Natural and anthropogenic rapid changes in the Kara-Bogaz Gol over the last two centuries reconstructed from palynological analyses and a comparison to instrumental records

Palynological analyses (pollen and dinocysts) of a sediment core taken in the Kara-Bogaz Gol have been used to reconstruct rapid and catastrophic environmental changes over the last two centuries (chronology based on 210Pb). A natural cyclicity (65 years) of water level changes in the Caspian Sea and in the Kara-Bogaz Gol and anthropogenic factors (building of a dam separating the CS and the KBG waters) combine to induce rapid changes in water levels of the KBG, in the salinity of its waters and in vegetation cover of its surroundings. The impact of low water levels on the dinocysts is marked by a lower diversity and the survival of two species that are typical of the KBG, the Caspian Sea species present in the KBG having disappeared. During periods of higher water levels (AD 1871 to 1878), the lake is surrounded by a steppe-like vegetation dominated by Artemisia; whereas during periods of low water levels (AD 1878 to 1913 and AD 1955-1998), the emerged shore are colonised by Chenopodiaceae. The period of AD 1913 to 1955 corresponding to decreasing water levels has an extremely low pollen concentration and a maximum of reworking of arboreal taxa. During the last low-level period, humans responded by abandoning the shores of the bay. What happened to the KBG can be used as an example of what may happen in the future for the Aral Sea. A problem of reworking of Tertiary dinocysts into modern deposits has been detected owing to the knowledge of the modern dinoflagellate assemblages recently made available through a water survey. A comparison to modern surface pollen samples from Central Asia (Anzali, Caspian Sea south and central basins, Aral Sea, Lake Balkhash, Lake Issyk-Kul and the Chinese Tien-Shan range) allows us to establish the potential reworking of at least five arboreal pollen taxa possibly by run-off and dust storms

Emotional expressiveness of 5–6 month-old infants born very premature versus full-term at initial exposure to weaning foods

Facial expressions of 5–6 month-old infants born preterm and at term were compared while tasting for the first time solid foods (two fruit and two vegetable purées) given by the mother. Videotapes of facial reactions to these foods were objectively coded during the first six successive spoons of each test food using Baby FACS and subjectively rated by naïve judges. Infant temperament was also assessed by the parents using the Infant Behaviour Questionnaire. Contrary to our expectations, infants born preterm expressed fewer negative emotions than infants born full-term. Naïve judges rated infants born preterm as displaying more liking than their full-term counterparts when tasting the novel foods. The analysis of facial expressions during the six spoonfuls of four successive meals (at 1-week intervals) suggested a familiarization effect with the frequency of negative expressions decreasing after tasting the second spoon, regardless of infant age, type of food and order of presentation. Finally, positive and negative dimensions of temperament reported by the parents were related with objective and subjective coding of affective reactions toward foods in infants born preterm or full-term. Our research indicates that premature infants are more accepting of novel foods than term infants and this could be used for supporting the development of healthy eating patterns in premature infants. Further research is needed to clarify whether reduced negativity by infants born prematurely to the exposure to novel solid foods reflects a reduction of an adaptive avoidant behaviour during the introduction of novel foods

Atlas of modern dinoflagellate cyst distributions in the Black Sea Corridor: From Aegean to Aral Seas, including Marmara, Black, Azov and Caspian Seas

We present the first comprehensive taxonomic and environmental study of dinoflagellate cysts in 185 surface sediment samples from the Black Sea Corridor (BSC) which is a series of marine basins extending from the Aegean to the Aral Seas (including Marmara, Black, Azov and Caspian Seas). For decades, these low-salinity, semi-enclosed or endorheic basins have experienced large-scale changes because of intensive agriculture and industrialisation, with consequent eutrophication and increased algal blooms. The BSC atlas data provide a baseline for improved understanding of linkages between surface water conditions and dinoflagellate cyst (dinocyst) distribution, diversity and morphological variations. By cross-reference to dinocyst occurrences in sediment cores with radiocarbon ages covering the past c. 11,700 years, the history of recent biodiversity changes can be evaluated. The seabed cyst samples integrate seasonal and multi-year data which are not usually captured by plankton samples, and the cyst composition can point to presence of previously unrecorded motile dinoflagellate species in the BSC. Results show the presence of at least 71 dinocyst taxa of which 36% can be related to motile stages recorded in the plankton. Comparison with sediment core records shows that five new taxa appear to have entered or re-entered the region over the past century. Statistical analysis of the atlas data reveals the presence of four ecological assemblages which are primarily correlated with seasonal and annual surface water salinity and temperature; correlation with phosphate, nitrate and silicate nutrients, chlorophyll-a and bottom water oxygen is less clear but may be important for some taxa. Biodiversity indices reveal strong west − east biogeographical differences among the basins that reflect the different histories of Mediterranean versus Ponto-Caspian connections. The atlas data provide a standardised taxonomy and regional database for interpreting downcore cyst variations in terms of quantitative oceanographic changes. The atlas also provides a baseline for monitoring further changes in the BSC dinocysts that may accompany the accelerating development of the region

An ocean–ice coupled response during the last glacial: a view from a marine isotopic stage 3 record south of the Faeroe Shetland Gateway

150 μm) lithic fraction (grain concentration) and the analysis of selected biogenic proxies (assemblages and stable isotope ratio of calcareous planktonic foraminifera, dinoflagellate cyst – e.g. dinocyst – assemblages). Results presented here are focussed on the dinocyst response, this proxy providing the reconstruction of past sea-surface hydrological conditions, qualitatively as well as quantitatively (e.g. transfer function sensu lato). Our study documents a very coherent and sensitive oceanic response to the MIS3 rapid climatic variability: strong fluctuations, matching those of stadial/interstadial climatic oscillations as depicted by Greenland ice cores, are recorded in the MD99-2281 archive. Proxies of terrigeneous and detritical material suggest increases in continental advection during Greenland Stadials (including Heinrich events), the latter corresponding also to southward migrations of polar waters. At the opposite, milder sea-surface conditions seem to develop during Greenland Interstadials. After 30 ka, reconstructed paleohydrological conditions evidence strong shifts in SST: this increasing variability seems consistent with the hypothesised coalescence of the British and Fennoscandian ice sheets at that time, which could have directly influenced sea-surface environments in the vicinity of core MD99-2281

A double blind randomized trial of wound infiltration with ropivacaine after breast cancer surgery with axillary nodes dissection

<p>Abstract</p> <p>Background</p> <p>The effect of local infiltration after breast surgery is controversial. This prospective double blind randomized study sought to document the analgesic effect of local anaesthetic infiltration after breast cancer surgery.</p> <p>Methods</p> <p>Patients scheduled for mastectomy or tumorectomy and axillary nodes dissection had immediate postoperative infiltration of the surgical wound with 20 ml of ropivacaine 7.5 mg.ml^-1or isotonic saline. Pain was assessed on a visual analogue scale at H2, H4, H6, H12, H24, H72, and at 2 month, at rest and on mobilization of the arm. Patient'comfort was evaluated with numerical 0-3 scales for fatigue, quality of sleep, state of mood, social function and activity.</p> <p>Results</p> <p>Twenty-two and 24 patients were included in the ropivacaine and saline groups respectively. Postoperative pain was lower at rest and on mobilization at 2, 4 and 6 hour after surgery in the ropivacaine group. No other difference in pain intensity and patient 'comfort scoring was documented during the first 3 postoperative days. Patients did not differ at 2 month for pain and comfort scores.</p> <p>Conclusion</p> <p>Single shot infiltration with ropivacaine transiently improves postoperative pain control after breast cancer surgery.</p> <p>Trial registration number</p> <p><a href="http://www.clinicaltrials.gov/ct2/show/NCT01404377">NCT01404377</a></p

The Making of a Mobile Caliphate State in the African Sahel

The goal of this chapter is to thoroughly understand the context of the dominant jihadist narratives and the nature of their appeal in the Sahelian region. All these jihadist ideologies are based on a peculiar Salafi Radicalism that aimed to transform the state and society by methods of preaching and violence. Therefore, studying and analyzing the principles of the Salafist discourse as a political project helps us to understand its points of strengths and weaknesses. In addition, we can be better look at the future trends and prospects of violent jihadist groups in the African Sahel. The roots of this Islamic discourse as a political project may be attributed to what Lunay and Suarez call the “Islamic domain.” The rise of violent radical Islamism represents drive from the internal political and socioeconomic dynamics evolving in each Sahelian state. However, the struggle and rivalry of jihadist ideologies after the military defeat of Daesh in Mosul is important at a time when thousands of fighters who have survived the civil wars in Iraq, Syria, and Libya are looking for new jihadist fields

Perioperative celecoxib administration for pain management after total knee arthroplasty – A randomized, controlled study

<p>Abstract</p> <p>Background</p> <p>Non-steroidal anti-inflammatory drugs (NSAIDs) are recommended for multimodal postoperative pain management. We evaluated opioid-sparing effects and rehabilitative results after perioperative celecoxib administration for total knee arthroplasty.</p> <p>Methods</p> <p>This was a prospective, randomized, observer-blind control study. Eighty patients that underwent total knee arthroplasty were randomized into two groups of 40 each. The study group received a single 400 mg dose of celecoxib, one hour before surgery, and 200 mg of celecoxib every 12 hours for five days, along with patient-controlled analgesic (PCA) morphine. The control group received only PCA morphine for postoperative pain management. Visual analog scale (VAS) pain scores, active range of motion (ROM), total opioid use and postoperative nausea/vomiting were analyzed.</p> <p>Results</p> <p>Groups were comparable for age, pre-operative ROM, operation duration and intraoperative blood loss. Resting VAS pain scores improved significantly in the celecoxib group, compared with controls, at 48 hrs (2.13 ± 1.68 vs. 3.43 ± 1.50, p = 0.03) and 72 hrs (1.78 ± 1.66 vs. 3.17 ± 2.01, p = 0.02) after surgery. Active ROM also increased significantly in the patients that received celecoxib, especially in the first 72 hrs [40.8° ± 17.3° vs. 25.8° ± 11.5°, p = 0.01 (day 1); 60.7° ± 18.1° vs. 45.0° ± 17.3°, p = 0.004 (day 2); 77.7° ± 15.1° vs. 64.3° ± 16.9°, p = 0.004 (day 3)]. Opioid requirements decreased about 40% (p = 0.03) in the celecoxib group. Although patients suffering from post-operative nausea/vomiting decreased from 43% in control group to 28% in celecoxib group, this was not significant (p = 0.57). There were no differences in blood loss (intra- and postoperative) between the groups. Celecoxib resulted in no significant increase in the need for blood transfusions.</p> <p>Conclusion</p> <p>Perioperative celecoxib significantly improved postoperative resting pain scores at 48 and 72 hrs, opioid consumption, and active ROM in the first three days after total knee arthroplasty, without increasing the risks of bleeding.</p> <p>Trial registration</p> <p>Clinicaltrials.gov NCT00598234</p

Rapid tests and urine sampling techniques for the diagnosis of urinary tract infection (UTI) in children under five years: a systematic review

Background: Urinary tract infection (UTI) is one of the most common sources of infection in children under five. Prompt diagnosis and treatment is important to reduce the risk of renal scarring. Rapid, cost-effective, methods of UTI diagnosis are required as an alternative to culture. Methods: We conducted a systematic review to determine the diagnostic accuracy of rapid tests for detecting UTI in children under five years of age. Results: The evidence supports the use of dipstick positive for both leukocyte esterase and nitrite (pooled LR+ = 28.2, 95% CI: 17.3, 46.0) or microscopy positive for both pyuria and bacteriuria (pooled LR+ = 37.0, 95% CI: 11.0, 125.9) to rule in UTI. Similarly dipstick negative for both LE and nitrite (Pooled LR- = 0.20, 95% CI: 0.16, 0.26) or microscopy negative for both pyuria and bacteriuria (Pooled LR- = 0.11, 95% CI: 0.05, 0.23) can be used to rule out UTI. A test for glucose showed promise in potty-trained children. However, all studies were over 30 years old. Further evaluation of this test may be useful. Conclusion: Dipstick negative for both LE and nitrite or microscopic analysis negative for both pyuria and bacteriuria of a clean voided urine, bag, or nappy/pad specimen may reasonably be used to rule out UTI. These patients can then reasonably be excluded from further investigation, without the need for confirmatory culture. Similarly, combinations of positive tests could be used to rule in UTI, and trigger further investigation

Disentangling molecular and clinical stratification patterns in beta-galactosidase deficiency

INTRODUCTION: This study aims to define the phenotypic and molecular spectrum of the two clinical forms of β-galactosidase (β-GAL) deficiency, GM1-gangliosidosis and mucopolysaccharidosis IVB (Morquio disease type B, MPSIVB). METHODS: Clinical and genetic data of 52 probands, 47 patients with GM1-gangliosidosis and 5 patients with MPSIVB were analysed. RESULTS: The clinical presentations in patients with GM1-gangliosidosis are consistent with a phenotypic continuum ranging from a severe antenatal form with hydrops fetalis to an adult form with an extrapyramidal syndrome. Molecular studies evidenced 47 variants located throughout the sequence of the GLB1 gene, in all exons except 7, 11 and 12. Eighteen novel variants (15 substitutions and 3 deletions) were identified. Several variants were linked specifically to early-onset GM1-gangliosidosis, late-onset GM1-gangliosidosis or MPSIVB phenotypes. This integrative molecular and clinical stratification suggests a variant-driven patient assignment to a given clinical and severity group. CONCLUSION: This study reports one of the largest series of b-GAL deficiency with an integrative patient stratification combining molecular and clinical features. This work contributes to expand the community knowledge regarding the molecular and clinical landscapes of b-GAL deficiency for a better patient management