Nocturnal hypoxaemia is common in adults with sickle cell anaemia.

The symptoms and sequelae of sickle cell anaemia (SCA) are caused by the polymerization of deoxygenated sickle haemoglobin, and people with SCA may be uniquely susceptible to adverse outcomes from hypoxia and haemoglobin desaturation. We examined by oximetry adults (aged 18-45 years) with SCA presenting symptoms indicative of polysomnography, at a single institution, irrespective of treatment, for nocturnal hypoxaemia. Clinical labs and blood for in vitro assessments were taken upon enrolment and after 8-12 weeks of oxygen therapy or observation. Of 21 screened participants, nine (43%) had sufficient nocturnal hypoxaemia to warrant oxygen therapy (≥5 min at SpO2 ≤ 88%). Time spent at SpO2 ≤ 88% associated with age (p = 0.0092), annual hospitalizations (p = 0.0018) and anaemia (p = 0.0139), as well as plasma levels of TNFα (p = 0.0019) and IL-4 (p = 0.0147). Longitudinal analysis showed that WBC significantly decreased during the follow-up period in hypoxic individuals but not in non-hypoxic individuals (p = 0.0361 and p = 0.6969 respectively). Plasma levels of CCL2 and IL-1ra tended to increase, while levels of red blood cell reactive oxygen species tended to decrease with oxygen therapy. Overall, nocturnal hypoxaemia was common in this pilot study population and associated with plausible clinical comorbidities; oxygen therapy may decrease inflammation and oxidative damage in hypoxic individuals.

Controls on soil carbon sequestration and dynamics: lessons from land-use change.

Soil carbon (C) dynamics and sequestration are controlled by interactions of chemical, physical and biological factors. These factors include biomass quantity and quality, physical environment and the biota. Management can alter these factors in ways that alter C dynamics. We have focused on a range of managed sites with documented land use change from agriculture or grassland to forest. Our results suggest that interactions of soil type, plant and environment impact soil C sequestration. Above and below ground C storage varied widely across sites. Results were related to plant type and calcium on sandy soils in our Northern sites. Predictors of sequestration were more difficult to detect over the temperature range of 12.4°C in the present study. Accrual of litter under pines in the moist Mississippi site limited C storage in a similar manner to our dry Nebraska site. Pre-planting heterogeneity of agricultural fields such as found in Illinois influences C contents. Manipulation of controls on C sequestration such as species planted or amelioration of soil quality before planting within managed sites could increase soil C to provide gains in terrestrial C storage. Cost effective management would also improve soil C pools positively affecting soil fertility and site productivity.

Impacts of elevated CO2 concentration on the productivity and surface energy budget of the soybean and maize agroecosystem in the Midwest USA.

The physiological response of vegetation to increasing atmospheric carbon dioxide concentration ([CO2 ]) modifies productivity and surface energy and water fluxes. Quantifying this response is required for assessments of future climate change. Many global climate models account for this response; however, significant uncertainty remains in model simulations of this vegetation response and its impacts. Data from in situ field experiments provide evidence that previous modeling studies may have overestimated the increase in productivity at elevated [CO2 ], and the impact on large-scale water cycling is largely unknown. We parameterized the Agro-IBIS dynamic global vegetation model with observations from the SoyFACE experiment to simulate the response of soybean and maize to an increase in [CO2 ] from 375 ppm to 550 ppm. The two key model parameters that were found to vary with [CO2 ] were the maximum carboxylation rate of photosynthesis and specific leaf area. Tests of the model that used SoyFACE parameter values showed a good fit to site-level data for all variables except latent heat flux over soybean and sensible heat flux over both crops. Simulations driven with historic climate data over the central USA showed that increased [CO2 ] resulted in decreased latent heat flux and increased sensible heat flux from both crops when averaged over 30 years. Thirty-year average soybean yield increased everywhere (ca. 10%); however, there was no increase in maize yield except during dry years. Without accounting for CO2 effects on the maximum carboxylation rate of photosynthesis and specific leaf area, soybean simulations at 550 ppm overestimated leaf area and yield. Our results highlight important model parameter values that, if not modified in other models, could result in biases when projecting future crop-climate-water relationships.