A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Impact of seminal trace element and glutathione levels on semen quality of Tunisian infertile men

<p>Abstract</p> <p>Background</p> <p>Growing evidence indicates that oxidative stress can be a primary cause of male infertility. Non-enzymatic antioxidants play an important protective role against oxidative damages and lipid peroxidation. Human seminal plasma is a natural reservoir of antioxidants. The aim of this study was to determine glutathione (GSH) concentrations, trace element levels (zinc and selenium) and the lipid peroxidation end product, malondialdehyde (MDA), in the seminal plasma of men with different fertility potentials.</p> <p>Methods</p> <p>Semen samples from 60 fertile men (normozoospermics) and 190 infertile patients (74 asthenozoospermics, 56 oligozoospermics, and 60 teratozoospermics) were analyzed for physical and biochemical parameters. Zinc (Zn) and selenium (Se) levels were estimated by atomic absorption spectrophotometry. Total GSH (GSHt), oxidized GSH (GSSG), reduced GSH (GSHr) and MDA concentrations were measured spectrophotometrically.</p> <p>Results</p> <p>Zn and Se concentrations in seminal plasma of normozoospermics were more elevated than the three abnormal groups. Nevertheless, only the Zn showed significant differences. On the other hand, Zn showed positive and significant correlations with sperm motility (P = 0.03, r = 0.29) and count (P < 0.01, r = 0.49); however Se was significantly correlated only with sperm motility (P < 0.01, r = 0.36). GSHt, GSSG and GSHr were significantly higher in normozoospermics than in abnormal groups. We noted a significant association between seminal GSHt and sperm motility (P = 0.03). GSSG was highly correlated to sperm motility (P < 0.001) and negatively associated to abnormal morphology (P < 0.001). GSHr was significantly associated to total sperm motility (P < 0.001) and sperm count (P = 0.01). MDA levels were significantly higher in the three abnormal groups than in normozoospermics. Rates of seminal MDA were negatively associated to sperm motility (P < 0.01; r = -0.24) and sperm concentration (P = 0.003; r = -0.35) Meanwhile, there is a positive correlation between seminal lipid peroxidation and the percentage of abnormal morphology (P = 0.008).</p> <p>Conclusions</p> <p>This report revealed that decreased seminal GSH and trace element deficiencies are implicated in low sperm quality and may be an important indirect biomarker of idiopathic male infertility. Our results sustain that the evaluation of seminal antioxidant status in infertile men is necessary and can be helpful in fertility assessment from early stages.</p

Evaluation of cloud properties in the NCEP CFSv2 model and its linkage with Indian summer monsoon

Cloud fraction, which varies greatly among general circulation models, plays a crucial role in simulation of Indian summer monsoon rainfall (ISMR). The NCEP Climate Forecast System version 2 (CFSv2) model is evaluated in terms of its simulation of cloud fraction, cloud condensate, outgoing longwave radiation (OLR), and tropospheric temperature (TT). Biases in these simulated quantities are computed using observations from CALIPSO and reanalysis data from MERRA. It is shown that CFSv2 underestimates (overestimates) high- (mid-) level clouds. The cloud condensate is also examined to see its impact on different types of clouds. The upper-level cloud condensate is underestimated, particularly during the summer monsoon period, which leads to a cold TT and a dry precipitation bias. The unrealistically weak TT gradient between ocean and land is responsible for the underestimation of ISMR. The model-simulated OLR is overestimated which depicts the weaker convective activity. A large underestimate of precipitable water is also seen along the cross-equatorial flow and particularly over the Indian land region collocated with a dry precipitation bias. The linkages among cloud microphysical, thermodynamical, and dynamical processes are identified here. Thus, this study highlights the importance of cloud properties, a major cause of uncertainty in CFSv2, and also proposes a pathway for improvements in its simulation of the Indian summer monsoon

Indian summer monsoon simulations with CFSv2: a microphysics perspective

The present study explores the impact of two different microphysical parameterization schemes (i.e. Zhao and Carr, Mon Wea Rev 125:1931-1953, 1997:called as ZC; Ferrier, Amer Meteor Soc 280-283, 2002: called as BF) of National Centers for Environmental Prediction (NCEP) Climate Forecast System version 2 (CFSv2) on Indian summer monsoon (ISM). Critical relative humidity (RHcrit) plays a crucial role for the realistic cloud formation in a general circulation model (GCM). Hence, impact of RHcrit along with microphysical scheme on ISM is evaluated in the study. Model performance is evaluated in terms of simulation of rainfall, lower and upper tropospheric circulations, cloud fraction, cloud condensate and outgoing longwave radiation (OLR). Climatological mean features of rainfall are better represented by all the sensitivity experiments. Overall, ZC schemes show relatively better rainfall patterns as compared to BF schemes. BF schemes along with 95 % RHcrit (called as BF95) show excess precipitable water over Indian Ocean basin region, which seems to be unrealistic. Lower and upper tropospheric features are well simulated in all the sensitivity experiments; however, upper tropospheric wind patterns are underestimated as compared to observation. Spatial pattern and vertical profile of cloud condensate is relatively better represented by ZC schemes as compared to BF schemes. Relatively more (less) cloud condensate at upper level has lead to relatively better (low) high cloud fraction in ZC (BF) simulation. It is seen that OLR in ZC simulation have great proximity with observation. ZC (BF) simulations depict low (high) OLR which indicates stronger (weaker) convection during ISM period. It implies strong (weak) convection having stronger (weaker) updrafts in ZC (BF). Relatively more (less) cloud condensate at upper level of ZC (BF) may produce strong (weak) latent heating which may lead to relatively strong (weak) convection during ISM. The interaction among microphysics, thermodynamics, and dynamics works in tandem through a closed feedback loop