Prehospital Thrombolysis: A Manual from Berlin

In acute ischemic stroke, time from symptom onset to intervention is a decisive prognostic factor. In order to reduce this time, prehospital thrombolysis at the emergency site would be preferable. However, apart from neurological expertise and laboratory investigations a computed tomography (CT) scan is necessary to exclude hemorrhagic stroke prior to thrombolysis. Therefore, a specialized ambulance equipped with a CT scanner and point-of-care laboratory was designed and constructed. Further, a new stroke identifying interview algorithm was developed and implemented in the Berlin emergency medical services. Since February 2011 the identification of suspected stroke in the dispatch center of the Berlin Fire Brigade prompts the deployment of this ambulance, a stroke emergency mobile (STEMO). On arrival, a neurologist, experienced in stroke care and with additional training in emergency medicine, takes a neurological examination. If stroke is suspected a CT scan excludes intracranial hemorrhage. The CT-scans are telemetrically transmitted to the neuroradiologist on-call. If coagulation status of the patient is normal and patient''s medical history reveals no contraindication, prehospital thrombolysis is applied according to current guidelines (intravenous recombinant tissue plasminogen activator, iv rtPA, alteplase, Actilyse).Thereafter patients are transported to the nearest hospital with a certified stroke unit for further treatment and assessment of strokeaetiology. After a pilot-phase, weeks were randomized into blocks either with or without STEMO care. Primary end-point of this study is time from alarm to the initiation of thrombolysis. We hypothesized that alarm-to-treatment time can be reduced by at least 20 min compared to regular care.     

生态系统服务需求、供给和消费研究进展

生态系统服务的持续供给是社会和自然可持续发展的基础,人类通过对生态系统服务的消费来满足需求和提高自身福祉。研究人类对生态系统服务的需求、消费,分析生态系统服务的供给与需求关系,对生态系统的管理、土地发展规划和资源的合理有效配置具有重要意义。首先分析了生态系统服务需求、供给和消费的内涵与特征,辨析了生态系统服务的有效需求和潜在需求、有效供给与潜在供给,进而提出了生态系统服务需求与供给研究框架,指出应研究生态系统服务供给和需求的空间关联以及生态系统服务需求弹性差异,进而因地制宜地调控生态系统服务供给使得生态系统服务效用最大化。梳理并比较了对生态系统服务供给和需求的量化指标和研究方法,包括基于土地利用和土地覆被的生态系统服务供需关系矩阵法、生态足迹法、公众参与法、模型计算法等。提出了未来的相关研究主要应从不同群体的需求弹性差异、跨学科与多源数据结合的需求定量评估方法、供需关系的多尺度分析、生态系统服务需求与人类福祉的耦合机制拓展等方面展开,为生态系统服务调控管理和社会的可持续发展提供切实可行的科学依据。     

生态系统服务功能与景观格局耦合协调度研究——以武陵山区退耕还林工程为例

生态系统服务功能与景观格局演变关系极为密切,研究生态系统服务功能与景观格局的耦合协调度对于区域发展具有重要意义。以武陵山区退耕还林工程为例,参照国家标准和行业标准,采用分布式测算方法、景观格局指数分析和耦合协调度模型等方法,旨在揭示武陵山区退耕还林工程生态系统服务功能与景观格局二者耦合协调关系。结果表明:(1)2005—2017年间武陵山区退耕还林工程各项生态服务功能物质量均以15倍左右速度增长,生态系统服务空间分布格局最佳区域由西部地区逐渐向东南扩大;(2)武陵山区景观演变存在时空差异,1995—2005年景观格局变化更为明显,变化区域集中在中西部地区,2005—2015年与之相比,景观格局变化空间上更为分散;(3)武陵山区退耕还林工程生态系统服务与景观格局演变存在较高水平的耦合以及高水平的协调性。研究结果可为武陵山区土地利用规划及退耕还林工程进一步实施提供科学依据。     

The value of coordinated management of interacting ecosystem services

Coordinating decisions and actions among interacting sectors is a critical component of ecosystem-based management, but uncertainty about coordinated management's effects is compromising its perceived value and use. We constructed an analytical framework for explicitly calculating how coordination affects management decisions, ecosystem state and the provision of ecosystem services in relation to ecosystem dynamics and socio-economic objectives. The central insight is that the appropriate comparison strategy to optimal coordinated management is optimal uncoordinated management, which can be identified at the game theoretic Nash equilibrium. Using this insight we can calculate coordination's effects in relation to uncoordinated management and other reference scenarios. To illustrate how this framework can help identify ecosystem and socio-economic conditions under which coordination is most influential and valuable, we applied it to a heuristic case study and a simulation model for the California Current Marine Ecosystem. Results indicate that coordinated management can more than double an ecosystem's societal value, especially when sectors can effectively manipulate resources that interact strongly. However, societal gains from coordination will need to be reconciled with observations that it also leads to strategic simplification of the ecological food web, and generates both positive and negative impacts on individual sectors and non-target species.     

Ant community composition and functional traits in new grassland strips within agricultural landscapes

1. Ongoing intensification and fragmentation of European agricultural landscapes dramatically reduce biodiversity and associated functions. Enhancing perennial noncrop areas holds great potential to support ecosystem services such as ant‐mediated pest control.
2. To study the potential of newly established grassland strips to enhance ant diversity and associated functions, we used hand collection data and predation experiments to investigate differences in (a) ant community composition and (b) biocontrol‐related functional traits, and (c) natural pest control across habitats in cereal fields, old grasslands, and new grassland transects of three years of age.
3. Ant species diversity was similar between new and old grasslands, but significantly higher in new grasslands than in surrounding cereal fields. Contrary, ant community composition of new grasslands was more similar to cereal fields and distinct from the species pool of old grasslands. The functional trait space covered by the ant communities showed the same distribution between old and new grasslands. Pest control did not differ significantly between habitat types and therefore could not be linked to the prevalence of functional ant traits related to biocontrol services in new grasslands.
4. Our findings not only show trends of convergence between old and new grasslands, but also indicate that enhancing ant diversity through new grasslands takes longer than three years to provide comparable biodiversity and functionality.
5. Synthesis and applications: Newly established grasslands can increase ant species richness and abundance and provide a consistent amount of biocontrol services in agroecosystems. However, three years after their establishment, new grasslands were still dominated by common agrobiont ant species and lacked habitat specialists present in old grasslands, which require a constant supply of food resources and long colony establishment times. New grasslands represent a promising measure for enhancing agricultural landscapes but must be preserved in the longer term to promote biodiversity and resilience of associated ecosystem services.

     

面向生态系统服务的森林生态系统经营:现状、挑战与展望

森林生态系统是地球陆地生态系统的主体,它具有很高的生物生产力和生物量以及丰富的生物多样性,对全球生态系统和人类经济社会发展起着至关重要和无可替代的作用。伴随着人口的不断增长和经济社会的迅猛发展,对森林资源和森林生态系统服务的需求不断高涨,而且人类对森林资源价值的认识也发生了很大程度的改变。推进森林资源可持续经营,增加森林总量、提高森林质量、增强生态功能,已成为中国林业可持续发展乃至推进中国生态文明建设和建设美丽中国的战略任务。本文全面综述了森林生态系统经营发展历程,分析了森林生态系统经营的现状和存在问题,在此基础上,提出整合基于生态系统管理与满足现代人类福祉对森林多重需求的新的森林生态系统经营理念,面向生态系统服务的森林生态系统经营理念是未来的发展趋势。森林经营发展战略表现为:1)从单纯的森林面积数量扩张,转变到提高单位面积的森林生产力和森林质量;2)从单一追求木材生产逐步转变为多目标经营,将森林林产品单一的经营目标转变为广泛的生态、经济和社会等多目标经营;3)森林经营重点从林分水平转变为森林景观的经营,强调森林景观的时空异质性和动态变化,权衡和协同多种生态系统的服务功能,倡导森林景观的多样性和连通性,提高森林与其它土地利用模式镶嵌构成的复合景观的可持续性和稳定性,增强森林生态系统对气候变化影响的适应能力;4)森林生态系统经营将从依赖传统经验的主观决策转变为信息化、数字化和智能化的决策,发展森林生态系统经营决策支持系统和森林景观恢复与空间经营规划系统。     

Optimal conservation planning of multiple hydrological ecosystem services under land use and climate changes in Teshio river watershed,northernmost of Japan

Most anthropogenic activities impacted on water quality and quantity, and further impacted on ecosystem services (ESs) in watershed are related to land use and climate changes those may cause losses of ecosystem functions. Effective information regarding ESs and their optimal priority conservation planning responded to land use and climate changes provide useful support for diverse stakeholders in ESs planning, management and policies. This study integrated the approach of spatially explicit ESs (water yield, inorganic nutrient, organic nutrient and sediment retentions) by using hydrology and material flow model (Soil and Water Assessment Tools, SWAT model) into systematic conservation of hydrological ESs according to land use and climate changes in Teshio watershed located in the north of Hokkaido, Japan. We investigated the spatial patterns and the hotspots of ESs changes to determine the spatial pattern of changes in systematic conservation optimal area of ES protection in terms of ESs protection targets. Under the land use and climate change scenarios, the forest land use significantly affected on the water yield, sediment, organic-Nitrogen (N) and organic-Phosphorous (P) retentions. The agricultural land (paddy and farmland fields) impacted on the inorganic-N and inorganic-P retentions. We applied the systematic conservation model (MARXAN model) to optimize the area for management of hydrological ESs satisfied the protection targets (30% and 50% of potential maximum ESs values among all scenarios) in all and individual ecosystem services, respectively. The simulated results indicated that the areas of spatial optimal ESs protection for all hydrological ESs were totally different from those for individual ESs. For bundles of ESs, the optimal priority conservation areas concentrated in southwest, north, and southeast of this watershed, which are related to land use, topography and climate driving factors. These places could guarantee ESs sustainability from both environmental protection and agricultural development standpoints. The priority conservation area turned more compact under climate change because the increased precipitation and temperature increased ESs amount. For individual ESs, the optimal priority conservation areas of water yield, sediment retention and organic nutrient retention were traded off against those of inorganic nutrient retention (lower Jaccard's indexes and negative correlations of selection times). Especially, the negative correlation of selection times increased as the conservation target increased from 30% to 50%. The proposed approach provided useful information for assessing the responses of ESs and systematic conservation optimal planning to the land use and climate changes. The systematic conservation optimal areas of hydrological ESs provided an effective trade-off tool between environmental protection (sediment and organic nutrient retentions) and economic development (water yield and inorganic nutrient retention).     

北京山地森林生态系统服务功能及其价值初步研究

从生态系统服务功能的概念入手,根据观测和研究资料,采用替代工程、市场价值等方法,从两个方面评价了北京山地森林生态系统服务功能的价值。结果表明,面积为4056.64km^2的北京山地森林生态系统的生态服务功能价值每年为167.78亿元,其中涵养水源价值搂91.67%亿元,净化水质价值为15.3亿元,保持土壤价值为2806.92万元,固碳制氧价值为2.24亿元,净化环境价值为48.65亿元,游憩价值为9074.98万元,林果品价值为8.73亿元。     

Using the tools of genetic epidemiology to understand sex differences in neuropsychiatric disorders

Many neuropsychiatric disorders exhibit differences in prevalence, age of onset, symptoms or course of illness between males and females. For the most part, the origins of these differences are not well understood. In this article, we provide an overview of sex differences in psychiatric disorders including autism spectrum disorder (ASD), attention deficit/hyperactivity disorder (ADHD), anxiety, depression, alcohol and substance abuse, schizophrenia, eating disorders and risk of suicide. We discuss both genetic and nongenetic mechanisms that have been hypothesized to underlie these differences, including ascertainment bias, environmental stressors, X‐ or Y‐linked risk loci, and differential liability thresholds in males and females. We then review the use of twin, family and genome‐wide association approaches to study potential genetic mechanisms of sex differences and the extent to which these designs have been employed in studies of psychiatric disorders. We describe the utility of genetic epidemiologic study designs, including classical twin and family studies, large‐scale studies of population registries, derived recurrence risks, and molecular genetic analyses of genome‐wide variation that may enhance our understanding sex differences in neuropsychiatric disorders.     

城市生态安全格局构建:目标、原则和基本框架

随着人口增长和经济快速发展,城市化已经成为人类社会发展的必然趋势。快速城市化必将导致生态用地流失、生态系统服务下降和环境健康风险加剧,由此影响到城市生态安全。尽管生态安全的概念已经为社会广泛接受,但对生态安全的内涵和如何构建生态安全格局仍然缺乏统一认识。在分析生态安全内涵、生态安全概念辨析和生态安全格局构建基本原则基础上,结合城市生态系统特点,提出了城市生态安全格局构建的目的、基本原则和基本框架。认为城市生态安全格局构建是一个涉及多尺度的区域性、综合性问题,除了要遵循生态安全格局构建的一般性原则外,还必须考虑以下原则:以人为本原则、流域适应原则、区域协调原则和有限目标原则。同时,需要重点关注宏观与微观尺度之间的关系协调、城市内部与外部之间的关系协调、理想与现实目标之间的权衡、人类生存需求与生态服务需求之间的权衡关系。通过城市生态安全格局构建,需要实现以下目标:控制城市化过程中出现的问题、维持城市地区正常的物质循环与代谢功能、维持城市生态系统健康运行与可持续发展、保证城市人居环境健康和居民的正常生活,以及满足现有城市居民可预见时期内生态服务需求。从景观、城市和区域三个尺度上,分析了城市生态安全格局构建需要面对的实体、解决的问题和实现的目标。