Relationship between Bulk Metal Concentration and Bioavailability in Tropic Estuarine Sediments

Major (Si, Al, Fe, Ti, Mg, Ca, Na, K, S, P), minor (Mn) and trace (Li, V, Cr, Co, Ni, Cu, Zn, As, Sr, Zr, Mo, Cd, Ag, Sn, Sb, Cs, Ba, Hg, Pb, Bi and U) elements, their chemical forms and the mineral composition, organic matter (TOC) and carbonates (TIC) in surface sediments from the Cai River estuary and Nha Trang Bay were first determined along the salinity gradient. The abundance and ratio of major and trace elements in surface sediments are discussed in relation to the mineralogy, grain size, depositional conditions, reference background and SQG values. Most trace-element contents are at natural levels and are derived from the composition of rocks and soils in the watershed. A severe enrichment of Ag is most likely derived from metal-rich detrital heavy minerals such as Ag-sulphosalts. Along the salinity gradient, several zones of metal enrichment occur in surface sediments because of the geochemical fractionation of the riverine material. The parts of actually and potentially bioavailable forms (isolated by four single chemical reagent extractions) are most elevated for Mn and Pb (up to 36% and 32% of the total content, respectively). The possible anthropogenic input of Pb in the region requires further study. Overall, the most bioavailable parts of trace elements are associated with easily soluble amorphous Fe and Mn oxyhydroxides. The sediments are primarily enriched with bioavailable metal forms in the riverine part of the estuary. Natural (such as turbidities) and human-generated (such as urban and industrial activities) pressures are shown to influence the abundance and speciation of potential contaminants and therefore change their bioavailability in this estuarine system

The genetic architecture of the human cerebral cortex

The cerebral cortex underlies our complex cognitive capabilities, yet little is known about the specific genetic loci that influence human cortical structure. To identify genetic variants that affect cortical structure, we conducted a genome-wide association meta-analysis of brain magnetic resonance imaging data from 51,665 individuals. We analyzed the surface area and average thickness of the whole cortex and 34 regions with known functional specializations. We identified 199 significant loci and found significant enrichment for loci influencing total surface area within regulatory elements that are active during prenatal cortical development, supporting the radial unit hypothesis. Loci that affect regional surface area cluster near genes in Wnt signaling pathways, which influence progenitor expansion and areal identity. Variation in cortical structure is genetically correlated with cognitive function, Parkinson's disease, insomnia, depression, neuroticism, and attention deficit hyperactivity disorder

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Recommendations for effective documentation in regional anesthesia: an expert panel Delphi consensus project

Background and objectives: Documentation is important for quality improvement, education, and research. There is currently a lack of recommendations regarding key aspects of documentation in regional anesthesia. The aim of this study was to establish recommendations for documentation in regional anesthesia. Methods: Following the formation of the executive committee and a directed literature review, a long list of potential documentation components was created. A modified Delphi process was then employed to achieve consensus amongst a group of international experts in regional anesthesia. This consisted of 2 rounds of anonymous electronic voting and a final virtual round table discussion with live polling on items not yet excluded or accepted from previous rounds. Progression or exclusion of potential components through the rounds was based on the achievement of strong consensus. Strong consensus was defined as ≥75% agreement and weak consensus as 50%-74% agreement. Results: Seventy-seven collaborators participated in both rounds 1 and 2, while 50 collaborators took part in round 3. In total, experts voted on 83 items and achieved a strong consensus on 51 items, weak consensus on 3 and rejected 29. Conclusion: By means of a modified Delphi process, we have established expert consensus on documentation in regional anesthesia

Major and trace elements in suspended matter of western Siberian rivers: First assessment across permafrost zones and landscape parameters of watersheds

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Mineralogy of Particulate Suspended Matter of the Severnaya Dvina River (White Sea, Russia)

This paper seeks to generalize the data obtained over 4 years of investigation of the suspended sediment mineral composition in Severnaya Dvina River. The sampling of the river water to isolate suspended particulate matter (SPM) using the method of sedimentation from large water volumes (200–800 L) was carried out at two points of the delta with different hydrological regimes every month for four years. SPM samples weighing 1 g and more allowed us to obtain and preserve for different analytical procedures the grain size fractions from 1.0–0.5 to <0.001 mm (from sands to pelit). The analyses of fractions revealed a sharp prevalence of pelitic fractions (<0.01 mm) (near 90% on average), while the share of silt was 4%–5%. Coarse fractions were found in the SPM of the main stream of the river but were absent in the samples taken at the point near the river–sea boundary. The determinations of clastic, clay, and some other minerals using the method of X-ray diffraction analysis have shown that in the group of clastic minerals, quartz and plagioclase prevail. Among the clay minerals, smectite and illite were present in high quantities, and chlorite and kaolinite were in lower quantitative. The distribution of minerals in the grain size fractions showed that the sum of clastic minerals reached its highest content of up to 84% in silt fractions (0.05–0.01 mm), while the sum of clay minerals in this fraction was minimal (about 15%). Investigations of seasonal variations of clastic and clay minerals during the whole period showed that the contents of minerals in the SPM of the Severnaya Dvina did not change much over the year. As a result of this work, the following trend was established on the behavior of all kinds of minerals: during the periods of high water in spring and autumn, a slightly increased quantity of clastic minerals was detected in comparison to winter and summer, while the variations in the quantities of clay minerals were insignificant

Fluid Inclusion Studies of Barite Disseminated in Hydrothermal Sediments of the Mohns Ridge

This article discusses the results of a fluid inclusion studies in barite collected at the Jan Mayen vent field area (Troll Wall and Perle and Bruse) and Loki’s Castle vent field on the Mohns Ridge segment of the Arctic Mid-Ocean Ridge. Three mafic-hosted volcanogenic massive sulfide deposits were examined within the active vent fields that adequately correspond to the geological settings of ultraslow-spreading ridges and P–T conditions. Hydrothermal sediments were investigated to determine the temperature and salinity of the fluids responsible for barite precipitation. The hydrothermal origin of the barite was confirmed by its morphology. Fluid inclusions are two-phase and homogenize into the liquid phase on heating at temperatures below 287 °C. The salt concentration in fluids trapped in inclusions is 2.6–4.4 wt.% NaCl eq. The crystallization temperatures varied from 276 °C to 119 °C and from 307 °C to 223 °C for the Jan Mayen and Loki’s Castle vent fields, respectively. The data obtained allowed us to confirm evidence of fluid phase separation in the hydrothermal systems and to expand our knowledge of the temperature and salinity of mineral fluids previously known from recent direct measurements during the cruises within the G.O. Sars research vessel. The fluid inclusions data obtained from barites emphasize the fluid features characteristic of volcanogenic massive sulfide deposits, the similarities and differences among the studied hydrothermal sites and allow comparisons with similar products from other active hydrothermal systems

Seasonal Variations of Mineralogical and Chemical Composition of Particulate Matter in a Large Boreal River and Its Tributaries

Despite the importance of river suspended matter (RSM) for carbon, nutrient, and trace metal transfer from the land to the ocean, the mineralogical control on major and trace element speciation in the RSM remains poorly constrained. To gain a better understanding of environmental and seasonal factors controlling the mineral and chemical composition of riverine suspended load, we studied, over several hydrological seasons, including winter baseflow, the RSM of a large boreal river in Western Siberia (Ob in its middle course) and its two small tributaries. The concentration of RSM increased from 2–18 mg/L in winter to 15–105 mg L−1 during the spring flood. Among the dominant mineral phases of the RSM in the Ob River, quartz (20–40%), albite (4–18%), smectite (2–14%), and chlorite (6–16%) increased their relative proportions with an increase in discharge in the order “winter ≤ summer < spring flood”; illite (5–15%) was not affected by seasons or discharge, whereas the abundance of calcite (0–30%) decreased with discharge, from winter to summer and spring. Seasonal variation of elemental composition of the Ob River’s RSM allowed distinguishing three main groups of elements. Sodium, K, Si, Al, trivalent, and tetravalent hydrolysates increased their concentrations in the RSM with an increase in discharge, reflecting enhanced contribution of lithogenic material during high flow, whereas the concentration of alkaline-earth metals (Ca, Sr, Ba), P, Mn, and As decreased with discharge, reflecting accumulation of these elements in the suspended matter under ice. At the same time, a number of nutrients and trace elements demonstrated progressive accumulation in the RSM during winter (Ca, P, Cu, Zn, Mo, As, Cd, Sb). Micronutrients (V, Co), Fe, and Cr exhibited a minimum during summer, which could reflect both the uptake of these elements by the biota during baseflow (micronutrients) and their enhanced export during winter and spring compared to summer (Fe). The RSM of small tributaries demonstrated quite a different pattern compared to the Ob River main stem. Maximal concentration of suspended matter was observed at low discharges during the winter. During this period, the RSM was dominated by amorphous Fe hydroxides. Overall, the obtained results confirm the overwhelming impact of peatlands on element export in suspended form in small rivers of Western Siberia, and strong seasonal variations of both mineralogy and chemistry of the RSM in the Ob River main stem. Elemental yields (watershed-normalized export), assessed for the first time for the middle course of the Ob River and tributaries, were shifted towards the more important role of particulate vs. dissolved export for a number of trace elements, compared to that of the small and medium-sized rivers of Western Siberia, draining the taiga forest and peatlands of the boreal zone. The contrasting pattern of RSM chemical composition across the year demonstrated the importance of seasonal approach for sampling river suspended matter and calls a need for addressing strongly understudied RSM sources during winter baseflow, under ice