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During the Westphalian C (middle Pennsylvanian), the southeastern Campine Basin was part of the foreland of the Variscan Orogen. Deposition was dominated by rhythmic successions of coal-mudstone-sandstone sequences. Correlations between marker horizons within these sequences indicate a consistent thinning of the intercalated units towards the northwest. On seismic data, this thinning is expressed by subtly northwestwards converging intra-Westphalian C seismic reflectors. Since sedimentation kept up with subsidence, the northwestern thinning reflects a decrease in subsidence in the same direction. We interpret this asymmetric, flexural subsidence as the result of flexural downwarping of the underlying continental crust due to an increase in tectonic load generated by the Variscan Orogen that approached from the southeast. The southeastern Campine Basin was thereby situated in a Variscan foreland system, more specifically along the forebulge flank of a foredeep. The crest of the Variscan forebulge was located further northwest in the Campine Basin. The different Westphalian C units in the study area show varying percentages (between 32 and 50%) of thickness decreases in the direction of the forebulge. Our model fits with existing thickness and burial data from the surrounding areas in the Variscan foreland, and is compatible with the published forebulge migration model in the Ruhr Coal Basin. [ABSTRACT FROM AUTHOR]

Because the occurrence of infective endocarditis (IE) continues to be associated with high mortality, a working group was created by the Dutch Society of Cardiology to examine how the most recent European Society of Cardiology (ESC) guidelines for IE management could be implemented most effectively in the Netherlands. In order to investigate current Dutch IE practices, the working group conducted a country-wide survey. Based on the results obtained, it was concluded that most ESC recommendations could be endorsed, albeit with some adjustments. For instance, the suggested pre-operative screening and treatment of nasal carriers of Staphylococcus aureus as formulated in the ESC guideline was found to be dissimilar to current Dutch practice, and was therefore made less restrictive. The recently adapted ESC diagnostic criteria for IE were endorsed, while the practical employment of the relevant diagnostic techniques was simplified in an adapted flowchart. In addition, the presence of a multidisciplinary, so-called 'endocarditis team' in tertiary centres was proposed as a quality indicator. An adapted flowchart specifically tailored to Dutch practice for microbiological diagnostic purposes was constructed. Lastly, the working group recommended the Stichting Werkgroep Antibioticabeleid (SWAB; Dutch Working Party on Antibiotic Policy) guidelines for IE treatment instead of the antibiotic regimens proposed by the ESC. [ABSTRACT FROM AUTHOR]

Aim: The long-term value of coronary artery calcium (CAC) scanning has not been studied extensively in symptomatic patients, but was evaluated by us in 644 consecutive patients referred for stable chest pain. Methods: We excluded patients with a history of cardiovascular disease and with a CAC score of zero. CAC scanning was done with a 16-row MDCT scanner. Endpoints were: (a) overall mortality, (b) mortality or non-fatal myocardial infarction and (c) the composite of mortality, myocardial infarction or coronary revascularisation. Revascularisations within 1 year following CAC scanning were not considered. Results: The mean age of the 320 women and 324 men was 63 years. Follow-up was over 8 years. There were 58 mortalities, while 22 patients suffered non-fatal myocardial infarction and 24 underwent coronary revascularisation, providing 104 combined endpoints. Cumulative 8‑year survival was 95% with CAC score <100, 90% in patients with CAC score >100 and <400, and 82% with CAC score ≥400 Agatston units. Risk of mortality with a CAC score >100 and ≥400 units was 2.6 [95% confidence interval (CI) 1.23–5.54], and 4.6 (95% CI 2.1–9.47) respectively. After correction for clinical risk factors, CAC score remained independently associated with increased risk of cardiac events. Conclusions: Risk increased with increasing CAC score. Patients with CAC >100 or ≥400 Agatston units were at increased risk of major adverse cardiac events and are eligible for preventive measures. CAC scanning provided incremental prognostic information to guide the choice of diagnostic and therapeutic options in many subjects evaluated for chest pain. [ABSTRACT FROM AUTHOR]

Unstable angina and myocardial infarction are prevalent manifestations of acute coronary artery disease, combined in the term 'acute coronary syndromes'. The introduction of sensitive markers for myocardial necrosis has led to confusion regarding the distinction between small myocardial infarctions and 'true' unstable angina, and the application of ever more sensitive markers has accelerated the pace at which patients with unstable angina are being re-classified to non-ST-segment elevation myocardial infarction. But in how many patients with acute chest pain is myocardial ischaemia really the cause of their symptoms? Numerous studies have shown that most have <5 ng/l high-sensitivity cardiac troponin, and that their prognosis is excellent (event rate <0.5% per year), incompatible with 'impending infarction'. This marginalisation of patients with unstable angina pectoris should lead to the demise of this diagnosis. Without unstable angina, the usefulness of the term acute coronary syndromes may be questioned next. It is better to abandon the term altogether and revert to the original diagnosis of thrombus-related acute coronary artery disease, myocardial infarction. A national register should be the next logical step to monitor and guide the application of effective therapeutic measures and clinical outcomes in patients with myocardial infarction. [ABSTRACT FROM AUTHOR]

The article presents a quiz on the electrocardiography readings of a patient with Wolff-Parkinson-White syndrome who was subjected to exercise testing.

Quantitative research on land use and land cover (LUC) in Africa usually addresses the second half of the twentieth century, by using remote sensing data. Terrestrial photographs, which are available since 1868 in Ethiopia, are seldom used in a quantitative way. This paper presents a methodology that allows to produce land use and land cover (LUC) maps on the basis of old terrestrial photographs. Therefore, land use and land cover was investigated on historical and present-day photographs, and these interpretations were warped to the horizontal plane of the map. The resulting maps allow to gain better insights into LUC changes over a period of 140 years. The results show that woody vegetation increased strongly, together with an increase in built-up area. This occurred especially at the expense of bushland. The study validates pervious findings and shows that improved land management strategies in one of the world's most degraded areas can lead to environmental rehabilitation. [ABSTRACT FROM AUTHOR]

Objectives: The incidence of heart failure increases with aging. Aim of the present, study was to determine whether measures body composition predict incident heart failure in older adults. Selling: Prospective community-based cohort study. 5, 868 men and women aged 55 years and older participating the Rotterdam study. Measures of body mass index and waist circumference were obtained at baseline. Information on incident heart failure was obtained during follow-up. Cox regression analyses were performed to investigate the possible association between measure of body composition and incident heart failure. Results: During a mean follow up of 10.9 (SD ±4.4) years, 765 participants had heart failure. After adjustment for age and gender, 1-standard deviation of body mass index, waist circumference and the waist-hip ratio predicted heart failure (HR 1.25; 95% CI 1.17-1.34; HR 1.26; 95% CI 1.18-1.36; and HR 1.17; 95% CI 1.08-1.27), respectively. In age-stratified analyses, 1-standard deviation of body mass index (1.17; 95% CI 1.06-1.29) and waist circumference (1.16; 95% CI 1.05-1.29) were still associated with the risk of heart failure in the oldest participants, whereas the waist-hip ratio was not (1.06; 95% CI 0.945-1.18). Conclusion: Although estimates decrease with age, measures of overall and central adiposity predict incident heart failure among community dwelling older adults. [ABSTRACT FROM AUTHOR]

Densely populated, intensively cropped highland areas in the subtropics are prone to erosion and declining soil fertility, making agriculture unsustainable. Permanent raised bed planting systems, as a form of conservation agriculture, have been developed to reduce production costs while conserving resources and sustaining the environment. In 2004, a new experiment with long term focus was started under rain fed conditions at El Batán (Mexico; 2,240 m a.s.l.; 19.31N, 98.50W; Cumulic Phaeozem), which aims at understanding the effects of (1) tillage (conventionally tilled or permanent raised beds), (2) residue management (retention or removal) and (3) N fertilizer application (0 or 120 kg N/ha) on N availability in a yearly maize/wheat rotation system. Incubation experiments were conducted to establish how the different treatments affect C and N dynamics in the soil. Tillage increases the availability of soil organic matter by soil aggregate disruption, enhancing C and N mineralization. Conventionally tilled raised beds with incorporation of crop residues increased the CO2 production rate. In both tillage systems, retention of maize or wheat residue without N fertilizer application led to N immobilization. In permanent raised beds, however, the immobilization due to residue retention could be compensated by application of N fertilizer, while conventionally tilled raised beds appeared to use the applied N fertilizer less efficiently. [ABSTRACT FROM AUTHOR]

Crop growth and yield are the result of the efficiency of the chosen agricultural management system within the boundaries of the agro-ecological environment. Linking spatial variability in crop performance to differences in soil attributes could identify the limiting factors driving the system, since patterns of crop performance will follow the spatial variability of the underlying limiting soil attributes. The Greenseeker handheld NDVI sensor was used to determine the within-plot spatial variability of crop performance in the different management treatments of a long-term (started 1991) tillage and residue management trial. Soil quality was measured spatially in the same plots. Under zero tillage with residue removal, soil quality and crop performance followed micro-topography with higher values where elevation was lower. Under zero tillage with residue retention soil quality was high throughout the field, ensuring uniform crop growth and under conventional tillage, soil quality was intermediate. Crop performance followed the same pattern as soil moisture and the related attributes infiltration, soil structure and organic matter. Thus soil moisture is the main limiting factor of the system and it is essential for the sustainability of any management practice developed for the subtropical highlands that soil water capture and storage are optimal. Zero tillage with residue retention is therefore the practice that will result in the most sustainable management and the most stable yields for this target area. [ABSTRACT FROM AUTHOR]

The possible relationship between erectile dysfunction and the later occurrence of cardiovascular disease while biologically plausible has been evaluated in only a few studies. Our objective is to determine the relation between ED as defined by a single question on erectile rigidity and the later occurrence of myocardial infarction, stroke and sudden death in a population-based cohort study. In Krimpen aan den IJssel, a municipality near Rotterdam, all men aged 50–75 years, without cancer of the prostate or the bladder, without a history of radical prostectomy, neurogenic bladder disease, were invited to participate for a response rate of 50%. The answer to a single question on erectile rigidity included in the International Continence Society male sex questionnaire was used to define the severity of erectile dysfunction at baseline. Data on cardiovascular risk factors at baseline (age smoking, blood pressure, total- and high-density lipoprotein cholesterol, diabetes) were used to calculate Framingham risk scores. During an average of 6.3 years of follow-up, cardiovascular end points including acute myocardial infarction, stroke and sudden death were determined. Of the 1248 men free of CVD at baseline, 258 (22.8%) had reduced erectile rigidity and 108 (8.7%) had severely reduced erectile rigidity. In 7945 person-years of follow-up, 58 cardiovascular events occurred. In multiple variable Cox proportional hazards model adjusting for age and CVD risk score, hazard ratio was 1.6 (95% confidence interval (CI): 1.2–2.3) for reduced erectile rigidity and 2.6 (95% CI: 1.3–5.2) for severely reduced erectile rigidity. The population attributable risk fraction for reduced and severely reduced erectile rigidity was 11.7%. In this population-based study, a single question on erectile rigidity proved to be a predictor for the combined outcome of acute myocardial infarction, stroke and sudden death, independent of the risk factors used in the Framingham risk profile.International Journal of Impotence Research (2008) 20, 92–99; doi:10.1038/sj.ijir.3901604; published online 30 August 2007 [ABSTRACT FROM AUTHOR]

The ISRIC WISE Global soil database is used to demonstrate the important role that large, properly established soil databases can play in the understanding and modeling of the global distribution of soils and their properties. This database, which contains 4382 georeferenced soil profiles, was systematically examined with respect to 128 environmental regimes, which exhibited combinations of different parent material, climate, and topography. There was generally good correlation of the WRB soil types and key soil properties with these environmental parameters. While most of the results are in accord with the standard theories of soil formation, there are several unexpected findings and subtle complexities that deserve further examination. The results allow for a reflection on soil genesis relationships and provide a useful base for the development of global soil predictive models. [ABSTRACT FROM AUTHOR]

Densely populated, intensively cropped highland areas in the tropics and subtropics are prone to erosion and declining soil fertility, making agriculture unsustainable. Conservation agriculture in its version of permanent raised bed planting with crop residue retention has been proposed as an alternative wheat production system for this agro-ecological zone. A five years field experiment comparing permanent and tilled raised beds with different residue management under rainfed conditions was started at El Batán (Mexico) (2,240 m asl; 19.31°N, 98.50°W; Cumulic Phaeozem) in 1999. The objective of this study was to determine the soil quality status after five years of different management practices. The K concentration was 1.65 times and 1.43 times larger in the 0–5 cm and 5–20 cm profiles, respectively, for permanent raised beds compared to conventionally tilled raised beds. The Na concentration showed the opposite trend. Sodicity was highest for conventionally tilled raised beds and for permanent raised beds it increased with decreasing amounts of residue retained on the surface. Permanent raised beds with full residue retention increased soil organic matter content 1.4 times in the 0–5 cm layer compared to conventionally tilled raised beds with straw incorporated and it increased significantly with increasing amounts of residue retained on the soil surface for permanent raised beds. Soil from permanent raised beds with full residue retention had significantly higher mean weight diameter for wet and dry sieving compared to conventionally tilled raised beds. Permanent raised beds with full residue retention had significantly higher aggregate stability compared to those with residue removal. A lower aggregation resulted in a reduction of infiltration. Principal component analysis (PCA) was performed using these soil physicochemical variables that were significantly influenced by tillage or residue management. The PC1 and PC2 separated the conventionally tilled raised beds from the permanent raised beds and PC3 separated permanent raised beds with at least partial residue retention from permanent raised beds with no residue retention. These clear separations suggest that tillage and residue management have an effect on soil processes. The research indicates that permanent raised bed planting increases the soil quality and can be a sustainable production alternative for the (sub)tropical highlands. Extensive tillage with its associated high costs can be reduced by the use of permanent raised beds while at least partial surface residue retention is needed to insure production sustainability. [ABSTRACT FROM AUTHOR]

The former zinc smelter site 'de Maatheide' in Lommel (Belgium) was severely polluted with heavy metals and the pollution spread into the surroundings by rain water leaching and wind transportation. This study focuses on the processes of immobilization and natural attenuation that took place on the site. Three important factors were found. Firstly, the high pH values (pH 7-8) in the topsoil influence the mobility of heavy metals. Secondly, the spodic horizons below the polluted top layer seem to accumulate heavy metals, thereby slowing down their release into the environment. Finally, the glassy phases and iron oxi/hydroxides that are present can encapsulate heavy metals during their formation/recrystallization, thereby immobilizing them. An additional shielding effect results from the reaction rims of goethite around the contaminant phases, which partially inhibit the weathering process and release of contaminants. This shielding effect is an important factor to take into account when modelling contaminant release. [ABSTRACT FROM AUTHOR]

The relationships between 13C isotopic discrimination and water stress are well documented for C3 and C4 plants. However, the application in the field is hampered by complex interaction patterns with other common stress factors, such as nutrient deficiency. In addition, questions arise if temporal reductions in water availability during crop growth can be traced back using δ13C data in the field. The objective of this study therefore is to assess the potential use of δ13C observations to quantify water stress and its dynamics in maize ( Zea mays L.) grown under low to high nitrogen availability, and to develop tools based on δ13C values for its diagnosis in the field. In a pot experiment, carried out in a screen house in Ibadan, Nigeria, we grew maize for 60 days under four watering regimes, (i) optimum (at field capacity) during 60 days, (ii) optimum from 0 to 30 days and stressed (50% field capacity) from 30 to 60 days, (iii) stressed from 0 to 30 days and optimum from 30 to 60 days, and (iv) stressed throughout the 60 days. Nitrogen was applied at three rates (none, moderate (45 kg N ha−1) and high (120 kg N ha−1)). Plants were sampled after 30 and 60 days. At 60 days, leaves developed during the first 30 days were sampled separately from those developed between 30 and 60 days. Shoot production showed a clear water–nitrogen interaction. Nitrogen response increased with decreasing water stress, in particular from 30 to 60 days. δ13C values ranged from −12.42‰ to −10.80‰. Overall, a clear and significant water and nitrogen effect ( P<0.0001) on the isotopic discrimination in maize was observed, opposite in direction from C3 plants. δ13C values decreased with increasing water stress, but increased with decreasing nitrogen availability, particularly when combined with limited water supply. In addition, isotopic discrimination was observed to be variable within plant, and could be related to a water stress in that growth period, in which the plant parts were developed. This shows that δ13C values measured in different plant parts at harvest can be used as a historical account on how water availability varied during the entire cropping cycle. [ABSTRACT FROM AUTHOR]

Conservation tillage in its version of permanent bed planting under zero-tillage with crop residue retention has been proposed as an alternative wheat production system for northwest Mexico. However, little is known about the dynamics of C and N in soils under wheat/maize on permanent beds (PB) where straw was burned, removed, partly removed or retained, as opposed to conventionally tilled beds (CTB) where straw was incorporated. We investigated the dynamics of soil C and N and normalized difference vegetative index (NDVI) crop values in zero-tilled PB and CTB after 26 successive maize and wheat crops. Organic C and total N were respectively, 1.15 and 1.17 times greater in PB with straw partly removed and with straw retained on the surface, than in CTB with straw incorporated. Organic C and total N were 1.10 times greater in soils with 300 kg N ha−1 added than in unfertilized soil. Cumulative production of CO2 was lower under CTB with straw incorporated than under PB treatments, and CO2 production increased with increments in inorganic fertilizer. The N-mineralization rate was 1.18 times greater than in unamended soils when 150 kg inorganic N ha−1 was applied, and 1.48 times greater when 300 kg inorganic N ha−1 was added. The N-mineralization rate was significantly (1.66 times) greater in PB where the straw was burned or retained on the surface than in CTB where the straw was incorporated, but significantly (1.25 times) lower than in PB with straw partly removed. The NDVI values reached a maximum 56 days after planting and decreased thereafter. The NDVI for unfertilized soil were similar for CTB with straw incorporated, PB with straw partly removed, and PB with straw retained on the surface, but significantly lower for PB with straw burned and PB with straw removed. In soils to which 150 or 300 kg N ha−1 was added, NDVI was significantly lower for PB with straw burned than for other treatments. Among other things, this suggests the utility of rotating maize or wheat with crops whose residues have lower C–N ratios, thus avoiding immobilization of large amounts of N for extended periods. PB with residue burning, however, is an unsustainable practice leading to low crop performance and soil and environmental degradation. [ABSTRACT FROM AUTHOR]

Although the fertility status of soils in the West African moist savanna is generally believed to be low, crop yields on farmers' fields vary widely from virtually nil to values near the potential production. The soil fertility status was evaluated for a number of farmers' fields selected at random in 2 villages (Zouzouvou and Eglimé) representative for the derived savanna (DS) benchmark area and in 2 villages (Danayamaka and Kayawa) representative for the Northern Guinea savanna (NGS) benchmark area. The relation between soil fertility status and soil type characteristics and fertilizer use was explored. In an accompanying missing nutrient greenhouse trial, the most limiting nutrients for maize growth were determined. While soils in the DS villages were formed on different geological units, soils in the NGS villages could be differentiated according to their position on the landscape. Generally, soils in the DS contained a smaller amount of silt (104 vs. 288 g kg−1), a larger amount of sand (785 vs. 584 g kg−1), C (9.3 vs. 6.3 g kg−1), N (0.7 vs. 0.5 g kg−1), Olsen-P (10.7 vs. 5.4 mg kg−1), and had a higher CEC (7.0 vs. 4.8 cmolc kg−1) than soils in the NGS villages. The large silt content of the soils in the NGS is a reflection of the aeolian origin of the parent material. Within the benchmark areas, general soil fertility characteristics were similar in the villages in the NGS, except for a larger amount of particulate organic matter in Kayawa than in Danayamaka. This may also have led to a significantly larger amount of ammonium-N content in the 0–20 and 20–40 cm soil layers in Kayawa compared to Danayamaka (42 vs 24 kg N ha−1 in the 0–20 cm soil layer). Differences in topsoil soil characteristics between the DS villages were a reflection of differences in clay quality (kaolinitic vs. 2:1 clay minerals) of the parent material and past fertilizer use. The Olsen-P and exchangeable K contents were observed to increase with increased fertilizer application rate in both benchmarks, while fertilizer application rate had no significant effect on the organic C or total N content of the soil nor on its ECEC. The response of maize shoot biomass production to applied N was similar for both benchmarks (biomass accumulation in the treatment without N was, on average, 55% of the biomass production in the treatment which received all nutrients), while soils in the NGS responded more strongly to applied P than soils in the DS (37% vs 66% of biomass production in the treatment which received all nutrients). The more favourable P status of soils in Eglimé (DS) was attributed to the more intense use of P fertilizers, as a result of government-supported cotton production schemes. Response to cations, S or micronutrients were neglegible. A significant linear relationship was found between the soil Olsen-P content and the response to applied P up to levels of 12 mg kg−1 in the topsoil. Above this level, a plateau was reached. [ABSTRACT FROM AUTHOR]

Immunoparalysis is a compensatory and persistent anti-inflammatory response to trauma, sepsis or another serious insult, which increases the risk of opportunistic infections, morbidity and mortality. Here, we show that in cultured primary human monocytes, interleukin-4 (IL4) inhibits acute inflammation, while simultaneously inducing a long-lasting innate immune memory named trained immunity. To take advantage of this paradoxical IL4 feature in vivo, we developed a fusion protein of apolipoprotein A1 (apoA1) and IL4, which integrates into a lipid nanoparticle. In mice and non-human primates, an intravenously injected apoA1-IL4-embedding nanoparticle targets myeloid-cell-rich haematopoietic organs, in particular, the spleen and bone marrow. We subsequently demonstrate that IL4 nanotherapy resolved immunoparalysis in mice with lipopolysaccharide-induced hyperinflammation, as well as in ex vivo human sepsis models and in experimental endotoxemia. Our findings support the translational development of nanoparticle formulations of apoA1-IL4 for the treatment of patients with sepsis at risk of immunoparalysis-induced complications., (© 2023. The Author(s).)