7.
Water Res ; 262: 122136, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-39067274

RESUMEN

River and atmosphere are traditionally recognized as the primary nutrient sources impacting coastal ecosystems. Despite the increasing attention towards the often-neglected submarine groundwater discharge (SGD), its understanding and significance in highly human-impacted marginal seas remain limited. This study utilizes unprecedented high-resolution data (561 seawater and 282 groundwater radium samples) to provide precise estimates of 226Ra and 228Ra sources and sinks in the Eastern China Marginal Seas. A coupled 226Ra and 228Ra mass balance model enable an integrated SGD flux of (3.7 ± 2.4) × 1012 m3 yr-1, surpassing rivers by 3.4 times. Furthermore, nutrient delivery from SGD exceeds riverine and atmospheric inputs, potentially inducing substantial changes in coastal nutrient cycles. These alterations have profound implications for primary production and biological communities, deviating significantly from the Redfield ratio. Therefore, comprehending the significance of SGD in nutrient budgets is vital for a comprehensive understanding of biogeochemical dynamics and functionality of marginal sea ecosystems.


Asunto(s)
Agua Subterránea , China , Agua Subterránea/química , Nutrientes/análisis , Océanos y Mares , Agua de Mar/química , Monitoreo del Ambiente , Radio (Elemento)/análisis , Ecosistema , Ríos/química
8.
Ecol Evol ; 14(7): e11414, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-39045503

RESUMEN

Life-history theory predicts that investment in reproduction should decrease survival (the 'cost of reproduction'). It is often assumed that energy allocation drives such trade-offs, with limited energy available for both reproduction and survival. However, the underlying mechanisms remain poorly understood, maybe because survival costs of reproduction are only apparent when resources are limited. Here, we took advantage of a natural experiment created by fluctuating environmental conditions to compare energy expenditure of a seabird, the pelagic cormorant (Phalacrocorax pelagicus), between contrasting population-scale scenarios of survival costs of reproduction. We used multi-state capture-recapture modelling across 16 years to identify which breeding seasons induced high survival costs (survival ratebreeders < survival ratenon/failed breeders) and we concomitantly estimated energy expenditure of chick-rearing males using time-energy budget models across 4 years. Daily energy expenditure (DEE) of chick-rearing pelagic cormorants varied significantly among years. However, survival costs of reproduction were observed in only 1 year, and contrary to our expectations, variation in DEE was not associated with population-level survival costs. Similarly, at the individual level, DEE in 1 year did not predict the probability of being observed again at the colony in following years (apparent survival). Finally, DEE was independent of brood size and brood age, but older individuals tended to expend less energy than younger ones. Given the lack of an apparent energetic 'cost of reproduction', lower DEE in older birds could be due to improved efficiency rather than avoidance of costs in old birds. Although future studies should account for potential sex-specific energetic constraints by including data on female energy expenditure, we conclude that a direct link between the rate of energy expenditure during breeding and subsequent survival is unlikely in this system.

9.
Sci Total Environ ; 945: 174045, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-38908590

RESUMEN

Understanding diversity patterns and underlying drivers is one of the central topics in the fields of biogeography and community ecology. Aquatic macroinvertebrates are widely distributed in various wetlands and play vital ecological roles. Previous studies mainly have focused on macroinvertebrate diversity in a single type of wetland. Our understanding of the differences in diversity patterns and underlying drivers between different wetland types remains limited. Here, we compared diversity patterns and community assembly of floodplain wetlands (FWs) and non-floodplain wetlands (NWs) in the Sanjiang Plain, Northeast China. We found that the taxonomic richness and abundance were higher in NWs than those in FWs. Nineteen taxa were identified as habitat specialists in the NWs, whereas only four taxa were designated as habitat specialists in the FWs. In addition, the FW and NW assemblages exhibited contrasting compositions. Spatial and environmental variables explained the largest variations in the macroinvertebrate assemblages of NWs and FWs, respectively. Normalised stochasticity ratios and Sloan neutral models confirmed that the macroinvertebrate community assembly of both wetland types was driven largely by stochastic processes. Stochastic processes were more prominent in shaping macroinvertebrate communities of FWs, whereas a stronger dispersal limitation was detected in NWs. Our results revealed contrasting diversity patterns and assembly mechanisms of macroinvertebrate communities in FWs and NWs. We underscore the importance of flood disturbance in shaping wetland ecosystems in the Sanjiang Plain and highlight that conservation and restoration actions cover different types of wetland habitats.


Asunto(s)
Biodiversidad , Invertebrados , Humedales , Animales , Invertebrados/fisiología , China , Organismos Acuáticos/fisiología , Monitoreo del Ambiente , Ecosistema , Inundaciones
10.
Mar Pollut Bull ; 204: 116517, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38850754

RESUMEN

Beached macrolitter (>2,5 cm) abundance and composition in the Russian (Eastern) part of the Barents Sea and the adjacent part of the Kara Sea was assessed for 2021-2023. Average densities of beach litter on the coasts are 675 items/100 m and 37 kg/100 m (0.27 items/m2 and 0.015 kg/m2). Annual litter budgets for Cape Zhelaniya beaches are 0.49 items/m2 per year and 0.023 kg/m2 per year. The northernmost tip of Novaya Zemlya is shown to be a beach litter accumulation hot-spot on Novaya Zemlya archipelago, where litter is brought by surface currents and trapped by sea ice margins. Up to 80 % of beached marine macrolitter is made of plastics, originating from vessels. A certain accumulation strip of a beach was identified (14 m - 27.5 m distance from the waterline), and significance of the beach backshore was shown in litter accumulation. Beach litter accounting methodologies on the Arctic beaches are discussed.


Asunto(s)
Playas , Monitoreo del Ambiente , Regiones Árticas , Federación de Rusia , Plásticos/análisis
11.
Mol Ecol ; 33(12): e17384, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38757458

RESUMEN

An important goal of many studies in molecular ecology is to utilize molecular tools to elucidate how critical traits like metabolism and growth are affected by environmental stressors and how organisms offset these stresses by adaptive molecular-level responses. Stress from food deprivation may be critical for early developmental stages that require a continued supply of substrates for energy metabolism and growth if development is to be completed. In a 'From the Cover' article in this issue of Molecular Ecology, Li et al. (2023) examined the effects of withholding food (unicellular algae) on 10 traits of larvae of the purple sea urchin (Strongylocentrotus purpuratus), ranging from the molecular level (gene expression) to morphology. Overall, this study sheds new light on the plasticity of larval development and the tight linkages that exist among traits as they respond to changes in food availability. Importantly, shifts in the sources of food utilized under different dietary treatments show the plasticity of these larvae to alter reliance on endogenous energy stores and dissolved organic matter (DOM) as algae deprivation continues. The effects of global change on the amounts and phenology of productivity in the seas make this type of integrated, multi-level analysis an important tool for predicting the future states of marine ecosystems.


Asunto(s)
Larva , Animales , Larva/crecimiento & desarrollo , Erizos de Mar/crecimiento & desarrollo , Abastecimiento de Alimentos , Strongylocentrotus purpuratus/genética , Strongylocentrotus purpuratus/crecimiento & desarrollo
12.
Risk Anal ; 2024 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-38777613

RESUMEN

The ups and downs of climate policy uncertainty (CPU) cast a captivating shadow over the budgets allocated to renewable energy (RE) technologies, where strategic choices and risk assessment will determine the course of our green environmental revolution. The main intention of this investigation is to scrutinize the effect of CPU on the RE technology budgets (RETBs) in the top 10 countries with the highest RE research and development budgets (the USA, China, South Korea, India, Germany, the United Kingdom, France, Japan, Australia, and Italy). Although former researchers have typically employed panel data tools to contemplate the connection between CPU and RE technology, they repeatedly ignored variations in this connection throughout different economies. In contrast, our research adopts a unique approach, "quantile-on-quantile," to check this association at the country-to-country level. This approach offers a comprehensive worldwide perspective while procuring tailor-made perceptions for individual economies. The outcomes suggest that CPU significantly decreases RETBs across several data quantiles in our sample nations. In addition, the outcomes underscore that the connections between our variables differ among nations. These outcomes highlight the significance of policymakers implementing thorough appraisals and skillfully governing plans relevant to CPU and RETBs.

13.
Risk Anal ; 2024 Apr 25.
Artículo en Inglés | MEDLINE | ID: mdl-38660914

RESUMEN

The allocation of budgets for renewable energy (RE) technology is significantly influenced by geopolitical risks (GPRs), reflecting the intricate interplay among global political dynamics, social media narratives, and the strategic investment decisions essential for advancing sustainable energy solutions. Against the backdrop of increasing worldwide initiatives to transition to RE sources, it is crucial to understand how GPR affects funding allocations, informing policy decisions, and fostering international collaboration to pursue sustainable energy solutions. Existing work probes the nonlinear effect of GPR on RE technology budgets (RTB) within the top 10 economies characterized by substantial research and development investments in RE (China, USA, Germany, Japan, France, South Korea, India, the United Kingdom, Australia, and Italy). Past research largely focused on panel data techniques to delve the interconnection between GPR and RE technology, overlooking the distinctive characteristics of individual economies. Contrarily, existing investigation implements the "Quantile-on-Quantile" tool to explore this association on an economy-particular basis, enhancing the precision of our analysis and offering both a comprehensive global perspective and nuanced perceptions for entire countries. The findings manifest a significant reduction in funding for RE technology associated with GPR across various quantile levels in the chosen economies. The disparities in results spotlight the necessity for policymakers to perform thorough assessments and carry out competent strategies to address the variations in GPR and RTB.

14.
Curr Biol ; 34(6): 1341-1348.e3, 2024 03 25.
Artículo en Inglés | MEDLINE | ID: mdl-38460511

RESUMEN

Restoration is increasingly seen as a necessary tool to reverse ecological decline across terrestrial and marine ecosystems.1,2 Considering the unprecedented loss of coral cover and associated reef ecosystem services, active coral restoration is gaining traction in local management strategies and has recently seen major increases in scale. However, the extent to which coral restoration may restore key reef functions is poorly understood.3,4 Carbonate budgets, defined as the balance between calcium carbonate production and erosion, influence a reef's ability to provide important geo-ecological functions including structural complexity, reef framework production, and vertical accretion.5 Here we present the first assessment of reef carbonate budget trajectories at restoration sites. The study was conducted at one of the world's largest coral restoration programs, which transplants healthy coral fragments onto hexagonal metal frames to consolidate degraded rubble fields.6 Within 4 years, fast coral growth supports a rapid recovery of coral cover (from 17% ± 2% to 56% ± 4%), substrate rugosity (from 1.3 ± 0.1 to 1.7 ± 0.1) and carbonate production (from 7.2 ± 1.6 to 20.7 ± 2.2 kg m-2 yr-1). Four years after coral transplantation, net carbonate budgets have tripled and are indistinguishable from healthy control sites (19.1 ± 3.1 and 18.7 ± 2.2 kg m-2 yr-1, respectively). However, taxa-level contributions to carbonate production differ between restored and healthy reefs due to the preferential use of branching corals for transplantation. While longer observation times are necessary to observe any self-organization ability of restored reefs (natural recruitment, resilience to thermal stress), we demonstrate the potential of large-scale, well-managed coral restoration projects to recover important ecosystem functions within only 4 years.


Asunto(s)
Antozoos , Animales , Antozoos/metabolismo , Ecosistema , Arrecifes de Coral , Carbonatos/metabolismo , Carbonato de Calcio
15.
Mar Environ Res ; 197: 106447, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38513386

RESUMEN

This study examined the nutrient budgets and biogeochemical dynamics in the coastal regions of northern Beibu Gulf (CNBG). Nutrient concentrations varied spatially and seasonally among the different bays. High nutrient levels were found in the regions with high riverine inputs and intensive mariculture. Using a three end-member mixing model, nutrient biogeochemistry within the ecosystem was estimated separately from complex physical mixing effects. Nutrient consumption dominated in most bays in summer, whereas nutrient regeneration dominated in winter, likely due to phytoplankton decomposition, vertical mixing and desorption. Through the Land-Ocean Interaction Coastal Zone (LOICZ) model, the robust nutrient budgets were constructed, indicating that the CNBG behaved as a sink of dissolved inorganic nitrogen, phosphorus and silicon. River-borne nutrient inputs were the dominant nutrient source, while residual flows and water exchange flows transported nutrient off the estuaries. This study could help us better understand nutrient cycles and nutrient sources/sinks in the CNBG.


Asunto(s)
Ecosistema , Estuarios , Humanos , Bahías , Fitoplancton , Nutrientes , China , Nitrógeno/análisis , Monitoreo del Ambiente , Fósforo/análisis
16.
Rev Esp Salud Publica ; 982024 Feb 05.
Artículo en Español | MEDLINE | ID: mdl-38333921

RESUMEN

OBJECTIVE: Childhood obesity represents a serious public health problem and given its multifactorial nature and its consequences; it is necessary to carry out an effective approach. The Spanish system of autonomies, with delegated powers, could accentuate inequality in its approach. The objective of the study was to know the existence or not of these inequalities. METHODS: A descriptive cross-sectional study was carried out between the months of February-April 2022, in which the approach to childhood obesity was compared among the seventeen communities and two autonomous cities, through the analysis of the following indicators: pediatric staff, pediatric nursing, nutrition personnel and their legal recognition, the existence of comprehensive plans and health expenditure on childhood obesity. The search for information has been carried out through a bibliographic review and a request for access to public information to the corresponding regional councils. It were performed ratios of paediatricians and nurses per 1,000 inhabitants and health expenditure per inhabitant were calculated. RESULTS: It was observed that in Spain paediatricians have a ratio according to international recommendations (1.21), but not general and paediatric nursing (with a ratio of 0.65, which is equivalent to approximately 1,544 inhabitants for each nurse), and nutrition professionals. Among autonomies there were large variations for the three categories. Comprehensive plans were outdated or absent altogether, as well as the periodic analysis of obesity expenditure. CONCLUSIONS: The approach to childhood obesity seems to vary considerably among autonomies according to the analysed indicators. Thus, it would be advisable to lead all efforts to homogenize it, to improve care quality and prevention and treatment choices in all national regions.


OBJECTIVE: La obesidad infantil representa un grave problema de Salud Pública y, dado su carácter multifactorial y sus consecuencias, resulta necesario llevar a cabo un abordaje eficaz. El sistema de autonomías español, con competencias delegadas, podría acentuar la desigualdad en su abordaje. El objetivo del estudio fue conocer la existencia o no de dichas desigualdades. METHODS: Se llevó a cabo un estudio transversal descriptivo, entre los meses de febrero-abril de 2022, en el que se comparó el abordaje de la obesidad infantil entre las diecisiete comunidades y dos ciudades autónomas, mediante el análisis de los siguientes indicadores: personal de pediatría; enfermería pediátrica; personal de nutrición y su reconocimiento legal; existencia de planes integrales; y gasto sanitario para obesidad infantil. La búsqueda de información se realizó mediante revisión bibliográfica y solicitud de acceso a información pública a las correspondientes consejerías autonómicas. Hubo cálculo de ratios de pediatras y enfermeros por 1.000 habitantes y gasto sanitario por habitante. RESULTS: Se observó que a nivel nacional los pediatras poseen una ratio acorde a las recomendaciones internacionales (1,21), no así enfermería general y pediátrica (con una ratio de 0,65, que equivale a aproximadamente 1.544 habitantes por cada enfermera), ni el personal de nutrición. Entre comunidades autónomas se apreciaron grandes variaciones para las tres categorías. Los planes integrales de abordaje se encontraron desactualizados o, directamente, ausentes, al igual que el análisis periódico del gasto derivado de la obesidad. CONCLUSIONS: El abordaje de la obesidad infantil parece variar de forma considerable entre autonomías según los indicadores analizados. Por ello, sería recomendable encauzar todos los esfuerzos en homogenizarlo, para mejorar la calidad asistencial e igualar las oportunidades de prevención y tratamiento en todo el ámbito nacional.


Asunto(s)
Obesidad Infantil , Humanos , Niño , Obesidad Infantil/epidemiología , Obesidad Infantil/terapia , España/epidemiología , Estudios Transversales , Gastos en Salud
17.
Indian J Anaesth ; 68(1): 45-51, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38406339

RESUMEN

The change in curriculum and increasing need for active healthcare professionals providing quality patient care has emphasised simulation-based regular training, reskilling and simulation centres to deliver these. However, there is limited literature on how to establish a simulation centre and overcome the challenges relating to developing faculty and maintaining the financial viability of these centres. Our review focuses on this gap in the current literature. The findings are presented as 1) identification of the methods of establishing a simulation centre, 2) setting up the resource in a simulation centre and 3) faculty development and curricular integration in a simulation centre. The space of a simulation centre depends on the organisation's or training body's needs. There is no single design which is recommended. Establishing a simulation centre should consider the needs of the organisation, educators and learners along with the available resources and ensure that curriculum integration and standards are met.

18.
Health Aff Sch ; 2(2): qxae002, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38313868

RESUMEN

The Pennsylvania Rural Health Model (PARHM) is a novel alternative payment model for rural hospitals that aims to test whether hospital-based global budgets, coupled with delivery transformation plans, improve the quality of health care and health outcomes in rural communities. Eighteen hospitals joined PARHM in 3 cohorts between 2019 and 2021. This study assessed PARHM's impact on changes in potentially avoidable utilization (PAU)-a measure of admission rates policymakers explicitly targeted for improvement in PARHM. Using a difference-in-differences analysis and all-payer hospital discharge data for Pennsylvania hospitals from 2016 through 2022, we found no significant overall reduction in community-level PAU rates up to 4 years post-PARHM implementation, relative to changes in rural Pennsylvania communities whose hospitals did not join PARHM. However, heterogeneous treatment effects were observed across cohorts that joined PARHM in different years, and between critical access vs prospective payment system hospitals. These findings offer insight into how alternative payment models in rural health care settings may have heterogeneous impacts based on contextual factors and highlight the importance of accounting for these factors in proposed expansions of alternative payment models for rural health systems.

19.
Mar Environ Res ; 194: 106332, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38171257

RESUMEN

Crabs in mangroves could enhance the transfer of organic carbon (OC) from leaf litter to soils, whose variation with the difference in crab size is, however, not well known. A 32-day laboratory feeding experiment was conducted to explore the effects of different sizes of the crabs Parasesarma plicatum foraging on leaf litter of Kandelia obovata on OC accumulation in mangrove soils. Mean rates of soil OC accumulation due to leaf foraging by large, medium, and small crabs were 21.11, 16.11, and 0.77 mg C ind-1 d-1, corresponding to the rates of OC removal from leaf litter of 62.60%, 51.37%, and 2.19%, respectively. Large and medium crabs ingested larger amounts of leaf litter, and soil OC accumulation rates resulting from leaf foraging by large and medium crabs were approximately 8 times higher than those by leaf litter decomposition and triple those by non-leaf foraging. Small crabs ingested the smallest amount of leaf litter, which was almost used for their growth and metabolism. These results underline the key ecological roles of leaf foraging by crabs, especially those with large and medium sizes, in OC accumulation in mangrove soils, which is conducive to estimating carbon sequestration in mangrove soils.


Asunto(s)
Braquiuros , Animales , Carbono/metabolismo , Ecosistema , Suelo , Secuestro de Carbono
20.
Mar Environ Res ; 194: 106338, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38198899

RESUMEN

Under the dual stress of global warming and human interaction, Liaodong Bay (LDB) and northern Yellow Sea (NYS) are undergoing significant ecological changes. Little is known about the driving nutrients characteristics supporting fishery resource output in these areas. We carried out three field observations in 2019 to investigate nutrient status. Results showed that dissolved inorganic nitrogen (DIN), dissolved inorganic phosphorus (DIP), and dissolved silica (DSi) concentrations changed seasonally, with lowest values in spring, and highest values in autumn. High DIN, DIP, and DSi concentrations were detected in LDB and NYS's estuary areas. The Yellow Sea Cold Water Mass plays a role in the distribution and seasonal variation of nutrients. Exchanges across the sediment-water interface, SFGD, atmospheric deposition, and the adjacent sea input dominated DIN dynamics of these areas. DIP primarily came from the adjacent sea input and DSi mainly originated from sediment release and the adjacent sea input. NYS seawater invasion accounted for 13.8% of DIN, 63.4% of DIP, and 35.1% of DSi in LDB. These results provide new insights to better facilitate the formulation of nitrogen and phosphorus reduction and control policies in these marginal seas.


Asunto(s)
Bahías , Contaminantes Químicos del Agua , Humanos , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente/métodos , China , Nutrientes , Agua , Nitrógeno/análisis , Fósforo/análisis
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