51 research outputs found
Dynamic simulations of potential methane release from East Siberian continental slope sediments
Sediments deposited along continental margins of the Arctic Ocean presumably host large amounts of methane (CH4) in gas hydrates. Here we apply numerical simulations to assess the potential of gas hydrate dissociation and methane release from the East Siberian slope over the next 100 years. Simulations are based on a hypothesized bottom water warming of 3°C, and an assumed starting distribution of gas hydrate. The simulation results show that gas hydrate dissociation in these sediments is relatively slow, and that CH4 fluxes toward the seafloor are limited by low sediment permeability. The latter is true even when sediment fractures are permitted to form in response to overpressure in pore space. With an initial gas hydrate distribution dictated by present-day pressure and temperature conditions, nominally 0.35 Gt of CH4 are released from the East Siberian slope during the first 100 years of the simulation. However, this CH4 discharge becomes significantly smaller (~0.05 Gt) if glacial sea level changes in the Arctic Ocean are considered. This is because a lower sea level during the last glacial maximum (LGM) must result in depleted gas hydrate abundance within the most sensitive region of the modern gas hydrate stability zone. Even if all released CH4 reached the atmosphere, the amount coming from East Siberian slopes would be trivial compared to present-day atmospheric CH4 inputs from other sources
Hydraulic suppression of basal glacier melt in sill fjords
Using a conceptual model, we examine how hydraulically controlled exchange flows in silled fjords affect the relationship between the basal glacier melt and the features of warm intermediate Atlantic Water (AW) outside the fjords. We show that an exchange flow can be forced to transit into the hydraulic regime if the AW interface height decreases, the AW temperature increases, or the production of glacially modified water is boosted by subglacial discharge. In the hydraulic regime, the heat transport across the sill becomes a rate-limiting factor for the basal melt, which is suppressed. An interplay between processes near the ice–ocean boundary and the hydraulically controlled exchange flow determines the melt dynamics, and the sensitivity of the basal melt to changes in the AW temperature is reduced. The model results are discussed in relation to observations from the Petermann, Ryder, and 79∘ N glaciers in northern Greenland.</p
Acoustic mapping of mixed layer depth
The ocean surface mixed layer is a nearly universal feature of the world oceans. Variations in the depth of the mixed layer (MLD) influences the exchange of heat, fresh water (through evaporation), and gases between the atmosphere and the ocean and constitutes one of the major factors controlling ocean primary production as it affects the vertical distribution of biological and chemical components in near-surface waters. Direct observations of the MLD are traditionally made by means of conductivity, temperature, and depth (CTD) casts. However, CTD instrument deployment limits the observation of temporal and spatial variability in the MLD. Here, we present an alternative method in which acoustic mapping of the MLD is done remotely by means of commercially available ship-mounted echo sounders. The method is shown to be highly accurate when the MLD is well defined and biological scattering does not dominate the acoustic returns. These prerequisites are often met in the open ocean and it is shown that the method is successful in 95% of data collected in the central Arctic Ocean. The primary advantages of acoustically mapping the MLD over CTD measurements are (1) considerably higher temporal and horizontal resolutions and (2) potentially larger spatial coverage
Canadian Arctic sea ice reconstructed from bromine in the Greenland NEEM ice core
Reconstructing the past variability of Arctic sea ice provides an essential context for recent multi-year sea ice decline, although few quantitative reconstructions cover the Holocene period prior to the earliest historical records 1,200 years ago. Photochemical recycling of bromine is observed over first-year, or seasonal, sea ice in so-called "bromine explosions" and we employ a 1-D chemistry transport model to quantify processes of bromine enrichment over first-year sea ice and depositional transport over multi-year sea ice and land ice. We report bromine enrichment in the Northwest Greenland Eemian NEEM ice core since the end of the Eemian interglacial 120,000 years ago, finding the maximum extension of first-year sea ice occurred approximately 9,000 years ago during the Holocene climate optimum, when Greenland temperatures were 2 to 3 degrees C above present values. First-year sea ice extent was lowest during the glacial stadials suggesting complete coverage of the Arctic Ocean by multi-year sea ice. These findings demonstrate a clear relationship between temperature and first-year sea ice extent in the Arctic and suggest multi-year sea ice will continue to decline as polar amplification drives Arctic temperatures beyond the 2 degrees C global average warming target of the recent COP21 Paris climate agreement
A Systematic Review of the Efficacy and Toxicity of Brachytherapy Boost Combined with External Beam Radiotherapy for Nonmetastatic Prostate Cancer
CONTEXT: The optimum use of brachytherapy (BT) combined with external beam radiotherapy (EBRT) for localised/locally advanced prostate cancer (PCa) remains uncertain.OBJECTIVE: To perform a systematic review to determine the benefits and harms of EBRT-BT.EVIDENCE ACQUISITION: Ovid MEDLINE, Embase, and EBM Reviews-Cochrane Central Register of Controlled Trials databases were systematically searched for studies published between January 1, 2000 and June 7, 2022, according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. Eligible studies compared low- or high-dose-rate EBRT-BT against EBRT ± androgen deprivation therapy (ADT) and/or radical prostatectomy (RP) ± postoperative radiotherapy (RP ± EBRT). The main outcomes were biochemical progression-free survival (bPFS), severe late genitourinary (GU)/gastrointestinal toxicity, metastasis-free survival (MFS), cancer-specific survival (CSS), and overall survival (OS), at/beyond 5 yr. Risk of bias was assessed and confounding assessment was performed. A meta-analysis was performed for randomised controlled trials (RCTs).EVIDENCE SYNTHESIS: Seventy-three studies were included (two RCTs, seven prospective studies, and 64 retrospective studies). Most studies included participants with intermediate-or high-risk PCa. Most studies, including both RCTs, used ADT with EBRT-BT. Generally, EBRT-BT was associated with improved bPFS compared with EBRT, but similar MFS, CSS, and OS. A meta-analysis of the two RCTs showed superior bPFS with EBRT-BT (estimated fixed-effect hazard ratio [HR] 0.54 [95% confidence interval {CI} 0.40-0.72], p < 0.001), with absolute improvements in bPFS at 5-6 yr of 4.9-16%. However, no difference was seen for MFS (HR 0.84 [95% CI 0.53-1.28], p = 0.4) or OS (HR 0.87 [95% CI 0.63-1.19], p = 0.4). Fewer studies examined RP ± EBRT. There is an increased risk of severe late GU toxicity, especially with low-dose-rate EBRT-BT, with some evidence of increased prevalence of severe GU toxicity at 5-6 yr of 6.4-7% across the two RCTs.CONCLUSIONS: EBRT-BT can be considered for unfavourable intermediate/high-risk localised/locally advanced PCa in patients with good urinary function, although the strength of this recommendation based on the European Association of Urology guideline methodology is weak given that it is based on improvements in biochemical control.PATIENT SUMMARY: We found good evidence that radiotherapy combined with brachytherapy keeps prostate cancer controlled for longer, but it could lead to worse urinary side effects than radiotherapy without brachytherapy, and its impact on cancer spread and patient survival is less clear.</p
A Systematic Review of the Efficacy and Toxicity of Brachytherapy Boost Combined with External Beam Radiotherapy for Nonmetastatic Prostate Cancer
CONTEXT: The optimum use of brachytherapy (BT) combined with external beam radiotherapy (EBRT) for localised/locally advanced prostate cancer (PCa) remains uncertain.OBJECTIVE: To perform a systematic review to determine the benefits and harms of EBRT-BT.EVIDENCE ACQUISITION: Ovid MEDLINE, Embase, and EBM Reviews-Cochrane Central Register of Controlled Trials databases were systematically searched for studies published between January 1, 2000 and June 7, 2022, according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. Eligible studies compared low- or high-dose-rate EBRT-BT against EBRT ± androgen deprivation therapy (ADT) and/or radical prostatectomy (RP) ± postoperative radiotherapy (RP ± EBRT). The main outcomes were biochemical progression-free survival (bPFS), severe late genitourinary (GU)/gastrointestinal toxicity, metastasis-free survival (MFS), cancer-specific survival (CSS), and overall survival (OS), at/beyond 5 yr. Risk of bias was assessed and confounding assessment was performed. A meta-analysis was performed for randomised controlled trials (RCTs).EVIDENCE SYNTHESIS: Seventy-three studies were included (two RCTs, seven prospective studies, and 64 retrospective studies). Most studies included participants with intermediate-or high-risk PCa. Most studies, including both RCTs, used ADT with EBRT-BT. Generally, EBRT-BT was associated with improved bPFS compared with EBRT, but similar MFS, CSS, and OS. A meta-analysis of the two RCTs showed superior bPFS with EBRT-BT (estimated fixed-effect hazard ratio [HR] 0.54 [95% confidence interval {CI} 0.40-0.72], p < 0.001), with absolute improvements in bPFS at 5-6 yr of 4.9-16%. However, no difference was seen for MFS (HR 0.84 [95% CI 0.53-1.28], p = 0.4) or OS (HR 0.87 [95% CI 0.63-1.19], p = 0.4). Fewer studies examined RP ± EBRT. There is an increased risk of severe late GU toxicity, especially with low-dose-rate EBRT-BT, with some evidence of increased prevalence of severe GU toxicity at 5-6 yr of 6.4-7% across the two RCTs.CONCLUSIONS: EBRT-BT can be considered for unfavourable intermediate/high-risk localised/locally advanced PCa in patients with good urinary function, although the strength of this recommendation based on the European Association of Urology guideline methodology is weak given that it is based on improvements in biochemical control.PATIENT SUMMARY: We found good evidence that radiotherapy combined with brachytherapy keeps prostate cancer controlled for longer, but it could lead to worse urinary side effects than radiotherapy without brachytherapy, and its impact on cancer spread and patient survival is less clear.</p
Explosive volcanism on the ultraslow-spreading Gakkel ridge, Arctic Ocean
Author Posting. © Nature Publishing Group, 2008. This is the author's version of the work. It is posted here by permission of Nature Publishing Group for personal use, not for redistribution. The definitive version was published in Nature 453 (2008): 1236-1238, doi:10.1038/nature07075.Roughly 60% of the Earth’s outer surface is comprised of oceanic crust formed by volcanic
processes at mid-ocean ridges (MORs). Although only a small fraction of this vast volcanic
terrain has been visually surveyed and/or sampled, the available evidence suggests that
explosive eruptions are rare on MORs, particularly at depths below the critical point for
steam (3000 m). A pyroclastic deposit has never been observed on the seafloor below 3000
m, presumably because the volatile content of mid-ocean ridge basalts is generally too low
to produce the gas fractions required to fragment a magma at such high hydrostatic
pressure. We employed new deep submergence technologies during an International Polar
Year expedition to the Gakkel Ridge in the Arctic Basin at 85°E, to acquire the first-ever
photographic images of ‘zero-age’ volcanic terrain on this remote, ice-covered MOR. Our
imagery reveals that the axial valley at 4000 m water depth is blanketed with
unconsolidated pyroclastic deposits, including bubble wall fragments (limu o Pele),
covering a large area greater than 10 km2. At least 13.5 wt% CO2 is required to fragment
magma at these depths, which is ~10x greater than the highest values measured to-date in
a MOR basalt. These observations raise important questions regarding the accumulation
and discharge of magmatic volatiles at ultra-slow spreading rates on the Gakkel Ridge (6-
14 mm yr-1, full-rate), and demonstrate that large-scale pyroclastic activity is possible
along even the deepest portions of the global MOR volcanic system.This research was
funded by the National Aeronautics and Space Administration, the National Science Foundation,
and the Woods Hole Oceanographic Institution
Impact of Epithelial Histological Types, Subtypes, and Growth Patterns on Oncological Outcomes for Patients with Nonmetastatic Prostate Cancer Treated with Curative Intent: A Systematic Review
Context
The optimal management for men with prostate cancer (PCa) with unconventional histology (UH) is unknown. The outcome for these cancers might be worse than for conventional PCa and so different approaches may be needed.
Objective
To compare oncological outcomes for conventional and UH PCa in men with localized disease treated with curative intent.
Evidence acquisition
A systematic review adhering to the Referred Reporting Items for Systematic Reviews and Meta-Analyses was prospectively registered on PROSPERO (CRD42022296013) was performed in July 2021.
Evidence synthesis
We screened 3651 manuscripts and identified 46 eligible studies (reporting on 1 871 814 men with conventional PCa and 6929 men with 10 different PCa UHs). Extraprostatic extension and lymph node metastases, but not positive margin rates, were more common with UH PCa than with conventional tumors. PCa cases with cribriform pattern, intraductal carcinoma, or ductal adenocarcinoma had higher rates of biochemical recurrence and metastases after radical prostatectomy than for conventional PCa cases. Lower cancer-specific survival rates were observed for mixed cribriform/intraductal and cribriform PCa. By contrast, pathological findings and oncological outcomes for mucinous and prostatic intraepithelial neoplasia (PIN)-like PCa were similar to those for conventional PCa. Limitations of this review include low-quality studies, a risk of reporting bias, and a scarcity of studies that included radiotherapy.
Conclusions
Intraductal, cribriform, and ductal UHs may have worse oncological outcomes than for conventional and mucinous or PIN-like PCa. Alternative treatment approaches need to be evaluated in men with these cancers.
Patient summary
We reviewed the literature to explore whether prostate cancers with unconventional growth patterns behave differently to conventional prostate cancers. We found that some unconventional growth patterns have worse outcomes, so we need to investigate if they need different treatments. Urologists should be aware of these growth patterns and their clinical impact
Bathymetry and oceanic flow structure at two deep passages crossing the Lomonosov Ridge
The Lomonosov Ridge represents a major topographical feature in the Arctic
Ocean which has a large effect on the water circulation and the distribution
of water properties. This study presents detailed bathymetric survey data
along with hydrographic data at two deep passages across the ridge: a
southern passage (80–81° N), where the ridge crest meets the
Siberian continental slope, and a northern passage around 84.5° N.
The southern channel is characterized by smooth and flat bathymetry around
1600–1700 m with a sill depth slightly shallower than 1700 m. A
hydrographic section across the channel reveals an eastward flow with
Amundsen Basin properties in the southern part and a westward flow of Makarov
Basin properties in the northern part. The northern passage includes an
approximately 72 km long and 33 km wide trough which forms an intra-basin
in the Lomonosov Ridge morphology (the Oden Trough). The eastern side of the
Oden Trough is enclosed by a narrow and steep ridge rising 500–600 m above
a generally 1600 m deep trough bottom. The deepest passage (the sill) is
1470 m deep and located on this ridge. Hydrographic data show irregular
temperature and salinity profiles indicating that water exchange occurs as
midwater intrusions bringing water properties from each side of the ridge in
well-defined but irregular layers. There is also morphological evidence that
some rather energetic flows may occur in the vicinity of the sill. A well
expressed deepening near the sill may be the result of seabed erosion by
bottom currents
Ice-shelf damming in the glacial Arctic Ocean: dynamical regimes of a basin-covering kilometre-thick ice shelf
Recent geological and geophysical data suggest that a 1 km thick ice shelf extended over the glacial Arctic Ocean during Marine Isotope Stage 6, about 140 000 years ago. Here, we theoretically analyse the development and equilibrium features of such an ice shelf, using scaling analyses and a one-dimensional ice-sheet–ice-shelf model. We find that the dynamically most consistent scenario is an ice shelf with a nearly uniform thickness that covers the entire Arctic Ocean. Further, the ice shelf has two regions with distinctly different dynamics: a vast interior region covering the central Arctic Ocean and an exit region towards the Fram Strait. In the interior region, which is effectively dammed by the Fram Strait constriction, there are strong back stresses and the mean ice-shelf thickness is controlled primarily by the horizontally integrated mass balance. A narrow transition zone is found near the continental grounding line, in which the ice-shelf thickness decreases offshore and approaches the mean basin thickness. If the surface accumulation and mass flow from the continental ice masses are sufficiently large, the ice-shelf thickness grows to the point where the ice shelf grounds on the Lomonosov Ridge. As this occurs, the back stress increases in the Amerasian Basin and the ice-shelf thickness becomes larger there than in the Eurasian Basin towards the Fram Strait. Using a one-dimensional ice-dynamic model, the stability of equilibrium ice-shelf configurations without and with grounding on the Lomonosov Ridge are examined. We find that the grounded ice-shelf configuration should be stable if the two Lomonosov Ridge grounding lines are located on the opposites sides of the ridge crest, implying that the downstream grounding line is located on a downward sloping bed. This result shares similarities with the classical
result on marine ice-sheet stability of Weertman, but due to interactions
between the Amerasian and Eurasian ice-shelf segments the mass flux at the
downstream grounding line decreases rather than increases with ice thickness
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