Earth Catastrophes and their Impact on the Carbon Cycle

Carbon is one of the most important elements on Earth. It is the basis of life, it is stored and mobilized throughout the Earth from core to crust and it is the basis of the energy sources that are vital to human civilization. This issue will focus on the origins of carbon on Earth, the roles played by large-scale catastrophic carbon perturbations in mass extinctions, the movement and distribution of carbon in large igneous provinces, and the role carbon plays in icehouse–greenhouse climate transitions in deep time. Present-day carbon fluxes on Earth are changing rapidly, and it is of utmost importance that scientists understand Earth's carbon cycle to secure a sustainable future

Earth catastrophes and their impact on the carbon cycle

Carbon is one of the most important elements on Earth. It is the basis of life, it is stored and mobilized throughout the Earth from core to crust and it is the basis of the energy sources that are vital to human civilization. This issue will focus on the origins of carbon on Earth, the roles played by large-scale catastrophic carbon perturbations in mass extinctions, the movement and distribution of carbon in large igneous provinces, and the role carbon plays in icehouse–greenhouse climate transitions in deep time. Present-day carbon fluxes on Earth are changing rapidly, and it is of utmost importance that scientists understand Earth's carbon cycle to secure a sustainable future.</jats:p

Genetic diversity of Mycobacterium tuberculosis in Peru and exploration of phylogenetic associations with drug resistance.

BACKGROUND: There is limited available data on the strain diversity of M tuberculosis in Peru, though there may be interesting lessons to learn from a setting where multidrug resistant TB has emerged as a major problem despite an apparently well-functioning DOTS control programme. METHODS: Spoligotyping was undertaken on 794 strains of M tuberculosis collected between 1999 and 2005 from 553 community-based patients and 241 hospital-based HIV co-infected patients with pulmonary tuberculosis in Lima, Peru. Phylogenetic and epidemiologic analyses permitted identification of clusters and exploration of spoligotype associations with drug resistance. RESULTS: Mean patient age was 31.9 years, 63% were male and 30.4% were known to be HIV+. Rifampicin mono-resistance, isoniazid mono-resistance and multidrug resistance (MDR) were identified in 4.7%, 8.7% and 17.3% of strains respectively. Of 794 strains from 794 patients there were 149 different spoligotypes. Of these there were 27 strains (3.4%) with novel, unique orphan spoligotypes. 498 strains (62.7%) were clustered in the nine most common spoligotypes: 16.4% SIT 50 (clade H3), 12.3% SIT 53 (clade T1), 8.3% SIT 33 (LAM3), 7.4% SIT 42 (LAM9), 5.5% SIT 1 (Beijing), 3.9% SIT 47 (H1), 3.0% SIT 222 (clade unknown), 3.0% SIT1355 (LAM), and 2.8% SIT 92 (X3). Amongst HIV-negative community-based TB patients no associations were seen between drug resistance and specific spoligotypes; in contrast HIV-associated MDRTB, but not isoniazid or rifampicin mono-resistance, was associated with SIT42 and SIT53 strains. CONCLUSION: Two spoligotypes were associated with MDR particularly amongst patients with HIV. The MDR-HIV association was significantly reduced after controlling for SIT42 and SIT53 status; residual confounding may explain the remaining apparent association. These data are suggestive of a prolonged, clonal, hospital-based outbreak of MDR disease amongst HIV patients but do not support a hypothesis of strain-specific propensity for the acquisition of resistance-conferring mutations

Adipose energy stores, physical work, and the metabolic syndrome: lessons from hummingbirds

Hummingbirds and other nectar-feeding, migratory birds possess unusual adaptive traits that offer important lessons concerning obesity, diabetes and the metabolic syndrome. Hummingbirds consume a high sugar diet and have fasting glucose levels that would be severely hyperglycemic in humans, yet these nectar-fed birds recover most glucose that is filtered into the urine. Hummingbirds accumulate over 40% body fat shortly before migrations in the spring and autumn. Despite hyperglycemia and seasonally elevated body fat, the birds are not known to become diabetic in the sense of developing polyuria (glucosuria), polydipsia and polyphagia. The tiny (3–4 g) Ruby-throated hummingbird has among the highest mass-specific metabolic rates known, and loses most of its stored fat in 20 h by flying up to 600 miles across the Gulf of Mexico. During the breeding season, it becomes lean and maintains an extremely accurate energy balance. In addition, hummingbirds can quickly enter torpor and reduce resting metabolic rates by 10-fold. Thus, hummingbirds are wonderful examples of the adaptive nature of fat tissue, and may offer lessons concerning prevention of metabolic syndrome in humans

The epidemiology of kidney disease in people of African ancestry with HIV in the UK

Background: Chronic kidney disease (CKD) is a leading cause of morbidity and mortality globally. The risk of CKD is increased in people of African ancestry and with Human Immunodeficiency Virus (HIV) infection. Methods: We conducted a cross-sectional study investigating the relationship between region of ancestry (East, Central, South or West Africa) and kidney disease in people of sub-Saharan African ancestry with HIV in the UK between May 2018 and February 2020. The primary outcome was renal impairment (estimated glomerular filtration rate [eGFR] of 50 mg/mmol), and biopsy-confirmed HIV-associated nephropathy (HIVAN), focal segmental glomerulosclerosis (FSGS) or arterionephrosclerosis. Multivariable robust Poisson regression estimated the effect of region of African ancestry on kidney disease outcomes. Findings: Of the 2468 participants (mean age 48.1 [SD 9.8] years, 62% female), 193 had renal impairment, 87 stage 5 CKD, 126 proteinuria, and 43 HIVAN/FSGS or arterionephrosclerosis. After adjusting for demographic characteristics, HIV and several CKD risk factors and with East African ancestry as referent, West African ancestry was associated with renal impairment (prevalence ratio [PR] 2.06 [95% CI 1.40–3.04]) and stage 5 CKD (PR 2.23 [1.23–4.04]), but not with proteinuria (PR 1.27 [0.78–2.05]). West African ancestry (as compared to East/South African ancestry) was also strongly associated with a diagnosis of HIVAN/FSGS or arterionephrosclerosis on kidney biopsy (PR 6.44 [2.42–17.14]). Interpretation: Our results indicate that people of West African ancestry with HIV are at increased risk of kidney disease. Although we cannot rule out the possibility of residual confounding, geographical region of origin appears to be a strong independent risk factor for CKD as the association did not appear to be explained by several demographic, HIV or renal risk factors

Alcances e obstáculos do accountability midiático na América Latina após a Terceira Onda da Democratização

Una de las más clásicas funciones normativas de los medios de comunicación en las democracias es la de ser vigilantes del poder, tanto para servir como defensores de la ciudadanía como para que la opinión pública tome correctas decisiones. El presente trabajo discute desde una posición crítica la accountability mediática en América Latina tras la Tercera Ola de la Democracia hasta el presente, la que si bien ha tenido una importante labor denunciante e investigativa en determinados casos de corrupción política, se postula como limitada por dos razones: la primera, la alta concentración de la propiedad de los sistemas de medios regionales ha provocado un bajo pluralismo informativo que puede poner en duda los verdaderos alcances e intenciones de la vigilancia que realizan los medios al poder y su aporte a las democracias. Por otra parte, y como segunda razón, las reformas de los últimos años llevadas a cabo por algunos gobiernos de liderazgo progresista o populista no han creado un ambiente propicio para esta función, al contrario, han propiciado carencias para la libertad informativa, principio básico para la accountability mediática. A modo de conclusión, se reflexiona sobre la importancia de fomentar el pluralismo informativo y la libertad de expresión como bases para la vigilancia de los medios al poder en la región latinoamericana.One of the most classic normative functions of media in democracies is to be vigilant of power, both to serve as defenders of the citizens and for the public opinion to make correct decisions. This paper discusses from a critical perspective the accountability of the media in Latin America from the Third Wave of Democracy up to date, which has been important in denouncing and investigating certain cases of political corruption, but has been limited for two reasons: the first is the high concentration of ownership of regional media systems, have led to a very low level of informative pluralism which calls into question the true scope and intentions of the surveillance that the media can carry out of power and its contribution to democracy. On the other hand, the second reason is the reforms carried out in recent years by the leadership of some progressive or populist governments that have not created a proper environment for this function, and on the contrary, have provided shortcomings for the freedom of information, a basic principle for media accountability. As a conclusion, this paper reflects on the importance of promoting informative pluralism and freedom of expression as the basis of media surveillance of power in the Latin American region.Uma das mais clássicas funções normativas dos meios de comunicação nas democracias é a de ser vigilantes do poder, tanto para servir como defensores da cidadania quanto para que a opinião pública tome decisões corretas. Este trabalho discute, sob uma posição crítica, o accountability midiático na América Latina após a Terceira Onda da Democratização até o presente, a que, embora tenha tido um importante trabalho denunciante e investigativo em determinados casos de corrupção política, apresenta-se como limitada por duas razões: a alta concentração da propriedade dos sistemas de meios regionais que provoca um baixo pluralismo informativo que pode colocar em dúvida os verdadeiros alcances e intenções da vigilância realizados pelos meios ao poder e sua contribuição para a democracia; por outro lado, e como segunda razão, as reformas dos últimos anos realizadas por alguns governos de liderança progressista ou populista que não criaram um ambiente propício para essa função; ao contrário, promoveram carências para a liberdade informativa, princípio básico para o accountability midiático. Como conclusão, reflexiona-se sobre a importância de fomentar o pluralismo informativo e a liberdade de expressão como bases para a vigilância dos meios ao poder na região latino-americana.https://revistas.udem.edu.co/index.php/anagramas/article/view/194

How does social integration influence breast cancer control among urban African-American women? Results from a cross-sectional survey

<p>Abstract</p> <p>Background</p> <p>Although social integration is a well-established influence on health, less is known about how the specific types of social connection (social roles, social networks, and social support) influence knowledge, attitudes, and practices for specific prevention goals, and how to utilize these influences in interventions with priority populations. This research examined the prevalence of social roles, networks and support among 576 urban African-American women age 45–93 in East Baltimore, Maryland, and the association of these social factors with breast cancer related knowledge, attitudes, and practices.</p> <p>Methods</p> <p>Using data from 1997–1998 in-home interviews, we developed indices of six possible social roles, social networks of family, neighborhood and church, and instrumental and emotional social support. In multivariate models adjusting for age, education, and medical care, we examined the association of each social influence on breast cancer knowledge, attitudes, screening recency and intention, and treatment preferences.</p> <p>Results</p> <p>We found substantial variation in social integration among these women, with social integration positively associated with overall health and well-being. Social roles and networks were positively associated with screening knowledge, and emotional support and church networks were positively associated with attitudes conducive to early detection and treatment. In regard to screening behaviors, family networks were associated with both screening recency and intention. Women with greater church networks and emotional support held more conservative attitudes towards lumpectomy, reconstruction, and clinical trials.</p> <p>Conclusion</p> <p>Overall, social integration is a positive influence on breast cancer control and should be utilized where possible in interventions, including identifying surrogate mechanisms for support for subgroups without existing social resources.</p

Comparison of Patient and Surgeon Expectations of Total Hip Arthroplasty

OBJECTIVES: Analysis of discrepancies between patient and surgeon expectations before total hip arthroplasty (THA) should enable a better understanding of motives of dissatisfaction about surgery, but this question has been seldom studied. Our objectives were to compare surgeons' and patients' expectations before THA, and to study factors which affected surgeon-patient agreement. METHODS: 132 adults (mean age 62.8+/-13.7 years, 52% men) on waiting list for THA in three tertiary care centres and their 16 surgeons were interviewed to assess their expectations using the Hospital for Special Surgery Total Hip Replacement Expectations Survey (range 0-100). Patients' and surgeons' answers were compared, for the total score and for the score of each item. Univariate analyses tested the effect of patients' characteristics on surgeons' and patients' expectations separately, and on surgeon-patient differences. RESULTS: Surgeon and patient expectations' mean scores were high (respectively 90.9+/-11.1 and 90.0+/-11.6 over 100). Surgeons' and patients' expectations showed no systematic difference, but there was little agreement on Bland and Altman graph and correlation coefficient was low. Patients had higher expectations than surgeons for sports. Patients rated their expectations according to trust in physician and mental quality of life, surgeons considered disability. More disabled patients and patients from a low-income professional category were often "more optimistic" than their surgeons. CONCLUSION: Surgeons and patients often do not agree on what to expect from THA. More disabled patients expect better outcomes than their surgeons

The Role of Natural Halogens in Global Tropospheric Ozone Chemistry and Budget Under Different 21st Century Climate Scenarios

Funder: NSFFunder: Office of Science of the US Department of EnergyFunder: PICT‐2016‐0714 (ANPCyT)Funder: i‐COOP‐B20331 (CSIC + CONICET)Abstract: Tropospheric ozone ( O 3 ) is an important greenhouse gas and a surface pollutant. The future evolution of O 3 abundances and chemical processing are uncertain due to a changing climate, socioeconomic developments, and missing chemistry in global models. Here, we use an Earth System Model with natural halogen chemistry to investigate the changes in the O 3 budget over the 21st century following Representative Concentration Pathway (RCP)6.0 and RCP8.5 climate scenarios. Our results indicate that the global tropospheric O 3 net chemical change (NCC, chemical gross production minus destruction) will decrease ∼ 50 % , notwithstanding increasing or decreasing trends in ozone production and loss. However, a wide range of surface NCC variations (from −60 % to 150 % ) are projected over polluted regions with stringent abatements in O 3 precursor emissions. Water vapor and iodine are found to be key drivers of future tropospheric O 3 destruction, while the largest changes in O 3 production are determined by the future evolution of peroxy radicals. We show that natural halogens, currently not considered in climate models, significantly impact on the present‐day and future global O 3 burden reducing ∼ 30–35 Tg (11–15 % ) of tropospheric ozone throughout the 21st century regardless of the RCP scenario considered. This highlights the importance of including natural halogen chemistry in climate model projections of future tropospheric ozone

Global and regional brain metabolic scaling and its functional consequences

Background: Information processing in the brain requires large amounts of metabolic energy, the spatial distribution of which is highly heterogeneous reflecting complex activity patterns in the mammalian brain. Results: Here, it is found based on empirical data that, despite this heterogeneity, the volume-specific cerebral glucose metabolic rate of many different brain structures scales with brain volume with almost the same exponent around -0.15. The exception is white matter, the metabolism of which seems to scale with a standard specific exponent -1/4. The scaling exponents for the total oxygen and glucose consumptions in the brain in relation to its volume are identical and equal to $0.86\pm 0.03$, which is significantly larger than the exponents 3/4 and 2/3 suggested for whole body basal metabolism on body mass. Conclusions: These findings show explicitly that in mammals (i) volume-specific scaling exponents of the cerebral energy expenditure in different brain parts are approximately constant (except brain stem structures), and (ii) the total cerebral metabolic exponent against brain volume is greater than the much-cited Kleiber's 3/4 exponent. The neurophysiological factors that might account for the regional uniformity of the exponents and for the excessive scaling of the total brain metabolism are discussed, along with the relationship between brain metabolic scaling and computation.Comment: Brain metabolism scales with its mass well above 3/4 exponen