6 research outputs found
Relative Sea-Level Trends in New York City During the Past 1500 Years
New York City (NYC) is threatened by 21st-century relative sea-level (RSL) rise because it will experience a trend that exceeds the global mean and has high concentrations of low-lying infrastructure and socioeconomic activity. To provide a long-term context for anticipated trends, we reconstructed RSL change during the past ~1500 years using a core of salt-marsh sediment from Pelham Bay in The Bronx. Foraminifera and bulk-sediment δ13C values were used as sea-level indicators. The history of sediment accumulation was established by radiocarbon dating and recognition of pollution and land-use trends of known age in down-core elemental, isotopic, and pollen profiles. The reconstruction was generated within a Bayesian hierarchical model to accommodate multiple proxies and to provide a unified statistical framework for quantifying uncertainty. We show that RSL in NYC rose by ~1.70 m since ~575 CE (including ~0.38 m since 1850 CE). The rate of RSL rise increased markedly at 1812–1913 CE from ~1.0 to ~2.5 mm/yr, which coincides with other reconstructions along the US Atlantic coast. We investigated the possible influence of tidal-range change in Long Island Sound on our reconstruction using a regional tidal model, and we demonstrate that this effect was likely small. However, future tidal-range change could exacerbate the impacts of RSL rise in communities bordering Long Island Sound. The current rate of RSL rise is the fastest that NYC has experienced for \u3e1500 years, and its ongoing acceleration suggests that projections of 21st-century local RSL rise will be realized
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Integrated Reconnaissance of the Physical and Biogeochemical Characteristics of Jamaica Bay
Researchers at The Earth Institute of Columbia University have carried out an integrated, coordinated pilot reconnaissance of the physical, chemical, geological, and biological systems within Jamaica Bay, entitled "Integrated Reconnaissance of the Physical and Biogeochemical Characteristics of Jamaica Bay." We believe that such an integrated approach is necessary to fully understand the complex inter-relationship of the wetland ecosystem. The program focused on obtaining a synergistic view of the varied elements of Jamaica Bay by carrying out coordinated research in four areas: submarine sediment morphology, sediment and soil sampling, circulation and mixing, and chemical analysis of the Bay waters
Nitrogen regulation by natural systems in “unnatural” landscapes: denitrification in ultra-urban coastal ecosystems
Dense cities represent biogeochemical hot spots along the shoreline, concentrating fixed nitrogen that is subsequently discharged into adjacent coastal receiving waters. Thus, the ecosystem services provided by natural systems in highly urban environments can play a particularly important role in the global nitrogen cycle. In this paper, we review the recent literature on nitrogen regulation by temperate coastal ecosystems, with a focus on how the distinct physical and biogeochemical features of the urban landscape can affect the provision of this ecosystem service. We use Jamaica Bay, an ultra-urbanized coastal lagoon in the United States of America, as a demonstrative case study. Based on simple areal and tidal-based calculations, the natural systems of Jamaica Bay remove ~ 24% of the reactive nitrogen discharged by wastewater treatment plants. However, this estimate does not represent the dynamic nature of urban nitrogen cycling represented in the recent literature and highlights key research needs and opportunities. Our review reveals that ecosystem-facilitated denitrification may be significant in even the most densely urbanized coastal landscapes, but critical uncertainties currently limit incorporation of this ecosystem service in environmental management
A Bayesian reanalysis of the Standard versus Accelerated Initiation of Renal-Replacement Therapy in Acute Kidney Injury (STARRT-AKI) trial
Background
Timing of initiation of kidney-replacement therapy (KRT) in critically ill patients remains controversial. The Standard versus Accelerated Initiation of Renal-Replacement Therapy in Acute Kidney Injury (STARRT-AKI) trial compared two strategies of KRT initiation (accelerated versus standard) in critically ill patients with acute kidney injury and found neutral results for 90-day all-cause mortality. Probabilistic exploration of the trial endpoints may enable greater understanding of the trial findings. We aimed to perform a reanalysis using a Bayesian framework.
Methods
We performed a secondary analysis of all 2927 patients randomized in multi-national STARRT-AKI trial, performed at 168 centers in 15 countries. The primary endpoint, 90-day all-cause mortality, was evaluated using hierarchical Bayesian logistic regression. A spectrum of priors includes optimistic, neutral, and pessimistic priors, along with priors informed from earlier clinical trials. Secondary endpoints (KRT-free days and hospital-free days) were assessed using zero–one inflated beta regression.
Results
The posterior probability of benefit comparing an accelerated versus a standard KRT initiation strategy for the primary endpoint suggested no important difference, regardless of the prior used (absolute difference of 0.13% [95% credible interval [CrI] − 3.30%; 3.40%], − 0.39% [95% CrI − 3.46%; 3.00%], and 0.64% [95% CrI − 2.53%; 3.88%] for neutral, optimistic, and pessimistic priors, respectively). There was a very low probability that the effect size was equal or larger than a consensus-defined minimal clinically important difference. Patients allocated to the accelerated strategy had a lower number of KRT-free days (median absolute difference of − 3.55 days [95% CrI − 6.38; − 0.48]), with a probability that the accelerated strategy was associated with more KRT-free days of 0.008. Hospital-free days were similar between strategies, with the accelerated strategy having a median absolute difference of 0.48 more hospital-free days (95% CrI − 1.87; 2.72) compared with the standard strategy and the probability that the accelerated strategy had more hospital-free days was 0.66.
Conclusions
In a Bayesian reanalysis of the STARRT-AKI trial, we found very low probability that an accelerated strategy has clinically important benefits compared with the standard strategy. Patients receiving the accelerated strategy probably have fewer days alive and KRT-free. These findings do not support the adoption of an accelerated strategy of KRT initiation