Radium isotopes as tracers of coastal circulation pathways in the Mid-Atlantic Bight

Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at the Massachusetts Institute of Technology and the Woods Hole Oceanographic Institution June 2003Pathways of exchange between the shelf and slope in the Mid-Atlantic Bight were investigated using a combination of radiochemical tracer and hydrographic measurements. The motivation was to provide evidence of transport routes for shelfwater that could be important to the balance of shelf-slope exchange, as well as to the biogeochemical fluxes across this crucial ocean boundary. The four radium isotopes, with half-lives of 4 days to 1600 years, a coastal source, and conservative properties in seawater, were used as coastal water mass tracers. The final study was comprised of data from 5 cruises, with a total of 8 cross-shelfbreak transects. Two areas were studied, a northern Mid-Atlantic Bight transect south of Nantucket Shoals, and a southern Mid-Atlantic Bight series of transects off the coast of Delaware. In addition, data were collected from the shelfbreak at Cape Hatteras crossing the western wall of the Gulf Stream to help determine sources of anomalous 224Ra enrichment which was observed on several of the shelfbreak transects. Combined with the hydrographic data, radium measurements suggested a pathway for exchange in the Mid- Atlantic Bight that was not a direct advection of shelf water toward the slope. Rather, the evidence suggested limited direct exchange of surface shelf water across the shelfbreak front. This provides observational evidence that is consistent with models (e.g., Gawarkiewicz and Chapman, 1991) which predict the shelfbreak front will impede exchange. Furthermore, 224Ra activity on the upper slope points to a rapid transport pathway for bottom water from the Cape Hatteras shelf via the Gulf Stream onto the Mid-Atlantic Bight slope. The radiochemical and hydrographic evidence suggests that recirculation around the slope sea gyre may be a more important pathway than direct cross-shelf transport.This work was supported by funding from the Woods Hole Oceanographic Institution Academic Programs office, the Woods Hole Oceanographic Institution Ocean Ventues Fund, National Science Foundation grant OCE-0097232, and Civilian Research and Development Foundation grant UGI-2432-SE-02

Radium isotopes as tracers of coastal circulation pathways in the Mid-Atlantic Blight

Thesis (Ph. D.)--Joint Program in Oceanography (Massachusetts Institute of Technology, Dept. of Earth, Atmospheric, and Planetary Sciences, and the Woods Hole Oceanographic Institution), 2003.Includes bibliographical references (leaves 205-214).Pathways of exchange between the shelf and slope in the Mid-Atlantic Bight were investigated using a combination of radiochemical tracer and hydrographic measurements. The motivation was to provide evidence of transport routes for shelfwater that could be important to the balance of shelf-slope exchange, as well as to the biogeochemical fluxes across this crucial ocean boundary. The four radium isotopes, with half-lives of 4 days to 1600 years, a coastal source, and conservative properties in seawater, were used as coastal water mass tracers. The final study was comprised of data from 5 cruises, with a total of 8 cross-shelfbreak transects. Two areas were studied, a northern Mid-Atlantic Bight transect south of Nantucket Shoals, and a southern Mid-Atlantic Bight series of transects off the coast of Delaware. In addition, data were collected from the shelfbreak at Cape Hatteras crossing the western wall of the Gulf Stream to help determine sources of anomalous 224Ra enrichment which was observed on several of the shelfbreak transects. Combined with the hydrographic data, radium measurements suggested a pathway for exchange in the Mid-Atlantic Bight that was not a direct advection of shelf water toward the slope. Rather, the evidence suggested limited direct exchange of surface shelf water across the shelfbreak front. This provides observational evidence that is consistent with models (e.g., Gawarkiewicz and Chapman, 1991) which predict the shelfbreak front will impede exchange. Furthermore, 224Ra activity on the upper slope points to a rapid transport pathway for bottom water from the Cape Hatteras shelf via the Gulf Stream onto the Mid-Atlantic Bight slope. The radiochemical and hydrographic evidence suggests that recirculation around the slope sea gyre may be a more important pathway than direct cross-shelf transport.by Linda L. Rasmussen.Ph.D

Marine Reserve Design: Optimal Size, Habitats, Species Affinities, Diversity, And Ocean Microclimate

The design of marine reserves is complex and fraught with uncertainty. However, protection of critical habitat is of paramount importance for reserve design. We present a case study as an example of a reserve design based on fine-scale habitats, the affinities of exploited species to these habitats, adult mobility, and the physical forcing affecting the dynamics of the habitats. These factors and their interaction are integrated in an algorithm that determines the optimal size and location of a marine reserve for a set of 20 exploited species within five different habitats inside a large kelp forest in southern California. The result is a reserve that encompasses similar to 42% of the kelp forest. Our approach differs fundamentally from many other marine reserve siting methods in which goals of area, diversity, or biomass are targeted a priori. Rather, our method was developed to determine how large a reserve must be within a specific area to protect a self-sustaining assemblage of exploited species. The algorithm is applicable across different ecosystems, spatial scales, and for any number of species. The result is a reserve in which habitat value is optimized for a predetermined set of exploited species against the area left open to exploitation. The importance of fine-scale habitat definitions for the exploited species off La Jolla is exemplified by the spatial pattern of habitats and the stability of these habitats within the kelp forest, both of which appear to be determined by ocean microclimate

Effect of semaglutide on major adverse cardiovascular events by baseline kidney parameters in participants with type 2 diabetes and at high risk of cardiovascular disease:SUSTAIN 6 and PIONEER 6 post hoc pooled analysis

Background: Semaglutide is a glucose-lowering treatment for type 2 diabetes (T2D) with demonstrated cardiovascular benefits; semaglutide may also have kidney-protective effects. This post hoc analysis investigated the association between major adverse cardiovascular events (MACE) and baseline kidney parameters and whether the effect of semaglutide on MACE risk was impacted by baseline kidney parameters in people with T2D at high cardiovascular risk.Methods: Participants from the SUSTAIN 6 and PIONEER 6 trials, receiving semaglutide or placebo, were categorised according to baseline kidney function (estimated glomerular filtration rate [eGFR] &lt; 45 and ≥ 45–&lt;60 versus ≥ 60 mL/min/1.73 m2) or damage (urine albumin:creatinine ratio [UACR] ≥ 30–≤300 and &gt; 300 versus &lt; 30 mg/g). Relative risk of first MACE by baseline kidney parameters was evaluated using a Cox proportional hazards model. The same model, adjusted with inverse probability weighting, and a quadratic spline regression were applied to evaluate the effect of semaglutide on risk and event rate of first MACE across subgroups. The semaglutide effects on glycated haemoglobin (HbA1c), body weight (BW) and serious adverse events (SAEs) across subgroups were also evaluated.Results: Independently of treatment, participants with reduced kidney function (eGFR ≥ 45–&lt;60 and &lt; 45 mL/min/1.73 m2: hazard ratio [95% confidence interval]; 1.36 [1.04;1.76] and 1.52 [1.15;1.99]) and increased albuminuria (UACR ≥ 30–≤300 and &gt; 300 mg/g: 1.53 [1.14;2.04] and 2.52 [1.84;3.42]) had an increased MACE risk versus those without. Semaglutide consistently reduced MACE risk versus placebo across all eGFR and UACR subgroups (interaction p value [pINT] &gt; 0.05). Semaglutide reduced HbA1c regardless of baseline eGFR and UACR (pINT&gt;0.05); reductions in BW were affected by baseline eGFR (pINT&lt;0.001) but not UACR (pINT&gt;0.05). More participants in the lower eGFR or higher UACR subgroups experienced SAEs versus participants in reference groups; the number of SAEs was similar between semaglutide and placebo arms in each subgroup.Conclusions: MACE risk was greater for participants with kidney impairment or damage than for those without. Semaglutide consistently reduced MACE risk across eGFR and UACR subgroups, indicating that semaglutide provides cardiovascular benefits in people with T2D and at high cardiovascular risk across a broad spectrum of kidney function and damage.Trial registrations: NCT01720446; NCT02692716.</p

Semaglutide and cardiovascular outcomes by baseline HbA1c in diabetes: the SUSTAIN 6 and PIONEER 6 trials.

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Risk of infection and adverse outcomes among pregnant working women in selected occupational groups: A study in the Danish National Birth Cohort

<p>Abstract</p> <p>Background</p> <p>Exposure to infectious pathogens is a frequent occupational hazard for women who work with patients, children, animals or animal products. The purpose of the present study is to investigate if women working in occupations where exposure to infections agents is common have a high risk of infections and adverse pregnancy outcomes.</p> <p>Methods</p> <p>We used data from the Danish National Birth Cohort, a population-based cohort study and studied the risk of Infection and adverse outcomes in pregnant women working with patients, with children, with food products or with animals. The regression analysis were adjusted for the following covariates: maternal age, parity, history of miscarriage, socio-occupational status, pre-pregnancy body mass index, smoking habit, alcohol consumption.</p> <p>Results</p> <p>Pregnant women who worked with patients or children or food products had an excess risk of sick leave during pregnancy for more than three days. Most of negative reproductive outcomes were not increased in these occupations but the prevalence of congenital anomalies (CAs) was slightly higher in children of women who worked with patients. The prevalence of small for gestational age infants was higher among women who worked with food products. There was no association between occupation infections during pregnancy and the risk of reproductive failures in the exposed groups. However, the prevalence of CAs was slightly higher among children of women who suffered some infection during pregnancy but the numbers were small.</p> <p>Conclusion</p> <p>Despite preventive strategies, working in specific jobs during pregnancy may impose a higher risk of infections, and working in some of these occupations may impose a slightly higher risk of CAs in their offspring. Most other reproductive failures were not increased in these occupations.</p