Survey of paediatric intravenous fluid prescription: Are we safe in what we know and what we do?

Objective: The administration of i.v. fluids to children is common in hospital. There are risks associated with fluid therapy, especially iatrogenic hyponatraemia. The objective of this study was to assess the workplace practices and knowledge of tertiary hospital doctors regarding paediatric i.v. fluid prescription. Methods: This is a prospective, questionnaire-based observational study conducted at a 570-bed teaching hospital in June 2009. A convenience sample of doctors (n = 150), representing all levels of experience and all specialties that regularly prescribe paediatric i.v. fluids, were invited to participate. The main outcome measures consisted of demographical data and the ability to correctly prescribe paediatric fluids measured as 'fluid calculation', 'fluid choice' and 'total' percentage scores based on a percentage score of correctly answered questions using eight clinical scenarios. Results: One hundred and six (71%) doctors returned a completed questionnaire. The great majority of respondents had a method for calculating a fluid bolus and maintenance rates (91% and 97%, respectively). Scenarios involving infants, especially where an increased risk of antidiuretic hormone secretion was possible, were answered poorly. Senior doctors performed better than junior doctors. ED and paediatric doctors performed better than those in other specialities. Conclusions: Most doctors in this Australian tertiary hospital have a correct method for prescribing bolus and maintenance fluid rates. However, the potential for adverse events from i.v. fluid prescription remains. Further education in this area for junior doctors, introduction of standardized guidelines for fluid use and restriction of available fluid choice may reduce the risk of iatrogenic hyponatraemia in children.No Full Tex

Effects of Real-Time NASA Vegetation Data on Model Forecasts of Severe Weather

The NASA Short-term Prediction Research and Transition (SPoRT) Center has developed a Greenness Vegetation Fraction (GVF) dataset, which is updated daily using swaths of Normalized Difference Vegetation Index data from the Moderate Resolution Imaging Spectroradiometer (MODIS) data aboard the NASA-EOS Aqua and Terra satellites. NASA SPoRT started generating daily real-time GVF composites at 1-km resolution over the Continental United States beginning 1 June 2010. A companion poster presentation (Bell et al.) primarily focuses on impact results in an offline configuration of the Noah land surface model (LSM) for the 2010 warm season, comparing the SPoRT/MODIS GVF dataset to the current operational monthly climatology GVF available within the National Centers for Environmental Prediction (NCEP) and Weather Research and Forecasting (WRF) models. This paper/presentation primarily focuses on individual case studies of severe weather events to determine the impacts and possible improvements by using the real-time, high-resolution SPoRT-MODIS GVFs in place of the coarser-resolution NCEP climatological GVFs in model simulations. The NASA-Unified WRF (NU-WRF) modeling system is employed to conduct the sensitivity simulations of individual events. The NU-WRF is an integrated modeling system based on the Advanced Research WRF dynamical core that is designed to represents aerosol, cloud, precipitation, and land processes at satellite-resolved scales in a coupled simulation environment. For this experiment, the coupling between the NASA Land Information System (LIS) and the WRF model is utilized to measure the impacts of the daily SPoRT/MODIS versus the monthly NCEP climatology GVFs. First, a spin-up run of the LIS is integrated for two years using the Noah LSM to ensure that the land surface fields reach an equilibrium state on the 4-km grid mesh used. Next, the spin-up LIS is run in two separate modes beginning on 1 June 2010, one continuing with the climatology GVFs while the other uses the daily SPoRT/MODIS GVFs. Finally, snapshots of the LIS land surface fields are used to initialize two different simulations of the NU-WRF, one running with climatology LIS and GVFs, and the other running with experimental LIS and NASA/SPoRT GVFs. In this paper/presentation, case study results will be highlighted in regions with significant differences in GVF between the NCEP climatology and SPoRT product during severe weather episodes

Dimethylsulfide Gas Transfer Coefficients from Algal Blooms in the Southern Ocean

Air-sea dimethylsulfide (DMS) fluxes and bulk air-sea gradients were measured over the Southern Ocean in February-March 2012 during the Surface Ocean Aerosol Production (SOAP) study. The cruise encountered three distinct phytoplankton bloom regions, consisting of two blooms with moderate DMS levels, and a high biomass, dinoflagellate-dominated bloom with high seawater DMS levels (\u3e 15 nM). Gas transfer coefficients were considerably scattered at wind speeds above 5 m s(-1). Bin averaging the data resulted in a linear relationship between wind speed and mean gas transfer velocity consistent with that previously observed. However, the wind-speed-binned gas transfer data distribution at all wind speeds is positively skewed. The flux and seawater DMS distributions were also positively skewed, which suggests that eddy covariance-derived gas transfer velocities are consistently influenced by additional, log-normal noise. A flux footprint analysis was conducted during a transect into the prevailing wind and through elevated DMS levels in the dinoflagellate bloom. Accounting for the temporal/spatial separation between flux and seawater concentration significantly reduces the scatter in computed transfer velocity. The SOAP gas transfer velocity data show no obvious modification of the gas transfer-wind speed relationship by biological activity or waves. This study highlights the challenges associated with eddy covariance gas transfer measurements in biologically active and heterogeneous bloom environments

Real-Time Green Vegetation Fraction for Land Surface and Numerical Weather Prediction Models

No abstract availabl

Metatranscriptomic Sequencing of a Cyanobacterial Soil-Surface Consortium with and without a Diverse Underlying Soil Microbiome.

Soil surface consortia are easily observed and sampled, allowing examination of their interactions with soil microbiomes. Here, we present metatranscriptomic sequences from Dark Green 1 (DG1), a cyanobacterium-based soil surface consortium, in the presence and absence of an underlying soil microbiome and/or urea

Effects of Real-Time Vegetation Data on Model Forecasts of Severe Weather

No abstract availabl

Aesthetics of Resistance in Western Sahara

In reaction to neo-liberal globalization policies that were spearheaded in the 1980s by Reagan-economics and Thatcherism, indignant movements ignited globally in distinct places, spaces, and territories, using diverse resistance strategies, both violent and nonviolent. Today, two years into the new social media revolutions, with the “Arab Spring” (in Tunisia known as Sidi Bouzid Revolt, in Libya as the Revolution of February 17th, and in Egypt as Revolution of January 25th), the “indignado/a” movement in Spain, and “Occupy Wall Street” in the United States, what does it mean to be “indignant”?Within an interdisciplinary Peace Studies and Research context, how do we begin to talk about and theorize this (inter)subjective move from being a “victim” to being “indignant?” And, how do we do so in a way that captures the complex and multi-layered dimensions of liberation struggles? We begin with a theoretical overview in order to frame the discussion. We then specifically examine the “Sahrawi Spring” in order to see theory in practice. As Africa’s last colony,Western Sahara provides an interesting look into the aesthetics of resistance

Concord Companions: Margaret Fuller, Friendship, and Desire

In this paper, we examine the rhetoric of friendship and desire in mid-nineteenth-century American writing. We begin by looking at Emerson's essay on friendship and Thoreau's poem "Sympathy" (1840) to provide a context for reading Margaret Fuller's fascinating texts on samesex bonds between women. Of particular interest to us is Fuller's translation of Elizabeth von Arnim's Die Gunderode (1840), a collection of letters between Arnim and the German Romantic poet Karoline von Gunderode which provides compelling insights into the early to mid-nineteenth-century continuum between female friendship and same-sex desire. We situate this translation alongside Fuller's own female friendships and expressions of love for women, more specifically her declarations of love to Anna Barker and, later, to George Sand. This latter relationship, we suggest, was a source of admiration and anxiety, for Sand's cross-dressing and fluid sense of gender identity was simultaneously celebrated and condemned in Fuller's Women in the Nineteenth Century (1843)