Hypsometry and Volume of the Arctic Ocean and Its Constituent Seas

This paper presents an analysis of the Arctic Ocean and its constituent seas for seafloor area distribution versus depth and ocean volume. The bathymetry from the International Bathymetric Chart of the Arctic Ocean (IBCAO) is used together with limits defining this ocean and its constituent seas from the International Hydrographic Organization (IHO) as well as redefined limits constructed to confine the seas to the shallow shelves. IBCAO is a bathymetric grid model with a resolution of 2.5 x 2.5 km, which significantly improved the portrayal of the Arctic Ocean seafloor through incorporation of newly released bathymetric data including echo soundings from U.S. and British navies, scientific nuclear submarine cruises, and icebreaker cruises. This analysis of seafloor area and ocean volume is the first for the Arctic Ocean based on this new and improved portrayal of the seafloor as represented by IBCAO. The seafloor area and volume are calculated for different depths starting from the present sea level and progressing in increments of 10 m to a depth of 500 m and in increments of 50 m from 550 m down to the deepest depth within each of the analyzed seas. Hypsometric curves expressed as simple histograms of the frequencies in different depth bins and depth plotted against cumulative area for each of the analyzed seas are presented. The area and volume calculations show that the entire IHO-defined Arctic Ocean makes up 4.3% of the total ocean area but only 1.4% of the volume. Furthermore, the IHO Arctic Ocean is the shallowest (mean depth 1201 m) of all the major oceans and their adjacent seas. The continental shelf area, from the coasts out to the shelf break, make up as much as 52.9% of the total area in the Arctic Ocean, defined in this work as consisting of the oceanic deep Arctic Ocean Basin; the broad continental shelves of the Barents, Kara, Laptev, East Siberian, Chukchi, and Beaufort Seas; the White Sea; and the narrow continental shelf off both the Canadian Arctic Archipelago and northern Greenland. This result indicates that the Arctic Ocean has significantly larger continental shelves compared with all the other oceans, where previous studies show that the proportion of shelves, from the coasts out to the foot of the continental slopes, only ranges between about 9.1 and 17.7%. Furthermore, the derived hypsometric curves show that most of the Arctic Ocean shelf seas besides the Barents Sea, Beaufort Sea, and the shelf off northern Greenland have a similar shape, with the largest seafloor area between 0 and 50 m. The East Siberian and Laptev seas, in particular, show area distributions concentrated in this shallow depth range, and together with the Chukchi Sea they form a large flat shallow shelf province composing as much as 22% of the entire Arctic Ocean area but only 1% of the volume. This implies that the circulation in the Arctic Ocean might be very sensitive to eustatic sea level changes. One of the aims with this work is to make up-to-date high-resolution area and volume calculations for the Arctic Ocean at various depths available for download

Early outcomes of gastrostomy feeding in paediatric allogenic bone marrow transplantation: A retrospective cohort study

Background: Nutrition support is an essential component of care for a child undergoing bone marrow transplantation (BMT). Enteral nutrition (EN) is becoming increasingly recognised as having advantages over parenteral nutrition (PN) and recommended as first-line nutrition support. EN has traditionally been provided via nasogastric tube (NGT). Gastrostomies avoid certain complications associated with NGTs and could provide a preferential alternative. Aims: To compare nutritional and post-transplantation outcomes during admission, the primary outcome being PN use, between children who had a gastrostomy placed prophylactically prior to BMT versus those who had not. Methods: Electronic medical records of children transplanted between January 2014 and May 2018 within a single-centre were retrospectively reviewed. Outcomes between the gastrostomy group (n = 54) and non-gastrostomy group (n = 91) were compared. Results: Multivariate regression analyses showed children in the gastrostomy group were less likely to require PN (odds ratio (OR) 0.4; 95% confidence interval (CI) 0.2–0.9; P = 0.049), initiated PN later if required (hazard ratio 0.6; 95% CI 0.4–0.8; P = 0.005), more often received EN as first-line nutrition support (P < 0.001) and more frequently required EN post-discharge (OR 2.4; 95% CI 1.1–5.4; P = 0.029). No differences were found between groups on length of admission, day 100 overall survival, incidence of graft-versus-host-disease, positive blood cultures and changes in weight or albumin during admission. Conclusions: Providing EN via gastrostomy is feasible in this population and may be more acceptable to older children than NGTs. Weighing up the potential benefits against the potential risks of prophylactic gastrostomy placement in these high-risk children is a challenging decision. Further research investigating safety, longer-term outcomes and family perceptions of gastrostomy feeding is required

Einstein-Weyl structures corresponding to diagonal K\"ahler Bianchi IX metrics

We analyse in a systematic way the four dimensionnal Einstein-Weyl spaces equipped with a diagonal K\"ahler Bianchi IX metric. In particular, we show that the subclass of Einstein-Weyl structures with a constant conformal scalar curvature is the one with a conformally scalar flat - but not necessarily scalar flat - metric ; we exhibit its 3-parameter distance and Weyl one-form. This extends previous analysis of Pedersen, Swann and Madsen , limited to the scalar flat, antiself-dual case. We also check that, in agreement with a theorem of Derdzinski, the most general conformally Einstein metric in the family of biaxial K\"ahler Bianchi IX metrics is an extremal metric of Calabi, conformal to Carter's metric, thanks to Chave and Valent's results.Comment: 15 pages, Latex file, minor modifications, to be published in Class. Quant. Gra

Effect of smoking status on the efficacy of the SMART regimen in high risk asthma

Background and objective: The optimal management of people with asthma with a significant smoking history is uncertain. The aim of this study was to determine whether the efficacy/safety profile of single combination inhaled corticosteroid (ICS)/long acting beta-agonist (LABA) inhaler maintenance and reliever therapy is influenced by smoking status. Methods: We undertook secondary analyses from an open-label 24-week randomized study of 303 high risk adult asthma patients randomized to budesonide/formoterol 200/6-µg-metred dose inhaler for maintenance (two actuations twice daily) and either budesonide/formoterol 200/6-µg-metred dose inhaler one actuation (‘single ICS/LABA maintenance and reliever therapy (SMART)’ regimen) or salbutamol 100 µg 1–2 actuations for symptom relief (‘Standard’ regimen). Smoking status was classified in to three groups, as ‘current’, ‘ex’ or ‘never’, and a smoking/treatment interaction term tested for each outcome variable. The primary outcome variable was number of participants with at least one severe exacerbation. Results: There were 59 current, 97 ex and 147 never smokers included in the analyses. The smoking status/treatment interaction term was not statistically significant for any of the outcome measures. With adjustment for smoking status, the number of participants with severe exacerbations was lower with the SMART regimen (OR 0.45, 95% CI: 0.26–0.77, P = 0.004; P value for interaction between smoking status and treatment 0.29). Conclusion: We conclude that the favourable safety/efficacy profile of the SMART regimen applies to patients with high risk asthma, irrespective of smoking status

Potential loss of nutrients from different rearing strategies for fattening pigs on pasture

Nutrient load and distribution on pasture were investigated with fattening pigs that: 1) spend a proportion of or their entire life on pasture, 2) were fed either restrictively or ad libitum, and 3) were weaned at different times of the year. The N and P retention in pigs decreased the longer they were kept on pasture. The contents of soil inorganic N and exchangeable K were significantly raised compared to the soil outside the enclosures but with no differences between treatments. Pig grazing did not affect extractable soil P. Regular moving of huts, feeding and water troughs was effective in ensuring that nutrients were more evenly distributed on the paddocks. Grass cover, as determined by spectral reflectance, was not related to the experimental treatments but only to time of year. During spring and summer, grass was present in parts of the paddocks, whereas during autumn and winter the pigs kept grass cover below 10%. Fattening pigs on pasture carries a high risk of nutrient loss and it is concluded that the most environmentally acceptable way of keeping fattening pigs on pasture involves a combination of reduced dietary N intake, reduced stocking rate and seasonal rather than all year production

Colorectal cancer screening in Australia: an economic evaluation of a potential biennial screening program using faecal occult blood tests

Objective: To evaluate whether the introduction of a national, co-ordinated screening program using the faecal occult blood test represents \u27value-for-money\u27 from the perspective of the Australian Government as third-party funder.&nbsp; Methods: The annual equivalent costs and consequences of a&nbsp;&nbsp; biennial screening program in \u27steady-state\u27 operation were estimated for the Australian population using 1996 as the reference year. Disability-adjusted life years (DALYs) and the years of life lost (YLLs) averted, and the health service costs were modelled, based on the epidemiology and the costs of colorectal cancer in Australia together with the mortality reduction achieved in randomised controlled trials. Uncertainty in the model was examined using Monte Carlo simulation methods. Results: We estimate a minimum or \u27base program\u27 of screening those aged 55 to 69 years could avert 250 deaths per annum (95% uncertainty interval 99&ndash;400), at a gross cost of $A55 million (95$A46 million to $A96 million) and a gross incremental cost-effectiveness ratio of$A17,000/DALY (95% UI $A13,000/DALY to$A52,000/DALY). Extending the program to include 70 to 74-year-olds is a more effective option (cheaper and higher health gain) than including the 50 to 54-year-olds. Conclusions: The findings of this study support the case for a national program directed at the 55 to 69-year-old age group with extension to 70 to 74-year-olds if there are sufficient resources. The pilot tests recently announced in Australia provide an important opportunity to consider the age range for screening and the sources of uncertainty, identified in the modelled evaluation, to assist decisions on implementing a full national program.<br /

A high-resolution map of human evolutionary constraint using 29 mammals.

The comparison of related genomes has emerged as a powerful lens for genome interpretation. Here we report the sequencing and comparative analysis of 29 eutherian genomes. We confirm that at least 5.5% of the human genome has undergone purifying selection, and locate constrained elements covering ∼4.2% of the genome. We use evolutionary signatures and comparisons with experimental data sets to suggest candidate functions for ∼60% of constrained bases. These elements reveal a small number of new coding exons, candidate stop codon readthrough events and over 10,000 regions of overlapping synonymous constraint within protein-coding exons. We find 220 candidate RNA structural families, and nearly a million elements overlapping potential promoter, enhancer and insulator regions. We report specific amino acid residues that have undergone positive selection, 280,000 non-coding elements exapted from mobile elements and more than 1,000 primate- and human-accelerated elements. Overlap with disease-associated variants indicates that our findings will be relevant for studies of human biology, health and disease