1,531 research outputs found
Pragmatic approach to nutrition in the ICU: Expert opinion regarding which calorie protein target
BACKGROUND & AIMS:Since the publications of the ESPEN guidelines on enteral and parenteral nutrition in ICU, numerous studies have added information to assist the nutritional management of critically ill patients regarding the recognition of the right population to feed, the energy-protein targeting, the route and the timing to start.
METHODS: We reviewed and discussed the literature related to nutrition in the ICU from 2006 until October 2013.
RESULTS: To identify safe, minimal and maximal amounts for the different nutrients and at the different stages of the acute illness is necessary. These amounts might be specific for different phases in the time course of the patient's illness. The best approach is to target the energy goal defined by indirect calorimetry. High protein intake (1.5 g/kg/d) is recommended during the early phase of the ICU stay, regardless of the simultaneous calorie intake. This recommendation can reduce catabolism. Later on, high protein intake remains recommended, likely combined with a sufficient amount of energy to avoid proteolysis.
CONCLUSIONS: Pragmatic recommendations are proposed to practically optimize nutritional therapy based on recent publications. However, on some issues, there is insufficient evidence to make expert recommendations
Partial melting of ultramafic granulites from Dronning Maud Land, Antarctica: Constraints from melt inclusions and thermodynamic modeling
In the Pan-African belt of the Dronning Maud Land, Antarctica, crystallized melt inclusions (nanogranitoids) occur in garnet from ultramafic granulites. The granulites contain the peak assemblage pargasite+garnet+clinopyroxene with rare relict orthopyroxene and biotite, and retrograde symplectites at contacts between garnet and amphibole. Garnet contains two generations of melt inclusions. Type 1 inclusions, interpreted as primary, are isolated, < 10 mu m in size, and generally have negative crystal shapes. They contain kokchetavite, kumdykolite, and phlogopite, with quartz and zoisite as minor phases, and undevitrified glass was identified in one inclusion. Type 2 inclusions are < 30 mu m in size, secondary, and contain amphibole, feldspars, and zoisite. Type 2 inclusions appear to be the crystallization products of a melt that coexisted with an immiscible CO2-rich fluid.
The nanogranitoids were re-homogenized after heating in a piston-cylinder in a series of four experiments to investigate their composition. The conditions ranged between 900 and 950 degrees C at 1.5-2.4 GPa. Type 1 inclusions are trachytic and ultrapotassic, whereas type 2 melts are dacitic to rhyolitic. Thermodynamic modeling of the ultramafic composition in the MnNCKFMASHTO system shows that anatexis occurred at the end of the prograde P-T path, between the solidus (at ca. 860 degrees C-1.4 GPa) and the peak conditions (at ca. 960 degrees C-1.7 GPa). The model melt composition is felsic and similar to that of type 1 inclusions, particularly when the melting degree is low (< 1 mol%), close to the solidus. However the modeling fails to reproduce the highly potassic signature of the melt and its low H2O content. The combination of petrology, melt inclusion study, and thermodynamic modeling supports the interpretation that melt was produced by anatexis of the ultramafic boudins near peak P-T conditions, and that type 1 inclusions contain the anatectic melt that was present during garnet growth. The felsic, ultrapotassic composition of the primary anatectic melts is compatible with low melting degrees in the presence of biotite and amphibole as reactants
Molecular flexibility of polymethylene molecules: a Raman spectroscopic study
The Raman spectrum in the CH stretching region of molecules containing long alkyl residues
shows characteristic features which provide direct information on their molecular flexibility, as
probed by the C-H stretching oscillator which vibrates on the picosecond time scale. From
their Raman spectra, librational motions of the (CH2 )n units can be studied for molecules in
the solid and liquid phases. In the latter case, segmental motions must be considered. In this
paper, the spectra of hydrocarbons in the solid, liquid and as clathrates in urea and
perhydrotriphenylene are studied in terms of their overall mobility. Using molecular
dynamical calculations we show the existence of a selective coupling between CH stretchings
and skeletal torsions, which is modulated by the collective mobility of the carbon skeleton. In
particular, we account for the frequency dependence of the antisymmetic CH stretching mode
using a model which allows for selective coupling between this high frequency mode and the
low frequency torsional oscillations about the C-C bonds in the chain
Privilegia und Attestata über die ächte so genannte Wunder-Essenz welche ohnlängst und noch gegenwärtig verfertiget und fortgesetzet wird von dem Herrn Carl von Qureille Groß-Creutz-Herr und verschiedene Ordens Ritter wie auch Oberster von der Cavallerie [et]c. [et]c.
PRIVILEGIA UND ATTESTATA ÜBER DIE ÄCHTE SO GENANNTE WUNDER-ESSENZ WELCHE OHNLÄNGST UND NOCH GEGENWÄRTIG VERFERTIGET UND FORTGESETZET WIRD VON DEM HERRN CARL VON QUREILLE GROSS-CREUTZ-HERR UND VERSCHIEDENE ORDENS RITTER WIE AUCH OBERSTER VON DER CAVALLERIE [ET]C. [ET]C.
Privilegia und Attestata über die ächte so genannte Wunder-Essenz welche ohnlängst und noch gegenwärtig verfertiget und fortgesetzet wird von dem Herrn Carl von Qureille Groß-Creutz-Herr und verschiedene Ordens Ritter wie auch Oberster von der Cavallerie [et]c. [et]c. ([1])
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Partial melting of ultramafic granulites from Dronning Maud Land, Antarctica: Constraints from melt inclusions and thermodynamic modeling
In the Pan-African belt of the Dronning Maud Land, Antarctica, crystallized melt inclusions (nano-granitoids) occur in garnet from ultramafic granulites. The granulites contain the peak assemblage pargasite+garnet+clinopyroxene with rare relict orthopyroxene and biotite, and retrograde symplectites at contacts between garnet and amphibole. Garnet contains two generations of melt inclusions. Type 1 inclusions, interpreted as primary, are isolated, <10 μm in size, and generally have negative crystal shapes. They contain kokchetavite, kumdykolite, and phlogopite, with quartz and zoisite as minor phases, and undevitrified glass was identified in one inclusion. Type 2 inclusions are <30 μm in size, secondary, and contain amphibole, feldspars, and zoisite. Type 2 inclusions appear to be the crystallization products of a melt that coexisted with an immiscible CO2-rich fluid. The nanogranitoids were re-homogenized after heating in a piston-cylinder in a series of four experiments to investigate their composition. The conditions ranged between 900 and 950 °C at 1.5-2.4 GPa. Type 1 inclusions are trachytic and ultrapotassic, whereas type 2 melts are dacitic to rhyolitic. Thermodynamic modeling of the ultramafic composition in the MnNCKFMASHTO system shows that anatexis occurred at the end of the prograde P-T path, between the solidus (at ca. 860 °C-1.4 GPa) and the peak conditions (at ca. 960 °C-1.7 GPa). The model melt composition is felsic and similar to that of type 1 inclusions, particularly when the melting degree is low (<1 mol%), close to the solidus. However the modeling fails to reproduce the highly potassic signature of the melt and its low H2O content. The combination of petrology, melt inclusion study, and thermodynamic modeling supports the interpretation that melt was produced by anatexis of the ultramafic boudins near peak P-T conditions, and that type 1 inclusions contain the anatectic melt that was present during garnet growth. The felsic, ultrapotassic composition of the primary anatectic melts is compatible with low melting degrees in the presence of biotite and amphibole as reactants
A reconsideration of the domestication geography of tetraploid wheats
The domestication of tetraploid wheats started from their wild progenitor Triticum dicoccoides. In this paper, the geographical distribution of this progenitor is revised to include more sampling locations. The paper is based on a collection of wild and domesticated lines (226 accessions in total) analyzed by AFLP at 169 polymorphic loci. The collection includes the 69 wild lines considered by Mori et al. (2003) in their study on chloroplast DNA haplotypes of T. dicoccoides. The goal of the experiment was to reconsider which location thought to have generated the domesticated germplasm has the highest chance of being the actual site from which wild progenitors were sampled during domestication. Phylogenetic analysis of the nuclear AFLP databases indicates that two different genetic taxa of T. dicoccoides exist, the western one, colonizing Israel, Syria, Lebanon and Jordan, and the central-eastern one, which has been frequently sampled in Turkey and rarely in Iran and Iraq. It is the central-eastern race that played the role of the progenitor of the domesticated germplasm. This is supported by the cumulative results of the AFLP data from the collections of Ozkan et al. (2002) and of Mori et al. (2003), which indicate that the Turkish Karacadag population, intermixed with some Iraq-Iran lines, has a tree topology consistent with that of the progenitor of domesticated genotypes. The Turkish Kartal population belongs genetically to the central-eastern T. dicoccoides race but at the nuclear DNA level is less related to the domesticated gene pool. A general agreement between published work on tetraploid wheat domestication emerges from these results. A disagreement is nevertheless evident at the local geographical scale; the chloroplast DNA data indicate the Kartal mountains while AFLP fingerprinting points to the Karacadag Range as the putative site of tetraploid wheat domestication
Impacts of conservation incentives in protected areas: The case of Bolsa Floresta, Brazil
Conditional incentives are a promising complementary approach to conserve tropical forests, for example, in multiple-use protected areas. In this paper we analyze the environmental impacts of Bolsa Floresta, a forest conservation program that combines direct conditional payments with livelihood-focused investments in 15 multiple-use reserves in the Brazilian state of Amazonas. We use grid-based data, nearest-neighbor matching, and panel data econometrics to compare three forest-related program outcomes – deforestation, degradation, and fires – of participating and non-participating reserve areas. Forest threats were low before and after treatment, because the program prioritized low-pressure sites. Thus, we find significant but small additional conservation effects from the implementation of the program. Notwithstanding, treatment effects are relatively larger in areas with higher deforestation pressure and higher potential agricultural income. Our findings add to the growing body of evidence showing that adverse spatial targeting of conservation incentives, i.e. disproportionally enrolling low–pressure sites, is a prime cause for the low additionality found in rigorous impact evaluations of many existing initiatives.http://dx.doi.org/10.13039/100007843 Norwegian Agency for Development Cooperationhttp://dx.doi.org/10.13039/501100001659 German Research Foundationhttp://dx.doi.org/10.13039/501100002347 Federal Ministry of Education and Research Bonn Offic
Using ocean models to predict spatial and temporal variation in marine carbon isotopes
Natural-abundance stable isotope ratios provide a wealth of ecological information relating to food web structure, trophic level, and location. The correct interpretation of stable isotope data requires an understanding of spatial and temporal variation in the isotopic compositions at the base of the food web. In marine pelagic environments, accurate interpretation of stable isotope data is hampered by a lack of reliable, spatio-temporally distributed measurements of baseline isotopic compositions. In this study, we present a relatively simple, process-based carbon isotope model that predicts the spatio-temporal distributions of the carbon isotope composition of phytoplankton (here expressed as δ13CPLK) across the global ocean at one degree and monthly resolution. The model is driven by output from a coupled physics-biogeochemistry model, NEMO-MEDUSA, and operates offline; it could also be coupled to alternative underlying ocean model systems. Model validation is challenged by the same lack of spatio-temporally explicit data that motivates model development, but predictions from our model successfully reproduce major spatial patterns in carbon isotope values observed in zooplankton, and are consistent with simulations from alternative models. Model predictions represent an initial hypothesis of spatial and temporal variation in carbon isotopic baselines in ocean areas where a few data are currently available, and provide the best currently available tool to estimate spatial and temporal variation in baseline isotopic compositions at ocean basin to global scales
Embryos of TTGs in Gore Mountain garnet megacrysts from water-fluxed melting of the lower crust
The garnet megacrysts of Gore Mountain (Adirondacks, US) are world-renown crystals due to their size, up to 1 m in historical record, which makes them the largest known garnets on the planet. We show here that they are also host to the first primary inclusions of trondhjemitic melt found in natural mafic rocks. The petrological and experimental investigation of the inclusions, coupled with phase equilibrium modelling, shows that this melt is the result of H2O-fluxed partial melting at T>900 °C of a lower crustal gabbro. The compositional similarity between the trondhjemitic melt inclusions and tonalitic–trondhjemitic–granodioritic (TTGs) melts makes these inclusions a direct natural evidence that melting of mafic rocks generates TTG-like melts, and provides us with the possibility to clarify processes responsible for the formation of the early continental crust. These TTG embryos represent the trondhjemitic end-member of the melts whose emplacement at upper crustal levels, after being modified by mixing and crystallization-related processes, leads to the formation of the TTG terranes. Moreover, our study shows how the melt from H2O-fluxed melting of mafic lower crust has mismatched major and trace element signatures, previously interpreted as evidence of melting at very different pressures. This poses serious limitations to the established use of some chemical features to identify the geodynamic settings (e.g. subduction versus thickened crust) responsible for TTGs generation and the growth of early crust
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