Dynamics of sediment flux to a bathyal continental margin section through the Paleocene–Eocene Thermal Maximum

The response of the Earth system to greenhouse-gas-driven warming is of critical importance for the future trajectory of our planetary environment. Hyperthermal events – past climate transients with global-scale warming significantly above background climate variability – can provide insights into the nature and magnitude of these responses. The largest hyperthermal of the Cenozoic was the Paleocene–Eocene Thermal Maximum (PETM ∼ 56 Ma). Here we present new high-resolution bulk sediment stable isotope and major element data for the classic PETM section at Zumaia, Spain. With these data we provide a new detailed stratigraphic correlation to other key deep-ocean and terrestrial PETM reference sections. With this new correlation and age model we are able to demonstrate that detrital sediment accumulation rates within the Zumaia continental margin section increased more than 4-fold during the PETM, representing a radical change in regional hydrology that drove dramatic increases in terrestrial-to-marine sediment flux. Most remarkable is that detrital accumulation rates remain high throughout the body of the PETM, and even reach peak values during the recovery phase of the characteristic PETM carbon isotope excursion (CIE). Using a series of Earth system model inversions, driven by the new Zumaia carbon isotope record, we demonstrate that the silicate weathering feedback alone is insufficient to recover the PETM CIE, and that active organic carbon burial is required to match the observed dynamics of the CIE. Further, we demonstrate that the period of maximum organic carbon sequestration coincides with the peak in detrital accumulation rates observed at Zumaia. Based on these results, we hypothesise that orbital-scale variations in subtropical hydro-climates, and their subsequent impact on sediment dynamics, may contribute to the rapid climate and CIE recovery from peak-PETM conditions

Multicenter Evaluation of a Novel Surveillance Paradigm for Complications of Mechanical Ventilation

Ventilator-associated pneumonia (VAP) surveillance is time consuming, subjective, inaccurate, and inconsistently predicts outcomes. Shifting surveillance from pneumonia in particular to complications in general might circumvent the VAP definition's subjectivity and inaccuracy, facilitate electronic assessment, make interfacility comparisons more meaningful, and encourage broader prevention strategies. We therefore evaluated a novel surveillance paradigm for ventilator-associated complications (VAC) defined by sustained increases in patients' ventilator settings after a period of stable or decreasing support.We assessed 600 mechanically ventilated medical and surgical patients from three hospitals. Each hospital contributed 100 randomly selected patients ventilated 2-7 days and 100 patients ventilated >7 days. All patients were independently assessed for VAP and for VAC. We compared incidence-density, duration of mechanical ventilation, intensive care and hospital lengths of stay, hospital mortality, and time required for surveillance for VAP and for VAC. A subset of patients with VAP and VAC were independently reviewed by a physician to determine possible etiology.Of 597 evaluable patients, 9.3% had VAP (8.8 per 1,000 ventilator days) and 23% had VAC (21.2 per 1,000 ventilator days). Compared to matched controls, both VAP and VAC prolonged days to extubation (5.8, 95% CI 4.2-8.0 and 6.0, 95% CI 5.1-7.1 respectively), days to intensive care discharge (5.7, 95% CI 4.2-7.7 and 5.0, 95% CI 4.1-5.9), and days to hospital discharge (4.7, 95% CI 2.6-7.5 and 3.0, 95% CI 2.1-4.0). VAC was associated with increased mortality (OR 2.0, 95% CI 1.3-3.2) but VAP was not (OR 1.1, 95% CI 0.5-2.4). VAC assessment was faster (mean 1.8 versus 39 minutes per patient). Both VAP and VAC events were predominantly attributable to pneumonia, pulmonary edema, ARDS, and atelectasis.Screening ventilator settings for VAC captures a similar set of complications to traditional VAP surveillance but is faster, more objective, and a superior predictor of outcomes

Evolution of eukaryal tRNA-guanine transglycosylase: insight gained from the heterocyclic substrate recognition by the wild-type and mutant human and Escherichia coli tRNA-guanine transglycosylases

The enzyme tRNA-guanine transglycosylase (TGT) is involved in the queuosine modification of tRNAs in eukarya and eubacteria and in the archaeosine modification of tRNAs in archaea. However, the different classes of TGTs utilize different heterocyclic substrates (and tRNA in the case of archaea). Based on the X-ray structural analyses, an earlier study [Stengl et al. (2005) Mechanism and substrate specificity of tRNA-guanine transglycosylases (TGTs): tRNA-modifying enzymes from the three different kingdoms of life share a common catalytic mechanism. Chembiochem, 6, 1926–1939] has made a compelling case for the divergent evolution of the eubacterial and archaeal TGTs. The X-ray structure of the eukaryal class of TGTs is not known. We performed sequence homology and phylogenetic analyses, and carried out enzyme kinetics studies with the wild-type and mutant TGTs from Escherichia coli and human using various heterocyclic substrates that we synthesized. Observations with the Cys145Val (E. coli) and the corresponding Val161Cys (human) TGTs are consistent with the idea that the Cys145 evolved in eubacterial TGTs to recognize preQ1 but not queuine, whereas the eukaryal equivalent, Val161, evolved for increased recognition of queuine and a concomitantly decreased recognition of preQ1. Both the phylogenetic and kinetic analyses support the conclusion that all TGTs have divergently evolved to specifically recognize their cognate heterocyclic substrates

The Correlates of Leisure Time Physical Activity among an Adults Population from Southern Taiwan

<p>Abstract</p> <p>Background</p> <p>Assessing the correlates of practicing physical activity during leisure time is important with regard to planning and designing public health strategies to increase beneficial behaviors among adult populations. Although the importance of leisure time physical activity (LTPA) is highlighted in many Western countries, there are not many publications on physical activity patterns, and even less on their correlates, in non-Western societies. The goal of this study was thus to explore the determinants influencing adults' leisure time physical activity (LTPA) in a city in southern Taiwan.</p> <p>Methods</p> <p>A cross-sectional population-based study was conducted in 2007, using a standardized questionnaire. Energy expenditure was dichotomized into two groups based on the recommended levels of moderate physical activity from LTPA: ≥10 or < 10 MET·hr·wk^-1. Logistic regression analyses were applied to the results.</p> <p>Results</p> <p>A total of 762 subjects with valid data took part in the study (mean age 53.8 ± 13.8 years). In multivariate logistic regression analysis, we found the following results: Age was positively associated with LTPA. Adults with stronger perceived convenience of exercise facilities (OR = 2.04; 95%CI = 1.28-3.24) and past exercise experience in school (OR = 1.86; 95%CI= 1.19-2.91) participated in more LTPA. Subjects with more general social support (OR = 1.66;95%CI = 1.13-2.44), greater knowledge about the health benefits of exercise (OR = 1.85;95%CI = 1.25-2.74), more sports media consumption (OR = 1.94;95%CI = 1.26-2.98), and higher self-efficacy (OR = 3.99;95%CI = 2.67-5.97) were more likely to engage in LTPA. Further analysis comparing different sources of social support showed only social support from friends had a significant positive association (OR = 1.73;95%CI = 1.14-2.63) with increased LTPA.</p> <p>Conclusions</p> <p>LTPA in southern city of Taiwan showed some unique associations with age, socioeconomic status and media consumption that are not commonly reported in the Western World and similar associations with regards to psychosocial correlates of LTPA participation. Further studies from developing countries are warranted to highlight culture-specific differences in physical activity participation.</p

North Atlantic Drift Sediments Constrain Eocene Tidal Dissipation and the Evolution of the Earth-Moon System

Cyclostratigraphy and astrochronology are now at the forefront of geologic timekeeping. While this technique heavily relies on the accuracy of astronomical calculations, solar system chaos limits how far back astronomical calculations can be performed with confidence. High-resolution paleoclimate records with Milankovitch imprints now allow reversing the traditional cyclostratigraphic approach: Middle Eocene drift sediments from Newfoundland Ridge are well-suited for this purpose, due to high sedimentation rates and distinct lithological cycles. Per contra, the stratigraphies of Integrated Ocean Drilling Program Sites U1408–U1410 are highly complex with several hiatuses. Here, we built a two-site composite and constructed a conservative age-depth model to provide a reliable chronology for this rhythmic, highly resolved (<1 kyr) sedimentary archive. Astronomical components (g-terms and precession constant) are extracted from proxy time-series using two different techniques, producing consistent results. We find astronomical frequencies up to 4% lower than reported in astronomical solution La04. This solution, however, was smoothed over 20-Myr intervals, and our results therefore provide constraints on g-term variability on shorter, million-year timescales. We also report first evidence that the g4–g3 “grand eccentricity cycle” may have had a 1.2-Myr period around 41 Ma, contrary to its 2.4-Myr periodicity today. Our median precession constant estimate (51.28 ± 0.56″/year) confirms earlier indicators of a relatively low rate of tidal dissipation in the Paleogene. Newfoundland Ridge drift sediments thus enable a reliable reconstruction of astronomical components at the limit of validity of current astronomical calculations, extracted from geologic data, providing a new target for the next generation of astronomical calculations

Allergen Immunotherapy in Children User’s Guide

Allergen immunotherapy is a cornerstone in the treatment of allergic children. The clinical efficiency relies on a well-defined immunologic mechanism promoting regulatory T cells and downplaying the immune response induced by allergens. Clinical indications have been well documented for respiratory allergy in the presence of rhinitis and/or allergic asthma, to pollens and dust mites. Patients who have had an anaphylactic reaction to hymenoptera venom are also good candidates for allergen immunotherapy. Administration of allergen is currently mostly either by subcutaneous injections or by sublingual administration. Both methods have been extensively studied and have pros and cons. Specifically in children, the choice of the method of administration according to the patient's profile is important. Although allergen immunotherapy is widely used, there is a need for improvement. More particularly, biomarkers for prediction of the success of the treatments are needed. The strength and efficiency of the immune response may also be boosted by the use of better adjuvants. Finally, novel formulations might be more efficient and might improve the patient's adherence to the treatment. This user's guide reviews current knowledge and aims to provide clinical guidance to healthcare professionals taking care of children undergoing allergen immunotherapy