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This paper documents the stock market's reaction to a 2009 paper in the Nature journal of science, which concluded that only a fraction of the world's existing oil, gas, and coal reserves could be emitted if global warming by 2050 were not to exceed 2 °C above pre-industrial levels. This Nature article is now one of the most cited environmental science studies in recent years. Our analysis indicates that this publication prompted an average stock price drop of 1.5% to 2% for our sample of the 63 largest U.S. oil and gas firms. Later, in 2012-2013, the press "discovered" this article, writing hundreds of stories on the grim consequences of unburnable carbon for fossil fuel companies. We show only a small negative reaction to these later stories, mostly in the two weeks following their publication. This limited market response contrasts with the predictions of some analysts and commentators of a substantial decline in the shareholder value of fossil fuel companies from a carbon bubble. Our paper discusses possible reasons for this discrepancy.

The article discusses the environmental impact that water consumption and agrochemical use could have, during the production of biofuels such as ethanol, on the availability and quality of the resource. Meeting the global challenge of providing inexpensive and clean water could be intensified by the increasing demand for biofuels or transportation biofuel needs including the need for large quantities of water to grow the fuel crops and water pollution due to agricultural drainage which contain fertilizers, pesticides, and sediment. Topics include how these potential drawbacks are balanced by the potential of biofuels to ease dependence on foreign oil, improve trade balance(s), and mitigate air pollution through the reduction of fossil carbon emissions.

Despite increased awareness of the lack of gender equity in academia and a growing number of initiatives to address issues of diversity, change is slow, and inequalities remain. A major source of inequity is gender bias, which has a substantial negative impact on the careers, work-life balance, and mental health of underrepresented groups in science. Here, we argue that gender bias is not a single problem but manifests as a collection of distinct issues that impact researchers' lives. We disentangle these facets and propose concrete solutions that can be adopted by individuals, academic institutions, and society., (Copyright © 2021 Elsevier Inc. All rights reserved.)

Changes in atmospheric CO2 concentrations, temperature, and precipitation affect plant growth and evapotranspiration. However, the interactive effects of these factors are relatively unexplored, and it is important to consider their combined effects at geographic and temporal scales that are relevant to policymaking. Accordingly, we estimate how climate change would affect water requirements for irrigated corn ethanol production in key regions of the U.S. over a 40 year horizon. We used the geographic-information-system-based environmental policy integrated climate (GEPIC) model, coupled with temperature and precipitation predictions from five different general circulation models and atmospheric CO2 concentrations from the Special Report on Emissions Scenarios A2 emission scenario of the Intergovernmental Panel on Climate Change, to estimate changes in water requirements and yields for corn ethanol. Simulations infer that climate change would increase the evaporative water consumption of the 15 billion gallons per year of corn ethanol needed to comply with the Energy Independency and Security Act by 10%, from 94 to 102 trillion liters/year (tly), and the irrigation water consumption by 19%, from 10.22 to 12.18 tly. Furthermore, on average, irrigation rates would increase by 9%, while corn yields would decrease by 7%, even when the projected increased irrigation requirements were met. In the irrigation-intensive High Plains, this implies increased pressure for the stressed Ogallala Aquifer, which provides water to seven states and irrigates one-fourth of the grain produced in the U.S. In the Corn Belt and Great Lakes region, where more rainfall is projected, higher water requirements could be related to less frequent rainfall, suggesting a need for additional water catchment capacity. The projected increases in water intensity (i.e., the liters of water required during feedstock cultivation to produce 1 L of corn ethanol) because of climate change highlight the need to re-evaluate the corn ethanol elements of the Renewable Fuel Standard.

Objective: To describe euthyroid sick syndrome (ESS) and its different clinical variants in severe acute illness., Design: This prospective cohort study examined hormone results and outcome for patients admitted to our intensive care unit (ICU)., Methods: In this heterogeneous group of 108 patients from our ICU we analyzed the prevalence of ESS and its influence on mortality and sought to determine if any thyroid indicators had a prognostic value., Results: The prevalence of ESS was similar to that described by other authors (68.5% for ESS type I, 15.7% for type II and 1.9% for type III). Patients developed thyroid alterations on their third day of hospitalization and those with ESS type II had a higher mortality rate. The only thyroid indicator with prognostic value was a reverse triiodothyronine (rT3) value exceeding 0.61 ng/mL., Conclusion: Severe acute illness induced the thyroid alterations known as ESS. Type I had the highest prevalence, but type II was correlated with a higher mortality rate. The only thyroid indicator with a prognostic value was rT3.

The usefulness of telescoping plugged catheter (TPC) together with bronchoalveolar lavage (BAL) in the same bronchoscopic act in the diagnosis of pulmonary infiltrates was studied in 113 fiberoptic bronchoscopic examinations performed on 96 immunocompromised patients. The TPC cultures detected pulmonary bacterial infections in 25 (22 percent) cases but showed a high frequency of false positive results (12 microorganisms, 27 percent). Bronchoalveolar lavage had an overall diagnostic yield of 49 percent (53 of 113 cases). Combining TPC and BAL diagnostic values, 78 of 113 pulmonary infiltrates (69 percent) were diagnosed. The results obtained by both techniques allowed us to modify the treatment in 35 (31 percent) cases. Combined, TPC and BAL show a good diagnostic yield in immunocompromised patients with pulmonary infiltrates. Both techniques should be performed as the first approach in the evaluation of these patients, and be done in the same bronchoscopic procedure.

The present study was undertaken to investigate the diagnostic usefulness of fine-needle aspiration biopsy (FNAB) in a large series of patients with hepatocellular carcinoma (HCC) seen over a 1-year period. During 1986, ultrasonographically guided percutaneous FNAB was performed in 72 patients with suspected HCC. A final diagnosis of HCC was made in 58 patients. The presence or absence of HCC was ascertained by histological examination and/or by other diagnostic procedures (alpha 1-fetoprotein, computed tomography, arteriography) and by clinical follow-up (repeated ultrasonographic controls) and/or by surgery or necropsy. A total of 61 FNABs were carried out in these 58 patients. Only 42 (69%) of the 61 FNABs allowed the diagnosis of HCC. This moderate diagnostic sensitivity was not related to tumor size. Only one false positive result was observed in the non-HCC group. Therefore, the diagnostic specificity of FNAB for HCC was 93%, with a positive predictive value of 97% and a negative predictive value of 40%. These results show that FNAB is a useful diagnostic technique in patients with HCC. However, these data also show that there is a large proportion (31%) of subjects with false negative results. Therefore, we suggest that further efforts should be made to improve the diagnostic accuracy of this procedure.

A group of two hundred and sixty women, most of them young, with histologic diagnosis of CIN located at the exocervix, has been treated by means of CO2 laser vaporization. The entire transformation zone and a minimum of 10 mm at the base of cervical canal was vaporized to a depth of 6-7 mm. Of the treated group, 239 patients (114 CIN I, 78 SIN II and 47 CIN III), were followed for a mean of 19 months. The failure rate of a single treatment was 8.8% for CIN I, 11.5% for CIN II and 12.7% for CIN III. These results are in agreement with world Literature The majority of failures, diagnosed within the first year of follow-up were small areas of CIN I-II located around the squamo-columnar junction, and only two CIN III were detected. No evidence of CIN was observed after a second treatment. No case of invasive cancer has been detected. Fertility was not affected by the treatment. It is concluded that CO2 laser vaporization is a safe and effective method for treatment of CIN. Patient selection, proper technique, close follow-up and adequate treatment of failures are essential to this end.

The Ca1 antibody was used in an immunohistochemical procedure on smears of cells from 40 patients with malignant pleural effusion. The control group consisted of 25 benign pleural effusions with a high percentage of reactive mesothelial cells. The Ca1 Mc Ab was positive in 19 (79%) of the 24 pleural effusions with positive malignant cytology. In all the benign cases the Ca1 Mc Ab was negative (100% specificity). The Ca1 Mc Ab detected malignant mesothelial cells in two cases and was negative with reactive mesothelial cells and other nucleated cells present in the pleural effusion. We conclude that the Ca1 antibody offers a useful diagnostic method for malignant pleural effusions, when the morphological interpretation is doubtful.