A substudy of a randomized controlled trial

Data on early markers for acute kidney injury (AKI) after noncardiovascular surgery are still limited. This study aimed to determine the diagnostic value of plasma neutrophil-gelatinase-associated lipocalin (pNGAL) and intraoperative diuresis for AKI in patients undergoing major abdominal surgery treated within a goal-directed hemodynamic algorithm. This study is a post-hoc analysis of a randomized controlled pilot trial comparing intravenous solutions within a hemodynamic goal-directed algorithm based on the esophageal Doppler in patients undergoing epithelial ovarian cancer surgery. The diagnostic value of plasma NGAL obtained at ICU admission and intraoperative diuresis was determined with respect to patients already meeting AKI criteria 6 hours after surgery (AKI6h) and to all patients meeting AKI criteria at least once during the postoperative course (AKItotal). AKI was diagnosed by the definition of the Kidney Disease Improving Global Outcome (KDIGO) group creatinine criteria and was screened up to postoperative day 3. Receiver operating characteristic curves including a gray zone approach were performed. A total of 48 patients were analyzed. None of the patients had increased creatinine levels before surgery and 14 patients (29.2%) developed AKI after surgery. Plasma NGAL was predictive for AKI6h (AUCAKI6h 0.832 (95% confidence interval [CI], 0.629–0.976), P = .001) and AKItotal (AUCAKItotal 0.710 (CI 0.511–0.878), P = .023). The gray zones of pNGAL calculated for AKI6h and AKItotal were 210 to 245 and 207 to 274 ng mL−1, respectively. The lower cutoffs of the gray zone at 207 and 210 ng mL−1 had a negative predictive value (NPV) (i.e., no AKI during the postoperative course) of 96.8% (CI 90–100) and 87.1% (CI 78–97), respectively. Intraoperative diuresis was also predictive for AKI6h (AUCAKI6h 0.742 (CI 0.581–0.871), P = .019) with a gray zone of 0.5 to 2.0 mL kg−1 h−1. At the lower cutoff of the gray zone at 0.5 mL kg−1 h−1, corresponding to the oliguric threshold, the NPV was 84.2% (78–92). This study indicates that pNGAL can be used as an early marker to rule out AKI occurring within 3 days after major abdominal surgery. Intraoperative diuresis can be used to rule out AKI occurring up to 6 hours after surgery

A Simulation Games Approach to Suppliment the Teaching of Basic Economics Concepts in Elementary School

A year-long simulation game was created to facilitate the teaching of basic economics in a sixth and seventh grade middle school. The game could be adapted to implementation at lower grade levels. The students built two, table-top cities. They established a money system and were paid for positive behavior and effort. With their earned income and with loans from a bank, they purchased land, built homes, invested in business franchises, engaged in trade, and worked collectively to finance and build government projects and services. Discussion questions and evaluation tests were devloped, based upon the curriculum guidelines established by the Joint Council of Economic Education

Abiotic and Biotic Soil Characteristics in Old Growth Forests and Thinned or Unthinned Mature Stands in Three Regions of Oregon

We compared forest floor depth, soil organic matter, soil moisture, anaerobic mineralizable nitrogen (a measure of microbial biomass), denitrification potential, and soil/litter arthropod communities among old growth, unthinned mature stands, and thinned mature stands at nine sites (each with all three stand types) distributed among three regions of Oregon. Mineral soil measurements were restricted to the top 10 cm. Data were analyzed with both multivariate and univariate analyses of variance. Multivariate analyses were conducted with and without soil mesofauna or forest floor mesofauna, as data for those taxa were not collected on some sites. In multivariate analysis with soil mesofauna, the model giving the strongest separation among stand types (P = 0.019) included abundance and richness of soil mesofauna and anaerobic mineralizable nitrogen. The best model with forest floor mesofauna (P = 0.010) included anaerobic mineralizable nitrogen, soil moisture content, and richness of forest floor mesofauna. Old growth had the highest mean values for all variables, and in both models differed significantly from mature stands, while the latter did not differ. Old growth also averaged higher percent soil organic matter, and analysis including that variable was significant but not as strong as without it. Results of the multivariate analyses were mostly supported by univariate analyses, but there were some differences. In univariate analysis, the difference in percent soil organic matter between old growth and thinned mature was due to a single site in which the old growth had exceptionally high soil organic matter; without that site, percent soil organic matter did not differ between old growth and thinned mature, and a multivariate model containing soil organic matter was not statistically significant. In univariate analyses soil mesofauna had to be compared nonparametrically (because of heavy left-tails) and differed only in the Siskiyou Mountains, where they were most abundant and species rich in old growth forests. Species richness of mineral soil mesofauna correlated significantly (+) with percent soil organic matter and soil moisture, while richness of forest floor mesofauna correlated (+) with depth of the forest floor. Composition of forest floor and soil mesofauna suggest the two groups represent a single community. Soil moisture correlated highly with percent soil organic matter, with no evidence for drying in sites that were sampled relatively late in the summer drought, suggesting losses of surface soil moisture were at least partially replaced by hydraulic lift (which has been demonstrated in other forests of the region)

Complex exon-intron marking by histone modifications is not determined solely by nucleosome distribution

It has recently been shown that nucleosome distribution, histone modifications and RNA polymerase II (Pol II) occupancy show preferential association with exons (“exon-intron marking”), linking chromatin structure and function to co-transcriptional splicing in a variety of eukaryotes. Previous ChIP-sequencing studies suggested that these marking patterns reflect the nucleosomal landscape. By analyzing ChIP-chip datasets across the human genome in three cell types, we have found that this marking system is far more complex than previously observed. We show here that a range of histone modifications and Pol II are preferentially associated with exons. However, there is noticeable cell-type specificity in the degree of exon marking by histone modifications and, surprisingly, this is also reflected in some histone modifications patterns showing biases towards introns. Exon-intron marking is laid down in the absence of transcription on silent genes, with some marking biases changing or becoming reversed for genes expressed at different levels. Furthermore, the relationship of this marking system with splicing is not simple, with only some histone modifications reflecting exon usage/inclusion, while others mirror patterns of exon exclusion. By examining nucleosomal distributions in all three cell types, we demonstrate that these histone modification patterns cannot solely be accounted for by differences in nucleosome levels between exons and introns. In addition, because of inherent differences between ChIP-chip array and ChIP-sequencing approaches, these platforms report different nucleosome distribution patterns across the human genome. Our findings confound existing views and point to active cellular mechanisms which dynamically regulate histone modification levels and account for exon-intron marking. We believe that these histone modification patterns provide links between chromatin accessibility, Pol II movement and co-transcriptional splicing

Palaeogeographic reconstruction in the transition zone : the role of geophysical forward modelling in ground investigation surveys

Geophysical survey techniques are commonly used as part of studies to reconstruct past geographies in archaeological and palaeoenvironmental landscape investigations onshore and offshore. However, their use across the intertidal zone for constructing contiguous models is far more challenging. In order to enhance the interpretation of the recovered data forward modelling is used here to demonstrate the effective use of a staged approach to site investigation. Examples of data from electrical and electromagnetic techniques have been modelled and tested with ground truth measurements including trial pits, coring and cone penetrometer testing. This combination of forward modelling and testing has proved to be particularly effective at mapping key geological situations of archaeological interest. The approach is demonstrated by reference to varying sub-surface sediment types exemplified by two field examples from the UK coast where typical palaeolandscape features, namely incised channels and deeply buried topographies are encountered. These palaeogeographic features were chosen as they have high potential for association with the evidence of past human activity.PostprintPeer reviewe

A Stylistic Analysis of Fabrics, a Brass Quintet by John Stevens, a Lecture Recital, Together With Three Recitals of Selected Works of E. Gregson, B. Broughton, P. Hindemith, V. Holmboe, H. Stevens, J. S. Bach, and Others

A stylistic analysis of John Stevens' second brass quintet, Fabrics, which discusses the composer's use of orchestration, harmonic language, rhythmic activity, melodic and formal considerations, and performance practice issues. Collaboration between composer and performer is investigated, particularly through Stevens' status as member of the Wisconsin Brass Quintet, the ensemble for which Fabrics was composed. Biographical information about Stevens and the Wisconsin Brass Quintet is provided, with appendices providing information regarding Stevens' activities as composer and performer and the activities of the Wisconsin Brass Quintet. Stevens was extensively interviewed as source material for this dissertation