32 research outputs found
Nothing will ever be as before. Reflections on the COVID-19 epidemics by nephrologists in eleven countries
Effects of acute variation of dialysate calcium concentrations on arterial stiffness and aortic pressure waveform
Background. Abnormal mineral metabolism in chronic kidney disease plays a critical role in vascular calcification and arterial stiffness. The impact of presently used dialysis calcium concentration (DCa) on arterial stiffness and aortic pressure waveform has never been studied. The aim of the present study is to evaluate, in haemodialysis (HD) patients, the impact of acute modification of DCa on arterial stiffness and central pulse wave profile (cPWP)
Drivers of Holocene palsa distribution in North America
Palsas and peat plateaus are climatically sensitive landforms in permafrost peatlands. Climate envelope models have previously related palsa/peat plateau distributions in Europe to modern climate, but similar bioclimatic modelling has not been attempted for North America. Recent climate change has rendered many palsas/peat plateaus in this region, and their valuable carbon stores, vulnerable. We fitted a binary logistic regression model to predict palsa/peat plateau presence for North America by relating the distribution of 352 extant landforms to gridded modern climate data. Our model accurately classified 85.3% of grid cells that contain observed palsas/peat plateaus and 77.1% of grid cells without observed palsas/peat plateaus. The model indicates that modern North American palsas/peat plateaus are supported by cold, dry climates with large seasonal temperature ranges and mild growing seasons. We used palaeoclimate simulations from a general circulation model to simulate Holocene distributions of palsas/peat plateaus at 500-year intervals. We constrained these outputs with timings of peat initiation, deglaciation, and postglacial drainage across the continent. Our palaeoclimate simulations indicate that this climate envelope remained stationary in western North America throughout the Holocene, but further east it migrated northwards during 11.5â6.0 ka BP. However, palsa extents in eastern North America were restricted from following this moving climate envelope by late deglaciation, drainage and peat initiation. We validated our Holocene simulations against available palaeoecological records and whilst they agree that permafrost peatlands aggraded earliest in western North America, our simulations contest previous suggestions that late permafrost aggradation in central Canada was climatically-driven