Variability of particulate organic carbon and assessment of satellite retrieval algorithms over the eastern Arabian Sea.

Particulate organic carbon (POC) and its variability were studied to assess the accuracy of ocean colour retrieval algorithms over the eastern Arabian Sea (EAS) as it controls the carbon sequestration, oxygen minimum zone and biogeochemical (C, N and P) cycles. The seasonality in the physical and biological processes strongly influenced the distribution of POC along the EAS. Higher POC and chlorophyll a (chl a) during the spring inter monsoon (SIM) in the north EAS were due to detrainment bloom. The lower POC:chl a ratios during the winter monsoon (WM) (299.8 ± 190.8) than the SIM (482.1 ± 438.3) were due to the influence of freshly derived organic matter with high nutrient levels. The moderate coefficient of regression values of POC with chl a (R2 = 0.49, N = 59) suggests the importance of dead organic materials in controlling the POC distribution in the EAS. Validation between satellite and in situ POC using the four ocean colour retrieval algorithms showed that the algorithm based on the ratio of remote sensing reflectance (Rrs) performed better (R2 = 0.6, N = 17). It also showed a linear trend of POC with absorption coefficients suggesting it as an optical proxy for the POC retrieval.

Response of macrozoobenthic communities to summer monsoon upwelling and related hypoxia in the south eastern Arabian Sea shelf.

Coastal upwelling in the south eastern Arabian Sea (SEAS) leads to oxygen depletion over the continental shelf during the summer monsoon season (June-September), with latitudinal gradients in intensity. Based on two surveys in the onset (June) and peak (August) phases of the summer monsoon, the present study evaluates the response of macrozoobenthic communities (size >500 µm) to upwelling and consequent hypoxia (dissolved oxygen <0.2 ml/l) in the central sector of the SEAS shelf (10-12°N, 30-200 m). From the onset to the peak monsoon, macrozoobenthic density increased five-fold in the mid-shelf (50 m water depth), and nearly doubled in the outer shelf (100 m water depth) and shelf edge (200 m water depth). This was found to be a direct consequence of recruitment and proliferation of opportunistic polychaetes, particularly the spionid Paraprionospio pinnata, which was the single dominant species (52-78%) at all depths during the peak monsoon. With the establishment of the monsoon, the shelf communities (particularly 50-100 m depth sites) are thus transformed from relatively diverse assemblages to dense, single-species dominated ones. The shelf-edge communities (150-200 m depths), which are impacted with the perennial Arabian Sea oxygen minimum zone, and therefore harbour opportunist-dominated communities year-round. It is postulated that larvae of hypoxia-tolerant taxa are transported from the shelf edge by the process of upwelling onto the shelf. The settlement and survival of these larvae are regulated by the nature of shelf sediments and by the prevailing hypoxia. Thus, substantial recruitment of opportunists occurred in the outer and mid-shelf (50-100 m), but not in the inner shelf (30 m), where sedimentation from river discharge hindered settlement and survival of juveniles.

Radiation Exposure in the Medical ICU: Predictors and Characteristics.

BACKGROUND: Patients admitted to the medical ICU (MICU) are often subjected to multiple radiologic studies. We hypothesized that some endure radiation dose exposure (cumulative effective dose [CED]) in excess of annual US federal occupational health standard limits (CED ≥ 50 mSv) and 5-year cumulative limit (CED ≥ 100 mSv). We also evaluated the correlation of CED with Acute Physiology and Chronic Health Evaluation (APACHE) III score and other clinical variables. METHODS: Retrospective observational study conducted in an academic medical center involving all adult admissions (N = 4,155) to the MICU between January 2013 and December 2013. Radiation doses from ionizing radiologic studies were calculated from reference values to determine the CED. RESULTS: Three percent of admissions (n = 131) accrued CED ≥ 50 mSv (1% [n = 47] accrued CED ≥ 100 mSv). The median CED was 0.72 mSv (interquartile range, 0.02-5.23 mSv), with a range of 0.00 to 323 mSv. Higher APACHE III scores (P = .003), longer length of MICU stay (P < .0001), sepsis (P = .03), and gastrointestinal disorders and bleeding (P < .0001) predicted higher CED in a multivariable linear regression model. Patients with gastrointestinal bleeding and disorders had an odds ratio of 21.05 (95% CI, 13.54-32.72; P < .0001) and 6.94 (95% CI, 3.88-12.38; P < .0001), respectively, of accruing CED ≥ 50 mSv in a multivariable logistic regression model. CT scan and interventional radiology accounted for 49% and 38% of the total CED, respectively. CONCLUSIONS: Patients in the MICU are exposed to radiation doses that can be substantial, exceeding federal annual occupational limits, and in a select subset, are > 100 mSv. Efforts to justify, restrict, and optimize the use of radiologic resources when feasible are warranted.

Infective Endocarditis in a Patient with Celiac Disease after Central Venous Catheter Insertion.

There is an increasing incidence of infective endocarditis secondary to central venous catheters, which is termed as 'healthcare-associated infective endocarditis'. There is an increased risk of getting infective endocarditis in conditions with malnutrition and also if the tip of the central venous catheter is deep in the right atrium close to the tricuspid valve. We present a case of 31-year-old female who had all these risk factors. She was admitted to the hospital for the work up of the weight loss and was diagnosed with celiac disease. Central venous access was obtained because of poor peripheral intravenous access via the peripherally inserted central catheter which was complicated by thrombosis and removed after three days of insertion, and she was started on anticoagulation. Two weeks after being discharged, she presented to the emergency department with fever, shortness of breath, and had signs of congestive heart failure. A computed tomography of the chest for pulmonary embolism was taken and showed small clot burden pulmonary embolism and two cavitary lesions in the right lung. A transthoracic echocardiogram was taken and showed vegetation on the tricuspid valve and blood cultures were positive for Staphylococcus aureus. Hence, a diagnosis of infective endocarditis was made, and she was treated with intravenous antibiotics for a total of six weeks after a long and complicated hospital stay.

A Woman in Her 80s With Weakness, Hypoxia, and Bone Marrow Granulomas.

A white woman in her 80s presented to the ED with nonproductive cough, fever, and 2 weeks of progressive generalized weakness. Previously ambulatory, she now was so weak she required assistance out of bed.

A new species of the rare nematode genus Paramicrolaimus Wieser, 1954 (Chromadorida: Paramicrolaimidae) from the south eastern Arabian Sea.

A new paramicrolaimid nematode, Paramicrolaimus damodarani sp. nov., is described based on specimens from the continental shelf (95 m) of the south eastern Arabian Sea. Paramicrolaimus damodarani sp. nov. differs from other known species of the genus in having a smaller body size, form of the spicular apparatus, presence of 7 cuticularised protruding precloacal supplements and a strongly cuticularised terminal spinneret. This is the first record of the genus Paramicrolaimus from the northern Indian Ocean. A pictorial key to the four species of Paramicrolaimus is also provided, supplemented with comparative characters, based on published information.