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Timor-Tritsch IE, Monteagudo A, Calì G, Kaelin Agten A, Palacios-Jaraquemada JM, D'Antonio F. Hidden in plain sight: role of residual myometrial thickness to predict outcome of Cesarean scar pregnancy. Ultrasound Obstet Gynecol 2023; 62:624-632. [PMID: 37266902 DOI: 10.1002/uog.26246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/20/2023] [Accepted: 05/01/2023] [Indexed: 06/03/2023]
Affiliation(s)
- I E Timor-Tritsch
- Department of Obstetrics and Gynecology, Hackensack Meridian School of Medicine and Maternal Resources, Hackensack, NJ, USA
| | - A Monteagudo
- Icahn School of Medicine, Carnegie Maternal-Fetal Associates, NY, USA
| | - G Calì
- Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Unit, Azienda Ospedaliera Villa Sofia-Cervello, Palermo, Italy
- Maternal-Fetal Unit, Candela Clinic, Palermo, Italy
| | - A Kaelin Agten
- Liverpool Women's Hospital NHS Foundation Trust, Liverpool, UK
| | | | - F D'Antonio
- Center for Fetal Care and High-Risk Pregnancy, University of Chieti, Chieti, Italy
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Timor-Tritsch IE, Monteagudo A, Popiolek DA, Duncan KM, Goldstein SR. Reaffirming microcystic ultrasound appearance of borderline ovarian tumors using three-dimensional 'silhouette' rendering. Ultrasound Obstet Gynecol 2022; 59:700-704. [PMID: 35195307 DOI: 10.1002/uog.24883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 01/04/2022] [Accepted: 02/14/2022] [Indexed: 06/14/2023]
Affiliation(s)
- I E Timor-Tritsch
- Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY, USA
| | - A Monteagudo
- Icahn School of Medicine, Carnegie Imaging for Women, New York, NY, USA
| | - D A Popiolek
- Department of Pathology, New York University School of Medicine, New York, NY, USA
| | - K M Duncan
- Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY, USA
| | - S R Goldstein
- Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY, USA
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Timor-Tritsch IE, Horwitz G, D'Antonio F, Monteagudo A, Bornstein E, Chervenak J, Messina L, Morlando M, Cali G. Recurrent Cesarean scar pregnancy: case series and literature review. Ultrasound Obstet Gynecol 2021; 58:121-126. [PMID: 33411387 DOI: 10.1002/uog.23577] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 08/18/2020] [Accepted: 09/22/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVES To determine the rate of recurrent Cesarean scar pregnancy (CSP) in our clinical practices and to evaluate whether the mode of treatment of a CSP is associated with the risk of recurrent CSP, as well as to review the published literature on recurrent CSP. METHODS We performed a retrospective search of our six obstetric and gynecological departmental ultrasound databases for all CSPs and recurrent CSPs between 2010 and 2019. We extracted various data, including number of CSPs with follow-up, number of cases attempting and number achieving pregnancy following treatment of CSP and number of recurrent CSPs, as well as details of the treatment of the original CSP. After analyzing the clinical data, we evaluated whether the mode of treatment terminating the previous CSP was associated with the risk of recurrent CSP. We also performed a PubMed search for: 'recurrent Cesarean scar pregnancy' and 'recurrent Cesarean scar ectopic pregnancy'. Articles were reviewed for year of publication, and extraction and analysis of the same data as those obtained from our departmental databases were performed. RESULTS Our database search identified 252 cases of CSP. The overall rate of clinical follow-up ranged between 71.4% and 100%, according to treatment site (mean, 90.9%). Among these, 105 women had another pregnancy after treatment of the previous CSP. Of these, 36 (34.3%) pregnancies were recurrent CSP, with 27 women having a single recurrence and three women having multiple recurrences, one with two, one with three and one with four. We did not find any particular single or combination treatment mode terminating the previous CSP to be associated with recurrent CSP. The literature search identified 17 articles that yielded sufficient information for us to evaluate their reported prevalence of recurrent CSP. These reported 1743 primary diagnoses of CSP, of which 944 had reliable follow-up. Data were available for 489 cases that attempted to conceive again after treatment of a previous CSP, and on the 327 pregnancies achieved. Of these, 67 (20.5%) were recurrent CSP. CONCLUSIONS On the basis of our pooled clinical data and review of the literature, recurrent CSP is apparently more common than was previously assumed based upon mostly single-case reports or series with few cases. This should be borne in mind when counseling patients undergoing treatment for CSP regarding their risk of recurrence. We found no obvious causal relationship or association between the type of treatment of the previous CSP and recurrence of CSP. Patients who become pregnant after treatment of a CSP should be encouraged to have an early (5-7-week) first-trimester transvaginal scan to determine the location of the gestation. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.
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Affiliation(s)
- I E Timor-Tritsch
- NYU School of Medicine, Department of Obstetrics and Gynecology, New York, NY, USA
| | - G Horwitz
- NYU School of Medicine, Department of Obstetrics and Gynecology, New York, NY, USA
| | - F D'Antonio
- Department of Obstetrics and Gynaecology, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - A Monteagudo
- Carnegie Imaging for Women, Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - E Bornstein
- Department of Obstetrics and Gynecology, Division of MFM Lenox Hill Hospital, New York, NY, USA
| | - J Chervenak
- NYU School of Medicine, Department of Obstetrics and Gynecology, New York, NY, USA
| | - L Messina
- Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
| | - M Morlando
- Department of Woman, Child and General and Special Surgery, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - G Cali
- Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
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Paladini D, Malinger G, Birnbaum R, Monteagudo A, Pilu G, Salomon LJ, Timor-Tritsch IE. ISUOG Practice Guidelines (updated): sonographic examination of the fetal central nervous system. Part 2: performance of targeted neurosonography. Ultrasound Obstet Gynecol 2021; 57:661-671. [PMID: 33734522 DOI: 10.1002/uog.23616] [Citation(s) in RCA: 75] [Impact Index Per Article: 25.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 02/10/2021] [Indexed: 06/12/2023]
Affiliation(s)
- D Paladini
- Fetal Medicine and Surgery Unit, Istituto G. Gaslini, Genoa, Italy
| | - G Malinger
- Division of Ultrasound in Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Centre, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - R Birnbaum
- Division of Ultrasound in Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Centre, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - A Monteagudo
- Carnegie Imaging for Women, Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - G Pilu
- Obstetric Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - L J Salomon
- Hôpital Necker Enfants Malades, AP-HP, and LUMIERE platform, EA 7328 Université de Paris, Paris, France
| | - I E Timor-Tritsch
- Division of Obstetrical and Gynecological Ultrasound, NYU School of Medicine, New York, NY, USA
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Malinger G, Paladini D, Haratz KK, Monteagudo A, Pilu G, Timor-Tritsch IE. Reply. Ultrasound Obstet Gynecol 2021; 57:174-175. [PMID: 33387405 DOI: 10.1002/uog.23564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Affiliation(s)
- G Malinger
- Division of Ob-Gyn Ultrasound, Lis Maternity Hospital, Tel-Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel
| | - D Paladini
- Fetal Medicine and Surgery Unit, Istituto G. Gaslini, Genoa, Italy
| | - K K Haratz
- Division of Ob-Gyn Ultrasound, Lis Maternity Hospital, Tel-Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel
| | - A Monteagudo
- Carnegie Imaging for Women, Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - G Pilu
- Obstetric Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - I E Timor-Tritsch
- Division of Obstetrical and Gynecological Ultrasound, NYU School of Medicine, New York, NY, USA
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Malinger G, Paladini D, Haratz KK, Monteagudo A, Pilu GL, Timor-Tritsch IE. ISUOG Practice Guidelines (updated): sonographic examination of the fetal central nervous system. Part 1: performance of screening examination and indications for targeted neurosonography. Ultrasound Obstet Gynecol 2020; 56:476-484. [PMID: 32870591 DOI: 10.1002/uog.22145] [Citation(s) in RCA: 121] [Impact Index Per Article: 30.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 06/05/2020] [Indexed: 06/11/2023]
Affiliation(s)
- G Malinger
- Division of Ultrasound in Obstetrics & Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - D Paladini
- Fetal Medicine and Surgery Unit, Istituto G.Gaslini, Genoa, Italy
| | - K K Haratz
- Division of Ultrasound in Obstetrics & Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - A Monteagudo
- Carnegie Imaging for Women, Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - G L Pilu
- Obstetric Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - I E Timor-Tritsch
- Division of Obstetrical & Gynecological Ultrasound, NYU School of Medicine, New York, NY, USA
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Agten AK, Monteagudo A, Timor-Tritsch IE, Thilaganathan B. Cesarean Scar Pregnancy Registry: an international research platform. Ultrasound Obstet Gynecol 2020; 55:438-440. [PMID: 31840910 DOI: 10.1002/uog.21952] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 12/09/2019] [Accepted: 12/10/2019] [Indexed: 06/10/2023]
Affiliation(s)
- A Kaelin Agten
- Fetal Medicine Unit, Nottingham University Hospitals NHS Trust, Nottingham, UK
| | - A Monteagudo
- Icahn School of Medicine at Mount Sinai, Department of Obstetrics, Gynecology, and Reproductive Science, New York, NY, USA
| | - I E Timor-Tritsch
- NYU School of Medicine, Department of Obstetrics and Gynecology, New York, NY, USA
| | - B Thilaganathan
- Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, University of London, London, UK
- Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's University of London, London, UK
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Calí G, Timor-Tritsch IE, Forlani F, Palacios-Jaraquemada J, Monteagudo A, Kaelin Agten A, Flacco ME, Khalil A, Buca D, Manzoli L, Liberati M, D'Antonio F. Value of first-trimester ultrasound in prediction of third-trimester sonographic stage of placenta accreta spectrum disorder and surgical outcome. Ultrasound Obstet Gynecol 2020; 55:450-459. [PMID: 31788885 DOI: 10.1002/uog.21939] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2019] [Revised: 11/12/2019] [Accepted: 11/22/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVES To explore whether early first-trimester ultrasound can predict the third-trimester sonographic stage of placenta accreta spectrum (PAS) disorder and to elucidate whether combining first-trimester ultrasound findings with the sonographic stage of PAS disorder can stratify the risk of adverse surgical outcome in women at risk for PAS disorder. METHODS This was a retrospective analysis of prospectively collected data from women with placenta previa, and at least one previous Cesarean delivery (CD) or uterine surgery, for whom early first-trimester (5-7 weeks' gestation) ultrasound images could be retrieved. The relationship between the position of the gestational sac and the prior CD scar was assessed using three sonographic markers for first-trimester assessment of Cesarean scar (CS) pregnancy, reported by Calí et al. (crossover sign (COS)), Kaelin Agten et al. (implantation of the gestational sac on the scar vs in the niche of the CS) and Timor-Tritsch et al. (position of the center of the gestational sac below vs above the midline of the uterus), by two different examiners blinded to the final diagnosis and clinical outcome. The primary aim of the study was to explore the association between first-trimester ultrasound findings and the stage of PAS disorder on third-trimester ultrasound. Our secondary aim was to elucidate whether the combination of first-trimester ultrasound findings and sonographic stage of PAS disorder can predict surgical outcome. Logistic regression analysis and area under the receiver-operating-characteristics curve (AUC) were used to analyze the data. RESULTS One hundred and eighty-seven women with vasa previa were included. In this cohort, 79.6% (95% CI, 67.1-88.2%) of women classified as COS-1, 94.4% (95% CI, 84.9-98.1%) of those with gestational-sac implantation in the niche of the prior CS and 100% (95% CI, 93.4-100%) of those with gestational sac located below the uterine midline, on first-trimester ultrasound, were affected by the severest form of PAS disorder (PAS3) on third-trimester ultrasound. On multivariate logistic regression analysis, COS-1 (odds ratio (OR), 7.9 (95% CI, 4.0-15.5); P < 0.001), implantation of the gestational sac in the niche (OR, 29.1 (95% CI, 8.1-104); P < 0.001) and location of the gestational sac below the midline of the uterus (OR, 38.1 (95% CI, 12.0-121); P < 0.001) were associated independently with PAS3, whereas parity (P = 0.4) and the number of prior CDs (P = 0.5) were not. When translating these figures into diagnostic models, first-trimester diagnosis of COS-1 (AUC, 0.94 (95% CI, 0.91-0.97)), pregnancy implantation in the niche (AUC, 0.92 (95% CI, 0.89-0.96)) and gestational sac below the uterine midline (AUC, 0.92 (95% CI, 0.88-0.96)) had a high predictive accuracy for PAS3. There was an adverse surgical outcome in 22/187 pregnancies and it was more common in women with, compared to those without, COS-1 (P < 0.001), gestational-sac implantation in the niche (P < 0.001) and gestational-sac position below the uterine midline (P < 0.001). On multivariate logistic regression analysis, third-trimester ultrasound diagnosis of PAS3 (OR, 4.3 (95% CI, 2.1-17.3)) and first-trimester diagnosis of COS-1 (OR, 7.9 (95% CI, 4.0-15.5); P < 0.001), pregnancy implantation in the niche (OR, 29.1 (95% CI, 8.1-79.0); P < 0.001) and position of the sac below the uterine midline (OR, 6.6 (95% CI, 3.9-16.2); P < 0.001) were associated independently with adverse surgical outcome. When combining the sonographic coordinates of the three first-trimester imaging markers, we identified an area we call high-risk-for-PAS triangle, which may enable an easy visual perception and application of the three methods to prognosticate the risk for CS pregnancy and PAS disorder, although it requires validation in large prospective studies. CONCLUSIONS Early first-trimester sonographic assessment of pregnancies with previous CD can predict reliably ultrasound stage of PAS disorder. Combination of findings on first-trimester ultrasound with second- and third-trimester ultrasound examination can stratify the surgical risk in women affected by a PAS disorder. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- G Calí
- Department of Obstetrics and Gynaecology, Azienda Ospedaliera Villa Sofia Cervello, Palermo, Italy
- Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
| | - I E Timor-Tritsch
- Department of Obstetrics and Gynaecology, Division of Maternal-Fetal Medicine, New York University SOM, New York, NY, USA
| | - F Forlani
- Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
| | - J Palacios-Jaraquemada
- Centre for Medical Education and Clinical Research (CEMIC), University Hospital, Buenos Aires, Argentina
| | - A Monteagudo
- Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - A Kaelin Agten
- Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, University of London, London, UK
| | - M E Flacco
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - A Khalil
- Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, University of London, London, UK
- Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's University of London, London, UK
| | - D Buca
- Department of Obstetrics and Gynaecology, University of Chieti, Chieti, Italy
| | - L Manzoli
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - M Liberati
- Department of Obstetrics and Gynaecology, University of Chieti, Chieti, Italy
| | - F D'Antonio
- Fetal Medicine Unit, Department of Medical and Surgical Sciences, Department of Obstetrics and Gynecology, University of Foggia, Foggia, Italy
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Timor-Tritsch IE, Foley CE, Brandon C, Yoon E, Ciaffarrano J, Monteagudo A, Mittal K, Boyd L. New sonographic marker of borderline ovarian tumor: microcystic pattern of papillae and solid components. Ultrasound Obstet Gynecol 2019; 54:395-402. [PMID: 30950132 DOI: 10.1002/uog.20283] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Revised: 01/02/2019] [Accepted: 01/24/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To describe and evaluate the utility of a new sonographic microcystic pattern, which is typical of borderline ovarian tumor (BOT) papillary projections, solid component(s) and/or septa, as a new ultrasound marker that is capable of distinguishing BOT from other adnexal masses, and to present/obtain histologic confirmation. METHODS In this retrospective study, we identified women with a histologic diagnosis of BOT following surgical resection who had undergone preoperative transvaginal ultrasound (TVS) examination. All images were reviewed for presence or absence of thin-walled, fluid-filled cluster(s) of 1-3-mm cystic formations, associated with solid component(s), papillary projections and/or septa. From the same cases, histopathologic slides of each BOT were examined for presence of any of these microcystic features which had been identified on TVS. To confirm that the microcystic TVS pattern is unique to BOTs, we also selected randomly from our ultrasound and surgical database 20 cases of epithelial ovarian cancer and 20 cases of benign cystadenoma, for review by the same pathologists. To confirm the novelty of our findings, we searched PubMed for literature published in the English language between 2010 and 2018 to determine whether the association between microcystic tissue pattern and BOT has been described previously. RESULTS Included in the final analysis were 62 patients (67 ovaries) with preoperative TVS and surgically confirmed BOT on pathologic examination. The mean patient age at surgery was 39.8 years. The mean BOT size at TVS was 60.7 mm. Of the 67 BOTs, 47 (70.1%) were serous, 15 (22.4%) were mucinous and five (7.5%) were seromucinous. We observed on TVS a microcystic pattern in the papillary projections, solid component(s) and/or septa in 60 (89.6%) of the 67 BOTs, including 46 (97.9%) of the 47 serous BOTs, 11 (73.3%) of the 15 mucinous BOTs and three (60.0%) of the five seromucinous BOTs. On microscopic evaluation, 60 (89.6%) of the 67 samples had characteristic 1-3-mm fluid-filled cysts similar to those seen on TVS. In seven cases there was a discrepancy between sonographic and histologic observation of a microcystic pattern. The 20 cystadenomas were mostly unilocular and/or multilocular and largely avascular. None of them or the 20 epithelial ovarian malignancies displayed microcystic characteristics, either on TVS or at histology. On review of 23 published articles in the English medical literature, containing 163 sonographic images of BOT, we found that, while all images contained it, there was no description of the microcystic tissue pattern. CONCLUSION We report herein a novel sonographic marker of BOT, a 'microcystic pattern' of BOT papillary projections, solid component(s) and/or septa. This was seen in the majority of both serous and mucinous BOT cases. Importantly, based on comparison of sonographic images and histopathology of benign entities and malignancies, the microcystic appearance seems to be unique to BOTs. No similar description has been published previously. Utilization of this new marker should help to identify BOT correctly, discriminating it from ovarian cancer and benign ovarian pathology, and should ensure appropriate clinical and surgical management. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- I E Timor-Tritsch
- New York University School of Medicine, Langone Health, Department of Obstetrics & Gynecology, Division of Obstetrical and Gynecologic Ultrasound, New York, NY, USA
| | - C E Foley
- New York University School of Medicine, Langone Health, Department of Obstetrics & Gynecology, Division of Obstetrical and Gynecologic Ultrasound, New York, NY, USA
| | - C Brandon
- New York University School of Medicine, Langone Health, Department of Obstetrics & Gynecology, Division of Obstetrical and Gynecologic Ultrasound, New York, NY, USA
| | - E Yoon
- New York University School of Medicine, Department of Pathology, Division of Surgical Pathology, New York, NY, USA
| | - J Ciaffarrano
- New York University School of Medicine, Department of Pathology, Division of Surgical Pathology, New York, NY, USA
| | - A Monteagudo
- Carnegie Imaging for Women, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - K Mittal
- New York University School of Medicine, Department of Pathology, Division of Surgical Pathology, New York, NY, USA
| | - L Boyd
- New York University School of Medicine, Langone Health, Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, New York, NY, USA
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Timor-Tritsch IE, D'Antonio F, Calí G, Palacios-Jaraquemada J, Meyer J, Monteagudo A. Early first-trimester transvaginal ultrasound is indicated in pregnancy after previous Cesarean delivery: should it be mandatory? Ultrasound Obstet Gynecol 2019; 54:156-163. [PMID: 30677186 DOI: 10.1002/uog.20225] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 12/05/2018] [Accepted: 12/07/2018] [Indexed: 06/09/2023]
Affiliation(s)
- I E Timor-Tritsch
- NYU School of Medicine, Department of Obstetrics and Gynecology, New York, NY, USA
| | - F D'Antonio
- Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway
- Department of Obstetrics and Gynaecology, University Hospital of Northern Norway, Tromsø, Norway
| | - G Calí
- Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
| | - J Palacios-Jaraquemada
- Centre for Medical Education and Clinical Research (CEMIC), University Hospital, Buenos Aires, Argentina
| | - J Meyer
- NYU School of Medicine, Department of Obstetrics and Gynecology, New York, NY, USA
| | - A Monteagudo
- Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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Yukhayev A, Meirowitz N, Madankumar R, Timor-Tritsch IE, Monteagudo A. Uncommon second-trimester presentation of vein of Galen malformation. Ultrasound Obstet Gynecol 2018; 51:421-423. [PMID: 28295796 DOI: 10.1002/uog.17462] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Revised: 02/15/2017] [Accepted: 03/03/2017] [Indexed: 06/06/2023]
Affiliation(s)
- A Yukhayev
- Division of Maternal-Fetal Medicine, Long Island Jewish Medical Center, Hofstra Northwell School of Medicine, New Hyde Park, New York, USA
| | - N Meirowitz
- Division of Maternal-Fetal Medicine, Long Island Jewish Medical Center, Hofstra Northwell School of Medicine, New Hyde Park, New York, USA
| | - R Madankumar
- Division of Maternal-Fetal Medicine, Long Island Jewish Medical Center, Hofstra Northwell School of Medicine, New Hyde Park, New York, USA
| | - I E Timor-Tritsch
- Department of Obstetrics and Gynecology, New York University School of Medicine, New York, USA
| | - A Monteagudo
- Carnegie Imaging for Women, Icahn School of Medicine at Mount Sinai, New York, USA
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D'Antonio F, Timor-Tritsch IE, Palacios-Jaraquemada J, Monteagudo A, Buca D, Forlani F, Minneci G, Foti F, Manzoli L, Liberati M, Acharya G, Calì G. First-trimester detection of abnormally invasive placenta in high-risk women: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2018; 51:176-183. [PMID: 28833750 DOI: 10.1002/uog.18840] [Citation(s) in RCA: 48] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Revised: 08/02/2017] [Accepted: 08/07/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES The primary aim of this systematic review was to ascertain whether ultrasound signs suggestive of abnormally invasive placenta (AIP) are present in the first trimester of pregnancy. Secondary aims were to ascertain the strength of association and the predictive accuracy of such signs in detecting AIP in the first trimester. METHODS An electronic search of MEDLINE, EMBASE, CINAHL and Cochrane databases (2000-2016) was performed. Only studies reporting on first-trimester diagnosis of AIP that was subsequently confirmed in the third trimester either during operative delivery or by pathological examination were included. Meta-analysis of proportions, random-effects meta-analysis and hierarchical summary receiver-operating characteristics curve analysis were used to analyze the data. RESULTS Seven studies, involving 551 pregnancies at high risk of AIP, were included. At least one ultrasound sign suggestive of AIP was detected in 91.4% (95% CI, 85.8-95.7%) of cases with confirmed AIP. The most common ultrasound feature in the first trimester of pregnancy was low implantation of the gestational sac close to a previous uterine scar, which was observed in 82.4% (95% CI, 46.6-99.8%) of cases. Anechoic spaces within the placental mass (lacunae) were observed in 46.0% (95% CI, 10.9-83.7%) and a reduced myometrial thickness in 66.8% (95% CI, 45.2-85.2%) of cases affected by AIP. Pregnancies with a low implantation of the gestational sac had a significantly higher risk of AIP (odds ratio, 19.6 (95% CI, 6.7-57.3)), with a sensitivity and specificity of 44.4% (95% CI, 21.5-69.2%) and 93.4% (95% CI, 90.5-95.7%), respectively. CONCLUSIONS Ultrasound signs of AIP can be present during the first trimester of pregnancy, even before 11 weeks' gestation. Low anterior implantation of the placenta/gestational sac close to or within the scar was the most commonly seen early ultrasound sign suggestive of AIP, although its individual predictive accuracy was not high. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- F D'Antonio
- Women's Health and Perinatology Research Group, Department of Clinical Medicine, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway
| | - I E Timor-Tritsch
- Department of Obstetrics and Gynaecology, Division of Maternal-Fetal Medicine, New York University School of Medicine, New York, NY, USA
| | - J Palacios-Jaraquemada
- Centre for Medical Education and Clinical Research (CEMIC), University Hospital, Buenos Aires, Argentina
| | - A Monteagudo
- Department of Obstetrics and Gynaecology, Division of Maternal-Fetal Medicine, New York University School of Medicine, New York, NY, USA
| | - D Buca
- Department of Obstetrics and Gynaecology, University of Chieti, Chieti, Italy
| | - F Forlani
- Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
| | - G Minneci
- Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
| | - F Foti
- Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
| | - L Manzoli
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - M Liberati
- Department of Obstetrics and Gynaecology, University of Chieti, Chieti, Italy
| | - G Acharya
- Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden
| | - G Calì
- Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy
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13
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Baker TR, Pennington RT, Dexter KG, Fine PVA, Fortune-Hopkins H, Honorio EN, Huamantupa-Chuquimaco I, Klitgård BB, Lewis GP, de Lima HC, Ashton P, Baraloto C, Davies S, Donoghue MJ, Kaye M, Kress WJ, Lehmann CER, Monteagudo A, Phillips OL, Vasquez R. Maximising Synergy among Tropical Plant Systematists, Ecologists, and Evolutionary Biologists. Trends Ecol Evol 2017; 32:258-267. [PMID: 28214038 DOI: 10.1016/j.tree.2017.01.007] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2016] [Revised: 01/19/2017] [Accepted: 01/20/2017] [Indexed: 11/26/2022]
Abstract
Closer collaboration among ecologists, systematists, and evolutionary biologists working in tropical forests, centred on studies within long-term permanent plots, would be highly beneficial for their respective fields. With a key unifying theme of the importance of vouchered collection and precise identification of species, especially rare ones, we identify four priority areas where improving links between these communities could achieve significant progress in biodiversity and conservation science: (i) increasing the pace of species discovery; (ii) documenting species turnover across space and time; (iii) improving models of ecosystem change; and (iv) understanding the evolutionary assembly of communities and biomes.
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Affiliation(s)
| | | | - Kyle G Dexter
- Royal Botanic Garden Edinburgh, Edinburgh, UK; School of GeoSciences, University of Edinburgh, Edinburgh, UK
| | - Paul V A Fine
- Department of Integrative Biology and University and Jepson Herbaria, University of California, Berkeley, CA, USA
| | | | | | - Isau Huamantupa-Chuquimaco
- Programa de Pós-Graduação em Botânica, Escola Nacional de Botânica Tropical, Instituto de Pesquisas Jardim Botânico de Rio de Janeiro (ENBT/JBRJ). Rua Pacheco Leão, 2040. RJ, Brazil
| | - Bente B Klitgård
- Department for Identification and Naming, Royal Botanic Gardens, Kew, UK
| | - Gwilym P Lewis
- Department for Comparative Plant and Fungal Biology, Royal Botanic Gardens, Kew, UK
| | - Haroldo C de Lima
- Programa de Pós-Graduação em Botânica, Escola Nacional de Botânica Tropical, Instituto de Pesquisas Jardim Botânico de Rio de Janeiro (ENBT/JBRJ). Rua Pacheco Leão, 2040. RJ, Brazil
| | | | - Christopher Baraloto
- International Center for Tropical Botany, Florida International University, Miami, USA
| | - Stuart Davies
- Center for Tropical Forest Science - Forest Global Earth Observatory, Smithsonian Tropical Research Institute, Washington, DC, USA; National Museum of Natural History, Smithsonian Institution, Washington, DC, USA
| | - Michael J Donoghue
- Department of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA
| | - Maria Kaye
- School of Biological Sciences, University of Aberdeen, Aberdeen, UK
| | - W John Kress
- National Museum of Natural History, Smithsonian Institution, Washington, DC, USA
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14
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Johnson MO, Galbraith D, Gloor M, De Deurwaerder H, Guimberteau M, Rammig A, Thonicke K, Verbeeck H, von Randow C, Monteagudo A, Phillips OL, Brienen RJW, Feldpausch TR, Lopez Gonzalez G, Fauset S, Quesada CA, Christoffersen B, Ciais P, Sampaio G, Kruijt B, Meir P, Moorcroft P, Zhang K, Alvarez‐Davila E, Alves de Oliveira A, Amaral I, Andrade A, Aragao LEOC, Araujo‐Murakami A, Arets EJMM, Arroyo L, Aymard GA, Baraloto C, Barroso J, Bonal D, Boot R, Camargo J, Chave J, Cogollo A, Cornejo Valverde F, Lola da Costa AC, Di Fiore A, Ferreira L, Higuchi N, Honorio EN, Killeen TJ, Laurance SG, Laurance WF, Licona J, Lovejoy T, Malhi Y, Marimon B, Marimon BH, Matos DCL, Mendoza C, Neill DA, Pardo G, Peña‐Claros M, Pitman NCA, Poorter L, Prieto A, Ramirez‐Angulo H, Roopsind A, Rudas A, Salomao RP, Silveira M, Stropp J, ter Steege H, Terborgh J, Thomas R, Toledo M, Torres‐Lezama A, van der Heijden GMF, Vasquez R, Guimarães Vieira IC, Vilanova E, Vos VA, Baker TR. Variation in stem mortality rates determines patterns of above-ground biomass in Amazonian forests: implications for dynamic global vegetation models. Glob Chang Biol 2016; 22:3996-4013. [PMID: 27082541 PMCID: PMC6849555 DOI: 10.1111/gcb.13315] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2015] [Revised: 02/05/2016] [Accepted: 03/01/2016] [Indexed: 05/05/2023]
Abstract
Understanding the processes that determine above-ground biomass (AGB) in Amazonian forests is important for predicting the sensitivity of these ecosystems to environmental change and for designing and evaluating dynamic global vegetation models (DGVMs). AGB is determined by inputs from woody productivity [woody net primary productivity (NPP)] and the rate at which carbon is lost through tree mortality. Here, we test whether two direct metrics of tree mortality (the absolute rate of woody biomass loss and the rate of stem mortality) and/or woody NPP, control variation in AGB among 167 plots in intact forest across Amazonia. We then compare these relationships and the observed variation in AGB and woody NPP with the predictions of four DGVMs. The observations show that stem mortality rates, rather than absolute rates of woody biomass loss, are the most important predictor of AGB, which is consistent with the importance of stand size structure for determining spatial variation in AGB. The relationship between stem mortality rates and AGB varies among different regions of Amazonia, indicating that variation in wood density and height/diameter relationships also influences AGB. In contrast to previous findings, we find that woody NPP is not correlated with stem mortality rates and is weakly positively correlated with AGB. Across the four models, basin-wide average AGB is similar to the mean of the observations. However, the models consistently overestimate woody NPP and poorly represent the spatial patterns of both AGB and woody NPP estimated using plot data. In marked contrast to the observations, DGVMs typically show strong positive relationships between woody NPP and AGB. Resolving these differences will require incorporating forest size structure, mechanistic models of stem mortality and variation in functional composition in DGVMs.
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Affiliation(s)
| | | | - Manuel Gloor
- School of GeographyUniversity of LeedsLeedsLS6 2QTUK
| | - Hannes De Deurwaerder
- CAVElab Computational & Applied Vegetation EcologyFaculty of Bioscience EngineeringGhent UniversityCoupure Links 653B‐9000GentBelgium
| | - Matthieu Guimberteau
- Laboratoire des Sciences du Climat et de l'Environnement, LSCE/IPSL, CEA‐CNRS‐UVSQUniversité Paris‐SaclayF‐91191Gif‐sur‐YvetteFrance
- UMR 7619 METISIPSL, Sorbonne Universités, UPMC, CNRS, EPHE75252ParisFrance
| | - Anja Rammig
- TUM School of Life Sciences WeihenstephanTechnical University MunichHans‐Carl‐von‐Carlowitz‐Platz 285354FreisingGermany
- Potsdam Institute for Climate Impact Research (PIK)Telegrafenberg A62PO Box 60 12 03D‐14412PotsdamGermany
| | - Kirsten Thonicke
- Potsdam Institute for Climate Impact Research (PIK)Telegrafenberg A62PO Box 60 12 03D‐14412PotsdamGermany
| | - Hans Verbeeck
- CAVElab Computational & Applied Vegetation EcologyFaculty of Bioscience EngineeringGhent UniversityCoupure Links 653B‐9000GentBelgium
| | - Celso von Randow
- INPEAv. Dos Astronautas, 1.758, Jd. GranjaCEP: 12227‐010Sao Jose dos CamposSPBrazil
| | - Abel Monteagudo
- Jardín Botánico de MissouriProlongacion Bolognesi Mz.e, Lote 6Oxapampa, PascoPeru
| | | | | | - Ted R. Feldpausch
- GeographyCollege of Life and Environmental SciencesUniversity of ExeterRennes DriveExeterEX4 4RJUK
| | | | - Sophie Fauset
- School of GeographyUniversity of LeedsLeedsLS6 2QTUK
| | | | - Bradley Christoffersen
- School of GeosciencesUniversity of EdinburghEdinburghEH9 3FFUK
- Earth and Environmental Sciences DivisionLos Alamos National LaboratoryPO Box 1663Los AlamosNM 87545USA
| | - Philippe Ciais
- Laboratoire des Sciences du Climat et de l'Environnement, LSCE/IPSL, CEA‐CNRS‐UVSQUniversité Paris‐SaclayF‐91191Gif‐sur‐YvetteFrance
| | - Gilvan Sampaio
- INPEAv. Dos Astronautas, 1.758, Jd. GranjaCEP: 12227‐010Sao Jose dos CamposSPBrazil
| | - Bart Kruijt
- ALTERRAWageningen‐URPO Box 476700 AAWageningenThe Netherlands
| | - Patrick Meir
- School of GeosciencesUniversity of EdinburghEdinburghEH9 3FFUK
- Research School of BiologyAustralian National UniversityCanberraACT0200Australia
| | - Paul Moorcroft
- Department of Organismic and Evolutionary BiologyHarvard University26 Oxford StreetCambridgeMA 02138USA
| | - Ke Zhang
- Cooperative Institute for Mesoscale Meteorological StudiesUniversity of Oklahoma National Weather Center Suite 2100120 David L. Boren BlvdNormanOK73072USA
| | | | | | - Ieda Amaral
- INPAAv. André Araújo, 2.936CEP 69067‐375Petrópolis, ManausAMBrazil
| | - Ana Andrade
- INPAAv. André Araújo, 2.936CEP 69067‐375Petrópolis, ManausAMBrazil
| | - Luiz E. O. C. Aragao
- Jardín Botánico de MissouriProlongacion Bolognesi Mz.e, Lote 6Oxapampa, PascoPeru
| | - Alejandro Araujo‐Murakami
- Museo de Historia Natural Noel Kempff MercadoUniversidad Autonoma Gabriel Rene MorenoCasilla 2489, Av. Irala 565Santa CruzBolivia
| | | | - Luzmila Arroyo
- Museo de Historia Natural Noel Kempff MercadoUniversidad Autonoma Gabriel Rene MorenoCasilla 2489, Av. Irala 565Santa CruzBolivia
| | - Gerardo A. Aymard
- UNELLEZ‐Guanare, Programa de Ciencias del Agro y el Mar, Herbario Universitario (PORT)Mesa de CavacasEstado Portuguesa3350Venezuela
| | - Christopher Baraloto
- Department of Biological SciencesInternational Center for Tropical Botany (ICTB)Florida International University112200 SW 8th Street, OE 167MiamiFL33199USA
| | - Jocely Barroso
- Universidade Federal do AcreCampus de Cruzeiro do SulRio BrancoBrazil
| | - Damien Bonal
- INRAUMR 1137 “Ecologie et Ecophysiologie Forestiere”54280ChampenouxFrance
| | - Rene Boot
- Tropenbos InternationalPO Box 2326700 AEWageningenThe Netherlands
| | - Jose Camargo
- INPAAv. André Araújo, 2.936CEP 69067‐375Petrópolis, ManausAMBrazil
| | - Jerome Chave
- Université Paul Sabatier CNRSUMR 5174 Evolution et Diversité Biologiquebâtiment 4R131062ToulouseFrance
| | - Alvaro Cogollo
- Jardín Botánico de Medellín Joaquín Antonio Uribe Calle 73 # 51 D 14 MedellínCartagenaColombia
| | | | | | - Anthony Di Fiore
- Department of AnthropologyUniversity of Texas at AustinSAC Room 5.1502201 Speedway Stop C3200AustinTX78712USA
| | - Leandro Ferreira
- Museu Paraense Emilio GoeldiAv. Magalhães Barata, 376 ‐ São BrazCEP: 66040‐170BelémPABrazil
| | - Niro Higuchi
- INPAAv. André Araújo, 2.936CEP 69067‐375Petrópolis, ManausAMBrazil
| | - Euridice N. Honorio
- Instituto de Investigaciones de la Amazonía PeruanaAv. José Quiñones km 2.5IquitosPerú
| | | | - Susan G. Laurance
- Centre for Tropical Environmental and Sustainability Science (TESS) and College of Marine and Environmental SciencesJames Cook UniversityCairnsQld4878Australia
| | - William F. Laurance
- Centre for Tropical Environmental and Sustainability Science (TESS) and College of Marine and Environmental SciencesJames Cook UniversityCairnsQld4878Australia
| | - Juan Licona
- Instituto Boliviano de Investigación ForestalC.P. 6201Santa Cruz de la SierraBolivia
| | - Thomas Lovejoy
- Environmental Science and Policy Department and the Department of Public and International Affairs at George Mason University (GMU)3351 Fairfax DriveArlingtonWashingtonDCVA 22201USA
| | - Yadvinder Malhi
- Environmental Change InstituteSchool of Geography and the EnvironmentUniversity of OxfordSouth Parks RoadOxfordOX1 3QYUK
| | - Bia Marimon
- Universidade do Estado de Mato GrossoCampus de Nova XavantinaCaixa Postal 08CEP 78.690‐000Nova XavantinaMTBrazil
| | - Ben Hur Marimon
- Universidade do Estado de Mato GrossoCampus de Nova XavantinaCaixa Postal 08CEP 78.690‐000Nova XavantinaMTBrazil
| | - Darley C. L. Matos
- Museu Paraense Emilio GoeldiAv. Magalhães Barata, 376 ‐ São BrazCEP: 66040‐170BelémPABrazil
| | - Casimiro Mendoza
- Escuela de Ciencias Forestales (ESFOR)Av. Final Atahuallpa s/nCasilla 447CochabambaBolivia
| | - David A. Neill
- Facultad de Ingeniería AmbientalUniversidad Estatal AmazónicaPaso lateral km 2 1/2 via NapoPuyoPastazaEcuador
| | - Guido Pardo
- Universidad Autonoma del BeniCampus UniversitarioAv. Ejército Nacional, finalRiberaltaBeniBolivia
| | - Marielos Peña‐Claros
- Instituto Boliviano de Investigación ForestalC.P. 6201Santa Cruz de la SierraBolivia
- Forest Ecology and Forest Management GroupWageningen UniversityPO Box 47Wageningen6700 AAThe Netherlands
| | - Nigel C. A. Pitman
- Center for Tropical ConservationDuke UniversityBox 90381DurhamNC27708USA
| | - Lourens Poorter
- Forest Ecology and Forest Management GroupWageningen UniversityPO Box 47Wageningen6700 AAThe Netherlands
| | - Adriana Prieto
- Doctorado Instituto de Ciencias NaturalesUniversidad Nacional de ColombiaBogotáColombia
| | - Hirma Ramirez‐Angulo
- Instituto de Investigaciones para el Desarrollo ForestalUniversidad de Los AndesAvenida Principal Chorros de MillaCampus Universitario ForestalEdificio PrincipalMéridaVenezuela
| | - Anand Roopsind
- Iwokrama International Centre for Rainforest Conservation and Development77 High Street KingstonGeorgetownGuyana
| | - Agustin Rudas
- Doctorado Instituto de Ciencias NaturalesUniversidad Nacional de ColombiaBogotáColombia
| | - Rafael P. Salomao
- Museu Paraense Emilio GoeldiAv. Magalhães Barata, 376 ‐ São BrazCEP: 66040‐170BelémPABrazil
| | - Marcos Silveira
- Museu UniversitárioUniversidade Federal do AcreRio BrancoAC69910‐900Brazil
| | - Juliana Stropp
- Institute of Biological and Health SciencesFederal University of AlagoasAv. Lourival Melo Mota s/nTabuleiro do Martins, MaceióAL 57072‐900Brazil
| | - Hans ter Steege
- Naturalis Biodiversity CenterPO Box 95172300 RALeidenThe Netherlands
| | - John Terborgh
- Center for Tropical ConservationDuke UniversityBox 90381DurhamNC27708USA
| | - Raquel Thomas
- Iwokrama International Centre for Rainforest Conservation and Development77 High Street KingstonGeorgetownGuyana
| | - Marisol Toledo
- Instituto Boliviano de Investigación ForestalC.P. 6201Santa Cruz de la SierraBolivia
| | - Armando Torres‐Lezama
- Instituto de Investigaciones para el Desarrollo ForestalUniversidad de Los AndesAvenida Principal Chorros de MillaCampus Universitario ForestalEdificio PrincipalMéridaVenezuela
| | | | - Rodolfo Vasquez
- GeographyCollege of Life and Environmental SciencesUniversity of ExeterRennes DriveExeterEX4 4RJUK
| | | | - Emilio Vilanova
- Instituto de Investigaciones para el Desarrollo ForestalUniversidad de Los AndesAvenida Principal Chorros de MillaCampus Universitario ForestalEdificio PrincipalMéridaVenezuela
| | - Vincent A. Vos
- Centro de Investigación y Promoción del Campesinado, regional Norte AmazónicoC/Nicanor Gonzalo Salvatierra N° 362Casilla 16RiberaltaBolivia
- Universidad Autónoma del BeniAvenida 6 de Agosto N° 64RiberaltaBolivia
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15
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Johnson MO, Galbraith D, Gloor M, De Deurwaerder H, Guimberteau M, Rammig A, Thonicke K, Verbeeck H, von Randow C, Monteagudo A, Phillips OL, Brienen RJW, Feldpausch TR, Lopez Gonzalez G, Fauset S, Quesada CA, Christoffersen B, Ciais P, Sampaio G, Kruijt B, Meir P, Moorcroft P, Zhang K, Alvarez-Davila E, Alves de Oliveira A, Amaral I, Andrade A, Aragao LEOC, Araujo-Murakami A, Arets EJMM, Arroyo L, Aymard GA, Baraloto C, Barroso J, Bonal D, Boot R, Camargo J, Chave J, Cogollo A, Cornejo Valverde F, Lola da Costa AC, Di Fiore A, Ferreira L, Higuchi N, Honorio EN, Killeen TJ, Laurance SG, Laurance WF, Licona J, Lovejoy T, Malhi Y, Marimon B, Marimon BH, Matos DCL, Mendoza C, Neill DA, Pardo G, Peña-Claros M, Pitman NCA, Poorter L, Prieto A, Ramirez-Angulo H, Roopsind A, Rudas A, Salomao RP, Silveira M, Stropp J, Ter Steege H, Terborgh J, Thomas R, Toledo M, Torres-Lezama A, van der Heijden GMF, Vasquez R, Guimarães Vieira IC, Vilanova E, Vos VA, Baker TR. Variation in stem mortality rates determines patterns of above-ground biomass in Amazonian forests: implications for dynamic global vegetation models. Glob Chang Biol 2016. [PMID: 27082541 DOI: 10.5521/forestplots.net/2016_2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Understanding the processes that determine above-ground biomass (AGB) in Amazonian forests is important for predicting the sensitivity of these ecosystems to environmental change and for designing and evaluating dynamic global vegetation models (DGVMs). AGB is determined by inputs from woody productivity [woody net primary productivity (NPP)] and the rate at which carbon is lost through tree mortality. Here, we test whether two direct metrics of tree mortality (the absolute rate of woody biomass loss and the rate of stem mortality) and/or woody NPP, control variation in AGB among 167 plots in intact forest across Amazonia. We then compare these relationships and the observed variation in AGB and woody NPP with the predictions of four DGVMs. The observations show that stem mortality rates, rather than absolute rates of woody biomass loss, are the most important predictor of AGB, which is consistent with the importance of stand size structure for determining spatial variation in AGB. The relationship between stem mortality rates and AGB varies among different regions of Amazonia, indicating that variation in wood density and height/diameter relationships also influences AGB. In contrast to previous findings, we find that woody NPP is not correlated with stem mortality rates and is weakly positively correlated with AGB. Across the four models, basin-wide average AGB is similar to the mean of the observations. However, the models consistently overestimate woody NPP and poorly represent the spatial patterns of both AGB and woody NPP estimated using plot data. In marked contrast to the observations, DGVMs typically show strong positive relationships between woody NPP and AGB. Resolving these differences will require incorporating forest size structure, mechanistic models of stem mortality and variation in functional composition in DGVMs.
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Affiliation(s)
| | - David Galbraith
- School of Geography, University of Leeds, Leeds, LS6 2QT, UK
| | - Manuel Gloor
- School of Geography, University of Leeds, Leeds, LS6 2QT, UK
| | - Hannes De Deurwaerder
- CAVElab Computational & Applied Vegetation Ecology, Faculty of Bioscience Engineering, Ghent University, Coupure Links 653, B-9000, Gent, Belgium
| | - Matthieu Guimberteau
- Laboratoire des Sciences du Climat et de l'Environnement, LSCE/IPSL, CEA-CNRS-UVSQ, Université Paris-Saclay, F-91191, Gif-sur-Yvette, France
- UMR 7619 METIS, IPSL, Sorbonne Universités, UPMC, CNRS, EPHE, 75252, Paris, France
| | - Anja Rammig
- TUM School of Life Sciences Weihenstephan, Technical University Munich, Hans-Carl-von-Carlowitz-Platz 2, 85354, Freising, Germany
- Potsdam Institute for Climate Impact Research (PIK), Telegrafenberg A62, PO Box 60 12 03, D-14412, Potsdam, Germany
| | - Kirsten Thonicke
- Potsdam Institute for Climate Impact Research (PIK), Telegrafenberg A62, PO Box 60 12 03, D-14412, Potsdam, Germany
| | - Hans Verbeeck
- CAVElab Computational & Applied Vegetation Ecology, Faculty of Bioscience Engineering, Ghent University, Coupure Links 653, B-9000, Gent, Belgium
| | - Celso von Randow
- INPE, Av. Dos Astronautas, 1.758, Jd. Granja, CEP: 12227-010, Sao Jose dos Campos, SP, Brazil
| | - Abel Monteagudo
- Jardín Botánico de Missouri, Prolongacion Bolognesi Mz.e, Lote 6, Oxapampa, Pasco, Peru
| | | | | | - Ted R Feldpausch
- Geography, College of Life and Environmental Sciences, University of Exeter, Rennes Drive, Exeter, EX4 4RJ, UK
| | | | - Sophie Fauset
- School of Geography, University of Leeds, Leeds, LS6 2QT, UK
| | - Carlos A Quesada
- INPA, Av. André Araújo, 2.936, CEP 69067-375, Petrópolis, Manaus, AM, Brazil
| | - Bradley Christoffersen
- School of Geosciences, University of Edinburgh, Edinburgh, EH9 3FF, UK
- Earth and Environmental Sciences Division, Los Alamos National Laboratory, PO Box 1663, Los Alamos, NM, 87545, USA
| | - Philippe Ciais
- Laboratoire des Sciences du Climat et de l'Environnement, LSCE/IPSL, CEA-CNRS-UVSQ, Université Paris-Saclay, F-91191, Gif-sur-Yvette, France
| | - Gilvan Sampaio
- INPE, Av. Dos Astronautas, 1.758, Jd. Granja, CEP: 12227-010, Sao Jose dos Campos, SP, Brazil
| | - Bart Kruijt
- ALTERRA, Wageningen-UR, PO Box 47, 6700 AA, Wageningen, The Netherlands
| | - Patrick Meir
- School of Geosciences, University of Edinburgh, Edinburgh, EH9 3FF, UK
- Research School of Biology, Australian National University, Canberra, ACT, 0200, Australia
| | - Paul Moorcroft
- Department of Organismic and Evolutionary Biology, Harvard University, 26 Oxford Street, Cambridge, MA, 02138, USA
| | - Ke Zhang
- Cooperative Institute for Mesoscale Meteorological Studies, University of Oklahoma, National Weather Center, Suite 2100, 120 David L. Boren Blvd, Norman, OK, 73072, USA
| | | | | | - Ieda Amaral
- INPA, Av. André Araújo, 2.936, CEP 69067-375, Petrópolis, Manaus, AM, Brazil
| | - Ana Andrade
- INPA, Av. André Araújo, 2.936, CEP 69067-375, Petrópolis, Manaus, AM, Brazil
| | - Luiz E O C Aragao
- Jardín Botánico de Missouri, Prolongacion Bolognesi Mz.e, Lote 6, Oxapampa, Pasco, Peru
| | - Alejandro Araujo-Murakami
- Museo de Historia Natural Noel Kempff Mercado, Universidad Autonoma Gabriel Rene Moreno, Casilla 2489, Av. Irala 565, Santa Cruz, Bolivia
| | - Eric J M M Arets
- ALTERRA, Wageningen-UR, PO Box 47, 6700 AA, Wageningen, The Netherlands
| | - Luzmila Arroyo
- Museo de Historia Natural Noel Kempff Mercado, Universidad Autonoma Gabriel Rene Moreno, Casilla 2489, Av. Irala 565, Santa Cruz, Bolivia
| | - Gerardo A Aymard
- UNELLEZ-Guanare, Programa de Ciencias del Agro y el Mar, Herbario Universitario (PORT), Mesa de Cavacas, Estado Portuguesa, 3350, Venezuela
| | - Christopher Baraloto
- Department of Biological Sciences, International Center for Tropical Botany (ICTB), Florida International University, 112200 SW 8th Street, OE 167, Miami, FL, 33199, USA
| | - Jocely Barroso
- Universidade Federal do Acre, Campus de Cruzeiro do Sul, Rio Branco, Brazil
| | - Damien Bonal
- INRA, UMR 1137 "Ecologie et Ecophysiologie Forestiere", 54280, Champenoux, France
| | - Rene Boot
- Tropenbos International, PO Box 232, 6700 AE, Wageningen, The Netherlands
| | - Jose Camargo
- INPA, Av. André Araújo, 2.936, CEP 69067-375, Petrópolis, Manaus, AM, Brazil
| | - Jerome Chave
- Université Paul Sabatier CNRS, UMR 5174 Evolution et Diversité Biologique, bâtiment 4R1, 31062, Toulouse, France
| | - Alvaro Cogollo
- Jardín Botánico de Medellín Joaquín Antonio Uribe, Calle 73 # 51 D 14 Medellín, Cartagena, Colombia
| | | | | | - Anthony Di Fiore
- Department of Anthropology, University of Texas at Austin, SAC Room 5.150, 2201 Speedway Stop C3200, Austin, TX, 78712, USA
| | - Leandro Ferreira
- Museu Paraense Emilio Goeldi, Av. Magalhães Barata, 376 - São Braz, CEP: 66040-170, Belém, PA, Brazil
| | - Niro Higuchi
- INPA, Av. André Araújo, 2.936, CEP 69067-375, Petrópolis, Manaus, AM, Brazil
| | - Euridice N Honorio
- Instituto de Investigaciones de la Amazonía Peruana, Av. José Quiñones km 2.5, Iquitos, Perú
| | - Tim J Killeen
- World Wildlife Fund, 1250 24th St NW, Washington, DC, 20037, USA
| | - Susan G Laurance
- Centre for Tropical Environmental and Sustainability Science (TESS) and College of Marine and Environmental Sciences, James Cook University, Cairns, Qld, 4878, Australia
| | - William F Laurance
- Centre for Tropical Environmental and Sustainability Science (TESS) and College of Marine and Environmental Sciences, James Cook University, Cairns, Qld, 4878, Australia
| | - Juan Licona
- Instituto Boliviano de Investigación Forestal, C.P. 6201, Santa Cruz de la Sierra, Bolivia
| | - Thomas Lovejoy
- Environmental Science and Policy Department and the Department of Public and International Affairs at George Mason University (GMU), 3351 Fairfax Drive, Arlington, Washington, DC, VA 22201, USA
| | - Yadvinder Malhi
- Environmental Change Institute, School of Geography and the Environment, University of Oxford, South Parks Road, Oxford, OX1 3QY, UK
| | - Bia Marimon
- Universidade do Estado de Mato Grosso, Campus de Nova Xavantina, Caixa Postal 08, CEP 78.690-000, Nova Xavantina, MT, Brazil
| | - Ben Hur Marimon
- Universidade do Estado de Mato Grosso, Campus de Nova Xavantina, Caixa Postal 08, CEP 78.690-000, Nova Xavantina, MT, Brazil
| | - Darley C L Matos
- Museu Paraense Emilio Goeldi, Av. Magalhães Barata, 376 - São Braz, CEP: 66040-170, Belém, PA, Brazil
| | - Casimiro Mendoza
- Escuela de Ciencias Forestales (ESFOR), Av. Final Atahuallpa s/n, Casilla 447, Cochabamba, Bolivia
| | - David A Neill
- Facultad de Ingeniería Ambiental, Universidad Estatal Amazónica, Paso lateral km 2 1/2 via Napo, Puyo, Pastaza, Ecuador
| | - Guido Pardo
- Universidad Autonoma del Beni, Campus Universitario, Av. Ejército Nacional, final, Riberalta, Beni, Bolivia
| | - Marielos Peña-Claros
- Instituto Boliviano de Investigación Forestal, C.P. 6201, Santa Cruz de la Sierra, Bolivia
- Forest Ecology and Forest Management Group, Wageningen University, PO Box 47, Wageningen, 6700 AA, The Netherlands
| | - Nigel C A Pitman
- Center for Tropical Conservation, Duke University, Box 90381, Durham, NC, 27708, USA
| | - Lourens Poorter
- Forest Ecology and Forest Management Group, Wageningen University, PO Box 47, Wageningen, 6700 AA, The Netherlands
| | - Adriana Prieto
- Doctorado Instituto de Ciencias Naturales, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Hirma Ramirez-Angulo
- Instituto de Investigaciones para el Desarrollo Forestal, Universidad de Los Andes, Avenida Principal Chorros de Milla, Campus Universitario Forestal, Edificio Principal, Mérida, Venezuela
| | - Anand Roopsind
- Iwokrama International Centre for Rainforest Conservation and Development, 77 High Street Kingston, Georgetown, Guyana
| | - Agustin Rudas
- Doctorado Instituto de Ciencias Naturales, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Rafael P Salomao
- Museu Paraense Emilio Goeldi, Av. Magalhães Barata, 376 - São Braz, CEP: 66040-170, Belém, PA, Brazil
| | - Marcos Silveira
- Museu Universitário, Universidade Federal do Acre, Rio Branco, AC, 69910-900, Brazil
| | - Juliana Stropp
- Institute of Biological and Health Sciences, Federal University of Alagoas, Av. Lourival Melo Mota s/n, Tabuleiro do Martins, Maceió, AL 57072-900, Brazil
| | - Hans Ter Steege
- Naturalis Biodiversity Center, PO Box 9517, 2300 RA, Leiden, The Netherlands
| | - John Terborgh
- Center for Tropical Conservation, Duke University, Box 90381, Durham, NC, 27708, USA
| | - Raquel Thomas
- Iwokrama International Centre for Rainforest Conservation and Development, 77 High Street Kingston, Georgetown, Guyana
| | - Marisol Toledo
- Instituto Boliviano de Investigación Forestal, C.P. 6201, Santa Cruz de la Sierra, Bolivia
| | - Armando Torres-Lezama
- Instituto de Investigaciones para el Desarrollo Forestal, Universidad de Los Andes, Avenida Principal Chorros de Milla, Campus Universitario Forestal, Edificio Principal, Mérida, Venezuela
| | | | - Rodolfo Vasquez
- Geography, College of Life and Environmental Sciences, University of Exeter, Rennes Drive, Exeter, EX4 4RJ, UK
| | | | - Emilio Vilanova
- Instituto de Investigaciones para el Desarrollo Forestal, Universidad de Los Andes, Avenida Principal Chorros de Milla, Campus Universitario Forestal, Edificio Principal, Mérida, Venezuela
| | - Vincent A Vos
- Centro de Investigación y Promoción del Campesinado, regional Norte Amazónico, C/Nicanor Gonzalo Salvatierra N° 362, Casilla 16, Riberalta, Bolivia
- Universidad Autónoma del Beni, Avenida 6 de Agosto N° 64, Riberalta, Bolivia
| | - Timothy R Baker
- School of Geography, University of Leeds, Leeds, LS6 2QT, UK
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Baker TR, Vela Díaz DM, Chama Moscoso V, Navarro G, Monteagudo A, Pinto R, Cangani K, Fyllas NM, Lopez Gonzalez G, Laurance WF, Lewis SL, Lloyd J, Ter Steege H, Terborgh JW, Phillips OL. Consistent, small effects of treefall disturbances on the composition and diversity of four Amazonian forests. J Ecol 2016; 104:497-506. [PMID: 27609991 DOI: 10.5521/forestplots.net/2015_2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Accepted: 12/08/2015] [Indexed: 05/22/2023]
Abstract
Understanding the resilience of moist tropical forests to treefall disturbance events is important for understanding the mechanisms that underlie species coexistence and for predicting the future composition of these ecosystems. Here, we test whether variation in the functional composition of Amazonian forests determines their resilience to disturbance.We studied the legacy of natural treefall disturbance events in four forests across Amazonia that differ substantially in functional composition. We compared the composition and diversity of all free-standing woody stems 2-10 cm diameter in previously disturbed and undisturbed 20 × 20 m subplots within 55, one-hectare, long-term forest inventory plots.Overall, stem number increased following disturbance, and species and functional composition shifted to favour light-wooded, small-seeded taxa. Alpha-diversity increased, but beta-diversity was unaffected by disturbance, in all four forests.Changes in response to disturbance in both functional composition and alpha-diversity were, however, small (2 - 4% depending on the parameter) and similar among forests. Synthesis. This study demonstrates that variation in the functional composition of Amazonian forests does not lead to large differences in the response of these forests to treefall disturbances, and overall, these events have a minor role in maintaining the diversity of these ecosystems.
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Affiliation(s)
- Timothy R Baker
- School of Geography University of Leeds Woodhouse Lane Leeds LS2 9JT UK
| | - Dilys M Vela Díaz
- Department of Biology Washington University in St. Louis Saint Louis MO 63130 USA
| | | | - Gilberto Navarro
- Universidad Nacional de la Amazonía Peruana Sargento Lores 385 Iquitos Peru
| | | | - Ruy Pinto
- School of Marine and Tropical Biology James Cook University Cairns Qld 4870 Australia
| | - Katia Cangani
- School of Marine and Tropical Biology James Cook University Cairns Qld 4870 Australia
| | - Nikolaos M Fyllas
- Department of Ecology and Systematics Faculty of Biology University of Athens Panepistimiopolis 15701 Athens Greece
| | | | - William F Laurance
- School of Marine and Tropical Biology James Cook University Cairns Qld4870 Australia; Biological Dynamics of Forest Fragments Project National Institute for Amazonian Research (INPA) and Smithsonian Tropical Research Institute Av. André Araujo 2936 Manaus Brazil
| | - Simon L Lewis
- School of Geography University of Leeds Woodhouse Lane Leeds LS2 9JT UK; University College London Gower Street London WC1E 6BT UK
| | - Jonathan Lloyd
- Imperial College Silwood Park Campus, Buckhurst Road Ascot West Berkshire SL5 7PY UK
| | - Hans Ter Steege
- Naturalis Biodiversity Center PO Box 9517 2300 RA Leiden The Netherlands
| | - John W Terborgh
- Center for Tropical Conservation Nicholas School of the Environment Duke University Box 90328 Durham NC 27708 USA
| | - Oliver L Phillips
- School of Geography University of Leeds Woodhouse Lane Leeds LS2 9JT UK
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17
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Baker TR, Vela Díaz DM, Chama Moscoso V, Navarro G, Monteagudo A, Pinto R, Cangani K, Fyllas NM, Lopez Gonzalez G, Laurance WF, Lewis SL, Lloyd J, Ter Steege H, Terborgh JW, Phillips OL. Consistent, small effects of treefall disturbances on the composition and diversity of four Amazonian forests. J Ecol 2016; 104:497-506. [PMID: 27609991 PMCID: PMC4991291 DOI: 10.1111/1365-2745.12529] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Accepted: 12/08/2015] [Indexed: 05/05/2023]
Abstract
Understanding the resilience of moist tropical forests to treefall disturbance events is important for understanding the mechanisms that underlie species coexistence and for predicting the future composition of these ecosystems. Here, we test whether variation in the functional composition of Amazonian forests determines their resilience to disturbance.We studied the legacy of natural treefall disturbance events in four forests across Amazonia that differ substantially in functional composition. We compared the composition and diversity of all free-standing woody stems 2-10 cm diameter in previously disturbed and undisturbed 20 × 20 m subplots within 55, one-hectare, long-term forest inventory plots.Overall, stem number increased following disturbance, and species and functional composition shifted to favour light-wooded, small-seeded taxa. Alpha-diversity increased, but beta-diversity was unaffected by disturbance, in all four forests.Changes in response to disturbance in both functional composition and alpha-diversity were, however, small (2 - 4% depending on the parameter) and similar among forests. Synthesis. This study demonstrates that variation in the functional composition of Amazonian forests does not lead to large differences in the response of these forests to treefall disturbances, and overall, these events have a minor role in maintaining the diversity of these ecosystems.
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Affiliation(s)
- Timothy R Baker
- School of Geography University of Leeds Woodhouse Lane Leeds LS2 9JT UK
| | - Dilys M Vela Díaz
- Department of Biology Washington University in St. Louis Saint Louis MO 63130 USA
| | | | - Gilberto Navarro
- Universidad Nacional de la Amazonía Peruana Sargento Lores 385 Iquitos Peru
| | | | - Ruy Pinto
- School of Marine and Tropical Biology James Cook University Cairns Qld 4870 Australia
| | - Katia Cangani
- School of Marine and Tropical Biology James Cook University Cairns Qld 4870 Australia
| | - Nikolaos M Fyllas
- Department of Ecology and Systematics Faculty of Biology University of Athens Panepistimiopolis 15701 Athens Greece
| | | | - William F Laurance
- School of Marine and Tropical Biology James Cook University Cairns Qld4870 Australia; Biological Dynamics of Forest Fragments Project National Institute for Amazonian Research (INPA) and Smithsonian Tropical Research Institute Av. André Araujo 2936 Manaus Brazil
| | - Simon L Lewis
- School of Geography University of Leeds Woodhouse Lane Leeds LS2 9JT UK; University College London Gower Street London WC1E 6BT UK
| | - Jonathan Lloyd
- Imperial College Silwood Park Campus, Buckhurst Road Ascot West Berkshire SL5 7PY UK
| | - Hans Ter Steege
- Naturalis Biodiversity Center PO Box 9517 2300 RA Leiden The Netherlands
| | - John W Terborgh
- Center for Tropical Conservation Nicholas School of the Environment Duke University Box 90328 Durham NC 27708 USA
| | - Oliver L Phillips
- School of Geography University of Leeds Woodhouse Lane Leeds LS2 9JT UK
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18
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Guevara JE, Damasco G, Baraloto C, Fine PVA, Peñuela MC, Castilho C, Vincentini A, Cárdenas D, Wittmann F, Targhetta N, Phillips O, Stropp J, Amaral I, Maas P, Monteagudo A, Jimenez EM, Thomas R, Brienen R, Duque Á, Magnusson W, Ferreira C, Honorio E, Almeida Matos F, Arevalo FR, Engel J, Petronelli P, Vasquez R, Steege H. Low Phylogenetic Beta Diversity and Geographic Neo‐endemism in Amazonian White‐sand Forests. Biotropica 2016. [DOI: 10.1111/btp.12298] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Juan Ernesto Guevara
- Department of Integrative Biology University of California Berkeley CA 94720‐3140 U.S.A
- Museo Ecuatoriano de Ciencias Naturales Quito Ecuador
| | - Gabriel Damasco
- Department of Integrative Biology University of California Berkeley CA 94720‐3140 U.S.A
| | - Christopher Baraloto
- UMR Ecologie des Forêts de Guyane Institut National de la Recherche Agronomique (INRA) Kourou French Guiana
| | - Paul V. A. Fine
- Department of Integrative Biology University of California Berkeley CA 94720‐3140 U.S.A
| | | | - Carolina Castilho
- EMBRAPA Centro de Pesquisa Agroflorestal de Roraima Boa Vista Brazil
| | - Alberto Vincentini
- Instituto Nacional de Pesquisas da Amazônia‐INPA Coordenação de Pesquisas em Ecologia Manaos Brazil
| | - Dairón Cárdenas
- SINCHI Herbario Amazónico Colombiano‐COAH Calle 20 No.5‐44 Bogotá Colombia
| | - Florian Wittmann
- Department of Biochemistry Max Planck Institute for Chemistry Hahn Meitner Weg 1 55128 Mainz Germany
| | - Natalia Targhetta
- Instituto Nacional de Pesquisas da Amazônia‐INPA Coordenação de Pesquisas em Ecologia Manaos Brazil
| | | | - Juliana Stropp
- Institute of Biological and Health Sciences Federal University of Alagoas Maceió AL Brazil
| | - Ieda Amaral
- Instituto Nacional de Pesquisas da Amazônia–INPA Projeto TEAM‐Manaus Manaus Brazil
| | - Paul Maas
- Department of Botany Naturalis Biodiversity Center Leiden The Netherlands
| | - Abel Monteagudo
- Missouri Botanical Garden 4344 Shaw Blvd. St. Louis MO 63110 U.S.A
| | | | - Rachel Thomas
- Iwokrama International Programme for Rainforest Conservation 77 High Street Kingston Georgetown Guiana
| | - Roel Brienen
- School of Geography University of Leeds Leeds U.K
| | - Álvaro Duque
- Departamento de Ciencias Forestales Universidad Nacional de Colombia Medellín Colombia
| | - William Magnusson
- Instituto Nacional de Pesquisas da Amazônia‐INPA Coordenação de Pesquisas em Ecologia Manaos Brazil
| | - Cid Ferreira
- Instituto Nacional de Pesquisas da Amazônia‐INPA Coordenação de Pesquisas em Ecologia Manaos Brazil
| | - Eurídice Honorio
- Instituto de Investigaciones de la Amazonía Peruana Iquitos Peru
| | - Francisca Almeida Matos
- Instituto Nacional de Pesquisas da Amazônia‐INPA Coordenação de Pesquisas em Ecologia Manaos Brazil
| | | | - Julien Engel
- UMR Ecologie des Forêts de Guyane Institut National de la Recherche Agronomique (INRA) Kourou French Guiana
| | - Pascal Petronelli
- UMR Ecologie des Forêts de Guyane Institut National de la Recherche Agronomique (INRA) Kourou French Guiana
| | - Rodolfo Vasquez
- Missouri Botanical Garden 4344 Shaw Blvd. St. Louis MO 63110 U.S.A
| | - Hans Steege
- Naturalis Biodiversity Center Leiden the Netherlands
- Ecology and Biodiversity Group Utrecht University Utrecht The Netherlands
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Timor-Tritsch IE, Cali G, Monteagudo A, Khatib N, Berg RE, Forlani F, Avizova E. Foley balloon catheter to prevent or manage bleeding during treatment for cervical and Cesarean scar pregnancy. Ultrasound Obstet Gynecol 2015; 46:118-123. [PMID: 25346492 DOI: 10.1002/uog.14708] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2014] [Revised: 08/26/2014] [Accepted: 10/15/2014] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To demonstrate the efficacy of placement and inflation of Foley balloon catheters prophylactically to prevent, or as an adjuvant therapy to control, bleeding in women undergoing treatment for Cesarean scar pregnancy (CSP) or cervical pregnancy (CxP). METHODS This was a retrospective study of 18 women with either CSP (n = 16) or CxP (n = 2), who underwent Foley balloon catheter placement under continuous transvaginal or transabdominal ultrasound guidance to prevent or manage bleeding following treatment, which in most cases comprised local (intragestational sac) and intramuscular (IM) methotrexate (MTX) injections. In eight cases, the balloon catheter was placed immediately following local and/or IM MTX treatment, either because of bleeding or prophylactically; in eight cases, the catheter was placed as part of a two-step protocol, with patients first treated with local and IM MTX injection, then suction aspiration on Day 4 or 5, followed by planned insertion of a balloon catheter; in one patient the balloon was placed on Day 21 after local and IM MTX treatment, due to sudden bleeding; and in one case of a heterotopic pregnancy, one intrauterine and one cervical, the balloon was placed due to severe bleeding. Human chorionic gonadotropin (hCG) levels were evaluated weekly following MTX injection. RESULTS Gestational ages at balloon placement ranged between 5 and 12 + 2 weeks. All embryos/fetuses, with the exception of the cervical heterotopic one, had heart activity and catheter placement was well-tolerated by all women. The balloon tamponade effectively reduced or prevented maternal vaginal bleeding in all except one patient; this woman had a heterotopic CxP and required abdominal robotic cerclage to control the bleeding. Catheters were kept in place for a mean of 3.6 (range, 1-6) days. hCG levels returned to low or zero levels within 19-82 days following MTX injection. Fifteen women required antibiotic treatment following the procedure. One woman with CSP developed an arteriovenous malformation requiring uterine artery embolization. CONCLUSION Ultrasound-guided placement and inflation of Foley balloon catheters was easy to perform and well-tolerated by patients undergoing treatment for CSP or CxP, and successfully prevented or helped in the management of bleeding complications. Based on our experience and previous publications we suggest having the option of balloon catheter insertion available when local treatment of CSP or CxP is undertaken.
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Affiliation(s)
- I E Timor-Tritsch
- New York University School of Medicine, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York, NY, USA
| | - G Cali
- Arnas Civico Hospital, Department of Obstetrics and Gynecology, Palermo, Italy
| | - A Monteagudo
- New York University School of Medicine, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York, NY, USA
| | - N Khatib
- Rambam Medical Center, Department of Obstetrics and Gynecology, Haifa, Israel
| | - R E Berg
- New York University School of Medicine, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York, NY, USA
| | - F Forlani
- Arnas Civico Hospital, Department of Obstetrics and Gynecology, Palermo, Italy
| | - E Avizova
- New York University School of Medicine, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York, NY, USA
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Pallqui NC, Monteagudo A, Phillips OL, Lopez-Gonzalez G, Cruz L, Galiano W, Chavez W, Vasquez R. Dinámica, biomasa aérea y composición florística en parcelas permanentes Reserva Nacional Tambopata, Madre de Dios, Perú. Rev peru biol 2014. [DOI: 10.15381/rpb.v21i3.10897] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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21
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Timor-Tritsch IE, Monteagudo A, Cali G, Vintzileos A, Viscarello R, Al-Khan A, Zamudio S, Mayberry P, Cordoba MM, Dar P. Cesarean scar pregnancy is a precursor of morbidly adherent placenta. Ultrasound Obstet Gynecol 2014; 44:346-353. [PMID: 24890256 DOI: 10.1002/uog.13426] [Citation(s) in RCA: 151] [Impact Index Per Article: 15.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2014] [Revised: 05/06/2014] [Accepted: 05/23/2014] [Indexed: 06/03/2023]
Abstract
OBJECTIVE To provide further sonographic, clinical and histological evidence that Cesarean scar pregnancy (CSP) is a precursor to and an early form of second- and third-trimester morbidly adherent placenta (MAP). METHODS This is a report of 10 cases of CSP identified early, in which the patients decided to continue the pregnancy, following counseling that emphasized the possibility of both significant pregnancy complications and a need for hysterectomy. Pregnancies were followed at 2-4-week intervals with ultrasound scans and customary monitoring. The aim was for patients to reach near term or term and then undergo elective Cesarean delivery and, if necessary, hysterectomy. Charts, ultrasound images, operative reports and histopathological examinations of the placentae were reviewed. RESULTS The ultrasound diagnosis of CSP was made before 10 weeks. By the second trimester, all patients exhibited sonographic signs of MAP. Nine of the 10 patients delivered liveborn neonates between 32 and 37 weeks. In the tenth pregnancy, progressive shortening of the cervix and intractable vaginal bleeding prompted termination, with hysterectomy, at 20 weeks. Two other patients in the cohort had antepartum complications (bleeding at 33 weeks in one case and contractions at 32 weeks in the other). All patients underwent hysterectomy at the time of Cesarean delivery, with total blood loss ranging from 300 to 6000 mL. Placenta percreta was the histopathological diagnosis in all 10 cases. CONCLUSION The cases in this series validate the hypothesis that CSP is a precursor of MAP, both sharing the same histopathology. Our findings provide evidence that can be used to counsel patients with CSP, to enable them to make an informed choice between first-trimester termination and continuation of the pregnancy, with its risk of premature delivery and loss of uterus and fertility.
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Affiliation(s)
- I E Timor-Tritsch
- NYU School of Medicine, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, New York, NY, USA
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22
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Mitchard ETA, Feldpausch TR, Brienen RJW, Lopez-Gonzalez G, Monteagudo A, Baker TR, Lewis SL, Lloyd J, Quesada CA, Gloor M, ter Steege H, Meir P, Alvarez E, Araujo-Murakami A, Aragão LEOC, Arroyo L, Aymard G, Banki O, Bonal D, Brown S, Brown FI, Cerón CE, Chama Moscoso V, Chave J, Comiskey JA, Cornejo F, Corrales Medina M, Da Costa L, Costa FRC, Di Fiore A, Domingues TF, Erwin TL, Frederickson T, Higuchi N, Honorio Coronado EN, Killeen TJ, Laurance WF, Levis C, Magnusson WE, Marimon BS, Marimon Junior BH, Mendoza Polo I, Mishra P, Nascimento MT, Neill D, Núñez Vargas MP, Palacios WA, Parada A, Pardo Molina G, Peña-Claros M, Pitman N, Peres CA, Poorter L, Prieto A, Ramirez-Angulo H, Restrepo Correa Z, Roopsind A, Roucoux KH, Rudas A, Salomão RP, Schietti J, Silveira M, de Souza PF, Steininger MK, Stropp J, Terborgh J, Thomas R, Toledo M, Torres-Lezama A, van Andel TR, van der Heijden GMF, Vieira ICG, Vieira S, Vilanova-Torre E, Vos VA, Wang O, Zartman CE, Malhi Y, Phillips OL. Markedly divergent estimates of Amazon forest carbon density from ground plots and satellites. Glob Ecol Biogeogr 2014; 23:935-946. [PMID: 26430387 PMCID: PMC4579864 DOI: 10.1111/geb.12168] [Citation(s) in RCA: 73] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
AIM The accurate mapping of forest carbon stocks is essential for understanding the global carbon cycle, for assessing emissions from deforestation, and for rational land-use planning. Remote sensing (RS) is currently the key tool for this purpose, but RS does not estimate vegetation biomass directly, and thus may miss significant spatial variations in forest structure. We test the stated accuracy of pantropical carbon maps using a large independent field dataset. LOCATION Tropical forests of the Amazon basin. The permanent archive of the field plot data can be accessed at: http://dx.doi.org/10.5521/FORESTPLOTS.NET/2014_1. METHODS Two recent pantropical RS maps of vegetation carbon are compared to a unique ground-plot dataset, involving tree measurements in 413 large inventory plots located in nine countries. The RS maps were compared directly to field plots, and kriging of the field data was used to allow area-based comparisons. RESULTS The two RS carbon maps fail to capture the main gradient in Amazon forest carbon detected using 413 ground plots, from the densely wooded tall forests of the north-east, to the light-wooded, shorter forests of the south-west. The differences between plots and RS maps far exceed the uncertainties given in these studies, with whole regions over- or under-estimated by > 25%, whereas regional uncertainties for the maps were reported to be < 5%. MAIN CONCLUSIONS Pantropical biomass maps are widely used by governments and by projects aiming to reduce deforestation using carbon offsets, but may have significant regional biases. Carbon-mapping techniques must be revised to account for the known ecological variation in tree wood density and allometry to create maps suitable for carbon accounting. The use of single relationships between tree canopy height and above-ground biomass inevitably yields large, spatially correlated errors. This presents a significant challenge to both the forest conservation and remote sensing communities, because neither wood density nor species assemblages can be reliably mapped from space.
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Affiliation(s)
- Edward T A Mitchard
- School of GeoSciences, University of EdinburghEdinburgh, EH9 3JN, UK
- *Correspondence: Edward T. A. Mitchard, School of GeoSciences, University of Edinburgh, Crew Building, The King's Buildings, Edinburgh, EH9 3JN, UK., E-mail:
| | - Ted R Feldpausch
- School of Geography, University of LeedsLeeds, LS2 9JT, UK
- Geography, College of Life and Environmental Sciences, University of ExeterExeter, EX4 4RJ, UK
| | | | | | | | | | - Simon L Lewis
- School of Geography, University of LeedsLeeds, LS2 9JT, UK
- Department of Geography, University College LondonUK
| | - Jon Lloyd
- Faculty of Natural Sciences, Department of Life Sciences, Imperial CollegeLondon, UK
| | | | - Manuel Gloor
- School of Geography, University of LeedsLeeds, LS2 9JT, UK
| | - Hans ter Steege
- Naturalis Biodiversity CenterLeiden, the Netherlands
- Institute of Environmental Biology, Utrecht UniversityUtrecht, the Netherlands
| | - Patrick Meir
- School of GeoSciences, University of EdinburghEdinburgh, EH9 3JN, UK
- Research School of Biology, Australian National UniversityCanberra, ACT, 0200, Australia
| | - Esteban Alvarez
- Jardín Botánico de Medellín, Grupo de Investigación en Servicios Ecosistémicos y Cambio ClimáticoMedellin, Colombia
| | - Alejandro Araujo-Murakami
- Museo de Historia Natural Noel Kempff Mercado, Universidad Autónoma Gabriel René MorenoCasilla 2489, Av. Irala 565, Santa Cruz, Bolivia
| | - Luiz E O C Aragão
- Geography, College of Life and Environmental Sciences, University of ExeterExeter, EX4 4RJ, UK
- Remote Sensing Division, National Institute for Space Research – INPESão José dos Campos, SP, Brazil
| | - Luzmila Arroyo
- Museo de Historia Natural Noel Kempff Mercado, Universidad Autónoma Gabriel René MorenoCasilla 2489, Av. Irala 565, Santa Cruz, Bolivia
| | - Gerardo Aymard
- UNELLEZ-Guanare, Programa de Ciencias del Agro y el Mar, Herbario Universitario (PORT)Mesa de Cavacas, Estado Portuguesa, 3350, Venezuela
| | - Olaf Banki
- IBED, University of AmsterdamPOSTBUS 94248, 1090 GE, Amsterdam, the Netherlands
| | - Damien Bonal
- L'Institut National de la Recherche AgronomiqueUMR 1137 EEF, 54280, Champenoux, France
| | - Sandra Brown
- Ecosystem Services Unit, Winrock InternationalArlington, VA, 22202, USA
| | - Foster I Brown
- Woods Hole Research CenterFalmouth, MA, USA
- Universidade Federal do Acre, Centro de Ciências Biológicas e da NaturezaRio Branco, AC, 69910-900, Brazil
| | - Carlos E Cerón
- Herbario Alfredo Paredes (QAP), Universidad Central del EcuadorQuito, Ecuador
| | | | - Jerome Chave
- Université Paul Sabatier, Laboratoire EDBbâtiment 4R3, 31062, Toulouse, France
| | | | - Fernando Cornejo
- Universidad Nacional Agraria La Molina, Facultad de Ciencias ForestalesLima, Peru
| | | | - Lola Da Costa
- Geociencias, Universidade Federal de ParaBelem, Brazil
| | | | | | - Tomas F Domingues
- FFCLRP-USP, Department of Biology, Universidade de São Paulo05508-090, Brazil
| | - Terry L Erwin
- Department of Entomology, Smithsonian InstitutionP.O. Box 37012, MRC 187, Washington, DC, 20013-7012, USA
| | | | - Niro Higuchi
- Instituto Nacional de Pesquisas da AmazôniaManaus, Brazil
| | - Euridice N Honorio Coronado
- School of Geography, University of LeedsLeeds, LS2 9JT, UK
- Instituto de Investigaciones de la Amazonía PeruanaAv. José A. Quiñones km. 2.5, Iquitos, Peru
| | - Tim J Killeen
- World Wildlife Fund1250 24th Street, N.W., Washington, DC, 20037, USA
| | - William F Laurance
- Centre for Tropical Environmental and Sustainability Science (TESS), School of Marine and Tropical Biology, James Cook UniversityCairns, Queensland, 4878, Australia
| | - Carolina Levis
- Instituto Nacional de Pesquisas da AmazôniaManaus, Brazil
| | | | - Beatriz S Marimon
- Universidade do Estado de Mato Grosso, Campus de Nova XavantinaCaixa Postal 08, CEP 78.690-000, Nova Xavantina, MT, Brazil
| | - Ben Hur Marimon Junior
- Universidade do Estado de Mato Grosso, Campus de Nova XavantinaCaixa Postal 08, CEP 78.690-000, Nova Xavantina, MT, Brazil
| | - Irina Mendoza Polo
- Jardín Botánico de Medellín, Grupo de Investigación en Servicios Ecosistémicos y Cambio ClimáticoMedellin, Colombia
| | - Piyush Mishra
- Department of Civil Engineering, Indian Institute of TechnologyRoorkee, Uttarakhand, 247667, India
| | - Marcelo T Nascimento
- Centro de Biociências e Biotecnologia, Universidade Estadual do Norte FlumineseCampos dos Goytacazes, RJ, Brasil
| | - David Neill
- Puyo, Universidad Estatal AmazónicaPaso lateral km 2½ via a Napo, Pastaza, Ecuador
| | | | - Walter A Palacios
- Escuela de Ingeniería Forestal, Universidad Técnica del NorteEcuador
| | - Alexander Parada
- Museo de Historia Natural Noel Kempff Mercado, Universidad Autónoma Gabriel René MorenoCasilla 2489, Av. Irala 565, Santa Cruz, Bolivia
| | | | - Marielos Peña-Claros
- Forest Ecology and Forest Management Group, Wageningen UniversityP.O. Box 47, 6700 AA, Wageningen, the Netherlands
- Instituto Boliviano de Investigación ForestalSanta Cruz, Bolivia
| | - Nigel Pitman
- Center for Tropical Conservation, Duke UniversityBox 90381, Durham, NC, 27708, USA
| | - Carlos A Peres
- Centre for Biodiversity Research, School of Environmental Sciences, University of East AngliaNorwich, NR4 7JT, UK
| | - Lourens Poorter
- Forest Ecology and Forest Management Group, Wageningen UniversityP.O. Box 47, 6700 AA, Wageningen, the Netherlands
| | - Adriana Prieto
- Instituto de Ciencias Naturales, Universidad Nacional de ColombiaBogota, Colombia
| | | | - Zorayda Restrepo Correa
- Jardín Botánico de Medellín, Grupo de Investigación en Servicios Ecosistémicos y Cambio ClimáticoMedellin, Colombia
| | - Anand Roopsind
- Department of Biology, University of FloridaP.O. 118526, 511 Bartram Hall, Gainesville, FL, 32611-8526, USA
| | | | | | - Rafael P Salomão
- Museu Paraense Emilio GoeldiAv. Magalhães Barata, 376, São Braz, 66040-170, Belém, PA, Brazil
| | | | - Marcos Silveira
- Universidade Federal do Acre, Centro de Ciências Biológicas e da NaturezaRio Branco, AC, 69910-900, Brazil
| | | | - Marc K Steininger
- Center for Applied Biodiversity Science, Conservation InternationalWashington, DC, USA
| | - Juliana Stropp
- Institute for Environment and Sustainability, Joint Research Centre of the European CommissionVia Enrico Fermi, 2748 TP 440, I-21027, Ispra, Italy
| | - John Terborgh
- Nicholas School of the Environment, Duke UniversityBox 90381, Durham, NC, 27708, USA
| | - Raquel Thomas
- Iwokrama International Centre77 High Street Kingston, Georgetown, Guyana
| | - Marisol Toledo
- Instituto Boliviano de Investigación ForestalSanta Cruz, Bolivia
- Universidad Autónoma Gabriel René MorenoSanta Cruz, Bolivia
| | | | | | - Geertje M F van der Heijden
- University of Wisconsin-MilwaukeeP.O Box 413, Milwaukee, WI, 53201, USA
- Smithsonian Tropical Research InstituteApartado, Postal 0843-03092, Panamá, Panama
| | - Ima C G Vieira
- Museu Paraense Emilio GoeldiAv. Magalhães Barata, 376, São Braz, 66040-170, Belém, PA, Brazil
| | - Simone Vieira
- Núcleo de Estudos e Pesquisas Ambientais, Universidade Estadual de CampinasCampinas, Brazil
| | | | - Vincent A Vos
- Escuela de Ingeniería Forestal, Universidad Técnica del NorteEcuador
| | - Ophelia Wang
- Lab of Landscape Ecology and Conservation Biology, Northern Arizona UniversityFlagstaff, AZ, USA
| | | | - Yadvinder Malhi
- School of Geography and the Environment, University of OxfordOxford, UK
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Timor-Tritsch IE, Monteagudo A, Cali G, Palacios-Jaraquemada JM, Maymon R, Arslan AA, Patil N, Popiolek D, Mittal KR. Cesarean scar pregnancy and early placenta accreta share common histology. Ultrasound Obstet Gynecol 2014; 43:383-395. [PMID: 24357257 DOI: 10.1002/uog.13282] [Citation(s) in RCA: 94] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Revised: 11/28/2013] [Accepted: 12/11/2013] [Indexed: 06/03/2023]
Abstract
OBJECTIVE To determine, by evaluation of histological slides, images and descriptions of early (second-trimester) placenta accreta (EPA) and placental implantation in cases of Cesarean scar pregnancy (CSP), whether these are pathologically indistinguishable and whether they both represent different stages in the disease continuum leading to morbidly adherent placenta in the third trimester. METHODS The database of a previously published review of CSP and EPA was used to identify articles with histopathological descriptions and electronic images for pathological review. When possible, microscopic slides and/or paraffin blocks were obtained from the original researchers. We also included from our own institutions cases of CSP and EPA for which pathology specimens were available. Two pathologists examined all the material independently and, blinded to each other's findings, provided a pathological diagnosis based on microscopic appearance. Interobserver agreement in diagnosis was determined. RESULTS Forty articles were identified, which included 31 cases of CSP and 13 cases of EPA containing histopathological descriptions and/or images of the pathology. We additionally included six cases of CSP and eight cases of EPA from our own institutions, giving a total of 58 cases available for histological evaluation (37 CSP and 21 EPA) containing clear definitions of morbidly adherent placenta. In the 29 cases for which images/slides were available for histopathological evaluation, both pathologists attested to the various degrees of myometrial and/or scar tissue invasion by placental villi with scant or no intervening decidua, consistent with the classic definition of morbidly adherent placenta. Based on the reviewed material, cases with a diagnosis of EPA and those with a diagnosis of CSP showed identical histopathological features. Interobserver correlation was high (kappa = 0.93). CONCLUSIONS EPA and placental implantation in CSP are histopathologically indistinguishable and may represent different stages in the disease continuum leading to morbidly adherent placenta in the third trimester.
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Affiliation(s)
- I E Timor-Tritsch
- Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York University SOM, New York, NY, USA
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24
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ter Steege H, Pitman NCA, Sabatier D, Baraloto C, Salomão RP, Guevara JE, Phillips OL, Castilho CV, Magnusson WE, Molino JF, Monteagudo A, Núñez Vargas P, Montero JC, Feldpausch TR, Coronado ENH, Killeen TJ, Mostacedo B, Vasquez R, Assis RL, Terborgh J, Wittmann F, Andrade A, Laurance WF, Laurance SGW, Marimon BS, Marimon BH, Guimarães Vieira IC, Amaral IL, Brienen R, Castellanos H, Cárdenas López D, Duivenvoorden JF, Mogollón HF, Matos FDDA, Dávila N, García-Villacorta R, Stevenson Diaz PR, Costa F, Emilio T, Levis C, Schietti J, Souza P, Alonso A, Dallmeier F, Montoya AJD, Fernandez Piedade MT, Araujo-Murakami A, Arroyo L, Gribel R, Fine PVA, Peres CA, Toledo M, Aymard C GA, Baker TR, Cerón C, Engel J, Henkel TW, Maas P, Petronelli P, Stropp J, Zartman CE, Daly D, Neill D, Silveira M, Paredes MR, Chave J, Lima Filho DDA, Jørgensen PM, Fuentes A, Schöngart J, Cornejo Valverde F, Di Fiore A, Jimenez EM, Peñuela Mora MC, Phillips JF, Rivas G, van Andel TR, von Hildebrand P, Hoffman B, Zent EL, Malhi Y, Prieto A, Rudas A, Ruschell AR, Silva N, Vos V, Zent S, Oliveira AA, Schutz AC, Gonzales T, Trindade Nascimento M, Ramirez-Angulo H, Sierra R, Tirado M, Umaña Medina MN, van der Heijden G, Vela CIA, Vilanova Torre E, Vriesendorp C, Wang O, Young KR, Baider C, Balslev H, Ferreira C, Mesones I, Torres-Lezama A, Urrego Giraldo LE, Zagt R, Alexiades MN, Hernandez L, Huamantupa-Chuquimaco I, Milliken W, Palacios Cuenca W, Pauletto D, Valderrama Sandoval E, Valenzuela Gamarra L, Dexter KG, Feeley K, Lopez-Gonzalez G, Silman MR. Hyperdominance in the Amazonian tree flora. Science 2013; 342:1243092. [PMID: 24136971 DOI: 10.1126/science.1243092] [Citation(s) in RCA: 391] [Impact Index Per Article: 35.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
The vast extent of the Amazon Basin has historically restricted the study of its tree communities to the local and regional scales. Here, we provide empirical data on the commonness, rarity, and richness of lowland tree species across the entire Amazon Basin and Guiana Shield (Amazonia), collected in 1170 tree plots in all major forest types. Extrapolations suggest that Amazonia harbors roughly 16,000 tree species, of which just 227 (1.4%) account for half of all trees. Most of these are habitat specialists and only dominant in one or two regions of the basin. We discuss some implications of the finding that a small group of species--less diverse than the North American tree flora--accounts for half of the world's most diverse tree community.
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Cordoba Munoz MI, Acevedo-Alvarez M, Monteagudo A, Antoine C, Smilen S, Timor-Tritsch I. Three-dimensional sonographic virtual cystoscopy for diagnosis of cervical cerclage erosion into the bladder. Ultrasound Obstet Gynecol 2013; 42:487-489. [PMID: 23836545 DOI: 10.1002/uog.12559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2013] [Revised: 06/27/2013] [Accepted: 06/28/2013] [Indexed: 06/02/2023]
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Mailath-Pokorny M, Monteagudo A, Mittal K, Pineda G, Timor-Tritsch I. Sono-morphologische Kriterien von dezidualisierten Endometriomen in der Schwangerschaft. Ist eine Unterscheidung von malignen Ovarialtumoren möglich? Geburtshilfe Frauenheilkd 2012. [DOI: 10.1055/s-0032-1313685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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27
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Mailath-Pokorny M, Timor-Tritsch IE, Monteagudo A, Mittal K, Konno F, Santos R. Prenatal diagnosis of unilateral proximal femoral focal deficiency at 19 weeks' gestation: case report and review of the literature. Ultrasound Obstet Gynecol 2011; 38:594-597. [PMID: 21438051 DOI: 10.1002/uog.8995] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Proximal femoral focal deficiency (PFFD) represents a rare and complex deformity manifested by hypoplasia of a variable portion of the femur with shortening of the entire limb. The condition may be unilateral or bilateral and is often associated with other congenital anomalies. Recent technological advances in ultrasound imaging offer the opportunity to detect an increasing number of rare skeletal malformation syndromes whose correct diagnosis is essential for adequate counseling and management of the pregnancy. We report a case of fetal non-familial PFFD diagnosed prenatally using two-dimensional and three-dimensional images. Clinical findings, differential diagnosis and management of this rare skeletal dysplasia are discussed and a review of the recent literature is given.
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Affiliation(s)
- M Mailath-Pokorny
- Medical University Vienna, Department of Obstetrics and Gynecology, Division of Obstetrics and Feto-maternal Medicine, Vienna, Austria.
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Toledo F, Silvestre J, Cuesta L, Latorre N, Monteagudo A. Usefulness of Skin-Prick Tests in Children With Hand Eczema: Comparison With Their Use in Childhood and Adult Eczema. Actas Dermo-Sifiliográficas (English Edition) 2011. [DOI: 10.1016/j.adengl.2011.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Cuesta L, Betlloch I, Toledo F, Latorre N, Monteagudo A. Severe sorafenib-induced hand-foot skin reaction. Dermatol Online J 2011; 17:14. [PMID: 21635836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
Sorafenib is a new drug, multikinase inhibitor, which has been recently approved for the treatment of metastatic renal cell carcinoma and hepatocellular carcinoma. Up to 90 percent of patients receiving this drug have been reported to develop dermatological symptoms. Recently, it has been suggested that the appearance of skin toxicity during therapy may indicate antitumor activity. We report a new case of sorafenib-induced severe hand-foot skin reaction, which hindered the patient's normal life. The reaction was successfully treated with topical costicosteroids and discontinuation of sorafenib. However, the patient died one month later.
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Phillips OL, van der Heijden G, Lewis SL, López-González G, Aragão LEOC, Lloyd J, Malhi Y, Monteagudo A, Almeida S, Dávila EA, Amaral I, Andelman S, Andrade A, Arroyo L, Aymard G, Baker TR, Blanc L, Bonal D, de Oliveira ACA, Chao KJ, Cardozo ND, da Costa L, Feldpausch TR, Fisher JB, Fyllas NM, Freitas MA, Galbraith D, Gloor E, Higuchi N, Honorio E, Jiménez E, Keeling H, Killeen TJ, Lovett JC, Meir P, Mendoza C, Morel A, Vargas PN, Patiño S, Peh KSH, Cruz AP, Prieto A, Quesada CA, Ramírez F, Ramírez H, Rudas A, Salamão R, Schwarz M, Silva J, Silveira M, Slik JWF, Sonké B, Thomas AS, Stropp J, Taplin JRD, Vásquez R, Vilanova E. Drought-mortality relationships for tropical forests. New Phytol 2010; 187:631-46. [PMID: 20659252 DOI: 10.1111/j.1469-8137.2010.03359.x] [Citation(s) in RCA: 207] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
*The rich ecology of tropical forests is intimately tied to their moisture status. Multi-site syntheses can provide a macro-scale view of these linkages and their susceptibility to changing climates. Here, we report pan-tropical and regional-scale analyses of tree vulnerability to drought. *We assembled available data on tropical forest tree stem mortality before, during, and after recent drought events, from 119 monitoring plots in 10 countries concentrated in Amazonia and Borneo. *In most sites, larger trees are disproportionately at risk. At least within Amazonia, low wood density trees are also at greater risk of drought-associated mortality, independent of size. For comparable drought intensities, trees in Borneo are more vulnerable than trees in the Amazon. There is some evidence for lagged impacts of drought, with mortality rates remaining elevated 2 yr after the meteorological event is over. *These findings indicate that repeated droughts would shift the functional composition of tropical forests toward smaller, denser-wooded trees. At very high drought intensities, the linear relationship between tree mortality and moisture stress apparently breaks down, suggesting the existence of moisture stress thresholds beyond which some tropical forests would suffer catastrophic tree mortality.
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Affiliation(s)
- Oliver L Phillips
- Ecology and Global Change, School of Geography, University of Leeds, Leeds, UK.
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Bornstein E, Monteagudo A, Santos R, Strock I, Tsymbal T, Lenchner E, Timor-Tritsch IE. Basic as well as detailed neurosonograms can be performed by offline analysis of three-dimensional fetal brain volumes. Ultrasound Obstet Gynecol 2010; 36:20-25. [PMID: 20069671 DOI: 10.1002/uog.7527] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
OBJECTIVES To evaluate the feasibility and the processing time of offline analysis of three-dimensional (3D) brain volumes to perform a basic, as well as a detailed, targeted, fetal neurosonogram. METHODS 3D fetal brain volumes were obtained in 103 consecutive healthy fetuses that underwent routine anatomical survey at 20-23 postmenstrual weeks. Transabdominal gray-scale and power Doppler volumes of the fetal brain were acquired by one of three experienced sonographers (an average of seven volumes per fetus). Acquisition was first attempted in the sagittal and coronal planes. When the fetal position did not enable easy and rapid access to these planes, axial acquisition at the level of the biparietal diameter was performed. Offline analysis of each volume was performed by two of the authors in a blinded manner. A systematic technique of 'volume manipulation' was used to identify a list of 25 brain dimensions/structures comprising a complete basic evaluation, intracranial biometry and a detailed targeted fetal neurosonogram. The feasibility and reproducibility of obtaining diagnostic-quality images of the different structures was evaluated, and processing times were recorded, by the two examiners. RESULTS Diagnostic-quality visualization was feasible in all of the 25 structures, with an excellent visualization rate (85-100%) reported in 18 structures, a good visualization rate (69-97%) reported in five structures and a low visualization rate (38-54%) reported in two structures, by the two examiners. An average of 4.3 and 5.4 volumes were used to complete the examination by the two examiners, with a mean processing time of 7.2 and 8.8 minutes, respectively. The overall agreement rate for diagnostic visualization of the different brain structures between the two examiners was 89.9%, with a kappa coefficient of 0.5 (P < 0.001). CONCLUSIONS In experienced hands, offline analysis of 3D brain volumes is a reproducible modality that can identify all structures necessary to complete both a basic and a detailed second-trimester fetal neurosonogram.
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Affiliation(s)
- E Bornstein
- Division of Ultrasound in Obstetrics and Gynecology, Department of Obstetrics and Gynecology, New York University School of Medicine, NY 10016, USA.
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Phillips OL, Aragão LEOC, Lewis SL, Fisher JB, Lloyd J, López-González G, Malhi Y, Monteagudo A, Peacock J, Quesada CA, van der Heijden G, Almeida S, Amaral I, Arroyo L, Aymard G, Baker TR, Bánki O, Blanc L, Bonal D, Brando P, Chave J, de Oliveira ACA, Cardozo ND, Czimczik CI, Feldpausch TR, Freitas MA, Gloor E, Higuchi N, Jiménez E, Lloyd G, Meir P, Mendoza C, Morel A, Neill DA, Nepstad D, Patiño S, Peñuela MC, Prieto A, Ramírez F, Schwarz M, Silva J, Silveira M, Thomas AS, Steege HT, Stropp J, Vásquez R, Zelazowski P, Alvarez Dávila E, Andelman S, Andrade A, Chao KJ, Erwin T, Di Fiore A, Honorio C E, Keeling H, Killeen TJ, Laurance WF, Peña Cruz A, Pitman NCA, Núñez Vargas P, Ramírez-Angulo H, Rudas A, Salamão R, Silva N, Terborgh J, Torres-Lezama A. Drought sensitivity of the Amazon rainforest. Science 2009; 323:1344-7. [PMID: 19265020 DOI: 10.1126/science.1164033] [Citation(s) in RCA: 542] [Impact Index Per Article: 36.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
Amazon forests are a key but poorly understood component of the global carbon cycle. If, as anticipated, they dry this century, they might accelerate climate change through carbon losses and changed surface energy balances. We used records from multiple long-term monitoring plots across Amazonia to assess forest responses to the intense 2005 drought, a possible analog of future events. Affected forest lost biomass, reversing a large long-term carbon sink, with the greatest impacts observed where the dry season was unusually intense. Relative to pre-2005 conditions, forest subjected to a 100-millimeter increase in water deficit lost 5.3 megagrams of aboveground biomass of carbon per hectare. The drought had a total biomass carbon impact of 1.2 to 1.6 petagrams (1.2 x 10(15) to 1.6 x 10(15) grams). Amazon forests therefore appear vulnerable to increasing moisture stress, with the potential for large carbon losses to exert feedback on climate change.
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Affiliation(s)
- Oliver L Phillips
- Ecology and Global Change, School of Geography, University of Leeds, Leeds LS2 9JT, UK.
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Timor-Tritsch IE, Monteagudo A, Santos R. Three-dimensional inversion rendering in the first- and early second-trimester fetal brain: its use in holoprosencephaly. Ultrasound Obstet Gynecol 2008; 32:744-750. [PMID: 18956427 DOI: 10.1002/uog.6245] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
OBJECTIVES To explore the feasibility and added value of three-dimensional (3D) inversion rendering of the developing embryonic/fetal ventricular system, and to apply this display technique to enhance the sonographic examination of holoprosencephaly. METHODS 3D volumes of the embryonic/fetal brain were acquired from four normal fetuses at 8-11 postmenstrual weeks, and four fetuses diagnosed with holoprosencephaly between 9 and 14 postmenstrual weeks. The volumes were then analyzed offline to obtain inversion rendered 3D shapes of the ventricular systems. RESULTS All inversion rendering displays were successful and provided the opportunity to study normal as well as pathological aspects of the early fetal brain. CONCLUSIONS Inversion rendering of early fetal brain ventricles is feasible and should be attempted if additional information about the early normal or pathological fetal brain is needed. It may have scientific value in embryologic or genetic studies.
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Affiliation(s)
- I E Timor-Tritsch
- Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY 10016, USA.
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35
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Keeling HC, Baker TR, Martinez RV, Monteagudo A, Phillips OL. Contrasting patterns of diameter and biomass increment across tree functional groups in Amazonian forests. Oecologia 2008; 158:521-34. [DOI: 10.1007/s00442-008-1161-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2007] [Accepted: 09/15/2008] [Indexed: 11/28/2022]
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Pitman NCA, Mogollón H, Dávila N, Ríos M, García-Villacorta R, Guevara J, Baker TR, Monteagudo A, Phillips OL, Vásquez-Martínez R, Ahuite M, Aulestia M, Cardenas D, Cerón CE, Loizeau PA, Neill DA, Núñez V. P, Palacios WA, Spichiger R, Valderrama E. Tree Community Change across 700 km of Lowland Amazonian Forest from the Andean Foothills to Brazil. Biotropica 2008. [DOI: 10.1111/j.1744-7429.2008.00424.x] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Lee MJ, Roman AS, Lusskin S, Chen D, Dulay A, Funai EF, Monteagudo A. Maternal anxiety and ultrasound markers for aneuploidy in a multiethnic population. Prenat Diagn 2006; 27:40-5. [PMID: 17154230 DOI: 10.1002/pd.1618] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Discussion of isolated ultrasound (US) markers for fetal aneuploidy can provoke significant patient anxiety. The objective of this study is to quantify maternal anxiety associated with the detection of these markers. METHODS All patients undergoing routine second-trimester US examination for fetal anatomical survey over a one-year period were administered the State-Trait Anxiety Inventory (STAI) for Adults before and after the procedure. Women with isolated fetal markers for aneuploidy were notified of the findings but discouraged from pursuing amniocentesis. Rates of normal US examination, aneuploidy markers, anomalies, amniocentesis, and pregnancy outcomes were assessed across the ethnic groups. Pre- and post-ultrasound STAI surveys were scored and standardized with previously established norms. Student t-tests, Chi-square, and analysis of variance (ANOVA) were used where appropriate. RESULTS Among the 798 patients tested, 57% were Hispanic, 30% were Asian, 6% were Black, and 7% were White. Maternal anxiety level was decreased in women after a normal US. The anxiety level increased with aneuploidy markers and was the highest with anomalies. Aneuploidy markers were more common among Hispanic and Asian fetuses, without any associated aneuploidy. Women with isolated aneuploidy markers underwent amniocentesis as often as women with advanced maternal age. CONCLUSION The detection and communication of isolated aneuploidy markers is associated with increased maternal anxiety and unnecessary amniocentesis.
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Affiliation(s)
- M J Lee
- Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
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Monteagudo A, Minior VK, Stephenson C, Monda S, Timor-Tritsch IE. Non-surgical management of live ectopic pregnancy with ultrasound-guided local injection: a case series. Ultrasound Obstet Gynecol 2005; 25:282-288. [PMID: 15736204 DOI: 10.1002/uog.1822] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
OBJECTIVES To describe a series of consecutive cases of live ectopic pregnancies managed with ultrasound-guided local injection of methotrexate (MTX) or potassium chloride (KCl). METHODS Eighteen consecutive women with live and unruptured, tubal, cornual or cervical ectopic pregnancies referred to our unit for evaluation and management underwent risk-benefit counseling. Under transvaginal ultrasound guidance, puncture and injection of the ectopic pregnancy was performed using an automated puncture device. Either MTX or KCl was injected, producing immediate cessation of fetal cardiac activity. RESULTS Of the 18 ectopic pregnancies, 10 were cervical, four were tubal and four were cornual. The mean initial beta-hCG level was 33 412 IU and the mean gestational age was 6 + 6 weeks. Ten ectopic gestational sacs were injected with KCl and eight were injected with MTX. There was no difference in time to resolution of the ectopic pregnancies between those injected with KCl and those with MTX. CONCLUSIONS Unruptured live ectopic pregnancies of many types can be successfully managed without surgical intervention through local injection of KCl or MTX.
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Affiliation(s)
- A Monteagudo
- Department of Obstetrics and Gynecology, Division of Ob/Gyn Ultrasound, New York University School of Medicine, New York, NY 10016, USA.
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Timor-Tritsch IE, Monteagudo A, Smilen SW, Porges RF, Avizova E. Simple ultrasound evaluation of the anal sphincter in female patients using a transvaginal transducer. Ultrasound Obstet Gynecol 2005; 25:177-183. [PMID: 15660445 DOI: 10.1002/uog.1827] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
OBJECTIVE Fecal incontinence affects 0.2% of women aged 15-64 years and about 1.3% of women over 64 years. Most cases are related to instrumental deliveries affecting the anal sphincter complex. We propose a simple technique using the generally available transvaginal transducer to evaluate the anal sphincter complex. METHODS Ninety-two patients underwent ultrasound examination. Group I consisted of 53 nulliparous patients. In Group II there were six patients with normal spontaneous vaginal deliveries without episiotomies. In Group III there were 14 patients with vaginal deliveries and one to three episiotomies but no lacerations. In Group IV there were nine postpartum patients with recently repaired (48 h to 3 weeks) third- and fourth-degree lacerations. All women in Groups I-IV were asymptomatic. Group V consisted of 10 patients symptomatic for fecal incontinence. We used a vaginal probe (5-9-MHz) with the footprint placed in the fourchette pointing towards the anus in a transverse and then in a median (sagittal) plane. If seen, the combined internal and external anal sphincter thickness at the 12 o'clock location was measured. We visualized normal star-shaped mucosal folds on the transverse section and described the sonographic anatomy in both planes. RESULTS The mean sphincter thickness measured at 12 o'clock in Group I was 2.3 (range, 1.0-4.7) mm, in Group II it was 2.9 (range, 2.4-3.4) mm, and in Group III it was 2.3 (range, 1.0-3.7) mm. The differences between these three groups were not significant. Patients from Group IV showed thinning or discontinuous sphincter anatomy at the 12 o'clock position. All symptomatic patients from Group V showed abnormal sphincter anatomy, and the normal star-like appearance of the anal mucosa on the transverse section was deformed, radiating from the point of the sphincter damage. Four of the 10 patients in this group underwent surgical repair. In these patients the sonographic findings were confirmed. CONCLUSIONS The images obtained using this imaging modality show the sphincter muscle anatomy as well as the possible pathology. Due to its simplicity the technique can be applied in any place where a vaginal transducer is available.
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Affiliation(s)
- I E Timor-Tritsch
- NYU School of Medicine, Division of Ob/Gyn Ultrasound, Department of Obstetrics and Gynecology, New York, NY 10016, USA.
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Timor-Tritsch IE, Monteagudo A, Porges RF, Santos R. The use of a 15-7-MHz 'small parts' linear transducer to evaluate the anal sphincter in female patients. Ultrasound Obstet Gynecol 2005; 25:206-209. [PMID: 15685650 DOI: 10.1002/uog.1826] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Affiliation(s)
- I E Timor-Tritsch
- NYU School of Medicine, Division of Ob/Gyn Ultrasound, Department of Obstetrics and Gynecology, New York, NY 10016, USA.
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Phillips OL, Baker TR, Arroyo L, Higuchi N, Killeen TJ, Laurance WF, Lewis SL, Lloyd J, Malhi Y, Monteagudo A, Neill DA, Vargas PN, Silva JNM, Terborgh J, Martínez RV, Alexiades M, Almeida S, Brown S, Chave J, Comiskey JA, Czimczik CI, Di Fiore A, Erwin T, Kuebler C, Laurance SG, Nascimento HEM, Olivier J, Palacios W, Patiño S, Pitman NCA, Quesada CA, Saldias M, Lezama AT, Vinceti B. Pattern and process in Amazon tree turnover, 1976-2001. Philos Trans R Soc Lond B Biol Sci 2004; 359:381-407. [PMID: 15212092 PMCID: PMC1693333 DOI: 10.1098/rstb.2003.1438] [Citation(s) in RCA: 328] [Impact Index Per Article: 16.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Previous work has shown that tree turnover, tree biomass and large liana densities have increased in mature tropical forest plots in the late twentieth century. These results point to a concerted shift in forest ecological processes that may already be having significant impacts on terrestrial carbon stocks, fluxes and biodiversity. However, the findings have proved controversial, partly because a rather limited number of permanent plots have been monitored for rather short periods. The aim of this paper is to characterize regional-scale patterns of 'tree turnover' (the rate with which trees die and recruit into a population) by using improved datasets now available for Amazonia that span the past 25 years. Specifically, we assess whether concerted changes in turnover are occurring, and if so whether they are general throughout the Amazon or restricted to one region or environmental zone. In addition, we ask whether they are driven by changes in recruitment, mortality or both. We find that: (i) trees 10 cm or more in diameter recruit and die twice as fast on the richer soils of southern and western Amazonia than on the poorer soils of eastern and central Amazonia; (ii) turnover rates have increased throughout Amazonia over the past two decades; (iii) mortality and recruitment rates have both increased significantly in every region and environmental zone, with the exception of mortality in eastern Amazonia; (iv) recruitment rates have consistently exceeded mortality rates; (v) absolute increases in recruitment and mortality rates are greatest in western Amazonian sites; and (vi) mortality appears to be lagging recruitment at regional scales. These spatial patterns and temporal trends are not caused by obvious artefacts in the data or the analyses. The trends cannot be directly driven by a mortality driver (such as increased drought or fragmentation-related death) because the biomass in these forests has simultaneously increased. Our findings therefore indicate that long-acting and widespread environmental changes are stimulating the growth and productivity of Amazon forests.
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Affiliation(s)
- O L Phillips
- Earth and Biosphere Institute, School of Geography, University of Leeds, Leeds LS2 9JT, UK.
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Baker TR, Phillips OL, Malhi Y, Almeida S, Arroyo L, Di Fiore A, Erwin T, Higuchi N, Killeen TJ, Laurance SG, Laurance WF, Lewis SL, Monteagudo A, Neill DA, Vargas PN, Pitman NCA, Silva JNM, Martínez RV. Increasing biomass in Amazonian forest plots. Philos Trans R Soc Lond B Biol Sci 2004; 359:353-65. [PMID: 15212090 PMCID: PMC1693327 DOI: 10.1098/rstb.2003.1422] [Citation(s) in RCA: 147] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
A previous study by Phillips et al. of changes in the biomass of permanent sample plots in Amazonian forests was used to infer the presence of a regional carbon sink. However, these results generated a vigorous debate about sampling and methodological issues. Therefore we present a new analysis of biomass change in old-growth Amazonian forest plots using updated inventory data. We find that across 59 sites, the above-ground dry biomass in trees that are more than 10 cm in diameter (AGB) has increased since plot establishment by 1.22 +/- 0.43 Mg per hectare per year (ha(-1) yr(-1), where 1 ha = 10(4) m2), or 0.98 +/- 0.38 Mg ha(-1) yr(-1) if individual plot values are weighted by the number of hectare years of monitoring. This significant increase is neither confounded by spatial or temporal variation in wood specific gravity, nor dependent on the allometric equation used to estimate AGB. The conclusion is also robust to uncertainty about diameter measurements for problematic trees: for 34 plots in western Amazon forests a significant increase in AGB is found even with a conservative assumption of zero growth for all trees where diameter measurements were made using optical methods and/or growth rates needed to be estimated following fieldwork. Overall, our results suggest a slightly greater rate of net stand-level change than was reported by Phillips et al. Considering the spatial and temporal scale of sampling and associated studies showing increases in forest growth and stem turnover, the results presented here suggest that the total biomass of these plots has on average increased and that there has been a regional-scale carbon sink in old-growth Amazonian forests during the previous two decades.
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Affiliation(s)
- Timothy R Baker
- Max-Planck-Institut für Biogeochemie, Postfach 10 01 64, D-07701 Jena, Germany.
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Roman AS, Monteagudo A, Timor-Tritsch I, Rebarber A. First-trimester diagnosis of sacrococcygeal teratoma: the role of three-dimensional ultrasound. Ultrasound Obstet Gynecol 2004; 23:612-614. [PMID: 15170807 DOI: 10.1002/uog.1055] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
A fetus was suspected of having a sacrococcygeal teratoma (SCT) on routine nuchal translucency evaluation by sonography at 12+3 weeks. The patient was referred for three-dimensional (3D) sonography to further delineate the extent of the mass. In this case, real-time scanning of the mass in 3D mode assisted the diagnosis of the mass and patient counseling. We present what we believe to be the first case of SCT imaged in the first trimester using 3D ultrasound.
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Affiliation(s)
- A S Roman
- Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, NYU School of Medicine, New York, NY, USA.
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Timor-Tritsch IE, Monteagudo A, Rebarber A, Goldstein SR, Tsymbal T. Transrectal scanning: an alternative when transvaginal scanning is not feasible. Ultrasound Obstet Gynecol 2003; 21:473-479. [PMID: 12768560 DOI: 10.1002/uog.110] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
OBJECTIVE In scanning the female pelvis the clear images of transvaginal sonography (TVS) result from placing the transducer close to the region of interest. The advantages of TVS over transabdominal sonography (TAS) and transperineal sonography are well documented. Transrectal scanning is proposed mostly for ultrasound guidance in draining a pelvic abscess. Our aim was to investigate the applicability of transrectal scanning (TRS) for cases in which TVS is impossible. METHODS Forty-two patients with an absolute or a relative contraindication to TVS were scanned transabdominally and transrectally. The TRS was performed using a transvaginal probe, which was lubricated and slowly advanced into the rectum. The technique used was similar to that of TVS. Images were compared for resolution and quality. RESULTS All scans were completed without significant patient discomfort or complaints. TRS was clearly superior to TAS in 31 cases. In nine cases TAS furnished some clinical information but TRS yielded better images. Only in one such case was TAS similar in quality to TRS. In four obese patients TAS did not reveal sufficient pelvic anatomy to generate a clinical diagnosis, whereas TRS revealed two sets of normal ovaries and two patients with ovarian cysts. In the two cases with vaginal agenesis TRS revealed the diagnosis of Rokitansky-Küster syndrome. In three of the four patients with ruptured membranes the cervix could be measured precisely. CONCLUSION Transrectal scanning should be used liberally after proper patient selection and counseling. The images obtained are superior to TAS and comparable to those obtained by TVS.
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Affiliation(s)
- I E Timor-Tritsch
- Division of Obstetric and Gynecological Ultrasound, Department of Obstetrics and Gynecology, NYU School of Medicine, New York, USA.
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Monteagudo A, Carreno C, Timor-Tritsch IE. Saline infusion sonohysterography in nonpregnant women with previous cesarean delivery: the "niche" in the scar. J Ultrasound Med 2001; 20:1105-1115. [PMID: 11587017 DOI: 10.7863/jum.2001.20.10.1105] [Citation(s) in RCA: 126] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
OBJECTIVE To apply an existing diagnostic imaging test (saline infusion sonohysterography) to characterize the "filling defect" of a previous cervical cesarean delivery scar in the nonpregnant uterus. METHODS Forty-four patients with histories of cesarean delivery who underwent saline infusion sonohysterography for a variety of gynecologic indications were included. During the procedure, the area below the bladder recess was examined using transvaginal sonography. A filling defect or "niche" was defined as a triangular anechoic structure at the presumed site of a previous cesarean delivery scar. The depth of the niche was measured. Uterine size, the presence of fibroids and polyps, and the number of previous cesarean deliveries were noted. RESULTS All patients had a niche indenting the anterior uterine-cervical wall. The mean +/- SD depth of the niche was 6.17 +/- 3.6 mm. There was no correlation between the number of cesarean deliveries and the depth of the niche. Thirty-six percent of our patients had fibroids, and 18% had endometrial polyps. CONCLUSION Saline infusion sonohysterography was able to detect filling defects in women who previously had cesarean deliveries. We hope that by focusing our attention on the transvaginal sonographic appearance of the detectable uterine scar (niche) with or without the use of saline infusion sonohysterography in the nonpregnant uterus, it will train our eyes to look for the scar in the pregnant uterus. In addition, our study patients had a high prevalence of abnormal uterine bleeding. The role of the cesarean delivery scar in women with unscheduled bleeding needs to be further evaluated.
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Affiliation(s)
- A Monteagudo
- Department of Obstetrics and Gynecology, New York University School of Medicine, New York, 10016, USA
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Rebarber A, Sfakianaki A, Monteagudo A. Imaging of a cervicovaginal fistula using transvaginal saline contrast sonohysterography. Ultrasound Obstet Gynecol 2001; 18:292-293. [PMID: 11555466 DOI: 10.1046/j.1469-0705.2001.00455.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Affiliation(s)
- A Rebarber
- Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology and Department of Obstetrics and Gynecology, New York University School of Medicine, New York, USA
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Affiliation(s)
- A Monteagudo
- Department of Obstetrics and Gynecology, New York University School of Medicine, New York 10016, USA
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Timor-Tritsch IE, Monteagudo A, Horan C, Stangel JJ. Dichorionic triplet pregnancy with the monoamniotic twin pair concordant for omphalocele and bladder exstrophy. Ultrasound Obstet Gynecol 2000; 16:669-671. [PMID: 11169378 DOI: 10.1046/j.1469-0705.2000.00281.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Affiliation(s)
- A Monteagudo
- NYU School of Medicine, Department of Obstetrics & Gynecology, Division of OB/GYN Ultrasound, 550 First Avenue, New York, NY 10016, USA
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Monteagudo A, Timor-Tritsch IE, Mayberry P. Three-dimensional transvaginal neurosonography of the fetal brain: 'navigating' in the volume scan. Ultrasound Obstet Gynecol 2000; 16:307-313. [PMID: 11169305 DOI: 10.1046/j.1469-0705.2000.00264.x] [Citation(s) in RCA: 74] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
OBJECTIVES Fetal neuroscan by ultrasound has gained in importance over recent years. Two-dimensional (2D) transvaginal sonography was an important step in understanding the constantly changing and developing fetal brain. The objective of this article is to describe the use of three-dimensional ultrasound of the fetal brain enhanced by the transvaginal transfontanelle scanning technique. METHODS Thirty-four pregnant patients were referred to us because of a history of brain anomaly or suspected brain pathology. The fetuses were scanned transvaginally. Two-dimensional as well as three-dimensional (3D) images were generated. The volumes obtained by the 3D-ultrasound machine were displayed in the three conventional orthogonal planes (coronal, sagittal and axial). RESULTS Of the 34 fetuses 10 had normal brain anatomy and 24 had brain pathology. In all 34 cases the 2D images as well as the 3D volumes were of diagnostic quality and all three planes could be obtained. The axial sections could only be obtained by the 3D re-construction of the volume scans. The 2D images produced were acquired from a common point originating from the foot print of the transvaginal probe at the fetal anterior fontanelle or the sagittal suture, the sections 'radiate' from this point. Therefore, these sections are not parallel sections, but are oblique to each other. In contrast, the 3D volume could be examined using the classical parallel sections in all three orthogonal planes. The posterior fossa could be seen better if the footprint of the probe was placed over the posterior fontanelle or on the sagittal suture. The marker dot enabled a precise creation of anatomy and pathology. In the 'angio mode' it was possible to follow the anterior cerebral and pericallosal artery. CONCLUSIONS The 3D-ultrasound technology using the transvaginal approach is effective and practical to perform during fetal neuroscan. The ability to 'navigate' in the volume and the 'marker dot' enables exact location of normal structures and evaluation fetal brain pathology. The volume can be reviewed over and over again, can be mailed to an expert, could be shown to consultants (pediatric neurology and neurosurgeons) and used for teaching.
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Affiliation(s)
- A Monteagudo
- New York University School of Medicine, New York, NY 10016, USA
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