Holocene lowering of the Laurentide ice sheet affects North Atlantic gyre circulation and climate

The Laurentide ice sheet, which covered Canada during glacial periods, had a major influence on atmospheric circulation and surface climate, but its role in climate during the early Holocene (9–7 ka), when it was thinner and confined around Hudson Bay, is unclear. It has been suggested that the demise of the ice sheet played a role in the 8.2 ka event (an abrupt 1–3 °C Northern Hemisphere cooling lasting ~ 160 years) through the influence of changing topography on atmospheric circulation. To test this hypothesis, and to investigate the broader implications of changing ice sheet topography for climate, we analyse a set of equilibrium climate simulations with ice sheet topographies taken at 500 year intervals from 9.5 to 8.0 ka. Between 9.5 and 8.0 ka, our simulations show a 2 °C cooling south of Iceland and a 1 °C warming between 40° and 50°N in the North Atlantic. These surface temperature changes are associated with a weakening of the subtropical and subpolar gyres caused by a decreasing wind stress curl over the mid-North Atlantic as the ice sheet lowers. The climate response is strongest during the period of peak ice volume change (9.5–8.5 ka), but becomes negligible after 8.5 ka. The climatic effects of the Laurentide ice sheet lowering during the Holocene are restricted to the North Atlantic sector. Thus, topographic forcing is unlikely to have played a major role in the 8.2 ka event and had only a small effect on Holocene climate change compared to the effects of changes in greenhouse gases, insolation and ice sheet meltwater

Millennial‐scale climate oscillations triggered by deglacial meltwater discharge in last glacial maximum simulations

Our limited understanding of millennial-scale variability in the context of the last glacial period can be explained by the lack of a reliable modeling framework to study abrupt climate changes under realistic glacial backgrounds. In this article, we describe a new set of long-run Last Glacial Maximum experiments where such climate shifts were triggered by different snapshots of ice-sheet meltwater derived from the early stages of the last deglaciation. Depending on the location and the magnitude of the forcing, we observe three distinct dynamical regimes and highlight a subtle window of opportunity where the climate can sustain oscillations between cold and warm modes. We identify the Eurasian Arctic and Nordic Seas regions as being most sensitive to meltwater discharge in the context of switching to a cold mode, compared to freshwater fluxes from the Laurentide ice sheets. These cold climates follow a consistent pattern in temperature, sea ice, and convection, and are largely independent from freshwater release as a result of effective AMOC collapse. Warm modes, on the other hand, show more complexity in their response to the regional pattern of the meltwater input, and within them, we observe significant differences linked to the reorganization of deep water formation sites and the subpolar gyre. Broadly, the main characteristics of the oscillations, obtained under full-glacial conditions with ice-sheet reconstruction derived meltwater patterns, share similar characteristics with δ18O records of the last glacial period, although our experiment design prevents detailed conclusions from being drawn on whether these represent actual Dansgaard-Oeschger events

Adenosine Deaminase Activity Is a Sensitive Marker for the Diagnosis of Tuberculous Pleuritis in Patients with Very Low CD4 Counts

Background: Adenosine Deaminase Activity (ADA) is a commonly used marker for the diagnosis of tuberculous pleural effusion. There has been concern about its usefulness in immunocompromised patients, especially HIV positive patients with very low CD4 counts. The objective of this study was to evaluate the sensitivity of ADA in pleural fluid in patients with low CD4 counts. Materials and Methods: This was a retrospective case control study. Medical files of patients with tuberculous pleuritis and non-tuberculous pleuritis were reviewed. Clinical characteristics, CD4 cell counts in blood and biochemical markers in pleural fluid, including ADA were recorded. Results: One ninety seven tuberculous pleuritis and 40 non- tuberculous pleuritis patients were evaluated. Using the cut-off value of 30 U/L, the overall sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio of ADA was 94%, 95%, 19, and 0.06 respectively. The mean CD4 cell counts among TB pleuritis patients was 29 and 153 cells/microL in patients with CD4 ,50 cells/microL and .50 cells/microL, (p,0.05) respectively. The corresponding mean ADA values for these patients were 76 U/L and 72 U/L respectively (p.0.5). There was no correlation between ADA values and CD4 cell counts (r =20.120, p = 0.369). Conclusion: ADA analysis is a sensitive marker of tuberculous pleuritis even in HIV patients with very low CD4 counts in a high TB endemic region. The ADA assay is inexpensive, rapid, and simple to perform and is of great value for the immediate diagnosis of tuberculous pleuritis while waiting for culture result and this has a positive impact on patient outcome

The contribution of diet and genotype to iron status in women:a classical twin study

This is the first published report examining the combined effect of diet and genotype on body iron content using a classical twin study design. The aim of this study was to determine the relative contribution of genetic and environmental factors in determining iron status. The population was comprised of 200 BMI- and age-matched pairs of MZ and DZ healthy twins, characterised for habitual diet and 15 iron-related candidate genetic markers. Variance components analysis demonstrated that the heritability of serum ferritin (SF) and soluble transferrin receptor was 44% and 54% respectively. Measured single nucleotide polymorphisms explained 5% and selected dietary factors 6% of the variance in iron status; there was a negative association between calcium intake and body iron (p = 0.02) and SF (p = 0.04)

Reconstructing Holocene temperatures in time and space using paleoclimate data assimilation

Paleoclimatic records provide valuable information about Holocene climate, revealing aspects of climate variability for a multitude of sites around the world. However, such data also possess limitations. Proxy networks are spatially uneven, seasonally biased, uncertain in time, and present a variety of challenges when used in concert to illustrate the complex variations of past climate. Paleoclimatic data assimilation provides one approach to reconstructing past climate that can account for the diverse nature of proxy records while maintaining the physics-based covariance structures simulated by climate models. Here, we use paleoclimate data assimilation to create a spatially complete reconstruction of temperature over the past 12 000 years using proxy data from the Temperature 12k database and output from transient climate model simulations. Following the last glacial period, the reconstruction shows Holocene temperatures warming to a peak near 6400 years ago followed by a slow cooling toward the present day, supporting a mid-Holocene which is at least as warm as the preindustrial. Sensitivity tests show that if proxies have an overlooked summer bias, some apparent mid-Holocene warmth could actually represent summer trends rather than annual mean trends. Regardless, the potential effects of proxy seasonal biases are insufficient to align the reconstructed global mean temperature with the warming trends seen in transient model simulations

Simulating marine neodymium isotope distributions using Nd v1.0 coupled to the ocean component of the FAMOUS–MOSES1 climate model: sensitivities to reversible scavenging efficiency and benthic source distributions

The neodymium (Nd) isotopic composition of seawater is a widely used ocean circulation tracer. However, uncertainty in quantifying the global ocean Nd budget, particularly constraining elusive non-conservative processes, remains a major challenge. A substantial increase in modern seawater Nd measurements from the GEOTRACES programme, coupled with recent hypotheses that a seafloor-wide benthic Nd flux to the ocean may govern global Nd isotope distributions (εNd), presents an opportunity to develop a new scheme specifically designed to test these paradigms. Here, we present the implementation of Nd isotopes (143Nd and 144Nd) into the ocean component of the FAMOUS coupled atmosphere–ocean general circulation model (Nd v1.0), a tool which can be widely used for simulating complex feedbacks between different Earth system processes on decadal to multi-millennial timescales. Using an equilibrium pre-industrial simulation tuned to represent the large-scale Atlantic Ocean circulation, we perform a series of sensitivity tests evaluating the new Nd isotope scheme. We investigate how Nd source and sink and cycling parameters govern global marine εNd distributions and provide an updated compilation of 6048 Nd concentrations and 3278 εNd measurements to assess model performance. Our findings support the notions that reversible scavenging is a key process for enhancing the Atlantic–Pacific basinal εNd gradient and is capable of driving the observed increase in Nd concentration along the global circulation pathway. A benthic flux represents a major source of Nd to the deep ocean. However, model–data disparities in the North Pacific highlight that under a uniform benthic flux, the source of εNd from seafloor sediments is too non-radiogenic in our model to be able to accurately represent seawater measurements. Additionally, model–data mismatch in the northern North Atlantic alludes to the possibility of preferential contributions from “reactive” non-radiogenic detrital sediments. The new Nd isotope scheme forms an excellent tool for exploring global marine Nd cycling and the interplay between climatic and oceanographic conditions under both modern and palaeoceanographic contexts

Extra-uterine (abdominal) full term foetus in a 15-day pregnant rabbit

[EN] Background: While ectopic pregnancies account for 1-2% of all pregnancies, abdominal pregnancy is extremely rare, accounting for approximately 1% of ectopic pregnancies. Extrauterine abdominal pregnancy is defined as the implantation and development of an embryo in the peritoneal cavity. The present report is the first of an incidental case of abdominal pregnancy within four full-term foetus simultaneously with 2 weeks of physiological gestation in a healthy doe rabbit. Case presentation: The doe was born on November 3, 2014 and the first partum took place on May 18, 2015. The doe had previously delivered and weaned an average of 12.0 +/- 1.41 live kits at birth (no stillbirths were recorded) during 5 consecutive pregnancies. The last mating was on December 18, 2015 and the detection of pregnancy failure post breeding (by abdominal palpation) on December 31, 2015. Then, the doe was artificially inseminated on January 27, 2016, diagnosed pregnant on February 11, 2016 and subsequently euthanized to recover the foetus. A ventral midline incision revealed a reproductive tract with 12 implantation sites with 15 days old foetus and 4 term foetus in abdominal cavity. There were two foetus floating on either side of the abdominal cavity and two suspended near the greater curvature of the stomach. They were attached to internal organs by means of one or 2 thread-like blood vessels that linked them to the abdominal surfaces. Conclusions: In our opinion a systematic monitoring of rabbit breeding should be included to fully understand and enhance current knowledge of this phenomenon of abdominal pregnancy.This work was supported by Spanish Research Project AGL2014-53405-C2-1-P (Interministerial Commission on Science and Technology).Marco-Jiménez, F.; Garcia-Dominguez, X.; Valdes-Hernández, J.; Vicente Antón, JS. (2017). 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Reproductive rhythm and litter weaning age as they affect rabbit doe performance and body energy balance. Anim Sci. 2005;81:289–96.Fortun-Lamothe L, De Rochambeau H, Lebas F, Tudela F. Influence of the number of suckling young on reproductive performance in intensively reared rabbits does. In: Blasco A, editor. Proceedings of the 7th world rabbit congress; 2002. p. 125–32

Protocol for a prospective collaborative systematic review and meta-analysis of individual patient data from randomised controlled trials of vasoactive drugs in acute stroke: the Blood pressure in Acute Stroke Collaboration, stage-3 (BASC-3)

Rationale Despite several large clinical trials assessing blood pressure lowering in acute stroke, equipoise remains, particularly for ischaemic stroke. The ‘Blood pressure in Acute Stroke Collaboration’ (BASC) commenced in the mid 1990s focusing on systematic reviews and meta-analysis of blood pressure lowering in acute stroke. From the start, BASC planned to assess safety and efficacy of blood pressure lowering in acute stroke using individual patient data. Aims To determine the optimal management of blood pressure in patients with acute stroke, encompassing both intracerebral haemorrhage and ischaemic stroke. Secondary aims are to assess which clinical and therapeutic factors may alter the optimal management of high blood pressure in patients with acute stroke and to assess the effect of vasoactive treatments on haemodynamic variables. Methods and design Individual patient data from randomised controlled trials of blood pressure management in participants with ischaemic stroke and/or intracerebral haemorrhage enrolled during the ultra-acute (pre-hospital), hyper-acute (<6 hours), acute (<48 hours) and sub-acute (<168 hours) phases of stroke. Study outcomes The primary effect variable will be functional outcome defined by the ordinal distribution of the modified Rankin Scale; analyses will also be carried out in prespecified subgroups to assess the modifying effects of stroke-related and pre-stroke patient characteristics. Key secondary variables will include clinical, haemodynamic and neuroradiological variables; safety variables will comprise death and serious adverse events. Discussion Study questions will be addressed in stages, according to the protocol, before integrating these into a final overreaching analysis. We invite eligible trials to join the collaboration