Decadal changes in Arctic Ocean Chlorophyll a: Bridging ocean color observations from the 1980s to present time

Remotely-sensed Ocean color data offer a unique opportunity for studying variations of bio-optical properties which is especially valuable in the Arctic Ocean (AO) where in situ data are sparse. In this study, we re-processed the raw data from the Sea-viewing Wide Field-of-View (SeaWiFS, 1998–2010) and the MODerate resolution Imaging Spectroradiometer (MODIS, 2003–2016) ocean-color sensors to ensure compatibility with the first ocean color sensor, namely, the Coastal Zone Color Scanner (CZCS, 1979–1986). Based on a bio-regional approach, this study assesses the quality of this new homogeneous pan-Arctic Chl a dataset, which provides the longest (but non-continuous) ocean color time-series ever produced for the AO (37 years long between 1979 and 2016). We show that despite the temporal gaps between 1986 and 1998 due to the absence of ocean color satellite, the time series is suitable to establish a baseline of phytoplankton biomass for the early 1980s, before sea-ice loss accelerated in the AO. More importantly, it provides the opportunity to quantify decadal changes over the AO revealing for instance the continuous Chl a increase in the inflow shelves such as the Barents Sea since the CZCS era

Performance of the ROX index to predict intubation in immunocompromised patients receiving high-flow nasal cannula for acute respiratory failure

Background Delayed intubation is associated with high mortality. There is a lack of objective criteria to decide the time of intubation. We assessed a recently described combined oxygenation index (ROX index) to predict intubation in immunocompromised patients. The study is a secondary analysis of randomized trials in immunocompromised patients, including all patients who received high-flow nasal cannula (HFNC). The first objective was to evaluate the accuracy of the ROX index to predict intubation for patients with acute respiratory failure. Results In the study, 302 patients received HFNC. Acute respiratory failure was mostly related to pneumonia (n = 150, 49.7%). Within 2 (1-3) days, 115 (38.1%) patients were intubated. The ICU mortality rate was 27.4% (n = 83). At 6 h, the ROX index was lower for patients who needed intubation compared with those who did not [4.79 (3.69-7.01) vs. 6.10 (4.48-8.68), p < 0.001]. The accuracy of the ROX index to predict intubation was poor [AUC = 0.623 (0.557-0.689)], with low performance using the threshold previously found (4.88). In multivariate analysis, a higher ROX index was still independently associated with a lower intubation rate (OR = 0.89 [0.82-0.96], p = 0.04). Conclusion A ROX index greater than 4.88 appears to have a poor ability to predict intubation in immunocompromised patients with acute respiratory failure, although it remains highly associated with the risk of intubation and may be useful to stratify such risk in future studies

Nunataryuk field campaigns: understanding the origin and fate of terrestrial organic matter in the coastal waters of the Mackenzie Delta region

Climate warming and related drivers of soil thermal change in the Arctic are expected to modify the distribution and dynamics of carbon contained in perennially frozen grounds. Thawing of permafrost in the Mackenzie River watershed of northwestern Canada, coupled with increases in river discharge and coastal erosion, triggers the release of terrestrial organic matter (OMt) from the largest Arctic drainage basin in North America into the Arctic Ocean. While this process is ongoing and its rate is accelerating, the fate of the newly mobilized organic matter as it transits from the watershed through the delta and into the marine system remains poorly understood. In the framework of the European Horizon 2020 Nunataryuk programme, and as part of the Work Package 4 (WP4) Coastal Waters theme, four field expeditions were conducted in the Mackenzie Delta region and southern Beaufort Sea from April to September 2019. The temporal sampling design allowed the survey of ambient conditions in the coastal waters under full ice cover prior to the spring freshet, during ice breakup in summer, and anterior to the freeze-up period in fall. To capture the fluvial–marine transition zone, and with distinct challenges related to shallow waters and changing seasonal and meteorological conditions, the field sampling was conducted in close partnership with members of the communities of Aklavik, Inuvik and Tuktoyaktuk, using several platforms, namely helicopters, snowmobiles, and small boats. Water column profiles of physical and optical variables were measured in situ, while surface water, groundwater, and sediment samples were collected and preserved for the determination of the composition and sources of OMt, including particulate and dissolved organic carbon (POC and DOC), and colored dissolved organic matter (CDOM), as well as a suite of physical, chemical, and biological variables. Here we present an overview of the standardized datasets, including hydrographic profiles, remote sensing reflectance, temperature and salinity, particle absorption, nutrients, dissolved organic carbon, particulate organic carbon, particulate organic nitrogen, CDOM absorption, fluorescent dissolved organic matter intensity, suspended particulate matter, total particulate carbon, total particulate nitrogen, stable water isotopes, radon in water, bacterial abundance, and a string of phytoplankton pigments including total chlorophyll. Datasets and related metadata can be found in Juhls et al. (2021) (https://doi.org/10.1594/PANGAEA.937587).</p

Increased 30-Day Mortality in Very Old ICU Patients with COVID-19 Compared to Patients with Respiratory Failure without COVID-19

Purpose: The number of patients ≥ 80 years admitted into critical care is increasing. Coronavirus disease 2019 (COVID-19) added another challenge for clinical decisions for both admission and limitation of life-sustaining treatments (LLST). We aimed to compare the characteristics and mortality of very old critically ill patients with or without COVID-19 with a focus on LLST. Methods: Patients 80 years or older with acute respiratory failure were recruited from the VIP2 and COVIP studies. Baseline patient characteristics, interventions in intensive care unit (ICU) and outcomes (30-day survival) were recorded. COVID patients were matched to non-COVID patients based on the following factors: age (± 2 years), Sequential Organ Failure Assessment (SOFA) score (± 2 points), clinical frailty scale (± 1 point), gender and region on a 1:2 ratio. Specific ICU procedures and LLST were compared between the cohorts by means of cumulative incidence curves taking into account the competing risk of discharge and death. Results: 693 COVID patients were compared to 1393 non-COVID patients. COVID patients were younger, less frail, less severely ill with lower SOFA score, but were treated more often with invasive mechanical ventilation (MV) and had a lower 30-day survival. 404 COVID patients could be matched to 666 non-COVID patients. For COVID patients, withholding and withdrawing of LST were more frequent than for non-COVID and the 30-day survival was almost half compared to non-COVID patients. Conclusion: Very old COVID patients have a different trajectory than non-COVID patients. Whether this finding is due to a decision policy with more active treatment limitation or to an inherent higher risk of death due to COVID-19 is unclear.info:eu-repo/semantics/publishedVersio

Reviews and syntheses: Abrupt ocean biogeochemical change under human-made climatic forcing – warming, acidification, and deoxygenation

Abrupt changes in ocean biogeochemical variables occur as a result of human-induced climate forcing as well as those which are more gradual and occur over longer timescales. These abrupt changes have not yet been identified and quantified to the same extent as the more gradual ones. We review and synthesise abrupt changes in ocean biogeochemistry under human-induced climatic forcing. We specifically address the ocean carbon and oxygen cycles because the related processes of acidification and deoxygenation provide important ecosystem hazards. Since biogeochemical cycles depend also on the physical environment, we also describe the relevant changes in warming, circulation, and sea ice. We include an overview of the reversibility or irreversibility of abrupt marine biogeochemical changes. Important implications of abrupt biogeochemical changes for ecosystems are also discussed. We conclude that there is evidence for increasing occurrence and extent of abrupt changes in ocean biogeochemistry as a consequence of rising greenhouse gas emissions

Impact of species and antibiotic therapy of enterococcal peritonitis on 30-day mortality in critical care - An analysis of the OUTCOMEREA database

Introduction: Enterococcus species are associated with an increased morbidity in intraabdominal infections (IAI). However, their impact on mortality remains uncertain. Moreover, the influence on outcome of the appropriate or inappropriate status of initial antimicrobial therapy (IAT) is subjected to debate, except in septic shock. The aim of our study was to evaluate whether an IAT that did not cover Enterococcus spp. was associated with 30-day mortality in ICU patients presenting with IAI growing with Enterococcus spp. Material and methods: Retrospective analysis of French database OutcomeRea from 1997 to 2016. We included all patients with IAI with a peritoneal sample growing with Enterococcus. Primary endpoint was 30-day mortality. Results: Of the 1017 patients with IAI, 76 (8%) patients were included. Thirty-day mortality in patients with inadequate IAT against Enterococcus was higher (7/18 (39%) vs 10/58 (17%), p = 0.05); however, the incidence of postoperative complications was similar. Presence of Enterococcus spp. other than E. faecalis alone was associated with a significantly higher mortality, even greater when IAT was inadequate. Main risk factors for having an Enterococcus other than E. faecalis alone were as follows: SAPS score on day 0, ICU-acquired IAI, and antimicrobial therapy within 3 months prior to IAI especially with third-generation cephalosporins. Univariate analysis found a higher hazard ratio of death with an Enterococcus other than E. faecalis alone that had an inadequate IAT (HR = 4.4 [1.3-15.3], p = 0.019) versus an adequate IAT (HR = 3.1 [1.0-10.0], p = 0.053). However, after adjusting for confounders (i.e., SAPS II and septic shock at IAI diagnosis, ICU-acquired peritonitis, and adequacy of IAT for other germs), the impact of the adequacy of IAT was no longer significant in multivariate analysis. Septic shock at diagnosis and ICU-acquired IAI were prognostic factors. Conclusion: An IAT which does not cover Enterococcus is associated with an increased 30-day mortality in ICU patients presenting with an IAI growing with Enterococcus, especially when it is not an E. faecalis alone. It seems reasonable to use an IAT active against Enterococcus in severe postoperative ICU-acquired IAI, especially when a third-generation cephalosporin has been used within 3 months. © 2019 The Author(s)

The Barents Sea polar front and water masses variability (1980-2011)

International audienceThe polar front separates the warm and saline Atlantic Waters encountered in the western part of the Barents Sea from the cold and fresh Arctic Waters situated in the northern part. These water masses can mix together, mainly in the eastern part of the Barents Sea, generating dense waters in winter which can cascade into the Arctic Ocean to form the Artic Intermediate Waters. To study the interannual variability and evolution of these water masses and the fronts, we have merged data from the International Council for the Exploration of the Sea and the Arctic and Antarctic Research Institute and have built a new database which covers the period 1980-2011. The summer data is interpolated on a regular grid and a "Probability Density Function" method is used to show that the polar front splits into two branches east of 32° E where the topographic constraint weakens. Two fronts can then be defined: the "Northern Polar Front" is associated with strong salinity gradients and the "Southern Polar Front" with temperature gradients. They enclose the dense Barents Sea Water. The interannual variability of the water masses is apparent in the observed data and is linked to that of the ice cover. In contrast, the link with the Arctic Oscillation is not clear. However, results from a general circulation model suggest that such a link could be found if winter data were taken into account. A strong trend, which amplifies during the last decade, is also found: the Atlantic Water occupies a larger volume of the Barents Sea. This "Atlantification" could be accompanied by a northwards displacement of the southern polar front in the eastern part of the Barents Sea (which is suggested by a model based study) and a decrease of the volume occupied by the Arctic Waters

The Barents Sea frontal zones and water masses variability (1980–2011)

The polar front separates the warm and saline Atlantic Water entering the southern Barents Sea from the cold and fresh Arctic Water located in the north. These water masses can mix together (mainly in the center of the Barents Sea), be cooled by the atmosphere and receive salt because of brine release; these processes generate dense water in winter, which then cascades into the Arctic Ocean to form the <i>Arctic Intermediate Water</i>. To study the interannual variability and evolution of the frontal zones and the corresponding variations of the water masses, we have merged data from the International Council for the Exploration of the Sea and the Arctic and Antarctic Research Institute and have built a new database, which covers the 1980–2011 period. The summer data were interpolated on a regular grid. A <i>probability density function</i> is used to show that the polar front splits into two branches east of 32° E where the topographic constraint weakens. Two fronts can then be identified: the <i>Northern Front</i> is associated with strong salinity gradients and the <i>Southern Front</i> with temperature gradients. Both fronts enclose the denser Barents Sea Water. The interannual variability of the water masses is apparent in the observed data and is linked to that of the ice cover. The frontal zones variability is found by using data from a general circulation model. The link with the atmospheric variability, represented here by the Arctic Oscillation, is not clear. However, model results suggest that such a link could be validated if winter data were taken into account. A strong trend appears: the Atlantic Water (Arctic Water) occupies a larger (smaller) volume of the Barents Sea. This trend amplifies during the last decade and the model study suggests that this could be accompanied by a northwards displacement of the Southern Front in the eastern part of the Barents Sea. The results are less clear for the Northern Front. The observations show that the volume of the Barents Sea Water remains nearly unchanged, which suggests a northwards shift of the Northern Front to compensate for the northward shift of the Southern Front. Lastly, we noticed that the seasonal variability of the position of the front is small

Solar radiation and solar radiation driven cycles in warming and freshwater discharge control seasonal and inter‐annual phytoplankton chlorophyll a

Fjords on the west coast of Spitsbergen experience variable Arctic and Atlantic climate signals that drive seasonal and inter-annual variability of phytoplankton productivity and composition, by mechanisms that are not fully resolved. To this end, a time series (2013–2018) of Kongsfjorden (N 78°54.2, E 11°54.0) phytoplankton pigments, ocean physics, nutrient concentrations, and microbial abundances was investigated. Kongsfjorden phytoplankton dynamics were predominantly governed by solar radiation and cycles of warming and freshwater discharge that caused pronounced changes in light and nutrient availability. Phytoplankton growth after the polar night commenced in March in a mixed, nutrient loaded water column, and accelerated in April after weak thermal stratification. Spring (weeks 10–22) showed high diatom relative abundance that ceased when silicic acid and nitrate reached limiting concentrations. Summer (weeks 23–35) was characterized by sixfold stronger stratification due to increased freshwater discharge and continued ocean heating. This caused a warm, low salinity surface layer with low nutrient concentrations. Small and diverse flagellates, together with high bacterial and viral abundances, thrived in this regenerative, N or P-limited system. Elevated late summer chlorophyll a (Chl a), and ammonium suggested increased regeneration and nutrient pulses by glacial upwelling. Fall (weeks 36–48) caused rapidly declining Chl a and increasing diatom relative abundance, which persisted throughout the polar night, causing high diatom relative abundance during spring. Despite inter-annual variability in ocean temperature and salinity we observed relatively stable seasonal phytoplankton taxonomic composition and Chl a