NCPT – managing environmental gains and losses

How a new practical tool enables non-specialists to systematically assess and manage planning and development impacts on natural capital

Low sodium haemodialysis reduces interdialytic fluid consumption but paradoxically increases post-dialysis thirst

Background Interdialytic weight gain (IDWG) can be reduced by lowering the dialysate sodium concentration ([Na]) in haemodialysis patients. It has been assumed that this is because thirst is reduced, although this has been difficult to prove. We compared thirst patterns in stable haemodialysis patients with high and low IDWG using a novel technique and compared the effect of low sodium dialysis (LSD) with normal sodium dialysis (NSD). Methods Eight patients with initial high IDWG and seven with low IDWG completed hourly visual analogue ratings of thirst using a modified palmtop computer during the dialysis day and the interdialytic day. The dialysate [Na] was progressively reduced by up to 5 mmol/l over five treatments. Dialysis continued at the lowest attained [Na] for 2 weeks and the measurements were repeated. The dialysate [Na] then returned to baseline and the process was repeated. Results Baseline interdialytic day mean thirst was higher than the dialysis day mean for the high IDWG group (49.9±14.0 vs 36.2±16.6) and higher than the low weight gain group (49.9±14.0 vs 34.1±14.6). This trend persisted on LSD, but there was a pronounced increase in post-dialysis thirst scores for both groups (high IDWG: 46±13 vs 30±21; low IDWG: 48±24 vs 33±18). The high IDWG group demonstrated lower IDWG during LSD than NSD (2.23±0.98 vs 2.86±0.38 kg; P<0.05). Conclusions Our results indicate that patients with high IDWG experience more intense feelings of thirst on the interdialytic day. LSD reduces their IDWG, but paradoxically increases thirst in the immediate post-dialysis period

Characterization of the Elastoplastic Response of Low Zn-Cu-Ti Alloy Sheets Using the CPB-06 Criterion

Unlike other HCP metals such as titanium and magnesium, the behavior of zinc alloys hasonly been modeled in the literature. For the low Zn-Cu-Ti alloy sheet studied in this work, theanisotropy is clearly seen on the stress-strain curves and Lankford coefficients. These featuresimpose a rigorous characterization and an adequate selection of the constitutive model to obtain anaccurate representation of the material behavior in metal forming simulations. To describe theelastoplastic behavior of the alloy, this paper focuses on the material characterization through theapplication of the advanced Cazacu-Plunket-Barlat 2006 (CPB-06 for short) yield function combinedwith the well-known Hollomon hardening law. To this end, a two-stage methodology is proposed.Firstly, the material characterization is performed via tensile test measurements on sheet samplescut along the rolling, diagonal and transverse directions in order to fit the parameters involved inthe associate CPB-06/Hollomon constitutive model. Secondly, these material parameters areassessed and validated in the simulation of the bulge test using different dies. The results obtainedwith the CPB-06/Hollomon model show a good agreement with the experimental data reported inthe literature. Therefore, it is concluded that this model represents a consistent approach to estimatethe behavior of Zn-Cu-Ti sheets under different forming conditions.Fil: Alister, Francisco. Pontificia Universidad Catolica de Chile. Escuela de Ingeniería; ChileFil: Celentano, Diego Javier. Pontificia Universidad Catolica de Chile. Escuela de Ingeniería; ChileFil: Signorelli, Javier Walter. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario. Instituto de Física de Rosario. Universidad Nacional de Rosario. Instituto de Física de Rosario; ArgentinaFil: Buchard, Pierre Oliver. Ecole des Mines de Paris. Centre de Mise en Forme des Matériaux; Francia. Centre National de la Recherche Scientifique; FranciaFil: Pino Muñoz, Daniel. Ecole des Mines de Paris. Centre de Mise en Forme des Matériaux; Francia. Centre National de la Recherche Scientifique; FranciaFil: Cruchaga, Marcela. Universidad de Santiago de Chile; Chil

Four-dimensional imaging of moisture dynamics during landslide reactivation

Landslides pose significant risks to communities and infrastructure, and mitigating these risks relies on understanding landslide causes and triggering processes. It has been shown that geophysical surveys can significantly contribute to the characterization of unstable slopes. However, hydrological processes can be temporally and spatially heterogeneous, requiring their related properties to be monitored over time. Geoelectrical monitoring can provide temporal and volumetric distributions of electrical resistivity, which are directly related to moisture content. To date, studies demonstrating this capability have been restricted to 2D sections, which are insufficient to capture the full degree of spatial heterogeneity. This study is the first to employ 4D (i.e., 3D time-lapse) resistivity imaging on an active landslide, providing long-term data (three years) highlighting the evolution of moisture content prior to landslide reactivation and showing its decline post reactivation. Crucially the time-lapse inversion methodology employed here incorporates movements of the electrodes on the unstable surface. Although seasonal characteristics dominate the shallow moisture dynamics during the first two years with surficial drying in summer and wetting in winter, in the months preceding reactivation, moisture content increased by more than 45 % throughout the slope. This is in agreement with independent data showing a significant rise in piezometric heads and shallow soil moisture contents as a result of prolonged and intense rainfall. Based on these results, remediation measures could be designed and early-warning systems implemented. Thus, resistivity monitoring that can allow for moving electrodes provides a new means for the effective mitigation of landslide risk

Four-dimensional imaging of moisture dynamics during landslide reactivation

Landslides pose significant risks to communities and infrastructure, and mitigating these risks relies on understanding landslide causes and triggering processes. It has been shown that geophysical surveys can significantly contribute to the characterization of unstable slopes. However, hydrological processes can be temporally and spatially heterogeneous, requiring their related properties to be monitored over time. Geoelectrical monitoring can provide temporal and volumetric distributions of electrical resistivity, which are directly related to moisture content. To date, studies demonstrating this capability have been restricted to 2-D sections, which are insufficient to capture the full degree of spatial heterogeneity. This study is the first to employ 4-D (i.e., 3-D time lapse) resistivity imaging on an active landslide, providing long-term data (3 years) highlighting the evolution of moisture content prior to landslide reactivation and showing its decline post reactivation. Crucially, the time-lapse inversion methodology employed here incorporates movements of the electrodes on the unstable surface. Although seasonal characteristics dominate the shallow moisture dynamics during the first 2 years with surficial drying in summer and wetting in winter, in the months preceding reactivation, moisture content increased by more than 45% throughout the slope. This is in agreement with independent data showing a significant rise in piezometric heads and shallow soil moisture contents as a result of prolonged and intense rainfall. Based on these results, remediation measures could be designed and early-warning systems implemented. Thus, resistivity monitoring that can allow for moving electrodes provides a new means for the effective mitigation of landslide risk

GAMA: towards a physical understanding of galaxy formation

The Galaxy And Mass Assembly (GAMA) project is the latest in a tradition of large galaxy redshift surveys, and is now underway on the 3.9m Anglo-Australian Telescope at Siding Spring Observatory. GAMA is designed to map extragalactic structures on scales of 1kpc - 1Mpc in complete detail to a redshift of z~0.2, and to trace the distribution of luminous galaxies out to z~0.5. The principal science aim is to test the standard hierarchical structure formation paradigm of Cold Dark Matter (CDM) on scales of galaxy groups, pairs, discs, bulges and bars. We will measure (1) the Dark Matter Halo Mass Function (as inferred from galaxy group velocity dispersions); (2) baryonic processes, such as star formation and galaxy formation efficiency (as derived from Galaxy Stellar Mass Functions); and (3) the evolution of galaxy merger rates (via galaxy close pairs and galaxy asymmetries). Additionally, GAMA will form the central part of a new galaxy database, which aims to contain 275,000 galaxies with multi-wavelength coverage from coordinated observations with the latest international ground- and space-based facilities: GALEX, VST, VISTA, WISE, HERSCHEL, GMRT and ASKAP. Together, these data will provide increased depth (over 2 magnitudes), doubled spatial resolution (0.7"), and significantly extended wavelength coverage (UV through Far-IR to radio) over the main SDSS spectroscopic survey for five regions, each of around 50 deg^2. This database will permit detailed investigations of the structural, chemical, and dynamical properties of all galaxy types, across all environments, and over a 5 billion year timeline.Comment: GAMA overview which appeared in the October 2009 issue of Astronomy & Geophysics, ref: Astron.Geophys. 50 (2009) 5.1

Multiple novel prostate cancer susceptibility signals identified by fine-mapping of known risk loci among Europeans

Genome-wide association studies (GWAS) have identified numerous common prostate cancer (PrCa) susceptibility loci. We have fine-mapped 64 GWAS regions known at the conclusion of the iCOGS study using large-scale genotyping and imputation in 25 723 PrCa cases and 26 274 controls of European ancestry. We detected evidence for multiple independent signals at 16 regions, 12 of which contained additional newly identified significant associations. A single signal comprising a spectrum of correlated variation was observed at 39 regions; 35 of which are now described by a novel more significantly associated lead SNP, while the originally reported variant remained as the lead SNP only in 4 regions. We also confirmed two association signals in Europeans that had been previously reported only in East-Asian GWAS. Based on statistical evidence and linkage disequilibrium (LD) structure, we have curated and narrowed down the list of the most likely candidate causal variants for each region. Functional annotation using data from ENCODE filtered for PrCa cell lines and eQTL analysis demonstrated significant enrichment for overlap with bio-features within this set. By incorporating the novel risk variants identified here alongside the refined data for existing association signals, we estimate that these loci now explain ∼38.9% of the familial relative risk of PrCa, an 8.9% improvement over the previously reported GWAS tag SNPs. This suggests that a significant fraction of the heritability of PrCa may have been hidden during the discovery phase of GWAS, in particular due to the presence of multiple independent signals within the same regio

Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

Background: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. Methods: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. Findings: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96–1·28). Interpretation: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. Funding: National Institute for Health Research Health Services and Delivery Research Programme

Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

BACKGROUND: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. METHODS: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. FINDINGS: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96-1·28). INTERPRETATION: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. FUNDING: National Institute for Health Research Health Services and Delivery Research Programme