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- Ademuyiwa, Adesoji O., et al.
(author)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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In: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Journal article (peer-reviewed)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
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2. |
- Andresen, Louise C., 1974, et al.
(author)
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Nitrogen dynamics after two years of elevated CO2 in phosphorus limited Eucalyptus woodland
- 2020
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In: Biogeochemistry. - : Springer Science and Business Media LLC. - 0168-2563 .- 1573-515X. ; 150, s. 297-312
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Journal article (peer-reviewed)abstract
- It is uncertain how the predicted further rise of atmospheric carbon dioxide (CO2) concentration will affect plant nutrient availability in the future through indirect effects on the gross rates of nitrogen (N) mineralization (production of ammonium) and depolymerization (production of free amino acids) in soil. The response of soil nutrient availability to increasing atmospheric CO2 is particularly important for nutrient poor ecosystems. Within a FACE (Free-Air Carbon dioxide Enrichment) experiment in a native, nutrient poor Eucalyptus woodland (EucFACE) with low soil organic matter (≤ 3%), our results suggested there was no shortage of N. Despite this, microbial N use efficiency was high (c. 90%). The free amino acid (FAA) pool had a fast turnover time (4 h) compared to that of ammonium (NH4+) which was 11 h. Both NH4-N and FAA-N were important N pools; however, protein depolymerization rate was three times faster than gross N mineralization rates, indicating that organic N is directly important in the internal ecosystem N cycle. Hence, the depolymerization was the major provider of plant available N, while the gross N mineralization rate was the constraining factor for inorganic N. After two years of elevated CO2, no major effects on the pools and rates of the soil N cycle were found in spring (November) or at the end of summer (March). The limited response of N pools or N transformation rates to elevated CO2 suggest that N availability was not the limiting factor behind the lack of plant growth response to elevated CO2, previously observed at the site.
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3. |
- Jiang, Mingkai, et al.
(author)
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The fate of carbon in a mature forest under carbon dioxide enrichment
- 2020
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In: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 580:7802, s. 227-231
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Journal article (peer-reviewed)abstract
- Atmospheric carbon dioxide enrichment (eCO2) can enhance plant carbon uptake and growth1–5, thereby providing an important negative feedback to climate change by slowing the rate of increase of the atmospheric CO2 concentration6. Although evidence gathered from young aggrading forests has generally indicated a strong CO2 fertilization effect on biomass growth3–5, it is unclear whether mature forests respond to eCO2 in a similar way. In mature trees and forest stands7–10, photosynthetic uptake has been found to increase under eCO2 without any apparent accompanying growth response, leaving the fate of additional carbon fixed under eCO2 unclear4,5,7–11. Here using data from the first ecosystem-scale Free-Air CO2 Enrichment (FACE) experiment in a mature forest, we constructed a comprehensive ecosystem carbon budget to track the fate of carbon as the forest responded to four years of eCO2 exposure. We show that, although the eCO2 treatment of +150 parts per million (+38 per cent) above ambient levels induced a 12 per cent (+247 grams of carbon per square metre per year) increase in carbon uptake through gross primary production, this additional carbon uptake did not lead to increased carbon sequestration at the ecosystem level. Instead, the majority of the extra carbon was emitted back into the atmosphere via several respiratory fluxes, with increased soil respiration alone accounting for half of the total uptake surplus. Our results call into question the predominant thinking that the capacity of forests to act as carbon sinks will be generally enhanced under eCO2, and challenge the efficacy of climate mitigation strategies that rely on ubiquitous CO2 fertilization as a driver of increased carbon sinks in global forests.
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4. |
- Macdonald, Catriona, et al.
(author)
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What is the benefit of community benefits? : Exploring local perceptions of the provision of community benefits from a commercial wind energy project
- 2017
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In: Scottish Geographical Journal. - : Taylor & Francis. - 1470-2541 .- 1751-665X. ; 133:3-4, s. 172-191
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Journal article (peer-reviewed)abstract
- Where community ownership of renewable energy projects is not feasible, there remains potential for residents to profit from locally-sited projects through a ‘community benefits’ package from a commercial developer, usually as an annual cash payment to a community organisation. Despite support from policymakers and developers for community benefits packages, the relationship between the benefit package and acceptance of renewable energy projects is not straightforward. Drawing on semi-structured interviews with local residents and other community actors near a wind development in central Scotland, this paper examines the ‘process’ and ‘outcome’ dimensions of the design and provision of community benefits and considers how the relationship between these two dimensions affects local perceptions of the benefit of community benefits. Analysis of interviewees’ perceptions of the community engagement ‘process’ at the planning stage and the community benefit package ‘outcome’ reveals how a poorly defined engagement process, combined with a benefits package that is not deemed suitable for the needs of the community, can lead to negative associations with the project, even when initial perceptions were positive. These findings have implications for renewable energy policy in Scotland, particularly as there is currently no legal obligation for developers to consult communities on community benefit arrangements.
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5. |
- Medlyn, Belinda E., et al.
(author)
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Using models to guide field experiments : a priori predictions for the CO2 response of a nutrient- and water-limited native Eucalypt woodland
- 2016
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In: Global Change Biology. - : Wiley. - 1354-1013 .- 1365-2486. ; 22:8, s. 2834-2851
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Journal article (peer-reviewed)abstract
- The response of terrestrial ecosystems to rising atmospheric CO2 concentration (Ca), particularly under nutrient-limited conditions, is a major uncertainty in Earth System models. The Eucalyptus Free-Air CO2 Enrichment (EucFACE) experiment, recently established in a nutrient- and water-limited woodland presents a unique opportunity to address this uncertainty, but can best do so if key model uncertainties have been identified in advance. We applied seven vegetation models, which have previously been comprehensively assessed against earlier forest FACE experiments, to simulate a priori possible outcomes from EucFACE. Our goals were to provide quantitative projections against which to evaluate data as they are collected, and to identify key measurements that should be made in the experiment to allow discrimination among alternative model assumptions in a postexperiment model intercomparison. Simulated responses of annual net primary productivity (NPP) to elevated Ca ranged from 0.5 to 25% across models. The simulated reduction of NPP during a low-rainfall year also varied widely, from 24 to 70%. Key processes where assumptions caused disagreement among models included nutrient limitations to growth; feedbacks to nutrient uptake; autotrophic respiration; and the impact of low soil moisture availability on plant processes. Knowledge of the causes of variation among models is now guiding data collection in the experiment, with the expectation that the experimental data can optimally inform future model improvements.
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6. |
- Pihlblad, Johanna, et al.
(author)
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Stochiometric control of SOM and plant derived soil C pools dynamics under elevated CO2
- 2021
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In: EGU General Assembly 2021. - : EGU21-General Assembly.
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Conference paper (peer-reviewed)abstract
- Elevated carbon dioxide in the atmosphere (eCO2) has been found to influence soil C by altering the belowground balance between the decomposition of existing soil organic matter (SOM) and the accumulation of plant-derived C inputs. Even small changes in this balance can have a potentially large effect on future climate. The relative availability of soil nutrients, particularly N and P, are crucial mediators of both decomposition and new C accumulation, but both these two processes are rarely assessed simultaneously. We asked if the effect of eCO2 on soil C decomposition was mediated by soil N and P availability, and if the effect of CO2 and soil N and P availability on soil C decomposition was dependent on C pools (existing SOM C, newly added C). We grew Eucalyptus grandis and a C3 grass (Microlaena stipoides) from seed in an experimentally manipulated atmosphere with altered δ13C signature of CO2, which allowed the separation of plant derived C, from the existing SOM C. Then we manipulated N and P relative abundance via nutrient additions. We evaluated how the existing SOM and the new plant-derived C pool, and their respiration responded to eCO2 conditions and nutrient treatments. SOM respiration significantly increased in the eucalypts when N was added but was not affected by CO2. In the grass the SOM respiration increased with eCO2 and added N and SOM respiration per unit of SOM-derived microbial was significantly higher in both the added P and added N+P nutrient treatments. The rhizosphere priming of SOM was suppressed in both the added P and added N+P nutrient treatments. The heterotrophic respiration of plant-derived C was contingent on nutrient availability rather than eCO2 and differed by species. The grass-derived respiration was significantly higher than the eucalypt and was higher in both added P and added N+P nutrient treatments. Thus, nutrient stoichiometry had similar effects on SOM and plant derived C, but e CO2 only affected SOM and only for the Eucalyptus. This study shows how species differences have large effects on rhizosphere C cycling responses to eCO2 and stoichiometric conditions.
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