Relationships between synoptic-scale transport and interannual variability of inorganic cations in surface snow at Summit, Greenland: 1992-1996

Version of RecordTo fully utilize the long-term chemical records retrieved from central Greenland ice cores, specific relationships between atmospheric circulation and the variability of chemical species in the records need to be better understood. This research examines associations between the variability of surface snow inorganic cation chemistry at Summit, Greenland (collected during 1992-1996 summer field seasons) and changes in air mass transport pathways and source regions, as well as variations in aerosol source strength. Transport patterns and source regions are determined through 10-day isentropic backward air mass trajectories during a 1 month (late May to late June) common season over the 5 years. Changes in the extent of exposed continental surfaces in source regions are evaluated to estimate aerosol-associated calcium and magnesium ion source strength, while forest fire activity in the circumpolar north is investigated to estimate aerosol ammonium ion source strength. During the 1995 common season, 3 times more calcium and magnesium accumulated in the snowpack than the other study years. Also, an increasing trend of ammonium concentration was noted throughout the 5 years. Anomalous transport pathways and velocities were observed during 1995, which likely contributed to the high levels of calcium and magnesium. Increased forest fire activity in North America was concurrent with increased levels of ammonium and potassium, except for 1996, when ion levels were above average and forest fire activity was below average. Because of the ubiquitous nature of soluble ions, we conclude that it is very difficult to establish a quantitative link between the ion content of snow and firn at Summit and changes in aerosol source regions and source strength.Slater, J. F., Dibb, J. E., Keim, B. D., & Kahl, J. D. w. (2001). Relationships between synoptic-scale transport and interannual variability of inorganic cations in surface snow at Summit, Greenland: 1992-1996. Journal of Geophysical Research 106(D18), 20,897-20,91

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care

Língua e poder: transcrevendo a questão nacional

O objeto de análise deste artigo é o debate no seio de um grupo de intelectuais cabo-verdianos em torno da situação lingüística em Cabo Verde. Suscitado pelo problema da criação da imagem de um Estado único e indivisível em um contexto marcado pela pluralidade linguística, esse debate revela como a questão da língua pode constituir um obstáculo à adequação dos países periféricos ao modelo de organização social, política, econômica e cultural representado pelo Estado-nação. As propostas de padronização e oficialização da língua crioula são abordadas a fim de revelar os interesses de grupo que orientam tal perspectiva e as possíveis conseqüências desta política lingüística que, apesar de seu impacto na sociedade cabo-verdiana, permanecem silenciadas nos discursos analisados.<br>This article aims to analyze the debate taking place among a group of Cape Verdean intellectuals concerning the linguistic situation in Cape Verde. Motivated by the problem of creating the image of a single and indivisible State in a context marked by linguistic plurality, this debate reveals how the question of language can act as an obstacle for developing countries in terms of attaining the social, political, economic and cultural organization represented by the Nation-State. Proposals to make Creole a standard and official language are examined in order to expose the interests of the group promoting this standpoint, as well as the possible consequences of this kind of linguistic politics, which despite its impact on Cape Verdean society, remain silenced in the analyzed discourses