Historical Plant Sales (HPS) database: Documenting the spatiotemporal history of plant sales in the conterminous U.S.

Historical horticultural plant sales influence native and nonnative species assemblages in contemporary ecosystems. Over half of nonnative, invasive plants naturalized in the United States were introduced as ornamentals, and the spatial and temporal patterns of early introduction undoubtedly influence current invasion ecology. While thousands of digitized nursery catalogs documenting these introductions are publicly available, they have not been standardized in a single database. To fill this gap, we obtained the names of all plant taxa (species, subspecies, and varieties) present in the Biodiversity Heritage Library's (BHL) Seed and Nursery Catalog Collection. We then searched the BHL database for these names and downloaded all available records. We combined BHL records with data from an encyclopedia of heirloom ornamental plants to create a single database of historical nursery sales in the US. Each record represents an individual taxon offered for sale at an individual time in a specific nursery's catalog. We standardized records to the current World Flora Online (http://worldfloraonline.org) accepted taxonomy and appended accepted USDA code, growth habit, and introduction status. We also appended whether taxa were reported as invasive in the Global Plant Invaders (GPI) data set or the Global Invasive Species Database (GISD) or regulated in the conterminous US. Lastly, we geocoded all reported publication locations. The data set contains 2,445,875 records from nurseries in at least 2795 unique locations, with the majority of catalogs published between 1890 and 1950. Nurseries were located in all conterminous states but were concentrated in the eastern US and California. We identified 19,140 unique horticultural taxa, of which 8642 matched taxa in the USDA Plants database. The USDA Plants database is limited to native and naturalized taxa in the US. Native or introduced status was listed in USDA Plants for 7018 of included taxa, while 1642 had an unknown status. The remaining 10,498 taxa are not naturalized according to USDA Plants or are of varieties of native and introduced taxa that did not match USDA Plants taxonomy. The majority of taxa in the Historical Plant Sales (HPS) database with an identified status are native (65.5%; 4596 of 7018 taxa), of which 393 taxa are reported as invasive outside of the US. Of the 2381 introduced taxa, 1103 (46.3%) are reported as invasive somewhere globally. Despite a richer pool of native taxa, most cataloged plant records with an identified status were of introduced taxa (54.1%; 1,045,684 of 1,933,925 records). Plants reported as invasive somewhere globally comprised a large portion of records with an identified status (38.7%; 747,953 of 1,933,925 records) underscoring the large role of ornamental introductions in facilitating plant invasions. The HPS database provides a consolidated and standardized perspective on the history of native, introduced, and invasive plant sales in the US. We release these data into the public domain under a Creative Commons Zero license waiver (https://creativecommons.org/share-your-work/publicdomain/cc0/). Individuals who use these data for publication may cite the associated data paper.

Combining local, landscape, and regional geographies to assess plant community vulnerability to invasion impact.

Invasive species science has focused heavily on the invasive agent. However, management to protect native species also requires a proactive approach focused on resident communities and the features affecting their vulnerability to invasion impacts. Vulnerability is likely the result of factors acting across spatial scales, from local to regional, and it is the combined effects of these factors that will determine the magnitude of vulnerability. Here, we introduce an analytical framework that quantifies the scale-dependent impact of biological invasions on native richness from the shape of the native species-area relationship (SAR). We leveraged newly available, biogeographically extensive vegetation data from the U.S. National Ecological Observatory Network to assess plant community vulnerability to invasion impact as a function of factors acting across scales. We analyzed more than 1000 SARs widely distributed across the USA along environmental gradients and under different levels of non-native plant cover. Decreases in native richness were consistently associated with non-native species cover, but native richness was compromised only at relatively high levels of non-native cover. After accounting for variation in baseline ecosystem diversity, net primary productivity, and human modification, ecoregions that were colder and wetter were most vulnerable to losses of native plant species at the local level, while warmer and wetter areas were most susceptible at the landscape level. We also document how the combined effects of cross-scale factors result in a heterogeneous spatial pattern of vulnerability. This pattern could not be predicted by analyses at any single scale, underscoring the importance of accounting for factors acting across scales. Simultaneously assessing differences in vulnerability between distinct plant communities at local, landscape, and regional scales provided outputs that can be used to inform policy and management aimed at reducing vulnerability to the impact of plant invasions.

SPCIS: Standardized Plant Community with Introduced Status database.

The movement of plant species across the globe exposes native communities to new species introductions. While introductions are pervasive, two aspects of variability underlie patterns and processes of biological invasions at macroecological scales. First, only a portion of introduced species become invaders capable of substantially impacting ecosystems. Second, species that do become invasive at one location may not be invasive in others; impacts depend on invader abundance and recipient species and conditions. Accounting for these phenomena is essential to accurately understand the patterns of plant invasion and explain the idiosyncratic results reflected in the literature on biological invasions. The lack of community-level richness and the abundance of data spanning broad scales and environmental conditions have until now hindered our understanding of invasions at a macroecological scale. To address this limitation, we leveraged quantitative surveys of plant communities in the USA and integrated and harmonized nine datasets into the Standardized Plant Community with Introduced Status (SPCIS) database. The database contains 14,056 unique taxa identified within 83,391 sampling units, of which 52.6% have at least one introduced species. The SPCIS database includes comparable information on plant species occurrence, abundance, and native status across the 50 U.S. States and Puerto Rico. SPCIS can be used to answer macro-scale questions about native plant communities and interactions with invasive plants. There are no copyright restrictions on the data, and we ask the users of this dataset to cite this paper, the respective paper(s) corresponding to the dataset sampling design (all references are provided in Data S1: Metadata S1: Class II-B-2), and the references described in Data S1: Metadata S1: Class III-B-4 as applicable to the dataset being utilized.

We don't know what we're missing: Evidence of a vastly undersampled invasive plant pool.

Invasive plants are a prominent threat to ecosystems and economies worldwide. Knowing the identity of invasive plants is critical for preventing their introduction and spread. Yet several lines of evidence, including spatial and taxonomic biases in reporting and the ongoing emergence of new invasives, suggest that we are missing basic information about the identity of invasive plants. Using a database of invasive plants reported in the peer-reviewed literature between 1959 and 2020, we examined trends in the accumulation of new invasive plants over time and estimated the size of the current pool of invasive plants both continentally and globally. The number of new invasive plants continues to increase exponentially over time, showing no sign of saturation, even in the best studied regions. Moreover, a sample-size based rarefaction-extrapolation curve of reported taxa suggests that what is documented in the current literature (3008 taxa) only captures 64% of the likely number of invasive plants globally (4721 taxa ± 132 SE). These estimates varied continentally; less than half of invasive plant taxa have likely been identified in Oceania and Central and South Americas. Studies that included multiple invasive plants (e.g., floristic studies) were much more efficient at adding new taxa to our global understanding of what is invasive (identifying 4.2 times more new taxa than single-taxon studies). With more potential invaders arriving every day, this analysis highlights a critical gap in our knowledge of the current invasive plant pool. Expanding invasion science to better encompass understudied geographic areas and increasing the numbers of floristic surveys would greatly improve our ability to accurately and efficiently identify what taxa are invasive. Preventing invasive plant introductions is incumbent upon knowing the identity of invasive plants. Thus, large knowledge gaps remain in invasion ecology that hinder efforts to proactively prevent and manage invasive plants.

Global environmental changes more frequently offset than intensify detrimental effects of biological invasions.

Human-induced abiotic global environmental changes (GECs) and the spread of nonnative invasive species are rapidly altering ecosystems. Understanding the relative and interactive effects of invasion and GECs is critical for informing ecosystem adaptation and management, but this information has not been synthesized. We conducted a meta-analysis to investigate effects of invasions, GECs, and their combined influences on native ecosystems. We found 458 cases from 95 published studies that reported individual and combined effects of invasions and a GEC stressor, which was most commonly warming, drought, or nitrogen addition. We calculated standardized effect sizes (Hedges' d) for individual and combined treatments and classified interactions as additive (sum of individual treatment effects), antagonistic (smaller than expected), or synergistic (outside the expected range). The ecological effects of GECs varied, with detrimental effects more likely with drought than the other GECs. Invasions were more strongly detrimental, on average, than GECs. Invasion and GEC interactions were mostly antagonistic, but synergistic interactions occurred in >25% of cases and mostly led to more detrimental outcomes for ecosystems. While interactive effects were most often smaller than expected from individual invasion and GEC effects, synergisms were not rare and occurred across ecological responses from the individual to the ecosystem scale. Overall, interactions between invasions and GECs were typically no worse than the effects of invasions alone, highlighting the importance of managing invasions locally as a crucial step toward reducing harm from multiple global changes.

How do naloxone-based interventions work to reduce overdose deaths: a realist review.

BACKGROUND: Naloxone-based interventions as part of health systems can reverse an opioid overdose. Previous systematic reviews have identified the effectiveness of naloxone; however, the role of context and mechanisms for its use has not been explored. This realist systematic review aims to identify a theory of how naloxone works based on the contexts and mechanisms that contribute to the success of the intervention for improved outcomes. METHODS: Pre-registered at PROSPERO, this realist review followed RAMESES standards of reporting. Keywords included 'naloxone' and ' opioid overdose'. All study designs were included. Data extraction using 55 relevant outputs based on realist logic produced evidence of two middle-range theories: Naloxone Bystander Intervention Theory and Skills Transfer Theory. RESULTS: Harm reduction and/or low threshold contexts provide a non-judgemental approach which support in-group norms of helping and empower the social identity of the trained and untrained bystander. This context also creates the conditions necessary for skills transfer and diffusion of the intervention into social networks. Stigma and negative attitudes held by first responders and stakeholders involved in the implementation process, such as police or GPs, can prohibit the bystander response by inducing fear in responding. This interferes with skills transfer, naloxone use and carriage of naloxone kits. CONCLUSIONS: The findings provide theoretically informed guidance regarding the harm reduction contexts that are essential for the successful implementation of naloxone-based interventions. Peer-to-peer models of training are helpful as it reinforces social identity and successful skills transfer between bystanders. Health systems may want to assess the prevalence of, and take steps to reduce opioid-related stigma with key stakeholders in contexts using a low threshold training approach to build an environment  to support positive naloxone outcomes. TRIAL REGISTRATION: PROSPERO 2019 CRD42019141003.

Global plant invaders: a compendium of invasive plant taxa documented by the peer-reviewed literature.

Stopping invasive species early, before they are introduced or before they have a chance to spread, is essential for effective invasive species management. With new plants introduced constantly through global trade and shifting their ranges due to climate change, proactive action to prevent invasions is more important than ever. But, before we can prevent invasions through policy, monitoring, and management, we need to know the identity of which species are invasive. Existing lists of invasive plants vary across political and jurisdictional boundaries, often rely on inconsistent knowledge of local experts, and may conflate nonnative with invasive. Here, we reviewed papers published from 1959 to 2020 to create a single consistently derived list of known invasive plants. We searched the Web of Science core collection for "articles" containing the keywords "invasi*" and "plant" within the categories "Ecology," "Environmental Sciences," "Biodiversity Conservation," and "Plant Sciences." We also reviewed papers cited in reviews of invasive plants (see Metadata S1, Class II, Section B). We read titles and abstracts to identify papers that focused on nonnative and invasive vascular plants and included in the database any nonnative plant taxon either explicitly termed invasive in the paper or implicitly defined as invasive through a description of abundance, spread and/or impact. For 2017-2020, we included only papers that described multiple invasive plants, which are much more likely to uncover novel taxa. For each paper, we retained the reported invasive taxon name, text defining invasiveness, bibliographic information, and the country or countries in the invaded range where the study took place. We used Catalogue of Life and the Plant Taxonomic Name Resolution Source to resolve the taxonomy of the invasive taxa and compiled a list of unique invasive plants described in one or more scientific papers. We extracted data from 5,893 papers and identified 3,008 unique taxa, including 2,842 species, 96 subspecies, 29 varieties, and 41 hybrids. Of these, 2,981 taxa were resolved, while 27 were unresolved. 42% of the total unique taxa were studied once in the database. This database provides a consistent, global assessment of nonnative, invasive plant taxa. We release these data into the public domain under a Creative Commons Zero license waiver (https://creativecommons.org/share-your-work/public-domain/cc0/). Individuals who use these data for publication may cite this data paper.

Habitat covariates do not artificially cause a negative correlation between native and non-native species richness.

When analyzing biotic resistance/diversity-invasibility, including predictors of species richness may result in a false negative correlation between native and non-native richness. However, reanalysis of vegetation surveys shows that the negative effect of native richness is statistically significant whether or not predictors of species richness are included.

Acceptability and use of a patient-held communication tool for people living with dementia: a longitudinal qualitative study.

OBJECTIVES: To assess the acceptability and use of a low-cost patient-held communication tool. DESIGN: Longitudinal qualitative interviews at three time points over 18 months and document content analysis. SETTING: Primary and community services. PARTICIPANTS: Twenty-eight dyads: People living with dementia in Northern Ireland and their informal carers. INTERVENTIONS: A patient-held healthcare 'passport' for people living with dementia. PRIMARY AND SECONDARY OUTCOMES: Acceptability and use of the passport-barriers and facilitators to successful engagement. RESULTS: There was a qualified appreciation of the healthcare passport and a much more nuanced, individualistic or personalised approach to its desirability and use. How people perceive it and what they actually do with it are strongly determined by individual contexts, dementia stage and other health problems, social and family needs and capacities. We noted concerns about privacy and ambivalence about engaging with health professionals. CONCLUSION: Such tools may be of use but there is a need for demanding, thoughtful and nuanced programme delivery for future implementation in dementia care. The incentivisation and commitment of general practitioners is crucial. Altering the asymmetrical relationship between professionals and patients requires more extensive attention.

Biotic resistance to invasion is ubiquitous across ecosystems of the United States.

The biotic resistance hypothesis predicts that diverse native communities are more resistant to invasion. However, past studies vary in their support for this hypothesis due to an apparent contradiction between experimental studies, which support biotic resistance, and observational studies, which find that native and non-native species richness are positively related at broad scales (small-scale studies are more variable). Here, we present a novel analysis of the biotic resistance hypothesis using 24 456 observations of plant richness spanning four community types and seven ecoregions of the United States. Non-native plant occurrence was negatively related to native plant richness across all community types and ecoregions, although the strength of biotic resistance varied across different ecological, anthropogenic and climatic contexts. Our results strongly support the biotic resistance hypothesis, thus reconciling differences between experimental and observational studies and providing evidence for the shared benefits between invasive species management and native biodiversity conservation.

Invasive grasses increase fire occurrence and frequency across US ecoregions.

Fire-prone invasive grasses create novel ecosystem threats by increasing fine-fuel loads and continuity, which can alter fire regimes. While the existence of an invasive grass-fire cycle is well known, evidence of altered fire regimes is typically based on local-scale studies or expert knowledge. Here, we quantify the effects of 12 nonnative, invasive grasses on fire occurrence, size, and frequency across 29 US ecoregions encompassing more than one third of the conterminous United States. These 12 grass species promote fire locally and have extensive spatial records of abundant infestations. We combined agency and satellite fire data with records of abundant grass invasion to test for differences in fire regimes between invaded and nearby "uninvaded" habitat. Additionally, we assessed whether invasive grass presence is a significant predictor of altered fire by modeling fire occurrence, size, and frequency as a function of grass invasion, in addition to anthropogenic and ecological covariates relevant to fire. Eight species showed significantly higher fire-occurrence rates, which more than tripled for Schismus barbatus and Pennisetum ciliare. Six species demonstrated significantly higher mean fire frequency, which more than doubled for Neyraudia reynaudiana and Pennisetum ciliare Grass invasion was significant in fire occurrence and frequency models, but not in fire-size models. The significant differences in fire regimes, coupled with the importance of grass invasion in modeling these differences, suggest that invasive grasses alter US fire regimes at regional scales. As concern about US wildfires grows, accounting for fire-promoting invasive grasses will be imperative for effectively managing ecosystems.

Disentangling the abundance-impact relationship for invasive species.

To predict the threat of biological invasions to native species, it is critical that we understand how increasing abundance of invasive alien species (IAS) affects native populations and communities. The form of this relationship across taxa and ecosystems is unknown, but is expected to depend strongly on the trophic position of the IAS relative to the native species. Using a global metaanalysis based on 1,258 empirical studies presented in 201 scientific publications, we assessed the shape, direction, and strength of native responses to increasing invader abundance. We also tested how native responses varied with relative trophic position and for responses at the population vs. community levels. As IAS abundance increased, native populations declined nonlinearly by 20%, on average, and community metrics declined linearly by 25%. When at higher trophic levels, invaders tended to cause a strong, nonlinear decline in native populations and communities, with the greatest impacts occurring at low invader abundance. In contrast, invaders at the same trophic level tended to cause a linear decline in native populations and communities, while invaders at lower trophic levels had no consistent impacts. At the community level, increasing invader abundance had significantly larger effects on species evenness and diversity than on species richness. Our results show that native responses to invasion depend critically on invasive species' abundance and trophic position. Further, these general abundance-impact relationships reveal how IAS impacts are likely to develop during the invasion process and when to best manage them.

Typologies of adverse childhood experiences and their relationship to incarceration in U.S. military veterans.

Numerous studies have reported that adverse childhood experiences (ACEs) are associated with negative psychosocial outcomes in adulthood, but no study has examined the different typologies of ACEs and the relationship of these with adult incarceration in military veterans. The current study used latent class analysis to examine the existence of different childhood maltreatment and household dysfunction typologies in a sample of U.S. military veterans identified through the National Epidemiological Survey on Alcohol and Related Conditions-III ((NESARC-III)). A total of 60.73% of veterans reported one or more ACEs. Four latent classes were identified and were named Low adversities, Moderate maltreatment with high household substance use, Severe maltreatment with moderate household dysfunction and Severe multi-type adversities. Relative to the Low adversities class, the three maltreatment/dysfunction classes had significantly elevated odds ratios (1.72-2.29) for adult incarceration, when controlling for sociodemographic characteristics and alcohol and drug use. The results point to the importance of examining childhood risk factors for incarceration and suggest that a certain sub-group of military personnel who are about to transition into the civilian life may need additional support to adjust and live successful lives.

Multi-model comparison highlights consistency in predicted effect of warming on a semi-arid shrub.

A number of modeling approaches have been developed to predict the impacts of climate change on species distributions, performance, and abundance. The stronger the agreement from models that represent different processes and are based on distinct and independent sources of information, the greater the confidence we can have in their predictions. Evaluating the level of confidence is particularly important when predictions are used to guide conservation or restoration decisions. We used a multi-model approach to predict climate change impacts on big sagebrush (Artemisia tridentata), the dominant plant species on roughly 43 million hectares in the western United States and a key resource for many endemic wildlife species. To evaluate the climate sensitivity of A. tridentata, we developed four predictive models, two based on empirically derived spatial and temporal relationships, and two that applied mechanistic approaches to simulate sagebrush recruitment and growth. This approach enabled us to produce an aggregate index of climate change vulnerability and uncertainty based on the level of agreement between models. Despite large differences in model structure, predictions of sagebrush response to climate change were largely consistent. Performance, as measured by change in cover, growth, or recruitment, was predicted to decrease at the warmest sites, but increase throughout the cooler portions of sagebrush's range. A sensitivity analysis indicated that sagebrush performance responds more strongly to changes in temperature than precipitation. Most of the uncertainty in model predictions reflected variation among the ecological models, raising questions about the reliability of forecasts based on a single modeling approach. Our results highlight the value of a multi-model approach in forecasting climate change impacts and uncertainties and should help land managers to maximize the value of conservation investments.

Human-started wildfires expand the fire niche across the United States.

The economic and ecological costs of wildfire in the United States have risen substantially in recent decades. Although climate change has likely enabled a portion of the increase in wildfire activity, the direct role of people in increasing wildfire activity has been largely overlooked. We evaluate over 1.5 million government records of wildfires that had to be extinguished or managed by state or federal agencies from 1992 to 2012, and examined geographic and seasonal extents of human-ignited wildfires relative to lightning-ignited wildfires. Humans have vastly expanded the spatial and seasonal "fire niche" in the coterminous United States, accounting for 84% of all wildfires and 44% of total area burned. During the 21-y time period, the human-caused fire season was three times longer than the lightning-caused fire season and added an average of 40,000 wildfires per year across the United States. Human-started wildfires disproportionally occurred where fuel moisture was higher than lightning-started fires, thereby helping expand the geographic and seasonal niche of wildfire. Human-started wildfires were dominant (>80% of ignitions) in over 5.1 million km2, the vast majority of the United States, whereas lightning-started fires were dominant in only 0.7 million km2, primarily in sparsely populated areas of the mountainous western United States. Ignitions caused by human activities are a substantial driver of overall fire risk to ecosystems and economies. Actions to raise awareness and increase management in regions prone to human-started wildfires should be a focus of United States policy to reduce fire risk and associated hazards.

Quantifying the human influence on fire ignition across the western USA.

Humans have a profound effect on fire regimes by increasing the frequency of ignitions. Although ignition is an integral component of understanding and predicting fire, to date fire models have not been able to isolate the ignition location, leading to inconsistent use of anthropogenic ignition proxies. Here, we identified fire ignitions from the Moderate Resolution Imaging Spectrometer (MODIS) Burned Area Product (2000-2012) to create the first remotely sensed, consistently derived, and regionally comprehensive fire ignition data set for the western United States. We quantified the spatial relationships between several anthropogenic land-use/disturbance features and ignition for ecoregions within the study area and used hierarchical partitioning to test how the anthropogenic predictors of fire ignition vary among ecoregions. The degree to which anthropogenic features predicted ignition varied considerably by ecoregion, with the strongest relationships found in the Marine West Coast Forest and North American Desert ecoregions. Similarly, the contribution of individual anthropogenic predictors varied greatly among ecoregions. Railroad corridors and agricultural presence tended to be the most important predictors of anthropogenic ignition, while population density and roads were generally poor predictors. Although human population has often been used as a proxy for ignitions at global scales, it is less important at regional scales when more specific land uses (e.g., agriculture) can be identified. The variability of ignition predictors among ecoregions suggests that human activities have heterogeneous impacts in altering fire regimes within different vegetation types and geographies.

Plant Distribution Data Show Broader Climatic Limits than Expert-Based Climatic Tolerance Estimates.

BACKGROUND: Although increasingly sophisticated environmental measures are being applied to species distributions models, the focus remains on using climatic data to provide estimates of habitat suitability. Climatic tolerance estimates based on expert knowledge are available for a wide range of plants via the USDA PLANTS database. We aim to test how climatic tolerance inferred from plant distribution records relates to tolerance estimated by experts. Further, we use this information to identify circumstances when species distributions are more likely to approximate climatic tolerance. METHODS: We compiled expert knowledge estimates of minimum and maximum precipitation and minimum temperature tolerance for over 1800 conservation plant species from the 'plant characteristics' information in the USDA PLANTS database. We derived climatic tolerance from distribution data downloaded from the Global Biodiversity and Information Facility (GBIF) and corresponding climate from WorldClim. We compared expert-derived climatic tolerance to empirical estimates to find the difference between their inferred climate niches (ΔCN), and tested whether ΔCN was influenced by growth form or range size. RESULTS: Climate niches calculated from distribution data were significantly broader than expert-based tolerance estimates (Mann-Whitney p values << 0.001). The average plant could tolerate 24 mm lower minimum precipitation, 14 mm higher maximum precipitation, and 7° C lower minimum temperatures based on distribution data relative to expert-based tolerance estimates. Species with larger ranges had greater ΔCN for minimum precipitation and minimum temperature. For maximum precipitation and minimum temperature, forbs and grasses tended to have larger ΔCN while grasses and trees had larger ΔCN for minimum precipitation. CONCLUSION: Our results show that distribution data are consistently broader than USDA PLANTS experts' knowledge and likely provide more robust estimates of climatic tolerance, especially for widespread forbs and grasses. These findings suggest that widely available expert-based climatic tolerance estimates underrepresent species' fundamental niche and likely fail to capture the realized niche.

Global threats from invasive alien species in the twenty-first century and national response capacities.

Invasive alien species (IAS) threaten human livelihoods and biodiversity globally. Increasing globalization facilitates IAS arrival, and environmental changes, including climate change, facilitate IAS establishment. Here we provide the first global, spatial analysis of the terrestrial threat from IAS in light of twenty-first century globalization and environmental change, and evaluate national capacities to prevent and manage species invasions. We find that one-sixth of the global land surface is highly vulnerable to invasion, including substantial areas in developing economies and biodiversity hotspots. The dominant invasion vectors differ between high-income countries (imports, particularly of plants and pets) and low-income countries (air travel). Uniting data on the causes of introduction and establishment can improve early-warning and eradication schemes. Most countries have limited capacity to act against invasions. In particular, we reveal a clear need for proactive invasion strategies in areas with high poverty levels, high biodiversity and low historical levels of invasion.

The evaluation of a healthcare passport to improve quality of care and communication for people living with dementia (EQuIP): a protocol paper for a qualitative, longitudinal study.

BACKGROUND: There is an urgent need for the development of simple communication tools that convey the strengths, assets, and healthcare needs of people living with dementia. A Healthcare Passport may improve communication with range of health and social support services, enhancing quality and continuity of care, and to permit a consideration of the challenges and how these might be managed effectively and compassionately. This study aims to evaluate the acceptability and use of this type of intervention for people living with dementia and their carers. METHODS/DESIGN: This is a qualitative longitudinal study informed by a critical realist review. The participants will be individuals identified as having mild-moderate dementia and informal carers. The in-depth interviews will occur at three points over the course of 18 months as they use the passport. This will be supplemented by analysis of the content of the passports and information from health and social care providers on the daily practicalities of using the passport in a range of healthcare settings. DISCUSSION: By using a critical realist review and a qualitative, longitudinal approach, the study allows for the assessment of a complex intervention in a manner which goes beyond evaluating the basic efficacy of the passport, but looking more deeply at how it worked, for whom, and in what context. It has the potential to develop new data on how interventions improve communication across a range of service providers, while encouraging health and social care professionals to respect and encourage the development of self-management and retention of personhood throughout the progression of life-limiting illnesses.

Scaling up the diversity-resilience relationship with trait databases and remote sensing data: the recovery of productivity after wildfire.

Understanding the mechanisms underlying ecosystem resilience - why some systems have an irreversible response to disturbances while others recover - is critical for conserving biodiversity and ecosystem function in the face of global change. Despite the widespread acceptance of a positive relationship between biodiversity and resilience, empirical evidence for this relationship remains fairly limited in scope and localized in scale. Assessing resilience at the large landscape and regional scales most relevant to land management and conservation practices has been limited by the ability to measure both diversity and resilience over large spatial scales. Here, we combined tools used in large-scale studies of biodiversity (remote sensing and trait databases) with theoretical advances developed from small-scale experiments to ask whether the functional diversity within a range of woodland and forest ecosystems influences the recovery of productivity after wildfires across the four-corner region of the United States. We additionally asked how environmental variation (topography, macroclimate) across this geographic region influences such resilience, either directly or indirectly via changes in functional diversity. Using path analysis, we found that functional diversity in regeneration traits (fire tolerance, fire resistance, resprout ability) was a stronger predictor of the recovery of productivity after wildfire than the functional diversity of seed mass or species richness. Moreover, slope, elevation, and aspect either directly or indirectly influenced the recovery of productivity, likely via their effect on microclimate, while macroclimate had no direct or indirect effects. Our study provides some of the first direct empirical evidence for functional diversity increasing resilience at large spatial scales. Our approach highlights the power of combining theory based on local-scale studies with tools used in studies at large spatial scales and trait databases to understand pressing environmental issues.