Master Plan: Circulation element suggestions for implementation

This is the Consultant’s report to the Master Plan Circulation Group, which is a subgroup of the Master Plan Committee. It attempts to supplement and amplify the information provided in the Master Plan of March 21, 2001, and create an effective circulation system balancing the automobile with the pedestrian, bicycle, and bus. The report is in agreement with the Master Plan and proposes steps for implementation along with minor changes to the plan

Zonal circulation across 52°W in the North Atlantic

Author Posting. © American Geophysical Union, 2004. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 109 (2004): C11008, doi:10.1029/2003JC002103.In July–August 1997, a hydrographic/Acoustic Doppler Current Profiler (ADCP)/tracer section was occupied along 52°W in the North Atlantic as part of the World Ocean Circulation Experiment Hydrographic Program. Underway and lowered ADCP (LADCP) data have been used to reference geostrophic velocities calculated from the hydrographic data; additional (small) velocity adjustments provided by an inverse model, constraining mass and silicate transports in 17 neutral density layers, yield the absolute zonal velocity field for 52°W. We find a vigorous circulation throughout the entire section, with an unusually strong Gulf Stream (169 Sv) and southern Deep Western Boundary Current (DWBC; 64 Sv) at the time of the cruise. At the northern boundary, on the west side of the Grand Banks of Newfoundland, we find the westward flowing Labrador Current (8.6 Sv), whose continuity from the Labrador Sea, east of our section, has been disputed. Directly to the south we identify the slopewater current (12.5 Sv eastward) and northern DWBC (12.5 Sv westward). Strong departures from strictly zonal flow in the interior, which are found in the LADCP data, make it difficult to diagnose the circulation there. Isolated deep property extrema in the southern portion, associated with alternating bands of eastward and westward flow, are consistent with the idea that the rough topography of the Mid-Atlantic Ridge, directly east of our section, causes enhanced mixing of Antarctic Bottom Water properties into overlying waters with distinctly different properties. We calculate heat and freshwater fluxes crossing 52°W that exceed estimates based on air-sea exchanges by a factor of 1.7.This work was supported by NSF grants OCE95-29607, OCE 95-31864, OCE98-18266, and OCE-0219644

Electrocardiography in people living at high altitude of Nepal.

OBJECTIVE: The main objective of this study was to estimate the prevalence of coronary heart disease (CHD) of high-altitude populations in Nepal determined by an ECG recordings and a medical history. METHODS: We carried out a cross-sectional survey of cardiovascular disease and risk factors among people living at four different altitude levels, all above 2800 m, in the Mustang and Humla districts of Nepal. 12-lead ECGs were recorded on 485 participants. ECG recordings were categorised as definitely abnormal, borderline or normal. RESULTS: No participant had Q waves to suggest past Q-wave infarction. Overall, 5.6% (95% CI 3.7 to 8.0) of participants gave a self-report of CHD. The prevalence of abnormal (or borderline abnormal) ECG was 19.6% (95% CI 16.1 to 23.4). The main abnormalities were: right axis deviation in 5.4% (95% CI 3.5 to 7.7) and left ventricular hypertrophy by voltage criteria in 3.5% (95% CI 2.0 to 5.5). ECG abnormalities were mainly on the left side of the heart for Mustang participants (Tibetan origin) and on the right side for Humla participants (Indo-Aryans). There was a moderate association between the probability of abnormal (or borderline abnormal) ECG and altitude when adjusted for potential confounding variables in a multivariate logistic model; with an OR for association per 1000 m elevation of altitude of 2.83 (95% CI 1.07 to 7.45), p=0.03. CONCLUSIONS: Electrocardiographic evidence suggests that although high-altitude populations do not have a high prevalence of CHD, abnormal ECG findings increase by altitude and risk pattern varies by ethnicity

Ocean mixedlayer depth: A subsurface proxy for ocean-atmosphere variability

A new criterion, based on the shallowest extreme curvature of near surface layer density or temperature profiles, is established for demarking the mixed layer depth, h mix. Using historical global hydrographic profile data, including conductivity-temperature-depth and expendable bathythermograph data obtained during World Ocean Circulation Experiment, its seasonal variability and monthly to interannual anomalies are computed. Unlike the more commonly used Δ criterion, the new criterion is able to deal with both different vertical resolutions of the data set and a large variety of observed stratification profiles. For about two thirds of the profiles our algorithm produces an h mix/c that is more reliable than the one of the Δ criterion. The uncertainty for h mix/c is ±5 m for high- (<5 m) and ±8 m for low- (<20 m) resolution profiles. A quality index, QImix, which compares the variance of a profile above h mix to the variance to a depth of 1.5 × h mix, shows that for the 70% of the profile data for which a clearly recognizable well-mixed zone exists near the surface, our criterion identifies the depth of the well-mixed zone in all cases. The standard deviation of anomalous monthly h mix/c is typically 20–70% of the long-term mean h mix/c . In the tropical Pacific the monthly mean anomalies of h mix/c are not well correlated with anomalies of sea surface temperature, which indicate that a variety of turbulent processes, other than surface heat fluxes, are important in the upper ocean there. Comparisons between observed h mix/c and Massachusetts Institute of Techonology/ocean general circulation model/Estimating the Circulation and Climate of the Ocean model simulated mixed layer depth indicate that the KPP algorithm captures in general a 30% smaller mixed layer depth than observed

Nutrients, oxygen and inferred new production in the Northeast Water Polynya 1992

Nutrient and oxygen distributions were measured during a hydrographic survey of the Northeast Water Polynya off the northeast coast of Greenland (77–81°N, 6–17°W) during July–August 1992 and were interpreted in the context of satellite imagery of the region. Satellite imagery revealed a convoluted plume of cold water flowing along isobaths from underneath fast ice in the southwestern portion of the polynya toward the northeast. This plume carried relatively high nutrient and low oxygen inventories. Nitrate to phosphate ratios were low in the polar water, consistent with an ultimate source of this water mass in the Pacific sector of the Arctic Ocean. It is hypothesized that the low N:P Arctic outflow might be the cause of nitrate limitation along the east coast of America as far as Cape Hatteras. Gradients of both nutrients and oxygen inventories in the euphotic zone were observed along and across the axis of mean flow within the polynya and are shown to be due to net production of organic matter. On the basis of these spatial gradients of nitrate and oxygen, an assumed along-axis current velocity of 10 cm s−1, and the observed relationships of biologically removed inorganic carbon with nitrate and oxygen, the net organic matter production was estimated to be 40–60 mmol(C) m−2 d−1. This represents the organic carbon available for export from the polynya euphotic zone. Nutrient-deficient and oxygen-rich waters were observed merging with the southward flowing East Greenland Current, suggestive of possible export, however, the ultimate fate of organic carbon produced within the polynya requires further study

The Complex Relationship Between Serum Uric Acid, Endothelial Function and Small Vessel Remodeling in Humans

Aims: The relationship between serum uric acid (SUA) and microvascular remodeling in humans remains largely unexplored. We assessed whether SUA provides additional information on the severity of microvascular remodeling than that obtained from the European Heart Score (HS), the patterns of microvascular remodeling associated with changes in SUA levels and the mediation by endothelial function and nitric oxide (NO) availability on this relationship. Methods: A total of 162 patients included in the microvascular dataset of the Italian Society of Hypertension with available information on SUA, media-to-lumen (M/L) ratio, media cross-sectional area (MCSA), endothelial function, NO availability and HS were included in the analysis. The top tertile of M/L ratio and MCSA were used to define severe microvascular remodeling. Results: A U-shaped association was observed between SUA and both M/L ratio and MCSA. Adjustment for HS did not affect these associations. SUA was able to reclassify a significant number of subjects without, and with, severe M/L ratio and MCSA remodeling over the HS alone. The microvascular remodeling associated with SUA levels presented a predominant hypertrophic pattern. SUA was inversely associated with endothelial function and NO availability. Structural equation modeling analysis controlling for the HS suggested that the association of SUA with M/L ratio and MCSA was mediated through changes in endothelial function and NO availability. Conclusions: The addition of SUA to the HS improves the identification of subjects with greater microvascular remodeling. The relationship between SUA and microvascular remodeling is mediated by endothelial function and NO availability

Influence of mixing on CFC uptake and CFC ages in the North Pacific thermocline

Author Posting. © American Geophysical Union, 2004. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 109 (2004): C07014, doi:10.1029/2003JC001988.A diagnostic, isopycnal advection-diffusion model based on a climatological, geostrophic flow field is used to study the uptake of chlorofluorocarbons (CFCs) into the portion of the thermocline that outcrops in the open North Pacific (σ θ ≤ 26.6 kg m−3). In addition to advection, isopycnal diffusion is required to match the CFC data collected during the World Ocean Circulation Experiment (WOCE) in the early 1990s. Using reduced outcrop saturations of 80–95% for isopycnals outcropping in the northwestern North Pacific (σ θ ≥ 25.4 kg m−3), together with an isopcynal interior diffusivity of 2000 m2 s−1 and enhanced diffusion (5000 m2 s−1) in the Kuroshio Extension region, further improves the model-data agreement. Along-isopycnal diffusion is particularly important for isopycnals with shadow zones/pool regions in the western subtropical North Pacific that are isolated from direct advective ventilation. The isopycnal mixing causes an estimated increase in CFC-12 inventories on these isopycnals, compared to advection only, ranging from 10–20% (σ θ = 25.6 kg m−3) to 50–130% (σ θ = 26.6 kg m−3) over the subtropics in 1993. This contribution has important consequences for subduction rate estimates derived from CFC inventories and for the location of the subsurface CFC maxima. When tracer ages are derived from the modeled CFC distributions, time-evolving mixing biases become apparent that reflect the nonlinearities in the atmospheric CFC time histories. Comparison with model-calculated ideal ages suggests that during the time of WOCE (∼1993), ventilation ages based on CFC-12 were biased young by as much as 16–24 years for pCFC-12 ages of 25 years, underestimating ideal ages by as much as 40–50%.Most of this work was performed while S.M. was a graduate student at the University of Washington under the support of NSF grant OCE-9819192. A postdoctoral scholarship for S.M. at the Woods Hole Oceanographic Institution, with funding provided by the Doherty Foundation, helped complete this work. R.E.S. acknowledges support from NSF grant OCE-0136897

The Physiology of Vasodilatation

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68237/2/10.1177_000331976101200602.pd

Traditional Chinese Medicine for Acute Myocardial Infarction in Western Medicine Hospitals in China

Background: Amid national efforts to improve the quality of care for people with cardiovascular disease in China, the use of traditional Chinese medicine (TCM) is increasing, yet little is known about its use in the early management of acute myocardial infarction (AMI). Methods and Results: We aimed to examine intravenous use of TCM within the first 24 hours of hospitalization (early IV TCM) for AMI. Data come from the China Patient-centered Evaluative Assessment of Cardiac Events Retrospective Study of Acute Myocardial Infarction, restricted to a large, representative sample of Western medicine hospitals throughout China (n=162). We conducted a chart review of randomly sampled patients with AMI in 2001, 2006, and 2011, comparing early intravenous TCM use across years, predictors of any early intravenous TCM use, and association with in-hospital bleeding and mortality. From 2001 to 2011, early intravenous TCM use increased (2001: 38.2% versus 2006: 49.1% versus 2011: 56.1%; P<0.01). Nearly all (99%) hospitals used early intravenous TCM. Salvia miltiorrhiza was most commonly prescribed, used in one third (35.5%) of all patients admitted with AMI. Patients receiving any early intravenous TCM, compared with those who did not, were similar in age and sex and had fewer cardiovascular risk factors. In multivariable hierarchical models, admission to a secondary (versus tertiary) hospital was most strongly associated with early intravenous TCM use (odds ratio: 2.85; 95% confidence interval: 1.98–4.11). Hospital-level factors accounted for 55% of the variance (adjusted median odds ratio: 2.84). In exploratory analyses, there were no significant associations between early intravenous TCM and in-hospital bleeding or mortality. Conclusions: Early intravenous TCM use for AMI in China is increasing despite the lack of evidence of their benefit or harm. There is an urgent need to define the effects of these medications because they have become a staple of treatment in the world’s most populous country. Clinical Trial Registration: URL: https://www.clinicaltrials.gov. Unique identifier: NCT0162488