Evaluation of the surgical management strategy for acute cholecystitis in patients over 75years old.

INTRODUCTION: Acute cholecystitis occurs frequently in the elderly. According to the current recommendations specific to the characteristics of each case, these patients are most often treated by delayed cholecystectomy after medical treatment. Our study aimed to compare the success rate of this strategy in patients over and under 75years of age. PATIENTS AND METHODS: This was a retrospective single-center analytic observational study that included patients who were hospitalized for acute cholecystitis in a geriatric postoperative unit (unité postopératoire gériatrique [UPOG]) and gastrointestinal surgery unit between 2021 and 2022. The main endpoint was the failure rate of deferred cholecystectomy. Secondary endpoints included: respect for the recommended operative delay, loss of the patient's functional independence during hospitalization, and the reason for surgical abstention. RESULTS: In total, 290 patients were included. The strategy of delayed elective cholecystectomy was not achieved in 31 (44%) patients 75years old or older vs. eight (18%) patients younger than 75years old (P=0.005). The main reason was the decision not to operate after medical treatment. In both groups, the recommended operative interval was equitably respected and the loss of autonomy during hospitalization was minor. More than one-third of the elderly patients scheduled for elective surgery finally refused to undergo surgery. CONCLUSION: The strategy of routine elective cholecystectomy should not be strict in the elderly with acute cholecystitis; the indication for this procedure should take into account the wishes as well as the physiological status of the patient.

36Cl, a new tool to assess soil carbon dynamics.

Soil organic carbon is one of the largest surface pools of carbon that humans can manage in order to partially mitigate annual anthropogenic CO2 emissions. A significant element to assess soil sequestration potential is the carbon age, which is evaluated by modelling or experimentally using carbon isotopes. Results, however, are not consistent. The 14C derived approach seems to overestimate by a factor of 6-10 the average carbon age in soils estimated by modeling and 13C approaches and thus the sequestration potential. A fully independent method is needed. The cosmogenic chlorine nuclide, 36Cl, is a potential alternative. 36Cl is a naturally occurring cosmogenic radionuclide with a production that increased by three orders of magnitude during nuclear bomb tests. Part of this production is retained by soil organic matter in organochloride form and hence acts as a tracer of the fate of soil organic carbon. We here quantify the fraction and the duration of 36Cl retained in the soil and we show that retention time increases with depth from 20 to 322 years, in agreement with both modelling and 13C-derived estimates. This work demonstrates that 36Cl retention duration can be a proxy for the age of soil organic carbon.

The FORCIS database: A global census of planktonic Foraminifera from ocean waters.

Planktonic Foraminifera are unique paleo-environmental indicators through their excellent fossil record in ocean sediments. Their distribution and diversity are affected by different environmental factors including anthropogenically forced ocean and climate change. Until now, historical changes in their distribution have not been fully assessed at the global scale. Here we present the FORCIS (Foraminifera Response to Climatic Stress) database on foraminiferal species diversity and distribution in the global ocean from 1910 until 2018 including published and unpublished data. The FORCIS database includes data collected using plankton tows, continuous plankton recorder, sediment traps and plankton pump, and contains ~22,000, ~157,000, ~9,000, ~400 subsamples, respectively (one single plankton aliquot collected within a depth range, time interval, size fraction range, at a single location) from each category. Our database provides a perspective of the distribution patterns of planktonic Foraminifera in the global ocean on large spatial (regional to basin scale, and at the vertical scale), and temporal (seasonal to interdecadal) scales over the past century.