Paleoclimate investiations on sediment core PG1984 from Lake Sysy-Kyuele, northern Siberia

In northeastern Siberia, Russia, a 1.2 m sediment core was retrieved and radiocarbon dated from a small and shallow lake located at the western side of the lower Lena River (N 69°24', E 123°50', 81 m a.s.l.). The objective of this paper is to reconstruct the palaeoenvironmental variability and to infer major palaeoclimate trends that have occurred since ~ 13.3 cal. kyrs BP. We analysed the diatom assemblages, sedimentology (grain size, total organic carbon (TOC), total nitrogen (TN)), and the elemental and mineralogical composition using X-ray fluorescence (XRF) and X-ray diffractometry (XRD) of the sediment core. Our results show parallel changes in the diatom species composition and sediment characteristics. Enhanced minerogenic sediment input and the occurrence of pyrite is indicative of a cold period between ~ 12.7-11.6 cal. kyrs BP. The diatom data enable a qualitative inference about the local ecological conditions to be made, and reveal an oligotrophic lake system with alkaline and cold conditions during the earliest Holocene. Moderately warmer climates are inferred for the period from ~ 9.1 to 5.7 cal. kyrs BP. The major shift in the diatom assemblage, from dominance of small benthic fragilarioid taxa to a more complex diatom flora with an influx of several achnanthoid and naviculoid diatom species, occurred after a transitional period of about 1400 years (7.1 to 5.7 cal. kyrs BP) at ~ 5.7 cal. kyrs BP, indicating a circumneutral and warmer hydrological regime during the Holocene thermal maximum (HTM). Diatom valve concentrations declined starting ~ 2.8 cal. kyrs BP, but have been rising again since less than or equalt to 600 cal. years BP. This has occurred in parallel to the increased presence of acidophilous diatom taxa (e.g. Eunotia spp.) and decreased presence of small benthic fragilarioid species in the most recent sediments, which is interpreted as the result of neoglacial cooling and subsequent recent climate warming. Our findings are compared to other lake-inferred climate reconstructions along the Lena River. We conclude that the timing and spatial variability of the HTM in the lower Lena River area reveal a temporal delay from north to south.

Investigation of escape response of Norwegian Pecten maximus

The ongoing process of ocean acidification already affects marine life and, according to the concept of oxygen- and capacity limitation of thermal tolerance (OCLTT), these effects may be exacerbated at the boarders of the thermal tolerance window. We studied the effects of elevated CO2 concentrations on clapping performance and energy metabolism of the commercially important scallop Pecten maximus. Individuals were exposed for at least 30 days to 4°C (winter) or to 10°C (spring/summer) at either ambient (0.04 kPa, normocapnia) or predicted future PCO2 levels (0.11 kPa, hypercapnia). Cold (4°C) exposed groups revealed thermal stress exacerbated by PCO2 indicated by a high mortality overall and its increase from 55% under normocapnia to 90% under hypercapnia. We therefore excluded the 4°C groups from further experimentation. Scallops at 10°C showed impaired clapping performance following hypercapnic exposure. Force production was significantly reduced although the number of claps was unchanged between normo- and hypercapnia exposed scallops. The difference between maximal and resting metabolic rate (aerobic scope) of the hypercapnic scallops was significantly reduced compared to normocapnic animals, indicating a reduction in net aerobic scope. Our data confirm that ocean acidification narrows the thermal tolerance range of scallops resulting in elevated vulnerability to temperature extremes and impairs the animal's performance capacity with potentially detrimental consequences for its fitness and survival in the ocean of tomorrow.

School and Community Screening Shows Malawi, Africa, to Have a High Prevalence of Latent Rheumatic Heart Disease

Rheumatic heart disease (RHD) is the largest cardiac cause of morbidity and mortality in the world's youth. Early detection of RHD through echocardiographic screening in asymptomatic children may identify an early stage of disease, when secondary prophylaxis has the greatest chance of stopping disease progression. Latent RHD signifies echocardiographic evidence of RHD with no known history of acute rheumatic fever and no clinical symptoms.

OBJECTIVE: Determine the prevalence of latent RHD among children ages 5-16 in Lilongwe, Malawi.

DESIGN: This is a cross-sectional study in which children ages 5 through 16 were screened for RHD using echocardiography.

SETTING: Screening was conducted in 3 schools and surrounding communities in the Lilongwe district of Malawi between February and April 2014.

OUTCOME MEASURES: Children were diagnosed as having no, borderline, or definite RHD as defined by World Heart Federation criteria. The primary reader completed offline reads of all studies. A second reader reviewed all of the studies diagnosed as RHD, plus a selection of normal studies. A third reader served as tiebreaker for discordant diagnoses. The distribution of results was compared between gender, location, and age categories using Fisher's exact test.

RESULTS: The prevalence of latent RHD was 3.4% (95% CI = 2.45, 4.31), with 0.7% definite RHD and 2.7% borderline RHD. There was no significant differences in prevalence between gender (P = .44), site (P = .6), urban vs. peri-urban (P = .75), or age (P = .79). Of those with definite RHD, all were diagnosed because of pathologic mitral regurgitation (MR) and 2 morphologic features of the mitral valve. Of those with borderline RHD, most met the criteria by having pathological MR (92.3%).

CONCLUSION: Malawi has a high rate of latent RHD, which is consistent with other results from sub-Saharan Africa. This study strongly supports the need for a RHD prevention and control program in Malawi.

Acts of Solidarity: Crossing and Reiterating Israeli-Palestinian Frontiers

In academic and public discourses on the Zionist-Palestinian conflict prevails still a ‘methodological nationalism’ based on a separatist imagination that overshadows the existence and role of Israeli-Palestinian forms of communality and solidarity. This article analyzes micropolitical practices that cross existing frontiers both within Israel and between occupied Palestinian territories and Israel. Through recent conceptualizations of ‘acts’, I read these ethnographic episodes in their intentional and performative dimension. What is the role of these ‘acts’? What are their effects on both the participants and the wider public? Through two interconnected cases, different functions of acts are explored. The first case relates to encounters between Israelis and Palestinian in the embattled city of Hebron in the occupied Palestinian territories; the second investigates moments of a Gandhi-inspired peace march at the ‘internal’ frontier of the Israeli Negev desert. The ethnographic perspective reveals what lies behind and beneath the acts, going beyond the obvious structures of power of the conflict. Acts function primarily as a valve of catharsis for the participants themselves, both overcoming and reproducing hegemonic discursive elements of the conflict. Paradoxically, acts of solidarity are often crucial in creating public knowledge about the conflict in more sectarian terms. 

Clinical Outcomes in 3343 Children and Adults with Rheumatic Heart Disease from 14 Low and Middle Income Countries: 2-Year Follow-up of the Global Rheumatic Heart Disease Registry (the REMEDY study)

BACKGROUND: -There are few contemporary data on the mortality and morbidity associated with rheumatic heart disease (RHD) or information on their predictors. We report the two year follow-up of individuals with RHD from 14 low and middle income countries in Africa and Asia.

METHODS: -Between January 2010 and November 2012, we enrolled 3343 patients from 25 centers in 14 countries and followed them for two years to assess mortality, congestive heart failure (CHF), stroke or transient ischemic attack (TIA), recurrent acute rheumatic fever (ARF), and infective endocarditis (IE).

RESULTS: -Vital status at 24 months was known for 2960 (88.5%) patients. Two thirds were female. Although patients were young (median age 28 years, interquartile range 18 to 40), the two year case fatality rate was high (500 deaths, 16.9%). Mortality rate was 116.3/1000 patient-years in the first year and 65.4/1000 patient-years in the second year. Median age at death was 28.7 years. Independent predictors of death were severe valve disease (hazard ratio (HR) 2.36, 95% confidence interval (CI) 1.80-3.11), CHF (HR 2.16, 95% CI 1.70-2.72), New York Heart Association functional class III/IV (HR 1.67, 95% CI 1.32-2.10), atrial fibrillation (AF) (HR 1.40, 95% CI 1.10-1.78) and older age (HR 1.02, 95% CI 1.01-1.02 per year increase) at enrolment. Post-primary education (HR 0.67, 95% CI 0.54-0.85) and female sex (HR 0.65, 95%CI 0.52-0.80) were associated with lower risk of death. 204 (6.9%) had new CHF (incidence, 38.42/1000 patient-years), 46 (1.6%) had a stroke or TIA (8.45/1000 patient-years), 19 (0.6%) had ARF (3.49/1000 patient-years), and 20 (0.7%) had IE (3.65/1000 patient-years). Previous stroke and older age were independent predictors of stroke/TIA or systemic embolism. Patients from low and lower-middle income countries had significantly higher age- and sex-adjusted mortality compared to patients from upper-middle income countries. Valve surgery was significantly more common in upper-middle income than in lower-middle- or low-income countries.

CONCLUSIONS: -Patients with clinical RHD have high mortality and morbidity despite being young; those from low and lower-middle income countries had a poorer prognosis associated with advanced disease and low education. Programs focused on early detection and treatment of clinical RHD are required to improve outcomes.

DESEMPENHO HIDRÁULICO DE EXUTORES SUBMARINOS

Nos centros urbanos próximos das orlas marítimas, tem-se optado pela descarga de águas residuais para o mar, aproveitando-se da elevada capacidade de depuração do oceano. Neste trabalho coloca-se o seguinte desafio: será possível um programa usado para a modelação de rede de distribuição de água ser capaz de modelar um exutor submarino? Para responder a este desafio, recorreu-se a um conjunto de artifícios, tendo por base conhecimentos da hidráulica. Foi construído um modelo unidimensional usando o EPANET cujas fronteiras são: a montante, a Câmara de Carga, a jusante os difusores. Recorreu-se aos componentes do EPANET, tais como: válvulas TCV (Throttle Control Valve) e reservatórios de nível fixo para simular a descarga e o nível de maré respetivamente. A modelação hidráulica de um exutor submarino tem implicações no impacto da descarga pelo que torna-se necessário o estudo da diluição inicial conseguida numa descarga. No presente trabalho desenvolveu-se um programa EPANET / MatLab com o objetivo de facilitar a aplicação desses artifícios e de estimar a diluição inicial. Aplicou-se o programa desenvolvido num caso de estudo e utilizou-se a versão beta do CORHYD, usado em obras de engenharia com alguma importância, para validar os resultados obtido através do programa EPANET /MatLab.