41 research outputs found
Summer CO2 evasion from streams and rivers in the Kolyma River basin, north-east Siberia
Inland water systems are generally supersaturated in carbon dioxide (CO2) and are increasingly recognized as playing an important role in the global carbon cycle. The Arctic may be particularly important in this respect, given the abundance of inland waters and carbon contained in Arctic soils; however, a lack of trace gas measurements from small streams in the Arctic currently limits this understanding.We investigated the spatial variability of CO2 evasion during the summer low-flow period from streams and rivers in the northern portion of the Kolyma River basin in north-eastern Siberia. To this end, partial pressure of carbon dioxide (pCO2) and gas exchange velocities (k) were measured at a diverse set of streams and rivers to calculate CO2 evasion fluxes.
We combined these CO2 evasion estimates with satellite remote sensing and geographic information system techniques to calculate total areal CO2 emissions. Our results show that small streams are substantial sources of atmospheric CO2 owing to high pCO2 and k, despite being a small portion of total inland water surface area. In contrast, large rivers were generally near equilibrium with atmospheric CO2. Extrapolating our findings across the Panteleikha-Ambolikha sub-watersheds demonstrated that small streams play a major role in CO2 evasion, accounting for 86% of the total summer CO2 emissions from inland waters within these two sub-watersheds. Further expansion of these regional CO2 emission estimates across time and space will be critical to accurately quantify and understand the role of Arctic streams and rivers in the global carbon budget
Models of peer support to remediate post-intensive care syndrome: A report developed by the SCCM Thrive International Peer Support Collaborative
Objective: Patients and caregivers can experience a range of physical, psychological, and
cognitive problems following critical care discharge. The use of peer support has been
proposed as an innovative support mechanism.
Design: We sought to identify technical, safety and procedural aspects of existing
operational models of peer support, among the Society of Critical Care Medicine Thrive Peer
Support Collaborative. We also sought to categorize key distinctions between these models
and elucidate barriers and facilitators to implementation.
Subjects: 17 Thrive sites from the USA, UK, and Australia were represented by a range of
healthcare professionals.
Interventions: Via an iterative process of in-person and email/conference calls, members
of the Collaborative, defined the key areas on which peer support models could be defined
and compared; collected detailed self-reports from all sites; reviewed the information and
identified clusters of models. Barriers and challenges to implementation of peer support
models were also documented.
Results: Within the Thrive Collaborative, six general models of peer support were identified:
Community based, Psychologist-led outpatient, Models based within ICU follow-up clinics,
Online, Groups based within ICU and Peer mentor models. The most common barriers to
implementation were: recruitment to groups, personnel input and training: sustainability
and funding, risk management and measuring success.
Conclusion: A number of different models of peer support are currently being developed
to help patients and families recover and grow in the post-critical care setting
Recommended from our members
Track A Basic Science
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138319/1/jia218438.pd
Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures
Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo
Burglary and vandalism in schools A study of theory and practice in the prevention of crime
SIGLEAvailable from British Library Document Supply Centre-DSC:DX205677 / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Going global, feeling small: an examination of managers' reactions to global restructuring in a multinational organisation
This paper is concerned with examining the reactions of managers to the process of global restructuring in a large, multinational food-processing company. Much extant research concerning globalisation has focused on the wider economic, political and social outcomes. Perhaps surprisingly, relatively little attention has been given to how globalisation is experienced inside organisations. This paper examines how country-level managers have been affected by the move to a new global structure in their organisation. We present evidence of these managers feeling disempowered by global reorganisation and of a largely negative impact on their feelings towards the organisation they work for
Working identities? Antagonistic discursive resources and managerial identity
In this paper, we analyze the principal antagonistic discourses on which managers in a large UK-based engineering company drew in their efforts to construct versions of their selves. Predicated on an understanding that subjectively construed discursive identities are available to individuals as in-progress narratives that are contingent and fragile, the research contribution we make is threefold. First, we argue that managers may draw on mutually antagonistic discursive resources in authoring conceptions of their selves. Second, we contend that rather than being relatively coherent or completely fluid and fragmented managers’ identity narratives may incorporate contrasting positions or antagonisms. Third, we show that managers’ identity work constituted a continuing quest to (re)-author their selves as moral beings. Antagonisms in managers’ identities, we suggest, may appropriately be analyzed as the complex and ambiguous effects of organizationally-based disciplinary practices and individuals’ discursive responses to them