In the spring of 2012, we, the Stream Stewardship Team from the University of Oregon's Environmental Leadership Program (ELP), conducted post-monitoring surveys at a side channel of the Middle McKenzie River (side channel 4) to compare with baseline monitoring data collected by the 2011 ELP Restoration Stewardship Team. The goal of this restoration project was to enhance juvenile spring Chinook salmon (Oncorhynchus tshawytscha) rearing habitat within the channel. In 2011 the U.S. Forest Service placed large woody debris (LWD) in five sections of the channel after baseline monitoring to increase the complexity of the streambed within the channel and to create a distribution of sediment optimal for salmon spawning habitat. We conducted pebble counts, cross-channel surveys, and a longitudinal profile of the stream to observe changes since the addition of LWD. Median pebble size decreased downstream of the LWD placements at gravel count 1 and increased upstream at gravel count 2.The percent of embedded sediment decreased at both gravel count sites. We also detected noticeable changes in the stream morphology at four of the five crosssectional surveys as well as along the longitudinal profile. Sediment size distribution and the formation of pools at the downstream end of the channel showed an initial change in stream morphology since 2011, but further monitoring is warranted in order to fully assess the effects of LWD on streambed complexity and salmon spawning habitat.
Ventilators functions and features have evolved with the advancement of technology along with the addition of microprocessors. It is important to understand and examine the benefits and risks associated with these advanced automated modes. Adaptive Support Ventilation (ASV) is a mode that is unique to the Hamilton Medical ventilators, thereby limiting the number of clinicians who have experience with using this mode. ASV can make changes to respiratory rate and tidal volume and adjusting the driving pressure in the absence of a professional. ASV changes ventilator strategies when it detects changes to a patient’s lung dynamics. The scope of ASV mode is not universally understood. Respiratory therapists may feel their position would be threatened with the use of smart automated modes. This paper will aim to review the literature on the ASV mode of ventilation. The literature review will address the following research questions to broaden the understanding of the risks and benefits of the ASV mode. 1) Is the ASV mode effective for weaning patients? 2) Is ASV a safe mode of ventilation for patients with COPD and ARDS? 3) Is ASV a safe mode of ventilation with changes in lung dynamics? 4) Does ASV impact the bedside respiratory therapist? Conclusions: ASV appears to be at least effective or even more superior to other modes especially during weaning off mechanical ventilation, and in other forms of respiratory failure. More studies in different clinical conditions and head-to-head with other modes. Keywords: ASV, COPD, ARDS, Weaning
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