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This study analyzed the influence of biocrusts on the chemical properties and bacterial diversity and community composition in the underlying soils along a depth gradient (the biocrust (C1), middle (S2) and deep (S3) soil layers) in two semi-arid Mediterranean ecosystems. Organic carbon, pH, electric conductivity and calcium carbonate content were estimated by wet oxidation, potentiometrically (pHmeter), with a conductivity-meter and volumetrically with a Bernard calcimeter, respectively. Bacterial diversity and community composition were estimated by 16S rRNA gene high-throughput amplicon sequencing. Chemical properties in C1 were significantly different from the other soil layers, showing higher organic carbon content and lower pH (p less then 0.05). The relative abundance of several bacterial taxa, such as Bryocella, Methylobacterium, Segitebacter and Actinomycetospora showed significant positive correlations with organic carbon (r = 0.53 to 0.75) and negative with pH (r = -0.72 to -0.84), and were also ied by the biocrust along a depth gradient.A pilot hybrid constructed wetland (CW) planted with reeds (Phragmite australis) and rice (Oryza sativa L.) was designed to treat liquid anaerobic digestate in the Yangtze River Delta, China. The hybrid CW system was composed of four stages two reed vegetated vertical subsurface flow beds (VSSF U1 and U2) in sequence, followed by a reed vegetated horizontal subsurface flow bed (HSSF U3) and a rice vegetated surface flow bed (SF U4). The average loading rate of digestate was 3.6 m3 per day during the experimental period. The average concentrations of TN and TP in the influent were 379 ± 58 mg L-1 and 29.6 ± 9.2 mg L-1, while the average removal efficiencies of TN and TP were 94.6% and 88.4%. Both TN and TP removal efficiencies in the second VSSF containing zeolite gave the highest removal performance, in which the mass removal rates were 21.3 ± 8.0 g-N m-2 d-1 and 0.99 ± 0.69 g-P m-2 d-1, respectively. Similarly, the highest removal performance for COD was also observed in the second VSSF with a mass removal rate of 79.9 ± 72.4 g-COD m-2 d-1. On the other hand, the average CH4 and N2O fluxes were highest in the first VSSF, at 31.8 ± 12.9 mg m-2 h-1 and 3.7 ± 2.8 mg m-2 h-1, respectively. There was a significant linear relationship between CH4 flux and DOC concentration in the pore water as well as a correlation between N2O flux and TN concentration. Total GWP of the hybrid CWs, derived from CH4 and N2O emissions, was 792.4 kg CO2-eq, of which CH4 and N2O emissions accounted for 66.0% and 34.0%, respectively. Consequently, the hybrid CWs emitted on average 0.93 kg CO2-eq to remove 1 kg COD while the average EF of TNin was 0.34%, suggesting that the use of multistage hybrid CWs could be efficiency-wise and environmentally a promising strategy for anaerobic digestate treatment.The Fundão dam, located in Mariana city, Minas Gerais State, southeastern Brazil, collapsed in November 2015, causing the discharge of over 50 million m3 of iron ore tailings in the Doce river basin. The mud generated by the disaster was composed of fine particulates (silt and clay), which are more sensitive to wind dispersion. Based on laboratory analyses and hydrodynamic modeling, early research postulates the hypothesis that the mud discharged in the ocean traveled 10,000 km up north and may have reached the Abrolhos coral reefs. This research aims to investigate further this hypothesis based on broad-scale remotely sensed data. Satellite images were used to estimate the suspended particulate matter (SPM) in the coastal zone before, during, and after the dam collapse. Results indicate that higher concentrations of SPM appeared during and post-collapse and were restricted to the coastal zone and its shallower regions, including beaches. However, we demonstrate that under exceptional circumstances the wind blew to the north, carrying fine particulate material and potentially-toxic metals derived from the iron ore tailings towards the northeastern Brazilian coastline and possibly the reefs of the Abrolhos Bank.Cochlear implantation is safe for simple case presentations. However, facial nerve (FN) aberrations may impede insertion of the electrode through a round window and increase the risk of iatrogenic FN injury. We developed a novel method of cochlear implantation, a present the case of a child with FN aberrations. Inferior displacement of a horizontal segment of FN lay on the surface of th e promontory, obscuring the round window. The oval window was used and the electrode successfully inserted. No postoperative complications occurred, and significant improvement in speech perception was achieved. This novel approach is suitable for patients with FN aberrations.Objective The prevalence of chronic rhinosinusitis (CRS), defined by mucosal thickening on imaging, approaches 100% in the cystic fibrosis (CF) population. CRS is associated with significant morbidity in CF, including its ability to trigger pulmonary exacerbations. CRS in CF is typically managed by pediatricians, otolaryngologists and pulmonologists. This survey evaluates the variance in practice patterns of CRS in CF amongst specialists. Methods This is a cross-sectional, electronic survey in which maximum variation purposive sampling was used by a multi-disciplinary group of pediatric, otolaryngology and pulmonology providers in order to select a survey population with expertise in CRS in CF patients. The survey was distributed to 381 practitioners from September to October 2019. Results 175 participants responded (45% response rate). Ten (of 54) statements achieved 75% consensus agreement. find more Consensus statements included The decision to pursue surgical intervention for CRS in CF is a multi-disciplinary approach (94%; n = 146); maximal medical management should include nasal saline irrigation (93%; n = 142), topical steroids (75%; n = 117), maximal medical management should not include intravenous steroids (79%; n = 122); image guidance in surgery is necessary for all surgery involving the frontal sinuses (77%; n = 43), and all revision surgery(80%, n = 45); the appropriate setting for sinus surgery in a CF patient varies depending on patient presentation (89%; n = 133); post-operative regimen should include nasal saline (93%; n = 137); but does depend on the severity of disease discovered intra-operatively (84%; n = 124); post-operative antibiotics should be guided by intra-operative culture data (82%; n = 121). Conclusions There is a great deal of variation amongst specialists in the treatment of CRS in CF, however 10 statements met consensus criteria and should be considered when forming clinical care guidelines in this population.
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