66 research outputs found

    Constraints on Earth system functioning at the Paleocene-Eocene Thermal Maximum from the marine silicon cycle

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    The Paleocene‐Eocene Thermal Maximum (PETM, ca. 56 Ma) is marked by a negative carbon isotope excursion (CIE) and increased global temperatures. The CIE is thought to result from the release of 13C‐depleted carbon, although the source(s) of carbon and triggers for its release, its rate of release, and the mechanisms by which the Earth system recovered are all debated. Many of the proposed mechanisms for the onset and recovery phases of the PETM make testable predictions about the marine silica cycle, making silicon isotope records a promising tool to address open questions about the PETM. We analyzed silicon isotope ratios (δ30Si) in radiolarian tests and sponge spicules from the Western North Atlantic (ODP Site 1051) across the PETM. Radiolarian δ30Si decreases by 0.6‰ from a background of 1‰ coeval with the CIE, while sponge δ30Si remains consistent at 0.2‰. Using a box model to test the Si cycle response to various scenarios, we find the data are best explained by a weak silicate weathering feedback, implying the recovery was mostly driven by nondiatom organic carbon burial, the other major long‐term carbon sink. We find no resolvable evidence for a volcanic trigger for carbon release, or for a change in regional oceanography. Better understanding of radiolarian Si isotope fractionation and more Si isotope records spanning the PETM are needed to confirm the global validity of these conclusions, but they highlight how the coupling between the silica and carbon cycles can be exploited to yield insight into the functioning of the Earth system

    Impact of percutaneous coronary intervention timing on 5-year outcome in patients with non-ST-segment elevation acute coronary syndromes. The ‘wait a day’ approach might be safer

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    Background The OPTIMA trial was a randomised multicentre trial exploring the influence of the timing of percutaneous coronary intervention (PCI) on patient outcomes in an intermediate to high risk non-ST-elevation acute coronary syndrome (NSTE-ACS) population. In order to decide the best treatment strategy for patients presenting with NSTEACS, long-term outcomes are essential. Methods Five-year follow-up data from 133 of the 142 patients could be retrieved (94 %). The primary endpoint was a composite of death and spontaneous myocardial infarction (MI). Spontaneous MI was defined as MI occurring more than 30 days after randomisation. Secondary endpoints were the individual outcomes of death, spontaneous MI or re-PCI. Results No significant difference with respect to the primary endpoint was observed (17.8 vs. 10.1 %; HR 1.55, 95 % CI: 0.73–4.22, p = 0.21). There was no significant difference in mortality rate. However, spontaneous MI was significantly more common in the group receiving immediate PCI (11.0 vs. 1.4 %; HR 4.46, 95 % CI: 1.21–16.50, p = 0.02). We did not find a significant difference between the groups with respect to re-PCI rate. Conclusion There was no difference in the composite of death and spontaneous MI. The trial suggests an increased long-term risk of spontaneous MI for patients treated with immediate PCI

    How baseline, new-onset, and persistent depressive symptoms are associated with cardiovascular and non-cardiovascular mortality in incident patients on chronic dialysis

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    AbstractObjectiveDepressive symptoms are associated with mortality among patients on chronic dialysis therapy. It is currently unknown how different courses of depressive symptoms are associated with both cardiovascular and non-cardiovascular mortality.MethodsIn a Dutch prospective nation-wide cohort study among incident patients on chronic dialysis, 1077 patients completed the Mental Health Inventory, both at 3 and 12months after starting dialysis. Cox regression models were used to calculate crude and adjusted hazard ratios (HRs) for mortality for patients with depressive symptoms at 3months only (baseline only), at 12months only (new-onset), and both at 3 and 12months (persistent), using patients without depressive symptoms at 3 and 12months as reference group.ResultsDepressive symptoms at baseline only seemed to be a strong marker for non-cardiovascular mortality (HRadj 1.91, 95% CI 1.26–2.90), whereas cardiovascular mortality was only moderately increased (HRadj 1.41, 95% CI 0.85–2.33). In contrast, new-onset depressive symptoms were moderately associated with both cardiovascular (HRadj 1.66, 95% CI 1.06–2.58) and non-cardiovascular mortality (HRadj 1.46, 95% CI 0.97–2.20). Among patients with persistent depressive symptoms, a poor survival was observed due to both cardiovascular (HRadj 2.14, 95% CI 1.42–3.24) and non-cardiovascular related mortality (HRadj 1.76, 95% CI 1.20–2.59).ConclusionThis study showed that different courses of depressive symptoms were associated with a poor survival after the start of dialysis. In particular, temporary depressive symptoms at the start of dialysis may be a strong marker for non-cardiovascular mortality, whereas persistent depressive symptoms were associated with both cardiovascular and non-cardiovascular mortality

    Late Quaternary evolution of sediment provenances in the Central

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    Mineral assemblage, trace element content and Nd and Pb isotope signatures were analysed on the fine fraction (<20 mm) of sedimentary records from the Northern Mendeleev Ridge in the Central Arctic Ocean. Our aimwas to identify the detrital particle provenance and to interpret the changes over the past w250 ka in the relative contribution of the different source-areas in relation to paleoenvironmental conditions. The clay mineral assemblage and the Nd and Pb isotope signatures depict systematic changes over the Late Quaternary. The bulk mineralogy exhibits increases in the relative contribution of carbonate minerals vs. silicates in interglacial/deglacial intervals. In glacial intervals, the mineral assemblage of the <20 mm fraction is characterised by an enrichment in kaolinite, counterbalanced by a decrease in illite. The Nd and Pb isotope signatures of <20 mm fraction are interpreted using a three end-member mixing model, involving crustal supplies from North America and Canada, from the Siberian margin and some from volcanic material. A compilation of geochemical signatures of geological terraines surrounding the Arctic Ocean allowed each end-member to be assigned a representative signature, averaging the signal of the eroded terraines. The Suspended Particulate Matter (SPM) of the MacKenzie River represents an average signature of the sedimentary supplies delivered from the North American platform and Canadian margin. The SPM of the Lena River reflects the mean sedimentary signature of the Siberian platform. The Okhotsh-Chukotka province from the Eastern border of Siberia is identified as the most probable volcanic source. Late Quaternary evolution of the estimated relative contribution of the three end-members confirms that the sediment provenances in the Central Arctic Ocean remain close to the current conditions during past interglacials/deglacials MIS1e3, MIS5/TII and MIS7/TIII. In contrast, glacial conditions (MIS4 and MIS6) record minimum supplies from the American margin, associated with increased volcanic contribution, to the Mendeleev Ridge core location suggesting a different sea-ice circulation associated with a low sea-level and reduced shelf area
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