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SCCM Pod-249 Risk Factors for Acquiring Functional and Cognitive Disabilities During Admission to a PICU

Margaret Parker, MD, MCCM, speaks with Meredith F. Bone, MD, MSCI




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SCCM Pod-367 Variability in Antibiotic Use Across PICUs

Margaret Parker, MD, MCCM, speaks with Thomas V. Brogan, MD, about the article Variability in Antibiotic Use Across PICUs, published in the June 2018 issue of Pediatric Critical Care Medicine. Dr.




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1.34 lakh Indians return, government watching situation in Saudi Arabia

Asked whether Indians are being targeted abroad, Overseas Indian Affairs Minister Vayalar Ravi said, "One cannot make such a general statement."




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Fresh drive to help illegal Indian workers in Saudi Arabia

The number of Indians who left during the grace period till October-end is 1,34,281, the Indian Embassy here said in a statement.




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NRI body seeks rehabilitation package for returnees

The meeting also decided to explore possibilities of setting up an industrial complex in Maharashtra to rehabilitate returnees, Pallykandi said.




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20,000 Indians to return from Saudi Arabia via amnesty scheme

Around 1,500 blue collar workers from Tamil Nadu are among those who are using the amnesty to come back to the country.




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Wherein I Built Some Motherf*cking Cabinets

The only appropriate way to follow that title is this: Hell. Yes.  The last weeks of 2018 were nothing short of a gift. An incredible...




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Finance of America Reverse Agrees to Pay $2.47 Million to Resolve Alleged Liability for FHA-Insured Reverse Mortgage Lending Violations




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Contract Rehab Provider to Pay $4 Million to Resolve False Claims Act Allegations Relating to the Provision of Medically Unnecessary Rehabilitation Therapy Services




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Louisiana Department of Children and Family Services Agrees to Pay Over $3.9 Million to Resolve False Claims Act Liability in Connection with SNAP Quality Control




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The Americans with Disabilities Act 30th Anniversary: Furthering the Promise

2020 marks the 30th anniversary of President George H.W. Bush signing the Americans with Disabilities Act (ADA) into law. Throughout this 30th anniversary year, the Division is publishing a monthly series of blog posts highlighting the impact that our recent ADA enforcement efforts have made in people’s everyday lives. We celebrate the many ways in which the ADA has transformed American society and enabled a generation of Americans with disabilities to thrive. At the same time, we recognize that too many barriers to equal opportunity remain. We recommit to our work of making the promise of the ADA a reality, enabling all Americans with disabilities to achieve their dreams and reach their full potential.




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No Special Session On Medical Cannabis This Summer

House Speaker Mike Busch and Senate President Mike Miller say they are waiting for the results of a disparity study of the state's medical cannabis program, and will consider emergency legislation when lawmakers return to Annapolis in January.




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Beshear Appoints Four New Kentucky Racing Commissioners, Rabinowitz New Chairman

When the Kentucky Horse Racing Committee holds its next scheduled meeting on June 16, it will have a new chairman and four new members. On April 28, an executive order from Democratic Gov. Andy Beshear appointed Alan J. Leavitt, Dr. Naveed Chowhan, Jonathan Rabinowitz and James Edwin “Ed” Worley to the commission. Charles Francis O'Connor […]

The post Beshear Appoints Four New Kentucky Racing Commissioners, Rabinowitz New Chairman appeared first on Horse Racing News | Paulick Report.




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National Park Service Announces Availability of Environmental Assessment for Train Operations in Grand Canyon National Park

https://www.nps.gov/grca/learn/news/national-park-service-announces-availability-of-environmental-assessment-for-train-operations-in-grand-canyon-national-park.htm




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National Park Service Announces Availability of Environmental Assessment for new Science and Resource Management Facility in Grand Canyon National Park

Grand Canyon National Park Superintendent Steve Martin has announced that an environmental assessment for the construction of a new Science and Resource Management Facility in the park is now available for public review and comment. https://www.nps.gov/grca/learn/news/news_2009-11-19_sandrm.htm




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National Park Service Announces Availability of Revised Environmental Assessment for new Science and Resource Management Facility in Grand Canyon National Park

Grand Canyon National Park Superintendent Steve Martin has announced that a revised environmental assessment (EA) for the construction of a new Science and Resource Management Facility in the park is now available for public review and comment. https://www.nps.gov/grca/learn/news/national-park-service-announces-availability-of-revised-environmental-assessment-for-new-science-and-resource-management-facility-in-grand-canyon-national-park.htm




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Volunteers from Grand Canyon Private Boaters Association Team Up with NPS Staff for Rehabilitation Project

https://www.nps.gov/grca/learn/news/2010-03-01_rehab.htm




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National Park Service Announces Availability of Environmental Assessment for Mule Operations and Stock Use in Grand Canyon National Park

https://www.nps.gov/grca/learn/news/national-park-service-announces-availability-of-environmental-assessment-for-mule-operations-and-stock-use-in-grand-canyon-national-park.htm




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National Park Service Announces Availability of Comprehensive Fish Management Plan Environmental Assessment

The National Park Service Comprehensive Fisheries Management Plan Environmental Assessment (EA) for waters between Glen Canyon Dam and Lake Mead within Grand Canyon National Park (Grand Canyon) and Glen Canyon National Recreation Area (Glen Canyon) is available for public review and comment. Comments will be accepted from May 9 through June 10, 2013. https://www.nps.gov/grca/learn/news/national-park-service-announces-availability-of-comprehensive-fish-management-plan-environmental-assessment.htm




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Two Bats Tested Positive for Rabies in Grand Canyon National Park

On Wednesday, July 16 sometime between 2:30-3 p.m., MST, a bat landed on a visitor while she was standing in front of the Tusayan Museum, just west of the Desert View Visitors’ Center within Grand Canyon National Park. https://www.nps.gov/grca/learn/news/2-bats-positive-rabies.htm




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Bat Tests Positive for Rabies in Grand Canyon National Park

A bat recently removed from an area along the Colorado River within Grand Canyon National Park has tested positive for rabies. https://www.nps.gov/grca/learn/news/bat-rabies-october-2014.htm




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Bat Tests Positive for Rabies in Grand Canyon National Park

Grand Canyon National Park has received confirmation that a bat collected at Phantom Ranch on August 31, 2018 tested positive for rabies. The rabies positive bat did not come in contact with any visitors. All individuals who have had physical contact with a bat have been advised to seek medical attention and be assessed for appropriate medical treatment. https://www.nps.gov/grca/learn/news/bat-positive-for-rabies-in-grand-canyon-natl-park-09-14-2018.htm




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Backcountry Users Advised of Changes to Water Availability on North Kaibab and Bright Angel Trails

Due to water turbidity and maintenance issues, some of the water filling stations and flush toilets normally available along the North Kaibab and Bright Angel Trails at this time of the year will not be open until water conditions change and/or water line repairs are made. https://www.nps.gov/grca/learn/news/backcountry-users-advised-of-changes-to-water-availability-on-north-kaibab-and-bright-angel-trails.htm




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Newly Discovered Fossil Footprints from Grand Canyon National Park Force Paleontologists to Rethink Early Inhabitants of Ancient Deserts

An international team of paleontologists has united to study important fossil footprints recently discovered in a remote location within Grand Canyon National Park, Arizona. A large sandstone boulder contains several exceptionally well-preserved trackways of primitive tetrapods (four-footed animals) which inhabited an ancient desert environment. https://www.nps.gov/grca/learn/news/newly-discovered-fossils.htm




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Bats Found in Grand Canyon National Park Test Positive for Rabies

Grand Canyon National Park has received confirmation that two bats collected along the Colorado River in the park last month tested positive for rabies. The rabies-positive bats, both Canyon Bats, were deceased at the time of collection and did not come in contact with any visitors or staff. https://www.nps.gov/grca/learn/news/bats-found-in-grand-canyon-national-park-test-positive-for-rabies-20190912.htm




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St George Hospital's babies get first-class unit




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Bike-stunt internet star Fabio Webner’s lockdown antics go viral

Bike stunts, pet birthdays and a baby names which stumped the world are some of the trending topics on social media in Australia.




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Big changes in cold places: the future of wildlife habitat in northwest Alaska.

Higher global temperatures are changing ecosystems in the Arctic. They are becoming greener as the climate and land become more hospitable to taller vegetation.




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The idiosyncrasies of streams: local variability mitigates vulnerability of trout to changing conditions

Land use and climate change are two key factors with the potential to affect stream conditions and fish habitat. Since the 1950s, Washington and Oregon have required forest practices designed to mitigate the effects of timber harvest on streams and fish.




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Striving for balance: maintaining marten habitat while reducing fuels

Martens are small forest carnivores associated with dense, mature forests.




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Can we store carbon and have our timber and habitat too?

With the passage of the Multiple Use Sustained Yield Act of 1960, the U.S. Forest Service has managed its 193 million acres of forest and grassland for multiple uses, including timber, watersheds, and wildlife. Using today’s terminology, some of these purposes are considered ecosystem services, which encompass a breadth of benefits provided by forests, including their ability to absorb and store atmospheric carbon, a greenhouse gas linked to climate change.




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Forage resource evaluation system for habitat—deer: an interactive deer habitat model

We describe a food-based system for quantitatively evaluating habitat quality for deer called the Forage Resource Evaluation System for Habitat and provide its rationale and suggestions for use. The system was developed as a tool for wildlife biologists and other natural resource managers and planners interested in evaluating habitat quality and, especially, comparing two or more patches of habitat or the same patch at different seasons or under different conditions. It is based on the quantity (of biomass) and quality (digestible energy and digestible protein) of the habitat's food resources in relation to user-specified metabolic requirements of deer (which differ with species, age, sex, season, and reproductive status). It uses a linear programming algorithm to determine the suitable forage that can sustain deer at the specified requirements.




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Assessment of timber availability from forest restoration within the Blue Mountains of Oregon

Changes in forest management have detrimentally affected the economic health of small communities in the Blue Mountain region of Oregon over the past few decades. A build-up of small trees threatens the ecological health of these forests and increases wildland fire hazard. Hoping to boost their economies and also restore these forests, local leaders are interested in the economic value of timber that might be available from thinning treatments on these lands.




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Costs of Landscape Silviculture For Fire and Habitat Management

In forest reserves of the U.S. Pacific Northwest, management objectives include protecting late-seral habitat structure by reducing the threat of large-scale disturbances like wildfire. We simulated how altering within and among-stand structure with silvicultural treatments of differing intensity affected late-seral forest (LSF) structure and fire threat (FT) reduction over 30 years in a 6070-ha reserve. We then evaluated how different financial requirements influenced the treatment mix selected for each decade, the associated effects on FT reduction and LSF structure in the reserve, and treatment costs. Requirements for treatments to earn money (NPV+), break even (NPVO), or to not meet any financial goal at the scale of the entire reserve (landscape) affected the predicted reduction of FT and the total area of LSF structure in different ways. With or without a requirement to break even, treatments accomplished about the same landscape level of FT reduction and LSF structure. Although treatment effects were similar, their associated net revenues ranged from negative $1 million to positive $3000 over 30 years. In contrast, a requirement for landscape treatments to earn money ($0.5 to $1.5 million NPV) over the same period had a negative effect on FT reduction and carried a cost in terms of both FT reduction and LSF structure. Results suggest that the spatial scale at which silvicultural treatments were evaluated was influential because the lowest cost to the reserve objectives was accomplished by a mix of treatments that earned or lost money at the stand level but that collectivel broke even at the landscape scale. Results also indicate that the timeframe over which treatments were evaluated was important because if breaking even was required within each decade instead of cumulatively over all three, the cost in terms of FT reduction and LSF structure was similar to requiring landscape treatments to earn $0.5 million NPV.




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Highways and Habitat: Managing Habitat Connectivity and Landscape Permeability For Wildlife

Millions of miles of highway crisscross the United States. Highways fragment the landscape, affecting the distribution of animal populations and limiting the ability of individuals to disperse between those populations. Moreover, animal-vehicle collisions are a serious hazard to wildlife, not to mention people.




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Northwest Forest Plan-The First 10 Years (1994-2003): Status and Trends of Populations and Nesting Habitat For The Marbled Murrelet

The Northwest Forest Plan (the Plan) is a large-scale ecosystem management plan for federal land in the Pacific Northwest. Marbled murrelet (Brachyramphus marmoratus) populations and habitat were monitored to evaluate effectiveness of the Plan. The chapters in this volume summarize information on marbled murrelet ecology and present the monitoring results for marbled murrelets over the first 10 years of the Plan, 1994 to 2003.




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Managing For Wildlife Habitat In Westside Production Forests

On October 18, 2006, a workshop was held in Vancouver, WA, with the title "Managing for wildlife habitat in Westside production forests." The purpose of the workshop was to provide prescriptions and guidelines for people who manage Westside forests (those west of the Cascade Mountains' crest) primarily for wood production, but because of mandate or personal preference, want to integrate wildlife values. The audience included over 150 professionals from forest industry, consulting firms, and public and tribal forest and wildlife management agencies. This proceedings includes ten papers based on oral presentations at the workshop plus a synthesis paper summarizing workshop themes, discussions, and related information. Topics include a history of wildlife management research in the Pacific Northwest, elements of habitat and how to manage for them, the challenges of appropriately implementing ecosystem management, and economic implications to private forestland owners.




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Market Opportunities For Kitchen Cabinets Made From Alaska Hardwoods: A Synthesis and Review of Recent Research

The kitchen cabinet industry has shown significant growth recently, with expanding residential markets, new cabinet styles, and larger kitchens. This industry represents an opportunity for small Alaska wood producers to create high-value secondary products. In response to recent trends in kitchen cabinet manufacturing and the need to identify opportunities for underutilized species, the Alaska Wood Utilization Research and Development Center has conducted numerous studies evaluating consumer preferences for Alaska's primary hardwoods-Alaska birch (Betula papyrifera var. humilis )Reg.) Fern & Raup) and red alder (Alnus rubra Bong.). These studies explored consumer preferences under a range of marketing parameters, cabinet appearances, and regional market locations. This paper summarizes these studies and offers insights into the potential market for Alaska's hardwoods as secondary wood products such as kitchen cabinets.




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Birds and burns of the interior West: descriptions, habitats, and management in western forests

This publication provides information about prescribed fire effects on habitats and populations of birds of the interior West and a synthesis of existing information on bird responses to fire across North America. Our literature synthesis indicated that aerial, ground, and bark insectivores favored recently burned habitats, whereas foliage gleaners preferred unburned habitats.




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A protocol using coho salmon to monitor Tongass National Forest Land and Resource Management Plan standards and guidelines for fish habitat

We describe a protocol to monitor the effectiveness of the Tongass Land Management Plan (TLMP) management standards for maintaining fish habitat. The protocol uses juvenile coho salmon (Oncorhynchus kisutch) in small tributary streams in forested watersheds. We used a 3-year pilot study to develop detailed methods to estimate juvenile salmonid populations, measure habitat, and quantitatively determine trends in juvenile coho salmon abundance over 10 years. Coho salmon have been shown to be sensitive to habitat alterations, and we use coho salmon parr as the primary indicator in the protocol. A priori criteria for type I and type II error rates, effect size, and sample sizes for the protocol were derived with estimates of variance computed from the 3-year pilot study. The protocol is designed to detect trends in abundance of coho salmon parr, as well as coho salmon fry and Dolly Varden (Salvelinus malma), in small streams managed according to TLMP standards and guidelines and to compare these to trends in unmanaged (old-growth) watersheds. Trends are adjusted to account for statistically significant habitat covariates. This information provides an important element in monitoring land management practices in the Tongass National Forest. The methods we describe may have application to monitoring protocols elsewhere for fish populations and land management practices.




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Quantifying competitive ability of perennial grasses to inhibit Scotch broom.

Greenhouse pot studies were conducted to quantify the competitive abilities of three native perennial grass species to inhibit development of Scotch broom (Cytisus scoparius (L.) Link ) seedlings: spike bentgrass (Agrostis exarata Trin. ), blue wildrye (Elymus glaucus Buckley), and western fescue (Festuca occidentalis Hook. ). In single-species stands (1) soil water content decreased with increasing grass density, (2) soil water depletion per plant differed among species as ratios of 2.4:1.3:1 for bentgrass, fescue, and wildrye, respectively, and (3) average percentage of ground cover per plant was ranked by species as bentgrass (14 percent), wildrye (8 percent), broom (8 percent), and fescue (5 percent). Regression models predicted 90, 85, and 72 percent reductions in average biomass per plant of broom when grown with approximately 250 plants/m2 of bentgrass, wildrye, and fescue, respectively. Bentgrass and wildrye were more competitive than fescue because of their early-season depletion of soil water and rapid development of cover.




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Nontimber forest products in the United States: Montreal Process indicators as measures of current conditions and sustainability.

The United States, in partnership with 11 other countries, participates in the Montreal Process. Each country assesses national progress toward the sustainable management of forest resources by using a set of criteria and indicators agreed on by all member countries. Several indicators focus on nontimber forest products (NTFPs). In the United States, permit and contract data from the U.S. Forest Service and the Bureau of Land Management, in addition to several other data sources, were used as a benchmark to assess harvest, value, employment, exports and imports, per capita consumption, and subsistence uses for many NTFPs. The retail value of commercial harvests of NTFPs from U.S. forest lands is estimated at $1.4 billion annually. Nontimber forest products in the United States are important to many people throughout the country for personal, cultural, and commercial uses, providing food security, beauty, connection to culture and tradition, and income.




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Precommercial thinning: implications of early results from the Tongass-Wide Young-Growth Studies experiments for deer habitat in southeast Alaska.

This report documents the results from the first “5-year” round of understory responses to the Tongass-Wide Young-Growth Studies (TWYGS) treatments, especially in relation to their effects on food resources for black-tailed deer (Odocoileus hemionus sitkensis). Responses of understory vegetation to precommercial silviculture experiments after their first 4 to 8 years posttreatment were analyzed with the Forage Resource Evaluation System for Habitat (FRESH)-Deer model. The studies were conducted in western hemlock (Tsuga heterophylla)-Sitka spruce (Picea sitchensis) young-growth forests in southeast Alaska. All four TWYGS experiments were studied: (I) planting of red alder (Alnus rubra) within 1- to 5-year-old stands; (II) precommercial thinning at narrow and wide spacings (549 and 331 trees per hectare, respectively) in 15- to 25-year-old stands; (III) precommercial thinning at medium spacing (420 trees per hectare) with and without pruning in 25- to 35-yearold stands; and (IV) precommercial thinning at wide spacing (203 trees per hectare) with and without slash treatment versus thinning by girdling in >35-year-old stands. All experiments also included untreated control stands of identical age. FRESHDeer was used to evaluate the implications for deer habitat in terms of forage resources (species-specific biomass, digestible protein, and digestible dry matter) relative to deer metabolic requirements in summer (at two levels of requirements—maintenance only vs. lactation) and in winter (at six levels of snow depth).




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Social vulnerability and climate change: synthesis of literature

The effects of climate change are expected to be more severe for some segments of society than others because of geographic location, the degree of association with climate-sensitive environments, and unique cultural, economic, or political characteristics of particular landscapes and human populations. Social vulnerability and equity in the context of climate change are important because some populations may have less capacity to prepare for, respond to, and recover from climate-related hazards and effects. Such populations may be disproportionately affected by climate change. This synthesis of literature illustrates information about the socioeconomic, political, health, and cultural effects of climate change on socially vulnerable populations in the United States, with some additional examples in Canada. Through this synthesis, social vulnerability, equity, and climate justice are defined and described, and key issues, themes, and considerations that pertain to the effects of climate change on socially vulnerable populations are identified. The synthesis reviews what available science says about social vulnerability and climate change, and documents the emergence of issues not currently addressed in academic literature. In so doing, the synthesis identifies knowledge gaps and questions for future research.




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Assessing the vulnerability of watersheds to climate change: results of national forest watershed vulnerability pilot assessments

Existing models and predictions project serious changes to worldwide hydrologic processes as a result of global climate change. Projections indicate that significant change may threaten National Forest System watersheds that are an important source of water used to support people, economies, and ecosystems. Wildland managers are expected to anticipate and respond to these threats, adjusting management priorities and actions. Because watersheds differ greatly in: (1) the values they support, (2) their exposure to climatic changes, and (3) their sensitivity to climatic changes, understanding these differences will help inform the setting of priorities and selection of management approaches. Drawing distinctions in climate change vulnerability among watersheds on a national forest or grassland allows more efficient and effective allocation of resources and better land and watershed stewardship. Eleven national forests from throughout the United States, representing each of the nine Forest Service regions, conducted assessments of potential hydrologic change resulting from ongoing and expected climate warming. A pilot assessment approach was developed and implemented. Each national forest identified water resources important in that area, assessed climate change exposure and watershed sensitivity, and evaluated the relative vulnerabilities of watersheds to climate change. The assessments provided management recommendations to anticipate and respond to projected climate-hydrologic changes. Completed assessments differed in level of detail, but all assessments identified priority areas and management actions to maintain or improve watershed resilience in response to a changing climate. The pilot efforts also identified key principles important to conducting future vulnerability assessments.




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Managing heart rot in live trees for wildlife habitat in young-growth forests of coastal Alaska

Stem decays of living trees, known also as heart rots, are essential elements of wildlife habitat, especially for cavity-nesting birds and mammals. Stem decays are common features of old-growth forests of coastal Alaska, but are generally absent in young, managed forests. We offer several strategies for maintaining or restoring fungal stem decay in these managed forests that can be used to enhance specific types of wildlife habitat.




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Climate change vulnerability and adaptation in the North Cascades region, Washington.

The North Cascadia Adaptation Partnership (NCAP) is a science-management partnership consisting of the U.S. Department of Agriculture Forest Service Mount Baker-Snoqualmie and Okanogan-Wenatchee National Forests and Pacific Northwest Research Station; North Cascades National Park Complex; Mount Rainier National Park; and University of Washington Climate Impacts Group.




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Terrestrial species viability assessments for national forests in northeastern Washington.

We developed a process to address terrestrial wildlife species for which management for ecosystem diversity may be inadequate for providing ecological conditions capable of sustaining viable populations. The process includes (1) identifying species of conservation concern, (2) describing source habitats, and other important ecological factors, (3) organizing species into groups, (4) selecting surrogate species for each group, (5) developing surrogate species assessment models; (6) applying surrogate species assessment models to evaluate current and historical conditions, (7) developing conservation considerations, and (8) designing monitoring and adaptive management. Following the application of our species screening criteria, we identified 209 of 700 species as species of concern on National Forest System lands east of the Cascade Range in Washington state. We aggregated the 209 species of conservation concern into 10 families and 28 groups based primarily on their habitat associations (these are not phylogenetic families). We selected 32 primary surrogate species (78 percent birds, 17 percent mammals, 5 percent amphibians) for application in northeastern Washington, based on risk factors and ecological characteristics. Our assessment documented reductions in habitat capability across the assessment area compared to historical conditions. We combined management considerations for individual species with other surrogate species to address multiple species. This information may be used to inform land management planning efforts currently underway on the Okanogan-Wenatchee and Colville National Forests in northeastern Washington.




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Silviculture and monitoring guidelines for integrating restoration of dry mixed-conifer forest and spotted owl habitat management in the eastern Cascade Range.

This report addresses the need for developing consistent regional guidelines for stand-level management that integrates goals and objectives for dry forest restoration and habitat management for the northern spotted owl.




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A spatial database for restoration management capability on national forests in the Pacific Northwest USA

Understanding the capacity to reduce wildfire risk and restore dry forests on Western national forests is a key part of prioritizing new accelerated restoration programs initiated by the Forest Service.