61 research outputs found

    A stalagmite test of North Atlantic SST and Iberian hydroclimate linkages over the last two glacial cycles

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    Close coupling of Iberian hydroclimate and North Atlantic sea surface temperature (SST) during recent glacial periods has been identified through the analysis of marine sediment and pollen grains co-deposited on the Portuguese continental margin. While offering precisely correlatable records, these time series have lacked a directly dated, site-specific record of continental Iberian climate spanning multiple glacial cycles as a point of comparison. Here we present a high-resolution, multi-proxy (growth dynamics and delta C-13, delta O-18, and delta U-234 values) composite stalagmite record of hydroclimate from two caves in western Portugal across the majority of the last two glacial cycles (similar to 220 ka). At orbital and millennial scales, stalagmite-based proxies for hydroclimate proxies covaried with SST, with elevated delta C-13, delta O-18, and delta U-234 values and/or growth hiatuses indicating re-duced effective moisture coincident with periods of lowered SST during major ice-rafted debris events, in agreement with changes in palynological reconstructions of continental climate. While in many cases the Portuguese stalagmite record can be scaled to SST, in some intervals the magnitudes of stalagmite isotopic shifts, and possibly hydroclimate, appear to have been somewhat decoupled from SST.AgĂȘncia financiadora / NĂșmero do subsĂ­dio Center for Global and Regional Environmental Research, Cornell College US National Science Foundation BCS-1118155 BCS-1118183 AGS-1804132 IGESPAR Associacao de Estudos Subterraneos e Defesa do Ambienteinfo:eu-repo/semantics/publishedVersio

    Timing of antenatal care for adolescent and adult pregnant women in south-eastern Tanzania

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    Early and frequent antenatal care attendance during pregnancy is important to identify and mitigate risk factors in pregnancy and to encourage women to have a skilled attendant at childbirth. However, many pregnant women in sub-Saharan Africa start antenatal care attendance late, particularly adolescent pregnant women. Therefore they do not fully benefit from its preventive and curative services. This study assesses the timing of adult and adolescent pregnant women's first antenatal care visit and identifies factors influencing early and late attendance.\ud The study was conducted in the Ulanga and Kilombero rural Demographic Surveillance area in south-eastern Tanzania in 2008. Qualitative exploratory studies informed the design of a structured questionnaire. A total of 440 women who attended antenatal care participated in exit interviews. Socio-demographic, social, perception- and service related factors were analysed for associations with timing of antenatal care initiation using regression analysis. The majority of pregnant women initiated antenatal care attendance with an average of 5 gestational months. Belonging to the Sukuma ethnic group compared to other ethnic groups such as the Pogoro, Mhehe, Mgindo and others, perceived poor quality of care, late recognition of pregnancy and not being supported by the husband or partner were identified as factors associated with a later antenatal care enrolment (p < 0.05). Primiparity and previous experience of a miscarriage or stillbirth were associated with an earlier antenatal care attendance (p < 0.05). Adolescent pregnant women started antenatal care no later than adult pregnant women despite being more likely to be single. Factors including poor quality of care, lack of awareness about the health benefit of antenatal care, late recognition of pregnancy, and social and economic factors may influence timing of antenatal care. Community-based interventions are needed that involve men, and need to be combined with interventions that target improving the quality, content and outreach of antenatal care services to enhance early antenatal care enrolment among pregnant women

    The non-immunosuppressive management of childhood nephrotic syndrome

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    Consensus statement on abusive head trauma in infants and young children

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    Abusive head trauma (AHT) is the leading cause of fatal head injuries in children younger than 2 years. A multidisciplinary team bases this diagnosis on history, physical examination, imaging and laboratory findings. Because the etiology of the injury is multifactorial (shaking, shaking and impact, impact, etc.) the current best and inclusive term is AHT. There is no controversy concerning the medical validity of the existence of AHT, with multiple components including subdural hematoma, intracranial and spinal changes, complex retinal hemorrhages, and rib and other fractures that are inconsistent with the provided mechanism of trauma. The workup must exclude medical diseases that can mimic AHT. However, the courtroom has become a forum for speculative theories that cannot be reconciled with generally accepted medical literature. There is no reliable medical evidence that the following processes are causative in the constellation of injuries of AHT: cerebral sinovenous thrombosis, hypoxic-ischemic injury, lumbar puncture or dysphagic choking/vomiting. There is no substantiation, at a time remote from birth, that an asymptomatic birth-related subdural hemorrhage can result in rebleeding and sudden collapse. Further, a diagnosis of AHT is a medical conclusion, not a legal determination of the intent of the perpetrator or a diagnosis of murder. We hope that this consensus document reduces confusion by recommending to judges and jurors the tools necessary to distinguish genuine evidence-based opinions of the relevant medical community from legal arguments or etiological speculations that are unwarranted by the clinical findings, medical evidence and evidence-based literature

    Tentative Recommendations for High Pressure Flange Assemblies

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    PILOT-PLANT PREPARATION BY FLAME PROCESSES OF 1-MICRON SPHERICAL THORIA PARTICLES FOR HOMOGENEOUS REACTOR SLURRIES

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    Spheroidal thoria and thoria-- urania particles of about 1 mu average diameter were prepared in a one-step process by flame decomposition from Th nitrate and from mixtures of Th and U nitrates. Aluminum nitrate (equivalent to 0.5 to 10 wt% alumina) was included with both systems to obtain spheroidization. A reflected oxygen--hydrocarbon flame was used and particle temperatures above 2000 deg C were necessary. In aqueous slurries of density 2.0, at conditions planned for nuclear reactor blankets, the particles consistently gave low values for yield stress (about 0.02 lb/ft/sup 2/), modulus of rigidity (less than 3.0 centipoise), and corrosion (type 347 stainless steel; iess than 1 mil/yr in standard pump-loop test). Particle degradation in longterm pumping tests was negligible. Attempts to raise the average particle diameter to above 5 mu were only partially successful. Alumina-free spheroidal thoria particles were prepared using thoria sol feeds, but the materials were not satisfactory. (P.C.H.
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