Investigating possible ethnicity and sex bias in clinical examiners: an analysis of data from the MRCP(UK) PACES and nPACES examinations

Bias of clinical examiners against some types of candidate, based on characteristics such as sex or ethnicity, would represent a threat to the validity of an examination, since sex or ethnicity are 'construct-irrelevant' characteristics. In this paper we report a novel method for assessing sex and ethnic bias in over 2000 examiners who had taken part in the PACES and nPACES (new PACES) examinations of the MRCP(UK)

Trans-mitochondrial coordination of cristae at regulated membrane junctions

Reminiscent of bacterial quorum sensing, mammalian mitochondria participate in inter-organelle communication. However, physical structures that enhance or enable interactions between mitochondria have not been defined. Here we report that adjacent mitochondria exhibit coordination of inner mitochondrial membrane cristae at inter-mitochondrial junctions (IMJs). These electron-dense structures are conserved across species, resistant to genetic disruption of cristae organization, dynamically modulated by mitochondrial bioenergetics, independent of known inter-mitochondrial tethering proteins mitofusins and rapidly induced by the stable rapprochement of organelles via inducible synthetic linker technology. At the associated junctions, the cristae of adjacent mitochondria form parallel arrays perpendicular to the IMJ, consistent with a role in electrochemical coupling. These IMJs and associated cristae arrays may provide the structural basis to enhance the propagation of intracellular bioenergetic and apoptotic waves through mitochondrial networks within cells

Barium cycling in the North Pacific: Implications for the utility of Ba as a paleoproductivity and paleoalkalinity proxy

Benthic incubation chambers have been deployed in a variety of geochemical environments that provide a comprehensive geochemical framework from which to address issues related to Ba geochemistry and the use of Ba as a paleoproxy. First order budgets for barium show that in the equatorial Pacific, present rates of Ba rain and benthic remobilization are nearly in balance, indicating that the rate of net accumulation is negligible and is clearly much less than the average for the Holocene; thus any paleoproxy algorithms built on the assumption of steady state are questionable. In contrast, budgets for sediments in the southern California Borderland indicate much higher burial efficiencies, in the range of 50–80%. The Ba:alkalinity (Alk) flux ratio is found to be remarkably constant throughout the environments studied and is indistinguishable from the deep water ratio used for paleoceanographic reconstructions. However, the Ba:organic carbon remobilization ratio is not constant. Combined, these results do not indicate a simple, first‐order direct link between Ba and alkalinity remobilization via organic carbon oxidation; however, the similarities in the Ba and alkalinity source functions conspire to maintain the Ba:Alk ratio near the global water column average. This latter observation provides promise for the use of the Ba:Ca ratio in benthic foraminifera as a paleocirculation tracer

Oceanic molybdenum isotope fractionation: Diagenesis and hydrothermal ridge-flank alteration

Isotopic analyses of dissolved molybdenum are presented for sediment pore waters from a reducing sedimentary basin and for fluids from a low-temperature ridge flank hydrothermal system. δ⁹⁸/⁹⁵Mo in these fluids range from 0.8 to 3.5%₀ (relative to a laboratory standard), demonstrating that marine sedimentary reactions significantly fractionate Mo isotopes. Within the upper 3 cm of sediment, manganese oxide dissolution produces an isotopically light fluid relative to seawater (mean of four analyses = 2.1 ± 0.1%₀ versus seawater = 2.3 ± 0.1%₀). Below 6 cm depth, authigenic Mo uptake results in an isotopically heavier fluid (up to 3.5%₀) indicating that reducing sediments are likely to be a net sink for isotopically light dissolved Mo. In contrast, fluid circulation within a low-temperature ridge-flank hydrothermal system is a source of isotopically light Mo to the ocean having an end-member fluid of ~0.8%₀.Keywords: molybdenum isotopes, molybdenum, isotope geochemistry, sediment diagenesisKeywords: molybdenum isotopes, molybdenum, isotope geochemistry, sediment diagenesi

Methods for measuring benthic nutrient flux on the California Margin: Comparing shipboard core incubations to in situ lander results

The objective of this study was to compare two techniques for estimating benthic fluxes of nutrients (nitrate, phosphate, and silicic acid) and Ge/Si flux ratios. In situ flux chambers were deployed, and cores were collected and incubated at 9 sites along the California margin in July 2001. Both techniques were successful at 8 sites, at depths from 100 to 3300 m. Flux chambers were deployed for 1 to 2 d, and cores were incubated for slightly longer on board the ship in a cold room. In some cases, core incubation flux temperature varied by up to 5°C from in situ temperature, and core incubation results were adjusted for this factor based on the effects of temperature on diffusivities and the adsorption of silicic acid. Sites studied had a range in nutrient fluxes of more than an order of magnitude, based on in situ chambers. The temperature-adjusted core incubation fluxes showed a similar, but slightly smaller range. Both methods had similar precision based on replicates, with uncertainties for high flux stations that were 5% to 20% of the mean. Only phosphate showed significant (95% confidence level) spatial variability in replicate cores; the larger in situ flux chambers had less spatial variability. The two techniques did show some systematic differences that are attributed to several artifacts created by core recovery. Silicic acid fluxes from cores were significantly lower than in situ fluxes at 2 sites; overall averages were about 80% of those for in situ chambers. The differences are attributed to reduced macrofaunal irrigation in incubated cores. Nitrate uptake in core incubations at 5 of 8 stations was significantly lower than in situ uptake; shipboard rates for all sites averaged about 66% of in situ chamber rates. This difference is attributed primarily to decreased denitrification rates in recovered cores in response to altered temperature and pressure. Phosphate fluxes from cores were significantly lower at only one site; overall, results for the two techniques were indistinguishable. Only one site had a significantly different Ge/Si flux ratio

Blood pressure self-monitoring in pregnancy: examining feasibility in a prospective cohort study

Background: Raised blood pressure (BP) affects approximately 10% of pregnancies worldwide, and a high proportion of affected women develop pre-eclampsia. This study aimed to evaluate the feasibility of self-monitoring of BP in pregnancy in women at higher risk of pre-eclampsia. Methods: This prospective cohort study of self-monitoring BP in pregnancy was carried out in two hospital trusts in Birmingham and Oxford and thirteen primary care practices in Oxfordshire. Eligible women were those defined by the UK National Institute for Health and Care Excellence (NICE) guidelines as at higher risk of pre-eclampsia. A total of 201 participants were recruited between 12 and 16 weeks of pregnancy and were asked to take two BP readings twice daily three times a week through their pregnancy. Primary outcomes were recruitment, retention and persistence of self-monitoring. Study recruitment and retention were analysed with descriptive statistics. Survival analysis was used to evaluate the persistence of self-monitoring and the performance of self-monitoring in the early detection of gestational hypertension, compared to clinic BP monitoring. Secondary outcomes were the mean clinic and self-monitored BP readings and the performance of self-monitoring in the detection of gestational hypertension and pre-eclampsia compared to clinic BP. Results: Of 201 women recruited, 161 (80%) remained in the study at 36 weeks or to the end of their pregnancy, 162 (81%) provided any home readings suitable for analysis, 148 (74%) continued to self-monitor at 20 weeks and 107 (66%) at 36 weeks. Self-monitored readings were similar in value to contemporaneous matched clinic readings for both systolic and diastolic BP. Of the 23 who developed gestational hypertension or pre-eclampsia and self-monitored, 9(39%) had a raised home BP prior to a raised clinic BP. Conclusions: Self-monitoring of BP in pregnancy is feasible and has potential to be useful in the early detection of gestational hypertensive disorders but maintaining self-monitoring throughout pregnancy requires support and probably enhanced training

Geochemical observations on Hydrate Ridge, Cascadia Margin during R/V BROWN-ROPOS cruise : August 1998

A massive release of methane on the Cascadia Hydrate Ridge was documented during a ROPOS program in August 1998, consistent with previously reported observations in 1996. An extensive survey of the seafloor revealed that the seeps lie within a narrow band trending 109 degrees. This feature parallels larger mounds imaged by Seabeam as well as larger structures of the accretionary prism such as the Daisy bank. The area of intense bubbling is characterized by extensive bacterial mats. Large clam fields were observed ten's of meters away from the gas seeps. A third province with carbonate blocks but no clams or bacterial mats was mapped approximately 200 meters away from the seeps. To constrain fluid flow through the sediments, we deployed 8 osomotic flow meters. The areas of gas discharge are discrete and highly focussed within conduits with an approximate cross-sectional area of 5 cm2. We estimate the gas flow rate to be on the order of 5 liters/minute. While the subsurface plumbing is unknown, the high flow rate of the sampled gas seep suggests a very short transit time from the gas source (presumably the base of the BSR at 70 mbsf) to the sea floor. The Rn/CH4 ratio in gas samples collected from the gas vents is very high, approximately 50 dpm/liter (stp) CH4. Using these values, we estimate that the time required for the fluids to transit 70 m is approximately 1 hour. To further constrain the nature of the discharging fluids, we will analyze samples for their elemental and isotopic composition. Methane hydrate should be stable at the temperature and pressure conditions at the seafloor on Hydrate Ridge. Indeed, solid hydrate was observed to form within the gas samplers as well as on the camera itself, supporting the conclusion that methane is rapidly transported to the seafloor from beneath the BSR within discrete conduits, most likely separated from significant amounts of pore water. When discharged at the seafloor, some of the methane precipitate as hydrate and some continues to rise within the water column. Bubbles were observed with the ROV up to 50 meters above the seafloor. This methane generates a plume in the water column, which was first documented during the 1996 GEOMAR survey. The most pronounced methane plumes observed during 1998 occur nearest to the active discharge sites, where methane concentrations up to 800 nmol/l were recorded

Characterisation of the Immunophenotype of Dogs with Primary Immune-Mediated Haemolytic Anaemia

Immune-mediated haemolytic anaemia (IMHA) is reported to be the most common autoimmune disease of dogs, resulting in significant morbidity and mortality in affected animals. Haemolysis is caused by the action of autoantibodies, but the immunological changes that result in their production have not been elucidated.To investigate the frequency of regulatory T cells (Tregs) and other lymphocyte subsets and to measure serum concentrations of cytokines and peripheral blood mononuclear cell expression of cytokine genes in dogs with IMHA, healthy dogs and dogs with inflammatory diseases.19 dogs with primary IMHA, 22 dogs with inflammatory diseases and 32 healthy control dogs.Residual EDTA-anti-coagulated blood samples were stained with fluorophore-conjugated monoclonal antibodies and analysed by flow cytometry to identify Tregs and other lymphocyte subsets. Total RNA was also extracted from peripheral blood mononuclear cells to investigate cytokine gene expression, and concentrations of serum cytokines (interleukins 2, 6 10, CXCL-8 and tumour necrosis factor α) were measured using enhanced chemiluminescent assays. Principal component analysis was used to investigate latent variables that might explain variability in the entire dataset.There was no difference in the frequency or absolute numbers of Tregs among groups, nor in the proportions of other lymphocyte subsets. The concentrations of pro-inflammatory cytokines were greater in dogs with IMHA compared to healthy controls, but the concentration of IL-10 and the expression of cytokine genes did not differ between groups. Principal component analysis identified four components that explained the majority of the variability in the dataset, which seemed to correspond to different aspects of the immune response.The immunophenotype of dogs with IMHA differed from that of dogs with inflammatory diseases and from healthy control dogs; some of these changes could suggest abnormalities in peripheral tolerance that permit development of autoimmune disease. The frequency of Tregs did not differ between groups, suggesting that deficiency in the number of these cells is not responsible for development of IMHA