Surveillance arterioveNous fistulAs using ultRasound (SONAR) trial in haemodialysis patients: a study protocol for a multicentre observational study.

INTRODUCTION: Arteriovenous fistulas (AVFs) are considered the best and safest modality for providing haemodialysis in patients with end-stage renal disease. Only 20% of UK centres achieve the recommended 80% target for achieving dialysis of the prevalent dialysis population via permanent access (as opposed to a central venous catheter). This is partly due to the relatively poor maturation rate of newly created fistulas, with as many as 50% of fistulas failing to mature.The Surveillance Of arterioveNous fistulAe using ultRasound study will examine whether a protocolised programme of Doppler ultrasound (US) surveillance can identify, early after creation, potentially correctable problems in those AVFs that subsequently fail to mature. METHODS AND ANALYSIS: This is a multicentre observational study that will assess newly created AVFs by Doppler US performed at 2, 4, 6 and 10 weeks after creation. The primary outcome measure will be primary fistula patency at week 10. Secondary outcome measures include: successful use of the fistula; clinical suitability for dialysis; creation of new fistula or radiological salvage; fistula thrombosis; secondary fistula patency rate and patient acceptability. ETHICS AND DISSEMINATION: The study has been approved by the Cambridgeshire and Hertfordshire Research Ethics Committee and by the Health Research Authority (REC 18/EE/0234). The results generated from this work will be published as open access, within 3 years of trial commencement. We will also present our findings at key national/international renal meetings, as well as support volunteers at renal patient groups to disseminate the trial outcome. TRIAL REGISTRATION NUMBER: ISRCTN36033877

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead

Games and Public Anthropology

Multimodal anthropologists are beginning to use games and game design as a method for producing ethnographic knowledge collaboratively with research participants and as a genre for communicating anthropological knowledge with varied publics. As a methodological approach and a rhetorical genre, games offer unique affordances in that they highlight the dynamic interplay of structures, systems, rules, and norms on the one hand, and contingency, interaction, and agency, on the other. Games are marked by uncertain outcomes, open-endedness, and contingency, reflecting Geertz’s observation that “[c]ultural analysis is intrinsically incomplete” (1973: 30). Public anthropology has much to gain from games as an engaging modality for scholarly research, public communication, and pedagogy

Sea spray emissions from the Baltic Sea : comparison of aerosol eddy covariance fluxes and chamber-simulated sea spray emissions

To compare in situ and laboratory estimates of sea spray aerosol (SSA) production fluxes, we conducted two research campaigns in the vicinity of an eddy covariance (EC) flux tower on the island of ostergarnsholm in the Baltic Sea during May and August 2021. To accomplish this, we performed EC flux measurements for particles with diameters between 0.25 and 2.5 mu m simultaneously with laboratory measurements using a plunging jet sea spray simulation chamber containing local seawater sampled close to the footprint of the flux tower. We observed a log-linear relationship between wind speed and EC-derived SSA emission fluxes, a power-law relationship between significant wave height and EC-derived SSA emission fluxes, and a linear relationship between wave Reynolds number and EC-derived SSA emission fluxes, all of which are consistent with earlier studies. Although we observed a weak negative relationship between particle production in the sea spray simulation chamber and seawater chlorophyll-alpha concentration and a weak positive relationship with the concentration of fluorescent dissolved organic matter in seawater, we did not observe any significant impact of dissolved oxygen on particle production in the chamber.To obtain an estimate of the size-resolved emission spectrum for particles with dry diameters between 0.015 and 10 mu m, we combined the estimates of SSA particle production fluxes obtained using the EC measurements and the chamber measurements in three different ways: (1) using the traditional continuous whitecap method, (2) using air entrainment measurements, and (3) simply scaling the chamber data to the EC fluxes. In doing so, we observed that the magnitude of the EC-derived emission fluxes compared relatively well to the magnitude of the fluxes obtained using the chamber air entrainment method as well as the previous flux measurements of and the parameterizations of and . As a result of these measurements, we have derived a wind-speed-dependent and wave-state-dependent SSA parameterization for particles with dry diameters between 0.015 and 10 mu m for low-salinity waters such as the Baltic Sea, thus providing a more accurate estimation of SSA production fluxes

Chemical composition and source analysis of carbonaceous aerosol particles at a mountaintop site in central Sweden

The chemical composition of atmospheric particulate matter at Mt. Åreskutan, a mountaintop site in central Sweden, was analysed with a focus on its carbonaceous content. Filter samples taken during the Cloud and Aerosol Experiment at Åre (CAEsAR 2014) were analysed by means of a thermo-optical method and ion chromatography. Additionally, the particle light absorption and particle number size distribution measurements for the entire campaign were added to the analysis. Mean airborne concentrations of organic and elemental carbon during CAEsAR 2014 were OC = 0.85 $\,\pm \,$ 0.80  \upmu g m$^{-3}$ and EC = 0.06$\,\pm \,$ 0.06  \upmu g m$^{-3}$, respectively. Elemental to organic carbon ratios varied between EC/OC = 0.02 and 0.19. During the study a large wildfire occurred in Västmanland, Sweden, with the plume reaching our study site. This led to significant increases in OC and EC concentrations (OC = 3.04 $\,\pm \,$ 0.03  \upmu g m$^{-3}$ and EC = 0.24 $\,\pm \,$ 0.00  \upmu g m$^{-3}$). The mean mass-specific absorption coefficient observed during the campaign was $\sigma _\mathrm{abs}^\mathrm{BC}$ = 9.1$\,\pm \,$7.3 m$^{2}$g$^{-1}$ (at wavelength $\lambda$ = 637 nm). In comparison to similarly remote European sites, Mt. Åreskutan experienced significantly lower carbonaceous aerosol loadings with a clear dominance of organic carbon. A mass closure study revealed a missing chemical mass fraction that likely originated from mineral dust. Potential regional source contributions of the carbonaceous aerosol were investigated using modelled air mass back trajectories. This source apportionment pointed to a correlation between high EC concentrations and air originating from continental Europe. Particles rich in organic carbon most often arrived from highly vegetated continental areas. However, marine regions were also a source of these aerosol particles. The source contributions derived during this study were compared to emission inventories of an Earth system model. This comparison highlighted a lack of OC and EC point-sources in the model’s emission inventory which could potentially lead to an underestimation of the carbonaceous aerosol reaching Mt. Åreskutan in the simulation of this Earth system model

The representation of sea salt aerosols and their role in polar climate within CMIP6

Natural aerosols and their interactions with clouds remain an important uncertainty within climate models, especially at the poles. Here, we study the behavior of sea salt aerosols (SSaer) in the Arctic and Antarctic within 12 climate models from CMIP6. We investigate the driving factors that control SSaer abundances and show large differences based on the choice of the source function, and the representation of aerosol processes in the atmosphere. Close to the poles, the CMIP6 models do not match observed seasonal cycles of surface concentrations, likely due to the absence of wintertime SSaer sources such as blowing snow. Further away from the poles, simulated concentrations have the correct seasonality, but have a positive mean bias of up to one order of magnitude. SSaer optical depth is derived from the MODIS data and compared to modeled values, revealing good agreement, except for winter months. Better agreement for AOD than surface concentration may indicate a need for improving the vertical distribution, the size distribution and/or hygroscopicity of modeled polar SSaer. Source functions used in CMIP6 emit very different numbers of small SSaer, potentially exacerbating cloud-aerosol interaction uncertainties in these remote regions. For future climate scenarios SSP126 and SSP585, we show that SSaer concentrations increase at both poles at the end of the 21st century, with more than two times mid-20th century values in the Arctic. The pre-industrial climate CMIP6 experiments suggest there is a large uncertainty in the polar radiative budget due to SSaer

Chemical composition and source analysis of carbonaceous aerosol particles at a mountaintop site in central Sweden

The chemical composition of atmospheric particulate matter at Mt. Åreskutan, a mountaintop site in central Sweden, was analysed with a focus on its carbonaceous content. Filter samples taken during the Cloud and Aerosol Experiment at Åre (CAEsAR 2014) were analysed by means of a thermo-optical method and ion chromatography. Additionally, the particle light absorption and particle number size distribution measurements for the entire campaign were added to the analysis. Mean airborne concentrations of organic and elemental carbon during CAEsAR 2014 were OC = 0.85 0.80 g m and EC = 0.06 0.06 g m, respectively. Elemental to organic carbon ratios varied between EC/OC = 0.02 and 0.19. During the study a large wildfire occurred in Västmanland, Sweden, with the plume reaching our study site. This led to significant increases in OC and EC concentrations (OC = 3.04 0.03 g m and EC = 0.24 0.00 g m). The mean mass-specific absorption coefficient observed during the campaign was = 9.17.3 mg (at wavelength = 637 nm). In comparison to similarly remote European sites, Mt. Åreskutan experienced significantly lower carbonaceous aerosol loadings with a clear dominance of organic carbon. A mass closure study revealed a missing chemical mass fraction that likely originated from mineral dust. Potential regional source contributions of the carbonaceous aerosol were investigated using modelled air mass back trajectories. This source apportionment pointed to a correlation between high EC concentrations and air originating from continental Europe. Particles rich in organic carbon most often arrived from highly vegetated continental areas. However, marine regions were also a source of these aerosol particles. The source contributions derived during this study were compared to emission inventories of an Earth system model. This comparison highlighted a lack of OC and EC point-sources in the model’s emission inventory which could potentially lead to an underestimation of the carbonaceous aerosol reaching Mt. Åreskutan in the simulation of this Earth system model.© 2017 Informa UK Limite