944 resultados para cardio-respiratory failure


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Environmentally induced change appears to be impacting the recruitment of North Sea herring (Clupea harengus). Despite simultaneously having a large adult population, historically low exploitation, and Marine Stewardship Council accreditation (implying sustainability), there have been an unprecedented 6 sequential years of poor juvenile production (recruitment). Analysis suggests that the poor recruitment arises during the larval overwintering phase, with recent survival rates greatly reduced. Contemporary warming of the North Sea has caused significant changes in the plankton community, and a recently identified regime shift around 2000 shows close temporal agreement with the reduced larval survival. It is, therefore, possible that we are observing the first consequences of this planktonic change for higher trophic levels. There is no indication of a recovery in recruitment in the short term. Fishing mortality is currently outside the agreed management plan, and forecasts show a high risk of the stock moving outside safe biological limits soon, potentially precipitating another collapse of the stock. However, bringing the realized fishing mortality back in line with the management plan would likely alleviate the problem. This illustrates again that recruitment is influenced by more than just spawning-stock biomass, and that changes in other factors can be of equal, or even greater, importance. In such dynamically changing environments, recent management success does not necessarily guarantee future sustainability.

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New regional swath and near-bottom bathymetric data provide constraints on shallow structures at the Hess Deep Rift, an oceanic rift that exposes the crust and upper mantle of fast-spreading oceanic lithosphere created at the East Pacific Rise. These data reveal the presence of a lobate structure with a length of ~ 4 km and a width of ~ 6 km south of an Intrarift Ridge, north of Hess Deep. The lobe consists of a series of concentric benches that are widest in the center of the lobe and narrower at the edges, with a dominant bench separating two distinct morphologic regions in the lobe. There are two end-member possible interpretations of this feature: 1) the lobate structure represents a mass failure with little translation that contains coherent blocks that preserve rift-related lineaments; or 2) it represents degraded tectonic structures, and the lobate form is accounted for by, for example, two intersecting faults. We favor the slump interpretation because it more readily accounts for the lobate form of the feature and the curved benches and based on the presence of other similar lobes in this region. In the slump model, secondary structures within the benches may indicate radial spreading during or after failure. The large lobate structure we identify south of the Intrarift Ridge in Hess Deep is one of the first features of its kind identified in an oceanic rift, and illustrates that mass failure may be a significant process in these settings, consistent with the recognition of their importance in mid-ocean ridges, oceanic islands, and continental rifts. Understanding the structure of the Hess Deep Rift is also important for reconstructing the section of fast-spreading oceanic crust exposed here.

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It has been recommended that adult patients with a serum creatinine above 150 µmol/l should be referred to a nephrologist for specialist assessment. This study ascertained all patients in Northern Ireland with creatinine above this concentration in 2001 (n?=?19 286 ) to see if this triggered referral within the subsequent year. After exclusion of those who were already known to a nephrologist and those who had acute renal failure, it was found that younger patients and diabetic patients were more likely to be referred. There was no difference in referral rates between male and female patients. However, only 6.5% of all non-diabetic subjects and 19% of diabetic patients were referred within 12 months after a first increased serum creatinine test.