Calcium promotes persistent soil organic matter by altering microbial transformation of plant litter.

Calcium (Ca) can contribute to soil organic carbon (SOC) persistence by mediating physico-chemical interactions between organic compounds and minerals. Yet, Ca is also crucial for microbial adhesion, potentially affecting colonization of plant and mineral surfaces. The importance of Ca as a mediator of microbe-mineral-organic matter interactions and resulting SOC transformation has been largely overlooked.

Decomposition decreases molecular diversity and ecosystem similarity of soil organic matter.

Soil organic matter (SOM) is comprised of a diverse array of reactive carbon molecules, including hydrophilic and hydrophobic compounds, that impact rates of SOM formation and persistence. Despite clear importance to ecosystem science, little is known about broad-scale controls on SOM diversity and variability in soil. Here, we show that microbial decomposition drives significant variability in the molecular richness and diversity of SOM between soil horizons and across a continental-scale gradient in climate and ecosystem type (arid shrubs, coniferous, deciduous, and mixed forests, grasslands, and tundra sedges).

Magnesium-enriched poultry manure enhances phosphorus bioavailability in biochars.

Pyrolysis of calcium-rich feedstock (e.g., poultry manure) generates semi-crystalline and crystalline phosphorus (P) species, compromising its short-term availability to plants.

Designing clay-polymer nanocomposite sorbents for water treatment: A review and meta-analysis of the past decade.

Clay-polymer nanocomposites (CPNs) have been studied for two decades as sorbents for water pollutants, but their applicability remains limited. Our aim in this review is to present the latest progress in CPN research using a meta-analysis approach and identify key steps necessary to bridge the gap between basic research and CPN application. Based on results extracted from 99 research articles on CPNs and 8 review articles on other widely studies sorbents, CPNs had higher adsorption capacities for several inorganic and organic pollutant classes (including heavy metals, oxyanions, and dyes, n = 308 observations).

Polymer-clay composite geomedia for sorptive removal of trace organic compounds and metals in urban stormwater.

Functionalized polymer-clay composites were developed and characterized as engineered geomedia for trace contaminant removal during infiltration of urban runoff. Montmorillonite clays were functionalized with either poly(diallyldimethylammonium) chloride (PDADMAC) or poly(4-vinylpyridine-co-styrene) (PVPcoS) to enhance organic compound sorption using a simple, scalable synthesis method. Seven representative trace organic compounds and six trace metals were employed to assess the performance of the polymer-clay composites relative to biochar (i.

The use of analytic hierarchy process for measuring the complexity of medical diagnosis.

Diagnostic complexity is an important contextual factor affecting a variety of medical outcomes. Existing measurements of diagnosis complexity either rely on crude proxies or use fine-grained measures that employ indicators from proprietary data that are not readily available. Hence, the study of this important construct in fields such as medical informatics has been hampered by the difficulty of measuring diagnostic complexity.

Exploring trajectories of emergency department visits using a laboratory-based indicator of serious illness.

Repeated emergency department visits have become a serious challenge worldwide. Despite prior research indicating that laboratory results may provide early alerts about such patients on their upcoming adverse events, few studies have examined their role as a critical indicator of the stability of a patient's medical condition over time. We model and analyze the developmental trajectories of patients' creatinine levels, a key laboratory marker of serious illness, as a potential risk stratification mechanism across many emergency department visits.

Polycyclodextrin-Clay Composites: Regenerable Dual-Site Sorbents for Bisphenol A Removal from Treated Wastewater.

The greatest challenge of wastewater treatment is the removal of trace concentrations of persistent micropollutants in the presence of the high concentration of effluent organic matter (EfOM). Micropollutant removal by sorbents is a common practice, but sorbent employment is often limited because of fouling induced by EfOM and challenging sorbent regeneration. We directly addressed these two issues by designing regenerable dual-site composite sorbents based on polymerized β-cyclodextrin, modified with a cationic group (pCD) and adsorbed to montmorillonite (pCD-MMT).

Catalytic polymer-clay composite for enhanced removal and degradation of diazinon.

It is well established that organophosphate pesticides, such as diazinon, pose environmental and health risks. Diazinon is prone to rapid acidic hydrolysis, forming the less toxic compound 2-isopropyl-6-methyl-4-pyrimidinol (IMP). In this study, diazinon surface catalyzed hydrolysis was achieved by its adsorption to a composite, based on protonated poly (4-vinyl-pyridine-co-styrene) (HPVPcoS) and montmorillonite (MMT) clay.

Efficient Filtration of Effluent Organic Matter by Polycation-Clay Composite Sorbents: Effect of Polycation Configuration on Pharmaceutical Removal.

Hybrid polycation-clay composites, based on methylated poly vinylpyridinium, were optimized as sorbents for secondary effluent organic matter (EfOM) including emerging micropollutants. Composite structure was tuned by solution ionic strength and characterized by zeta potential, FTIR, X-ray diffraction, and thermal gravimetric analyses. An increase in ionic strength induced a transition from a train to a loops and tails configuration, accompanied by greater polycation adsorption.

On Analyzing Readmissions Using A Trajectory Model: Evidence From Israel.

The problem of readmission, wherein patients are readmitted for the same or a related condition shortly after discharge, has become a challenge worldwide from care quality and financial perspectives. In this study, we explore 30-day readmission data for predicting who is likely to be readmitted and understanding key factors contributing to preventable readmissions using the developmental trajectory of creatinine level as a key laboratory marker of serious illness and a potential predictor of future readmission. Using Electronic Health Record data on 928 patients over ten different visits to emergency departments across Israel, we apply a semi-parametric, statistical, group-based trajectory model to elicit three distinct creatinine-based trajectories over time with differing 30-day readmission rates for males and females.

Using electronic health record systems to optimize admission decisions: the Creatinine case study.

Many medical organizations have implemented electronic health record (EHR) and health information exchange (HIE) networks to improve medical decision-making. This study evaluated the contribution of EHR and HIE networks to physicians by investigating whether health information technology can lead to more efficient admission decisions by reducing redundant admissions in the stressful environment of emergency. Log-files were retrieved from an integrative and interoperable EHR that serves seven main Israeli hospitals.

EHR in emergency rooms: exploring the effect of key information components on main complaints.

This study characterizes the information components associated with improved medical decision-making in the emergency room (ER). We looked at doctors' decisions to use or not to use information available to them on an electronic health record (EHR) and a Health Information Exchange (HIE) network, and tested for associations between their decision and parameters related to healthcare outcomes and processes. Using information components from the EHR and HIE was significantly related to improved quality of healthcare processes.

The impact of EHR and HIE on reducing avoidable admissions: controlling main differential diagnoses.

Background: Many medical organizations have invested heavily in electronic health record (EHR) and health information exchange (HIE) information systems (IS) to improve medical decision-making and increase efficiency. Despite the potential interoperability advantages of such IS, physicians do not always immediately consult electronic health information, and this decision may result in decreased level of quality of care as well as unnecessary costs. This study sought to reveal the effect of EHR IS use on the physicians' admission decisions.

Using electronic medical record systems for admission decisions in emergency departments: examining the crowdedness effect.

Many medical organizations have deployed electronic medical record (EMR) information systems (IS) to improve medical decision-making and increase efficiency. Despite their advantages, however, EMR IS may make less of a contribution in the stressful environment of an emergency department (ED) that operates under tight time constraints. The high level of crowdedness in the EDs itself can cause physicians to make medical decisions resulting in more unnecessary admissions and fewer necessary admissions.

The value of information for decision-making in the healthcare environment.

With their ever-growing importance and usability, the healthcare sector has been investing heavily in medical information systems in recent years, as part of the effort to improve medical decision-making and increase its efficiency through improved medical processes, reduced costs, integration of patients' data, etc. In light of these developments, this research aims to evaluate the contribution of information technology (IT) to improving the medical decision-making processes at the point of care of internal medicine and surgical departments and to evaluate the degree to which IT investments are worthwhile. This has been done by assessing the value of information to decision-makers (physicians) at the point of care by investigating whether the information systems improved the medical outcomes.