Canyon Wall and Floor Debris Deposits in Aeolis Mons, Mars.

Aeolis Mons (informally, Mount Sharp) exhibits a number of canyons, including Gediz and Sakarya Valles. Poorly sorted debris deposits are evident on both canyon floors and connect with debris extending down the walls for canyon segments that cut through sulphate-bearing strata. On the floor of Gediz Vallis, debris overfills a central channel and merges with a massive debris ridge located at the canyon terminus. One wall-based debris ridge is evident. In comparison, the floor of Sakarya Vallis exhibits a complex array of debris deposits. Debris deposits on wall segments within Sakarya Vallis are mainly contained within chutes that extend downhill from scarps. Lateral debris ridges are also evident on chute margins. We interpret the debris deposits in the two canyons to be a consequence of one or more late-stage hydrogeomorphic events that increased the probability of landslides, assembled and channelized debris on the canyon floors, and moved materials down-canyon. The highly soluble nature of the sulphate-bearing rocks likely contributed to enhanced debris generation by concurrent aqueous weathering to produce blocky regolith for transport downslope by fluvial activity and landslides, including some landslides that became debris flows. Subsequent wind erosion in Gediz Vallis removed most of the debris deposits within that canyon and partially eroded the deposits within Sakarya Vallis. The enhanced wind erosion within Gediz Vallis was a consequence of the canyon's alignment with prevailing slope winds.

Renewable adsorbents from the solid residue of sewage sludge hydrothermal liquefaction for wastewater treatment.

Solid residue from hydrothermal liquefaction (HTL) of nutrient rich feedstock presents a promising source to recover valuable nutrients, such as phosphorus, in the solid form. The present work shows for the first time the potential of utilizing the waste residue remaining after nutrients extraction from HTL of sewage sludge, as renewable adsorbents. A parametric study was undertaken to investigate the influence of chemical activation conditions (temperature, residence time, activation agent loading, washing after activation) on raw and partially demineralized HTL solids. Kinetic and equilibrium adsorption investigation was undertaken for the removal of methylene blue (MB) from aqueous solution. For comparison purposes, a commercial activated charcoal (AC) was used. Demineralization was found to have a significant influence in the adsorption capacity of the resultant adsorbents. Three adsorbents were found to follow the Langmuir adsorption model, while the acid washed demineralized adsorbent had higher adsorption capacity than AC and was found to follow the Freundlich adsorption model. The superior performance of the acid washed demineralized adsorbent was verified from the kinetic study where all adsorbents were found to best fit the pseudo-second order model. Adsorption capacities for MB at equilibrium were 367.1, 332.3, 297.4 and 87.6 mg/g, for acid washed demineralized adsorbent, AC, demineralized adsorbent, and raw adsorbent, respectively. Finally, the most promising adsorbents were assessed for their adsorption capacity to remove pharmaceuticals present in a real wastewater treatment effluent. Results indicated ultimate concentration for all targeted compounds below the detection limits for acid washed demineralized adsorbent, AC and demineralized adsorbent. Future implementation of HTL technology in wastewater treatment facilities, will not only provide an efficient way to valorize sewage sludge into bio-crude and nutrients, but can also enhance technology integration by providing the precursors for renewable adsorbents needed in tertiary treatment of wastewater.

Evidence for a Diagenetic Origin of Vera Rubin Ridge, Gale Crater, Mars: Summary and Synthesis of Curiosity's Exploration Campaign.

This paper provides an overview of the Curiosity rover's exploration at Vera Rubin ridge (VRR) and summarizes the science results. VRR is a distinct geomorphic feature on lower Aeolis Mons (informally known as Mount Sharp) that was identified in orbital data based on its distinct texture, topographic expression, and association with a hematite spectral signature. Curiosity conducted extensive remote sensing observations, acquired data on dozens of contact science targets, and drilled three outcrop samples from the ridge, as well as one outcrop sample immediately below the ridge. Our observations indicate that strata composing VRR were deposited in a predominantly lacustrine setting and are part of the Murray formation. The rocks within the ridge are chemically in family with underlying Murray formation strata. Red hematite is dispersed throughout much of the VRR bedrock, and this is the source of the orbital spectral detection. Gray hematite is also present in isolated, gray-colored patches concentrated toward the upper elevations of VRR, and these gray patches also contain small, dark Fe-rich nodules. We propose that VRR formed when diagenetic event(s) preferentially hardened rocks, which were subsequently eroded into a ridge by wind. Diagenesis also led to enhanced crystallization and/or cementation that deepened the ferric-related spectral absorptions on the ridge, which helped make them readily distinguishable from orbit. Results add to existing evidence of protracted aqueous environments at Gale crater and give new insight into how diagenesis shaped Mars' rock record.

The surface chemistry of sapphire-c: A literature review and a study on various factors influencing its IEP.

A wide range of isoelectric points (IEPs) has been reported in the literature for sapphire-c (α-alumina), also referred to as basal plane, (001) or (0001), single crystals. Interestingly, the available data suggest that the variation of IEPs is comparable to the range of IEPs encountered for particles, although single crystals should be much better defined in terms of surface structure. One explanation for the range of IEPs might be the obvious danger of contaminating the small surface areas of single crystal samples while exposing them to comparatively large solution reservoirs. Literature suggests that factors like origin of the sample, sample treatment or the method of investigation all have an influence on the surfaces and it is difficult to clearly separate the respective, individual effects. In the present study, we investigate cause-effect relationships to better understand the individual effects. The reference IEP of our samples is between 4 and 4.5. High temperature treatment tends to decrease the IEP of sapphire-c as does UV treatment. Increasing the initial miscut (i.e. the divergence from the expected orientation of the crystal) tends to increase the IEP as does plasma cleaning, which can be understood assuming that the surfaces have become less hydrophobic due to the presence of more and/or larger steps with increasing miscut or due to amorphisation of the surface caused by plasma cleaning. Pre-treatment at very high pH caused an increase in the IEP. Surface treatments that led to IEPs different from the stable value of reference samples typically resulted in surfaces that were strongly affected by subsequent exposure to water. The streaming potential data appear to relax to the reference sample behavior after a period of time of water exposure. Combination of the zeta-potential measurements with AFM investigations support the idea that atomically smooth surfaces exhibit lower IEPs, while rougher surfaces (roughness on the order of nanometers) result in higher IEPs compared to reference samples. Two supplementary investigations resulted in either surprising or ambiguous results. On very rough surfaces (roughness on the order of micrometers) the IEP lowered compared to the reference sample with nanometer-scale roughness and transient behavior of the rough surfaces was observed. Furthermore, differences in the IEP as obtained from streaming potential and static colloid adhesion measurements may suggest that hydrodynamics play a role in streaming potential experiments. We finally relate surface diffraction data from previous studies to possible interpretations of our electrokinetic data to corroborate the presence of a water film that can explain the low IEP. Calculations show that the surface diffraction data are in line with the presence of a water film, however, they do not allow to unambiguously resolve critical features of this film which might explain the observed surface chemical characteristics like the dangling OH-bond reported in sum frequency generation studies. A broad literature review on properties of related surfaces shows that the presence of such water films could in many cases affect the interfacial properties. Persistence or not of the water film can be crucial. The presence of the water film can in principle affect important processes like ice-nucleation, wetting behavior, electric charging, etc.

Revisiting Morrison and Osterle 1965: the efficiency of membrane-based electrokinetic energy conversion.

We revisit Morrison and Osterle (1965) who derived a phenomenological expression for the 'figure-of-merit' [Formula: see text] of the electrokinetic energy conversion (EKEC) of a pressure difference into electric energy (and vice versa) using charged nanotubes, nanopores or ion-exchange membranes. We show the equivalence with Morrison and Osterle of a novel expression of [Formula: see text] derived by Bentien et al (2013). We analyze two physical models for ionic and solvent flow which directly relate [Formula: see text] to nanopore characteristics such as pore size and wall charge density. For the uniform potential model, we derive an analytical expression as a function of pore size, viscosity, ion diffusion coefficients and membrane charge density, and compare results with the full space-charge model by Osterle and co-workers as a function of pore size and ion diffusion coefficient. We present a novel expression for [Formula: see text] for salt solutions with ions with unequal diffusion coefficients (mobilities) and show that to increase [Formula: see text] the counterion mobility must be low and the coion mobility high.

Ancient aqueous environments at Endeavour crater, Mars.

Opportunity has investigated in detail rocks on the rim of the Noachian age Endeavour crater, where orbital spectral reflectance signatures indicate the presence of Fe(+3)-rich smectites. The signatures are associated with fine-grained, layered rocks containing spherules of diagenetic or impact origin. The layered rocks are overlain by breccias, and both units are cut by calcium sulfate veins precipitated from fluids that circulated after the Endeavour impact. Compositional data for fractures in the layered rocks suggest formation of Al-rich smectites by aqueous leaching. Evidence is thus preserved for water-rock interactions before and after the impact, with aqueous environments of slightly acidic to circum-neutral pH that would have been more favorable for prebiotic chemistry and microorganisms than those recorded by younger sulfate-rich rocks at Meridiani Planum.

Addition of rituximab to fludarabine and cyclophosphamide in patients with chronic lymphocytic leukaemia: a randomised, open-label, phase 3 trial.

BACKGROUND: On the basis of promising results that were reported in several phase 2 trials, we investigated whether the addition of the monoclonal antibody rituximab to first-line chemotherapy with fludarabine and cyclophosphamide would improve the outcome of patients with chronic lymphocytic leukaemia. METHODS: Treatment-naive, physically fit patients (aged 30-81 years) with CD20-positive chronic lymphocytic leukaemia were randomly assigned in a one-to-one ratio to receive six courses of intravenous fludarabine (25 mg/m(2) per day) and cyclophosphamide (250 mg/m(2) per day) for the first 3 days of each 28-day treatment course with or without rituximab (375 mg/m(2) on day 0 of first course, and 500 mg/m(2) on day 1 of second to sixth courses) in 190 centres in 11 countries. Investigators and patients were not masked to the computer-generated treatment assignment. The primary endpoint was progression-free survival (PFS). Analysis was by intention to treat. This study is registered with ClinicalTrials.gov, number NCT00281918. FINDINGS: 408 patients were assigned to fludarabine, cyclophosphamide, and rituximab (chemoimmunotherapy group) and 409 to fludarabine and cyclophosphamide (chemotherapy group); all patients were analysed. At 3 years after randomisation, 65% of patients in the chemoimmunotherapy group were free of progression compared with 45% in the chemotherapy group (hazard ratio 0·56 [95% CI 0·46-0·69], p<0·0001); 87% were alive versus 83%, respectively (0·67 [0·48-0·92]; p=0·01). Chemoimmunotherapy was more frequently associated with grade 3 and 4 neutropenia (136 [34%] of 404 vs 83 [21%] of 396; p<0·0001) and leucocytopenia (97 [24%] vs 48 [12%]; p<0·0001). Other side-effects, including severe infections, were not increased. There were eight (2%) treatment-related deaths in the chemoimmunotherapy group compared with ten (3%) in the chemotherapy group. INTERPRETATION: Chemoimmunotherapy with fludarabine, cyclophosphamide, and rituximab improves progression-free survival and overall survival in patients with chronic lymphocytic leukaemia. Moreover, the results suggest that the choice of a specific first-line treatment changes the natural course of chronic lymphocytic leukaemia. FUNDING: F Hoffmann-La Roche.

Bioflora probiotic in immunomodulation and prophylaxis of intestinal bacterial translocation in rats.

UNLABELLED: The immunomodulator effect of Bioflora probiotic on T (CD4+) and B (CD20) lymphocytes in gastrointestinal mucosa and intestinal bacterial translocation was studied using Wistar rats (n = 10 per group). Two experiments were used: (I) stress with immobilization and water immersion at 22 degrees C for 7 h plus the application of indomethacin (Indo) 10 mg/kg SC every 24 h for 3 days (comparator group), and (II) stress experiment I with the addition of 1 mL of Bioflora applied through a orogastric tube every 12 h for 3 days. At the 4th day, in asepsis, a dissection laparotomy of liver, spleen, mesenteric lymphatic nodes, and cecum was performed for microbiological culture, and stomach, ileum, and colon were also dissected for immunohistochemical and quantification of CD4+ and CD20. Findings in experiment I revealed cecum bacterial overdevelopment of 6 x 10(10) +/- 2.3 x 10(9) colony-forming units (CFU) (P < 0.01) and positive cultures in liver, spleen, and all mesenteric lymphatic nodes. On the other hand, in the group treated with Probiotic Bioflora, cecum without overdevelopment (3 x 10(6) +/- 1.3 x 10(5) CFU), negative cultures in liver and spleen, and in lymphatic nodes two positive and eight negative cultures for E. coli and P. vulgaris (P < 0.01) were observed. Immunohistochemistry revealed a relevant increase of T lymphocytes (CD4+) in ileum and colon. CONCLUSIONS: Bioflora probiotic was shown to be an intestinal immunomodulator that induced increased T (CD4+) lymphocytes that also offer prophylaxis of intestinal bacterial translocation in a stressed rat model.

Hexavalent chromium exposures and exposure-control technologies in American enterprise: results of a NIOSH field research study.

The National Institute for Occupational Safety and Health (NIOSH) conducted 21 field surveys in selected industries to characterize workers' exposures to hexavalent chromium-containing airborne particulate and to evaluate existing technologies for controlling these exposures. Hexavalent chromium Cr(VI) is a respiratory irritant and chronic inhalation may cause lung cancer. Primary evaluation methods included collection of full work shift, personal breathing-zone (PBZ) air samples for Cr(VI), measurement of ventilation system parameters, and documentation of processes and work practices. This study emphasized evaluation of engineering exposure control measures, so PBZ exposures were measured on the outside of personal protective equipment, for example, respirators. Field surveys were conducted in two chromium electroplating facilities, including one where full-shift PBZ exposures to Cr(VI) ranged from 3.0 to 16 times the 1 micro g/m(3)NIOSH recommended exposure limit (REL) despite several engineering controls on the plating tanks. At a painting and coating facility that used Cr(VI)-containing products, full-shift exposures of painters and helpers (2.4 to 55 micro g/m(3)) exceeded the REL, but LEV effectiveness was limited. Other operations evaluated included welding in construction; metal cutting operations on chromium-containing materials in ship breaking; chromate-paint removal with abrasive blasting; atomized alloy-spray coating; foundry operations; printing; and the manufacture of refractory brick, colored glass, prefabricated concrete products, and treated wood products. NIOSH researchers concluded that, in many of the evaluated processes, Cr(VI) exposures at or below the current NIOSH REL are achievable. However, for some processes, it is unclear whether controlling exposures to this range is consistently achievable without respirator use. Some operations involving the application of coatings and finishes may be among those most difficult to control to this range. Most operations judged to be moderately difficult to control to this range involve joining and cutting metals with relatively high chromium content. Nonetheless, exposures in a wide variety of other processes were judged more easily controllable to the current REL or below, or were found to be minimal, including some operations meeting the general descriptions named above but with different specific operating parameters producing lower Cr(VI) exposures.

On the use of CCD area detectors for high-resolution specular X-ray reflectivity.

The use and application of charge coupled device (CCD) area detectors for high-resolution specular X-ray reflectivity is discussed. Direct comparison of high-resolution specular X-ray reflectivity data measured with CCD area detectors and traditional X-ray scintillator ('point') detectors demonstrates that the use of CCD detectors leads to a substantial (approximately 30-fold) reduction in data acquisition rates because of the elimination of the need to scan the sample to distinguish signal from background. The angular resolution with a CCD detector is also improved by a factor of approximately 3. The ability to probe the large dynamic range inherent to high-resolution X-ray reflectivity data in the specular reflection geometry was demonstrated with measurements of the orthoclase (001)- and alpha-Al2O3 (012)-water interfaces, with measured reflectivity signals varying by a factor of approximately 10(6) without the use of any beam attenuators. Statistical errors in the reflectivity signal are also derived and directly compared with the repeatability of the measurements.

Surface complexation studied via combined grazing-incidence EXAFS and surface diffraction: arsenate on hematite (0001) and (10-12).

X-ray diffraction [crystal-truncation-rod (CTR)] studies of the surface structure of moisture-equilibrated hematite reveal sites for complexation not present on the bulk oxygen-terminated surface, and impose constraints on the types of inner-sphere sorption topologies. We have used this improved model of the hematite surface to analyze grazing-incidence EXAFS results for arsenate sorption on the c (0001) and r (10-12) surfaces measured in two electric vector polarizations. This work shows that the reconfiguration of the surface under moist conditions is responsible for an increased adsorption density of arsenate complexes on the (0001) surface relative to predicted ideal termination, and an abundance of "edge-sharing" bidentate complexes on both studied surfaces. We consider possible limitations on combining the methods due to differing surface sensitivities, and discuss further analysis possibilities using both methods.

An evaluation of short-term exposures to metalworking fluids in small machine shops.

In a study of 23 small machining shops using metalworking fluids (MWFs), real-time air monitoring using an aerosol photometer was performed to investigate the temporal nature of the exposure and to examine the relationship between the instrumental measurements and traditional sampling methods. Time-weighted averages were calculated from the aerosol photometer data and the results were compared to collocated thoracic and 37-mm closed face cassette samplers. The filter samples were analyzed for total mass and the solvent extractable fraction. Depending on the averaging period used, short-term MWF concentrations exceeded 2.0 mg/m3 in 13 to 39% of the plants studied. High short-term exposures were as likely to be found in plants with average concentrations below 0.4 mg/m3 (thoracic-gravimetric) as those above. Regression analyses indicated that the aerosol photometer most closely matched the data obtained from the thoracic fraction of the total mass. In general, the aerosol photometer overestimated the levels determined using the thoracic cyclone and filter, especially when measuring concentrations of water-based fluids. Use of a calibration factor of 0.7 for straight oils or 0.5 for water-based fluids may assist in the interpretation of aerosol photometer measurements if field calibration data are not readily available. Several approaches to determining the calibration factor from field data were evaluated; more complex calibration techniques improved the accuracy of the measurements.

Metalworking fluid exposures in small machine shops: an overview.

Sampling was conducted in 79 small machine shops to assess airborne exposures to metalworking fluids (MWFs). Measured exposures were compared with data from the literature and exposure criteria currently recommended by the National Institute for Occupational Safety and Health and the Occupational Safety and Health Administration MWF Standards Advisory Committee. Sixty-two percent of 942 personal samples collected were less than the recommended exposure limit (REL) of 0.50 mg/m3 for total particulate. However, at least 1 sample exceeded the REL in 61 of the 79 facilities studied; 100% of the samples collected in 10 shops were greater than the REL. Similar trends were found for thoracic particulate exposures where 75% of 238 samples were below the thoracic particulate REL of 0.40 mg/m3. The ratio between thoracic and total particulate for 238 paired samples was 0.55 (r2=0.73). Workers exposed to straight fluids had the highest exposures (GM=0.67 mg/m3) when compared with workers exposed to other classes of MWFs. The highest exposures were measured for grinding and hobbing (GM=0.67 and 0.60 mg/m3, respectively). Measurements using personal impactors indicated that particle size distributions of MWF aerosols had an average mass median aerodynamic diameter of 5.3 microm. Straight oils and soluble fluids tended to be associated with larger particles than were other fluid types; grinding and turning produced the largest particles, whereas hobbing resulted in the smallest. In general, exposures were similar in magnitude and particle size to those previously reported in large automotive plants. Therefore, workers in these small shops may have risks of adverse health effects similar to those demonstrated in the automotive industry.

Physical activity deficit: a proposed nursing diagnosis.

TOPIC: Physical inactivity is a major public health problem. Many of the leading causes of death and disability are associated with physical inactivity. The literature is filled with documentation about the importance of living physically active lifestyles. Healthcare professionals have started to incorporate health promotion into their practices, but there is still a large amount of work to do. PURPOSE: To discuss the label, definition, defining characteristics, and related factors of the proposed nursing diagnosis "physical activity deficit." This diagnosis has been submitted for consideration to the North American Nursing Diagnosis Association (NANDA). SOURCES: Existing empirical literature, professional journals, government documents, clinical handbook, text books, a conference statement, and a U.S. Surgeon General's report. CONCLUSIONS: Nurses are in an ideal position to lead when it comes to health promotion. Because physical inactivity is a modifiable risk factor for many diseases and disabilities, it is essential that it is included in nursing science. The diagnosis "physical activity deficit" would allow nurses to take a role in teaching the hazards of physical inactivity, explaining the benefits of activity, and encouraging regular exercise programs.

Fracture patterns in children and young adults who fall from significant heights.

Trauma is a leading cause of morbidity and mortality for children and young adults. When all causes of trauma are considered, falls are the most common mechanism of injury. To address specifically age-related fracture patterns in children who fall, we identified 125 consecutive patients, 21 years old or younger, who fell from a height of 10 feet or greater. The medical records and radiographs for 110 of these patients were available for review. Patients were divided into three groups based on age: there were 25 infant/toddlers (0-2 years), 55 children (3-10 years), and 30 adolescent/young adults (11-21 years). We found statistically significant differences in fracture distribution between the groups. The adolescent/young adult group sustained a greater number of vertebral fractures (p<0.003) and total fractures per fall (p<0.015). The children, in contrast, had a greater number of long bone fractures (p<0.05). Knowledge of age-related fracture patterns could result in improved diagnosis and treatment of these injuries.

Treatment of the sequelae of pilon fractures.

Intra-articular fractures of the distal end of the tibia represent a wide spectrum of articular and metaphyseal damage and are relatively infrequent injuries. This article summarizes possible early and late complications involved in the treatment of pilon fractures. Diagnostic and treatment guidelines for these complications also are reviewed.

Using multidimensional scaling and cluster analysis for understanding information processing and schizophrenia.

This comprehensive review of information processing theory together with multidimensional scaling and cluster analysis methods is used to examine proposed models, developing taxonomies, and treatment for schizophrenia. Studies cited link attention deficit with schizophrenia, suggest that for some tasks, the irregular performance of people with schizophrenia is the major problem, add evidence of treatment effects on sufferers' mental organization, provide a critique of current diagnostic instruments, and highlight the importance of supporting coping skills. The author concludes that multidimensional scaling and cluster analysis are important tools for the development of theory and knowledge and act as a check against theoretical bias.

Clinical validation of ineffective breathing pattern, ineffective airway clearance, and impaired gas exchange.

PURPOSE: To describe the clinical validation of symptoms or defining characteristics of three respiratory diagnoses. The contributing factors or etiologies of the diagnoses were identified and the degree of importance of 30 nursing interventions, 15 direct care and 15 teaching, was rated for each diagnosis and each patient. Three nursing diagnoses--ineffective breathing pattern (IBP), ineffective airway clearance (IAC), and impaired gas exchange (IGE)--were among the most frequently used, yet no reported clinical studies validated the defining characteristics of these diagnoses. This study answers the research questions: What are the defining characteristics of IBP, IAC, and IGE? What are the etiologies of IBP, IAC, AND IGE? What are the most important interventions for IBP, IAC, and IGE? DESIGN: Standardized clinical validation using a convenience sample of 76 people hospitalized with medical and surgical diagnoses, in one U.S. city, and identified as having one of the three diagnoses. Data were collected in 1992-1993. METHODS: A literature-based concept analysis generated 37 possible defining characteristics for the three diagnoses which were included in the instrument. The nurse experts conducted a health history and physical examination of each patients and decided (a) whether the 37 defining characteristics were present or absent, (b) the degree of importance of each possible defining characteristic for making one or more of the diagnoses, (c) the etiologies, and (d) which of the 30 nursing interventions were important for each diagnosis and patient. FINDINGS: For each diagnosis, many of the 37 possible defining characteristics were judged as present but few reached the criterion of .50 as important for making one of the diagnoses. Two of the possible defining characteristics reached this criterion for IBP, seven for IAC, and two for IGE. In contrast to the defining characteristics approved by NANDA, the subjective cues of "expresses fatigue" and "expresses anxiety" were judged as important for making one or more of the diagnoses. CONCLUSIONS: Clinical validation methods allow discriminating among defining characteristics. Data that are present are not necessarily characteristic of a diagnosis, and the subjective cues of expresses fatigue or anxiety may be important for making these diagnoses.

Nursing diagnoses and interventions for post-acute-phase battered women.

PURPOSE: To identify nursing diagnoses and interventions applicable for post-acute-phase battered women. METHODS: Eight battered women were interviewed twice for 2 hours. Gordon's functional health patterns provided the framework for data collection. FINDINGS: Fifty-three nursing diagnoses and 52 nursing interventions were indicated in the data; 24 nursing diagnoses and 26 nursing interventions were present in all participants' data. CONCLUSIONS: With the use of comprehensive interventions, nurses can make a major contribution to society by enabling battered women to move to a more protected lifestyle.