740 research outputs found
PSY44 LINGUISTIC VALIDATION OF THE HAEMO-QOL AND HAEM-A-QOL FOR USE IN INTERNATIONAL STUDIES
Composição isotópica de Nd na componente terrígena de sedimentos como marcador de eventos de Heinrich:estudo de um caso na margem continental NW Ibérica
The OMEX core KC 024-19 was studied aiming at to assess the influence of climate changes on the origin and transport of the sediments of the Galician continental slope, in the last 40 ka. The results show that sea level variation played a major role in the supply of the terrigenous sediments coming from the nearby continental areas, whose basement has a Variscan age. Additionally, coarse-grained clastic materials, corresponding to ice-rafted debris (IRD), were deposited through melting of icebergs during the Heinrich events (HE), in the last glaciation. The last four HE were identified in the core. The measured Nd isotope ratios reveal that there was a strong contribution of continental crustal sources significantly older than the Variscan basement for HE 1, 2 and 4. The most likely provenance of the coarse clasts deposited during these three events lie in NE America or Greenland, and the carrier icebergs should be fragments of the Laurentide Ice Sheet. In contrast, the HE 3 layer displays εNd values in the range of the compositions of the most common sediments in the core and, therefore, its IRD should have European source(s), which supports previous results obtained in other places of the European Atlantic margin.O core OMEX KC 024-19 foi estudado tendo em vista avaliar o papel das mudanças climáticas nos processos de transporte e nas fontes de sedimentos depositados no talude continental da Galiza, durante os últimos 40 ka. Os resultados obtidos, usando diferentes metodologias, apontam para uma grande influência das mudanças do nível do mar no fornecimento de sedimentos terrígenos a partir das áreas continentais próximas, cujo soco é de idade varisca. Para além disso, nos eventos de Heinrich (HE), ocorridos durante a última glaciação, foram recebidos nesta área materiais detríticos grosseiros transportados por icebergues em fusão (IRD). Foram identificados, neste core, os quatro últimos HE. As razões isotópicas de Nd revelam que durante os HE 1, 2 e 4 houve contribuição importante de fontes de crusta continental significativamente mais antiga do que a ibérica. A origem provável dos IRD desses três eventos estará no NE da América ou na Gronelândia, podendo os icebergues que os transportaram ter origem na LIS (Laurentide Ice Sheet). Já o HE 3, não se distingue, em termos de εNd, dos sedimentos mais comuns no core, pelo que os IRD correspondentes deverão ter origem europeia, o que corrobora resultados obtidos noutros locais da margem atlântica europeia
Удаление сернистых соединений из дизельных топлив с использованием металлосодержащих ионных жидкостей
Данная статья посвящена проблеме удаления сернистых соединений из дизельных топлив. Представлены характеристики полученных экстракционных систем на основе ионных жидкостей и солей металлов (СuBr[2], CoBr[2], NiBr[2]). Показана возможность использования комплексов ионных жидкостей с солями металлов в качестве экстрагентов для удаления серы из дизельного топлива
Eastern Mediterranean surface water temperatures and d18O composition during deposition of sapropels in the late Quaternary
Water column stratification increased at climatic transitions from cold to warm periods during the lateQuaternary and led to anoxic conditions and sapropel formation in the deep eastern Mediterranean basins. Highresolutiondata sets on sea-surface temperatures (SST) (estimated from U37k0 indices) and d18O of planktonicforaminifer calcite (d18Ofc) across late Pleistocene sapropel intervals show that d18Ofc decreased (between 1 and4.6%) and SST increased (between 0.7 and 6.7 C). Maximal d18Oseawater depletion of eastern Mediterraneansurface waters at the transition is between 0.5 and 3.0%, and in all but one case exceeded the depletion seen in awestern Mediterranean core. The depletion in d18Oseawater is most pronounced at sapropel bases, in agreementwith an initial sudden input of monsoon-derived freshwater. Most sapropels coincide with warming trends ofSST. The density decrease by initial freshwater input and continued warming of the sea surface pooled freshwater in the surface layer and prohibited deep convection down to ageing deep water emplaced during cold andarid glacial conditions. An exception to this pattern is glacial sapropel S6; its largest d18Oseawater depletion(3%) is almost matched by the depletion in the western Mediterranean Sea, and it is accompanied by surfacewater cooling following an initially rapid warming phase. A second period of significant isotopic depletion is inisotope stage 6 at the 150 kyr insolation maximum. While not expressed as a sapropel due to cold SST, it is inaccord with a strengthened monsoon in the southern catchment
External application of liver compresses to reduce fatigue in patients with metastatic cancer undergoing radiation therapy, a randomized clinical trial
Background: Liver compresses are frequently used in integrative medicine as supportive therapy during cancer treatment in order to reduce fatigue. We performed a pilot study to test whether the external application of yarrow liver compresses impacts fatigue in patients with metastatic cancer undergoing radiation therapy.
Methods: A randomized prospective pilot trial was performed including patients with brain metastasis or bone metastasis of solid tumors. Patients underwent either palliative radiation therapy (RT) of the metastatic lesions (control group) over two weeks or the same RT with additional external application of yarrow liver compresses once daily during RT. The primary objective was improvement on the general fatigue subscale of the multidimensional fatigue inventory (MFI-20) at the end of treatment, where a mean difference of two points is considered clinically relevant. Secondary objectives included psychological distress, quality of life and qualitative analysis with self-established visual analogue scales (VAS). Mean differences in general fatigue at the end of treatment compared to baseline were analyzed using the ANCOVA test.
Results: From 09/2017 to 08/2019 a total of 39 patients were randomized. Due to drop outs 24 patients (12 per group) were available for analysis. Patients in the intervention group received a mean number of 10.5 (range, 7-14) applications of yarrow liver compresses. The mean improvement at the end of therapy on the general fatigue subscale of the MFI-20 was 2 points in favor of the intervention group (p = 0.13), and all other MFI-20 subscales showed at least a trend towards improvement in favor of the intervention group. Likewise, psychological distress and VAS data was improved, the latter reaching statistical significance for the symptoms fatigue, tension and lack of drive. Major toxicities were not observed.
Conclusions: External application of liver compresses appears to reduce fatigue within a clinical relevant range in patients with metastatic cancer undergoing radiation therapy. Trial registration: ISRCTN, ICTRP DRKS0001299
Genetic Variants in P-Selectin and C-Reactive Protein Influence Susceptibility to Cognitive Decline After Cardiac Surgery
ObjectivesWe hypothesized that candidate gene polymorphisms in biologic pathways regulating inflammation, cell matrix adhesion/interaction, coagulation-thrombosis, lipid metabolism, and vascular reactivity are associated with postoperative cognitive deficit (POCD).BackgroundCognitive decline is a common complication of coronary artery bypass graft (CABG) surgery and is associated with a reduced quality of life.MethodsIn a prospective cohort study of 513 patients (86% European American) undergoing CABG surgery with cardiopulmonary bypass, a panel of 37 single-nucleotide polymorphisms (SNPs) was genotyped by mass spectrometry. Association between these SNPs and cognitive deficit at 6 weeks after surgery was tested using multiple logistic regression accounting for age, level of education, baseline cognition, and population structure. Permutation analysis was used to account for multiple testing.ResultsWe found that minor alleles of the CRP1059G/C SNP (odds ratio [OR] 0.37, 95% confidence interval [CI] 0.16 to 0.78; p = 0.013) and the SELP1087G/A SNP (OR 0.51, 95% CI 0.30 to 0.85; p = 0.011) were associated with a reduction in cognitive deficit in European Americans (n = 443). The absolute risk reduction in the observed incidence of POCD was 20.6% for carriers of the CRP1059C allele and 15.2% for carriers of the SELP1087A allele. Perioperative serum C-reactive protein (CRP) and degree of platelet activation were also significantly lower in patients with a copy of the minor alleles, providing biologic support for the observed allelic association.ConclusionsThe results suggest a contribution of P-selectin and CRP genes in modulating susceptibility to cognitive decline after cardiac surgery, with potential implications for identifying populations at risk who might benefit from targeted perioperative antiinflammatory strategies
Insensitivity of alkenone carbon isotopes to atmospheric CO₂ at low to moderate CO₂ levels
Atmospheric pCO₂ is a critical component of the global carbon system and is considered to be the major control of Earth's past, present, and future climate. Accurate and precise reconstructions of its concentration through geological time are therefore crucial to our understanding of the Earth system. Ice core records document pCO₂ for the past 800 kyr, but at no point during this interval were CO₂ levels higher than today. Interpretation of older pCO₂ has been hampered by discrepancies during some time intervals between two of the main ocean-based proxy methods used to reconstruct pCO₂: the carbon isotope fractionation that occurs during photosynthesis as recorded by haptophyte biomarkers (alkenones) and the boron isotope composition (δ^{11}B) of foraminifer shells. Here, we present alkenone and δ^{11}B-based pCO₂ reconstructions generated from the same samples from the Pliocene and across a Pleistocene glacial–interglacial cycle at Ocean Drilling Program (ODP) Site 999. We find a muted response to pCO₂ in the alkenone record compared to contemporaneous ice core and δ^{11}B records, suggesting caution in the interpretation of alkenone-based records at low pCO₂ levels. This is possibly caused by the physiology of CO₂ uptake in the haptophytes. Our new understanding resolves some of the inconsistencies between the proxies and highlights that caution may be required when interpreting alkenone-based reconstructions of pCO₂
Clinical spectum of tuberculous optic neuropathy
Purpose
Tuberculous optic neuropathy may follow infection with Mycobacterium tuberculosis or administration of the bacille Calmette–Guerin. However, this condition is not well described in the ophthalmic literature.
Methods
Ophthalmologists, identified through professional electronic networks or previous publications, collected standardized clinical data relating to 62 eyes of 49 patients who they had managed with tuberculous optic neuropathy.
Results
Tuberculous optic neuropathy was most commonly manifested as papillitis (51.6 %), neuroretinitis (14.5 %), and optic nerve tubercle (11.3 %). Uveitis was an additional ocular morbidity in 88.7 % of eyes. In 36.7 % of patients, extraocular tuberculosis was present. The majority of patients (69.4 %) had resided in and/or traveled to an endemic area. Although initial visual acuity was 20/50 or worse in 62.9 % of 62 eyes, 76.7 % of 60 eyes followed for a median of 12 months achieved visual acuities of 20/40 or better. Visual field defects were reported for 46.8 % of eyes, but these defects recovered in 63.2 % of 19 eyes with follow-up.
Conclusion
Visual recovery from tuberculous optic neuropathy is common, if the diagnosis is recognized and appropriate treatment is instituted. A tuberculous etiology should be considered when evaluating optic neuropathy in persons from endemic areas.Research to Prevent Blindness (unrestricted
grant to Casey Eye Institute) provided partial support for this work
Climate change linking adaptation and mitigation through agroforestry
Agriculture is the human enterprise that is most vulnerable to climate change.
Tropical agriculture, particularly subsistence agriculture is particularly vulnerable, as
smallholder farmers do not have adequate resources to adapt to climate change. While
agroforestry may play a significant role in mitigating the atmospheric accumulation of
greenhouse gases (GHG), it also has a role to play in helping smallholder farmers adapt to
climate change. In this paper, we examine data on the mitigation potential of agroforestry
in the humid and sub-humid tropics. We then present the scientific evidence that leads to
the expectation that agroforestry also has an important role in climate change adaptation,
particularly for small holder farmers. We conclude with priority research questions that
need to be answered concerning the role of agroforestry in both mitigation and adaptation
to climate change
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