Cation mole precents (XCa, XMg, and XNa) on clay minerals in a siliciclastic coastal aquifer calculated from groundwater compositions, can aid in distinguishing fluvial from marine sediments and ...locate the fluvial/marine transition zone. The clay‐cation compositions of two clay‐rich siliciclastic coastal aquifers calculated from the composition of the groundwater were compared to the location of fluvial, fluvial‐marine transition and marine environments identified by traditional core, well log and paleontological analyses. The traditionally defined fluvial depositional environment is distinguished by clays with low XNa < 8% (for 92% of the samples) and high XCa from 55% to 98% with the remainder XMg. In comparison, the traditionally defined marine depositional environment is distinguished by clays with higher XNa > 8.0% (for 86% of the samples) and lower XCa ranging from 5% to 39% with the remainder XMg. The traditionally defined fluvial/marine transition zone has values overlapping the fluvial and marine end members, with 59% with XNa < 8% (fluvial) and 41% with XNa > 8% (marine), and XCa ranging from 45% to 98% with the remainder XMg. Calculations support that the excess Na (XNa > 8%) on marine clays can be retained for 10s of millions of years despite flushing with meteoric water, because of the high clay content in marine sediments. The calculated cation composition of clays deposited from river water are XNa < 8%. In contrast XNa 8%–54% is possible for seawater equilibrated clays supporting that the values found in the different depositional zones are possible. Calculated cation compositions might supplement traditional stratigraphic interpretations in distinguishing fluvial/marine depositional environments.
Key Points
Mole % Na, Ca, and Mg on the clay exchange site can be used to differentiate marine versus fluvial deposited clays
Groundwater chemistry used to calculate clay‐cation compositions are much easier to obtain than the traditional stratigraphic analyses
Marine clays are shown to retain their depositionally derived elevated Na for millions of years
A computational method for the simulation of viscous and compressible gas–gas flows is presented. It consists in solving the Navier–Stokes equations associated with a convection equation governing ...the motion of the interface between two gases using high-order finite-difference schemes. A discontinuity-capturing methodology based on sensors and a spatial filter enables capturing shock waves and deformable interfaces. One-dimensional test cases are performed as validation and to justify choices in the numerical method. The results compare well with analytical solutions. Shock waves and interfaces are accurately propagated, and remain sharp. Subsequently, two-dimensional flows are considered including viscosity and thermal conductivity. In Richtmyer–Meshkov instability, generated on an air–SF6 interface, the influence of the mesh refinement on the instability shape is studied, and the temporal variations of the instability amplitude is compared with experimental data. Finally, for a plane shock wave propagating in air and impacting a cylindrical bubble filled with helium or R22, numerical Schlieren pictures obtained using different grid refinements are found to compare well with experimental shadow-photographs. The mass conservation is verified from the temporal variations of the mass of the bubble. The mean velocities of pressure waves and bubble interface are similar to those obtained experimentally.
•A computational method based on high-order finite-differences is developed for the simulation of gas–gas flows.•The method is applied to 1-D test cases: very good agreement is obtained with analytical solutions.•2-D flows including compressibility and viscosity are successfully simulated.•The results for the 2-D flows are converged with respect to the grid.•The results for the 2-D flows are in agreement with experimental data.
There is a paucity of clinical guidelines for the routine assessment of maladaptive reproductive grief reactions in outpatient primary care and OB-GYN settings in the United States. Because of the ...disenfranchised nature of perinatal grief reactions, many clinicians may be apt to miss or dismiss a grief reaction that was not identified in the perinatal period. A significant number of those experiencing a reproductive loss exhibit signs of anxiety, depression, or post-traumatic stress disorder. Reproductive losses are typically screened for and recorded numerically as part of a woman's well-visit intake, yet this process often fails to identify patients emotionally troubled by a prior pregnancy loss.
A summative content analysis of 164 recent website blogs from female participants who self-reported having experienced a miscarriage or abortion in their lifetime was conducted. The narratives were reviewed for details regarding the time span between the pregnancy loss and the composition of the blog post. The stories were analyzed for subsequent relationship problems and detrimental mental health conditions. Maladaptive reactions were contrasted for those that indicated a greater than 12 months' time-lapse and those who had not.
More than a third (39.6%) of the women reported in the narrative that at least one year or more had passed since experiencing the miscarriage or abortion. For those women, the median time span between the loss and composing the blog was 4 years with a range of 47 years. Mental health conditions attributed to the reproductive loss by those who reported longer bereavement times included subsequent relationship problems, substance misuse, depression, suicidal ideation, and PTSD. The percent of reported maladaptive issues was more than double (136.9% vs. 63.6%) for those who reported that a year or more had passed since the loss of the pregnancy.
Grief reactions following the loss of a pregnancy may be prolonged or delayed for several months which can contribute to adverse biopsychosocial outcomes. Recognition and treatment of maladaptive grief reactions following a pregnancy loss are critical. Screening methods should be enhanced for clinicians in medical office settings to help identify and expedite the appropriate mental health assistance.
To explore intraindividual (between-meals) and interindividual (between-subjects) variability of postprandial glucose response (PGR) in type 1 diabetes (T1DM).
Data were taken from five cross-over ...trials in 61 subjects with T1DM on insulin pump wherein the effects of different dietary components or the intraindividual-variability of PGR to the same meal were evaluated by CGM. Predictors (type of meal or nutrient composition) of early (iAUC0-3h), late (iAUC3-6h), total (iAUC0-6h), and time-course of postprandial blood glucose changes (iAUC3-6hminus0-3h) were evaluated using two mixed-effect linear regression models considering the patient’s identification number as random-effect.
High-glycemic-index (HGI) and low-glycemic-index meals were the best positive and negative predictors of glucose iAUC0-3h, respectively. A Low-Fat-HGI meal significantly predicted iAUC3-6hminus0-3h (Estimate 3268; p = 0.017). Among nutrients, dietary fiber was the only significant negative predictor of iAUC0-3h (Estimate −550; p < 0.001) and iAUC0-6h (Estimate −742; p = 0.01) and positive predictor of iAUC3-6hminus0-3h (Estimate 336; p = 0.043). For all models, the random-effect patient was statistically significant (p < 0.001 by ANOVA).
Beyond the meal characteristics (including glycemic index, fat and fiber content), individual traits significantly influence PGR. Specific interindividual factors should be further identified to properly predict glucose response to meals with different composition in individuals with T1DM.
As humans increasingly utilize sensitive coastal areas, diving seabirds like the marbled murrelet
Brachyramphus marmoratus
face a unique combination of exposure to pervasive anthropogenic sound and ...acoustically mediated disturbances in terrestrial and marine environments. Despite its threatened status, the sound sensitivities and sensory ecology of this species are unknown, limiting any predictions of the frequencies or sound levels that may induce acoustic impacts. In this study, we measured electrophysiological aerial hearing thresholds for 10 wild individuals captured, sedated, examined inside a field-deployed anechoic chamber and subsequently released. Auditory responses were detected across a 0.5 to 6 kHz frequency range. The median auditory threshold was lowest at 2 kHz (33 dB), while hearing was generally sensitive between 0.75 and 3.8 kHz.
B. marmoratus
thresholds were elevated compared to other studied alcid species. In-air sensitivities were used to provide an initial prediction of underwater hearing thresholds. To further explore the auditory sensory ecology of this solitary-nesting species, hearing data were also compared to short-term recordings (5 d) of the aerial soundscape of a marbled murrelet nesting habitat. The soundscape contained both abiotic and biotic sounds that contributed to broadband sound levels of 46-55 dB re: 20 µPa rms (0.2-10 kHz). This comparatively quiet habitat enabled relatively frequent detection of anthropogenic sounds within the soundscape. Energy from this acoustic pollution consistently overlapped marbled murrelet sound sensitivities, indicating that the species is susceptible to disturbance from a range of noise types.
The histo-blood group antigens P, P1 and Pk are a closely related set of glycosphingolipid structures expressed by red blood cells and other tissues. None of these three characters is expressed on p ...cells, a null phenotype that arises in the context of homozygous mutation of the A4GALT gene. Subjects with p phenotype spontaneously develop a natural alloantibody named anti-PP1Pk, which is a mixture of IgG and IgM against P1, P and Pk. While anti-P1 is a weak cold antibody with poor clinical significance, anti-P and anti-Pk antibodies are potent haemolysins responsible for severe hemolytic transfusion reactions. The rare anti-PP1Pk alloantibodies are associated with recurrent spontaneous abortion in the first trimester of gestation. P and Pk antigens are expressed at high levels on the placenta and antibodies directed against both these structures are deleterious to placental trophoblasts. Here we describe the use of plasma exchange (PEX) in a nulliparous 39-year-old woman with anti-PP1Pk antibodies and a history of repeated spontaneous early abortions and hypofertility. The patient underwent apheresis starting from the third week throughout the pregnancy and a healthy child was delivered by cesarean section at 35 WG. The newborn required only phototherapy within a few days of life. We can state that an early treatment with the only PEX has proven to be effective and safe in the management of a fetomaternal P-incompatibility caused by a high anti-PP1Pk titer (256).
Docetaxel (75 mg m(-2) 3-weekly) is standard second-line treatment in advanced non-small-cell lung cancer (NSCLC) with significant toxicity. To verify whether a weekly schedule (33.3 mg m(-2) for 6 ...weeks) improved quality of life (QoL), a phase III study was performed with 220 advanced NSCLC patients, < or =75 years, ECOG PS < or =2. QoL was assessed by EORTC questionnaires and the Daily Diary Card (DDC). No difference was found in global QoL scores at 3 weeks. Pain, cough and hair loss significantly favoured the weekly schedule, while diarrhoea was worse. DDC analysis showed that loss of appetite and overall condition were significantly worse in the 3-week arm in the first week, while nausea and loss of appetite were more severe in the weekly arm in the third week. Response rate and survival were similar, hazard ratio of death in the weekly arm being 1.04 (95% CI 0.77-1.39). A 3-weekly docetaxel was more toxic for leukopenia, neutropenia, febrile neutropenia and hair loss; any grade 3-4 haematologic toxicity was significantly more frequent in the standard arm (25 vs 6%). The weekly schedule could be preferred for patients candidate to receive docetaxel as second-line treatment for advanced NSCLC, because of some QoL advantages, lower toxicity and no evidence of strikingly different effect on survival.
The first aquifer‐wide calculations of the clay‐cation compositions in equilibrium with the present‐day groundwater in a clay‐rich coastal aquifer are provided, and downgradient changes in Ca on the ...clay‐exchange site identified three sequential‐downgradient zones, Updip (95–80% Ca), Transition (80–60% Ca), and Downdip (60–40% Ca). These zones form a cation‐exchange front which exteI nds from a meteoric‐water plume, with clays near equilibrium with the fresh‐recharge water (Updip Zone), to clays that are increasingly equilibrated with seawater downgradient (Transition and Downdip zones). The sediments progress from predominantly fluvial clays in the Updip Zone to shallow‐marine clays downdip. Updip‐Zone clays are Na poor, with cation exchange downdip progressively dominated by more Ca in the water exchanging for Mg on the clays. In the Transitional and Downdip zones which have Na on the clays from the original seawater equilibrium, Ca, and further downdip Mg, in the water exchange for Na on the clays. Perturbations in these trends were compared to elements in the groundwater not involved in ion exchange to identify areas of upwelling and halite dissolution. Mass‐balance calculations show that the effect of cation exchange on each pore volume of fluid that flows in the aquifer is large, whereas the effect on the clay composition is small, so the changes in the clay exchange composition can be used to identify the aquifer's past chemical evolution and historical‐flow paths. This understanding coupled with tracers of modern flow (such as Cl) can be used to recognize areas of modern perturbations, such as contamination or salt dissolution.
Key Points
Cation compositions of the clay‐exchange complex in equilibrium with the groundwater provide information on paleo‐flow and composition
The equation for calculating Na, Ca, Mg, K, and Sr cation composition of the clay exchange complex in equilibrium with groundwater is provided
Cation ratios in the water and on the clay‐exchange complex can be used to trace flow and to identify areas of modern contamination
Testudines are a highly threatened group facing an array of stressors, including alteration of their sensory environment. Underwater noise pollution has the potential to induce hearing loss and ...disrupt detection of biologically important acoustic cues and signals. To examine the conditions that induce temporary threshold shifts (TTS) in hearing in the freshwater Eastern painted turtle (Chrysemys picta picta), three individuals were exposed to band limited continuous white noise (50-1000 Hz) of varying durations and amplitudes (sound exposure levels ranged from 151 to 171 dB re 1 μPa2 s). Control and post-exposure auditory thresholds were measured and compared at 400 and 600 Hz using auditory evoked potential methods. TTS occurred in all individuals at both test frequencies, with shifts of 6.1-41.4 dB. While the numbers of TTS occurrences were equal between frequencies, greater shifts were observed at 600 Hz, a frequency of higher auditory sensitivity, compared to 400 Hz. The onset of TTS occurred at 154 dB re 1 μPa2 s for 600 Hz, compared to 158 dB re 1 μPa2 s at 400 Hz. The 400-Hz onset and patterns of TTS growth and recovery were similar to those observed in previously studied Trachemys scripta elegans, suggesting TTS may be comparable across Emydidae species.
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