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1.
Glob Chang Biol ; 28(4): 1287-1300, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34854175

RESUMO

Globally, urban expansion and climate change interact to threaten stream ecosystems and are accelerating the loss of aquatic biodiversity. Waterway managers urgently need tools to understand the potential combined impacts of urbanization and climate change and to identify effective mitigating management interventions for protecting freshwater biota. We address this challenge using the semi-aquatic mammal the platypus (Ornithorhynchus anatinus) as a focal species. We developed high-resolution environmental spatial data for stream networks and spatially explicit habitat suitability models (HSMs) to explore the impact of threats and to identify the combination of management actions most likely to maintain or improve habitat suitability over the next 50 years in greater Melbourne, Australia. We developed and evaluated platypus HSMs (males-and-females and females-only) including validation using an independent environmental DNA data set. Platypus occurred more commonly in larger, cooler streams with greater catchment-weighted discharge, following periods of greater stream flow. They were positively associated with near-stream forest cover and negatively associated with annual air temperature and urban stormwater runoff. Extensive reductions in suitable platypus habitat are predicted to occur under urbanization and climate change scenarios, with the greatest threat expected from reduced streamflows. This emphasizes the importance of maintaining flow regimes as part of conserving platypus in the region; however, substantial additional benefit is predicted by concurrent riparian revegetation and urban stormwater management efforts (that also have the potential to contribute to the streamflow objectives). Provision of adequate streamflows in a future with increasing water demands and water security requirements will likely require creative integrated water management solutions. Our high-resolution stream network and HSMs have allowed predictions of potential range-shifts due to urban expansion and climate change impacts at management-relevant scales and at the whole-of-landscape scale. This has enabled systematic strategic planning, priority action planning and target setting in strategic policy development.


Assuntos
Mudança Climática , Ornitorrinco , Animais , Biota , Ecossistema , Rios
2.
Crit Care Med ; 48(2): 142-150, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31939781

RESUMO

OBJECTIVES: Epigenetic alterations are an important regulator of gene expression in health and disease; however, epigenetic data in sepsis are lacking. To demonstrate proof of concept and estimate effect size, we performed the first epigenome-wide methylation analysis of whole blood DNA samples from a cohort of septic and nonseptic critically ill patients. DESIGN: A nested case-control study using genomic DNA isolated from whole blood from septic (n = 66) and nonseptic (n = 68) critically ill patients on "Day 1" of ICU admission. Methylation patterns were identified using Illumina 450K arrays with percent methylation expressed as ß values. After quality control, 134 participants and 414,818 autosomal cytosine-phosphate-guanine sites were used for epigenome-wide methylation analyses. SETTING: Tertiary care hospitals. SUBJECTS: Critically ill septic and nonseptic patients. INTERVENTIONS: Observational study. MEASUREMENTS AND MAIN RESULTS: A total of 668 differentially methylated regions corresponding to 443 genes were identified. Known sepsis-associated genes included complement component 3; angiopoietin 2; myeloperoxidase; lactoperoxidase; major histocompatibility complex, class I, A; major histocompatibility complex, class II, isotype DR ß I; major histocompatibility complex, class I, C; and major histocompatibility complex, class II, isotype DQ ß I. When compared with whole blood gene expression data from seven external datasets containing septic and nonseptic patients, 81% of the differentially methylated region-associated genes were differentially expressed in one or more datasets and 31% in three or more datasets. Functional analysis showed enrichment for antigen processing and presentation, methyltransferase activity, cell adhesion, and cell junctions. Analysis by weighted gene coexpression network analysis revealed DNA comethylation modules that were associated with clinical traits including severity of illness, need for vasopressors, and length of stay. CONCLUSIONS: DNA methylation marks may provide important causal and potentially biomarker information in critically ill patients with sepsis.


Assuntos
Estado Terminal , Metilação de DNA/genética , Epigênese Genética/genética , Sepse/genética , Biomarcadores , Estudos de Casos e Controles , Cromossomos Humanos Par 6/genética , Feminino , Humanos , Unidades de Terapia Intensiva , Interferons/metabolismo , Masculino , Escores de Disfunção Orgânica , Projetos Piloto , Centros de Atenção Terciária
3.
Ecol Appl ; 30(8): e02199, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32585064

RESUMO

While provision of in-stream habitat complexity remains common practice in efforts to restore streams, the evidence of positive effects on in-stream communities is inconsistent. In streams of urban catchments, where both reach-scale habitat manipulation and catchment-scale actions to ameliorate the disturbance regime of urban stormwater runoff are common management responses, clearer understanding of the effects of habitat complexity under different degrees of urban impact are needed. We experimentally assessed the effect of increased surface complexity in wood, the dominant hard substrate in our 18 study reaches on 14 small streams, on in-stream macroinvertebrate assemblages across a range of urban impact. Increased surface complexity increased abundance of most taxa, but this effect was less pronounced in urban streams, partly because of the reduced species pool tolerant of urban stormwater impacts, and partly because of a lesser response of some species to increased complexity in more urban streams. Collectively these taxon-specific effects resulted in small, uncertain increases in taxon richness with increased complexity in rural streams, and no change in richness of the less diverse assemblages of urban streams. Increased abundances suggest increased availability of refugia or resources with increased surface complexity, while the reduced effect of complexity in urban streams suggests that any refuge or resource provided by greater surface complexity is less effective in more disturbed environments receiving urban stormwater runoff. The reduced abundance of sensitive taxa in more urban streams, and the resultant reduced richness, confirms that urban stormwater runoff acts as a strong environmental filter, limiting the species pool available for community assembly. Restoration of habitat complexity in streams without catchment-scale drivers of degradation is likely to have positive benefits to in-stream biotic assemblages, but the efficacy of such approaches in catchments subject to urban stormwater runoff will be greatly diminished. In such cases, restoration activities should first be aimed at controlling the larger-scale problem.


Assuntos
Invertebrados , Urbanização , Animais , Ecossistema
4.
Conserv Biol ; 32(4): 789-797, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29168227

RESUMO

Globally, offset schemes have emerged in many statutory frameworks relating to development activities, with the aim of balancing biodiversity conservation and development. Although the theory and use of biodiversity offsets in terrestrial environments is broadly documented, little attention has been paid to offsets in stream ecosystems. Here we examine the application of offset schemes to stream ecosystems and explore whether they suffer similar shortcomings to those of offset schemes focused on terrestrial biodiversity. To challenge the applicability of offsets further, we discuss typical trajectories of urban expansion and their cascading physical, chemical and biological impacts on stream ecosystems. We argue that the highly connected nature of stream ecosystems and urban drainage networks can transfer impacts of urbanization across wide areas, complicating the notion of like-for-like exchange and the prospect of effectively mitigating biodiversity loss. Instead, we identify in-catchment options for stormwater control, which can avoid or minimize the impacts of development on downstream ecosystems, while presenting additional public and private benefits. We describe the underlying principles of these alternatives, some of the challenges associated with their uptake, and policy initiatives being trialed to facilitate adoption. In conclusion, we argue that stronger policies to avoid and minimize the impacts of urbanization provide better prospects for protecting downstream ecosystems, and can additionally, stimulate economic opportunities and improve urban liveability.


Assuntos
Ecossistema , Urbanização , Biodiversidade , Conservação dos Recursos Naturais
5.
J Cachexia Sarcopenia Muscle ; 13(2): 1262-1276, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35092190

RESUMO

BACKGROUND: Intensive care unit (ICU)-acquired weakness is characterized by muscle atrophy and impaired contractility that may persist after ICU discharge. Dysregulated muscle repair and regeneration gene co-expression networks are present in critical illness survivors with persistent muscle wasting and weakness. We aimed to identify microRNAs (miRs) regulating the gene networks and determine their role in the self-renewal of muscle in ICU survivors. METHODS: Muscle whole-transcriptome expression was assessed with microarrays in banked quadriceps biopsies obtained at 7 days and 6 months post-ICU discharge from critically ill patients (n = 15) in the RECOVER programme and healthy individuals (n = 8). We conducted an integrated miR-messenger RNA analysis to identify miR/gene pairs associated with muscle recovery post-critical illness and evaluated their impact on myoblast proliferation and differentiation in human AB1167 and murine C2C12 cell lines in vitro. Select target genes were validated with quantitative PCR. RESULTS: Twenty-two miRs were predicted to regulate the Day 7 post-ICU muscle transcriptome vs. controls. Thirty per cent of all differentially expressed genes shared a 3'UTR regulatory sequence for miR-424-3p/5p, which was 10-fold down-regulated in patients (P < 0.001) and correlated with quadriceps size (R = 0.86, P < 0.001), strength (R = 0.75, P = 0.007), and physical function (Functional Independence Measures motor subscore, R = 0.92, P < 0.001) suggesting its potential role as a master regulator of early recovery of muscle mass and strength following ICU discharge. Network analysis demonstrated enrichment for cellular respiration and muscle fate commitment/development related genes. At 6 months post-ICU discharge, a 14-miR expression signature, including miRs-490-3p and -744-5p, identified patients with muscle mass recovery vs. those with sustained atrophy. Constitutive overexpression of the novel miR-490-3p significantly inhibited AB1167 and C2C12 myoblast proliferation (cell count AB1167 miR-490-3p mimic or scrambled-miR transfected myoblasts 7926 ± 4060 vs. 14 159 ± 3515 respectively, P = 0.006; proportion Ki67-positive nuclei AB1167 miR-490-3p mimic or scrambled-miR transfected myoblasts 0.38 ± 0.07 vs. 0.54 ± 0.06 respectively, P < 0.001; proliferating cell nuclear antigen expression AB1167 miR-490-3p mimic or scrambled-miR transfected myoblasts 11.48 ± 1.97 vs. 16.75 ± 1.19 respectively, P = 0.040). Constitutive overexpression of miR-744-5p, a known regulator of myogenesis, significantly inhibited AB1167 and C2C12 myoblast differentiation (fusion index AB1167 miR-744-5p mimic or scrambled-miR transfected myoblasts 8.31 ± 7.00% vs. 40.29 ± 9.37% respectively, P < 0.001; myosin heavy chain expression miR-744-5p mimic or scrambled-miR transfected myoblasts 0.92 ± 0.39 vs. 13.53 ± 5.5 respectively, P = 0.01). CONCLUSIONS: Combined functional transcriptomics identified 36 miRs including miRs-424-3p/5p, -490-3p, and -744-5p as potential regulators of gene networks associated with recovery of muscle mass and strength following critical illness. MiR-490-3p is identified as a novel regulator of myogenesis.


Assuntos
MicroRNAs , Animais , Estado Terminal , Humanos , Camundongos , MicroRNAs/genética , MicroRNAs/metabolismo , Músculos/metabolismo , Mioblastos/metabolismo , Sobreviventes
6.
Microb Ecol ; 61(4): 932-40, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-21384215

RESUMO

The export of nitrogen from urban catchments is a global problem, and denitrifying bacteria in stream ecosystems are critical for reducing in-stream N. However, the environmental factors that control the composition of denitrifying communities in streams are not well understood. We determined whether denitrifying community composition in sediments of nine streams on the eastern fringe of Melbourne, Australia was correlated with two measures of catchment urban impact: effective imperviousness (EI, the proportion of a catchment covered by impervious surfaces with direct connection to streams) or septic tank density (which affects stream water chemistry, particularly stream N concentrations). Denitrifying community structure was examined by comparing terminal restriction fragment length polymorphisms of nosZ genes in the sediments, as the nosZ gene codes for nitrous oxide reductase, the last step in the denitrification pathway. We also determined the chemical and physical characteristics of the streams that were best correlated with denitrifying community composition. EI was strongly correlated with community composition and sediment physical and chemical properties, while septic tank density was not. Sites with high EI were sandier, with less fine sediment and lower organic carbon content, higher sediment cations (calcium, sodium and magnesium) and water filterable reactive phosphorus concentrations. These were also the best small-scale environmental variables that explained denitrifying community composition. Among our study streams, which differed in the degree of urban stormwater impact, sediment grain size and carbon content are the most likely drivers of change in community composition. Denitrifying community composition is another in a long list of ecological indicators that suggest the profound degradation of streams is caused by urban stormwater runoff. While the relationships between denitrifying community composition and denitrification rates are yet to be unequivocally established, landscape-scale indices of environmental impact such as EI may prove to be useful indicators of change in microbial communities.


Assuntos
Bactérias/metabolismo , Carbono/análise , Água Doce/química , Sedimentos Geológicos/química , Sedimentos Geológicos/microbiologia , Bactérias/classificação , Bactérias/genética , Bactérias/isolamento & purificação , Carbono/metabolismo , Desnitrificação , Água Doce/microbiologia , Dados de Sequência Molecular , Filogenia , Reforma Urbana
7.
Sci Rep ; 11(1): 16477, 2021 08 13.
Artigo em Inglês | MEDLINE | ID: mdl-34389758

RESUMO

Riparian forests are structured and maintained by their hydrology. Woody riparian plants typically adapt to the local flood regime to maximise their likelihood of survival and reproductive success. Understanding how extant trees form and reproduce in response to flood disturbance is crucial for predicting vegetation changes and informing restoration. Working in a temperate evergreen riparian forest, we aimed to determine whether disturbance-based responses of plants found in other ecosystems also typify woody plants in riparian forests where disturbances are often mild or chronic, non-lethal, annual events. Using plant surveys and 20-year modelled hydrological data, we examined whether (1) the morphology (main stem diameter, height, crown width, crown extent, stem leaning) and (2) reproduction type (sexual and asexual reproduction) and extent of three dominant woody species (Eucalyptus camphora, Leptospermum lanigerum and Melaleuca squarrosa) vary with flood regime (flood frequency and flood duration); and (3) whether different morphology is associated with different reproductive strategies. Increased flooding generally resulted in increased stem numbers and greater stem leaning-morphologies associated with asexual reproduction-of our study species. More frequent flooding also reduced plant size and sexual reproduction in E. camphora. Sexual reproduction in the studied species was more common in taller plants with single, more upright stems in good condition. Flexible morphology and plastic reproductive strategy may constitute an adaptation of trees to mild or chronic disturbance in floodplains. Our findings suggest that flood regime (i.e. variable frequency and duration of flooding events) is critical to the structural integrity and self-maintenance of species-diverse riparian forests.

8.
Sci Total Environ ; 648: 711-719, 2019 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-30125852

RESUMO

Burgeoning populations and the increasing concentration of humans in urban areas have resulted in extensive and increasing degradation and destruction of natural ecosystems. The multitude of impacts and their drivers in urban areas across realms are often studied at local scales, but there is regularly a mismatch between the spatial extent of the impacts and that of the pressures driving those impacts. For example, most human activities occur on land and therefore disturb terrestrial habitats (intrinsic impacts), but their impacts can also extend to the atmosphere and aquatic realms (extrinsic impacts). Management of urban impacts is often designed at local scales and aims to control local pressures, mostly overlooking pressures originating outside the 'managed' area. This is often due to jurisdictional barriers but can also result from the lack of knowledge and recognition among scientists and managers of larger scale pressures. With the aim to highlight the importance of ameliorating extrinsic impacts for holistic management of urban areas, this paper discusses the range and extent of extrinsic impacts produced by the most common pressures in urban environments. We discuss that the terrestrial realm is a 'net-donor' of impacts, as most human activities occur on land and the resulting impacts are transferred to aquatic and atmospheric realms. However, activities in aquatic realms can result in impacts on land. We conclude that, to achieve effective management strategies, greater collaboration is needed between scientists and managers focussing on different realms and regions and we present suggestions for approaches to achieve this.


Assuntos
Conservação dos Recursos Naturais/métodos , Ecossistema , Urbanização
9.
Ann N Y Acad Sci ; 1134: 61-96, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18566090

RESUMO

The concentration of materials and energy within cities is an inevitable consequence of dense populations and their per capita requirements for food, fiber, and fuel. As the world population becomes increasingly urban over the coming decades, urban areas will dramatically affect the distribution of nutrients across the face of the planet. In many cities, technological developments and urban planning have been effective at reducing the amount of waste nitrogen that is ultimately exported to downstream surface waters, largely through investments in sanitary sewer infrastructure and wastewater treatment. There are, however, still large cities throughout the developed world that have failed to take advantage of these obvious innovations to reduce their impact on downstream ecosystems. In addition, very few cities have adequately addressed the problems of diffuse nitrogen pollution, instead city infrastructure is often designed to route this N directly into downstream ecosystems. In the developing world, many of these problems are more acute, as rapidly growing urban populations exceed the capacity of limited municipal infrastructure. Reducing urban N pollution of groundwaters and surface waters both locally and globally can only be achieved through cultural and political adaptation in addition to technological innovations. In this review, we will focus on the implications of an increasingly urban world population on local, regional, and global nitrogen cycles and propose a variety of approaches for minimizing and mitigating the impacts of urban N concentration.


Assuntos
Cidades , Nitrogênio/química , Poluentes Químicos da Água/química , Poluição Química da Água/prevenção & controle , Água/química
10.
Nucleic Acids Res ; 33(10): 3154-64, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15933209

RESUMO

Targeted transcript profiling studies can identify sets of co-expressed genes; however, identification of the underlying functional mechanism(s) is a significant challenge. Established methods for the analysis of gene annotations, particularly those based on the Gene Ontology, can identify functional linkages between genes. Similar methods for the identification of over-represented transcription factor binding sites (TFBSs) have been successful in yeast, but extension to human genomics has largely proved ineffective. Creation of a system for the efficient identification of common regulatory mechanisms in a subset of co-expressed human genes promises to break a roadblock in functional genomics research. We have developed an integrated system that searches for evidence of co-regulation by one or more transcription factors (TFs). oPOSSUM combines a pre-computed database of conserved TFBSs in human and mouse promoters with statistical methods for identification of sites over-represented in a set of co-expressed genes. The algorithm successfully identified mediating TFs in control sets of tissue-specific genes and in sets of co-expressed genes from three transcript profiling studies. Simulation studies indicate that oPOSSUM produces few false positives using empirically defined thresholds and can tolerate up to 50% noise in a set of co-expressed genes.


Assuntos
Bases de Dados de Ácidos Nucleicos , Perfilação da Expressão Gênica , Regulação da Expressão Gênica , Regiões Promotoras Genéticas , Fatores de Transcrição/metabolismo , Algoritmos , Animais , Sítios de Ligação , Humanos , Internet , Camundongos , NF-kappa B/metabolismo , Análise de Sequência com Séries de Oligonucleotídeos
11.
Respirol Case Rep ; 5(3): e00225, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28286654

RESUMO

Endobronchial tumour embolism is a rare cause of acute central airway obstruction. It is primarily reported during pneumonectomy, and the outcome is frequently fatal. Successful management requires the urgent removal of tumour with rigid or flexible bronchoscopy. We present the case of a 62-year-old woman with poorly differentiated non-small cell lung cancer (NSCLC), referred to our institution for Nd:YAG laser photoresection of endobronchial tumour completely obstructing the right mainstem bronchus (RMSB). Soon after admission, our patient developed critical hypoxemia, rapidly followed by cardiac arrest. Bronchoscopy was urgently performed and revealed a necrotic tumour occluding the left mainstem bronchus (LMSB), with some residual tumour and clot at the RMSB. The tumour acutely obstructing the LMSB was successfully extracted using a foreign body retrieval basket and large flexible biopsy forceps via a large (therapeutic) flexible bronchoscope. Ventilation immediately improved, with the return of a pulse, and the patient was successfully extubated the next day. Pathology of the tumour embolism revealed NSCLC with necrosis and an adherent clot. Here, we review 16 published reports of endobronchial tumour embolism in relation to our case.

12.
Cancer Inform ; 15(Suppl 2): 25-42, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27721651

RESUMO

MicroRNAs (miRs) are small single-stranded noncoding RNA that function in RNA silencing and post-transcriptional regulation of gene expression. An increasing number of studies have shown that miRs play an important role in tumorigenesis, and understanding the regulatory mechanism of miRs in this gene regulatory network will help elucidate the complex biological processes at play during malignancy. Despite advances, determination of miR-target interactions (MTIs) and identification of functional modules composed of miRs and their specific targets remain a challenge. A large amount of data generated by high-throughput methods from various sources are available to investigate MTIs. The development of data-driven tools to harness these multi-dimensional data has resulted in significant progress over the past decade. In parallel, large-scale cancer genomic projects are allowing new insights into the commonalities and disparities of miR-target regulation across cancers. In the first half of this review, we explore methods for identification of pairwise MTIs, and in the second half, we explore computational tools for discovery of miR-regulatory modules in a cancer-specific and pan-cancer context. We highlight strengths and limitations of each of these tools as a practical guide for the computational biologists.

13.
Front Psychiatry ; 7: 111, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27445868

RESUMO

Many patients with post-traumatic stress disorder (PTSD), especially war veterans, do not respond to available treatments. Here, we describe a novel neurofeedback (NF) intervention using real-time functional magnetic resonance imaging for treating and studying PTSD. The intervention involves training participants to control amygdala activity after exposure to personalized trauma scripts. Three combat veterans with chronic PTSD participated in this feasibility study. All three participants tolerated well the NF training. Moreover, two participants, despite the chronicity of their symptoms, showed clinically meaningful improvements, while one participant showed a smaller symptom reduction. Examination of changes in resting-state functional connectivity patterns revealed a normalization of brain connectivity consistent with clinical improvement. These preliminary results support feasibility of this novel intervention for PTSD and indicate that larger, well-controlled studies of efficacy are warranted.

14.
Sci Rep ; 6: 29334, 2016 07 14.
Artigo em Inglês | MEDLINE | ID: mdl-27411715

RESUMO

ICU acquired weakness (ICUAW) is a common complication of critical illness characterized by structural and functional impairment of skeletal muscle. The resulting physical impairment may persist for years after ICU discharge, with few patients regaining functional independence. Elucidating molecular mechanisms underscoring sustained ICUAW is crucial to understanding outcomes linked to different morbidity trajectories as well as for the development of novel therapies. Quadriceps muscle biopsies and functional measures of muscle strength and mass were obtained at 7 days and 6 months post-ICU discharge from a cohort of ICUAW patients. Unsupervised co-expression network analysis of transcriptomic profiles identified discrete modules of co-expressed genes associated with the degree of muscle weakness and atrophy in early and sustained ICUAW. Modules were enriched for genes involved in skeletal muscle regeneration and extracellular matrix deposition. Collagen deposition in persistent ICUAW was confirmed by histochemical stain. Modules were further validated in an independent cohort of critically ill patients with sepsis-induced multi-organ failure and a porcine model of ICUAW, demonstrating disease-associated conservation across species and peripheral muscle type. Our findings provide a pathomolecular basis for sustained ICUAW, implicating aberrant expression of distinct skeletal muscle structural and regenerative genes in early and persistent ICUAW.


Assuntos
Estado Terminal , Perfilação da Expressão Gênica , Debilidade Muscular/genética , Músculo Esquelético/patologia , Regeneração/genética , Sobreviventes , Redes Reguladoras de Genes , Humanos
15.
Microarrays (Basel) ; 4(3): 389-406, 2015 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-27600230

RESUMO

The diagnostic and prognostic potential of the vast quantity of publicly-available microarray data has driven the development of methods for integrating the data from different microarray platforms. Cross-platform integration, when appropriately implemented, has been shown to improve reproducibility and robustness of gene signature biomarkers. Microarray platform integration can be conceptually divided into approaches that perform early stage integration (cross-platform normalization) versus late stage data integration (meta-analysis). A growing number of statistical methods and associated software for platform integration are available to the user, however an understanding of their comparative performance and potential pitfalls is critical for best implementation. In this review we provide evidence-based, practical guidance to researchers performing cross-platform integration, particularly with an objective to discover biomarkers.

16.
Clin Chest Med ; 35(4): 811-26, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25453427

RESUMO

Survivors of acute respiratory distress syndrome often sustain muscle wasting and functional impairment related to intensive care unit (ICU)-acquired weakness (ICUAW) and this disability may persist for years after ICU discharge. Early diagnosis in cooperative patients by physical examination is recommended to identify patients at risk for weaning failure and to minimize prolongation of risk factors for ICUAW. When possible, early rehabilitation in critically ill patients improves functional outcomes, likely by reducing disuse atrophy. Interventions designed to correct the functional impairment are lacking and further research to delineate the molecular pathways that give rise to ICUAW are needed.


Assuntos
Deambulação Precoce , Debilidade Muscular/reabilitação , Síndrome do Desconforto Respiratório/reabilitação , Cuidados Críticos , Humanos , Debilidade Muscular/complicações , Síndrome do Desconforto Respiratório/complicações
17.
PLoS One ; 7(9): e45814, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23029257

RESUMO

Environmental flow assessment frameworks have begun to consider changes to flow regimes resulting from land-use change. Urban stormwater runoff, which degrades streams through altered volume, pattern and quality of flow, presents a problem that challenges dominant approaches to stormwater and water resource management, and to environmental flow assessment. We used evidence of ecological response to different stormwater drainage systems to develop methods for input to environmental flow assessment. We identified the nature of hydrologic change resulting from conventional urban stormwater runoff, and the mechanisms by which such hydrologic change is prevented in streams where ecological condition has been protected. We also quantified the increase in total volume resulting from urban stormwater runoff, by comparing annual streamflow volumes from undeveloped catchments with the volumes that would run off impervious surfaces under the same rainfall regimes. In catchments with as little as 5-10% total imperviousness, conventional stormwater drainage, associated with poor in-stream ecological condition, reduces contributions to baseflows and increases the frequency and magnitude of storm flows, but in similarly impervious catchments in which streams retain good ecological condition, informal drainage to forested hillslopes, without a direct piped discharge to the stream, results in little such hydrologic change. In urbanized catchments, dispersed urban stormwater retention measures can potentially protect urban stream ecosystems by mimicking the hydrologic effects of informal drainage, if sufficient water is harvested and kept out of the stream, and if discharged water is treated to a suitable quality. Urban stormwater is a new class of environmental flow problem: one that requires reduction of a large excess volume of water to maintain riverine ecological integrity. It is the best type of problem, because solving it provides an opportunity to solve other problems such as the provision of water for human use.


Assuntos
Conservação dos Recursos Naturais , Chuva , Cidades , Humanos , Rios , Engenharia Sanitária , Vitória , Movimentos da Água
18.
Environ Manage ; 42(2): 344-59, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18446406

RESUMO

In urban and suburban areas, stormwater runoff is a primary stressor on surface waters. Conventional urban stormwater drainage systems often route runoff directly to streams and rivers, thus exacerbating pollutant inputs and hydrologic disturbance, and resulting in the degradation of ecosystem structure and function. Decentralized stormwater management tools, such as low impact development (LID) or water sensitive urban design (WSUD), may offer a more sustainable solution to stormwater management if implemented at a watershed scale. These tools are designed to pond, infiltrate, and harvest water at the source, encouraging evaporation, evapotranspiration, groundwater recharge, and re-use of stormwater. While there are numerous demonstrations of WSUD practices, there are few examples of widespread implementation at a watershed scale with the explicit objective of protecting or restoring a receiving stream. This article identifies seven major impediments to sustainable urban stormwater management: (1) uncertainties in performance and cost, (2) insufficient engineering standards and guidelines, (3) fragmented responsibilities, (4) lack of institutional capacity, (5) lack of legislative mandate, (6) lack of funding and effective market incentives, and (7) resistance to change. By comparing experiences from Australia and the United States, two developed countries with existing conventional stormwater infrastructure and escalating stream ecosystem degradation, we highlight challenges facing sustainable urban stormwater management and offer several examples of successful, regional WSUD implementation. We conclude by identifying solutions to each of the seven impediments that, when employed separately or in combination, should encourage widespread implementation of WSUD with watershed-based goals to protect human health and safety, and stream ecosystems.


Assuntos
Cidades , Conservação dos Recursos Naturais/métodos , Política Pública , Chuva , Eliminação de Resíduos Líquidos/métodos , Austrália , Formulação de Políticas , Estados Unidos , Abastecimento de Água
19.
Environ Manage ; 34(1): 112-24, 2004 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15383877

RESUMO

Effective water quality management of streams in urbanized basins requires identification of the elements of urbanization that contribute most to pollutant concentrations and loads. Drainage connection (the proportion of impervious area directly connected to streams by pipes or lined drains) is proposed as a variable explaining variance in the generally weak relationships between pollutant concentrations and imperviousness. Fifteen small streams draining independent subbasins east of Melbourne, Australia, were sampled for a suite of water quality variables. Geometric mean concentrations of all variables were calculated separately for baseflow and storm events, and these, together with estimates of runoff derived from a rainfall-runoff model, were used to estimate mean annual loads. Patterns of concentrations among the streams were assessed against patterns of imperviousness, drainage connection, unsealed (unpaved) road density, elevation, longitude (all of which were intercorrelated), septic tank density, and basin area. Baseflow and storm event concentrations of dissolved organic carbon (DOC), filterable reactive phosphorus (FRP), total phosphorus (TP) and ammonium, along with electrical conductivity (EC), all increased with imperviousness and its correlates. Hierarchical partitioning showed that DOC, EC, FRP, and storm event TP were independently correlated with drainage connection more strongly than could be explained by chance. Neither pH nor total suspended solids concentrations were strongly correlated with any basin variable. Oxidized and total nitrogen concentrations were most strongly explained by septic tank density. Loads of all variables were strongly correlated with imperviousness and connection. Priority should be given to low-impact urban design, which primarily involves reducing drainage connection, to minimize urbanization-related pollutant impacts on streams.


Assuntos
Planejamento Ambiental , Movimentos da Água , Poluentes da Água/análise , Carbono/análise , Cidades , Engenharia , Monitoramento Ambiental , Nitrogênio/análise , Fósforo/análise , Controle de Qualidade , Rios , Água/química
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