Cambios temporales en los transportes y la distribución de las masas de agua a lo largo de la sección 20º W de CAIBOX (Atlántico NE)

24 páginas, 3 tablas, 7 figuras[EN] The CAIBOX cruise was conducted from 25 July to 14 August 2009. Three consecutive transects (zonal, meridional, and transverse) formed a closed box to the west of the Strait of Gibraltar. This study aimed to analyze the thermohaline properties, volume transports, and water mass distributions (percentages) along the meridional section (30–41.5º N, 20º W). We identified the main geostrophic current (Azores Current) and its associated volume transport and interannual changes. Data from previous cruises (AZORES I, A16N, CLIVAR, OACES, and CHAOS) with similar tracks were employed to compare with the CAIBOX meridional section. All but one (CHAOS) were summer cruises. We estimated a mean transport for the Azores Current at 20º W of 9.3 ± 2.6 Sv. There appears to be an inverse relation between the position of this current and its associated transport, with relatively high (low) transports when the current is located roughly south (north) of 35º N. Regarding water masses, an increase of 14.4% was found for Mediterranean Water compared with the 1993, 1998, and 2003 cruises; however, Labrador Sea Water decreased its contribution and southward spreading between 1998 and 2009[ES] Entre el 25 de julio y el 14 de agosto de 2009 se llevó a cabo la campaña CAIBOX, que constó de tres transectos consecutivos (zonal, occidental y transversal) conformando una caja cerrada al oeste del estrecho de Gibraltar. El objetivo principal del presente trabajo fue el estudio de las propiedades termohalinas, los transportes (en términos de volumen) y la distribución de las masas de agua (en porcentajes) a lo largo de la sección occidental (30–41.5º N, 20º W). Se identificó la corriente geostrófica principal (Corriente de las Azores), el transporte asociado a ella y sus cambios interanuales. Adicionalmente se consideraron los datos de cinco campañas anteriores (AZORES I, A16N, CLIVAR, OACES y CHAOS) con secciones similares a las de la campaña CAIBOX. Todas excepto una (CHAOS) fueron campañas estivales. El transporte medio para la Corriente de las Azores a 20º W se estimó en 9.3 ± 2.6 Sv. Parece existir cierta relación inversa entre la posición de dicha corriente y su transporte asociado, con transportes relativamente altos (bajos) cuando la corriente se sitúa al sur (norte) de 35º N. En cuanto a las masas de agua, se observa un incremento de 14.4% del Agua Mediterránea en comparación con las campañas de 1993, 1998 y 2003; sin embargo, el Agua de Labrador ha disminuido su contribución y su propagación hacia el sur entre 1998 y 2009.An important part of the data presented in this paper was obtained through the CAIBEX project: Shelf-ocean Exchanges in the Canaries-Iberia Large Marine Ecosystem (CTM2007-66408-C02/MAR), supported by the Spanish Ministry of Education and Science. The first author, LIC, was funded by a FPU predoctoral fellowship from the National Human Resources Formation Program, within the framework of the 2008–2011 National Scientific Research, Development and Technological Innovation Plan of the Spanish Ministry of Education. The fourth author, NVR, was supported by the Isabel Barreto Program (IN840E) from the Xunta de Galicia.Peer reviewe

Tidal and wind influences on circulation in the southern mouth of the Ría de Vigo (NW Iberian Peninsula)

Tidal and wind influences on the velocity field in the Ría de Vigo were assessed using atmospheric data from two meteorological stations located at Bouzas port and on an oceanic buoy off Silleiro Cape along with oceanic data from an ADCP moored in the Ría for a 72-day period. A two-layer circulation pattern was observed. Near-surface and near-bottom currents are primarily influenced by wind (especially remote winds), separated by an intermediate layer dominated by tidal variability. At subtidal frequencies, residual currents are well correlated with wind variability. Remote wind forcing exhibited a markedly high correlation with surface layer currents, indicating the major role played by wind in the long-term upwelling-modulated circulation of the Ría

Temperature calibration along the NW Iberian margin : multi-proxy approach

1 poster presented at the European Geosciences Union General Assembly 2012, Vienna, Austria, 22 – 27 April 2012Marine sediments, mainly the ones from coastal upwelling areas, are valuable archives for past reconstructions, including climate changes, global and regional oceanography, and the cycles of biochemical components in the ocean. However, the regional calibrations of the sediment properties (“proxy” data) to the present-day oceanographic and biological conditions are necessary for interpretation of high-resolution sediment-derived information. Many works have contributed directly or indirectly to improving proxy calibrations related to upwelling and nutrient cycling parameters, but there are few studies with a multi-proxy approach for the same region. Along NW Iberian margin, little work has been done regarding with calibration of proxy data. Thus, we lack understanding on (1) how the seasonally variable hydrography affects the various plankton groups and (2) how much of the water column signal is preserved in the sediments and available for paleo-reconstructions. In order to minimize this lack of information from the upper water column temperature point of view, we investigate trace element and stable isotopes from planktonic foraminifera, and alkenone Uk’37 index from a large set of core-top sediment samples from the NW Iberian margin (41.5-42.5ºN; 9-10ºW). Sediment data are compared with present-day water column data (CTD, stable isotopes, satellite measurements) and to “global” calibration data sets of the proxies with sea surface temperature. We explore reconstructing upper water column structure using three species (G. bulloides, N. pachyderma dextral, and G. inflata) with different depth habitats, different seasonal abundances, and linked to specific hydrographic conditions in this region. Preliminary results show that Mg/Ca and 18O temperatures of all species are consistent with seasonal temperatures observed in present-day water column data. In addition G. bulloides and N. pachyderma dextral appears with temperatures related with subtropical and subpolar Eastern North Atlantic Central Waters, respectively.N

Spatial and temporal variability in coccolithophore abundance and distribution in the NW Iberian coastal upwelling system

A systematic investigation of the spatial and temporal variability in coccolithophore abundance and distribution through the water column of the NW Iberian coastal up-welling system was performed. From July 2011 to June 2012, monthly sampling at various water depths was conducted at two parallel stations located at 42 degrees N. Total coccosphere abundance was higher at the outer-shelf station, where warmer, nutrient-depleted waters favoured coccolithophore rather than phytoplanktonic diatom blooms, which are known to dominate the inner-shelf location. In seasonal terms, higher coccosphere and coccolith abundances were registered at both stations during upwelling seasons, coinciding with high irradiance levels. This was typically in conjunction with stratified, nutrient-poor conditions (i.e. relaxing upwelling conditions). However, it also occurred during some upwelling events of colder, nutrient-rich subsurface waters onto the continental shelf. Minimum abundances were generally found during downwelling periods, with unexpectedly high coccolith abundance registered in subsurface waters at the inner-shelf station. This finding can only be explained if strong storms during these downwelling periods favoured resuspension processes, thus remobilizing deposited coccoliths from surface sediments, and hence hampering the identification of autochthonous coccolithophore community structure. At both locations, the major coccolithophore assemblages were dominated by Emiliania huxleyi, small Gephyrocapsa group, Gephyrocapsa oceanica, Florisphaera profunda, Syracosphaera spp., Coronosphaera mediterranea, and Calcidiscus leptoporus. Ecological preferences of the different taxa were assessed by exploring the relationships between environmental conditions and temporal and vertical variability in coccosphere abundance. These findings provide relevant information for the use of fossil coccolith assemblages in marine sediment records, in order to infer past environmental conditions, of particular importance for Paleoceanography. Both E. huxleyi and the small Gephyrocapsa group are proposed as proxies for the upwelling regime with a distinct affinity for different stages of the upwelling event: E. huxleyi was associated with warmer, nutrient-poor and more stable water column (i.e. upwelling relaxation stage) while the small Gephyrocapsa group was linked to colder waters and higher nutrient availability (i.e. early stages of the upwelling event), similarly to G. oceanica. Conversely, F. profunda is suggested as a proxy for the downwelling regime and low-productivity conditions. The assemblage composed by Syracosphaera pulchra, Coronosphaera mediterranea, and Rhabdosphaera clavigera may be a useful indicator of the presence of subtropical waters conveyed northward by the Iberian Poleward Current. Finally, C. leptoporus is proposed as an indicator of warmer, saltier, and oligotrophic waters during the downwelling/winter regime.EXCAPA project - Xunta de Galicia [10MDS402013PR]; CALIBERIA project (Fundacao para a Ciencia e a Tecnologia - Portugal) [PTDC/MAR/102045/2008]; CALIBERIA project [COMPETE/FEDER-FCOMP-01-0124-FEDER-010599, BI/PTDC/MAR/102045/2008/2010-016, BI/PTDC/MAR/102045/2008/2010-022, BI/PTDC/MAR/102045/2008/2011-027]; Ministerio de Economia y Competitividad [CGL2015-68459-P]; Ministry of Education of Spain [AP2010-2559]; ETH Zurich Postdoctoral Fellowship from the Swiss Federal Institute of Technology in Zurich (ETHZ); Xunta de Galicia (Spain); FCT [SFRH/BPD/111433/2015]; Plurianual/Estrategico project [UID/Multi/04326/2013]info:eu-repo/semantics/publishedVersio

Are anthropogenic factors affecting nesting habitat of sea turtles? The case of Kanzul beach, Riviera Maya-Tulum (Mexico)

Marine coast modification and human pressure affects many species, including sea turtles. In order to study nine anthropogenic impacts that might affect nesting selection of females, incubation and hatching survival of loggerhead (Caretta caretta) and green turtle (Chelonia mydas), building structures were identified along a 5.2 km beach in Kanzul (Mexico). A high number of hotels and houses (88; 818 rooms), with an average density of 16.6 buildings per kilometer were found. These buildings form a barrier which prevents reaching the beach from inland, resulting in habitat fragmentation. Main pressures were detected during nesting selection (14.19% of turtle nesting attempts interrupted), and low impact were found during incubation (0.77%) and hatching (4.7%). There were three impacts defined as high: beach furniture that blocks out the movement of hatchlings or females, direct pressure by tourists, and artificial beachfront lighting that can potentially mislead hatchlings or females. High impacted areas showed lowest values in nesting selection and hatching success. Based on our results, we suggest management strategies to need to be implemented to reduce human pressure and to avoid nesting habitat loss of loggerhead and green turtle in Kanzul, Mexico

Temporal changes in the epidemiology, management, and outcome from acute respiratory distress syndrome in European intensive care units: a comparison of two large cohorts

Background: Mortality rates for patients with ARDS remain high. We assessed temporal changes in the epidemiology and management of ARDS patients requiring invasive mechanical ventilation in European ICUs. We also investigated the association between ventilatory settings and outcome in these patients. Methods: This was a post hoc analysis of two cohorts of adult ICU patients admitted between May 1–15, 2002 (SOAP study, n = 3147), and May 8–18, 2012 (ICON audit, n = 4601 admitted to ICUs in the same 24 countries as the SOAP study). ARDS was defined retrospectively using the Berlin definitions. Values of tidal volume, PEEP, plateau pressure, and FiO2 corresponding to the most abnormal value of arterial PO2 were recorded prospectively every 24 h. In both studies, patients were followed for outcome until death, hospital discharge or for 60 days. Results: The frequency of ARDS requiring mechanical ventilation during the ICU stay was similar in SOAP and ICON (327[10.4%] vs. 494[10.7%], p = 0.793). The diagnosis of ARDS was established at a median of 3 (IQ: 1–7) days after admission in SOAP and 2 (1–6) days in ICON. Within 24 h of diagnosis, ARDS was mild in 244 (29.7%), moderate in 388 (47.3%), and severe in 189 (23.0%) patients. In patients with ARDS, tidal volumes were lower in the later (ICON) than in the earlier (SOAP) cohort. Plateau and driving pressures were also lower in ICON than in SOAP. ICU (134[41.1%] vs 179[36.9%]) and hospital (151[46.2%] vs 212[44.4%]) mortality rates in patients with ARDS were similar in SOAP and ICON. High plateau pressure (> 29 cmH2O) and driving pressure (> 14 cmH2O) on the first day of mechanical ventilation but not tidal volume (> 8 ml/kg predicted body weight [PBW]) were independently associated with a higher risk of in-hospital death. Conclusion: The frequency of and outcome from ARDS remained relatively stable between 2002 and 2012. Plateau pressure > 29 cmH2O and driving pressure > 14 cmH2O on the first day of mechanical ventilation but not tidal volume > 8 ml/kg PBW were independently associated with a higher risk of death. These data highlight the continued burden of ARDS and provide hypothesis-generating data for the design of future studies

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Defining Kawasaki disease and pediatric inflammatory multisystem syndrome-temporally associated to SARS-CoV-2 infection during SARS-CoV-2 epidemic in Italy: results from a national, multicenter survey

Background: There is mounting evidence on the existence of a Pediatric Inflammatory Multisystem Syndrome-temporally associated to SARS-CoV-2 infection (PIMS-TS), sharing similarities with Kawasaki Disease (KD). The main outcome of the study were to better characterize the clinical features and the treatment response of PIMS-TS and to explore its relationship with KD determining whether KD and PIMS are two distinct entities. Methods: The Rheumatology Study Group of the Italian Pediatric Society launched a survey to enroll patients diagnosed with KD (Kawasaki Disease Group - KDG) or KD-like (Kawacovid Group - KCG) disease between February 1st 2020, and May 31st 2020. Demographic, clinical, laboratory data, treatment information, and patients' outcome were collected in an online anonymized database (RedCAP®). Relationship between clinical presentation and SARS-CoV-2 infection was also taken into account. Moreover, clinical characteristics of KDG during SARS-CoV-2 epidemic (KDG-CoV2) were compared to Kawasaki Disease patients (KDG-Historical) seen in three different Italian tertiary pediatric hospitals (Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste; AOU Meyer, Florence; IRCCS Istituto Giannina Gaslini, Genoa) from January 1st 2000 to December 31st 2019. Chi square test or exact Fisher test and non-parametric Wilcoxon Mann-Whitney test were used to study differences between two groups. Results: One-hundred-forty-nine cases were enrolled, (96 KDG and 53 KCG). KCG children were significantly older and presented more frequently from gastrointestinal and respiratory involvement. Cardiac involvement was more common in KCG, with 60,4% of patients with myocarditis. 37,8% of patients among KCG presented hypotension/non-cardiogenic shock. Coronary artery abnormalities (CAA) were more common in the KDG. The risk of ICU admission were higher in KCG. Lymphopenia, higher CRP levels, elevated ferritin and troponin-T characterized KCG. KDG received more frequently immunoglobulins (IVIG) and acetylsalicylic acid (ASA) (81,3% vs 66%; p = 0.04 and 71,9% vs 43,4%; p = 0.001 respectively) as KCG more often received glucocorticoids (56,6% vs 14,6%; p < 0.0001). SARS-CoV-2 assay more often resulted positive in KCG than in KDG (75,5% vs 20%; p < 0.0001). Short-term follow data showed minor complications. Comparing KDG with a KD-Historical Italian cohort (598 patients), no statistical difference was found in terms of clinical manifestations and laboratory data. Conclusion: Our study suggests that SARS-CoV-2 infection might determine two distinct inflammatory diseases in children: KD and PIMS-TS. Older age at onset and clinical peculiarities like the occurrence of myocarditis characterize this multi-inflammatory syndrome. Our patients had an optimal response to treatments and a good outcome, with few complications and no deaths

The clinical relevance of oliguria in the critically ill patient : Analysis of a large observational database

Funding Information: Marc Leone reports receiving consulting fees from Amomed and Aguettant; lecture fees from MSD, Pfizer, Octapharma, 3 M, Aspen, Orion; travel support from LFB; and grant support from PHRC IR and his institution. JLV is the Editor-in-Chief of Critical Care. The other authors declare that they have no relevant financial interests. Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Urine output is widely used as one of the criteria for the diagnosis and staging of acute renal failure, but few studies have specifically assessed the role of oliguria as a marker of acute renal failure or outcomes in general intensive care unit (ICU) patients. Using a large multinational database, we therefore evaluated the occurrence of oliguria (defined as a urine output 16 years) patients in the ICON audit who had a urine output measurement on the day of admission were included. To investigate the association between oliguria and mortality, we used a multilevel analysis. Results: Of the 8292 patients included, 2050 (24.7%) were oliguric during the first 24 h of admission. Patients with oliguria on admission who had at least one additional 24-h urine output recorded during their ICU stay (n = 1349) were divided into three groups: transient - oliguria resolved within 48 h after the admission day (n = 390 [28.9%]), prolonged - oliguria resolved > 48 h after the admission day (n = 141 [10.5%]), and permanent - oliguria persisting for the whole ICU stay or again present at the end of the ICU stay (n = 818 [60.6%]). ICU and hospital mortality rates were higher in patients with oliguria than in those without, except for patients with transient oliguria who had significantly lower mortality rates than non-oliguric patients. In multilevel analysis, the need for RRT was associated with a significantly higher risk of death (OR = 1.51 [95% CI 1.19-1.91], p = 0.001), but the presence of oliguria on admission was not (OR = 1.14 [95% CI 0.97-1.34], p = 0.103). Conclusions: Oliguria is common in ICU patients and may have a relatively benign nature if only transient. The duration of oliguria and need for RRT are associated with worse outcome.publishersversionPeer reviewe

Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both

Background and objective: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. Methods: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. Results: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). Conclusion: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population