798 research outputs found

    Late Quaternary Mediterranean Outflow Water: implications from radiogenic Nd, Sr, Pb isotopes and clay minerals

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    Mediterranean Outflow Water (MOW) is characterised by higher temperatures and salinities than other ambient water masses. MOW spreads at water depths between 500 and 1500 m into the eastern North Atlantic and has been a source of salinity for the Atlantic Meridional Overturning Circulation. We used high-resolution Nd and Pb isotope records of past ambient seawater obtained from authigenic ferromanganese coatings of sediments in three gravity cores at 577, 1745 and 1974 m water depths in the Gulf of Cadiz and along the Portuguese margin complemented by a selection of surface sediments to reconstruct the extent and pathways of MOW over the past 23 000 years. In addition, radiogenic Nd, Pb and Sr isotope ratios obtained from total digestion of the residual clay fraction of the leached samples were used to evaluate any changes in the endmember compositions. The surface and downcore seawater Nd isotope data from all water depths exhibit only a very small variability close to the present day composition of MOW but do not reflect the present day Nd isotopic stratification of the water column as determined from a nearby open ocean hydrographic station, which is most likely the consequence of downslope sediment transport in the nepheloid boundary layer as well as the small variations in the Nd endmember compositions. In contrast, the seawater Pb isotope records show significant and systematic variations, which provide evidence for a significantly different pattern of the MOW pathways between 20 000 and 12 000 years ago compared with the subsequent period of time. A deeper situated MOW during the Last Glacial Maximum (LGM) raised during the early deglaciation with its shallowest position around Heinrich event H1, followed by a moderate deepening and the establishment of present-day MOW hydrography. The radiogenic isotope signatures of the residual clay fractions document a pulse of sediment input from the north during Heinrich event H1 around 14.8 ka, but other than that exhibit little varibility over time suggesting surprisingly constant sedimentary endmember compositions and mixing ratios since the LGM

    Plio-Pleistocene changes in water mass exchange and erosional inputs in the Fram Strait

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    We determined the isotopic composition of neodymium (Nd) and lead (Pb) of past seawater to reconstruct water mass exchange and erosional input between the Arctic Ocean and the Norwegian-Greenland Seas over the past 5 Ma. For this purpose, sediments of ODP site 911 (leg 151) located at 900 m water depth on the Yermak Plateau in the Fram Strait were used. The paleo-seawater variability of Nd and Pb isotopes was extracted from the sea water-derived metal oxide coatings on the sediment particles following the leaching method of Gutjahr et al. (2007). All radiogenic isotope data were acquired by Multi-Collector (MC) ICP-MS. The site 911 stratigraphy of Knies et al. (2009) was applied. Surface sediment Sr and Nd isotope data, as well as downcore Sr isotope data obtained on the same leaches are close to seawater and confirm the seawater origin of the Nd and Pb isotope signatures. The deep water Nd isotope time series extracted from site 911 was in general more radiogenic ("Nd = -7.5 to -10) than present day deep water ("Nd = -9.8 to -11.8) in the area of the Fram Strait (Andersson et al., 2008) and does not show a systematic trend with time. In contrast, the radiogenic isotope composition of Pb evolved from 206Pb/204Pb ratios around 18.7 to more radiogenic values around 19.2 between 2 Ma and today. The data indicate that mixing of water masses from the Arctic Ocean and the Norwegian-Greenland Seas has controlled the Nd isotope signatures of deep waters on the Yermak Plateau over the past 5 Ma. Prior to 1.7 Ma the Nd isotope signatures on the Yermak Plateau were less radiogenic than waters from the same depth in the central Arctic Ocean (Haley et al., 2008) pointing to a greater influence from the Norwegian-Greenland Seas. After 1.7 Ma the central Arctic and Yermak Plateau data have varied around similar values indicating water mass mixing overall similar to today. In contrast, the Pb isotope composition of deep waters in the Fram Strait appears to have been dominated by weathering inputs from glacially weathering old continental landmasses, such as Greenland or parts of Svalbard since 2 Ma. A similar control over the Pb isotope evolution of seawater since the onset of Northern Hemisphere Glaciation was recorded by ferromanganese crusts that grew from North Atlantic DeepWater in the western North Atlantic. References: Gutjahr, M., Frank, M., Stirling, C.H., Klemm, V., van de Flierdt, T. and Halliday, A.N. (2007): Reliable extraction of a deepwater trace metal isotope signal from Fe-Mn oxyhydroxide coatings of marine sediments.- Chemical Geology 242, 351-370 Haley B. A., M. Frank, R.F. Spielhagen and A. Eisenhauer (2008): Influence of brine formation on Arctic Ocean circulation over the past 15 million years. Nature Geoscience 1, 68–72 Andersson, P.S., Porcelli, D., Frank, M., Björk, G., Dahlqvist, R. and Gustafsson, Ö. (2008): Neodymium isotopes in seawater from the Barents Sea and Fram Strait Arctic- Atlantic gateways.- Geochim. Cosmochim. Acta 72, 2854-2867 Knies, J., J. Matthiessen, C. Vogt, J.S. Laberg, B.O. Hjelstuen, M.Smelror, E. Larsen, K. Andreassen, T. Eidvin and T.O. Vorren (2009): The Plio-Pleistocene glaciation of the Barents Sea–Svalbard region: a new model based on revised chronostratigraphy - Quaternary Science Reviews 28, 9-10, 812-82

    Plio-Pleistocene evolution of water mass exchange and erosional input at the Atlantic-Arctic gateway

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    Water mass exchange between the Arctic Ocean and the Norwegian-Greenland Seas has played an important role for the Atlantic thermohaline circulation and Northern Hemisphere climate. We reconstruct past water mass mixing and erosional inputs from the radiogenic isotope compositions of neodymium (Nd), lead (Pb), and strontium (Sr) at Ocean Drilling Program site 911 (leg 151) from 906 m water depth on Yermak Plateau in the Fram Strait over the past 5.2 Myr. The isotopic compositions of past bottom waters were extracted from authigenic oxyhydroxide coatings of the bulk sediments. Neodymium isotope signatures obtained from surface sediments agree well with present-day deepwater εNd signature of −11.0 ± 0.2. Prior to 2.7 Ma the Nd and Pb isotope compositions of the bottom waters only show small variations indicative of a consistent influence of Atlantic waters. Since the major intensification of the Northern Hemisphere Glaciation at 2.7 Ma the seawater Nd isotope composition has varied more pronouncedly due to changes in weathering inputs related to the waxing and waning of the ice sheets on Svalbard, the Barents Sea, and the Eurasian shelf, due to changes in water mass exchange and due to the increasing supply of ice-rafted debris (IRD) originating from the Arctic Ocean. The seawater Pb isotope record also exhibits a higher short-term variability after 2.7 Ma, but there is also a trend toward more radiogenic values, which reflects a combination of changes in input sources and enhanced incongruent weathering inputs of Pb released from freshly eroded old continental rocks

    Constraints on ocean circulation at the Paleocene–Eocene Thermal Maximum from neodymium isotopes

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    Global warming during the Paleocene-Eocene Thermal Maximum (PETM) ĝ1/4 ĝ€55 million years ago (Ma) coincided with a massive release of carbon to the ocean-atmosphere system, as indicated by carbon isotopic data. Previous studies have argued for a role of changing ocean circulation, possibly as a trigger or response to climatic changes. We use neodymium (Nd) isotopic data to reconstruct short high-resolution records of deep-water circulation across the PETM. These records are derived by reductively leaching sediments from seven globally distributed sites to reconstruct past deep-ocean circulation across the PETM. The Nd data for the leachates are interpreted to be consistent with previous studies that have used fish teeth Nd isotopes and benthic foraminiferal δ13C to constrain regions of convection. There is some evidence from combining Nd isotope and δ13C records that the three major ocean basins may not have had substantial exchanges of deep waters. If the isotopic data are interpreted within this framework, then the observed pattern may be explained if the strength of overturning in each basin varied distinctly over the PETM, resulting in differences in deep-water aging gradients between basins. Results are consistent with published interpretations from proxy data and model simulations that suggest modulation of overturning circulation had an important role for initiation and recovery of the ocean-atmosphere system associated with the PETM

    A Conceptual Model for Navigating a Career Path in Medical School Leadership

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    There is a paucity of literature providing guidance to physicians hoping to attain a position as a medical school dean. Realizing this gap, the Society for Academic Emergency Medicine (SAEM) Faculty Development Committee organized an educational session focused on offering faculty guidance for obtaining a position in medical school leadership. The session involved panelists who are nationally known leaders in medical school administration and was successfully presented at the SAEM 2018 annual meeting in Indianapolis, Indiana. Knowledge and perspective gained both during this session and through literature review was analyzed using a conceptual thinking skills framework. This process offered insights that promoted the development of a conceptual model informed by current evidence and expert insight and rooted in educational, economic, and cognitive theory. This model provides a step‐by‐step guide detailing a process that physicians can use to create a plan for professional development that is informed, thoughtful, and individualized to their own needs to optimize their future chances of advancing to a career in medical school leadership.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146843/1/aet210212.pd

    A dual-center cohort study on the association between early deep sedation and clinical outcomes in mechanically ventilated patients during the COVID-19 pandemic: The COVID-SED study

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    BACKGROUND: Mechanically ventilated patients have experienced greater periods of prolonged deep sedation during the coronavirus disease (COVID-19) pandemic. Multiple studies from the pre-COVID era demonstrate that early deep sedation is associated with worse outcome. Despite this, there is a lack of data on sedation depth and its impact on outcome for mechanically ventilated patients during the COVID-19 pandemic. We sought to characterize the emergency department (ED) and intensive care unit (ICU) sedation practices during the COVID-19 pandemic, and to determine if early deep sedation was associated with worse clinical outcomes. STUDY DESIGN AND METHODS: Dual-center, retrospective cohort study conducted over 6 months (March-August, 2020), involving consecutive, mechanically ventilated adults. All sedation-related data during the first 48 h were collected. Deep sedation was defined as Richmond Agitation-Sedation Scale of - 3 to - 5 or Riker Sedation-Agitation Scale of 1-3. To examine impact of early sedation depth on hospital mortality (primary outcome), we used a multivariable logistic regression model. Secondary outcomes included ventilator-, ICU-, and hospital-free days. RESULTS: 391 patients were studied, and 283 (72.4%) experienced early deep sedation. Deeply sedated patients received higher cumulative doses of fentanyl, propofol, midazolam, and ketamine when compared to light sedation. Deep sedation patients experienced fewer ventilator-, ICU-, and hospital-free days, and greater mortality (30.4% versus 11.1%) when compared to light sedation (p \u3c 0.01 for all). After adjusting for confounders, early deep sedation remained significantly associated with higher mortality (adjusted OR 3.44; 95% CI 1.65-7.17; p \u3c 0.01). These results were stable in the subgroup of patients with COVID-19. CONCLUSIONS: The management of sedation for mechanically ventilated patients in the ICU has changed during the COVID pandemic. Early deep sedation is common and independently associated with worse clinical outcomes. A protocol-driven approach to sedation, targeting light sedation as early as possible, should continue to remain the default approach
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