Photosynthesis is the process by which plants harvest sunlight to produce sugars from carbon dioxide and water. It is the primary source of energy for all life on Earth; hence it is important to ...understand how this process responds to climate change and human impact. However, model-based estimates of gross primary production (GPP, output from photosynthesis) are highly uncertain, in particular over heavily managed agricultural areas. Recent advances in spectroscopy enable the space-based monitoring of sun-induced chlorophyll fluorescence (SIF) from terrestrial plants. Here we demonstrate that spaceborne SIF retrievals provide a direct measure of the GPP of cropland and grassland ecosystems. Such a strong link with crop photosynthesis is not evident for traditional remotely sensed vegetation indices, nor for more complex carbon cycle models. We use SIF observations to provide a global perspective on agricultural productivity. Our SIF-based crop GPP estimates are 50-75% higher than results from state-of-the-art carbon cycle models over, for example, the US Corn Belt and the Indo-Gangetic Plain, implying that current models severely underestimate the role of management. Our results indicate that SIF data can help us improve our global models for more accurate projections of agricultural productivity and climate impact on crop yields. Extension of our approach to other ecosystems, along with increased observational capabilities for SIF in the near future, holds the prospect of reducing uncertainties in the modeling of the current and future carbon cycle.
We assess the water balance of the Brazilian Cerrado based on remotely sensed estimates of precipitation (TRMM), evapotranspiration (MOD16), and terrestrial water storage (GRACE) for the period from ...2003 to 2010. Uncertainties for each remotely sensed data set were computed, the budget closure was evaluated using measured discharge data for the three largest river basins in the Cerrado, and the Mann‐Kendall test was used to evaluate temporal trends in the water balance components and measured river discharge. The results indicate an overestimation of discharge data, due mainly to the overestimation of rainfall by TRMM version 6. However, better results were obtained when the new release of TRMM 3B42 v7 was used instead. Our results suggest that there have been (a) significant increases in average annual evapotranspiration over the entire Cerrado of 51 ± 15 mm yr−1, (b) terrestrial water storage increases of 11 ± 6 mm yr−1 in the northeast region of the Brazilian Cerrado, and (c) runoff decreases of 72 ± 11 mm yr−1 in isolated spots and in the western part of the State of Mato Grosso. Although complete water budget closure from remote sensing remains a significant challenge due to uncertainties in the data, it provides a useful way to evaluate trends in major water balance components over large regions, identify dry periods, and assess changes in water balance due to land cover and land use change.
Key Points
Water budget for the Brazilian Cerrado was evaluated
Trends were assessed from remote sensing data, and in observed discharge
Uncertainties were computed from in situ data
Rodriguez and García carefully laid out the logistics of how those who were harmed in the Guatemala experiments might be compensated, building on the US Public Health Service's Study of Untreated ...Syphilis in Tuskegee as a model (although because of the international nature of the Guatemala case, this would require waiving sovereign immunity). ...the US government never created Rodriguez and Garcia's recommended compensation program to more concretely and permanently acknowledge the wrongful nature of the conduct in question, in keeping with the expressive function of both US and international law.5 Their 2013 commentary also noted that the Centers for Disease Control and Prevention was tasked with developing a case study on the unethical research conducted in Guatemala. Yet making that study into an exemplary case took decades and then organizing by historians, health advocates, and Black political figures before the federal apology finally happened in 1997, 25 years after the study ended.11 The case was often called to memory in Black communities and by journalists during the AIDS epidemic and again during the recent COVID-19 pandemic, as shorthand for the layered reasons many non-White populations have to distrust medical authorities.12,13 And today, the study's memory is also carried forward in powerfully agentive ways by the descendants of the study's unwitting participants.14 In short, it was not the facts of the case alone, but also the ways that people and institutions created relationships and practices around them over time that shaped its place in memory. The GDC, the NIH, the US Domestic Policy Council at the White House, the State Department's consideration of the consequences of the public exposure of these experiments, and the CDC's leadership's connection to health policy guru Zeke Emanuel in the Obama administration, all then led to the apology.15 The government response might have unfolded very differently without this contingent context.
An analysis of the sensitivity of synthetic aperture radar (SAR) backscatter (σ o ) to crop and soil conditions was conducted using 57 RADARSAT-2 C-band quad-polarized SAR images acquired from April ...to September 2009 for large fields of wheat, barley, oat, corn, onion, and alfalfa in Barrax, Spain. Preliminary results showed that the cross-polarized σ HV o was particularly useful for monitoring both crop and soil conditions and was the least sensitive to differences in beam incidence angle. The greatest separability of barley, corn, and onion occurred in spring after the barley had been harvested or in the narrow time window associated with grain crop heading when corn and onion were still immature. The time series of σ o offered reliable information about crop growth stage, such as jointing and heading in grain crops and leaf growth and reproduction in corn and onion. There was a positive correlation between σ o and the Normalized Difference Vegetation Index for onion and corn but not for all crops, and the impact of view direction and incidence angle on the time series was minimal compared to the signal response to crop and soil conditions. Related to planning for future C-band SAR missions, we found that quad-polarization with image acquisition frequency from 3-6 days was best suited for distinguishing crop types and for monitoring crop phenology, single- or dual-polarization with an acquisition frequency of 3-6 days was sufficient for mapping crop green biomass, and single- or dual-polarization with daily image acquisition was necessary to capture rapid changes in soil moisture condition.
Building upon the successes of Countdown to 2015, Countdown to 2030 aims to support the monitoring and measurement of women's, children's, and adolescents' health in the 81 countries that account for ...95% of maternal and 90% of all child deaths worldwide. To achieve the Sustainable Development Goals by 2030, the rate of decline in prevalence of maternal and child mortality, stillbirths, and stunting among children younger than 5 years of age needs to accelerate considerably compared with progress since 2000. Such accelerations are only possible with a rapid scale-up of effective interventions to all population groups within countries (particularly in countries with the highest mortality and in those affected by conflict), supported by improvements in underlying socioeconomic conditions, including women's empowerment. Three main conclusions emerge from our analysis of intervention coverage, equity, and drivers of reproductive, maternal, newborn, and child health (RMNCH) in the 81 Countdown countries. First, even though strong progress was made in the coverage of many essential RMNCH interventions during the past decade, many countries are still a long way from universal coverage for most essential interventions. Furthermore, a growing body of evidence suggests that available services in many countries are of poor quality, limiting the potential effect on RMNCH outcomes. Second, within-country inequalities in intervention coverage are reducing in most countries (and are now almost non-existent in a few countries), but the pace is too slow. Third, health-sector (eg, weak country health systems) and non-health-sector drivers (eg, conflict settings) are major impediments to delivering high-quality services to all populations. Although more data for RMNCH interventions are available now, major data gaps still preclude the use of evidence to drive decision making and accountability. Countdown to 2030 is investing in improvements in measurement in several areas, such as quality of care and effective coverage, nutrition programmes, adolescent health, early childhood development, and evidence for conflict settings, and is prioritising its regional networks to enhance local analytic capacity and evidence for RMNCH.
Background
Atrial fibrillation (AF), the most common arrhythmia in clinical practice, is a leading cause of morbidity and mortality. Screening for AF in asymptomatic patients has been proposed as a ...way of reducing the burden of the disease by detecting people who would benefit from prophylactic anticoagulation therapy before the onset of symptoms. However, for screening to be an effective intervention, it must improve the detection of AF and provide benefit for those detected earlier as a result of screening.
Objectives
This review aims to answer the following questions.
Does systematic screening increase the detection of AF compared with routine practice? Which combination of screening population, strategy and test is most effective for detecting AF compared with routine practice? What safety issues and adverse events may be associated with individual screening programmes? How acceptable is the intervention to the target population? What costs are associated with systematic screening for AF?
Search methods
We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (Ovid) and EMBASE (Ovid) up to 11 November 2015. We searched other relevant research databases, trials registries and websites up to December 2015. We also searched reference lists of identified studies for potentially relevant studies, and we contacted corresponding authors for information about additional published or unpublished studies that may be relevant. We applied no language restrictions.
Selection criteria
Randomised controlled trials comparing screening for AF with routine practice in people 40 years of age and older were eligible. Two review authors (PM and CT) independently selected trials for inclusion.
Data collection and analysis
Two review authors (PM and CT) independently assessed risk of bias and extracted data. We used odds ratios (ORs) and 95% confidence intervals (CIs) to present results for the primary outcome, which is a dichotomous variable. As we identified only one study for inclusion, we performed no meta‐analysis. We used the GRADE (Grades of Recommendation, Assessment, Development and Evaluation Working Group) method to assess the quality of the evidence and GRADEPro to create a 'Summary of findings' table.
Main results
One cluster‐randomised controlled trial met the inclusion criteria for this review. This study compared systematic screening (by invitation to have an electrocardiogram (ECG)) and opportunistic screening (pulse palpation during a general practitioner (GP) consultation for any reason, followed by an ECG if pulse was irregular) versus routine practice (normal case finding on the basis of clinical presentation) in people 65 years of age or older.
Results show that both systematic screening and opportunistic screening of people over 65 years of age are more effective than routine practice (OR 1.57, 95% CI 1.08 to 2.26; and OR 1.58, 95% CI 1.10 to 2.29, respectively; both moderate‐quality evidence). We found no difference in the effectiveness of systematic screening and opportunistic screening (OR 0.99, 95% CI 0.72 to 1.37; low‐quality evidence). A subgroup analysis found that systematic screening and opportunistic screening were more effective in men (OR 2.68, 95% CI 1.51 to 4.76; and OR 2.33, 95% CI 1.29 to 4.19, respectively) than in women (OR 0.98, 95% CI 0.59 to 1.62; and OR 1.2, 95% CI 0.74 to 1.93, respectively). No adverse events associated with screening were reported.
The incremental cost per additional case detected by opportunistic screening was GBP 337, compared with GBP 1514 for systematic screening. All cost estimates were based on data from the single included trial, which was conducted in the UK between 2001 and 2003.
Authors' conclusions
Evidence suggests that systematic screening and opportunistic screening for AF increase the rate of detection of new cases compared with routine practice. Although these approaches have comparable effects on the overall AF diagnosis rate, the cost of systematic screening is significantly greater than the cost of opportunistic screening from the perspective of the health service provider. Few studies have investigated effects of screening in other health systems and in younger age groups; therefore, caution needs to be exercised in relation to transferability of these results beyond the setting and population in which the included study was conducted.
Additional research is needed to examine the effectiveness of alternative screening strategies and to investigate the effects of the intervention on risk of stroke for screened versus non‐screened populations.
Climate change is predicted to increase both drought frequency and duration, and when coupled with substantial warming, will establish a new hydroclimatological model for many regions. Large-scale, ...warm droughts have recently occurred in North America, Africa, Europe, Amazonia and Australia, resulting in major effects on terrestrial ecosystems, carbon balance and food security. Here we compare the functional response of above-ground net primary production to contrasting hydroclimatic periods in the late twentieth century (1975-1998), and drier, warmer conditions in the early twenty-first century (2000-2009) in the Northern and Southern Hemispheres. We find a common ecosystem water-use efficiency (WUE(e): above-ground net primary production/evapotranspiration) across biomes ranging from grassland to forest that indicates an intrinsic system sensitivity to water availability across rainfall regimes, regardless of hydroclimatic conditions. We found higher WUE(e) in drier years that increased significantly with drought to a maximum WUE(e) across all biomes; and a minimum native state in wetter years that was common across hydroclimatic periods. This indicates biome-scale resilience to the interannual variability associated with the early twenty-first century drought--that is, the capacity to tolerate low, annual precipitation and to respond to subsequent periods of favourable water balance. These findings provide a conceptual model of ecosystem properties at the decadal scale applicable to the widespread altered hydroclimatic conditions that are predicted for later this century. Understanding the hydroclimatic threshold that will break down ecosystem resilience and alter maximum WUE(e) may allow us to predict land-surface consequences as large regions become more arid, starting with water-limited, low-productivity grasslands.
Celotno besedilo
Dostopno za:
DOBA, IJS, IZUM, KILJ, KISLJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Global warming may intensify the hydrological cycle and lead to increased drought severity and duration, which could alter plant community structure and subsequent ecosystem water and carbon dioxide ...cycling. We report on the net ecosystem exchange of carbon dioxide (NEE) of a semidesert grassland through a severe drought which drove succession from native bunchgrasses to forbs and to eventual dominance by an exotic bunchgrass. We monitored NEE and energy fluxes using eddy covariance coupled with meteorological and soil moisture variables for 6 years at a grassland site in southeastern Arizona, USA. Seasonal NEE typically showed a springtime carbon uptake after winter‐spring periods of average rainfall followed by much stronger sink activity during the summer rainy season. The two severe drought years (2004 and 2005) resulted in a net release of carbon dioxide (25 g C m−2) and widespread mortality of native perennial bunchgrasses. Above average summer rains in 2006 alleviated drought conditions, resulting in a large flush of broad‐leaved forbs and negative total NEE (−55 g C m−2 year−1). Starting in 2007 and continuing through 2009, the ecosystem became increasingly dominated by the exotic grass, Eragrostis lehmanniana, and was a net carbon sink (−47 to −98 g C m−2 year−1) but with distinct annual patterns in NEE. Rainfall mediated by soils was the key driver to water and carbon fluxes. Seasonal respiration and photosynthesis were strongly dependent on precipitation, but photosynthesis was more sensitive to rainfall variation. Respiration normalized by evapotranspiration showed no interannual variation, while normalized gross ecosystem production (i.e., water use efficiency) was low during drought years and then increased as the rains returned and the E. lehmanniana invasion progressed. Thus, when dry summer conditions returned in 2009, the potential for ecosystem carbon accumulation was increased and the ecosystem remained a net sink unlike similar dry years when native grasses dominated ecosystem structure.
Frequency and severity of droughts are projected to increase in many regions, and their effects on temporal dynamics of the terrestrial carbon cycle remain uncertain. Ecosystem net primary ...productivity (NPP) is a key component of the carbon cycle, and rainfall use efficiency (RUE=NPP/precipitation) is an important measure of ecosystem stability and resilience. Here we investigated the temporal patterns of NPP and RUE and their key driving climate factors, during the early 21st century drought for four biomes in China: Needleleaf forest, Broadleaf forest, Woody savannas, and Grassland. Estimates of regional-scale NPP were based on the NASA Moderate Resolution Imaging Spectroradiometer (MODIS) MOD17 NPP product. Our results confirmed recent findings that the impact of current-year precipitation on NPP was confounded by an array of biotic and abiotic factors. Whereas, the RUE responded strongly to variations in current- and previous-year drought for all the four biomes and the four biomes combined. We found that a dry year preceded by a wet year resulted in the highest RUE, and conversely, a wet year preceded by a dry year resulted in the lowest RUE. This was attributed to the legacy effect of precipitation changes in both wet and dry years, and to the resilience of the biomes in the dry years. Based on these results, we developed and validated a model of RUE based on the Palmer Drought Severity Index (PDSI) of both current and previous years which works well for these four biomes and all biomes combined. This model is particularly useful for understanding the impact of prolonged drought at the landscape scale because it is based on accessible satellite data and available meteorological data and the results have been tested across four major biomes.
•The annual NPP was derived from MODIS global data set (MOD17A3).•The impact of current-year precipitation on NPP was weak across biome types.•The RUE responded strongly to variations in current- and previous-year drought.•We developed and validated a model of RUE based on two-year PDSI.
Synthetic Aperture Radar has shown its large potential for retrieving soil moisture maps at regional scales. However, since the backscattered signal is determined by several surface characteristics, ...the retrieval of soil moisture is an ill-posed problem when using single configuration imagery. Unless accurate surface roughness parameter values are available, retrieving soil moisture from radar backscatter usually provides inaccurate estimates. The characterization of soil roughness is not fully understood, and a large range of roughness parameter values can be obtained for the same surface when different measurement methodologies are used. In this paper, a literature review is made that summarizes the problems encountered when parameterizing soil roughness as well as the reported impact of the errors made on the retrieved soil moisture. A number of suggestions were made for resolving issues in roughness parameterization and studying the impact of these roughness problems on the soil moisture retrieval accuracy and scale.
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