Managing hyponatraemia in a patient with malignant melanoma: a case report

We report the case of a 46-year-old male with a known diagnosis of metastatic malignant melanoma who presented with hyponatraemia. The report details the challenges we faced in identifying the cause of his hyponatraemia and in attempting to reverse his electrolyte disturbance

Extending the limits of the Borrobol Tephra to Scandinavia and detection of new early Holocene tephras

Abstract Analyses of two infilled lakes in Blekinge, southeast Sweden, indicate the presence of at least three tephra horizons of Termination 1 and early Holocene age. Geochemical analyses confirm the presence of the Borrobol Tephra, the Askja Tephra (10,000 14 C yr B.P.), and one previously unreported tephra of Icelandic origin. Extending the limits of the Borrobol Tephra to Scandinavia illustrates that this ash is far more widespread than previously realized and is therefore, an important marker horizon for determining the rate and timing of the initial warming at the start of Greenland Interstade 1 (GI-1) within Europe. The relatively unknown Askja Tephra and the newly discovered Hässeldalen Tephra are stratigraphically placed at the Younger Dryas/Preboreal transition. This paper demonstrates the suitability and success associated with the extraction techniques for tracing microtephra horizons in areas distal to volcanic sources

Identification of the Askja-S Tephra in a rare turlough record from Pant-y-Llyn, south Wales

Tephrochronology and especially crypto-tephrochronology is an established chronological technique employed in a range of depositional environments in Europe and beyond. During the late Quaternary, Icelandic cryptotephra deposits are widely found in palaeorecords across northern latitudes of Europe e.g. Scotland, Ireland, Norway, Sweden and the Faroe Islands but are sporadic in southerly latitudes as distance from Iceland increases. As yet, very few Icelandic cryptotephras have been identified in Wales or southern England which may well reflect the geographical limit of Icelandic tephra distribution. Here, however, we report the discovery of an Icelandic cryptotephra deposit within a sediment sequence retrieved from the Pant-y-Llyn turlough (Carmarthenshire, south Wales), the only known turlough in Britain. Turloughs are groundwater-fed ephemeral lakes associated with limestone bedrock and can accumulate sediments that may yield records suitable for palaeoreconstructions. A discrete peak of glass shards originating from the Askja-S eruption is identified in the sediment record. This discovery extends the distribution of this early Holocene eruption giving new insight into its dispersal patterns and also indicates that sedimentary sequences from sites in these more southerly latitudes are valuable repositories for ash preservation. Furthermore, its discovery within a carbonate-rich sequence provides a minimum age constraint on the timing of sediment accumulation and provides an alternative tool for what is typically a problematic dating environment

Tracing marine cryptotephras in the North Atlantic during the last glacial period: Improving the North Atlantic marine tephrostratigraphic framework

Tephrochronology is increasingly being recognised as a key tool for the correlation of disparate palaeoclimatic archives, underpinning chronological models and facilitating climatically independent comparisons of climate proxies. Tephra frameworks integrating both distal and proximal tephra occurrences are essential to these investigations providing key details on their spatial distributions, geochemical signatures, eruptive sources as well as any available chronological and/or stratigraphic information. Frameworks also help to avoid mis-correlation of horizons and provide important information on volcanic history. Here we present a comprehensive chronostratigraphic framework of 14 tephra horizons from North Atlantic marine sequences spanning 60-25 cal ka BP. Horizons previously discovered as visible or coarse-grained deposits have been combined with 11 newly recognised volcanic deposits, identified through the application of cryptotephra identification and characterisation methods to a wide network of marine sequences. Their isochronous integrity has been assessed using their physical characteristics. All horizons originated from Iceland with the vast majority having a basaltic composition sourced from the Grímsvötn, Kverkfjöll, Hekla/Vatnafjöll and Katla volcanic systems. New occurrences, improved stratigraphic placements and a refinement of the geochemical signature of the NAAZ II are reported and the range of the FMAZ IV has been extended. In addition, several significant geochemical populations that further investigations could show to be isochronous are reported. This tephra framework provides the foundation for the correlation and synchronisation of these marine records to the Greenland ice-cores and European terrestrial records to investigate the phasing, rate, timing and mechanisms controlling rapid climate changes that characterised the last glacial period

Visualizing tephra deposits and sedimentary processes in the marine environment: The potential of X‐ray microtomography

Localized tephra deposition in marine sequences is the product of many complex primary and secondary depositional processes. These can significantly influence the potential applicability of tephra deposits as isochronous marker horizons and current techniques, used in isolation, may be insufficient to fully unravel these processes. Here we demonstrate the innovative application of X-ray microtomography (µCT) to successfully identify tephra deposits preserved within marine sediments and use these parameters to reconstruct their internal three-dimensional structure. Three-dimensional visualizations and animations of tephra dispersal in the sediment permit a more thorough assessment of postdepositional processes revealing a number of complex microsedimentological features that are not revealed by conventional methods. These features include bioturbation burrows and horizontally discontinuous tephra packages, which have important ramifications for the stratigraphic placement of the isochron in a sedimentary sequence. Our results demonstrate the potential for utilizing rigorous two and three-dimensional microsedimentological analysis of the ichnofabric to enhance and support the use of tephra deposits as isochronous marker horizons and to identify the stratigraphic position that best reflects the primary fallout of ash. The application also provides an exceptional insight into the style and rate of sedimentation processes and permits an assessment of the stratigraphic integrity of a tephra deposit. We discuss the possibility of applying these µCT methods to the identification of cryptotephras within various paleoclimatic sequences and to enhance our understanding of marine sedimentation processes

Volcanism and the Greenland ice cores: A new tephrochronological framework for the last glacial-interglacial transition (LGIT) based on cryptotephra deposits in three ice cores

Chemical profiles from Greenland ice cores show that the frequency of volcanism was higher during the last glacial-interglacial transition (LGIT) and early Holocene, (17–9 ka b2k) than in any other period during the last 110 kyr. This increased frequency has partly been linked to climate-driven melting of the Icelandic ice sheet during the last deglaciation, with regional isostatic changes thought to alter mantle viscosity and lead to more eruptions. Our study is the first to construct a comprehensive tephrochronological framework from Greenland ice cores over the LGIT to aid in the reconstruction of volcanic activity over this period. The framework is based on extensive high-resolution sampling of three Greenland ice cores between 17.4 and 11.6 ka b2k and comprises a total of 64 cryptotephra deposits from the NGRIP, GRIP and NEEM ice cores. We show that many of these tephras are preserved within the core without an associated chemical signature in the ice, which implies that reconstructions of volcanism based solely on glacio-chemical indicators might underestimate the number of events. Single glass shards from each deposit were geochemically characterised to trace the volcanic source and many of these deposits could be correlated between cores. We show that the 64 deposits represent tephra deposits from 42 separate volcanic events, and of these, 39 are from Iceland, two from the north Pacific region (Japan and USA) and one has an unknown source. Six deposits can be correlated to terrestrial and/or marine tephra deposits in the Northern Hemisphere and the remaining 36 are unreported in other archives. We did not locate tephra from the compositionally distinctive Laacher See eruption (∼13 ka b2k) in our records. Combining our new discoveries with the previously published tephra framework, raises the number of individual tephra horizons found in Greenland ice over this interval to 50. This significantly improves the regional tephrochronological framework, our knowledge of the eruptive history of Iceland during the LGIT and provides new tephra constraints over key LGIT climate events. Consequentially, this framework can guide sampling strategies of future tephra studies in the terrestrial and marine realms aiming to link these records to the Greenland ice cores to assess regional climate synchroneity

A North Atlantic tephrostratigraphical framework for 130-60 ka b2k:new tephra discoveries, marine-based correlations, and future challenges

Building chronological frameworks for proxy sequences spanning 130–60 ka b2k is plagued by difficulties and uncertainties. Recent developments in the North Atlantic region, however, affirm the potential offered by tephrochronology and specifically the search for cryptotephra. Here we review the potential offered by tephrostratigraphy for sequences spanning 130–60 ka b2k. We combine newly identified cryptotephra deposits from the NGRIP ice-core and a marine core from the Iceland Basin with previously published data from the ice and marine realms to construct the first tephrostratigraphical framework for this time-interval. Forty-three tephra or cryptotephra deposits are incorporated into this framework; twenty three tephra deposits are found in the Greenland ice-cores, including nine new NGRIP tephras, and twenty separate deposits are preserved in various North Atlantic marine sequences. Major, minor and trace element results are presented for the new NGRIP horizons together with age estimates based on their position within the ice-core record. Basaltic tephras of Icelandic origin dominate the framework with only eight tephras of rhyolitic composition found. New results from marine core MD99-2253 also illustrate some of the complexities and challenges of assessing the depositional integrity of marine cryptotephra deposits. Tephra-based correlations in the marine environment provide independent tie-points for this time-interval and highlight the potential of widening the application of tephrochronology. Further investigations, however, are required, that combine robust geochemical fingerprinting and a rigorous assessment of tephra depositional processes, in order to trace coeval events between the two depositional realms

Tracing marine cryptotephras in the North Atlantic during the last glacial period: Protocols for identification, characterisation and evaluating depositional controls

Tephrochronology is increasingly being utilised as a key tool for improving chronological models and correlating disparate palaeoclimatic sequences. For many sedimentary environments, however, there is an increased recognition that a range of processes may impart a delay in deposition and/or rework tephra. These processes can affect the integrity of tephra deposits as time-synchronous markers, therefore, it is crucial to assess their isochronous nature, especially when cryptotephras are investigated in a dynamic marine environment. A methodology for the identification and characterisation of marine cryptotephras alongside a protocol for assessing their integrity is outlined. This methodology was applied to a wide network of North Atlantic marine sequences covering the last glacial period. A diverse range of cryptotephra deposits were identified and, based on similarities in physical characteristics (e.g. glass shard concentration profiles and geochemical homogeneity/heterogeneity), indicative of common modes of tephra delivery and post depositional reworking, a deposit type classification scheme was defined. The presence and dominance of different deposit types within each core allowed an assessment of spatial and temporal controls on tephra deposition and preservation. Overall, isochronous horizons can be identified across a large portion of the North Atlantic due to preferential atmospheric dispersal patterns. However, the variable influence of ice-rafting processes and an interplay between the high eruptive frequency of Iceland and relatively lower sedimentation rates can also create complex tephrostratigraphies in this sector. Sites within a wide sector to the south and east of Iceland have the greatest potential to be repositories for isochronous horizons that can facilitate the synchronisation of palaeoclimatic records

Early Last Interglacial ocean warming drove substantial ice mass loss from Antarctica

The future response of the Antarctic ice sheet to rising temperatures remains highly uncertain. A useful period for assessing the sensitivity of Antarctica to warming is the Last Interglacial (LIG) (129 to 116 ky), which experienced warmer polar temperatures and higher global mean sea level (GMSL) (+6 to 9 m) relative to present day. LIG sea level cannot be fully explained by Greenland Ice Sheet melt (∼2 m), ocean thermal expansion, and melting mountain glaciers (∼1 m), suggesting substantial Antarctic mass loss was initiated by warming of Southern Ocean waters, resulting from a weakening Atlantic meridional overturning circulation in response to North Atlantic surface freshening. Here, we report a blue-ice record of ice sheet and environmental change from the Weddell Sea Embayment at the periphery of the marine-based West Antarctic Ice Sheet (WAIS), which is underlain by major methane hydrate reserves. Constrained by a widespread volcanic horizon and supported by ancient microbial DNA analyses, we provide evidence for substantial mass loss across the Weddell Sea embayment during the LIG, most likely driven by ocean warming and associated with destabilization of subglacial hydrates. Ice sheet modeling supports this interpretation and suggests that millennial-scale warming of the Southern Ocean could have triggered a multimeter rise in global sea levels. Our data indicate that Antarctica is highly vulnerable to projected increases in ocean temperatures and may drive ice–climate feedbacks that further amplify warming