Contemporary Management of Pulmonary Embolism: Review of the Inferior Vena Cava filter and Other Endovascular Devices.

Inferior vena cava (IVC) filters and endovascular devices are used to mitigate the risk of pulmonary embolism in patients presenting with lower extremity venous thromboembolism in whom long-term anticoagulation is not a good option. However, the efficacy and benefit of these devices remain uncertain, and controversies exist. This review focuses on the current use of IVC filters and other endovascular therapies in clinical practice. The indications, risks, and benefits are discussed based on current data. Further research and randomized controlled trials are needed to characterize the patient population that would benefit most from these interventional therapies.

Understanding temporal variability across trophic levels and spatial scales in freshwater ecosystems.

A tenet of ecology is that temporal variability in ecological structure and processes tends to decrease with increasing spatial scales (from locales to regions) and levels of biological organization (from populations to communities). However, patterns in temporal variability across trophic levels and the mechanisms that produce them remain poorly understood. Here we analyzed the abundance time series of spatially structured communities (i.e., metacommunities) spanning basal resources to top predators from 355 freshwater sites across three continents. Specifically, we used a hierarchical partitioning method to disentangle the propagation of temporal variability in abundance across spatial scales and trophic levels. We then used structural equation modeling to determine if the strength and direction of relationships between temporal variability, synchrony, biodiversity, and environmental and spatial settings depended on trophic level and spatial scale. We found that temporal variability in abundance decreased from producers to tertiary consumers but did so mainly at the local scale. Species population synchrony within sites increased with trophic level, whereas synchrony among communities decreased. At the local scale, temporal variability in precipitation and species diversity were associated with population variability (linear partial coefficient, ß = 0.23) and population synchrony (ß = -0.39) similarly across trophic levels, respectively. At the regional scale, community synchrony was not related to climatic or spatial predictors, but the strength of relationships between metacommunity variability and community synchrony decreased systematically from top predators (ß = 0.73) to secondary consumers (ß = 0.54), to primary consumers (ß = 0.30) to producers (ß = 0). Our results suggest that mobile predators may often stabilize metacommunities by buffering variability that originates at the base of food webs. This finding illustrates that the trophic structure of metacommunities, which integrates variation in organismal body size and its correlates, should be considered when investigating ecological stability in natural systems. More broadly, our work advances the notion that temporal stability is an emergent property of ecosystems that may be threatened in complex ways by biodiversity loss and habitat fragmentation.

Spin filters based on two-dimensional materials Co2Si and Cu2Si.

Spintronic devices have several advantages compared with conventional electronic devices, including non-volatility, faster data processing speed, higher integration densities, less electric power consumption and so on. However, we still face challenges for efficiently generating and injecting pure spin polarized current. In this work, we utilize two kinds of two-dimensional materials Co2Si and Cu2Si with both lattice match and band match to construct devices and then research their spin filter efficiency. The spin filter efficiency can be improved effectively either by an appropriate gate voltage at Co2Si region, or by series connection. In both cases the filter efficiencies are much larger than two-dimensional prepared Fe3GeTe2spin valve and ferromagnetic metallic chairlike O-graphene-H. Also at a quite small bias, we obtain a comparable spin polarized current as those obtained in Fe3GeTe2spin valve and O-graphene-H obtained at a much larger bias. .

Long-term monitoring projects of Brazilian marine and coastal ecosystems.

Biodiversity assessment is a mandatory task for sustainable and adaptive management for the next decade, and long-term ecological monitoring programs are a cornerstone for understanding changes in ecosystems. The Brazilian Long-Term Ecological Research Program (PELD) is an integrated effort model supported by public funds that finance ecological studies at 34 locations. By interviewing and compiling data from project coordinators, we assessed monitoring efforts, targeting biological groups and scientific production from nine PELD projects encompassing coastal lagoons to mesophotic reefs and oceanic islands. Reef environments and fish groups were the most often studied within the long-term projects. PELD projects covered priority areas for conservation but missed sensitive areas close to large cities, as well as underrepresenting ecosystems on the North and Northeast Brazilian coast. Long-term monitoring projects in marine and coastal environments in Brazil are recent (<5 years), not yet integrated as a network, but scientifically productive with considerable relevance for academic and human resources training. Scientific production increased exponentially with project age, despite interruption and shortage of funding during their history. From our diagnosis, we recommend some actions to fill in observed gaps, such as: enhancing projects' collaboration and integration; focusing on priority regions for new projects; broadening the scope of monitored variables; and, maintenance of funding for existing projects.

Stream benthic macroinvertebrates abundances over a 6-year monitoring period of an Italian glacier-fed stream.

BACKGROUND: Aquatic macroinvertebrates are widely used as bioindicators for water quality assessments involving different kinds of disruptive factors, such as hydrological regime variations or pollutant spills. Recently, they demonstrated to be effective in monitoring effects of climate change in alpine stream and rivers. Indeed, since the distribution of macroinvertebrates in glacier-fed streams has been succesfully investigated and described by several authors, the discrepancy in presence/absence and quantity of specific taxa from the established models may represent an early warning of the effects of climatic changes occurring in alpine riverine ecosystems. NEW INFORMATION: Together with the present paper, we provide a dataset covering a period of 6 years (2010-2015) sampling of aquatic macroinvertebrates along a longitudinal transect of a glacier-fed stream located in the Italian Alps, inside the International Long Term Ecological Research (ILTER) macrosite of Matsch|Mazia (IT-25). Data were collected during the glacial melt period (April - September), with monthly resolution. Owing to the unique temporal resolution of the dataset, we aim to produce a reliable tool (i.e. reference point) for future ecological assessment on the same stream, but also to similar streams worldwide.

Preoperative inferior vena cava filter implantation to prevent pulmonary fat embolism in a patient showing renal angiomyolipoma extension into the renal vein: A case report and literature review.

Renal angiomyolipoma without local invasion is usually considered benign entity, however, it may extend into the renal vein or the inferior vena cava. Renal angiomyolipoma with venous extension should be treated; however, surgical complications such as iatrogenic pulmonary fat embolism remain a serious concern. We present a case of a 66-year-old Japanese woman without tuberous sclerosis in whom a right-sided renal tumor was incidentally detected on ultrasonography during a health check-up. Further evaluation showed that the tumor extended into the renal vein, and she was successfully treated using preoperative inferior vena cava filter placement and radical nephrectomy. An inferior vena cava filter can prevent catastrophic pulmonary fat embolism during nephrectomy.

Biodiversity responds to increasing climatic extremes in a biome-specific manner.

An unprecedented rate of global environmental change is predicted for the next century. The response to this change by ecosystems around the world is highly uncertain. To address this uncertainty, it is critical to understand the potential drivers and mechanisms of change in order to develop more reliable predictions. Australia's Long Term Ecological Research Network (LTERN) has brought together some of the longest running (10-60years) continuous environmental monitoring programs in the southern hemisphere. Here, we compare climatic variables recorded at five LTERN plot network sites during their period of operation and place them into the context of long-term climatic trends. Then, using our unique Australian long-term datasets (total 117 survey years across four biomes), we synthesize results from a series of case studies to test two hypotheses: 1) extreme weather events for each plot network have increased over the last decade, and; 2) trends in biodiversity will be associated with recent climate change, either directly or indirectly through climate-mediated disturbance (wildfire) responses. We examined the biodiversity responses to environmental change for evidence of non-linear behavior. In line with hypothesis 1), an increase in extreme climate events occurred within the last decade for each plot network. For hypothesis 2), climate, wildfire, or both were correlated with biodiversity responses at each plot network, but there was no evidence of non-linear change. However, the influence of climate or fire was context-specific. Biodiversity responded to recent climate change either directly or indirectly as a consequence of changes in fire regimes or climate-mediated fire responses. A national long-term monitoring framework allowed us to find contrasting species abundance or community responses to climate and disturbance across four of the major biomes of Australia, highlighting the need to establish and resource long-term monitoring programs across representative ecosystem types, which are likely to show context-specific responses.

What is socio-ecological research delivering? A literature survey across 25 international LTSER platforms.

With an overarching goal of addressing global and regional sustainability challenges, Long Term Socio-Ecological Research Platforms (LTSER) aim to conduct place-based research, to collect and synthesize both environmental and socio-economic data, and to involve a broader stakeholder pool to set the research agenda. To date there have been few studies examining the output from LTSER platforms. In this study we enquire if the socio-ecological research from 25 self-selected LTSER platforms of the International Long-Term Ecological Research (ILTER) network has produced research products which fulfil the aims and ambitions of the paradigm shift from ecological to socio-ecological research envisaged at the turn of the century. In total we assessed 4983 publically available publications, of which 1112 were deemed relevant to the socio-ecological objectives of the platform. A series of 22 questions were scored for each publication, assessing relevance of responses in terms of the disciplinary focus of research, consideration of human health and well-being, degree of stakeholder engagement, and other relevant variables. The results reflected the diverse origins of the individual platforms and revealed a wide range in foci, temporal periods and quantity of output from participating platforms, supporting the premise that there is a growing trend in socio-ecological research at long-term monitoring platforms. Our review highlights the challenges of realizing the top-down goal to harmonize international network activities and objectives and the need for bottom-up, self-definition for research platforms. This provides support for increasing the consistency of LTSER research while preserving the diversity of regional experiences.

Floristic and structure of the arboreal community of an Ombrophilous Dense Forest at 800 m above sea level, in Ubatuba/SP, Brazil / Florística e estrutura da comunidade arbórea de uma Floresta Ombrófila Densa a 800 m acima do nível do mar, em Ubatuba/SP, Brasil

Abstract: Undoubtedly, the publication of floristic lists and phytosociological studies are important tools for metadata generation, quantification and characterization of the megadiversity of Brazilian forests. In this sense, this work had the objective of describing the composition and the structure of the tree community of one hectare of Dense Atlantic Rainforest, at an altitude of 800 m. All individuals, including trees, palm trees, arborescent ferns and dead and standing stems, with a diameter at breast height (DBH) of ≥ 4.8 cm were sampled. After the identification of the botanical material, we proceeded to calculate the usual phytosociological parameters, besides the Shannon diversity index (H') and Pielou equability index (J). A total of 1.791 individuals were sampled, of which 1.729 were alive, belonging to 185 species, 100 genera and 46 families. The results obtained showed a strong similarity of structure and floristic composition with plots of both Montana and Sub Montana Ombrophilous Dense Forest studied in the same region. This reinforces the hypothesis that the transition between the phytophysiognomies of the Atlantic Ombrophylous Dense Forest is gradual, and that the boundaries between them cannot be clearly established.

Resumo: Indiscutivelmente a publicação de listas florísticas e estudos fitossociológicos são importantes ferramentas para a geração de metadados, quantificação e caracterização da megadiversidade das florestas brasileiras. Neste sentido, o presente trabalho teve por objetivo descrever a composição e a estrutura da comunidade arbórea de um hectare de Floresta Ombrófila Densa Atlântica, na cota dos 800 m de altitude. Para tanto foram estabelecidas 100 subparcelas de 10 x 10 m, distribuídas em quatro blocos amostrais de 0,25 ha, onde foram amostrados todos os indivíduos arbóreos, incluindo palmeiras, fetos arborescentes e indivíduos mortos e em pé, com DAP (diâmetro à altura do peito) ≥ 4,8 cm. Após a identificação do material botânico e do cálculo dos parâmetros fitossociológicos usuais, foram calculados os índices de diversidade de Shannon (H') e de eqüabilidade de Pielou (J). Foram amostrados 1.791 indivíduos arbóreos, sendo 1.729 vivos pertencentes a 185 espécies, 100 gêneros e 46 famílias. Os resultados obtidos mostram forte similaridade de estrutura e composição florística com parcelas tanto de Floresta Ombrófila Densa Montana como Floresta Ombrófila Densa Submontana estudadas na mesma região, reforçando a hipótese que a transição entre as fitofisionomias da Floresta Ombrófila Densa Atlântica é gradual e que os limites entre elas não podem ser claramente estabelecidos.