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- 2019
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Tidskriftsartikel (refereegranskat)
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- Manzano-Nunez, Ramiro, et al.
(författare)
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Outcomes and management approaches of resuscitative endovascular balloon occlusion of the aorta based on the income of countries
- 2020
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Ingår i: World Journal of Emergency Surgery. - : Springer Science and Business Media LLC. - 1749-7922. ; 15:57
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Tidskriftsartikel (refereegranskat)abstract
- © 2020 The Author(s). Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) could provide a survival benefit to severely injured patients as it may improve their initial ability to survive the hemorrhagic shock. Although the evidence supporting the use of REBOA is not conclusive, its use has expanded worldwide. We aim to compare the management approaches and clinical outcomes of trauma patients treated with REBOA according to the countries' income based on the World Bank Country and Lending Groups. Methods: We used data from the AORTA (USA) and the ABOTrauma (multinational) registries. Patients were stratified into two groups: (1) high-income countries (HICs) and (2) low-to-middle income countries (LMICs). Propensity score matching extracted 1:1 matched pairs of subjects who were from an LMIC or a HIC based on age, gender, the presence of pupillary response on admission, impeding hypotension (SBP ≤ 80), trauma mechanism, ISS, the necessity of CPR on arrival, the location of REBOA insertion (emergency room or operating room) and the amount of PRBCs transfused in the first 24 h. Logistic regression (LR) was used to examine the association of LMICs and mortality. Results: A total of 817 trauma patients from 14 countries were included. Blind percutaneous approach and surgical cutdown were the preferred means of femoral cannulation in HICs and LIMCs, respectively. Patients from LMICs had a significantly higher occurrence of MODS and respiratory failure. LR showed no differences in mortality for LMICs when compared to HICs; neither in the non-matched cohort (OR = 0.63; 95% CI: 0.36-1.09; p = 0.1) nor in the matched cohort (OR = 1.45; 95% CI: 0.63-3,33; p = 0.3). Conclusion: There is considerable variation in the management practices of REBOA and the outcomes associated with this intervention between HICs and LMICs. Although we found significant differences in multiorgan and respiratory failure rates, there were no differences in the risk-adjusted odds of mortality between the groups analyzed. Trauma surgeons practicing REBOA around the world should joint efforts to standardize the practice of this endovascular technology worldwide.
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- Polyak, Leonid, et al.
(författare)
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History of sea ice in the Arctic
- 2010
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Ingår i: Quaternary Science Reviews. - : Elsevier BV. - 0277-3791 .- 1873-457X. ; 29:15-16, s. 1757-1778
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Tidskriftsartikel (refereegranskat)abstract
- Arctic sea-ice extent and volume are declining rapidly. Several studies project that the Arctic Ocean may become seasonally ice-free by the year 2040 or even earlier. Putting this into perspective requires information on the history of Arctic sea-ice conditions through the geologic past. This information can be provided by proxy records from the Arctic Ocean floor and from the surrounding coasts. Although existing records are far from complete, they indicate that sea ice became a feature of the Arctic by 47 Ma, following a pronounced decline in atmospheric pCO(2) after the Paleocene-Eocene Thermal Optimum, and consistently covered at least part of the Arctic Ocean for no less than the last 13-14 million years. Ice was apparently most widespread during the last 2-3 million years, in accordance with Earth's overall cooler climate. Nevertheless, episodes of considerably reduced sea ice or even seasonally ice-free conditions occurred during warmer periods linked to orbital variations. The last low-ice event related to orbital forcing (high insolation) was in the early Holocene, after which the northern high latitudes cooled overall, with some superimposed shorterterm (multidecadal to millennial-scale) and lower-magnitude variability. The current reduction in Arctic ice cover started in the late 19th century, consistent with the rapidly warming climate, and became very pronounced over the last three decades. This ice loss appears to be unmatched over at least the last few thousand years and unexplainable by any of the known natural variabilities.
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| 6. |
- Schwager, Evelyn E., et al.
(författare)
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The house spider genome reveals an ancient whole-genome duplication during arachnid evolution
- 2017
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Ingår i: BMC Biology. - : BIOMED CENTRAL LTD. - 1741-7007. ; 15
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Tidskriftsartikel (refereegranskat)abstract
- Background: The duplication of genes can occur through various mechanisms and is thought to make a major contribution to the evolutionary diversification of organisms. There is increasing evidence for a large-scale duplication of genes in some chelicerate lineages including two rounds of whole genome duplication (WGD) in horseshoe crabs. To investigate this further, we sequenced and analyzed the genome of the common house spider Parasteatoda tepidariorum.Results: We found pervasive duplication of both coding and non-coding genes in this spider, including two clusters of Hox genes. Analysis of synteny conservation across the P. tepidariorum genome suggests that there has been an ancient WGD in spiders. Comparison with the genomes of other chelicerates, including that of the newly sequenced bark scorpion Centruroides sculpturatus, suggests that this event occurred in the common ancestor of spiders and scorpions, and is probably independent of the WGDs in horseshoe crabs. Furthermore, characterization of the sequence and expression of the Hox paralogs in P. tepidariorum suggests that many have been subject to neo-functionalization and/or sub-functionalization since their duplication.Conclusions: Our results reveal that spiders and scorpions are likely the descendants of a polyploid ancestor that lived more than 450 MYA. Given the extensive morphological diversity and ecological adaptations found among these animals, rivaling those of vertebrates, our study of the ancient WGD event in Arachnopulmonata provides a new comparative platform to explore common and divergent evolutionary outcomes of polyploidization events across eukaryotes.
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- Wiesmaier, Sebastian, et al.
(författare)
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Magmatic Differentiation in the Teide–Pico Viejo Succession : Isotope Analysis as a Key to Deciphering the Origin of Phonolite Magma
- 2013
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Ingår i: Teide Volcano. - Berlin, Heidelberg : Springer Berlin/Heidelberg. - 9783642258923 - 9783642258930 ; , s. 173-190
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Bokkapitel (refereegranskat)abstract
- In Tenerife, lavas of the recent Teide–Pico Viejo central complex show a marked bimodality in composition from initially mafic lava (200–30 ka) to highly differentiated phonolite (30–0 ka). Groundmass Sr–Nd–Pb–O and feldspar 18O data demonstrate open system behaviour for the petrogenesis of Teide–Pico Viejo felsic lavas, but contamination by ocean sediment can be excluded due to the low 206Pb/204Pb ratios of North Atlantic sediment. Isotope mixing hyperbolae require an assimilant of predominantly felsic composition for the Teide–Pico Viejo succession. Unsystematic and heterogeneous variation of 18O in fresh and unaltered feldspars across the Teide–Pico Viejo succession indicates magmatic addition of diverse 18O assimilants, best matched by nepheline syenites that occur as fresh and altered lithic blocks in voluminous pre-Teide ignimbrite deposits. Rare earth element modelling indicates that nepheline syenite needs to be melted in bulk to form a suitable end-member composition. Energy-Constrained Assimilation Fractional Crystallisation (EC-AFC) modelling reproduces the bulk of the succession, which implies that the petrogenesis of Teide–Pico Viejo lavas is governed by the coupled assimilation of nepheline syenite during fractional crystallisation. The most differentiated (and most radiogenic) lava computes to >97.8 % assimilant, likely represented by a nepheline syenite bulk melt that formed by underplating with juvenile mafic material. These recent research developments therefore recognise a wider variability of magmatic differentiation processes at Teide–Pico Viejo than previously considered.
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| 8. |
- Wiesmaier, Sebastian, et al.
(författare)
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Open-system processes in the differentiation of mafic magma in the Teide-Pico Viejo succession, Tenerife
- 2013
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Ingår i: Journal of the Geological Society. - : Geological Society of London. - 0016-7649 .- 2041-479X. ; 170:3, s. 557-570
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Tidskriftsartikel (refereegranskat)abstract
- Oceanic island basalts are commonly thought to differentiate by fractional crystallization, yet closed-system fractionation models have so far failed to reproduce major and trace element variations observed in mafic lavas from the Teide-Pico Viejo stratovolcano complex on Tenerife. Here, new high-precision plagioclase trace element data are fed into such a fractionation model. The results confirm that fractionation of phenocrysts found in the lavas does not reproduce trace element variations, in particular enrichment of Sr and Zr observed in the Teide-Pico Viejo mafic suite. This enrichment of Sr and Zr is tested by an energy-constrained recharge, assimilation and fractional crystallization (EC-RAFC) model at high T and low Lambda T intervals, consistent with previously determined magma storage beneath Tenerife at sub-Moho depths. Published mineral-melt equilibrium relations using the plagioclase anorthite content (0.4 < X-An < 0.8) constrain the temperature during differentiation. Gabbroic xenoliths found in Tenerife lavas are assumed as contaminant. Enrichment of Sr and Zr in the Teide mafic suite is reproduced by this combined assimilation and fractional crystallization model, as assimilation causes higher degrees of enrichment in incompatible trace elements than is possible by crystal fractionation alone. Recycling of plutonic roots may thus have significantly enriched trace elements in the primitive lavas of the Teide-Pico Viejo succession.
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