Direct Estimate of Lateral Eddy Diffusivity Upstream of Drake Passage

The first direct estimate of the rate at which geostrophic turbulence mixes tracers across the Antarctic Circumpolar Current is presented. The estimate is computed from the spreading of a tracer released upstream of Drake Passage as part of the Diapycnal and Isopycnal Mixing Experiment in the Southern Ocean (DIMES). The meridional eddy diffusivity, a measure of the rate at which the area of the tracer spreads along an isopycnal across the Antarctic Circumpolar Current, is 710 ± 260 m[superscript 2] s[superscript −1] at 1500-m depth. The estimate is based on an extrapolation of the tracer-based diffusivity using output from numerical tracers released in a one-twentieth of a degree model simulation of the circulation and turbulence in the Drake Passage region. The model is shown to reproduce the observed spreading rate of the DIMES tracer and suggests that the meridional eddy diffusivity is weak in the upper kilometer of the water column with values below 500 m[superscript 2] s[superscript −1] and peaks at the steering level, near 2 km, where the eddy phase speed is equal to the mean flow speed. These vertical variations are not captured by ocean models presently used for climate studies, but they significantly affect the ventilation of different water masses.National Science Foundation (U.S.) (Award OCE-1233832)National Science Foundation (U.S.) (Award OCE-1232962)National Science Foundation (U.S.) (Award OCE-1048926

Campagne ROMANCHE 1. L'Atalante (10 août· 8 septembre 1991). Données CTD02 , Chimie et Bathymétrie

La campagne Romanche 1 s'est déroulée du 10 août au 7 septembre 1991, en un leg Dakar-Dakar, à bord du navire de recherche océanographique de l'Ifremer L'Atalante. Romanche 1, première campagne dans le cadre du projet Romanche, avait pour but d'explorer l'hydrologie et la bathymétrie des zones de fracture Romanche et Chain centrées respectivement à l'équateur et vers 1°S dans l'Atlantique. L'analyse des données recueillies fournira l'information nécessaire à la définition et au positionnement de mouillages courantométriques qui permettront de mesurer le flux d'Eau Antarctique de Fond (EAF) passant du bassin Ouest au bassin Est de l'Atlantique par ces 2 zones de fracture. Quatre mouillages seront déployés dans la zone de fracture Romanche, 4 dans la zone de fracture Chain. Ces observations sont faites dans le cadre de l'expérience Deep Basin Experiment (DBE) du core 3 de WOCE qui est coordonnée par Nelson Hogg (Woods Hole Oceanographic Institution). Dans ce rapport nous présentons la calibration des mesures CTD-O2 (A. Billant et P. Branellec), les protocoles de mesure des sels nutritifs (P. Morin), la mesure et la calibration des fréons (M.-J Messias et Laurent Mémery), les mesures de Carbone Organique Dissous (C. Thomas) et les mesures de bathymétrie (J. Honnorez). Pour chaque station d'hydrologie et géochimie, une représentation numérique et graphique des paramètres de la bathysonde et des mesures chimiques est donnée

Observational evidence of diapycnal upwelling within a sloping submarine canyon

Small-scale turbulent mixing drives the upwelling of deep water masses in the abyssal ocean as part of the global overturning circulation (Wunsch & Ferrari 2004). However, the processes leading to mixing and the pathways through which this upwelling occurs remain insufficiently understood. Recent observational and theoretical work suggests that deep water upwelling may be focused in bottom boundary layers on the ocean’s sloping seafloor; however, direct evidence of this is lacking (Ledwell et al. 2000, St. Laurent et al. 2001, Ferrari et al. 2016, de Lavergne et al. 2016). Here, we present observations from a near-bottom dye release within a canyon on the North Atlantic continental slope showing upwelling across density surfaces at a rate of 250 +/- 75 m/day over three days, ∼10,000 times higher than the global average value required to account for ∼30 Sv of upwelling globally (Munk 1966). The vigourous upwelling is coupled with adiabatic exchange of near-boundary and interior fluid. These results provide direct evidence of strong, bottom-focused diapycnal upwelling in the deep ocean, supporting previous suggestions that mixing at topographic features, such as canyons, leads to upwelling

Diapycnal diffusivities from a tracer release experiment in the deep sea, integrated over 13 years

A section across the Atlantic at 24°S recorded in March 2009, sampled a tracer plume released in the deep Brazil Basin 13 years earlier. The 1-D diffusion equation was used to model the vertical spread of the tracer, yielding a mean diapycnal diffusivity estimate of approximately 3 × 10?4 m2/s at 4 km depth. This estimate is similar to that found by surveys of the tracer plume made between 1996 and 2000, within four years of the tracer release and therefore provides strong evidence for the long-term stability of that result

The diapycnal and isopycnal mixing experiment: a first assessment

The Diapycnal and Isopycnal Mixing Experiment in the Southern Ocean (DIMES) was designed as a multi-pronged US and UK CLIVAR effort to measure and to better understand diapycnal mixing and along-isopycnal eddy transport in the Antarctic Circumpolar Current (ACC), because these processes together appear to play a key role in the Meridional Overturning Circulation (MOC) (Gille et al, 2007). The project represents an unusual effort to evaluate simultaneously the roles of diapycnal and isopycnal mixing, and the program has benefited from close collaboration between observationalists, theoreticians and modelers. Fieldwork for DIMES began in early 2009, and the initial phase of the field observations is now wrapping up. This article provides a brief preliminary summary of early DIMES findings

Head and neck cancer surgery during the COVID-19 pandemic: An international, multicenter, observational cohort study

Background: The aims of this study were to provide data on the safety of head and neck cancer surgery currently being undertaken during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This international, observational cohort study comprised 1137 consecutive patients with head and neck cancer undergoing primary surgery with curative intent in 26 countries. Factors associated with severe pulmonary complications in COVID-19–positive patients and infections in the surgical team were determined by univariate analysis. Results: Among the 1137 patients, the commonest sites were the oral cavity (38%) and the thyroid (21%). For oropharynx and larynx tumors, nonsurgical therapy was favored in most cases. There was evidence of surgical de-escalation of neck management and reconstruction. Overall 30-day mortality was 1.2%. Twenty-nine patients (3%) tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) within 30 days of surgery; 13 of these patients (44.8%) developed severe respiratory complications, and 3.51 (10.3%) died. There were significant correlations with an advanced tumor stage and admission to critical care. Members of the surgical team tested positive within 30 days of surgery in 40 cases (3%). There were significant associations with operations in which the patients also tested positive for SARS-CoV-2 within 30 days, with a high community incidence of SARS-CoV-2, with screened patients, with oral tumor sites, and with tracheostomy. Conclusions: Head and neck cancer surgery in the COVID-19 era appears safe even when surgery is prolonged and complex. The overlap in COVID-19 between patients and members of the surgical team raises the suspicion of failures in cross-infection measures or the use of personal protective equipment. Lay Summary: Head and neck surgery is safe for patients during the coronavirus disease 2019 pandemic even when it is lengthy and complex. This is significant because concerns over patient safety raised in many guidelines appear not to be reflected by outcomes, even for those who have other serious illnesses or require complex reconstructions. Patients subjected to suboptimal or nonstandard treatments should be carefully followed up to optimize their cancer outcomes. The overlap between patients and surgeons testing positive for severe acute respiratory syndrome coronavirus 2 is notable and emphasizes the need for fastidious cross-infection controls and effective personal protective equipment

Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42·4% vs 44·2%; absolute difference -1·69 [-9·58 to 6·11] p=0·67; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5-8] vs 6 [5-8] cm H2O; p=0·0011). ICU mortality was higher in MICs than in HICs (30·5% vs 19·9%; p=0·0004; adjusted effect 16·41% [95% CI 9·52-23·52]; p<0·0001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0·80 [95% CI 0·75-0·86]; p<0·0001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status

Delaying surgery for patients with a previous SARS-CoV-2 infection

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