A land-to-ocean perspective on the magnitude, source and implication of DIC flux from major Arctic rivers to the Arctic Ocean

Author Posting. © American Geophysical Union, 2012. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Global Biogeochemical Cycles 26 (2012): GB4018, doi:10.1029/2011GB004192.A series of seasonally distributed measurements from the six largest Arctic rivers (the Ob', Yenisey, Lena, Kolyma, Yukon and Mackenzie) was used to examine the magnitude and significance of Arctic riverine DIC flux to larger scale C dynamics within the Arctic system. DIC concentration showed considerable, and synchronous, seasonal variation across these six large Arctic rivers, which have an estimated combined annual DIC flux of 30 Tg C yr−1. By examining the relationship between DIC flux and landscape variables known to regulate riverine DIC, we extrapolate to a DIC flux of 57 ± 9.9 Tg C yr−1for the full pan-arctic basin, and show that DIC export increases with runoff, the extent of carbonate rocks and glacial coverage, but decreases with permafrost extent. This pan-arctic riverine DIC estimate represents 13–15% of the total global DIC flux. The annual flux of selected ions (HCO3−, Na+, Ca2+, Mg2+, Sr2+, and Cl−) from the six largest Arctic rivers confirms that chemical weathering is dominated by inputs from carbonate rocks in the North American watersheds, but points to a more important role for silicate rocks in Siberian watersheds. In the coastal ocean, river water-induced decreases in aragonite saturation (i.e., an ocean acidification effect) appears to be much more pronounced in Siberia than in the North American Arctic, and stronger in the winter and spring than in the late summer. Accounting for seasonal variation in the flux of DIC and other major ions gives a much clearer understanding of the importance of riverine DIC within the broader pan-arctic C cycle.Funding for this work was provided through NSF-OPP-0229302 and NSF-OPP-0732985. Additional support to SET was provided by an NSERC Postdoctoral Fellowship.2013-06-1

Executive summary: heart disease and stroke statistics--2014 update: a report from the American Heart Association.

Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update. The Statistical Update is a critical resource for researchers, clinicians, healthcare policy makers, media professionals, the lay public, and many others who seek the best available national data on heart disease, stroke, and other cardiovascular disease-related morbidity and mortality and the risks, quality of care, use of medical procedures and operations, and costs associated with the management of these diseases in a single document. Indeed, since 1999, the Statistical Update has been cited >10 500 times in the literature, based on citations of all annual versions. In 2012 alone, the various Statistical Updates were cited ≈3500 times (data from Google Scholar). In recent years, the Statistical Update has undergone some major changes with the addition of new chapters and major updates across multiple areas, as well as increasing the number of ways to access and use the information assembled. For this year's edition, the Statistics Committee, which produces the document for the AHA, updated all of the current chapters with the most recent nationally representative data and inclusion of relevant articles from the literature over the past year. This year's edition includes a new chapter on peripheral artery disease, as well as new data on the monitoring and benefits of cardiovascular health in the population, with additional new focus on evidence-based approaches to changing behaviors, implementation strategies, and implications of the AHA's 2020 Impact Goals. Below are a few highlights from this year's Update. © 2013 American Heart Association, Inc

Long-term declines in ADLs, IADLs, and mobility among older Medicare beneficiaries

<p>Abstract</p> <p>Background</p> <p>Most prior studies have focused on short-term (≤ 2 years) functional declines. But those studies cannot address aging effects inasmuch as all participants have aged the same amount. Therefore, the authors studied the extent of long-term functional decline in older Medicare beneficiaries who were followed for varying time lengths, and the authors also identified the risk factors associated with those declines.</p> <p>Methods</p> <p>The analytic sample included 5,871 self- or proxy-respondents who had complete baseline and follow-up survey data that could be linked to their Medicare claims for 1993-2007. Functional status was assessed using activities of daily living (ADLs), instrumental ADLs (IADLs), and mobility limitations, with declines defined as the development of two of more new difficulties. Multiple logistic regression analysis was used to focus on the associations involving respondent status, health lifestyle, continuity of care, managed care status, health shocks, and terminal drop.</p> <p>Results</p> <p>The average amount of time between the first and final interviews was 8.0 years. Declines were observed for 36.6% on ADL abilities, 32.3% on IADL abilities, and 30.9% on mobility abilities. Functional decline was more likely to occur when proxy-reports were used, and the effects of baseline function on decline were reduced when proxy-reports were used. Engaging in vigorous physical activity consistently and substantially protected against functional decline, whereas obesity, cigarette smoking, and alcohol consumption were only associated with mobility declines. Post-baseline hospitalizations were the most robust predictors of functional decline, exhibiting a dose-response effect such that the greater the average annual number of hospital episodes, the greater the likelihood of functional status decline. Participants whose final interview preceded their death by one year or less had substantially greater odds of functional status decline.</p> <p>Conclusions</p> <p>Both the additive and interactive (with functional status) effects of respondent status should be taken into consideration whenever proxy-reports are used. Encouraging exercise could broadly reduce the risk of functional decline across all three outcomes, although interventions encouraging weight reduction and smoking cessation would only affect mobility declines. Reducing hospitalization and re-hospitalization rates could also broadly reduce the risk of functional decline across all three outcomes.</p