Regional Imprints of Changes in the Atlantic Meridional Overturning Circulation in the Eddy-rich Ocean Model VIKING20X

A hierarchy of global 1/4° (ORCA025) and Atlantic Ocean 1/20° nested (VIKING20X) ocean/sea-ice models is described. It is shown that the eddy-rich configurations performed in hindcasts of the past 50–60 years under CORE and JRA55-do atmospheric forcings realistically simulate the large-scale horizontal circulation, the distribution of the mesoscale, overflow and convective processes, and the representation of regional current systems in the North and South Atlantic. The representation, and in particular the long-term temporal evolution, of the Atlantic Meridional Overturning Circulation (AMOC) strongly depends on numerical choices for the application of freshwater fluxes. The interannual variability of the AMOC instead is highly correlated among the model experiments and also with observations, including the 2010 minimum observed by RAPID at 26.5° N pointing at a dominant role of the forcing. Regional observations in western boundary current systems at 53° N, 26.5° N and 11° S are explored in respect to their ability to represent the AMOC and to monitor the temporal evolution of the AMOC. Apart from the basin-scale measurements at 26.5° N, it is shown that in particular the outflow of North Atlantic Deepwater at 53° N is a good indicator of the subpolar AMOC trend during the recent decades, if the latter is provided in density coordinates. The good reproduction of observed AMOC and WBC trends in the most reasonable simulations indicate that the eddy-rich VIKING20X is capable in representing realistic forcing-related and ocean-intrinsic trends

Use of fish oil in parenteral nutrition: rationale and reality

Excessive or inappropriate inflammation and immunosuppression are components of the response to surgery, trauma, injury and infection in some individuals and can lead, progressively, to sepsis and septic shock. The hyperinflammation is characterised by the production of inflammatory cytokines, arachidonic acid-derived eicosanoids and other inflammatory mediators, while the immunosuppression is characterised by impairment of antigen presentation and of T-helper lymphocyte type-1 responses. Long-chain n-3 fatty acids from fish oil decrease the production of inflammatory cytokines and eicosanoids. They act both directly (by replacing arachidonic acid as an eicosanoid substrate and by inhibiting arachidonic acid metabolism) and indirectly (by altering the expression of inflammatory genes through effects on transcription factor activation). Thus, long-chain n-3 fatty acids are potentially useful anti-inflammatory agents and may be of benefit in patients at risk of hyperinflammation and sepsis. As a consequence, an emerging application for n-3 fatty acids, in which they may be added to parenteral (or enteral) formulas, is in surgical or critically-ill patients. Parenteral nutrition that includes n-3 fatty acids appears to preserve immune function better than standard formulas and appears to diminish the extent of the inflammatory response. Studies to date are suggestive of clinical benefits from these approaches, especially in patients post surgery, although evidence of clinical benefit in patients with sepsis is emerging

Low-Frequency Blood Group Antigens in Switzerland.

High-frequency blood group antigens (HFA) are present in >90% of the human population, according to some reports even in >99% of individuals. Therefore, patients lacking HFA may become challenging for transfusion support because compatible blood is hardly found, and if the patient carries alloantibodies, the cross-match will be positive with virtual every red cell unit tested. In this study, we applied high-throughput blood group SNP genotyping on >37,000 Swiss blood donors, intending to identify homozygous carriers of low-frequency blood group antigens (LFA). 326 such individuals were identified and made available to transfusion specialists for future support of patients in need of rare blood products. Thorough comparison of minor allele frequencies using population genetics revealed heterogeneity of allele distributions among Swiss blood donors which may be explained by the topographical and cultural peculiarities of Switzerland. Moreover, geographically localized donor subpopulations are described which contain above-average numbers of individuals carrying rare blood group genotypes