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The origin of life could have involved autotrophy, but this is most probably chemolithotrophic rather than photolithotrophic. There is evidence, from the natural abundance of carbon isotopes, of autotrophy involving Rubisco and the Benson–Calvin–Bassham cycle from about 4 Ga. However, other autotrophic CO2 fixation pathways could also have occurred. Evidence on the evolution of photosynthetic reactions suggests an early origin of the photochemical reaction centre, with the possibility of the occurrence of two photosystems in series (photosystem II plus photosystem I) and the possibility of oxygenic photosynthesis, before the origin of the single photosystem (reaction centre I or reaction centre II) photosynthesis in the multiple clades of anoxygenic photosynthetic bacteria. The origin of photosystem II and photosystem I preceded the origin of cyanobacteria and the subsequent Great Oxidation Event at about 2.4–2.3 Ga. The occurrence of oxygenic photolithotrophy is a necessary, but not sufficient, condition for the occurrence of the Great Oxidation Event and the Neoproterozoic Oxidation Event. There is no consensus on what other factors are involved in initiating the Great Oxidation Event and the Neoproterozoic Oxidation Event.
Acute kidney injury is a common postoperative complication of paediatric cardiac surgery associated with increased morbidity and mortality. The purpose of this study is to characterise associations between haemodynamic parameters, clinical parameters, and medical interventions, on acute kidney injury.
Methods:
Nine patients with univentricular physiology undergoing the Norwood procedure from a single-centre tertiary care paediatric cardiac ICU were included (September 2022 to March 2023). Patients were monitored with the T3 software. Data were analysed using a Fisher exact test, Mann–Whitney-U test, LASSO-based machine learning techniques, and receiver operator curve analyses.
Results:
Over 27,000 datapoints were included. Acute kidney injury occurred in 2 patients (22%) during this period. Net fluid balance and renal oxygen extraction were independently associated with acute kidney injury, while commonly used metrics of pressure (systolic, diastolic, or mean arterial blood pressure) were not. The resulting acute kidney injury risk score was (4.1 × fluid balance) + (1.9 × renal oxygen extraction). The risk score was significantly higher in acute kidney injury with a score of 32.9 compared to 7.9 (p < 0.01). Optimal cut-offs for fluid balance (7 mL/hr) and renal oxygen extraction (29%) were identified. Higher serum creatinine:baseline creatinine ratio was associated with a higher mean airway pressure, higher renal oxygen extraction, higher mean arterial blood pressure, higher vasoactive inotropic score, and fluid balance.
Conclusion:
Among patients with univentricular physiology undergoing the Norwood procedure, renal oxygen extraction and a higher net fluid balance are independently associated with increased risk of acute kidney injury. Renal perfusion pressure is not significantly associated with acute kidney injury.
Oxygen isotope ratios of <0.1-μm smectite in bottom sediments of the Mississippi River and the Gulf of Mexico near the mouth of the river have been determined to investigate diagenesis of land-derived clay minerals during sedimentation in the sea. No difference was detected in δ18O (SMOW) between the river and the Gulf samples indicating that no smectite alteration or addition of neoformed smectite to the river samples took place during sedimentation. Thus, authigenic minerals in the river sediments cannot make up more than a few tenths of a percent of the bulk sediments.
Similar results were obtained from 3 × 106-yr b.p. sediments buried to 80 to 600 m at Deep Sea Drilling Project site 323, Bellingshausen Abyssal Plain. No significant change with depth was noted in the δ18O of the <0.3-μm size fraction, mostly smectite, of these land-derived sediments. On the basis of the δ18O of the deepest sample, the maximum amount of authigenic minerals in the land-derived sediments during burial in the sea cannot be more than one or two percent of the bulk sediments. Hence, the alteration at seafloor temperatures of 25-45% of the <0.1-μm size clays in 3 × 106 yr b.p. sediments reported in a previous study is not substantiated. The data demonstrate that land-derived smectite is stable in the sea, and that oxygen isotopes can be used to investigate the modes and the temperatures of formation of authigenic smectites in marine sediments that are younger than 25 × 106 yr and that formed below 25°C.
Medical emergencies occur rarely in dental practice. When they do occur, however, they can be both dangerous for the patient and unnerving for the clinician. If these events have been planned for, staff will be adequately trained, the correct medications on hand and their method of use easily recalled, so these rare and disturbing events can be managed with good outcomes. It has been reported that only one resuscitation event occurs for every 250 years of dental practice (1). Although this may seem rare, when it does occur, the event can be life threatening. Therefore, staff training in cardiopulmonary resuscitation (CPR) with regular updates is mandatory. Previous studies have reported very high uptake of CPR training, yet about 20% of dentists felt inadequately prepared and were less likely to have the necessary drugs and equipment in their practice (2). The single most important factor for prevention of medical emergencies in dental practice is the taking of a thorough medical history for each patient.
Hydrogen as a carbon-free fuel is amenable to utilization in all heat engines, including gas turbines and reciprocating internal combustion engines, which are the most efficient technologies for electric power generation from fossil fuels. Alas, H2 is not an energy resource. It is an energy carrier. Prior to its use as a fuel, it must be produced, stored and/or transported. There are significant problems associated with all three phases of the hydrogen fuel chain. Those aspects will be discussed qualitatively and quantitatively in the remainder of the present chapter.
The unusual HMSFR Orion Becklin-Neuberger (Orion BN/KL) at the heart of the Orion Molecular Cloud-1 (OMC-1) is examined, with its associated explosive outflow of gas and dust. Its four well-studied features are the Hot Core, Compact Ridge, Plateau, and Extended Ridge. These sources offer much evidence for the sequential chemical processing of shocked molecular cloud material and indicate just how violent the dynamic processes associated with HMSFRs can be.
The ultimate origin or provenance of the masses of orthopyroxene primocrysts is of paramount interest. Many lines of reasoning lead to the conclusion that these were entrained in magma ascending from deeper in the mantle, generated by the continental breakup of Gondwana, somewhere below the local continental crust. The crystals themselves look old, showing signs of long-term annealing, and the crystals are in strong isotopic contrast (Sr 87/86 and O-18) with the basaltic magma itself, with the Opx assemblage being much more radiogenic that the basalt. This is especially marked in the dais rocks in going from Opx dominated layers to more basaltic layers. Moreover, the basaltic magma itself, even when it carries no large primocrysts, is highly heterogeneous isotopically. A profile through the Peneplain Sill at Solitary Rocks, near Pandora’s Spire, in an otherwise thick (330 m) featureless sill, shows strong variations in Sr-87/86. This reflects what others previous show, that the Ferrar are isotopically "noisy" and, remarkably, exhibit isotope patterns similar to the local crust. The obvious answer that this is all from local contamination and weather cannot be true, but instead this comes from the uppermost mantle underlying local crust that has had a long physical association.
Cumulative oxidation of cellular macromolecules during storage reduces seed longevity. This study was undertaken to unravel the physiological and biochemical changes in rice seeds that contribute to deterioration during storage. Rice seeds maintained at three different seed moisture contents (SMC; 10, 12 and 14%) were stored in airtight glass jars. Half of the jars were flushed with nitrogen gas to provide modified oxygen conditions, while the other half were sealed with natural air (21% O2). Seed quality in terms of germination and antioxidant defence mechanisms was monitored after 3 and 6 months of storage at 25°C. The results showed that seeds performed better when stored at low SMC (10 and 12%), whereas the deterioration process accelerated in seeds stored at higher SMC (14%). Coupling high SMC with the availability of oxygen in the storage environment produced a negative effect on seed quality and longevity. Results from the antioxidant analysis showed more activity in seeds stored with oxygen at high SMC (14%) compared to lower SMC stored in modified oxygen conditions. Therefore, it is recommended that storage with low moisture levels (12%) or below (10%) is the best to preserve rice seed quality. However, at higher moisture levels (14%), the availability of oxygen in storage is more harmful to seed lifespan and quality.
Another long-standing convention links forests with rainfall. The plentiful rainfall in the Americas was associated with the thick forests, and deforestation was thought to reduce rain. A similar belief unfolded elsewhere in the world, and conservationists reframed the forest-climate question from one of deforesting the land to make a more temperate climate to one of preserving forests and planting trees to protect the supply of water. In rainfall, conservationists found a way to convey the environmental destruction wrought by deforestation. The scientific basis for forest influences on rain was found in new knowledge of stomata, transpiration, and photosynthesis. Eighteenth- and nineteenth-century naturalists sought further evidence for changes in rainfall in the flow of water in streams and rivers. Interception of rainwater by the leaves in forest canopies, infiltration into the soil, runoff over the ground, and evaporation from the soil were identified as key determinants of streamflow. A backlash arose, however, as the nineteenth century lengthened and the advocacy of forests galvanized into a worldwide campaign for forest conservation and tree planting to enhance rainfall.
High concentrations of carbon dioxide (CO2), used for killing laboratory rodents, are known to be more strongly aversive to rats than sweet food items are attractive. This study investigated whether the maintenance of a high oxygen (O2) concentration, using a gas mixture of 70% CO2 and 30% O2, would reduce aversion to CO2 during a gradual-fill procedure. Eight male Wistar rats, aged 10 months, were housed individually in an apparatus consisting of two cages, one higher than the other and joined by a tube. In a series of trials, subjects entered the lower cage for a reward of 20 sweet food items. The gas was turned on at the moment the rat started eating the reward items and flowed into the lower cage at a fixed rate. There were four treatments: 1) 100% CO2 at 14.5% cage volume min–1; 2) gas mixture at 14.5% min–1; 3) gas mixture at 21.0% min–1, which delivered CO2 at approximately 14.5% min–1 and 4) air, with each subject tested with each treatment four times. Measures of willingness to stay and eat in the lower cage (latency to stop eating, latency to leave and the number of reward items eaten) were much lower in all three gas treatments than in air, indicating that the CO2 and the CO2 + O2 mixture were both more strongly aversive than sweet food items were attractive. Comparing the gas mixture with 100% CO2, the latency to leave and the number of reward items eaten were slightly higher in the CO2 + O2 mixture at 21% min–1 than in CO2 at 14.5% min–1, indicating that the addition of O2 slightly reduced the aversiveness of CO2 in the gradual-fill procedure. This reduction is not enough to warrant recommending the use of CO2 + O2 mixtures for killing rats.
Plants are the Earth’s primary producers of oxygen, organic compounds, and easily convertible energy. The appearance of photosynthesis in chloroplast-bearing cyanobacteria set the stage for all later life, and is responsible for the oxygenation of the planet. This event is easily apparent in the geological record in the form of rust layers. Dense layers of water-borne organisms, each layer in a symbiotic relationship with the others, such as those seen at stagnant hot springs, likely represent the ancestral condition for later complex, multicellular organisms. This time period, between 1 and 2 billion years ago, is when Eukaryotes evolved, and the division of labor among the cells of Eukaryotes has allowed natural selection to work on different parts of a complex organism, allowing the adaptive diversity we see today in plants and animals. Critically, this time is when energy from the sun is first stored on earth in large amounts. In fact, these large sheets of cyanobacteria and algae have become stored in the geological record and, later, became the source of petroleum. So the fossil fuels of today represent hundreds of millions of years of stored photosynthetic energy, the source of which ultimately was the sun
This chapter explains the fundamental principles of respiratory physiology for the perioperative practitioner. First, it describes the relevant respiratory anatomy, its function, and how it applies to the anaesthetic context. Second, it describes the different lung volumes and their relevance and application during artificial ventilation. Finally, it explains the physiology of perfusion and its application to ventilation and how they can be affected by different patient positions during anaesthesia and surgery.
This chapter provides a detailed overview of the cardiovascular system in the context of perioperative care. The cardiovascular system is responsible for the delivery of oxygen around the body and the return of this blood to the heart. This blood is then pumped to the lungs and back to the heart. The systemic and pulmonary circulations have a number of important differences between them. The heart beats repeatedly in a process known as the cardiac cycle, which has two distinct phases, systole, and diastole. The conduction system of the heart allows for the chambers of the heart to contract in a well-coordinated manner. Problems with the cardiovascular system occur frequently under anaesthesia and can have numerous causes, some of which are explored in this chapter.
During the COVID-19 pandemic peak, the author deployed twice to an emergency Alternate Care Site in Porterville, California. The provision of oxygen to patients there, as seen from a physician’s perspective, does not fully support the description in a recently published article of how the State of California approached oxygen logistics during the COVID-19 surge. To inform future planning, an adequate logistical assessment must include not only approaches for solving technical resource challenges, but also reliable numbers regarding end-user resource utilization, and non-utilization, as well as program costs, benefits, and unintended consequences.
Oxygen is a major factor of seed germination since it allows resumption of respiration and subsequent metabolism reactivation during seed imbibition, thus leading to the production of reducing power and ATP. Most studies carried out in the 60s to 85s indicate that oxygen requirement depends on the species and is modulated by environmental factors. They have also demonstrated that the covering structures mainly inhibit germination by limiting oxygen supply to the embryo during imbibition through enzymatic oxidation of phenolic compounds by polyphenol oxidases (catechol oxidase and laccase) and peroxidases. Recent use of oxygen-sensitive microsensors has allowed to better characterize the oxygen diffusion in the seed and determine the oxygen content at the level of embryo below the covering structures. Here, I will also highlight the major data obtained over the last 30 years indicating the key role of oxygen in the molecular networks regulating seed germination and dormancy through (1) the hormonal balance (ethylene, ABA and GA), the hormone-signalling pathway and, in particular, the ABA sensitivity, (2) the emerging role of mitochondria in ROS production in hypoxia and (3) the involvement of the N-degron pathway in the turnover of proteins involved in seed tolerance to hypoxia.
Blood oxygen is an essential component for numerous biological processes of mammalian animals. Milk production of ruminants largely relies on the supply of nutrients, such as glucose, amino acids and fatty acids. To define the regulatory role of blood oxygen availability in regard to milk production, seventy-five healthy Guanzhong dairy goats with similar body weight, days in milk and parities were selected. For each animal, milk yield was recorded and milk sample was collected to determine compositions. Milk vein blood was collected to determine parameters including blood gas, physio-biochemistry and haematology. Another blood sample was prepared for transcriptome and RT-qPCR. Results showed that both pressure of oxygen (pO2) in the milk vein (positively) and numbers of neutrophils in mammary vein (negatively) were associated with milk yield of the animals. To learn the role of pO2 in blood cell functionality, twelve animals (six with higher yield (H-group) and six with lower yield (L-group)) from seventy-five goats were selected. Compared with animals in L-group, goats in H-group were higher in pO2 but lower in pCO2, lactate, lactate dehydrogenase activity and neutrophil abundance in milk vein, compared with L-group. The blood transcriptome analysis suggested that compared with L-group, animals in H-group were depressed in functionality including neutrophil activation and metabolic pathways including glycolysis, NF-κB and HIF-1. Our result revealed that lower milk production could be associated with neutrophil activation responding to low pO2 in the mammary vein. In the meantime, we highlighted the potential importance of blood oxygen as a milk yield regulator.
The coronavirus disease 2019 (COVID-19) pandemic has challenged the ability of Emergency Medical Services (EMS) providers to maintain personal safety during the treatment and transport of patients potentially infected. Increased rates of COVID-19 infection in EMS providers after patient care exposure, and notably after performing aerosol-generating procedures (AGPs), have been reported. With an already strained workforce seeing rising call volumes and increased risk for AGP-requiring patient presentations, development of novel devices for the protection of EMS providers is of great importance.
Based on the concept of a negative pressure room, the AerosolVE BioDome is designed to encapsulate the patient and contain aerosolized infectious particles produced during AGPs, making the cabin of an EMS vehicle safer for providers. The objective of this study was to determine the efficacy and safety of the tent in mitigating simulated infectious particle spread in varied EMS transport platforms during AGP utilization.
Methods:
Fifteen healthy volunteers were enrolled and distributed amongst three EMS vehicles: a ground ambulance, an aeromedical-configured helicopter, and an aeromedical-configured jet. Sodium chloride particles were used to simulate infectious particles and particle counts were obtained in numerous locations close to the tent and around the patient compartment. Counts near the tent were compared to ambient air with and without use of AGPs (non-rebreather mask, continuous positive airway pressure [CPAP] mask, and high-flow nasal cannula [HFNC]).
Results:
For all transport platforms, with the tent fan off, the particle generator alone, and with all AGPs produced particle counts inside the tent significantly higher than ambient particle counts (P <.0001). With the tent fan powered on, particle counts near the tent, where EMS providers are expected to be located, showed no significant elevation compared to baseline ambient particle counts during the use of the particle generator alone or with use of any of the AGPs across all transport platforms.
Conclusion:
Development of devices to improve safety for EMS providers to allow for use of all available therapies to treat patients while reducing risk of communicable respiratory disease transmission is of paramount importance. The AerosolVE BioDome demonstrated efficacy in creating a negative pressure environment and workspace around the patient and provided significant filtration of simulated respiratory droplets, thus making the confined space of transport vehicles potentially safer for EMS personnel.
The purpose of this study was to evaluate the quality of Marandu grass (Brachiaria brizantha) haylage according to different dry matter (DM) contents in storage. The design adopted was completely randomized with four treatments and five replications. The treatments were DM contents of the plant at the moment of storage (in natura, 30–40, 40–50 and 50–60% DM). The analyses to assess the quality of the haylage were performed after 90 days of storage. The chemical composition, microbiological population, gas quantification, pH, N-NH3, volatile fatty acids, soluble carbohydrates (CHO) and the aerobic stability were evaluated. The means were compared through the Tukey's test and linear regression. The treatment with 50–60% DM presented the highest DM and CHO contents which were 563.8 and 42.0 g/kg, respectively. There was a higher presence of oxygen in the haylage of in natura material, which was 4.8%. There was no difference between treatments for the population of lactic acid bacteria; however, the treatment with 50–60% DM had the highest concentration of enterobacteria. The haylage with 30–40% DM and 50–60% DM presented high concentrations of acetic acid. There was no break in aerobic stability for any treatment within 120 h after opening the bales. There was a smaller amount of N-NH3 in treatments with 40–50% DM and 50–60% DM. The Marandu grass with a DM content of 50–60% for haylage making demonstrated better quality characterization of conserved forage.
The survivability of mass casualties exposed to a chemical attack is dependent on clinical knowledge, evidence-based practice, as well as protection and decontamination capabilities. The aim of this systematic review was to identify the knowledge gaps that relate to an efficient extraction and care of mass casualties caused by exposure to chemicals.
Methods:
This systematic review was conducted from November 2018 through September 2020 in compliance with Cochrane guidelines. Five databases were used (MEDLINE, Web of Science Core Collection, Embase, Cochrane, and CINAHL) to retrieve studies describing interventions performed to treat victims of chemical attacks (protection, decontamination, and treatment). The outcomes were patient’s health condition leading to his/her stabilization (primary) and death (secondary) due to interventions applied (medical, protection, and decontamination).
Results:
Of the 2,301 papers found through the search strategy, only four publications met the eligibility criteria. According to these studies, the confirmed chemical poisoning cases in acute settings resulting from the attacks in Matsumoto (1994), Tokyo (1995), and Damascus (2014) accounted for 1,333 casualties including 11 deaths. No study reported comprehensive prehospital clinical data in acute settings. No mention was made of the integration of specialized capabilities in medical interventions such as personal protective equipment (PPE) and decontamination to prevent a secondary exposure. Unfortunately, it was not possible to perform the planned meta-analysis.
Conclusions:
This study demonstrated gaps in clinical knowledge application regarding the medical extraction of casualties exposed during a chemical attack. Further research is required to optimize clinical practice integrating mixed capabilities (protection and decontamination) for the patient and medical staff.
The coronavirus disease 2019 (COVID-19) pandemic has created challenges in maintaining the safety of prehospital providers caring for patients. Reports have shown increased rates of Emergency Medical Services (EMS) provider infection with COVID-19 after patient care exposure, especially while utilizing aerosol-generating procedures (AGPs). Given the increased risk and rising call volumes for AGP-necessitating complaints, development of novel devices for the protection of EMS clinicians is of great importance.
Drawn from the concept of the powered air purifying respirator (PAPR), the AerosolVE helmet creates a personal negative pressure space to contain aerosolized infectious particles produced by patients, making the cabin of an EMS vehicle safer for providers. The helmet was developed initially for use in hospitals and could be of significant use in the prehospital setting. The objective of this study was to determine the efficacy and safety of the helmet in mitigating simulated infectious particle spread in varied EMS transport platforms during AGP utilization.
Methods:
Fifteen healthy volunteers were enrolled and distributed amongst three EMS vehicles: a ground ambulance, a medical helicopter, and a medical jet. Sodium chloride particles were used to simulate infectious particles, and particle counts were obtained in numerous locations close to the helmet and around the patient compartment. Counts near the helmet were compared to ambient air with and without use of AGPs (non-rebreather mask [NRB], continuous positive airway pressure mask [CPAP], and high-flow nasal cannula [HFNC]).
Results:
Without the helmet fan on, the particle generator alone and with all AGPs produced particle counts inside the helmet significantly higher than ambient particle counts. With the fan on, there was no significant difference in particle counts around the helmet compared to baseline ambient particle counts. Particle counts at the filter exit averaged less than one despite markedly higher particle counts inside the helmet.
Conclusion:
Given the risk to EMS providers by communicable respiratory diseases, development of devices to improve safety while still enabling use of respiratory therapies is of paramount importance. The AerosolVE helmet demonstrated efficacy in creating a negative pressure environment and provided significant filtration of simulated respiratory droplets, thus making the confined space of transport vehicles potentially safer for EMS personnel.