Aggregate breakdown and dispersion of soil samples amended with sugarcane vinasse

Soil aggregation is a very complex issue related to important soil attributes and processes. The aggregate breakdown and dispersion of soil samples amended with sugarcane vinasse were evaluated using ultrasonic energy. Vinasse is an important byproduct of sugarcane industries, intensively applied to soils in Brazil as liquid fertilizer. Samples of two Oxisols and one Ultisol were used in this study. The physical and chemical characterization of soils was performed, and the 1 to 2 mm size aggregates (200 g) were packed in PVC columns (6.0 cm high and 4.0 cm internal diameter) and incubated with sugarcane vinasse under lab conditions for 1, 30 and 60 days. After incubation, aggregates were submitted to levels of ultrasonic energy, and the particle size distribution (53 to 2,000 µm, 2 to 53 µm, and < 2 µm fractions) was quantified. Mathematical equations were used to relate the mass of aggregates in each of these fractions to the applied ultrasonic energy, and parameters related to aggregate stability were then obtained. Soils showed an aggregate-hierarchy resulting in a stepwise breakdown under ultrasonic agitation. Considering this soil-aggregation hierarchy, vinasse contributed even in a short time to the bonding between and within 2 to 53 µm aggregates, mainly in the Oxisols. This may be related to organic compounds present in the vinasse, cementing soil particles. Potassium enrichment of soil samples did not contribute to soil dispersion

Controversies and evidence gaps in the early management of severe traumatic brain injury: back to the ABCs

Traumatic brain injury (TBI) accounts for around 30% of all trauma-related deaths. Over the past 40 years, TBI has remained a major cause of mortality after trauma. The primary injury caused by the injurious mechanical force leads to irreversible damage to brain tissue. The potentially preventable secondary injury can be accentuated by addressing systemic insults. Early recognition and prompt intervention are integral to achieve better outcomes. Consequently, surgeons still need to be aware of the basic yet integral emergency management strategies for severe TBI (sTBI). In this narrative review, we outlined some of the controversies in the early care of sTBI that have not been settled by the publication of the Brain Trauma Foundation’s 4th edition guidelines in 2017. The topics covered included the following: mode of prehospital transport, maintaining airway patency while securing the cervical spine, achieving adequate ventilation, and optimizing circulatory physiology. We discuss fluid resuscitation and blood product transfusion as components of improving circulatory mechanics and oxygen delivery to injured brain tissue. An outline of evidence-based antiplatelet and anticoagulant reversal strategies is discussed in the review. In addition, the current evidence as well as the evidence gaps for using tranexamic acid in sTBI are briefly reviewed. A brief note on the controversial emergency surgical interventions for sTBI is included. Clinicians should be aware of the latest evidence for sTBI. Periods between different editions of guidelines can have an abundance of new literature that can influence patient care. The recent advances included in this review should be considered both for formulating future guidelines for the management of sTBI and for designing future clinical studies in domains with clinical equipoise