A double continuum hydrological model for glacier applications

Peer reviewedPublisher PD

Medicosocial outcome after admission in post-intensive care unit at PRM St-Hélier, Rennes

IntroductionPost-Intensive Care Units (PICU) are PRM structures aiming to start the appropriated rehabilitative care as early as possible even though persistent complex medical issues.ObjectiveTo assess medicosocial outcomes of patients away from their admission in PICU.MethodsA retrospective descriptive study that included 81 consecutive patients (mean age 51 years) admitted from 2008 to 2012 in the PICU of Pôle St-Helier Rennes based on called semi-structured interviews between March 2014 and March 2015. Exhaustive data (only 4 lost, 5%) by the patient himself and/or a member of family on autonomy, place of life, structures since the release and reintegration, of patients for 85% of them brain damaged.ResultsThere is 29% (21/77) of death (post-exit life: 1,6 years±1.18). Eighty percent live at home (46/56) of which only 5 without family environment, 10% (5/56) in medicosocial structures (foster or nursing homes…), 10% in hospital (hospital at home, persistent vegetative units…). Fourteen percent (8/56) are completely autonomous and work, all with adaptations. Twenty-three percent (13/56) had a significant dependence for activities of daily life and instrumental ones. Forty percent (22/56) have no hobby. Use of different downstream structures, long-term readaptative monitoring, legal and families’ feelings were also analyzed.Discussion and ConclusionMedical and social outcome of patients in the aftermath of a stay in PICU is disparate, depending on the pathology involved, but also the pre-social situation that seems to be the main predictor of returning home. Most patients have regained a relatively large autonomy for the daily life activities but are embarrassed to complex instrumental activities impeding social inclusion. These results are consistent with those of the literature on head trauma patients but no other study has focused for the moment on the specific population of patients admitted to the PICU. We see the value of such early rehabilitative care units with a real impact on the subsequent independence and opportunities back home

Photolytic modification of seasonal nitrate isotope cycles in East Antarctica

Nitrate in Antarctic snow has seasonal cycles in nitrogen and oxygen isotopic ratios that reflect its sources and atmospheric formation processes, and as a result, nitrate archived in Antarctic ice should have great potential to record atmospheric chemistry changes over thousands of years. However, sunlight that strikes the snow surface results in photolytic nitrate loss and isotopic fractionation that can completely obscure the nitrate's original isotopic values. To gain insight into how photolysis overwrites the seasonal atmospheric cycles, we collected 244 snow samples along an 850 km transect of East Antarctica during the 2013–2014 CHICTABA traverse. The CHICTABA route's limited elevation change, consistent distance between the coast and the high interior plateau, and intermediate accumulation rates offered a gentle environmental gradient ideal for studying the competing pre- and post-depositional influences on archived nitrate isotopes. We find that nitrate isotopes in snow along the transect are indeed notably modified by photolysis after deposition, and drier sites have more intense photolytic impacts. Still, an imprint of the original seasonal cycles of atmospheric nitrate isotopes is present in the top 1–2 m of the snowpack and likely preserved through archiving in glacial ice at these sites. Despite this preservation, reconstructing past atmospheric values from archived nitrate in similar transitional regions will remain a difficult challenge without having an independent proxy for photolytic loss to correct for post-depositional isotopic changes. Nevertheless, nitrate isotopes should function as a proxy for snow accumulation rate in such regions if multiple years of deposition are aggregated to remove the seasonal cycles, and this application can prove highly valuable in its own right.</p

1827 Hydrology: Glaciology (1863); 1863 Hydrology: Snow and ice (1827); 3309 Meteorology and Atmospheric Dynamics: Climatology (1620)

[1] Over fifty years of cumulative annual mass balance data for several glaciers in the Alps shows similar fluctuations which seem to provide evidence of a common climatic signal. Separate winter and summer mass balance measurements from the Claridenfirn (glacier in Switzerland) since 1914 and the Sarennes glacier (France) since 1949 show that (1) the annual mass balance is primarily driven by the summer mass balance term and (2) melting rate variations with time are very similar for these two glaciers located 290 km apart. The increase in the ablation rate of 0.5 cm w.e. day À1 between the two periods 1954-1981 and 1982-2002 over these two glaciers corresponds to a 20 Wm À2 rise in the energy flux at the glacier surface. These results suggest that a common summer melting rate change may have affected the Alps as a whole. Detailed observations on the Sarennes glacier show that the origin of this strong increase in summer ablation since 1982 is not only a rise in the summer melting rate, but also an increase in the ablation period during the months of September and October

Coupling of ice-shelf melting and buttressing is a key process in ice-sheets dynamics

Increase in ice-shelf melting is generally presumed to have triggered recent coastal ice-sheet thinning. Using a full-Stokes finite element model which includes a proper description of the grounding line dynamics, we investigate the impact of melting below ice shelves. We argue that the influence of ice-shelf melting on the ice-sheet dynamics induces a complex response, and the first naive view that melting inevitably leads to loss of grounded ice is erroneous. We demonstrate that melting acts directly on the magnitude of the buttressing force by modifying both the area experiencing lateral resistance and the ice-shelf velocity, indicating that the decrease of back stress imposed by the ice-shelf is the prevailing cause of inland dynamical thinning. We further show that feedback from melting and buttressing forces can lead to nontrivial results, as an increase in the average melt rate may lead to inland ice thickening and grounding line advance. Citation: Gagliardini, O., G. Durand, T. Zwinger, R. C. A. Hindmarsh, and E. Le Meur (2010), Coupling of ice-shelf melting and buttressing is a key process in ice-sheets dynamics, Geophys. Res. Lett., 37, L14501, doi:10.1029/2010GL043334

Recovery of NMDA receptor currents from MK-801 blockade is accelerated by Mg2+ and memantine under conditions of agonist exposure

AbstractMK-801 is a use-dependent NMDA receptor open channel blocker with a very slow off-rate. These properties can be exploited to ‘pre-block’ a population of NMDARs, such as synaptic ones, enabling the selective activation of a different population, such as extrasynaptic NMDARs. However, the usefulness of this approach is dependent on the stability of MK-801 blockade after washout. We have revisited this issue, and confirm that recovery of NMDAR currents from MK-801 blockade is enhanced by channel opening by NMDA, and find that it is further increased when Mg2+ is also present. In the presence of Mg2+, 50% recovery from MK-801 blockade is achieved after 10′ of 100 μM NMDA, or 30′ of 15 μM NMDA exposure. In Mg2+-free medium, NMDA-induced MK-801 dissociation was found to be much slower. Memantine, another PCP-site antagonist, could substitute for Mg2+ in accelerating the unblock of MK-801 in the presence of NMDA. This suggests a model whereby, upon dissociation from its binding site in the pore, MK-801 is able to re-bind in a process antagonized by Mg2+ or another PCP-site antagonist. Finally we show that even when all NMDARs are pre-blocked by MK-801, incubation of neurons with 100 μM NMDA in the presence of Mg2+ for 2.5 h triggers sufficient unblocking to kill >80% of neurons. We conclude that while synaptic MK-801 ‘pre-block’ protocols are useful for pharmacologically assessing synaptic vs. extrasynaptic contributions to NMDAR currents, or studying short-term effects, it is problematic to use this technique to attempt to study the effects of long-term selective extrasynaptic NMDAR activation.This article is part of the Special Issue entitled ‘Glutamate Receptor-Dependent Synaptic Plasticity’

Clinical spectrum, prognosis and estimated prevalence of DNAJB11-kidney disease

Monoallelic mutations of DNAJB11 were recently described in seven pedigrees with atypical clinical presentations of autosomal dominant polycystic kidney disease. DNAJB11 encodes one of the main cofactors of the endoplasmic reticulum chaperon BiP, a heat-shock protein required for efficient protein folding and trafficking. Here we conducted an international collaborative study to better characterize the DNAJB11-associated phenotype. Thirteen different loss-of-function variants were identified in 20 new pedigrees (54 affected individuals) by targeted next-generation sequencing, whole-exome sequencing or whole-genome sequencing. Amongst the 77 patients (27 pedigrees) now in total reported, 32 reached end stage kidney disease (range, 55-89 years, median age 75); without a significant difference between males and females. While a majority of patients presented with non-enlarged polycystic kidneys, renal cysts were inconsistently identified in patients under age 45. Vascular phenotypes, including intracranial aneurysms, dilatation of the thoracic aorta and dissection of a carotid artery were present in four pedigrees. We accessed Genomics England 100,000 genomes project data, and identified pathogenic variants of DNAJB11 in nine of 3934 probands with various kidney and urinary tract disorders. The clinical diagnosis was cystic kidney disease for eight probands and nephrocalcinosis for one proband. No additional pathogenic variants likely explaining the kidney disease were identified. Using the publicly available GnomAD database, DNAJB11 genetic prevalence was calculated at 0.85/10.000 individuals. Thus, establishing a precise diagnosis in atypical cystic or interstitial kidney disease is crucial, with important implications in terms of follow-up, genetic counseling, prognostic evaluation, therapeutic management, and for selection of living kidney donors