16 results on '"Kalamees R."'
Search Results
2. Functional and phylogenetic community assembly linked to changes in species diversity in a long-term resource manipulation experiment
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Gerhold, P., Price, J.N., Püssa, K., Kalamees, R., Aher, K., Kaasik, A., Pärtel, M., Gerhold, P., Price, J.N., Püssa, K., Kalamees, R., Aher, K., Kaasik, A., and Pärtel, M.
- Abstract
Item does not contain fulltext
- Published
- 2013
3. Alvar grasslands in Estonia: variation in species composition and community structure.
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Pärtel, M, Kalamees, R, Zobel, M, Rosén, E, Pärtel, M, Kalamees, R, Zobel, M, and Rosén, E
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- 1999
4. Seed size, shape and vertical distribution in the soil: indicators of seed longevity
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Bekker, RM, Bakker, JP, Grandin, U, Kalamees, R, Milberg, P, Poschlod, P, Thompson, K, Willems, JH, Bekker, RM, Bakker, JP, Grandin, U, Kalamees, R, Milberg, P, Poschlod, P, Thompson, K, and Willems, JH
- Abstract
1. We investigated the vertical distribution of seeds in the soil, using data from nine studies in five European countries. We discovered significant correlations between seed shape and distribution in the soil. 2. The classification of the longevity of s, Addresses: Bekker RM, Univ Groningen, Lab Plant Ecol, POB 14, NL-9750 AA Haren, Netherlands. Univ Groningen, Lab Plant Ecol, NL-9750 AA Haren, Netherlands. Uppsala Univ, Dept Ecol Bot, S-75236 Uppsala, Sweden. Tartu State Univ, Inst Bot & Ecol, EE-2400 Ta
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- 1998
5. Restoration of species-rich limestone grassland communities from overgrown land: the importance of propagule availability
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Partel, M, Kalamees, R, Zobel, M, Rosen, E, Partel, M, Kalamees, R, Zobel, M, and Rosen, E
- Abstract
A held experiment was established in the eastern coast of the Baltic Sea to test the relative roles of the availability of propagules and light competition in the restoration dynamics of a former calcareous grassland overgrown by pine (Pinus sylvestlis L., Addresses: Partel M, Tartu State Univ, Inst Bot & Ecol, Lai 40, EE-2400 Tartu, Estonia. Tartu State Univ, Inst Bot & Ecol, EE-2400 Tartu, Estonia. Uppsala Univ, Dept Ecol Bot, S-75236 Uppsala, Sweden.
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- 1998
6. Restoration of species-rich limestone grassland communities from overgrown land: the importance of propagule availability
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Paartel, M., Kalamees, R., Zobel, M., and Rosen, E.
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- 1998
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7. Soil seed bank composition in different successional stages of a species rich wooded meadow in Laelatu, western Estonia
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Kalamees, R. and Zobel, M.
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- 1998
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8. Alvar grasslands in Estonia: variation in species composition and community structure
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Zobel, M., Kalamees, R., Rosen, E., and Partel, M.
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NUMERICAL analysis ,SPECIES diversity ,VEGETATION classification - Abstract
In order to understand the variation of Estonian calcareous thin-soil grasslands on Ordovician or Silurian limestone (alvars), 58 stands,distributed over the whole alvar region of Estonia, were described and clustered numerically using TABORD. Alvars are characterized by a high species richness. These mainly semi-natural communities have mostly developed after clear-cutting of forests. Grazing by domestic animals and removal of woody plants is needed for their maintenance. Primary (natural) alvar grasslands are found in a few places in coastal regions or in areas with thin-soil on monolithic bedrock. In data processing a whole stand, described by several small releves, was used in the classification as one description, including species frequencies as a quantitative measure. Seven clusters were separated and their configuration checked in a PCA-ordination. The resulting classification agreed with the previous `rough' classification. Both geographicaland ecological factors were related with the clustering and the ordination. The broad classification units, suggested for Estonian alvar grasslands, were quite similar to the ones described earlier for alvar vegetation on Oland, Sweden. Clusters differed in their species richness, environmental conditions and life-form spectra. Differences inspecies richness were defined by regional species pools. Compared toearlier surveys, only a small fraction of alvars still remains in Estonia. Active conservation, i.e. suitable management is needed to protect the still surviving valuable plant communities. The present study can provide guidelines on how to protect and manage different typesof alvars in Estonia. [ABSTRACT FROM AUTHOR]
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- 1999
9. Optimised versus standard dosing of vancomycin in infants with Gram-positive sepsis (NeoVanc): a multicentre, randomised, open-label, phase 2b, non-inferiority trial
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Louise F Hill, Michelle N Clements, Mark A Turner, Daniele Donà, Irja Lutsar, Evelyne Jacqz-Aigrain, Paul T Heath, Emmanuel Roilides, Louise Rawcliffe, Clara Alonso-Diaz, Eugenio Baraldi, Andrea Dotta, Mari-Liis Ilmoja, Ajit Mahaveer, Tuuli Metsvaht, George Mitsiakos, Vassiliki Papaevangelou, Kosmas Sarafidis, A Sarah Walker, Michael Sharland, Michelle Clements, Basma Bafadal, Ana Alarcon Allen, Fani Anatolitou, Antonio Del Vecchio, Mario Giuffrè, Korina Karachristou, Paolo Manzoni, Stefano Martinelli, Paul Moriarty, Angeliki Nika, Vana Papaevangelou, Charles Roehr, Laura Sanchez Alcobendas, Tania Siahanidou, Chryssoula Tzialla, Luca Bonadies, Nicola Booth, Paola Catalina Morales-Betancourt, Malaika Cordeiro, Concha de Alba Romero, Javier de la Cruz, Maia De Luca, Daniele Farina, Caterina Franco, Dimitra Gialamprinou, Maarja Hallik, Laura Ilardi, Vincenzo Insinga, Elias Iosifidis, Riste Kalamees, Angeliki Kontou, Zoltan Molnar, Eirini Nikaina, Chryssoula Petropoulou, Mar Reyné, Kassandra Tataropoulou, Pinelopi Triantafyllidou, Adamantios Vontzalidis, Mike Sharland, Hill L.F., Clements M.N., Turner M.A., Dona D., Lutsar I., Jacqz-Aigrain E., Heath P.T., Roilides E., Rawcliffe L., Alonso-Diaz C., Baraldi E., Dotta A., Ilmoja M.-L., Mahaveer A., Metsvaht T., Mitsiakos G., Papaevangelou V., Sarafidis K., Walker A.S., Sharland M., Clements M., Bafadal B., Alarcon Allen A., Anatolitou F., Del Vecchio A., Giuffre M., Karachristou K., Manzoni P., Martinelli S., Moriarty P., Nika A., Roehr C., Sanchez Alcobendas L., Siahanidou T., Tzialla C., Bonadies L., Booth N., Catalina Morales-Betancourt P., Cordeiro M., de Alba Romero C., de la Cruz J., De Luca M., Farina D., Franco C., Gialamprinou D., Hallik M., Ilardi L., Insinga V., Iosifidis E., Kalamees R., Kontou A., Molnar Z., Nikaina E., Petropoulou C., Reyne M., Tataropoulou K., Triantafyllidou P., and Vontzalidis A.
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medicine.medical_specialty ,Time Factors ,Population ,Equivalence Trials as Topic ,Loading dose ,Article ,law.invention ,Gram-positive ,Randomized controlled trial ,law ,Vancomycin ,Intensive care ,Internal medicine ,Intensive Care Units, Neonatal ,Sepsis ,Developmental and Educational Psychology ,Clinical endpoint ,Medicine ,Humans ,Dosing ,education ,Infusions, Intravenous ,education.field_of_study ,business.industry ,Infant, Newborn ,Infant ,dosing ,United Kingdom ,Anti-Bacterial Agents ,Europe ,Regimen ,Treatment Outcome ,Spain ,Relative risk ,Pediatrics, Perinatology and Child Health ,sepsi ,business - Abstract
Summary Background Vancomycin is the most widely used antibiotic for neonatal Gram-positive sepsis, but clinical outcome data of dosing strategies are scarce. The NeoVanc programme comprised extensive preclinical studies to inform a randomised controlled trial to assess optimised vancomycin dosing. We compared the efficacy of an optimised regimen to a standard regimen in infants with late onset sepsis that was known or suspected to be caused by Gram-positive microorganisms. Methods NeoVanc was an open-label, multicentre, phase 2b, parallel-group, randomised, non-inferiority trial comparing the efficacy and toxicity of an optimised regimen of vancomycin to a standard regimen in infants aged 90 days or younger. Infants with at least three clinical or laboratory sepsis criteria or confirmed Gram-positive sepsis with at least one clinical or laboratory criterion were enrolled from 22 neonatal intensive care units in Greece, Italy, Estonia, Spain, and the UK. Infants were randomly assigned (1:1) to either the optimised regimen (25 mg/kg loading dose, followed by 15 mg/kg every 12 h or 8 h dependent on postmenstrual age, for 5 ± 1 days) or the standard regimen (no loading dose; 15 mg/kg every 24 h, 12 h, or 8 h dependent on postmenstrual age for 10 ± 2 days). Vancomycin was administered intravenously via 60 min infusion. Group allocation was not masked to local investigators or parents. The primary endpoint was success at the test of cure visit (10 ± 1 days after the end of actual vancomycin therapy) in the per-protocol population, where success was defined as the participant being alive at the test of cure visit, having a successful outcome at the end of actual vancomycin therapy, and not having a clinically or microbiologically significant relapse or new infection requiring antistaphylococcal antibiotics for more than 24 h within 10 days of the end of actual vancomycin therapy. The non-inferiority margin was −10%. Safety was assessed in the intention-to-treat population. This trial is registered at ClinicalTrials.gov ( NCT02790996 ). Findings Between March 3, 2017, and July 29, 2019, 242 infants were randomly assigned to the standard regimen group (n=122) or the optimised regimen group (n=120). Primary outcome data in the per-protocol population were available for 90 infants in the optimised group and 92 in the standard group. 64 (71%) of 90 infants in the optimised group and 73 (79%) of 92 in the standard group had success at test of cure visit; non-inferiority was not confirmed (adjusted risk difference −7% [95% CI −15 to 2]). Incomplete resolution of clinical or laboratory signs after 5 ± 1 days of vancomycin therapy was the main factor contributing to clinical failure in the optimised group. Abnormal hearing test results were recorded in 25 (30%) of 84 infants in the optimised group and 12 (15%) of 79 in the standard group (adjusted risk ratio 1·96 [95% CI 1·07 to 3·59], p=0·030). There were six vancomycin-related adverse events in the optimised group (one serious adverse event) and four in the standard group (two serious adverse events). 11 infants in the intention-to-treat population died (six [6%] of 102 infants in the optimised group and five [5%] of 98 in the standard group). Interpretation In the largest neonatal vancomycin efficacy trial yet conducted, no clear clinical impact of a shorter duration of treatment with a loading dose was demonstrated. The use of the optimised regimen cannot be recommended because a potential hearing safety signal was identified; long-term follow-up is being done. These results emphasise the importance of robust clinical safety assessments of novel antibiotic dosing regimens in infants. Funding EU Seventh Framework Programme for research, technological development and demonstration.
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- 2021
10. Contrasted reponses of taxonomic, phylogenetic and functional diversity to grassland management
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Leslie Mauchamp, Arnaud Mouly, François Gillet, Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), Püssa K., Kalamees R. & Hallop K., Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), and Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)
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[ SDE.BE ] Environmental Sciences/Biodiversity and Ecology ,[SDE.BE]Environmental Sciences/Biodiversity and Ecology ,ComputingMilieux_MISCELLANEOUS - Abstract
International audience
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- 2013
11. Subgroup identification-based model selection to improve the predictive performance of individualized dosing.
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Soeorg H, Kalamees R, Lutsar I, and Metsvaht T
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- Humans, Infant, Newborn, Infant, Female, Male, Dose-Response Relationship, Drug, Algorithms, Vancomycin pharmacokinetics, Vancomycin administration & dosage, Anti-Bacterial Agents pharmacokinetics, Anti-Bacterial Agents administration & dosage, Precision Medicine methods, Models, Biological
- Abstract
Currently, model-informed precision dosing uses one population pharmacokinetic model that best fits the target population. We aimed to develop a subgroup identification-based model selection approach to improve the predictive performance of individualized dosing, using vancomycin in neonates/infants as a test case. Data from neonates/infants with at least one vancomycin concentration was randomly divided into training and test dataset. Population predictions from published vancomycin population pharmacokinetic models were calculated. The single best-performing model based on various performance metrics, including median absolute percentage error (APE) and percentage of predictions within 20% (P20) or 60% (P60) of measurement, were determined. Clustering based on median APEs or clinical and demographic characteristics and model selection by genetic algorithm was used to group neonates/infants according to their best-performing model. Subsequently, classification trees to predict the best-performing model using clinical and demographic characteristics were developed. A total of 208 vancomycin treatment episodes in training and 88 in test dataset was included. Of 30 identified models from the literature, the single best-performing model for training dataset had P20 26.2-42.6% in test dataset. The best-performing clustering approach based on median APEs or clinical and demographic characteristics and model selection by genetic algorithm had P20 44.1-45.5% in test dataset, whereas P60 was comparable. Our proof-of-concept study shows that the prediction of the best-performing model for each patient according to the proposed model selection approaches has the potential to improve the predictive performance of model-informed precision dosing compared with the single best-performing model approach., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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- 2024
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12. Prospective validation of a model-informed precision dosing tool for vancomycin treatment in neonates.
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Kalamees R, Soeorg H, Ilmoja M-L, Margus K, Lutsar I, and Metsvaht T
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- Humans, Infant, Newborn, Prospective Studies, Male, Female, Software, Vancomycin pharmacokinetics, Vancomycin administration & dosage, Vancomycin therapeutic use, Anti-Bacterial Agents pharmacokinetics, Anti-Bacterial Agents administration & dosage, Anti-Bacterial Agents therapeutic use
- Abstract
We recruited 48 neonates (50 vancomycin treatment episodes) in a prospective study to validate a model-informed precision dosing (MIPD) software. The initial vancomycin dose was based on a population pharmacokinetic model and adjusted every 36-48 h. Compared with a historical control group of 53 neonates (65 episodes), the achievement of a target trough concentration of 10-15 mg/L improved from 37% in the study to 62% in the MIPD group ( P = 0.01), with no difference in side effects., Competing Interests: The authors declare no conflict of interest.
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- 2024
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13. Microbial island biogeography: isolation shapes the life history characteristics but not diversity of root-symbiotic fungal communities.
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Davison J, Moora M, Öpik M, Ainsaar L, Ducousso M, Hiiesalu I, Jairus T, Johnson N, Jourand P, Kalamees R, Koorem K, Meyer JY, Püssa K, Reier Ü, Pärtel M, Semchenko M, Traveset A, Vasar M, and Zobel M
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- Animals, Biodiversity, DNA, Fungal chemistry, Humans, Islands, Life History Traits, Mycorrhizae genetics, Mycorrhizae isolation & purification, Phylogeography, Sequence Analysis, DNA, Mycobiome, Mycorrhizae classification
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Island biogeography theory is one of the most influential paradigms in ecology. That island characteristics, including remoteness, can profoundly modulate biological diversity has been borne out by studies of animals and plants. By contrast, the processes influencing microbial diversity in island systems remain largely undetermined. We sequenced arbuscular mycorrhizal (AM) fungal DNA from plant roots collected on 13 islands worldwide and compared AM fungal diversity on islands with existing data from mainland sites. AM fungal communities on islands (even those >6000 km from the closest mainland) comprised few endemic taxa and were as diverse as mainland communities. Thus, in contrast to patterns recorded among macro-organisms, efficient dispersal appears to outweigh the effects of taxogenesis and extinction in regulating AM fungal diversity on islands. Nonetheless, AM fungal communities on more distant islands comprised a higher proportion of previously cultured and large-spored taxa, indicating that dispersal may be human-mediated or require tolerance of significant environmental stress, such as exposure to sunlight or high salinity. The processes driving large-scale patterns of microbial diversity are a key consideration for attempts to conserve and restore functioning ecosystems in this era of rapid global change.
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- 2018
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14. DosOpt: A Tool for Personalized Bayesian Dose Adjustment of Vancomycin in Neonates.
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Tasa T, Metsvaht T, Kalamees R, Vilo J, and Lutsar I
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- Algorithms, Anti-Bacterial Agents pharmacokinetics, Bayes Theorem, Computer Simulation, Dose-Response Relationship, Drug, Drug Monitoring, Gestational Age, Humans, Infant, Newborn, Markov Chains, Models, Biological, Monte Carlo Method, Vancomycin pharmacokinetics, Anti-Bacterial Agents administration & dosage, Anti-Bacterial Agents therapeutic use, Vancomycin administration & dosage, Vancomycin therapeutic use
- Abstract
Background: Our main aim has been to design a framework to improve vancomycin dosing in neonates. This required the development and verification of a computerized dose adjustment application, DosOpt, to guide the selection., Methods: Model fitting in DosOpt uses Bayesian methods for deriving individual pharmacokinetic (PK) estimates from population priors and patient therapeutic drug monitoring measurements. These are used to simulate concentration-time curves and target-constrained dose optimization. DosOpt was verified by assessing bias and precision through several error metrics and normalized prediction distribution errors on samples simulated from the Anderson et al PK model. The performance of DosOpt was also evaluated using retrospective clinical data. Achieved probabilities of target concentration attainment were benchmarked against corresponding attainments in our clinical retrospective data set., Results: Simulations showed no systemic forecast biases. Normalized prediction distribution error values of the base model were distributed by standardized Gaussian (P = 0.1), showing good model suitability. A retrospective test data set included 149 treatment episodes with 1-10 vancomycin concentration measurements per patient (median 2). Individual concentrations in PK estimation improved probability of target attainment and decreased the variance of the estimation. Including 3 individual concentrations in the kinetics estimation increased the probability of Ctrough attainment within 10-15 mg/L from 16% obtained with no individual data (95% confidence interval, 11%-24%) to 43% (21%-47%)., Conclusions: DosOpt uses individual concentration data to estimate kinetics and find optimal doses that increase the probability of achieving desired trough concentrations. Its performance started to exceed target levels attained in retrospective clinical data sets with the inclusion of a single individual input concentration. This tool is freely available at http://www.biit.cs.ut.ee/DosOpt.
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- 2017
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15. Limited phenotypic plasticity in range-edge populations: a comparison of co-occurring populations of two Agrimonia species with different geographical distributions.
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Mägi M, Semchenko M, Kalamees R, and Zobel K
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- Phenotype, Agrimonia physiology
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Increased importance of genetic drift and selection for stress resistance have been predicted to lead to a reduction in the degree of phenotypic plasticity in populations at margins of a species' geographical range, relative to those in the centre. We examined the effect of population positioning within the species range on degree of active morphological plasticity to vegetation shade. Importantly, we discriminated between active, size-independent morphological adjustments in response to shade and passive changes in morphology caused by the dependence of morphological traits on plant size, as only the former are considered to be adaptive. Two closely related and ecologically similar Agrimonia species were examined in the same geographical location, where one species reaches the edge of its distribution (Agrimonia pilosa) and the other does not (A. eupatoria). Plasticity to light availability is likely to be advantageous for both species as they occupy habitats with variable light conditions. However, we hypothesised that high levels of environmental stress should lead to reduced active plasticity in marginal compared with more central populations. Agrimonia eupatoria exhibited active adjustments in leaf morphology in response to tree shade, and in elongation of stems and inflorescences in response to herbaceous shade. In contrast, A. pilosa exhibited very limited active plasticity. High active plasticity allowed A. eupatoria to retain constant shoot growth in a wide range of light conditions, while the lack of active plasticity in A. pilosa resulted in a strong dependence of shoot growth on light availability. We propose that high levels of environmental stress in marginal areas of a species' range may lead to a significant reduction in the degree of active plasticity. Our results clearly indicate that discrimination between active and passive plasticity is crucial for reaching valid conclusions about differences in adaptive plasticity between marginal and non-marginal populations., (© 2010 German Botanical Society and The Royal Botanical Society of the Netherlands.)
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- 2011
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16. Past and present effectiveness of protected areas for conservation of naturally and anthropogenically rare plant species.
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Vellak A, Tuvi EL, Reier Ü, Kalamees R, Roosaluste E, Zobel M, and Pärtel M
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- Agriculture methods, Estonia, Plants classification, Population Density, Species Specificity, Biodiversity, Conservation of Natural Resources methods, Demography, Ecosystem, Endangered Species, Plant Development
- Abstract
The Global Strategy of Plant Conservation states that at least 60% of threatened plant species should be within protected areas. This goal has been met in some regions with long traditions of plant protection. We used gap analysis to explore how particular groups of species of conservation interest, representing different types of natural or anthropogenic rarity, have been covered by protected areas on a national scale in Estonia during the last 100 years. Species-accumulation curves indicated that plant species that are naturally rare (restricted global or local distribution, always small populations, or very rare habitat requirements) needed almost twice as many protected areas to reach the 60% target as plant species that are rare owing to lack of suitable management (species depending on grassland management, moderate forest disturbances, extensive traditional agriculture, or species potentially threatened by collecting). Temporal analysis of the establishment of protected areas suggested that grouping plant species according to the predominant cause of rarity accurately reflected the history of conservation decision making. Species found in very rare habitats have previously received special conservation attention; species dependent on traditional extensive agriculture have been largely ignored until recently. Legislative initiative and new nature-protection schemes (e.g., Natura 2000, network of protected areas in the European Union) have had a positive influence on all species groups. Consequently, the species groups needing similar action for their conservation are sensitive indicators of the effectiveness of protected-area networks. Different species groups, however, may not be uniformly conserved within protected areas, and all species groups should fulfill the target of 60% coverage within protected areas., (©2008 Society for Conservation Biology.)
- Published
- 2009
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