Bacterioplankton distribution and production in the bathypelagic ocean: Directly coupled to particulate organic carbon export?

A recently published evaluation of bacterioplankton abundance and productivity in the bathypelagic North Pacific suggests that these properties are generally coupled with particulate organic carbon (POC) fluxes. In that analysis, bacterial biomass and productivity were several-fold greater in subarctic than subtropical waters, consistent with the basin-scale distribution of POC flux and suggestive of a sinking POC --\u3e DOC --\u3e bacteria transformation of the carbon. To test this hypothesis, we sought to determine whether the very strong spatial and temporal gradients in POC flux in the Arabian Sea would force similar deep-ocean gradients in bacterial variables. On both a within and between-cruise basis, there was variability in bacterial abundance and thymidine incorporation in the deep Arabian Sea, but correspondence was equivocal between these variables and several correlates to export: flux of biogenic carbon from the euphoric zone, state of the monsoon, and proximity to productive coastal upwelling zones. However, when annual mean bacterial abundance at 2,000 m was compared with annual POC flux at that depth, a strong correspondence emerged: high annual flux supported high bacterial abundance (such a correspondence was not found for bacterial productivity). This finding suggests that bathypelagic bacterial abundance responds to the long-term mean input of organic matter and less to episodic inputs. A comparative evaluation of the North Pacific revealed that although the bathypelagic bacteria there showed correspondence to deep POC flux, that variable alone would not account for the wide meridional variations in bacterial abundance that have been reported

Organic carbon partitioning during spring phytoplankton blooms in the Ross Sea polynya and the Sargasso Sea

In this study we evaluate the partitioning of organic carbon between the particulate and dissolved pools during spring phytoplankton blooms in the Ross Sea, Antarctica, and the Sargasso Sea. As part of a multidisciplinary project in the Ross Sea polynya we investigated the dynamics of the dissolved organic carbon (DOC) pool and the role it played in the carbon cycle during the 1994 spring phytoplankton bloom. Phytoplankton biomass during the bloom was dominated by an Antarctic Phaeocystis sp. We determined primary productivity (PP; via H14CO3, incubations), particulate organic carbon (POC), bacterial productivity (BP; via [3H]thymidine incorporation), and DOC during two occupations of 76°30′S from 175°W to 168°E. Results from this bloom are compared to blooms observed in the Sargasso Sea in the vicinity of the Bermuda Atlantic Time‐Series Study station (BATS). We present data that demonstrate clear differences in the production, biolability, and accumulation of DOC between the two ocean regions. Despite four‐ to fivefold greater PP in the Ross Sea, almost an order of magnitude less DOC (mmol m−2) accumulated during the Ross Sea bloom compared to the Sargasso Sea blooms. In the Ross Sea 89% (˜1 mol C m−2) of the total organic carbon (TOC) that accumulated during the bloom was partitioned as POC, with the remaining 11% (˜0.1 mol C m−2) partitioned as DOC. In contrast, a mean of 86% (0.7.5–1.0 mol m−2) of TOC accumulated as DOC during the 1992, 1993, and 1995 blooms in the Sargasso Sea, with as little as 14% (0.08–0.29 mol C m−2) accumulating as POC. Although a relatively small portion of the fixed carbon was produced as DOC in the Ross Sea, the bacterial carbon demand indicated that a qualitatively more labile carbon was produced in the Ross Sea compared to the Sargasso Sea. There are fundamental differences in organic carbon partitioning between the two systems that may be controlled by plankton community structure and food‐web dynamics

Assessing the apparent imbalance between geochemical and biochemical indicators of meso- and bathypelagic biological activity: What the @$#! is wrong with present calculations of carbon budgets?

Metabolic activity in the water column below the euphotic zone is ultimately fuelled by the vertical flux of organic material from the surface. Over time, the deep ocean is presumably at steady state, with sources and sinks balanced. But recently compiled global budgets and intensive local field studies suggest that estimates of metabolic activity in the dark ocean exceed the influx of organic substrates. This imbalance indicates either the existence of unaccounted sources of organic carbon or that metabolic activity in the dark ocean is being over-estimated. Budgets of organic carbon flux and metabolic activity in the dark ocean have uncertainties associated with environmental variability, measurement capabilities, conversion parameters, and processes that are not well sampled. We present these issues and quantify associated uncertainties where possible, using a Monte Carlo analysis of a published data set to determine the probability that the imbalance can be explained purely by uncertainties in measurements and conversion factors. A sensitivity analysis demonstrates that the bacterial growth efficiencies and assumed cell carbon contents have the greatest effects on the magnitude of the carbon imbalance. Two poorly quantified sources, lateral advection of particles and a population of slowly settling particles, are discussed as providing a means of closing regional carbon budgets. Finally, we make recommendations concerning future research directions to reduce important uncertainties and allow a better determination of the magnitude and causes of the unbalanced carbon budgets. (C) 2010 Elsevier Ltd. All rights reserved

Dissolved Organic Carbon in the North Atlantic Meridional Overturning Circulation

The quantitative role of the Atlantic Meridional Overturning Circulation (AMOC) in dissolved organic carbon (DOC) export is evaluated by combining DOC measurements with observed water mass transports. In the eastern subpolar North Atlantic, both upper and lower limbs of the AMOC transport high-DOC waters. Deep water formation that connects the two limbs of the AMOC results in a high downward export of non-refractory DOC (197 Tg-C·yr-1). Subsequent remineralization in the lower limb of the AMOC, between subpolar and subtropical latitudes, consumes 72% of the DOC exported by the whole Atlantic Ocean. The contribution of DOC to the carbon sequestration in the North Atlantic Ocean (62 Tg-C·yr-1) is considerable and represents almost a third of the atmospheric CO 2 uptake in the region

Growth dynamics of Phaeocystis antarctica-dominated plankton assemblages from the Ross Sea

Large-volume experiments were conducted using natural seawater assemblages collected in the southern Ross Sea during austral spring 1994 and summer 1995 to assess the carbon and nitrogen exchanges among phytoplankton, bacteria and dissolved organic carbon pools, and to compare the elemental partitioning in these experimental enclosures with those observed in situ. Large concentrations of particulate matter were produced in these enclosures, which were at all times dominated by the colonial haptophyte Phaeocystis antarctica. Particulate organic carbon concentrations exceeded 200 mu mol l(-1) at the end of the experiment. Bacterial carbon comprised only a small (%) fraction of the particulate carbon, but bacteria grew at 0.15 to 0.3 d(-1) and were not limited by bacteriovores. Nutrient levels decreased concomitantly with POC increases, and nitrate was reduced to undetectable levels. Dissolved organic carbon (DOC) levels remained low (less than 50 mu M) while nutrients were present, but increased dramatically (to more than 200 mu M) after nitrate was depleted. Growth rates calculated from changes in particulate matter concentrations were slightly below the predicted maximum based on temperature. Field studies, however, showed no depletion of nitrate, similar levels of particulate organic carbon to those found during exponential growth, low levels of DOG, and relatively low levels of bacterial biomass. It appears that P. antarctica in the Ross Sea does not produce large amounts of DOC during nutrient-replete growth; furthermore, because macronutrients are rarely, if ever, depleted where P. antarctica is dominant in the Ross Sea, it is likely that much of the carbon generated during its growth remains in the particulate pool

Deep-Ocean dissolved organic matter reactivity along the Mediterranea Sea: does size matter?

Original research paperDespite of the major role ascribed to marine dissolved organic matter (DOM) in the global carbon cycle, the reactivity of this pool in the dark ocean is still poorly understood. Present hypotheses, posed within the size-reactivity continuum (SRC) and the microbial carbon pump (MCP) conceptual frameworks, need further empirical support. Here, we provide field evidence of the soundness of the SRC model. We sampled the high salinity core-of-flow of the Levantine Intermediate Water along its westward route through the entire Mediterranean Sea. At selected sites, DOM was size-fractionated in apparent high (aHMW) and low (aLMW) molecular weight fractions using an efficient ultrafiltration cell. A percentage decline of the aHMW DOM from 68–76% to 40–55% was observed from the Levantine Sea to the Strait of Gibraltar in parallel with increasing apparent oxygen utilization (AOU). DOM mineralization accounted for 30±3% of the AOU, being the aHMW fraction solely responsible for this consumption, verifying the SRC model in the field. We also demonstrate that, in parallel to this aHMW DOM consumption, fluorescent humic-like substances accumulate in both fractions and protein-like substances decline in the aLMW fraction, thus indicating that not only size matters and providing field support to the MCP modelHOTMIX (grant number CTM2011–30010-C02 01-MAR and 02-MAR) and the project FERMIO (MINECO, CTM2014-57334-JIN), both co-financed with FEDER funds; (reference BES-2012- 056175) from the Spanish Ministry of Economy, Industry and Competitivenes; the project MODMED from CSIC (PIE, 201730E020) and CSIC Program “Junta para la Ampliación de Estudios” co-financed by the ESF (reference JAE DOC 040)Versión del editor2,92

Optimising use of electronic health records to describe the presentation of rheumatoid arthritis in primary care: a strategy for developing code lists

Background Research using electronic health records (EHRs) relies heavily on coded clinical data. Due to variation in coding practices, it can be difficult to aggregate the codes for a condition in order to define cases. This paper describes a methodology to develop ‘indicator markers’ found in patients with early rheumatoid arthritis (RA); these are a broader range of codes which may allow a probabilistic case definition to use in cases where no diagnostic code is yet recorded. Methods We examined EHRs of 5,843 patients in the General Practice Research Database, aged ≥30y, with a first coded diagnosis of RA between 2005 and 2008. Lists of indicator markers for RA were developed initially by panels of clinicians drawing up code-lists and then modified based on scrutiny of available data. The prevalence of indicator markers, and their temporal relationship to RA codes, was examined in patients from 3y before to 14d after recorded RA diagnosis. Findings Indicator markers were common throughout EHRs of RA patients, with 83.5% having 2 or more markers. 34% of patients received a disease-specific prescription before RA was coded; 42% had a referral to rheumatology, and 63% had a test for rheumatoid factor. 65% had at least one joint symptom or sign recorded and in 44% this was at least 6-months before recorded RA diagnosis. Conclusion Indicator markers of RA may be valuable for case definition in cases which do not yet have a diagnostic code. The clinical diagnosis of RA is likely to occur some months before it is coded, shown by markers frequently occurring ≥6 months before recorded diagnosis. It is difficult to differentiate delay in diagnosis from delay in recording. Information concealed in free text may be required for the accurate identification of patients and to assess the quality of care in general practice

Diagnostic criteria for idiopathic pulmonary fibrosis: a Fleischner Society White Paper.

This Review provides an updated approach to the diagnosis of idiopathic pulmonary fibrosis (IPF), based on a systematic search of the medical literature and the expert opinion of members of the Fleischner Society. A checklist is provided for the clinical evaluation of patients with suspected usual interstitial pneumonia (UIP). The role of CT is expanded to permit diagnosis of IPF without surgical lung biopsy in select cases when CT shows a probable UIP pattern. Additional investigations, including surgical lung biopsy, should be considered in patients with either clinical or CT findings that are indeterminate for IPF. A multidisciplinary approach is particularly important when deciding to perform additional diagnostic assessments, integrating biopsy results with clinical and CT features, and establishing a working diagnosis of IPF if lung tissue is not available. A working diagnosis of IPF should be reviewed at regular intervals since the diagnosis might change. Criteria are presented to establish confident and working diagnoses of IPF

Maternal melatonin: Effective intervention against developmental programming of cardiovascular dysfunction in adult offspring of complicated pregnancy

Funder: British Heart Foundation; Id: http://dx.doi.org/10.13039/501100000274Abstract: Adopting an integrative approach, by combining studies of cardiovascular function with those at cellular and molecular levels, this study investigated whether maternal treatment with melatonin protects against programmed cardiovascular dysfunction in the offspring using an established rodent model of hypoxic pregnancy. Wistar rats were divided into normoxic (N) or hypoxic (H, 10% O2) pregnancy ± melatonin (M) treatment (5 μg·ml−1.day−1) in the maternal drinking water. Hypoxia ± melatonin treatment was from day 15–20 of gestation (term is ca. 22 days). To control for possible effects of maternal hypoxia‐induced reductions in maternal food intake, additional dams underwent pregnancy under normoxic conditions but were pair‐fed (PF) to the daily amount consumed by hypoxic dams from day 15 of gestation. In one cohort of animals from each experimental group (N, NM, H, HM, PF, PFM), measurements were made at the end of gestation. In another, following delivery of the offspring, investigations were made at adulthood. In both fetal and adult offspring, fixed aorta and hearts were studied stereologically and frozen hearts were processed for molecular studies. In adult offspring, mesenteric vessels were isolated and vascular reactivity determined by in‐vitro wire myography. Melatonin treatment during normoxic, hypoxic or pair‐fed pregnancy elevated circulating plasma melatonin in the pregnant dam and fetus. Relative to normoxic pregnancy, hypoxic pregnancy increased fetal haematocrit, promoted asymmetric fetal growth restriction and resulted in accelerated postnatal catch‐up growth. Whilst fetal offspring of hypoxic pregnancy showed aortic wall thickening, adult offspring of hypoxic pregnancy showed dilated cardiomyopathy. Similarly, whilst cardiac protein expression of eNOS was downregulated in the fetal heart, eNOS protein expression was elevated in the heart of adult offspring of hypoxic pregnancy. Adult offspring of hypoxic pregnancy further showed enhanced mesenteric vasoconstrictor reactivity to phenylephrine and the thromboxane mimetic U46619. The effects of hypoxic pregnancy on cardiovascular remodelling and function in the fetal and adult offspring were independent of hypoxia‐induced reductions in maternal food intake. Conversely, the effects of hypoxic pregnancy on fetal and postanal growth were similar in pair‐fed pregnancies. Whilst maternal treatment of normoxic or pair‐fed pregnancies with melatonin on the offspring cardiovascular system was unremarkable, treatment of hypoxic pregnancies with melatonin in doses lower than those recommended for overcoming jet lag in humans enhanced fetal cardiac eNOS expression and prevented all alterations in cardiovascular structure and function in fetal and adult offspring. Therefore, the data support that melatonin is a potential therapeutic target for clinical intervention against developmental origins of cardiovascular dysfunction in pregnancy complicated by chronic fetal hypoxia

Outcomes of aortic aneurysm surgery in England : a nationwide cohort study using hospital admissions data from 2002 to 2015

Background The United Kingdom aortic aneurysms (AA) services have undergone reconfiguration to improve outcomes. The National Health Service collects data on all hospital admissions in England. The complex administrative datasets generated have the potential to be used to monitor activity and outcomes, however, there are challenges in using these data as they are primarily collected for administrative purposes. The aim of this study was to develop standardised algorithms with the support of a clinical consensus group to identify all AA activity, classify the AA management into clinically meaningful case mix groups and define outcome measures that could be used to compare outcomes among AA service providers. \ud Methods In-patient data about aortic aneurysm (AA) admissions from the 2002/03 to 2014/15 were acquired. A stepwise approach, with input from a clinical consensus group, was used to identify relevant cases. The data is primarily coded into episodes, these were amalgamated to identify admissions; admissions were linked to understand patient pathways and index admissions. Cases were then divided into case-mix groups based upon examination of individually sampled and aggregate data. Consistent measures of outcome were developed, including length of stay, complications within the index admission, post-operative mortality and re-admission. Results Several issues were identified in the dataset including potential conflict in identifying emergency and elective cases and potential confusion if an inappropriate admission definition is used. Ninety six thousand seven hundred thirty-five patients were identified using the algorithms developed in this study to extract AA cases from Hospital episode statistics. From 2002 to 2015, 83,968 patients (87% of all cases identified) underwent repair for AA and 12,767 patients (13% of all cases identified) died in hospital without any AA repair. Six thousand three hundred twenty-nine patients (7.5%) had repair for complex AA and 77,639 (92.5%) had repair for infra-renal AA. Conclusion The proposed methods define homogeneous clinical groups and outcomes by combining administrative codes in the data. These methodologically robust methods can help examine outcomes associated with previous and current service provisions and aid future reconfiguration of aortic aneurysm surgery services