Integrated luminometer for the determination of trace metals in seawater using fluorescence, phosphorescence and chemiluminescence detection

The paper describes an integrated luminometer able to perform fluorescence (FL), room temperature phosphorescence (RTP) and chemiluminescence (CL) measurements on seawater samples. The technical details of the instrumentation are presented together with flow injection (FI) manifolds for the determination of cadmium and zinc (by FL), lead (RTP) and cobalt (CL). The analytical figures of merit are given for each manifold and results are presented for the determination of the four trace metals in seawater reference materials (NASS-5, SLEW-2) and Scheldt estuarine water samples

Individual nutrition therapy and exercise regime: A controlled trial of injured, vulnerable elderly (INTERACTIVE trial)

© 2008 Thomas et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Background Proximal femoral fractures are amongst the most devastating consequences of osteoporosis and injurious accidental falls with 25–35% of patients dying in the first year post-fracture. Effective rehabilitation strategies are evolving however, despite established associations between nutrition, mobility, strength and strength-related functional outcomes; there has been only one small study with older adults immediately following fragility fracture where a combination of both exercise and nutrition have been provided. The aim of the INTERACTIVE trial is to establish whether a six month, individualised exercise and nutrition program commencing within fourteen days of surgery for proximal femur fracture, results in clinically and statistically significant improvements in physical function, body composition and quality of life at an acceptable level of cost and resource use and without increasing the burden of caregivers. Methods and Design This randomised controlled trial will be performed across two sites, a 500 bed acute hospital in Adelaide, South Australia and a 250 bed acute hospital in Sydney, New South Wales. Four hundred and sixty community-dwelling older adults aged > 70 will be recruited after suffering a proximal femoral fracture and followed into the community over a 12-month period. Participants allocated to the intervention group will receive a six month individualised care plan combining resistance training and nutrition therapy commencing within 14 days post-surgery. Outcomes will be assessed by an individual masked to treatment allocation at six and 12 months. To determine differences between the groups at the primary end-point (six months), ANCOVA or logistic regression will be used with models adjusted according to potential confounders. Discussion The INTERACTIVE trial is among the first to combine nutrition and exercise therapy as an early intervention to address the serious consequence of rapid deconditioning and weight loss and subsequent ability to regain pre-morbid function in older patients post proximal femoral fracture. The results of this trial will guide the development of more effective rehabilitation programs, which may ultimately lead to reduced health care costs, and improvements in mobility, independence and quality of life for proximal femoral fracture sufferers. Trial registration Australian Clinical Trials Registry: ACTRN12607000017426

Exceptional atmospheric conditions in June 2023 generated a northwest European marine heatwave which contributed to breaking land temperature records

The Northwest European shelf experienced unprecedented surface temperature anomalies in June 2023 (anomalies up to 5 °C locally, north of Ireland). Here, we show the shelf average underwent its longest recorded category II marine heatwave (16 days). With state-of-the-art observation and modelling capabilities, we show the marine heatwave developed quickly due to strong atmospheric forcing (high level of sunshine, weak winds, tropical air) and weak wave activity under anticyclonic weather regimes. Once formed, this shallow marine heatwave fed back on the weather: over the sea it reduced cloud cover and over land it contributed to breaking June mean temperature records and to enhanced convective rainfall through stronger, warmer and moister sea breezes. This marine heatwave was intensified by the last 20-year warming trend in sea surface temperatures. Such sea surface temperatures are projected to become commonplace by the middle of the century under a high greenhouse gas emission scenario

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

Determination of Cobalt and Iron in Estuarine and Coastal Water using Flow Injection with Chemiluminescence Detection

Flow injection with chemiluminescence detection (FI-CL) was used to determine cobalt and iron in estuarine and coastal waters. Cobalt(II) was determined by means of a pyrogallol-hydrogen peroxide-sodium hydroxide reaction in the presence of methanol and the surfactant cetyltrimethylammonium bromide (CTAB). With pyrogallol, the sensitivity was enhanced compared with the traditional reagent, gallic acid. The practical limit of detection in sea-water was 5 pM (3s) and there was good agreement with certified values for the sea-water CRMs NASS-5 (0.16 ± 0.01 nM), CASS-3 (0.60 ± 0.09 nM) and SLEW-2 (0.93 ± 0.13 nM). Results for an Irish Sea sample gave good agreement with data obtained using cathodic stripping voltammetry. Iron(II + III) was determined using a luminol reaction with dissolved oxygen as the oxidant. The practical limit of detection was 40 pM (3s) and results from shipboard analysis of the CRM NASS-4 (1.95 ± 0.14 nM) were in good agreement with the certified value (1.88 ± 0.29 nM). Field evaluation of the instrumentation and analytical methods was achieved through a series of local surveys in the Tamar Estuary (UK), from which environmental data are presented