Impairment of quality of life due to COVID-19-induced long-term olfactory dysfunction

IntroductionOlfactory dysfunction is one of many long-lasting symptoms associated with COVID-19, estimated to affect approximately 60% of individuals and often lasting several months after infection. The associated daily life problems can cause a decreased quality of life.MethodsHere, we assessed the association between perceived quality of life and both qualitative and quantitative olfactory function (distorted and weakened sense of smell, respectively) in 58 individuals who had undergone confirmed SARS-CoV-2 infection and who complained about olfactory dysfunction.ResultsParticipants with large quantitative olfactory dysfunction experienced a greater reduction in their quality of life. Moreover, our participants had a high prevalence of qualitative olfactory dysfunction (81%) with a significant correlation between qualitative olfactory dysfunction and daily life impairment. Strong drivers of low quality of life assessments were lack of enjoyment of food as well as worries related to coping with long-term dysfunctions.DiscussionThese results stress the clinical importance of assessing qualitative olfactory dysfunction and the need to develop relevant interventions. Given the poor self-rated quality of life observed, healthcare systems should consider developing support structures, dietary advice, and guidelines adapted to individuals experiencing qualitative olfactory dysfunction

The Impacts of Flood, Drought, and Turbidites on Organic Carbon Burial Over the Past 2,000 years in the Santa Barbara Basin, California

Climate conditions and instantaneous depositional events can influence the relative contribution of sediments from terrestrial and marine environments and ultimately the quantity and composition of carbon buried in the sediment record. Here, we analyze the elemental, isotopic, and organic geochemical composition of marine sediments to identify terrestrial and marine sources in sediment horizons associated with droughts, turbidites, and floods in the Santa Barbara Basin (SBB), California, during the last 2,000 years. Stable isotopes (δ13C and δ15N) indicate that more terrestrial organic carbon (OC) was deposited during floods relative to background sediment, while bulk C to nitrogen (C/N) ratios remained relatively constant (~10). Long- chain n- alkanes (C27, C29, C31, and C33), characteristic of terrestrial OC, dominated all types of sediment deposition but were 4 times more abundant in flood layers. Marine algae (C15, C17, and C19) and macrophytes (C21 and C23) were also 2 times higher in flood versus background sediments. Turbidites contained twice the terrestrial n- alkanes relative to background sediment. Conversely, drought intervals were only distinguishable from background sediment by their higher proportion of marine algal n- alkanes. Combined, our data indicate that 15% of the total OC buried in SBB over the past 2,000 years was deposited during 11 flood events where the sediment was mostly terrestrially derived, and another 12% of deep sediment OC burial was derived from shelf remobilization during six turbidite events. Relative to twentieth century river runoff, our data suggest that floods result in considerable terrestrial OC burial on the continental margins of California.Key PointsTerrestrial organic carbon is the dominant source of carbon to the SBB with deposition significantly increasing during flood eventsEpisodic flood and turbidite remobilization events were responsible for over 25% of the OC buried in the SBB over the past 2,000 yearsDrought sedimentation had significantly lower sedimentation rates and had an n- alkane composition consistent with increased marine inputsPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/156217/4/palo20901-sup-0002-2020PA003849-fs01.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156217/3/palo20901_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156217/2/palo20901.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156217/1/palo20901-sup-0003-2020PA003849-fs02.pd

Rapid Organic Matter Sulfurization in Sinking Particles from the Cariaco Basin Water Column

Organic matter (OM) burial in marine sediments is a potentially important control on global climate and the long-term redox state of the earth’s surface. Still, we have only a limited understanding of the processes that stabilize OM and facilitate its preservation in the geologic record. Abiotic reactions with (poly)sulfides can enhance the preservation potential of OM, but for this process to be significant it needs to compete with OM remineralization, the majority of which occurs before sinking particles reach the sea floor. Here we investigate whether OM sulfurization occurs within sinking particles in the Cariaco Basin, a modern sulfidic marine environment with high rates of OM burial. Proto-kerogen in sinking particles is frequently more sulfur-rich and ^(34)S-depleted than expectations for biomass, with a composition that is difficult to explain by mixing with resuspended or terrigenous material. Instead, it appears that sulfur is being incorporated into OM on a timescale of days in sinking particles. The flux of this abiogenic organic S from particles is equivalent to approximately two-thirds of the total amount of proto-kerogen S at 10 cm depth in underlying sediments (ODP Core 1002B); after 6000 years of more gradual sulfurization reactions, potential water column sources are still equivalent to nearly half of the total proto-kerogen S in Cariaco sediments. Water column sulfurization is most extensive during periods of upwelling and high primary productivity and appears to involve elemental S, possibly via polysulfides. This process has the potential to deliver large amounts of OM to the sediments by making it less available for remineralization, generating OM-rich deposits. It represents a potentially dynamic sink in the global carbon cycle that can respond to changes in environmental conditions, including the size and intensity of O_2-depleted environments. Water column OM sulfurization could also have played a more significant role in the carbon cycle during ocean anoxic events, for example during the Cretaceous

Biogenic Nitrogen Gas Production at the Oxic–Anoxic Interface in the Cariaco Basin, Venezuela

Excess nitrogen gas (N2xs) was measured in samples collected at six locations in the eastern and western sub-basins of the Cariaco Basin, Venezuela, in September 2008 (non-upwelling conditions) and March 2009 (upwelling conditions). During both sampling periods, N2xs concentrations were below detection in surface waters, increasing to ~ 22 μmol N kg−1 at the oxic–anoxic interface ([O2] \u3c ~ 4 μmol kg−1, ~ 250 m). Below the oxic–anoxic interface (300–400 m), the average concentration of N2xs was 24.7 ± 1.9 μmol N kg−1 in September 2008 and 27.5 ± 2.0 μmol N kg−1 in March 2009, i.e., N2xs concentrations within this depth interval were ~ 3 μmol N kg−1 higher (p \u3c 0.001) during the upwelling season compared to the non-upwelling period. These results suggest that N-loss in the Cariaco Basin may vary seasonally in response to changes in the flux of sinking particulate organic matter. We attribute the increase in N2xs concentrations, or N-loss, observed during upwelling to: (1) higher availability of fixed nitrogen derived from suspended and sinking particles at the oxic–anoxic interface and/or (2) enhanced ventilation at the oxic–anoxic interface during upwelling

Silica burial enhanced by iron limitation in oceanic upwelling margins

In large swaths of the ocean, primary production by diatoms may be limited by the availability of silica, which in turn limits the biological uptake of carbon dioxide. The burial of biogenic silica in the form of opal is the main sink of marine silicon. Opal burial occurs in equal parts in iron-limited open-ocean provinces and upwelling margins, especially the eastern Pacific upwelling zone. However, it is unclear why opal burial is so efficient in this margin. Here we measure fluxes of biogenic material, concentrations of diatom-bound iron and silicon isotope ratios using sediment traps and a sediment core from the Gulf of California upwelling margin. In the sediment trap material, we find that periods of intense upwelling are associated with transient iron limitation that results in a high export of silica relative to organic carbon. A similar correlation between enhanced silica burial and iron limitation is evident in the sediment core, which spans the past 26,000 years. A global compilation also indicates that hotspots of silicon burial in the ocean are all characterized by high silica to organic carbon export ratios, a diagnostic trait for diatoms growing under iron stress. We therefore propose that prevailing conditions of silica limitation in the ocean are largely caused by iron deficiency imposing an indirect constraint on oceanic carbon uptake

Silicic acid biogeochemistry in the Gulf of California: Insights from sedimentary Si isotopes

Iron is considered to play a large role in the cycling of Si in Fe-limited regions of the ocean, but little is known about its role in Si biogeochemistry outside these areas. Here, we present published sediment trap data, new nutrient profiles and high resolution sedimentary records (Si isotopes, Biogenic silica%, N% and C%) from the Gulf of California, a non-Fe-limited region, to investigate the history of Si cycling in this highly productive basin. Modern nutrient profiles show that silicic acid in subsurface waters is in excess relative to nitrate and is therefore incompletely utilized during moderate winter upwelling events. Modern data, however, suggest that during intense upwelling episodes, silicic acid is preferentially utilized relative to nitrate by the biota, which we suggest reflects transient iron limitation. Our new delta Si-30 record from the Guaymas Basin shows dramatic variations at millennial timescales. Low delta Si-30 values synchronous with Heinrich events are interpreted as resulting from the decline in Si(OH)(4) utilization at times of decreased upwelling strength, while nearly complete Si(OH)(4) utilization was observed at times of invigorated upwelling and increased opal burial during the Holocene, the Bolling-Allerod and the last glacial period. We attribute the complete utilization of Si(OH)(4) to the occurrence of transient Fe limitation at these times. Our study highlights the importance of Fe limitation on Si and C cycling in coastal upwelling regions and suggests that upwelling dynamics, in combination with Fe availability, have the potential to modulate marine Si distribution and opal burial even at short timescales.KEYWORDS: North Pacific, Coastal upwelling regimes, Climate change, Marine diatoms, Biogenic silica, Guaymas basin, Equatorial Pacific, Iron, Late quaternary, Southern ocea

The effects of postmenopausal hormone therapy on social activity, partner relationship, and sexual life – experience from the EPHT trial

<p>Abstract</p> <p>Background</p> <p>With the exception of sexual functioning and weight, social and behavioural effects of postmenopausal hormone therapy (HT) have not been reported from trials. This paper reports such results from the EPHT-trial in Estonia.</p> <p>Methods</p> <p>A randomized trial, with a blind and non-blind sub-trial in Estonia. From 1999–2001, 1778 women were recruited. The mean follow-up was 3.6 years. Women's experiences were asked in the first and final study year by mailed questionnaires (74 and 81% response rates). Comparisons of the groups were made by cross-tabulation and logistic regression, adjusting for age.</p> <p>Results</p> <p>There were no differences between the HT and non-HT groups in regard to being employed, the extent of social involvement or marital status or opinions on aging. There was no difference in the frequency of free-time exercise, or overweight. Some of the indicators suggested less sexual inactivity, but the differences were small.</p> <p>Conclusion</p> <p>In a trial setting, postmenopausal hormone therapy did not influence work or social involvement or health behaviour.</p> <p>Trial registration</p> <p>ISRCTN35338757</p

2,000-year-long temperature and hydrology reconstructions from the Indo-Pacific warm pool

Author Posting. © The Author(s), 2009. This is the author's version of the work. It is posted here by permission of Nature Publishing Group for personal use, not for redistribution. The definitive version was published in Nature 460 (2009): 1113-1116, doi:10.1038/nature08233.Northern Hemisphere surface temperature reconstructions suggest that the late twentieth century was warmer than any other time during the past 500 years and possibly any time during the past 1,300 years. These temperature reconstructions are based largely on terrestrial records from extra-tropical or highelevation sites; however, global average surface temperature changes closely follow those of the global tropics, which are 75% ocean. In particular, the tropical Indo- Pacific warm pool (IPWP) represents a major heat reservoir that both influences global atmospheric circulation and responds to remote northern latitude forcings. Here we present a decadally resolved continuous sea surface temperature (SST) reconstruction from the IPWP that spans the past two millennia and overlaps the instrumental record, enabling both a direct comparison of proxy data to the instrumental record and an evaluation of past changes in the context of twentieth century trends. Our record from the Makassar Strait, Indonesia, exhibits trends that are similar to a recent Northern Hemisphere temperature reconstruction. Reconstructed SST was, however, within error of modern values during the Medieval Warm Period from about AD 1000 to AD 1250, towards the end of the Medieval Warm Period. SSTs during the Little Ice Age (approximately ad 1550–1850) were variable, and 0.5 to 1°C colder than modern values during the coldest intervals. A companion reconstruction of δ18O of sea water—a sea surface salinity and hydrology indicator— indicates a tight coupling with the East Asian monsoon system and remote control of IPWP hydrology on centennial–millennial timescales, rather than a dominant influence from local SST variation.This work was financially supported by the US NSF and the Ocean Climate Change Institute of WHOI

Erythropoietic protoporphyria

Erythropoietic protoporphyria (EPP) is an inherited disorder of the haem metabolic pathway characterised by accumulation of protoporphyrin in blood, erythrocytes and tissues, and cutaneous manifestations of photosensitivity. EPP has been reported worldwide, with prevalence between 1:75,000 and 1:200,000. It usually manifests in early infancy upon the first sun exposures. EPP is characterised by cutaneous manifestations of acute painful photosensitivity with erythema and oedema, sometimes with petechiae, together with stinging and burning sensations upon exposure to sunlight, without blisters. These episodes have a variable severity depending on the exposure duration and may result in chronic permanent lesions on exposed skin. As protoporphyrin is a lipophilic molecule that is excreted by the liver, EPP patients are at risk of cholelithiasis with obstructive episodes, and chronic liver disease that might evolve to rapid acute liver failure. In most patients, EPP results from a partial deficiency of the last enzyme of the haem biosynthetic pathway, ferrochelatase, EC 4.99.1.1/FECH (encoded by the FECH gene). EPP appears to be inherited as an autosomal dominant disease, the clinical expression of which is modulated by the presence of the hypomorphic FECH IVS3-48C allele trans, but recessive inheritance with two mutated FECH alleles has also been described. In about 2% of patients, overt disease was recently shown to be caused by gain-of-function mutations in the erythroid-specific aminolevulinic acid synthase 2 (ALAS2/ALAS, EC 2.3.1.27) gene and named X-linked dominant protoporphyria. Diagnosis is established by finding increased levels of protoporphyrin in plasma and red blood cells, and detection of a plasma fluorescence peak at 634 nm. Investigations for hepatic involvement, ferrochelatase activity level, genetic analysis (FECH mutations, presence of the hypomorphic FECH IVS3-48C allele trans and ALAS2 mutations) and family studies are advisable. Differential diagnosis includes phototoxic drug reactions, hydroa vacciniforme, solar urticaria, contact dermatitis, angio-oedema and, in some cases, other types of porphyria. Management includes avoidance of exposure to light, reduction of protoporphyrin levels and prevention of progression of possible liver disease to liver failure. As the major risk in EPP patients is liver disease, a regular follow-up of hepatic involvement is essential. Sequential hepatic and bone marrow transplantation should be considered as a suitable treatment for most severe cases of EPP with hepatic involvement. EPP is a lifelong disorder whose prognosis depends on the evolution of the hepatic disease. However, photosensitivity may have a significant impact on quality of life of EPP patients

Body Shape and Life Style of the Extinct Balearic Dormouse Hypnomys (Rodentia, Gliridae): New Evidence from the Study of Associated Skeletons

Hypnomys is a genus of Gliridae (Rodentia) that occurred in the Balearic Islands until Late Holocene. Recent finding of a complete skeleton of the chronospecies H. morpheus (Late Pleistocene-Early Holocene) and two articulated skeletons of H. cf. onicensis (Late Pliocene) allowed the inference of body size and the calculation of several postcranial indexes. We also performed a Factorial Discriminant Analysis (FDA) in order to evaluate locomotory behaviour and body shape of the taxa. Using allometric models based on skull and tooth measurements, we calculated a body weight between 173 and 284 g for H. morpheus, and direct measurements of articulated skeletons yielded a Head and Body Length (HBL) of 179 mm and a Total Body Length of 295 mm for this species. In addition to the generally higher robustness of postcranial bones already recorded by previous authors, H. morpheus, similar to Canariomys tamarani, another extinct island species, displayed elongated zygopodium bones of the limbs and a wider distal humerus and femur than in an extant related taxon, Eliomys quercinus. Indexes indicated that Hypnomys was more terrestrial and had greater fossorial abilities than E. quercinus. This was also corroborated by a Discriminant Analysis, although no clear additional inference of locomotory abilities could be calculated