Discrete suspended particles of barite and the barium cycle in the open ocean

Barite particles are a universal component of suspended matter in the Atlantic and Pacific Oceans. This is demonstrated by scanning electron microscope and electron microprobe analyses of samples collected during the GEOSECS program. These discrete particles, about 1 µm in diameter, account for by far the greatest part of the total particulate barium of most of the filters collected at different depths. Total particulate barium (mean value: 20 ng/kg seawater) was measured on the same filters by instrumental neutron activation analysis.Several observations indicate that biochemical, rather than purely chemical, processes are involved in the formation of the BaSO4 mineral in the water column. Sr/Ba molar ratios among the individual barite grains, particularly from surface waters are extremely variable, which would not be anticipated for purely chemical interactions. Barite crystals occurring within fecal debris have been observed throughout the water column. Within such debris decomposition of the abundant organic matter may provide the micro-environment predicted as necessary for the precipitation of BaSO4. Finally, a strong correlation between nutrient content and particulate barium is found in the upper 1000 m of the water column, which also suggests a control of barite formation by biota.Some of the barite dissolves at depth in the water column. Dissolution rates were calculable for two GEOSECS stations, from which a dissolved barium flux of 0.4 µg/cm2 yr was deduced. This figure is of the same order as the dissolved barium flux calculable from the barium content and known dissolution rates of calcareous and siliceous tests: approximately 0.5 µg/cm2 yr. These fluxes represent the largest source of dissolved barium in the water column, the other being river input (0.6 µg/cm2 yr). This supports the contention that the barium in the water column is mostly recycled. The residual flux of barite-Ba reaching the sea floor is of about equal importance as the flux of barium associated with fast-settling fecal material. These two sources together are almost sufficient to account for the total sedimentation rate of barium

Multimodal Analgesic Effectiveness on Acute Postoperative Pain Management After Adult Cardiac Surgery

Background Many patients report moderate to severe pain in the acute postoperative period. Enhanced recovery protocols recommend multimodal analgesics, but the optimal combination of these is unknown. Purpose The aim of this study was to synthesize the best available evidence about effectiveness of multimodal analgesics on pain after adult cardiac surgery. Methods A systematic review to determine the effect of multimodal postoperative analgesics is proposed (International Prospective Register of Systematic Reviews Registration CRD42022355834). Multiple databases including the Cochrane Library, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, American Psychological Association, the Education Resources Information Centre, the Excerpta Medica database, the Medical Literature Analysis and Retrieval System Online, Scopus, Web of Science, and clinical trials databases will be searched. Screening in Covidence and quality assessment will be conducted by 2 authors. A grading of recommendations, assessment, development, and evaluation summary of findings will be presented if meta-analysis is possible

Development of a Non-invasive Device for Swallow Screening in Patients at Risk of Oropharyngeal Dysphagia : Results from a Prospective Exploratory Study

Oropharyngeal dysphagia is prevalent in several at-risk populations, including post-stroke patients, patients in intensive care and the elderly. Dysphagia contributes to longer hospital stays and poor outcomes, including pneumonia. Early identification of dysphagia is recommended as part of the evaluation of at-risk patients, but available bedside screening tools perform inconsistently. In this study, we developed algorithms to detect swallowing impairment using a novel accelerometer-based dysphagia detection system (DDS). A sample of 344 individuals was enrolled across seven sites in the United States. Dual-axis accelerometry signals were collected prospectively with simultaneous videofluoroscopy (VFSS) during swallows of liquid barium stimuli in thin, mildly, moderately and extremely thick consistencies. Signal processing classifiers were trained using linear discriminant analysis and 10,000 random training-test data splits. The primary objective was to develop an algorithm to detect impaired swallowing safety with thin liquids with an area under receiver operating characteristic curve (AUC) > 80% compared to the VFSS reference standard. Impaired swallowing safety was identified in 7.2% of the thin liquid boluses collected. At least one unsafe thin liquid bolus was found in 19.7% of participants, but participants did not exhibit impaired safety consistently. The DDS classifier algorithms identified participants with impaired thin liquid swallowing safety with a mean AUC of 81.5%, (sensitivity 90.4%, specificity 60.0%). Thicker consistencies were effective for reducing the frequency of penetration-aspiration. This DDS reached targeted performance goals in detecting impaired swallowing safety with thin liquids. Simultaneous measures by DDS and VFSS, as performed here, will be used for future validation studies.Peer reviewe

Family income and child outcomes : the 1990 cocoa price shock in Côte d'Ivoire

India - Jaipur, Peasant womenColorVolume 126, Page 1

Urbanization with and without industrialization

We document a strong positive relationship between natural resource exports and urbanization in a sample of 116 developing nations over the period 1960–2010. In countries that are heavily dependent on resource exports, urbanization appears to be concentrated in “consumption cities” where the economies consist primarily of non-tradable services. These contrast with “production cities” that are more dependent on manufacturing in countries that have industrialized. Consumption cities in resource exporters also appear to perform worse along several measures of welfare. We offer a simple model of structural change that can explain the observed patterns of urbanization and the associated differences in city types. We note that although the development literature often assumes that urbanization is synonymous with industrialization, patterns differ markedly across developing countries. We discuss several possible implications for policy