Impact of surface ocean conditions and aerosol provenance on the dissolution of aerosol manganese, cobalt, nickel and lead in seawater

© 2017. Atmospheric deposition is an important pathway by which bioactive trace metals are delivered to the surface ocean. The proportions of total aerosol trace metals that dissolve in seawater, and thus become available to biota, are not well constrained and are therefore a key uncertainty when estimating atmospheric fluxes of these elements to surface waters. The aim of this study was to elucidate the main physico-chemical controls on the dissolution of the bioactive trace metals manganese (Mn), cobalt (Co), nickel (Ni) and lead (Pb). To this end, aerosol and surface seawater samples were collected in the Sargasso Sea and subsequently used in sequential seawater leach dissolution experiments to assess the role of aerosol source, seawater temperature, pH, and concentrations of dissolved oxygen and organic ligands, on aerosol trace metal dissolution.Results reveal that changes in key physico-chemical parameters in seawater leaches had little effect on the proportions of Mn, Co, Ni and Pb released from aerosols, although organic ligand amendments impacted the size distribution of aerosol-derived Mn in solution. Conversely, aerosol source and composition had the most significant effect on the dissolution of aerosol Co and Pb, with the most 'anthropogenic' aerosol samples displaying the highest fractional solubilities in seawater (up to 58% for Co and 112% for Pb).Fractional solubilities over the range of samples and conditions tested were in the range of 50-104% for Mn, 29-58% for Co, 40-85% for Ni and 67-112% for Pb. A large proportion (36-100%, median 89%) of the total dMn, dCo, dNi and dPb was mobilised rapidly during the first leaching step (5. min), with less dTM being released in leaches 2 through 4. Furthermore, investigation of the size distribution of the aerosol-derived trace metals in seawater showed that dissolved Pb was mostly colloidal (0.02-0.4. μm), dissolved Mn and Co were mostly soluble ( < . 0.02. μm), and dissolved Ni displayed a mixed size distribution. Good empirical relationships were observed between enrichment factors for aerosol antimony (Sb) and the fractional solubilities of aerosol Fe, Co and Pb, suggesting total aerosol Sb can be useful in estimating and modelling the fractional solubility of these metals using total aerosol trace metal concentrations from historical data

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability