150 research outputs found

    Historical black carbon deposition in the Canadian High Arctic: a >250-year long ice-core record from Devon Island

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    Black carbon aerosol (BC), which is emitted from natural and anthropogenic sources (e.g., wildfires, coal burning), can contribute to magnify climate warming at high latitudes by darkening snow- and ice-covered surfaces, and subsequently lowering their albedo. Therefore, modeling the atmospheric transport and deposition of BC to the Arctic is important, and historical archives of BC accumulation in polar ice can help to validate such modeling efforts. Here we present a >250-year ice-core record of refractory BC (rBC) deposition on Devon ice cap, Canada, spanning the years from 1735 to 1992. This is the first such record ever developed from the Canadian Arctic. The estimated mean deposition flux of rBC on Devon ice cap for 1963-1990 is 0.2mg m-2a-1, which is at the low end of estimates from Greenland ice cores obtained using the same analytical method ( g1/4 0.1-4mg m-2a-1). The Devon ice cap rBC record also differs from the Greenland records in that it shows only a modest increase in rBC deposition during the 20th century. In the Greenland records a pronounced rise in rBC is observed from the 1880s to the 1910s, which is largely attributed to midlatitude coal burning emissions. The deposition of contaminants such as sulfate and lead increased on Devon ice cap in the 20th century but no concomitant rise in rBC is recorded in the ice. Part of the difference with Greenland could be due to local factors such as melt-freeze cycles on Devon ice cap that may limit the detection sensitivity of rBC analyses in melt-impacted core samples, and wind scouring of winter snow at the coring site. Air back-trajectory analyses also suggest that Devon ice cap receives BC from more distant North American and Eurasian sources than Greenland, and aerosol mixing and removal during long-range transport over the Arctic Ocean likely masks some of the specific BC source-receptor relationships. Findings from this study suggest that there could be a large variability in BC aerosol deposition across the Arctic region arising from different transport patterns. This variability needs to be accounted for when estimating the large-scale albedo lowering effect of BC deposition on Arctic snow/ice

    Reviews and syntheses: Recent advances in microwave remote sensing in support of terrestrial carbon cycle science in Arctic–boreal regions

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    Spaceborne microwave remote sensing (300 MHz–100 GHz) provides a valuable method for characterizing environmental changes, especially in Arctic–boreal regions (ABRs) where ground observations are generally spatially and temporally scarce. Although direct measurements of carbon fluxes are not feasible, spaceborne microwave radiometers and radar can monitor various important surface and near-surface variables that affect terrestrial carbon cycle processes such as respiratory carbon dioxide (CO2) fluxes; photosynthetic CO2 uptake; and processes related to net methane (CH4) exchange including CH4 production, transport and consumption. Examples of such controls include soil moisture and temperature, surface freeze–thaw cycles, vegetation water storage, snowpack properties and land cover. Microwave remote sensing also provides a means for independent aboveground biomass estimates that can be used to estimate aboveground carbon stocks. The microwave data record spans multiple decades going back to the 1970s with frequent (daily to weekly) global coverage independent of atmospheric conditions and solar illumination. Collectively, these advantages hold substantial untapped potential to monitor and better understand carbon cycle processes across ABRs. Given rapid climate warming across ABRs and the associated carbon cycle feedbacks to the global climate system, this review argues for the importance of rapid integration of microwave information into ABR terrestrial carbon cycle science.</p

    Evaluation of the Impact of Climate Change on Runoff Generation in an Andean Glacier Watershed

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    Excluding Antarctica and Greenland, 3.8% of the world’s glacier area is concentrated in Chile. The country has been strongly affected by the mega drought, which affects the south-central area and has produced an increase in dependence on water resources from snow and glacier melting in dry periods. Recent climate change has led to an elevation of the zero-degree isotherm, a decrease in solid-state precipitation amounts and an accelerated loss of glacier and snow storage in the Chilean Andes. This situation calls for a better understanding of future water discharge in Andean headwater catchments in order to improve water resources management in glacier-fed populated areas. The present study uses hydrological modeling to characterize the hydrological processes occurring in a glacio-nival watershed of the central Andes and to examine the impact of different climate change scenarios on discharge. The study site is the upper sub-watershed of the Tinguiririca River (area: 141 km2), of which nearly 20% is covered by Universidad Glacier. The semi-distributed Snowmelt Runoff Model + Glacier (SRM+G) was forced with local meteorological data to simulate catchment runoff. The model was calibrated on even years and validated on odd years during the 2008–2014 period and found to correctly reproduce daily runoff. The model was then forced with downscaled ensemble projected precipitation and temperature series under the RCP 4.5 and RCP 8.5 scenarios, and the glacier adjusted using a volume-area scaling relationship. The results obtained for 2050 indicate a decrease in mean annual discharge (MAD) of 18.1% for the lowest emission scenario and 43.3% for the most pessimistic emission scenario, while for 2100 the MAD decreases by 31.4 and 54.2%, respectively, for each emission scenario. Results show that decreasing precipitation lead to reduced rainfall and snowmelt contributions to discharge. Glacier melt thus partly buffers the drying climate trend, but our results show that the peak water occurs near 2040, after which glacier depletion leads to reducing discharge, threatening the long-term water resource availability in this region

    Canadian Arctic sea ice reconstructed from bromine in the Greenland NEEM ice core

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    Reconstructing the past variability of Arctic sea ice provides an essential context for recent multi-year sea ice decline, although few quantitative reconstructions cover the Holocene period prior to the earliest historical records 1,200 years ago. Photochemical recycling of bromine is observed over first-year, or seasonal, sea ice in so-called "bromine explosions" and we employ a 1-D chemistry transport model to quantify processes of bromine enrichment over first-year sea ice and depositional transport over multi-year sea ice and land ice. We report bromine enrichment in the Northwest Greenland Eemian NEEM ice core since the end of the Eemian interglacial 120,000 years ago, finding the maximum extension of first-year sea ice occurred approximately 9,000 years ago during the Holocene climate optimum, when Greenland temperatures were 2 to 3 degrees C above present values. First-year sea ice extent was lowest during the glacial stadials suggesting complete coverage of the Arctic Ocean by multi-year sea ice. These findings demonstrate a clear relationship between temperature and first-year sea ice extent in the Arctic and suggest multi-year sea ice will continue to decline as polar amplification drives Arctic temperatures beyond the 2 degrees C global average warming target of the recent COP21 Paris climate agreement

    Long-Acting Injectable ART and PrEP Among Women in Six Cities Across the United States: A Qualitative Analysis of Who Would Benefit the Most

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    Long-acting injectable (LAI) modalities have been developed for ART and PrEP. Women face unique barriers to LAI use yet little research has examined women’s perceptions of potential LAI HIV therapy candidates. We conducted 89 in-depth interviews at six Women’s Interagency HIV Study (WIHS) sites with women living with HIV (n = 59) and HIV-negative women (n = 30) from 2017 to 2018. Interviews were recorded, transcribed, and analyzed using thematic content analysis. Participants identified specific sub-populations who could most benefit from LAI over daily pills: (1) young people; (2) women with childcare responsibilities; (3) people with adherence-related psychological distress; (4) individuals with multiple sex partners; and (5) people facing structural insecurities such as homelessness. Women are underserved by current HIV care options and their perspectives are imperative to ensure a successful scale-up of LAI PrEP and LAI ART that prioritizes equitable access and benefit for all individuals

    Baseline Features and Reasons for Nonparticipation in the Colonoscopy Versus Fecal Immunochemical Test in Reducing Mortality From Colorectal Cancer (CONFIRM) Study, a Colorectal Cancer Screening Trial.

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    IMPORTANCE: The Colonoscopy Versus Fecal Immunochemical Test in Reducing Mortality From Colorectal Cancer (CONFIRM) randomized clinical trial sought to recruit 50 000 adults into a study comparing colorectal cancer (CRC) mortality outcomes after randomization to either an annual fecal immunochemical test (FIT) or colonoscopy. OBJECTIVE: To (1) describe study participant characteristics and (2) examine who declined participation because of a preference for colonoscopy or stool testing (ie, fecal occult blood test [FOBT]/FIT) and assess that preference\u27s association with geographic and temporal factors. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study within CONFIRM, which completed enrollment through 46 Department of Veterans Affairs medical centers between May 22, 2012, and December 1, 2017, with follow-up planned through 2028, comprised veterans aged 50 to 75 years with an average CRC risk and due for screening. Data were analyzed between March 7 and December 5, 2022. EXPOSURE: Case report forms were used to capture enrolled participant data and reasons for declining participation among otherwise eligible individuals. MAIN OUTCOMES AND MEASURES: Descriptive statistics were used to characterize the cohort overall and by intervention. Among individuals declining participation, logistic regression was used to compare preference for FOBT/FIT or colonoscopy by recruitment region and year. RESULTS: A total of 50 126 participants were recruited (mean [SD] age, 59.1 [6.9] years; 46 618 [93.0%] male and 3508 [7.0%] female). The cohort was racially and ethnically diverse, with 748 (1.5%) identifying as Asian, 12 021 (24.0%) as Black, 415 (0.8%) as Native American or Alaska Native, 34 629 (69.1%) as White, and 1877 (3.7%) as other race, including multiracial; and 5734 (11.4%) as having Hispanic ethnicity. Of the 11 109 eligible individuals who declined participation (18.0%), 4824 (43.4%) declined due to a stated preference for a specific screening test, with FOBT/FIT being the most preferred method (2820 [58.5%]) vs colonoscopy (1958 [40.6%]; P \u3c .001) or other screening tests (46 [1.0%] P \u3c .001). Preference for FOBT/FIT was strongest in the West (963 of 1472 [65.4%]) and modest elsewhere, ranging from 199 of 371 (53.6%) in the Northeast to 884 of 1543 (57.3%) in the Midwest (P = .001). Adjusting for region, the preference for FOBT/FIT increased by 19% per recruitment year (odds ratio, 1.19; 95% CI, 1.14-1.25). CONCLUSIONS AND RELEVANCE: In this cross-sectional analysis of veterans choosing nonenrollment in the CONFIRM study, those who declined participation more often preferred FOBT or FIT over colonoscopy. This preference increased over time and was strongest in the western US and may provide insight into trends in CRC screening preferences

    Comparative Treatment Outcomes for Patients With Idiopathic Subglottic Stenosis.

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    To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked DownloadImportance: Surgical treatment comparisons in rare diseases are difficult secondary to the geographic distribution of patients. Fortunately, emerging technologies offer promise to reduce these barriers for research. Objective: To prospectively compare the outcomes of the 3 most common surgical approaches for idiopathic subglottic stenosis (iSGS), a rare airway disease. Design, setting, and participants: In this international, prospective, 3-year multicenter cohort study, 810 patients with untreated, newly diagnosed, or previously treated iSGS were enrolled after undergoing a surgical procedure (endoscopic dilation [ED], endoscopic resection with adjuvant medical therapy [ERMT], or cricotracheal resection [CTR]). Patients were recruited from clinician practices in the North American Airway Collaborative and an online iSGS community on Facebook. Main outcomes and measures: The primary end point was days from initial surgical procedure to recurrent surgical procedure. Secondary end points included quality of life using the Clinical COPD (chronic obstructive pulmonary disease) Questionnaire (CCQ), Voice Handicap Index-10 (VHI-10), Eating Assessment Test-10 (EAT-10), the 12-Item Short-Form Version 2 (SF-12v2), and postoperative complications. Results: Of 810 patients in this cohort, 798 (98.5%) were female and 787 (97.2%) were white, with a median age of 50 years (interquartile range, 43-58 years). Index surgical procedures were ED (n = 603; 74.4%), ERMT (n = 121; 14.9%), and CTR (n = 86; 10.6%). Overall, 185 patients (22.8%) had a recurrent surgical procedure during the 3-year study, but recurrence differed by modality (CTR, 1 patient [1.2%]; ERMT, 15 [12.4%]; and ED, 169 [28.0%]). Weighted, propensity score-matched, Cox proportional hazards regression models showed ED was inferior to ERMT (hazard ratio [HR], 3.16; 95% CI, 1.8-5.5). Among successfully treated patients without recurrence, those treated with CTR had the best CCQ (0.75 points) and SF-12v2 (54 points) scores and worst VHI-10 score (13 points) 360 days after enrollment as well as the greatest perioperative risk. Conclusions and relevance: In this cohort study of 810 patients with iSGS, endoscopic dilation, the most popular surgical approach for iSGS, was associated with a higher recurrence rate compared with other procedures. Cricotracheal resection offered the most durable results but showed the greatest perioperative risk and the worst long-term voice outcomes. Endoscopic resection with medical therapy was associated with better disease control compared with ED and had minimal association with vocal function. These results may be used to inform individual patient treatment decision-making.Patient-Centered Outcomes Research Institute - PCOR
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