Biogenic-to-lithogenic handoff of particulate Zn affects the Zn cycle in the Southern Ocean.

Zinc (Zn) is vital to marine organisms. Its active uptake by phytoplankton results in a substantial depletion of dissolved Zn, and Zn bound to particulate organic matter replenishes dissolved Zn in the ocean through remineralization. However, we found that particulate Zn changes from Zn bound to phosphoryls in cells to recalcitrant inorganic pools that include biogenic silica, clays, and iron, manganese, and aluminum oxides in the Southern Ocean water column.

Exchange of Pb from Indian to Atlantic Ocean is driven by Agulhas current and atmospheric Pb input from South Africa.

Using a spatiotemporal dataset of dissolved lead (dPb) from the subtropical oceans surrounding South Africa, this study quantifies the exchange of dPb between the Indian and Atlantic Oceans. Despite the absence of a major Pb source within the South Atlantic sector and the complete phase-out of leaded petroleum in Southern Africa, the ecologically important southeast Cape Basin shows an elevated surface dPb concentration (21-30 pmol kg). We estimated up to 90% of the measured dPb in surface waters of the Cape Basin was delivered from the Indian Ocean via the Agulhas Current (AC).

Post-laryngectomy simplified dysphagia score (SDS) tool: Potential for screening and comparison with the swallowing outcomes after laryngectomy (SOAL) tool.

Background: Our understanding of swallowing disorders after laryngectomy remains limited. A literature search found that documentation of swallowing function in the laryngectomee population is lacking. Furthermore, no consensus exists regarding a suitable evaluation tool to assess swallowing function.

The Prevalence of Human Papillomavirus-Positive Oropharyngeal Squamous Cell Carcinoma at One of the Largest Tertiary Care Centers in Sub-Saharan Africa.

Context.—: Limited data exist on the prevalence of human papillomavirus (HPV)-positive oropharyngeal squamous cell carcinoma in sub-Saharan Africa.

Objective.

Bilateral vocal fold palsy due to ingested battery in the postcricoid area/proximal esophagus.

Stridor is a common symptom associated with foreign body aspiration. In most cases, this is due to the foreign bodies lodging in the supraglottis, glottis, subglottis, or high extra-thoracic trachea. Infrequently, foreign bodies located in the esophagus cause stridor.