A qualitative and quantitative model for climate-driven lake formation on carbonate platforms based on examples from the Bahamian archipelago

Lakes on carbonate platform islands such as the Bahamas display wide variability in morphometry, chemistry, and fauna. These parameters are ultimately driven by climate, sea level, and carbonate accumulation and dissolution. The authors propose a model that integrates climatological, geomorphological, and stratigraphic frameworks to understand processes of carbonate-hosted lake formation and limnological characteristics in modern day environments, with applications to carbonate lake sedimentary records. Fifty-two lakes from San Salvador Island and Eleuthera, Bahamas, were examined for water chemistry, basin morphology, conduit development, conductivity, and major ions. Using non-metric, multi-dimensional scaling ordination methods, the authors derived a model dividing lakes into either constructional or destructional formational modes. Constructional lakes were further divided into pre-highstand and highstand types based on whether their formation occurred during a marine regressive or transgressive phase. Destructional lakes are created continually by dissolution of bedrock at fresh/saline water interfaces and their formation is therefore related to changing climate and sea level. This model shows that lake formation is influenced by the hydrologic balance associated with climatic conditions that drives karst dissolution as well as the deposition of aeolian dune ridges that isolate basins due to sea-level fluctuations. It allows for testing and examining the climatic and hydrologic regime as related to carbonate accumulation and dissolution through time, and for an improved understanding of lake sensitivity and response to climate as preserved in the lacustrine sedimentary record

Expression of the innate immune receptor LILRB5 on monocytes is associated with mycobacteria exposure.

Antigen presenting cells (APC) are critical components of innate immunity and consequently shape the adaptive response. Leukocyte Ig Like Receptors (LILR) are innate immune receptors predominantly expressed on myeloid cells. LILR can influence the antigen presenting phenotype of monocytic cells to determine the nature of T cell responses in infections including Mycobaterium leprae. We therefore investigated the relevance of LILR in the context of Mycobacterium tuberculosis. Real-time PCR studies indicated that the transcriptional profile of the orphan receptor LILRB5 was significantly up-regulated following exposure to mycobacteria. Furthermore, LILRA1 and LILRB5 were able to trigger signalling through direct engagement of mycobacteria using tranfectant cells incorporating a reporter system. We describe for the first time the expression of this receptor on T cells, and highlight the potential relevance to mycobacterial recognition. Furthermore, we demonstrate that crosslinking of this receptor on T cells increases proliferation of cytotoxic, but not helper, T cells

TLR8 regulation of LILRA3 in monocytes is abrogated in human immunodeficiency virus infection and correlates to CD4 counts and virus loads.

LILRA3 is an immunostimulatory molecule which can conditionally induce the proliferation of cytotoxic cells. LILRA3 has a deletion genotype which is associated with multiple immune disorders. In this study, we wanted to analyze the regulation of LILRA3 and its significance in the context of HIV infection

Mortality after surgery in Europe: a 7 day cohort study

Background: Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non-cardiac surgery in Europe.Methods: We did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ² and Fisher’s exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries.Findings: We included 46 539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9–3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0–3·0] for Iceland to 21·5% [16·9–26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19 1·05; p=0·06] for Finland to 6·92 [2·37–20·27; p=0·0004] for Poland).Interpretation: The mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.Funding: European Society of Intensive Care Medicine, European Society of Anaesthesiology