End-stage renal disease in Canada: prevalence projections to 2005

BACKGROUND: The incidence and prevalence of end-stage renal disease (ESRD) have increased greatly in Canada over the last 2 decades. Because of the high cost of therapy, predicting numbers of patients who will require dialysis and transplantation is necessary for nephrologists and health care planners. METHODS: The authors projected ESRD incidence rates and therapy-specific prevalence by province to the year 2005 using 1981-1996 data obtained from the Canadian Organ Replacement Register. The model incorporated Poisson regression to project incidence rates, and a Markov model for patient follow-up. RESULTS: Continued large increases in ESRD incidence and prevalence were projected, particularly among people with diabetes mellitus. As of Dec. 31, 1996, there were 17,807 patients receiving renal replacement therapy in Canada. This number was projected to climb to 32,952 by the end of 2005, for a relative increase of 85% and a mean annual increase of 5.8%. The increased prevalence was projected to be greatest for peritoneal dialysis (6.0% annually), followed by hemodialysis (5.9%) and functioning kidney transplant (5.7%). The projected annual increases in prevalence by province ranged from 4.4%, in Saskatchewan, to 7.5%, in Alberta. INTERPRETATION: The projected increases are plausible when one considers that the incidence of ESRD per million population in the United States and other countries far exceeds that in Canada. The authors predict a continued and increasing short-fall in resources to accommodate the expected increased in ESRD prevalence

Hydrothermal activity on the southern Mid-Atlantic Ridge: Tectonically- and volcanically-controlled venting at 4–5°S

We report results from an investigation of the geologic processes controlling hydrothermal activity along the previously-unstudied southern Mid-Atlantic Ridge (3–7°S). Our study employed the NOC (UK) deep-tow sidescan sonar instrument, TOBI, in concert with the WHOI (USA) autonomous underwater vehicle, ABE, to collect information concerning hydrothermal plume distributions in the water column co-registered with geologic investigations of the underlying seafloor. Two areas of high-temperature hydrothermal venting were identified. The first was situated in a non-transform discontinuity (NTD) between two adjacent second-order ridge-segments near 4°02?S, distant from any neovolcanic activity. This geologic setting is very similar to that of the ultramafic-hosted and tectonically-controlled Rainbow vent-site on the northern Mid-Atlantic Ridge. The second site was located at 4°48?S at the axial-summit centre of a second-order ridge-segment. There, high-temperature venting is hosted in an 18 km2 area of young lava flows which in some cases are observed to have flowed over and engulfed pre-existing chemosynthetic vent-fauna. In both appearance and extent, these lava flows are directly reminiscent of those emplaced in Winter 2005?06 at the East Pacific Rise, 9°50?N and reference to global seismic catalogues reveals that a swarm of large (M 4.6?5.6) seismic events was centred on the 5°S segment over a 24 h period in late June 2002, perhaps indicating the precise timing of this volcanic eruptive episode. Temperature measurements at one of the vents found directly adjacent to the fresh lava flows at 5°S MAR (Turtle Pits) have subsequently revealed vent-fluids that are actively phase separating under conditions very close to the Critical Point for seawater, at 3000 m depth and 407 °C: the hottest vent-fluids yet reported from anywhere along the global ridge crest.<br/

Spin galvanic effect due to optical spin orientation in n-type GaAs quantum well structures

Under oblique incidence of circularly polarized infrared radiation the spin-galvanic effect ~SGE! has been unambiguously observed in ~001!-grown n-type GaAs quantum well structures in the absence of any external magnetic field. Resonant intersubband transitions have been obtained making use of the tunability of the free-electron laser FELIX. A microscopic theory of the SGE for intersubband transitions has been developed, which is in good agreement with experimental findings

The protection and management of the Sargasso Sea: The golden floating rainforest of the Atlantic Ocean: Summary Science and Supporting Evidence Case

The Sargasso Sea is a fundamentally important part of the world’s ocean, located within the North Atlantic sub-tropical gyre with its boundaries defined by the surrounding currents. It is the only sea without land boundaries with water depths ranging from the surface coral reefs of Bermuda to abyssal plains at 4500 m. The Sargasso Sea’s importance derives from the interdependent mix of its physical structure and properties, its ecosystems, its role in global scale ocean and earth system processes, its socio-economic and cultural values, and its role in global scientific research. Despite this, the Sargasso Sea is threatened by a range of human activities that either directly adversely impact it or have the potential to do so. Being open ocean, the Sargasso Sea is part of the High Seas, the area of ocean that covers nearly 50% of the earth’s surface but which is beyond the jurisdiction and responsibility of any national government, and as such it enjoys little protection. To promote the importance of the Sargasso Sea, the Sargasso Sea Alliance was created under the leadership of the Government of Bermuda in 2010. This report provides a summary of the scientific and other supporting evidence for the importance of the Sargasso Sea and is intended to develop international recognition of this; to start the process of establishing appropriate management and precautionary regimes within existing agreements; and to stimulate a wider debate on appropriate management and protection for the High Seas. Nine reasons why the Sargasso Sea is important are described and discussed. It is a place of legend with a rich history of great importance to Bermuda; it has an iconic ecosystem based upon floating Sargassum, the world’s only holopelagic seaweed, hosting a rich and diverse community including ten endemic species; it provides essential habitat for nurturing a wide diversity of species many of which are endangered or threatened; it is the only breeding location for the threatened European and American eels; it lies within a large ocean gyre which concentrates pollutants and which has a variety of oceanographic processes that impact its productivity and species diversity; it plays a disproportionately large role in global ocean processes of carbon sequestration; it is of major importance for global scientific research and monitoring and is home to the world’s longest ocean time series of measurements; it has significant values to local and world-wide economies; and it is threatened by activities including over-fishing, pollution, shipping, and Sargassum harvesting. Apart from over-fishing many of the threats are potential, with few direct causal relationships between specific activities and adverse impacts. But there is accumulative evidence that the Sargasso Sea is being adversely impacted by human activities, and with the possibility of new uses for Sargassum in the future, the lack of direct scientific evidence does not preclude international action through the established precautionary approach. The opportunity to recognise the importance of the Sargasso Sea and to develop and implement procedures to protect this iconic region and the wider High Seas should be taken before it is too late