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Diseases of the nervous system and muscles often cause problems with breathing, coughing and swallowing. Profound knowledge is required to interpret and treat these conditions correctly, while lack of it results in treatment decisions which are burdensome or outright dangerous for the patients. Taking the reader through the neuroanatomy and neurophysiology of breathing, swallowing and coughing, this comprehensive text clarifies the diagnosis and treatment of respiratory impairments from diseases of the brain, spinal cord, peripheral nervous system and muscles. Practical advice is offered on treatment in neurological, medical, intensive care and palliative care units as well as in rehabilitation and long-term care. Written by renowned neurologists, with decades of experience, clinicians and healthcare professionals working in neurology, pulmonology, anaesthesiology, intensive care and paediatrics will find this guide indispensable.
The present study investigates the gravity-driven settling dynamics of non-Brownian suspensions consisting of spherical and cubic particles within a triply periodic domain. We numerically examine the impact of solid volume fraction on the evolving microstructure of the suspension using the rigid multiblob method under Stokes flow conditions. Our simulations match macroscopic trends observed in experiments, and align well with established semi-empirical correlations across a broad range of volume fractions. At low to moderate solid volume fractions, the settling mechanism is governed primarily by hydrodynamic interactions between the particles and the surrounding fluid. However, frequent collisions between particles in a highly packed space tend to suppress velocity fluctuations at denser regimes. For dilute suspensions, transport properties are shaped predominantly by an anisotropic microstructure, though this anisotropy diminishes as many-body interactions intensify at higher volume fractions. Notably, cubic particles exhibit lower anisotropy in velocity fluctuations compared to spherical particles, owing to more efficient momentum and energy transfer from the gravity-driven direction to transverse directions. Finally, bidisperse suspensions with mixed particle shapes show enhanced velocity fluctuations, driven by shape-induced variations in drag and increased hydrodynamic disturbances. These fluctuations in turn affect the local sedimentation velocity field, leading to the segregation of particles in the mixture.
Microbial mineral weathering has been predominantly investigated at shallow depths in humid and tropical environments. Much less is understood about its role in the deeper subsurface of arid and semi-arid environments where microbial weathering is limited by the availability of water and energy sources for microbial metabolism. However, the deep subsurface in these climate zones may host a microbial community that thrives on weathering of iron (Fe)-bearing minerals that serve as electron donors or acceptors.
To investigate the role of microorganisms in weathering of Fe-bearing minerals in a dry climate, we recovered a >80 m deep weathering profile in a semi-arid region of the Chilean Coastal Cordillera. The bedrock is rich in Fe-bearing minerals (hornblende, biotite, chlorite, magnetite and hematite) but lacks detectable organic carbon. We evaluated the bioavailability of Fe(III)-bearing minerals that may serve as an electron acceptor for Fe(III)-reducing microorganisms. Using geochemical, mineralogical and cultivation-based methods, we found enhanced Fe bioavailability and more in vitro microbial Fe(III) reduction at increased depth. We obtained an Fe(III)-reducing enrichment culture from the deepest weathered rock found at 77 m depth. This enrichment culture is capable of reducing ferrihydrite (up to 0.6 mM d–1) using lactate or dihydrogen as an electron donor and grows at circumneutral pH. The main organism in the enrichment culture is the spore-forming Desulfotomaculum ruminis (abundance of 98.5%) as revealed by 16S rRNA gene amplicon sequencing.
Our findings provide evidence for a microbial contribution to the weathering of Fe-bearing minerals in semi-arid environments. While microorganisms are probably not contributing to the weathering of Fe(II)-bearing silicate minerals, they are most likely of importance regarding reductive dissolution of secondary weathering products. The Fe(III) reduction quantified in this weathering profile by the in situ microbial community suggests that microorganisms are active weathering agents in semi-arid climates.