Impact of sea ice transport on Beaufort Gyre liquid freshwater content

The Arctic Ocean’s Beaufort Gyre (BG) is a wind-driven reservoir of relatively fresh seawater, situated beneath time-mean anticyclonic atmospheric circulation, and is covered by mobile pack ice for most of the year. Liquid freshwater accumulation in and expulsion from this gyre is of critical interest due to its potential to affect the Atlantic meridional overturning circulation and due to the importance of freshwater in modulating vertical fluxes of heat, nutrients and carbon in the ocean, and exchanges of heat and moisture with the atmosphere. Here, we investigate the hypothesis that wind-driven sea ice transport into/from the BG region influences the freshwater content of the gyre and its variability. To test this hypothesis, we use the results of a coordinated climate response function experiment with four ice-ocean models, in combination with targeted experiments using a regional setup of the MITgcm, in which we rotate the surface wind forcing vectors (thereby changing the ageostrophic component of these winds). Our results show that, via an effect on the net thermodynamic growth rate, anomalies in sea ice transport into the BG affect liquid freshwater adjustment. Specifically, increased ice import increases freshwater retention in the gyre, whereas ice export decreases freshwater in the gyre. Our results demonstrate that uncertainty in the ageostrophic component of surface winds, and in the dynamic sea ice response to these winds, has important implications for ice thermodynamics and freshwater. This sensitivity may explain some of the observed inter-model spread in simulations of Beaufort Gyre freshwater and its adjustment in response to wind forcing

Microbiological evaluation of food manipulator's hands and nasal cavity in a food unit of a university hospital

Este trabalho teve como objetivo identificar os microorganismos presentes nas mãos e fossas nasais de manipuladores de alimentos da cozinha de um hospital universitário. Foram realizadas coletas de amostras de 24 manipuladores de alimentos, usando swab embebido em solução salina. As amostras foram semeadas em meio de cultivo específico para isolamento e identificação dos microorganismos presentes. Dos 24 manipuladores analisados, todos albergavam Staphylococcus aureus , sendo que 41,67% albergavam esta bactéria nas fossas nasais, 41,67% apenas na palma das mãos, e 16,67% albergavam tanto nas mãos quanto nas fossas nasais.Escherichia coli  esteve presente em 29,17% dos manipuladores, sendo 28,57% nas fossas nasais e 71,43% nas mãos dos manipuladores. Em 12,5% dos manipuladores foram encontradas ambas as bactérias, S. aureus e E. coli , nas mãos. Ademonstração de S. aureus e E. coli nas amostras isoladas dos manipuladores de alimento apontam para a possibilidade da contaminação de alimentos, a partir da colonização das mãos e fossas nasais de manipuladores. A prevenção desta contaminação pode ser feita pelo meio de medidas educativas e disponibilização de produtos que facilitem a higienização adequada das mãos no ambiente de trabalho.  This work had as objectives identify microorganisms present in the hands and nasal cavity of food handlers that work in a kitchen of a University Hospital. It was collected samples of 24 individuals usingswab Staphylococcus aureus , with 41.67% harbouring this bacterium in nasal cavity, 41.67% in the palm of the hand, and 16.67% in both hands and nasal cavity. Another microorganism detected was Escherichia coli , present in 29.17% of handlers, being 28.57% in nasal cavity and 71.43% in the hands of manipulators. In 12.5% of food handlers were found both S. aureus and E. coli in their hands. The demonstrations of S. aureus e E. coli in the food handlers´ isolated samples indicate food contamination; arise from contaminated hands and nasal cavity of them. The prevention for this contamination can be applied adopting an orientation procedure and available of products that facilitate the right sanitation of the hands in the work environment. s soaked in saline solution. These samples were sown in culture medium for isolation and identification of the microorganisms. All 24 food handlers presented

Using Vertically Integrated Ocean Fields to Characterize Greenland Icebergs' Distribution and Lifetime

International audienceIcebergs represent approximately half of Greenland's yearly mass loss, having important implications for biological productivity, freshwater fluxes in the ocean, and navigation. This study applies an iceberg model that uses integrated ocean fields (from surface to iceberg keel) to simulate the drift and decay of Greenland icebergs. This version of iceberg model (VERT) is compared with a more widely adopted version (SURF) which only uses surface ocean fields in its equations. We show that icebergs in VERT tend to drift along the shelf break, while in SURF they concentrate along the coastline. Additionally, we show that Greenland's southeast coast is the source of ∼60% of the icebergs that cross the interior of the Labrador Sea—a region that stages buoyancy-driven convection and is, therefore, sensitive to freshwater input

The impacts of Meltwater Pulse-1A in the South Atlantic Ocean deep circulation since the Last Glacial Maximum

Since 21 000 yr ago, the oceans have received large amounts of freshwater in pulses coming from the melting ice sheets. A specific event, known as meltwater pulse 1A (MWP-1A), has been identified in sea-level and temperature proxy records as responsible for the increase of ~20 m in sea level in less than 500 yr. Although its origin and timing are still under discussion, MWP-1A seems to have had a significant impact on several components of the climatic system. The present work aims to elucidate these impacts on the water mass distribution of the South Atlantic Ocean through the analysis of a transient simulation of the climate evolution from the Last Glacial Maximum to Present Day using a state-of-art CGCM, the National Center for Atmospheric Research Community Climate System Model version 3 (NCAR CCSM3). Results show that the freshwater discharge associated with the timing of MWP-1A was crucial to establish the present thermohaline structure associated with the North Atlantic Deep Water, marking the transition between a shallower and a deeper Atlantic Meridional Overturning Circulation.CAPES - Ciências do MarCNPq / PROANTARINCT Criosfer

Arctic Ocean response to Greenland Sea wind anomalies in a suite of model simulations

Multi‐model Arctic Ocean ``Climate Response Function” (CRF) experiments are analyzed in order to explore the effects of anomalous wind forcing over the Greenland Sea (GS) on poleward ocean heat transport, Atlantic Water (AW) pathways, and the extent of Arctic sea ice. Particular emphasis is placed on the sensitivity of the AW circulation to anomalously strong or weak GS winds in relation to natural variability, the latter manifested as part of the North Atlantic Oscillation (NAO). We find that anomalously strong (weak) GS wind forcing, comparable in strength to a strong positive (negative) NAO index, results in an intensification (weakening) of the poleward AW flow, extending from south of the North Atlantic Subpolar Gyre, through the Nordic Seas, and all the way into the Canadian Basin. Reconstructions made utilizing the calculated CRFs explain ~50 % of the simulated AW flow variance; this is the proportion of variability that can be explained by GS wind forcing. In the Barents and Kara Seas there is a clear relationship between the wind‐driven anomalous AW inflow and the sea ice extent. Most of the anomalous AW heat is lost to the atmosphere, and loss of sea ice in the Barents Sea results in even more heat loss to the atmosphere, and thus effective ocean cooling. Release of passive tracers in a subset of the suite of models reveals differences in circulation patterns and shows that the flow of AW in the Arctic Ocean is highly dependent on the wind stress in the Nordic Seas. Plain Language Summary The North Atlantic Current is an extension of the Gulf Stream, which brings warm Atlantic Water northward as the current flows through the Nordic Seas. Eventually it enters the cold deep Arctic Ocean basins through the Barents Sea and Fram Strait. Nine different numerical ocean‐ice models have been analyzed and compared in order to investigate: (1) their ability to simulate this northward flow of Atlantic Water, (2) its dependence on wind forcing, and (3) its impact on Arctic sea ice. Consistently, in all models, stronger winds in the Greenland Sea result in a stronger northward flow of warm Atlantic Water. The response on ocean circulation occurs from the North Atlantic, through the Nordic Seas and the Barents Sea, to the deep Canadian Basin. The flow of warm Atlantic Water within the Arctic Ocean is thus highly dependent on the wind stress in the Nordic Seas. There is particularly clear response in the Barents and Kara Seas where a wind‐driven anomalous warm inflow drives a smaller sea ice extent and thickness, and an increased heat transfer from the ocean to the atmosphere above. Weaker winds in the Greenland Sea produces weaker flow and hence a larger sea ice extent and thicknes

Comparative clinical study of the effectiveness of different dental bleaching methods - two year follow-up

This study evaluated color change, stability, and tooth sensitivity in patients submitted to different bleaching techniques. MATERIAL AND METHODS: In this study, 48 patients were divided into five groups. A half-mouth design was conducted to compare two in-office bleaching techniques (with and without light activation): G1: 35% hydrogen peroxide (HP) (Lase Peroxide - DMC Equipments, São Carlos, SP, Brazil) + hybrid light (HL) (LED/Diode Laser, Whitening Lase II DMC Equipments, São Carlos, SP, Brazil); G2: 35% HP; G3: 38% HP (X-traBoost - Ultradent, South Jordan UT, USA) + HL; G4: 38% HP; and G5: 15% carbamide peroxide (CP) (Opalescence PF - Ultradent, South Jordan UT, USA). For G1 and G3, HP was applied on the enamel surface for 3 consecutive applications activated by HL. Each application included 3x3' HL activations with 1' between each interval; for G2 and G4, HP was applied 3x15' with 15' between intervals; and for G5, 15% CP was applied for 120'/10 days at home. A spectrophotometer was used to measure color change before the treatment and after 24 h, 1 week, 1, 6, 12, 18 and 24 months. A VAS questionnaire was used to evaluate tooth sensitivity before the treatment, immediately following treatment, 24 h after and finally 1 week after. RESULTS: Statistical analysis did not reveal any significant differences between in-office bleaching with or without HL activation related to effectiveness; nevertheless the time required was less with HL. Statistical differences were observed between the results after 24 h, 1 week and 1, 6, 12, 18 and 24 months (intergroup). Immediately, in-office bleaching increased tooth sensitivity. The groups activated with HL required less application time with gel. CONCLUSION: All techniques and bleaching agents used were effective and demonstrated similar behaviors

Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)