Sustainable environmental management needs to consider multiple ecological and societal objectives simultaneously while accounting for the many uncertainties arising from natural variability, insufficient knowledge about the system's behaviour leading to diverging model projections, and changing ecosystem. In this paper we demonstrate how a Bayesian network- based decision support model can be used to summarize a large body of research and model projections about potential management alternatives and climate scenarios for the Baltic Sea. We demonstrate how this type of a model can act as an emulator and ensemble, integrating disciplines such as climatology, biogeochemistry, marine and fisheries ecology as well as economics. Further, Bayesian network models include and present the uncertainty related to the predictions, allowing evaluation of the uncertainties, precautionary management, and the explicit consideration of acceptable risk levels. The Baltic Sea example also shows that the two biogeochemical models frequently used in future projections give considerably different predictions. Further, inclusion of parameter uncertainty of the food web model increased uncertainty in the outcomes and reduced the predicted manageability of the system. The model allows simultaneous evaluation of environmental and economic goals, while illustrating the uncertainty of predictions, providing a more holistic view of the management problem.
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http://dx.doi.org/10.1016/j.scitotenv.2021.150450 | DOI Listing |
J Clin Neurophysiol
January 2025
Department of Neurology, Washington University in St Louis, St. Louis, MO.
Purpose: Continuous EEG (cEEG) monitoring is increasingly used in the management of neonates with seizures. There remains debate on what clinically relevant information can be gained from cEEG in neonates with suspected seizures, at high risk for seizures, or with definite seizures, as well as the use of cEEG for prognosis in a variety of conditions. In this guideline, we address these questions using American Clinical Neurophysiology Society structured methodology for clinical guideline development.
View Article and Find Full Text PDFPLoS One
January 2025
Department of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Müunster, Müunster, Germany.
Objective: Acute kidney injury (AKI) is a frequent complication in critically ill patients, affecting up to 50% of patients in the intensive care units. The lack of standardized and open-source tools for applying the Kidney Disease Improving Global Outcomes (KDIGO) criteria to time series, requires researchers to implement classification algorithms of their own which is resource intensive and might impact study quality by introducing different interpretations of edge cases. This project introduces pyAKI, an open-source pipeline addressing this gap by providing a comprehensive solution for consistent KDIGO criteria implementation.
View Article and Find Full Text PDFPLOS Glob Public Health
January 2025
Department of Population, William H. Gates Sr. Institute for Population and Reproductive Health, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Traditional engagement with local governments often relies on financial and human resources from international or local partners, leading to direct implementation by organizations, which can hinder sustainability. While some organizations include sustainability indicators, few focus on transferring technical and financial ownership to governments. The Challenge Initiative (TCI) uses a phased coaching model-lead, assist, observe, and monitor-to build local government capacity for scaling family planning (FP) and adolescent and youth sexual and reproductive health (AYSRH) programs.
View Article and Find Full Text PDFPLOS Digit Health
January 2025
Department Digital Health Sciences and Biomedicine, School of Life Sciences, University of Siegen, Siegen, Germany.
Telerehabilitation is a new form of care that provides digital access to rehabilitative services. However, it places many demands on the users-both patients and therapists. The aim of this study was to determine the requirements and competencies needed for successful usage, identify person- and context-specific differences and develop a competency model.
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