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Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury: Part II
- Joseph J. Fins, Megan S. Wright, Kaiulani S. Shulman, Jaimie M. Henderson, Nicholas D. Schiff
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- Cambridge Quarterly of Healthcare Ethics , First View
- Published online by Cambridge University Press:
- 18 October 2023, pp. 1-24
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This is the second paper in a two-part series describing subject and family perspectives from the CENTURY-S (CENtral Thalamic Deep Brain Stimulation for the Treatment of Traumatic Brain InjURY-Safety) first-in-human invasive neurological device trial to achieve cognitive restoration in moderate to severe traumatic brain injury (msTBI). To participate, subjects were independently assessed to formally establish decision-making capacity to provide voluntary informed consent. Here, we report on post-operative interviews conducted after a successful trial of thalamic stimulation. All five msTBI subjects met a pre-selected primary endpoint of at least a 10% improvement in completion time on Trail-Making-Test Part B, a marker of executive function. We describe narrative responses of subjects and family members, refracted against that success. Interviews following surgery and the stimulation trial revealed the challenge of adaptation to improvements in cognitive function and emotional regulation as well as altered (and restored) relationships and family dynamics. These improvements exposed barriers to social reintegration made relevant by recoveries once thought inconceivable. The study’s success sparked concerns about post-trial access to implanted devices, financing of device maintenance, battery replacement, and on-going care. Most subjects and families identified the need for supportive counseling to adapt to the new trajectory of their lives.
The Scholarly and Pedagogical Benefits of the Legal Laboratory: Lessons from the Consortium for the Advanced Study of Brain Injury at Yale Law School
- Zachary E. Shapiro, Chaarushena Deb, Caroline Lawrence, Allison Rabkin Golden, Megan S. Wright, Katherine L. Kraschel, Joseph J. Fins
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- Journal:
- Journal of Law, Medicine & Ethics / Volume 51 / Issue 3 / Fall 2023
- Published online by Cambridge University Press:
- 13 December 2023, pp. 672-683
- Print publication:
- Fall 2023
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In our article, we share the lessons we have learned after creating and running a successful legal laboratory over the past seven years at Yale Law School. Our legal laboratory, which focuses on the intersection of law and severe brain injury, represents a unique pedagogical model for legal academia, and is closely influenced by the biomedical laboratory.
Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation for Traumatic Brain Injury Study: Part I
- Joseph J. Fins, Megan S. Wright, Jaimie M. Henderson, Nicholas D. Schiff
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- Journal:
- Cambridge Quarterly of Healthcare Ethics / Volume 31 / Issue 4 / October 2022
- Published online by Cambridge University Press:
- 18 November 2022, pp. 419-443
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This is the first article in a two-part series describing subject and family perspectives from the central thalamic deep brain stimulation for the treatment of traumatic brain injury using the Medtronic PC + S first-in-human invasive neurological device trial to achieve cognitive restoration in moderate to severe traumatic brain injury, with subjects who were deemed capable of providing voluntary informed consent. In this article, we report on interviews conducted prior to surgery wherein we asked participants about their experiences recovering from brain injury and their perspectives on study enrollment and participation. We asked how risks and benefits were weighed, what their expectations and fears were, and how decisions were reached about trial participation. We found that informed consent and enrollment decisions are fraught. Subjects and families were often split, with subjects more focused on putative benefits and families concerned about incremental risk. Both subjects and families viewed brain injury as disruptive to personal identity and relationships. As decisions were made about study enrollment, families struggled with recognizing the re-emergent agency of subjects and ceding decision-making authority to subjects who had previously been dependent upon them for protection and guidance. Subjects and family members reported a hope for the relief of cognitive disabilities, improved quality of life, normalization of interpersonal interactions, and a return to work or school as reasons for study participation, along with altruism and a desire to advance science. Despite these aspirations, both subjects and families appreciated the risks of the intervention and did not suffer from a therapeutic misconception. A second essay to be published in the next issue of Cambridge Quarterly of Healthcare Ethics—Clinical Neuroethics will describe interviews conducted after surgery, the effects of cognitive restoration for subjects, families, and challenges presented to the social structures they will call upon to support them through recovery. This subsequent article will be available online prior to its formal publication in October 2023.
19 - Regulating Posttrial Access to In-Dwelling Class III Neural Devices
- from Part V - Medical and Legal Oversight of Medical Devices
- Edited by I. Glenn Cohen, Harvard Law School, Massachusetts, Timo Minssen, University of Copenhagen, W. Nicholson Price II, University of Michigan, Ann Arbor, Christopher Robertson, Boston University, Carmel Shachar, Harvard Law School, Massachusetts
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- The Future of Medical Device Regulation
- Published online:
- 31 March 2022
- Print publication:
- 07 April 2022, pp 256-267
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Summary
We incorporate the perspectives of research participants in a clinical trial of DBS for TBI about investigator and sponsor responsibilities with respect to posttrial access to a functioning embedded medical device. We argue that investigators owe a duty of transparency about posttrial access to device maintenance, upgrades, or removal as part of an ongoing informed consent process.
Prevalence and 1-year incidence of HIV-associated neurocognitive disorder (HAND) in adults aged ≥50 years attending standard HIV clinical care in Kilimanjaro, Tanzania
- Aidan Flatt, Tom Gentry, Johanna Kellett-Wright, Patrick Eaton, Marcella Joseph, Sarah Urasa, William Howlett, Marieke Dekker, Aloyce Kisoli, Jane Rogathe, Lindsay Henderson, Thomas Lewis, Jessica Thornton, Judith McCartney, Vanessa Yarwood, Charlotte Irwin, Elizabeta B. Mukaetova-Ladinska, Rufus Akinyemi, William K. Gray, Richard W. Walker, Catherine L. Dotchin, Andrew-Leon S. Quaker, Philip C. Makupa, Stella-Maria Paddick
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- Journal:
- International Psychogeriatrics / Volume 35 / Issue 7 / July 2023
- Published online by Cambridge University Press:
- 24 March 2021, pp. 339-350
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Objectives:
HIV-associated neurocognitive disorders (HANDs) are prevalent in older people living with HIV (PLWH) worldwide. HAND prevalence and incidence studies of the newly emergent population of combination antiretroviral therapy (cART)-treated older PLWH in sub-Saharan Africa are currently lacking. We aimed to estimate HAND prevalence and incidence using robust measures in stable, cART-treated older adults under long-term follow-up in Tanzania and report cognitive comorbidities.
Design:Longitudinal study
Participants:A systematic sample of consenting HIV-positive adults aged ≥50 years attending routine clinical care at an HIV Care and Treatment Centre during March–May 2016 and followed up March–May 2017.
Measurements:HAND by consensus panel Frascati criteria based on detailed locally normed low-literacy neuropsychological battery, structured neuropsychiatric clinical assessment, and collateral history. Demographic and etiological factors by self-report and clinical records.
Results:In this cohort (n = 253, 72.3% female, median age 57), HAND prevalence was 47.0% (95% CI 40.9–53.2, n = 119) despite well-managed HIV disease (Mn CD4 516 (98-1719), 95.5% on cART). Of these, 64 (25.3%) were asymptomatic neurocognitive impairment, 46 (18.2%) mild neurocognitive disorder, and 9 (3.6%) HIV-associated dementia. One-year incidence was high (37.2%, 95% CI 25.9 to 51.8), but some reversibility (17.6%, 95% CI 10.0–28.6 n = 16) was observed.
Conclusions:HAND appear highly prevalent in older PLWH in this setting, where demographic profile differs markedly to high-income cohorts, and comorbidities are frequent. Incidence and reversibility also appear high. Future studies should focus on etiologies and potentially reversible factors in this setting.
Whither the “Improvement Standard”? Coverage for Severe Brain Injury after Jimmo v. Sebelius
- Joseph J. Fins, Megan S. Wright, Claudia Kraft, Alix Rogers, Marina B. Romani, Samantha Godwin, Michael R. Ulrich
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- Journal:
- Journal of Law, Medicine & Ethics / Volume 44 / Issue 1 / Spring 2016
- Published online by Cambridge University Press:
- 01 January 2021, pp. 182-193
- Print publication:
- Spring 2016
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As improvements in neuroscience have enabled a better understanding of disorders of consciousness as well as methods to treat them, a hurdle that has become all too prevalent is the denial of coverage for treatment and rehabilitation services. In 2011, a settlement emerged from a Vermont District Court case, Jimmo v. Sebelius, which was brought to stop the use of an “improvement standard” that required tangible progress over an identifiable period of time for Medicare coverage of services. While the use of this standard can have deleterious effects on those with many chronic conditions, it is especially burdensome for those in the minimally conscious state (MCS), where improvements are unpredictable and often not manifested through repeatable overt behaviors. Though the focus of this paper is on the challenges of brain injury and the minimally conscious state, which an estimated 100,000 to 200,000 individuals suffer from in the United States, the post-Jimmo arguments presented can and should have a broad impact as envisioned by the plaintiffs who brought the case on behalf of multiple advocacy groups representing patients with a range of chronic care conditions.
Abundance of insect seed predators and intensity of seed predation on Shorea (Dipterocarpaceae) in two consecutive masting events in Peninsular Malaysia
- Tetsuro Hosaka, Takakazu Yumoto, Yu-Yun Chen, I-Fang Sun, S. Joseph Wright, Nur Supardi Md. Noor
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- Journal of Tropical Ecology / Volume 27 / Issue 6 / November 2011
- Published online by Cambridge University Press:
- 30 September 2011, pp. 651-655
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The family Dipterocarpaceae includes 470 tree species from 13 genera in South and South-East Asian tropical forests (Ashton 1982). Many dipterocarp species in aseasonal lowland rain forests of western Malesia flower synchronously during masting (or general flowering) events, which usually occur at irregular intervals of 2–10 y (Ashton et al. 1988). Very few individuals flower at other times, and successful recruitment of seedlings is limited to those masting events (Ashton et al. 1988, Curran et al. 1999).
Contributors
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. Chapman, James H. Charlesworth, Kenneth R. Chase, Chen Zemin, Luciano Chianeque, Philip Chia Phin Yin, Francisca H. Chimhanda, Daniel Chiquete, John T. Chirban, Soobin Choi, Robert Choquette, Mita Choudhury, Gerald Christianson, John Chryssavgis, Sejong Chun, Esther Chung-Kim, Charles M. A. Clark, Elizabeth A. Clark, Sathianathan Clarke, Fred Cloud, John B. Cobb, W. Owen Cole, John A Coleman, John J. Collins, Sylvia Collins-Mayo, Paul K. Conkin, Beth A. Conklin, Sean Connolly, Demetrios J. Constantelos, Michael A. Conway, Paula M. Cooey, Austin Cooper, Michael L. Cooper-White, Pamela Cooper-White, L. William Countryman, Sérgio Coutinho, Pamela Couture, Shannon Craigo-Snell, James L. Crenshaw, David Crowner, Humberto Horacio Cucchetti, Lawrence S. Cunningham, Elizabeth Mason Currier, Emmanuel Cutrone, Mary L. Daniel, David D. Daniels, Robert Darden, Rolf Darge, Isaiah Dau, Jeffry C. Davis, Jane Dawson, Valentin Dedji, John W. de Gruchy, Paul DeHart, Wendy J. Deichmann Edwards, Miguel A. De La Torre, George E. Demacopoulos, Thomas de Mayo, Leah DeVun, Beatriz de Vasconcellos Dias, Dennis C. Dickerson, John M. Dillon, Luis Miguel Donatello, Igor Dorfmann-Lazarev, Susanna Drake, Jonathan A. Draper, N. Dreher Martin, Otto Dreydoppel, Angelyn Dries, A. J. Droge, Francis X. D'Sa, Marilyn Dunn, Nicole Wilkinson Duran, Rifaat Ebied, Mark J. Edwards, William H. Edwards, Leonard H. Ehrlich, Nancy L. Eiesland, Martin Elbel, J. Harold Ellens, Stephen Ellingson, Marvin M. Ellison, Robert Ellsberg, Jean Bethke Elshtain, Eldon Jay Epp, Peter C. Erb, Tassilo Erhardt, Maria Erling, Noel Leo Erskine, Gillian R. Evans, Virginia Fabella, Michael A. Fahey, Edward Farley, Margaret A. Farley, Wendy Farley, Robert Fastiggi, Seena Fazel, Duncan S. Ferguson, Helwar Figueroa, Paul Corby Finney, Kyriaki Karidoyanes FitzGerald, Thomas E. FitzGerald, John R. Fitzmier, Marie Therese Flanagan, Sabina Flanagan, Claude Flipo, Ronald B. Flowers, Carole Fontaine, David Ford, Mary Ford, Stephanie A. Ford, Jim Forest, William Franke, Robert M. Franklin, Ruth Franzén, Edward H. Friedman, Samuel Frouisou, Lorelei F. Fuchs, Jojo M. Fung, Inger Furseth, Richard R. Gaillardetz, Brandon Gallaher, China Galland, Mark Galli, Ismael García, Tharscisse Gatwa, Jean-Marie Gaudeul, Luis María Gavilanes del Castillo, Pavel L. Gavrilyuk, Volney P. Gay, Metropolitan Athanasios Geevargis, Kondothra M. George, Mary Gerhart, Simon Gikandi, Maurice Gilbert, Michael J. Gillgannon, Verónica Giménez Beliveau, Terryl Givens, Beth Glazier-McDonald, Philip Gleason, Menghun Goh, Brian Golding, Bishop Hilario M. Gomez, Michelle A. Gonzalez, Donald K. Gorrell, Roy Gottfried, Tamara Grdzelidze, Joel B. Green, Niels Henrik Gregersen, Cristina Grenholm, Herbert Griffiths, Eric W. Gritsch, Erich S. Gruen, Christoffer H. Grundmann, Paul H. Gundani, Jon P. Gunnemann, Petre Guran, Vidar L. Haanes, Jeremiah M. Hackett, Getatchew Haile, Douglas John Hall, Nicholas Hammond, Daphne Hampson, Jehu J. Hanciles, Barry Hankins, Jennifer Haraguchi, Stanley S. Harakas, Anthony John Harding, Conrad L. Harkins, J. William Harmless, Marjory Harper, Amir Harrak, Joel F. Harrington, Mark W. Harris, Susan Ashbrook Harvey, Van A. Harvey, R. Chris Hassel, Jione Havea, Daniel Hawk, Diana L. Hayes, Leslie Hayes, Priscilla Hayner, S. Mark Heim, Simo Heininen, Richard P. Heitzenrater, Eila Helander, David Hempton, Scott H. Hendrix, Jan-Olav Henriksen, Gina Hens-Piazza, Carter Heyward, Nicholas J. Higham, David Hilliard, Norman A. Hjelm, Peter C. Hodgson, Arthur Holder, M. Jan Holton, Dwight N. Hopkins, Ronnie Po-chia Hsia, Po-Ho Huang, James Hudnut-Beumler, Jennifer S. Hughes, Leonard M. Hummel, Mary E. Hunt, Laennec Hurbon, Mark Hutchinson, Susan E. Hylen, Mary Beth Ingham, H. Larry Ingle, Dale T. Irvin, Jon Isaak, Paul John Isaak, Ada María Isasi-Díaz, Hans Raun Iversen, Margaret C. Jacob, Arthur James, Maria Jansdotter-Samuelsson, David Jasper, Werner G. Jeanrond, Renée Jeffery, David Lyle Jeffrey, Theodore W. Jennings, David H. Jensen, Robin Margaret Jensen, David Jobling, Dale A. Johnson, Elizabeth A. Johnson, Maxwell E. Johnson, Sarah Johnson, Mark D. Johnston, F. Stanley Jones, James William Jones, John R. Jones, Alissa Jones Nelson, Inge Jonsson, Jan Joosten, Elizabeth Judd, Mulambya Peggy Kabonde, Robert Kaggwa, Sylvester Kahakwa, Isaac Kalimi, Ogbu U. Kalu, Eunice Kamaara, Wayne C. Kannaday, Musimbi Kanyoro, Veli-Matti Kärkkäinen, Frank Kaufmann, Léon Nguapitshi Kayongo, Richard Kearney, Alice A. Keefe, Ralph Keen, Catherine Keller, Anthony J. Kelly, Karen Kennelly, Kathi Lynn Kern, Fergus Kerr, Edward Kessler, George Kilcourse, Heup Young Kim, Kim Sung-Hae, Kim Yong-Bock, Kim Yung Suk, Richard King, Thomas M. King, Robert M. Kingdon, Ross Kinsler, Hans G. Kippenberg, Cheryl A. Kirk-Duggan, Clifton Kirkpatrick, Leonid Kishkovsky, Nadieszda Kizenko, Jeffrey Klaiber, Hans-Josef Klauck, Sidney Knight, Samuel Kobia, Robert Kolb, Karla Ann Koll, Heikki Kotila, Donald Kraybill, Philip D. W. Krey, Yves Krumenacker, Jeffrey Kah-Jin Kuan, Simanga R. Kumalo, Peter Kuzmic, Simon Shui-Man Kwan, Kwok Pui-lan, André LaCocque, Stephen E. Lahey, John Tsz Pang Lai, Emiel Lamberts, Armando Lampe, Craig Lampe, Beverly J. Lanzetta, Eve LaPlante, Lizette Larson-Miller, Ariel Bybee Laughton, Leonard Lawlor, Bentley Layton, Robin A. Leaver, Karen Lebacqz, Archie Chi Chung Lee, Marilyn J. Legge, Hervé LeGrand, D. L. LeMahieu, Raymond Lemieux, Bill J. Leonard, Ellen M. Leonard, Outi Leppä, Jean Lesaulnier, Nantawan Boonprasat Lewis, Henrietta Leyser, Alexei Lidov, Bernard Lightman, Paul Chang-Ha Lim, Carter Lindberg, Mark R. Lindsay, James R. Linville, James C. Livingston, Ann Loades, David Loades, Jean-Claude Loba-Mkole, Lo Lung Kwong, Wati Longchar, Eleazar López, David W. Lotz, Andrew Louth, Robin W. Lovin, William Luis, Frank D. Macchia, Diarmaid N. J. MacCulloch, Kirk R. MacGregor, Marjory A. MacLean, Donald MacLeod, Tomas S. Maddela, Inge Mager, Laurenti Magesa, David G. Maillu, Fortunato Mallimaci, Philip Mamalakis, Kä Mana, Ukachukwu Chris Manus, Herbert Robinson Marbury, Reuel Norman Marigza, Jacqueline Mariña, Antti Marjanen, Luiz C. L. Marques, Madipoane Masenya (ngwan'a Mphahlele), Caleb J. D. Maskell, Steve Mason, Thomas Massaro, Fernando Matamoros Ponce, András Máté-Tóth, Odair Pedroso Mateus, Dinis Matsolo, Fumitaka Matsuoka, John D'Arcy May, Yelena Mazour-Matusevich, Theodore Mbazumutima, John S. McClure, Christian McConnell, Lee Martin McDonald, Gary B. McGee, Thomas McGowan, Alister E. McGrath, Richard J. McGregor, John A. McGuckin, Maud Burnett McInerney, Elsie Anne McKee, Mary B. McKinley, James F. McMillan, Ernan McMullin, Kathleen E. McVey, M. Douglas Meeks, Monica Jyotsna Melanchthon, Ilie Melniciuc-Puica, Everett Mendoza, Raymond A. Mentzer, William W. Menzies, Ina Merdjanova, Franziska Metzger, Constant J. Mews, Marvin Meyer, Carol Meyers, Vasile Mihoc, Gunner Bjerg Mikkelsen, Maria Inêz de Castro Millen, Clyde Lee Miller, Bonnie J. Miller-McLemore, Alexander Mirkovic, Paul Misner, Nozomu Miyahira, R. W. L. Moberly, Gerald Moede, Aloo Osotsi Mojola, Sunanda Mongia, Rebeca Montemayor, James Moore, Roger E. Moore, Craig E. Morrison O.Carm, Jeffry H. Morrison, Keith Morrison, Wilson J. Moses, Tefetso Henry Mothibe, Mokgethi Motlhabi, Fulata Moyo, Henry Mugabe, Jesse Ndwiga Kanyua Mugambi, Peggy Mulambya-Kabonde, Robert Bruce Mullin, Pamela Mullins Reaves, Saskia Murk Jansen, Heleen L. Murre-Van den Berg, Augustine Musopole, Isaac M. T. Mwase, Philomena Mwaura, Cecilia Nahnfeldt, Anne Nasimiyu Wasike, Carmiña Navia Velasco, Thulani Ndlazi, Alexander Negrov, James B. Nelson, David G. Newcombe, Carol Newsom, Helen J. Nicholson, George W. E. Nickelsburg, Tatyana Nikolskaya, Damayanthi M. A. Niles, Bertil Nilsson, Nyambura Njoroge, Fidelis Nkomazana, Mary Beth Norton, Christian Nottmeier, Sonene Nyawo, Anthère Nzabatsinda, Edward T. Oakes, Gerald O'Collins, Daniel O'Connell, David W. Odell-Scott, Mercy Amba Oduyoye, Kathleen O'Grady, Oyeronke Olajubu, Thomas O'Loughlin, Dennis T. Olson, J. Steven O'Malley, Cephas N. Omenyo, Muriel Orevillo-Montenegro, César Augusto Ornellas Ramos, Agbonkhianmeghe E. Orobator, Kenan B. Osborne, Carolyn Osiek, Javier Otaola Montagne, Douglas F. Ottati, Anna May Say Pa, Irina Paert, Jerry G. Pankhurst, Aristotle Papanikolaou, Samuele F. Pardini, Stefano Parenti, Peter Paris, Sung Bae Park, Cristián G. Parker, Raquel Pastor, Joseph Pathrapankal, Daniel Patte, W. Brown Patterson, Clive Pearson, Keith F. Pecklers, Nancy Cardoso Pereira, David Horace Perkins, Pheme Perkins, Edward N. Peters, Rebecca Todd Peters, Bishop Yeznik Petrossian, Raymond Pfister, Peter C. Phan, Isabel Apawo Phiri, William S. F. Pickering, Derrick G. Pitard, William Elvis Plata, Zlatko Plese, John Plummer, James Newton Poling, Ronald Popivchak, Andrew Porter, Ute Possekel, James M. Powell, Enos Das Pradhan, Devadasan Premnath, Jaime Adrían Prieto Valladares, Anne Primavesi, Randall Prior, María Alicia Puente Lutteroth, Eduardo Guzmão Quadros, Albert Rabil, Laurent William Ramambason, Apolonio M. Ranche, Vololona Randriamanantena Andriamitandrina, Lawrence R. Rast, Paul L. Redditt, Adele Reinhartz, Rolf Rendtorff, Pål Repstad, James N. Rhodes, John K. Riches, Joerg Rieger, Sharon H. Ringe, Sandra Rios, Tyler Roberts, David M. Robinson, James M. Robinson, Joanne Maguire Robinson, Richard A. H. Robinson, Roy R. Robson, Jack B. Rogers, Maria Roginska, Sidney Rooy, Rev. Garnett Roper, Maria José Fontelas Rosado-Nunes, Andrew C. Ross, Stefan Rossbach, François Rossier, John D. Roth, John K. Roth, Phillip Rothwell, Richard E. Rubenstein, Rosemary Radford Ruether, Markku Ruotsila, John E. Rybolt, Risto Saarinen, John Saillant, Juan Sanchez, Wagner Lopes Sanchez, Hugo N. Santos, Gerhard Sauter, Gloria L. Schaab, Sandra M. Schneiders, Quentin J. Schultze, Fernando F. Segovia, Turid Karlsen Seim, Carsten Selch Jensen, Alan P. F. Sell, Frank C. Senn, Kent Davis Sensenig, Damían Setton, Bal Krishna Sharma, Carolyn J. Sharp, Thomas Sheehan, N. Gerald Shenk, Christian Sheppard, Charles Sherlock, Tabona Shoko, Walter B. Shurden, Marguerite Shuster, B. Mark Sietsema, Batara Sihombing, Neil Silberman, Clodomiro Siller, Samuel Silva-Gotay, Heikki Silvet, John K. Simmons, Hagith Sivan, James C. Skedros, Abraham Smith, Ashley A. Smith, Ted A. Smith, Daud Soesilo, Pia Søltoft, Choan-Seng (C. S.) Song, Kathryn Spink, Bryan Spinks, Eric O. Springsted, Nicolas Standaert, Brian Stanley, Glen H. Stassen, Karel Steenbrink, Stephen J. Stein, Andrea Sterk, Gregory E. Sterling, Columba Stewart, Jacques Stewart, Robert B. Stewart, Cynthia Stokes Brown, Ken Stone, Anne Stott, Elizabeth Stuart, Monya Stubbs, Marjorie Hewitt Suchocki, David Kwang-sun Suh, Scott W. Sunquist, Keith Suter, Douglas Sweeney, Charles H. Talbert, Shawqi N. Talia, Elsa Tamez, Joseph B. Tamney, Jonathan Y. Tan, Yak-Hwee Tan, Kathryn Tanner, Feiya Tao, Elizabeth S. Tapia, Aquiline Tarimo, Claire Taylor, Mark Lewis Taylor, Bishop Abba Samuel Wolde Tekestebirhan, Eugene TeSelle, M. Thomas Thangaraj, David R. Thomas, Andrew Thornley, Scott Thumma, Marcelo Timotheo da Costa, George E. “Tink” Tinker, Ola Tjørhom, Karen Jo Torjesen, Iain R. Torrance, Fernando Torres-Londoño, Archbishop Demetrios [Trakatellis], Marit Trelstad, Christine Trevett, Phyllis Trible, Johannes Tromp, Paul Turner, Robert G. Tuttle, Archbishop Desmond Tutu, Peter Tyler, Anders Tyrberg, Justin Ukpong, Javier Ulloa, Camillus Umoh, Kristi Upson-Saia, Martina Urban, Monica Uribe, Elochukwu Eugene Uzukwu, Richard Vaggione, Gabriel Vahanian, Paul Valliere, T. J. Van Bavel, Steven Vanderputten, Peter Van der Veer, Huub Van de Sandt, Louis Van Tongeren, Luke A. Veronis, Noel Villalba, Ramón Vinke, Tim Vivian, David Voas, Elena Volkova, Katharina von Kellenbach, Elina Vuola, Timothy Wadkins, Elaine M. Wainwright, Randi Jones Walker, Dewey D. Wallace, Jerry Walls, Michael J. Walsh, Philip Walters, Janet Walton, Jonathan L. Walton, Wang Xiaochao, Patricia A. Ward, David Harrington Watt, Herold D. Weiss, Laurence L. Welborn, Sharon D. Welch, Timothy Wengert, Traci C. West, Merold Westphal, David Wetherell, Barbara Wheeler, Carolinne White, Jean-Paul Wiest, Frans Wijsen, Terry L. Wilder, Felix Wilfred, Rebecca Wilkin, Daniel H. Williams, D. Newell Williams, Michael A. Williams, Vincent L. Wimbush, Gabriele Winkler, Anders Winroth, Lauri Emílio Wirth, James A. Wiseman, Ebba Witt-Brattström, Teofil Wojciechowski, John Wolffe, Kenman L. Wong, Wong Wai Ching, Linda Woodhead, Wendy M. Wright, Rose Wu, Keith E. Yandell, Gale A. Yee, Viktor Yelensky, Yeo Khiok-Khng, Gustav K. K. Yeung, Angela Yiu, Amos Yong, Yong Ting Jin, You Bin, Youhanna Nessim Youssef, Eliana Yunes, Robert Michael Zaller, Valarie H. Ziegler, Barbara Brown Zikmund, Joyce Ann Zimmerman, Aurora Zlotnik, Zhuo Xinping
- Edited by Daniel Patte, Vanderbilt University, Tennessee
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- The Cambridge Dictionary of Christianity
- Published online:
- 05 August 2012
- Print publication:
- 20 September 2010, pp xi-xliv
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Seed predation and defleshing in the agouti-dispersed palm Astrocaryum standleyanum
- Patrick A. Jansen, Kelly Elschot, P. Johannes Verkerk, S. Joseph Wright
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- Journal:
- Journal of Tropical Ecology / Volume 26 / Issue 5 / September 2010
- Published online by Cambridge University Press:
- 30 July 2010, pp. 473-480
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The agouti (Dasyprocta punctata) meticulously defleshes Astrocaryum standleyanum palm seeds before scatter hoarding. On Barro Colorado Island, Panama, we experimentally tested three hypotheses on how this behaviour could reduce seed predation to the mutual benefit of the tree and the rodent. The first and established hypothesis – that defleshing reduces seed predation by bruchid beetles by intercepting larvae – was rejected. Experiments in which manually defleshed seeds or entire fruits were incubated at different times showed that defleshing reduced bruchid infestation before fruit fall but not after fruit fall. The second hypothesis – that defleshing reduces cache pilferage by making seeds less conspicuous – was supported. An experiment in which intact fruits and manually defleshed seeds were placed in mimicked agouti caches and followed showed that seeds with flesh were pilfered at higher rates than defleshed seeds. The third hypothesis – that defleshing reduces post-dispersal infestation of cached seeds – was rejected. An experiment in which intact fruits and manually defleshed seeds were placed in mammal exclosures and later collected to assess infestation showed that burial reduced seed infestation but defleshing did not. Thus, seed defleshing reduced palm seed predation, but in a different way than previously believed. We also found that (1) bruchid beetles can be pre-dispersal rather than post-dispersal seed predators, (2) seed infestation by scolytid beetles may control bruchid larvae, and (3) scolytids rather than bruchids are the main invertebrate seed predators of this palm.
The effects of the rainy season and irrigation on soil water and oxygen in a seasonal forest in Panama
- Thomas A. Kursar, S. Joseph Wright, Ricardo Radulovich
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- Journal:
- Journal of Tropical Ecology / Volume 11 / Issue 4 / November 1995
- Published online by Cambridge University Press:
- 10 July 2009, pp. 497-515
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The effects of irrigation and the rainy season on soil gases, water and physical properties were studied in a lowland moist forest in Panama. Two control plots experienced a normal four-month dry season and two experimental plots were irrigated during the dry season.
The forest soils were well aerated. The average soil oxygen content at 20 cm never dropped below 15%. Irrigation in the dry season resulted in treatment effects on soil oxygen and water that persisted throughout the rainy season. The late rainy season soil oxygen content at 20 cm was 18.2% in the control plots and 16.8% in the irrigated plots. The late rainy season soil water content at 0–10 cm was 0.34 m3 m-3 in the control plots and 0.36–0.37 m3 m-3 in the irrigated plots. In the control plots, in the absence of any experimental manipulation, the soil physical properties changed within a single rainy season. Specifically, soil oxygen dropped and soil water increased during the eight-month rainy season.
The observed alterations in soil physical properties probably resulted from changes in soil structure and the abundance of large pores. The rainy season or irrigation may decrease soil porosity by dispersing aggregates of soil particles, whereas soil desiccation during the dry season may enhance the formation of aggregates and large pores. As a result, the irrigated soils held more water and were less permeable to gas and water than soils experiencing a normal dry season. We conclude that the dry season may play an important role in maintaining soil structure.
Temporal and spatial variability in seedling dynamics: a cross-site comparison in four lowland tropical forests
- Margaret R. Metz, Liza S. Comita, Yu-Yun Chen, Natalia Norden, Richard Condit, Stephen P. Hubbell, I-Fang Sun, Nur Supardi bin Md. Noor, S. Joseph Wright
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- Journal of Tropical Ecology / Volume 24 / Issue 1 / January 2008
- Published online by Cambridge University Press:
- 01 January 2008, pp. 9-18
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Spatial and temporal variation in seedling dynamics was assessed using records of community-wide seedling demography collected with identical monitoring methods at four tropical lowland forests in Panama, Malaysia, Ecuador and French Guiana for periods of between 3 and 10 y. At each site, the fates of between 8617 and 391 777 seedlings were followed through annual censuses of the 370–1008 1-m2 seedling plots. Within-site spatial and inter-annual variation in density, recruitment, growth and mortality was compared with among-site variability using Bayesian hierarchical modelling to determine the generality of each site's patterns and potential for meaningful comparisons among sites. The Malaysian forest, which experiences community-wide masting, was the most variable in both seedling density and recruitment. However, density varied year-to-year at all sites (CVamong years at site = 8–43%), driven largely by high variability in recruitment rates (CV = 40–117%). At all sites, recruitment was more variable than mortality (CV = 5–64%) or growth (CV = 12–51%). Increases in mortality rates lagged 1 y behind large recruitment events. Within-site spatial variation and inter-annual differences were greater than differences among site averages in all rates, emphasizing the value of long-term comparative studies when generalizing how spatial and temporal variation drive patterns of recruitment in tropical forests.
Seedling growth responses to water and nutrient augmentation in the understorey of a lowland moist forest, Panama
- Joseph B. Yavitt, S. Joseph Wright
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- Journal:
- Journal of Tropical Ecology / Volume 24 / Issue 1 / January 2008
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- 01 January 2008, pp. 19-26
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We irrigated and fertilized (with nutrients) seedlings of Doliocarpus olivaceus (Dilleniaceae, a shade-tolerant liana), Faramea occidentalis (Rubiaceae, a shade-tolerant understorey tree) and Tetragastris panamensis (Burseraceae, a shade-tolerant canopy tree) growing in the understorey of an old-growth tropical moist forest in Panama to assess the impact of seasonal water availability and nutrient-poor soils on seedling growth rates. In control plots, height growth rates were greater in the dry season than in the wet season for Doliocarpus (21%) and for Faramea (89%), whereas Tetragastris had similar seasonal rates. For numbers of leaves, Faramea had 3.5-fold greater relative growth rates in the dry season than in the wet season, while Doliocarpus and Tetragastris lost leaves (semi-deciduous) during the same period. Irrigation and nutrient augmentation increased height growth rates for all three species (45% to 272%). For Doliocarpus, irrigation and nutrient augmentation prevented leaf fall during the dry season. For Faramea in the dry season, irrigation and nutrient augmentation when applied independently reduced the growth of new leaves by 65% to 87%, but relative growth rates for number of leaves were the same as the control rates in the combined irrigation and nutrient augmentation treatment. The growth of new leaves for Tetragastris responded to dry-season irrigation but not nutrient augmentation. Although all measurements occurred beneath the forest canopy, during the dry season, Tetragastris had a negative relationship between canopy openness and relative growth rate for number of leaves, whereas the other two species had a positive relationship. Our results show that soil resources influence growth rates even in the deep shade of the forest understorey, and demonstrate different responses to soil resources among species that might contribute to niche differentiation and species coexistence.
Flowering and fruiting phenologies of seasonal and aseasonal neotropical forests: the role of annual changes in irradiance
- Jess K. Zimmerman, S. Joseph Wright, O. Calderón, M. Aponte Pagan, S. Paton
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- Journal:
- Journal of Tropical Ecology / Volume 23 / Issue 2 / March 2007
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- 05 March 2007, pp. 231-251
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The seasonality of both rainfall and solar irradiance might influence the evolution of flowering and fruiting in tropical forests. In seasonally dry forests, to the degree that soil moisture limits plant productivity, community-wide peaks in reproduction are expected during the rainy season, with seedfall and germination timed to allow seedlings to become well established while soil moisture is available. Where soil moisture is never seasonally limiting, seasonal changes in light availability caused by periods of cloudiness or seasonally low zenithal sun angles should favour reproduction during seasons when irradiance levels are high. To evaluate these predictions, we documented the timing of flower and fruit fall for 10 and 15 y at El Verde, Puerto Rico, and Barro Colorado Island (BCI), Panama. At El Verde, rainfall is abundant year-round and solar declination largely determines seasonal variation in irradiance. At BCI, rainfall is abundant throughout the 8-mo wet season while drought develops and average solar irradiance increases by 40–50% over the 4-mo dry season. Seasonal variation in the number of species flowering and fruiting at both sites was generally consistent with the hypothesis that seasonal variation in irradiance limits the evolution of reproductive phenologies. Community-level metrics provided no evidence for a similar role for moisture availability at BCI. Seasonal variation in irradiance also strongly influenced seed development times at both sites. Thus, community-wide phenologies reveal a strong signature of seasonal changes in irradiance, even in those forests that exhibit some degree of seasonality in rainfall.
The relative roles of environment, history and local dispersal in controlling the distributions of common tree and shrub species in a tropical forest landscape, Panama
- Jens-Christian Svenning, Bettina M. J. Engelbrecht, David A. Kinner, Thomas A. Kursar, Robert F. Stallard, S. Joseph Wright
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- Journal of Tropical Ecology / Volume 22 / Issue 5 / September 2006
- Published online by Cambridge University Press:
- 27 July 2006, pp. 575-586
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We used regression models and information-theoretic model selection to assess the relative importance of environment, local dispersal and historical contingency as controls of the distributions of 26 common plant species in tropical forest on Barro Colorado Island (BCI), Panama. We censused eighty-eight 0.09-ha plots scattered across the landscape. Environmental control, local dispersal and historical contingency were represented by environmental variables (soil moisture, slope, soil type, distance to shore, old-forest presence), a spatial autoregressive parameter (ρ), and four spatial trend variables, respectively. We built regression models, representing all combinations of the three hypotheses, for each species. The probability that the best model included the environmental variables, spatial trend variables and ρ averaged 33%, 64% and 50% across the study species, respectively. The environmental variables, spatial trend variables, ρ, and a simple intercept model received the strongest support for 4, 15, 5 and 2 species, respectively. Comparing the model results to information on species traits showed that species with strong spatial trends produced few and heavy diaspores, while species with strong soil moisture relationships were particularly drought-sensitive. In conclusion, history and local dispersal appeared to be the dominant controls of the distributions of common plant species on BCI.
The contribution of interspecific variation in maximum tree height to tropical and temperate diversity
- David A. King, S. Joseph Wright, Joseph H. Connell
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- Journal:
- Journal of Tropical Ecology / Volume 22 / Issue 1 / January 2006
- Published online by Cambridge University Press:
- 21 December 2005, pp. 11-24
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Maximum height was assessed for tree species from seven temperate deciduous forests, one subtropical forest and one tropical forest and combined with published tree heights for three other tropical forests. The temperate deciduous forests showed a strong concentration of canopy species and a dearth of subcanopy species. In contrast, the four tropical forests showed more uniform distributions of maximum heights, while the subtropical forest had an intermediate distribution. The tropical and subtropical sites had greater densities of small trees than did the temperate sites and most of these small trees were members of small-to medium-sized species. Sapling recruitment per unit stem basal area increased with declining maximum height in Panama, which is consistent with the criterion for coexistence of species of differing stature derived from Kohyama's forest architecture hypothesis. Greater penetration of light into gaps and favourable conditions for growth over most of the year may allow more smaller-statured species to coexist with canopy trees in tropical vs. temperate forests.
Reproductive size thresholds in tropical trees: variation among individuals, species and forests
- S. Joseph Wright, M. Alejandra Jaramillo, Javier Pavon, Richard Condit, Stephen P. Hubbell, Robin B. Foster
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- Journal of Tropical Ecology / Volume 21 / Issue 3 / May 2005
- Published online by Cambridge University Press:
- 26 May 2005, pp. 307-315
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Relative size at onset of maturity (RSOM) is defined as size at first reproduction divided by asymptotic maximal size. RSOM is remarkably constant among species within many higher clades of animals, but varies widely among tree species from the Pasoh Forest Reserve, Malaysia according to the work of S. C. Thomas. RSOM was examined for 16 mid-storey and canopy tree species from a second tropical forest at Barro Colorado Island (BCI), Panama. Interspecific variation in RSOM was equally large for BCI and Pasoh and was unrelated to gap dependence or life form for BCI species. The shape of the relationship between size and the proportion of individuals that were reproductive differed between forests, with an abrupt increase over a narrow range of sizes at Pasoh and a more gradual increase over a wider range of sizes at BCI. Both overtopping trees and heavy liana infestation reduced the probability that BCI trees were reproductive. This presumably reflects reduced availability of carbon for reproduction. We speculate that greater liana loads and a greater abundance of large, shade-casting trees at BCI may increase variation among individuals and contribute to the relatively wide range of sizes characterized by a mixture of sterile and fertile individuals observed for most BCI species.
General herbivore outbreak following an El Niño-related drought in a lowland Panamanian forest
- Sunshine A. Van Bael, Annette Aiello, Anayansi Valderrama, Enrique Medianero, Mirna Samaniego, S. Joseph Wright
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- Journal:
- Journal of Tropical Ecology / Volume 20 / Issue 6 / November 2004
- Published online by Cambridge University Press:
- 14 October 2004, pp. 625-633
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A severe outbreak of Lepidoptera followed the 1997–98 El Niño Southern Oscillation event, during which the climate in central Panama was unusually dry. The outbreak involved the larvae of at least 12 species of Lepidoptera and occurred at a seasonally dry, deciduous forest site, where extensive background data were available regarding climate, tree species and non-outbreak herbivory levels. Most Lepidoptera were associated with only one or two larval host plant species belonging to the same family, and the majority were monophagous during this study. During the outbreak, caterpillar densities for the major outbreak species averaged 1.6 larvae per young leaf and 0.18 larvae per leaf for leaves of all ages. For canopy trees and lianas, the mean level of leaf damage was 13.8%, ranging from 1–100%. Seven out of 20 tree species sustained most of the damage, with 21–37% of the leaf area consumed. Relative to non-outbreak years, damage levels increased by more than 250% during the outbreak. Single-species outbreaks were observed in other areas with a similar drought, but wetter forests in central Panama did not experience outbreaks during this period. Historically, fewer outbreaks have been reported from tropical forests than from temperate forests, however, similar El Niño-related outbreaks have occurred recently in several other locations throughout the tropics.
Survival and ecophysiology of tree seedlings during El Niño drought in a tropical moist forest in Panama
- Bettina M. J. Engelbrecht, S. Joseph Wright, Diane De Steven
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- Journal:
- Journal of Tropical Ecology / Volume 18 / Issue 4 / July 2002
- Published online by Cambridge University Press:
- 10 July 2002, pp. 569-579
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In tropical forests, severe droughts caused by El Niño events may strongly influence the water relations of tree seedlings and thereby increase their mortality. Data on known-aged seedlings of three common shade-tolerant canopy tree species (Trichilia tuberculata, Tetragastris panamensis and Quararibea asterolepis) in a Panamanian moist forest are presented. Seedling survival during a severe El Niño dry season (1997-98) was compared with prior long-term survival data, and levels of drought stress were assessed by measuring plant water potentials and gas exchange characteristics. Contrary to prediction, dry-season seedling survival was not dramatically reduced in any species compared with that expected in ‘normal’ years. In Trichilia and Quararibea, pre-dawn water potentials averaged −2 MPa and midday water potentials about −3 MPa. Stomatal conductances were very low, averaging 26 mmol m-2 s-1 for Tetragastris and 11–13 mmol m-2 s-1 for Trichilia and Quararibea. Photosynthetic rates also were very low but consistently positive, averaging 0.8–1.1 μmol m-2 s-1. The findings suggest that, once established, seedlings of common tree species in this semi-deciduous forest may be tolerant of drought events.
Interspecific synchrony and asynchrony in the fruiting phenologies of congeneric bird-dispersed plants in Panama
- Brigitte Poulin, S. Joseph Wright, Gaëtan Lefebvre, Osvaldo Calderón
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- Journal:
- Journal of Tropical Ecology / Volume 15 / Issue 2 / March 1999
- Published online by Cambridge University Press:
- 01 March 1999, pp. 213-227
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Plants potentially compete for seed dispersal. Selection may favour temporally segregated fruiting phenologies to minimize this competition and also to maintain resident populations of dispersal agents. Alternatively, selection may favour temporally aggregated fruiting phenologies when the effectiveness of seed dispersal agents varies seasonally or when large, synchronous fruit displays enhance dispersal. These evolutionary scenarios assume that plants share seed dispersal agents. This assumption and temporal overlap in fruiting phenologies were evaluated for the Miconia and Psychotria of central Panama. These two genera accounted for 18 and 27%, respectively, of 1096 fleshy fruits found in regurgitation or faecal samples taken from 2054 birds of 103 species netted in the forest understorey. Two species of manakins accounted for 62% (123/200) of all Miconia fruit taken. Three species of manakins and three species of migratory thrushes accounted for 97% (282/292) of all Psychotria fruits taken. There is a high potential for intrageneric competition for seed dispersal for both plant genera. Null model analyses showed that the fruiting phenologies of Miconia (14 species) are segregated in time, while fruiting of Psychotria (21 species) is highly aggregated. The Miconia were found in up to 24% of the diet samples for the two manakin species, suggesting that Miconia may be a critical resource for both species. The Psychotria fruited when the diversity of understorey fruits was greatest, suggesting a high potential for both intra- and extrageneric competition. The abundance and nomadism of the six bird species that consumed most Psychotria fruit peaked when the Psychotria fruited, supporting the enhancement hypothesis.
Infrared Images of Merging Galaxies
- G. S. Wright, P. A. James, R. D. Joseph, I. S. McLean, R. Doyon
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- Journal:
- International Astronomical Union Colloquium / Volume 124 / 1990
- Published online by Cambridge University Press:
- 12 April 2016, pp. 321-326
- Print publication:
- 1990
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Infrared imaging of interacting galaxies is especially interesting because their optical appearance is often so chaotic due to extinction by dust and emission from star formation regions, that it is impossible to locate the nuclei or determine the true stellar distribution. However, at near-infrared wavelengths extinction is considerably reduced, and most of the flux from galaxies originates from red giant stars that comprise the dominant stellar component by mass. Thus near infrared images offer the opportunity to study directly components of galactic structure which are otherwise inaccessible. Such images may ultimately provide the framework in which to understand the activity taking place in many of the mergers with high IRAS luminosities.