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1.
Nature ; 591(7851): 599-603, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33762765

RESUMO

Terrestrial ecosystems remove about 30 per cent of the carbon dioxide (CO2) emitted by human activities each year1, yet the persistence of this carbon sink depends partly on how plant biomass and soil organic carbon (SOC) stocks respond to future increases in atmospheric CO2 (refs. 2,3). Although plant biomass often increases in elevated CO2 (eCO2) experiments4-6, SOC has been observed to increase, remain unchanged or even decline7. The mechanisms that drive this variation across experiments remain poorly understood, creating uncertainty in climate projections8,9. Here we synthesized data from 108 eCO2 experiments and found that the effect of eCO2 on SOC stocks is best explained by a negative relationship with plant biomass: when plant biomass is strongly stimulated by eCO2, SOC storage declines; conversely, when biomass is weakly stimulated, SOC storage increases. This trade-off appears to be related to plant nutrient acquisition, in which plants increase their biomass by mining the soil for nutrients, which decreases SOC storage. We found that, overall, SOC stocks increase with eCO2 in grasslands (8 ± 2 per cent) but not in forests (0 ± 2 per cent), even though plant biomass in grasslands increase less (9 ± 3 per cent) than in forests (23 ± 2 per cent). Ecosystem models do not reproduce this trade-off, which implies that projections of SOC may need to be revised.


Assuntos
Dióxido de Carbono/metabolismo , Sequestro de Carbono , Plantas/metabolismo , Solo/química , Biomassa , Pradaria , Modelos Biológicos
2.
Water Resour Res ; 57(9): e2020WR028876, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34690378

RESUMO

Spatial estimates of crop evapotranspiration with high accuracy from the field to watershed scale have become increasingly important for water management, particularly over irrigated agriculture in semiarid regions. Here, we provide a comprehensive assessment on patterns of annual agricultural water use over California's Central Valley, using 30-m daily evapotranspiration estimates based on Landsat satellite data. A semiempirical Priestley-Taylor approach was locally optimized and cross-validated with available field measurements for major crops including alfalfa, almond, citrus, corn, pasture, and rice. The evapotranspiration estimates explained >70% variance in daily measurements from independent sites with an RMSE of 0.88 mm day-1. When aggregated over the Valley, we estimated an average evapotranspiration of 820 ± 290 mm yr-1 in 2014. Agricultural water use varied significantly across and within crop types, with a coefficient of variation ranging from 8% for Rice (1,110 ± 85 mm yr-1) to 59% for Pistachio (592 ± 352 mm yr-1). Total water uses in 2016 increased by 9.6%, as compared to 2014, mostly because of land-use conversion from fallow/idle land to cropland. Analysis across 134 Groundwater Sustainability Agencies (GSAs) further showed a large variation of agricultural evapotranspiration among and within GSAs, especially for tree crops, e.g., almond evapotranspiration ranging from 339 ± 80 mm yr-1 in Tracy to 1,240 ± 136 mm yr-1 in Tri-County Water Authority. Continuous monitoring and assessment of the dynamics and spatial heterogeneity of agricultural evapotranspiration provide data-driven guidance for more effective land use and water planning across scales.

3.
J Adv Model Earth Syst ; 14(8): e2022MS003204, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36245670

RESUMO

Most Earth system models (ESMs) do not explicitly represent the carbon (C) costs of plant nutrient acquisition, which leads to uncertainty in predictions of the current and future constraints to the land C sink. We integrate a plant productivity-optimizing nitrogen (N) and phosphorus (P) acquisition model (fixation & uptake of nutrients, FUN) into the energy exascale Earth system (E3SM) land model (ELM). Global plant N and P uptake are dynamically simulated by ELM-FUN based on the C costs of nutrient acquisition from mycorrhizae, direct root uptake, retranslocation from senescing leaves, and biological N fixation. We benchmarked ELM-FUN with three classes of products: ILAMB, a remotely sensed nutrient limitation product, and CMIP6 models; we found significant improvements in C cycle variables, although the lack of more observed nutrient data prevents a comprehensive level of benchmarking. Overall, we found N and P co-limitation for 80% of land area, with the remaining 20% being either predominantly N or P limited. Globally, the new model predicts that plants invested 4.1 Pg C yr-1 to acquire 841.8 Tg N yr-1 and 48.1 Tg P yr-1 (1994-2005), leading to significant downregulation of global net primary production (NPP). Global NPP is reduced by 20% with C costs of N and 50% with C costs of NP. Modeled and observed nutrient limitation agreement increases when N and P are considered together (r 2 from 0.73 to 0.83).

4.
Science ; 199(4331): 888-90, 1978 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-17757590

RESUMO

In a computer simulation of branching pattern and leaf cluster in Terminalia catappa, right and left branch angles were varied, and the effective leaf surface areas were calculated. Theoretical branch angles that result in maximum effective leaf area are close to the values observed in nature.

5.
Biol Open ; 6(7): 1084-1095, 2017 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-28606935

RESUMO

Protocols have been established that direct differentiation of human pluripotent stem cells into a variety of cell types, including the endoderm and its derivatives. This model of differentiation has been useful for investigating the molecular mechanisms that guide human developmental processes. Using a directed differentiation protocol combined with shRNA depletion we sought to understand the role of GATA6 in regulating the earliest switch from pluripotency to definitive endoderm. We reveal that GATA6 depletion during endoderm formation results in apoptosis of nascent endoderm cells, concomitant with a loss of endoderm gene expression. We show by chromatin immunoprecipitation followed by DNA sequencing that GATA6 directly binds to several genes encoding transcription factors that are necessary for endoderm differentiation. Our data support the view that GATA6 is a central regulator of the formation of human definitive endoderm from pluripotent stem cells by directly controlling endoderm gene expression.

6.
Leukemia ; 31(3): 712-719, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27554164

RESUMO

Acute myelogenous leukemia (AML) is a high-risk hematopoietic malignancy caused by a variety of mutations, including genes encoding the cohesin complex. Recent studies have demonstrated that reduction in cohesin complex levels leads to enhanced self-renewal in hematopoietic stem and progenitors (HSPCs). We sought to delineate the molecular mechanisms by which cohesin mutations promote enhanced HSPC self-renewal as this represents a critical initial step during leukemic transformation. We verified that RNAi against the cohesin subunit Rad21 causes enhanced self-renewal of HSPCs in vitro through derepression of polycomb repressive complex 2 (PRC2) target genes, including Hoxa7 and Hoxa9. Importantly, knockdown of either Hoxa7 or Hoxa9 suppressed self-renewal, implying that both are critical downstream effectors of reduced cohesin levels. We further demonstrate that the cohesin and PRC2 complexes interact and are bound in close proximity to Hoxa7 and Hoxa9. Rad21 depletion resulted in decreased levels of H3K27me3 at the Hoxa7 and Hoxa9 promoters, consistent with Rad21 being critical to proper gene silencing by recruiting the PRC2 complex. Our data demonstrates that the cohesin complex regulates PRC2 targeting to silence Hoxa7 and Hoxa9 and negatively regulate self-renewal. Our studies identify a novel epigenetic mechanism underlying leukemogenesis in AML patients with cohesin mutations.


Assuntos
Autorrenovação Celular/genética , Repressão Epigenética , Regulação da Expressão Gênica , Células-Tronco Hematopoéticas/citologia , Células-Tronco Hematopoéticas/metabolismo , Proteínas de Homeodomínio/genética , Proteínas de Neoplasias/genética , Proteínas Nucleares/metabolismo , Fosfoproteínas/metabolismo , Aneuploidia , Animais , Proteínas de Ciclo Celular/química , Proteínas de Ciclo Celular/genética , Proteínas de Ciclo Celular/metabolismo , Proliferação de Células , Proteínas Cromossômicas não Histona/química , Proteínas Cromossômicas não Histona/genética , Proteínas Cromossômicas não Histona/metabolismo , Análise por Conglomerados , Proteínas de Ligação a DNA , Deleção de Genes , Perfilação da Expressão Gênica , Histonas/metabolismo , Proteínas de Homeodomínio/metabolismo , Camundongos , Modelos Biológicos , Família Multigênica , Complexos Multiproteicos/metabolismo , Células Mieloides/citologia , Células Mieloides/metabolismo , Ligação Proteica , Domínios e Motivos de Interação entre Proteínas/genética , Coesinas
7.
Sci Rep ; 7(1): 4765, 2017 07 06.
Artigo em Inglês | MEDLINE | ID: mdl-28684755

RESUMO

Terrestrial ecosystems play a vital role in regulating the accumulation of carbon (C) in the atmosphere. Understanding the factors controlling land C uptake is critical for reducing uncertainties in projections of future climate. The relative importance of changing climate, rising atmospheric CO2, and other factors, however, remains unclear despite decades of research. Here, we use an ensemble of land models to show that models disagree on the primary driver of cumulative C uptake for 85% of vegetated land area. Disagreement is largest in model sensitivity to rising atmospheric CO2 which shows almost twice the variability in cumulative land uptake since 1901 (1 s.d. of 212.8 PgC vs. 138.5 PgC, respectively). We find that variability in CO2 and temperature sensitivity is attributable, in part, to their compensatory effects on C uptake, whereby comparable estimates of C uptake can arise by invoking different sensitivities to key environmental conditions. Conversely, divergent estimates of C uptake can occur despite being based on the same environmental sensitivities. Together, these findings imply an important limitation to the predictability of C cycling and climate under unprecedented environmental conditions. We suggest that the carbon modeling community prioritize a probabilistic multi-model approach to generate more robust C cycle projections.

8.
Am J Med Genet ; 88(6): 705-9, 1999 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-10581493

RESUMO

The dopamine D4 receptor (DRD4) is a member of the D2-like dopamine receptor family. Polymorphisms at the DRD4 gene have been examined for association with a wide range of neuropsychiatric disorders and normal behavioral variation. The DRD4 gene is unusual in its high amount of expressed polymorphism in humans. Here we study the identification of a polymorphic tandem duplication of 120 bp located 1.2 kb upstream of the initiation codon. The duplicated region contains consensus sequences of binding sites for several known transcription factors, suggesting that different alleles may differ in their transcriptional activity. Because chimpanzees, gorillas, and orangutans lack the duplication, the duplicated allele is inferred to be derived. The frequency of this derived duplication allele ranges from 0.40-0.81 in the 11 populations from around the world typed for this polymorphism. Am. J. Med. Genet. (Neuropsychiatr. Genet.) 88:705-709, 1999.


Assuntos
Polimorfismo Genético/genética , Receptores de Dopamina D2/genética , Sequências de Repetição em Tandem/genética , Alelos , Animais , Códon de Iniciação/genética , Sequência Consenso/genética , Bases de Dados Factuais , Evolução Molecular , Frequência do Gene/genética , Variação Genética/genética , Gorilla gorilla/genética , Humanos , Pan troglodytes/genética , Pongo pygmaeus/genética , Receptores de Dopamina D4 , Elementos de Resposta/genética , Homologia de Sequência do Ácido Nucleico , Fatores de Transcrição/fisiologia
9.
Obstet Gynecol ; 66(3 Suppl): 34S-35S, 1985 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-4022513

RESUMO

A 2750-g female infant was born at 36 weeks' gestation to a 40-year-old woman treated with clonazepam throughout her pregnancy. The infant developed apnea, cyanosis, and hypotonia within a few hours of birth. The mother's serum clonazepam level at delivery was 32 ng/mL; the cord blood level was 19 ng/mL. The infant had no congenital malformations, evidence of infection, or seizures. Clinical episodes ceased by ten days of age. The woman elected to breastfeed; breast milk clonazepam levels were between 11 and 13 ng/mL. She was discharged with a cardiorespiratory monitor. The authors suggest that infants of mothers receiving this agent during pregnancy or while nursing have serum levels measured. Additionally, these infants should be monitored for central nervous system depression or apnea.


Assuntos
Apneia/induzido quimicamente , Benzodiazepinonas/efeitos adversos , Clonazepam/efeitos adversos , Doenças do Prematuro/induzido quimicamente , Troca Materno-Fetal , Adulto , Clonazepam/análise , Feminino , Humanos , Recém-Nascido , Gravidez
10.
Science ; 214(4521): 654-5, 1981 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-17839657
11.
Pediatr Pulmonol ; 5(1): 10-4, 1988.
Artigo em Inglês | MEDLINE | ID: mdl-3140199

RESUMO

We measured the pulmonary mechanics of 23 mechanically ventilated neonates. Airway pressures, inspiratory and expiratory flows were simultaneously measured. Values for respiratory system mechanics were then derived from these data by using a personal computer and a special software program. Volume-pressure (V-P) loops and respiratory system compliance values were determined for representative mechanical breaths. Twelve infants had normal-appearing V-P loops. Eleven had V-P loops characteristic of lung overdistention, showing decreasing changes in volume with progressive increases in pressure. To quantify this visual observation, we determined the change in compliance during the last 20% of inspiration (C20). We then compared this value to the total compliance value for the entire breath (C) using the ratio C20/C. Mean values for C, C20, and C20/C were compared for the two patient groups. Total respiratory system compliance values were similar. C20 values were decreased in those patients with V-P loops showing overdistention. C20/C values were significantly decreased in those patients with V-P loop evidence of overdistention. Patients with V-P loop evidence of overdistention all had C20/C values less than 0.8. Those with normal-appearing V-P loops all had C20/C values greater than 1.0. The C20/C ratio appears to effectively quantitate visual V-P loop evidence of lung overdistention during mechanical ventilation.


Assuntos
Barotrauma/etiologia , Complacência Pulmonar , Lesão Pulmonar , Ventilação Pulmonar , Respiração Artificial , Dióxido de Carbono/sangue , Humanos , Recém-Nascido , Medidas de Volume Pulmonar , Oxigênio/sangue , Processamento de Sinais Assistido por Computador
12.
Pediatr Pulmonol ; 8(4): 222-5, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-2371070

RESUMO

We measured then compared the dynamic lung mechanics of spontaneous breaths and mechanical breaths in 9 mechanically ventilated neonates with hyaline membrane disease. All were receiving intermittent mandatory ventilation. All breathed spontaneously between ventilator breaths. Tidal volume, transpulmonary pressure, dynamic lung compliance, airways resistance, and peak inspiratory and peak expiratory gas flows were determined for both the mechanical and the spontaneous breaths. The mechanical breaths consistently had larger tidal volumes, higher transpulmonary pressures, higher airway resistance, and lower lung compliance values (P less than 0.05). Peak inspiratory and expiratory gas flows were also higher (P less than 0.01) during mechanical breathing. The spontaneous breaths generated by patients and the mechanical breaths generated by mechanical ventilators are different. The lung mechanics measurements of these two different types of breathing should be collected, analyzed, and reported separately.


Assuntos
Doença da Membrana Hialina/fisiopatologia , Pulmão/fisiopatologia , Respiração Artificial , Mecânica Respiratória/fisiologia , Humanos , Recém-Nascido , Recém-Nascido Prematuro/fisiologia , Volume de Ventilação Pulmonar/fisiologia
13.
Pediatr Pulmonol ; 16(3): 147-52, 1993 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8309737

RESUMO

We examined the effects of regular bedside testing of pulmonary mechanics (PM) on the outcome of 468 acutely ill, mechanically ventilated neonates. During the first of two 18-month study periods, 217 infants were mechanically ventilated without the assistance of PM measurements. During the second 18-month period, 251 infants were ventilated with the assistance of at least daily PM measurements. Using data obtained from the PM tests, we adjusted the infants' ventilators to maintain tidal volume, inspiratory time, and pressure-volume loops within predetermined limits. With the exception of the PM measurements, given the limitations of retrospective analyses, both groups of infants received identical medical and nursing care. The infants ventilated with the assistance of PM testing developed fewer pneumothoraces (4.0%; 10/251) vs. no PM testing, 10.1% (22/217); P < 0.05 by Chi-square analysis]. Infants weighing less than 1,500 g ventilated with the assistance of PM measurements had less intraventricular hemorrhage (IVH) overall, most notably, less grades I and II IVH (total IVH-PM testing, 39.1% vs. no PM testing, 65.7%; P < 0.01; Grades I-II IVH-PM testing, 30.4% vs. no PM testing, 54.9%; P < 0.01). IVH incidence was decreased independent of pneumothorax occurrence. Survival rates, incidences of bronchopulmonary dysplasia, and durations of mechanical ventilation and hospitalization were similar. This retrospective analysis suggests that PM testing during infant mechanical ventilation reduces common acute ventilator-associated complications.


Assuntos
Respiração Artificial/métodos , Testes de Função Respiratória , Displasia Broncopulmonar/prevenção & controle , Hemorragia Cerebral/prevenção & controle , Método Duplo-Cego , Humanos , Recém-Nascido , Pneumotórax/prevenção & controle , Respiração Artificial/efeitos adversos , Estudos Retrospectivos
14.
J Perinatol ; 9(3): 287-90, 1989 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-2809781

RESUMO

We evaluated the routine use of dexamethasone for the prevention of postextubation respiratory distress by entering 60 ventilated infants into a prospective, randomized, blinded study. Thirty minutes before extubation, 30 infants were given a single dose of intravenous dexamethasone (0.25 mg/kg), and 30 infants received saline placebo. Infants were intubated orotracheally for at least 48 hours following a single intubation and were maintained on low ventilator settings (F10(2) less than 0.35, intermittent mandatory ventilation [IMV] less than 6, positive end-expiratory pressure [PEEP] less than 4) at least 12 hours before extubation. Following extubation, all infants weighing less than 1500 g were routinely placed on nasal continuous positive airway pressure (NCPAP). There was no difference between the two groups in postextubation Downes' score, serum pH, PCO2, or oxygen requirement at 30 minutes, 6 hours, and 24 hours. Respiratory acidosis occurred in one steroid-treated patient and in two placebo-treated infants. Stridor occurred in four infants in each group. No infant developed postextubation lobar atelectasis or required reintubation. We conclude that prophylactic administration of dexamethasone does not improve the immediate postextubation course of infants following a single intubation and that its routine use at the time of extubation is not indicated.


Assuntos
Dexametasona/uso terapêutico , Intubação Intratraqueal/efeitos adversos , Insuficiência Respiratória/prevenção & controle , Dexametasona/administração & dosagem , Método Duplo-Cego , Feminino , Humanos , Recém-Nascido , Masculino , Estudos Prospectivos , Distribuição Aleatória , Insuficiência Respiratória/etiologia
15.
Plast Reconstr Surg ; 68(1): 50-8, 1981 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7244000

RESUMO

We have significantly expanded the use of a lipectomy procedure which heretofore had been restricted to the removal of strictly localized excess fat deposits by curettage through a small incision. By modifying the suction curette and utilizing it for extensive body contouring, we have been successful in correcting relatively major fat deformities without causing any postoperative surgical deformities. All our results to date have been satisfactory. This procedure may be helpful to those surgeons who have been seeking a simplified method for removing excessive fat without extensive scarring. The improvement in body contour is often beyond the preoperative expectations of both the surgeon and the patient.


Assuntos
Tecido Adiposo/cirurgia , Curetagem/métodos , Cirurgia Plástica/métodos , Adulto , Curetagem/instrumentação , Feminino , Humanos , Tempo de Internação , Pessoa de Meia-Idade , Sucção , Cirurgia Plástica/instrumentação
16.
J Cardiovasc Surg (Torino) ; 32(1): 87-97, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-2010459

RESUMO

The purpose of this study was to evaluate duplex imaging as a means of assessing perforating veins in patients with longstanding venous stasis ulceration. Thirty patients with nonhealing venous stasis ulcers and twenty normal volunteers serving as controls were evaluated with a standard 8-MHz imaging probe and integrated pulsed Doppler. The internal diameter of perforating veins was measured and perforators were grouped into one of four categories based on functional criteria: competent perforator with venous flow (C); incompetent perforator with venous flow (IC); competent perforator with arteriovenous flow (C-AVC); incompetent perforator with arteriovenous flow (IC-AVC). Sixteen of the patients with ulcers were subsequently studied by ascending venography and in 11 patients, intraoperative identification of perforating veins was made during the Rob procedure. In this subset of patients the vessel was categorized as competent or incompetent regardless of flow signal. There were significant differences in mean perforator diameter between ulcer patients and normal volunteers. Duplex imaging identified 93 perforators and venography a total of 70. In all 16 extremities, duplex imaging made the diagnosis of significant perforating vein incompetence, verified by venography. Intraoperative findings demonstrated an excellent correlation with duplex imaging. We believe duplex imaging to be a promising new modality for evaluation of the perforating veins of the lower extremity.


Assuntos
Ultrassonografia/métodos , Úlcera Varicosa/diagnóstico por imagem , Adulto , Estudos de Avaliação como Assunto , Feminino , Humanos , Perna (Membro)/irrigação sanguínea , Masculino , Pessoa de Meia-Idade , Flebografia , Úlcera Varicosa/cirurgia , Veias/diagnóstico por imagem
17.
Appl Biochem Biotechnol ; 63-65: 719-30, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-18576127

RESUMO

Gas condensate liquids contaminate soil and ground water at two gas production sites in the Denver Basin, CO. A detailed field study was carried out at these sites to determine the applicability of intrinsic bioremediation as a remediation option. Ground water monitoring at the field sites and analysis of soil cores suggested that intrinsic bioremediation is occurring at the sites by multiple pathways, including aerobic oxidation, sulfate reduction, and possibly reduction Fe(III) reduction. Laboratory investigations were conducted to verify that the water-soluble components of the gas condensate (benzene, toluene, ethylbenzene, and xylene [BTEX]) are intrinsically biodegradable under anoxic conditions in the presence of alternate electron acceptors and soil from the field site. Slurry-phase experiments were conducted in which soil obtained from the field site was mixed with an aqueous phase containing nutrients and electron acceptors (nitrate, Fe[III], sulfate and carbon dioxide) in serum bottles. The aqueous phase also contained soluble components of gas condensate, at two different hydrocarbon concentrations, obtained from the field site. The soil was either pristine (native) soil or soil obtained from a condensate-contaminated region. The aqueous phase was sampled for electron acceptors, hydrocarbons, and possible products of hydrocarbon degradation. Toluene and xylenes were biodegraded with nitrate or sulfate as the electron acceptor. No degradation of benzene was observed under anoxic conditions.

18.
Appl Biochem Biotechnol ; 57-58: 791-801, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8669918

RESUMO

Condensate liquids have been found to contaminate soil and groundwater at two gas production sites in the Denver Basin operated by Amoco Production Co. These sites have been closely monitored since July 1993 to determine whether intrinsic aerobic or anaerobic bioremediation of hydrocarbons occurs at a sufficient rate and to an adequate end point to support a no-intervention decision. Groundwater monitoring and analysis of soil cores suggest that intrinsic bioremediation is occurring at these sites by multiple pathways, including aerobic oxidation, Fe(III) reduction, and sulfate reduction.


Assuntos
Monitoramento Ambiental/métodos , Água Doce/química , Hidrocarbonetos/análise , Poluentes do Solo/análise , Poluentes Químicos da Água/análise , Estudos de Avaliação como Assunto , Combustíveis Fósseis
19.
Appl Biochem Biotechnol ; 63-65: 823-34, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-18576135

RESUMO

Condensate liquids have been found to contaminate soil and ground water at two gas production sites in the Denver Basin operated by Amoco Production Co. These sites have been closely monitored since July 1993 to determine whether intrinsic aerobic or anaerobic bioremediation of hydrocarbons occurs at a sufficient rate and to an adequate end point to support a no-intervention decision. Ground water monitoring, soil gas analysis, and analysis of soil cores suggest that bioremediation is occurring at these sites by multiple pathways, including aerobic oxidation, sulfate reduction, and methanogenesis. Results of over two years of monitoring of ground water and soil chemistry at these sites are presented to support this conclusion.

20.
Curr Surg ; 58(1): 101-104, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11226548

RESUMO

PURPOSE:To determine the role, organization, and importance of journal clubs in surgical education.Program directors of all general surgical residencies were asked to respond by mail to a structured survey containing questions about their journal club in the following general categories: Setting, Format, Content, and Purpose.With over 80% of the 278 program directors responding, the typical journal club was found to be one that meets once per month to discuss 3 to 6 articles. It is held on site in the early evening hours and requires the attendance of residents. Over half of the directors indicated that their journal club was important or very important to their training program, with learning literature review skills and providing training in research education as the top 2 purposes cited. Few programs reported performing any systematic or formal evaluation of their journal club.Although journal clubs are active in over 65% of general surgery residency programs, little data exist on the purposes served by this aspect of resident training. The data provided by program directors in response to this survey will ideally serve as a starting point for discussion of how to maximize the benefits that residents receive from this part of their curriculum. Adoption of more formalized approaches to evaluating outcomes would assist in this process.

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