The place of DPP-4 inhibitors in the treatment algorithm of diabetes type 2 : a systematic review of cost-effectiveness studies

Tese de mestrado, Epidemiologia, Universidade de Lisboa, Faculdade de Medicina, 2015

Organic geochemistry on surface sediments from the Laptev Sea

Sediment samples from the Laptev Sea, taken during the 1993 RV Polarstern expedition ARK IX/4 and the RV Ivan Kireyev expedition TRANSDRIFT I, were investigated for the amount and composition of their organic carbon fractions. Of major interest was the identification of different processes controlling organic carbon deposition (i.e. terrigenous supply vs. surface water productivity). Long-chain unsaturated alkenones derived from prymnesiophytes, and fatty acids derived from diatoms and dinoflagellates, were analysed by means of gas chromatography and mass spectrometry. First results on the distribution of these biomarkers in surface sediments indicate that the surface water productivity signal is well preserved in the sediment data. This is shown by the distribution of the 16:1(n-7) and 20:5(n-3) fatty acids indicative for diatoms, and the excellent correlation with the chlorophyll a concentrations in the surface water masses and the biogenic-opal content and increased hydrogen indices of the sediments. The high concentration of these unsaturated fatty acids in shallow water sediments shows the recent deposition of the organic material. In deep-sea sediments, on the other hand, the concentrations are low. This decreased content is typical for phytoplankton material which has been degraded by microorganisms or autoxidation. In general, the alkenone concentrations are very low, suggesting low production rates by prymnesiophytes. Only at one station from the lower continental margin influenced by the inflow of Atlantic water masses, were some higher amounts of alkenones determined. Long-chain n-alkanes as well as high C/N ratios and low hydrogen indices indicate the importance of (fluvial) supply of terrigenous organic matter.

Macerals in surface sediments of the Laptev Sea (Arctic Ocean)

Surface sediments from the Laptev Sea and adjacent continental slope were studied for their composition of particulate organic matter (OM) by means of maceral analysis. The composition of macerals in sediments gives information about the environment, terrigenous supply from the hinterland, and marine OM. With reference to their biological sources, we distinguish between terrigenous and marine macerals. We found that the particulate OM in the surface sediments of the Laptev Sea is predominantly of terrigenous origin (mean: 78%). However, distinct variations exist when looking in detail. In the shelf area, sediments may contain up to 99% terrigenous OM. Freshwater algae occur directly north of the river mouths, reflecting the strong fluvial influence. Relatively high amounts of marine OM (20-40%) are restricted to the upper continental slope, the Vilkitsky Strait and west of the New Siberian Islands, explained by increased surface-water productivity due to increased fluvial nutrient supply, open-water conditions, and phytoplankton blooms at the ice-edge.