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Background The previously published “Dose Response Multicentre International Collaborative Initiative (DoReMi)” study concluded that the high mortality of critically ill patients with acute kidney injury (AKI) was unlikely to be related to an inadequate dose of renal replacement therapy (RRT) and other factors were contributing. This follow-up study aimed to investigate the impact of daily fluid balance and fluid accumulation on mortality of critically ill patients without AKI (N-AKI), with AKI (AKI) and with AKI on RRT (AKI-RRT) receiving an adequate dose of RRT. Methods We prospectively enrolled all consecutive patients admitted to 21 intensive care units (ICUs) from nine countries and collected baseline characteristics, comorbidities, severity of illness, presence of sepsis, daily physiologic parameters and fluid intake-output, AKI stage, need for RRT and survival status. Daily fluid balance was computed and fluid overload (FO) was defined as percentage of admission body weight (BW). Maximum fluid overload (MFO) was the peak value of FO. Results We analysed 1734 patients. A total of 991 (57 %) had N-AKI, 560 (32 %) had AKI but did not have RRT and 183 (11 %) had AKI-RRT. ICU mortality was 22.3 % in AKI patients and 5.6 % in those without AKI ( p  < 0.0001). Progressive fluid accumulation was seen in all three groups. Maximum fluid accumulation occurred on day 2 in N-AKI patients (2.8 % of BW), on day 3 in AKI patients not receiving RRT (4.3 % of BW) and on day 5 in AKI-RRT patients (7.9 % of BW). The main findings were: (1) the odds ratio (OR) for hospital mortality increased by 1.075 (95 % confidence interval 1.055–1.095) with every 1 % increase of MFO. When adjusting for severity of illness and AKI status, the OR changed to 1.044. This phenomenon was a continuum and independent of thresholds as previously reported. (2) Multivariate analysis confirmed that the speed of fluid accumulation was independently associated with ICU mortality. (3) Fluid accumulation increased significantly in the 3-day period prior to the diagnosis of AKI and peaked 3 days later. Conclusions In critically ill patients, the severity and speed of fluid accumulation are independent risk factors for ICU mortality. Fluid balance abnormality precedes and follows the diagnosis of AKI.

A shift from coral to macroalgae dominance of reef systems affected by volcanically acidified waters around Maug (Mariana Islands, North Pacific Ocean) increases fears that reef corals will be displaced by algae as a result of ocean acidification. Rising anthropogenic CO 2 in the atmosphere is accompanied by an increase in oceanic CO 2 and a concomitant decline in seawater pH (ref.  1 ). This phenomenon, known as ocean acidification (OA), has been experimentally shown to impact the biology and ecology of numerous animals and plants 2 , most notably those that precipitate calcium carbonate skeletons, such as reef-building corals 3 . Volcanically acidified water at Maug, Commonwealth of the Northern Mariana Islands (CNMI) is equivalent to near-future predictions for what coral reef ecosystems will experience worldwide due to OA. We provide the first chemical and ecological assessment of this unique site and show that acidification-related stress significantly influences the abundance and diversity of coral reef taxa, leading to the often-predicted shift from a coral to an algae-dominated state 4 , 5 . This study provides field evidence that acidification can lead to macroalgae dominance on reefs.

The incidence of Plasmodium vivax infection has declined markedly in Malaysia over the past decade despite evidence of high-grade chloroquine resistance. Here we investigate the genetic changes in a P. vivax population approaching elimination in 51 isolates from Sabah, Malaysia and compare these with data from 104 isolates from Thailand and 104 isolates from Indonesia. Sabah displays extensive population structure, mirroring that previously seen with the emergence of artemisinin-resistant P. falciparum founder populations in Cambodia. Fifty-four percent of the Sabah isolates have identical genomes, consistent with a rapid clonal expansion. Across Sabah, there is a high prevalence of loci known to be associated with antimalarial drug resistance. Measures of differentiation between the three countries reveal several gene regions under putative selection in Sabah. Our findings highlight important factors pertinent to parasite resurgence and molecular cues that can be used to monitor low-endemic populations at the end stages of P. vivax elimination. Plasmodium vivax incidence in Malaysia has declined markedly over the last decade, despite evidence of chloroquine resistance. Here, Auburn et al. compare population structure of P. vivax in Malaysia to regions with intermediate and high transmission and identify genetic regions under putative selection.

The relationship between the static and dynamic elastic modulus in rock materials has been frequently addressed in scientific literature. Overall, when it comes to the study of materials with a wide range of elastic moduli, the functions that best represent this relationship are non-linear and do not depend on a single parameter. In this study, the relationships between the static and dynamic elastic modulus of eight different igneous, sedimentary and metamorphic rock types, all of which are widely used as construction material, were studied. To this end, the elastic modulus values of 33 samples were obtained which, together with the values obtained for 24 other samples in a previous study, allowed a new relationship between these parameters to be proposed. Firstly, linear and nonlinear classical models were used to correlate static and dynamic moduli, giving R 2 of 0.97 and 0.99, respectively. A classical power correlation between static modulus and P-wave velocity has also been proposed, giving an R 2 of 0.99 and a sum of the squared differences (SSE) of 553.93. Finally, new equations relating static and dynamic modulus values have been proposed using new nonlinear expressions. These consider: (a) bulk density ( R 2  = 0.993 and SSE = 362.66); (b) bulk density and total porosity of rock ( R 2  = 0.994 and SSE = 332.16); and (c) bulk density, total porosity of rock and uniaxial compressive strength ( R 2  = 0.996 and SSE = 190.27). The expressions obtained can be used to calculate the static elastic modulus using non-destructive techniques, in a broad range of rock materials.

Hazardous gases in buildings are a concern for public health and security. These gases can be released from the building materials to indoor air and their concentration may become critical where ventilation is hindered, as such in hypogean or more energetically efficient airtight constructions. Furthermore, the gas ventilation and the indoor gas concentration can considerably increase by the vapour condensation on the ceiling and walls of buildings. In this paper, we characterise the CO2 gas diffusion for a representative range of building porous stones with the aim of establishing the effect of the water content in the gaseous diffusion coefficient. We propose a new methodology to measure gas diffusion with a laboratory device that works under different hygrometric conditions. Results reveal water pore condensation reduces both connected porosity and pore size and therefore, the CO2 diffusion coefficient. This variation occurs in all the studied porous building stones although it is especially important in stones with small pores. Thus, the reduction of CO2 diffusion coefficient for the stone with thinnest pores is by 50% when relative humidity varies from 20 to 90%. Permeability and gas diffusion coefficients present similar trends. Porous stones with larger pores and higher porosity values present the highest CO2 diffusion, water and gas permeability coefficients. Pore size is the conclusive parameter within the transport coefficients. It greatly affects both the tortuosity factor of the CO2 gaseous diffusion and the slip parameter of the Klinkenberg’s model for gas permeability coefficient. Finally, for studied samples, we establish a power regression, which correlates thoroughly both coefficients.

This work considers the crystallisation mechanisms of the most common and aggressive salts that generate stress in porous building stones as a result of changing ambient conditions. These mechanisms include the salt crystallisation that result from decreasing relative humidity and changes in temperature and, in hydrated salts, the dissolution of the lower hydrated form and the subsequent precipitation of the hydrated salt. We propose a new methodology for thermodynamic calculations using PHREEQC that includes these crystallisation mechanisms. This approach permits the calculation of the equilibrium relative humidity and the parameterization of the critical relative humidity and crystallisation pressures for the dissolution–precipitation transitions. The influence of other salts on the effectives of salt crystallisation and chemical weathering is also assessed. We review the sodium and magnesium sulphate and sodium chloride systems, in both single and multicomponent solutions, and they are compared to the sodium carbonate and calcium carbonate systems. The variation of crystallisation pressure, the formation of new minerals and the chemical dissolution by the presence of other salts is also evaluated. Results for hydrated salt systems show that high crystallisation pressures are possible as lower hydrated salts dissolve and more hydrated salts precipitate. High stresses may be also produced by decreasing temperature, although it requires that porous materials are wet for long periods of time. The presence of other salts changes the temperature and relative humidity of salt transitions that generates stress rather than reducing the pressure of crystallisation, if any salt has previously precipitated. Several practical conclusions derive from proposed methodology and provide conservators and architects with information on the potential weathering activity of soluble salts. Furthermore, the model calculations might be coupled with projections of future climate to give as improved understanding of the likely changes in the frequency of phase transitions in salts within porous stone.

In this investigation, two different varieties of ‘Prada’ limestones were studied: a dark grey texture, bearing quartz, clay minerals, organic matter and pyrites, and a light grey texture with little or no presence of such components. We have observed two effects of different intensity when heating the dark texture from 400 °C: (1) the explosion of certain samples and (2) greater thermal damage than in the light grey texture. Chemical and mineralogical composition, texture, microstructure, and physical properties (i.e. colour, open porosity, P and S-wave velocity) have been evaluated at temperatures of 105, 300, 400, and 500 °C in order to identify differences between textures. The violence of the explosive events was clear and cannot be confounded with ordinary splitting and cracking on thermally treated rocks: exploded samples underwent a total loss of integrity, displacing and overturning the surrounding samples, and embedding fragments in the walls of the furnace, whose impacts were clearly heard in the laboratory. Thermogravimetric results allowed the identification of a process of oxidation of pyrites releasing SO2 from 400 °C. This process jointly with the presence of microfissures in the dark texture, would cause a dramatic increase in pore pressure, leading to a rapid growth and coalescence of microcracks that leads to a process of catastrophic decay in rock integrity. In addition to the explosive events, average ultrasound velocities and open porosity showed a greater variation in the dark grey texture from 400 °C. That result also points towards a significant contribution of oxidation of pyrites on the thermo-chemical damage of the rock, among other factors such as the pre-existence of microfissures and the thermal expansion coefficient mismatch between minerals. Implications in underground infrastructure and mining engineering works are critical, as the explosive potential of pyrite-bearing limestones bears risk for mass fracturing and dramatic strength decay from 400 °C. Moreover, SO2 released has harmful effects on health of people and the potential to form acid compounds that corrode materials, shortening their durability and increasing maintenance costs.

The purpose of this paper is to model numerically the dynamics of CO2 and 222Rn in cave atmospheres, particularly in the noteworthy Cave of Altamira (Spain). We aim to get a better understanding of the nature of these dynamics and their couplings with climatic controls, more specifically the soil water content, which role in the said dynamics poses some questions. For the first time, we apply the global modeling technique in the field of cave microclimate and atmospheric composition. The global modeling technique is a methodology based on the theory of nonlinear systems and designed to extract mathematical models directly from observational time series. We were able to extract four global models from our data. These models represent a step forward from the existent conceptual ones. They also show that CO2 and 222Rn dynamics can be approximated by low-dimensional, deterministic systems, which can be chaotic or, at least, close to chaos; this has decisive methodological consequences for future research. Moreover, the global modeling technique was used for the first time in a non-autonomous formulation; this enabled the possibility of studying the influence of the external forcing (soil water content) on the gas concentration in different scenarios.

The control and elimination of Plasmodium vivax will require a better understanding of its transmission dynamics, through the application of genotyping and population genetics analyses. This paper describes VivaxGEN (http://vivaxgen.menzies.edu.au), a web-based platform that has been developed to support P. vivax short tandem repeat data sharing and comparative analyses. The VivaxGEN platform provides a repository for raw data generated by capillary electrophoresis (FSA files), with fragment analysis and standardized allele calling tools. The query system of the platform enables users to filter, select and differentiate samples and alleles based on their specified criteria. Key population genetic analyses are supported including measures of population differentiation (FST), expected heterozygosity (HE), linkage disequilibrium (IAS), neighbor-joining analysis and Principal Coordinate Analysis. Datasets can also be formatted and exported for application in commonly used population genetic software including GENEPOP, Arlequin and STRUCTURE. To date, data from 10 countries, including 5 publicly available data sets have been shared with VivaxGEN. VivaxGEN is well placed to facilitate regional overviews of P. vivax transmission dynamics in different endemic settings and capable to be adapted for similar genetic studies of P. falciparum and other organisms.

The necropolis of Carmona (Seville, Spain) is one of the most significant Roman burial sites in southern Spain used during the first and second centuries ad. Of its more than 600 tombs, the Postumius Tomb is one of the best examples of a tomb affected by severe salt damage. To define safe microclimatic conditions for its conservation, environmental parameters were recorded from June 2007 to April 2009, both inside and outside the tomb, and mineralogical, textural, petrophysical, and durability characterization studies of the host-rock were made. Experimental tests revealed a high susceptibility to salt deterioration of a host-rock (calcarenite) with low mechanical properties and a complex porous medium that favors salt weathering, water condensation, and capillary rise. The analysis of the weathered material showed the presence chiefly of gypsum (CaSO 4 ·2H 2 O), thenardite (Na 2 SO 4 ) and halite (NaCl) in the tomb of Postumius, with alteration that was more intensive in spring and autumn, and less so during summer months. Salt damage activity was calculated by quantifying the number of transitions of crystallization–dissolution of saline phases. The calculated seasonality for water condensation and salt damage is coeval. The host-rock alteration is in accord with the estimated salt decay, and was more intensive in spring and autumn and less so during summer. The seasonality of halite transitions is similar to that of the sodium sulfate system, which suggests that salt weathering is produced by the two types of salts. By combining different methodological approaches (pore structure, water condensation, salt and environmental conditions), it is possible to explain why salt crystallization occurs in a tomb with hygrometric conditions that are not suitable for this process to occur. These methodological approaches are also used to other rock-decaying processes, such as the development of microorganisms, clay swelling and calcite dissolution by NaCl- and CO 2 -rich pore waters, and can be used to predict safe threshold microclimatic conditions that minimize all rock-decaying processes.