ABSTRACT
Nitrogen-fixing shrubby legumes in the Mediterranean area partly overcome nutrient limitations by making use of soil N and atmospheric N2 sources. Their ability to switch between different sources lets them adjust to the carbon costs pertaining to N acquisition throughout the year. We investigated the utilization of different inorganic N sources by Cytisus balansae and Cytisus striatus, shrubby legumes under low and a sufficient (5 and 500 µM P, respectively) levels of P. Plants grew in sterile sand, supplied with N-free nutrient solution and inoculated with effective Bradyrhizobium strains; other treatments consisted of plants treated with (i) 500 µM NH4NO3; and (ii) 500 µM NH4NO3 and inoculation with effective rhizobial strains. The application of NH4NO3 always resulted in greater dry biomass production. Carbon construction costs were higher in plants that were supplied with mineral and symbiotic N sources and always greater in the endemic C. striatus. Photosynthetic rates were similar in plants treated with different sources of N although differences were observed between the two species. Non-fertilized inoculated plants showed a neat dependence on N2 fixation and had more effective root nodules. Results accounted for the distribution of the two species with regards to their ability to use different N sources.
ABSTRACT
A web-based system for rapid multidirectional communication has been created in the Radiology department at San Francisco General Hospital. The system allows messaging among radiology attendings, residents, and technologists, as well as other members of the hospital community, such as Emergency Department physicians and nurses. Instead of being tied to a particular workflow, this system provides a flexible communication infrastructure which can be easily adapted for different functions and user roles. The system has so far been configured to successfully support the standard "wet reading" workflow, to support marking and tracking of critical results, as well as multiple educational and quality improvement workflows. In the 19 months of operation, the system has gained over 1,800 users (virtually all providers at our institution), it has been accessed by radiologists over 39,000 times and by non-radiologists over 34,000 times. It has become an integral part of the radiology department operations and non-radiology clinical workflows. Unlike most existing softwares, our system is not a task-specific application, but a multipurpose communication system. It is able to effectively accommodate multiple workflows and user roles through configuration (without additional programming). This flexibility has helped this system to be rapidly and widely adopted within our enterprise. The extended reach of the system enables improved monitoring and documentation of workflows, helping with management decision making, and quality assurance. We report a successful radiology communication system based on the principles of flexibility and inclusiveness of users inside and outside the radiology department.
