High Sedimentation Rate Research Articles

Ichnological analysis of glacially-influenced sediments from the late Pleistocene to Holocene on the southeastern Canadian margin: Implications for palaeoclimate and palaeoceanography

The study of trace fossils in glacially-influenced margins provides valuable insights into the changes in palaeoclimate and palaeoceanography during glacial-interglacial periods, by providing biological and ecological data of the benthic environment. Here we present a comprehensive ichnofabric characterisation of a sediment core located on an inter-canyon ridge on the SW Grand Banks Slope off Newfoundland, covering the Late Pleistocene–Holocene period (0–∼23 ka). The core analysis reveals 12 ichnogenera and an escape structure, with Phymatoderma, Tasselia, and Zoophycos being prominent and relatively abundant at specific levels. By examining the distribution of bioturbation content and degree along the core, we establish a strong association between moderate to high bioturbation and cold periods. The Last Glacial Maximum exhibits the highest abundance and diversity of trace fossils, particularly the deposit-feeding Phymatoderma and the deposit-feeding/equilibrium trace Tasselia, indicating benthic adaptation to seasonal food input and relatively high sedimentation rates. Conversely, the warmer deglaciation period shows limited bioturbation. Salinity stress may account for the abrupt decline in bioturbation degree during the early deglaciation. Additionally, the occurrence of large-sized Zoophycos coincides with the Younger Dryas cold event during the last deglaciation. These findings highlight the complexity of palaeoceanographic conditions and benthic environments in proximal glacially-influenced sites compared to distal hemipelagic and pelagic sites. The interplay between down-slope processes (such as turbidity currents and hyperpycnal flows) and along-slope processes (like contour currents) plays a crucial role in shaping the unique sedimentological regime of depositional sites and subsequently affecting the ichnofauna in glacially-influenced margins.

Role of serum calprotectin in identifying familial Mediterranean fever attacks.

The aim of the study was to evaluate serum calprotectin (CLP) levels in familial Mediterranean fever (FMF) patients and to investigate the utility of CLP in distinguishing patients with attack from patients without attack. FMF patients, rheumatoid arthritis (RA) patients, and healthy controls were included. Serum calprotectin levels were quantified utilizing the enzyme-linked immunosorbent assay (ELISA) method. Receiver operating characteristic (ROC) curve analysis was used to identify the cut-off value of serum CLP level to differentiate FMF patients with attack from those without. Logistic regression analysis was performed to identify predictors. Significant differences were observed among the three groups concerning white blood cell (WBC), neutrophil, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and serum CLP levels (p = 0.003, p = 0.004, p < 0.001, p < 0.001, and p = 0.002, respectively). Higher ESR, CRP, and serum CLP levels were observed in FMF patients with attacks than those without (all, p < 0.001). Serum CLP was significantly higher in RA patients than in FMF patients in remission (p < 0.001). ROC analysis identified a threshold CLP concentration in FMF with an attack to be 47.1pg/mL (83.3% sensitivity, 60.6% specificity, AUC = 0.74, 95% CI = 0.63-0.85, p < 0.001). In univariate logistic regression analysis, CLP (β = 1.045, 95% CI = 1.017-1.073, p = 0.001) was predictive of FMF patients experiencing an attack. Serum CLP proves to be as productive as ESR in illustrating inflammation and demonstrating the existence of attacks in FMF patients.

Clinical and computed tomography angiography characteristics of infected vs. non-infected abdominal aortic aneurysm: a comparative study.

The aim of this study was to investigate the clinical and multi-slice spiral computed tomography angiography (MSCTA) characteristics for the diagnosis of infected AAA. This retrospective comparative study included patients who were diagnosed with AAA at our hospital between January 2014 and May 2023. A total of 40 patients were included, comprising 20 with infected AAA and 20 with non-infected AAA. Patients with infected AAA were more likely to be younger (62.9 ± 10.1 vs. 70.0 ± 4.4 years, P = 0.007) and to present with fever [7 (35%) vs. 1 (5%), P = 0.026], pain [15 (75%) vs. 2 (10%), P < 0.001], higher C-reactive protein levels (60.4 ± 57.0 vs. 4.1 ± 2.9mg/l, P = 0.005), and higher erythrocyte sedimentation rates (47.7 ± 23.4 vs. 15.2 ± 8.3mm/h, P < 0.001) compared to those with non-infected AAA. Moreover, those with infected AAA exhibited significantly more eccentric saccular morphology [17 (85%) vs. 1 (5%), P = 0.002], a smaller longitudinal-transverse ratio (1.12 ± 0.33 vs. 2.33 ± 0.54, P = 0.001), thicker peri-aneurysmal soft tissue (2.29 ± 1.48 vs. 0.73 ± 0.55cm, P < 0.001), more lobulated margins [18 (90%) vs. 1 (5%), P = 0.001], lower aortic calcification scores (49 vs. 56, P < 0.001), more pneumatosis [6 (30%) vs. 0 (0%), P = 0.014], more ruptures [15 (75%) vs. 5 (20%), P = 0.002], more blurred peri-abdominal aortic fat spaces [16 (80%) vs. 2 (10%), P = 0.001], more adjacent bone destruction [5 (25%) vs. 0 (0%), P = 0.025], more involvement of the psoas major muscle [8 (40%) vs. 1 (5%), P = 0.005], more lymphadenectasis [8 (40%) vs. 1 (5%), P = 0.020], and less tortuous aortas [2 (10%) vs. 9 (45%), P = 0.034] compared with those with non-infected AAA. The clinical manifestations and MSCTA characteristics may differ between infected and non-infected AAA.

Application of Constant Rate of Supply Model for the Determination of Sediment Accumulation Rates and Chronology of Bukit Merah Reservoir Perak, Malaysia

The Constant Rate of Supply (CRS) model is used to measure the continuous influx of unsupported 210Pb into the sediment, allowing for the assessment of changes in the rate of sediment accumulation due to anthropogenic impacts over time. Thus, the CRS model was used to analyze a 25 cm bottom sediment core extracted from Bukit Merah Reservoir. Results revealed a high sedimentation rate in the reservoir, which ranged from 0.14 to 0.37 gcm-2 yr-1, with a mean sedimentation rate of 0.31 cm yr-1. The presence of 137Cs was not observed in the core, while the activity of 241Am was detected in two isolated samples but was insufficient for use as a marker. The constant rate of 210Pb supply (CRS) model dated the oldest sediments (22.5-24.5 cm) to AD 1985 ± 34 years of human influences. Overall, the sedimentation rate in the reservoir experienced a rapid increase from the 1980s to the 2000s and fluctuated to the top of the core indicating continuous anthropogenic impacts on the reservoir. The study identified continuous increases in agricultural activities, expansion in the tourism industry, population growth, and changes in land use, as the main cause of heightened sedimentation and sediment particles delivery into the reservoir. Therefore, urgent measures are needed to address the current siltation state of the reservoir.

Forward numerical modelling of pleistocene marine strata, North-West of Morocco

Numerical stratigraphic forward modelling is useful to understand and reconstruct the relative sea-level and sediment supply history responsible for particular strata. This analysis uses BARSIM, a simple 2D forward stratigraphic process-response model that simulates wave and storm processes, applied with an inverse modelling optimisation method to better understand the history of Pleistocene strata in the Achakkar basin of the Tangier region, Morocco. Observations of grain size and bed thickness in four outcrop vertical sections are matched with BARSIM model output to estimate the lowest-error best-fit relative sea level and sediment supply histories that may have controlled deposition of the observed strata assuming deposition over a 10 ky period, consistent with available dating from outcrop sections. The best-fit relative sea level history drops from 4.88 to −2.82 m with two lower-amplitude highstands in between, most likely representing interglacial eustatic and tectonic event. The best-fit sediment supply is variable through time and different for each vertical section, with greatest variation from 11.7 to 2.11 m2y-1 over the 10 ky interval in the north-east vertical section. The spatial and temporal variation of sediment supply in the four vertical sections represents typically dynamic depositional conditions in shallow marine nearshore areas. On the other hand, it can indicate high stratigraphic incompleteness caused by periods of non-deposition or erosion with temporal variations in sediment supply. The optimum way for the simple model to reproduce short intervals of high sedimentation rate separated by longer periods of hiatus and deposition followed by erosion results in a discontinuous stratigraphic record.

Effect of surfactant and PAM on the settlement of kaolinite particles and its mechanism analysis

High concentrations of fine-grained clay minerals in tailings water are highly detrimental to environmental protection and water recycling. Using kaolinite as the study subject, this research investigates the effects of various cationic surfactants (DDA, DTAB, TTAB, CTAB) and flocculants (APAM, NPAM, CPAM) on the sedimentation of kaolinite particles. The study explores the impact of single agents, combined agents, and the sequence of their addition on kaolinite particle sedimentation. The results indicate that when using individual agents at low concentrations, CTAB outperforms TTAB, DTAB, and DDA, while APAM is more effective than NPAM and CPAM. The optimal performance is achieved with a CTAB concentration of 2×10&lt;sup&gt;-4&lt;/sup&gt; mol/L and an APAM dosage of 20 mg/L. When combining agents, the best results are observed when CTAB is added before APAM. By fixing the APAM dosage at 20 mg/L and varying the CTAB concentration, the highest sedimentation rate and lowest turbidity are obtained at a CTAB concentration of 1.5×10&lt;sup&gt;-4&lt;/sup&gt; mol/L. Mechanistic insights were obtained through aggregate imaging, area measurement, zeta potential testing, and contact angle testing. Cationic surfactants alter the surface properties of particles, reducing surface electronegativity and increasing hydrophobicity, which diminishes inter-particle repulsion and promotes aggregation, thereby reducing turbidity. Flocculants form larger flocs through adsorption and bridging, accelerating the sedimentation process. When flocculants and cationic surfactants are used together, the resulting flocs are more stable and larger, with an average floc area reaching 5017.6079 µm&lt;sup&gt;2&lt;/sup&gt;, indicating a significant reduction in fine particles within the solution.

Efficient Organic Carbon Burial by Bottom Currents in the Ocean: A Potential Role in Climate Modulation

AbstractBottom currents play a major role in deep‐sea sedimentation, but their significance in the burial of organic carbon is poorly quantified at a global scale. Here we show that Holocene fluxes of organic carbon into the contourite drifts are high, with a global average of 0.09 g cm−2 Kyr−1. At individual drift sites, fluxes are commonly 1–2 orders of magnitude greater than rates in surrounding areas and in global depth‐similar zones. These high fluxes of organic carbon into the contourite drifts are due to high rates of sedimentation. Over the past 50 million years, sedimentation rates at the studied contourite drift sites have overall increased, coincident with decreasing atmospheric CO2 and a cooling global climate. Our work suggests that a ramp‐up of the bottom‐current carbon pump has accelerated removal of CO2 from the atmosphere and oceanic water, thus contributing to the overall global cooling after the Eocene Thermal Maximum.

Luminescence dating of the MIS 6 glaciation of the Pamir mountains (Central Asia)

The Pamir Mountains are one of the highest mountain systems in the world; they act as sources of fresh water for the main rivers of Central Asia: the Amudaria and Syrdaria. Throughout the Quaternary, the Pamirs played a major role in controlling atmospheric circulation and land-surface processes, and provided great volumes of terrigenous sediments for transport by large rivers to the depressions in the Aral and Caspian regions. These ultimately provided broad aeolian cover in the sandy deserts, and finer dust for the widely distributed loess-palaeosol sequences. The glaciation history of this highly dynamic region provides an important basis for understanding climate change, sediment source and landscape evolution in Central Asia during the Quaternary. The question of the number, distribution, extent and timing of Pleistocene glaciations in the Pamir is debated. One of the main obstacles to research, together with difficulties of access and severity of current climate, is the varying degree of preservation of traces of previous glaciations in the western and eastern Pamir. As a result of a geological survey, we for the first time identified a thick lacustrine deposit at high altitudes in a tributary of the Panj – the valley of the Sary-Shitharv River – this records the damming of the Panj River valley by a large glacier. Luminescence measurements were undertaken to obtain the age of the Sary-Shitharv glacially-dammed lake. As often in mountain catchments the quartz OSL signal was unsuitable for dose estimation, and so the chronology of the Sary-Shitharv section is based entirely on post-IR IRSL signals from K-rich feldspar. We used pIRIR50,290 and pIRIR200,290 protocols and obtained indistinguishable ages from both protocols. Given the high sedimentation rates deduced from the structure of lacustrine deposits, the entire sequence must have been accumulated rather quickly, over a period of no more than a few thousand years. The average age over the whole series of dates is 165 ± 11 ka. This places the existence of the glacially-dammed lake at Sary-Shitharv in late MIS 6, a result that fits well with the general course of the glacial history of the Pamirs.

Decapod crustacean diversity through time and space in a middle-upper Eocene carbonate-siliciclastic platform (southern Jaca Basin, Pyrenees, Spain)

The south-central margin of the Jaca Basin (South-central Pyrenees, Spain) offers well-exposed outcrops ideal for studying the distribution of decapod crustaceans across a mixed carbonate-siliciclastic depositional system during the middle-late Eocene (Bartonian-Priabonian). This study encompasses an area of 1000 km2, featuring environments from siliciclastic coastal plains and deltaic complexes to shallow carbonate and mixed platforms, including coral reefs, extending to prodelta/outer platform deeper conditions. Detailed sampling in four depositional sequences yielded 372 fossil decapod specimens from various lithofacies across 20 localities.Our analysis identifies 39 decapod species within 22 families and demonstrates ecological zonation of decapods in shallow to relatively deep environments. Diversity peaks in siliciclastic shallow proximal prodelta areas and carbonate bryozoan meadows. Species distribution between carbonate and siliciclastic facies is similar, though taxonomically distinct. Articulated specimens predominantly occur in shallow proximal and relatively deep distal siliciclastic areas, linked to sudden sediment input and high sedimentation rates. These findings elucidate the spatial and temporal distribution factors of decapod crustaceans during the middle-late Eocene, contributing to the broader understanding of palaeoecological patterns in mixed depositional systems.

Clinical characteristics of perimenopausal female patients with rheumatoid arthritis

Objective: To explore the menopause status of patients with rheumatoid arthritis (RA) and clinical characteristics of perimenopausal RA patients. Methods: A cross-sectional study. Female RA patients were recruited retrospectively in the Sun Yat-Sen Memorial Hospital from August 2015 to August 2023. Clinical data were collected, including onset age, disease duration, RA disease activity indicators, functional assessment, and radiographic scores. According to menopausal status, the patients were categorized as pre-menopausal, perimenopausal and post-menopausal groups to explore their menopausal and clinical characteristics. Results: A total of 1 151 female patients were enrolled, with a mean age of (50.2±13.0) years. At enrollment, there were 470 (40.8%), 140 (12.2%) and 541 (47.0%) patients in pre-menopause, perimenopause and post-menopause status, respectively. The mean age of menopause was (49.0±4.2) years. Compared with pre-menopausal group, perimenopausal RA patients had higher disease activity indicators [clinical disease activity index (CDAI) 17 (6, 26) vs 10 (3, 19) ], higher levels of inflammation [erythrocyte sedimentation rate (ESR) 35 (21, 65) vs 26 (14, 44) mm/1h, C-reactive protein (CRP) 6.2 (3.2, 16.8) vs 3.3 (3.2, 13.6) mg/L], and a higher proportion of functional limitation [25.0%(35/140) vs 10.4%(49/470)] (all P<0.016 7); while there was no significant differences in disease activity[M(Q1, Q3)] [CDAI 17 (6, 26) vs 14 (6, 25)], levels of inflammation [ESR 35(21, 65) vs 42 (23, 72) mm/1h, CRP 6.2 (3.2, 16.8) vs 6.2 (3.3, 23.9) mg/L] and functional limitation [25.0%(35/140) vs 28.8%(156/541)] when compared with those in post-menopausal group (all P>0.016 7). In RA patients during the perimenopausal period, 49 cases (35.0%) developed RA during this period. Compared with patients with RA onset during reproductive age, patients with RA onset during the perimenopausal period had higher numbers of 28-joint tender joints [7 (2, 10) vs 4 (0, 8)], higher CDAI [20 (12, 29) vs 14 (4, 24)], and higher ESR [45 (25, 72) vs 32 (18, 56) mm/1h] (all P<0.05). Conclusion: Perimenopausal patients with RA have severe disease activity and functional limitation.

Clinical impacts of immunomodulator withdrawal from anti-tumor necrosis factor combination therapy in pediatric inflammatory bowel disease.

Combination therapy consists of both anti-tumor necrosis factor (anti-TNF) and an immunomodulator (IMM) and has been shown to improve outcomes in patients with inflammatory bowel disease (IBD). This study assesses the impacts of IMM withdrawal from combination therapy to anti-TNF monotherapy in children with IBD. This single-center retrospective cohort study included children with IBD initiated on combination therapy between 2014 and 2019 who discontinued the IMM. We evaluated whether IMM withdrawal impacts laboratory values and disease activity. Linear mixed effects models with random intercepts were used to compare differences between groups. Chi-square and Kruskal-Wallis tests were used for comparisons between patients who did and did not require subsequent escalation of therapy. One hundred and fifty-two patients discontinued the IMM which did not significantly affect disease activity. However, 18% of patients escalated therapy after IMM withdrawal, primarily due to low anti-TNF levels. Lower anti-TNF and higher erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels before IMM withdrawal were associated with subsequent escalation of therapy. Overall, there was no statistically significant effect on anti-TNF drug levels. Patients with Crohn's disease (CD) on infliximab (IFX) and methotrexate (MTX) who discontinued the IMM had an increase in mean ESR and CRP (p < 0.05). IMM withdrawal from anti-TNF combination therapy may be considered safe in the setting of higher anti-TNF levels and normal serum inflammatory markers. Clinicians should consider assessing anti-TNF levels and inflammatory markers after IMM withdrawal, especially in patients with CD receiving IFX who discontinued MTX.

Seasonal euxinia in a coastal basin: Impact on sedimentary molybdenum enrichments and isotope signatures

Eutrophication and global warming are leading to increased deoxygenation of coastal waters worldwide. To predict future trajectories of oxygen loss, insight into the intensity and temporal dynamics of past coastal deoxygenation is essential. Here, we assess the use of sedimentary molybdenum (Mo) enrichments and isotopic signatures (δ98Mo) as redox proxies in sediments of a seasonally euxinic coastal basin (Scharendijke, Lake Grevelingen, the Netherlands). Strong drawdown of dissolved Mo (from ~100 to ~60 nmol L−1) was observed in the euxinic bottom waters from July to September in 2021, coinciding with sedimentary enrichment of Mo (with peak values up to 19 ppm). A mass balance for Mo indicates that both deposition of Mo in the form of particles and diffusion of dissolved Mo into the sediment account for this Mo enrichment. The δ98Mo composition of suspended matter in the euxinic waters (0.30 to −1.95 ‰) is in line with isotopic fractionation during formation of thiomolybdates, and removal of Mo by sulfur- and/or iron-rich particles. The δ98Mo composition of the bottom water increases from 2.42 to 3.16 ‰ throughout the euxinic period, thereby further supporting preferential uptake of light Mo isotopes during sulfidation in the water column and near the sediment-water interface. The high sedimentation rate at this site (>13 cm yr−1) allows seasonal variations in sedimentary enrichments to be preserved in the sedimentary record. Notably, sediment δ98Mo values peak during the summer euxinic period, reaching 1.28 ‰ in 2021 and as high as 2.15 ‰ in 2020. The 2020 value is close to the mean ocean value of 2.3 ‰, implying that sediments overlain by seasonal and permanently euxinic bottom waters can record the same isotopic signatures for Mo. Further work is needed to determine the potential role of diagenesis in altering δ98Mo records on time scales of months to several years.

Ultrasonography of the superficial temporal and axillary arteries in giant cell arteritis diagnosis

ObjectivesGiant cell arteritis (GCA) is the main systemic vasculitis in individuals aged ≥ 50 years. Color Doppler ultrasound (CDS) has an established role in GCA diagnosis and management. This study aims to assess the clinical characteristics associated with a positive CDS evaluation and the impact of additional axillary artery examination on diagnostic sensitivity. Material and methodsWe conducted a retrospective analysis of patients undergoing CDS of the superficial temporal arteries, with or without axillary artery assessment, at our hospital, between 2009 and 2023. Patients meeting the new 2022 diagnostic criteria for GCA were included and their characteristics were analyzed according to the presence of the halo sign on CDS. ResultsOf the 135 included patients (54 % female, mean age 75 ± 8 years), the halo sign was observed in 57 %, correlating with higher systemic symptom prevalence (61 % vs 42 %, p = 0.035), lower hemoglobin (p < 0.001), and higher erythrocyte sedimentation rate (p = 0.028). The halo sign inversely related to prior corticosteroid therapy (p = 0.033). Patients with axillary halo sign had fewer external carotid symptoms and a higher vertebral halo sign prevalence. Vertebral halo sign was associated with posterior circulation ischemic stroke (65 %, p < 0.001). Axillary artery studies improved diagnostic sensitivity by 9 %. ConclusionIn our study, the halo sign correlated with higher systemic symptoms and analytical abnormalities. Axillary artery examination enhanced CDS sensitivity, linked to severe outcomes like stroke. Prior corticosteroid therapy reduced CDS sensitivity. The correlation of clinical, laboratory, and ultrasound findings provides a more comprehensive understanding of GCA pathogenesis and evolution.

Lupus Enteritis: A Rare Presentation of Lupus Flare

Abstract Among the various manifestations of systemic lupus erythematosus, lupus enteritis is an uncommon entity. A 14-year-old female, suffering from lupus, presented with abdominal pain, nausea, vomiting, and weight loss. A large hard palate ulcer, high erythrocyte sedimentation rate, and low complement levels led us to suspect lupus enteritis, which was subsequently confirmed by imaging and treated promptly. Accurate history, astute clinical examination, and contrast-enhanced computed tomography scan of the abdomen contribute invaluably to the diagnosis of this rare condition and distinction from its various mimics.

Unraveling marine phosphogenesis along the Miocene coast of Peru: Origin and sedimentological significance of the Pisco Formation phosphorites

Phosphorite deposits form through phosphogenesis, a mechanism of diffusion and concentration of interstitial phosphate in sediments leading to Ca-phosphate mineral precipitation in a favorable sedimentary regime at the seafloor. Stretching along the Peruvian coast, the East Pisco Basin is known to host phosphorite beds of Miocene age. In this study, we investigate the petrographic, mineralogical and chemical composition of the Miocene phosphorite layers of the East Pisco Basin, and discuss the phosphogenetic mechanism(s) and sedimentary dynamics that led to the genesis and accumulation of P-rich deposits. Phosphorite samples were collected from layers overlaying stratigraphic unconformities within the Pisco Formation and subsequently analyzed through multiple methods: optical microscopy, XRD, XRF, SEM-EDS, EPMA, ICP-MS and LA-ICP-MS. Our results indicate that these layers consist of phosphatic clasts and nodules along with dolomite clasts, basement boulders, shark teeth, mollusk molds and vertebrate bone fragments. The P-rich clasts are mainly composed of phosphatic intraclasts and small phosphatic nodules. They occur associated with minor amounts of dolomite clasts coated by Fe-oxyhydroxides and laminites. Clasts and nodules are cemented by both early and late diagenetic cements, such as dolomite, calcite, silica, gypsum/anhydrite and baryte. Our observations suggest that the Pisco phosphorite deposits are transgressive lags laying on ravinement surfaces. They formed just below the sediment-water boundary during the early transgression phases, when the porewaters were enriched in phosphorus due to the abundance of organic-rich sediments and the microbial activity, as typical of upwelling settings. These deposits formed in shallow marine conditions, characterized by high biological productivity and low net sedimentation rates, with suboxic conditions at and beneath the sediment-water interface. The concentration of phosphate-coated clasts was then favored by a sedimentary condensation mechanism of dynamic bypassing. Overall, this study provides new insights into the genesis of phosphorite layers in the East Pisco Basin and highlights the importance of understanding the complex interplay between authigenic and sedimentological processes in the formation of these economically and geologically relevant sedimentary rocks.

High-resolution water temperature and salinity evolutions and associated drivers of the North Yellow Sea during the Late-Holocene

The mud deposit areas on continental shelf have developed in a relatively steady sedimentary condition with high sedimentation rates, thus rendering them ideal regions for exploring high-resolution paleo-sedimentary environment records. Since the sedimentary environment of the continental shelf is subject to the compound influence of multiple factors, the reconstruction of water salinity and temperature and comprehensive analysis of their response to global climate change remains challenging. Therefore, the present study characterized water salinity and temperature of the North Yellow Sea (NYS) using proxies, such as ratios of halogen elements of sediments and stable isotopic compositions of benthic foraminifera, and found the halogen elements of Cl in sediments was good proxy for water salinity. The evolutions of water salinity and temperature of the NYS for the past 3000 years were reconstructed, while the evolution stages and drivers of the sedimentary environment were explored. From approximately 3000 cal yr BP, the sea bottom salinity and temperature of the NYS were found to follow the same evolution trends predominantly consisting of the three stages: relatively low seawater salinity and temperature during 3000−2000 cal yr BP; relatively high seawater salinity and temperature during 2000−460 cal yr BP; and rapid changes of seawater salinity and temperature since 460 cal yr BP. The changes in seawater salinity and temperature of the NYS were largely driven by the East Asian winter monsoon (EAWM) as well as the influence of the Kuroshio Current. As the EAWM fluctuated, changes occurred in the flux of low temperature, low salinity coastal current water into the Yellow Sea, with concomitant changes in bottom temperature and salinity. Strengthening of the Kuroshio Current promoted the development of the Yellow Sea Warm Current, while the influx of warm, salty water into the Yellow Sea influenced the respective sea region. The abrupt global climate changes such as the “Little Ice Age” and the Medieval Warm Period first affected the East Asian monsoon, followed by the respective sea region.

Hypogonadism in men with inflammatory joint diseases: Frequency and clinical characteristics

To study the frequency of hypogonadism (HG) in men with rheumatoid arthritis (RA), ankylosing spondylitis (AS) and psoriatic arthritis (PsA) and to evaluate the impact of HG on the course of RA and and concomitant diseases. A single-stage continuous study included 170 men with RA, 57 men with AS and 85 men with PsA, who were hospitalized at the Nasonova Research Institute of Rheumatology. Patients were assessed for total testosterone (ТS) levels and subsequently divided into subgroups with normal (>12 nmol/l) and reduced levels. An intergroup comparison was carried out on the main indicators used in clinical rheumatological practice to assess the stage, activity and other medical and demographic characteristics of rheumatic disease, as well as on concomitant conditions. The second stage of the study involved a pairwise intergroup comparison among patients with HG with RA, AS and PsA. The incidence of ТS deficiency among patients with RA was 24.1%, among patients with AS - 17.5%, and with PsA - 31.8%. In patients with RA, HG was associated with a significantly higher mean body mass index, higher fasting blood glucose and uric acid, higher erythrocyte sedimentation rate and anemia. Patients with AS with HG had significantly lower hemoglobin levels and more frequent anemia, as well as higher levels of C-reactive protein and erythrocyte sedimentation rate. In PsA, older age was observed in the androgen deficiency group, as well as higher body mass index and fasting glucose levels; obesity was more common. An intergroup comparison of quantitative and qualitative indicators between patients with androgen deficiency in all three rheumatic diseases (RDs) did not reveal significant differences in the average concentrations of ТS, luteinizing hormone, sex hormone binding globulin, experience of RD, laboratory markers of inflammatory activity, as well as glucose and uric acid. A similar incidence of diabetes mellitus, obesity and anemia was noted for all three nosologies. ТS levels and the presence of HG were not associated with the stage and activity of RD, but ТS deficiency was accompanied by higher laboratory indicators of inflammatory activity, lower hemoglobin values, and metabolic disorders. Patients with HG, regardless of nosology, had similar levels of sex hormones and indicators reflecting RD and concomitant conditions.

Sedimentology of Modern Bahamian Carbonate Slopes: Summary and Update

AbstractSlopes adjacent to the Bahamian carbonate platform revealed a large variety of depositional processes. In this study, we present a synthesis summarizing 109,000 km2 of bathymetric and reflectivity data with ∼7,900 km of seismic lines and 311 m of sediment cores that were obtained over the last 50 years. These data are used to develop a conceptual model of sedimentation patterns on Quaternary carbonate slope systems and their interaction with the adjacent shallow‐water carbonate platforms. Our data highlight that during the Quaternary, factors controlling large‐scale sedimentation on Bahamian slopes have numerous similarities as they have higher sedimentation rates during interglacials. At a small scale, every slope has its own characteristics that are contemporary controlled by two main characteristics: (a) facies on the adjacent shallow‐water platform, and (b) the impact of shallow‐ and deep‐water currents. Large‐scale tectonics influence sediment deposition as it determines the position of the islands and impacts platform facies distribution.

Diagnostic approach of tuberculous lymphadenitis in a multicenter study.

Tuberculous lymphadenitis (TBLN) is the most common infectious etiology of peripheral lymphadenopathy in adults, in Turkiye. This study aimed to identify the demographic, clinical, and laboratory variables that differentiate TBLN from non-tuberculous lymphadenitis (NTBLN), as well as the etiology of lymphadenopathy in adults. Patients who were over 18 years old and were referred to the infectious disease outpatient clinics with complaints of swollen peripheral lymph nodes, and who underwent lymph node biopsy between 1 January 2010 and 1 March 2021, were included in this multicenter, nested case-control study. A total of 812 patients at 17 tertiary teaching and research hospitals in Turkiye were included in the study. TBLN was the most frequent diagnosis (53.69%). The proportion of patients diagnosed with TBLN was higher among females; and among those who had a higher erythrocyte sedimentation rate, positive purified protein derivative test, and positive interferon-gamma release test result (p < 0.05). However, TBLN was less frequent among patients with generalized lymphadenopathy, bilateral lymphadenopathy, axillary lymphadenopathy, inguinal lymphadenopathy, hepatomegaly, splenomegaly, leukocytosis, and moderately increased C reactive protein levels (p < 0.05). Identifying the variables that predict TBLN or discriminate TBLN from NTBLN will help clinicians establish optimal clinical strategies for the diagnosis of adult lymphadenopathy.

Risk Factors and Biomarkers for Interstitial Lung Disease and Pulmonary Arterial Hypertension in Systemic Sclerosis: Experience of Two Tertiary Centers in Turkey

Purpose: To define the clinical and laboratory characteristics of patients with systemic sclerosis (SSc), and to investigate the risk factors affecting the prevalence of interstitial lung disease (ILD) and pulmonary arterial hypertension (PAH), which are important causes of morbidity and mortality. Patients and methods: 88 patients with SSc were compared according to the presence of ILD and PAH. ILD was confirmed by chest computed tomography, and PAH was suspected and considered probable PAH when right ventricular systolic pressure was &gt;40 mmHg according to echocardiography. Results: Of the 88 patients, 44.3% had diffuse-type and 55.7% had limited-type SSc. Diffuse type, percentages of positive anti-scleroderma-70 (anti-Scl70) antibody and anti-centromere antibody, white blood cell (WBC), platelet, erythrocyte sedimentation rate (ESR), smoking, and presence of the sclerodactyly and telangiectasia differed significantly in SSc with ILD group. The positive titer of anti-Scl70 antibody (odds ratio (OR)=6.124, p=0.004), platelet count (OR=0.138, p=0.002), ESR (OR=1.042, p=0.035) and presence of telangiectasia (OR=10.571, p=0.001) were associated with ILD in patients with SSc. Also, while diffuse-type (OR=0.223, p=0.010), the presence of sclerodactyly (OR=11.112, p=0.028) and telangiectasia (OR=3.861, p=0.020) were risk factors for the development of ILD in nonspecific interstitial pneumonia pattern, anti-Scl-70 antibody positivity (OR=12.921, p=0.019) and high ESR (OR=1.034, p=0.030) were found to be risk factors for the development of usual interstitial pneumonia pattern. Conclusion: Positive titer of the anti-Scl70 antibody, diffuse type, presence of telangiectasia, and high ESR were independently associated with ILD in SSc patients.