Interior pathways of the North Atlantic meridional overturning circulation.

PubMed

Bower, Amy S; Lozier, M Susan; Gary, Stefan F; Böning, Claus W

2009-05-14

To understand how our global climate will change in response to natural and anthropogenic forcing, it is essential to determine how quickly and by what pathways climate change signals are transported throughout the global ocean, a vast reservoir for heat and carbon dioxide. Labrador Sea Water (LSW), formed by open ocean convection in the subpolar North Atlantic, is a particularly sensitive indicator of climate change on interannual to decadal timescales. Hydrographic observations made anywhere along the western boundary of the North Atlantic reveal a core of LSW at intermediate depths advected southward within the Deep Western Boundary Current (DWBC). These observations have led to the widely held view that the DWBC is the dominant pathway for the export of LSW from its formation site in the northern North Atlantic towards the Equator. Here we show that most of the recently ventilated LSW entering the subtropics follows interior, not DWBC, pathways. The interior pathways are revealed by trajectories of subsurface RAFOS floats released during the period 2003-2005 that recorded once-daily temperature, pressure and acoustically determined position for two years, and by model-simulated 'e-floats' released in the subpolar DWBC. The evidence points to a few specific locations around the Grand Banks where LSW is most often injected into the interior. These results have implications for deep ocean ventilation and suggest that the interior subtropical gyre should not be ignored when considering the Atlantic meridional overturning circulation.

Ventilation versus biology: What is the controlling mechanism of nitrous oxide distribution in the North Atlantic?

NASA Astrophysics Data System (ADS)

de la Paz, Mercedes; García-Ibáñez, Maribel I.; Steinfeldt, Reiner; Ríos, Aida F.; Pérez, Fiz F.

2017-04-01

The extent to which water mass mixing and ocean ventilation contribute to nitrous oxide (N2O) distribution at the scale of oceanic basins is poorly constrained. We used novel N2O and chlorofluorocarbon measurements along with multiparameter water mass analysis to evaluate the impact of water mass mixing and Atlantic Meridional Overturning Circulation (AMOC) on N2O distribution along the Observatoire de la variabilité interannuelle et décennale en Atlantique Nord (OVIDE) section, extending from Portugal to Greenland. The biological N2O production has a stronger impact on the observed N2O concentrations in the water masses traveling northward in the upper limb of the AMOC than those in recently ventilated cold water masses in the lower limb, where N2O concentrations reflect the colder temperatures. The high N2O tongue, with concentrations as high as 16 nmol kg-1, propagates above the isopycnal surface delimiting the upper and lower AMOC limbs, which extends from the eastern North Atlantic Basin to the Iceland Basin and coincides with the maximum N2O production rates. Water mixing and basin-scale remineralization account for 72% of variation in the observed distribution of N2O. The mixing-corrected stoichiometric ratio N2O:O2 for the North Atlantic Basin of 0.06 nmol/μmol is in agreement with ratios of N2O:O2 for local N2O anomalies, suggesting than up to 28% of N2O production occurs in the temperate and subpolar Atlantic, an overlooked region for N2O cycling. Overall, our results highlight the importance of taking into account mixing, O2 undersaturation when water masses are formed and the increasing atmospheric N2O concentrations when parameterizing N2O:O2 and biological N2O production in the global oceans.

Climatic records of the last and penultimate deglaciations in the South Atlantic and South Indian Ocean

NASA Astrophysics Data System (ADS)

Michel, Elisabeth; Waelbroeck, Claire; Govin, Aline; Skinner, Luke; Vàzquez Riveiros, Natalia; Dewilde, Fabien; Isguder, Gulay; Rebaubier, Hélène

2013-04-01

Surface and deep-water records of Termination I and II in two twin South Atlantic deep-sea cores (44°09' S, 14°14' W, 3770 m depth) and one South Indian core (46°29' S, 88°01' E, 3420 m depth) are presented. Sea surface temperature has been reconstructed based on planktonic foraminifera census counts in all cases, as well as Mg/Ca of G. bulloides and N. pachyderma s. over the last deglaciation. The uncertainty on reconstructed SST using different statistical methods and different faunal databases is assessed. Over the last deglaciation, combined 14C dating and correlation of the SST record with the air temperature signal recorded in Antarctic ice cores allowed us to correct for variable surface reservoir ages in the South Atlantic core (Skinner et al., 2010). Preliminary dating of the South Indian core over the last termination has been done by correlation of its magnetic signal with those of a neighboring 14C dated core (Smart et al., 2010). We have refined the later age scale using the Atlantic core age scale as reference. Benthic isotopic signals in the South Atlantic and South Indian cores over the last deglaciation exhibit the same amplitude and timing. Our results thus indicate that bottom waters at the South Indian site remained isolated from better ventilated deep waters of northern origin until ~15 ka (Waelbroeck et al., 2011). Over Termination II, the two cores have been dated by correlation of their SST records with the air temperature signal recorded in EDC versus the EDC3 age scale (Govin et al., 2009; 2012). A careful examination of the various sources of uncertainty on the derived dating has been performed. Benthic and planktonic isotopic signals reveal analogies but also differences with respect to the last termination. SST was significantly warmer during the Last Interglacial than during the Holocene in both sites. South Atlantic deep waters were also significantly better ventilated during the Last Interglacial than during the Holocene, whereas bottom water ventilation was similar during these two interglacials at the South Indian site.

Subsurface North Atlantic warming as a trigger of rapid cooling events: evidences from the Early Pleistocene (MIS 31-19)

NASA Astrophysics Data System (ADS)

Hernández-Almeida, I.; Sierro, F.-J.; Cacho, I.; Flores, J.-A.

2014-10-01

Subsurface water column dynamics in the subpolar North Atlantic were reconstructed in order to improve the understanding of the cause of abrupt IRD events during cold periods of the Early Pleistocene. We used Mg / Ca-based temperatures of deep-dwelling (Neogloboquadrina pachyderma sinistral) planktonic foraminifera and paired Mg / Ca-δ18O measurements to estimate the subsurface temperatures and δ18O of seawater at Site U1314. Carbon isotopes on benthic and planktonic foraminifera from the same site provide information about the ventilation and water column nutrient gradient. Mg / Ca-based temperatures and δ18O of seawater suggest increased temperatures and salinities during ice-rafting, likely due to enhanced northward subsurface transport of subtropical waters during periods of AMOC reduction. Planktonic carbon isotopes support this suggestion, showing coincident increased subsurface ventilation during deposition of ice-rafted detritus (IRD). Warm waters accumulated at subsurface would result in basal warming and break-up of ice-shelves, leading to massive iceberg discharges in the North Atlantic. Release of heat and salt stored at subsurface would help to restart the AMOC. This mechanism is in agreement with modelling and proxy studies that observe a subsurface warming in the North Atlantic in response to AMOC slowdown during the MIS3.

Characterizing the chaotic nature of ocean ventilation

NASA Astrophysics Data System (ADS)

MacGilchrist, Graeme A.; Marshall, David P.; Johnson, Helen L.; Lique, Camille; Thomas, Matthew

2017-09-01

Ventilation of the upper ocean plays an important role in climate variability on interannual to decadal timescales by influencing the exchange of heat and carbon dioxide between the atmosphere and ocean. The turbulent nature of ocean circulation, manifest in a vigorous mesoscale eddy field, means that pathways of ventilation, once thought to be quasi-laminar, are in fact highly chaotic. We characterize the chaotic nature of ventilation pathways according to a nondimensional "filamentation number," which estimates the reduction in filament width of a ventilated fluid parcel due to mesoscale strain. In the subtropical North Atlantic of an eddy-permitting ocean model, the filamentation number is large everywhere across three upper ocean density surfaces—implying highly chaotic ventilation pathways—and increases with depth. By mapping surface ocean properties onto these density surfaces, we directly resolve the highly filamented structure and confirm that the filamentation number captures its spatial variability. These results have implications for the spreading of atmospherically-derived tracers into the ocean interior.

Mid-depth sedimentary oxygenation variation in the western Pacific since the last glacial period: geochemical evidence from the Okinawa Trough

NASA Astrophysics Data System (ADS)

Zou, J. J.; Shi, X.; Zhu, A.

2017-12-01

In this study, we investigate a suite of sediment geochemical proxies (total organic carbon and carbonate contents, carbon to nitrogen ratio, aluminum and redox-sensitive elements) to reconstruct the history of sedimentary oxygenation in the northern Okinawa Trough (OT) over the last 50 thousand years (ka). Our data support the presence of oxygen-deficient deep waters during the late deglacial and Preboreal phases (15‒9.5 ka), but oxygenated water column during the Heinrich Stadial 1 (HS1) and the Last Glacial Maximum (LGM). In contrast, increased sedimentary oxygenations are evident during the late glacial period and since 8.5 ka. Fluctuations of sedimentary oxygenation were widespread and apparently coherent over the entire North Pacific basin, reflecting broad effects of North Pacific Intermediate Water (NPIW) ventilation and export productivity. Intensified Kuroshio, however, improved the sedimentary oxygenation since 8.5 ka. We found the correspondence between changes in deglacial sedimentary oxygenation in the OT and Atlantic Meridional Overturning Circulation through the NPIW ventilation. The mechanism behind Atlantic-Pacific ventilation seesaw seems to be attributed to the perturbation of sea ice formation in high latitude North Pacific through atmospheric teleconnection.

Irminger Sea deep convection injects oxygen and anthropogenic carbon to the ocean interior

PubMed Central

Fröb, F.; Olsen, A.; Våge, K.; Moore, G. W. K.; Yashayaev, I.; Jeansson, E.; Rajasakaren, B.

2016-01-01

Deep convection in the subpolar North Atlantic ventilates the ocean for atmospheric gases through the formation of deep water masses. Variability in the intensity of deep convection is believed to have caused large variations in North Atlantic anthropogenic carbon storage over the past decades, but observations of the properties during active convection are missing. Here we document the origin, extent and chemical properties of the deepest winter mixed layers directly observed in the Irminger Sea. As a result of the deep convection in winter 2014–2015, driven by large oceanic heat loss, mid-depth oxygen concentrations were replenished and anthropogenic carbon storage rates almost tripled compared with Irminger Sea hydrographic section data in 1997 and 2003. Our observations provide unequivocal evidence that ocean ventilation and anthropogenic carbon uptake take place in the Irminger Sea and that their efficiency can be directly linked to atmospheric forcing. PMID:27786263

Development of an AMS method to study oceanic circulation characteristics using cosmogenic 39Ar

USGS Publications Warehouse

Collon, P.H.; Bichler, M.; Caggiano, J.; Cecil, L.D.; El, Masri Y.; Golser, R.; Jiang, C.L.; Heinz, A.; Henderson, D.; Kutschera, W.; Lehmann, B.E.; Leleux, P.; Loosli, H.H.; Pardo, R.C.; Paul, M.; Rehm, K.E.; Schlosser, P.; Scott, R.H.; Smethie, W.M.; Vondrasek, R.

2004-01-01

Initial experiments at the ATLAS facility [Nucl. Instr. and Meth. B 92 (1994) 241] resulted in a clear detection of cosmogenic 39Ar signal at the natural level. The present paper summarizes the recent developments of 39Ar AMS measurements at ATLAS: the use of an electron cyclotron resonance (ECR) positive ion source equipped with a special quartz liner to reduce 39K background, the development of a gas handling system for small volume argon samples, the acceleration of 39Ar8+ ions to 232 MeV, and the final separation of 39Ar from 39K in a gas-filled spectrograph. The first successful AMS measurements of 39Ar in ocean water samples from the Southern Atlantic ventilation experiment (SAVE) are reported. Published by Elsevier B.V.

North Atlantic Deep Water Production during the Last Glacial Maximum

PubMed Central

Howe, Jacob N. W.; Piotrowski, Alexander M.; Noble, Taryn L.; Mulitza, Stefan; Chiessi, Cristiano M.; Bayon, Germain

2016-01-01

Changes in deep ocean ventilation are commonly invoked as the primary cause of lower glacial atmospheric CO2. The water mass structure of the glacial deep Atlantic Ocean and the mechanism by which it may have sequestered carbon remain elusive. Here we present neodymium isotope measurements from cores throughout the Atlantic that reveal glacial–interglacial changes in water mass distributions. These results demonstrate the sustained production of North Atlantic Deep Water under glacial conditions, indicating that southern-sourced waters were not as spatially extensive during the Last Glacial Maximum as previously believed. We demonstrate that the depleted glacial δ13C values in the deep Atlantic Ocean cannot be explained solely by water mass source changes. A greater amount of respired carbon, therefore, must have been stored in the abyssal Atlantic during the Last Glacial Maximum. We infer that this was achieved by a sluggish deep overturning cell, comprised of well-mixed northern- and southern-sourced waters. PMID:27256826

The timing of deglacial circulation changes in the Atlantic

NASA Astrophysics Data System (ADS)

Waelbroeck, C.; Skinner, L.; Gersonde, R.; Mackensen, A.; Michel, E.; Labeyrie, L. D.; Duplessy, J.

2009-12-01

We present new benthic isotopic data from core MD07-3076 retrieved in the Atlantic sector of the Southern Ocean (44°09’S, 14°13’W, 3770 m water depth), and place them in the context of well-dated published Atlantic benthic foraminifera isotopic records covering the last 30 ky. Dating of core MD07-3076 was achieved by a combination of 14C AMS measurements on planktonic foraminifera and correlation of sea surface temperature signals derived from both planktonic foraminifera Mg/Ca and census counts, with Antarctic ice isotopic records (Skinner et al., submitted). Comparison of benthic isotopic records from various depths in the North and South Atlantic reveals that circulation changes over the last deglaciation did not take place simultaneously in the 1000-2000 m and in the 3000-4500 m depth ranges. Circulation changes first occurred at lower depth, causing large and relatively rapid changes in benthic δ18O and δ13C at the beginning of Heinrich Stadial 1 (HS1) and the Younger Dryas. Below 3000 m depth, North Atlantic deep water hydrology changed only gradually until a large increase in deep water ventilation took place, resulting from the resumption of North Atlantic Deep Water formation at the end of HS1. In contrast, our deep South Atlantic record indicates that Circumpolar Deep Water around 3800 m depth remained quasi-isolated from northern water masses until the end of HS1. Furthermore, our record shows that core MD07-3076 site was then flushed with better ventilated waters for a few hundred years from ~14.5 to 14 calendar ky BP, before benthic δ18O and δ13C values resumed their progression towards Holocene levels. In conclusion, this set of well-dated Atlantic records demonstrates that benthic δ18O records followed different time evolutions across the last deglaciation, depending on the site latitude and water depth, so that benthic δ18O can not be used as a global correlation tool with a precision better than 3 ky.

Insights into North Atlantic deep water formation during the peak interglacial interval of Marine Isotope Stage 9 (MIS 9)

NASA Astrophysics Data System (ADS)

Mokeddem, Zohra; McManus, Jerry F.

2017-11-01

Foraminifera abundance and stable isotope records from ODP Site 984 (61.25°N, 24.04°W, 1648 m) in the North Atlantic are used to reconstruct surface circulation variations and the relative strength of the North Atlantic Deep Water (NADW) formation over the period spanning the peak warmth of Marine Interglacial Stage (MIS) 9e ( 324-336 ka). This interval includes the preceding deglaciation, Termination 4 (T4), and the subsequent glacial inception of MIS 9d. The records indicate a greatly reduced contribution of NADW during T4, as observed in more recent deglaciations. In contrast with the most recent deglaciation, the lack of a significant NADW signal extended from T4 well into the peak interglacial MIS 9e and persisted nearly until the transition to the subsequent glacial stage MIS 9d. Although NADW formation resumed during MIS 9e, only depths greater than 2000 m appear to have been ventilated. The poorly ventilated intermediate depth of Site 984 (<2000 m) may have resulted on one hand from a general reduction of deep water ventilation by NADW during the study interval or, on the other hand, from different pathways of the spread of newly formed NADW that bypassed the study location. The intermediate depths may have also been invaded by southern-sourced waters as the formation of intermediate depth NADW weakened. The absence of any significant NADW signal at the water depth of Site 984 during the climatic optimum contrasts sharply with subsequent interglacial peaks (MIS 5e and the Holocene). Despite the perturbed intermediate depth circulation, oceanic heat transport northeastward was not interrupted and may have contributed to the relatively mild interglacial conditions of MIS 9e.

Late Neogene benthic stable isotope record of ODP Site 999: Implications for Caribbean paleoceanography, organic carbon burial and the Messininian salinity crisis

NASA Astrophysics Data System (ADS)

Bickert, T.; Haug, G.; Tiedemann, R.

2003-04-01

The late Neogene closure of the seaway between the North and South American continents is thought to have caused extensive changes in ocean circulation and Northern Hemisphere climate. The timing and consequences of the emergence of the Isthmus of Panama for the ocean circulation have been addressed in several papers which indicate a marked reorganization of surface and deep ocean circulation starting 4.6 million years ago. However, the biogeographic development of marine faunas and floras on both sides of the Panama Isthmus suggests that the paleoceanographic changes related to the closing of the isthmus started much earlier. Furthermore, the closing history of the Panama Seaway overlaps with the tectonic evolution of other ocean gateways in the late Miocene, especially the closure of the Strait of Gibraltar, which led to a transient isolation of the Mediterranean Sea from the Atlantic Ocean, known as the Messinian Salinity Crisis. We report on epibenthic foraminiferal d18O and d13C and percentage sand records of the carbonate fraction from Caribbean ODP Site 999 (12°44´N, 78° 44´W, water depth 2828 m) spanning the interval from 8.6 to 5.3 Ma. Low epibenthic d13C values and low sand contents indicate a poorly ventilated deep Caribbean throughout the late Miocene. At this time the deep Caribbean was dominated by a nutrient-rich Southern Ocean water mass. A mostly constant d13C gradient between the Caribbean and deep Atlantic records suggests that the fluctuations in d13C reflect rather global changes in d13C of the dissolved inorganic carbon due to varying erosion of organic carbon from terrigenous soils and shelf sediments. The observed 100-ky cyclicity of epibenthic d13C is in well accordance with the variability of the terrigenous input to the equatorial Atlantic as recorded by susceptibility records of the Ceara Rise. However, some gradient changes between 6.8 and 5.6 Ma indicate a poorer ventilation of the deep Atlantic related to a reduced production of NADW. The Messinian Salinity Crisis between 6.0 and 5.3 Ma did not affect the intermediate to deep water gradient between the Caribbean and the Atlantic. Comparison to the Bahama platform record of ODP Site 1006, however, indicate a poorer ventilation of the shallower Northern Caribbean basins synchronous to the isolation of the Mediterranean Sea.

Greater role for Atlantic inflows on sea-ice loss in the Eurasian Basin of the Arctic Ocean

NASA Astrophysics Data System (ADS)

Polyakov, Igor V.; Pnyushkov, Andrey V.; Alkire, Matthew B.; Ashik, Igor M.; Baumann, Till M.; Carmack, Eddy C.; Goszczko, Ilona; Guthrie, John; Ivanov, Vladimir V.; Kanzow, Torsten; Krishfield, Richard; Kwok, Ronald; Sundfjord, Arild; Morison, James; Rember, Robert; Yulin, Alexander

2017-04-01

Arctic sea-ice loss is a leading indicator of climate change and can be attributed, in large part, to atmospheric forcing. Here, we show that recent ice reductions, weakening of the halocline, and shoaling of the intermediate-depth Atlantic Water layer in the eastern Eurasian Basin have increased winter ventilation in the ocean interior, making this region structurally similar to that of the western Eurasian Basin. The associated enhanced release of oceanic heat has reduced winter sea-ice formation at a rate now comparable to losses from atmospheric thermodynamic forcing, thus explaining the recent reduction in sea-ice cover in the eastern Eurasian Basin. This encroaching “atlantification” of the Eurasian Basin represents an essential step toward a new Arctic climate state, with a substantially greater role for Atlantic inflows.

Chlorofluorocarbon (CFC) Limitation in Heating, Ventilating and Air Conditioning (HVAC) Systems

DTIC Science & Technology

1991-08-21

SMLEF 1 ALEXANDRIA, VA 22332-2300 GUNTER AFB, AL 36114-3643 CMDR, ATLANTIC DIVISION/CODE 04A4 1 AFRCE-SAC/DEE INAVAL FACILITIES ENGINEERING COMMAND... SCIENCES USAF RGN CIVIL ENGR - WESTERN 1201 L STREET NW, SUITE 400 REGION/RO 1 WASHINGTON, DC 20005 630 SANSOME ST, ROOM 1316 SAN FRANCISCO, CA 94111-7

"Living with dying": the evolution of family members' experience of mechanical ventilation.

PubMed

Sinuff, Tasnim; Giacomini, Mita; Shaw, Rhona; Swinton, Marilyn; Cook, Deborah J

2009-01-01

Communication with families about mechanical ventilation may be more effective once we gain a better understanding of what families experience and understand about this life support technology when their loved ones are admitted to the intensive care unit (ICU). We conducted in-depth interviews with family members of 27 critically ill patients who required mechanical ventilation for > or = 7 days and had an estimated ICU mortality of > or = 50%. Team members reviewed transcripts independently and used grounded theory analysis. The central theme of family members' experience with mechanical ventilation was "living with dying." Initial reactions to the ventilator were of shock and surprise. Family members perceived no option except mechanical ventilation. Although the ventilator kept the patient alive, it also symbolized proximity to death. In time, families became accustomed to images of the ICU as ventilation became more familiar and routine. Their shock and horror were replaced by hope that the ventilator would allow the body to rest, heal, and recover. However, ongoing exposure to their loved one's critical illness and the new role as family spokesperson were traumatizing. Family members' experiences and their understanding of mechanical ventilation change over time, influenced by their habituation to the ICU environment and its routines. They face uncertainty about death, but maintain hope. Understanding these experiences may engender more respectful, meaningful communication about life support with families.

Organic-rich sediments in ventilated deep-sea environments: Relationship to climate, sea level, and trophic changes

NASA Astrophysics Data System (ADS)

Bertrand, P.; Pedersen, T. F.; Schneider, R.; Shimmield, G.; Lallier-Verges, E.; Disnar, J. R.; Massias, D.; Villanueva, J.; Tribovillard, N.; Huc, A. Y.; Giraud, X.; Pierre, C.; VéNec-Peyré, M.-T.

2003-02-01

Sediments on the Namibian Margin in the SE Atlantic between water depths of ˜1000 and ˜3600 m are highly enriched in hydrocarbon-prone organic matter. Such sedimentation has occurred for more than 2 million years and is geographically distributed over hundreds of kilometers along the margin, so that the sediments of this region contain a huge concentrated stock of organic carbon. It is shown here that most of the variability in organic content is due to relative dilution by buried carbonates. This reflects both export productivity and diagenetic dissolution, not differences in either water column or bottom water anoxia and related enhanced preservation of organic matter. These observations offer a new mechanism for the formation of potential source rocks in a well-ventilated open ocean, in this case the South Atlantic. The organic richness is discussed in terms of a suite of probable controls including local wind-driven productivity (upwelling), trophic conditions, transfer efficiency, diagenetic processes, and climate-related sea level and deep circulation. The probability of past occurrences of such organic-rich facies in equivalent oceanographic settings at the edge of large oceanic basins should be carefully considered in deep offshore exploration.

Isopycnal diffusivity in the tropical North Atlantic oxygen minimum zone

NASA Astrophysics Data System (ADS)

Köllner, Manuela; Visbeck, Martin; Tanhua, Toste; Fischer, Tim

2017-04-01

Isopycnal diffusivity plays an important role in the ventilation of the Eastern Tropical North Atlantic (ETNA) Oxygen Minimum Zone (OMZ). Lateral tracer transport is described by isopycnal diffusivity and mean advection of the tracer (e.g. oxygen), together they account for up to 70% of the oxygen supply for the OMZ. One of the big challenges is to separate diffusivity from advection. Isopycnal diffusivity was estimated to be Ky=(500 ± 200) m2 s-1 and Kx=(1200 ± 600) m2 s-1 by Banyte et. al (2013) from a Tracer Release Experiment (TRE). Hahn et al. (2014) estimated a meridional eddy diffusivity of 1350 m2 s-1 at 100 m depth decaying to less than 300 m2 s-1 below 800 m depth from repeated ship sections of CTD and ADCP data in addition with hydrographic mooring data. Uncertainties of the estimated diffusivities were still large, thus the Oxygen Supply Tracer Release Experiment (OSTRE) was set up to estimate isopycnal diffusivity in the OMZ using a newly developed sampling strategy of a control volume. The tracer was released in 2012 in the core of the OMZ at approximately 410 m depth and mapped after 6, 15 and 29 months in a regular grid. In addition to the calculation of tracer column integrals from vertical tracer profiles a new sampling method was invented and tested during two of the mapping cruises. The mean eddy diffusivity during OSTRE was found to be about (300 ± 130) m2 s-1. Additionally, the tracer has been advected further to the east and west by zonal jets. We compare different analysis methods to estimate isopycnal diffusivity from tracer spreading and show the advantage of the control volume surveys and control box approach. From the control box approach we are estimating the strength of the zonal jets within the OMZ core integrated over the TRE time period. References: Banyte, D., Visbeck, M., Tanhua, T., Fischer, T., Krahmann, G.,Karstensen, J., 2013. Lateral Diffusivity from Tracer Release Experiments in the Tropical North Atlantic Thermocline. Journal of Geophysical Research 118. Hahn, J., Brandt, P., Greatbatch, R., Krahmann, G., Körtzinger, A., 2014. Oxygen variance and meridional oxygen supply in the Tropical North East Atlantic oxygen minimum zone. Climate Dynamics 43, 2999-3024.

Climate impacts of parameterized Nordic Sea overflows

NASA Astrophysics Data System (ADS)

Danabasoglu, Gokhan; Large, William G.; Briegleb, Bruce P.

2010-11-01

A new overflow parameterization (OFP) of density-driven flows through ocean ridges via narrow, unresolved channels has been developed and implemented in the ocean component of the Community Climate System Model version 4. It represents exchanges from the Nordic Seas and the Antarctic shelves, associated entrainment, and subsequent injection of overflow product waters into the abyssal basins. We investigate the effects of the parameterized Denmark Strait (DS) and Faroe Bank Channel (FBC) overflows on the ocean circulation, showing their impacts on the Atlantic Meridional Overturning Circulation and the North Atlantic climate. The OFP is based on the Marginal Sea Boundary Condition scheme of Price and Yang (1998), but there are significant differences that are described in detail. Two uncoupled (ocean-only) and two fully coupled simulations are analyzed. Each pair consists of one case with the OFP and a control case without this parameterization. In both uncoupled and coupled experiments, the parameterized DS and FBC source volume transports are within the range of observed estimates. The entrainment volume transports remain lower than observational estimates, leading to lower than observed product volume transports. Due to low entrainment, the product and source water properties are too similar. The DS and FBC overflow temperature and salinity properties are in better agreement with observations in the uncoupled case than in the coupled simulation, likely reflecting surface flux differences. The most significant impact of the OFP is the improved North Atlantic Deep Water penetration depth, leading to a much better comparison with the observational data and significantly reducing the chronic, shallow penetration depth bias in level coordinate models. This improvement is due to the deeper penetration of the southward flowing Deep Western Boundary Current. In comparison with control experiments without the OFP, the abyssal ventilation rates increase in the North Atlantic. In the uncoupled simulation with the OFP, the warm bias of the control simulation in the deep North Atlantic is substantially reduced along with salinity bias reductions in the northern North Atlantic. There are similar but more modest bias reductions in the deep temperature and salinity distributions especially in the northern North Atlantic in the coupled OFP case. In coupled simulations, there are noticeable impacts of the OFP on climate. The sea surface temperatures (SSTs) are warmer by more than 5°C off the North American coast and by more than 1°C in the Nordic Sea with the OFP. The surface heat fluxes mostly act to diminish these SST changes. There are related changes in the sea level pressure, leading to about 15% weaker westerly wind stress in the northern North Atlantic. In response to the warmer Nordic Sea SSTs, there are reductions in the sea ice extent, improving comparisons with observations. Although the OFP cases improve many aspects of the simulations compared to observations, some significant biases remain, more in coupled than in uncoupled simulations.

Atlantic Water transformation in the Nordic Seas and its influence on the export rate of the Overflow Waters

NASA Astrophysics Data System (ADS)

Garcia Quintana, Yarisbel; Wiesner, Pia; Hu, Xianmin; Myers, Paul

2017-04-01

The Nordic Seas (NS) are the main gateway between the Arctic and the Atlantic Oceans. The basin can be considered as the headwaters for the Meridional Overturning Circulation (MOC), for it is there that the Denmark Strait Overflow Water (DSOW) and the Iceland-Scotland Overflow Water (ISOW) acquire their properties. Their inflow into the North Atlantic Ocean occurs across the Greenland-Scotland ridge. Together with Labrador Sea Water, DSOW and ISOW are the main components of the North Atlantic Deep Water (NADW), which ventilates the lower limb of the Atlantic MOC. In spite recent studies exploring the export rate and later pathways of the overflows, the question about what drives them, remains. Here we explore the transformation of the Atlantic Water (AW) as it enters the NS through Denmark Strait, Iceland Faroe Ridge and Faroe Schotland Channel, as well as its pathways within the basin. To do so, we use an eddy-permitting ocean general circulation model run over the period 2002 to 2015. Two different approaches are used to track the AW transformation in the NS: the well-tested off-line Lagrangian tool ARIANE and on-line passive tracers. In both cases we use the same definition of AW to tag its inflow through the three entering sections. The overflows directly impact circulation and water properties in much of the deep Atlantic Ocean, thus a better understanding of the physical processes behind their variability is crucial a asset.

How do local and remote processes affect the distribution of iron in the Atlantic Ocean?

NASA Astrophysics Data System (ADS)

Tagliabue, A.; Boyd, P.; Rijkenberg, M. J. A.; Williams, R. G.

2016-02-01

Iron (Fe) plays an important role in governing the magnitudes and patterns of primary productivity, nitrogen fixation and phytoplankton community composition across the Atlantic Ocean. Variations in the supply of Fe to surface waters across the mixed layer interface, over seasonal to annual to decadal scales, are underpinned by it's vertical profile. Traditionally, nutrient profiles are understood in terms of surface depletion and subsurface regeneration, but for Fe this is more complicated due to the role of scavenging and organic complexation by ligands, as well as subsurface sources. This means that the Fe profile may be controlled locally, by sinking, regeneration and scavenging or remotely, by the upstream conditions of subducted water masses. Subduction drives the transfer of Fe across the interface between winter mixed layer and the ocean interior, but has received little attention thus far. Via the subduction of watermasses with distinct biogeochemical signatures to low latitudes, remote processes can regulate the Atlantic Ocean Fe distribution at local scales. Specifically, the formation of mode waters with excess Fe binding ligands (positive L*) enable these waters to stabilise any Fe flux from regeneration that would otherwise be lost by scavenging. The pattern of mode water ventilation then highlights those regions of the ocean where local processes are able to influence the Fe profile. Local process that augment L*, such as the production of ligands during particle regeneration, can also interact with the larger scale ventilation signature but do not alter the main trends. By applying our framework to recent GEOTRACES datasets over the Atlantic Ocean we are able to highlight regions where the Fe profile is forced locally or remotely, thereby providing an important process-based constraint on the biogeochemical models we rely on for future projections. Furthermore, we are able to appraise how the varying influence of local and remote processes drives the degree of agreement in the vertical profiles of Fe and macronutrients, which then sets the degree of surface water Fe limitation.

A Southern Ocean trigger for Northwest Pacific ventilation during the Holocene?

NASA Astrophysics Data System (ADS)

Rella, S. F.; Uchida, M.

2014-02-01

Holocene ocean circulation is poorly understood due to sparsity of dateable marine archives with submillennial-scale resolution. Here we present a record of mid-depth water radiocarbon contents in the Northwest (NW) Pacific Ocean over the last 12.000 years, which shows remarkable millennial-scale variations relative to changes in atmospheric radiocarbon inventory. Apparent decoupling of these variations from regional ventilation and mixing processes leads us to the suggestion that the mid-depth NW Pacific may have responded to changes in Southern Ocean overturning forced by latitudinal displacements of the southern westerly winds. By inference, a tendency of in-phase related North Atlantic and Southern Ocean overturning would argue against the development of a steady bipolar seesaw regime during the Holocene.

A Southern Ocean trigger for Northwest Pacific ventilation during the Holocene?

PubMed

Rella, S F; Uchida, M

2014-02-17

Holocene ocean circulation is poorly understood due to sparsity of dateable marine archives with submillennial-scale resolution. Here we present a record of mid-depth water radiocarbon contents in the Northwest (NW) Pacific Ocean over the last 12.000 years, which shows remarkable millennial-scale variations relative to changes in atmospheric radiocarbon inventory. Apparent decoupling of these variations from regional ventilation and mixing processes leads us to the suggestion that the mid-depth NW Pacific may have responded to changes in Southern Ocean overturning forced by latitudinal displacements of the southern westerly winds. By inference, a tendency of in-phase related North Atlantic and Southern Ocean overturning would argue against the development of a steady bipolar seesaw regime during the Holocene.

A Southern Ocean trigger for Northwest Pacific ventilation during the Holocene?

PubMed Central

Rella, S. F.; Uchida, M.

2014-01-01

Holocene ocean circulation is poorly understood due to sparsity of dateable marine archives with submillennial-scale resolution. Here we present a record of mid-depth water radiocarbon contents in the Northwest (NW) Pacific Ocean over the last 12.000 years, which shows remarkable millennial-scale variations relative to changes in atmospheric radiocarbon inventory. Apparent decoupling of these variations from regional ventilation and mixing processes leads us to the suggestion that the mid-depth NW Pacific may have responded to changes in Southern Ocean overturning forced by latitudinal displacements of the southern westerly winds. By inference, a tendency of in-phase related North Atlantic and Southern Ocean overturning would argue against the development of a steady bipolar seesaw regime during the Holocene. PMID:24509792

Reversed flow of Atlantic deep water during the Last Glacial Maximum.

PubMed

Negre, César; Zahn, Rainer; Thomas, Alexander L; Masqué, Pere; Henderson, Gideon M; Martínez-Méndez, Gema; Hall, Ian R; Mas, José L

2010-11-04

The meridional overturning circulation (MOC) of the Atlantic Ocean is considered to be one of the most important components of the climate system. This is because its warm surface currents, such as the Gulf Stream, redistribute huge amounts of energy from tropical to high latitudes and influence regional weather and climate patterns, whereas its lower limb ventilates the deep ocean and affects the storage of carbon in the abyss, away from the atmosphere. Despite its significance for future climate, the operation of the MOC under contrasting climates of the past remains controversial. Nutrient-based proxies and recent model simulations indicate that during the Last Glacial Maximum the convective activity in the North Atlantic Ocean was much weaker than at present. In contrast, rate-sensitive radiogenic (231)Pa/(230)Th isotope ratios from the North Atlantic have been interpreted to indicate only minor changes in MOC strength. Here we show that the basin-scale abyssal circulation of the Atlantic Ocean was probably reversed during the Last Glacial Maximum and was dominated by northward water flow from the Southern Ocean. These conclusions are based on new high-resolution data from the South Atlantic Ocean that establish the basin-scale north to south gradient in (231)Pa/(230)Th, and thus the direction of the deep ocean circulation. Our findings are consistent with nutrient-based proxies and argue that further analysis of (231)Pa/(230)Th outside the North Atlantic basin will enhance our understanding of past ocean circulation, provided that spatial gradients are carefully considered. This broader perspective suggests that the modern pattern of the Atlantic MOC-with a prominent southerly flow of deep waters originating in the North Atlantic-arose only during the Holocene epoch.

Impact of hydrothermalism on the ocean iron cycle

PubMed Central

Resing, Joseph

2016-01-01

As the iron supplied from hydrothermalism is ultimately ventilated in the iron-limited Southern Ocean, it plays an important role in the ocean biological carbon pump. We deploy a set of focused sensitivity experiments with a state of the art global model of the ocean to examine the processes that regulate the lifetime of hydrothermal iron and the role of different ridge systems in governing the hydrothermal impact on the Southern Ocean biological carbon pump. Using GEOTRACES section data, we find that stabilization of hydrothermal iron is important in some, but not all regions. The impact on the Southern Ocean biological carbon pump is dominated by poorly explored southern ridge systems, highlighting the need for future exploration in this region. We find inter-basin differences in the isopycnal layer onto which hydrothermal Fe is supplied between the Atlantic and Pacific basins, which when combined with the inter-basin contrasts in oxidation kinetics suggests a muted influence of Atlantic ridges on the Southern Ocean biological carbon pump. Ultimately, we present a range of processes, operating at distinct scales, that must be better constrained to improve our understanding of how hydrothermalism affects the ocean cycling of iron and carbon. This article is part of the themed issue ‘Biological and climatic impacts of ocean trace element chemistry’. PMID:29035256

Impact of hydrothermalism on the ocean iron cycle.

PubMed

Tagliabue, Alessandro; Resing, Joseph

2016-11-28

As the iron supplied from hydrothermalism is ultimately ventilated in the iron-limited Southern Ocean, it plays an important role in the ocean biological carbon pump. We deploy a set of focused sensitivity experiments with a state of the art global model of the ocean to examine the processes that regulate the lifetime of hydrothermal iron and the role of different ridge systems in governing the hydrothermal impact on the Southern Ocean biological carbon pump. Using GEOTRACES section data, we find that stabilization of hydrothermal iron is important in some, but not all regions. The impact on the Southern Ocean biological carbon pump is dominated by poorly explored southern ridge systems, highlighting the need for future exploration in this region. We find inter-basin differences in the isopycnal layer onto which hydrothermal Fe is supplied between the Atlantic and Pacific basins, which when combined with the inter-basin contrasts in oxidation kinetics suggests a muted influence of Atlantic ridges on the Southern Ocean biological carbon pump. Ultimately, we present a range of processes, operating at distinct scales, that must be better constrained to improve our understanding of how hydrothermalism affects the ocean cycling of iron and carbon.This article is part of the themed issue 'Biological and climatic impacts of ocean trace element chemistry'. © 2016 The Author(s).

Decadal variability in the oxygen inventory of North Atlantic subtropical underwater captured by sustained, long-term oceanographic time series observations

NASA Astrophysics Data System (ADS)

Montes, Enrique; Muller-Karger, Frank E.; Cianca, Andrés.; Lomas, Michael W.; Lorenzoni, Laura; Habtes, Sennai

2016-03-01

Historical observations of potential temperature (θ), salinity (S), and dissolved oxygen concentrations (O2) in the tropical and subtropical North Atlantic (0-500 m; 0-40°N, 10-90°W) were examined to understand decadal-scale changes in O2 in subtropical underwater (STUW). STUW is observed at four of the longest, sustained ocean biogeochemical and ecological time series stations, namely, the CArbon Retention In A Colored Ocean (CARIACO) Ocean Time Series Program (10.5°N, 64.7°W), the Bermuda Atlantic Time-series Study (BATS; 31.7°N, 64.2°W), Hydrostation "S" (32.1°N, 64.4°W), and the European Station for Time-series in the Ocean, Canary Islands (ESTOC; 29.2°N, 15.5°W). Observations over similar time periods at CARIACO (1996-2013), BATS (1988-2011), and Hydrostation S (1980-2013) show that STUW O2 has decreased approximately 0.71, 0.28, and 0.37 µmol kg-1 yr-1, respectively. No apparent change in STUW O2 was observed at ESTOC over the course of the time series (1994-2013). Ship observation data for the tropical and subtropical North Atlantic archived at NOAA National Oceanographic Data Center show that between 1980 and 2013, STUW O2 (upper ~300 m) declined 0.58 µmol kg-1 yr-1 in the southeastern Caribbean Sea (10-15°N, 60-70°W) and 0.68 µmol kg-1 yr-1 in the western subtropical North Atlantic (30-35°N, 60-65°W). A declining O2 trend was not observed in the eastern subtropical North Atlantic (25-30°N, 15-20°W) over the same period. Most of the observed O2 loss seems to result from shifts in ventilation associated with decreased wind-driven mixing and a slowing down of STUW formation rates, rather than changes in diffusive air-sea O2 gas exchange or changes in the biological oceanography of the North Atlantic. Variability of STUW O2 showed a significant relationship with the wintertime (January-March) Atlantic Multidecadal Oscillation index (AMO, R2 = 0.32). During negative wintertime AMO years trade winds are typically stronger between 10°N and 30°N. These conditions stimulate the formation and ventilation of STUW. The decreasing trend in STUW O2 in the three decades spanning 1980 through 2013 reflects the shift from a strongly negative wintertime AMO between the mid-1980s and mid-1990s to a positive wintertime AMO observed between the mid-1990s and 2013. These changes in STUW O2 were captured by the CARIACO, BATS, and Hydrostation S time series stations. Sustained positive AMO conditions could lead to further deoxygenation in tropical and subtropical North Atlantic upper waters.

Water mass analysis for the U.S. GEOTRACES (GA03) North Atlantic sections

NASA Astrophysics Data System (ADS)

Jenkins, W. J.; Smethie, W. M.; Boyle, E. A.; Cutter, G. A.

2015-06-01

We present the distributions of hydrographic properties (potential temperature, salinity, dissolved oxygen, and micromolar level inorganic macronutrients) along two sections occupied in the subtropical North Atlantic as part of the first U.S. GEOTRACES (GA03) survey during 2010 and 2011. The purpose of this work is to place subsequent papers in this special issue in a general context and to provide a framework in which the observed distributions of Trace Elements and Isotopes can be interpreted. Using these hydrographic properties we use a modified Optimum Multiparameter water mass analysis method to diagnose the relative contributions of various water types along the sections and rationalize their distributions. The water mass compositions appear largely consistent with what is understood from previous studies about the large scale circulation and ventilation of the North Atlantic, with perhaps one exception. We found that the North Atlantic Deep water both east and west of the Mid Atlantic Ridge is more strongly influenced by Iceland Scotland Overflow Water relative to Denmark Straits Overflow Water (about 3:1) than inferred from other tracer studies (typically 2:1). It remains unclear whether this is an artifact of our calculation or a real change in deep water composition in the decades between the determinations.

Enhanced deep ocean ventilation and oxygenation with global warming

NASA Astrophysics Data System (ADS)

Froelicher, T. L.; Jaccard, S.; Dunne, J. P.; Paynter, D.; Gruber, N.

2014-12-01

Twenty-first century coupled climate model simulations, observations from the recent past, and theoretical arguments suggest a consistent trend towards warmer ocean temperatures and fresher polar surface oceans in response to increased radiative forcing resulting in increased upper ocean stratification and reduced ventilation and oxygenation of the deep ocean. Paleo-proxy records of the warming at the end of the last ice age, however, suggests a different outcome, namely a better ventilated and oxygenated deep ocean with global warming. Here we use a four thousand year global warming simulation from a comprehensive Earth System Model (GFDL ESM2M) to show that this conundrum is a consequence of different rates of warming and that the deep ocean is actually better ventilated and oxygenated in a future warmer equilibrated climate consistent with paleo-proxy records. The enhanced deep ocean ventilation in the Southern Ocean occurs in spite of increased positive surface buoyancy fluxes and a constancy of the Southern Hemisphere westerly winds - circumstances that would otherwise be expected to lead to a reduction in deep ocean ventilation. This ventilation recovery occurs through a global scale interaction of the Atlantic Meridional Overturning Circulation undergoing a multi-centennial recovery after an initial century of transient decrease and transports salinity-rich waters inform the subtropical surface ocean to the Southern Ocean interior on multi-century timescales. The subsequent upwelling of salinity-rich waters in the Southern Ocean strips away the freshwater cap that maintains vertical stability and increases open ocean convection and the formation of Antarctic Bottom Waters. As a result, the global ocean oxygen content and the nutrient supply from the deep ocean to the surface are higher in a warmer ocean. The implications for past and future changes in ocean heat and carbon storage will be discussed.

A new look at ocean ventilation time scales and their uncertainties

NASA Astrophysics Data System (ADS)

Fine, Rana A.; Peacock, Synte; Maltrud, Mathew E.; Bryan, Frank O.

2017-05-01

A suite of eddy-resolving ocean transient tracer model simulations are first compared to observations. Observational and model pCFC-11 ages agree quite well, with the eddy-resolving model adding detail. The CFC ages show that the thermocline is a barrier to interior ocean exchange with the atmosphere on time scales of 45 years, the measureable CFC transient, although there are exceptions. Next, model simulations are used to quantify effects on tracer ages of the spatial dependence of internal ocean tracer variability due to stirring from eddies and biases from nonstationarity of the atmospheric transient when there is mixing. These add to tracer age uncertainties and biases, which are large in frontal boundary regions, and small in subtropical gyre interiors. These uncertainties and biases are used to reinterpret observed temporal trends in tracer-derived ventilation time scales taken from observations more than a decade apart, and to assess whether interpretations of changes in tracer ages being due to changes in ocean ventilation hold water. For the southern hemisphere subtropical gyres, we infer that the rate of ocean ventilation 26-27.2 σθ increased between the mid-1990s and the decade of the 2000s. However, between the mid-1990s and the decade of the 2010s, there is no significant trend—perhaps except for South Atlantic. Observed age/AOU/ventilation changes are linked to a combination of natural cycles and climate change, and there is regional variability. Thus, for the future it is not clear how strong or steady in space and time ocean ventilation changes will be.

A new look at ocean ventilation time scales and their uncertainties

DOE Office of Scientific and Technical Information (OSTI.GOV)

Fine, Rana A.; Peacock, Synte; Maltrud, Mathew E.

A suite of eddy-resolving ocean transient tracer model simulations are first compared to observations. Observational and model pCFC-11 ages agree quite well, with the eddy-resolving model adding detail. The CFC ages show that the thermocline is a barrier to interior ocean exchange with the atmosphere on time scales of 45 years, the measureable CFC transient, although there are exceptions. Next, model simulations are used to quantify effects on tracer ages of the spatial dependence of internal ocean tracer variability due to stirring from eddies and biases from nonstationarity of the atmospheric transient when there is mixing. These add to tracermore » age uncertainties and biases, which are large in frontal boundary regions, and small in subtropical gyre interiors. These uncertainties and biases are used to reinterpret observed temporal trends in tracer-derived ventilation time scales taken from observations more than a decade apart, and to assess whether interpretations of changes in tracer ages being due to changes in ocean ventilation hold water. For the southern hemisphere subtropical gyres, we infer that the rate of ocean ventilation 26–27.2 σ θ increased between the mid-1990s and the decade of the 2000s. However, between the mid-1990s and the decade of the 2010s, there is no significant trend—perhaps except for South Atlantic. Observed age/AOU/ventilation changes are linked to a combination of natural cycles and climate change, and there is regional variability. Thus, for the future it is not clear how strong or steady in space and time ocean ventilation changes will be.« less

A new look at ocean ventilation time scales and their uncertainties

DOE PAGES

Fine, Rana A.; Peacock, Synte; Maltrud, Mathew E.; ...

2017-03-17

A suite of eddy-resolving ocean transient tracer model simulations are first compared to observations. Observational and model pCFC-11 ages agree quite well, with the eddy-resolving model adding detail. The CFC ages show that the thermocline is a barrier to interior ocean exchange with the atmosphere on time scales of 45 years, the measureable CFC transient, although there are exceptions. Next, model simulations are used to quantify effects on tracer ages of the spatial dependence of internal ocean tracer variability due to stirring from eddies and biases from nonstationarity of the atmospheric transient when there is mixing. These add to tracermore » age uncertainties and biases, which are large in frontal boundary regions, and small in subtropical gyre interiors. These uncertainties and biases are used to reinterpret observed temporal trends in tracer-derived ventilation time scales taken from observations more than a decade apart, and to assess whether interpretations of changes in tracer ages being due to changes in ocean ventilation hold water. For the southern hemisphere subtropical gyres, we infer that the rate of ocean ventilation 26–27.2 σ θ increased between the mid-1990s and the decade of the 2000s. However, between the mid-1990s and the decade of the 2010s, there is no significant trend—perhaps except for South Atlantic. Observed age/AOU/ventilation changes are linked to a combination of natural cycles and climate change, and there is regional variability. Thus, for the future it is not clear how strong or steady in space and time ocean ventilation changes will be.« less

Deglacial Evolution of Atlantic Mid-Depth and Intermediate-Depth Water Variability

NASA Astrophysics Data System (ADS)

Oppo, D.; Gebbie, G.; Huang, K. F.; Guo, W.; Schmittner, A.; Liu, Z.; Curry, W. B.

2014-12-01

Deglacial variations in the Atlantic Meridional Overturning Circulation (AMOC) feature prominently in hypotheses of deglacial climate variability and atmospheric CO2rise. However, there is lingering uncertainty in the glacial deepwater mass configuration (e.g. Gebbie, 2014) and deglacial AMOC variability is even more poorly understood. For example, the deglacial evolution of the contribution of northern and southern source waters to the middle and intermediate depths of the Atlantic is still vigorously debated. Here, we evaluate the evolution of subsurface Atlantic ventilation, emphasizing middle and intermediate depths, by comparing new and published records of water mass variability to output from transient model simulations designed to provide insight into the climatic and oceanographic effects of a dramatic reduction in the AMOC, such as apparently occurred during Heinrich Stadial 1 (Liu et al., 2009; Schmittner and Lund, 2014). Gebbie, G. (2014), How much did Glacial North Atlantic Water shoal? Paleoceanography, 29, 190-209, doi: 10.1002/2013PA002557. Liu, Z., B. Otto-Bliesner, F. He, E. Brady, R. Thomas, P. U. Clark, A. E. Carlson, J. Lynch-Stieglitz, W. Curry, E. Brook, D. Erickson, R. Jacob, J. Kutzbach, J., and J. Chen (2009), Transient climate simulation of last deglaciation with a new mechanism for Bølling-Allerød warming, Science, 325, 310-314. Schmittner, A., and Lund, D. C. (submitted), Carbon Isotopes Support Atlantic Meridional Overturning Circulation Decline as a Trigger for Early Deglacial CO2 rise Climate of the Past Discussions.

Decadal variability in the oxygen inventory of North Atlantic Subtropical Underwater captured by sustained, long-term oceanographic time-series observations

NASA Astrophysics Data System (ADS)

Montes, E.; Muller-Karger, F. E.; Cianca, A.; Lomas, M. W.; Lorenzoni, L.; Habtes, S. Y.

2016-02-01

Historical observations of potential temperature (θ), salinity (S), and dissolved oxygen concentrations (O2) in the subtropical North Atlantic (0-500 m; 0-40°N, 10-80°W) were examined to understand decadal-scale changes in O2 in Subtropical Underwater (STUW). STUW is observed at four of the longest, sustained ocean biogeochemical and ecological time-series stations, namely the CARIACO Ocean Time-Series Program (10.5°N, 64.7°W), the Bermuda Atlantic Time-series Study (BATS; 31.7°N, 64.2°W), Hydrostation "S" (32.1°N, 64.4°W), and the European Station for Time-series in the Ocean, Canary Islands (ESTOC; 29.2°N, 15.5°W). Data archived by NOAA NODC show that, between 1980 and 2013, STUW O2 (upper 300 m) has declined 0.58 μmol kg-1 yr-1 in the southeastern Caribbean Sea (10-15°N, 60-70°W), and 0.68 μmol kg-1 yr-1 in the western subtropical North Atlantic, respectively (30-35°N, 60-65°W). Observations at CARIACO (1995-2013) and BATS (1988-2012), specifically, show that STUW O2 has decreased approximately 0.61 and 0.21 μmol kg-1 yr-1, respectively. No apparent change in STUW O2 was observed at ESTOC over the course of the time series (1994-2013). Most of the observed O2 loss seems to result from shifts in ventilation associated with wind-driven mixing and slow down of STUW formation rates, rather than changes in diffusive air-sea O2 gas exchange. Variability of STUW O2 showed a strong relationship with the Atlantic Multidecadal Oscillation (AMO; R2=0.32, p < 0.001) index phase. During negative AMO years trade winds are stronger between 10°N and 30°N. These conditions stimulate the formation and ventilation of STUW. The decreasing trend in STUW O2 in the three decades spanning 1980 through 2013 thus reflects a shift from a strongly negative AMO between mid-1980's and mid-1990's to a positive AMO observed between the mid-1990's and 2013. These changes in STUW O2 were captured by the CARIACO, BATS, and Hydrostation "S" time series stations. Sustained positive AMO conditions could lead to further de-oxygenation in tropical and sub-tropical North Atlantic upper waters.

A regulator for pressure-controlled total-liquid ventilation.

PubMed

Robert, Raymond; Micheau, Philippe; Avoine, Olivier; Beaudry, Benoit; Beaulieu, Alexandre; Walti, Hervé

2010-09-01

Total-liquid ventilation (TLV) is an innovative experimental method of mechanical-assisted ventilation in which lungs are totally filled and then ventilated with a tidal volume of perfluorochemical liquid by using a dedicated liquid ventilator. Such a novel medical device must resemble other conventional ventilators: it must be able to conduct controlled-pressure ventilation. The objective was to design a robust controller to perform pressure-regulated expiratory flow and to implement it on our latest liquid-ventilator prototype (Inolivent-4). Numerical simulations, in vitro experiments, and in vivo experiments in five healthy term newborn lambs have demonstrated that it was efficient to generate expiratory flows while avoiding collapses. Moreover, the in vivo results have demonstrated that our liquid ventilator can maintain adequate gas exchange, normal acid-base equilibrium, and achieve greater minute ventilation, better oxygenation and CO2 extraction, while nearing flow limits. Hence, it is our suggestion to perform pressure-controlled ventilation during expiration with minute ventilation equal or superior to 140 mL x min(-1) x kg(-1) in order to ensure PaCO2 below 55 mmHg. From a clinician's point of view, pressure-controlled ventilation greatly simplifies the use of the liquid ventilator, which will certainly facilitate its introduction in intensive care units for clinical applications.

North Atlantic deep water formation and AMOC in CMIP5 models

NASA Astrophysics Data System (ADS)

Heuzé, Céline; Wåhlin, Anna

2017-04-01

North Atlantic deep water formation processes and properties in climate models are indicative of their ability to simulate future ocean circulation, ventilation, carbon and heat uptake, and sea level rise. Historical time series of temperature, salinity, sea ice concentration and ocean transport in the North Atlantic subpolar gyre and Nordic Seas from 23 CMIP5 (Climate Model Intercomparison Project, phase 5) models are compared with observations to reveal the causes and consequences of North Atlantic deep water formation in models. Deep convection occurs at the sea ice edge and is most realistic in models with accurate sea ice extent, mostly those using the CICE model. The trigger of deep convection varies among models; for one third it is intense surface cooling only, while the remaining two thirds also need upward mixing of subsurface warm salty water. The models with the most intense deep convection have the most accurate deep water properties, which are warmer and fresher than in the other models. They also have the strongest Atlantic Meridional Overturning Circulation (AMOC). For over half of the models, 40% of the variability of the AMOC is explained by the volumes of deep water produced in the subpolar gyre and Nordic Seas, with 3 and 4 years lag respectively. Understanding the dynamical drivers of the AMOC in models is key to realistically forecast a possible slow down and its consequences on the global circulation and marine life.

Large fluctuations of dissolved oxygen in the Indian and Pacific oceans during Dansgaard-Oeschger oscillations caused by variations of North Atlantic Deep Water subduction

NASA Astrophysics Data System (ADS)

Schmittner, Andreas; Galbraith, Eric D.; Hostetler, Steven W.; Pedersen, Thomas F.; Zhang, Rong

2007-09-01

Paleoclimate records from glacial Indian and Pacific oceans sediments document millennial-scale fluctuations of subsurface dissolved oxygen levels and denitrification coherent with North Atlantic temperature oscillations. Yet the mechanism of this teleconnection between the remote ocean basins remains elusive. Here we present model simulations of the oxygen and nitrogen cycles that explain how changes in deepwater subduction in the North Atlantic can cause large and synchronous variations of oxygen minimum zones throughout the Northern Hemisphere of the Indian and Pacific oceans, consistent with the paleoclimate records. Cold periods in the North Atlantic are associated with reduced nutrient delivery to the upper Indo-Pacific oceans, thereby decreasing productivity. Reduced export production diminishes subsurface respiration of organic matter leading to higher oxygen concentrations and less denitrification. This effect of reduced oxygen consumption dominates at low latitudes. At high latitudes in the Southern Ocean and North Pacific, increased mixed layer depths and steepening of isopycnals improve ocean ventilation and oxygen supply to the subsurface. Atmospheric teleconnections through changes in wind-driven ocean circulation modify this basin-scale pattern regionally. These results suggest that changes in the Atlantic Ocean circulation, similar to those projected by climate models to possibly occur in the centuries to come because of anthropogenic climate warming, can have large effects on marine ecosystems and biogeochemical cycles even in remote areas.

Investigation of turbine ventilator performance after added wind cup for room exhaust air applications

NASA Astrophysics Data System (ADS)

Harun, D.; Zulfadhli; Akhyar, H.

2018-05-01

The turbine ventilator is a wind turbine with a vertical axis that has a combined function of the wind turbine and a suction fan. In this study, the turbine ventilator modified by adding a wind cup on the top (cap) turbine ventilator. The purpose of this experiment is to investigated the effect of the addition of wind cup on the turbine ventilator. Turbine ventilator used is type v30 and wind cup with diameter 77 mm. The experiment was conducted using a triangular pentagon model space chamber which was cut off to place the ventilator turbine ventilation cup with a volume of 0.983 m3 (equivalent to 1 mm3). The results of this study indicate that at an average wind speed of 1.8 m/s, the rotation of the turbine produced without a wind cup is 60.6 rpm while with the addition of a wind cup in the turbine ventilator is 69 rpm. The average increase of rotation turbine after added win cup is 8.4 rpm and the efficiency improvement of turbine ventilator is 1.7 %.

Numerical experiments with a wind- and buoyancy-driven two-and-a-half-layer upper ocean model

NASA Astrophysics Data System (ADS)

Cherniawsky, J. Y.; Yuen, C. W.; Lin, C. A.; Mysak, L. A.

1990-09-01

We describe numerical experiments with a limited domain (15°-67°N, 65° west to east) coarse-resolution two-and-a-half-layer upper ocean model. The model consists of two active variable density layers: a Niiler and Kraus (1977) type mixed layer and a pycnocline layer, which overlays a semipassive deep ocean. The mixed layer is forced with a cosine wind stress and Haney type heat and precipitation-evaporation fluxes, which were derived from zonally averaged climatological (Levitus, 1982) surface temperatures and salinities for the North Atlantic. The second layer is forced from below with (1) Newtonian cooling to climatological temperatures and salinities at the lower boundary, (2) convective adjustment, which occurs whenever the density of the second layer is unstable with respect to climatology, and (3) mass entrainment in areas of strong upwelling, when the deep ocean ventilates through the bottom surface. The sensitivity of this model to changes in its internal (mixed layer) and external (e.g., a Newtonian coupling coefficient) parameters is investigated and compared to the results from a control experiment. We find that the model is not overly sensitive to changes in most of the parameters that were tested, albeit these results may depend to some extent on the choice of the control experiment.

Recent changes in the North Atlantic.

PubMed

Dickson, Robert R; Curry, Ruth; Yashayaev, Igor

2003-09-15

It has long been recognized that the Atlantic meridional overturning circulation (MOC) is potentially sensitive to greenhouse-gas and other climate forcing, and that changes in the MOC have the potential to cause abrupt climate change. However, the mechanisms remain poorly understood and our ability to detect these changes remains incomplete. Four main (interrelated) types of ocean change in particular are associated in the literature with greenhouse-gas forcing. These are: a slowing of MOC overturning rate; changes in northern seas which might effect a change in Atlantic overturning, including changes in the freshwater flux from the Arctic, and changes in the transport and/or hydrographic character of the northern overflows which ventilate the deep Atlantic; a change in the trans-ocean gradients of steric height (both zonal and meridional) which might accompany a change in the MOC; and an intensification of the global water cycle. Though as yet we have no direct measure of the freshwater flux passing from the Arctic to the Atlantic either via the Canadian Arctic Archipelago or along the East Greenland Shelf, and no direct measure yet of the Atlantic overturning rate, we examine a wide range of time-series from the existing hydrographic record for oceanic evidence of the other anticipated responses. Large amplitude and sustained changes are found (or indicated by proxy) over the past three to four decades in the southward transport of fresh waters along the Labrador shelf and slope, in the hydrography of the deep dense overflows from Nordic seas, in the transport of the eastern overflow through Faroe Bank Channel, and in the global hydrologic cycle. Though the type and scale of changes in ocean salinity are consistent with an amplification of the water cycle, we find no convincing evidence of any significant, concerted slowdown in the Atlantic overturning circulation.

Intensification of the Northeast Pacific oxygen minimum zone during the Bölling-Alleröd warm period

USGS Publications Warehouse

Zheng, Yen; van Geen, Alexander; Anderson, Robert F.; Gardner, James V.; Dean, Walter E.

2000-01-01

Although climate records from several locations around the world show nearly synchronous and abrupt changes, the nature of the inferred teleconnection is still poorly understood. On the basis of preserved laminations and molybdenum enrichments in open margin sediments we demonstrate that the oxygen content of northeast Pacific waters at 800 m depth during the Bölling-Alleröd warm period (15–13 kyr) was greatly reduced. Existing oxygen isotopic records of benthic and planktonic foraminifera suggest that this was probably due to suppressed ventilation at higher latitudes of the North Pacific. Comparison with ventilation records for the North Atlantic indicates an antiphased pattern of convection relative to the North Pacific over the past 22 kyr, perhaps due to variations in water vapor transport across Central America.

46 CFR 194.15-5 - Ventilation.

Code of Federal Regulations, 2011 CFR

2011-10-01

....15-5 Ventilation. (a) Operations, reactions or experiments which produce toxic, noxious or corrosive...) Ventilation of air conditioning systems serving the chemical laboratory shall be designed so that air cannot...

Mechanisms and detectability of oxygen depletion in the North Atlantic

NASA Astrophysics Data System (ADS)

Tjiputra, J. F.; Goris, N.; Lauvset, S. K.; Schwinger, J.

2016-12-01

Dissolved oxygen is a key tracer in models used to represent the tight interaction between ocean biogeochemical cycle and circulation. Future ocean warming and stratification are projected, leading to a reduced oxygen concentration. Reduction in export production, in contrast, is projected to increase subsurface concentration by lowering the oxygen consumption during organic matter remineralization. In this exercise, we use a suite of CMIP5 models to study the oxygen evolution under the RCP8.5 scenario focusing on the North Atlantic, a region of rapid and steady circulation change. Most models agree with a large reduction in the deep North Atlantic (north of 40N), whereas an increase is projected in the upper subtropical ocean region. We attribute the former to weakening of the net primary production due to stronger stratification and the latter to less air-sea oxygen flux owing to less ventilation. The models also show that interior oxygen could provide earlier indicator of climate change than surface tracers. Sustained observation of oxygen is therefore crucial to reaffirm the ongoing circulation change due to global warming.

The comparison of manual and LabVIEW-based fuzzy control on mechanical ventilation.

PubMed

Guler, Hasan; Ata, Fikret

2014-09-01

The aim of this article is to develop a knowledge-based therapy for management of rats with respiratory distress. A mechanical ventilator was designed to achieve this aim. The designed ventilator is called an intelligent mechanical ventilator since fuzzy logic was used to control the pneumatic equipment according to the rat's status. LabVIEW software was used to control all equipments in the ventilator prototype and to monitor respiratory variables in the experiment. The designed ventilator can be controlled both manually and by fuzzy logic. Eight female Wistar-Albino rats were used to test the designed ventilator and to show the effectiveness of fuzzy control over manual control on pressure control ventilation mode. The anesthetized rats were first ventilated for 20 min manually. After that time, they were ventilated for 20 min by fuzzy logic. Student's t-test for p < 0.05 was applied to the measured minimum, maximum and mean peak inspiration pressures to analyze the obtained results. The results show that there is no statistical difference in the rat's lung parameters before and after the experiments. It can be said that the designed ventilator and developed knowledge-based therapy support artificial respiration of living things successfully. © IMechE 2014.

The Potential of Bee-Generated Carbon Dioxide for Control of Varroa Mite (Mesostigmata: Varroidae) in Indoor Overwintering Honey bee (Hymenoptera: Apidae) Colonies.

PubMed

Bahreini, Rassol; Currie, Robert W

2015-10-01

The objective of this study was to manipulate ventilation rate to characterize interactions between stocks of honey bees (Apis mellifera L.) and ventilation setting on varroa mite (Varroa destructor Anderson and Trueman) mortality in honey bee colonies kept indoors over winter. The first experiment used colonies established from stock selected locally for wintering performance under exposure to varroa (n = 6) and unselected bees (n = 6) to assess mite and bee mortality and levels of carbon dioxide (CO2) and oxygen (O2) in the bee cluster when kept under a simulated winter condition at 5°C. The second experiment, used colonies from selected bees (n = 10) and unselected bees (n = 12) that were exposed to either standard ventilation (14.4 liter/min per hive) or restricted ventilation (0.24 liter/min per hive, in a Plexiglas ventilation chamber) during a 16-d treatment period to assess the influence of restricted air flow on winter mortality rates of varroa mites and honey bees. Experiment 2 was repeated in early, mid-, and late winter. The first experiment showed that under unrestricted ventilation with CO2 concentrations averaging <2% there was no correlation between CO2 and varroa mite mortality when colonies were placed under low temperature. CO2 was negatively correlated with O2 in the bee cluster in both experiments. When ventilation was restricted, mean CO2 level (3.82 ± 0.31%, range 0.43-8.44%) increased by 200% relative to standard ventilation (1.29 ± 0.31%; range 0.09-5.26%) within the 16-d treatment period. The overall mite mortality rates and the reduction in mean abundance of varroa mite over time was greater under restricted ventilation (37 ± 4.2%) than under standard ventilation (23 ± 4.2%) but not affected by stock of bees during the treatment period. Selected bees showed overall greater mite mortality relative to unselected bees in both experiments. Restricting ventilation increased mite mortality, but did not affect worker bee mortality relative to that for colonies under standard ventilation. Restricted ventilation did not affect the overall level of Nosema compared with the control. However, there was an interaction between stock, season, and time of the trial. Unselected stock showed an increase in Nosema over time in the late winter trial that did not occur in the selected stock. In conclusion, these findings suggested that restricted ventilation has potential to suppress varroa mite in overwintering honey bee colonies via a low-cost and environmentally friendly measure. © The Authors 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Correspondence between North Pacific Ocean ventilation, Cordilleran Ice Sheet variations, and North Atlantic Heinrich Events

NASA Astrophysics Data System (ADS)

Walczak, M. H.; Mix, A.; Fallon, S.; Praetorius, S. K.; Cowan, E. A.; Du, J.; Hobern, T.; Padman, J.; Fifield, L. K.; Stoner, J. S.; Haley, B. A.

2017-12-01

Much remains unresolved concerning the origin and global implications of the episodes of rapid glacial failure in the North Atlantic known as Heinrich Events. Thought to occur during or at the termination of the coldest of the abrupt stadial climate events known as Dansgaard-Oschger cycles, various trigger mechanisms have been theorized, including external forcing in the form of oceanic or atmospheric warming, internal dynamics of the large Laurentide ice sheet, or the episodic failure of another (presumably European) ice sheet. Heinrich events may also be associated with a decrease in North Atlantic deep-water formation. New results from Gulf of Alaska IODP Expedition 341 reveal events of Cordilleran Ice Sheet retreat (based on ice-rafted detritus and sedimentation rates) synchronous with reorganization of ocean circulation (based on benthic-planktic 14C pairs) spanning the past 45,000 years on an independent high-resolution radiocarbon-based chronology. We document the relationship between these Pacific records and the North Atlantic Heinrich events, and find the data show an early Pacific expression of ice sheet instability in the form of pulses of Cordilleran glacial discharge. The benthic radiocarbon anomalies in the Northeast Pacific contemporaneous with Cordilleran discharge events indicate a close coupling of ice-ocean dynamics throughout Marine Isotope Stage 2. These data are hard to reconcile with triggering in the North Atlantic or internal to the Laurentide ice sheet, requiring us to re-think both the mechanisms that generate Heinrich events and their far-field impacts.

Large fluctuations of dissolved oxygen in the Indian and Pacific oceans during Dansgaard-Oeschger oscillations caused by variations of North Atlantic Deep Water subduction

USGS Publications Warehouse

Schmittner, A.; Galbraith, E.D.; Hostetler, S.W.; Pedersen, Thomas F.; Zhang, R.

2007-01-01

Paleoclimate records from glacial Indian and Pacific oceans sediments document millennial-scale fluctuations of subsurface dissolved oxygen levels and denitrification coherent with North Atlantic temperature oscillations. Yet the mechanism of this teleconnection between the remote ocean basins remains elusive. Here we present model simulations of the oxygen and nitrogen cycles that explain how changes in deepwater subduction in the North Atlantic can cause large and synchronous variations of oxygen minimum zones, throughout the Northern Hemisphere of the Indian and Pacific oceans, consistent with the paleoclimate records. Cold periods in the North Atlantic are associated with reduced nutrient delivery to the upper Indo-Pacific oceans, thereby decreasing productivity. Reduced export production diminishes subsurface respiration of organic matter leading to higher oxygen concentrations and less denitrification. This effect of reduced oxygen consumption dominates at low latitudes. At high latitudes in the Southern Ocean and North Pacific, increased mixed layer depths and steepening of isopycnals improve ocean ventilation and oxygen supply to the subsurface. Atmospheric teleconnections through changes in wind-driven ocean circulation modify this basin-scale pattern regionally. These results suggest that changes in the Atlantic Ocean circulation, similar to those projected by climate models to possibly occur in the centuries to come because of anthropogenic climate warming, can have large effects on marine ecosystems and biogeochemical cycles even in remote areas. Copyright 2007 by the American Geophysical Union.

Academic Emergency Medicine Physicians' Knowledge of Mechanical Ventilation.

PubMed

Wilcox, Susan R; Strout, Tania D; Schneider, Jeffrey I; Mitchell, Patricia M; Smith, Jessica; Lutfy-Clayton, Lucienne; Marcolini, Evie G; Aydin, Ani; Seigel, Todd A; Richards, Jeremy B

2016-05-01

Although emergency physicians frequently intubate patients, management of mechanical ventilation has not been emphasized in emergency medicine (EM) education or clinical practice. The objective of this study was to quantify EM attendings' education, experience, and knowledge regarding mechanical ventilation in the emergency department. We developed a survey of academic EM attendings' educational experiences with ventilators and a knowledge assessment tool with nine clinical questions. EM attendings at key teaching hospitals for seven EM residency training programs in the northeastern United States were invited to participate in this survey study. We performed correlation and regression analyses to evaluate the relationship between attendings' scores on the assessment instrument and their training, education, and comfort with ventilation. Of 394 EM attendings surveyed, 211 responded (53.6%). Of respondents, 74.5% reported receiving three or fewer hours of ventilation-related education from EM sources over the past year and 98 (46%) reported receiving between 0-1 hour of education. The overall correct response rate for the assessment tool was 73.4%, with a standard deviation of 19.9. The factors associated with a higher score were completion of an EM residency, prior emphasis on mechanical ventilation during one's own residency, working in a setting where an emergency physician bears primary responsibility for ventilator management, and level of comfort with managing ventilated patients. Physicians' comfort was associated with the frequency of ventilator changes and EM management of ventilation, as well as hours of education. EM attendings report caring for mechanically ventilated patients frequently, but most receive fewer than three educational hours a year on mechanical ventilation, and nearly half receive 0-1 hour. Physicians' performance on an assessment tool for mechanical ventilation is most strongly correlated with their self-reported comfort with mechanical ventilation.

Ventilation requirements for control of occupancy odor and tobacco smoke odor: laboratory studies. Final report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cain, W.S.; Isseroff, R.; Leaderer, B.P.

1981-04-01

Experiments on occupancy odor addressed the question of why required ventilation rate per occupant increased progressively with increases in the number of persons in a space. In order to investigate ventilation requirements under approximately ideal conditions, we constructed an aluminum-lined environmental chamber with excellent control over environmental conditions and a ventilation system that provided rapid and uniform mixing of air. Psychophysical experiments on occupancy odor explored 47 different combinations of occupancy density, temperature and humidity, and ventilation rate. The experiments collected judgements both from visitors, who smelled air from the chamber only once every few minutes, and from occupants, whomore » remained in the chamber for an hour at a time. The judgements of visitors revealed that occupancy odor increased only gradually over time and rarely reached very high or objectionable levels. Judgements of occupants also revealed rather minor dissatisfaction. Only during combinations of high temperature and humidity did objectionability become more than a minor issue to either group. Experiments on cigarette smoking explored rates of 4, 8, and 16 cigarettes per hour under various environmental conditions and with ventilation rates as high as 68 cfm (34 L.s/sup -1/) per occupant. As soon as occupants lit cigarettes in the chamber, the odor level increased dramatically. At ventilation rates far greater than necessary to control occupancy odor, the odor from cigarette smoking remained quite intense. In general, the odor proved impossible to control adequately even with a ventilation rate of 68 cfm (34 L.s/sup -1/) per occupant (4 occupants) and even when only one occupant smoked at a time. As in the case of occupancy odor, a combination of high temperature and humidity exacerbated the odor problem.« less

The Perspective of Families With a Ventilator-Dependent Child at Home. A Literature Review.

PubMed

Falkson, Sandra; Knecht, Christiane; Hellmers, Claudia; Metzing, Sabine

This literature review gives an overview about the existing research concerning the experiences of families with a child with ventilation at home. The number of children with home-ventilation is increasing. Children who receive homecare have the possibility of growing up in their familiar environment and participate in social life. In comparison to children living in institutions, children at home show advantages in their physical, psychological, emotional, social and cognitive development. However, homecare of a child with ventilation places high demands on all family members. Parents assume divergent roles and live with losses. Especially mothers feel isolated, partially through self-imposed isolation. While parents are concerned about this dilemma, talk about their anxieties and strive for stability, children focus on other aspects of their life. They see the ventilator as a positive technique that helps them breathe. The children underline the importance of friends and would like to meet them without nurses in attendance. They strive for normalcy and independence like healthy children, asking for acceptance of themselves and their wishes. There are only few studies about the experience of families with a child with ventilator. Most studies are from the mother's perspective. Parents and children ascribe different importance to the ventilation. Further research should usefully explore the experiences of families with children using home-ventilation. The different perspectives of all family members have to be taken into consideration. Copyright © 2017 Elsevier Inc. All rights reserved.

Active Pacific meridional overturning circulation (PMOC) during the warm Pliocene.

PubMed

Burls, Natalie J; Fedorov, Alexey V; Sigman, Daniel M; Jaccard, Samuel L; Tiedemann, Ralf; Haug, Gerald H

2017-09-01

An essential element of modern ocean circulation and climate is the Atlantic meridional overturning circulation (AMOC), which includes deep-water formation in the subarctic North Atlantic. However, a comparable overturning circulation is absent in the Pacific, the world's largest ocean, where relatively fresh surface waters inhibit North Pacific deep convection. We present complementary measurement and modeling evidence that the warm, ~400-ppmv (parts per million by volume) CO 2 world of the Pliocene supported subarctic North Pacific deep-water formation and a Pacific meridional overturning circulation (PMOC) cell. In Pliocene subarctic North Pacific sediments, we report orbitally paced maxima in calcium carbonate accumulation rate, with accompanying pigment and total organic carbon measurements supporting deep-ocean ventilation-driven preservation as their cause. Together with high accumulation rates of biogenic opal, these findings require vigorous bidirectional communication between surface waters and interior waters down to ~3 km in the western subarctic North Pacific, implying deep convection. Redox-sensitive trace metal data provide further evidence of higher Pliocene deep-ocean ventilation before the 2.73-Ma (million years) transition. This observational analysis is supported by climate modeling results, demonstrating that atmospheric moisture transport changes, in response to the reduced meridional sea surface temperature gradients of the Pliocene, were capable of eroding the halocline, leading to deep-water formation in the western subarctic Pacific and a strong PMOC. This second Northern Hemisphere overturning cell has important implications for heat transport, the ocean/atmosphere cycle of carbon, and potentially the equilibrium response of the Pacific to global warming.

Leakage of fluid in different types of tracheal tubes.

PubMed

Winklmaier, U; Wüst, K; Schiller, S; Wallner, F

2006-10-01

The aim of this study was to evaluate leakage of liquids, i.e., water and saliva, past low-pressure cuffs of tracheostomy tubes. Three different types of tracheostomy tubes, TRACOE vario (TRACOE Medical GmbH, Germany), Rüsch Ultra-Tracheoflex (Rüsch GmbH, Germany), and Portex Blue Line Ultra (Smiths Medical, UK) were tested in isolated pig tracheas. Sixty samples (10 tubes each of 7- and 8-mm inner diameter of each type) were used. Four different experiments were devised: type 1 (water and artificial ventilation), type 2 (water and no artificial ventilation), type 3 (saliva and artificial ventilation), and type 4 (saliva and no artificial ventilation). Six milliliters of water or artificial saliva were infused over the cuff and the volume of fluid that leaked past the cuff was measured after 5, 10, and 15 min. Intracuff pressure was also measured three times. The saliva experiments resulted in less leakage than the water experiments. Leakage after treatment with water or artificial saliva is higher without artificial ventilation than with ventilation. The amount of leakage among the tubes with respect to manufacturer showed statistically significant results. However, there were no differences among tracheostomy tubes with respect to internal diameter.

Ventilation and infiltration in high-rise apartment buildings

DOE Office of Scientific and Technical Information (OSTI.GOV)

Diamond, R.C.; Feustel, H.E.; Dickerhoff, D.J.

1996-03-01

Air flow, air leakage measurements and numerical simulations were made on a 13-story apartment building to characterize the ventilation rates for the individual apartments. Parametric simulations were performed for specific conditions, e.g., height, orientation, outside temperature and wind speed. Our analysis of the air flow simulations suggest that the ventilation to the individual units varies considerably. With the mechanical ventilation system disabled and no wind, units at the lower level of the building have adequate ventilation only on days with high temperature differences, while units on higher floors have no ventilation at all. Units facing the windward side will bemore » over-ventilated when the building experiences wind directions between west and north. At the same time, leeward apartments did not experience any fresh air-because, in these cases, air flows enter the apartments from the corridor and exit through the exhaust shafts and the cracks in the facade. Even with the mechanical ventilation system operating, we found wide variation in the air flows to the individual apartments. In addition to the specific case presented here, these findings have more general implications for energy retrofits and health and comfort of occupants in high-rise apartment buildings.« less

Mine fire experiments and simulation with MFIRE

DOE Office of Scientific and Technical Information (OSTI.GOV)

Laage, L.W.; Yang, Hang

1995-12-31

A major concern of mine fires is the heat generated ventilation disturbances which can move products of combustion (POC) through unexpected passageways. Fire emergency planning requires simulation of the interaction of the fire and ventilation system to predict the state of the ventilation system and the subsequent distribution of temperatures and POC. Several computer models were developed by the U.S. Bureau of Mines (USBM) to perform this simulation. The most recent, MFIRE, simulates a mine`s ventilation system and its response to altered ventilation parameters such as the development of new mine workings or changes in ventilation control structures, external influencemore » such as varying outside temperatures, and internal influences such as fires. Extensive output allows quantitative analysis of the effects of the proposed alteration to die ventilation system. This paper describes recent USBM research to validate MFIRE`s calculation of temperature distribution in an airway due to a mine fire, as temperatures are the most significant source of ventilation disturbances. Fire tests were conducted at the Waldo Mine near Magdalena, NM. From these experiments, temperature profiles were developed as functions of time and distance from the fire and compared with simulations from MFIRE.« less

Punctuated Shutdown of Atlantic Meridional Overturning Circulation during Greenland Stadial 1.

PubMed

Hogg, Alan; Southon, John; Turney, Chris; Palmer, Jonathan; Bronk Ramsey, Christopher; Fenwick, Pavla; Boswijk, Gretel; Friedrich, Michael; Helle, Gerhard; Hughen, Konrad; Jones, Richard; Kromer, Bernd; Noronha, Alexandra; Reynard, Linda; Staff, Richard; Wacker, Lukas

2016-05-19

The Greenland Stadial 1 (GS-1; ~12.9 to 11.65 kyr cal BP) was a period of North Atlantic cooling, thought to have been initiated by North America fresh water runoff that caused a sustained reduction of North Atlantic Meridional Overturning Circulation (AMOC), resulting in an antiphase temperature response between the hemispheres (the 'bipolar seesaw'). Here we exploit sub-fossil New Zealand kauri trees to report the first securely dated, decadally-resolved atmospheric radiocarbon ((14)C) record spanning GS-1. By precisely aligning Southern and Northern Hemisphere tree-ring (14)C records with marine (14)C sequences we document two relatively short periods of AMOC collapse during the stadial, at ~12,920-12,640 cal BP and 12,050-11,900 cal BP. In addition, our data show that the interhemispheric atmospheric (14)C offset was close to zero prior to GS-1, before reaching 'near-modern' values at ~12,660 cal BP, consistent with synchronous recovery of overturning in both hemispheres and increased Southern Ocean ventilation. Hence, sustained North Atlantic cooling across GS-1 was not driven by a prolonged AMOC reduction but probably due to an equatorward migration of the Polar Front, reducing the advection of southwesterly air masses to high latitudes. Our findings suggest opposing hemispheric temperature trends were driven by atmospheric teleconnections, rather than AMOC changes.

Punctuated Shutdown of Atlantic Meridional Overturning Circulation during Greenland Stadial 1

PubMed Central

Hogg, Alan; Southon, John; Turney, Chris; Palmer, Jonathan; Bronk Ramsey, Christopher; Fenwick, Pavla; Boswijk, Gretel; Friedrich, Michael; Helle, Gerhard; Hughen, Konrad; Jones, Richard; Kromer, Bernd; Noronha, Alexandra; Reynard, Linda; Staff, Richard; Wacker, Lukas

2016-01-01

The Greenland Stadial 1 (GS-1; ~12.9 to 11.65 kyr cal BP) was a period of North Atlantic cooling, thought to have been initiated by North America fresh water runoff that caused a sustained reduction of North Atlantic Meridional Overturning Circulation (AMOC), resulting in an antiphase temperature response between the hemispheres (the ‘bipolar seesaw’). Here we exploit sub-fossil New Zealand kauri trees to report the first securely dated, decadally-resolved atmospheric radiocarbon (14C) record spanning GS-1. By precisely aligning Southern and Northern Hemisphere tree-ring 14C records with marine 14C sequences we document two relatively short periods of AMOC collapse during the stadial, at ~12,920-12,640 cal BP and 12,050-11,900 cal BP. In addition, our data show that the interhemispheric atmospheric 14C offset was close to zero prior to GS-1, before reaching ‘near-modern’ values at ~12,660 cal BP, consistent with synchronous recovery of overturning in both hemispheres and increased Southern Ocean ventilation. Hence, sustained North Atlantic cooling across GS-1 was not driven by a prolonged AMOC reduction but probably due to an equatorward migration of the Polar Front, reducing the advection of southwesterly air masses to high latitudes. Our findings suggest opposing hemispheric temperature trends were driven by atmospheric teleconnections, rather than AMOC changes. PMID:27194601

Two Distinct Roles of Atlantic SSTs in ENSO Variability: North Tropical Atlantic SST and Atlantic Nino

NASA Technical Reports Server (NTRS)

Ham, Yoo-Geun; Kug, Jong-Seong; Park, Jong-Yeon

2013-01-01

Two distinct roles of the Atlantic sea surface temperatures (SSTs), namely, the North Tropical Atlantic (NTA) SST and the Atlantic Nino, on the El Nino-Southern Oscillation (ENSO) variability are investigated using the observational data from 1980 to 2010 and coupled model experiments. It appears that the NTA SST and the Atlantic Nino can be used as two independent predictors for predicting the development of ENSO events in the following season. Furthermore, they are likely to be linked to different types of El Nino events. Specifically, the NTA SST cooling during February, March, and April contributes to the central Pacific warming at the subsequent winter season, while the negative Atlantic Nino event during June, July, and August contributes to enhancing the eastern Pacific warming. The coupled model experiments support these results. With the aid of a lagged inverse relationship, the statistical forecast using two Atlantic indices can successfully predict various ENSO indices.

Role of subsurface ocean in decadal climate predictability over the South Atlantic.

PubMed

Morioka, Yushi; Doi, Takeshi; Storto, Andrea; Masina, Simona; Behera, Swadhin K

2018-06-04

Decadal climate predictability in the South Atlantic is explored by performing reforecast experiments using a coupled general circulation model with two initialization schemes; one is assimilated with observed sea surface temperature (SST) only, and the other is additionally assimilated with observed subsurface ocean temperature and salinity. The South Atlantic is known to undergo decadal variability exhibiting a meridional dipole of SST anomalies through variations in the subtropical high and ocean heat transport. Decadal reforecast experiments in which only the model SST is initialized with the observation do not predict well the observed decadal SST variability in the South Atlantic, while the other experiments in which the model SST and subsurface ocean are initialized with the observation skillfully predict the observed decadal SST variability, particularly in the Southeast Atlantic. In-depth analysis of upper-ocean heat content reveals that a significant improvement of zonal heat transport in the Southeast Atlantic leads to skillful prediction of decadal SST variability there. These results demonstrate potential roles of subsurface ocean assimilation in the skillful prediction of decadal climate variability over the South Atlantic.

Examining pediatric emergency home ventilation practices in home health nurses: Opportunities for improved care.

PubMed

Kun, Sheila S; Beas, Virginia N; Keens, Thomas G; Ward, Sally S L; Gold, Jeffrey I

2015-07-01

To assess the pediatric home health nurses' knowledge in tracheostomy and ventilator emergency care on home mechanical ventilation (HMV). Emergencies are frightening experiences for solo home health nurses and require advanced skills in emergency response and care, especially in pediatric patients who pose unique challenges. Nurses with greater years of nursing experience would perform better on emergency HMV case-based scenarios than nurses with less years of experience. An exploratory online survey was used to evaluate emergency case-based pediatric scenarios. Demographic and professional experiences were profiled. Seventy-nine nurses had an average of 6.73 (SD = 1.41) years in pediatric nursing. Over 70% received their HMV training in their agency, 41% had less than 4 years of experience, and 30.4% had encountered at least one emergency situation at home. The online survey was distributed by managers of 22 home health agencies to nurses providing pediatric HMV care. Nurses scored an average of 4.87 out of 10 possible points. There were no significant differences between nurses with <4 years of experience versus those with more experience on ventilator alarms knowledge or total knowledge. Ninety-seven percent of the nurses favored more training in HMV from a variety of settings (e.g., agency, on-line training). Nurses did not perform well in case-based ventilator alarm scenarios. Length of nursing experience did not differentiate greater knowledge. It is clear that nurses require and want more training in emergency-based HMV. Recommendations for an enhanced curriculum are suggested. © 2014 Wiley Periodicals, Inc.

Older patients with late-stage COPD: Their illness experiences and involvement in decision-making regarding mechanical ventilation and noninvasive ventilation.

PubMed

Jerpseth, Heidi; Dahl, Vegard; Nortvedt, Per; Halvorsen, Kristin

2018-02-01

To explore the illness experiences of older patients with late-stage chronic obstructive pulmonary disease and to develop knowledge about how patients perceive their preferences to be taken into account in decision-making processes concerning mechanical ventilation and/or noninvasive ventilation. Decisions about whether older patients with late-stage chronic obstructive pulmonary disease will benefit from noninvasive ventilation treatment or whether the time has come for palliative treatment are complicated, both medically and ethically. Knowledge regarding patients' values and preferences concerning ventilation support is crucial yet often lacking. Qualitative design with a hermeneutic-phenomenological approach. The data consist of qualitative in-depth interviews with 12 patients from Norway diagnosed with late-stage chronic obstructive pulmonary disease. The data were analysed within the three interpretative contexts described by Kvale and Brinkmann. The participants described their lives as fragile and burdensome, frequently interrupted by unpredictable and frightening exacerbations. They lacked information about their diagnosis and prognosis and were often not included in decisions about noninvasive ventilation or mechanical ventilation. Findings indicate that these patients are highly vulnerable and have complex needs in terms of nursing care and medical treatment. Moreover, they need access to proactive advanced care planning and an opportunity to discuss their wishes for treatment and care. To provide competent care for these patients, healthcare personnel must be aware of how patients experience being seriously ill. Advanced care planning and shared decision-making should be initiated alongside the curative treatment. © 2017 John Wiley & Sons Ltd.

Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC).

PubMed

Kneyber, Martin C J; de Luca, Daniele; Calderini, Edoardo; Jarreau, Pierre-Henri; Javouhey, Etienne; Lopez-Herce, Jesus; Hammer, Jürg; Macrae, Duncan; Markhorst, Dick G; Medina, Alberto; Pons-Odena, Marti; Racca, Fabrizio; Wolf, Gerhard; Biban, Paolo; Brierley, Joe; Rimensberger, Peter C

2017-12-01

Much of the common practice in paediatric mechanical ventilation is based on personal experiences and what paediatric critical care practitioners have adopted from adult and neonatal experience. This presents a barrier to planning and interpretation of clinical trials on the use of specific and targeted interventions. We aim to establish a European consensus guideline on mechanical ventilation of critically children. The European Society for Paediatric and Neonatal Intensive Care initiated a consensus conference of international European experts in paediatric mechanical ventilation to provide recommendations using the Research and Development/University of California, Los Angeles, appropriateness method. An electronic literature search in PubMed and EMBASE was performed using a combination of medical subject heading terms and text words related to mechanical ventilation and disease-specific terms. The Paediatric Mechanical Ventilation Consensus Conference (PEMVECC) consisted of a panel of 15 experts who developed and voted on 152 recommendations related to the following topics: (1) general recommendations, (2) monitoring, (3) targets of oxygenation and ventilation, (4) supportive measures, (5) weaning and extubation readiness, (6) normal lungs, (7) obstructive diseases, (8) restrictive diseases, (9) mixed diseases, (10) chronically ventilated patients, (11) cardiac patients and (12) lung hypoplasia syndromes. There were 142 (93.4%) recommendations with "strong agreement". The final iteration of the recommendations had none with equipoise or disagreement. These recommendations should help to harmonise the approach to paediatric mechanical ventilation and can be proposed as a standard-of-care applicable in daily clinical practice and clinical research.

CFD and ventilation research.

PubMed

Li, Y; Nielsen, P V

2011-12-01

There has been a rapid growth of scientific literature on the application of computational fluid dynamics (CFD) in the research of ventilation and indoor air science. With a 1000-10,000 times increase in computer hardware capability in the past 20 years, CFD has become an integral part of scientific research and engineering development of complex air distribution and ventilation systems in buildings. This review discusses the major and specific challenges of CFD in terms of turbulence modelling, numerical approximation, and boundary conditions relevant to building ventilation. We emphasize the growing need for CFD verification and validation, suggest ongoing needs for analytical and experimental methods to support the numerical solutions, and discuss the growing capacity of CFD in opening up new research areas. We suggest that CFD has not become a replacement for experiment and theoretical analysis in ventilation research, rather it has become an increasingly important partner. We believe that an effective scientific approach for ventilation studies is still to combine experiments, theory, and CFD. We argue that CFD verification and validation are becoming more crucial than ever as more complex ventilation problems are solved. It is anticipated that ventilation problems at the city scale will be tackled by CFD in the next 10 years. © 2011 John Wiley & Sons A/S.

Characterization of natural ventilation in wastewater collection systems.

PubMed

Ward, Matthew; Corsi, Richard; Morton, Robert; Knapp, Tom; Apgar, Dirk; Quigley, Chris; Easter, Chris; Witherspoon, Jay; Pramanik, Amit; Parker, Wayne

2011-03-01

The purpose of the study was to characterize natural ventilation in full-scale gravity collection system components while measuring other parameters related to ventilation. Experiments were completed at four different locations in the wastewater collection systems of Los Angeles County Sanitation Districts, Los Angeles, California, and the King County Wastewater Treatment District, Seattle, Washington. The subject components were concrete gravity pipes ranging in diameter from 0.8 to 2.4 m (33 to 96 in.). Air velocity was measured in each pipe using a carbon-monoxide pulse tracer method. Air velocity was measured entering or exiting the components at vents using a standpipe and hotwire anemometer arrangement. Ambient wind speed, temperature, and relative humidity; headspace temperature and relative humidity; and wastewater flow and temperature were measured. The field experiments resulted in a large database of measured ventilation and related parameters characterizing ventilation in full-scale gravity sewers. Measured ventilation rates ranged from 23 to 840 L/s. The experimental data was used to evaluate existing ventilation models. Three models that were based upon empirical extrapolation, computational fluid dynamics, and thermodynamics, respectively, were evaluated based on predictive accuracy compared to the measured data. Strengths and weaknesses in each model were found and these observations were used to propose a concept for an improved ventilation model.

Transient tracer applications in the Southern Ocean

NASA Astrophysics Data System (ADS)

Stöven, T.; Tanhua, T.; Hoppema, M.

2014-10-01

Transient tracers can be used to constrain the Inverse-Gaussian transit time distribution (IG-TTD) and thus provide information about ocean ventilation. Individual transient tracers have different time and application ranges which are defined by their atmospheric history (chronological transient tracers) or their decay rate (radioactive transient tracers). The classification ranges from tracers for highly ventilated water masses, e.g. sulfur hexafluoride (SF6), the decay of Tritium (δ3H) and to some extent also dichlorodifluoromethane (CFC-12) to tracers for less ventilated deep ocean basins, e.g. CFC-12, Argon-39 (39Ar) and radiocarbon (14C). The IG-TTD can be empirically constrained by using transient tracer couples with sufficiently different input functions. Each tracer couple has specific characteristics which influence the application limit of the IG-TTD. Here we provide an overview of commonly used transient tracer couples and their validity areas within the IG-TTD by using the concept of tracer age differences (TAD). New measured CFC-12 and SF6 data from a section along 10° E in the Southern Ocean in 2012 are presented. These are combined with a similar data set of 1998 along 6° E in the Southern Ocean as well as with 39Ar data from the early 1980s in the western Atlantic Ocean and the Weddell Sea for investigating the application limit of the IG-TTD and to analyze changes in ventilation in the Southern Ocean. We found that the IG-TTD can be constrained south to 46° S which corresponds to the Subantarctic Front (SAF) denoting the application limit. The constrained IG-TTD north of the SAF shows a slight increase in mean ages between 1998 and 2012 in the upper 1200 m between 42-46° S. The absence of SF6 inhibits ventilation analyses below this depth. The time lag analysis between the 1998 and 2012 data shows an increase in ventilation down to 1000 m and a steady ventilation between 2000 m-bottom south of the SAF between 51-55° S.

A review of ventilated storage cask (VSC) system projects and experience

DOE Office of Scientific and Technical Information (OSTI.GOV)

McConaghy, W.

1995-12-31

First, the author discusses the ventilated storage cask (VSC) design and an operations summary is given. Next VSC project status at Palisades, Point Beach, Arkansas Nuclear One, Fast Flux Test Facility and Zaporozhye is discussed. Lastly, VSC operational experience and VSC transportation interfaces are reviewed.

Design and Evaluation of a Ventilated Garment for Use in Temperatures up to 200°C

PubMed Central

Crockford, G. W.; Hellon, R. F.

1964-01-01

The protection of personnel against high air and radiant temperatures is a problem that has been confronting industry for many years now, and for many industrial situations it still has not been solved. The experiments reported here were intended to determine the most suitable form of insulation for a hot entry suit for use primarily in furnace wrecking where mean radiant temperatures of 200°C. are met and where heat-reflecting garments are unsuitable due to the rapid deterioration of the reflecting surface. From a preliminary consideration of the problem it was concluded that a ventilated garment was required and that conventional ventilated garments in which air is induced to flow parallel to the body surfaces (axial ventilation) are basically unsound in design as the air is not utilized for the transfer of heat in the most efficient manner. A new form of ventilation was therefore developed in which air flows out through a permeable suit (radial ventilation). This form of ventilation produces what is called dynamic insulation, and this method of insulation, when compared with two alternative methods on a physical model, was found to be very effective. The model experiments were confirmed by comparative trials of three ventilated suits each using one of three different forms of insulation thought to be suitable for use in heat-protective clothing. Physiological measurements made on the subjects and physical measurement made on the suits confirmed that dynamic insulation is the most suitable insulation for a hot entry suit for furnace wrecking. With the air flows used in these experiments, dynamic insulation had a thermal conductance one-fifth that of conventional static insulation, and sweat losses and oral temperature rises were reduced by one-third and one-half respectively. PMID:14180476

Biological and physical controls in the Southern Ocean on past millennial-scale atmospheric CO2 changes.

PubMed

Gottschalk, Julia; Skinner, Luke C; Lippold, Jörg; Vogel, Hendrik; Frank, Norbert; Jaccard, Samuel L; Waelbroeck, Claire

2016-05-17

Millennial-scale climate changes during the last glacial period and deglaciation were accompanied by rapid changes in atmospheric CO2 that remain unexplained. While the role of the Southern Ocean as a 'control valve' on ocean-atmosphere CO2 exchange has been emphasized, the exact nature of this role, in particular the relative contributions of physical (for example, ocean dynamics and air-sea gas exchange) versus biological processes (for example, export productivity), remains poorly constrained. Here we combine reconstructions of bottom-water [O2], export production and (14)C ventilation ages in the sub-Antarctic Atlantic, and show that atmospheric CO2 pulses during the last glacial- and deglacial periods were consistently accompanied by decreases in the biological export of carbon and increases in deep-ocean ventilation via southern-sourced water masses. These findings demonstrate how the Southern Ocean's 'organic carbon pump' has exerted a tight control on atmospheric CO2, and thus global climate, specifically via a synergy of both physical and biological processes.

Biological and physical controls in the Southern Ocean on past millennial-scale atmospheric CO2 changes

PubMed Central

Gottschalk, Julia; Skinner, Luke C.; Lippold, Jörg; Vogel, Hendrik; Frank, Norbert; Jaccard, Samuel L.; Waelbroeck, Claire

2016-01-01

Millennial-scale climate changes during the last glacial period and deglaciation were accompanied by rapid changes in atmospheric CO2 that remain unexplained. While the role of the Southern Ocean as a 'control valve' on ocean–atmosphere CO2 exchange has been emphasized, the exact nature of this role, in particular the relative contributions of physical (for example, ocean dynamics and air–sea gas exchange) versus biological processes (for example, export productivity), remains poorly constrained. Here we combine reconstructions of bottom-water [O2], export production and 14C ventilation ages in the sub-Antarctic Atlantic, and show that atmospheric CO2 pulses during the last glacial- and deglacial periods were consistently accompanied by decreases in the biological export of carbon and increases in deep-ocean ventilation via southern-sourced water masses. These findings demonstrate how the Southern Ocean's 'organic carbon pump' has exerted a tight control on atmospheric CO2, and thus global climate, specifically via a synergy of both physical and biological processes. PMID:27187527

Active Pacific meridional overturning circulation (PMOC) during the warm Pliocene

DOE Office of Scientific and Technical Information (OSTI.GOV)

Burls, Natalie J.; Fedorov, Alexey V.; Sigman, Daniel M.

An essential element of modern ocean circulation and climate is the Atlantic meridional overturning circulation (AMOC), which includes deep-water formation in the subarctic North Atlantic. However, a comparable overturning circulation is absent in the Pacific, theworld’s largest ocean,where relatively fresh surface waters inhibitNorth Pacific deep convection. We present complementary measurement and modeling evidence that the warm, ~400–ppmv (parts per million by volume) CO 2 world of the Pliocene supported subarctic North Pacific deep-water formation and a Pacific meridional overturning circulation (PMOC) cell. In Pliocene subarctic North Pacific sediments, we report orbitally paced maxima in calcium carbonate accumulation rate, with accompanyingmore » pigment and total organic carbon measurements supporting deep-ocean ventilation-driven preservation as their cause. Together with high accumulation rates of biogenic opal, these findings require vigorous bidirectional communication between surface waters and interior waters down to ~3 km in the western subarctic North Pacific, implying deep convection. Redoxsensitive trace metal data provide further evidence of higher Pliocene deep-ocean ventilation before the 2.73-Ma (million years) transition. This observational analysis is supported by climate modeling results, demonstrating that atmospheric moisture transport changes, in response to the reduced meridional sea surface temperature gradients of the Pliocene, were capable of eroding the halocline, leading to deep-water formation in the western subarctic Pacific and a strong PMOC. This second Northern Hemisphere overturning cell has important implications for heat transport, the ocean/atmosphere cycle of carbon, and potentially the equilibrium response of the Pacific to global warming.« less

Active Pacific meridional overturning circulation (PMOC) during the warm Pliocene

PubMed Central

Burls, Natalie J.; Fedorov, Alexey V.; Sigman, Daniel M.; Jaccard, Samuel L.; Tiedemann, Ralf; Haug, Gerald H.

2017-01-01

An essential element of modern ocean circulation and climate is the Atlantic meridional overturning circulation (AMOC), which includes deep-water formation in the subarctic North Atlantic. However, a comparable overturning circulation is absent in the Pacific, the world’s largest ocean, where relatively fresh surface waters inhibit North Pacific deep convection. We present complementary measurement and modeling evidence that the warm, ~400–ppmv (parts per million by volume) CO2 world of the Pliocene supported subarctic North Pacific deep-water formation and a Pacific meridional overturning circulation (PMOC) cell. In Pliocene subarctic North Pacific sediments, we report orbitally paced maxima in calcium carbonate accumulation rate, with accompanying pigment and total organic carbon measurements supporting deep-ocean ventilation-driven preservation as their cause. Together with high accumulation rates of biogenic opal, these findings require vigorous bidirectional communication between surface waters and interior waters down to ~3 km in the western subarctic North Pacific, implying deep convection. Redox-sensitive trace metal data provide further evidence of higher Pliocene deep-ocean ventilation before the 2.73-Ma (million years) transition. This observational analysis is supported by climate modeling results, demonstrating that atmospheric moisture transport changes, in response to the reduced meridional sea surface temperature gradients of the Pliocene, were capable of eroding the halocline, leading to deep-water formation in the western subarctic Pacific and a strong PMOC. This second Northern Hemisphere overturning cell has important implications for heat transport, the ocean/atmosphere cycle of carbon, and potentially the equilibrium response of the Pacific to global warming. PMID:28924606

Active Pacific meridional overturning circulation (PMOC) during the warm Pliocene

DOE PAGES

Burls, Natalie J.; Fedorov, Alexey V.; Sigman, Daniel M.; ...

2017-09-13

An essential element of modern ocean circulation and climate is the Atlantic meridional overturning circulation (AMOC), which includes deep-water formation in the subarctic North Atlantic. However, a comparable overturning circulation is absent in the Pacific, theworld’s largest ocean,where relatively fresh surface waters inhibitNorth Pacific deep convection. We present complementary measurement and modeling evidence that the warm, ~400–ppmv (parts per million by volume) CO 2 world of the Pliocene supported subarctic North Pacific deep-water formation and a Pacific meridional overturning circulation (PMOC) cell. In Pliocene subarctic North Pacific sediments, we report orbitally paced maxima in calcium carbonate accumulation rate, with accompanyingmore » pigment and total organic carbon measurements supporting deep-ocean ventilation-driven preservation as their cause. Together with high accumulation rates of biogenic opal, these findings require vigorous bidirectional communication between surface waters and interior waters down to ~3 km in the western subarctic North Pacific, implying deep convection. Redoxsensitive trace metal data provide further evidence of higher Pliocene deep-ocean ventilation before the 2.73-Ma (million years) transition. This observational analysis is supported by climate modeling results, demonstrating that atmospheric moisture transport changes, in response to the reduced meridional sea surface temperature gradients of the Pliocene, were capable of eroding the halocline, leading to deep-water formation in the western subarctic Pacific and a strong PMOC. This second Northern Hemisphere overturning cell has important implications for heat transport, the ocean/atmosphere cycle of carbon, and potentially the equilibrium response of the Pacific to global warming.« less

Variability in mid-depth ventilation of the western Atlantic Ocean during the last deglaciation

NASA Astrophysics Data System (ADS)

Voigt, I.; Cruz, A. P. S.; Mulitza, S.; Chiessi, C. M.; Mackensen, A.; Lippold, J.; Antz, B.; Zabel, M.; Zhang, Y.; Barbosa, C. F.; Tisserand, A. A.

2017-09-01

Negative stable carbon isotopic excursions have been observed throughout most of the mid-depth ( 1000-3000 m) Atlantic Ocean during Heinrich Stadial 1 (HS1) and the Younger Dryas (YD). Although there is an agreement that these mid-depth excursions were in some way associated with a slowdown of the Atlantic Meridional Overturning Circulation (AMOC), there is still no consensus on the precise mechanism(s). Here we present benthic stable carbon and oxygen isotopic (δ13C and δ18O) records from five cores from the western equatorial Atlantic (WEA). Together with published benthic isotopic records from nearby cores, we produced a WEA depth transect ( 800-2500 m). We compare HS1 and YD data from this transect with data from previously published North and South Atlantic cores and demonstrate that the largest negative δ13C excursions occurred in the WEA during these times. Moreover, our benthic δ18O records require the presence of two water masses flowing from the Southern Ocean, bisected by a Northern Component Water (NCW). Given that δ18O is a conservative water mass tracer, we suggest that δ13C was decoupled from water mass composition and does not correspond to simple alternations between northern and southern sourced waters. Instead, δ13C behaved non-conservatively during HS1 and the YD. Consistently with our new 231Pa/230Th record from the WEA transect, that allowed the reconstruction of AMOC strength, we hypothesize that the negative δ13C excursions reflect an increase in the residence time of NCW in response to a weakened AMOC, allowing for a marked accumulation of 13C-depleted respired carbon at the mid-depth WEA.

Anthropogenic impacts on carbon uptake variability in the subtropical North Atlantic: 1992-2010

NASA Astrophysics Data System (ADS)

Tudino, Tobia; Messias, Marie-Jose; Mills, Benjamin J. W.; Watson, Andrew J.; Halloran, Paul R.; Bernardello, Raffaele; Torres-Valdés, Sinhue; Schuster, Ute; Williams, Richard G.; Wanninkhof, Rik

2017-04-01

Since 1860, anthropogenic emissions have increased atmospheric CO2 by more than 120ppm. The global ocean has lessened the accompanying climate impacts, taking up 33% of the emitted CO2, with the highest storage per unit area occurring in the North Atlantic. To investigate carbon uptake and storage in the subtropical North Atlantic, we compare three estimates of anthropogenic CO2 (Cant) with dissolved inorganic carbon (DIC) observations. We use data from a repeat (1992-2010) subtropical transect, where we find an average DIC increase of 1.06 μmol/(kg yr). We separate the observed DIC into five components: preindustrial, dissolved hard-tissue, regenerated soft-tissue, Cant, and surface air-sea disequilibrium. Among them, Cant increases approximately linearly over time (0.39-0.62 μmol/(kg yr), depending on the method adopted), contributing to the total DIC rise. Simultaneously, we observe a biologically driven increase (0.38 μmol/(kg yr)) in carbon from regenerated soft-tissue. We link this variation to the possible ongoing Atlantic meridional overturning circulation slow-down (2009-2010) and the associated strengthening of the biological pump. We expand our analysis by assessing outputs from an Earth system model between 1860 and 2100. In the preindustrial control (i.e. with no influence of anthropogenic CO2), we found a predominance of the biological pump in overall carbon uptake, while the industrial simulation leads to a comparable influence of the biological and physical pumps. We conclude that anthropogenic perturbation of the natural long-term variability in oceanic ventilation could affect the remineralized pool of carbon in the subtropical North Atlantic, potentially making it a higher sink for carbon than previously thought.

On the glacial and inter-glacial thermohaline circulation and the associated transports of heat and freshwater

NASA Astrophysics Data System (ADS)

Ballarotta, M.; Falahat, S.; Brodeau, L.; Döös, K.

2014-03-01

The change of the thermohaline circulation (THC) between the Last Glacial Maximum (LGM, ≈ 21 kyr ago) and the present day climate are explored using an Ocean General Circulation Model and stream functions projected in various coordinates. Compared to the present day period, the LGM circulation is reorganised in the Atlantic Ocean, in the Southern Ocean and particularly in the abyssal ocean, mainly due to the different haline stratification. Due to stronger wind stress, the LGM tropical circulation is more vigorous than under modern conditions. Consequently, the maximum tropical transport of heat is slightly larger during the LGM. In the North Atlantic basin, the large sea-ice extent during the LGM constrains the Gulf Stream to propagate in a more zonal direction, reducing the transport of heat towards high latitudes and reorganising the freshwater transport. The LGM circulation is represented as a large intrusion of saline Antarctic Bottom Water into the Northern Hemisphere basins. As a result, the North Atlantic Deep Water is shallower in the LGM simulation. The stream functions in latitude-salinity coordinates and thermohaline coordinates point out the different haline regimes between the glacial and interglacial period, as well as a LGM Conveyor Belt circulation largely driven by enhanced salinity contrast between the Atlantic and the Pacific basin. The thermohaline structure in the LGM simulation is the result of an abyssal circulation that lifts and deviates the Conveyor Belt cell from the area of maximum volumetric distribution, resulting in a ventilated upper layer above a deep stagnant layer, and an Atlantic circulation more isolated from the Pacific. An estimation of the turnover times reveal a deep circulation almost sluggish during the LGM, and a Conveyor Belt cell more vigorous due to the combination of stronger wind stress and shortened circulation route.

How predictable are equatorial Atlantic surface winds?

NASA Astrophysics Data System (ADS)

Richter, Ingo; Doi, Takeshi; Behera, Swadhin

2017-04-01

Sensitivity tests with the SINTEX-F general circulation model (GCM) as well as experiments from the Coupled Model Intercomparison Project phase 5 (CMIP5) are used to examine the extent to which sea-surface temperature (SST) anomalies contribute to the variability and predictability of monthly mean surface winds in the equatorial Atlantic. In the SINTEX-F experiments, a control experiment with prescribed observed SST for the period 1982-2014 is modified by inserting climatological values in certain regions, thereby eliminating SST anomalies. When SSTs are set to climatology in the tropical Atlantic only (30S to 30N), surface wind variability over the equatorial Atlantic (5S-5N) decreases by about 40% in April-May-June (AMJ). This suggests that about 60% of surface wind variability is due to either internal atmospheric variability or SSTs anomalies outside the tropical Atlantic. A further experiment with climatological SSTs in the equatorial Pacific indicates that another 10% of variability in AMJ may be due to remote influences from that basin. Experiments from the CMIP5 archive, in which climatological SSTs are prescribed globally, tend to confirm the results from SINTEX-F but show a wide spread. In some models, the equatorial Atlantic surface wind variability decreases by more than 90%, while in others it even increases. Overall, the results suggest that about 50-60% of surface wind variance in AMJ is predictable, while the rest is due to internal atmospheric variability. Other months show significantly lower predictability. The relatively strong internal variability as well as the influence of remote SSTs suggest a limited role for coupled ocean-atmosphere feedbacks in equatorial Atlantic variability.

Summary of human responses to ventilation.

PubMed

Seppänen, O A; Fisk, W J

2004-01-01

It is known that ventilation is necessary to remove indoor-generated pollutants from indoor air or dilute their concentration to acceptable levels. But as the limit values of all pollutants are not known the exact determination of required ventilation rates based on pollutant concentrations is seldom possible. The selection of ventilation rates has to be based also on epidemiological research, laboratory and field experiments and experience. The existing literature indicates that ventilation has a significant impact on several important human outcomes including: (1) communicable respiratory illnesses; (2) sick building syndrome symptoms; (3) task performance and productivity, and (4) perceived air quality (PAQ) among occupants or sensory panels (5) respiratory allergies and asthma. In many studies, prevalence of sick building syndrome symptoms has also been associated with characteristics of HVAC-systems. Often the prevalence of SBS symptoms is higher in air-conditioned buildings than in naturally ventilated buildings. The evidence suggests that better hygiene, commissioning, operation and maintenance of air handling systems may be particularly important for reducing the negative effects of HVAC systems. Ventilation may also have harmful effects on indoor air quality and climate if not properly designed, installed, maintained and operated. Ventilation may bring indoors harmful substances or deteriorate indoor environment. Ventilation interacts also with the building envelope and may deteriorate the structures of the building. Ventilation changes the pressure differences across the structures of building and may cause or prevent infiltration of pollutants from structures or adjacent spaces. Ventilation is also in many cases used to control the thermal environment or humidity in buildings. The paper summarises the current knowledge on positive and negative effects of ventilation on health and other human responses. The focus is on office-type working environment and residential buildings. The review shows that ventilation has various positive impacts on health and productivity of building occupants. Ventilation reduces the prevalence of airborne infectious diseases and thus the number of sick leave days. In office environment a ventilation rate up to 20-25 L/s per person seem to decrease the prevalence of SBS-symptoms. Air conditioning systems may increase the prevalence of SBS-symptoms relative to natural ventilation if not clean. In residential buildings the air change rate in cold climates should not be below app. 0.5 ach. Ventilation systems may cause pressure differences over the building envelope and bring harmful pollutants indoors.

Deep South Atlantic carbonate chemistry and increased interocean deep water exchange during last deglaciation

NASA Astrophysics Data System (ADS)

Yu, Jimin; Anderson, Robert F.; Jin, Zhangdong; Menviel, Laurie; Zhang, Fei; Ryerson, Fredrick J.; Rohling, Eelco J.

2014-04-01

Carbon release from the deep ocean at glacial terminations is a critical component of past climate change, but the underlying mechanisms remain poorly understood. We present a 28,000-year high-resolution record of carbonate ion concentration, a key parameter of the global carbon cycle, at 5-km water depth in the South Atlantic. We observe similar carbonate ion concentrations between the Last Glacial Maximum and the late Holocene, despite elevated concentrations in the glacial surface ocean. This strongly supports the importance of respiratory carbon accumulation in a stratified deep ocean for atmospheric CO2 reduction during the last ice age. After ˜9 μmol/kg decline during Heinrich Stadial 1, deep South Atlantic carbonate ion concentration rose by ˜24 μmol/kg from the onset of Bølling to Pre-boreal, likely caused by strengthening North Atlantic Deep Water formation (Bølling) or increased ventilation in the Southern Ocean (Younger Drays) or both (Pre-boreal). The ˜15 μmol/kg decline in deep water carbonate ion since ˜10 ka is consistent with extraction of alkalinity from seawater by deep-sea CaCO3 compensation and coral reef growth on continental shelves during the Holocene. Between 16,600 and 15,000 years ago, deep South Atlantic carbonate ion values converged with those at 3.4-km water depth in the western equatorial Pacific, as did carbon isotope and radiocarbon values. These observations suggest a period of enhanced lateral exchange of carbon between the deep South Atlantic and Pacific Oceans, probably due to an increased transfer of momentum from southern westerlies to the Southern Ocean. By spreading carbon-rich deep Pacific waters around Antarctica for upwelling, invigorated interocean deep water exchange would lead to more efficient CO2 degassing from the Southern Ocean, and thus to an atmospheric CO2 rise, during the early deglaciation.

Numerical simulation of volume-controlled mechanical ventilated respiratory system with 2 different lungs.

PubMed

Shi, Yan; Zhang, Bolun; Cai, Maolin; Zhang, Xiaohua Douglas

2017-09-01

Mechanical ventilation is a key therapy for patients who cannot breathe adequately by themselves, and dynamics of mechanical ventilation system is of great significance for life support of patients. Recently, models of mechanical ventilated respiratory system with 1 lung are used to simulate the respiratory system of patients. However, humans have 2 lungs. When the respiratory characteristics of 2 lungs are different, a single-lung model cannot reflect real respiratory system. In this paper, to illustrate dynamic characteristics of mechanical ventilated respiratory system with 2 different lungs, we propose a mathematical model of mechanical ventilated respiratory system with 2 different lungs and conduct experiments to verify the model. Furthermore, we study the dynamics of mechanical ventilated respiratory system with 2 different lungs. This research study can be used for improving the efficiency and safety of volume-controlled mechanical ventilation system. Copyright © 2016 John Wiley & Sons, Ltd.

Evaluating the effects of protective ventilation on organ-specific cytokine production in porcine experimental postoperative sepsis.

PubMed

Sperber, Jesper; Lipcsey, Miklós; Larsson, Anders; Larsson, Anders; Sjölin, Jan; Castegren, Markus

2015-05-10

Protective ventilation with lower tidal volume (VT) and higher positive end-expiratory pressure (PEEP) reduces the negative additive effects of mechanical ventilation during systemic inflammatory response syndrome. We hypothesised that protective ventilation during surgery would affect the organ-specific immune response in an experimental animal model of endotoxin-induced sepsis-like syndrome. 30 pigs were laparotomised for 2 hours (h), after which a continuous endotoxin infusion was started at 0.25 micrograms × kg(-1) × h(-1) for 5 h. Catheters were placed in the carotid artery, hepatic vein, portal vein and jugular bulb. Animals were randomised to two protective ventilation groups (n = 10 each): one group was ventilated with VT 6 mL × kg(-1) during the whole experiment while the other group was ventilated during the surgical phase with VT of 10 mL × kg(-1). In both groups PEEP was 5 cmH2O during surgery and increased to 10 cmH2O at the start of endotoxin infusion. A control group (n = 10) was ventilated with VT of 10 mL × kg(-1) and PEEP 5 cm H20 throughout the experiment. In four sample locations we a) simultaneously compared cytokine levels, b) studied the effect of protective ventilation initiated before and during endotoxemia and c) evaluated protective ventilation on organ-specific cytokine levels. TNF-alpha levels were highest in the hepatic vein, IL-6 levels highest in the artery and jugular bulb and IL-10 levels lowest in the artery. Protective ventilation initiated before and during endotoxemia did not differ in organ-specific cytokine levels. Protective ventilation led to lower levels of TNF-alpha in the hepatic vein compared with the control group, whereas no significant differences were seen in the artery, portal vein or jugular bulb. Variation between organs in cytokine output was observed during experimental sepsis. We see no implication from cytokine levels for initiating protective ventilation before endotoxemia. However, during endotoxemia protective ventilation attenuates hepatic inflammatory cytokine output contributing to a reduced total inflammatory burden.

Intraoperative mechanical ventilation for the pediatric patient.

PubMed

Kneyber, Martin C J

2015-09-01

Invasive mechanical ventilation is required when children undergo general anesthesia for any procedure. It is remarkable that one of the most practiced interventions such as pediatric mechanical ventilation is hardly supported by any scientific evidence but rather based on personal experience and data from adults, especially as ventilation itself is increasingly recognized as a harmful intervention that causes ventilator-induced lung injury. The use of low tidal volume and higher levels of positive end-expiratory pressure became an integral part of lung-protective ventilation following the outcomes of clinical trials in critically ill adults. This approach has been readily adopted in pediatric ventilation. However, a clear association between tidal volume and mortality has not been ascertained in pediatrics. In fact, experimental studies have suggested that young children might be less susceptible to ventilator-induced lung injury. As such, no recommendations on optimal lung-protective ventilation strategy in children with or without lung injury can be made. Copyright © 2015 Elsevier Ltd. All rights reserved.

Ventilation of the deep Southern Ocean and changes in atmospheric CO2 during the last deglacial and glacial periods

NASA Astrophysics Data System (ADS)

Gottschalk, J.; Skinner, L. C.; Lippold, J. A.; Jaccard, S.; Vogel, H.; Frank, N.; Waelbroeck, C.

2014-12-01

The Southern Ocean is thought to have played a key role in atmospheric CO2 (CO2,atm) variations, both via its role in bringing carbon-rich deep-waters into contact with the atmosphere, and via its capacity for enhanced biologically mediated carbon export into the deep sea. The governing mechanisms of millennial scale rises in CO2,atm during the last deglacial and glacial periods have been linked controversially either with variations in biological export productivity, possibly driven by fluctuations in airborne dust supply, or to variations in southern high-latitude vertical mixing, possibly driven by changes in westerly wind stress or density stratification across the Southern Ocean water column. However, the impact of these processes on deep, southern high-latitude carbon sequestration and ocean-atmosphere CO2 exchange remain ambiguous. We present proxy evidence for the link between deep carbon storage in the sub-Antarctic Atlantic with changes in CO2,atm during the last 70 ka from sub-millennially resolved changes in bottom water oxygenation based on the uranium accumulation in authigenic coatings on foraminiferal shells and the δ13C offset between epibenthic and infaunal foraminifera (Δδ13C). We compare our results with reconstructed opal fluxes and sediment model output data to assess the impact of physical and biological processes on Southern Ocean carbon storage. While variations in sub-Antarctic Atlantic export production are intrinsically linked with changes in airborne dust supply supporting the major impact of dust on the biological soft-tissue pump, they cannot account for observed changes in pore water organic carbon respiration indicated by increasing Δδ13C and therefore, bottom water oxygen changes in the deep sub-Antarctic Atlantic. This is in strong support of millennial-scale fluctuations in deep Southern Ocean carbon storage primarily controlled by the ventilation of the deep ocean by southern-sourced water masses, which emphasize the strong control of vertical mixing and upwelling of CO2-rich water masses in the Southern Ocean on the ocean-atmosphere exchange of CO2 and variation in CO2,atm over both glacial-interglacial and millennial time scales.

Analysis on ventilation pressure of fire area in longitudinal ventilation of underground tunnel

NASA Astrophysics Data System (ADS)

Li, Jiaxin; Li, Yanfeng; Feng, Xiao; Li, Junmei

2018-03-01

In order to solve the problem of ventilation pressure loss in the fire area under the fire condition, the wind pressure loss model of the fire area is established based on the thermodynamic equilibrium relation. The semi-empirical calculation formula is obtained by using the model experiment and CFD simulation. The validity of the formula is verified. The results show that the ventilation pressure loss in the fire zone is proportional to the convective heat release rate at the critical velocity, which is inversely proportional to the upstream ventilation velocity and the tunnel cross-sectional area. The proposed formula is consistent with the law of the tunnel fire test fitting formula that results are close, in contrast, the advantage lies in a clear theoretical basis and ventilation velocity values. The resistance of road tunnel ventilation system is calculated accurately and reliably, and then an effective emergency ventilation operation program is developed. It is necessary to consider the fire zone ventilation pressure loss. The proposed ventilation pressure loss formula can be used for design calculation after thorough verification.

Late Eocene stable isotope stratigraphy of North Atlantic IODP Site U1411: Orbitally paced climatic heartbeat at the close of the Eocene greenhouse

NASA Astrophysics Data System (ADS)

Coxall, Helen; Bohaty, Steve; Wilson, Paul; Liebrand, Diederik; Nyberg, Anna; Holmström, Max

2016-04-01

Integrated Ocean Drilling Program (IODP) Expedition 342 drilled sediment drifts on the Newfoundland margin to recover high-resolution records of North Atlantic ocean-climate history and track the evolution of the modern climate system through the Late Cretaceous and Early Cenozoic. An early Paleogene deep-sea benthic stable isotope composite record from multiple Exp. 342 sites is currently in development and will provide a key reference section for investigations of Atlantic and global climate dynamics. This study presents initial results for the late Eocene slice of the composite from Site U1411, located at mid depth (˜2850m Eocene paleodepth) on the Southeast Newfoundland Ridge. Stable oxygen (δ18O) and carbon (δ13C) isotope ratios were measured on 640 samples hosting exceptionally well-preserved epifaunal benthic foraminifera obtained from the microfossil-rich uppermost Eocene clays at 4cm spacing. Sedimentation rates average 2-3 cm/kyr through the late Eocene, such that our sampling resolution is sufficient to capture the dominant Milankovitch frequencies. Late Eocene Site U1411 benthic δ18O values (1.4 to 0.5‰ VPDB) are comparable to the Pacific and elsewhere in the Atlantic at similar depths; however, δ13C is lower by ˜0.5 ‰ with values intermediate between those of the Southern Labrador Sea to the north (-1 to 0) and mid latitude/South Atlantic (0.5 to 1.5) to the south, suggesting poorly ventilated bottom waters in the late Eocene North Atlantic and limited production of North Atlantic deep water. Applying the initial shipboard magneto-biostratigraphic age framework, the Site U1411 benthic δ13C and δ18O records display clear cyclicity on orbital timescales. Spectral analysis of the raw unfiltered datasets identifies eccentricity (400 and 100 kyr), obliquity (40 kyr) and precession (˜20 kyr) signals imprinted on our time series, revealing distinct climatic heart beats in the late Eocene prior to the transition into the 'ice house'.

Effect of Sulfate Aerosol Geoengineering on Tropical cyclones

NASA Astrophysics Data System (ADS)

Wang, Q.; Moore, J.; Ji, D.

2017-12-01

Variation in tropical cyclone (TC) number and intensity is driven in part by changes in the thermodynamics that can be defined by ocean and atmospheric variables. Genesis Potential Index (GPI) and ventilation index (VI) are combinations of potential intensity, vertical wind shear, relative humidity, midlevel entropy deficit, and absolute vorticity that quantify thermodynamic forcing of TC activity under changed climates, and can be calculated from climate model output. Here we use five CMIP5 models running the RCP45 experiment the Geoengineering Model Intercomparison Project (GeoMIP) stratospheric aerosol injection G4 experiment to calculate the two indices over the 2020 to 2069 period. Globally, GPI under G4 is lower than under RCP45, though both have a slight increasing trend. Spatial patterns in the relative effectiveness of geoengineering show reductions in TC in all models in the North Atlantic basin, and northern Indian Ocean in all except NorESM1-M. In the North Pacific, most models also show relative reductions under G4. VI generally coincide with the GPI patterns. Most models project Potential intensity and Relative Humidity to be the dominant variable to affect genesis potential. Changes in vertical wind shear and vorticity are small with scatter across different models and ocean basins. We find that tropopause temperature maybe as important as sea surface temperature in effecting TC genesis. Thus stratospheric aerosol geoengineering impacts on potential intensity and hence TC intensity are reasonably consistent, but probably underestimated by statistical forecasts of Tropical North Atlantic hurricane activity driven by sea surface temperatures alone. However the impacts of geoengineering on other ocean basins are more difficult to assess, and require more complete understanding of their driving parameters under present day climates. Furthermore, the possible effects of stratospheric injection on chemical reactions in the stratosphere, such as ozone, are not well rendered in the models used so far.

Habitat selection and overlap of Atlantic salmon and smallmouth bass juveniles in nursery streams

USGS Publications Warehouse

Wathen, G.; Coghlan, S.M.; Zydlewski, Joseph D.; Trial, J.G.

2011-01-01

Introduced smallmouth bass Micropterus dolomieu have invaded much of the historic freshwater habitat of Atlantic salmon Salmo salar in North America, yet little is known about the ecological interactions between the two species. We investigated the possibility of competition for habitat between age-0 Atlantic salmon and age-0 and age-1 smallmouth bass by means of in situ observations and a mesocosm experiment. We used snorkel observation to identify the degree and timing of overlap in habitat use in our in situ observations and to describe habitat shifts by Atlantic salmon in the presence of smallmouth bass in our mesocosm experiments. In late July 2008, we observed substantial overlap in the depths and mean water column velocities used by both species in sympatric in situ conditions and an apparent shift by age-0 Atlantic salmon to shallower water that coincided with the period of high overlap. In the mesocosm experiments, we detected no overlap or habitat shifts by age-0 Atlantic salmon in the presence age-1 smallmouth bass and low overlap and no habitat shifts of Atlantic salmon and age-0 smallmouth bass in fall 2009. In 2009, summer floods with sustained high flows and low temperatures resulted in the nearly complete reproductive failure of the smallmouth bass in our study streams, and we did not observe a midsummer habitat shift by Atlantic salmon similar to that seen in 2008. Although this prevented us from replicating our 2008 experiments under similar conditions, the virtual year-class failure of smallmouth bass itself is enlightening. We suggest that future studies incorporate the effects of varying temperature and discharge to determine how abiotic factors affect the interactions between these species and thus mediate the outcomes of potential competition.

Role of tropical Indian and Atlantic Oceans variability on ENSO

NASA Astrophysics Data System (ADS)

Prodhomme, Chloé; Terray, Pascal; Masson, Sebastien; Boschat, Ghyslaine

2014-05-01

There are strong evidences of an interaction between tropical Indian, Atlantic and Pacific Oceans. Nevertheless, these interactions remain deeply controversial. While some authors claim the tropical Indian and Atlantic oceans only play a passive role with respect to ENSO, others suggest a driving role for these two basins on ENSO. The mecanisms underlying these relations are not fully understood and, in the Indian Ocean, the possible role of both modes of tropical variability (the Indian Ocean Dipole (IOD) and the Indian Ocean Basin mode (IOB)) remain unclear. To better quantify and understand how the variability of the tropical Indian and Atlantic Oceans impact ENSO variability, we performed two sensitivity experiments using the SINTEX-F2 coupled model. For each experiment, we suppressed the variability of SST and the air-sea coupling in either the tropical Indian Ocean or tropical Atlantic Ocean by applying a strong nudging of the SST to the observed SST climatology. In both experiments, the ENSO periodicity increases. In the Atlantic experiment, our understanding of this increased periodicity is drastically limited by the strongly biased mean state in this region. Conversely, in the Indian Ocean experiment, the increase of ENSO periodicity is related to the absence of the IOB following the El Niño peak, which leads to a decrease of westerly winds in the western Pacific during late winter and spring after the peak. These weaker westerlies hinders the transition to a La Niña phase and thus increase the duration and periodicity of the event.

Natural ventilation for the prevention of airborne contagion.

PubMed

Escombe, A Roderick; Oeser, Clarissa C; Gilman, Robert H; Navincopa, Marcos; Ticona, Eduardo; Pan, William; Martínez, Carlos; Chacaltana, Jesus; Rodríguez, Richard; Moore, David A J; Friedland, Jon S; Evans, Carlton A

2007-02-01

Institutional transmission of airborne infections such as tuberculosis (TB) is an important public health problem, especially in resource-limited settings where protective measures such as negative-pressure isolation rooms are difficult to implement. Natural ventilation may offer a low-cost alternative. Our objective was to investigate the rates, determinants, and effects of natural ventilation in health care settings. The study was carried out in eight hospitals in Lima, Peru; five were hospitals of "old-fashioned" design built pre-1950, and three of "modern" design, built 1970-1990. In these hospitals 70 naturally ventilated clinical rooms where infectious patients are likely to be encountered were studied. These included respiratory isolation rooms, TB wards, respiratory wards, general medical wards, outpatient consulting rooms, waiting rooms, and emergency departments. These rooms were compared with 12 mechanically ventilated negative-pressure respiratory isolation rooms built post-2000. Ventilation was measured using a carbon dioxide tracer gas technique in 368 experiments. Architectural and environmental variables were measured. For each experiment, infection risk was estimated for TB exposure using the Wells-Riley model of airborne infection. We found that opening windows and doors provided median ventilation of 28 air changes/hour (ACH), more than double that of mechanically ventilated negative-pressure rooms ventilated at the 12 ACH recommended for high-risk areas, and 18 times that with windows and doors closed (p < 0.001). Facilities built more than 50 years ago, characterised by large windows and high ceilings, had greater ventilation than modern naturally ventilated rooms (40 versus 17 ACH; p < 0.001). Even within the lowest quartile of wind speeds, natural ventilation exceeded mechanical (p < 0.001). The Wells-Riley airborne infection model predicted that in mechanically ventilated rooms 39% of susceptible individuals would become infected following 24 h of exposure to untreated TB patients of infectiousness characterised in a well-documented outbreak. This infection rate compared with 33% in modern and 11% in pre-1950 naturally ventilated facilities with windows and doors open. Opening windows and doors maximises natural ventilation so that the risk of airborne contagion is much lower than with costly, maintenance-requiring mechanical ventilation systems. Old-fashioned clinical areas with high ceilings and large windows provide greatest protection. Natural ventilation costs little and is maintenance free, and is particularly suited to limited-resource settings and tropical climates, where the burden of TB and institutional TB transmission is highest. In settings where respiratory isolation is difficult and climate permits, windows and doors should be opened to reduce the risk of airborne contagion.

Seasonal predictions of equatorial Atlantic SST in a low-resolution CGCM with surface heat flux correction

NASA Astrophysics Data System (ADS)

Dippe, Tina; Greatbatch, Richard; Ding, Hui

2016-04-01

The dominant mode of interannual variability in tropical Atlantic sea surface temperatures (SSTs) is the Atlantic Niño or Zonal Mode. Akin to the El Niño-Southern Oscillation in the Pacific sector, it is able to impact the climate both of the adjacent equatorial African continent and remote regions. Due to heavy biases in the mean state climate of the equatorial-to-subtropical Atlantic, however, most state-of-the-art coupled global climate models (CGCMs) are unable to realistically simulate equatorial Atlantic variability. In this study, the Kiel Climate Model (KCM) is used to investigate the impact of a simple bias alleviation technique on the predictability of equatorial Atlantic SSTs. Two sets of seasonal forecasting experiments are performed: An experiment using the standard KCM (STD), and an experiment with additional surface heat flux correction (FLX) that efficiently removes the SST bias from simulations. Initial conditions for both experiments are generated by the KCM run in partially coupled mode, a simple assimilation technique that forces the KCM with observed wind stress anomalies and preserves SST as a fully prognostic variable. Seasonal predictions for both sets of experiments are run four times yearly for 1981-2012. Results: Heat flux correction substantially improves the simulated variability in the initialization runs for boreal summer and fall (June-October). In boreal spring (March-May), however, neither the initialization runs of the STD or FLX-experiments are able to capture the observed variability. FLX-predictions show no consistent enhancement of skill relative to the predictions of the STD experiment over the course of the year. The skill of persistence forecasts is hardly beat by either of the two experiments in any season, limiting the usefulness of the few forecasts that show significant skill. However, FLX-forecasts initialized in May recover skill in July and August, the peak season of the Atlantic Niño (anomaly correlation coefficients of about 0.3). Further study is necessary to determine the mechanism that drives this potentially useful recovery.

Implementation of an institutional program to improve clinical and financial outcomes of mechanically ventilated patients: one-year outcomes and lessons learned.

PubMed

Burns, Suzanne M; Earven, Sidenia; Fisher, Charles; Lewis, Rose; Merrell, Paul; Schubart, Jane R; Truwit, Jonathon D; Bleck, Thomas P

2003-12-01

To determine the effect of an institutional approach to the care of patients requiring mechanical ventilation for longer than three consecutive days in five adult intensive care units (ICU) on clinical and financial outcomes. A multidisciplinary team was selected from five adult ICUs to design the approach. Planning occurred from August 1999 to September 2000. The process was called outcomes management (OM) and included an evidence-based clinical pathway, protocols for weaning and sedation use, and the selection of four advanced practice nurses (called outcomes managers) to manage and monitor the program. The project was completed in a 550-bed mid-Atlantic academic medical center. The ICUs included the following: coronary care, medical ICU, neuroscience ICU, surgical trauma ICU, and thoracic cardiovascular ICU. The sample included 595 pre-OM patients and 510 post-OM patients mechanically ventilated for greater than three consecutive days. Full implementation of the OM approach occurred in March 2001. Retrospective baseline (18 months pre-OM) and prospective (12 months OM) clinical and financial data were compared. Statistically significant differences in clinical outcomes were demonstrated in the managed patients compared with those managed before the institutional approach. Outcomes include ventilator duration (median days declined from ten to nine; p =.0001), ICU length of stay (median days declined from 15 to 12; p =.0008), hospital length of stay (median days declined from 22 to 20; p =.0001), and mortality rate (declined from 38% to 31%, p =.02). More than 3,000,000 US dollars cost savings were realized in the OM group. This institutional approach to the care of patients ventilated >3 days improved all clinical and financial outcomes of interest. To date, few similar initiatives have demonstrated similar results. The approach and lessons learned in this process improvement project may be helpful to other institutions attempting to improve outcomes in this vulnerable population.

[Effectiveness of nasal positive pressure ventilation in the management of acute refractory left ventricular insufficiency].

PubMed

Chesi, G; Pinelli, G; Galimberti, D; Navazio, A; Montanari, P

1994-04-01

Ehen refractory to optimal medical treatment cardiogenic pulmonary edema requires mechanical ventilation as a last therapeutic resource. In recent years an increasing number of authors reported their experience in the management of acute or subacute respiratory failure with non-invasive mechanical ventilation by nasal mask. Encouraged by the first promising results reported in literature we experimented this new therapeutic tool in a first group of seven elderly patients (mean age: 76.57--range: 65-89); they all had been admitted for severe cardiogenic pulmonary edema unresponsive to maximal doses of the conventional drugs available for treating acute decompensated heart failure. The enrolled patients were treated with intermittent ventilation administered by nasal mask at selected values of inspiratory positive airway pressure (IPAP) that were comprised between 10 and 20 cm H2O. At the same time an expiratory positive airway pressure (EPAP) at values comprised between 3 and 8 cm H2O was applied. Ventilation was continued for variable periods of 3-24 hours until acceptable values of PaO2 and PaCO2 were obtained. The ventilation modality was spontaneous, spontaneous-time or timed depending on the patients' level of consciousness at starting time. A good short-term outcome was achieved in all the patients regardless of the ventilation modality applied. The main blood gas alteration was severe hypercapnia with acidosis in three patients, while the other four presented critical hypoxemia unresponsive to simple oxygen supply even if delivered by high-flow Venturi mask. Four of our seven patients were discharged from hospital in satisfactory haemodynamic conditions; the remaining three died during hospitalization from refractory heart failure. In this our preliminary experience the therapeutic approach with nasal positive pressure ventilation (NPPV) and EPAP proved to be very effective to improve the signs and symptoms of acute refractory cardiogenic pulmonary edema as it avoided the need of invasive mechanical ventilation. It was well tolerated by all our patients; besides it was not difficult to use or time-consuming for physician and nurses. On the other hand it didn't modify our patients' medium or long-time prognosis which was strictly related to their preexisting left ventricular pump derangement.

The feasibility of laryngoscope-guided tracheal intubation in microgravity during parabolic flight: a comparison of two techniques.

PubMed

Groemer, Gernot E; Brimacombe, Joseph; Haas, Thorsten; de Negueruela, Cristina; Soucek, Alexander; Thomsen, Michael; Keller, Christian

2005-11-01

We determined the feasibility of laryngoscope-guided tracheal intubation (LG-TI) in microgravity obtained during parabolic flight and tested the hypothesis that LG-TI is similarly successful in the free-floating condition, with the patient's head gripped between the anesthesiologist's knees, as in the restrained condition, with the torso strapped to the surface. Three personnel with no experience in airway management or microgravity participated in the study. LG-TI of a sophisticated full-size manikin was attempted on seven occasions in each condition by each investigator after ground-based training. The parabolic flights, which took place in an Airbus 300 over the Atlantic Ocean, provided 23 s of microgravity. During this time, the investigator opened a box with airway equipment, performed LG-TI, and attached and held onto a self-inflating bag. The efficacy of ventilation was assessed during level flight by squeezing the bag and noting whether the manikin sensors indicated a tidal volume > or =300 mL. There were no differences in ventilation success (41% versus 33%) or time to successful insertion (both 18 s) between the free-floating and the restrained conditions. More than 90% of failures were caused by the inability to insert the tracheal tube within 23 s. There were no differences in performance among investigators. We conclude that LG-TI is feasible in microgravity obtained during parabolic flight, but the success rate is infrequent because of severe time restrictions. There were no differences in success rate between the free-floating condition, with the head gripped between the knees, and the restrained condition, with the torso strapped to the surface.

A global ocean climatology of preindustrial and modern ocean δ13C

NASA Astrophysics Data System (ADS)

Eide, Marie; Olsen, Are; Ninnemann, Ulysses S.; Johannessen, Truls

2017-03-01

We present a global ocean climatology of dissolved inorganic carbon δ13C (‰) corrected for the 13C-Suess effect, preindustrial δ13C. This was constructed by first using Olsen and Ninnemann's (2010) back-calculation method on data from 25 World Ocean Circulation Experiment cruises to reconstruct the preindustrial δ13C on sections spanning all major oceans. Next, we developed five multilinear regression equations, one for each major ocean basin, which were applied on the World Ocean Atlas data to construct the climatology. This reveals the natural δ13C distribution in the global ocean. Compared to the modern distribution, the preindustrial δ13C spans a larger range of values. The maxima, of up to 1.8‰, occurs in the subtropical gyres of all basins, in the upper and intermediate waters of the North Atlantic, as well as in mode waters with a Southern Ocean origin. Particularly strong gradients occur at intermediate depths, revealing a strong potential for using δ13C as a tracer for changes in water mass geometry at these levels. Further, we identify a much tighter relationship between δ13C and apparent oxygen utilization (AOU) than between δ13C and phosphate. This arises because, in contrast to phosphate, AOU and δ13C are both partly reset when waters are ventilated in the Southern Ocean and underscore that δ13C is a highly robust proxy for past changes in ocean oxygen content and ocean ventilation. Our global preindustrial δ13C climatology is openly accessible and can be used, for example, for improved model evaluation and interpretation of sediment δ13C records.

Particle transport in low-energy ventilation systems. Part 2: Transients and experiments.

PubMed

Bolster, D T; Linden, P F

2009-04-01

Providing adequate indoor air quality while reducing energy consumption is a must for efficient ventilation system design. In this work, we study the transport of particulate contaminants in a displacement-ventilated space, using the idealized 'emptying filling box' model (P.F. Linden, G.F. Lane-serff and D.A. Smeed (1990) Emptying filling boxes: the fluid mechanics of natural ventilation, J. fluid Mech., 212, 309-335.). In this paper, we focused on transient contaminant transport by modeling three transient contamination scenarios, namely the so called 'step-up', 'step-down', and point source cases. Using analytical integral models and numerical models we studied the transient behavior of each of these three cases. We found that, on average, traditional and low-energy systems can be similar in overall pollutant removal efficiency, although quite different vertical gradients can exist. This plays an important role in estimating occupant exposure to contaminant. A series of laboratory experiments were conducted to validate the developed models. The results presented here illustrate that the source location plays a very important role in the distribution of contaminant concentration for spaces ventilated by low energy displacement-ventilation systems. With these results and the knowledge of typical contaminant sources for a given type of space practitioners can design or select more effective systems for the purpose at hand.

Ability of ICU Health-Care Professionals to Identify Patient-Ventilator Asynchrony Using Waveform Analysis.

PubMed

Ramirez, Ivan I; Arellano, Daniel H; Adasme, Rodrigo S; Landeros, Jose M; Salinas, Francisco A; Vargas, Alvaro G; Vasquez, Francisco J; Lobos, Ignacio A; Oyarzun, Magdalena L; Restrepo, Ruben D

2017-02-01

Waveform analysis by visual inspection can be a reliable, noninvasive, and useful tool for detecting patient-ventilator asynchrony. However, it is a skill that requires a properly trained professional. This observational study was conducted in 17 urban ICUs. Health-care professionals (HCPs) working in these ICUs were asked to recognize different types of asynchrony shown in 3 evaluation videos. The health-care professionals were categorized according to years of experience, prior training in mechanical ventilation, profession, and number of asynchronies identified correctly. A total of 366 HCPs were evaluated. Statistically significant differences were found when HCPs with and without prior training in mechanical ventilation (trained vs non-trained HCPs) were compared according to the number of asynchronies detected correctly (of the HCPs who identified 3 asynchronies, 63 [81%] trained vs 15 [19%] non-trained, P < .001; 2 asynchronies, 72 [65%] trained vs 39 [35%] non-trained, P = .034; 1 asynchrony, 55 [47%] trained vs 61 [53%] non-trained, P = .02; 0 asynchronies, 17 [28%] trained vs 44 [72%] non-trained, P < .001). HCPs who had prior training in mechanical ventilation also increased, nearly 4-fold, their odds of identifying ≥2 asynchronies correctly (odds ratio 3.67, 95% CI 1.93-6.96, P < .001). However, neither years of experience nor profession were associated with the ability of HCPs to identify asynchrony. HCPs who have specific training in mechanical ventilation increase their ability to identify asynchrony using waveform analysis. Neither experience nor profession proved to be a relevant factor to identify asynchrony correctly using waveform analysis. Copyright © 2017 by Daedalus Enterprises.

Pandemic Ventilator Rationing and Appeals Processes

PubMed Central

Patrone, Daniel; Resnik, David

2014-01-01

In a severe influenza pandemic, hospitals will likely experience serious and widespread shortages of patient pulmonary ventilators and of staff qualified to operate them. Deciding who will receive access to mechanical ventilation will often determine who lives and who dies. This prospect raises an important question whether pandemic preparedness plans should include some process by which individuals affected by ventilator rationing would have the opportunity to appeal adverse decisions. However, the issue of appeals processes to ventilator rationing decisions has been largely neglected in state pandemic planning efforts. If we are to devise just and effective plans for coping with a severe influenza pandemic, more attention to the issue of appeals processes for pandemic ventilator rationing decisions is needed. Arguments for and against appeals processes are considered, and some suggestions are offered to help efforts at devising more rational pandemic preparedness plans. PMID:20354793

Pandemic ventilator rationing and appeals processes.

PubMed

Patrone, Daniel; Resnik, David

2011-06-01

In a severe influenza pandemic, hospitals will likely experience serious and widespread shortages of patient pulmonary ventilators and of staff qualified to operate them. Deciding who will receive access to mechanical ventilation will often determine who lives and who dies. This prospect raises an important question whether pandemic preparedness plans should include some process by which individuals affected by ventilator rationing would have the opportunity to appeal adverse decisions. However, the issue of appeals processes to ventilator rationing decisions has been largely neglected in state pandemic planning efforts. If we are to devise just and effective plans for coping with a severe influenza pandemic, more attention to the issue of appeals processes for pandemic ventilator rationing decisions is needed. Arguments for and against appeals processes are considered, and some suggestions are offered to help efforts at devising more rational pandemic preparedness plans.

Improving Patient Safety with X-Ray and Anesthesia Machine Ventilator Synchronization: A Medical Device Interoperability Case Study

NASA Astrophysics Data System (ADS)

Arney, David; Goldman, Julian M.; Whitehead, Susan F.; Lee, Insup

When a x-ray image is needed during surgery, clinicians may stop the anesthesia machine ventilator while the exposure is made. If the ventilator is not restarted promptly, the patient may experience severe complications. This paper explores the interconnection of a ventilator and simulated x-ray into a prototype plug-and-play medical device system. This work assists ongoing interoperability framework development standards efforts to develop functional and non-functional requirements and illustrates the potential patient safety benefits of interoperable medical device systems by implementing a solution to a clinical use case requiring interoperability.

Impact of tropical Atlantic sea-surface temperature biases on the simulated atmospheric circulation and precipitation over the Atlantic region: An ECHAM6 model study

NASA Astrophysics Data System (ADS)

Eichhorn, Astrid; Bader, Jürgen

2017-09-01

As many coupled atmosphere-ocean general circulation models, the coupled Earth System Model developed at the Max Planck Institute for Meteorology suffers from severe sea-surface temperature (SST) biases in the tropical Atlantic. We performed a set of SST sensitivity experiments with its atmospheric model component ECHAM6 to understand the impact of tropical Atlantic SST biases on atmospheric circulation and precipitation. The model was forced by a climatology of observed global SSTs to focus on simulated seasonal and annual mean state climate. Through the superposition of varying tropical Atlantic bias patterns extracted from the MPI-ESM on top of the control field, this study investigates the relevance of the seasonal variation and spatial structure of tropical Atlantic biases for the simulated response. Results show that the position and structure of the Intertropical Convergence Zone (ITCZ) across the Atlantic is significantly affected, exhibiting a dynamically forced shift of annual mean precipitation maximum to the east of the Atlantic basin as well as a southward shift of the oceanic rain belt. The SST-induced changes in the ITCZ in turn affect seasonal rainfall over adjacent continents. However not only the ITCZ position but also other effects arising from biases in tropical Atlantic SSTs, e.g. variations in the wind field, change the simulation of precipitation over land. The seasonal variation and spatial pattern of tropical Atlantic SST biases turns out to be crucial for the simulated atmospheric response and is essential for analyzing the contribution of SST biases to coupled model mean state biases. Our experiments show that MPI-ESM mean-state biases in the Atlantic sector are mainly driven by SST biases in the tropical Atlantic while teleconnections from other basins seem to play a minor role.

"Fighting the system": Families caring for ventilator-dependent children and adults with complex health care needs at home

PubMed Central

2011-01-01

Background An increasing number of individuals with complex health care needs now receive life-long and life-prolonging ventilatory support at home. Family members often take on the role of primary caregivers. The aim of this study was to explore the experiences of families giving advanced care to family members dependent on home mechanical ventilation. Methods Using qualitative research methods, a Grounded Theory influenced approach was used to explore the families' experiences. A total of 15 family members with 11 ventilator-dependent individuals (three children and eight adults) were recruited for 10 in-depth interviews. Results The core category, "fighting the system," became the central theme as family members were asked to describe their experiences. In addition, we identified three subcategories, "lack of competence and continuity", "being indispensable" and "worth fighting for". This study revealed no major differences in the families' experiences that were dependent on whether the ventilator-dependent individual was a child or an adult. Conclusions These findings show that there is a large gap between family members' expectations and what the community health care services are able to provide, even when almost unlimited resources are available. A number of measures are needed to reduce the burden on these family members and to make hospital care at home possible. In the future, the gap between what the health care can potentially provide and what they can provide in real life will rapidly increase. New proposals to limit the extremely costly provision of home mechanical ventilation in Norway will trigger new ethical dilemmas that should be studied further. PMID:21726441

Three-year experience with neonatal ventilation from a tertiary care hospital in Delhi.

PubMed

Singh, M; Deorari, A K; Paul, V K; Mittal, M; Shanker, S; Munshi, U; Jain, Y

1993-06-01

Ninety neonates were ventilated over a period of 33 months of whom 50 (55.5%) survived. Fifty seven babies received IPPV while 33 CPAP. IPPV mode was being used more frequently recently and survival rates have steadily improved over past 3 years. Survival was cent per cent in babies above 1.5 kg on CPAP mode while 16/26 (57.7%) survived on IPPV mode. Of 22 extremely VLBW (< 1 kg) babies, six survived. HMD was the commonest indication of ventilation (50%), of which 53% (24/45) survived. The other important indications of ventilation were apnea in 13 and transient tachypnea in 11 babies. All babies requiring ventilation for transient tachypnea survived. Nosocomial infections were common in association with ventilation 34/90 (37.7%), out of which in 14 was responsible for about a third of deaths. Pulmonary air leaks developed in 12 babies of which 6 died. Two babies developed BPD and one ROP. Neonatal ventilation should be ventured in centres where basic facilities for level II care already exist. It may not be cost effective to ventilate extremely low birth weight neonates.

[Non-invasive mechanical ventilation in the pre- and intraoperative period and difficult airway].

PubMed

Esquinas, A M; Jover, J L; Úbeda, A; Belda, F J

2015-11-01

Non-invasive mechanical ventilation is a method of ventilatory assistance aimed at increasing alveolar ventilation, thus achieving, in selected subjects, the avoidance of endotracheal intubation and invasive mechanical ventilation, with the consequent improvement in survival. There has been a systematic review and study of the technical, clinical experiences, and recommendations concerning the application of non-invasive mechanical ventilation in the pre- and intraoperative period. The use of prophylactic non-invasive mechanical ventilation before surgery that involves significant alterations in the ventilatory function may decrease the incidence of postoperative respiratory complications. Its intraoperative use will mainly depend on the type of surgery, type of anaesthetic technique, and the clinical status of the patient. Its use allows greater anaesthetic depth without deterioration of oxygenation and ventilation of patients. Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

Influence of Antarctic Intermediate Water on the deoxygenation of the Atlantic Ocean

NASA Astrophysics Data System (ADS)

Santos, Guilherme Cordova; Kerr, Rodrigo; Azevedo, José Luiz Lima; Mendes, Carlos Rafael Borges; da Cunha, Letícia Cotrim

2016-12-01

Hydrographic trends in the Antarctic Intermediate Water (AAIW) layer that may be associated with changes in the thickness and oxygen content of oxygen minimum zones (OMZs) in the eastern tropical South Atlantic (ETSA) and eastern tropical North Atlantic (ETNA) are investigated by using historical data (1960 to 2015). Our results reveal that the thickness of these OMZs has continually increased (2.58 ± 0.67 m yr-1 for the ETSA and 3.37 ± 0.73 m yr-1 for the ETNA), the mean oxygen concentration has decreased (- 0.12 ± 0.03 μmol kg-1 yr-1 for the ETSA and - 0.17 ± 0.05 μmol kg-1 yr-1 for the ETNA), and the mean temperature has increased. The optimum multiparameter analysis method is used to track modifications in the AAIW along its path through the South Atlantic Subtropical Gyre. We observe an AAIW layer vertical expansion rate of 1.67 ± 0.71 m yr-1, a decrease in the mean oxygen concentration of - 0.18 ± 0.04 μmol kg-1 yr-1 and an increase in the mean temperature of 0.010 ± 0.005 °C yr-1. Moreover, a similar decrease in oxygen concentrations is observed in the AAIW layer of the studied OMZ regions compared to those in the non-AAIW portions of these OMZs, which indicates strong deoxygenation in this water mass over time. Our results suggest that warming in the AAIW source region and in its extensive temporal displacement through the SASG to the eastern tropical Atlantic Ocean appreciably shifted this water mass toward lower densities with depleted oxygen (increases in ventilation age and oxygen consumption). The warming trend that is reported here suggests that global warming is one of the factors that influence oxygen solubility changes during the deoxygenation and expansion of OMZs.

Carbon Dioxide Detection and Indoor Air Quality Control.

PubMed

Bonino, Steve

2016-04-01

When building ventilation is reduced, energy is saved because it is not necessary to heat or cool as much outside air. Reduced ventilation can result in higher levels of carbon dioxide, which may cause building occupants to experience symptoms. Heating or cooling for ventilation air can be enhanced by a DCV system, which can save energy while providing a comfortable environment. Carbon dioxide concentrations within a building are often used to indicate whether adequate fresh air is being supplied to the building. These DCV systems use carbon dioxide sensors in each space or in the return air and adjust the ventilation based on carbon dioxide concentration; the higher the concentration, the more people occupy the space relative to the ventilation rate. With a carbon dioxide sensor DCV system, the fresh air ventilation rate varies based on the number ofpeople in the space, saving energy while maintaining a safe and comfortable environment.

[Guide for the use of jet-ventilation during ENT and oral surgery].

PubMed

Bourgain, J-L; Chollet, M; Fischler, M; Gueret, G; Mayne, A

2010-10-01

The aim of this synthesis was to give recommendations on the use of jet-ventilation during ENT surgical and endoscopy procedures. Literature was collected from PUBMED and analysed by the members of French association of anaesthesiologists in ENT surgery, all skilled in this field. Presentation of these recommendations was given during the general assembly held in Reims, the 15th May 2009. Jet-ventilation is especially indicated during upper airway endoscopy and laryngeal invasive endoscopic surgery. Furthermore, transtracheal jet ventilation is included on most of difficult oxygenation and difficult intubation algorithm. The main risk of jet-ventilation is pulmonary barotrauma when expiration of injected gas is impeded by an upper airway obstruction. Failure and complications of tracheal puncture are rare when performed by experimented operators. Clinical use of jet ventilation requires a dedicated device. Practice of jet ventilation without intubation may be dangerous when applied without control of driving pressure and end expiratory tracheal pressure. Every anaesthetist should be familiar with transtracheal ventilation since they may face a "cannot ventilate cannot intubate" situation. Upper airway endoscopy and laryngeal surgery are the ideal field for training jet ventilation, even more so as this technique offers perfect operative conditions. To apply this project, jet ventilation should be used more frequently in routine practice. To maintain skill, regular use of these techniques is required. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Internal and forced eddy variability in the Labrador Sea

NASA Astrophysics Data System (ADS)

Bracco, A.; Luo, H.; Zhong, Y.; Lilly, J.

2009-04-01

Water mass transformation in the Labrador Sea, widely believed to be one of the key regions in the Atlantic Meridional Overturning Circulation (AMOC), now appears to be strongly impacted by vortex dynamics of the unstable boundary current. Large interannual variations in both eddy shedding and buoyancy transport from the boundary current have been observed but not explained, and are apparently sensitive to the state of the inflowing current. Heat and salinity fluxes associated with the eddies drive ventilation changes not accounted for by changes in local surface forcing, particularly during occasional years of extreme eddy activity, and constitute a predominant source of "internal" oceanic variability. The nature of this variable eddy-driven restratification is one of the outstanding questions along the northern transformation pathway. Here we investigate the eddy generation mechanism and the associated buoyancy fluxes by combining realistic and idealized numerical modeling, data analysis, and theory. Theory, supported by idealized experiments, provides criteria to test hypotheses as to the vortex formation process (by baroclinic instability linked to the bottom topography). Ensembles of numerical experiments with a high-resolution regional model (ROMS) allow for quantifying the sensitivity of eddy generation and property transport to variations in local and external forcing parameters. For the first time, we reproduce with a numerical simulation the observed interannual variability in the eddy kinetic energy in the convective region of the Labrador Basin and along the West Greenland Current.

The effects of exogenous surfactant administration on ventilation-induced inflammation in mouse models of lung injury.

PubMed

Puntorieri, Valeria; Hiansen, Josh Qua; McCaig, Lynda A; Yao, Li-Juan; Veldhuizen, Ruud A W; Lewis, James F

2013-11-20

Mechanical ventilation (MV) is an essential supportive therapy for acute lung injury (ALI); however it can also contribute to systemic inflammation. Since pulmonary surfactant has anti-inflammatory properties, the aim of the study was to investigate the effect of exogenous surfactant administration on ventilation-induced systemic inflammation. Mice were randomized to receive an intra-tracheal instillation of a natural exogenous surfactant preparation (bLES, 50 mg/kg) or no treatment as a control. MV was then performed using the isolated and perfused mouse lung (IPML) set up. This model allowed for lung perfusion during MV. In experiment 1, mice were exposed to mechanical ventilation only (tidal volume =20 mL/kg, 2 hours). In experiment 2, hydrochloric acid or air was instilled intra-tracheally four hours before applying exogenous surfactant and ventilation (tidal volume =5 mL/kg, 2 hours). For both experiments, exogenous surfactant administration led to increased total and functional surfactant in the treated groups compared to the controls. Exogenous surfactant administration in mice exposed to MV only did not affect peak inspiratory pressure (PIP), lung IL-6 levels and the development of perfusate inflammation compared to non-treated controls. Acid injured mice exposed to conventional MV showed elevated PIP, lung IL-6 and protein levels and greater perfusate inflammation compared to air instilled controls. Instillation of exogenous surfactant did not influence the development of lung injury. Moreover, exogenous surfactant was not effective in reducing the concentration of inflammatory cytokines in the perfusate. The data indicates that exogenous surfactant did not mitigate ventilation-induced systemic inflammation in our models. Future studies will focus on altering surfactant composition to improve its immuno-modulating activity.

Subsurface warming in the subpolar North Atlantic during rapid climate events in the Early and Mid-Pleistocene

NASA Astrophysics Data System (ADS)

Hernández-Almeida, Iván; Sierro, Francisco; Cacho, Isabel; Abel Flores, José

2014-05-01

A new high-resolution reconstruction of the temperature and salinity of the subsurface waters using paired Mg/Ca-δ18O measurements on the planktonic foraminifera Neogloboquadrina pachyderma sinistrorsa (sin.) was conducted on a deep-sea sediment core in the subpolar North Atlantic (Site U1314). This study aims to reconstruct millennial-scale subsurface hydrography variations during the Early and Mid-Pleistocene (MIS 31-19). These rapid climate events are characterized by abrupt shifts between warm/cold conditions, and ice-sheet oscillations, as evidenced by major ice rafting events recorded in the North Atlantic sediments (Hernández-Almeida et al., 2012), similar to those found during the Last Glacial period (Marcott et al, 2011). The Mg/Ca derived paleotemperature and salinity oscillations prior and during IRD discharges at Site U1314 are related to changes in intermediate circulation. The increases in Mg/Ca paleotemperatures and salinities during the IRD event are preceded by short episodes of cooling and freshening of subsurface waters. The response of the AMOC to this perturbation is an increased of warm and salty water coming from the south, transported to high latitudes in the North Atlantic beneath the thermocline. This process is accompanied by a southward shift in the convection cell from the Nordic Seas to the subpolar North Atlantic and better ventilation of the North Atlantic at mid-depths. Poleward transport of warm and salty subsurface subtropical waters causes intense basal melting and thinning of marine ice-shelves, that culminates in large-scale instability of the ice sheets, retreat of the grounding line and iceberg discharge. The mechanism proposed involves the coupling of the AMOC with ice-sheet dynamics, and would explain the presence of these fluctuations before the establishment of high-amplitude 100-kyr glacial cycles. Hernández-Almeida, I., Sierro, F.J., Cacho, I., Flores, J.A., 2012. Impact of suborbital climate changes in the North Atlantic on ice sheet dynamics at the Mid-Pleistocene Transition. Paleoceanography 27, PA3214. Marcott, S.A., Clark, P.U., Padman, L., Klinkhammer, G.P., Springer, S.R., Liu, Z., Otto-Bliesner, B.L., Carlson, A.E., Ungerer, A., Padman, J., He, F., Cheng, J., Schmittner, A., 2011. Ice-shelf collapse from subsurface warming as a trigger for Heinrich events. Proceedings of the National Academy of Sciences 108, 13415-13419

1.5 My benthic foraminiferal B/Ca record of carbonate chemistry in the deep Atlantic: Implications for ocean alkalinity and atmospheric CO2

NASA Astrophysics Data System (ADS)

Rosenthal, Y.; Sosdian, S. M.; Toggweiler, J. R.

2017-12-01

Most hypotheses to explain glacial-interglacial changes in atmospheric CO2 invoke shifts in ocean alkalinity explain roughly half the reduction in glacial CO2 via CaCO3 compensatory mechanism. It follows that changes in CaCO3 burial occur in response to an increase in deep ocean respired carbon content. To date our understanding of this process comes from benthic carbon isotope and %CaCO3 records. However, to understand the nature of the ocean's buffering capacity and its role in modulating pCO2, orbitally resolved reconstructions of the deep ocean carbonate system parameters are necessary. Here we present a 1.5 Myr orbitally resolved deep ocean calcite saturation record (ΔCO32-) derived from benthic foraminiferal B/Ca ratios in the North Atlantic. Glacial B/Ca values decline across the mid-Pleistocene transition (MPT) suggesting increased sequestration of carbon in the deep Atlantic. The magnitude, timing, and structure of deep Atlantic Ocean ΔCO32- and %CaCO3 cycles contrast with the small amplitude, anti-phased swings in IndoPacific ΔCO32- and %CaCO3 during the mid-to-late Pleistocene. Increasing corrosivity of the deep Atlantic causes the locus of CaCO3 burial to shift into the equatorial Pacific where the flux of CaCO3 to the seafloor is high enough to establish and maintain a new "hot spot". We propose that the CO32- in the deep IndoPacific rises in response to the same mechanism that keeps the CO32- in the deep Atlantic low and the atmospheric CO2 low. The increase in interglacial atmospheric pCO2 levels following the Mid-Brunhes event ( 400ka) are associated with increased G/IG ΔCO3 amplitude, expressed by a decrease in the glacial ΔCO32- values. We propose the low persistent ΔCO32- levels at Marine Isotope Stage (MIS) 12 set the stage for the high pCO2 levels at MIS 11 via an increase in whole ocean alkalinity followed by enhanced CaCO3 preservation. Based on this, we suggest that the development of classic (`anticorrelated') CaCO3 patterns was driven by increased stratification and worsening ventilation in the deep Atlantic across the MPT.

Experience of long-term use of non-invasive ventilation in motor neuron disease: an interpretative phenomenological analysis.

PubMed

Ando, Hikari; Chakrabarti, Biswajit; Angus, Robert M; Cousins, Rosanna; Thornton, Everard W; Young, Carolyn A

2014-03-01

Although non-invasive ventilation (NIV) can promote quality of life in motor neuron disease (MND), previous studies have disregarded the impact of progression of illness. This study explored how patients' perceptions of NIV treatment evolve over time and how this was reflected in their adherence to NIV. Five patients with MND (male=4, mean age=59 years), from a bigger cohort who were prospectively followed, had multiple post-NIV semistructured interviews, covering more than 12 months, along with ventilator interaction data. The transcribed phenomenological data were analysed using qualitative methodology. Three themes emerged: experience of NIV, influence on attitudes and perceived impact of NIV on prognosis. The ventilator interaction data identified regular use of NIV by four participants who each gave positive account of their experience of NIV treatment, and irregular use by one participant who at interview revealed a negative attitude to NIV treatment and in whom MND induced feelings of hopelessness. This exploratory study suggests that a positive coping style, adaptation and hope are key factors for psychological well-being and better adherence to NIV. More studies are needed to determine these relationships.

Computational Fluid Dynamics (CFD) investigation onto passenger car disk brake design

NASA Astrophysics Data System (ADS)

Munisamy, Kannan M.; Kanasan Moorthy, Shangkari K.

2013-06-01

The aim of this study is to investigate the flow and heat transfer in ventilated disc brakes using Computational Fluid Dynamics (CFD). NACA Series blade is designed for ventilated disc brake and the cooling characteristic is compared to the baseline design. The ventilated disc brakes are simulated using commercial CFD software FLUENTTM using simulation configuration that was obtained from experiment data. The NACA Series blade design shows improvements in Nusselt number compared to baseline design.

Distribution of pulmonary ventilation and perfusion during short periods of weightlessness

NASA Technical Reports Server (NTRS)

Michels, D. B.; West, J. B.

1978-01-01

Airborne experiments were conducted on four trained normal male subjects (28-40 yr) to study pulmonary function during short periods (22-27 sec) of zero gravity obtained by flying a jet aircraft through appropriate parabolic trajectories. The cabin was always pressurized to a sea-level altitude. The discussion is limited to pulmonary ventilation and perfusion. The results clearly demonstrate that gravity is the major factor causing nonuniformity in the topographical distribution of pulmonary ventilation. More importantly, the results suggest that virtually all the topographical nonuniformity of ventilation, blood flow, and lung volume observed under 1-G conditions are eliminated during short periods of zero gravity.

Krypton-81m ventilation scanning: acute respiratory disease

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lavender, J.P.; Irving, H.; Armstrong, J.D. II

1981-02-01

From experience with 700 patients undergoing ventilation and perfusion lung scanning with krypton-81m/technetium-99m technique, 34 patients suffering from nonembolic acute respiratory disease were selected for review. In 16 patients with pneumonia, all had defects of ventilation corresponding to, or larger than, the radiologic consolidation. In 13 patients there was some preservation of perfusion in the consolidated region. In two of the three patients with matched defects, the pneumonia was of long standing. In seven patients with collapse or atelectasis and in 11 patients with acute reversible bronchial obstruction and normal volume lungs, a similar pattern or ventillation and perfusion wasmore » observed.« less

Tropical Atlantic-Korea teleconnection pattern during boreal summer season

NASA Astrophysics Data System (ADS)

Ham, Yoo-Geun; Chikamoto, Yoshimitsu; Kug, Jong-Seong; Kimoto, Masahide; Mochizuki, Takashi

2017-10-01

The remote impact of tropical Atlantic sea surface temperature (SST) variability on Korean summer precipitation is examined based on observational data analysis along with the idealized and hindcast model experiments. Observations show a significant correlation (i.e. 0.64) between Korean precipitation anomalies (averaged over 120-130°E, 35-40°N) and the tropical Atlantic SST index (averaged over 60°W-20°E, 30°S-30°N) during the June-July-August (JJA) season for the 1979-2010 period. Our observational analysis and partial-data assimilation experiments using the coupled general circulation model demonstrate that tropical Atlantic SST warming induces the equatorial low-level easterly over the western Pacific through a reorganization of the global Walker Circulation, causing a decreased precipitation over the off-equatorial western Pacific. As a Gill-type response to this diabatic forcing, an anomalous low-level anticyclonic circulation appears over the Philippine Sea, which transports wet air from the tropics to East Asia through low-level southerly, resulting an enhanced precipitation in the Korean peninsula. Multi-model hindcast experiments also show that predictive skills of Korean summer precipitation are improved by utilizing predictions of tropical Atlantic SST anomalies as a predictor for Korean precipitation anomalies.

AT1 receptor blocker losartan protects against mechanical ventilation-induced diaphragmatic dysfunction

PubMed Central

Kwon, Oh Sung; Smuder, Ashley J.; Wiggs, Michael P.; Hall, Stephanie E.; Sollanek, Kurt J.; Morton, Aaron B.; Talbert, Erin E.; Toklu, Hale Z.; Tumer, Nihal

2015-01-01

Mechanical ventilation is a life-saving intervention for patients in respiratory failure. Unfortunately, prolonged ventilator support results in diaphragmatic atrophy and contractile dysfunction leading to diaphragm weakness, which is predicted to contribute to problems in weaning patients from the ventilator. While it is established that ventilator-induced oxidative stress is required for the development of ventilator-induced diaphragm weakness, the signaling pathway(s) that trigger oxidant production remain unknown. However, recent evidence reveals that increased plasma levels of angiotensin II (ANG II) result in oxidative stress and atrophy in limb skeletal muscles. Using a well-established animal model of mechanical ventilation, we tested the hypothesis that increased circulating levels of ANG II are required for both ventilator-induced diaphragmatic oxidative stress and diaphragm weakness. Cause and effect was determined by administering an angiotensin-converting enzyme inhibitor (enalapril) to prevent ventilator-induced increases in plasma ANG II levels, and the ANG II type 1 receptor antagonist (losartan) was provided to prevent the activation of ANG II type 1 receptors. Enalapril prevented the increase in plasma ANG II levels but did not protect against ventilator-induced diaphragmatic oxidative stress or diaphragm weakness. In contrast, losartan attenuated both ventilator-induced oxidative stress and diaphragm weakness. These findings indicate that circulating ANG II is not essential for the development of ventilator-induced diaphragm weakness but that activation of ANG II type 1 receptors appears to be a requirement for ventilator-induced diaphragm weakness. Importantly, these experiments provide the first evidence that the Food and Drug Administration-approved drug losartan may have clinical benefits to protect against ventilator-induced diaphragm weakness in humans. PMID:26359481

Propranolol blocks the stimulatory effects of naloxone on ventilation and oxygen consumption in hamsters.

PubMed

Schlenker, E H; Eikanger, J

1997-06-01

The purposes of these studies were: 1) to determine the effects of various doses of propranolol, a nonspecific beta-adrenergic antagonist, on ventilation, oxygen consumption, and body temperature in hamsters, and 2) to test the hypothesis that in hamsters the stimulatory effects of naloxone, an opioid receptor antagonist, on ventilation and oxygen consumption occur, at least in part, through the release of catecholamines that act via beta-adrenergic receptors. Propranolol, a non-specific beta adrenergic receptor antagonist, at a 20 mg/kg depressed body temperature, oxygen consumption, tidal volume, and ventilation relative to saline. The lower dose of 10 mg/kg had only transitory effects on tidal volume at 60 min and ventilation at 30 min post-injection-Naloxone (1 mg/kg) relative to saline stimulated ventilation and oxygen consumption. These effects were blocked by propranolol pretreatment. The results of these experiments demonstrate that in the hamster, 1) body temperature, oxygen consumption, and ventilation appear to be modulated by beta-adrenergic receptors, and 2) the stimulatory effects of naloxone on oxygen consumption and ventilation may occur through the interaction of endogenous opioids and beta-adrenergic receptor systems.

Ventilation of carbon monoxide from a biomass pellet storage tank--a study of the effects of variation of temperature and cross-ventilation on the efficiency of natural ventilation.

PubMed

Emhofer, Waltraud; Lichtenegger, Klaus; Haslinger, Walter; Hofbauer, Hermann; Schmutzer-Roseneder, Irene; Aigenbauer, Stefan; Lienhard, Martin

2015-01-01

Wood pellets have been reported to emit toxic gaseous emissions during transport and storage. Carbon monoxide (CO) emission, due to the high toxicity of the gas and the possibility of it being present at high levels, is the most imminent threat to be considered before entering a pellet storage facility. For small-scale (<30 tons storage capacity) residential pellet storage facilities, ventilation, preferably natural ventilation utilizing already existing openings, has become the most favored solution to overcome the problem of high CO concentrations. However, there is little knowledge on the ventilation rates that can be reached and thus on the effectiveness of such measures. The aim of the study was to investigate ventilation rates for a specific small-scale pellet storage system depending on characteristic temperature differences. Furthermore, the influence of the implementation of a chimney and the influence of cross-ventilation on the ventilation rates were investigated. The air exchange rates observed in the experiments ranged between close to zero and up to 8 m(3) h(-1), depending largely on the existing temperature differences and the existence of cross-ventilation. The results demonstrate that implementing natural ventilation is a possible measure to enhance safety from CO emissions, but not one without limitations. © The Author 2014. Published by Oxford University Press on behalf of the British Occupational Hygiene Society.

Patients' experience of thirst while being conscious and mechanically ventilated in the intensive care unit.

PubMed

Kjeldsen, Caroline L; Hansen, Mette S; Jensen, Kamilla; Holm, Anna; Haahr, Anita; Dreyer, Pia

2018-03-01

Because of changes in sedation strategies, more patients in the intensive care unit (ICU) are conscious. Therefore, new and challenging tasks in nursing practice have emerged, which require a focus on the problems that patients experience. Thirst is one such major problem, arising because the mechanical ventilator prevents the patients from drinking when they have the urge to do so. To gain a deeper understanding of the patients' experiences and to contribute new knowledge in nursing care, this study focuses on the patients' experiences of thirst during mechanical ventilation (MV) while being conscious. To explore patients' experience of thirst while being conscious and mechanically ventilated. This hermeneutic study used qualitative interviews of 12 patients. Data were analyzed based on content analysis. Interviews were conducted between September and October 2014 in two large ICUs in Denmark. Four themes relating to the patients' experiences of thirst during MV were identified: a paramount thirst, a different sense in the mouth, deprivation of the opportunity to quench thirst and difficulties associated with thirst. Patients associate feelings of desperation, anxiety and powerlessness with the experience of thirst. These feelings have a negative impact on their psychological well-being. A strategy in the ICU that includes no sedation for critically ill patients in need of MV introduces new demands on the nurses who must care for patients who are struggling with thirst. This study shows that despite several practical attempts to relieve thirst, it remains a paramount problem for the patients. ICU nurses need to increase their focus on issues of thirst and dry mouth, which are two closely related issues for the patients. Communication may be a way to involve the patients, recognize and draw attention to their problem. © 2017 British Association of Critical Care Nurses.

SPURS: Salinity Processes in the Upper-Ocean Regional Study: THE NORTH ATLANTIC EXPERIMENT

NASA Technical Reports Server (NTRS)

Lindstrom, Eric; Bryan, Frank; Schmitt, Ray

2015-01-01

In this special issue of Oceanography, we explore the results of SPURS-1, the first part of the ocean process study Salinity Processes in the Upper-ocean Regional Study (SPURS). The experiment was conducted between August 2012 and October 2013 in the subtropical North Atlantic and was the first of two experiments (SPURS come in pairs!). SPURS-2 is planned for 20162017 in the tropical eastern Pacific Ocean.

Simulation of Tropical Rainfall Variability

NASA Astrophysics Data System (ADS)

Bader, J.; Latif, M.

2002-12-01

The impact of sea surface temperature (SST) - especially the role of the tropical Atlantic meridional SST gradient and the El Nino-Southern Oscillation - on precipitation is investigated with the atmospheric general circulation model ECHAM4/T42. Ensemble experiments - driven with observed SST - show that Atlantic SST has a significant influence on precipitation over West Africa and northeast Brazil. SST sensitivity experiments were performed in which the climatological SST was enhanced or decreased by one Kelvin in certain ocean areas. Changing SST in the eastern tropical Atlantic caused only significant changes along the Guinea Coast, with a positive anomaly (SSTA) increasing rainfall and a negative SSTA reducing it. The response was nearly linear. Changing SST in other ocean areas caused significant changes over West Africa, especially in the Sahel area. The response is found to be non linear, with only negative SSTA leading to significant reduction in Sahel rainfall. Also, the impact of the SSTAs from the different ocean regions was not additive with respect to the rainfall. The influence of SST on precipitation over northeast Brazil (Nordeste) was also investigated. Three experiments were performed in which the climatological SST was enhanced/decreased or decreased/enhanced by one Kelvin in the North/South Atlantic and increased by two Kelvin in the Nino3 ocean area. All experiments caused significant changes over Nordeste, with an enhanced/reduced SST gradient in the Atlantic increasing/reducing rainfall. The response was nearly linear. The main effect of the Atlantic SST gradient was a shift of the ITCZ, caused by trade wind changes. The ''El Nino'' event generates a significant reduction in Nordeste rainfall. A significant positive SLP anomaly occurs in northeast Brazil which may be associated with the descending branch of the Walker circulation. Also a significant positive SLP over the Atlantic from 30S to 10N north occurs. This results in a reduced SLP gradient from the subtropical highs to the equator and a weakening of the trade winds.

High-Frequency Percussive Ventilation: Pneumotachograph Validation and Tidal Volume Analysis

DTIC Science & Technology

2010-06-01

protocol, preliminary experience has shown that the flow sensor is amenable to near-automated “plug-and- play ” adaptability, permitting clinicians the...400. 6. Velmahos GC, Chan LS, Tatevossian R, Cornwell EE 3rd, Dough - erty WR, Escudero J, Demetriades D. High-frequency percussive ventilation

The role of water ventilation and sediment ingestion in the uptake of benzo[A]pyrene in gizzard shad (Dorosoma cepedianum)

USGS Publications Warehouse

Kolok, Alan; Huckins, James N.; Petty, Jimmie D.; Oris, James T.

1996-01-01

The objective of this study was to determine whether sediment ingestion or water ventilation was the primary route of uptake for benzo[a]pyrene (BaP) in the gizzard shad (Dorosoma cepedianum), a detritivorous fish. Two experiments were conducted in which fish were exposed to sediments spiked with 1 μg/g BaP. In the first experiment, fish were prevented from feeding by esophagus ligation. In the second experiment, 20 nonligated fish and 30 ligated fish were added to the aquarium. The nonligated fish roiled the water as they fed. Fish were collected 4, 8, 15, and 22 d after the experiments began. Gizzard shad metabolize BaP; therefore, the concentrations of BaP equivalents (parent BaP plus metabolite) were determined. Concentrations of BaP equivalents were significantly greater in the ligated fish in experiment 2 relative to those in experiment 1. In contrast, the concentration of BaP equivalents in the ligated fish in experiment 2 was not significantly different than that in the nonligated fish. Our results suggest that ventilation of turbid water may be a significant source of BaP for gizzard shad. Sediment ingestion, however, does not appear to significantly influence the total body concentration of BaP equivalents in gizzard shad.

Evaluation of thermal formation and air ventilation inside footwear during gait: The role of gait and fitting.

PubMed

Shimazaki, Yasuhiro; Matsutani, Toshiki; Satsumoto, Yayoi

2016-07-01

Comfort is an important concept in footwear design. The microclimate inside footwear contributes to the perception of thermal comfort. To investigate the effect of ventilation on microclimate formation inside footwear, experiments with subjects were conducted at four gait speeds with three different footwear sizes. Skin temperature, metabolism, and body mass were measured at approximately 25 °C and 50% relative humidity, with no solar radiation and a calm wind. The footwear occupancy and ventilation rate were also estimated, with the latter determined using the tracer gas method. The experimental results revealed that foot movement, metabolism, evaporation, radiation, convection, and ventilation were the main factors influencing the energy balance for temperature formation on the surface of the foot. The cooling effect of ventilation on the arch temperature was observed during gait. The significance of the amount of air space and ventilation on the improvement in the thermal comfort of footwear was clarified. Copyright © 2015 Elsevier Ltd and The Ergonomics Society. All rights reserved.

South Atlantic Ocean circulation: Simulation experiments with a quasi-geostrophic model and assimilation of TOPEX/POSEIDON and ERS 1 altimeter data

NASA Astrophysics Data System (ADS)

Florenchie, P.; Verron, J.

1998-10-01

Simulation experiments of South Atlantic Ocean circulations are conducted with a 1/6°, four-layered, quasi-geostrophic model. By means of a simple nudging data assimilation procedure along satellite tracks, TOPEX/POSEIDON and ERS 1 altimeter measurements are introduced into the model to control the simulation of the basin-scale circulation for the period from October 1992 to September 1994. The model circulation appears to be strongly influenced by the introduction of altimeter data, offering a consistent picture of South Atlantic Ocean circulations. Comparisons with observations show that the assimilating model successfully simulates the kinematic behavior of a large number of surface circulation components. The assimilation procedure enables us to produce schematic diagrams of South Atlantic circulation in which patterns ranging from basin-scale currents to mesoscale eddies are portrayed in a realistic way, with respect to their complexity. The major features of the South Atlantic circulation are described and analyzed, with special emphasis on the Brazil-Malvinas Confluence region, the Subtropical Gyre with the formation of frontal structures, and the Agulhas Retroflection. The Agulhas eddy-shedding process has been studied extensively. Fourteen eddies appear to be shed during the 2-year experiment. Because of their strong surface topographic signature, Agulhas eddies have been tracked continuously during the assimilation experiment as they cross the South Atlantic basin westward. Other effects of the assimilation procedure are shown, such as the intensification of the Subtropical Gyre, the appearance of a strong seasonal cycle in the Brazil Current transport, and the increase of the mean Brazil Current transport. This last result, combined with the westward oriention of the Agulhas eddies' trajectories, leads to a southward transport of mean eddy kinetic energy across 30°S.

Lung Volume Reduction Surgery for Respiratory Failure in Infants With Bronchopulmonary Dysplasia.

PubMed

Sohn, Bongyeon; Park, Samina; Park, In Kyu; Kim, Young Tae; Park, June Dong; Park, Sung-Hye; Kang, Chang Hyun

2018-04-01

Lung volume reduction surgery (LVRS) can be performed in patients with severe emphysematous disease. However, LVRS in pediatric patients has not yet been reported. Here, we report our experience with 2 cases of pediatric LVRS. The first patient was a preterm infant girl with severe bronchopulmonary dysplasia, pulmonary hypertension, and hypothyroidism. The emphysematous portion of the right lung was removed via sternotomy and right hemiclamshell incision. The patient was discharged on full-time home ventilator support for 3 months after the surgery. Since then, her respiratory function has improved continuously. She no longer needs oxygen supplementation or ventilator care. Her T-cannula was removed recently. The second patient was also a preterm infant girl with bronchopulmonary dysplasia. She was born with pulmonary hypertension and multiple congenital anomalies, including an atrial septal defect. Despite receiving the best supportive care, she could not be taken off the mechanical ventilator because of severe hypercapnia. We performed LVRS on the right lung via thoracotomy. She was successfully weaned off the mechanical ventilator 1 month after the surgery. She was discharged without severe complications at 3 months after the operation. At present, she is growing well with the help of intermittent home ventilator support. She can now tolerate an oral diet. Our experience shows that LVRS can be considered as a treatment option for pediatric patients with severe emphysematous lung. It is especially helpful for discontinuing prolonged mechanical ventilator care for patients with respiratory failure. Copyright © 2018 by the American Academy of Pediatrics.

Efficacy of ventilator waveform observation for detection of patient-ventilator asynchrony during NIV: a multicentre study.

PubMed

Longhini, Federico; Colombo, Davide; Pisani, Lara; Idone, Francesco; Chun, Pan; Doorduin, Jonne; Ling, Liu; Alemani, Moreno; Bruni, Andrea; Zhaochen, Jin; Tao, Yu; Lu, Weihua; Garofalo, Eugenio; Carenzo, Luca; Maggiore, Salvatore Maurizio; Qiu, Haibo; Heunks, Leo; Antonelli, Massimo; Nava, Stefano; Navalesi, Paolo

2017-10-01

The objective of this study was to assess ability to identify asynchronies during noninvasive ventilation (NIV) through ventilator waveforms according to experience and interface, and to ascertain the influence of breathing pattern and respiratory drive on sensitivity and prevalence of asynchronies. 35 expert and 35 nonexpert physicians evaluated 40 5-min NIV reports displaying flow-time and airway pressure-time tracings; identified asynchronies were compared with those ascertained by three examiners who evaluated the same reports displaying, additionally, tracings of diaphragm electrical activity. We determined: 1) sensitivity, specificity, and positive and negative predictive values; 2) the correlation between the double true index (DTI) of each report ( i.e., the ratio between the sum of true positives and true negatives, and the overall breath count) and the corresponding asynchrony index (AI); and 3) the influence of breathing pattern and respiratory drive on both AI and sensitivity. Sensitivities to detect asynchronies were low either according to experience (0.20 (95% CI 0.14-0.29) for expert versus 0.21 (95% CI 0.12-0.30) for nonexpert, p=0.837) or interface (0.28 (95% CI 0.17-0.37) for mask versus 0.10 (95% CI 0.05-0.16) for helmet, p<0.0001). DTI inversely correlated with the AI (r 2 =0.67, p<0.0001). Breathing pattern and respiratory drive did not affect prevalence of asynchronies and sensitivity. Patient-ventilator asynchrony during NIV is difficult to recognise solely by visual inspection of ventilator waveforms.

Difference Does Not Mean Deficient: The Cultural and Higher Education Experiences of Appalachian Women

ERIC Educational Resources Information Center

Welch, Andrea D.

2013-01-01

The link between women in poverty and higher education is important because it reflects inequities in access and resources that exist in the Mid-Atlantic Appalachian region. Two main questions guided the research of women in poverty in regard to postsecondary access and attainment. First, what are the experiences of Mid-Atlantic Appalachian-born…

"Not being able to talk was horrid": A descriptive, correlational study of communication during mechanical ventilation.

PubMed

Guttormson, Jill L; Bremer, Karin Lindstrom; Jones, Rachel M

2015-06-01

The purpose of this study was to describe the patient experience of communication during mechanical ventilation. This descriptive study is a secondary analysis of data collected to study the relationship between sedation and the MV patients' recall of the ICU. Interviews, conducted after extubation, included the Intensive Care Experience Questionnaire. Data were analysed with Spearman correlation coefficients (rs) and content analysis. Participants were recruited from a medical-surgical intensive care unit in the Midwest United States. Participants (n = 31) with a mean age of 65 ± 11.9 were on the ventilator a median of 5 days. Inability to communicate needs was associated with helplessness (rs = .43). While perceived lack of information received was associated with not feeling in control (rs = 41) and helplessness (rs = 41). Ineffective communication impacted negatively on satisfaction with care. Participants expressed frustration with failed communication and a lack of information received. They believed receipt of information helped them cope and desired a better system of communication during mechanical ventilation. Communication effectiveness impacts patients' sense of safety and well-being during mechanical ventilation. Greater emphasis needs to be placed on the development and integration of communication strategies into critical care nursing practice. Copyright © 2014 Elsevier Ltd. All rights reserved.

“Not Being Able to Talk was Horrid”: A Descriptive, Correlational Study of Communication During Mechanical Ventilation

PubMed Central

Guttormson, Jill L.; Bremer, Karin Lindstrom; Jones, Rachel M.

2015-01-01

Objectives The purpose of this study was to describe the patient experience of communication during mechanical ventilation Research Methodology This descriptive study is a secondary analysis of data collected to study the relationship between sedation and the MV patients' recall of the ICU. Interviews, conducted after extubation, included the Intensive Care Experience Questionnaire. Data were analyzed with Spearman correlation coefficients (rs) and content analysis. Setting Participants were recruited from a medical-surgical intensive care unit in the Midwest United States. Results Participants (n=31) with a mean age of 65 ± 11.9 were on the ventilator a median of 5 days. Inability to communicate needs was associated with helplessness (rs = .43). While perceived lack of information received was associated with not feeling in control (rs =.41) and helplessness (rs =.41). Ineffective communication negatively impacted satisfaction with care. Participants expressed frustration with failed communication and a lack of information received. They believed receipt of information helped them cope and desired a better system of communication during mechanical ventilation. Conclusion Communication effectiveness impacts patients' sense of safety and well-being during mechanical ventilation. Greater emphasis needs to be placed on the development and integration of communication strategies into critical care nursing practice. PMID:25579081

Withdrawal of ventilation at the patient's request in MND: a retrospective exploration of the ethical and legal issues that have arisen for doctors in the UK.

PubMed

Phelps, Kay; Regen, Emma; Oliver, David; McDermott, Chris; Faull, Christina

2017-06-01

Ventilatory support has benefits including prolonging survival for respiratory failure in motor neurone disease (MND). At some point some patients may wish to stop the intervention. The National Institute of Health and Care Excellence (NICE) guidance recommends research is needed on ventilation withdrawal. There is little literature focusing on the issues doctors encounter when withdrawing ventilation at the request of a patient. To identify and explore with doctors the ethical and legal issues that they had encountered in the withdrawal of ventilation at the request of a patient with MND. A retrospective thematic analysis of interviews of 24 doctors (including palliative care, respiratory, neurology and general practice) regarding their experiences with withdrawal of ventilation support from patients with MND. Respondents found withdrawal of ventilation at the request of patients with MND to pose legal, ethical and moral challenges in five themes: ethical and legal rights to withdrawal from treatment; discussions with family; discussions with colleagues; experiences of legal advice; issues contributing to ethical complexity. Though clear about the legality of withdrawal of treatment in theory, the practice led to ethical and moral uncertainty and mixed feelings. Many respondents had experienced negative reactions from other healthcare professionals when these colleagues were unclear of the distinction between palliation of symptoms, withdrawal of treatment and assisted death. Legal, ethical and practical guidance is needed for professionals who support a patient with MND who wishes to withdraw from ventilation. Open discussion of the ethical challenges is needed as well as education and support for professionals. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Withdrawal of ventilation at the patient's request in MND: a retrospective exploration of the ethical and legal issues that have arisen for doctors in the UK

PubMed Central

Phelps, Kay; Regen, Emma; Oliver, David; McDermott, Chris; Faull, Christina

2017-01-01

Background Ventilatory support has benefits including prolonging survival for respiratory failure in motor neurone disease (MND). At some point some patients may wish to stop the intervention. The National Institute of Health and Care Excellence (NICE) guidance recommends research is needed on ventilation withdrawal. There is little literature focusing on the issues doctors encounter when withdrawing ventilation at the request of a patient. Aim To identify and explore with doctors the ethical and legal issues that they had encountered in the withdrawal of ventilation at the request of a patient with MND. Method A retrospective thematic analysis of interviews of 24 doctors (including palliative care, respiratory, neurology and general practice) regarding their experiences with withdrawal of ventilation support from patients with MND. Results Respondents found withdrawal of ventilation at the request of patients with MND to pose legal, ethical and moral challenges in five themes: ethical and legal rights to withdrawal from treatment; discussions with family; discussions with colleagues; experiences of legal advice; issues contributing to ethical complexity. Though clear about the legality of withdrawal of treatment in theory, the practice led to ethical and moral uncertainty and mixed feelings. Many respondents had experienced negative reactions from other healthcare professionals when these colleagues were unclear of the distinction between palliation of symptoms, withdrawal of treatment and assisted death. Conclusions Legal, ethical and practical guidance is needed for professionals who support a patient with MND who wishes to withdraw from ventilation. Open discussion of the ethical challenges is needed as well as education and support for professionals. PMID:26362794

Neurally Adjusted Ventilatory Assist After Pediatric Cardiac Surgery: Clinical Experience and Impact on Ventilation Pressures.

PubMed

Crulli, Benjamin; Khebir, Mariam; Toledano, Baruch; Vobecky, Suzanne; Poirier, Nancy; Emeriaud, Guillaume

2018-02-01

After pediatric cardiac surgery, ventilation with high airway pressures can be detrimental to right ventricular function and pulmonary blood flow. Neurally adjusted ventilatory assist (NAVA) improves patient-ventilator interactions, helping maintain spontaneous ventilation. This study reports our experience with the use of NAVA in children after a cardiac surgery. We hypothesize that using NAVA in this population is feasible and allows for lower ventilation pressures. We retrospectively studied all children ventilated with NAVA (invasively or noninvasively) after undergoing cardiac surgery between January 2013 and May 2015 in our pediatric intensive care unit. The number and duration of NAVA episodes were described. For the first period of invasive NAVA in each subject, detailed clinical and ventilator data in the 4 h before and after the start of NAVA were extracted. 33 postoperative courses were included in 28 subjects with a median age of 3 [interquartile range (IQR) 1-12] months. NAVA was used invasively in 27 courses for a total duration of 87 (IQR 15-334) h per course. Peak inspiratory pressures and mean airway pressures decreased significantly after the start of NAVA (mean differences of 5.8 cm H 2 O (95% CI 4.1-7.5) and 2.0 cm H 2 O (95% CI 1.2-2.8), respectively, P < .001 for both). There was no significant difference in vital signs or blood gas values. NAVA was used noninvasively in 14 subjects, over 79 (IQR 25-137) h. NAVA could be used in pediatric subjects after cardiac surgery. The significant decrease in airway pressures observed after transition to NAVA could have a beneficial impact in this specific population, which should be investigated in future interventional studies. Copyright © 2018 by Daedalus Enterprises.

Autophagy in pulmonary macrophages mediates lung inflammatory injury via NLRP3 inflammasome activation during mechanical ventilation

PubMed Central

Zhang, Yang; Liu, Gongjian; Dull, Randal O.; Schwartz, David E.

2014-01-01

The inflammatory response is a primary mechanism in the pathogenesis of ventilator-induced lung injury. Autophagy is an essential, homeostatic process by which cells break down their own components. We explored the role of autophagy in the mechanisms of mechanical ventilation-induced lung inflammatory injury. Mice were subjected to low (7 ml/kg) or high (28 ml/kg) tidal volume ventilation for 2 h. Bone marrow-derived macrophages transfected with a scrambled or autophagy-related protein 5 small interfering RNA were administered to alveolar macrophage-depleted mice via a jugular venous cannula 30 min before the start of the ventilation protocol. In some experiments, mice were ventilated in the absence and presence of autophagy inhibitors 3-methyladenine (15 mg/kg ip) or trichostatin A (1 mg/kg ip). Mechanical ventilation with a high tidal volume caused rapid (within minutes) activation of autophagy in the lung. Conventional transmission electron microscopic examination of lung sections showed that mechanical ventilation-induced autophagy activation mainly occurred in lung macrophages. Autophagy activation in the lungs during mechanical ventilation was dramatically attenuated in alveolar macrophage-depleted mice. Selective silencing of autophagy-related protein 5 in lung macrophages abolished mechanical ventilation-induced nucleotide-binding oligomerization domain-like receptor containing pyrin domain 3 (NLRP3) inflammasome activation and lung inflammatory injury. Pharmacological inhibition of autophagy also significantly attenuated the inflammatory responses caused by lung hyperinflation. The activation of autophagy in macrophages mediates early lung inflammation during mechanical ventilation via NLRP3 inflammasome signaling. Inhibition of autophagy activation in lung macrophages may therefore provide a novel and promising strategy for the prevention and treatment of ventilator-induced lung injury. PMID:24838752

Developing a new, national approach to surveillance for ventilator-associated events*.

PubMed

Magill, Shelley S; Klompas, Michael; Balk, Robert; Burns, Suzanne M; Deutschman, Clifford S; Diekema, Daniel; Fridkin, Scott; Greene, Linda; Guh, Alice; Gutterman, David; Hammer, Beth; Henderson, David; Hess, Dean; Hill, Nicholas S; Horan, Teresa; Kollef, Marin; Levy, Mitchell; Septimus, Edward; VanAntwerpen, Carole; Wright, Don; Lipsett, Pamela

2013-11-01

To develop and implement an objective, reliable approach to surveillance for ventilator-associated events in adult patients. The Centers for Disease Control and Prevention (CDC) convened a Ventilator-Associated Pneumonia (VAP) Surveillance Definition Working Group in September 2011. Working Group members included representatives of stakeholder societies and organizations and federal partners. The Working Group finalized a three-tier, adult surveillance definition algorithm for ventilator-associated events. The algorithm uses objective, readily available data elements and can identify a broad range of conditions and complications occurring in mechanically ventilated adult patients, including but not limited to VAP. The first tier definition, ventilator-associated condition (VAC), identifies patients with a period of sustained respiratory deterioration following a sustained period of stability or improvement on the ventilator, defined by changes in the daily minimum fraction of inspired oxygen or positive end-expiratory pressure. The second tier definition, infection-related ventilator-associated complication (IVAC), requires that patients with VAC also have an abnormal temperature or white blood cell count, and be started on a new antimicrobial agent. The third tier definitions, possible and probable VAP, require that patients with IVAC also have laboratory and/or microbiological evidence of respiratory infection. Ventilator-associated events surveillance was implemented in January 2013 in the CDC's National Healthcare Safety Network. Modifications to improve surveillance may be made as additional data become available and users gain experience with the new definitions.

Ventilation of Animal Shelters in Wildland Fire Scenarios

NASA Astrophysics Data System (ADS)

Bova, A. S.; Bohrer, G.; Dickinson, M. B.

2009-12-01

The effects of wildland fires on cavity-nesting birds and bats, as well as fossorial mammals and burrow-using reptiles, are of considerable interest to the fire management community. However, relatively little is known about the degree of protection afforded by various animal shelters in wildland fire events. We present results from our ongoing investigation, utilizing NIST’s Fire Dynamics Simulator (FDS) and experimental data, of the effectiveness of common shelter configurations in protecting animals from combustion products. We compare two sets of simulations with observed experimental results. In the first set, wind tunnel experiments on single-entry room ventilation by Larsen and Heiselberg (2008) were simulated in a large domain resolved into 10 cm cubic cells. The set of 24 simulations comprised all combinations of incident wind speeds of 1,3 and 5 m/s; angles of attack of 0, 45, 90 and 180 degrees from the horizontal normal to the entrance; and temperature differences of 0 and 10 degrees C between the building interior and exterior. Simulation results were in good agreement with experimental data, thus providing a validation of FDS code for further ventilation experiments. In the second set, a cubic simulation domain of ~1m on edge and resolved into 1 cm cubic cells, was set up to represent the experiments by Ar et al. (2004) of wind-induced ventilation of woodpecker cavities. As in the experiments, we simulated wind parallel and perpendicular to the cavity entrance with different mean forcing velocities, and monitored the rates of evacuation of a neutral-buoyancy tracer from the cavity. Simulated ventilation rates in many, though not all, cases fell within the range of experimental data. Reasons for these differences, which include vagueness in the experimental setup, will be discussed. Our simulations provide a tool to estimate the viability of an animal in a shelter as a function of the shelter geometry and the fire intensity. In addition to the above, we explore the role of turbulence and its effect on ventilation rates, especially in single-entrance shelters. The goal of this work is to provide engineering formulas to estimate the probable levels of harmful or irritating combustion products in animal shelters during wildland fires.

Transient states of air parameters after a stoppage and re-start of the main fan / Stany przejściowe parametrów powietrza po postoju i załączeniu wentylatora głównego

NASA Astrophysics Data System (ADS)

Wasilewski, Stanisław

2012-12-01

A stoppage of the main ventilation fan constitutes a disturbance of ventilation conditions of a deepmine and its effects can cause serious hazards by generating transient states of air and gas flow. Main ventilation fans are the basic deep-mine facilities; therefore, under mining regulations it is only allowed to stop them with the consent and under the conditions specified by the mine maintenance manager. The stoppage of the main ventilation fan may be accompanied by transient air parameters, including the air pressure and flow patterns. There is even the likelihood of reversing the direction of air flow, which, in case of methane mines, can pose a major hazard, particularly in sections of the mine with fire fields or large goaf areas. At the same time, stoppages of deep-mine main ventilation fans create interesting research conditions, which if conducted under the supervision of the monitoring systems, can provide much information about the transient processes of pressure, air and gas flow in underground workings. This article is a discussion of air parameter observations in mine workings made as part of such experiments. It also presents the procedure of the experiments, conducted in three mines. They involved the observation of transient processes of mine air parameters, and most interestingly, the recording of pressure and air and gas flow in the workings of the mine ventilation networks by mine monitoring systems and using specialist recording instruments. In mining practice, both in Poland and elsewhere, software tools and computer modelling methods are used to try and reproduce the conditions prior to and during disasters based on the existing network model and monitoring system data. The use of these tools to simulate the alternatives of combating and liquidation of the gas-fire hazard after its occurrence is an important issue. Measurement data collected during the experiments provides interesting research material for the verification and validation of the software tools used for the simulation of processes occurring in deep-mine ventilation systems.

Mobile communication devices causing interference in invasive and noninvasive ventilators.

PubMed

Dang, Bao P; Nel, Pierre R; Gjevre, John A

2007-06-01

The aim of this study was to assess if common mobile communication systems would cause significant interference on mechanical ventilation devices and at what distances would such interference occur. We tested all the invasive and noninvasive ventilatory devices used within our region. This consisted of 2 adult mechanical ventilators, 1 portable ventilator, 2 pediatric ventilators, and 2 noninvasive positive pressure ventilatory devices. We operated the mobile devices from the 2 cellular communication systems (digital) and 1 2-way radio system used in our province at varying distances from the ventilators and looked at any interference they created. We tested the 2-way radio system, which had a fixed operation power output of 3.0 watts, the Global Systems for Mobile Communication cellular system, which had a maximum power output of 2.0 watts and the Time Division Multiple Access cellular system, which had a maximum power output of 0.2 watts on our ventilators. The ventilators were ventilating a plastic lung at fixed settings. The mobile communication devices were tested at varying distances starting at zero meter from the ventilator and in all operation modes. The 2-way radio caused the most interference on some of the ventilators, but the maximum distance of interference was 1.0 m. The Global Systems for Mobile Communication system caused significant interference only at 0 m and minor interference at 0.5 m on only 1 ventilator. The Time Division Multiple Access system caused no interference at all. Significant interference consisted of a dramatic rise and fluctuation of the respiratory rate, pressure, and positive end-expiratory pressure of the ventilators with no normalization when the mobile device was removed. From our experiment on our ventilators with the communication systems used in our province, we conclude that mobile communication devices such as cellular phones and 2-way radios are safe and cause no interference unless operated at very close distances of less than 1 meter.

The Fronts and Atlantic Storm-Track Experiment (FASTEX): Scientific Objectives and Experimental Design.

NASA Astrophysics Data System (ADS)

Joly, Alain; Jorgensen, Dave; Shapiro, Melvyn A.; Thorpe, Alan; Bessemoulin, Pierre; Browning, Keith A.; Cammas, Jean-Pierre; Chalon, Jean-Pierre; Clough, Sidney A.; Emanuel, Kerry A.; Eymard, Laurence; Gall, Robert; Hildebrand, Peter H.; Langland, Rolf H.; Lemaître, Yvon; Lynch, Peter; Moore, James A.; Persson, P. Ola G.; Snyder, Chris; Wakimoto, Roger M.

1997-09-01

The Fronts and Atlantic Storm-Track Experiment (FASTEX) will address the life cycle of cyclones evolving over the North Atlantic Ocean in January and February 1997. The objectives of FASTEX are to improve the forecasts of end-of-storm-track cyclogenesis (primarily in the eastern Atlantic but with applicability to the Pacific) in the range 24 to 72 h, to enable the testing of theoretical ideas on cyclone formation and development, and to document the vertical and the mesoscale structure of cloud systems in mature cyclones and their relation to the dynamics. The observing system includes ships that will remain in the vicinity of the main baroclinic zone in the central Atlantic Ocean, jet aircraft that will fly and drop sondes off the east coast of North America or over the central Atlantic Ocean, turboprop aircraft that will survey mature cyclones off Ireland with dropsondes, and airborne Doppler radars, including ASTRAIA/ELDORA. Radiosounding frequency around the North Atlantic basin will be increased, as well as the number of drifting buoys. These facilities will be activated during multiple-day intensive observing periods in order to observe the same meteorological systems at several stages of their life cycle. A central archive will be developed in quasi-real time in Toulouse, France, thus allowing data to be made widely available to the scientific community.

Effects of cisatracurium in combination with ventilation on inflammatory factors and immune variations in sepsis rats.

PubMed

He, Tongyun; Tao, Jianmei; Wang, Xinqiang; Wang, Xuena

2018-05-01

The effects of cisatracurium in combination with ventilation on inflammatory factors and immune variations in sepsis rats were investigated. A total of 54 male Sprague-Dawley rats were selected and divided randomly into three groups: Sham group (n=6), model group (n=24) and experiment group (n=24). Rats in the model and experiment groups underwent cecal ligation and puncture (CLP) for establishment of sepsis model. Rats in experiment group additionally received cisatracurium medication in combination with ventilation for treatment. At 6, 12 and 24 h after CLP, the levels of tumor necrosis factor (TNF)-α, interleukin (IL)-1β, IL-6 and procalcitonin (PCT) in serum and the ratio of leukocyte to neutrophil in peripheral blood was also detected. Twenty-four hours later, the expression of high mobility group box 1 (HMGB1) in lung tissues and cluster of differentiation (CD) 4 + and CD8 + in T-lymphocyte subsets were also detected, and the wet/dry (W/D) ratio of lung was measured. Compared with that in model group, the levels of inflammatory factors in the experiment group were significantly decreased, while the indicators in assays of cellular immunity were obviously elevated. Ratio of leukocyte to neutrophil in peripheral blood was significantly decreased after treatment. Cisatracurium in combination with ventilation can alleviate the inflammatory injury to organs in sepsis rats through inhibiting the inflammatory responses and regulating the immune functions, which manifests a new significance in guiding the clinical diagnosis and treatment.

Geochemical and sedimentological records of intermediate-depth circulation in the Labrador Sea since the Last Glacial Maximum

NASA Astrophysics Data System (ADS)

Hoffmann, S. S.; Dalsing, R.; McManus, J. F.

2016-12-01

Dynamical sedimentary proxies for deep ocean circulation, such as mean sortable silt size and 231Pa/230Th, allow the reconstruction of past changes in deep water circulation speed and ocean basin ventilation. This provides an important addition to traditional methods of deep water circulation reconstruction such as mapping water mass geometry through foraminiferal carbon isotopic records. We have produced records of mean sortable silt size from three intermediate-depth sediment core sites in the Labrador Sea, taken from the continental slope and Orphan Knoll east of Newfoundland, to reconstruct changes in intermediate depth water circulation including Glacial North Atlantic Intermediate Water and Labrador Sea Water. Radiocarbon dating indicates that the cores span the Holocene, deglaciation and LGM. Increases in mean sortable silt size appear to coincide with Heinrich Event 1, the Older Dryas, Younger Dryas, and mid-late Holocene, which could suggest increased bottom current speeds at these times. However, ice-rafted debris contributes to marine sediments in this region, and mean sortable silt size at times of major IRD input such as Heinrich Event 1 may therefore reflect multiple influences. We will use inverse modeling techniques to determine likely end members contributing to the sortable silt fraction and to correct for the effect of IRD on sortable silt size, allowing a better understanding of the influence of current speed on these samples. We combine these sortable silt measurements with the sedimentary geochemical proxy 231Pa/230Th, which has been used to reconstruct changes in North Atlantic meridional overturning circulation. New 231Pa/230Th data from cores KN158-4-27/28, which provided our best-resolved sortable silt record, will allow us to compare results from the two dynamical proxies to better understand both the behavior of these proxies in the Labrador Sea, and the history of intermediate-depth circulation and ventilation in the Labrador Sea during major abrupt climate events and transitions.

Improved oxygenation 24 hours after transition to airway pressure release ventilation or high-frequency oscillatory ventilation accurately discriminates survival in immunocompromised pediatric patients with acute respiratory distress syndrome*.

PubMed

Yehya, Nadir; Topjian, Alexis A; Thomas, Neal J; Friess, Stuart H

2014-05-01

Children with an immunocompromised condition and requiring invasive mechanical ventilation have high risk of death. Such patients are commonly transitioned to rescue modes of nonconventional ventilation, including airway pressure release ventilation and high-frequency oscillatory ventilation, for acute respiratory distress syndrome refractory to conventional ventilation. Our aim was to describe our experience with airway pressure release ventilation and high-frequency oscillatory ventilation in children with an immunocompromised condition and acute respiratory distress syndrome refractory to conventional ventilation and to identify factors associated with survival. Retrospective cohort study. Tertiary care, university-affiliated PICU. Sixty pediatric patients with an immunocompromised condition and acute respiratory distress syndrome refractory to conventional ventilation transitioned to either airway pressure release ventilation or high-frequency oscillatory ventilation. None. Demographic data, ventilator settings, arterial blood gases, oxygenation index, and PaO(2)/FIO(2) were recorded before transition to either mode of nonconventional ventilation and at predetermined intervals after transition for up to 5 days. Mortality in the entire cohort was 63% and did not differ between patients transitioned to airway pressure release ventilation and high-frequency oscillatory ventilation. For both airway pressure release ventilation and high-frequency oscillatory ventilation, improvements in oxygenation index and PaO(2)/FIO(2) at 24 hours expressed as a fraction of pretransition values (oxygenation index(24)/oxygenation index(pre) and PaO(2)/FIO(224)/PaO(2)/FIO(2pre)) reliably discriminated nonsurvivors from survivors, with receiver operating characteristic areas under the curves between 0.89 and 0.95 (p for all curves < 0.001). Sensitivity-specificity analysis suggested that less than 15% reduction in oxygenation index (90% sensitive, 75% specific) or less than 90% increase in PaO(2)/FIO(2) (80% sensitive, 94% specific) 24 hours after transition to airway pressure release ventilation were the optimal cutoffs to identify nonsurvivors. The comparable values 24 hours after transition to high-frequency oscillatory ventilation were less than 5% reduction in oxygenation index (100% sensitive, 83% specific) or less than 80% increase in PaO(2)/FIO(2) (91% sensitive, 89% specific) to identify nonsurvivors. In this single-center retrospective study of pediatric patients with an immunocompromised condition and acute respiratory distress syndrome failing conventional ventilation transitioned to either airway pressure release ventilation or high-frequency oscillatory ventilation, improved oxygenation at 24 hours expressed as PaO(2)/FIO(224)/PaO(2)/FIO(2pre) or oxygenation index(24)/oxygenation indexpre reliably discriminates nonsurvivors from survivors. These findings should be prospectively verified.

Controls on Deglacial Changes in Biogenic Fluxes and Authigenic Uranium in the North Pacific Ocean

NASA Astrophysics Data System (ADS)

Kohfeld, K. E.; Chase, Z.

2011-12-01

The re-organization of high-CO2 deep waters in the North Pacific Ocean may have played a crucial role in the degassing of carbon dioxide to the atmosphere during the last deglaciation. This reorganization would leave an imprint on productivity and on oxygen concentrations. We present 230Th-normalized biogenic fluxes and aU concentrations from an intermediate depth sediment core in the Northwest Pacific (RC10-196, 54.7N, 177.1E, 1007 m) and place them within the context of a synthesis of previously-published biogenic flux and aU data from the North Pacific Ocean. We evaluate several mechanisms as possible drivers of deglacial change, including changes in preservation, sediment focusing, sea ice extent, iron inputs, stratification, and circulation shifts initiated in the North Atlantic and North Pacific. Biogenic fluxes were lowest during the last glacial period (LGM, 19-23 ka). With the exception of a site at 5500 m, all sites including RC10-196, 1007 m, had higher concentrations of aU during the LGM, which implies lower pore water oxygen. Since organic carbon accumulation rates were generally lower during the LGM, these results support the idea that export production and deep-water oxygen were both reduced during the LGM in response to physical changes. Biogenic fluxes increased marginally at some locations in the NW Pacific during Heinrich Event 1 (H1; 15-18 ka) relative to the LGM. This increase may be consistent with an enhancement of ventilation to 2500-3000 m during H1, which may have helped to destratify the glacial ocean and increase nutrient delivery to surface waters. Although consistent with aU data at 2980 m water depth in the far NW Pacific, this interpretation is at odds with the relatively high concentration of aU measured during H1 at RC10-196 in the NW Pacific at 1007 m. High aU concentrations, in the absence of elevated biogenic flux, imply low oxygen bottom waters, which is inconsistent with increased ventilation. Similarly high values of aU are found at sites below 3000 m in the NW Pacific, suggesting that this area remained poorly ventilated below 1007 m during H1. Finally, biogenic fluxes reached maxima across the subarTctic North Pacific during the B/A period (15-12.5 ka). The aU was also high at all sites during the B/A, but in this case elevated organic carbon rain is the likely cause. We argue that paleo-observations are most consistent with ventilation increases in the North Atlantic (during B/A) as a primary driver of increases in biogenic flux during the deglaciation, as they were likely to bring nutrients to the surface via increased vertical mixing and shoaling of the global thermocline.

Response of a comprehensive climate model to a broad range of external forcings: relevance for deep ocean ventilation and the development of late Cenozoic ice ages

NASA Astrophysics Data System (ADS)

Galbraith, Eric; de Lavergne, Casimir

2018-03-01

Over the past few million years, the Earth descended from the relatively warm and stable climate of the Pliocene into the increasingly dramatic ice age cycles of the Pleistocene. The influences of orbital forcing and atmospheric CO2 on land-based ice sheets have long been considered as the key drivers of the ice ages, but less attention has been paid to their direct influences on the circulation of the deep ocean. Here we provide a broad view on the influences of CO2, orbital forcing and ice sheet size according to a comprehensive Earth system model, by integrating the model to equilibrium under 40 different combinations of the three external forcings. We find that the volume contribution of Antarctic (AABW) vs. North Atlantic (NADW) waters to the deep ocean varies widely among the simulations, and can be predicted from the difference between the surface densities at AABW and NADW deep water formation sites. Minima of both the AABW-NADW density difference and the AABW volume occur near interglacial CO2 (270-400 ppm). At low CO2, abundant formation and northward export of sea ice in the Southern Ocean contributes to very salty and dense Antarctic waters that dominate the global deep ocean. Furthermore, when the Earth is cold, low obliquity (i.e. a reduced tilt of Earth's rotational axis) enhances the Antarctic water volume by expanding sea ice further. At high CO2, AABW dominance is favoured due to relatively warm subpolar North Atlantic waters, with more dependence on precession. Meanwhile, a large Laurentide ice sheet steers atmospheric circulation as to strengthen the Atlantic Meridional Overturning Circulation, but cools the Southern Ocean remotely, enhancing Antarctic sea ice export and leading to very salty and expanded AABW. Together, these results suggest that a `sweet spot' of low CO2, low obliquity and relatively small ice sheets would have poised the AMOC for interruption, promoting Dansgaard-Oeschger-type abrupt change. The deep ocean temperature and salinity simulated under the most representative `glacial' state agree very well with reconstructions from the Last Glacial Maximum (LGM), which lends confidence in the ability of the model to estimate large-scale changes in water-mass geometry. The model also simulates a circulation-driven increase of preformed radiocarbon reservoir age, which could explain most of the reconstructed LGM-preindustrial ocean radiocarbon change. However, the radiocarbon content of the simulated glacial ocean is still higher than reconstructed for the LGM, and the model does not reproduce reconstructed LGM deep ocean oxygen depletions. These ventilation-related disagreements probably reflect unresolved physical aspects of ventilation and ecosystem processes, but also raise the possibility that the LGM ocean circulation was not in equilibrium. Finally, the simulations display an increased sensitivity of both surface air temperature and AABW volume to orbital forcing under low CO2. We suggest that this enhanced orbital sensitivity contributed to the development of the ice age cycles by amplifying the responses of climate and the carbon cycle to orbital forcing, following a gradual downward trend of CO2.

Gas-phase organics in environmental tobacco smoke. 1. Effects of smoking rate, ventilation, and furnishing level on emission factors.

PubMed

Singer, Brett C; Hodgson, Alfred T; Guevarra, Karla S; Hawley, Elisabeth L; Nazaroff, William W

2002-03-01

We measured the emissions of 26 gas-phase organic compounds in environmental tobacco smoke (ETS) using a model room that simulates realistic conditions in residences and offices. Exposure-relevant emission factors (EREFs), which include the effects of sorption and re-emission over a 24-h period, were calculated by mass balance from measured compound concentrations and chamber ventilation rates in a 50-m3 room constructed and furnished with typical materials. Experiments were conducted at three smoking rates (5, 10, and 20 cigarettes day(-1)), three ventilation rates (0.3, 0.6, and 2 h(-1)), and three furnishing levels (wallboard with aluminum flooring, wallboard with carpet, and full furnishings). Smoking rate did not affect EREFs, suggesting that sorption was linearly related to gas-phase concentration. Furnishing level and ventilation rate in the model room had little effect on EREFs of several ETS compounds including 1,3-butadiene, acrolein, acrylonitrile, benzene, toluene, and styrene. However, sorptive losses at low ventilation with full furnishings reduced EREFs for the ETS tracers nicotine and 3-ethenylpyridine by as much as 90 and 65% as compared to high ventilation, wallboard/aluminum experiments. Likewise, sorptive losses were 40-70% for phenol, cresols, naphthalene, and methylnaphthalenes. Sorption persisted for many compounds; for example, almost all of the sorbed nicotine and most of the sorbed cresol remained sorbed 3 days after smoking. EREFs can be used in models and with ETS tracer-based methods to refine and improve estimates of exposures to ETS constituents.

The Pattern and Dynamics of the Meridional Overturning Circulation in the Upper Ocean

DTIC Science & Technology

2008-09-01

Atlantic . Figure 4a shows that the center of meridional overturning circulation occurs at a level of about one kilometer. Circulation is weak at...maintenance of the meridional overturning circulation in the Atlantic Ocean. 5. Global Simulation The most exciting experiment would be to fully model the...mechanisms responsible for the strength and maintenance of the meridional overturning circulation in the Atlantic Ocean are not

Characteristics of rain penetration through a gravity ventilator used for natural ventilation.

PubMed

Kim, Taehyeung; Lee, Dong Ho; Ahn, Kwangseog; Ha, Hyunchul; Park, Heechang; Piao, Cheng Xu; Li, Xiaoyu; Seo, Jeoungyoon

2008-01-01

Gravity ventilators rely simply on air buoyancy to extract air and are widely used to exhaust air contaminants and heat from workplaces using minimal energy. They are designed to maximize the exhaust flow rate, but the rain penetration sometimes causes malfunctioning. In this study, the characteristics of rain penetration through a ventilator were examined as a preliminary study to develop a ventilator with the maximum exhaust capacity while minimizing rain penetration. A model ventilator was built and exposed to artificial rain and wind. The paths, intensities and amounts of penetration through the ventilator were observed and measured in qualitative and quantitative fashions. In the first phase, the pathways and intensities of rain penetration were visually observed. In the second phase, the amounts of rain penetration were quantitatively measured under the different configurations of ventilator components that were installed based on the information obtained in the first-phase experiment. The effects of wind speed, grill direction, rain drainage width, outer wall height, neck height and leaning angle of the outer wall from the vertical position were analyzed. Wind speed significantly affected rain penetration. Under the low crosswind conditions, the rain penetration intensities were under the limit of detection. Under the high crosswind conditions, grill direction and neck height were the most significant factors in reducing rain penetration. The installation of rain drainage was also important in reducing rain penetration. The experimental results suggest that, with proper configurations of its components, a gravity ventilator can be used for natural ventilation without significant rain penetration problems.

Overview of the 1988 GCE/CASE/WATOX Studies of biogeochemical cycles in the North Atlantic region

NASA Astrophysics Data System (ADS)

Pszenny, Alexander A. P.; Galloway, James N.; Artz, Richard S.; Boatman, Joseph F.

1990-06-01

The 1988 Global Change Expedition/Coordinated Air-Sea Experiment/Western Atlantic Ocean Experiment (GCE/CASE/WATOX) was a multifaceted research program designed to study atmospheric and oceanic processes affecting the biogeochemical cycles of carbon, nitrogen, sulfur, and trace metals in the North Atlantic Ocean region. Field work included (1) a 49-day research cruise aboard NOAA ship Mt. Mitchell (Global Change Expedition) from Norfolk, Virginia, to Bermuda, Iceland, the Azores, and Barbados, (2) eight flights of the NOAA King Air research aircraft, four off the Virginia Capes and four near Bermuda (CASE/WATOX), and (3) a research cruise aboard the yacht Fleurtie near Bermuda (WATOX). Objectives of GCE/CASE/WATOX were (1) to examine processes controlling the mesoscale distributions of productivity, chlorophyll, and phytoplankton growth rates in Atlantic surface waters, (2) to identify factors controlling the distribution of ozone in the North Atlantic marine boundary layer, and (3) to estimate the contributions of sources on surrounding continents to the biogeochemical cycles of sulfur, nitrogen, and trace metals over the North Atlantic region during the boreal summer season. The individual papers in this and the next two issues of Global Biogeochemical Cycles provide details on the results and analyses of the individual measurement efforts. This paper provides a brief overview of GCE/CASE/WATOX.

Design and Construction of a Microcontroller-Based Ventilator Synchronized with Pulse Oximeter.

PubMed

Gölcük, Adem; Işık, Hakan; Güler, İnan

2016-07-01

This study aims to introduce a novel device with which mechanical ventilator and pulse oximeter work in synchronization. Serial communication technique was used to enable communication between the pulse oximeter and the ventilator. The SpO2 value and the pulse rate read on the pulse oximeter were transmitted to the mechanical ventilator through transmitter (Tx) and receiver (Rx) lines. The fuzzy-logic-based software developed for the mechanical ventilator interprets these values and calculates the percentage of oxygen (FiO2) and Positive End-Expiratory Pressure (PEEP) to be delivered to the patient. The fuzzy-logic-based software was developed to check the changing medical states of patients and to produce new results (FiO2 ve PEEP) according to each new state. FiO2 and PEEP values delivered from the ventilator to the patient can be calculated in this way without requiring any arterial blood gas analysis. Our experiments and the feedbacks from physicians show that this device makes it possible to obtain more successful results when compared to the current practices.

Impact of acoustic airflow on intrasinus drug deposition: New insights into the vibrating mode and the optimal acoustic frequency to enhance the delivery of nebulized antibiotic.

PubMed

Leclerc, Lara; Merhie, Amira El; Navarro, Laurent; Prévôt, Nathalie; Durand, Marc; Pourchez, Jérémie

2015-10-15

We investigated the impact of vibrating acoustic airflow, the high frequency (f≥100 Hz) and the low frequency (f≤45 Hz) sound waves, on the enhancement of intrasinus drug deposition. (81m)Kr-gas ventilation study was performed in a plastinated human cast with and without the addition of vibrating acoustic airflow. Similarly, intrasinus drug deposition in a nasal replica using gentamicin as a marker was studied with and without the superposition of different modes of acoustic airflow. Ventilation experiments demonstrate that no sinus ventilation was observed without acoustic airflow although sinus ventilation occurred whatever the modes of acoustic airflow applied. Intrasinus drug deposition experiments showed that the high frequency acoustic airflow led to 4-fold increase in gentamicin deposition into the left maxillary sinus and to 2-fold deposition increase into the right maxillary sinus. Besides, the low frequency acoustic airflow demonstrated a significant increase of 4-fold and 2-fold in the right and left maxillary sinuses, respectively. We demonstrated the benefit of different modes of vibrating acoustic airflow for maxillary sinus ventilation and intrasinus drug deposition. The degree of gentamicin deposition varies as a function of frequency of the vibrating acoustic airflow and the geometry of the ostia. Copyright © 2015 Elsevier B.V. All rights reserved.

Inter-Rater Agreement of Auscultation, Palpable Fremitus, and Ventilator Waveform Sawtooth Patterns Between Clinicians.

PubMed

Berry, Marc P; Martí, Joan-Daniel; Ntoumenopoulos, George

2016-10-01

Clinicians often use numerous bedside assessments for secretion retention in participants who are receiving invasive mechanical ventilation. This study aimed to evaluate inter-rater agreement between clinicians when using standard clinical assessments of secretion retention and whether differences in clinician experience influenced inter-rater agreement. Seventy-one mechanically ventilated participants were assessed by a research clinician and by one of 13 ICU clinicians. Each clinician conducted a standardized assessment of lung auscultation, palpation for chest-wall (rhonchal) fremitus, and ventilator inspiratory/expiratory flow-time waveforms for the sawtooth pattern. On the presence of breath sounds, agreement ranged from absolute to moderate in the upper zones and the lower zones, respectively. Kappa values for abnormal and adventitious lung sounds achieved moderate agreement in the upper zones, less than chance agreement to substantial agreement in the middle zones, and moderate agreement to almost perfect agreement in the lower zones. Moderate to almost perfect agreement was established for palpable fremitus in the upper zones, moderate to substantial agreement in the middle zones, and less than chance to moderate agreement in the lower zones. Inter-rater agreement on the presence of expiratory sawtooth pattern identification showed moderate agreement. The level of percentage agreement between the research and ICU clinicians for each respiratory assessment studied did not relate directly to level of clinical experience. Inter-rater agreement for all assessments showed variability between lung regions but maintained reasonable percentage agreement in mechanically ventilated participants. The level of percentage agreement achieved between clinicians did not directly relate to clinical experience for all respiratory assessments. Therefore, these respiratory assessments should not necessarily be viewed in isolation but interpreted within the context of a full clinical assessment. Copyright © 2016 by Daedalus Enterprises.

Validity of thermally-driven small-scale ventilated filling box models

NASA Astrophysics Data System (ADS)

Partridge, Jamie L.; Linden, P. F.

2013-11-01

The majority of previous work studying building ventilation flows at laboratory scale have used saline plumes in water. The production of buoyancy forces using salinity variations in water allows dynamic similarity between the small-scale models and the full-scale flows. However, in some situations, such as including the effects of non-adiabatic boundaries, the use of a thermal plume is desirable. The efficacy of using temperature differences to produce buoyancy-driven flows representing natural ventilation of a building in a small-scale model is examined here, with comparison between previous theoretical and new, heat-based, experiments.

CFD Approach To Investigate The Flow Characteristics In Bi-Directional Ventilated Disc Brake

NASA Astrophysics Data System (ADS)

Munisamy, Kannan M.; Yusoff, Mohd. Zamri; Shuaib, Norshah Hafeez; Thangaraju, Savithry K.

2010-06-01

This paper presents experimental and Computational Fluids Dynamics (CFD) investigations of the flow in ventilated brake discs. Development of an experiment rig with basic measuring devices are detailed out and following a validation study, the possible improvement in the brake cooling can be further analyzed using CFD analysis. The mass flow rate is determined from basic flow measurement technique following that the conventional bi-directional passenger car is simulated using commercial CFD software FLUENT™. The CFD simulation is used to investigate the flow characteristics in between blade flow of the bi-directional ventilated disc brake.

Species Profiles: Life Histories and Environmental Requirements of Coastal Fishes and Invertebrates (South Atlantic): Bluefish

DTIC Science & Technology

1989-04-01

Invertebrates (South Atlantic) BLUEFISH AA I.,,bWU . . Coastal Ecology Group *Fish and Wildlife Service Waterways Experiment Station U.S. Department of the...Requirements of Coastal Fishes and Invertebrates (South Atlantic) BLUEFISH by J. Douglas Oliver, Michael J. Van Den Avyle, and Earl L. Bozeman, Jr. Georgia...Marine Fisheries Service, Panama City, Florida,for reviewing this manuscript. vi Figure 1. Bluefish . BLUEFISH NOMENCLATURE/TAXONOMY/RANGE westward to

A study of the growth and decay of cigarette smoke NOx in ambient air under controlled conditions

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rickert, W.S.; Robinson, J.C.; Collishaw, N.E.

The amount of NO{sub 2} and NO produced by the machine smoking of cigarettes was determined for 15 commercial Canadian brands. Average yield of NO was 1.44 {mu}moles or about 13% of the average reported for American cigarettes. Levels of NO{sub 2} were all less than 12% of NO and were probably due to the oxidation of NO. In order to assess the contribution of tobacco smoke to levels of NO in ambient air, 5 brands of cigarettes were smoked in a 27 cubic meter controlled environment room. Ventilation conditions were either 2.5 or 5.0 air changes per hour (ACH)more » and each experiment was replicated 3 times for a total of 30 experiments. Ventilation rates of 0.3 and 1.5 ACH were also selected in a second series of experiments in which only one brand of cigarette was smoked. Least squares estimates for the effective ventilation rates were obtained in the usual manner after linearizing the decay portion of the NO time curve. In each of the experiments, the regression explained at least 95% of the variation in the levels of NO with time. Loss of NO due to factors other than ventilation appeared to be constant within experimental error and averaged 2.22 ACH. Equilibrium values for NO were grossly underestimated when results from currently accepted procedures for smoke analysis were used in modeling the growth and decay of NO. Goodness-of-fit was improved when equilibrium values were estimated based on observed levels in ambient air.« less

Are antipredator behaviours of hatchery Salmo salar juveniles similar to wild juveniles?

PubMed

Salvanes, A G V

2017-05-01

This study explores how antipredator behaviour of juvenile Atlantic salmon Salmo salar developed during conventional hatchery rearing of eggs from wild brood stock, compared with the behaviour of wild-caught juveniles from the same population. Juveniles aged 1+ years were tested in two unfamiliar environments; in one S. salar were presented with simulated predator attacks and in the other they were given the opportunity to explore an open-field arena. No difference was found in their spontaneous escape responses or ventilation rate (reflex responses) after simulated predator attacks. Hatchery-reared juveniles were more risk-prone in their behaviours than wild-caught individuals. Hatchery juveniles stayed less time in association with shelter. In the open-field arena, hatchery juveniles were more active than wild juveniles. Hatchery juveniles were also immobile for less time and spent a shorter amount of time than wild juveniles in the fringe of the open-field arena. Salmo salar size had no effect on the observed behaviour. Overall, this study provides empirical evidence that one generation of hatchery rearing does not change reflex responses associated with threats, whereas antipredator behaviour, typically associated with prior experience, was less developed in hatchery-reared than in wild individuals. © 2017 The Fisheries Society of the British Isles.

Knowledge levels of intensive care nurses on prevention of ventilator-associated pneumonia.

PubMed

Akın Korhan, Esra; Hakverdioğlu Yönt, Gülendam; Parlar Kılıç, Serap; Uzelli, Derya

2014-01-01

Ventilator-associated pneumonia constitutes a significant concern for ventilated patients in the intensive care unit. This study was planned to evaluate the knowledge of nurses working in general intensive care units concerning evidence-based measures for the prevention of ventilator-associated pneumonia. This study design is cross-sectional. It was carried out on nurses working in the general intensive care units of anesthiology and re-animation clinics. Collection of research data was performed by means of a Nurse Identification Form and a Form of Evidence-Based Knowledge concerning the Prevention of Ventilator-Associated Pneumonia. Characterization statistics were shown by percentage, median and interquartile range. Chi-square and Wilcoxon tests and Kruskal-Wallis tests were used as appropriate. The median value of total points scored by nurses on the questionnaire was 4.00 ± 2.00. The difference between the nurses' education levels, duration of work experience and participation in in-service training programmes on ventilator-associated pneumonia prevention and the median value of their total scores on the questionnaire was found to be statistically significant (p < 0.05). The conclusion of the study was that critical care nurses' knowledge about ventilator-associated pneumonia prevention is poor. © 2013 British Association of Critical Care Nurses.

A regime perspective on the North Atlantic eddy-driven jet stream response to sudden stratospheric warmings

NASA Astrophysics Data System (ADS)

Maycock, A.; Masukwedza, G.; Hitchcock, P.

2017-12-01

The winter North Atlantic eddy-driven jet (NAJ) has been shown to exhibit three preferred latitudinal positions. Here we examine, for the first time, the influence of major Sudden Stratospheric Warmings (SSWs) on the regime behaviour of the NAJ using an ensemble of climate model experiments with stratospheric conditions nudged towards a major SSW, but with each ensemble member having freely evolving tropospheric conditions. The SSW experiment is compared to a control ensemble in which stratospheric variability is absent. The experiments show that the SSW leads to an increased occupancy of the southerly NAJ state and reduced occupancy of the northerly state. This effect is distinct from the mean southward shift of the NAJ identified in many previous studies, and instead suggests changes to the characteristics of NAJ variability as a result of SSWs. These results may aid in understanding the mechanisms by which SSWs impact on Euro-Atlantic climate.

Promoting independence for children on long-term ventilation.

PubMed

Lawrence, Sue

2011-12-01

It is the responsibility of children's nurses to enable children and young people who are on long-term ventilation (LTV) to live independent and varied lives. This article considers the common challenges faced by such children and reflects on personal experience in planning and undertaking a respite week for a young person on LTV with Duchenne's muscular dystrophy without his parents.

[Pediatric home ventilation--practical approach].

PubMed

Rath-Wacenovsky, Regina

2015-09-01

Out-of-hospital ventilation represents only a marginal area of paediatric therapeutic concepts. In Austria, the proportion of children to be supplied with invasive and non-invasive ventilation increases significantly, together with the challenges of caring for their long-term demands. Neuromuscular diseases accounted for almost the sole indication group. Premature and newborn infants with persistent respiratory failures are an increasing group, needing more extensive care due to additional comorbidities. Children with congenital disorder have often been tracheotomised in order to secure their airway, and non-invasive ventilation as a bridge- or long-term therapy gains in importance more and more. Usually, infants with primary or secondary CNS disorders suffer from respiratory complications and eventually from chronic respiratory insufficiencies during adolescence or young adulthood. Here, invasive or non-invasive ventilation can contribute both to a significant stabilisation of health status and also quality of life. Spirit of research, experience, appropriate support structures, and appropriate networking constitute the most relevant quality- and success criteria for home care.

Early transformation of the Mediterranean Outflow Water (MOW) in the Gulf Of Cádiz, SW Iberian Peninsula: pathways, mixing and temporal variability.

NASA Astrophysics Data System (ADS)

Sánchez Leal, Ricardo F.; Sánchez Garrido, José Carlos; Jesús Bellanco Esteban, María; Ruiz Villarreal, Manuel; González-Pola Muñiz, César

2014-05-01

The inverse estuarine circulation through the strait of Gibraltar is responsible for the overflow of dense, saline MOW towards the Atlantic basin. Initially as a gravity undercurrent, the MOW entrains large amounts of the overlying Eastern North Atlantic Central Water to become a multi-layered, buoyant plume at depths of 800-1300 m past Cape St. Vincent. Much of the entrainment occurs within 100 km of the Strait over a highly abrupt topography. In this work we analyze a repeated series of high-resolution CTD-LADCP observations along a number of standard sections crossing the early MOW. These data show that from the Strait of Gibraltar, the bottom-trapped flow bifurcates in the vicinity of the topographic features, diverting or rejoining the main MOW path as a function of the orientation of channels and valleys. As it turns anticyclonically, the undercurrent exhibits a cross-axis geostrophic gradient, with the margin closer to the slope being in near-geostrophic balance whereas the distal band is largely ageostrophic due to the flow curvature. Mixing is steered by the interplay of tidal stirring, bottom roughness, shear instability and double diffusion along the MOW path. Data also shows that seasonal variability is mostly related to the fluctuations in the overlying layer rather than to MOW dynamics. This is a contribution to INGRES3 project (Mediterranean outflow at Gibraltar, its influence on deep Mediterranean water ventilation and first transformation and coupling with North-Atlantic central waters in the Gulf of Cádiz, CTM2010_21229)

Effects of post-capture ventilation assistance and elevated water temperature on sockeye salmon in a simulated capture-and-release experiment

PubMed Central

Robinson, Kendra A.; Hinch, Scott G.; Gale, Marika K.; Clark, Timothy D.; Wilson, Samantha M.; Donaldson, Michael R.; Farrell, Anthony P.; Cooke, Steven J.; Patterson, David A.

2013-01-01

The live release of wild adult Pacific salmon (Oncorhynchus spp.) following capture is a management tactic often used in commercial, aboriginal, and recreational fisheries. Fisheries capture and handling can be both exhausting and stressful to fish, which can limit their ability to swim and survive after release. As a result, researchers have assessed methods intended to improve post-release survival by assisting the flow of water over the gills of fish prior to release. Such approaches use recovery bags or boxes that direct water over the gills of restrained fish. This study evaluated a method of assisting ventilation that mimics one often employed by recreational anglers (i.e. holding fish facing into a current). Under laboratory conditions, wild Fraser River sockeye salmon (Oncorhynchus nerka) either received manual ventilation assistance for 1 min using a jet of water focused at the mouth or were left to recover unassisted following a capture-and-release simulation. A control group consisted of fish that were not exposed to the simulation or ventilation assistance. The experiment was conducted at 16 and 21°C, average and peak summer water temperatures for the Fraser River, and fish survival was monitored for 33 days. At 21°C, all fish perished within 3 days after treatment in all experimental groups, highlighting the consequences of handling adult sockeye salmon during elevated migration temperatures. Survival was higher at 16°C, with fish surviving on average 15–20 days after treatment. At 16°C, the capture-and-release simulation and ventilation assistance did not affect the survival of males; however, female survival was poor after the ventilation assistance compared with the unassisted and control groups. Our results suggest that the method of ventilation assistance tested in this study may not enhance the post-release survival of adult Fraser River sockeye salmon migrating in fresh water. PMID:27293599

Determination of eustachius tube ventilation functioning among benign type chronic suppurative otitis media and non-otitis media subjects using sonotubometry

NASA Astrophysics Data System (ADS)

Ikhwan, M.; Hafil, A. F.; Bramanthyo, B.

2017-08-01

The Eustachian tube (ET) is responsible for the ventilation, protection, and cleaning of the middle ear. ET dysfunction plays an important role in the pathogenesis of otitis media cases, and thus the treatment and prognosis of these cases is extremely dependent on adequate ET function, which can ultimately affect the success rate of middle ear reconstruction practices. Data research on the ET’s ventilation function is needed to ensure the success of therapy and surgery treatments in the case of Chronic Suppurative Otitis Media (CSOM) patients. This study aims to investigate ET ventilation functioning in benign type CSOM and non-otitis media subjects and to develop another modality to measure ET ventilation functioning in patients with intact and perforated tympanic membranes. A comparative cross-sectional study of 36 benign type CSOM patients and 80 non-otitis media subjects will be conducted using sonotubometry and the rated parameter measurements of ET opening frequency, amplitude and ET opening duration. Malfunctioning ventilation of the ET is more common among benign type CSOM subjects (47%) than among non-otitis media subjects (18.75%). There is a significant difference (p = 0.002) between the ET ventilation functioning of benign type CSOM subjects and non-otitis media subjects—benign type CSOM subjects have rates of malfunctioning ET ventilation that are 3.88 times higher than those of non-otitis media subjects. Patients with benign type CSOM are more likely to experience malfunctioning ET ventilation than are non-otitis media subjects.

Airborne CH 2O measurements over the North Atlantic during the 1997 NARE campaign: Instrument comparisons and distributions

DOE PAGES

Fried, Alan; Lee, Yin -Nan; Frost, Greg; ...

2002-02-27

Here, formaldehyde measurements from two independent instruments are compared with photochemical box model calculations. The measurements were made on the NOAA P-3 aircraft as part of the 1997 North Atlantic Regional Experiment (NARE 1997). After examining the possible reasons for the model-measurement discrepancy, we conclude that there are probably one or more additional unknown sources of CH 2O in the North Atlantic troposphere.

Relative impacts of insolation changes, meltwater fluxes and ice sheets on African and Asian monsoons during the Holocene

NASA Astrophysics Data System (ADS)

Marzin, Charline; Braconnot, Pascale; Kageyama, Masa

2013-11-01

In order to better understand the evolution of the Afro-Asian monsoon in the early Holocene, we investigate the impact on boreal summer monsoon characteristics of (1) a freshwater flux in the North Atlantic from the surrounding melting ice sheets and (2) a remnant ice sheet over North America and Europe. Sensitivity experiments run with the IPSL_CM4 model show that both the meltwater flux and the remnant ice sheets induce a cooling of similar amplitude of the North Atlantic leading to a southward shift of the Inter-Tropical Convergence Zone over the tropical Atlantic and to a reduction of the African monsoon. The two perturbations have different impacts in the Asian sector. The meltwater flux results in a weakening of the Indian monsoon and no change in the East Asian monsoon, whereas the remnant ice sheets induce a strengthening of the Indian monsoon and a strong weakening of the East Asian monsoon. Despite the similar coolings in the Atlantic Ocean, the ocean heat transport is reduced only in the meltwater flux experiment, which induces slight differences between the two experiments in the role of the surface latent heat flux in the tropical energetics. In the meltwater experiment, the southward shift of the subtropical jet acts to cool the upper atmosphere over the Tibetan Plateau and hence to weaken the Indian monsoon. In the ice sheet experiment this effect is overwhelmed by the changes in extratropical stationary waves induced by the ice sheets, which are associated with a larger cooling over the Eurasian continent than in the meltwater experiment. However these sensitivity experiments suggest that insolation is the dominant factor explaining the relative changes of the African, Indian and East Asian monsoons from the early to the mid-Holocene.

[Noninvasive ventilation. The 2015 guidelines from the Groupe Assistance Ventilatoire (GAV) of the Société de Pneumologie de Langue Française (SPLF)].

PubMed

Rabec, C; Cuvelier, A; Cheval, C; Jaffre, S; Janssens, J-P; Mercy, M; Prigent, A; Rouault, S; Talbi, S; Vandenbroeck, S; Gonzalez-Bermejo, J

2016-12-01

A task force issued from the Groupe Assistance Ventilatoire (GAV) of the Société de Pneumologie de Langue Française (SPLF) was committed to develop a series of expert advice concerning various practical topics related to long-term non invasive ventilation by applying the Choosing Wisely ® methodology. Three topics were selected: monitoring of noninvasive ventilation, the interpretation of data obtained from built-in devices coupled to home ventilators and the role of hybrid modes (target volume with variable pressure support. For each topic, the experts have developed practical tips based on a comprehensive analysis of recent insights and evidence from the literature and from clinical experience. Copyright © 2016 SPLF. Published by Elsevier Masson SAS. All rights reserved.

Core guidelines for the discharge home of the child on long term assisted ventilation in the United Kingdom

PubMed Central

Jardine, E.; Wallis, C.

1998-01-01

Paediatric home ventilation is a feasible option and can be successful in a wide range of conditions and ages. Advances in ventilator technology and an ethos of optimism for home care has increased the possibilities for discharging chronically ventilated children from intensive care units and acute medical beds. With careful planning the process can succeed, but difficulties often thwart the responsible team, especially when attempting discharge for the first time. These core guidelines aim to assist a smooth, swift and successful transfer. They were developed by a working party of interested professionals spanning a wide range of health care disciplines and represent a synthesis of views accumulated from the experiences of individual teams throughout the UK. Three case scenarios provide further illustrative detail and guidance.

 PMID:10319058

The Atmospheric Response to a Future Warming Deficit in North Atlantic SSTs

NASA Astrophysics Data System (ADS)

Gervais, M.; Shaman, J. L.; Kushnir, Y.

2017-12-01

As SSTs increase globally over the 21st century, global climate models project a significant deficit in warming within the subpolar gyre of the North Atlantic Ocean. This study investigates the impact of this warming deficit on atmosphere circulation. A series of large ensemble experiments are conducted using the Community Atmosphere Model 5 forced with specified sea ice and SSTs for the early (2010-2019), mid (2050-2059), and late (2090-2099) 21stcentury. SST and sea ice fields from the Community Earth System Model Large Ensemble experiment are used as boundary conditions for the control simulations. Experiments with either a filled or deepened warming hole are conducted by adding a SST perturbation field to these time-varying SST boundary conditions. Results from these experiments demonstrate that the warming hole has significant local and remote impacts on the atmosphere. Filling (deepening) the warming hole results in a local increase (decrease) in turbulent heat fluxes relative to the control run and consequentially an increase (decrease) in temperature in the overlying lower troposphere that spreads over Europe. There are significant impacts on the location and strength of both the North Atlantic and North Pacific jets as well as on the North Atlantic Oscillation. These impacts of the warming hole on both the mean state and variability of the atmosphere have important implications for sensible weather in the Northern Hemisphere and in particular over Europe.

Contaminants in ventilated filling boxes

NASA Astrophysics Data System (ADS)

Bolster, D. T.; Linden, P. F.

While energy efficiency is important, the adoption of energy-efficient ventilation systems still requires the provision of acceptable indoor air quality. Many low-energy systems, such as displacement or natural ventilation, rely on temperature stratification within the interior environment, always extracting the warmest air from the top of the room. Understanding buoyancy-driven convection in a confined ventilated space is key to understanding the flow that develops with many of these modern low-energy ventilation schemes. In this work we study the transport of an initially uniformly distributed passive contaminant in a displacement-ventilated space. Representing a heat source as an ideal sourced of buoyancy, analytical and numerical models are developed that allow us to compare the average efficiency of contaminant removal between traditional mixing and modern low-energy systems. A set of small-scale analogue laboratory experiments was also conducted to further validate our analytical and numerical solutions.We find that on average traditional and low-energy ventilation methods are similar with regard to pollutant flushing efficiency. This is because the concentration being extracted from the system at any given time is approximately the same for both systems. However, very different vertical concentration gradients exist. For the low-energy system, a peak in contaminant concentration occurs at the temperature interface that is established within the space. This interface is typically designed to sit at some intermediate height in the space. Since this peak does not coincide with the extraction point, displacement ventilation does not offer the same benefits for pollutant flushing as it does for buoyancy removal.

Respiratory Mechanics and Plasma Levels of Tumor Necrosis Factor Alpha and Interleukin 6 Are Affected by Gas Humidification during Mechanical Ventilation in Dogs

PubMed Central

Hernández-Jiménez, Claudia; García-Torrentera, Rogelio; Olmos-Zúñiga, J. Raúl; Jasso-Victoria, Rogelio; Gaxiola-Gaxiola, Miguel O.; Baltazares-Lipp, Matilde; Gutiérrez-González, Luis H.

2014-01-01

The use of dry gases during mechanical ventilation has been associated with the risk of serious airway complications. The goal of the present study was to quantify the plasma levels of TNF-alpha and IL-6 and to determine the radiological, hemodynamic, gasometric, and microscopic changes in lung mechanics in dogs subjected to short-term mechanical ventilation with and without humidification of the inhaled gas. The experiment was conducted for 24 hours in 10 dogs divided into two groups: Group I (n = 5), mechanical ventilation with dry oxygen dispensation, and Group II (n = 5), mechanical ventilation with oxygen dispensation using a moisture chamber. Variance analysis was used. No changes in physiological, hemodynamic, or gasometric, and radiographic constants were observed. Plasma TNF-alpha levels increased in group I, reaching a maximum 24 hours after mechanical ventilation was initiated (ANOVA p = 0.77). This increase was correlated to changes in mechanical ventilation. Plasma IL-6 levels decreased at 12 hours and increased again towards the end of the study (ANOVA p>0.05). Both groups exhibited a decrease in lung compliance and functional residual capacity values, but this was more pronounced in group I. Pplat increased in group I (ANOVA p = 0.02). Inhalation of dry gas caused histological lesions in the entire respiratory tract, including pulmonary parenchyma, to a greater extent than humidified gas. Humidification of inspired gases can attenuate damage associated with mechanical ventilation. PMID:25036811

Respiratory mechanics and plasma levels of tumor necrosis factor alpha and interleukin 6 are affected by gas humidification during mechanical ventilation in dogs.

PubMed

Hernández-Jiménez, Claudia; García-Torrentera, Rogelio; Olmos-Zúñiga, J Raúl; Jasso-Victoria, Rogelio; Gaxiola-Gaxiola, Miguel O; Baltazares-Lipp, Matilde; Gutiérrez-González, Luis H

2014-01-01

The use of dry gases during mechanical ventilation has been associated with the risk of serious airway complications. The goal of the present study was to quantify the plasma levels of TNF-alpha and IL-6 and to determine the radiological, hemodynamic, gasometric, and microscopic changes in lung mechanics in dogs subjected to short-term mechanical ventilation with and without humidification of the inhaled gas. The experiment was conducted for 24 hours in 10 dogs divided into two groups: Group I (n = 5), mechanical ventilation with dry oxygen dispensation, and Group II (n = 5), mechanical ventilation with oxygen dispensation using a moisture chamber. Variance analysis was used. No changes in physiological, hemodynamic, or gasometric, and radiographic constants were observed. Plasma TNF-alpha levels increased in group I, reaching a maximum 24 hours after mechanical ventilation was initiated (ANOVA p = 0.77). This increase was correlated to changes in mechanical ventilation. Plasma IL-6 levels decreased at 12 hours and increased again towards the end of the study (ANOVA p>0.05). Both groups exhibited a decrease in lung compliance and functional residual capacity values, but this was more pronounced in group I. Pplat increased in group I (ANOVA p = 0.02). Inhalation of dry gas caused histological lesions in the entire respiratory tract, including pulmonary parenchyma, to a greater extent than humidified gas. Humidification of inspired gases can attenuate damage associated with mechanical ventilation.

Sensitivity of the summertime tropical Atlantic precipitation distribution to convective parameterization and model resolution in ECHAM6

DOE PAGES

Siongco, Angela Cheska; Hohenegger, Cathy; Stevens, Bjorn

2017-02-09

A realistic simulation of the tropical Atlantic precipitation distribution remains a challenge for atmospheric general circulation models, owing to their too coarse resolution that makes it necessary to parameterize convection. During boreal summer, models tend to underestimate the northward shift of the tropical Atlantic rain belt, leading to deficient precipitation over land and an anomalous precipitation maximum over the west Atlantic ocean. In this study, the model ECHAM6 is used to test the sensitivity of the precipitation biases to convective parameterization and horizontal resolution. Two sets of sensitivity experiments are performed. In the first set of experiments, modifications are appliedmore » to the convection scheme in order to investigate the relative roles of the trigger, entrainment, and closure formulations. In the second set, the model is run at high resolution with low-resolution boundary conditions in order to identify the relative contributions of a high-resolution atmosphere, orography, and surface. Results show that the dry bias over land in the model can be reduced by weakening the entrainment rate over land. Over ocean, it is found that the anomalous precipitation maximum occurs because of model choices that decrease the sensitivity of convection to the monsoon circulation in the east Atlantic. A reduction of the west Atlantic precipitation bias can be achieved by (i) using a moisture convergence closure, (ii) increasing the resolution of orography, or (iii) enhancing the production of deep convection in the east Atlantic. As a result, the biases over land and over ocean do not impact each other.« less

Phosgene Poisoning Caused by the Use of Chemical Paint Removers Containing Methylene Chloride in Ill-Ventilated Rooms Heated by Kerosene Stoves

PubMed Central

Gerritsen, W. B.; Buschmann, C. H.

1960-01-01

Two cases resembling poisoning by phosgene following the use of a paint remover containing methylene chloride in ill-ventilated rooms heated by an oil stove are described. Experiments carried out under similar conditions demonstrated the production of phosgene in toxic concentrations. The potential hazards from non-inflammable solvents are discussed. PMID:13827592

Kangaroo care for adoptive parents and their critically ill preterm infant.

PubMed

Parker, Leslie; Anderson, Gene Cranston

2002-01-01

In this case study kangaroo care (KC) was facilitated for an adoptive mother and father who were planning to attend the birth of the infant they had arranged to adopt. Unexpectedly, the birth mother delivered at 27 weeks gestation. The infant was critically ill and required mechanical ventilation. However, in this neonatal intensive care unit where all adoptive parents and parents of mechanically ventilated infants are offered KC, these adoptive parents began KC on Day 3 while their infant daughter was still mechanically ventilated. She thrived thereafter and the entire experience was profoundly beneficial for this beginning family both at the hospital and after discharge home.

Annual verifications--a tick-box exercise?

PubMed

Walker, Gwen; Williams, David

2014-09-01

With the onus on healthcare providers and their staff to protect patients against all elements of 'avoidable harm' perhaps never greater, Gwen Walker, a highly experienced infection prevention control nurse specialist, and David Williams, MD of Approved Air, who has 30 years' experience in validation and verification of ventilation and ultraclean ventilation systems, examine changing requirements for, and trends in, operating theatre ventilation. Validation and verification reporting on such vital HVAC equipment should not, they argue, merely be viewed as a 'tick-box exercise'; it should instead 'comprehensively inform key stakeholders, and ultimately form part of clinical governance, thus protecting those ultimately named responsible for organisation-wide safety at Trust board level'.

Non-invasive ventilation with intelligent volume-assured pressure support versus pressure-controlled ventilation: effects on the respiratory event rate and sleep quality in COPD with chronic hypercapnia.

PubMed

Nilius, Georg; Katamadze, Nato; Domanski, Ulrike; Schroeder, Maik; Franke, Karl-Josef

2017-01-01

COPD patients who develop chronic hypercapnic respiratory failure have a poor prognosis. Treatment of choice, especially the best form of ventilation, is not well known. This study compared the effects of pressure-controlled (spontaneous timed [ST]) non-invasive ventilation (NIV) and NIV with intelligent volume-assured pressure support (IVAPS) in chronic hypercapnic COPD patients regarding the effects on alveolar ventilation, adverse patient/ventilator interactions and sleep quality. This prospective, single-center, crossover study randomized patients to one night of NIV using ST then one night with the IVAPS function activated, or vice versa. Patients were monitored using polysomnography (PSG) and transcutaneous carbon dioxide pressure (PtcCO 2 ) measurement. Patients rated their subjective experience (total score, 0-45; lower scores indicate better acceptability). Fourteen patients were included (4 females, age 59.4±8.9 years). The total number of respiratory events was low, and similar under pressure-controlled (5.4±6.7) and IVAPS (8.3±10.2) conditions ( P =0.064). There were also no clinically relevant differences in PtcCO 2 between pressure-controlled and IVAPS NIV (52.9±6.2 versus 49.1±6.4 mmHg). Respiratory rate was lower under IVAPS overall; between-group differences reached statistical significance during wakefulness and non-rapid eye movement sleep. Ventilation pressures were 2.6 cmH 2 O higher under IVAPS versus pressure-controlled ventilation, resulting in a 20.1 mL increase in breathing volume. Sleep efficiency was slightly higher under pressure-controlled ventilation versus IVAPS. Respiratory arousals were uncommon (24.4/h [pressure-controlled] versus 25.4/h [IVAPS]). Overall patient assessment scores were similar, although there was a trend toward less discomfort during IVAPS. Our results show that IVAPS NIV allows application of higher nocturnal ventilation pressures versus ST without affecting sleep quality or inducing ventilation- associated events.

Experiments to Evaluate and Implement Passive Tracer Gas Methods to Measure Ventilation Rates in Homes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lunden, Melissa; Faulkner, David; Heredia, Elizabeth

2012-10-01

This report documents experiments performed in three homes to assess the methodology used to determine air exchange rates using passive tracer techniques. The experiments used four different tracer gases emitted simultaneously but implemented with different spatial coverage in the home. Two different tracer gas sampling methods were used. The results characterize the factors of the execution and analysis of the passive tracer technique that affect the uncertainty in the calculated air exchange rates. These factors include uncertainties in tracer gas emission rates, differences in measured concentrations for different tracer gases, temporal and spatial variability of the concentrations, the comparison betweenmore » different gas sampling methods, and the effect of different ventilation conditions.« less

Cardiopulmonary function and oxygen delivery during total liquid ventilation.

PubMed

Tsagogiorgas, Charalambos; Alb, Markus; Herrmann, Peter; Quintel, Michael; Meinhardt, Juergen P

2011-10-01

Total liquid ventilation (TLV) with perfluorocarbons has shown to improve cardiopulmonary function in the injured and immature lung; however there remains controversy over the normal lung. Hemodynamic effects of TLV in the normal lung currently remain undetermined. This study compared changes in cardiopulmonary and circulatory function caused by either liquid or gas tidal volume ventilation. In a prospective, controlled study, 12 non-injured anesthetized, adult New Zealand rabbits were primarily conventionally gas-ventilated (CGV). After instrumentation for continuous recording of arterial (AP), central venous (CVP), left artrial (LAP), pulmonary arterial pressures (PAP), and cardiac output (CO) animals were randomized into (1) CGV group and (2) TLV group. In the TLV group partial liquid ventilation was initiated with instillation of perfluoroctylbromide (12 ml/kg). After 15 min, TLV was established for 3 hr applying a volume-controlled, pressure-limited, time-cycled ventilation mode using a double-piston configured TLV. Controls (CGV) remained gas-ventilated throughout the experiment. During TLV, heart rate, CO, PAP, MAP, CVP, and LAP as well as derived hemodynamic variables, arterial and mixed venous blood gases, oxygen delivery, PVR, and SVR did not differ significantly compared to CGV. Liquid tidal volumes suitable for long-term TLV in non-injured rabbits do not significantly impair CO, blood pressure, and oxygen dynamics when compared to CGV. Copyright © 2011 Wiley-Liss, Inc.

Creative Curriculum Integration in Atlantic Canada: A "MindShift"

ERIC Educational Resources Information Center

Warner, Alan; de Vreede, Cate

2011-01-01

Curriculum integration through block programs has not taken hold in Atlantic Canada, but another approach has blossomed in Nova Scotia that is achieving some of the key benefits--interdisciplinary, holistic and problem-based learning, student engagement, community building, collaborative relationships, and real-world experiences. If block programs…

Amyotrophic lateral sclerosis and assisted ventilation: how patients decide.

PubMed

Lemoignan, Josée; Ells, Carolyn

2010-06-01

Throughout the course of their illness, people with amyotrophic lateral sclerosis (ALS) must make many treatment decisions; however, none has such a significant impact on quality of life and survival as decisions about assisted ventilation. The purpose of this study was to better understand the experience of decision-making about assisted ventilation for ALS patients. Using qualitative phenomenology methodology, 10 semi-structured interviews were conducted with persons with ALS and their caregivers to elicit factors that are pertinent to their decision-making process about assisted ventilation. Six main themes emerged from the interviews. (1) the meaning of the intervention - participants made a sharp distinction between non-invasive ventilation, which they viewed as a means to relieve symptoms of respiratory failure, and invasive ventilation, which they viewed as taking over their breathing and thereby saving their life when they otherwise would die, (2) the importance of context - including functional status, available supports, and financial implications, (3) the importance of values - with respect to communication, relationships, autonomy, life, and quality of life, (4) the effect of fears - particularly respiratory distress, chocking, running out of air, and the process of death itself, (5) the need for information - how use of assisted ventilation would impact daily life, how death from respiratory failure would occur, how caregivers and persons with ALS differ in their information needs and common misconceptions, and (6) adaptation to or acceptance of the intervention - a lengthy process that involved gradual familiarization with the equipment and its benefits. People with ALS and caregivers value autonomy in decision-making about assisted ventilation. Their decision-making process is neither wholly rational nor self-interested, and includes factors that health professionals should anticipate and address. Discussions about assisted ventilation and timing should be tailored to each individual and undertaken periodically.

Nonmethane hydrocarbon measurements in the North Atlantic Flight Corridor during the Subsonic Assessment Ozone and Nitrogen Oxide Experiment

NASA Astrophysics Data System (ADS)

Simpson, I. J.; Sive, B. C.; Blake, D. R.; Blake, N. J.; Chen, T.-Y.; Lopez, J. P.; Anderson, B. E.; Sachse, G. W.; Vay, S. A.; Fuelberg, H. E.; Kondo, Y.; Thompson, A. M.; Rowland, F. S.

2000-02-01

Mixing ratios of nonmethane hydrocarbons (NMHCs) were not enhanced in whole air samples collected within the North Atlantic Flight Corridor (NAFC) during the fall of 1997. The investigation was conducted aboard NASA's DC-8 research aircraft, as part of the Subsonic Assessment (SASS) Ozone and Nitrogen Oxide Experiment (SONEX). NMHC enhancements were not detected within the general organized tracking system of the NAFC, nor during two tail chases of the DC-8's own exhaust. Because positive evidence of aircraft emissions was demonstrated by enhancements in both nitrogen oxides and condensation nuclei during SONEX, the NMHC results suggest that the commercial air traffic fleet operating in the North Atlantic region does not contribute at all or contributes negligibly to NMHCs in the NAFC.

Music preferences of mechanically ventilated patients participating in a randomized controlled trial.

PubMed

Heiderscheit, Annie; Breckenridge, Stephanie J; Chlan, Linda L; Savik, Kay

2014-01-01

Mechanical ventilation (MV) is a life-saving measure and supportive modality utilized to treat patients experiencing respiratory failure. Patients experience pain, discomfort, and anxiety as a result of being mechanically ventilated. Music listening is a non-pharmacological intervention used to manage these psychophysiological symptoms associated with mechanical ventilation. The purpose of this secondary analysis was to examine music preferences of 107 MV patients enrolled in a randomized clinical trial that implemented a patient-directed music listening protocol to help manage the psychophysiological symptom of anxiety. Music data presented includes the music genres and instrumentation patients identified as their preferred music. Genres preferred include: classical, jazz, rock, country, and oldies. Instrumentation preferred include: piano, voice, guitar, music with nature sounds, and orchestral music. Analysis of three patients' preferred music received throughout the course of the study is illustrated to demonstrate the complexity of assessing MV patients and the need for an ongoing assessment process.

[Nursing outcomes for ineffective breathing patterns and impaired spontaneous ventilation in intensive care].

PubMed

do Canto, Débora Francisco; Almeida, Miriam de Abreu

2013-12-01

This study aimed to validate the results of Nursing selected from the link NANDA-I-NOC (Nursing Outcomes Classification--NANDA--International) for diagnosis Ineffective Breathing Pattern and Impaired Spontaneous Ventilation in adult intensive care unit. This is a content validation study conducted in a university hospital in southern Brazil with 15 expert nurses with clinical experience and knowledge of the ratings. The instruments contained five-point Likert scales to rate the importance of each outcome (1st step) and indicator (Step 2) for the diagnoses studied. We calculated weighted averages for each outcome/indicator, considering) 1 = 0. 2 = 0.25, 3 = 0.50 4 = 0.75 and 5 = 1. The outcomes suggested by the NOC with averages above 0.8 were considered validated as well as the indicators. The results Respiratory State--airway permeability (Ineffective Breathing Patterns) and 11 indicators, and Response to mechanical ventilation: adult (Impaired Spontaneous Ventilation) with 26 indicators were validated.

Methane emissions and airflow patterns along longwall faces and through bleeder ventilation systems

PubMed Central

Schatzel, Steven J.; Dougherty, Heather N.

2015-01-01

The National Institute for Occupational Safety and Health (NIOSH) conducted an investigation of longwall face and bleeder ventilation systems using tracer gas experiments and computer network ventilation. The condition of gateroad entries, along with the caved material’s permeability and porosity changes as the longwall face advances, determine the resistance of the airflow pathways within the longwall’s worked-out area of the bleeder system. A series of field evaluations were conducted on a four-panel longwall district. Tracer gas was released at the mouth of the longwall section or on the longwall face and sampled at various locations in the gateroads inby the shield line. Measurements of arrival times and concentrations defined airflow/gas movements for the active/completed panels and the bleeder system, providing real field data to delineate these pathways. Results showed a sustained ability of the bleeder system to ventilate the longwall tailgate corner as the panels retreated. PMID:26925166

Music preferences of mechanically ventilated patients participating in a randomized controlled trial

PubMed Central

Heiderscheit, Annie; Breckenridge, Stephanie J.; Chlan, Linda L.; Savik, Kay

2014-01-01

Mechanical ventilation (MV) is a life-saving measure and supportive modality utilized to treat patients experiencing respiratory failure. Patients experience pain, discomfort, and anxiety as a result of being mechanically ventilated. Music listening is a non-pharmacological intervention used to manage these psychophysiological symptoms associated with mechanical ventilation. The purpose of this secondary analysis was to examine music preferences of 107 MV patients enrolled in a randomized clinical trial that implemented a patient-directed music listening protocol to help manage the psychophysiological symptom of anxiety. Music data presented includes the music genres and instrumentation patients identified as their preferred music. Genres preferred include: classical, jazz, rock, country, and oldies. Instrumentation preferred include: piano, voice, guitar, music with nature sounds, and orchestral music. Analysis of three patients’ preferred music received throughout the course of the study is illustrated to demonstrate the complexity of assessing MV patients and the need for an ongoing assessment process. PMID:25574992

Transitions in the communication experiences of tracheostomised patients in intensive care: a qualitative descriptive study.

PubMed

Flinterud, Stine Irene; Andershed, Birgitta

2015-08-01

To describe how tracheostomised patients in intensive care experience acts of communication and to better understand their experiences in the context of the transitions theory. Waking up in an intensive care unit unable to speak because of mechanical ventilation can be challenging. Communication aids are available, but patients still report difficulties communicating. Investigating how mechanically ventilated patients experience communication in the context of the transitions theory might elucidate new ways of supporting them during their transitions while being ventilated. A qualitative, descriptive design. Eleven patients who had previously been tracheostomised in an intensive care unit were included in this quality improvement project conducted in a university hospital in Norway. Participants were tracheostomised from 3-27 days. Semistructured interviews were conducted from June 2013-August 2013, 3-18 months after hospital discharge. Transcripts were analysed using inductive content analysis. Participants reported a great diversity of emotions and experiences attempting to communicate while being tracheostomised. One overarching theme emerging from the analysis was the 'Experience of caring and understanding despite having uncomfortable feelings due to troublesome communication.' The theme consists of three categories. The category 'Emotionally challenging' shows that patients struggled initially. With time, their coping improved, as revealed in the category 'The experience changes with time.' Despite difficulties, participants described positive experiences, as shown in the category 'Successful communication.' The importance of patients experiencing caring and understanding despite their difficult situation constitutes the core finding. The findings suggest that participants went through different transitions. Some reached the end of their transition, experiencing increased stability. Despite challenges with communication, participants reported that caring and safety provided by health care professionals were significant experiences. They viewed nonverbal communication as being very important. © 2015 John Wiley & Sons Ltd.

A comparative study of behaviors of ventilated supercavities between experimental models with different mounting configurations

NASA Astrophysics Data System (ADS)

Lee, Seung-Jae; Kawakami, Ellison; Karn, Ashish; Arndt, Roger E. A.

2016-08-01

Small-scale water tunnel experiments of the phenomenon of supercavitation can be carried out broadly using two different kinds of experimental models-in the first model (forward facing model, or FFM), the incoming flow first interacts with the cavitator at front, which is connected to the strut through a ventilation pipe. The second model could have the strut and the ventilation pipe preceding the cavitator (backward facing model, or BFM). This is the continuation of a water tunnel study of the effects of unsteady flows on axisymmetric supercavities. In this study, the unwanted effect of test model configuration on supercavity shape in periodic flows was explored through a comparison of FFM and BFM models. In our experiments, it was found that periodic gust flows have only a minimal effect on the maximum diameter and the cavity length can be shortened above a certain vertical velocity of periodic flows. These findings appear to be robust regardless of the model configuration.

New Species of Fire Discovered: Fingering Flamelets Form a Dynamic Population

NASA Technical Reports Server (NTRS)

Olson, Sandra L.; Miller, Fletcher J.; Wichman, Indrek S.

2005-01-01

Poets and artists have long used fire as a metaphor for life. At the NASA Glenn Research Center, recent experiments in a subcritical Rayleigh number flow channel demonstrated that this analogy holds up surprisingly well when tools developed to characterize a biological population are applied to a class of fire that occurs in near-extinction, weakly convective environments (such as microgravity) or in vertically confined spaces (such as our apparatus). Under these conditions, the flame breaks into numerous 'flamelets" that form a Turing-type reaction-diffusion fingering pattern as they spread across the fuel. It is standard practice on U.S. spacecraft for the astronaut crew to turn off the ventilation to help extinguish a fire, both to eliminate the fresh oxygen supply and to reduce the distribution of the smoke. When crew members think that the fire is fully extinguished, they reactivate the ventilation system to clear the smoke. However, some flamelets can survive, and our experiments have demonstrated that flamelets quickly grow into a large fire when ventilation increases.

Use of a new novel humidification system with high frequency percussive ventilation in a patient with inhalation injury.

PubMed

Jones, Samuel W; Short, Kathy A; Joseph, Mark; Sommer, Courtney; Cairns, Bruce A

2010-01-01

Historically, it has been difficult to provide adequate humidification delivery with the high frequency percussive ventilator (HFPV) used in many burn centers. It is possible burn centers have avoided using HFPV because of the risk of mucus plugging, dried secretions, and cast formation. Experiences with HFPV provided doubt that the HFPV ventilator circuit could supply adequate humidification to patients receiving this mode of ventilation. Independent gas-flow delivery through the ventilator circuit inherent in HFPV provided a challenge in maintaining adequate humidification delivery to the patient. This report describes a dramatic reduction in dried, inspissated secretions by using a novel new humidification device with HFPV. The new device called the Hydrate Omni (Hydrate, Inc., Midlothian, VA) uses a small ceramic disk to provide fine water particles delivered by a pump to the HFPV circuit. This new device may alleviate previous concerns related to the delivery of adequate humidification with the HFPV. This case report was approved by the University of North Carolina School of Medicine Institutional Review Board.

Increased hurricane frequency near Florida during Younger Dryas Atlantic Meridional Overturning Circulation slowdown

USGS Publications Warehouse

Toomey, Michael; Korty, Robert L.; Donnelly, Jeffrey P.; van Hengstum, Peter J.; Curry, William B.

2017-01-01

The risk posed by intensification of North Atlantic hurricane activity remains controversial, in part due to a lack of available storm proxy records that extend beyond the relatively stable climates of the late Holocene. Here we present a record of storm-triggered turbidite deposition offshore the Dry Tortugas, south Florida, USA, that spans abrupt transitions in North Atlantic sea-surface temperature and Atlantic Meridional Overturning Circulation (AMOC) during the Younger Dryas (12.9–11.7 ka). Despite potentially hostile conditions for cyclogenesis in the tropical North Atlantic at that time, our record and numerical experiments suggest that strong hurricanes may have regularly affected Florida. Less severe surface cooling at mid-latitudes (∼20°–40°N) than across much of the tropical North Atlantic (∼10°–20°N) in response to AMOC reduction may best explain strong hurricane activity during the Younger Dryas near the Dry Tortugas and possibly along the entire southeastern coast of the United States.

Communicating with individuals receiving home mechanical ventilation: the experiences of key communication partners.

PubMed

Laakso, Katja; Markström, Agneta; Havstam, Christina; Idvall, Markus; Hartelius, Lena

2014-01-01

The aim of the study was to explore the communication experiences of key communications partners (CPs) of individuals receiving home mechanical ventilation (HMV), with particular emphasis on the possibilities, difficulties and limitations CPs experienced in communication, possible support given to facilitate communication and exploring what made a skilled communicator. A qualitative research design using interviews was used. The participants included 19 key CPs of individuals receiving HMV. The analysis resulted in five themes: Encountering communication limitations, Functional communication strategies, Being a communication facilitator, Role insecurity and Emotional reactions and coping. The findings revealed that CPs needed to develop partly new reference frames for communication. In particular, participants emphasised the need to understand and interpret subtle details in the communicative interaction. The findings are discussed in the light of previous research, in particular an earlier study exploring another perspective; the ventilator-supported individuals' experiences of communication. Issues relating to the educational needs of CPs of individuals receiving HMV are discussed. The results are intended to enhance understanding of the challenges that individuals receiving HMV and their CPs face with communication, which should be of relevance not only to speech therapists, but for all healthcare practitioners in the field of HMV.

Laboratory and Physical Modelling of Building Ventilation Flows

NASA Astrophysics Data System (ADS)

Hunt, Gary

2001-11-01

Heating and ventilating buildings accounts for a significant fraction of the total energy budget of cities and an immediate challenge in building physics is for the design of sustainable, low-energy buildings. Natural ventilation provides a low-energy solution as it harness the buoyancy force associated with temperature differences between the internal and external environment, and the wind to drive a ventilating flow. Modern naturally-ventilated buildings use innovative design solutions, e.g. glazed atria and solar chimneys, to enhance the ventilation and demand for these and other designs has far outstripped our understanding of the fluid mechanics within these buildings. Developing an understanding of the thermal stratification and movement of air provides a considerable challenge as the flows involve interactions between stratification and turbulence and often in complex geometries. An approach that has provided significant new insight into these flows and which has led to the development of design guidelines for architects and ventilation engineers is laboratory modelling at small-scale in water tanks combined with physical modelling. Density differences to drive the flow in simplified plexiglass models of rooms or buildings are provided by fresh and salt water solutions, and wind flow is represented by a mean flow in a flume tank. In tandom with the experiments, theoretical models that capture the essential physics of these flows have been developed in order to generalise the experimental results to a wide range of typical building geometries and operating conditions. This paper describes the application and outcomes of these modelling techniques to the study of a variety of natural ventilation flows in buildings.

Mechanisms of northeastern Brazil rainfall anomalies due to Southern Tropical Atlantic variability

NASA Astrophysics Data System (ADS)

Neelin, J.; Su, H.

2004-05-01

Observational studies have shown that the rainfall anomalies in eastern equatorial South America, including Nordeste Brazil, have a positive correlation with tropical southern Atlantic sea surface temperature (SST) anomalies. Such relationships are reproduced in model simulations with the quasi-equilibrium tropical circulation model (QTCM), which includes a simple land model. A suite of model ensemble experiments is analysed using observed SST over the tropical oceans, the tropical Atlantic and the tropical southern Atlantic (30S-0), respectively (with climatological SST in the remainder of the oceans). Warm tropical south Atlantic SST anomalies yield positive precipitation anomalies over the Nordeste and the southern edge of the Atlantic marine intertropical convergence zone (ITCZ). Mechanisms associated with moisture variations are responsible for the land precipitation changes. Increases in moisture over the Atlantic cause positive anomalies in moisture advection, spreading increased moisture downwind. Where the basic state is far from the convective stability threshold, moisture changes have little effect, but the margins of the climatological convection zone are affected. The increased moisture supply due to advection is enhanced by increases in low-level convergence required by moist static energy balances. The moisture convergence term is several times larger, but experiments altering the moisture advection confirm that the feedback is initiated by wind acting on moisture gradient. This mechanism has several features in common with the recently published "upped-ante" mechanism for El Nino impacts on this region. In that case, the moisture gradient is initiated by warm free tropospheric temperature anomalies increasing the typical value of low-level moisture required to sustain convection in the convection zones. Both mechanisms suggest the usefulness of coordinating ocean and land in situ observations of boundary layer moisture.

North Atlantic Aerosol Properties for Radiative Impact Assessments. Derived from Column Closure Analyses in TARFOX and ACE-2

NASA Technical Reports Server (NTRS)

Russell, Philip A.; Bergstrom, Robert A.; Schmid, Beat; Livingston, John M.

2000-01-01

Aerosol effects on atmospheric radiative fluxes provide a forcing function that can change the climate in potentially significant ways. This aerosol radiative forcing is a major source of uncertainty in understanding the climate change of the past century and predicting future climate. To help reduce this uncertainty, the 1996 Tropospheric Aerosol Radiative Forcing Observational Experiment (TARFOX) and the 1997 Aerosol Characterization Experiment (ACE-2) measured the properties and radiative effects of aerosols over the Atlantic Ocean. Both experiments used remote and in situ measurements from aircraft and the surface, coordinated with overpasses by a variety of satellite radiometers. TARFOX focused on the urban-industrial haze plume flowing from the United States over the western Atlantic, whereas ACE-2 studied aerosols over the eastern Atlantic from both Europe and Africa. These aerosols often have a marked impact on satellite-measured radiances. However, accurate derivation of flux changes, or radiative forcing, from the satellite measured radiances or retrieved aerosol optical depths (AODs) remains a difficult challenge. Here we summarize key initial results from TARFOX and ACE-2, with a focus on closure analyses that yield aerosol microphysical models for use in improved assessments of flux changes. We show how one such model gives computed radiative flux sensitivities (dF/dAOD) that agree with values measured in TARFOX and preliminary values computed for the polluted marine boundary layer in ACE-2. A companion paper uses the model to compute aerosol-induced flux changes over the North Atlantic from AVHRR-derived AOD fields.

The role of local sea surface temperature pattern changes in shaping climate change in the North Atlantic sector

NASA Astrophysics Data System (ADS)

Hand, Ralf; Keenlyside, Noel S.; Omrani, Nour-Eddine; Bader, Jürgen; Greatbatch, Richard J.

2018-03-01

Beside its global effects, climate change is manifested in many regionally pronounced features mainly resulting from changes in the oceanic and atmospheric circulation. Here we investigate the influence of the North Atlantic SST on shaping the winter-time response to global warming. Our results are based on a long-term climate projection with the Max Planck Institute Earth System Model (MPI-ESM) to investigate the influence of North Atlantic sea surface temperature pattern changes on shaping the atmospheric climate change signal. In sensitivity experiments with the model's atmospheric component we decompose the response into components controlled by the local SST structure and components controlled by global/remote changes. MPI-ESM simulates a global warming response in SST similar to other climate models: there is a warming minimum—or "warming hole"—in the subpolar North Atlantic, and the sharp SST gradients associated with the Gulf Stream and the North Atlantic Current shift northward by a few a degrees. Over the warming hole, global warming causes a relatively weak increase in rainfall. Beyond this, our experiments show more localized effects, likely resulting from future SST gradient changes in the North Atlantic. This includes a significant precipitation decrease to the south of the Gulf Stream despite increased underlying SSTs. Since this region is characterised by a strong band of precipitation in the current climate, this is contrary to the usual case that wet regions become wetter and dry regions become drier in a warmer climate. A moisture budget analysis identifies a complex interplay of various processes in the region of modified SST gradients: reduced surface winds cause a decrease in evaporation; and thermodynamic, modified atmospheric eddy transports, and coastal processes cause a change in the moisture convergence. The changes in the the North Atlantic storm track are mainly controlled by the non-regional changes in the forcing. The impact of the local SST pattern changes on regions outside the North Atlantic is small in our setup.

The subpolar North Atlantic - Response to North Atlantic oscillation like forcing and Influence on the Atlantic meridional overturning circulation

NASA Astrophysics Data System (ADS)

Lohmann, Katja; Drange, Helge; Jungclaus, Johann

2010-05-01

The extent and strength of the North Atlantic subpolar gyre (SPG) changed rapidly in the mid-1990s, going from large and strong in 1995 to substantially weakened in the following years. The abrupt change in the intensity of the SPG is commonly linked to the reversal of the North Atlantic Oscillation (NAO) index, changing from strong positive to negative values, in the winter 1995/96. In this study we investigate the impact of the initial SPG state on its subsequent behavior by means of an ocean general circulation model driven by NCEP-NCAR reanalysis fields. Our sensitivity integrations suggest that the weakening of the SPG cannot be explained by the change in the atmospheric forcing alone. Rather, for the time period around 1995, the SPG was about to weaken, irrespective of the actual atmospheric forcing, due to the ocean state governed by the persistently strong positive NAO during the preceding seven years (1989 to 1995). Our analysis indicates that it was this preconditioning of the ocean, in combination with the sudden drop in the NAO in 1995/96, that lead to the strong and rapid weakening of the SPG in the second half of the 1990s. In the second part, the sensitivity of the low-frequency variability of the Atlantic meridional overturning circulation to changes in the subpolar North Atlantic is investigated using a 2000 year long control integration as well as sensitivity experiments with the MPI-M Earth System Model. Two 1000 year long sensitivity experiments will be performed, in which the low-frequency variability in the overflow transports from the Nordic Seas and in the subpolar deep water formation rates is suppressed respectively. This is achieved by nudging temperature and salinity in the GIN Sea or in the subpolar North Atlantic (up to about 1500m depth) towards a monthly climatology obtained from the last 1000 years of the control integration.

Genesis of Atlantic Lows Experiment NASA Electra Boundary Layer Flights Data Report

NASA Technical Reports Server (NTRS)

Palm, Stephen P.; Melfi, S. H.; Boers, Reinout

1988-01-01

The objective of this research was to obtain high resolution measurements of the height of the Marine Atmospheric Boundary Layer (MABL) during cold air outbreaks using an Airborne Lidar System. The research was coordinated with other investigators participating in the Genesis of Atlantic Lows Experiment (GALE). An objective computerized scheme was developed to obtain the Boundary Layer Height from the Lidar Data. The algorithm was used on each of the four flight days producing a high resolution data set of the MABL height over the GALE experiment area. Plots of the retrieved MABL height as well as tabular data summaries are presented.

Variability of interleaving structure of Atlantic Water during its propagation along the Eurasian basin (Arctic Ocean) continental margin

NASA Astrophysics Data System (ADS)

Zhurbas, Nataliya; Kuzmina, Natalia; Lyzhkov, Dmitry; Ostapchuk, Alexey

2017-04-01

In order to give detailed description of the interleaving structure in the Eurasian basin results of observations carried out during NABOS 2008 and Polarstern cruise in 1996 were analyzed. The study was focused on interleaving parameters (structure and vertical scale of intrusions) variability in the upper (150-300 meters) and intermediate (300-700 meters) layers of the ocean. Based on θ,S/θ,σ-diagrams (θ, S and σ are the potential temperature, salinity and potential density, correspondingly) analysis two main results were obtained. First of all it was shown that intrusive layers carried by the mean current along the Eurasian Basin continental margin become deeper relatively isopycnals and thus stimulate ventilation of pycnocline. Second, the area in Eurasian Basin thermocline was found where intrusive layers of large and small scale were absent. This distinctive feature can be explained by intensive mixing between two branches of Atlantic Water, one of which propagates along Eurasian basin continental margin and the other spreads across the basin due to large scale interleaving processes. Among others, one of the possible methods of integral estimation of Atlantic water masses heat and salt contents variations during their expansion along basin continental margin was proposed. Thus it is reasonable to assess variation of square under the θ(S)-diagrams, which illustrate the data obtained from two CTD-stations located on diametrically opposite sides of Eurasian Basin, taking 0.5°C isotherm as a reference value. For verification of the introduced approach the estimates of heat and salt contents variations were made by different methods. Detailed discussion of the results is presented. Work was supported by the Russian Foundation for Basic Research (Grant No 15-05-01479-a).

Reconstructing Deep Ocean Circulation in the North Atlantic from Bermuda Rise, and Beyond

NASA Astrophysics Data System (ADS)

McManus, J. F.

2016-12-01

The large-scale subsurface circulation of the ocean is an important component of the Earth's climate system, and contributes to the global and regional transport of heat and mass. Assessing how this system has changed in the past is thus a priority for understanding natural climate variability. A long-coring campaign on Bermuda Rise has provided additional abundant high-quality sediments from this site of rapid accumulation in the deep western basin, situated beneath the subtropical gyre of the North Atlantic Ocean. These sediments allow the high-resolution reconstruction of deepwater chemistry and export from this key location throughout the last 150,000 years, covering the entire last glacial cycle in a continuous section of 35 meters in core KNR191-CDH19. The suite of proxy indicators analyzed includes uranium-series disequilibria, neodymium isotopes, and benthic stable isotopes. Combined with multiple previous studies of nearby cores on Bermuda Rise, the published and new proxy data from CDH19 confirm the variability of the deep circulation in the Atlantic Ocean in association with past climate changes. The multiple indicators, along with complementary data from other locations, display coherent evidence for contrasts between deep circulation during glacial and interglacial intervals, with persistent strong, deep ventilation only within the peak interglacial of marine isotope stage 5e (MIS 5e) and the Holocene. In contrast, repeated, dramatic variability in deep ocean circulation accompanied the millennial climate changes of the last glaciation and deglaciation. The largest magnitude circulation shifts occurred at the transitions into stadials associated with the Hudson strait iceberg discharges and between them and the ensuing northern interstadial warmings, significantly exceeding that of the overall glacial-interglacial difference, highlighting the potential oceanographic and climatic importance of short-term perturbations to the deep ocean circulation.

Nurses' communication with patients who are mechanically ventilated in intensive care: the Botswana experience.

PubMed

Dithole, K S; Sibanda, S; Moleki, M M; Thupayagale-Tshweneagae, G

2016-09-01

Communication is an integral part of nursing practice not just only for therapeutic reasons but also for sharing information. Nurses working in intensive care experience challenges when communicating with patients who are mechanically ventilated due to lack of knowledge and skill. These challenges infringe on the patients' rights to receive information and as such they may impact negatively on the patients' outcomes. This study determined the existing knowledge and skills of intensive care nurses working with mechanically ventilated patients in Botswana. A retrospective descriptive and explorative research design with a quantitative approach was used to audit patients' records. This was augmented by further interviewing nurses for their knowledge and skills when communicating with ventilated patients within the two intensive care units in Botswana. The American Association of Critical Nurses Synergy Model was used to guide the study. One hundred and fifty-nine (159) patients' files were audited and 50 nurses chosen by purposive sampling completed a self-administered 42-item questionnaire. Statistical Package for Social Sciences version 10 and Microsoft Excel were used to analyse the data. Assessment of patients' ability to communicate was recorded in more than 90% of files audited. Four per cent (4%) of the respondents only communicated essential information and no other strategies or devices were used to aid communication. Communication with ventilated patients can be quite challenging to nurses working in the intensive care unit. There is a need for communication skills training to ensure that all nurses working with mechanically ventilated patients are properly trained, equipped and capable of communicating effectively with the patient. A greater understanding of communication dynamics with the intensive care unit with patients who are mechanically ventilated is crucial to enable nurses to improve their care and improve patients' comfort. Incorporating communication in the nursing standards would ensure that patients are treated with dignity which would help improve patient outcomes. © 2016 The Authors International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.

Transitions to Home Mechanical Ventilation: The Experiences of Canadian Ventilator-Assisted Adults and Their Family Caregivers.

PubMed

Dale, Craig M; King, Judy; Nonoyama, Mika; Carbone, Sarah; McKim, Douglas; Road, Jeremy; Rose, Louise

2017-12-28

Several studies have explored the experience of ventilator-assisted individual (VAIs) living at home with family caregivers. However, few explore the experiences of these individuals as they transition from a hospital setting to living at home with a view to identifying modifiable processes that could optimize transition. This descriptive, qualitative study sought to elucidate barriers to, and facilitators of, transition to home mechanical ventilation (HMV) from the perspective of Canadian VAIs and their family caregivers. Participant recruitment occurred through hospital and community respiratory clinicians based in the four Canadian provinces of Alberta, British Columbia, Ontario, and Saskatchewan. Semi-structured telephone or face-to-face interviews at home were undertaken with 33 individuals including 19 VAIs and 14 family caregivers between 3 to 24 months of transitioning to HMV. Interview data was analyzed using content analysis. Formal teaching of knowledge and skills relevant to HMV within the hospital setting prior to transition was perceived as having an immediate and enduring positive impact on transition. However, family-clinician conflict, information gaps, and persistent lack of trained personal support workers (PSWs) to provide care in the home contributed to maladjustment relating to transition. Participants strongly recommended improved transitional care in the form of respiratory health professional telephone support, home outreach, in addition to training of PSWs. Transition to HMV is a complex and demanding process. Extended HMV training and support may be helpful in mediating adjustment challenges thus reducing stress, caregiver burden and improving health related quality of life for VAIs and family caregivers.

Early versus late tracheostomy in pediatric intensive care unit: does it matter? A 6-year experience.

PubMed

Pizza, Alessandro; Picconi, Enzo; Piastra, Marco; Genovese, Orazio; Biasucci, Daniele G; Conti, Giorgio

2017-08-01

The aim of this study is to examine the clinical data of children who underwent tracheostomy during their stay in Pediatric Intensive Care Unit (PICU), in order to describe the relationship between the timing of tracheostomy, the length of PICU stay and the occurrence of ventilator-associated pneumonia (VAP). This is a retrospective cohort study that collects all patients undergoing tracheostomy during their PICU stay over a six-year period. Data collection included PICU length of stay, days of intubation, days of mechanical ventilation, primary indication for tracheostomy, information about VAP and decannulations. The early tracheostomy group was defined as patients who had ten or fewer days of continuous ventilation, whereas the late tracheostomy group had more than ten days of continuous ventilation. A significant decrease in the rate of VAP incidence was noticed in the early tracheostomy group vs. late group (P=0.004, OR=0.39, 95% CI: 0.18-0.85). No differences were observed about decannulation, need of long-term ventilation and death rate. Significant decreases of days of mechanical ventilation and PICU stay were found in subgroup of patients who underwent early tracheostomy and were decannulated within 18 months. No standard timing for tracheostomy placement has been established in the pediatric population. Early tracheostomy can shorten the days of ventilation and hospitalization in PICU and reduce the incidence of VAP, but further studies are needed to identify patient categories in which it can be of benefit.

Seasonal and annual variability of coastal sulphur plumes in the northern Benguela upwelling system.

PubMed

Ohde, Thomas; Dadou, Isabelle

2018-01-01

We investigated the seasonal and annual variability of surface sulphur plumes in the northern Benguela upwelling system off Namibia because of their significant impacts on the marine ecosystem, fishing industry, aquaculture farming and tourism due to their toxic properties. We identified the sulphur plumes in ocean colour satellite data of the medium resolution imaging spectrometer (MERIS) for the 2002-2012 time period using the differences in the spectral properties of Namibian Benguela optical water types. The sulphur events have a strong seasonal cycle with pronounced main and off-seasons forced by local and remote-driven processes. The main peak season is in late austral summer and early austral autumn at the beginning of the annual upwelling cycle caused by increasing equatorwards alongshore winds. The sulphur plume activity is high between February and April during the seasonal oxygen minimum associated with the seasonal reduction of cross-shore ventilation of the bottom waters, the seasonal southernmost position of the Angola Benguela Frontal Zone, the seasonal maximum of water mass fractions of South Atlantic and Angola Gyre Central Waters as well as the seasonal arrival of the downwelling coastal trapped waves. The off-season is in austral spring and early austral summer during increased upwelling intensity and enhanced oxygen supply. The annual variability of sulphur events is characterized by very high activities in years 2004, 2005 and 2010 interrupted by periods of lower activity in years 2002 to 2003, 2006 to 2009 and 2011 to 2012. This result can be explained by the relative contributions or adding effects of local and remote-driven forces (from the equatorial area). The probability for the occurrence of sulphur plumes is enhanced in years with a lower annual mean of upwelling intensity, decreased oxygen supply associated with decreased lateral ventilation of bottom waters, more southern position of the Angola Benguela Frontal Zone, increased mass fraction of South Atlantic Central Water and stronger downwelling coastal trapped waves. Understanding of the variability and forcing processes of the toxic sulphur events will help in the future to monitor and forecast them as well as to manage their social and economic consequences in the northern Benguela upwelling system off Namibia.

Optimization of Ventilation Energy Demands and Indoor Air Quality in High-Performance Homes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hun, Diana E; Jackson, Mark C; Shrestha, Som S

2014-01-01

High-performance homes require that ventilation energy demands and indoor air quality (IAQ) be simultaneously optimized. We attempted to bridge these two areas by conducting tests in a research house located in Oak Ridge, TN, that was 20 months old, energy-efficient (i.e., expected to consume 50% less energy than a house built per the 2006 IRC), tightly-built (i.e., natural ventilation rate ~0.02 h-1), unoccupied, and unfurnished. We identified air pollutants of concern in the test home that could generally serve as indicators of IAQ, and conduced field experiments and computer simulations to determine the effectiveness and energy required by various techniquesmore » that lessened the concentration of these contaminants. Formaldehyde was selected as the main pollutant of concern among the contaminants that were sampled in the initial survey because it was the only compound that showed concentrations that were greater than the recommended exposure levels. Field data indicate that concentrations were higher during the summer primarily because emissions from sources rise with increases in temperature. Furthermore, supply ventilation and gas-phase filtration were effective means to reduce formaldehyde concentrations; however, exhaust ventilation had minimal influence on this pollutant. Results from simulations suggest that formaldehyde concentrations obtained while ventilating per ASHRAE 62.2-2010 could be decreased by about 20% from May through September through three strategies: 1) increasing ASHRAE supply ventilation by a factor of two, 2) reducing the thermostat setpoint from 76 to 74 F, or 3) running a gas-phase filtration system while decreasing supply ventilation per ASHRAE by half. In the mixed-humid climate of Oak Ridge, these strategies caused increases in electricity cost of ~$5 to ~$15/month depending on outdoor conditions.« less

Structure of "Ventilation and Warming" in Notes on Nursing Written by Florence Nightingale in 19th Century: Introduction of Basic Physics to Nursing Students

NASA Astrophysics Data System (ADS)

Ogoh, Kazutoshi

"Basic Natural Science" for freshmen at Miyazaki Prefectural Nursing University has a component including physics. Here students learn three principles of thermal transfer; conduction, radiation, and convection through a series of experiments. The purpose of these experiments is to understand the structure of a method for the caring of breathing and temperature of patients as written in "Ventilation and Warming", the first chapter of F. Nightingale's Notes on Nursing. Students can then apply this structure to retain fresh air in today's hospital rooms, and can then appreciate studying real physics incorporated into fundamental knowledge for nursing practice.

Automated Weaning from Mechanical Ventilation after Off-Pump Coronary Artery Bypass Grafting.

PubMed

Fot, Evgenia V; Izotova, Natalia N; Yudina, Angelika S; Smetkin, Aleksei A; Kuzkov, Vsevolod V; Kirov, Mikhail Y

2017-01-01

The discontinuation of mechanical ventilation after coronary surgery may prolong and significantly increase the load on intensive care unit personnel. We hypothesized that automated mode using INTELLiVENT-ASV can decrease duration of postoperative mechanical ventilation, reduce workload on medical staff, and provide safe ventilation after off-pump coronary artery bypass grafting (OPCAB). The primary endpoint of our study was to assess the duration of postoperative mechanical ventilation during different modes of weaning from respiratory support (RS) after OPCAB. The secondary endpoint was to assess safety of the automated weaning mode and the number of manual interventions to the ventilator settings during the weaning process in comparison with the protocolized weaning mode. Forty adult patients undergoing elective OPCAB were enrolled into a prospective single-center study. Patients were randomized into two groups: automated weaning ( n  = 20) using INTELLiVENT-ASV mode with quick-wean option; and protocolized weaning ( n  = 20), using conventional synchronized intermittent mandatory ventilation (SIMV) + pressure support (PS) mode. We assessed the duration of postoperative ventilation, incidence and duration of unacceptable RS, and the load on medical staff. We also performed the retrospective analysis of 102 patients (standard weaning) who were weaned from ventilator with SIMV + PS mode based on physician's experience without prearranged algorithm. Realization of the automated weaning protocol required change in respiratory settings in 2 patients vs. 7 (5-9) adjustments per patient in the protocolized weaning group. Both incidence and duration of unacceptable RS were reduced significantly by means of the automated weaning approach. The FiO 2 during spontaneous breathing trials was significantly lower in the automated weaning group: 30 (30-35) vs. 40 (40-45) % in the protocolized weaning group ( p  < 0.01). The average time until tracheal extubation did not differ in the automated weaning and the protocolized weaning groups: 193 (115-309) and 197 (158-253) min, respectively, but increased to 290 (210-411) min in the standard weaning group. The automated weaning system after off-pump coronary surgery might provide postoperative ventilation in a more protective way, reduces the workload on medical staff, and does not prolong the duration of weaning from ventilator. The use of automated or protocolized weaning can reduce the duration of postoperative mechanical ventilation in comparison with non-protocolized weaning based on the physician's decision.

Global ocean climatology of the 13C Suess effect and preindustrial δ13C

NASA Astrophysics Data System (ADS)

Eide, Marie; Olsen, Are; Ninnemann, Ulysses; Eldevik, Tor; Johannessen, Truls

2017-04-01

We present the first observationally based estimate of the full global ocean 13C Suess effect since preindustrial times. This was constructed by using Olsen and Ninnemann's [2010] back-calculation method to calculate the 13C Suess effect with data from 29 cruises spanning the world ocean. We find a strong 13C Suess effect in the upper 1000 m of all basins, with strongest decrease in the Subtropical Gyres of the Northern Hemisphere, where δ13C has decreased by more than 0.8‰ since the industrial revolution. At greater depths, a significant 13C Suess effect can only be detected in the northern parts of the North Atlantic Ocean. The magnitude of the 13C Suess effect is correlated with the concentration of anthropogenic carbon, but their relationship varying strongly between water masses, reflecting the degree to which source waters are equilibrated with the atmospheric 13C Suess effect before sinking. From the 13C Suess effect estimates, we have estimated the preindustrial δ13C (δ13CPI) along the 29 sections. Further, we developed regional multilinear regression equations, which were applied on the World Ocean Atlas data to construct the δ13CPI climatology, which reveals the natural δ13C distribution in the global ocean. Compared to the modern distribution, the preindustrial δ13C spans a larger range of values, and we find that in some regions in the high northern latitudes, the gradient in modern ocean δ13C is completely reversed compared to the preindustrial. Maximum δ13CPI, of up to 1.8‰, are found in the subtropical gyres of all basins, in the upper and intermediate waters of the North Atlantic, as well as in mode waters with a Southern Ocean origin. Particularly strong gradients occur at intermediate depths, revealing a strong potential for using δ13C as a tracer for changes in water mass geometry at these levels. Further, we identify a much tighter relationship between δ13C and Apparent Oxygen Utilization (AOU) than between δ13C and phosphate that occurs because both δ13C and AOU, in contrast to phosphate, are partly reset when waters are ventilated in the Southern Ocean. This makes δ13C a robust proxy for past changes in ocean oxygen content and ventilation. Our δ13CPI climatology has strong applications in paleo-sciences, and can be used for example for improved model evaluation, interpretation of sediment δ13C records, and core top comparison. Olsen, A., and U. Ninnemann (2010), Large δ13C gradients in the preindustrial North Atlantic revealed, Science, 330(6004), 658-659, doi:10.1126/science.1193769.

Changes in CaCO3 Burial Trump the Biological Pump

NASA Astrophysics Data System (ADS)

Toggweiler, J.; Dunne, J. P.

2008-12-01

The dramatic increases in atmospheric CO2 at the ends of ice ages are usually attributed to a one-two punch coming from the ocean. First, a weakened biological pump vents organically cycled CO2 from the deep ocean via changes in the ventilation of the deep ocean around Antarctica. The initial CO2 increase is then augmented by an enhancement of CaCO3 burial due to a process called CaCO3 compensation (after Broecker, W. S and T.-H. Peng, Global Biogeochem. Cycles, 1, 15-29, 1987). Here, we argue that the importance of the biological pump has been exaggerated. The main effect comes from circulation-induced changes in the burial of CaCO3. As shown in a recent paper by Andreas Schmittner and co-authors (Schmittner, A., E. Brook and J. Ahn, Impact of the ocean's overturning circulation on atmospheric CO2, in Ocean Circulation: Mechanisms and Impacts, Geophys. Monogr. 173, A. Schmittner, J. Chiang, and S. Hemming, eds., pp. 209-246, AGU, 2007) changes in the ventilation of the deep ocean around Antarctica gave rise to 20-30 ppm increases in atmospheric CO2 every 5,000-7,000 years during isotope stages 3 and 4 (30,000 to 70,000 years ago). None of these venting events gave rise to a compensation response. Meanwhile, Jaccard et al. (Science, 308, 1003-1006, 2005) show that all the big CO2 increases during terminations through stage 11 were accompanied by huge increases in CaCO3 burial. This suggests that the enhanced burial of CaCO3 is obligatory rather than compensatory with respect to the dramatic CO2 increases. Broecker and Peng's compensation idea is based on an assumption that the rain of CaCO3 to the sea floor is the same everywhere. More specifically, it assumes that there is no spatial correlation between the production of CaCO3 at the surface and the burial on the sea floor. We find instead that the production and burial of CaCO3 tend to be co-located in regional "hot spots" and that burial in the hot spots balances the input of Ca++ and HCO3- ions in rivers. The hot spots can also move from place to place in response to changes in circulation. The main hot spots today are the eastern Atlantic and southern Indian; the main hot spot during the last glacial was the equatorial Pacific. Renewed deep-water formation in the Atlantic at the end of the last ice age shifted the locus of CaCO3 burial back to the Atlantic and southern Indian and led to a huge drawdown in global alkalinity, which is ongoing today and accounts for most of the deglacial rise in atmospheric CO2.

Initializing decadal climate predictions over the North Atlantic region

NASA Astrophysics Data System (ADS)

Matei, Daniela Mihaela; Pohlmann, Holger; Jungclaus, Johann; Müller, Wolfgang; Haak, Helmuth; Marotzke, Jochem

2010-05-01

Decadal climate prediction aims to predict the internally-generated decadal climate variability in addition to externally-forced climate change signal. In order to achieve this it is necessary to start the predictions from the current climate state. In this study we investigate the forecast skill of the North Atlantic decadal climate predictions using two different ocean initialization strategies. First we apply an assimilation of ocean synthesis data provided by the GECCO project (Köhl and Stammer, 2008) as initial conditions for the coupled model ECHAM5/MPI-OM. Hindcast experiments are then performed over the period 1952-2001. An alternative approach is one in which the subsurface ocean temperature and salinity are diagnosed from an ensemble of ocean model runs forced by the NCEP-NCAR atmospheric reanalyzes for the period 1948-2007, then nudge into the coupled model to produce initial conditions for the hindcast experiments. An anomaly coupling scheme is used in both approaches to avoid the hindcast drift and the associated initial shock. Differences between the two assimilation approaches are discussed by comparing them with the observational data in key regions and processes. We asses the skill of the initialized decadal hindcast experiments against the prediction skill of the non-initialized hindcasts simulation. We obtain an overview of the regions with the highest predictability from the regional distribution of the anomaly correlation coefficients and RMSE for the SAT. For the first year the hindcast skill is increased over almost all ocean regions in the NCEP-forced approach. This increase in the hindcast skill for the 1 year lead time is somewhat reduced in the GECCO approach. At lead time 5yr and 10yr, the skill enhancement is still found over the North Atlantic and North Pacific regions. We also consider the potential predictability of the Atlantic Meridional Overturning Circulation (AMOC) and Nordic Seas Overflow by comparing the predicted values to the respective assimilation experiments. Hindcasts of Atlantic MOC and Denmark Strait Overflow show higher predictability than the comparison experiments without initialization and damped persistence predictions up to about 5-6 years.

The Response of Atlantic Tropical Cyclones to Suppression of African Easterly Waves

NASA Astrophysics Data System (ADS)

Patricola, Christina M.; Saravanan, R.; Chang, Ping

2018-01-01

Atlantic tropical cyclone (TC) genesis is strongly linked with African easterly waves (AEWs) on the synoptic time scale. However, the TC-AEW relationship is unclear on interannual to climate time scales, and it is unknown whether AEWs are necessary to maintain climatological TC frequency, that is, whether TCs are limited by AEWs. We investigated the impact of AEW suppression on seasonal Atlantic TC activity using a 10-member ensemble of regional climate model simulations in which AEWs were either prescribed or removed through the lateral boundary condition. The climate model experiments produced no significant change in seasonal Atlantic TC number, indicating that AEWs are not necessary to maintain climatological basin-wide TC frequency even though TCs readily originate from these types of disturbances. This suggests that the specific type of "seedling" disturbance is unimportant for determining basin-wide seasonal Atlantic TC number and that in the absence of AEWs, TCs will generate by other mechanisms. The results imply that changes in the presence of AEWs may not be reliable predictors of seasonal variability and future change in Atlantic TC frequency.

Experiences of exclusion when living on a ventilator: reflections based on the application of Julia Kristeva's philosophy to caring science.

PubMed

Lindahl, Berit

2011-01-01

The research presented in this work represents reflections in the light of Julia Kristeva's philosophy concerning empirical data drawn from research describing the everyday life of people dependent on ventilators. It also presents a qualitative and narrative methodological approach from a person-centred perspective. Most research on home ventilator treatment is biomedical. There are a few published studies describing the situation of people living at home on a ventilator but no previous publications have used the thoughts in Kristeva's philosophy applied to this topic from a caring science perspective. The paper also addresses what a life at home on a ventilator may be like and will hopefully add some new aspects to the discussion of philosophical issues in nursing and the very essence of care. Kristeva's philosophy embraces phenomena such as language, abjection, body, and love, allowing her writings to make a fruitful contribution to nursing philosophy in that they strengthen, expand, and deepen a caring perspective. Moreover, her writings about revolt having the power to create hope add an interesting aspect to the work of earlier philosophers and nursing theorists. © 2010 Blackwell Publishing Ltd.

Radio-frequency tracking of respiratory equipment: rationale and early experience at the Cleveland Clinic.

PubMed

Stoller, James K; Roberts, Vincent; Matt, David; Chom, Leslie; Sasidhar, Madhu; Chatburn, Robert L

2013-12-01

When respiratory therapists (RTs) seek respiratory care equipment, finding it quickly is desirable, both to expedite patient care and to avert RTs wasting time. To optimize RTs' ability to quickly locate ventilators, we developed and implemented a radio-frequency identification (RFID) tagging system called eTrak. The Clinical Engineering and Information Technology groups at Cleveland Clinic collaboratively developed a Wi-Fi-based RFID program that used active RFID tags. Altogether, 218 ventilators, 82 noninvasive ventilators, and various non-respiratory equipment were tagged, beginning in March 2010. We calculated the difference in time required to locate equipment before versus after implementation. The eTrak system had a mean 145 log-ons per week over the first year of use, and was associated with a decreased time required for RTs to locate ventilators: median 18 min (range 1-45 min) versus 3 min (range 1-6 min) (P < .001). Surveys of RTs regarding whether equipment was hard to find before versus after implementing eTrak showed a non-significant trend toward improvement. An RFID tracking system for respiratory equipment shortened the time to locate ventilators and non-significantly improved RT satisfaction with finding equipment. RFID tagging of equipment warrants further investigation.

A historical perspective on ventilator management.

PubMed

Shapiro, B A

1994-02-01

Paralysis via neuromuscular blockade in ICU patients requires mechanical ventilation. This review historically addresses the technological advances and scientific information upon which ventilatory management concepts are based, with special emphasis on the influence such concepts have had on the use of neuromuscular blocking agents. Specific reference is made to the scientific information and technological advances leading to the newer concepts of ventilatory management. Information from > 100 major studies in the peer-reviewed medical literature, along with the author's 25 yrs of clinical experience and academic involvement in acute respiratory care is presented. Nomenclature related to ventilatory management is specifically defined and consistently utilized to present and interpret the data. Pre-1970 ventilatory management is traced from the clinically unacceptable pressure-limited devices to the reliable performance of volume-limited ventilators. The scientific data and rationale that led to the concept of relatively large tidal volume delivery are reviewed in the light of today's concerns regarding alveolar overdistention, control-mode dyssynchrony, and auto-positive end-expiratory pressure. Also presented are the post-1970 scientific rationales for continuous positive airway pressure/positive end-expiratory pressure therapy, avoidance of alveolar hyperxia, and partial ventilatory support techniques (intermittent mandatory ventilation/synchronized intermittent mandatory ventilation). The development of pressure-support devices is discussed and the capability of pressure-control techniques is presented. The rationale for more recent concepts of total ventilatory support to avoid ventilator-induced lung injury is presented. The traditional techniques utilizing volume-preset ventilators with relatively large tidal volumes remain valid and desirable for the vast majority of patients requiring mechanical ventilation. Neuromuscular blockade is best avoided in these patients. However, adequate analgesia, amnesia, and sedation are required. For patients with severe lung disease, alveolar overdistention and hyperoxia should be avoided and may be best accomplished by total ventilatory support techniques, such as pressure control. Total ventilatory support requires neuromuscular blockade and may not provide eucapnic ventilation.

Gill and lung ventilation responses to steady-state aquatic hypoxia and hyperoxia in the bullfrog tadpole.

PubMed

West, N H; Burggren, W W

1982-02-01

Gill ventilation frequency (fG), the pressure amplitude (PBC) and stroke volume (VS) of buccal ventilation cycles, the frequency of air breaths (fL), water flow over the gills (VW), gill oxygen uptake (MGO2), oxygen utilization (U), and heart frequency (fH) have been measured in unanaesthetized, air breathing Rana catesbeiana tadpoles (stage XVI-XIX). The animals were unrestrained except for ECG leads or cannulae, and were able to surface voluntarily for air breathing. They were subjected to aquatic normoxia, hyperoxia and three levels of aquatic hypoxia, and their respiratory responses recorded in the steady state. The experiments were performed at 20 +/- 0.5 degrees C. In hyperoxia there was an absence of air breathing, and fG, PBC and VW fell from the normoxic values, while U increased, resulting in no significant change in MGO2. Animals in normoxia showed a very low fL which increased in progressively more hypoxic states. VW increased from the normoxic value in mild hypoxia (PO2 = 96 +/- 2 mm Hg), but fell, associated with a reduction in PBC, in moderate (PO2 = 41 +/- 1 mm Hg) and severe (PO2 = 21 +/- 3 mm Hg) hypoxia in the presence of lung ventilation. Gill MGO2 was not significantly different from the normoxic value in mild hypoxia but fell in moderate hypoxia, while in severe hypoxia oxygen was lost to the ventilating water from the blood perfusing the gills. There was no significant change in fH from the normoxic value in either hypoxia or hyperoxia. These data indicate, that in the bimodally breathing bullfrog tadpole, aquatic PO2 exerts a strong control over both gill and lung ventilation. Furthermore, there is an interaction between gill and lung ventilation such that the onset of a high frequency of lung ventilation in moderate and severe hypoxia promotes a suppression of gill ventilation cycles.

The effect of experience, simulator-training and biometric feedback on manual ventilation technique.

PubMed

Lewis, Rebecca; Sherfield, Cerrie A; Fellows, Christopher R; Burrow, Rachel; Young, Iain; Dugdale, Alex

2017-05-01

To determine the frequency of provision and main providers (veterinary surgeons, nurses or trainees) of manual ventilation in UK veterinary practices. Furthermore, to determine the variation in peak inspiratory (inflation) pressure (PIP), applied to a lung model during manual ventilation, by three different groups of operators (inexperienced, experienced and specialist), before and after training. Questionnaire survey, lung model simulator development and prospective testing. Postal questionnaires were sent to 100 randomly selected veterinary practices. The lung model simulator was manually ventilated in a staged process over 3 weeks, with and without real-time biometric feedback (PIP display), by three groups of volunteer operators: inexperienced, experienced and specialist. The questionnaires determined that veterinary nurses were responsible for providing the majority of manual ventilation in veterinary practices, mainly drawing on theoretical knowledge rather than any specific training. Thoracic surgery and apnoea were the main reasons for provision of manual ventilation. Specialists performed well when manually ventilating the lung model, regardless of feedback training. Both inexperienced and experienced operators showed significant improvement in technique when using the feedback training tool: variation in PIP decreased significantly until operators provided manual ventilation at PIPs within the defined optimum range. Preferences for different forms of feedback (graphical, numerical or scale display), revealed that the operators' choice was not always the method which gave least variation in PIP. This study highlighted a need for training in manual ventilation at an early stage in veterinary and veterinary nursing careers and demonstrated how feedback is important in the process of experiential learning. A manometer device which can provide immediate feedback during training, or indeed in a real clinical setting, should improve patient safety. Copyright © 2017 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.

Clinical course of ICU patients with severe pandemic 2009 influenza A (H1N1) pneumonia: single center experience with proning and pressure release ventilation.

PubMed

Sundar, Krishna M; Thaut, Phillip; Nielsen, David B; Alward, William T; Pearce, Michael J

2012-01-01

A number of different modalities have been employed in addition to conventional ventilation to improve oxygenation in patients with severe 2009 pandemic influenza A (H1N1) pneumonia. Outcomes with ventilatory and rescue therapies for H1N1 influenza-related acute respiratory distress syndrome (ARDS) have been varied. A single intensive care unit (ICU) experience with management of laboratory-confirmed 2009 pandemic influenza A (H1N1) ARDS with a combination of proning and airway pressure release ventilation (APRV) is described. A retrospective review of medical records of ICU patients seen at Utah Valley Regional Medical Center during the first and second waves of the H1N1 influenza pandemic was done. Fourteen ICU patients were managed with invasive ventilation for 2009 pandemic influenza A (H1N1)-related ARDS. Hypoxemia refractory to conventional ventilation was noted in 11 of 14 patients despite application of APRV. Following proning in patients on APRV, improvement of hypoxemia and hemodynamic status was achieved. Only 2 of 11 patients on APRV and proning required continuous dialysis. Mortality in intubated patients receiving a combination of proning and APRV was 27.3% (3/11) with 2 of these dying during the first wave of the H1N1 influenza pandemic. In all, 3 of 11 patients on proning and APRV underwent tracheostomy, with 2 of these undergoing tube thoracostomy. ARDSnet fluid-conservative protocol was safely tolerated in 8 of 11 of the intubated patients following initiation of proning and APRV. Proning in combination with APRV provides improvement of hypoxemia with limitation of end-organ dysfunction and thereby facilitates recovery from severe 2009 pandemic influenza A (H1N1).

Ventilation Inception and Washout, Scaling, and Effects on Hydrodynamic Performance of a Surface Piercing Strut

NASA Astrophysics Data System (ADS)

Harwood, Casey; Young, Yin Lu; Ceccio, Steven

2014-11-01

High-lift devices that operate at or near a fluid free surface (such as surface-piercing or shallowly-submerged propellers and hydrofoils) are prone to a multiphase flow phenomenon called ventilation, wherein non-condensable gas is entrained in the low-pressure flow, forming a cavity around the body and dramatically altering the global hydrodynamic forces. Experiments are being conducted at the University of Michigan's towing tank using a canonical surface-piercing strut to investigate atmospheric ventilation. The goals of the work are (i) to gain an understanding of the dominant physics in fully wetted, partially ventilated, and fully ventilated flow regimes, (ii) to quantify the effects of governing dimensionless parameters on the transition between flow regimes, and (iii) to develop scaling relations for the transition between flow regimes. Using theoretical arguments and flow visualization techniques, new criteria are developed for classifying flow regimes and transition mechanisms. Unsteady transition mechanisms are described and mapped as functions of the governing non-dimensional parameters. A theoretical scaling relationship is developed for ventilation washout, which is shown to adequately capture the experimentally-observed washout boundary. This material is based upon work supported by the National Science Foundation Graduate Student Research Fellowship under Grant No. DGE 1256260. Support also comes from the Naval Engineering Education Center (Award No. N65540-10-C-003).

Numerical analyses of ventilated cavitation over a 2-D NACA0015 hydrofoil using two turbulence modeling methods

NASA Astrophysics Data System (ADS)

Yang, Dan-dan; Yu, An; Ji, Bin; Zhou, Jia-jian; Luo, Xian-wu

2018-04-01

The present paper studies the ventilated cavitation over a NACA0015 hydrofoil by numerical methods. The corresponding cavity evolutions are obtained at three ventilation rates by using the level set method. To depict the complicated turbulent flow structure, the filter-based density corrected model (FBDCM) and the modified partially-averaged Navier-Stokes (MPANS) model are applied in the present numerical analyses. It is indicated that the predicted results of the cavitation shedding dynamics by both turbulence models agree fairly well with the experimental data. It is also noted that the shedding frequency and the super cavity length predicted by the MPANS method are closer to the experiment data as compared to that predicted by the FBDCM model. The simulation results show that in the ventilated cavitation, the vapor cavity and the air cavity have the same shedding frequency. As the ventilated rate increases, the vapor cavity is depressed rapidly. The cavitation-vortex interaction in the ventilated cavitation is studied based on the vorticity transport equation (VTE) and the Lagrangian coherent structure (LCS). Those results demonstrate that the vortex dilatation and baroclinic torque terms are highly dependent on the evolution of the cavitation. In addition, from the LCSs and the tracer particles in the flow field, one may see the process from the attached cavity to the cloud cavity.

Muscimol microinjected in the arcuate nucleus affects metabolism, body temperature & ventilation.

PubMed

Schlenker, Evelyn H

2016-06-15

Effects of microinjection of 2 doses of γ-aminobutyric acid (GABA)A receptor agonist, muscimol (M), into the hypothalamic arcuate nucleus on oxygen consumption and control of ventilation over time and body temperature (BT) at the end of the experiment were compared in adult male and female rats. Relative to cerebrospinal fluid (CSF, 0 nmol), BT was decreased only in male rats with both doses of M, while in female rats, the 5 nmol dose depressed oxygen consumption. Ventilation was depressed by 5 nmol M in male and 10 nmol M in female rats by decreasing tidal volume. M did not affect the ventilatory response of male or female rats to hypoxia, whereas in females 5 and 10 nmol M and in males 10 nmol M depressed the ventilatory response to hypercapnia. Thus, in rats GABAA receptors in the arcuate nucleus modulate BT, oxygen consumption, and ventilation in air and in response to hypercapnia in a sexually dimorphic manner. Copyright © 2016 Elsevier B.V. All rights reserved.

The development of rotary drum dryer for palm fruit sterilization

NASA Astrophysics Data System (ADS)

Hanifarianty, S.; Legwiriyakul, A.; Alimalbari, A.; Nuntadusit, C.; Theppaya, T.; Wae-Hayee, M.

2018-01-01

The aim of this research was to design and develop a rotary drum dryer for palm fruit sterilization. In this article, the results of the effect of ventilation hole number on the reduction of moisture content in palm fruit were presented. The experimental set up was a drum dryer which has 57.5 cm in a diameter and 90 cm in a length (the size was similar to 200-littre steel drum container). A driving gear and a gear motor rotated the drum dryer. The ventilation hole were drilled on the lateral side of the drum. The diameter of ventilation hole was 10 mm, and the number of ventilation hole were 18, 36 and 72 hole (each side was 9, 18 and 36 hole, respectively). In the experiment, the palm fruit was dried by using LPG to burn and heat the bottom of the drum. The flow rate of LPG was controlled to keep the temperature inside the drum steadily at 120°C.

Sonic Anemometry to Measure Natural Ventilation in Greenhouses

PubMed Central

López, Alejandro; Valera, Diego Luis; Molina-Aiz, Francisco

2011-01-01

The present work has developed a methodology for studying natural ventilation in Mediterranean greenhouses by means of sonic anemometry. In addition, specific calculation programmes have been designed to enable processing and analysis of the data recorded during the experiments. Sonic anemometry allows us to study the direction of the airflow at all the greenhouse vents. Knowing through which vents the air enters and leaves the greenhouse enables us to establish the airflow pattern of the greenhouse under natural ventilation conditions. In the greenhouse analysed in this work for Poniente wind (from the southwest), a roof vent designed to open towards the North (leeward) could allow a positive interaction between the wind and stack effects, improving the ventilation capacity of the greenhouse. The cooling effect produced by the mass of turbulent air oscillating between inside and outside the greenhouse at the side vents was limited to 2% (for high wind speed, uo ≥ 4 m s−1) reaching 36.3% when wind speed was lower (uo = 2 m s−1). PMID:22163728

Sonic anemometry to measure natural ventilation in greenhouses.

PubMed

López, Alejandro; Valera, Diego Luis; Molina-Aiz, Francisco

2011-01-01

The present work has developed a methodology for studying natural ventilation in Mediterranean greenhouses by means of sonic anemometry. In addition, specific calculation programmes have been designed to enable processing and analysis of the data recorded during the experiments. Sonic anemometry allows us to study the direction of the airflow at all the greenhouse vents. Knowing through which vents the air enters and leaves the greenhouse enables us to establish the airflow pattern of the greenhouse under natural ventilation conditions. In the greenhouse analysed in this work for Poniente wind (from the southwest), a roof vent designed to open towards the North (leeward) could allow a positive interaction between the wind and stack effects, improving the ventilation capacity of the greenhouse. The cooling effect produced by the mass of turbulent air oscillating between inside and outside the greenhouse at the side vents was limited to 2% (for high wind speed, u(o) ≥ 4 m s(-1)) reaching 36.3% when wind speed was lower (u(o) = 2 m s(-1)).

Advection of sulfur dioxide over the western Atlantic Ocean during CITE 3

NASA Technical Reports Server (NTRS)

Thornton, D. C.; Bandy, A. R.; Beltz, N.; Driedger, A. R., III; Ferek, R.

1993-01-01

During the NASA Chemical Instrumentation Test and Evaluation 3 sulfur intercomparison over the western Atlantic Ocean, five techniques for the determination of sulfur dioxide were evaluated. The response times of the techniques varied from 3 to 30 min. Based on the ensemble of measurements reported, it was clear that advection of SO2 from the North American continent occurred in the boundary layer (altitude less than 1 km) with only one exception. The vertical distribution of SO2 above the boundary layer for the northern and southern Atlantic Ocean was remarkably similar duing this experiment.

On the glacial and interglacial thermohaline circulation and the associated transports of heat and freshwater

NASA Astrophysics Data System (ADS)

Ballarotta, M.; Falahat, S.; Brodeau, L.; Döös, K.

2014-11-01

The thermohaline circulation (THC) and the oceanic heat and freshwater transports are essential for understanding the global climate system. Streamfunctions are widely used in oceanography to represent the THC and estimate the transport of heat and freshwater. In the present study, the regional and global changes of the THC, the transports of heat and freshwater and the timescale of the circulation between the Last Glacial Maximum (LGM, ≈ 21 kyr ago) and the present-day climate are explored using an Ocean General Circulation Model and streamfunctions projected in various coordinate systems. We found that the LGM tropical circulation is about 10% stronger than under modern conditions due to stronger wind stress. Consequently, the maximum tropical transport of heat is about 20% larger during the LGM. In the North Atlantic basin, the large sea-ice extent during the LGM constrains the Gulf Stream to propagate in a more zonal direction, reducing the transport of heat towards high latitudes by almost 50% and reorganising the freshwater transport. The strength of the Atlantic Meridional Overturning Circulation depends strongly on the coordinate system. It varies between 9 and 16 Sv during the LGM, and between 12 to 19 Sv for the present day. Similar to paleo-proxy reconstructions, a large intrusion of saline Antarctic Bottom Water takes place into the Northern Hemisphere basins and squeezes most of the Conveyor Belt circulation into a shallower part of the ocean. These different haline regimes between the glacial and interglacial period are illustrated by the streamfunctions in latitude-salinity coordinates and thermohaline coordinates. From these diagnostics, we found that the LGM Conveyor Belt circulation is driven by an enhanced salinity contrast between the Atlantic and the Pacific basin. The LGM abyssal circulation lifts and makes the Conveyor Belt cell deviate from the abyssal region, resulting in a ventilated upper layer above a deep stagnant layer, and an Atlantic circulation more isolated from the Pacific. An estimate of the timescale of the circulation reveals a sluggish abyssal circulation during the LGM, and a Conveyor Belt circulation that is more vigorous due to the combination of a stronger wind stress and a shortened circulation route.

An experimental study of an adaptive-wall wind tunnel

NASA Technical Reports Server (NTRS)

Celik, Zeki; Roberts, Leonard

1988-01-01

A series of adaptive wall ventilated wind tunnel experiments was carried out to demonstrate the feasibility of using the side wall pressure distribution as the flow variable for the assessment of compatibility with free air conditions. Iterative and one step convergence methods were applied using the streamwise velocity component, the side wall pressure distribution and the normal velocity component in order to investigate their relative merits. The advantage of using the side wall pressure as the flow variable is to reduce the data taking time which is one the major contributors to the total testing time. In ventilated adaptive wall wind tunnel testing, side wall pressure measurements require simple instrumentation as opposed to the Laser Doppler Velocimetry used to measure the velocity components. In ventilated adaptive wall tunnel testing, influence coefficients are required to determine the pressure corrections in the plenum compartment. Experiments were carried out to evaluate the influence coefficients from side wall pressure distributions, and from streamwise and normal velocity distributions at two control levels. Velocity measurements were made using a two component Laser Doppler Velocimeter system.

Replicating human expertise of mechanical ventilation waveform analysis in detecting patient-ventilator cycling asynchrony using machine learning.

PubMed

Gholami, Behnood; Phan, Timothy S; Haddad, Wassim M; Cason, Andrew; Mullis, Jerry; Price, Levi; Bailey, James M

2018-06-01

- Acute respiratory failure is one of the most common problems encountered in intensive care units (ICU) and mechanical ventilation is the mainstay of supportive therapy for such patients. A mismatch between ventilator delivery and patient demand is referred to as patient-ventilator asynchrony (PVA). An important hurdle in addressing PVA is the lack of a reliable framework for continuously and automatically monitoring the patient and detecting various types of PVA. - The problem of replicating human expertise of waveform analysis for detecting cycling asynchrony (i.e., delayed termination, premature termination, or none) was investigated in a pilot study involving 11 patients in the ICU under invasive mechanical ventilation. A machine learning framework is used to detect cycling asynchrony based on waveform analysis. - A panel of five experts with experience in PVA evaluated a total of 1377 breath cycles from 11 mechanically ventilated critical care patients. The majority vote was used to label each breath cycle according to cycling asynchrony type. The proposed framework accurately detected the presence or absence of cycling asynchrony with sensitivity (specificity) of 89% (99%), 94% (98%), and 97% (93%) for delayed termination, premature termination, and no cycling asynchrony, respectively. The system showed strong agreement with human experts as reflected by the kappa coefficients of 0.90, 0.91, and 0.90 for delayed termination, premature termination, and no cycling asynchrony, respectively. - The pilot study establishes the feasibility of using a machine learning framework to provide waveform analysis equivalent to an expert human. Copyright © 2018 Elsevier Ltd. All rights reserved.

Results from Carbon Dioxide Washout Testing Using a Suited Manikin Test Apparatus with a Space Suit Ventilation Test Loop

NASA Technical Reports Server (NTRS)

Chullen, Cinda; Conger, Bruce; McMillin, Summer; Vonau, Walt; Kanne, Bryan; Korona, Adam; Swickrath, Mike

2016-01-01

NASA is developing an advanced portable life support system (PLSS) to meet the needs of a new NASA advanced space suit. The PLSS is one of the most critical aspects of the space suit providing the necessary oxygen, ventilation, and thermal protection for an astronaut performing a spacewalk. The ventilation subsystem in the PLSS must provide sufficient carbon dioxide (CO2) removal and ensure that the CO2 is washed away from the oronasal region of the astronaut. CO2 washout is a term used to describe the mechanism by which CO2 levels are controlled within the helmet to limit the concentration of CO2 inhaled by the astronaut. Accumulation of CO2 in the helmet or throughout the ventilation loop could cause the suited astronaut to experience hypercapnia (excessive carbon dioxide in the blood). A suited manikin test apparatus (SMTA) integrated with a space suit ventilation test loop was designed, developed, and assembled at NASA in order to experimentally validate adequate CO2 removal throughout the PLSS ventilation subsystem and to quantify CO2 washout performance under various conditions. The test results from this integrated system will be used to validate analytical models and augment human testing. This paper presents the system integration of the PLSS ventilation test loop with the SMTA including the newly developed regenerative Rapid Cycle Amine component used for CO2 removal and tidal breathing capability to emulate the human. The testing and analytical results of the integrated system are presented along with future work.

Effects of hyperthermia on ventilation and metabolism during hypoxia in conscious mice.

PubMed

Iwase, Michiko; Izumizaki, Masahiko; Kanamaru, Mitsuko; Homma, Ikuo

2004-02-01

Hyperthermia and hypoxia influence ventilation and metabolism; however, their synergistic effects remain unanswered. We hypothesized that an enhancement of ventilation induced by hyperthermia is competitive with hypoxic hypometabolism. We then examined the relationship of body temperature, hypoxia, and respiration in conscious mice, measuring minute ventilation (VE), aerobic metabolism, and arterial blood gases. All parameters were measured at two different body temperatures (BTs), approximately 37 degrees C (normothermia) and 39 degrees C (hyperthermia), under both normoxia (room air inhalation) and hypoxia (7% O2 inhalation). Under normoxia, VE and O2 consumption (VO2) were lower at hyperthermia than at normothermia, and the VE-VO2 ratio remained constant. PaCO2 values were normal at both BTs under normoxia. Hypoxic gas inhalation increased VE, which reached a peak in 2 min, then decreased at both BTs. VE remained at a higher level during hyperthermia than during normothermia throughout the 10 min experiment. VO2 decreased during hypoxia at both BTs. Hypoxia increased the VE-VO2 ratio because of relatively high VE with respect to the decreased VO2, which means hyperventilation. At hypoxia under hyperthermia, serious hyperventilation occurred with a further increase in VE. The augmented ventilation may be due to the thermal stimulus and a lowered thermoregulatory set point for hypoxia. Thus hyperthermia reduces ventilation and metabolism to maintain normocapnia; as a result, thermogenesis is reduced under normoxia. Hyperthermia augments hyperventilation induced by hypoxia, leading to severe hypoxic hypocapnia. Thermal stimuli may impair the adjustment of ventilation and metabolism when O2 is limited.

Tropical Atlantic climate response to different freshwater input in high latitudes with an ocean-only general circulation model

NASA Astrophysics Data System (ADS)

Men, Guang; Wan, Xiuquan; Liu, Zedong

2016-10-01

Tropical Atlantic climate change is relevant to the variation of Atlantic meridional overturning circulation (AMOC) through different physical processes. Previous coupled climate model simulation suggested a dipole-like SST structure cooling over the North Atlantic and warming over the South Tropical Atlantic in response to the slowdown of the AMOC. Using an ocean-only global ocean model here, an attempt was made to separate the total influence of various AMOC change scenarios into an oceanic-induced component and an atmospheric-induced component. In contrast with previous freshwater-hosing experiments with coupled climate models, the ocean-only modeling presented here shows a surface warming in the whole tropical Atlantic region and the oceanic-induced processes may play an important role in the SST change in the equatorial south Atlantic. Our result shows that the warming is partly governed by oceanic process through the mechanism of oceanic gateway change, which operates in the regime where freshwater forcing is strong, exceeding 0.3 Sv. Strong AMOC change is required for the gateway mechanism to work in our model because only when the AMOC is sufficiently weak, the North Brazil Undercurrent can flow equatorward, carrying warm and salty north Atlantic subtropical gyre water into the equatorial zone. This threshold is likely to be model-dependent. An improved understanding of these issues may have help with abrupt climate change prediction later.

Using Phylogenetic Analysis to Detect Market Substitution of Atlantic Salmon for Pacific Salmon: An Introductory Biology Laboratory Experiment

ERIC Educational Resources Information Center

Cline, Erica; Gogarten, Jennifer

2012-01-01

We describe a laboratory exercise developed for the cell and molecular biology quarter of a year-long majors' undergraduate introductory biology sequence. In an analysis of salmon samples collected by students in their local stores and restaurants, DNA sequencing and phylogenetic analysis were used to detect market substitution of Atlantic salmon…

The effects of long-term 20 mg/L carbon dioxide exposure on the health and performance of Atlantic salmon Salmo salar post-smolts in water recirculation aquaculture systems

USDA-ARS?s Scientific Manuscript database

Previous research and experience has linked elevated dissolved carbon dioxide (CO2) to reduced growth performance, poor feed conversion, and a variety of health issues in farm-raised fish, including Atlantic salmon Salmo salar. Supplemental control measures in water recirculation aquaculture systems...

Health and Wellbeing of Occupants in Highly Energy Efficient Buildings: A Field Study.

PubMed

Wallner, Peter; Tappler, Peter; Munoz, Ute; Damberger, Bernhard; Wanka, Anna; Kundi, Michael; Hutter, Hans-Peter

2017-03-19

Passive houses and other highly energy-efficient buildings need mechanical ventilation. However, ventilation systems in such houses are regarded with a certain degree of skepticism by parts of the public due to alleged negative health effects. Within a quasi-experimental field study, we investigated if occupants of two types of buildings (mechanical vs. natural ventilation) experience different health, wellbeing and housing satisfaction outcomes and if associations with indoor air quality exist. We investigated 123 modern homes (test group: with mechanical ventilation; control group: naturally ventilated) built in the years 2010 to 2012 in the same geographic area and price range. Interviews of occupants based on standardized questionnaires and measurements of indoor air quality parameters were conducted twice (three months after moving in and one year later). In total, 575 interviews were performed (respondents' mean age 37.9 ± 9 years in the test group, 37.7 ± 9 years in the control group). Occupants of the test group rated their overall health status and that of their children not significantly higher than occupants of the control group at both time points. Adult occupants of the test group reported dry eyes statistically significantly more frequently compared to the control group (19.4% vs. 12.5%). Inhabitants of energy-efficient, mechanically ventilated homes rated the quality of indoor air and climate significantly higher. Self-reported health improved more frequently in the mechanically ventilated new homes ( p = 0.005). Almost no other significant differences between housing types and measuring time points were observed concerning health and wellbeing or housing satisfaction. Associations between vegetative symptoms (dizziness, nausea, headaches) and formaldehyde concentrations as well as between CO₂ levels and perceived stale air were observed. However, both associations were independent of the type of ventilation. In summary, occupants of the mechanically ventilated homes rated their health status slightly higher and their health improved significantly more frequently than in occupants of the control group. As humidity in homes with mechanical ventilation was lower, it seems plausible that the inhabitants reported dry eyes more frequently.

Multicenter review of diaphragm pacing in spinal cord injury: successful not only in weaning from ventilators but also in bridging to independent respiration.

PubMed

Posluszny, Joseph A; Onders, Raymond; Kerwin, Andrew J; Weinstein, Michael S; Stein, Deborah M; Knight, Jennifer; Lottenberg, Lawrence; Cheatham, Michael L; Khansarinia, Saeid; Dayal, Saraswati; Byers, Patricia M; Diebel, Lawrence

2014-02-01

Ventilator-dependent spinal cord-injured (SCI) patients require significant resources related to ventilator dependence. Diaphragm pacing (DP) has been shown to successfully replace mechanical ventilators for chronic ventilator-dependent tetraplegics. Early use of DP following SCI has not been described. Here, we report our multicenter review experience with the use of DP in the initial hospitalization after SCI. Under institutional review board approval for humanitarian use device, we retrospectively reviewed our multicenter nonrandomized interventional protocol of laparoscopic diaphragm motor point mapping with electrode implantation and subsequent diaphragm conditioning and ventilator weaning. Twenty-nine patients with an average age of 31 years (range, 17-65 years) with only two females were identified. Mechanism of injury included motor vehicle collision (7), diving (6), gunshot wounds (4), falls (4), athletic injuries (3), bicycle collision (2), heavy object falling on spine (2), and motorcycle collision (1). Elapsed time from injury to surgery was 40 days (range, 3-112 days). Seven (24%) of the 29 patients who were evaluated for the DP placement had nonstimulatable diaphragms from either phrenic nerve damage or infarction of the involved phrenic motor neurons and were not implanted. Of the stimulatable patients undergoing DP, 72% (16 of 22) were completely free of ventilator support in an average of 10.2 days. For the remaining six DP patients, two had delayed weans of 180 days, three had partial weans using DP at times during the day, and one patient successfully implanted went to a long-term acute care hospital and subsequently had life-prolonging measures withdrawn. Eight patients (36%) had complete recovery of respiration, and DP wires were removed. Early laparoscopic diaphragm mapping and DP implantation can successfully wean traumatic cervical SCI patients from ventilator support. Early laparoscopic mapping is also diagnostic in that a nonstimulatable diaphragm is a convincing evidence of an inability to wean from ventilator support, and long-term ventilator management can be immediately instituted. Therapeutic study, level V.

Modeling SST gradient changes, the hydrological cycle response, and deep water formation in the North Pacific

NASA Astrophysics Data System (ADS)

Burls, N.; Ford, H. L.; Fedorov, A. V.; Jahn, A.; Jacobs, P.

2017-12-01

The absence of deep-water formation and a deep meridional overturning cell in the modern North Pacific has been attributed to the relatively fresh surface conditions in the subarctic. These conditions are, in turn, best explained by the local excess of precipitation over evaporation in the northern Pacific due to net moisture transport from the Atlantic to the Pacific and/or moisture transport associated with the Asian monsoon. Some studies link the lack of deep-water formation in the Pacific directly to its occurrence in the Atlantic via the Atlantic-Pacific seesaw effect and idealized experiments indicate that the smaller width of the Atlantic predisposes it to higher salinity and deep-water formation. We have conducted a series of coupled model experiments across which global mean temperatures and large-scale meridional SST gradients are varied. We perturb either atmospheric CO2 concentrations or the meridional gradient in cloud radiative forcing and run each experiment out to 3000 years so that the deep ocean has equilibrated. As the strength of the meridional temperature gradient decreases across our experiments, a Pacific Meridional Overturning Circulation develops. The strength of this Pacific Meridional Overturning Circulation generally increases as the gradient weakens. In one of these experiments where the meridional SST gradient most closely resembles Pliocene reconstructions, a PMOC exists of comparable in strength to the modern AMOC. We will describe how the hydrological cycle response to reduced meridional SST gradients acts to increase the strength of the PMOC across our sensitivity experiments. Additionally, we will discuss our effort to include carbon isotopes in our Pliocene-like simulation for data-model comparisons. Calcium carbonate accumulation data from Subarctic North Pacific Site 882 and new and previously published carbon isotope records from the Pacific appear to support our modelling results suggesting that weaker meridonal SST gradients during the Pliocene could have supported deep water formation in the subarctic Pacific and a strong PMOC.

[Special artificial respiration procedures and intracranial pressure. Animal experiment studies, development and use of a new pressure measuring technic, clinical aspects].

PubMed

Schedl, R

1985-01-01

We investigated the influence of Forced Diffusion Ventilation (FDV), a special form of High Frequency Ventilation (HFV), on elevated intracranial pressure (ICP) in 5 dogs. Elevation of ICP was standardized by inflation of an epidural balloon. A typical finding with FDV is a reduced intrapleural pressure and therefore one could expect a better cerebrovenous drainage influencing ICP. Nevertheless, we found no changes in mean ICP under conditions of FDV compared with IPPV. Respirator-synchronous fluctuations of ICP, cisternal cerebrospinal fluid pressure and intrapleural pressure were drastically reduced with FDV. This phenomenon has been already reported by other groups as a typical effect of HFV with rates of 100/min. One can speculate, that this immediate impact of HFV on ICP-curves might be of some advantage in patients with critically reduced intracranial compliance requiring long-term artificial ventilation, because peaks and amplitudes of ICP are reduced. Our clinical experience with High Frequency Pulsation (HFP) includes 11 patients with severe brain trauma. In clinical routine this method of HFV is more facile to applicate than FDV, because there is no need of a special endotracheal tube and sufficient CO2-elimination is not strongly dependent on precise position of the tube. But HFP, as FDV, includes all advantages of respiratory systems, that are open against atmosphere (coughing and simultaneous breathing, without drastically increasing airway pressure, suction during respiration, etc.). However, we could find no special advantages or disadvantages in ICP-course during long-term application of HFP (up to 10 days). Because application of HFV is dependent on special technical equipment, we investigated in 6 patients the influence of respiratory frequency, tidal volume and inspiratory flow on ICP-fluctuations using conventional ventilators. ICP was recorded by a new, self constructed pneumatic epidural pressure sensor. Ventilator-related ICP-fluctuations were found to be markedly reduced at frequencies of 20/min and usually eliminated at 30/min. We found an exponential correlation between ICP-fluctuations and respiratory frequency and there was no correlation between tidal volume and ICP. Central venous pressure amplitudes were found to be in linear correlation with respiratory frequency and tidal volumes as well. The amplitude of respiratory ICP-fluctuations seems to be more dependent on duration of expiratory time. As our findings demonstrate, artificial ventilation without entilator-related fluctuations in ICP ("brain-protective" ventilation) may be performed by conventional volume-constant, time-cycled ventilators.(ABSTRACT TRUNCATED AT 400 WORDS)

Oxygen uptake and vertical transport during deep convection events

NASA Astrophysics Data System (ADS)

Sun, D.; Ito, T.; Bracco, A.

2016-02-01

Dissolved oxygen (O2) is essential for the chemistry and living organisms of the oceans. O2 is consumed in the interior ocean due to the respiration of organic matter, and must be replenished by physical ventilation with the O2-rich surface waters. The O2 supply to the deep waters happens only through the subduction and deep convection during cold seasons at high latitude oceans. The Labrador Sea is one of the few regions where deep ventilation occurs. According to observational and modeling studies, the intensity, duration and timing of deep convection events have varied significantly on the interannual and decadal timescales. In this study we develop a theoretical framework to understand the air-sea transfer of O2 during open-ocean deep convection events. The theory is tested against a suite of numerical integrations using MITgcm in non-hydrostatic configuration including the parameterization of diffusive and bubble mediated gas transfer. Forced with realistic air-sea buoyancy fluxes, the model can reproduce the evolution of temperature, salinity and dissolved O2 observed by ARGO floats in the Labrador Sea. Idealized sensitivity experiments are performed changing the intensity and duration of the buoyancy forcing as well as the wind speed for the gas exchange parameterizations. The downward transport of O2 results from the combination of vertical homogenization of existing O2 and the uptake from the air-sea flux. The intensity of the buoyancy forcing controls the vertical extent of convective mixing which brings O2 to the deep ocean. Integrated O2 uptake increases with the duration of convection even when the total buoyancy loss is held constant. The air-sea fluxes are highly sensitive to the wind speed especially for the bubble injection flux, which is a major addition to the diffusive flux under strong winds. However, the bubble injection flux can be partially compensated by the diffusive outgassing in response to the elevated saturation state. Under strong buoyancy forcing, this compensation is suppressed by the entrainment of relatively O2-poor deep waters. These results imply and allow to quantify the direct link between variability of deep convection and the supply of O2 in the North Atlantic.

Sea Ice Retreat and its Impact on the Intensity of Open-Ocean Convection in the Greenland and Iceland Seas

NASA Astrophysics Data System (ADS)

Moore, K.; Våge, K.; Pickart, R. S.; Renfrew, I.

2016-12-01

The air-sea transfer of heat and freshwater plays a critical role in the global climate system. This is particularly true for the Greenland and Iceland Seas, where these fluxes drive ocean convection that contributes to Denmark Strait Overflow Water, the densest component of the lower limb of the Atlantic Meridional Overturning Circulation (AMOC). This buoyancy transfer is most pronounced during the winter downstream of the ice edge, where the cold and dry Arctic air first comes in contact with the relatively warm ocean surface. Here we show that the wintertime retreat of sea ice in the region, combined with different rates of warming for the atmosphere and sea surface of the Greenland and Iceland Seas, has resulted in statistically significant reductions of approximately 20% in the magnitude of the winter air-sea heat fluxes since 1979. Furthermore, it is demonstrated that modes of climate variability other than the North Atlantic Oscillation (NAO) are required to fully characterize the regional air-sea interaction in this region. Mixed-layer model simulations imply that a continued decrease in atmospheric forcing will exceed a threshold for the Greenland Sea whereby convection will become depth limited, reducing the ventilation of mid-depth waters in the Nordic Seas. In the Iceland Sea, further reductions have the potential to decrease the supply of the densest overflow waters to the AMOC.

Anthropogenic iodine-129 in seawater along a transect from the Norwegian coastal current to the North Pole.

PubMed

Alfimov, V; Aldahan, A; Possnert, G; Winsor, P

2004-12-01

Variation in the concentrations of iodine-129 (129I, T1/2=15.7 Myr), a low-level radioactive component of nuclear fuel waste, is documented in surface waters and depth profiles collected during 2001 along a transect from the Norwegian Coastal Current to the North Pole. The surface waters near the Norwegian coast are found to have 20 times higher 129I concentration than the surface waters of the Arctic Ocean. The depth profiles of 129I taken in the Arctic Ocean reveal a sharp decline in the concentration to a depth of about 300-500 m followed by a weaker gradient extending down to the bottom. A twofold increase in the 129I concentration is observed in the upper 1000 m since 1996. Based on known estimates of marine transient time from the release sources (the nuclear reprocessing facilities at La Hague, France, and Sellafield, UK), a doubling in the 129I inventory of the top 1000 m of the Arctic Ocean is expected to occur between the years 2001 and 2006. As 129I of polar mixed layer and Atlantic layer of the Arctic Ocean is ventilated by the East Greenland Current into the Nordic Seas and North Atlantic Ocean, further dispersal and increase of the isotope concentration in these regions will be encountered in the near future.

Abrupt climate change and collapse of deep-sea ecosystems

USGS Publications Warehouse

Yasuhara, Moriaki; Cronin, T. M.; Demenocal, P.B.; Okahashi, H.; Linsley, B.K.

2008-01-01

We investigated the deep-sea fossil record of benthic ostracodes during periods of rapid climate and oceanographic change over the past 20,000 years in a core from intermediate depth in the northwestern Atlantic. Results show that deep-sea benthic community "collapses" occur with faunal turnover of up to 50% during major climatically driven oceanographic changes. Species diversity as measured by the Shannon-Wiener index falls from 3 to as low as 1.6 during these events. Major disruptions in the benthic communities commenced with Heinrich Event 1, the Inter-Aller??d Cold Period (IACP: 13.1 ka), the Younger Dryas (YD: 12.9-11.5 ka), and several Holocene Bond events when changes in deep-water circulation occurred. The largest collapse is associated with the YD/IACP and is characterized by an abrupt two-step decrease in both the upper North Atlantic Deep Water assemblage and species diversity at 13.1 ka and at 12.2 ka. The ostracode fauna at this site did not fully recover until ???8 ka, with the establishment of Labrador Sea Water ventilation. Ecologically opportunistic slope species prospered during this community collapse. Other abrupt community collapses during the past 20 ka generally correspond to millennial climate events. These results indicate that deep-sea ecosystems are not immune to the effects of rapid climate changes occurring over centuries or less. ?? 2008 by The National Academy of Sciences of the USA.

Mediterranean circulation perturbations over the last five centuries: Relevance to past Eastern Mediterranean Transient-type events

PubMed Central

Incarbona, Alessandro; Martrat, Belen; Mortyn, P. Graham; Sprovieri, Mario; Ziveri, Patrizia; Gogou, Alexandra; Jordà, Gabriel; Xoplaki, Elena; Luterbacher, Juerg; Langone, Leonardo; Marino, Gianluca; Rodríguez-Sanz, Laura; Triantaphyllou, Maria; Di Stefano, Enrico; Grimalt, Joan O.; Tranchida, Giorgio; Sprovieri, Rodolfo; Mazzola, Salvatore

2016-01-01

The Eastern Mediterranean Transient (EMT) occurred in the Aegean Sea from 1988 to 1995 and is the most significant intermediate-to-deep Mediterranean overturning perturbation reported by instrumental records. The EMT was likely caused by accumulation of high salinity waters in the Levantine and enhanced heat loss in the Aegean Sea, coupled with surface water freshening in the Sicily Channel. It is still unknown whether similar transients occurred in the past and, if so, what their forcing processes were. In this study, sediments from the Sicily Channel document surface water freshening (SCFR) at 1910 ± 12, 1812 ± 18, 1725 ± 25 and 1580 ± 30 CE. A regional ocean hindcast links SCFR to enhanced deep-water production and in turn to strengthened Mediterranean thermohaline circulation. Independent evidence collected in the Aegean Sea supports this reconstruction, showing that enhanced bottom water ventilation in the Eastern Mediterranean was associated with each SCFR event. Comparison between the records and multi-decadal atmospheric circulation patterns and climatic external forcings indicates that Mediterranean circulation destabilisation occurs during positive North Atlantic Oscillation (NAO) and negative Atlantic Multidecadal Oscillation (AMO) phases, reduced solar activity and strong tropical volcanic eruptions. They may have recurrently produced favourable deep-water formation conditions, both increasing salinity and reducing temperature on multi-decadal time scales. PMID:27412622

Mesoscale Eddy Activity and Transport in the Atlantic Water Inflow Region North of Svalbard

NASA Astrophysics Data System (ADS)

Crews, L.; Sundfjord, A.; Albretsen, J.; Hattermann, T.

2018-01-01

Mesoscale eddies are known to transport heat and biogeochemical properties from Arctic Ocean boundary currents to basin interiors. Previous hydrographic surveys and model results suggest that eddy formation may be common in the Atlantic Water (AW) inflow area north of Svalbard, but no quantitative eddy survey has yet been done for the region. Here vorticity and water property signatures are used to identify and track AW eddies in an eddy-resolving sea ice-ocean model. The boundary current sheds AW eddies along most of the length of the continental slope considered, from the western Yermak Plateau to 40°E, though eddies forming east of 20°E are likely more important for slope-to-basin transport. Eddy formation seasonality reflects seasonal stability properties of the boundary current in the eastern portion of the study domain, but on and immediately east of the Yermak Plateau enhanced eddy formation during summer merits further investigation. AW eddies tend to be anticyclonic, have radii close to the local deformation radius, and be centered in the halocline. They transport roughly 0.16 Sv of AW and, due to their warm cores, 1.0 TW away from the boundary current. These findings suggest eddies may be important for halocline ventilation in the Eurasian Basin, as has been shown for Pacific Water eddies in the Canadian Basin.

Injurious mechanical ventilation in the normal lung causes a progressive pathologic change in dynamic alveolar mechanics.

PubMed

Pavone, Lucio A; Albert, Scott; Carney, David; Gatto, Louis A; Halter, Jeffrey M; Nieman, Gary F

2007-01-01

Acute respiratory distress syndrome causes a heterogeneous lung injury, and without protective mechanical ventilation a secondary ventilator-induced lung injury can occur. To ventilate noncompliant lung regions, high inflation pressures are required to 'pop open' the injured alveoli. The temporal impact, however, of these elevated pressures on normal alveolar mechanics (that is, the dynamic change in alveolar size and shape during ventilation) is unknown. In the present study we found that ventilating the normal lung with high peak pressure (45 cmH(2)0) and low positive end-expiratory pressure (PEEP of 3 cmH(2)O) did not initially result in altered alveolar mechanics, but alveolar instability developed over time. Anesthetized rats underwent tracheostomy, were placed on pressure control ventilation, and underwent sternotomy. Rats were then assigned to one of three ventilation strategies: control group (n = 3, P control = 14 cmH(2)O, PEEP = 3 cmH(2)O), high pressure/low PEEP group (n = 6, P control = 45 cmH(2)O, PEEP = 3 cmH(2)O), and high pressure/high PEEP group (n = 5, P control = 45 cmH(2)O, PEEP = 10 cmH(2)O). In vivo microscopic footage of subpleural alveolar stability (that is, recruitment/derecruitment) was taken at baseline and than every 15 minutes for 90 minutes following ventilator adjustments. Alveolar recruitment/derecruitment was determined by measuring the area of individual alveoli at peak inspiration (I) and end expiration (E) by computer image analysis. Alveolar recruitment/derecruitment was quantified by the percentage change in alveolar area during tidal ventilation (%I - E Delta). Alveoli were stable in the control group for the entire experiment (low %I - E Delta). Alveoli in the high pressure/low PEEP group were initially stable (low %I - E Delta), but with time alveolar recruitment/derecruitment developed. The development of alveolar instability in the high pressure/low PEEP group was associated with histologic lung injury. A large change in lung volume with each breath will, in time, lead to unstable alveoli and pulmonary damage. Reducing the change in lung volume by increasing the PEEP, even with high inflation pressure, prevents alveolar instability and reduces injury. We speculate that ventilation with large changes in lung volume over time results in surfactant deactivation, which leads to alveolar instability.

Bias flow rate and ventilation efficiency during adult high-frequency oscillatory ventilation: a lung model study.

PubMed

Nagano, Osamu; Yumoto, Tetsuya; Nishimatsu, Atsunori; Kanazawa, Shunsuke; Fujita, Takahisa; Asaba, Sunao; Yamanouchi, Hideo

2018-04-19

Bias flow (BF) is essential to maintain mean airway pressure (MAP) and to washout carbon dioxide (CO 2 ) from the oscillator circuit during high-frequency oscillatory ventilation (HFOV). If the BF rate is inadequate, substantial CO 2 rebreathing could occur and ventilation efficiency could worsen. With lower ventilation efficiency, the required stroke volume (SV) would increase in order to obtain the same alveolar ventilation with constant frequency. The aim of this study was to assess the effect of BF rate on ventilation efficiency during adult HFOV. The R100 oscillator (Metran, Japan) was connected to an original lung model internally equipped with a simulated bronchial tree. The actual SV was measured with a flow sensor placed at the Y-piece. Carbon dioxide (CO 2 ) was continuously insufflated into the lung model ([Formula: see text]CO 2 ), and the partial pressure of CO 2 (PCO 2 ) in the lung model was monitored. Alveolar ventilation ([Formula: see text]A) was estimated as [Formula: see text]CO 2 divided by the stabilized value of PCO 2 . [Formula: see text]A was evaluated by setting SV from 80 to 180 mL (10 mL increments, n = 5) at a frequency of 8 Hz, a MAP of 25 cmH 2 O, and a BF of 10, 20, 30, and 40 L/min (study 1). Ventilation efficiency was calculated as [Formula: see text]A divided by the actual minute volume. The experiment was also performed with an actual SV of 80, 100, and 120 mL and a BF from 10 to 60 L/min (10 L/min increments: study 2). Study 1: With the same setting SV, the [Formula: see text]A with a BF of 20 L/min or more was significantly higher than that with a BF of 10 L/min. Study 2: With the same actual SV, the [Formula: see text]A and the ventilation efficiency with a BF of 30 L/min or more were significantly higher than those with a BF of 10 or 20 L/min. Increasing BF up to 30 L/min or more improved ventilation efficiency in the R100 oscillator.

A dual closed-loop control system for mechanical ventilation.

PubMed

Tehrani, Fleur; Rogers, Mark; Lo, Takkin; Malinowski, Thomas; Afuwape, Samuel; Lum, Michael; Grundl, Brett; Terry, Michael

2004-04-01

Closed-loop mechanical ventilation has the potential to provide more effective ventilatory support to patients with less complexity than conventional ventilation. The purpose of this study was to investigate the effectiveness of an automatic technique for mechanical ventilation. Two closed-loop control systems for mechanical ventilation are combined in this study. In one of the control systems several physiological data are used to automatically adjust the frequency and tidal volume of breaths of a patient. This method, which is patented under US Patent number 4986268, uses the criterion of minimal respiratory work rate to provide the patient with a natural pattern of breathing. The inputs to the system include data representing CO2 and O2 levels of the patient as well as respiratory compliance and airway resistance. The I:E ratio is adjusted on the basis of the respiratory time constant to allow for effective emptying of the lungs in expiration and to avoid intrinsic positive end expiratory pressure (PEEP). This system is combined with another closed-loop control system for automatic adjustment of the inspired fraction of oxygen of the patient. This controller uses the feedback of arterial oxygen saturation of the patient and combines a rapid stepwise control procedure with a proportional-integral-derivative (PID) control algorithm to automatically adjust the oxygen concentration in the patient's inspired gas. The dual closed-loop control system has been examined by using mechanical lung studies, computer simulations and animal experiments. In the mechanical lung studies, the ventilation controller adjusted the breathing frequency and tidal volume in a clinically appropriate manner in response to changes in respiratory mechanics. The results of computer simulations and animal studies under induced disturbances showed that blood gases were returned to the normal physiologic range in less than 25 s by the control system. In the animal experiments understeady-state conditions, the maximum standard deviations of arterial oxygen saturation and the end-tidal partial pressure of CO2 were +/- 1.76% and +/- 1.78 mmHg, respectively. The controller maintained the arterial blood gases within normal limits under steady-state conditions and the transient response of the system was robust under various disturbances. The results of the study have showed that the proposed dual closed-loop technique has effectively controlled mechanical ventilation under different test conditions.

INVESTIGATION OF THE POTENTIAL ANTIMICROBIAL EFFICACY OF SEALANTS USED IN HVAC SYSTEMS

EPA Science Inventory

The paper gives results of an investigation of the potential antimicrobial efficacy of sealants used in heating, ventilation and air-conditioning systems. Recent experiments confirm field experience that duct cleaning alone may not provide adequate protection from regrowth of fu...

North Atlantic observations sharpen meridional overturning projections

NASA Astrophysics Data System (ADS)

Olson, R.; An, S.-I.; Fan, Y.; Evans, J. P.; Caesar, L.

2018-06-01

Atlantic Meridional Overturning Circulation (AMOC) projections are uncertain due to both model errors, as well as internal climate variability. An AMOC slowdown projected by many climate models is likely to have considerable effects on many aspects of global and North Atlantic climate. Previous studies to make probabilistic AMOC projections have broken new ground. However, they do not drift-correct or cross-validate the projections, and do not fully account for internal variability. Furthermore, they consider a limited subset of models, and ignore the skill of models at representing the temporal North Atlantic dynamics. We improve on previous work by applying Bayesian Model Averaging to weight 13 Coupled Model Intercomparison Project phase 5 models by their skill at modeling the AMOC strength, and its temporal dynamics, as approximated by the northern North-Atlantic temperature-based AMOC Index. We make drift-corrected projections accounting for structural model errors, and for the internal variability. Cross-validation experiments give approximately correct empirical coverage probabilities, which validates our method. Our results present more evidence that AMOC likely already started slowing down. While weighting considerably moderates and sharpens our projections, our results are at low end of previously published estimates. We project mean AMOC changes between periods 1960-1999 and 2060-2099 of -4.0 Sv and -6.8 Sv for RCP4.5 and RCP8.5 emissions scenarios respectively. The corresponding average 90% credible intervals for our weighted experiments are [-7.2, -1.2] and [-10.5, -3.7] Sv respectively for the two scenarios.

Ocean and atmosphere feedbacks affecting AMOC hysteresis in a GCM

NASA Astrophysics Data System (ADS)

Jackson, L. C.; Smith, R. S.; Wood, R. A.

2017-07-01

Theories suggest that the Atlantic Meridional Overturning Circulation (AMOC) can exhibit a hysteresis where, for a given input of fresh water into the north Atlantic, there are two possible states: one with a strong overturning in the north Atlantic (on) and the other with a reverse Atlantic cell (off). A previous study showed hysteresis of the AMOC for the first time in a coupled general circulation model (Hawkins et al. in Geophys Res Lett. doi: 10.1029/2011GL047208, 2011). In this study we show that the hysteresis found by Hawkins et al. (2011) is sensitive to the method with which the fresh water input is compensated. If this compensation is applied throughout the volume of the global ocean, rather than at the surface, the region of hysteresis is narrower and the off states are very different: when the compensation is applied at the surface, a strong Pacific overturning cell and a strong Atlantic reverse cell develops; when the compensation is applied throughout the volume there is little change in the Pacific and only a weak Atlantic reverse cell develops. We investigate the mechanisms behind the transitions between the on and off states in the two experiments, and find that the difference in hysteresis is due to the different off states. We find that the development of the Pacific overturning cell results in greater atmospheric moisture transport into the North Atlantic, and also is likely responsible for a stronger Atlantic reverse cell. These both act to stabilize the off state of the Atlantic overturning.

Emergency Contraceptive Pills: A 10-Year Follow-up Survey of Use and Experiences at College Health Centers in the Mid-Atlantic United States

ERIC Educational Resources Information Center

Miller, Laura McKeller; Sawyer, Robin G.

2006-01-01

The authors conducted a 10-year follow-up study using a telephone survey to investigate the availability of emergency contraceptive pills (ECPs) at college health centers in the mid-Atlantic region of the United States. They also examined related issues, such as distribution procedure, existence of a written protocol, personnel involved,…

Skeletal anomaly assessment in diploid and triploid juvenile Atlantic salmon (Salmo salar L.) and the effect of temperature in freshwater.

PubMed

Amoroso, G; Adams, M B; Ventura, T; Carter, C G; Cobcroft, J M

2016-04-01

Triploid Atlantic salmon tend to develop a higher prevalence of skeletal anomalies. This tendency may be exacerbated by an inadequate rearing temperature. Early juvenile all-female diploid and triploid Atlantic salmon were screened for skeletal anomalies in consecutive experiments to include two size ranges: the first tested the effect of ploidy (0.2-8 g) and the second the effect of ploidy, temperature (14 °C and 18 °C) and their interaction (8-60 g). The first experiment showed that ploidy had no effect on skeletal anomaly prevalence. A high prevalence of opercular shortening was observed (average prevalence in both ploidies 85.8%) and short lower jaws were common (highest prevalence observed 11.3%). In the second experiment, ploidy, but not temperature, affected the prevalence of short lower jaw (diploids > triploids) and lower jaw deformity (triploids > diploids, highest prevalence observed 11.1% triploids and 2.7% diploids) with a trend indicating a possible developmental link between the two jaw anomalies in triploids. A radiological assessment (n = 240 individuals) showed that at both temperatures triploids had a significantly (P < 0.05) lower number of vertebrae and higher prevalence of deformed individuals. These findings (second experiment) suggest ploidy was more influential than temperature in this study. © 2016 John Wiley & Sons Ltd.

Electrical impedance tomography compared to positron emission tomography for the measurement of regional lung ventilation: an experimental study

PubMed Central

Richard, JC; Pouzot, C; Gros, A; Tourevieille, C; Lebars, D; Lavenne, F; Frerichs, I; Guérin, C

2009-01-01

Introduction Electrical impedance tomography (EIT), which can assess regional lung ventilation at the bedside, has never been compared with positron-emission tomography (PET), a gold-standard to quantify regional ventilation. This experiment systematically compared both techniques in injured and non-injured lungs. Methods The study was performed in six mechanically ventilated female piglets. In normal lungs, tidal volume (VT) was randomly changed to 6, 8, 10 and 15 ml/kg on zero end-expiratory pressure (ZEEP), then, at VT 10 ml/kg, positive end-expiratory pressure (PEEP) was randomly changed to 5, 10 and 15 cmH2O. Afterwards, acute lung injury (ALI) was subsequently created in three animals by injecting 3 ml/kg hydrochloric acid into the trachea. Then at PEEP 5 cmH2O, VT was randomly changed to 8 and 12 ml/kg and PEEP of 10 and 15 cmH2O applied at VT 10 ml/kg. EIT and PET examinations were performed simultaneously. EIT ventilation (VTEIT) and lung volume (VL) were measured in the anterior and posterior area of each lung. On the same regions of interest, ventilation (VPET) and aerated lung volume (VAatten) were determined with PET. Results On ZEEP, VTEIT and VPET significantly correlated for global (VTEIT = VPET - 2E-13, R2 = 0.95, P < 0.001) and regional (VTEIT = 0.81VPET+7.65, R2 = 0.63, P < 0.001) ventilation over both conditions. For ALI condition, corresponding R2 were 0.91 and 0.73 (P < 0.01). Bias was = 0 and limits of agreement were -37.42 and +37.42 ml/min for global ventilation over both conditions. These values were 0.04 and -29.01 and +29.08 ml/min, respectively, for regional ventilation. Significant correlations were also found between VL and VAatten for global (VL = VAatten+1E-12, R2 = 0.93, P < 0.0001) and regional (VL = 0.99VAatten+0.92, R2 = 0.65, P < 0.001) volume. For ALI condition, corresponding R2 were 0.94 (P < 0.001) and 0.54 (P < 0.05). Bias was = 0 and limits of agreement ranged -38.16 and +38.16 ml for global ventilation over both conditions. These values were -0.24 and -31.96 to +31.48 ml, respectively, for regional ventilation. Conclusions Regional lung ventilation and volume were accurately measured with EIT in healthy and injured lungs and validated by simultaneous PET imaging. PMID:19480694

Effectiveness of in-room air filtration and dilution ventilation for tuberculosis infection control.

PubMed

Miller-Leiden, S; Lobascio, C; Nazaroff, W W; Macher, J M

1996-09-01

Tuberculosis (TB) is a public health problem that may pose substantial risks to health care workers and others. TB infection occurs by inhalation of airborne bacteria emitted by persons with active disease. We experimentally evaluated the effectiveness of in-room air filtration systems, specifically portable air filters (PAFs) and ceiling-mounted air filters (CMAFs), in conjunction with dilution ventilation, for controlling TB exposure in high-risk settings. For each experiment, a test aerosol was continuously generated and released into a full-sized room. With the in-room air filter and room ventilation system operating, time-averaged airborne particle concentrations were measured at several points. The effectiveness of in-room air filtration plus ventilation was determined by comparing particle concentrations with and without device operation. The four PAFs and three CMAFs we evaluated reduced room-average particle concentrations, typically by 30% to 90%, relative to a baseline scenario with two air-changes per hour of ventilation (outside air) only. Increasing the rate of air flow recirculating through the filter and/or air flow from the ventilation did not always increase effectiveness. Concentrations were generally higher near the emission source than elsewhere in the room. Both the air flow configuration of the filter and its placement within the room were important, influencing room air flow patterns and the spatial distribution of concentrations. Air filters containing efficient, but non-high efficiency particulate air (HEPA) filter media were as effective as air filters containing HEPA filter media.

Effectiveness of In-Room Air Filtration and Dilution Ventilation for Tuberculosis Infection Control.

PubMed

Miller-Leiden, S; Lohascio, C; Nazaroff, W W; Macher, J M

1996-09-01

Tuberculosis (TB) is a public health problem that may pose substantial risks to health care workers and others. TB infection occurs by inhalation of airborne bacteria emitted by persons with active disease. We experimentally evaluated the effectiveness of in-room air filtration systems, specifically portable air filters (PAFs) and ceiling-mounted air filters (CMAFs), in conjunction with dilution ventilation, for controlling TB exposure in high-risk settings. For each experiment, a test aerosol was continuously generated and released into a full-sized room. With the in-room air filter and room ventilation system operating, time-averaged airborne particle concentrations were measured at several points. The effectiveness of in-room air filtration plus ventilation was determined by comparing particle concentrations with and without device operation. The four PAFs and three CMAFs we evaluated reduced room-average particle concentrations, typically by 30% to 90%, relative to a baseline scenario with two air-changes per hour of ventilation (outside air) only. Increasing the rate of air flow recirculating through the filter and/or air flow from the ventilation did not always increase effectiveness. Concentrations were generally higher near the emission source than elsewhere in the room. Both the air flow configuration of the filter and its placement within the room were important, influencing room air flow patterns and the spatial distribution of concentrations. Air filters containing efficient, but non-high efficiency particulate air (HEPA) filter media were as effective as air filters containing HEPA filter media.

Hypoxic cardiorespiratory reflexes in the facultative air-breathing fish jeju (Hoplerythrinus unitaeniatus): role of branchial O2 chemoreceptors.

PubMed

Lopes, Jane Mello; Boijink, Cheila de Lima; Florindo, Luiz Henrique; Leite, Cleo Alcantara Costa; Kalinin, Ana Lúcia; Milsom, William K; Rantin, Francisco Tadeu

2010-08-01

In one series of experiments, heart frequency (f (H)), blood pressure (P (a)), gill ventilation frequency (f ( R )), ventilation amplitude (V (AMP)) and total gill ventilation (V (TOT)) were measured in intact jeju (Hoplerythrinus unitaeniatus) and jeju with progressive denervation of the branchial branches of cranial nerves IX (glossopharyngeal) and X (vagus) without access to air. When these fish were submitted to graded hypoxia (water PO(2) approximately 140, normoxia to 17 mmHg, severe hypoxia), they increased f ( R ), V (AMP), V (TOT) and P (a) and decreased f (H). In a second series of experiments, air-breathing frequency (f (RA)), measured in fish with access to the surface, increased with graded hypoxia. In both series, bilateral denervation of all gill arches eliminated the responses to graded hypoxia. Based on the effects of internal (caudal vein, 150 microg NaCN in 0.2 mL saline) and external (buccal) injections of NaCN (500 microg NaCN in 1.0 mL water) on f (R), V (AMP), V (TOT), P (a) and f (H) we conclude that the O(2) receptors involved in eliciting changes in gill ventilation and associated cardiovascular responses are present on all gill arches and monitor the O(2) levels of both inspired water and blood perfusing the gills. We also conclude that air breathing arises solely from stimulation of branchial chemoreceptors and support the hypothesis that internal hypoxaemia is the primary drive to air breathing.

First experiences with methods to measure ammonia emissions from naturally ventilated cattle buildings in the U.K.

NASA Astrophysics Data System (ADS)

Demmers, T. G. M.; Burgess, L. R.; Short, J. L.; Phillips, V. R.; Clark, J. A.; Wathes, C. M.

A method has been developed to measure the emission rate of ammonia from naturally ventilated U.K. livestock buildings. The method is based on measurements of ammonia concentration and estimates of the ventilation rate of the building by continuous release of carbon monoxide tracer within the building. The tracer concentration is measured at nine positions in openings around the perimeter of the building, as well as around a ring sampling line. Two criteria were evaluated to decide whether, at any given time, a given opening in the building acted as an air inlet or as an air outlet. Carbon monoxide concentration difference across an opening was found to be a better criterion than the temperature difference across the opening. Ammonia concentrations were measured continuously at the sampling points using a chemiluminescence analyser. The method was applied to a straw-bedded beef unit and to a slurry-based dairy unit. Both buildings were of space-boarded construction. Ventilation rates estimated by the ring line sample were consistently higher than by the perimeter samples. During calm weather, the ventilation estimates by both samples were similar (10-20 air changes h -1). However, during windy conditions (>5 m s -1) the ventilation rate was overestimated by the ring line sample (average 100 air changes h -1) compared to the perimeter samples (average 50 air changes h -1). The difference was caused by incomplete mixing of the tracer within the building. The ventilation rate estimated from the perimeter samples was used for the calculation of the emission rate. Preliminary estimates of the ammonia emission factor were 6.0 kg NH 3 (500 kg live-weight) -1 (190 d) -1 for the slurry-based dairy unit and 3.7 for the straw-bedded beef unit.

Open lung approach vs acute respiratory distress syndrome network ventilation in experimental acute lung injury.

PubMed

Spieth, P M; Güldner, A; Carvalho, A R; Kasper, M; Pelosi, P; Uhlig, S; Koch, T; Gama de Abreu, M

2011-09-01

Setting and strategies of mechanical ventilation with positive end-expiratory pressure (PEEP) in acute lung injury (ALI) remains controversial. This study compares the effects between lung-protective mechanical ventilation according to the Acute Respiratory Distress Syndrome Network recommendations (ARDSnet) and the open lung approach (OLA) on pulmonary function and inflammatory response. Eighteen juvenile pigs were anaesthetized, mechanically ventilated, and instrumented. ALI was induced by surfactant washout. Animals were randomly assigned to mechanical ventilation according to the ARDSnet protocol or the OLA (n=9 per group). Gas exchange, haemodynamics, pulmonary blood flow (PBF) distribution, and respiratory mechanics were measured at intervals and the lungs were removed after 6 h of mechanical ventilation for further analysis. PEEP and mean airway pressure were higher in the OLA than in the ARDSnet group [15 cmH(2)O, range 14-18 cmH(2)O, compared with 12 cmH(2)O; 20.5 (sd 2.3) compared with 18 (1.4) cmH(2)O by the end of the experiment, respectively], and OLA was associated with improved oxygenation compared with the ARDSnet group after 6 h. OLA showed more alveolar overdistension, especially in gravitationally non-dependent regions, while the ARDSnet group was associated with more intra-alveolar haemorrhage. Inflammatory mediators and markers of lung parenchymal stress did not differ significantly between groups. The PBF shifted from ventral to dorsal during OLA compared with ARDSnet protocol [-0.02 (-0.09 to -0.01) compared with -0.08 (-0.12 to -0.06), dorsal-ventral gradients after 6 h, respectively]. According to the OLA, mechanical ventilation improved oxygenation and redistributed pulmonary perfusion when compared with the ARDSnet protocol, without differences in lung inflammatory response.

Noninvasive ventilation for acute exacerbations of asthma: A systematic review of the literature.

PubMed

Green, Elyce; Jain, Paras; Bernoth, Maree

2017-11-01

Asthma is a chronic disease characterised by reversible airway obstruction caused by bronchospasm, mucous and oedema. People with asthma commonly experience acute exacerbations of their disease requiring hospitalisation and subsequent utilisation of economic and healthcare resources. Noninvasive ventilation has been suggested as a treatment for acute exacerbations of asthma due to its ability to provide airway stenting, optimal oxygen delivery and decreased work of breathing. This paper is a systematic review of the available published research focused on the use of noninvasive ventilation for the treatment of acute exacerbations of asthma to determine if this treatment provides better outcomes for patients compared to standard medical therapy. Database searches were conducted using EBSCOhost, MEDLINE and PubMed. Search terms used were combinations of 'noninvasive ventilation', 'BiPAP', 'CPAP', 'wheez*' and 'asthma'. Articles were included if they were research papers focused on adult patients with asthma and a treatment of noninvasive ventilation, and were published in full text in English. Included articles were reviewed using the National Health and Medical Research Council (Australia) evidence hierarchy and quality appraisal tools. There were 492 articles identified from the database searches. After application of inclusion/exclusion criteria 13 articles were included in the systematic review. Studies varied significantly in design, endpoints and outcomes. There was a trend in better outcomes for patients with acute asthma who were treated with noninvasive ventilation compared to standard medical therapy, however, the variability of the studies meant that no conclusive recommendations could be made. More research is required before noninvasive ventilation can be conclusively recommended for the treatment of acute exacerbations of asthma. Copyright © 2017 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

The effect of CO2 on ventilation and breath-holding during exercise and while breathing through an added resistance.

PubMed

Clark, T J; Godfrey, S

1969-05-01

1. Ventilation was measured while subjects were made to rebreathe from a bag containing CO(2) and O(2) in order to expose them to a steadily rising CO(2) tension (P(CO2)). The object of the experiments was to determine the effect of a variety of stimuli upon the increase in ventilation and fall in breath-holding time which occurs in response to the rising P(CO2).2. Steady-state exercise at 200 kg.m/min resulted in a small fall in the slope of the ventilation-CO(2) response curve (S(V)) and a small, though not statistically significant, fall in the P(CO2) at which ventilation would be zero by extrapolation (B(V)). There was a marked fall in the slope of the breath-holding-CO(2) response curve (S(BH)) and an increase in the P(CO2) at which breath-holding time became zero by extrapolation (B(BH)).3. These results have been interpreted with the aid of a model of the control of breath-holding and it is suggested that there is no change in CO(2) sensitivity on exercise, either during rebreathing or breath-holding.4. An increase in the resistance to breathing caused a marked reduction in S(V) and B(V), but no change in the breath-holding-CO(2) response curve. These findings suggest that the flattening of the ventilation-CO(2) response curve is mechanical in origin and acute airway obstruction produces no change in CO(2) sensitivity.5. On the basis of these results, we suggest that more information about CO(2) sensitivity can be obtained by a combination of ventilation and breath-holding-CO(2) response curves.

North Tropical Atlantic Climate Variability and Model Biases

NASA Astrophysics Data System (ADS)

Yang, Y.

2017-12-01

Remote forcing from El Niño-Southern Oscillation (ENSO) and local ocean-atmosphere feedback are important for climate variability over the North Tropical Atlantic. These two factors are extracted by the ensemble mean and inter-member difference of a 10-member Pacific Ocean-Global Atmosphere (POGA) experiment, in which sea surface temperatures (SSTs) are restored to the observed anomalies over the tropical Pacific but fully coupled to the atmosphere elsewhere. POGA reasonably captures main features of observed North Tropical Atlantic variability. ENSO forced and local North Tropical Atlantic modes (NTAMs) develop with wind-evaporation-SST feedback, explaining one third and two thirds of total variance respectively. Notable biases, however, exist. The seasonality of the simulated NTAM is delayed by one month, due to the late development of the North Atlantic Oscillation (NAO) in the model. A spurious band of enhanced sea surface temperature (SST) variance (SBEV) is identified over the northern equatorial Atlantic in POGA and 14 out of 23 CMIP5 models. The SBEV is especially pronounced in boreal spring and due to the combined effect of both anomalous atmospheric thermal forcing and oceanic vertical upwelling. While the tropical North Atlantic variability is only weakly correlated with the Atlantic Zonal Mode (AZM) in observations, the SBEV in CMIP5 produces conditions that drive and intensify the AZM variability via triggering the Bjerknes feedback. This partially explains why AZM is strong in some CMIP5 models even though the equatorial cold tongue and easterly trades are biased low.

Optimal Delivery of Aerosols to Infants During Mechanical Ventilation

PubMed Central

Azimi, Mandana; Hindle, Michael

2014-01-01

Abstract Purpose: The objective of this study was to determine optimal aerosol delivery conditions for a full-term (3.6 kg) infant receiving invasive mechanical ventilation by evaluating the effects of aerosol particle size, a new wye connector, and timing of aerosol delivery. Methods: In vitro experiments used a vibrating mesh nebulizer and evaluated drug deposition fraction and emitted dose through ventilation circuits containing either a commercial (CM) or new streamlined (SL) wye connector and 3-mm endotracheal tube (ETT) for aerosols with mass median aerodynamic diameters of 880 nm, 1.78 μm, and 4.9 μm. The aerosol was released into the circuit either over the full inhalation cycle (T1 delivery) or over the first half of inhalation (T2 delivery). Validated computational fluid dynamics (CFD) simulations and whole-lung model predictions were used to assess lung deposition and exhaled dose during cyclic ventilation. Results: In vitro experiments at a steady-state tracheal flow rate of 5 L/min resulted in 80–90% transmission of the 880-nm and 1.78-μm aerosols from the ETT. Based on CFD simulations with cyclic ventilation, the SL wye design reduced depositional losses in the wye by a factor of approximately 2–4 and improved lung delivery efficiencies by a factor of approximately 2 compared with the CM device. Delivery of the aerosol over the first half of the inspiratory cycle (T2) reduced exhaled dose from the ventilation circuit by a factor of 4 compared with T1 delivery. Optimal lung deposition was achieved with the SL wye connector and T2 delivery, resulting in 45% and 60% lung deposition for optimal polydisperse (∼1.78 μm) and monodisperse (∼2.5 μm) particle sizes, respectively. Conclusions: Optimization of selected factors and use of a new SL wye connector can substantially increase the lung delivery efficiency of medical aerosols to infants from current values of <1–10% to a range of 45–60%. PMID:24299500

HVAC Trials.

ERIC Educational Resources Information Center

Greim, Clifton W.; D'Angelo, David

1999-01-01

Explains how commissioning can help to ensure that all components in a new heating, ventilation, and air conditioning system will work together as designed. Bowdoin College's experience with commissioning is highlighted. (GR)

Personal care assistants' experiences of caring for people on home mechanical ventilation.

PubMed

Israelsson-Skogsberg, Åsa; Lindahl, Berit

2017-03-01

The aim of this study was to describe personal care assistants' (PCA) experiences of working with a ventilator-assisted person at home. Data were collected from fifteen audiotaped semistructured interviews with PCAs supporting a child or adult using home mechanical ventilation (HMV). Thirteen women and two men participated; their working experience with HMV users ranged from one to 17 years (median 6 years). Data were subjected to qualitative content analysis in an inductive and interpretive manner. Five categories emerged from the data: Being part of a complex work situation; Taking on a multidimensional responsibility; Caring carried out in someone's home; Creating boundaries in an environment with indistinct limits; and Being close to another's body and soul. The participants felt very close to the person they worked with, both physically and emotionally. They had a great responsibility and therefore a commensurate need for support, guidance and a well-functioning organisation around the HMV user. There is international consensus that advanced home care will continue to expand and personal care assistance is key in this development. We suggest that one way to move forward for PCAs working with HMV users is to create multiprofessional teams led by a key-person who coordinates the individual needs. More research is needed within this area from a broad perspective including the HMV-assisted persons, relatives, personal care assistants and management organisations. © 2016 Nordic College of Caring Science.

The effects of bedroom air quality on sleep and next-day performance.

PubMed

Strøm-Tejsen, P; Zukowska, D; Wargocki, P; Wyon, D P

2016-10-01

The effects of bedroom air quality on sleep and next-day performance were examined in two field-intervention experiments in single-occupancy student dormitory rooms. The occupants, half of them women, could adjust an electric heater to maintain thermal comfort but they experienced two bedroom ventilation conditions, each maintained for 1 week, in balanced order. In the initial pilot experiment (N = 14), bedroom ventilation was changed by opening a window (the resulting average CO2 level was 2585 or 660 ppm). In the second experiment (N = 16), an inaudible fan in the air intake vent was either disabled or operated whenever CO2 levels exceeded 900 ppm (the resulting average CO2 level was 2395 or 835 ppm). Bedroom air temperatures varied over a wide range but did not differ between ventilation conditions. Sleep was assessed from movement data recorded on wristwatch-type actigraphs and subjects reported their perceptions and their well-being each morning using online questionnaires. Two tests of next-day mental performance were applied. Objectively measured sleep quality and the perceived freshness of bedroom air improved significantly when the CO2 level was lower, as did next-day reported sleepiness and ability to concentrate and the subjects' performance of a test of logical thinking. © 2015 The Authors. Indoor Air published by John Wiley & Sons Ltd.

Abyssal ocean overturning shaped by seafloor distribution.

PubMed

de Lavergne, C; Madec, G; Roquet, F; Holmes, R M; McDougall, T J

2017-11-08

The abyssal ocean is broadly characterized by northward flow of the densest waters and southward flow of less-dense waters above them. Understanding what controls the strength and structure of these interhemispheric flows-referred to as the abyssal overturning circulation-is key to quantifying the ocean's ability to store carbon and heat on timescales exceeding a century. Here we show that, north of 32° S, the depth distribution of the seafloor compels dense southern-origin waters to flow northward below a depth of about 4 kilometres and to return southward predominantly at depths greater than 2.5 kilometres. Unless ventilated from the north, the overlying mid-depths (1 to 2.5 kilometres deep) host comparatively weak mean meridional flow. Backed by analysis of historical radiocarbon measurements, the findings imply that the geometry of the Pacific, Indian and Atlantic basins places a major external constraint on the overturning structure.

Abyssal ocean overturning shaped by seafloor distribution

NASA Astrophysics Data System (ADS)

de Lavergne, C.; Madec, G.; Roquet, F.; Holmes, R. M.; McDougall, T. J.

2017-11-01

The abyssal ocean is broadly characterized by northward flow of the densest waters and southward flow of less-dense waters above them. Understanding what controls the strength and structure of these interhemispheric flows—referred to as the abyssal overturning circulation—is key to quantifying the ocean’s ability to store carbon and heat on timescales exceeding a century. Here we show that, north of 32° S, the depth distribution of the seafloor compels dense southern-origin waters to flow northward below a depth of about 4 kilometres and to return southward predominantly at depths greater than 2.5 kilometres. Unless ventilated from the north, the overlying mid-depths (1 to 2.5 kilometres deep) host comparatively weak mean meridional flow. Backed by analysis of historical radiocarbon measurements, the findings imply that the geometry of the Pacific, Indian and Atlantic basins places a major external constraint on the overturning structure.

Health hazard evaluation report HETA 83-248-1515, Arco Philadelphia refinery, Philadelphia, Pennsylvania

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lewis, F.A.; Parrish, G.

1984-10-01

A bulk sample of fractionator residue was analyzed for polynuclear aromatic (PNA) compounds at the catalytic cracking unit of ARCO Philadelphia Refinery (SIC-2911), Philadelphia, Pennsylvania in May, 1983. The study was requested by the Atlantic Independent Union to determine if skin rashes and skin irritation occurring among refinery workers were caused by PNA in the fractionators. The authors conclude that a health hazard from exposure to chemicals at the cracking unit may exist. No specific chemical agent can be identified. Dust from the catalyst and oily residues that could contaminate workers shoes and clothing may have contributed to some ofmore » the dermatitis cases. Recommendations include laundering workers coveralls by dry cleaning to insure the removal of oily residues, providing workers with oil resistant or oil proof work boots, and repairing the ventilator in the sample preparation room adjacent to the block house.« less

Abdominal Muscle Activity during Mechanical Ventilation Increases Lung Injury in Severe Acute Respiratory Distress Syndrome.

PubMed

Zhang, Xianming; Wu, Weiliang; Zhu, Yongcheng; Jiang, Ying; Du, Juan; Chen, Rongchang

2016-01-01

It has proved that muscle paralysis was more protective for injured lung in severe acute respiratory distress syndrome (ARDS), but the precise mechanism is not clear. The purpose of this study was to test the hypothesis that abdominal muscle activity during mechanically ventilation increases lung injury in severe ARDS. Eighteen male Beagles were studied under mechanical ventilation with anesthesia. Severe ARDS was induced by repetitive oleic acid infusion. After lung injury, Beagles were randomly assigned into spontaneous breathing group (BIPAPSB) and abdominal muscle paralysis group (BIPAPAP). All groups were ventilated with BIPAP model for 8h, and the high pressure titrated to reached a tidal volume of 6ml/kg, the low pressure was set at 10 cmH2O, with I:E ratio 1:1, and respiratory rate adjusted to a PaCO2 of 35-60 mmHg. Six Beagles without ventilator support comprised the control group. Respiratory variables, end-expiratory volume (EELV) and gas exchange were assessed during mechanical ventilation. The levels of Interleukin (IL)-6, IL-8 in lung tissue and plasma were measured by qRT-PCR and ELISA respectively. Lung injury scores were determined at end of the experiment. For the comparable ventilator setting, as compared with BIPAPSB group, the BIPAPAP group presented higher EELV (427±47 vs. 366±38 ml) and oxygenation index (293±36 vs. 226±31 mmHg), lower levels of IL-6(216.6±48.0 vs. 297.5±71.2 pg/ml) and IL-8(246.8±78.2 vs. 357.5±69.3 pg/ml) in plasma, and lower express levels of IL-6 mRNA (15.0±3.8 vs. 21.2±3.7) and IL-8 mRNA (18.9±6.8 vs. 29.5±7.9) in lung tissues. In addition, less lung histopathology injury were revealed in the BIPAPAP group (22.5±2.0 vs. 25.2±2.1). Abdominal muscle activity during mechanically ventilation is one of the injurious factors in severe ARDS, so abdominal muscle paralysis might be an effective strategy to minimize ventilator-induce lung injury.

Convective heat transfer from circular cylinders located within perforated cylindrical shrouds

NASA Technical Reports Server (NTRS)

Daryabeigi, K.; Ash, R. L.

1986-01-01

The influence of perforated cylindrical shrouds on the convective heat transfer to circular cylinders in transverse flow has been studied experimentally. Geometries studied were similar to those used in industrial platinum resistance thermometers. The influence of Reynolds number, ventilation factor (ratio of the open area to the total surface area of shroud), radius ratio (ratio of shroud's inside radius to bare cylinder's radius), and shroud orientation with respect to flow were studied. The experiments showed that perforated shrouds with ventilation factors in the range 0.1 to 0.4 and radius ratios in the range 1.1 to 2.1 could enhance the convective heat transfer to bare cylinders up to 50%. The maximum enhancement occurred for a radius ratio of 1.4 and ventilation factors between 0.2 and 0.3. It was found that shroud orientation influenced the heat transfer, with maximum heat transfer generally occurring when the shroud's holes were centered on either side of the stagnation line. However, the hole orientation effect is of second order compared to the influence of ventilation factor and radius ratio.

An intelligent FFR with a self-adjustable ventilation fan.

PubMed

Zhou, Song; Li, Hui; Shen, Shengnan; Li, Siyu; Wang, Wei; Zhang, Xiaotie; Yang, James

2017-11-01

This article presents an intelligent Filtering Facepiece Respirator (FFR) with a self-adjustable ventilation fan for improved comfort. The ventilation fan with an intelligent control aims to reduce temperature, relative humidity, and CO 2 concentrations inside the facepiece. Compared with a previous version of the FFR, the advantage of this new FFR is the intelligent control of the fan's rotation speed based on the change in temperature and relative humidity in the FFR dead space. The design of the control system utilizes an 8-bit, ultra-low power STC15W404AS microcontroller (HongJin technology, Shenzhen, China), and adopts a high-precision AM2320 device (AoSong electronic, Guangzhou, China) as temperature and relative humidity sensor so that control of temperature and relative humidity is realized in real time within the FFR dead space. The ventilation fan is intelligently driven and runs on a rechargeable lithium battery with a power-save mode that provides a correspondingly longer operational time. Meanwhile, the design is simplistic. Two experiments were performed to determine the best location to place the fan.

Time of non-invasive ventilation.

PubMed

Nava, Stefano; Navalesi, Paolo; Conti, Giorgio

2006-03-01

Non-invasive ventilation (NIV) is a safe, versatile and effective technique that can avert side effects and complications associated with endotracheal intubation. The success of NIV relies on several factors, including the type and severity of acute respiratory failure, the underlying disease, the location of treatment, and the experience of the team. The time factor is also important. NIV is primarily used to avert the need for endotracheal intubation in patients with early-stage acute respiratory failure and post-extubation respiratory failure. It can also be used as an alternative to invasive ventilation at a more advanced stage of acute respiratory failure or to facilitate the process of weaning from mechanical ventilation. NIV has been used to prevent development of acute respiratory failure or post-extubation respiratory failure. The number of days of NIV and hours of daily use differ, depending on the severity and course of the acute respiratory failure and the timing of application. In this review article, we analyse, compare and discuss the results of studies in which NIV was applied at various times during the evolution of acute respiratory failure.

Lung Motion Model Validation Experiments, Free-Breathing Tissue Densitometry, and Ventilation Mapping using Fast Helical CT Imaging

NASA Astrophysics Data System (ADS)

Dou, Hsiang-Tai

The uncertainties due to respiratory motion present significant challenges to accurate characterization of cancerous tissues both in terms of imaging and treatment. Currently available clinical lung imaging techniques are subject to inferior image quality and incorrect motion estimation, with consequences that can systematically impact the downstream treatment delivery and outcome. The main objective of this thesis is the development of the techniques of fast helical computed tomography (CT) imaging and deformable image registration for the radiotherapy applications in accurate breathing motion modeling, lung tissue density modeling and ventilation imaging. Fast helical CT scanning was performed on 64-slice CT scanner using the shortest available gantry rotation time and largest pitch value such that scanning of the thorax region amounts to just two seconds, which is less than typical breathing cycle in humans. The scanning was conducted under free breathing condition. Any portion of the lung anatomy undergoing such scanning protocol would be irradiated for only a quarter second, effectively removing any motion induced image artifacts. The resulting CT data were pristine volumetric images that record the lung tissue position and density in a fraction of the breathing cycle. Following our developed protocol, multiple fast helical CT scans were acquired to sample the tissue positions in different breathing states. To measure the tissue displacement, deformable image registration was performed that registers the non-reference images to the reference one. In modeling breathing motion, external breathing surrogate signal was recorded synchronously with the CT image slices. This allowed for the tissue-specific displacement to be modeled as parametrization of the recorded breathing signal using the 5D lung motion model. To assess the accuracy of the motion model in describing tissue position change, the model was used to simulate the original high-pitch helical CT scan geometries, employed as ground truth data. Image similarity between the simulated and ground truth scans was evaluated. The model validation experiments were conducted in a patient cohort of seventeen patients to assess the model robustness and inter-patient variation. The model error averaged over multiple tracked positions from several breathing cycles was found to be on the order of one millimeter. In modeling the density change under free breathing condition, the determinant of Jacobian matrix from the registration-derived deformation vector field yielded volume change information of the lung tissues. Correlation of the Jacobian values to the corresponding voxel Housfield units (HU) reveals that the density variation for the majority of lung tissues can be very well described by mass conservation relationship. Different tissue types were identified and separately modeled. Large trials of validation experiments were performed. The averaged deviation between the modeled and the reference lung density was 30 HU, which was estimated to be the background CT noise level. In characterizing the lung ventilation function, a novel method was developed to determine the extent of lung tissue volume change. Information on volume change was derived from the deformable image registration of the fast helical CT images in terms of Jacobian values with respect to a reference image. Assuming the multiple volume change measurements are independently and identically distributed, statistical formulation was derived to model ventilation distribution of each lung voxels and empirical minimum and maximum probability distribution of the Jacobian values was computed. Ventilation characteristic was evaluated as the difference of the expectation value from these extremal distributions. The resulting ventilation map was compared with an independently obtained ventilation image derived directly from the lung intensities and good correlation was found using statistical test. In addition, dynamic ventilation characterization was investigated by estimating the voxel-specific ventilation distribution. Ventilation maps were generated at different percentile levels using the tissue volume expansion metrics.

Solar forcing synchronizes decadal North Atlantic climate variability.

PubMed

Thiéblemont, Rémi; Matthes, Katja; Omrani, Nour-Eddine; Kodera, Kunihiko; Hansen, Felicitas

2015-09-15

Quasi-decadal variability in solar irradiance has been suggested to exert a substantial effect on Earth's regional climate. In the North Atlantic sector, the 11-year solar signal has been proposed to project onto a pattern resembling the North Atlantic Oscillation (NAO), with a lag of a few years due to ocean-atmosphere interactions. The solar/NAO relationship is, however, highly misrepresented in climate model simulations with realistic observed forcings. In addition, its detection is particularly complicated since NAO quasi-decadal fluctuations can be intrinsically generated by the coupled ocean-atmosphere system. Here we compare two multi-decadal ocean-atmosphere chemistry-climate simulations with and without solar forcing variability. While the experiment including solar variability simulates a 1-2-year lagged solar/NAO relationship, comparison of both experiments suggests that the 11-year solar cycle synchronizes quasi-decadal NAO variability intrinsic to the model. The synchronization is consistent with the downward propagation of the solar signal from the stratosphere to the surface.

North Atlantic sub-decadal variability in climate models

NASA Astrophysics Data System (ADS)

Reintges, Annika; Martin, Thomas; Latif, Mojib; Park, Wonsun

2017-04-01

The North Atlantic Oscillation (NAO) is the dominant variability mode for the winter climate of the North Atlantic sector. During a positive (negative) NAO phase, the sea level pressure (SLP) difference between the subtropical Azores high and the subpolar Icelandic low is anomalously strong (weak). This affects, for example, temperature, precipitation, wind, and surface heat flux over the North Atlantic, and over large parts of Europe. In observations we find enhanced sub-decadal variability of the NAO index that goes along with a dipolar sea surface temperature (SST) pattern. The corresponding SLP and SST patterns are reproduced in a control experiment of the Kiel Climate Model (KCM). Large-scale air-sea interaction is suggested to be essential for the North Atlantic sub-decadal variability in the KCM. The Atlantic Meridional Overturning Circulation (AMOC) plays a key role, setting the timescale of the variability by providing a delayed negative feedback to the NAO. The interplay of the NAO and the AMOC on the sub-decadal timescale is further investigated in the CMIP5 model ensemble. For example, the average CMIP5 model AMOC pattern associated with sub-decadal variability is characterized by a deep-reaching dipolar structure, similar to the KCM's sub-decadal AMOC variability pattern. The results suggest that dynamical air-sea interactions are crucial to generate enhanced sub-decadal variability in the North Atlantic climate.

[Non-invasive mechanical ventilation in postoperative patients. A clinical review].

PubMed

Esquinas, A M; Jover, J L; Úbeda, A; Belda, F J

2015-11-01

Non-invasive ventilation (NIV) is a method of ventilatory support that is increasing in importance day by day in the management of postoperative respiratory failure. Its role in the prevention and treatment of atelectasis is particularly important in the in the period after thoracic and abdominal surgeries. Similarly, in the transplanted patient, NIV can shorten the time of invasive mechanical ventilation, reducing the risk of infectious complications in these high-risk patients. It has been performed A systematic review of the literature has been performed, including examining the technical, clinical experiences and recommendations concerning the application of NIV in the postoperative period. Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

T-piece resuscitator versus self-inflating bag for preterm resuscitation: an institutional experience.

PubMed

Jayaram, Archana; Sima, Adam; Barker, Gail; Thacker, Leroy R

2013-07-01

Manual ventilation in the delivery room is provided with devices such as self-inflating bags (SIBs), flow-inflating bags, and T-piece resuscitators. To compare the effect of type of manual ventilation device on overall response to resuscitation among preterm neonates born at < 35 weeks gestation. Retrospective data were collected in 2 time periods. Primary outcome was overall response to resuscitation, as measured by Apgar score. Secondary outcomes were incidence of air leaks, need for chest compressions/epinephrine, need for intubation, and surfactant use. We identified 294 resuscitations requiring ventilation. SIB was used for 135 neonates, and T-piece was used for 159 neonates. There was no significant difference between the 1-min and 5-min Apgar scores between SIB and T-piece (P = .77 and P = .11, respectively), nor were there significant differences in secondary outcomes. The rate of rise of Apgar score was higher, by 0.47, with T-piece, compared to SIB (95% CI 0.08-0.87, P = .02). Although some manikin studies favor T-piece for providing reliable and consistent pressures, our experience did not indicate significant differences in effectiveness of resuscitation between the T-piece and SIB in preterm resuscitations.

Impact of Greenland orography on the Atlantic Meridional Overturning Circulation

NASA Astrophysics Data System (ADS)

Davini, Paolo; von Hardenberg, Jost; Filippi, Luca; Provenzale, Antonello

2015-04-01

We show that the absence of the Greenland Ice Sheet would have important consequences on the North Atlantic Ocean circulation, even without taking into account the effect of the freshwater input from ice melting. These effects are investigated in a 200-year long coupled ocean-atmosphere simulation with the high-resolution global climate model EC-Earth 3.0.1. Once a new equilibrium is established, cooling of Eurasia and of the North Atlantic and poleward shift of the subtropical jet are observed. These hemispheric changes are ascribed to a weakening of the Atlantic Meridional Overturning Circulation (AMOC) by about 20%. Such slowdown is associated to the freshening of the Arctic basin and to the related reduction in the freshwater export through the Fram Strait, as a result of the new wind pattern generated by the lower orography. This idealized experiment reveals the possibility of decreasing the AMOC by locally changing the surface winds.

THE EFFECT OF PULMONARY CONGESTION ON THE ON THE VENTILATION OF THE LUNGS

PubMed Central

Drinker, Cecil K.; Peabody, Francis W.; Blumgart, Herrmann L.

1922-01-01

1. A method is described for producing pulmonary congestion, together with what may be termed a differential spirometer method for studying lung ventilation. 2. The method utilized permits an approximately accurate prediction of degrees of pulmonary edema in the living animal, and suggests avenues of approach for the very difficult problems of pulmonary capillary pressure. 3. It is shown that intravascular blood can encroach markedly upon the pulmonary air space. Although the methods used in these animal experiments do not resemble vital capacity measurements in man, their result is so definite that their applicability to clinical conditions may be considered. 4. The similarity between the experiments described and certain conditions of cardiac decompensation, of which mitral stenosis is the best example, is pointed out. PMID:19868589

The relative importance of ENSO and tropical Atlantic sea surface temperature anomalies for seasonal precipitation over South America: a numerical study

NASA Astrophysics Data System (ADS)

Pezzi, L. P.; Cavalcanti, I. F. A.

The role of tropical Atlantic sea surface temperature (SST) anomalies during ENSO episodes over northeast Brazil (Nordeste) is investigated using the CPTEC/COLA Atmospheric General Circulation Model (AGCM). Four sets of integrations are performed using SST in El Niño and La Niña (ENSO) episodes, changing the SST of the Atlantic Ocean. A positive dipole (SST higher than normal in the tropical North Atlantic and below normal in the tropical South Atlantic) and a negative dipole (opposite conditions), are set as the boundary conditions of SST in the Atlantic Ocean. The four experiments are performed using El Niño or La Niña SST in all oceans, except in the tropical Atlantic where the two phases of the SST dipole are applied. Five initial conditions were integrated in each case in order to obtain four ensemble results. The positive SST dipole over the tropical Atlantic Ocean and El Niño conditions over the Pacific Ocean resulted in dry conditions over the Nordeste. When the negative dipole and El Niño conditions over the Pacific Ocean were applied, the results showed precipitation above normal over the north of Nordeste. When La Niña conditions over Pacific Ocean were tested together with a negative dipole, positive precipitation anomalies occurred over the whole Nordeste. Using the positive dipole over the tropical Atlantic, the precipitation over Nordeste was below average. During La Niña episodes, the Atlantic Ocean conditions have a larger effect on the precipitation of Nordeste than the Pacific Ocean. In El Niño conditions, only the north region of Nordeste is affected by the Atlantic SST. Other tropical areas of South America show a change only in the intensity of anomalies. Central and southeast regions of South America are affected by the Atlantic conditions only during La Niña conditions, whereas during El Niño these regions are influenced only by conditions in the Pacific Ocean.

Temporal and spatial variation in habitat characteristics of Tilefish (Lopholatilus Chamaeleonticeps) off the east coast of Florida

USGS Publications Warehouse

Able, Kenneth W.; Grimes, Churchill B.; Jones, Robert; Twichell, David C.

1993-01-01

The tilefish, Lopholatilus chamaeleonticeps, constructs burrows in carbonate sediments off the central east coast of Florida at similar temperatures (8.6-15.4°C) and in similar sediment textures (high proportion of silts and clays) to conspecifics in the Mid-Atlantic Bight. The depths at which we observed tile fish off Florida (150-290 m), based on submersible observations and sidescan sonar operations during 1983 and 1984, were similar to those recorded in 1975-1977 (137-266 m) before the inception of the directed fishery. Both are similar to the range observed in the Mid-Atlantic Bight although tilefish there can be found at shallower and slightly deeper depths (80-305 m). The largest burrows off Florida (1.5-m diameter) were smaller than those observed in the Mid-Atlantic Bight (up to 5 m). The behavior of tile fish around the burrow and the invertebrates and fishes co-inhabiting the burrows off Florida are nearly identical to those in the Mid-Atlantic Bight. Despite the relatively narrow annual temperature range observed off Florida, abrupt changes in temperatures (+6°C) occurred over a 48-h period based on thermograph records. Our observations, and those of others from several areas along the U.S. east coast, suggest that this species probably constructs burrows throughout its geographic range, and that temperature and sediment composition largely determine its distribution. Exclusion experiments off Florida, along with prior removal experiments in the Mid-Atlantic Bight, indicate that tilefish construct and maintain the burrows.

The usability of ventilators: a comparative evaluation of use safety and user experience.

PubMed

Morita, Plinio P; Weinstein, Peter B; Flewwelling, Christopher J; Bañez, Carleene A; Chiu, Tabitha A; Iannuzzi, Mario; Patel, Aastha H; Shier, Ashleigh P; Cafazzo, Joseph A

2016-08-20

The design complexity of critical care ventilators (CCVs) can lead to use errors and patient harm. In this study, we present the results of a comparison of four CCVs from market leaders, using a rigorous methodology for the evaluation of use safety and user experience of medical devices. We carried out a comparative usability study of four CCVs: Hamilton G5, Puritan Bennett 980, Maquet SERVO-U, and Dräger Evita V500. Forty-eight critical care respiratory therapists participated in this fully counterbalanced, repeated measures study. Participants completed seven clinical scenarios composed of 16 tasks on each ventilator. Use safety was measured by percentage of tasks with use errors or close calls (UE/CCs). User experience was measured by system usability and workload metrics, using the Post-Study System Usability Questionnaire (PSSUQ) and the National Aeronautics and Space Administration Task Load Index (NASA-TLX). Nine of 18 post hoc contrasts between pairs of ventilators were significant after Bonferroni correction, with effect sizes between 0.4 and 1.09 (Cohen's d). There were significantly fewer UE/CCs with SERVO-U when compared to G5 (p = 0.044) and V500 (p = 0.020). Participants reported higher system usability for G5 when compared to PB980 (p = 0.035) and higher system usability for SERVO-U when compared to G5 (p < 0.001), PB980 (p < 0.001), and V500 (p < 0.001). Participants reported lower workload for G5 when compared to PB980 (p < 0.001) and lower workload for SERVO-U when compared to PB980 (p < 0.001) and V500 (p < 0.001). G5 scored better on two of nine possible comparisons; SERVO-U scored better on seven of nine possible comparisons. Aspects influencing participants' performance and perception include the low sensitivity of G5's touchscreen and the positive effect from the quality of SERVO-U's user interface design. This study provides empirical evidence of how four ventilators from market leaders compare and highlights the importance of medical technology design. Within the boundaries of this study, we can infer that SERVO-U demonstrated the highest levels of use safety and user experience, followed by G5. Based on qualitative data, differences in outcomes could be explained by interaction design, quality of hardware components used in manufacturing, and influence of consumer product technology on users' expectations.

The JGOFS North Atlantic Bloom Experiment: An overview

NASA Technical Reports Server (NTRS)

Ducklow, Hugh W.

1992-01-01

The North Atlantic Bloom Experiment (NABE) of JGOFS presents a unique opportunity and challenge to the data management community because of the diversity and large size of biogeochemical data sets collected. NABE was a pilot study for JGOFS and has also served as a pilot study within the U.S. NODC for management and archiving of the data sets. Here I present an overview to some of the scientific results of NABE, which will be published as an Introduction to a special volume of NABE results in Deep-Sea Research later this year. An overview of NABE data management is given elsewhere in the present report. This is the first collection of papers from the Joint Global Ocean Flux Study (JGOFS). Formed as an international program in 1987, JGOFS has four principal elements: modelling and data management, multidisciplinary regional process studies, a global survey of biogeochemical properties and long-term time series observatories. In 1989-1990 JGOFS conducted a pilot process study of the spring phytoplankton bloom, the North Atlantic Bloom Experiment (NABE). JGOFS decided to conduct a large scale, internationally-coordinated pilot study in the North Atlantic because of its proximity to the founding nations of the project, the size and predictability of the bloom and its fundamental impact on ocean bio-geochemistry (Billett et al., 1983; Watson and Whitfield, 1985; Pfannkuche, 1992). In 1989, six research vessels from Canada, Germany, The Netherlands, the United Kingdom and the USA and over 200 scientists and students from more than a dozen nations participated in NABE. Some of their initial results are reported in this volume.

The correlation of Acanthamoeba from the ventilation system with other environmental parameters in commercial buildings as possible indicator for indoor air quality.

PubMed

Ooi, Soo Shen; Mak, Joon Wah; Chen, Donald K F; Ambu, Stephen

2017-02-07

The free-living protozoan Acanthamoeba is an opportunistic pathogen that is ubiquitous in our environment. However, its role in affecting indoor air quality and ill-health of indoor occupants is relatively unknown. The present study investigated the presence of Acanthamoeba from the ventilation system and its correlation with other indoor air quality parameters, used in the industry code of practice and its potential as an indicator for indoor air quality. Indoor air quality assessments were carried out in nine commercial buildings with approval from the building management, and the parameters assessed were as recommended by the Department of Occupational Safety and Health. The presence of Acanthamoeba was determined through dust swabs from the ventilation system and indoor furniture. Logistic regression was performed to study the correlation between assessed parameters and occupants' complaints. A total of 107 sampling points were assessed and 40.2% of the supplying air diffuser and blowing fan and 15% of the furniture were positive for cysts. There was a significant correlation between Acanthamoeba detected from the ventilation system with ambient total fungus count (r=0.327; p=0.01) and respirable particulates (r=0.276; p=0.01). Occupants' sick building syndrome experience also correlated with the presence of Acanthamoeba in the ventilation system (r=0.361; p=0.01) and those detected on the furniture (r=0.290; p=0.01). Logistic regression showed that there was a five-fold probability of sick building syndrome among occupants when Acanthamoeba was detected in the ventilation system.

The correlation of Acanthamoeba from the ventilation system with other environmental parameters in commercial buildings as possible indicator for indoor air quality

PubMed Central

OOI, Soo Shen; MAK, Joon Wah; CHEN, Donald K.F.; AMBU, Stephen

2016-01-01

The free-living protozoan Acanthamoeba is an opportunistic pathogen that is ubiquitous in our environment. However, its role in affecting indoor air quality and ill-health of indoor occupants is relatively unknown. The present study investigated the presence of Acanthamoeba from the ventilation system and its correlation with other indoor air quality parameters, used in the industry code of practice and its potential as an indicator for indoor air quality. Indoor air quality assessments were carried out in nine commercial buildings with approval from the building management, and the parameters assessed were as recommended by the Department of Occupational Safety and Health. The presence of Acanthamoeba was determined through dust swabs from the ventilation system and indoor furniture. Logistic regression was performed to study the correlation between assessed parameters and occupants’ complaints. A total of 107 sampling points were assessed and 40.2% of the supplying air diffuser and blowing fan and 15% of the furniture were positive for cysts. There was a significant correlation between Acanthamoeba detected from the ventilation system with ambient total fungus count (r=0.327; p=0.01) and respirable particulates (r=0.276; p=0.01). Occupants’ sick building syndrome experience also correlated with the presence of Acanthamoeba in the ventilation system (r=0.361; p=0.01) and those detected on the furniture (r=0.290; p=0.01). Logistic regression showed that there was a five-fold probability of sick building syndrome among occupants when Acanthamoeba was detected in the ventilation system. PMID:27476379

Challenges on non-invasive ventilation to treat acute respiratory failure in the elderly.

PubMed

Scala, Raffaele

2016-11-15

Acute respiratory failure is a frequent complication in elderly patients especially if suffering from chronic cardio-pulmonary diseases. Non-invasive mechanical ventilation constitutes a successful therapeutic tool in the elderly as, like in younger patients, it is able to prevent endotracheal intubation in a wide range of acute conditions; moreover, this ventilator technique is largely applied in the elderly in whom invasive mechanical ventilation is considered not appropriated. Furthermore, the integration of new technological devices, ethical issues and environment of treatment are still largely debated in the treatment of acute respiratory failure in the elderly.This review aims at reporting and critically analyzing the peculiarities in the management of acute respiratory failure in elderly people, the role of noninvasive mechanical ventilation, the potential advantages of applying alternative or integrated therapeutic tools (i.e. high-flow nasal cannula oxygen therapy, non-invasive and invasive cough assist devices and low-flow carbon-dioxide extracorporeal systems), drawbacks in physician's communication and "end of life" decisions. As several areas of this topic are not supported by evidence-based data, this report takes in account also "real-life" data as well as author's experience.The choice of the setting and of the timing of non-invasive mechanical ventilation in elderly people with advanced cardiopulmonary disease should be carefully evaluated together with the chance of using integrated or alternative supportive devices. Last but not least, economic and ethical issues may often challenges the behavior of the physicians towards elderly people who are hospitalized for acute respiratory failure at the end stage of their cardiopulmonary and neoplastic diseases.

Depressive disorders during weaning from prolonged mechanical ventilation.

PubMed

Jubran, Amal; Lawm, Gerald; Kelly, Joanne; Duffner, Lisa A; Gungor, Gokay; Collins, Eileen G; Lanuza, Dorothy M; Hoffman, Leslie A; Tobin, Martin J

2010-05-01

Patients who require mechanical ventilation are at risk of emotional stress because of total dependence on a machine for breathing. The stress may negatively impact ventilator weaning and survival. The purpose of this study was to determine whether depressive disorders in patients being weaned from prolonged mechanical ventilation are linked to weaning failure and decreased survival. A prospective study of 478 consecutive patients transferred to a long-term acute care hospital for weaning from prolonged ventilation was undertaken. A clinical psychologist conducted a psychiatric interview to assess for the presence of depressive disorders. Of the 478 patients, 142 had persistent coma or delirium and were unable to be evaluated for depressive disorders. Of the remaining 336 patients, 142 (42%) were diagnosed with depressive disorders. In multivariate analysis, co-morbidity score [odds ratio (OR), 1.23; P = 0.007], functional dependence before the acute illness (OR, 1.70, P = 0.03) and history of psychiatric disorders (OR, 3.04, P = 0.0001) were independent predictors of depressive disorders. The rate of weaning failure was higher in patients with depressive disorders than in those without such disorders (61 vs. 33%, P = 0.0001), as was mortality (24 vs. 10%, P = 0.0008). The presence of depressive disorders was independently associated with mortality (OR, 4.3; P = 0.0002); age (OR, 1.06; P = 0.001) and co-morbidity score (OR, 1.24; P = 0.02) also predicted mortality. Depressive disorders were diagnosed in 42% of patients who were being weaned from prolonged ventilation. Patients with depressive disorders were more likely to experience weaning failure and death.

Interdisciplinary study of atmospheric processes and constituents of the mid-Atlantic coastal region. Attachment 3: Data set for Craney Island oil refinery installation experiment. [air pollution monitoring

NASA Technical Reports Server (NTRS)

Kindle, E. C.; Bandy, A.; Copeland, G.; Blais, R.; Levy, G.; Sonenshine, D.; Adams, D.; Maier, G.

1975-01-01

Data tables and maps are presented which include background information and experimental data on the Craney Island oil refinery installation experiment. The experiment was to investigate air pollution effects.

Latest Cretaceous Climatic and Environmental Change in the South Atlantic Region

NASA Astrophysics Data System (ADS)

Woelders, L.; Vellekoop, J.; Smit, J.; Kroon, D.; Casadío, S.; Prámparo, M.; Dinarès-turell, J.; Peterse, F.; Sluijs, A.; Speijer, R. P.

2016-12-01

It is generally assumed that the Chicxulub impact resulted in the Cretaceous-Paleogene (K-Pg) boundary mass extinction ( 66 Ma). However, there is continuing debate about the contribution of latest Maastrichtian climate changes, possibly caused by Deccan volcanism, to this mass extinction event. This debate is complicated because of the lack of high quality latest Maastrichtian climatological and ecological reconstructions. Here we present an astronomically tuned late Maastrichtian - early Danian record of bulk carbonate δ18O, a proxy record of sea surface temperature (SST), from Southern Atlantic Ocean Drilling Program Site 1262 (Walvis Ridge) and a late Maastrichtian TEX86 sea surface temperature record from the Bajada del Jagüel site in the Neuquén Basin (Argentina). The combination of these inferred temperature records with foraminiferal and organic-walled dinoflagellate cyst (dinocyst) data from Bajada del Jagüel allows to reconstruct environmental changes across this time interval in a mid-latitude, Southern Atlantic setting. Our results show that latest Maastrichtian warming of 2.5-4°C started gradually around 66.7 Ma, culminating in the interval between 450 to 150 kyr before the K-Pg boundary. Highest temperatures occurred 200 kyr before the K-Pg boundary. During the last 150 kyr of the Maastrichtian, the temperature trend reversed again at both sites. Benthic foraminiferal and dinocyst assemblage changes indicate that late Maastrichtian warming resulted in more humid climate conditions in the Neuquén basin, causing enhanced runoff and stratification of the water column. Vice versa, the subsequent cooling induced again a drier climate in the basin, resulting in reduced salinity stratification and better ventilation of the basin. We conclude that late Maastrichtian climate and sea level change caused distinct environmental perturbations in the Neuquén basin, although it remains uncertain to which extent late Maastrichtian climatological changes contributed directly to the K-Pg boundary mass extinction.

North Atlantic simulations in Coordinated Ocean-ice Reference Experiments phase II (CORE-II). Part II: Inter-annual to decadal variability

NASA Astrophysics Data System (ADS)

Danabasoglu, Gokhan; Yeager, Steve G.; Kim, Who M.; Behrens, Erik; Bentsen, Mats; Bi, Daohua; Biastoch, Arne; Bleck, Rainer; Böning, Claus; Bozec, Alexandra; Canuto, Vittorio M.; Cassou, Christophe; Chassignet, Eric; Coward, Andrew C.; Danilov, Sergey; Diansky, Nikolay; Drange, Helge; Farneti, Riccardo; Fernandez, Elodie; Fogli, Pier Giuseppe; Forget, Gael; Fujii, Yosuke; Griffies, Stephen M.; Gusev, Anatoly; Heimbach, Patrick; Howard, Armando; Ilicak, Mehmet; Jung, Thomas; Karspeck, Alicia R.; Kelley, Maxwell; Large, William G.; Leboissetier, Anthony; Lu, Jianhua; Madec, Gurvan; Marsland, Simon J.; Masina, Simona; Navarra, Antonio; Nurser, A. J. George; Pirani, Anna; Romanou, Anastasia; Salas y Mélia, David; Samuels, Bonita L.; Scheinert, Markus; Sidorenko, Dmitry; Sun, Shan; Treguier, Anne-Marie; Tsujino, Hiroyuki; Uotila, Petteri; Valcke, Sophie; Voldoire, Aurore; Wang, Qiang; Yashayaev, Igor

2016-01-01

Simulated inter-annual to decadal variability and trends in the North Atlantic for the 1958-2007 period from twenty global ocean - sea-ice coupled models are presented. These simulations are performed as contributions to the second phase of the Coordinated Ocean-ice Reference Experiments (CORE-II). The study is Part II of our companion paper (Danabasoglu et al., 2014) which documented the mean states in the North Atlantic from the same models. A major focus of the present study is the representation of Atlantic meridional overturning circulation (AMOC) variability in the participating models. Relationships between AMOC variability and those of some other related variables, such as subpolar mixed layer depths, the North Atlantic Oscillation (NAO), and the Labrador Sea upper-ocean hydrographic properties, are also investigated. In general, AMOC variability shows three distinct stages. During the first stage that lasts until the mid- to late-1970s, AMOC is relatively steady, remaining lower than its long-term (1958-2007) mean. Thereafter, AMOC intensifies with maximum transports achieved in the mid- to late-1990s. This enhancement is then followed by a weakening trend until the end of our integration period. This sequence of low frequency AMOC variability is consistent with previous studies. Regarding strengthening of AMOC between about the mid-1970s and the mid-1990s, our results support a previously identified variability mechanism where AMOC intensification is connected to increased deep water formation in the subpolar North Atlantic, driven by NAO-related surface fluxes. The simulations tend to show general agreement in their temporal representations of, for example, AMOC, sea surface temperature (SST), and subpolar mixed layer depth variabilities. In particular, the observed variability of the North Atlantic SSTs is captured well by all models. These findings indicate that simulated variability and trends are primarily dictated by the atmospheric datasets which include the influence of ocean dynamics from nature superimposed onto anthropogenic effects. Despite these general agreements, there are many differences among the model solutions, particularly in the spatial structures of variability patterns. For example, the location of the maximum AMOC variability differs among the models between Northern and Southern Hemispheres.

North Atlantic Simulations in Coordinated Ocean-Ice Reference Experiments Phase II (CORE-II) . Part II; Inter-Annual to Decadal Variability

NASA Technical Reports Server (NTRS)

Danabasoglu, Gokhan; Yeager, Steve G.; Kim, Who M.; Behrens, Erik; Bentsen, Mats; Bi, Daohua; Biastoch, Arne; Bleck, Rainer; Boening, Claus; Bozec, Alexandra;

Seasonal and annual variability of coastal sulphur plumes in the northern Benguela upwelling system

PubMed Central

Dadou, Isabelle

2018-01-01

We investigated the seasonal and annual variability of surface sulphur plumes in the northern Benguela upwelling system off Namibia because of their significant impacts on the marine ecosystem, fishing industry, aquaculture farming and tourism due to their toxic properties. We identified the sulphur plumes in ocean colour satellite data of the medium resolution imaging spectrometer (MERIS) for the 2002–2012 time period using the differences in the spectral properties of Namibian Benguela optical water types. The sulphur events have a strong seasonal cycle with pronounced main and off-seasons forced by local and remote-driven processes. The main peak season is in late austral summer and early austral autumn at the beginning of the annual upwelling cycle caused by increasing equatorwards alongshore winds. The sulphur plume activity is high between February and April during the seasonal oxygen minimum associated with the seasonal reduction of cross-shore ventilation of the bottom waters, the seasonal southernmost position of the Angola Benguela Frontal Zone, the seasonal maximum of water mass fractions of South Atlantic and Angola Gyre Central Waters as well as the seasonal arrival of the downwelling coastal trapped waves. The off-season is in austral spring and early austral summer during increased upwelling intensity and enhanced oxygen supply. The annual variability of sulphur events is characterized by very high activities in years 2004, 2005 and 2010 interrupted by periods of lower activity in years 2002 to 2003, 2006 to 2009 and 2011 to 2012. This result can be explained by the relative contributions or adding effects of local and remote-driven forces (from the equatorial area). The probability for the occurrence of sulphur plumes is enhanced in years with a lower annual mean of upwelling intensity, decreased oxygen supply associated with decreased lateral ventilation of bottom waters, more southern position of the Angola Benguela Frontal Zone, increased mass fraction of South Atlantic Central Water and stronger downwelling coastal trapped waves. Understanding of the variability and forcing processes of the toxic sulphur events will help in the future to monitor and forecast them as well as to manage their social and economic consequences in the northern Benguela upwelling system off Namibia. PMID:29420587

Inter-decadal variation of the Tropical Atlantic-Korea (TA-K) teleconnection pattern during boreal summer season

NASA Astrophysics Data System (ADS)

Ham, Yoo-Geun; Hwang, YeonJi; Lim, Young-Kwon; Kwon, Minho

2017-12-01

The inter-decadal variation of the positive relationship between the tropical Atlantic sea surface temperature (SST) and Korean precipitation during boreal summer season during 1900-2010 is examined. The 15-year moving correlation between the Tropical Atlantic SST (TAtlSST) index (SST anomalies from 30°S to 30°N and 60°W to 20°E) and Korean precipitation (precipitation anomalies from 35°-40°N to 120°-130°E) during June-July-August exhibits strong inter-decadal variation, which becomes positive at the 95% confidence level after the 1980s. Intensification of the linkage between the TAtlSST index and Korean precipitation after the 1980s is attributed to global warming via the increased background SST. The increase in the background SST over the Atlantic provides background conditions that enhance anomalous convective activity by anomalous Atlantic SST warming. Therefore, the overall atmospheric responses associated with the tropical Atlantic SST warming could intensify. The correlation between the TAtlSST index and Korean precipitation also exhibits strong inter-decadal variation within 1980-2010, which is over 0.8 during early 2000s, while it is relative low (i.e., around 0.6) during the early 1980s. The enhanced co-variability between the tropical and the mid-latitude Atlantic SST during the early 2000s indicates the intensification of TAtlSST-related Rossby wave source over the mid-latitude Atlantic, which excites stationary waves propagated from the Atlantic to the Korean peninsula across northern Europe and northeast Asia. This Rossby-wave train induces a cyclonic flow over the northern edge of the Korea, which intensifies southwesterly and results in precipitation over Korea. This observed decadal difference is well simulated by the stationary wave model experiments with a prescribed TAtlSST-related Rossby wave source over the mid-latitude Atlantic.

Alternating versus synchronous ventilation of left and right lungs in piglets.

PubMed

Versprille, A; Hrachovina, V; Jansen, J R

1995-12-01

We tested whether alternating ventilation (AV) of each lung (i.e. with a phase difference of half a ventilatory cycle) would decrease central venous pressure and so increase cardiac output when compared with simultaneous ventilation (SV) of both lungs. If, during AV, the inflated lung expands partly via compression of the opposite lung, mean lung volume will be smaller during AV than SV. As a consequence, mean intrathoracic pressure (as cited in the literature), and therefore, central venous pressure will be smaller. The experiments were performed in seven anaesthetized and paralyzed piglets using a double-piston ventilator. Minute ventilation was the same during AV and SV. Starting at SV, we alternated three times between AV and SV for periods of 10 min. During AV, central venous pressure was decreased by 0.7 mmHg and cardiac output was increased by 10 +/- 4.4% (mean, +/-SD) compared with SV. AV also resulted in increased arterial pressure. During one-sided inflation with closed outlet of the opposite lung, a pressure rise occurred in the opposite lung, indicating compression. The higher cardiac output during AV than SV can be explained by the fact that central venous pressure is lower during AV. This lower central venous pressure is very probably due to the lower mean intrathoracic pressure caused by compression of the opposite lung during unilateral inflation.

Determination of airway humidification in high-frequency oscillatory ventilation using an artificial neonatal lung model. Comparison of a heated humidifier and a heat and moisture exchanger.

PubMed

Schiffmann, H; Singer, S; Singer, D; von Richthofen, E; Rathgeber, J; Züchner, K

1999-09-01

Thus far only few data are available on airway humidification during high-frequency oscillatory ventilation (HFOV). Therefore, we studied the performance and efficiency of a heated humidifier (HH) and a heat and moisture exchanger (HME) in HFOV using an artificial lung model. Experiments were performed with a pediatric high-frequency oscillatory ventilator. The artificial lung contained a sponge saturated with water to simulate evaporation and was placed in an incubator heated to 37 degrees C to prevent condensation. The airway humidity was measured using a capacitive humidity sensor. The water loss of the lung model was determined gravimetrically. The water loss of the lung model varied between 2.14 and 3.1 g/h during active humidification; it was 2.85 g/h with passive humidification and 7.56 g/h without humidification. The humidity at the tube connector varied between 34. 2 and 42.5 mg/l, depending on the temperature of the HH and the ventilator setting during active humidification, and between 37 and 39.9 mg/l with passive humidification. In general, HH and HME are suitable devices for airway humidification in HFOV. The performance of the ventilator was not significantly influenced by the mode of humidification. However, the adequacy of humidification and safety of the HME remains to be demonstrated in clinical practice.

A thesis investigating the impact of energy related environmental factors on domestic window design

NASA Astrophysics Data System (ADS)

McEvoy, Michael Edward

In recent years the extent of glazing in houses has been tightly controlled by the Building Regulations in order to save energy. In addition guidelines derived from passive solar principles prescribe the distribution of domestic windows between elevations according to their orientation. This thesis studies the impact of these energy-related environmental factors on domestic window design. The first of these investigations determined the degree to which limitations on the area and arrangement of windows are significant in terms of daylighting. The experiments measured the effect that passive solar requirements and detailed aspects of window design have on the quality of daylighting in houses. The volume of background ventilation required for domestic accommodation has recently been increased. As a result, in a well-sealed construction, heat loss due to background ventilation becomes a larger part of the total heat loss and larger air movements become a potential cause of draughts. The ventilation experiment sought to establish the impact of these more onerous requirements on comfort within rooms. The third experiment combines these factors and asks the question: Could windows be actively involved in overcoming some of these difficulties by being used to preheat ventilation air in order to diminish the extent of heat loss and to alleviate the problem of cold draughts? Also by designing the window to reclaim heat from the room might it be possible to offset the window's thermal inadequacy? Through analysis of responses to a questionnaire and the use of optimisation techniques, scenarios were suggested for the future modification of windows in relation to energy and health expectations. The conclusions form a commentary on recent and future revisions to the Building Regulations and determine whether or not the Regulations facilitate the environmental engineering of windows as an active component of a building's whole environmental system.

Discovery Garden--Physics and Architecture Meet Outside to Talk

ERIC Educational Resources Information Center

Tabor-Morris, Anne; Briles, Timothy; Froriep, Kathleen; McGuire, Catherine

2012-01-01

The purpose of Georgian Court University's "Discovery Garden" is to create an experience of the physical sciences for students, both science and non-science majors, in a place of serenity: an outdoor garden. Why a garden? Consider that the traditional laboratory experience for students is one of stark rooms ventilated with noisy hoods…

Experience matters: neurologists' perspectives on ALS patients' well-being.

PubMed

Aho-Özhan, Helena E A; Böhm, Sarah; Keller, Jürgen; Dorst, Johannes; Uttner, Ingo; Ludolph, Albert C; Lulé, Dorothée

2017-04-01

Despite the fatal outcome and progressive loss of physical functioning in amyotrophic lateral sclerosis (ALS), many patients maintain contentment in life. It has been shown that non-professionals tend to underestimate the well-being of patients with ALS, but professionals' perspective is yet to be studied. In total, 105 neurologists with varying degrees of experience with ALS were included in an anonymous survey. They were asked to estimate the quality of life and depressiveness of ALS patients with artificial ventilation and nutrition. Physicians' estimations were compared with previously reported subjective ratings of ALS patients with life-prolonging measures. Neurologists with significant experience on ALS and palliative care were able to accurately estimate depressiveness and quality of life of ALS patients with life-prolonging measures. Less experienced neurologists' estimation differed more from patients' reports. Of all life-prolonging measures neurologists regarded invasive ventilation as the measure associated with lowest quality of life and highest depressiveness of the patients. Experienced neurologists as well as neurologists with experience in palliative care are able to better empathize with patients with a fatal illness such as ALS and support important decision processes.

Bjerknes Compensation in Meridional Heat Transport under Freshwater Forcing and the Role of Climate Feedback

NASA Astrophysics Data System (ADS)

Wen, Qin

2017-04-01

Using a coupled Earth climate model, freshwater experiments are performed to study the Bjerknes compensation (BJC) between meridional atmosphere heat transport (AHT) and meridional ocean heat transport (OHT). Freshwater hosing in the North Atlantic weakens the Atlantic meridional overturning circulation (AMOC) and thus reduces the northward OHT in the Atlantic significantly, leading to a cooling (warming) in surface layer in the Northern (Southern) Hemisphere. This results in an enhanced Hadley Cell and northward AHT. Meanwhile, the OHT in the Indo-Pacific is increased in response to the Hadley Cell change, partially offsetting the reduced OHT in the Atlantic. Two compensations occur here: compensation between the AHT and the Atlantic OHT, and that between the Indo-Pacific OHT and the Atlantic OHT. The AHT change compensates the OHT change very well in the extratropics, while the former overcompensates the latter in the tropics due to the Indo-Pacific change. The BJC can be understood from the viewpoint of large-scale circulation change. However, the intrinsic mechanism of BJC is related to the climate feedback of Earth system. Our coupled model experiments confirm that the occurrence of BJC is an intrinsic requirement of local energy balance, and local climate feedback determines the extent of BJC, consistent with previous theoretical results. Even during the transient period of climate change in the model, the BJC is well established when the ocean heat storage is slowly varying and its change is weaker than the net heat flux changes at the ocean surface and the top of the atmosphere. The BJC can be deduced from the local climate feedback. Under the freshwater forcing, the overcompensation in the tropics (undercompensation in the extratropics) is mainly caused by the positive longwave feedback related to cloud (negative longwave feedback related to surface temperature change). Different dominant feedbacks determine different BJC scenarios in different regions, which are in essence constrained by local energy balance.

On the propagation and decay of North Brazil Current rings

NASA Astrophysics Data System (ADS)

Jochumsen, Kerstin; Rhein, Monika; Hüttl-Kabus, Sabine; BöNing, Claus W.

2010-10-01

Near the western boundary of the tropical North Atlantic, where the North Brazil Current (NBC) retroflects into the North Equatorial Countercurrent, large anticyclonic rings are shed. After separating from the retroflection region, the so-called NBC rings travel northwestward along the Brazilian coast, until they reach the island chain of the Lesser Antilles and disintegrate. These rings contribute substantially to the upper limb return flow of the Atlantic Meridional Overturning Circulation by carrying South Atlantic Water into the northern subtropical gyre. Their relevance for the northward transport of South Atlantic Water depends on the frequency of their generation as well as on their horizontal and vertical structure. The ring shedding and propagation and the complex interaction of the rings with the Lesser Antilles are investigated in the ? Family of Linked Atlantic Model Experiments (FLAME) model. The ring properties simulated in FLAME reach the upper limit of the observed rings in diameter and agree with recent observations on seasonal variability, which indicates a maximum shedding during the first half of the year. When the rings reach the shallow topography of the Lesser Antilles, they are trapped by the island triangle of St. Lucia, Barbados and Tobago and interact with the island chain. The model provides a resolution that is capable of resolving the complex topographic conditions at the islands and illuminates various possible fates for the water contained in the rings. It also reproduces laboratory experiments that indicate that both cyclones and anticyclones are formed after a ring passes through a topographic gap. Trajectories of artificial floats, which were inserted into the modeled velocity field, are used to investigate the pathways of the ring cores and their fate after they encounter the Lesser Antilles. The majority of the floats entered the Caribbean, while the northward Atlantic pathway was found to be of minor importance. No prominent pathway was found east of Barbados, where a ring could avoid the interaction with the islands and migrate toward the northern Lesser Antilles undisturbed.

Being the lifeline: the parent experience of caring for a child with neuromuscular disease on home mechanical ventilation.

PubMed

Mah, Jean K; Thannhauser, Jennifer E; McNeil, Deborah A; Dewey, Deborah

2008-12-01

We describe the experience of parents caring for children with neuromuscular disease (NMD) on home mechanical ventilation (HMV). Data was obtained from semi-structured interviews and analyzed using a phenomenological framework. Fifteen families including 19 parents of children with DMD (n=3), SMA (n=5), and other NMD (n=7) participated. The central theme of these parents' experience was being the "lifeline" for their child's life and quality of life. The families' lives changed significantly with the decision to place their child on HMV; over time, these changes became part of their new "normal". Despite becoming expert caregivers, the parents experienced a recurrent sense of loss and uncertainty. Those who perceived insufficient support felt the weight of responsibility as sole care providers for their child with NMD. Beyond recognizing the parents as experts, more support by health care professionals, their extended family, and their community are needed to enable parents to fulfill their vital role.

Field hearing measurements of the Atlantic sharpnose shark Rhizoprionodon terraenovae.

PubMed

Casper, B M; Mann, D A

2009-12-01

Field measurements of hearing thresholds were obtained from the Atlantic sharpnose shark Rhizoprionodon terraenovae using the auditory evoked potential method (AEP). The fish had most sensitive hearing at 20 Hz, the lowest frequency tested, with decreasing sensitivity at higher frequencies. Hearing thresholds were lower than AEP thresholds previously measured for the nurse shark Ginglymostoma cirratum and yellow stingray Urobatis jamaicensis at frequencies <200 Hz, and similar at 200 Hz and above. Rhizoprionodon terraenovae represents the closest comparison in terms of pelagic lifestyle to the sharks which have been observed in acoustic field attraction experiments. The sound pressure levels that would be equivalent to the particle acceleration thresholds of R. terraenovae were much higher than the sound levels which attracted closely related sharks suggesting a discrepancy between the hearing threshold experiments and the field attraction experiments.

Geochemistry of Slow-Growing Corals: Reconstructing Sea Surface Temperature, Salinity and the North Atlantic Oscillation

DTIC Science & Technology

2007-06-01

foraminifera, gastropods , and scaphopods) has been expressed as [Grossman and Ku, 1986]: 21 60 - 60w = -0.23 * (SST) +4.75 Eqn. (1) Slow growing corals...along the southeastern edge of the platform off John Smith’s Bay at 16m depth. (Figure adapted from World Ocean Circulation Experiment Newsletter...Atlantic Oscillation - Regional Temperatures and Precipitation, Science, 269, 676-679, 1995. Huybers, P., Multi-taper method coherence using adaptive

Dietary calcein marking of brook trout, Atlantic salmon, yellow perch, and coho salmon scales

USGS Publications Warehouse

Honeyfield, D.C.; Ostrowski, C.S.; Fletcher, J.W.; Mohler, J.W.

2006-01-01

Brook trout Salvelinus fontinalis, Atlantic salmon Salmo salar, coho salmon Oncorhynchus kisutch, and yellow perch Perca flavescens fed calcein for 5 d showed characteristic calcein scale marks 7-10 d postmarking. In fish fed 0.75 or 1.25 g of calcein per kilogram of feed, the percentage of fish that exhibited a calcein mark was 100% in brook trout, 93-98% in Atlantic salmon, 60% in yellow perch, and 0% in coho salmon. However, when coho salmon were fed 5.25 g calcein/kg feed, 100% marking was observed 7-10 d postmarking. Brook trout were successfully marked twice with distinct bands when fed calcein 5 months apart. Brook trout scale pixel luminosity increased as dietary calcein increased in experiment 2. For the second calcein mark, scale pixel luminosity from brook trout fed 1.25 g calcein/kg feed was numerically higher (P < 0.08) than scales from fish fed 0.75 g calcein/kg feed. Mean pixel luminosity of calcein-marked Atlantic salmon scales was 57.7 for fish fed 0.75 g calcein/kg feed and 55.2 for fish fed 1.25 g calcein/kg feed. Although feed acceptance presented a problem in yellow perch, these experiments provide evidence that dietary calcein is a viable tool for marking fish for stock identification. ?? Copyright by the American Fisheries Society 2006.

Respiratory support in patients with acute respiratory distress syndrome: an expert opinion.

PubMed

Chiumello, Davide; Brochard, Laurent; Marini, John J; Slutsky, Arthur S; Mancebo, Jordi; Ranieri, V Marco; Thompson, B Taylor; Papazian, Laurent; Schultz, Marcus J; Amato, Marcelo; Gattinoni, Luciano; Mercat, Alain; Pesenti, Antonio; Talmor, Daniel; Vincent, Jean-Louis

2017-09-12

Acute respiratory distress syndrome (ARDS) is a common condition in intensive care unit patients and remains a major concern, with mortality rates of around 30-45% and considerable long-term morbidity. Respiratory support in these patients must be optimized to ensure adequate gas exchange while minimizing the risks of ventilator-induced lung injury. The aim of this expert opinion document is to review the available clinical evidence related to ventilator support and adjuvant therapies in order to provide evidence-based and experience-based clinical recommendations for the management of patients with ARDS.

Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems.

PubMed

Pham, Julius Cuong; Williams, Tamara L; Sparnon, Erin M; Cillie, Tam K; Scharen, Hilda F; Marella, William M

2016-05-01

In 2009, researchers from Johns Hopkins University's Armstrong Institute for Patient Safety and Quality; public agencies, including the FDA; and private partners, including the Emergency Care Research Institute and the University HealthSystem Consortium (UHC) Safety Intelligence Patient Safety Organization, sought to form a public-private partnership for the promotion of patient safety (P5S) to advance patient safety through voluntary partnerships. The study objective was to test the concept of the P5S to advance our understanding of safety issues related to ventilator events, to develop a common classification system for categorizing adverse events related to mechanical ventilators, and to perform a comparison of adverse events across different adverse event reporting systems. We performed a cross-sectional analysis of ventilator-related adverse events reported in 2012 from the following incident reporting systems: the Pennsylvania Patient Safety Authority's Patient Safety Reporting System, UHC's Safety Intelligence Patient Safety Organization database, and the FDA's Manufacturer and User Facility Device Experience database. Once each organization had its dataset of ventilator-related adverse events, reviewers read the narrative descriptions of each event and classified it according to the developed common taxonomy. A Pennsylvania Patient Safety Authority, FDA, and UHC search provided 252, 274, and 700 relevant reports, respectively. The 3 event types most commonly reported to the UHC and the Pennsylvania Patient Safety Authority's Patient Safety Reporting System databases were airway/breathing circuit issue, human factor issues, and ventilator malfunction events. The top 3 event types reported to the FDA were ventilator malfunction, power source issue, and alarm failure. Overall, we found that (1) through the development of a common taxonomy, adverse events from 3 reporting systems can be evaluated, (2) the types of events reported in each database were related to the purpose of the database and the source of the reports, resulting in significant differences in reported event categories across the 3 systems, and (3) a public-private collaboration for investigating ventilator-related adverse events under the P5S model is feasible. Copyright © 2016 by Daedalus Enterprises.

Regional ventilation-perfusion distribution is more uniform in the prone position

NASA Technical Reports Server (NTRS)

Mure, M.; Domino, K. B.; Lindahl, S. G.; Hlastala, M. P.; Altemeier, W. A.; Glenny, R. W.

2000-01-01

The arterial blood PO(2) is increased in the prone position in animals and humans because of an improvement in ventilation (VA) and perfusion (Q) matching. However, the mechanism of improved VA/Q is unknown. This experiment measured regional VA/Q heterogeneity and the correlation between VA and Q in supine and prone positions in pigs. Eight ketamine-diazepam-anesthetized, mechanically ventilated pigs were studied in supine and prone positions in random order. Regional VA and Q were measured using fluorescent-labeled aerosols and radioactive-labeled microspheres, respectively. The lungs were dried at total lung capacity and cubed into 603-967 small ( approximately 1.7-cm(3)) pieces. In the prone position the homogeneity of the ventilation distribution increased (P = 0.030) and the correlation between VA and Q increased (correlation coefficient = 0.72 +/- 0.08 and 0.82 +/- 0.06 in supine and prone positions, respectively, P = 0.03). The homogeneity of the VA/Q distribution increased in the prone position (P = 0.028). We conclude that the improvement in VA/Q matching in the prone position is secondary to increased homogeneity of the VA distribution and increased correlation of regional VA and Q.

Impact of measurable physical phenomena on contact thermal comfort

NASA Astrophysics Data System (ADS)

Fojtlín, Miloš; Pokorný, Jan; Fišer, Jan; Toma, Róbert; Tuhovčák, Ján

Cabin HVAC (Heating Ventilation and Air-conditioning) systems have become an essential part of personal vehicles as demands for comfortable transport are still rising. In fact, 85 % of the car trips in Europe are shorter than 18 km and last only up to 30 minutes. Under such conditions, the HVAC unit cannot often ensure desired cabin environment and passengers are prone to experience thermal stress. For this reason, additional comfort systems, such as heated or ventilated seats, are available on the market. However, there is no straightforward method to evaluate thermal comfort at the contact surfaces nowadays. The aim of this work is to summarise information about heated and ventilated seats. These technologies use electrical heating and fan driven air to contact area in order to achieve enhanced comfort. It is also expected, that such measures may contribute to lower energy consumption. Yet, in real conditions it is almost impossible to measure the airflow through the ventilated seat directly. Therefore, there is a need for an approach that would correlate measurable physical phenomena with thermal comfort. For this reason, a method that exploits a measurement of temperatures and humidity at the contact area is proposed. Preliminary results that correlate comfort with measurable physical phenomena are demonstrated.

Arctic Sea Ice, Eurasia Snow, and Extreme Winter Haze in China

NASA Astrophysics Data System (ADS)

Zou, Y.; Wang, Y.; Xie, Z.; Zhang, Y.; Koo, J. H.

2017-12-01

Eastern China is experiencing more severe haze pollution in winter during recent years. Though the environmental deterioration in this region is usually attributed to the high intensity of anthropogenic emissions and large contributions from secondary aerosol formation, the impact of climate variability is also indispensable given its significant influence on regional weather systems and pollution ventilation. Here we analyzed the air quality related winter meteorological conditions over Eastern China in the last four decades and showed a worsening trend in poor regional air pollutant ventilation. Such variations increased the probability of extreme air pollution events, which is in good agreement with aerosol observations of recent years. We further identified the key circulation pattern that is conducive to the weakening ventilation and investigated the relationship between synoptic circulation changes and multiple climate forcing variables. Both statistical analysis and numerical sensitivity experiments suggested that the poor ventilation condition is linked to boreal cryosphere changes including Arctic sea ice in preceding autumn and Eurasia snowfall in earlier winter. We conducted comprehensive dynamic diagnosis and proposed a physical mechanism to explain the observed and simulated circulation changes. At last, we examined future projections of winter extreme stagnation events based on the CMIP5 projection data.

Nonmethane Hydrocarbon Measurements on the North Atlantic Flight Corridor During SONEX

NASA Technical Reports Server (NTRS)

Simpson, I. J.; Sive, B. C.; Blake, D. R.; Blake, N. J.; Chen, T.-Y.; Lopez, J. P.; Sachse, G. W.; Vay, S. A.; Fuelberg, H. E.; Kondo, Y.

1999-01-01

Mixing ratios of nonmethane hydrocarbons (NMHCS) were not enhanced in whole air samples collected within the North Atlantic Flight Corridor (NAFC) during the fall of 1997. The investigation was conducted aboard NASA's DC-8 research aircraft, as part of the Subsonic Assessment-Ozone and Nitrogen Experiment (SONEX). NMHC enhancements were not detected within the general Organized Tracking System (OTS) of the NAFC, nor during two tail-chases of the DC-8's own exhaust. Because positive evidence of aircraft emissions was demonstrated by enhancements in both nitrogen oxides and condensation nuclei during SONEX, the NMHC results suggest that the commercial air traffic fleet operating in the North Atlantic region does not contribute significantly to NMHCs in the NAFC.

The construction of ventilation turrets in Atta vollenweideri leaf-cutting ants: Carbon dioxide levels in the nest tunnels, but not airflow or air humidity, influence turret structure

PubMed Central

Roces, Flavio

2017-01-01

Nest ventilation in the leaf-cutting ant Atta vollenweideri is driven via a wind-induced mechanism. On their nests, workers construct small turrets that are expected to facilitate nest ventilation. We hypothesized that the construction and structural features of the turrets would depend on the colony’s current demands for ventilation and thus might be influenced by the prevailing environmental conditions inside the nest. Therefore, we tested whether climate-related parameters, namely airflow, air humidity and CO2 levels in the outflowing nest air influenced turret construction in Atta vollenweideri. In the laboratory, we simulated a semi-natural nest arrangement with fungus chambers, a central ventilation tunnel providing outflow of air and an aboveground building arena for turret construction. In independent series, different climatic conditions inside the ventilation tunnel were experimentally generated, and after 24 hours, several features of the built turret were quantified, i.e., mass, height, number and surface area (aperture) of turret openings. Turret mass and height were similar in all experiments even when no airflow was provided in the ventilation tunnel. However, elevated CO2 levels led to the construction of a turret with several minor openings and a larger total aperture. This effect was statistically significant at higher CO2 levels of 5% and 10% but not at 1% CO2. The construction of a turret with several minor openings did not depend on the strong differences in CO2 levels between the outflowing and the outside air, since workers also built permeated turrets even when the CO2 levels inside and outside were both similarly high. We propose that the construction of turrets with several openings and larger opening surface area might facilitate the removal of CO2 from the underground nest structure and could therefore be involved in the control of nest climate in leaf-cutting ants. PMID:29145459

The construction of ventilation turrets in Atta vollenweideri leaf-cutting ants: Carbon dioxide levels in the nest tunnels, but not airflow or air humidity, influence turret structure.

PubMed

Halboth, Florian; Roces, Flavio

2017-01-01

Nest ventilation in the leaf-cutting ant Atta vollenweideri is driven via a wind-induced mechanism. On their nests, workers construct small turrets that are expected to facilitate nest ventilation. We hypothesized that the construction and structural features of the turrets would depend on the colony's current demands for ventilation and thus might be influenced by the prevailing environmental conditions inside the nest. Therefore, we tested whether climate-related parameters, namely airflow, air humidity and CO2 levels in the outflowing nest air influenced turret construction in Atta vollenweideri. In the laboratory, we simulated a semi-natural nest arrangement with fungus chambers, a central ventilation tunnel providing outflow of air and an aboveground building arena for turret construction. In independent series, different climatic conditions inside the ventilation tunnel were experimentally generated, and after 24 hours, several features of the built turret were quantified, i.e., mass, height, number and surface area (aperture) of turret openings. Turret mass and height were similar in all experiments even when no airflow was provided in the ventilation tunnel. However, elevated CO2 levels led to the construction of a turret with several minor openings and a larger total aperture. This effect was statistically significant at higher CO2 levels of 5% and 10% but not at 1% CO2. The construction of a turret with several minor openings did not depend on the strong differences in CO2 levels between the outflowing and the outside air, since workers also built permeated turrets even when the CO2 levels inside and outside were both similarly high. We propose that the construction of turrets with several openings and larger opening surface area might facilitate the removal of CO2 from the underground nest structure and could therefore be involved in the control of nest climate in leaf-cutting ants.

Abdominal Muscle Activity during Mechanical Ventilation Increases Lung Injury in Severe Acute Respiratory Distress Syndrome

PubMed Central

Zhang, Xianming; Wu, Weiliang; Zhu, Yongcheng; Jiang, Ying; Du, Juan; Chen, Rongchang

2016-01-01

Objective It has proved that muscle paralysis was more protective for injured lung in severe acute respiratory distress syndrome (ARDS), but the precise mechanism is not clear. The purpose of this study was to test the hypothesis that abdominal muscle activity during mechanically ventilation increases lung injury in severe ARDS. Methods Eighteen male Beagles were studied under mechanical ventilation with anesthesia. Severe ARDS was induced by repetitive oleic acid infusion. After lung injury, Beagles were randomly assigned into spontaneous breathing group (BIPAPSB) and abdominal muscle paralysis group (BIPAPAP). All groups were ventilated with BIPAP model for 8h, and the high pressure titrated to reached a tidal volume of 6ml/kg, the low pressure was set at 10 cmH2O, with I:E ratio 1:1, and respiratory rate adjusted to a PaCO2 of 35–60 mmHg. Six Beagles without ventilator support comprised the control group. Respiratory variables, end-expiratory volume (EELV) and gas exchange were assessed during mechanical ventilation. The levels of Interleukin (IL)-6, IL-8 in lung tissue and plasma were measured by qRT-PCR and ELISA respectively. Lung injury scores were determined at end of the experiment. Results For the comparable ventilator setting, as compared with BIPAPSB group, the BIPAPAP group presented higher EELV (427±47 vs. 366±38 ml) and oxygenation index (293±36 vs. 226±31 mmHg), lower levels of IL-6(216.6±48.0 vs. 297.5±71.2 pg/ml) and IL-8(246.8±78.2 vs. 357.5±69.3 pg/ml) in plasma, and lower express levels of IL-6 mRNA (15.0±3.8 vs. 21.2±3.7) and IL-8 mRNA (18.9±6.8 vs. 29.5±7.9) in lung tissues. In addition, less lung histopathology injury were revealed in the BIPAPAP group (22.5±2.0 vs. 25.2±2.1). Conclusion Abdominal muscle activity during mechanically ventilation is one of the injurious factors in severe ARDS, so abdominal muscle paralysis might be an effective strategy to minimize ventilator-induce lung injury. PMID:26745868

Inter-annual Tropospheric Aerosol Variability in Late Twentieth Century and its Impact on Tropical Atlantic and West African Climate by Direct and Semi-direct Effects

DOE Office of Scientific and Technical Information (OSTI.GOV)

Evans, Katherine J; Hack, James J; Truesdale, John

A new high-resolution (0.9more » $$^{\\circ}$$x1.25$$^{\\circ}$$ in the horizontal) global tropospheric aerosol dataset with monthly resolution is generated using the finite-volume configuration of Community Atmosphere Model (CAM4) coupled to a bulk aerosol model and forced with recent estimates of surface emissions for the latter part of twentieth century. The surface emissions dataset is constructed from Coupled Model Inter-comparison Project (CMIP5) decadal-resolution surface emissions dataset to include REanalysis of TROpospheric chemical composition (RETRO) wildfire monthly emissions dataset. Experiments forced with the new tropospheric aerosol dataset and conducted using the spectral configuration of CAM4 with a T85 truncation (1.4$$^{\\circ}$$x1.4$$^{\\circ}$$) with prescribed twentieth century observed sea surface temperature, sea-ice and greenhouse gases reveal that variations in tropospheric aerosol levels can induce significant regional climate variability on the inter-annual timescales. Regression analyses over tropical Atlantic and Africa reveal that increasing dust aerosols can cool the North African landmass and shift convection southwards from West Africa into the Gulf of Guinea in the spring season in the simulations. Further, we find that increasing carbonaceous aerosols emanating from the southwestern African savannas can cool the region significantly and increase the marine stratocumulus cloud cover over the southeast tropical Atlantic ocean by aerosol-induced diabatic heating of the free troposphere above the low clouds. Experiments conducted with CAM4 coupled to a slab ocean model suggest that present day aerosols can shift the ITCZ southwards over the tropical Atlantic and can reduce the ocean mixed layer temperature beneath the increased marine stratocumulus clouds in the southeastern tropical Atlantic.« less

North Atlantic Aerosol Properties and Direct Radiative Effects: Key Results from TARFOX and ACE-2

NASA Technical Reports Server (NTRS)

Russell, P. B.; Livingston, J. M.; Schmid, B.; Bergstrom, Robert A.; Hignett, P.; Hobbs, P. V.; Durkee, P. A.

2000-01-01

Aerosol effects on atmospheric radiative fluxes provide a forcing function that can change the climate In potentially significant ways. This aerosol radiative forcing is a major source of uncertainty in understanding the observed climate change of the past century and in predicting future climate. To help reduce this uncertainty, the International Global Atmospheric Chemistry Project (IGAC) has endorsed a series of multiplatform aerosol field campaigns. The Tropospheric Aerosol Radiative Forcing Observational Experiment (TARFOX) and the second Aerosol Characterization Experiment (ACE-2) were the first IGAC campaigns to address the impact of anthropogenic aerosols, Both TARFOX and ACE-2 gathered extensive data sets on aerosol properties and radiative effects, TARFOX focused on the urban-industrial haze plume flowing from the eastern United States over the western Atlantic Ocean, whereas ACE-2 studied aerosols carried over the eastern Atlantic from both European urban/industrial and African mineral sources. These aerosols often have a marked influence on the top-of-atmosphere radiances measured by satellites. Shown there are contours of aerosol optical depth derived from radiances measured by the AVHRR sensor on the NOAA-11 satellite. The contours readily show that aerosols originating in North America, Europe, and Africa impact the radiative properties of air over the North Atlantic. However, the accurate derivation of flux changes, or radiative forcing, from the satellite measured radiances or retrieved optical depths remains a difficult challenge. In this paper we summarize key initial results from TARFOX and, to a lesser extent, ACE-2, with a focus on those results that allow an improved assessment of the flux changes caused by North Atlantic aerosols at middle latitudes.

Chemical Emissions of Residential Materials and Products: Review of Available Information

DOE Office of Scientific and Technical Information (OSTI.GOV)

Willem, Henry; Singer, Brett

2010-09-15

This report is prepared in the context of a larger program whose mission is to advance understanding of ventilation and indoor air quality in U.S. homes. A specific objective of this program is to develop the scientific basis ? through controlled experiments, monitoring and analysis ? for health risk-based ventilation standards. Appropriate and adequate ventilation is a basic element of a healthy home. Ventilation provides outdoor air and in the process removes indoor odors and contaminants including potentially unhealthful chemicals emitted by indoor materials, products and activities. Ventilation traditionally was assured to occur via infiltration of outdoor air through cracksmore » and other leakage pathways in the residential building envelope. As building air tightness is improved for energy efficiency, infiltration can be reduced to inadequate levels. This has lead to the development of standards requiring mechanical ventilation. Though nominally intended to ensure acceptable indoor air quality, the standards are not explicitly tied to health risk or pollutant exposure targets. LBNL is currently designing analyses to assess the impact of varying ventilation standards on pollutant concentrations, health risks and energy use. These analyses require information on sources of chemical pollutant emissions, ideally including emission rates and the impact of ventilation on emissions. Some information can be obtained from recent studies that report measurements of various air contaminants and their concentrations in U.S. residences. Another way to obtain this information is the bottom-up approach of collecting and evaluating emissions data from construction and interior materials and common household products. This review contributes to the latter approach by summarizing available information on chemical emissions from new residential products and materials. We review information from the scientific literature and public sources to identify and discuss the databases that provide information on new or low-emission materials and products. The review focuses on the primary chemical or volatile organic compound (VOC) emissions from interior surface materials, furnishings, and some regularly used household products; all of these emissions are amenable to ventilation. Though it is an important and related topic, this review does not consider secondary pollutants that result from reactions of ozone and unsaturated organics bound to or emitted from material surfaces. Semi-volatile organic compounds (SVOCs) have been largely excluded from this review because ventilation generally is not an effective way to control SVOC exposures. Nevertheless, health concerns about exposures to SVOCs emitted from selected materials warrant some discussion.« less

The Genesis of Atlantic Lows Experiment: The Planetary-Boundary-Layer Subprogram of GALE.

NASA Astrophysics Data System (ADS)

Raman, Sethu; Riordan, Allen J.

1988-02-01

The Genesis of Atlantic Lows Experiment (GALE), focused an intensive data-gathering effort along the mid-Atlantic coast of the United States from 15 January through 15 March 1986. Here, the general objectives and experimental layout are described with special emphasis on the planetary-boundary-layer (PBL) component of GALE.Instrumentation is described for buoys, ships, research aircraft, and towers. The networks of the cross-chain long range aid to navigation (LORAN) atmospheric sounding system (CLASS) and the portable automated mesonet (PAM II) are described and their impact on the operation of GALE is outlined. Special use of dual-Doppler radar to obtain detailed wind measurements in the PBL is discussed.Preliminary analyses for a selected observational period are given. Detailed observations of the offshore coastal front reveal direct mesoscale circulations imbedded in the frontal zone. Later in the period, during an intense cold-air outbreak, sensible-heat and latent-heat fluxes over the coastal ocean each attain values of about 500 W · m2. Coordinated aircraft operations are outlined for this case and a few early findings are given.

Compendium of NASA data base for the global tropospheric experiment's Transport and Atmospheric Chemistry Near the Equator-Atlantic (TRACE-A)

NASA Technical Reports Server (NTRS)

Gregory, Gerald L.; Scott, A. Donald, Jr.

1995-01-01

This compendium describes aircraft data that are available from NASA's Transport and Atmospheric Chemistry near the Equator - Atlantic (TRACE-A) conducted in September/October 1992. The broad objectives of TRACE-A were to study chemical processes and long-range transport associated with South American and African continental outflow during periods of widespread vegetation burning, and to understand the ozone enhancements observed from satellite data measured over the southern tropical Atlantic Ocean during the September/October time period. Flight experiments were conducted from Brazil, South Africa, Namibia, and the Ascension Island. This document provides a representation of aircraft data that are available from NASA Langley's Distributed Active Archive Center (DAAC). The data format of time series and altitude profile plots is not intended to support original analyses, but to assist the reader in identifying data that are of interest. This compendium is for only the NASA aircraft data. The DAAC data base includes numerous supporting data-meteorological products, results from surface studies, satellite observations, and data from sonde releases.

Protective ventilation reduces Pseudomonas aeruginosa growth in lung tissue in a porcine pneumonia model.

PubMed

Sperber, Jesper; Nyberg, Axel; Lipcsey, Miklos; Melhus, Åsa; Larsson, Anders; Sjölin, Jan; Castegren, Markus

2017-08-31

Mechanical ventilation with positive end expiratory pressure and low tidal volume, i.e. protective ventilation, is recommended in patients with acute respiratory distress syndrome. However, the effect of protective ventilation on bacterial growth during early pneumonia in non-injured lungs is not extensively studied. The main objectives were to compare two different ventilator settings on Pseudomonas aeruginosa growth in lung tissue and the development of lung injury. A porcine model of severe pneumonia was used. The protective group (n = 10) had an end expiratory pressure of 10 cm H 2 O and a tidal volume of 6 ml x kg -1 . The control group (n = 10) had an end expiratory pressure of 5 cm H 2 O and a tidal volume of 10 ml x kg -1 . 10 11 colony forming units of Pseudomonas aeruginosa were inoculated intra-tracheally at baseline, after which the experiment continued for 6 h. Two animals from each group received only saline, and served as sham animals. Lung tissue samples from each animal were used for bacterial cultures and wet-to-dry weight ratio measurements. The protective group displayed lower numbers of Pseudomonas aeruginosa (p < 0.05) in the lung tissue, and a lower wet-to-dry ratio (p < 0.01) than the control group. The control group deteriorated in arterial oxygen tension/inspired oxygen fraction, whereas the protective group was unchanged (p < 0.01). In early phase pneumonia, protective ventilation with lower tidal volume and higher end expiratory pressure has the potential to reduce the pulmonary bacterial burden and the development of lung injury.

Hypercapnic acidosis attenuates ventilation-induced lung injury by a nuclear factor-κB-dependent mechanism.

PubMed

Contreras, Maya; Ansari, Bilal; Curley, Gerard; Higgins, Brendan D; Hassett, Patrick; O'Toole, Daniel; Laffey, John G

2012-09-01

Hypercapnic acidosis protects against ventilation-induced lung injury. We wished to determine whether the beneficial effects of hypercapnic acidosis in reducing stretch-induced injury were mediated via inhibition of nuclear factor-κB, a key transcriptional regulator in inflammation, injury, and repair. Prospective randomized animal study. University research laboratory. Adult male Sprague-Dawley rats. In separate experimental series, the potential for hypercapnic acidosis to attenuate moderate and severe ventilation-induced lung injury was determined. In each series, following induction of anesthesia and tracheostomy, Sprague-Dawley rats were randomized to (normocapnia; FICO2 0.00) or (hypercapnic acidosis; FICO2 0.05), subjected to high stretch ventilation, and the severity of lung injury and indices of activation of the nuclear factor-κB pathway were assessed. Subsequent in vitro experiments examined the potential for hypercapnic acidosis to reduce pulmonary epithelial inflammation and injury induced by cyclic mechanical stretch. The role of the nuclear factor-κB pathway in hypercapnic acidosis-mediated protection from stretch injury was then determined. Hypercapnic acidosis attenuated moderate and severe ventilation-induced lung injury, as evidenced by improved oxygenation, compliance, and reduced histologic injury compared to normocapnic conditions. Hypercapnic acidosis reduced indices of inflammation such as interleukin-6 and bronchoalveolar lavage neutrophil infiltration. Hypercapnic acidosis reduced the decrement of the nuclear factor-κB inhibitor IκBα and reduced the generation of cytokine-induced neutrophil chemoattractant-1. Hypercapnic acidosis reduced cyclic mechanical stretch-induced nuclear factor-κB activation, reduced interleukin-8 production, and decreased epithelial injury and cell death compared to normocapnia. Hypercapnic acidosis attenuated ventilation-induced lung injury independent of injury severity and decreased mechanical stretch-induced epithelial injury and death, via a nuclear factor-κB-dependent mechanism.

Hyperpolarized gas diffusion MRI for the study of atelectasis and acute respiratory distress syndrome.

PubMed

Cereda, Maurizio; Xin, Yi; Kadlecek, Stephen; Hamedani, Hooman; Rajaei, Jennia; Clapp, Justin; Rizi, Rahim R

2014-12-01

Considerable uncertainty remains about the best ventilator strategies for the mitigation of atelectasis and associated airspace stretch in patients with acute respiratory distress syndrome (ARDS). In addition to several immediate physiological effects, atelectasis increases the risk of ventilator-associated lung injury, which has been shown to significantly worsen ARDS outcomes. A number of lung imaging techniques have made substantial headway in clarifying the mechanisms of atelectasis. This paper reviews the contributions of computed tomography, positron emission tomography, and conventional MRI to understanding this phenomenon. In doing so, it also reveals several important shortcomings inherent to each of these approaches. Once these shortcomings have been made apparent, we describe how hyperpolarized (HP) gas MRI--a technique that is uniquely able to assess responses to mechanical ventilation and lung injury in peripheral airspaces--is poised to fill several of these knowledge gaps. The HP-MRI-derived apparent diffusion coefficient (ADC) quantifies the restriction of (3) He diffusion by peripheral airspaces, thereby obtaining pulmonary structural information at an extremely small scale. Lastly, this paper reports the results of a series of experiments that measured ADC in mechanically ventilated rats in order to investigate (i) the effect of atelectasis on ventilated airspaces, (ii) the relationship between positive end-expiratory pressure (PEEP), hysteresis, and the dimensions of peripheral airspaces, and (iii) the ability of PEEP and surfactant to reduce airspace dimensions after lung injury. An increase in ADC was found to be a marker of atelectasis-induced overdistension. With recruitment, higher airway pressures were shown to reduce stretch rather than worsen it. Moving forward, HP MRI has significant potential to shed further light on the atelectatic processes that occur during mechanical ventilation. Copyright © 2014 John Wiley & Sons, Ltd.

Preoperative Determinants of Outcomes of Infant Heart Surgery in a Limited-Resource Setting.

PubMed

Reddy, N Srinath; Kappanayil, Mahesh; Balachandran, Rakhi; Jenkins, Kathy J; Sudhakar, Abish; Sunil, G S; Raj, R Benedict; Kumar, R Krishna

2015-01-01

We studied the effect of preoperative determinants on early outcomes of 1028 consecutive infant heart operations in a limited-resource setting. Comprehensive data on pediatric heart surgery (January 2010-December 2012) were collected prospectively. Outcome measures included in-hospital mortality, prolonged ventilation (>48 hours), and bloodstream infection (BSI) after surgery. Preoperative variables that showed significant individual association with outcome measures were entered into a logistic regression model. Weight at birth was low in 224 infants (21.8%), and failure to thrive was common (mean-weight Z score at surgery was 2.72 ± 1.7). Preoperatively, 525 infants (51%) needed intensive care, 69 infants (6.7%) were ventilated, and 80 infants (7.8%) had BSI. In-hospital mortality (4.1%) was significantly associated with risk adjustment for congenital heart surgery-1 (RACHS-1) risk category (P < 0.001). Neonatal status, preoperative BSI, and requirement of preoperative intensive care and ventilation had significant individual association with adverse outcomes, whereas low birth weight, prematurity, and severe failure to thrive (weight Z score <-3) were not associated with adverse outcomes. On multivariable logistic regression analysis, preoperative sepsis (odds ratio = 2.86; 95% CI: 1.32-6.21; P = 0.008) was associated with mortality. Preoperative intensive care unit stay, ventilation, BSI, and RACHS-1 category were associated with prolonged postoperative ventilation and postoperative sepsis. Neonatal age group was additionally associated with postoperative sepsis. Although severe failure to thrive was common, it did not adversely affect outcomes. In conclusions, preoperative BSI, preoperative intensive care, and mechanical ventilation are strongly associated with adverse outcomes after infant cardiac surgery in this large single-center experience from a developing country. Failure to thrive and low birth weight do not appear to adversely affect surgical outcomes. Copyright © 2015 Elsevier Inc. All rights reserved.

Efficacy of Current Practices for Pain Assessment in Premature Ventilated Infants in the NICU Exposed to a High Number of Pain-Associated Procedures.

PubMed

Rohan, Annie J

2015-01-01

To study infant factors, characteristics of pain scores, and analgesic practices associated with patient-days in the NICU with a high frequency of pain-associated procedures (defined as >10 pain-associated procedures in the day). This is a secondary analysis of data from a cross-sectional study that used medical record audits of premature, ventilated infants. The primary two-institution study yielded data for 196 patient-days. Data included 804 pain scores and 836 pain-associated procedures. A high frequency of pain-associated procedures occurred in 8% of days at Site A and in 25% of days at Site B. Prevalence of days with high frequency of pain-associated procedures differed by institution, and was higher at the institution where infants were more mature at birth and had fewer surgical procedures. High frequency of pain-associated procedures was related to endotracheal intubation at both institutions. There were no elevated pain scores and no documented analgesic administrations on days with over 20 pain-associated procedures. High exposure to pain-associated procedures during a 24-hour period for a premature, ventilated infant is rarely associated with elevated pain scores or analgesic administration. Prevalence of days with high-procedural exposure at an institution appears to be closely related to use of invasive ventilation and to individual institutional practices. Examination and discussion of the daily frequency of pain-associated procedures for premature, ventilated infants (especially for those receiving invasive ventilation) may be helpful in developing approaches for attenuating the cumulative pain experience for these babies. Resources that are expended on regular pain reassessment documentation processes in the NICU may need to be reconsidered in light of the very low yield for clinical alterations in care in this setting.

Should lung transplantation be performed for patients on mechanical respiratory support? The US experience.

PubMed

Mason, David P; Thuita, Lucy; Nowicki, Edward R; Murthy, Sudish C; Pettersson, Gösta B; Blackstone, Eugene H

2010-03-01

The study objectives were to (1) compare survival after lung transplantation in patients requiring pretransplant mechanical ventilation or extracorporeal membrane oxygenation with that of patients not requiring mechanical support and (2) identify risk factors for mortality. Data were obtained from the United Network for Organ Sharing for lung transplantation from October 1987 to January 2008. A total of 15,934 primary transplants were performed: 586 in patients on mechanical ventilation and 51 in patients on extracorporeal membrane oxygenation. Differences between nonsupport patients and those on mechanical ventilation or extracorporeal membrane oxygenation support were expressed as 2 propensity scores for use in comparing risk-adjusted survival. Unadjusted survival at 1, 6, 12, and 24 months was 83%, 67%, 62%, and 57% for mechanical ventilation, respectively; 72%, 53%, 50%, and 45% for extracorporeal membrane oxygenation, respectively; and 93%, 85%, 79%, and 70% for unsupported patients, respectively (P < .0001). Recipients on mechanical ventilation were younger, had lower forced vital capacity, and had diagnoses other than emphysema. Recipients on extracorporeal membrane oxygenation were also younger, had higher body mass index, and had diagnoses other than cystic fibrosis/bronchiectasis. Once these variables, transplant year, and propensity for mechanical support were accounted for, survival remained worse after lung transplantation for patients on mechanical ventilation and extracorporeal membrane oxygenation. Although survival after lung transplantation is markedly worse when preoperative mechanical support is necessary, it is not dismal. Thus, additional risk factors for mortality should be considered when selecting patients for lung transplantation to maximize survival. Reduced survival for this high-risk population raises the important issue of balancing maximal individual patient survival against benefit to the maximum number of patients. Copyright 2010 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

Hyperpolarized Gas Diffusion MRI for the Study of Atelectasis and Acute Respiratory Distress Syndrome

PubMed Central

Cereda, Maurizio; Xin, Yi; Kadlecek, Stephen; Hamedani, Hooman; Rajaei, Jennia; Clapp, Justin; Rizi, Rahim R.

2014-01-01

Considerable uncertainty remains about the best ventilator strategies for the mitigation of atelectasis and associated airspace stretch in patients with acute respiratory distress syndrome (ARDS). In addition to several immediate physiological effects, atelectasis increases the risk of ventilator-associated lung injury (VALI), which has been shown to significantly worsen ARDS outcomes. A number of lung imaging techniques have made substantial headway in clarifying the mechanisms of atelectasis. This paper reviews the contributions of CT, PET, and conventional MRI to understanding this phenomenon. In doing so, it also reveals several important shortcomings inherent to each of these approaches. Once these shortcomings have been made apparent, we describe how hyperpolarized gas magnetic resonance imaging (HP MRI)—a technique that is uniquely able to assess responses to mechanical ventilation and lung injury in peripheral airspaces—is poised to fill several of these knowledge gaps. The HP-MRI-derived apparent diffusion coefficient (ADC) quantifies the restriction of 3He diffusion by peripheral airspaces, thereby obtaining pulmonary structural information at an extremely small scale. Lastly, this paper reports the results of a series of experiments that measured ADC in mechanically ventilated rats in order to investigate (i) the effect of atelectasis on ventilated airspaces; (ii) the relationship between positive end-expiratory pressure (PEEP), hysteresis, and the dimensions of peripheral airspaces; and (iii) the ability of PEEP and surfactant to reduce airspace dimensions after lung injury. An increase in ADC was found to be a marker of atelectasis-induced overdistension. With recruitment, higher airway pressures were shown to reduce stretch rather than worsen it. Moving forward, HP MRI has significant potential to shed further light on the atelectatic processes that occur during mechanical ventilation. PMID:24920074

Evaluation of Fentanyl Disposition and Effects in Newborn Piglets as an Experimental Model for Human Neonates

PubMed Central

Valls-i-Soler, Adolfo; Encinas, Esther; Lukas, John C.; Vozmediano, Valvanera; Suárez, Elena

2014-01-01

Background Fentanyl is widely used off-label in NICU. Our aim was to investigate its cerebral, cardiovascular and pulmonary effects as well as pharmacokinetics in an experimental model for neonates. Methods Fentanyl (5 µg/kg bolus immediately followed by a 90 minute infusion of 3 µg/kg/h) was administered to six mechanically ventilated newborn piglets. Cardiovascular, ventilation, pulmonary and oxygenation indexes as well as brain activity were monitored from T = 0 up to the end of experiments (T = 225–300 min). Also plasma samples for quantification of fentanyl were drawn. Results A “reliable degree of sedation” was observed up to T = 210–240 min, consistent with the selected dosing regimen and the observed fentanyl plasma levels. Unlike cardiovascular parameters, which were unmodified except for an increasing trend in heart rate, some of the ventilation and oxygenation indexes as well as brain activity were significantly altered. The pulmonary and brain effects of fentanyl were mostly recovered from T = 210 min to the end of experiment. Conclusion The newborn piglet was shown to be a suitable experimental model for studying fentanyl disposition as well as respiratory and cardiovascular effects in human neonates. Therefore, it could be extremely useful for further investigating the drug behaviour under pathophysiological conditions. PMID:24595018

Relative resistance of Pacific salmon to infectious salmon anaemia virus

USGS Publications Warehouse

Rolland, J.B.; Winton, J.R.

2003-01-01

Infectious salmon anaemia (ISA) is a major disease of Atlantic salmon, Salmo salar, caused by an orthomyxovirus (ISAV). Increases in global aqua culture and the international movement of fish made it important to determine if Pacific salmon are at risk. Steelhead trout, Oncorhynchus mykiss, and chum, O. keta, Chinook, O. tshawytscha, coho, O. kisutch, and Atlantic salmon were injected intraperitoneally with a high, medium, or low dose of a Norwegian strain of ISAV. In a second challenge, the same species, except chum salmon, were injected with a high dose of either a Canadian or the Norwegian strain. Average cumulative mortality of Atlantic salmon in trial 1 was 12% in the high dose group, 20% in the medium dose group and 16% in the low dose group. The average cumulative mortality of Atlantic salmon in trial 2 was 98%. No signs typical of ISA and no ISAV-related mortality occurred among any of the groups of Oncorhynchus spp. in either experiment, although ISAV was reisolated from some fish sampled at intervals post-challenge. The results indicate that while Oncorhynchus spp. are quite resistant to ISAV relative to Atlantic salmon, the potential for ISAV to adapt to Oncorhynchus spp. should not be ignored.

On the nonlinear forced response of the North Atlantic atmosphere to meridional shifts of the Gulf Stream path

NASA Astrophysics Data System (ADS)

Seo, H.; Kwon, Y. O.; Joyce, T. M.; Ummenhofer, C.

2016-12-01

This study examines the North Atlantic atmospheric circulation response to the meridional shift of Gulf Stream path using a large-ensemble, high-resolution, and hemispheric-scale WRF simulations. The model is forced with wintertime SST anomalies derived from a wide range of Gulf Stream shift scenarios. The key result of the model experiments, supported in part by an independent analysis of a reanalysis data set, is that the large-scale, quasi-steady North Atlantic circulation response is unambiguously nonlinear about the sign and amplitude of chosen SST anomalies. This nonlinear response prevails over the weak linear response and resembles the negative North Atlantic Oscillation, the leading intrinsic mode of variability in the model and the observations. Further analysis of the associated dynamics reveals that the nonlinear responses are accompanied by the anomalous southward shift of the North Atlantic eddy-driven jet stream, which is reinforced nearly equally by the high-frequency transient eddy feedback and the low-frequency high-latitude wave breaking events. The result highlights the importance of the intrinsically nonlinear transient eddy dynamics and eddy-mean flow interactions in generating the nonlinear forced response to the meridional shift in the Gulf Stream.

Western tropical Pacific multidecadal variability forced by the Atlantic multidecadal oscillation

NASA Astrophysics Data System (ADS)

Kucharski, F.; Sun, C.; Li, J.; Jin, F. F.; Kang, I. S.; Ding, R.

2017-12-01

Observational analysis suggests that the western tropical Pacific (WTP) sea surface temperature (SST) shows predominant variability over multidecadal time scales, which is unlikely to be explained by the Interdecadal Pacific Oscillation. Here we show that this variability is largely explained by the remote Atlantic multidecadal oscillation (AMO). A suite of Atlantic Pacemaker experiments successfully reproduces the WTP multidecadal variability and the AMO-WTP SST connection. The AMO warm SST anomaly generates an atmospheric teleconnection to the North Pacific, which weakens the Aleutian low and subtropical North Pacific westerlies. The wind changes induce a subtropical North Pacific SST warming through wind-evaporation-SST effect, and in response to this warming, the surface winds converge towards the subtropical North Pacific from the tropics, leading to anomalous cyclonic circulation and low pressure over the WTP region. The warm SST anomaly further develops due to the SST-sea level pressure-cloud-longwave radiation positive feedback. Our findings suggest that the Atlantic Ocean acts as a key pacemaker for the western Pacific decadal climate variability.

Western tropical Pacific multidecadal variability forced by the Atlantic multidecadal oscillation

PubMed Central

Sun, Cheng; Kucharski, Fred; Li, Jianping; Jin, Fei-Fei; Kang, In-Sik; Ding, Ruiqiang

2017-01-01

Observational analysis suggests that the western tropical Pacific (WTP) sea surface temperature (SST) shows predominant variability over multidecadal time scales, which is unlikely to be explained by the Interdecadal Pacific Oscillation. Here we show that this variability is largely explained by the remote Atlantic multidecadal oscillation (AMO). A suite of Atlantic Pacemaker experiments successfully reproduces the WTP multidecadal variability and the AMO–WTP SST connection. The AMO warm SST anomaly generates an atmospheric teleconnection to the North Pacific, which weakens the Aleutian low and subtropical North Pacific westerlies. The wind changes induce a subtropical North Pacific SST warming through wind–evaporation–SST effect, and in response to this warming, the surface winds converge towards the subtropical North Pacific from the tropics, leading to anomalous cyclonic circulation and low pressure over the WTP region. The warm SST anomaly further develops due to the SST–sea level pressure–cloud–longwave radiation positive feedback. Our findings suggest that the Atlantic Ocean acts as a key pacemaker for the western Pacific decadal climate variability. PMID:28685765

Impact of Greenland orography on the Atlantic Meridional Overturning Circulation

NASA Astrophysics Data System (ADS)

Davini, P.; Hardenberg, J.; Filippi, L.; Provenzale, A.

2015-02-01

We show that the absence of the Greenland ice sheet would have important consequences on the North Atlantic Ocean circulation, even without taking into account the effect of the freshwater input to the ocean from ice melting. These effects are investigated in a 600year long coupled ocean-atmosphere simulation with the high-resolution global climate model EC-Earth 3.0.1. Once a new equilibrium is established, a cooling of Eurasia and of the North Atlantic and a poleward shift of the subtropical jet are observed. These hemispheric changes are ascribed to a weakening of the Atlantic Meridional Overturning Circulation (AMOC) by about 12%. We attribute this slowdown to a reduction in salinity of the Arctic basin and to the related change of the mass and salt transport through the Fram Strait—a consequence of the new surface wind pattern over the lower orography. This idealized experiment illustrates the sensitivity of the AMOC to local surface winds.

Western tropical Pacific multidecadal variability forced by the Atlantic multidecadal oscillation

NASA Astrophysics Data System (ADS)

Sun, Cheng; Kucharski, Fred; Li, Jianping; Jin, Fei-Fei; Kang, In-Sik; Ding, Ruiqiang

2017-07-01

Observational analysis suggests that the western tropical Pacific (WTP) sea surface temperature (SST) shows predominant variability over multidecadal time scales, which is unlikely to be explained by the Interdecadal Pacific Oscillation. Here we show that this variability is largely explained by the remote Atlantic multidecadal oscillation (AMO). A suite of Atlantic Pacemaker experiments successfully reproduces the WTP multidecadal variability and the AMO-WTP SST connection. The AMO warm SST anomaly generates an atmospheric teleconnection to the North Pacific, which weakens the Aleutian low and subtropical North Pacific westerlies. The wind changes induce a subtropical North Pacific SST warming through wind-evaporation-SST effect, and in response to this warming, the surface winds converge towards the subtropical North Pacific from the tropics, leading to anomalous cyclonic circulation and low pressure over the WTP region. The warm SST anomaly further develops due to the SST-sea level pressure-cloud-longwave radiation positive feedback. Our findings suggest that the Atlantic Ocean acts as a key pacemaker for the western Pacific decadal climate variability.

Mechanisms of Ocean Heat Uptake

NASA Astrophysics Data System (ADS)

Garuba, Oluwayemi

An important parameter for the climate response to increased greenhouse gases or other radiative forcing is the speed at which heat anomalies propagate downward in the ocean. Ocean heat uptake occurs through passive advection/diffusion of surface heat anomalies and through the redistribution of existing temperature gradients due to circulation changes. Atlantic meridional overturning circulation (AMOC) weakens in a warming climate and this should slow the downward heat advection (compared to a case in which the circulation is unchanged). However, weakening AMOC also causes a deep warming through the redistributive effect, thus increasing the downward rate of heat propagation compared to unchanging circulation. Total heat uptake depends on the combined effect of these two mechanisms. Passive tracers in a perturbed CO2 quadrupling experiments are used to investigate the effect of passive advection and redistribution of temperature anomalies. A new passive tracer formulation is used to separate ocean heat uptake into contributions due to redistribution and passive advection-diffusion of surface heating during an ocean model experiment with abrupt increase in surface temperature. The spatial pattern and mechanisms of each component are examined. With further experiments, the effects of surface wind, salinity and temperature changes in changing circulation and the resulting effect on redistribution in the individual basins are isolated. Analysis of the passive advection and propagation path of the tracer show that the Southern ocean dominates heat uptake, largely through vertical and horizontal diffusion. Vertical diffusion transports the tracer across isopycnals down to about 1000m in 100 years in the Southern ocean. Advection is more important in the subtropical cells and in the Atlantic high latitudes, both with a short time scale of about 20 years. The shallow subtropical cells transport the tracer down to about 500m along isopycnal surfaces, below this vertical diffusion takes over transport in the tropics; in the Atlantic, the MOC transports heat as deep 2000m in about 30 years. Redistributive surface heat uptake alters the total amount surface heat uptake among the basins. Compared to the passive-only heat uptake, which is about the same among the basins, redistribution nearly doubles the surface heat input into the Atlantic but makes smaller increases in the Indian and Pacific oceans for a net global increase of about 25%, in the perturbation experiment with winds unchanged. The passive and redistributive heat uptake components are further distributed among the basins through the global conveyor belt. The Pacific gains twice the surface heat input into it through lateral transport from the other two basins, as a result, the Atlantic and Pacific gain similar amounts of heat even though surface heat input is in the Atlantic is much bigger. Of this heat transport, most of the passive component comes from the Indian and the redistributive component comes from the Atlantic. Different surface forcing perturbation gives different circulation change pattern and as a result yield different redistributive uptake. Ocean heat uptake is more sensitive to wind forcing perturbation than to thermohaline forcing perturbation. About 2% reduction in subtropical cells transport and southern ocean transport, in the wind-change perturbation experiment, resulted in about 10% reduction in the global ocean heat uptake of wind-unchanged experiment. The AMOC weakened by about 35% and resulted in a 25% increase in passive heat uptake in the wind-unchanged experiment. Surface winds weakening reduces heat uptake by warming the reservoir surface temperatures, while MOC weakening increases heat input by a cooling reservoir surface temperatures. Thermohaline forcing perturbation is combination of salinity and temperature perturbations, both weaken the AMOC, however, they have opposite redistributive effects. Ocean surface freshening gives positive redistributive effect, while surface temperature increase gives negative redistributive effect on heat uptake. The salinity effect dominates the redistributive effect for thermohaline perturbation.

Impact of abrupt deglacial climate change on tropical Atlantic subsurface temperatures

PubMed Central

Schmidt, Matthew W.; Chang, Ping; Hertzberg, Jennifer E.; Them, Theodore R.; Ji, Link; Otto-Bliesner, Bette L.

2012-01-01

Both instrumental data analyses and coupled ocean-atmosphere models indicate that Atlantic meridional overturning circulation (AMOC) variability is tightly linked to abrupt tropical North Atlantic (TNA) climate change through both atmospheric and oceanic processes. Although a slowdown of AMOC results in an atmospheric-induced surface cooling in the entire TNA, the subsurface experiences an even larger warming because of rapid reorganizations of ocean circulation patterns at intermediate water depths. Here, we reconstruct high-resolution temperature records using oxygen isotope values and Mg/Ca ratios in both surface- and subthermocline-dwelling planktonic foraminifera from a sediment core located in the TNA over the last 22 ky. Our results show significant changes in the vertical thermal gradient of the upper water column, with the warmest subsurface temperatures of the last deglacial transition corresponding to the onset of the Younger Dryas. Furthermore, we present new analyses of a climate model simulation forced with freshwater discharge into the North Atlantic under Last Glacial Maximum forcings and boundary conditions that reveal a maximum subsurface warming in the vicinity of the core site and a vertical thermal gradient change at the onset of AMOC weakening, consistent with the reconstructed record. Together, our proxy reconstructions and modeling results provide convincing evidence for a subsurface oceanic teleconnection linking high-latitude North Atlantic climate to the tropical Atlantic during periods of reduced AMOC across the last deglacial transition. PMID:22908256

Impact of abrupt deglacial climate change on tropical Atlantic subsurface temperatures.

PubMed

Schmidt, Matthew W; Chang, Ping; Hertzberg, Jennifer E; Them, Theodore R; Ji, Link; J, Link; Otto-Bliesner, Bette L

2012-09-04

Both instrumental data analyses and coupled ocean-atmosphere models indicate that Atlantic meridional overturning circulation (AMOC) variability is tightly linked to abrupt tropical North Atlantic (TNA) climate change through both atmospheric and oceanic processes. Although a slowdown of AMOC results in an atmospheric-induced surface cooling in the entire TNA, the subsurface experiences an even larger warming because of rapid reorganizations of ocean circulation patterns at intermediate water depths. Here, we reconstruct high-resolution temperature records using oxygen isotope values and Mg/Ca ratios in both surface- and subthermocline-dwelling planktonic foraminifera from a sediment core located in the TNA over the last 22 ky. Our results show significant changes in the vertical thermal gradient of the upper water column, with the warmest subsurface temperatures of the last deglacial transition corresponding to the onset of the Younger Dryas. Furthermore, we present new analyses of a climate model simulation forced with freshwater discharge into the North Atlantic under Last Glacial Maximum forcings and boundary conditions that reveal a maximum subsurface warming in the vicinity of the core site and a vertical thermal gradient change at the onset of AMOC weakening, consistent with the reconstructed record. Together, our proxy reconstructions and modeling results provide convincing evidence for a subsurface oceanic teleconnection linking high-latitude North Atlantic climate to the tropical Atlantic during periods of reduced AMOC across the last deglacial transition.

Climate drift of AMOC, North Atlantic salinity and arctic sea ice in CFSv2 decadal predictions

NASA Astrophysics Data System (ADS)

Huang, Bohua; Zhu, Jieshun; Marx, Lawrence; Wu, Xingren; Kumar, Arun; Hu, Zeng-Zhen; Balmaseda, Magdalena A.; Zhang, Shaoqing; Lu, Jian; Schneider, Edwin K.; Kinter, James L., III

2015-01-01

There are potential advantages to extending operational seasonal forecast models to predict decadal variability but major efforts are required to assess the model fidelity for this task. In this study, we examine the North Atlantic climate simulated by the NCEP Climate Forecast System, version 2 (CFSv2), using a set of ensemble decadal hindcasts and several 30-year simulations initialized from realistic ocean-atmosphere states. It is found that a substantial climate drift occurs in the first few years of the CFSv2 hindcasts, which represents a major systematic bias and may seriously affect the model's fidelity for decadal prediction. In particular, it is noted that a major reduction of the upper ocean salinity in the northern North Atlantic weakens the Atlantic meridional overturning circulation (AMOC) significantly. This freshening is likely caused by the excessive freshwater transport from the Arctic Ocean and weakened subtropical water transport by the North Atlantic Current. A potential source of the excessive freshwater is the quick melting of sea ice, which also causes unrealistically thin ice cover in the Arctic Ocean. Our sensitivity experiments with adjusted sea ice albedo parameters produce a sustainable ice cover with realistic thickness distribution. It also leads to a moderate increase of the AMOC strength. This study suggests that a realistic freshwater balance, including a proper sea ice feedback, is crucial for simulating the North Atlantic climate and its variability.

Comparative visual ecophysiology of mid-Atlantic temperate reef fishes

PubMed Central

Horodysky, Andrij Z.; Brill, Richard W.; Crawford, Kendyl C.; Seagroves, Elizabeth S.; Johnson, Andrea K.

2013-01-01

Summary The absolute light sensitivities, temporal properties, and spectral sensitivities of the visual systems of three mid-Atlantic temperate reef fishes (Atlantic spadefish [Ephippidae: Chaetodipterus faber], tautog [Labridae: Tautoga onitis], and black sea bass [Serranidae: Centropristis striata]) were studied via electroretinography (ERG). Pelagic Atlantic spadefish exhibited higher temporal resolution but a narrower dynamic range than the two more demersal foragers. The higher luminous sensitivities of tautog and black sea bass were similar to other benthic and demersal coastal mid-Atlantic fishes. Flicker fusion frequency experiments revealed significant interspecific differences at maximum intensities that correlated with lifestyle and habitat. Spectral responses of the three species spanned 400–610 nm, with high likelihood of cone dichromacy providing the basis for color and contrast discrimination. Significant day-night differences in spectral responses were evident in spadefish and black sea bass but not tautog, a labrid with characteristic structure-associated nocturnal torpor. Atlantic spadefish responded to a wider range of wavelengths than did deeper-dwelling tautog or black sea bass. Collectively, these results suggest that temperate reef-associated fishes are well-adapted to their gradient of brighter to dimmer photoclimates, representative of their unique ecologies and life histories. Continuing anthropogenic degradation of water quality in coastal environments, at a pace faster than the evolution of visual systems, may however impede visual foraging and reproductive signaling in temperate reef fishes. PMID:24285711

Tropical Dominance of N2 Fixation in the North Atlantic Ocean

NASA Astrophysics Data System (ADS)

Marconi, Dario; Sigman, Daniel M.; Casciotti, Karen L.; Campbell, Ethan C.; Alexandra Weigand, M.; Fawcett, Sarah E.; Knapp, Angela N.; Rafter, Patrick A.; Ward, Bess B.; Haug, Gerald H.

2017-10-01

To investigate the controls on N2 fixation and the role of the Atlantic in the global ocean's fixed nitrogen (N) budget, Atlantic N2 fixation is calculated by combining meridional nitrate fluxes across World Ocean Circulation Experiment sections with observed nitrate 15N/14N differences between northward and southward transported nitrate. N2 fixation inputs of 27.1 ± 4.3 Tg N/yr and 3.0 ± 0.5 Tg N/yr are estimated north of 11°S and 24°N, respectively. That is, 90% of the N2 fixation in the Atlantic north of 11°S occurs south of 24°N in a region with upwelling that imports phosphorus (P) in excess of N relative to phytoplankton requirements. This suggests that, under the modern iron-rich conditions of the equatorial and North Atlantic, N2 fixation occurs predominantly in response to P-bearing, N-poor conditions. We estimate a N2 fixation rate of 30.5 ± 4.9 Tg N/yr north of 30°S, implying only 3 Tg N/yr between 30° and 11°S, despite evidence of P-bearing, N-poor surface waters in this region as well; this is consistent with iron limitation of N2 fixation in the South Atlantic. Since the ocean flows through the Atlantic surface in <2,500 years, similar to the residence time of oceanic fixed N, Atlantic N2 fixation can stabilize the N-to-P ratio of the global ocean. However, the calculated rate of Atlantic N2 fixation is a small fraction of global ocean estimates for either N2 fixation or fixed N loss. This suggests that, in the modern ocean, an approximate balance between N loss and N2 fixation is achieved within the combined Indian and Pacific basins.

Protocol for an Experiment on Controlling Motion Sickness Severity in a Ship Motion Simulator

DTIC Science & Technology

2004-10-01

MUN) School of Human Kinetics and Recreation, and Mr. Anthony Patterson and Mr. Carl Harris at the MUN Centre for Marine Simulation (CMS), for their...research contract with DRDC Atlantic. Dr. S.N. MacKinnon, Director of the Human Performance in Harsh Environments Laboratory, School of Human Kinetics and...MacKinnon, School of Human Kinetics and Recreation 737-8807 or smackinn@mun.ca DRDC Atlantic TM 2004-282 13 Annex B: Subject Consent Form

Ocean Cooling Pattern at the Last Glacial Maximum

DOE PAGES

Zhuang, Kelin; Giardino, John R.

2012-01-01

Ocean temperature and ocean heat content change are analyzed based on four PMIP3 model results at the Last Glacial Maximum relative to the prehistorical run. Ocean cooling mostly occurs in the upper 1000 m depth and varies spatially in the tropical and temperate zones. The Atlantic Ocean experiences greater cooling than the rest of the ocean basins. Ocean cooling is closely related to the weakening of meridional overturning circulation and enhanced intrusion of Antarctic Bottom Water into the North Atlantic.

Mobile zoned/exponential LAF screen: a new concept in ultra-clean air technology for additional operating room ventilation.

PubMed

Friberg, B; Lindgren, M; Karlsson, C; Bergström, A; Friberg, S

2002-04-01

A mobile screen (0.5 x 0.4 m) producing ultra-clean exponential LAF (air-flow central zone 0.6 m/s and peripheral zone 0.4 m/s) was investigated as an addition to conventional turbulent/mixing operating room ventilation. The evaluation was performed during strictly standardized sham operations reflecting conditions during major surgery. The study consisted of a pilot experiment designed to give high counts of sedimenting aerobic colony forming units (cfu). In a second main study, recording dust particles, air-borne and sedimenting aerobic cfu, the screen was associated with optimal operating room clothing. In the pilot experiment the use of the screen resulted in a substantial reduction of sedimenting bacteria from 3835-4940 to 0-390 cfu/m(2)/h. In the main study, the use of the additional LAF reduced the surface contamination from 416-329 to 7-78 cfu/m(2)/h up to 1.6 m from the screen (P=0.001-0.0001). Measured in the wound area the screen reduced the air counts of bacteria from 9-14 to 0.2-0.4 cfu/m(3) (P=0.008-0.0001) and a marked reduction of air-borne dust particles was recorded (P=0.007-0.009). In conclusion, the additional mobile LAF screen reduced the counts of aerobic air-borne and sedimenting bacteria-carrying particles as well as dust particles to the levels gained with complete ultra-clean LAF room ventilation. Thus, the screen might prove a valuable addition to operating room ventilation as well as in other areas where asepsis is essential. Copyright 2002 The Hospital Infection Society.

Transient natural ventilation of a room with a distributed heat source

NASA Astrophysics Data System (ADS)

Fitzgerald, Shaun D.; Woods, Andrew W.

We report on an experimental and theoretical study of the transient flows which develop as a naturally ventilated room adjusts from one temperature to another. We focus on a room heated from below by a uniform heat source, with both high- and low-level ventilation openings. Depending on the initial temperature of the room relative to (i) the final equilibrium temperature and (ii) the exterior temperature, three different modes of ventilation may develop. First, if the room temperature lies between the exterior and the equilibrium temperature, the interior remains well-mixed and gradually heats up to the equilibrium temperature. Secondly, if the room is initially warmer than the equilibrium temperature, then a thermal stratification develops in which the upper layer of originally hot air is displaced upwards by a lower layer of relatively cool inflowing air. At the interface, some mixing occurs owing to the effects of penetrative convection. Thirdly, if the room is initially cooler than the exterior, then on opening the vents, the original air is displaced downwards and a layer of ambient air deepens from above. As this lower layer drains, it is eventually heated to the ambient temperature, and is then able to mix into the overlying layer of external air, and the room becomes well-mixed. For each case, we present new laboratory experiments and compare these with some new quantitative models of the transient flows. We conclude by considering the implications of our work for natural ventilation of large auditoria.

An Atlantic streamer in stratospheric ozone observations and SD-WACCM simulation data

NASA Astrophysics Data System (ADS)

Hocke, Klemens; Schranz, Franziska; Maillard Barras, Eliane; Moreira, Lorena; Kämpfer, Niklaus

2017-03-01

Observation and simulation of individual ozone streamers are important for the description and understanding of non-linear transport processes in the middle atmosphere. A sudden increase in mid-stratospheric ozone occurred above central Europe on 4 December 2015. The GROund-based Millimeter-wave Ozone Spectrometer (GROMOS) and the Stratospheric Ozone MOnitoring RAdiometer (SOMORA) in Switzerland measured an ozone enhancement of about 30 % at 34 km altitude (8.3 hPa) from 1 to 4 December. A similar ozone increase is simulated by the Specified Dynamics Whole Atmosphere Community Climate (SD-WACCM) model. Further, the global ozone fields at 34 km altitude (8.3 hPa) from SD-WACCM and the satellite experiment Aura/MLS show a remarkable agreement for the location and timing of an ozone streamer (large-scale tongue-like structure) extending from the subtropics in northern America over the Atlantic to central Europe. This agreement indicates that SD-WACCM can inform us about the wind inside the Atlantic ozone streamer. SD-WACCM shows an eastward wind of about 100 m s-1 inside the Atlantic streamer in the mid-stratosphere. SD-WACCM shows that the Atlantic streamer flows along the edge of the polar vortex. The Atlantic streamer turns southward at an erosion region of the polar vortex located above the Caspian Sea. The spatial distribution of stratospheric water vapour indicates a filament outgoing from this erosion region. The Atlantic streamer, the polar vortex erosion region and the water vapour filament belong to the process of planetary wave breaking in the so-called surf zone of the northern midlatitude winter stratosphere.

Aircraft remote sensing of phytoplankton spatial patterns during the 1989 Joint Global Ocean Flux Study (JGOFS) North Atlantic bloom experiment

NASA Technical Reports Server (NTRS)

Yoder, James A.; Hoge, Frank E.

1991-01-01

Mesoscale phytoplankton chlorophyll variability near the Joint Global Ocean Flux study sites along the 20 W meridian at 34 N, 47 N, and 59 N is discussed. The NASA P-3 aircraft and the Airborne Oceanographic Lidar (AOL) system provides remote sensing support for the North Atlantic Bloom Experiment. The principal instrument of the AOL system is the blue-green laser that stimulates fluorescence from photoplankton chlorophyll, the principal photosynthetic pigment. Other instruments on the NASA P-3 aircraft include up- and down-looking spectrometers, PRT-5 for infrared measurements to determine sea surface temperature, and a system to deploy and record AXBTs to measure subsurface temperature structure.

Remote sensing and laboratory techniques for monitoring ocean dumping

NASA Technical Reports Server (NTRS)

Ohlhorst, C. W.; Johnson, R. W.; Meyer, E. R.

1977-01-01

Results of field experiments conducted in the Atlantic Coastal Zone indicate that plumes resulting from ocean dumping of acid waste and sewage sludge have distinguishable spectral characteristics when the radiance of the pollutant is normalized (ratioed to) background ocean water. Acid waste spectra peak between 550-650 nm while sewage sludge spectra have peak values at wavelengths of about 700 nm or greater. Results indicate that identification of acid waste and sewage sludge plumes may be independent of geographical location in the Atlantic Coastal Zone. Radiance ratio curves obtained in the laboratory qualitatively agree with those obtained from field experiments. Results from the July 25, 1977, Galveston Deep Ocean Dump Site experiment show the radiance ratio curve of the biodigested industrial waste to be fairly flat and similar to the radiance ratio curves of sewage sludge line dumps and sewage sludge spot dumps that have been in the water for several hours.

The aerodynamics of the sinonasal interface: the nose takes wing-a paradigm shift for our time.

PubMed

Gungor, Anil A

2013-04-01

Ventilation of and gas exchange between the nose and the paranasal sinuses are believed to occur by convection and diffusion based on experiments that neglect the effects of physiological respiration and aerodynamic forces at the sinonasal interface (SNI). Based on these experiments, the exchange of gas is presumed to be slow, and principally dependent on gas concentration and diameter, number, and location of ostia. In 12 healthy adult volunteers, real-time sinus nitric oxide measurements were obtained with catheters placed through natural ostia during respiratory maneuvers. The nose is a masterful collection of aerodynamic foils and channels designed to accomplish powered sinonasal gas exchange and ventilation within a few seconds during each inspiration. The new perspective on the functional anatomy of the SNI demands a paradigm shift that is followed by physiological, medical, and surgical implications and a radical change in our perception and understanding. © 2013 ARS-AAOA, LLC.

Paid carers' experiences of caring for mechanically ventilated children at home: implications for services and training.

PubMed

Maddox, Christina; Pontin, David

2013-06-01

UK survival rates for long-term mechanically ventilated children have increased and paid carers are trained to care for them at home, however there is limited literature on carers' training needs and experience of sharing care. Using a qualitative abductive design, we purposively sampled experienced carers to generate data via diaries, semi-structured interviews, and researcher reflexive notes. Research ethics approval was granted from NHS and University committees. Five analytical themes emerged - Parent as expert; Role definition tensions; Training and Continuing Learning Needs; Mixed Emotions; Support Mechanisms highlighting the challenges of working in family homes for carers and their associated learning needs. Further work on preparing carers to share feelings with parents, using burnout prevention techniques, and building confidence is suggested. Carers highlight the lack of clinical supervision during their night-working hours. One solution may be to provide access to registered nurse support when working out-of-office hours.

Prevalence and test characteristics of national health safety network ventilator-associated events.

PubMed

Lilly, Craig M; Landry, Karen E; Sood, Rahul N; Dunnington, Cheryl H; Ellison, Richard T; Bagley, Peter H; Baker, Stephen P; Cody, Shawn; Irwin, Richard S

2014-09-01

The primary aim of the study was to measure the test characteristics of the National Health Safety Network ventilator-associated event/ventilator-associated condition constructs for detecting ventilator-associated pneumonia. Its secondary aims were to report the clinical features of patients with National Health Safety Network ventilator-associated event/ventilator-associated condition, measure costs of surveillance, and its susceptibility to manipulation. Prospective cohort study. Two inpatient campuses of an academic medical center. Eight thousand four hundred eight mechanically ventilated adults discharged from an ICU. None. The National Health Safety Network ventilator-associated event/ventilator-associated condition constructs detected less than a third of ventilator-associated pneumonia cases with a sensitivity of 0.325 and a positive predictive value of 0.07. Most National Health Safety Network ventilator-associated event/ventilator-associated condition cases (93%) did not have ventilator-associated pneumonia or other hospital-acquired complications; 71% met the definition for acute respiratory distress syndrome. Similarly, most patients with National Health Safety Network probable ventilator-associated pneumonia did not have ventilator-associated pneumonia because radiographic criteria were not met. National Health Safety Network ventilator-associated event/ventilator-associated condition rates were reduced 93% by an unsophisticated manipulation of ventilator management protocols. The National Health Safety Network ventilator-associated event/ventilator-associated condition constructs failed to detect many patients who had ventilator-associated pneumonia, detected many cases that did not have a hospital complication, and were susceptible to manipulation. National Health Safety Network ventilator-associated event/ventilator-associated condition surveillance did not perform as well as ventilator-associated pneumonia surveillance and had several undesirable characteristics.

Bering Sea Nd isotope records of North Pacific Intermediate Water circulation

NASA Astrophysics Data System (ADS)

Rabbat, C.; Knudson, K. P.; Goldstein, S. L.

2017-12-01

North Pacific Intermediate Water (NPIW) is the primary water mass associated with Pacific meridional overturning circulation. While the relationship between Atlantic meridional overturning circulation and climate has been extensively studied, a lack of suitable sediment cores has limited past investigations of North Pacific climate and NPIW variability. Integrated Ocean Drilling Program Site U1342 (818 m water depth) on Bower's Ridge in the Bering Sea is located at a sensitive depth for detecting changes in NPIW, and it is the only available sub-arctic North Pacific site that offers long, continuous core recovery, relatively high sedimentation rates, excellent foraminifera preservation, and a well-constrained age model over multiple glacial-interglacial cycles. Previous work at Site U1342 from Knudson and Ravelo (2015), using non-quantitative circulation proxies, provides evidence for enhanced NPIW formation during extreme glacials associated with the closure of the Bering Strait and suggest that NPIW was formed locally within the Bering Sea. Our work builds on the potential importance of these results and applies more robust and potentially quantitative circulation proxies to constrain NPIW variability. Here, we present new records of NPIW circulation from Site U1342 based on Nd isotope analyses on fish debris and Fe-Mn encrusted foraminifera, which serve as semi-quantitative "water mass tracers." Weak Bering Sea NPIW formation and ventilation are reflected by relatively lower eNd values indicative of open subarctic North Pacific waters, which are presently predominant, whereas enhanced Bering Sea NPIW formation and ventilation are be reflected by relatively higher eNd values due to the input of Nd from regional volcanic rocks.

On the role of periodic structures in the lower jaw of the atlantic bottlenose dolphin (Tursiops truncatus).

PubMed

Dible, S A; Flint, J A; Lepper, P A

2009-03-01

This paper proposes the application of band-gap theory to hearing in the atlantic bottlenose dolphin (Tursiops truncatus). Using the transmission line modelling (TLM) technique and published computed tomography (CT) data of an atlantic bottlenose dolphin (Tursiops truncatus), a series of sound propagation experiments have been carried out. It is shown that the teeth in the lower jaw can be viewed as a periodic array of scattering elements which result in the formation of an acoustic stop band (or band gap) that is angular dependent. It is shown through simple and complex geometry simulations that performance enhancements such as improved gain and isolation between the two receive paths can be achieved. This mechanism has the potential to be exploited in direction-finding sonar.

On-Demand Lectures Create an Effective Distributed Education Experience

ERIC Educational Resources Information Center

Lindsey, Stanley D.

2003-01-01

In this article, the author shares his experience teaching senior-level structural engineering courses at the Georgia Institute of Technology's Georgia Tech Regional Engineering Program. The program is a unique partnership of four universities--Georgia Tech, Savannah State University, Armstrong Atlantic State University, and Georgia Southern…

Deglacial 'ping-pong' between East Asian Monsoon, North Pacific Meridional Overturning Circulation, and sediment dynamics along the deep northern South China Sea margin

NASA Astrophysics Data System (ADS)

Sarnthein, M.

2011-12-01

On the basis of marine and speleothem paleoclimate records it is widely accepted that the East Asian summer monsoon was strongly reduced during Heinrich stadial 1 (HS-1) such as during preceding stadials. Accordingly, Eastern Asia suffered from severe aridity from 17.4 - 14.7 ka, when all great Asian rivers from the Mekong in the south up to the Amur in the north almost ceased flowing into the Western Pacific. Today, the modern freshwater input of these rivers sums up to approx. 0.165 Sverdrups (in addition to the river discharge from Canada and Alaska), a flow possibly similar to the meltwater outbreaks that induced Atlantic Heinrich stadials. The East Asian freshwater feeds the Kuroshio/Oyashio Currents which act as "rain gutter" and finally discharge the freshwater up to the subarctic North Pacific (sensu Emile-Geay, et al., 2003). Indeed, the great reduction in both the fluvial freshwater discharge and the direct monsoon precipitation over the N.W. Pacific during HS-1 matched a significant rise in sea surface salinity in the subarctic North Pacific. Most important, it was precisely coeval with a thousand-year long pulse of North Pacific deep-water convection down to >3600 m water depth. This event obviously reflects a direct response to the great reduction in East Asian monsoon precipitation and is inferred from a major reduction of planktic reservoir ages from 1150 to 300 yr in the northwest Pacific and in particular, from an abrupt reduction of benthic ventilation ages by 1500 yr and a prominent minimum in bottom water alkalinity inferred from minimum delta11B, that suggests intensive vertical downmixing. The ventilated North Pacific deep waters, in turn, probably formed a western boundary current per analogy to that along the modern West Atlantic margin and finally entered the South China Sea with a lag of centuries. Today the track of the Pacific inflow can be traced along the northern margin of the South China Sea near 2000 m water depth by means of erosional furrows that reflect winnowing and/or erosion. The great deglacial incursion of North Pacific deep waters is reflected by a prominent reduction in deep-water ventilation ages and a maximum in CaCO3 preservation that leads to an aragonite spike. Near the end of previous glacial terminations II, III, and V (i.e., in the context of Heinrich stadials associated) the deglacial incursion pulses of North Pacific Deep Water probably resulted in major erosional hiatuses found at ODP Site 1144 to the south of HongKong, which each may finally be traced back to a short-term dramatic reduction in East Asian monsoon moisture during deglacial Heinrich events as ultimate driver of short-term convection events in the N.W. Pacific. Ref.: Emile-Geay, J., et al., 2003, Warren revisited: Atmospheric freshwater fluxes and 'Why is no deep water formed in the North Pacific.' - JGR 108, C6, 3178, doi:10.1029/2001JC001058.

Impact of paleoceanographic changes at glacial/interglacial transitions on benthic foraminiferal faunas of the eastern North Atlantic (IODP Expedition 339, Site U1385)

NASA Astrophysics Data System (ADS)

Grunert, Patrick; Hodell, David; Alvarez Zarikian, Carlos; Hernández-Molina, F. Javier; Stow, Dorrik A. V.

2014-05-01

Communities of deep-sea foraminifera are sensitive recorders of environmental conditions. Consequently, the actualistic interpretation of fossil foraminiferal assemblages has become a valuable tool for the reconstruction of paleoceanographic conditions at the sea-floor. For the present study, a quantitative data-set of benthic foraminifera >125μm from the eastern North Atlantic has been analysed to understand paleoceanographic changes (AMOC, ventilation, productivity) associated with glacial/interglacial transitions in more detail. The data-set consists of a series of samples from IODP Site U1385 spanning Terminations I, II and IV and several short-term (millennial-scale) climatic events including the Younger Dryas (YD), Heinrich (H) 1, and H 11. On the family and generic levels, a characteristic succession of foraminiferal assemblages can be recognized at all studied glacial/interglacial transitions: a glacial fauna with abundant occurrences of cassidulinids (Cassidulina, Globocassidulina); a fauna characterized by high abundances of buliminds (Bulimina, Globobulimina) and/or bolivinellids (Bolivinita) that is associated with H-events and the beginning of each termination; a fauna with high abundances of miliolids (mainly Pyrgo) and cibicidids at the end of the termination; an interglacial fauna composed of buliminds (Bulimina), gavellinellids (Gyroidinoides), and pseudoparrellids (Epistominella). For the glacial and interglacial endmembers, this succession indicates a moderately oxygenated environment at the seafloor with mesotrophic conditions due to moderate export productivity. For the early phase of the terminations as well as the short-term events, the dominance of infaunal taxa and high abundances of deep infaunal taxa indicate an environment with high export productivity that is mainly controlled by oxygen. Conversely, the absence of these taxa and the presence of miliolids suggests well-ventilated environments and decreasing export productivity during the later phase of the terminations. While the evaluation on the generic level indicates repetitive paleoenvironmental changes for the studied transitions, the taxonomic analysis on the species level reveals significant differences between the terminations. These differences primarily concern the H-events and the early phase of the terminations. H 1 differs from other such events by showing the highest abundances of deep infaunal like Globobulimina affinis. In contrast, H 11 is characterized by high abundances of Bulimina marginata and Cassidulina laevigata/teretis which are rare to absent during H 1. A similar pattern is observed for a H-event associated with the onset of Termination IV. In contrast, the H-event preceding Termination IV shows high abundances of Bolivinita quadrilatera, a species absent all other samples. The explanation of the faunal differences between the terminations despite a rather comparable environmental framework (poor ventilation and/or high export productivity) indicates that the nature of short-term events is fairly diverse and an individual perspective has to be put on each these events. E.g., in the case of H 1, increased primary productivity and/or severely reduced AMOC compared to other such events might provide explanations. For the other, less well known events new isotopic results are expected to help with the explanation.

Mediterranean Outflow and surface water variability off southern Portugal during the early Pleistocene: A snapshot at Marine Isotope Stages 29 to 34 (1020-1135 ka)

NASA Astrophysics Data System (ADS)

Voelker, Antje H. L.; Salgueiro, Emilia; Rodrigues, Teresa; Jimenez-Espejo, Francisco J.; Bahr, André; Alberto, Ana; Loureiro, Isabel; Padilha, Maria; Rebotim, Andreia; Röhl, Ursula

2015-10-01

Centennial-to-millennial scale records from IODP Site U1387, drilled during IODP Expedition 339 into the Faro Drift at 558 m water depth, now allow evaluating the climatic history of the upper core of the Mediterranean Outflow (MOW) and of the surface waters in the northern Gulf of Cadiz during the early Pleistocene. This study focuses on the period from Marine Isotope Stages (MIS) 29 to 34, i.e. the interval surrounding extreme interglacial MIS 31. Conditions in the upper MOW reflect obliquity, precession and millennial-scale variations. The benthic δ18O signal follows obliquity with the exception of an additional, smaller δ18O peak that marks the MIS 32/31 transition. Insolation maxima (precession minima) led to poor ventilation and a sluggish upper MOW core, whereas insolation minima were associated with enhanced ventilation and often also increased bottom current velocity. Millennial-scale periods of colder sea-surface temperatures (SST) were associated with short-term maxima in flow velocity and better ventilation, reminiscent of conditions known from MIS 3. A prominent contourite layer, coinciding with insolation cycle 100, was formed during MIS 31 and represents one of the few contourites developing within an interglacial period. MIS 31 surface water conditions were characterized by an extended period (1065-1091 ka) of warm SST, but SST were not much warmer than during MIS 33. Interglacial to glacial transitions experienced 2 to 3 stadial/interstadial cycles, just like their mid-to-late Pleistocene counterparts. Glacial MIS 30 and 32 recorded periods of extremely cold (< 12 °C) SST that in their climatic impact were comparable with the Heinrich events of the mid and late Pleistocene. Glacial MIS 34, on the other hand, was a relative warm glacial period off southern Portugal. Overall, surface water and MOW conditions at Site U1387 show a strong congruence with Mediterranean climate, whereas millennial-scale variations are closely linked to North Atlantic circulation changes.

ASSESSMENT OF FUNGAL (PENICILLIUM CHRYSOGENUM) GROWTH ON THREE HVAC DUCT MATERIALS

EPA Science Inventory

The article discusses laboratory experiments to evaluate the susceptibility of three ventilation duct materials (fibrous glass ductboard, galvanized steel, and insulated flexible duct) to fungal (P. chrysogenum) growth. [NOTE: Many building investigators have documented fungal bi...

Anaesthesia ventilators.

PubMed

Jain, Rajnish K; Swaminathan, Srinivasan

2013-09-01

Anaesthesia ventilators are an integral part of all modern anaesthesia workstations. Automatic ventilators in the operating rooms, which were very simple with few modes of ventilation when introduced, have become very sophisticated with many advanced ventilation modes. Several systems of classification of anaesthesia ventilators exist based upon various parameters. Modern anaesthesia ventilators have either a double circuit, bellow design or a single circuit piston configuration. In the bellows ventilators, ascending bellows design is safer than descending bellows. Piston ventilators have the advantage of delivering accurate tidal volume. They work with electricity as their driving force and do not require a driving gas. To enable improved patient safety, several modifications were done in circle system with the different types of anaesthesia ventilators. Fresh gas decoupling is a modification done in piston ventilators and in descending bellows ventilator to reduce th incidence of ventilator induced volutrauma. In addition to the conventional volume control mode, modern anaesthesia ventilators also provide newer modes of ventilation such as synchronised intermittent mandatory ventilation, pressure-control ventilation and pressure-support ventilation (PSV). PSV mode is particularly useful for patients maintained on spontaneous respiration with laryngeal mask airway. Along with the innumerable benefits provided by these machines, there are various inherent hazards associated with the use of the ventilators in the operating room. To use these workstations safely, it is important for every Anaesthesiologist to have a basic understanding of the mechanics of these ventilators and breathing circuits.

Evaluation of ventilators for mouthpiece ventilation in neuromuscular disease.

PubMed

Khirani, Sonia; Ramirez, Adriana; Delord, Vincent; Leroux, Karl; Lofaso, Frédéric; Hautot, Solène; Toussaint, Michel; Orlikowski, David; Louis, Bruno; Fauroux, Brigitte

2014-09-01

Daytime mouthpiece ventilation is a useful adjunct to nocturnal noninvasive ventilation (NIV) in patients with neuromuscular disease. The aims of the study were to analyze the practice of mouthpiece ventilation and to evaluate the performance of ventilators for mouthpiece ventilation. Practice of mouthpiece ventilation was assessed by a questionnaire, and the performance of 6 home ventilators with mouthpiece ventilation was assessed in a bench test using 24 different conditions per ventilator: 3 mouthpieces, a child and an adult patient profile, and 4 ventilatory modes. Questionnaires were obtained from 30 subjects (mean age 33 ± 11 y) using NIV for 12 ± 7 y. Fifteen subjects used NIV for > 20 h/day, and 11 were totally ventilator-dependent. The subject-reported benefits of mouthpiece ventilation were a reduction in dyspnea (73%) and fatigue (93%) and an improvement in speech (43%) and eating (27%). The bench study showed that none of the ventilators, even those with mouthpiece ventilation software, were able to deliver mouthpiece ventilation without alarms and/or autotriggering in each condition. Alarms and/or ineffective triggering or autotriggering were observed in 135 of the 198 conditions. The occurrence of alarms was more common with a large mouthpiece without a filter compared to a small mouthpiece with a filter (P < .001), but it was not related to the patient profile, the ventilatory mode, or the type of ventilator. Subjects are satisfied with mouthpiece ventilation. Alarms are common with home ventilators, although less common in those with mouthpiece ventilation software. Improvements in home ventilators are needed to facilitate the expansion of mouthpiece ventilation. Copyright © 2014 by Daedalus Enterprises.

Albumin transcytosis from the pleural space.

PubMed

Agostoni, Emilio; Bodega, Francesca; Zocchi, Luciano

2002-11-01

Occurrence of transcytosis in pleural mesothelium was verified by measuring removal of labeled macromolecules from pleural liquid in experiments without and with nocodazole. To this end, we injected 0.3 ml of Ringer-albumin with 750 microg of albumin-Texas red or with 600 microg of dextran 70-Texas red in the right pleural space of anesthetized rabbits, and after 3 h we measured pleural liquid volume, labeled macromolecule concentration, and, hence, labeled macromolecule quantity in the liquid of this space. Labeled albumin left was 318 +/- 28 microg in control and 419 +/- 17 microg in nocodazole experiments (means +/- SE); hence, whereas ventilation was similar its removal was greater (P < 0.01) in control experiments. Labeled dextran left was 283 +/- 10 microg in control and 381 +/- 21 microg in nocodazole experiments; hence, whereas ventilation was similar its removal was greater (P < 0.01) in control experiments. These findings indicate occurrence of transcytosis from the pleural space. Liquid removed by transcytosis was 0.05 ml/h. This amount times unlabeled albumin concentration under physiological conditions (10 mg/ml) times lumen-vesicle partition coefficient for albumin (0.78) provides fluid-phase albumin transcytosis: approximately 203 microg. h(-1) kg(-2/3). Transcytosis might contribute a relevant part of protein and liquid removal from the pleural space.

Assimilation of TOPEX/POSEIDON altimeter data into a circulation model of the North Atlantic

NASA Astrophysics Data System (ADS)

Blayo, E.; Verron, J.; Molines, J. M.

1994-12-01

Assimilation experiments were conducted using the first 12 months of TOPEX/POSEIDON (T/P) altimeter measurements in a multilayered quasi-geostrophic model of the North Atlantic between 20°N and 60°N. These experiments demonstrate the feasibility of using T/P data to control a basin-scale circulation model by means of an assimilation procedure. Moreover, they allow us to recreate the four-dimensional behavior of the North Atlantic Ocean during the year October 1992-September 1993 and to improve our knowledge and understanding of such circulation patterns. For this study we used a four-layer quasigeostrophic model of high horizontal resolution (1/6° in latitude and longitude). The assimilation procedure used is an along-track, sequential, nudging technique. The evolution of the model general circulation is described and analyzed from a deterministic and statistical point of view, with special emphasis on the Gulf Stream area. The gross features of the North Atlantic circulation in terms of mean transport and circulation are reproduced, such as the path, penetration and recirculation of the Gulf Stream, and its meandering throughout the eastern basin. The North Atlantic Drift is, however, noticeably underestimated. A northern meander of the north wall of the Gulf Stream above the New England Seamount Chain is present for most of the year, while, just downstream, the southern part of the jet is subject to a 100-km southeastward deflection. The Azores current is shown to remain stable and to shift southward with time from the beginning of December 1992 to the end of April 1993, the amplitude of the shift being about 2°. The computation of the mean latitude of the Gulf Stream as a function of time shows an abrupt shift from a northern position to a southern position in January, and a reverse shift, from a southern position to a northern position, in July. Finally, some issues are addressed concerning the comparison of assimilation experiments using T/P data and Geosat data. The first results show that the T/P simulations are more energetic than the Geosat simulations, especially east of the Mid-Atlantic Ridge, for every wavelength from 50 km to 500 km. This property is also verified in the deep ocean. The predicted abyssal circulation is indeed more energetic in the T/P case, which is more in accordance with what we know of the real ocean. Moreover, the good T/P altimeter coverage near the coasts greatly improves the model eddy kinetic energy levels in these areas, especially east of 25°W.

Transmission of Mycobacterium chimaera from Heater-Cooler Units during Cardiac Surgery despite an Ultraclean Air Ventilation System.

PubMed

Sommerstein, Rami; Rüegg, Christian; Kohler, Philipp; Bloemberg, Guido; Kuster, Stefan P; Sax, Hugo

2016-06-01

Heater-cooler units (HCUs) were recently identified as a source of Mycobacterium chimaera causing surgical site infections. We investigated transmission of this bacterium from HCUs to the surgical field by using a thermic anemometer and particle counter, videotape of an operating room equipped with an ultraclean laminar airflow ventilation system, and bacterial culture sedimentation plates in a nonventilated room. Smoke from the HCU reached the surgical field in 23 s by merging with ultraclean air. The HCU produced on average 5.2, 139, and 14.8 particles/min in the surgical field at positions Off, On/oriented toward, and On/oriented away, respectively. Culture plates were positive for M. chimaera <5 m from the HCU in the test room. These experiments confirm airborne transmission of M. chimaera aerosols from a contaminated HCU to an open surgical field despite ultraclean air ventilation. Efforts to mitigate infectious risks during surgery should consider contamination from water sources and airflow-generating devices.

Transmission of Mycobacterium chimaera from Heater–Cooler Units during Cardiac Surgery despite an Ultraclean Air Ventilation System

PubMed Central

Sommerstein, Rami; Rüegg, Christian; Kohler, Philipp; Bloemberg, Guido; Kuster, Stefan P.

2016-01-01

Heater–cooler units (HCUs) were recently identified as a source of Mycobacterium chimaera causing surgical site infections. We investigated transmission of this bacterium from HCUs to the surgical field by using a thermic anemometer and particle counter, videotape of an operating room equipped with an ultraclean laminar airflow ventilation system, and bacterial culture sedimentation plates in a nonventilated room. Smoke from the HCU reached the surgical field in 23 s by merging with ultraclean air. The HCU produced on average 5.2, 139, and 14.8 particles/min in the surgical field at positions Off, On/oriented toward, and On/oriented away, respectively. Culture plates were positive for M. chimaera <5 m from the HCU in the test room. These experiments confirm airborne transmission of M. chimaera aerosols from a contaminated HCU to an open surgical field despite ultraclean air ventilation. Efforts to mitigate infectious risks during surgery should consider contamination from water sources and airflow-generating devices. PMID:27070958

Drinking Motivations and Experiences of Unwanted Sexual Advances among Undergraduate Students

ERIC Educational Resources Information Center

Novik, Melinda G.; Howard, Donna E.; Boekeloo, Bradley O.

2011-01-01

This study examined the relationship between drinking motivations and college students' experiences with unwanted sexual advances. Undergraduates, from a public university in the mid-Atlantic region, who reported recent (30 day) alcohol use (n = 289) completed an online survey midway through the spring 2007 academic semester. Experiencing an…

Holistic Care for Patients During Weaning from Mechanical Ventilation: A Qualitative Study

PubMed Central

Khalafi, Ali; Elahi, Nasrin; Ahmadi, Fazlollah

2016-01-01

Background Weaning patients from mechanical ventilation is a complex and highly challenging process. It requires continuity of care, the overall assessment of patients, and a focus on all aspects of patients’ needs by critical care nurses. Objectives The aim of the present study was to explore holistic care while patients are being weaned from mechanical ventilation from the perspective of the critical care nurses. Methods The study was carried out in the intensive care units (ICUs) of six hospitals in Ahvaz, Iran, from 2014 to 2015. In this qualitative study, 25 ICU staff including nurses, nurse managers, and nurse educators were selected by means of purposive sampling. Semi-structured interviews were used for data collection. The interview transcripts were then analyzed using qualitative content analysis. Results The four main themes that emerged to explain nurses’ experiences of holistic care when weaning patients from mechanical ventilation include continuous care, a holistic overview of the patient, promoting human dignity, and the overall development of well-being. Conclusions It was found that avoiding routine pivotal expertise, increasing consciousness of the nonphysical aspects of patients while providing treatment and presenting exclusive care, utilizing experienced ICU nurses, and placing more emphasis on effective communication with patients in order to honor them as human beings can all enhance the holistic quality of care. PMID:28191345

Holistic Care for Patients During Weaning from Mechanical Ventilation: A Qualitative Study.

PubMed

Khalafi, Ali; Elahi, Nasrin; Ahmadi, Fazlollah

2016-11-01

Weaning patients from mechanical ventilation is a complex and highly challenging process. It requires continuity of care, the overall assessment of patients, and a focus on all aspects of patients' needs by critical care nurses. The aim of the present study was to explore holistic care while patients are being weaned from mechanical ventilation from the perspective of the critical care nurses. The study was carried out in the intensive care units (ICUs) of six hospitals in Ahvaz, Iran, from 2014 to 2015. In this qualitative study, 25 ICU staff including nurses, nurse managers, and nurse educators were selected by means of purposive sampling. Semi-structured interviews were used for data collection. The interview transcripts were then analyzed using qualitative content analysis. The four main themes that emerged to explain nurses' experiences of holistic care when weaning patients from mechanical ventilation include continuous care, a holistic overview of the patient, promoting human dignity, and the overall development of well-being. It was found that avoiding routine pivotal expertise, increasing consciousness of the nonphysical aspects of patients while providing treatment and presenting exclusive care, utilizing experienced ICU nurses, and placing more emphasis on effective communication with patients in order to honor them as human beings can all enhance the holistic quality of care.

Modelling size-fractionated primary production in the Atlantic Ocean from remote sensing

NASA Astrophysics Data System (ADS)

Brewin, Robert J. W.; Tilstone, Gavin H.; Jackson, Thomas; Cain, Terry; Miller, Peter I.; Lange, Priscila K.; Misra, Ankita; Airs, Ruth L.

2017-11-01

Marine primary production influences the transfer of carbon dioxide between the ocean and atmosphere, and the availability of energy for the pelagic food web. Both the rate and the fate of organic carbon from primary production are dependent on phytoplankton size. A key aim of the Atlantic Meridional Transect (AMT) programme has been to quantify biological carbon cycling in the Atlantic Ocean and measurements of total primary production have been routinely made on AMT cruises, as well as additional measurements of size-fractionated primary production on some cruises. Measurements of total primary production collected on the AMT have been used to evaluate remote-sensing techniques capable of producing basin-scale estimates of primary production. Though models exist to estimate size-fractionated primary production from satellite data, these have not been well validated in the Atlantic Ocean, and have been parameterised using measurements of phytoplankton pigments rather than direct measurements of phytoplankton size structure. Here, we re-tune a remote-sensing primary production model to estimate production in three size fractions of phytoplankton (<2 μm, 2-10 μm and >10 μm) in the Atlantic Ocean, using measurements of size-fractionated chlorophyll and size-fractionated photosynthesis-irradiance experiments conducted on AMT 22 and 23 using sequential filtration-based methods. The performance of the remote-sensing technique was evaluated using: (i) independent estimates of size-fractionated primary production collected on a number of AMT cruises using 14C on-deck incubation experiments and (ii) Monte Carlo simulations. Considering uncertainty in the satellite inputs and model parameters, we estimate an average model error of between 0.27 and 0.63 for log10-transformed size-fractionated production, with lower errors for the small size class (<2 μm), higher errors for the larger size classes (2-10 μm and >10 μm), and errors generally higher in oligotrophic waters. Application to satellite data in 2007 suggests the contribution of cells <2 μm and >2 μm to total primary production is approximately equal in the Atlantic Ocean.

Antarctic contribution to meltwater pulse 1A from reduced Southern Ocean overturning.

PubMed

Golledge, N R; Menviel, L; Carter, L; Fogwill, C J; England, M H; Cortese, G; Levy, R H

2014-09-29

During the last glacial termination, the upwelling strength of the southern polar limb of the Atlantic Meridional Overturning Circulation varied, changing the ventilation and stratification of the high-latitude Southern Ocean. During the same period, at least two phases of abrupt global sea-level rise--meltwater pulses--took place. Although the timing and magnitude of these events have become better constrained, a causal link between ocean stratification, the meltwater pulses and accelerated ice loss from Antarctica has not been proven. Here we simulate Antarctic ice sheet evolution over the last 25 kyr using a data-constrained ice-sheet model forced by changes in Southern Ocean temperature from an Earth system model. Results reveal several episodes of accelerated ice-sheet recession, the largest being coincident with meltwater pulse 1A. This resulted from reduced Southern Ocean overturning following Heinrich Event 1, when warmer subsurface water thermally eroded grounded marine-based ice and instigated a positive feedback that further accelerated ice-sheet retreat.

Response of the Atlantic meridional overturning circulation to a reversal of greenhouse gas increases

NASA Astrophysics Data System (ADS)

Jackson, L. C.; Schaller, N.; Smith, R. S.; Palmer, M. D.; Vellinga, M.

2014-06-01

The reversibility of the Atlantic meridional overturning circulation (AMOC) is investigated in multi-model experiments using global climate models (GCMs) where CO2 concentrations are increased by 1 or 2 % per annum to 2× or 4× preindustrial conditions. After a period of stabilisation the CO2 is decreased back to preindustrial conditions. In most experiments when the CO2 decreases, the AMOC recovers before becoming anomalously strong. This "overshoot" is up to an extra 18.2Sv or 104 % of its preindustrial strength, and the period with an anomalously strong AMOC can last for several hundred years. The magnitude of this overshoot is shown to be related to the build up of salinity in the subtropical Atlantic during the previous period of high CO2 levels. The magnitude of this build up is partly related to anthropogenic changes in the hydrological cycle. The mechanisms linking the subtropical salinity increase to the subsequent overshoot are analysed, supporting the relationship found. This understanding is used to explain differences seen in some models and scenarios. In one experiment there is no overshoot because there is little salinity build up, partly as a result of model differences in the hydrological cycle response to increased CO2 levels and partly because of a less aggressive scenario. Another experiment has a delayed overshoot, possibly as a result of a very weak AMOC in that GCM when CO2 is high. This study identifies aspects of overshoot behaviour that are robust across a multi-model and multi-scenario ensemble, and those that differ between experiments. These results could inform an assessment of the real-world AMOC response to decreasing CO2.

Providers with Limited Experience Perform Better in Advanced Life Support with Assistance Using an Interactive Device with an Automated External Defibrillator Linked to a Ventilator.

PubMed

Busch, Christian Werner; Qalanawi, Mohammed; Kersten, Jan Felix; Kalwa, Tobias Johannes; Scotti, Norman Alexander; Reip, Wikhart; Doehn, Christoph; Maisch, Stefan; Nitzschke, Rainer

2015-10-01

Medical teams with limited experience in performing advanced life support (ALS) or with a low frequency of cardiopulmonary resuscitation (CPR) while on duty, often have difficulty complying with CPR guidelines. This study evaluated whether the quality of CPR of trained medical students, who served as an example of teams with limited experience in ALS, could be improved with device assistance. The primary outcome was the hands-off time (i.e., the percentage of the entire CPR time without chest compressions). The secondary outcome was seven time intervals, which should be as short as possible, and the quality of ventilations and chest compressions on the mannequin. We compared standard CPR equipment to an interactive device with visual and acoustic instructions for ALS workflow measures to guide briefly trained medical students through the ALS algorithm in a full-scale mannequin simulation study with a randomized crossover study design. The study equipment consisted of an automatic external defibrillator and ventilator that were electronically linked and communicating as a single system. Included were regular medical students in the third to sixth years of medical school of one class who provided written informed consent for voluntary participation and for the analysis of their CPR performance data. No exclusion criteria were applied. For statistical measures of evaluation we used an analysis of variance for crossover trials accounting for treatment effect, sequence effect, and carry-over effect, with adjustment for prior practical experience of the participants. Forty-two medical students participated in 21 CPR sessions, each using the standard and study equipment. Regarding the primary end point, the study equipment reduced the hands-off time from 40.1% (95% confidence interval [CI] 36.9-43.4%) to 35.6% (95% CI 32.4-38.9%, p = 0.031) compared with the standard equipment. Within the prespecified secondary end points, study equipment reduced the time interval until the first rescuer changeover from 273 s (95% CI 244-302 s) to 223 s (95% CI 194-253 s, p = 0.001) and increased the percentage of ventilations with a correct tidal volume of 400-600 mL from 34.3% (95% CI 19.0-49.6%) to 60.9% (95% CI 45.6-76.2%, p = 0.018). The assist device increased the rescuers' CPR quality. CPR providers with limited experience or a limited frequency of CPR performance (i.e., rural Emergency Medical Services crew) may potentially benefit from this assist device. Copyright © 2015 Elsevier Inc. All rights reserved.

A note on Bjerkne's hypothesis for North Atlantic variability

NASA Astrophysics Data System (ADS)

Bryan, Kirk; Stouffer, Ron

1991-01-01

On decadal time-scales the historical surface temperature record over land in the Northern Hemisphere is dominated by polar amplified variations. These variations are coherent with SST anomalies concentrated in the Northwest Atlantic, but extending with lesser amplitude into the North Pacific as well. Bierknes suggested that multi-year SST anomalies in the subpolar North Atlantic were due to irregular changes in the intensity of the thermohaline circulation. In support of the Bjerknes hypothesis there is evidence that winter overturning in the Labrador Sea was suppressed for a brief period from 1967-1969 by a cap of relative fresh water at the surface. Cause and effect are unclear, but this event was associated with a marked cooling of the entire Northern Hemisphere. The difference in SST averaged over the Northern Hemisphere oceans and SST averaged over the Southern Hemisphere oceans from the equator to 40°S is coherent with Sahel summer rainfall on decadal time scales. Empirical evidence is supported by numerical experiments with the British Meteorological Office atmospheric climate model which simulate augmented monsoonal rainfall in the Sahel region of Africa in response to realistic warm SST anomalies in the Northwest Atlantic. A coupled ocean-atmosphere global model exhibits two equilibrium climate states. One has an active thermohaline circulation in the North Atlantic and the other does not. The two climate states provide an extreme example which illustrates the type of large scale air sea interaction Bjerknes visualized as a mechanism for North Atlantic climate variability on decadal time-scales.

Hypoxic Induced Decrease in Oxygen Consumption in Cuttlefish (Sepia officinalis) Is Associated with Minor Increases in Mantle Octopine but No Changes in Markers of Protein Turnover

PubMed Central

Capaz, Juan C.; Tunnah, Louise; MacCormack, Tyson J.; Lamarre, Simon G.; Sykes, Antonio V.; Driedzic, William R.

2017-01-01

The common cuttlefish (Sepia officinalis), a dominant species in the north-east Atlantic ocean and Mediterranean Sea, is potentially subject to hypoxic conditions due to eutrophication of coastal waters and intensive aquaculture. Here we initiate studies on the biochemical response to an anticipated level of hypoxia. Cuttlefish challenged for 1 h at an oxygen level of 50% dissolved oxygen saturation showed a decrease in oxygen consumption of 37% associated with an 85% increase in ventilation rate. Octopine levels were increased to a small but significant level in mantle, whereas there was no change in gill or heart. There were no changes in mantle free glucose or glycogen levels. Similarly, the hypoxic period did not result in changes in HSP70 or polyubiquinated protein levels in mantle, gill, or heart. As such, it appears that although there was a decrease in metabolic rate there was only a minor increase in anaerobic metabolism as evidenced by octopine accumulation and no biochemical changes that are hallmarks of alterations in protein trafficking. Experiments with isolated preparations of mantle, gill, and heart revealed that pharmacological inhibition of protein synthesis could decrease oxygen consumption by 32 to 42% or Na+/K+ ATPase activity by 24 to 54% dependent upon tissue type. We propose that the decrease in whole animal oxygen consumption was potentially the result of controlled decreases in the energy demanding processes of both protein synthesis and Na+/K+ ATPase activity. PMID:28603503

Potential risk for bacterial contamination in conventional reused ventilator systems and disposable closed ventilator-suction systems.

PubMed

Li, Ya-Chi; Lin, Hui-Ling; Liao, Fang-Chun; Wang, Sing-Siang; Chang, Hsiu-Chu; Hsu, Hung-Fu; Chen, Sue-Hsien; Wan, Gwo-Hwa

2018-01-01

Few studies have investigated the difference in bacterial contamination between conventional reused ventilator systems and disposable closed ventilator-suction systems. The aim of this study was to investigate the bacterial contamination rates of the reused and disposable ventilator systems, and the association between system disconnection and bacterial contamination of ventilator systems. The enrolled intubated and mechanically ventilated patients used a conventional reused ventilator system and a disposable closed ventilator-suction system, respectively, for a week; specimens were then collected from the ventilator circuit systems to evaluate human and environmental bacterial contamination. The sputum specimens from patients were also analyzed in this study. The detection rate of bacteria in the conventional reused ventilator system was substantially higher than that in the disposable ventilator system. The inspiratory and expiratory limbs of the disposable closed ventilator-suction system had higher bacterial concentrations than the conventional reused ventilator system. The bacterial concentration in the heated humidifier of the reused ventilator system was significantly higher than that in the disposable ventilator system. Positive associations existed among the bacterial concentrations at different locations in the reused and disposable ventilator systems, respectively. The predominant bacteria identified in the reused and disposable ventilator systems included Acinetobacter spp., Bacillus cereus, Elizabethkingia spp., Pseudomonas spp., and Stenotrophomonas (Xan) maltophilia. Both the reused and disposable ventilator systems had high bacterial contamination rates after one week of use. Disconnection of the ventilator systems should be avoided during system operation to decrease the risks of environmental pollution and human exposure, especially for the disposable ventilator system. ClinicalTrials.gov PRS / NCT03359148.

North Atlantic early 20th century warming and impact on European summer: Mechanisms and Predictability

NASA Astrophysics Data System (ADS)

Müller, Wolfgang

2017-04-01

During the last century, substantial climate variations in the North Atlantic have occurred, such as the warmings in the 1920s and 1990s. Such variations are considered to be part of the variability known as the Atlantic Multidecadal Variations (AMV) and have a strong impact on local climates such as European summers. Here a synthesis of previous works is presented which describe the occurrence of the warming in the 1920s in the North Atlantic and its impact on the European summer climate (Müller et al. 2014, 2015). For this the 20th century reanalysis (20CR) and 20CR forced ocean experiments are evaluated. It can be shown that the North Atlantic Current and Sub-Polar Gyre are strengthened as a result of an increased pressure gradient over the North Atlantic. Concurrently, Labrador Sea convection and Atlantic meridional overturning circulation (AMOC) increase. The intensified NAC, SPG, and AMOC redistribute sub-tropical water into the North Atlantic and Nordic Seas, thereby increasing observed and modelled temperature and salinity during the 1920s. Further a mechanism is proposed by which North Atlantic heat fluxes associated with the AMV modulate European decadal summer climate (Ghosh et al. 2016). By using 20CR, it can be shown that multi-decadal variations in the European summer temperature are associated to a linear baroclinic atmospheric response to the AMV-related surface heat flux. This response induce a sea level pressure structure modulating meridional temperature advection over north-western Europe and Blocking statistics over central Europe. This structure is shown to be the leading mode of variability and is independent of the summer North Atlantic Oscillation. Ghosh, R., W.A. Müller, J. Bader, and J. Baehr, 2016: Impact of observed North Atlantic multidecadal variations to European summer climate: A linear baroclinic response to surface heating. Clim. Dyn. doi:10.10007/s00382-016-3283-4 Müller W. A., D. Matei, M. Bersch, J. H. Jungclaus, H. Haak, K. Lohmann,G. P. Compo, and J. Marotzke, 2015: A 20th-century reanalysis forced ocean model to reconstruct North Atlantic climate variation during the 1920s, Climate Dynamics. doi:10.1007/s00382-014-2267-5 Müller, W. A., H. Pohlmann, F. Sienz, and D. Smith, 2014: Decadal climate prediction for the period 1901-2010 with a coupled climate model. Geophys. Res. Lett., 41, pp 2100-2107.

Advances in Understanding Decadal Climate Variability

NASA Technical Reports Server (NTRS)

Busalaacchi, Antonio J.

1998-01-01

Recently, a joint Brazil-France-U.S. program, known as PIRATA (Pilot Research moored Array in the Tropical Atlantic), was proposed to begin the deployment of moored measurement platforms in the tropical Atlantic in order to enhance the existing observational data base and subsequent understanding of the processes by which the ocean and atmosphere couple in key regions of the tropical Atlantic Ocean. Empirical studies have suggested that there are strong relationships between tropical Atlantic upper ocean variability, SST, ocean-atmosphere coupling and regional climate variability. During the early 1980's a coordinated set of surface wind, subsurface thermal structure, and subsurface current observations were obtained as part of the U.S.-France SEQUAL- FOCAL process experiment designed to observe the seasonal response of the tropical Atlantic Ocean to surface forcing. Since that time, however, the observational data base for the tropical Atlantic Ocean has disintegrated to a few shiptracks measuring ocean temperatures and a small collection of tide gauge stations measuring sea level. A more comprehensive set of observations, modeling and empirical studies is now in order to make progress on understanding the regional climate variability. The proposed PIRATA program will use mooring platforms similar to the tropical Pacific Ocean TAO array to measure surface fluxes of momentum and heat and the corresponding changes in the upper ocean thermal structure. It is anticipated that the oceanic data from this monitoring array will also be used in a predictive mode for initialization studies of regional coupled climate models. Of particular interest are zonal and meridional modes of ocean-atmosphere variability within the tropical Atlantic basin that have significant impacts on the regional climate of the bordering continents.

A51F-0123: Model Analysis of Tropospheric Aerosol Variability and Sources over the North Atlantic During NAAMES 2015-2016

NASA Technical Reports Server (NTRS)

Liu, Hongyu; Moore, Richard; Hostetler, Chris A.; Ferrare, Richard Anthony; Fairlie, Thomas Duncan; Hu, Youngxiang; Chen, Gao; Hair, Johnathan W.; Johnson, Matthew S.

2016-01-01

The North Atlantic Aerosols and Marine Ecosystems Study (NAAMES) is a five-year Earth-Venture Suborbital-2 Mission to characterize the plankton ecosystems and their influences on remote marine aerosols, boundary layer clouds, and their implications for climate in the North Atlantic. While marine-sourced aerosols have been shown to make important contributions to surface aerosol loading, cloud condensation nuclei and ice nuclei concentrations over remote marine and coastal regions, it is still a challenge to differentiate the marine biogenic aerosol signal from the strong influence of continental pollution outflow. We examine here the spatiotemporal variability and quantify the sources of tropospheric aerosols over the North Atlantic during the first two phases (November 2015 and May-June 2016) of NAAMES using a state-of-the-art chemical transport model (GEOS-Chem). The model is driven by the Modern-Era Retrospective analysis for Research and Applications, Version 2 (MERRA-2) from the NASA Global Modeling and Assimilation Office (GMAO). It includes sulfate-nitrate-ammonium aerosol thermodynamics coupled to ozone-NOx-hydrocarbon-aerosol chemistry, mineral dust, sea salt, elemental and organic carbon aerosols, and especially a recently implemented parameterization for the marine primary organic aerosol emission. The simulated aerosols over the North Atlantic are evaluated with available satellite (e.g., MODIS) observations of aerosol optical depths (AOD), and aircraft and ship aerosol measurements. We diagnose transport pathways for continental pollution outflow over the North Atlantic using carbon monoxide, an excellent tracer for anthropogenic pollution transport. We also conduct model perturbation experiments to quantify the relative contributions of terrestrial and oceanic sources to the aerosol loading, AOD, and their variability over the North Atlantic.

Advances in Understanding Decadal Climate Variability

NASA Technical Reports Server (NTRS)

Busalacchi, Antonio J.

1999-01-01

Recently, a joint Brazil-France-U.S. program, known as PIRATA (Pilot Research moored Array in the Tropical Atlantic), was proposed to begin the deployment of moored measurement platforms in the tropical Atlantic in order to enhance the existing observational data base and subsequent understanding of the processes by which the ocean and atmosphere couple in key regions of the tropical Atlantic Ocean. Empirical studies have suggested that there are strong relationships between tropical Atlantic upper ocean variability, SST, ocean-atmosphere coupling and regional climate variability. During the early 1980's a coordinated set of surface wind, subsurface thermal structure, and subsurface current observations were obtained as part of the U.S.-France SEQUAL-FOCAL process experiment designed to observe the seasonal response of the tropical Atlantic Ocean to surface forcing. Since that time, however, the observational data base for the tropical Atlantic Ocean has disintegrated to a few ship-tracks measuring ocean temperatures and a small collection of tide gauge stations measuring sea level. A more comprehensive set of observations, modeling and empirical studies is now in order to make progress on understanding the regional climate variability. The proposed PIRATA program will use mooring platforms similar to the tropical Pacific Ocean TAO array to measure surface fluxes of momentum and heat and the corresponding changes in the upper ocean thermal structure. It is anticipated that the oceanic data from this monitoring array will also be used in a predictive mode for initialization studies of regional coupled climate models. Of particular interest are zonal and meridional modes of ocean-atmosphere variability within the tropical Atlantic basin that have significant impacts on the regional climate of the bordering continents.

Inhibition of HMGCoA reductase by simvastatin protects mice from injurious mechanical ventilation.

PubMed

Manitsopoulos, Nikolaos; Orfanos, Stylianos E; Kotanidou, Anastasia; Nikitopoulou, Ioanna; Siempos, Ilias; Magkou, Christina; Dimopoulou, Ioanna; Zakynthinos, Spyros G; Armaganidis, Apostolos; Maniatis, Nikolaos A

2015-02-14

Mortality from severe acute respiratory distress syndrome exceeds 40% and there is no available pharmacologic treatment. Mechanical ventilation contributes to lung dysfunction and mortality by causing ventilator-induced lung injury. We explored the utility of simvastatin in a mouse model of severe ventilator-induced lung injury. Male C57BL6 mice (n = 7/group) were pretreated with simvastatin or saline and received protective (8 mL/kg) or injurious (25 mL/kg) ventilation for four hours. Three doses of simvastatin (20 mg/kg) or saline were injected intraperitoneally on days -2, -1 and 0 of the experiment. Lung mechanics, (respiratory system elastance, tissue damping and airway resistance), were evaluated by forced oscillation technique, while respiratory system compliance was measured with quasi-static pressure-volume curves. A pathologist blinded to treatment allocation scored hematoxylin-eosin-stained lung sections for the presence of lung injury. Pulmonary endothelial dysfunction was ascertained by bronchoalveolar lavage protein content and lung tissue expression of endothelial junctional protein Vascular Endothelial cadherin by immunoblotting. To assess the inflammatory response in the lung, we determined bronchoalveolar lavage fluid total cell content and neutrophil fraction by microscopy and staining in addition to Matrix-Metalloprotease-9 by ELISA. For the systemic response, we obtained plasma levels of Tumor Necrosis Factor-α, Interleukin-6 and Matrix-Metalloprotease-9 by ELISA. Statistical hypothesis testing was undertaken using one-way analysis of variance and Tukey's post hoc tests. Ventilation with high tidal volume (HVt) resulted in significantly increased lung elastance by 3-fold and decreased lung compliance by 45% compared to low tidal volume (LVt) but simvastatin abrogated lung mechanical alterations of HVt. Histologic lung injury score increased four-fold by HVt but not in simvastatin-pretreated mice. Lavage pleocytosis and neutrophilia were induced by HVt but were significantly attenuated by simvastatin. Microvascular protein permeability increase 20-fold by injurious ventilation but only 4-fold with simvastatin. There was a 3-fold increase in plasma Tumor Necrosis Factor-α, a 7-fold increase in plasma Interleukin-6 and a 20-fold increase in lavage fluid Matrix-Metalloprotease-9 by HVt but simvastatin reduced these levels to control. Lung tissue vascular endothelial cadherin expression was significantly reduced by injurious ventilation but remained preserved by simvastatin. High-dose simvastatin prevents experimental hyperinflation lung injury by angioprotective and anti-inflammatory effects.

Magnetic signatures of Heinrich-like detrital layers in the Quaternary of the North Atlantic

NASA Astrophysics Data System (ADS)

Channell, J. E. T.; Hodell, D. A.

2013-05-01

Magnetic parameters are useful for distinguishing North Atlantic Heinrich-like detrital layers from background sediments. Here we compare magnetic properties with XRF scanning data back to 700 ka and 1.3 Ma at IODP Sites U1302-U1303 and U1308, respectively. Multi-domain magnetite, with grain sizes >20 µm, is characteristic of both Ca- and Si-rich detrital layers, as defined by XRF core scanning, confirming the contribution of ice rafting. Reflectance spectra and magnetic parameters distinguish Ca- and Si-rich IRD layers due the presence of high coercivity hematite in Si-rich layers. Heinrich layer 6 (H6) at Site U1302-U1303 is unlike other detrital layers, being marked by a 45-cm thick homogeneous cream-colored clay layer underlain by a thin (5-cm) graded coarse-sand. Comparison of Site U1302/03 and Site U1308 detrital layers implies a dominant Laurentide source for both Ca- and Si-rich detrital layers. At Site U1308, low benthic δ13C values during stadials are in-step with magnetic grain-size coarsening associated with Si-rich detrital layers back to 1.3 Ma, indicating a link between deep-sea ventilation and ice rafting. The surface-sediment tan-colored oxic layer (~2 m thick at Site U1308) yields magnetic hysteresis ratios that are offset from the single-domain to multi-domain (SD-MD) magnetite mixing-line in hysteresis-ratio diagrams. This offset is attributed to maghemite grain-coatings, that form on magnetite in surface sediment, and undergo dissolution as they pass through the oxic/anoxic boundary.

Changes in benthic ecosystems and ocean circulation in the Southeast Atlantic across Eocene Thermal Maximum 2

NASA Astrophysics Data System (ADS)

Jennions, S. M.; Thomas, E.; Schmidt, D. N.; Lunt, D.; Ridgwell, A.

2015-08-01

Eocene Thermal Maximum 2 (ETM2) occurred 1.8 Myr after the Paleocene-Eocene Thermal Maximum (PETM) and, like the PETM, was characterized by a negative carbon isotope excursion and warming. We combined benthic foraminiferal and sedimentological records for Southeast Atlantic Sites 1263 (1500 m paleodepth) and 1262 (3600 m paleodepth) to show that benthic foraminiferal diversity and accumulation rates declined more precipitously and severely at the shallower site during peak ETM2. As the sites are in close proximity, differences in surface productivity cannot have caused this differential effect. Instead, we infer that changes in ocean circulation across ETM2 may have produced more pronounced warming at intermediate depths (Site 1263). The effects of warming include increased metabolic rates, a decrease in effective food supply and increased deoxygenation, thus potentially explaining the more severe benthic impacts at Site 1263. In response, bioturbation may have decreased more at Site 1263 than at Site 1262, differentially affecting bulk carbonate records. We use a sediment-enabled Earth system model to test whether a reduction in bioturbation and/or the likely reduced carbonate saturation of more poorly ventilated waters can explain the more extreme excursion in bulk δ13C and sharper transition in wt % CaCO3 at Site 1263. We find that both enhanced acidification and reduced bioturbation during the ETM2 peak are needed to account for the observed features. Our combined ecological and modeling analysis illustrates the potential role of ocean circulation changes in amplifying local environmental changes and driving temporary, but drastic, loss of benthic biodiversity and abundance.

A new system for understanding modes of mechanical ventilation.

PubMed

Chatburn, R L; Primiano, F P

2001-06-01

Numerous ventilation modes and ventilation options have become available as new mechanical ventilators have reached the market. Ventilator manufacturers have no standardized terminology for ventilator modes and ventilation options, and ventilator operator's manuals do not help the clinician compare the modes of ventilators from different manufacturers. This article proposes a standardized system for classifying ventilation modes, based on general engineering principles and a small set of explicit definitions. Though there may be resistance by ventilator manufacturers to a standardized system of ventilation terminology, clinicians and health care equipment purchasers should adopt such a system in the interest of clear communication--the lack of which prevents clinicians from fully understanding the therapies they administer and could compromise the quality of patient care.

A rapid and accurate method, ventilated chamber C-history method, of measuring the emission characteristic parameters of formaldehyde/VOCs in building materials.

PubMed

Huang, Shaodan; Xiong, Jianyin; Zhang, Yinping

2013-10-15

The indoor pollution caused by formaldehyde and volatile organic compounds (VOCs) emitted from building materials poses an adverse effect on people's health. It is necessary to understand and control the behaviors of the emission sources. Based on detailed mass transfer analysis on the emission process in a ventilated chamber, this paper proposes a novel method of measuring the three emission characteristic parameters, i.e., the initial emittable concentration, the diffusion coefficient and the partition coefficient. A linear correlation between the logarithm of dimensionless concentration and time is derived. The three parameters can then be calculated from the intercept and slope of the correlation. Compared with the closed chamber C-history method, the test is performed under ventilated condition thus some commonly-used measurement instruments (e.g., GC/MS, HPLC) can be applied. While compared with other methods, the present method can rapidly and accurately measure the three parameters, with experimental time less than 12h and R(2) ranging from 0.96 to 0.99 for the cases studied. Independent experiment was carried out to validate the developed method, and good agreement was observed between the simulations based on the determined parameters and experiments. The present method should prove useful for quick characterization of formaldehyde/VOC emissions from indoor materials. Copyright © 2013 Elsevier B.V. All rights reserved.

Influence of glacial ice sheets on the Atlantic meridional overturning circulation through surface wind change

NASA Astrophysics Data System (ADS)

Sherriff-Tadano, Sam; Abe-Ouchi, Ayako; Yoshimori, Masakazu; Oka, Akira; Chan, Wing-Le

2018-04-01

Coupled modeling studies have recently shown that the existence of the glacial ice sheets intensifies the Atlantic meridional overturning circulation (AMOC). However, most models show a strong AMOC in their simulations of the Last Glacial Maximum (LGM), which is biased compared to reconstructions that indicate both a weaker and stronger AMOC during the LGM. Therefore, a detailed investigation of the mechanism behind this intensification of the AMOC is important for a better understanding of the glacial climate and the LGM AMOC. Here, various numerical simulations are conducted to focus on the effect of wind changes due to glacial ice sheets on the AMOC and the crucial region where the wind modifies the AMOC. First, from atmospheric general circulation model experiments, the effect of glacial ice sheets on the surface wind is evaluated. Second, from ocean general circulation model experiments, the influence of the wind stress change on the AMOC is evaluated by applying wind stress anomalies regionally or at different magnitudes as a boundary condition. These experiments demonstrate that glacial ice sheets intensify the AMOC through an increase in the wind stress at the North Atlantic mid-latitudes, which is induced by the North American ice sheet. This intensification of the AMOC is caused by the increased oceanic horizontal and vertical transport of salt, while the change in sea ice transport has an opposite, though minor, effect. Experiments further show that the Eurasian ice sheet intensifies the AMOC by directly affecting the deep-water formation in the Norwegian Sea.

Sensitivity of Atlantic meridional overturning circulation to the dynamical framework in an ocean general circulation model

NASA Astrophysics Data System (ADS)

Li, Xiaolan; Yu, Yongqiang; Liu, Hailong; Lin, Pengfei

2017-06-01

The horizontal coordinate systems commonly used in most global ocean models are the spherical latitude-longitude grid and displaced poles, such as a tripolar grid. The effect of the horizontal coordinate system on Atlantic meridional overturning circulation (AMOC) is evaluated by using an OGCM (ocean general circulation model). Two experiments are conducted with the model—one using a latitude-longitude grid (referred to as Lat_1) and the other using a tripolar grid (referred to as Tri). The results show that Tri simulates a stronger North Atlantic deep water (NADW) than Lat_1, as more saline water masses enter the Greenland-Iceland-Norwegian (GIN) seas in Tri. The stronger NADW can be attributed to two factors. One is the removal of the zonal filter in Tri, which leads to an increasing of the zonal gradient of temperature and salinity, thus strengthening the north geostrophic flow. In turn, it decreases the positive subsurface temperature and salinity biases in the subtropical regions. The other may be associated with topography at the North Pole, because realistic topography is applied in the tripolar grid while the latitude-longitude grid employs an artificial island around the North Pole. In order to evaluate the effect of the filter on AMOC, three enhanced filter experiments are carried out. Compared to Lat_1, an enhanced filter can also augment NADW formation, since more saline water is suppressed in the GIN seas, but accumulated in the Labrador Sea, especially in experiment Lat_2_S, which is the experiment with an enhanced filter on salinity.

Fire tests to evaluate the potential fire threat and its effects on HEPA filter integrity in cell ventilation at the Oak Ridge National Laboratory, Building 7920

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hasegawa, H.K.; Staggs, K.J.; Doughty, S.M.

1992-12-01

As a result of a DOE (Tiger Team) Technical Safety Appraisal (November 1990) of the Radiochemical Engineering Development Center (REDC), ORNL Building 7920, a number of fire protection concerns were identified. The primary concern was the perceived loss of ventilation system containment due to the thermal destruction and/or breaching of the prefilters and/or high-efficiency particulate air filters (HEPA `s) and the resultant radioactive release to the external environment. The following report describes the results of an extensive fire test program performed by the Fire Research Discipline (FRD) of the Special Projects Division of Lawrence Livermore National Lab (LLNL) and fundedmore » by ORNL to address these concerns. Full scale mock-ups of a REDC hot cell tank pit, adjacent cubicle pit, and associated ventilation system were constructed at LLNL and 13 fire experiments were conducted to specifically answer the questions raised by the Tiger Team. Our primary test plan was to characterize the burning of a catastrophic solvent spill (kerosene) of 40 liters and its effect on the containment ventilation system prefilters and HEPA filters. In conjunction with ORNL and Lockwood Greene we developed a test matrix that assessed the fire performance of the prefilters and HEPA filters; evaluated the fire response of the fiber reinforced plastic (FRP) epoxy ventilation duct work; the response and effectiveness of the fire protection system, the effect of fire in a cubicle on the vessel off-gas (VOG) elbow, and other fire safety questions.« less

Investigation into the behaviors of ventilated supercavities in unsteady flow

NASA Astrophysics Data System (ADS)

Shao, Siyao; Wu, Yue; Haynes, Joseph; Arndt, Roger E. A.; Hong, Jiarong

2018-05-01

A systematic investigation of ventilated supercavitation behaviors in an unsteady flow is conducted using a high-speed water tunnel at the Saint Anthony Falls Laboratory. The cavity is generated with a forward facing model under varying ventilation rates and cavitator sizes. The unsteady flow is produced by a gust generator consisting of two hydrofoils flapping in unison with a varying angle of attack (AoA) and frequency (fg). The current experiment reveals five distinct cavity states, namely, the stable state, wavy state, pulsating state I, pulsating state II, and collapsing state, based on the variation of cavity geometry and pressure signatures inside the cavity. The distribution of cavity states over a broad range of unsteady conditions is summarized in a cavity state map. It shows that the transition of the supercavity from the stable state to pulsating and collapsing states is primarily induced by increasing AoA while the transition to the wavy state triggers largely by increasing fg. Remarkably, the state map over the non-dimensionalized half wavelength and wave amplitude of the perturbation indicates that the supercavity loses its stability and transitions to pulsating or collapsing states when the level of its distortion induced by the flow unsteadiness exceeds the cavity dimension under a steady condition. The state maps under different ventilation rates and cavitator sizes yield similar distribution but show that the occurrence of the cavity collapse can be suppressed with increasing ventilation coefficient or cavitator size. Such knowledge can be integrated into designing control strategies for the supercavitating devices operating under different unsteady conditions.

Ventilation in the patient with unilateral lung disease.

PubMed

Thomas, A R; Bryce, T L

1998-10-01

Severe ULD presents a challenge in ventilator management because of the marked asymmetry in the mechanics of the two lungs. The asymmetry may result from significant decreases or increases in the compliance of the involved lung. Traditional ventilator support may fail to produce adequate gas exchange in these situations and has the potential to cause further deterioration. Fortunately, conventional techniques can be safely and effectively applied in the majority of cases without having to resort to less familiar and potentially hazardous forms of support. In those circumstances when conventional ventilation is unsuccessful in restoring adequate gas exchange, lateral positioning and ILV have proved effective at improving and maintaining gas exchange. Controlled trials to guide clinical decision making are lacking. In patients who have processes associated with decreased compliance in the involved lung, lateral positioning may be a simple method of improving gas exchange but is associated with many practical limitations. ILV in these patients is frequently successful when differential PEEP is applied with the higher pressure to the involved lung. In patients in whom the pathology results in distribution of ventilation favoring the involved lung, particularly BPF, ILV can be used to supply adequate support while minimizing flow through the fistula and allowing it to close. The application of these techniques should be undertaken with an understanding of the pathophysiology of the underlying process; the reported experience with these techniques, including indications and successfully applied methods; and the potential problems encountered with their use. Fortunately, these modalities are infrequently required, but they provide a critical means of support when conventional techniques fail.

Resuscitator’s perceptions and time for corrective ventilation steps during neonatal resuscitation☆

PubMed Central

Sharma, Vinay; Lakshminrusimha, Satyan; Carrion, Vivien; Mathew, Bobby

2016-01-01

Background The 2010 neonatal resuscitation program (NRP) guidelines incorporate ventilation corrective steps (using the mnemonic – MRSOPA) into the resuscitation algorithm. The perception of neonatal providers, time taken to perform these maneuvers or the effectiveness of these additional steps has not been evaluated. Methods Using two simulated clinical scenarios of varying degrees of cardiovascular compromise –perinatal asphyxia with (i) bradycardia (heart rate – 40 min−1) and (ii) cardiac arrest, 35 NRP certified providers were evaluated for preference to performing these corrective measures, the time taken for performing these steps and time to onset of chest compressions. Results The average time taken to perform ventilation corrective steps (MRSOPA) was 48.9 ± 21.4 s. Providers were less likely to perform corrective steps and proceed directly to endotracheal intubation in the scenario of cardiac arrest as compared to a state of bradycardia. Cardiac compressions were initiated significantly sooner in the scenario of cardiac arrest 89 ± 24 s as compared to severe bradycardia 122 ± 23 s, p < 0.0001. There were no differences in the time taken to initiation of chest compressions between physicians or mid-level care providers or with the level of experience of the provider. Conclusions Effective ventilation of the lungs with corrective steps using a mask is important in most cases of neonatal resuscitation. Neonatal resuscitators prefer early endotracheal intubation and initiation of chest compressions in the presence of asystolic cardiac arrest. Corrective ventilation steps can potentially postpone initiation of chest compressions and may delay return of spontaneous circulation in the presence of severe cardiovascular compromise. PMID:25796996

Hypoxic pulmonary vasoconstriction does not affect hydrostatic pulmonary edema formation.

PubMed

Cheney, F W; Bishop, M J; Eisenstein, B L; Artman, L D

1987-02-01

We studied the effects of regional hypoxic pulmonary vasoconstriction (HPV) on lobar flow diversion in the presence of hydrostatic pulmonary edema. Ten anesthetized dogs with the left lower lobe (LLL) suspended in a net for continuous weighing were ventilated with a bronchial divider so the LLL could be ventilated with either 100% O2 or a hypoxic gas mixture (90% N2-5% CO2-5% O2). A balloon was inflated in the left atrium until hydrostatic pulmonary edema occurred, as evidenced by a continuous increase in LLL weight. Left lower lobe flow (QLLL) was measured by electromagnetic flow meter and cardiac output (QT) by thermal dilution. At a left atrial pressure of 30 +/- 5 mmHg, ventilation of the LLL with the hypoxic gas mixture caused QLLL/QT to decrease from 17 +/- 4 to 11 +/- 3% (P less than 0.05), pulmonary arterial pressure to increase from 35 +/- 5 to 37 +/- 6 mmHg (P less than 0.05), and no significant change in rate of LLL weight gain. Gravimetric confirmation of our results was provided by experiments in four animals where the LLL was ventilated with an hypoxic gas mixture for 2 h while the right lung was ventilated with 100% O2. In these animals there was no difference in bloodless lung water between the LLL and right lower lobe. We conclude that in the presence of left atrial pressures high enough to cause hydrostatic pulmonary edema, HPV causes significant flow diversion from an hypoxic lobe but the decrease in flow does not affect edema formation.

Collaborative Project: Understanding Climate Model Biases in Tropical Atlantic and Their Impact on Simulations of Extreme Climate Events

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chang, Ping

Recent studies have revealed that among all the tropical oceans, the tropical Atlantic has experienced the most pronounced warming trend over the 20th century. Many extreme climate events affecting the U.S., such as hurricanes, severe precipitation and drought events, are influenced by conditions in the Gulf of Mexico and the Atlantic Ocean. It is therefore imperative to have accurate simulations of the climatic mean and variability in the Atlantic region to be able to make credible projections of future climate change affecting the U.S. and other countries adjoining the Atlantic Ocean. Unfortunately, almost all global climate models exhibit large biasesmore » in their simulations of tropical Atlantic climate. The atmospheric convection simulation errors in the Amazon region and the associated errors in the trade wind simulations are hypothesized to be a leading cause of the tropical Atlantic biases in climate models. As global climate models have resolutions that are too coarse to resolve some of the atmospheric and oceanic processes responsible for the model biases, we propose to use a high-resolution coupled regional climate model (CRCM) framework to address the tropical bias issue. We propose to combine the expertise in tropical coupled atmosphere-ocean modeling at Texas A&M University (TAMU) and the coupled land-atmosphere modeling expertise at Pacific Northwest National Laboratory (PNNL) to develop a comprehensive CRCM for the Atlantic sector within a general and flexible modeling framework. The atmospheric component of the CRCM will be the NCAR WRF model and the oceanic component will be the Rutgers/UCLA ROMS. For the land component, we will use CLM modified at PNNL to include more detailed representations of vegetation and soil hydrology processes. The combined TAMU-PNNL CRCM model will be used to simulate the Atlantic climate, and the associated land-atmosphere-ocean interactions at a horizontal resolution of 9 km or finer. A particular focus of the model development effort will be to optimize the performance of WRF and ROMS over several thousand of cores by focusing on both the parallel communication libraries and the I/O interfaces, in order to achieve the sustained throughput needed to perform simulations on such fine resolution grids. The CRCM model will be developed within the framework of the Coupler (CPL7) software that is part of the NCAR Community Earth System Model (CESM). Through efforts at PNNL and within the community, WRF and CLM have already been coupled via CPL7. Using the flux coupler approach for the whole CRCM model will allow us to flexibly couple WRF, ROMS, and CLM with each model running on its own grid at different resolutions. In addition, this framework will allow us to easily port parameterizations between CESM and the CRCM, and potentially allow partial coupling between the CESM and the CRCM. TAMU and PNNL will contribute cooperatively to this research endeavor. The TAMU team led by Chang and Saravanan has considerable experience in studying atmosphere-ocean interactions within tropical Atlantic sector and will focus on modeling issues that relate to coupling WRF and ROMS. The PNNL team led by Leung has extensive expertise in atmosphere-land interaction and will be responsible for improving the land surface parameterization. Both teams will jointly work on integrating WRF-ROMS and WRF-CLM to couple WRF, ROMS, and CLM through CPL7. Montuoro of the TAMU Supercomputing Center will be responsible for improving the MPI and Parallel IO interfaces of the CRCM. Both teams will contribute to the design and execution of the proposed numerical experiments and jointly perform analysis of the numerical experiments.« less

High Resolution Numerical Simulations and Diagnostic Studies Atmospheric Transport During TRACE-A

NASA Technical Reports Server (NTRS)

Krishnamurti, T. N.; Fuelberg, Henry

1995-01-01

The enclosed publications constitute our final report. These are publications completed in referred journals. The completed work includes: Meteorological conditions associated with vertical distributions of aerosols off the west coast of Africa. TRACE-A trajectory intercomparison 2. Isentropic and kinematic methods. Chemical characteristics of tropospheric air over the tropical South Atlantic Ocean: Relationship to trajectory history. Passive Tracer Transport Relevant to the TRACE-A Experiment. The meteorological environment of the tropospheric ozone maximum over the tropical south Atlantic Ocean. : Influence of a middle-latitude cyclone on tropospheric ozone distributions during a period of TRACE-A. All of this work provided the meteorological background for the Transport of Atmospheric Chemistry near the Equator (TRACE-A) project sponsored by Dr,, Joe McNeal of NASA. Our principal findings are that bio-mass burning sources from Africa and South America did contribute to the accumulation of tropospheric ozone over the tropical Atlantic Ocean. Other findings relate to circulations, advections of Ozone and other plausible sources for the TOMS based ozone maximum over the Atlantic Ocean.

Wind effect on the Atlantic meridional overturning circulation via sea ice and vertical diffusion

NASA Astrophysics Data System (ADS)

Yang, Haijun; Wang, Kun; Dai, Haijin; Wang, Yuxing; Li, Qing

2016-06-01

Effects of wind and fresh water on the Atlantic meridional overturning circulation (AMOC) are investigated using a fully coupled climate model. The AMOC can change significantly when perturbed by either wind stress or freshwater flux in the North Atlantic. This study focuses on wind stress effect. Our model results show that the wind forcing is crucial in maintaining the AMOC. Reducing wind forcing over the ocean can cause immediately weakening of the vertical salinity diffusion and convection in the mid-high latitudes Atlantic, resulting in an enhancement of vertical salinity stratification that restrains the deep water formation there, triggering a slowdown of the thermohaline circulation. As the thermohaline circulation weakens, the sea ice expands southward and melts, providing the upper ocean with fresh water that weakens the thermohaline circulation further. The wind perturbation experiments suggest a positive feedback between sea-ice and thermohaline circulation strength, which can eventually result in a complete shutdown of the AMOC. This study also suggests that sea-ice variability may be also important to the natural AMOC variability on decadal and longer timescales.

Potential risk for bacterial contamination in conventional reused ventilator systems and disposable closed ventilator-suction systems

PubMed Central

Li, Ya-Chi; Lin, Hui-Ling; Liao, Fang-Chun; Wang, Sing-Siang; Chang, Hsiu-Chu; Hsu, Hung-Fu; Chen, Sue-Hsien

2018-01-01

Background Few studies have investigated the difference in bacterial contamination between conventional reused ventilator systems and disposable closed ventilator-suction systems. The aim of this study was to investigate the bacterial contamination rates of the reused and disposable ventilator systems, and the association between system disconnection and bacterial contamination of ventilator systems. Methods The enrolled intubated and mechanically ventilated patients used a conventional reused ventilator system and a disposable closed ventilator-suction system, respectively, for a week; specimens were then collected from the ventilator circuit systems to evaluate human and environmental bacterial contamination. The sputum specimens from patients were also analyzed in this study. Results The detection rate of bacteria in the conventional reused ventilator system was substantially higher than that in the disposable ventilator system. The inspiratory and expiratory limbs of the disposable closed ventilator-suction system had higher bacterial concentrations than the conventional reused ventilator system. The bacterial concentration in the heated humidifier of the reused ventilator system was significantly higher than that in the disposable ventilator system. Positive associations existed among the bacterial concentrations at different locations in the reused and disposable ventilator systems, respectively. The predominant bacteria identified in the reused and disposable ventilator systems included Acinetobacter spp., Bacillus cereus, Elizabethkingia spp., Pseudomonas spp., and Stenotrophomonas (Xan) maltophilia. Conclusions Both the reused and disposable ventilator systems had high bacterial contamination rates after one week of use. Disconnection of the ventilator systems should be avoided during system operation to decrease the risks of environmental pollution and human exposure, especially for the disposable ventilator system. Trial registration ClinicalTrials.gov PRS / NCT03359148 PMID:29547638

Eszopiclone and Dexmedetomidine Depress Ventilation in Obese Rats with Features of Metabolic Syndrome

PubMed Central

Filbey, William A.; Sanford, David T.; Baghdoyan, Helen A.; Koch, Lauren G.; Britton, Steven L.; Lydic, Ralph

2014-01-01

Study Objectives: Obesity alters the therapeutic window of sedative/hypnotic drugs and increases the probability of respiratory complications. The current experiments used an established rodent model of obesity to test the hypothesis that the sedative/hypnotic drugs eszopiclone and dexmedetomidine alter ventilation differentially in obese rats compared with lean/fit rats. Design: This study used a within-groups/between-groups experimental design. Setting: University of Michigan. Participants: Experiments were conducted using lean/fit rats (n = 21) and obese rats (n = 21) that have features of metabolic syndrome. Interventions: Breathing was measured with whole-body plethysmography after systemic administration of vehicle (control), the nonbenzodiazepine, benzodiazepine site agonist eszopiclone, or the alpha-2 adrenergic receptor agonist dexmedetomidine. Measurements and Results: Data were analyzed using two-way analysis of variance and appropriate post hoc comparisons. At baseline, the obese/metabolic syndrome rats had increased respiratory rates (21.6%), lower tidal volumes/body weight (-24.1%), and no differences in minute ventilation compared to lean/fit rats. In the obese rats, respiratory rate was decreased by dexmedetomidine (-29%), but not eszopiclone. In the lean and the obese rats, eszopiclone decreased tidal volume (-12%). Both sedative/hypnotic drugs caused a greater decrease in minute ventilation in the obese (-26.3%) than lean (-18%) rats. Inspiratory flow rate (VT / TI) of the obese rats was decreased by dexmedetomidine (-10.6%) and eszopiclone (-18%). Duty cycle (TI / TTOT) in both rat lines was decreased by dexmedetomidine (-16.5%) but not by eszopiclone. Conclusions: Dexmedetomidine, in contrast to eszopiclone, decreased minute ventilation in the obese/metabolic syndrome rats by depressing both duty cycle and inspiratory flow rate. The results show for the first time that the obese phenotype differentially modulates the respiratory effects of eszopiclone and dexmedetomidine. These differences in breathing are consistent with previously documented differences in sleep between lean/fit and obese rats. These findings also encourage future studies of obese/metabolic syndrome rats that quantify the effect of sedative/hypnotic drugs on respiratory mechanics as well as hypoxic and hypercapnic ventilatory responses. Continued findings of favorable homology between obese humans and rodents will support the interpretation that these obese rats offer a unique animal model for mechanistic studies. Citation: Filbey WA, Sanford DT, Baghdoyan HA, Koch LG, Britton SL, Lydic R. Eszopiclone and dexmedetomidine depress ventilation in obese rats with features of metabolic syndrome. SLEEP 2014;37(5):871-880. PMID:24790265

Recruitment Maneuver Does not Increase the Risk of Ventilator Induced Lung Injury

PubMed Central

Akıncı, İbrahim Özkan; Atalan, Korkut; Tuğrul, Simru; Özcan, Perihan Ergin; Yılmazbayhan, Dilek; Kıran, Bayram; Basel, Ahmet; Telci, Lutfi; Çakar, Nahit

2013-01-01

Background: Mechanical ventilation (MV) may induce lung injury. Aims: To assess and evaluate the role of different mechanical ventilation strategies on ventilator-induced lung injury (VILI) in comparison to a strategy which includes recruitment manoeuvre (RM). Study design: Randomized animal experiment. Methods: Thirty male Sprague-Dawley rats were anaesthetised, tracheostomised and divided into 5 groups randomly according to driving pressures; these were mechanically ventilated with following peak alveolar opening (Pao) and positive end-expiratory pressures (PEEP) for 1 hour: Group 15-0: 15 cmH2O Pao and 0 cmH2O PEEP; Group 30-10: 30 cmH2O Pao and 10 cmH2O PEEP; Group 30-5: 30 cmH2O Pao and 5 cmH2O PEEP; Group 30-5&RM: 30 cmH2O Pao and 5 cmH2O PEEP with additional 45 cmH2O CPAP for 30 seconds in every 15 minutes; Group 45-0: 45 cmH2O Pao and 0 cmH2O PEEP Before rats were sacrificed, blood samples were obtained for the evaluation of cytokine and chemokine levels; then, the lungs were subsequently processed for morphologic evaluation. Results: Oxygenation results were similar in all groups; however, the groups were lined as follows according to the increasing severity of morphometric evaluation parameters: Group 15-0: (0±0.009) < Group 30-10: (0±0.14) < Group 30-5&RM: (1±0.12) < Group 30-5: (1±0.16) < Group 45-0: (2±0.16). Besides, inflammatory responses were the lowest in 30-5&RM group compared to all other groups. TNF-α, IL-1β, IL-6, MCP-1 levels were significantly different between group 30-5&RM and group 15-0 vs. group 45-0 in each group. Conclusion: RM with low PEEP reduces the risk of ventilator-induced lung injury with a lower release of systemic inflammatory mediators in response to mechanical ventilation. PMID:25207105

Initial mechanical ventilator settings and lung protective ventilation in the ED.

PubMed

Wilcox, Susan R; Richards, Jeremy B; Fisher, Daniel F; Sankoff, Jeffrey; Seigel, Todd A

2016-08-01

Mechanical ventilation with low tidal volumes has been shown to improve outcomes for patients both with and without acute respiratory distress syndrome. This study aims to characterize mechanically ventilated patients in the emergency department (ED), describe the initial ED ventilator settings, and assess for associations between lung protective ventilation strategies in the ED and outcomes. This was a multicenter, prospective, observational study of mechanical ventilation at 3 academic EDs. We defined lung protective ventilation as a tidal volume of less than or equal to 8 mL/kg of predicted body weight and compared outcomes for patients ventilated with lung protective vs non-lung protective ventilation, including inhospital mortality, ventilator days, intensive care unit length of stay, and hospital length of stay. Data from 433 patients were analyzed. Altered mental status without respiratory pathology was the most common reason for intubation, followed by trauma and respiratory failure. Two hundred sixty-one patients (60.3%) received lung protective ventilation, but most patients were ventilated with a low positive end-expiratory pressure, high fraction of inspired oxygen strategy. Patients were ventilated in the ED for a mean of 5 hours and 7 minutes but had few ventilator adjustments. Outcomes were not significantly different between patients receiving lung protective vs non-lung protective ventilation. Nearly 40% of ED patients were ventilated with non-lung protective ventilation as well as with low positive end-expiratory pressure and high fraction of inspired oxygen. Despite a mean ED ventilation time of more than 5 hours, few patients had adjustments made to their ventilators. Copyright © 2016 Elsevier Inc. All rights reserved.

Are we fully utilizing the functionalities of modern operating room ventilators?

PubMed

Liu, Shujie; Kacmarek, Robert M; Oto, Jun

2017-12-01

The modern operating room ventilators have become very sophisticated and many of their features are comparable with those of an ICU ventilator. To fully utilize the functionality of modern operating room ventilators, it is important for clinicians to understand in depth the working principle of these ventilators and their functionalities. Piston ventilators have the advantages of delivering accurate tidal volume and certain flow compensation functions. Turbine ventilators have great ability of flow compensation. Ventilation modes are mainly volume-based or pressure-based. Pressure-based ventilation modes provide better leak compensation than volume-based. The integration of advanced flow generation systems and ventilation modes of the modern operating room ventilators enables clinicians to provide both invasive and noninvasive ventilation in perioperative settings. Ventilator waveforms can be used for intraoperative neuromonitoring during cervical spine surgery. The increase in number of new features of modern operating room ventilators clearly creates the opportunity for clinicians to optimize ventilatory care. However, improving the quality of ventilator care relies on a complete understanding and correct use of these new features. VIDEO ABSTRACT: http://links.lww.com/COAN/A47.

N zooming into the Mediterranean outflow fossil moat during the 1.2-1.8 million years period (Early-Pleistocene) - An approach by radiogenic and stable isotopes

NASA Astrophysics Data System (ADS)

Lebreiro, Susana M.; Antón, Laura; Reguera, M. Isabel; Fernández, Marta; Conde, Estefanía; Barrado, Ana I.; Yllera, Abel

2015-12-01

The fossil Alvarez Cabral erosive Moat contains hemipelagite, contourite and turbidite facies where oceanography changes in the Mediterranean outflow are archived over the 1.2-1.8 Myr time period. Here we used Pb and Sr radiogenic isotopes to trace water masses and sediment source changes, for the first time in twenty glacial-interglacial (G-I) cycles of the Early-Pleistocene interval, and the last Glacial Maximum through Holocene cycle (including the Younger Dryas and Heinrich Stadial-1). A mixing line of Pb isotopes gives reliable low radiogenic 208Pb/204Pb, 206Pb/204Pb, and 206Pb/207Pb typical of Mediterranean Outflow Water (MOW) in one end-member and the signature of high radiogenic isotopes of Atlantic Waters (AW) towards the second end-member. The 87Sr/86Sr isotopes also display two end-members of the mixing line between eolian transport/dust source (0.71) and fluvial transport/weathering source (0.73) previously proposed in the Gulf of Cadiz. Combination of Pb and Sr radiogenic isotopes with O and C stable isotopes of planktonic and benthic foraminifera, and the response of foraminifera benthos over the Early-Pleistocene interval, reveals a direct link between water masses circulation and shifts in G-I. We found a persistent cyclic pattern of MOW circulation and fluvial deposition during glaciations and AW and aeolian influence during interglaciations. On site U1386B/C, the upper-MOW was less ventilated but productive and with high flux of organic flux matter during glacials, while Atlantic Waters were better ventilated, enriched in O, but less productive during interglacials. We infer that shifts in ocean and atmospheric processes in the Gulf of Cadiz were strongly controlled by Earth's obliquity (41 kyr-cycle) and 35°NH insolation during the Early-Pleistocene. We propose a correlation in changes in phase-relationship between precession and obliquity. In general terms, physical properties of fine sediments (glacials) show lower NGR, low reflectance and high magnetic susceptibility. These curves measured in a 20 cm sampling interval, on board ship, present a number of gaps due to non-recovery of sediment. To overcome this problem and obtain a complete lithological record the point-sensor curves of physical properties were correlated with down-hole logs of HSGR (standard total Gamma-ray in gAPI units) (Suppl. Fig. 1) and HROM (high resolution corrected bulk density in g/cm3) (IODP Expedition 339 by the Scientific Party, Logging Summaries).

A randomised crossover comparison of mouth-to-face-shield ventilation and mouth-to-pocket-mask ventilation by surf lifeguards in a manikin.

PubMed

Adelborg, K; Bjørnshave, K; Mortensen, M B; Espeseth, E; Wolff, A; Løfgren, B

2014-07-01

Thirty surf lifeguards (mean (SD) age: 25.1 (4.8) years; 21 male, 9 female) were randomly assigned to perform 2 × 3 min of cardiopulmonary resuscitation on a manikin using mouth-to-face-shield ventilation (AMBU LifeKey) and mouth-to-pocket-mask ventilation (Laerdal Pocket Mask). Interruptions in chest compressions, effective ventilation (visible chest rise) ratio, tidal volume and inspiratory time were recorded. Interruptions in chest compressions per cycle were increased with mouth-to-face-shield ventilation (mean (SD) 8.6 (1.7) s) compared with mouth-to-pocket-mask ventilation (6.9 (1.2) s, p < 0.0001). The proportion of effective ventilations was less using mouth-to-face-shield ventilation (199/242 (82%)) compared with mouth-to-pocket-mask ventilation (239/240 (100%), p = 0.0002). Tidal volume was lower using mouth-to-face-shield ventilation (mean (SD) 0.36 (0.20) l) compared with mouth-to-pocket-mask ventilation (0.45 (0.20) l, p = 0.006). No differences in inspiratory times were observed between mouth-to-face-shield ventilation and mouth-to-pocket-mask ventilation. In conclusion, mouth-to-face-shield ventilation increases interruptions in chest compressions, reduces the proportion of effective ventilations and decreases delivered tidal volumes compared with mouth-to-pocket-mask ventilation. © 2014 The Association of Anaesthetists of Great Britain and Ireland.

Nurse Educators' Preceptions of Preparedness to Guide Clinical Learning

ERIC Educational Resources Information Center

Jenkins-Cameron, Stella L.

2014-01-01

The purpose of the study was to examine nurse educators' (NEs) perceptions of their level of preparedness to guide learning in clinical rotations of associate degree pre-licensure nursing programs of a South Atlantic state. The study also sought to determine the relationship between clinical experience, formal education, and teaching experience to…

THE MORPHOLOGICAL BASIS FOR OLFACTORY PERCEPTION OF STEROIDS DUING AGONISTIC BEHAVIOR IN LOBSTER: PRELIMINARY EXPERIMENTS

EPA Science Inventory

The morphological basis for olfactory perception of steroids during agonistic behavior in lobsters: preliminary experiments. Borsay Horowitz, DJ1, Kass-Simon, G2, Coglianese, D2, Martin, L2, Boseman, M2, Cromarty, S3, Randall, K3, Fini, A.3 1US EPA, NHEERL, ORD, Atlantic Ecology...

Moral Behavior of Resident Assistants: A Lived Experience

ERIC Educational Resources Information Center

Stark, Rachael H.; Anderson, Sharon K.

2016-01-01

This qualitative study explores the moral behavior in the lived experience of resident assistants who administer disciplinary policy at a large, public, urban institution located in the Mid-Atlantic region of the United States. The 12 participants volunteered to be interviewed by the first author utilizing the research question, "What is the…

Experiences of Instructors in Online Learning Environments: Identifying and Regulating Emotions

ERIC Educational Resources Information Center

Regan, Kelley; Evmenova, Anna; Baker, Pam; Jerome, Marci Kinas; Spencer, Vicky; Lawson, Holly; Werner, Terry

2012-01-01

In an effort to expand existing research on the barriers of instructors experience in online learning environments (OLEs), a qualitative study was conducted at a large mid-Atlantic university. Six instructors teaching in different OLE formats (e.g., asynchronous, hybrid, and synchronous via videoconferencing) participated in two focus groups in…

Bridging the Supplemental Instruction Leader Experience and Post-Graduation Life

ERIC Educational Resources Information Center

Lozada, Neva; Turner Johnson, Ane

2018-01-01

This qualitative case study explores the experiences of former [Supplemental Instruction] SI leaders who worked at a four-year, private university in the Mid-Atlantic while completing their undergraduate degrees. The insights offered by participants through interviews and graphic elicitation reveal the ways in which serving as an SI leader…

High-frequency oscillatory ventilation for cardiac surgery children with severe acute respiratory distress syndrome.

PubMed

Li, Shengli; Wang, Xu; Li, Shoujun; Yan, Jun

2013-08-01

Acute respiratory distress syndrome (ARDS) in children after open heart surgery, although uncommon, can be a significant source of morbidity. Because high-frequency oscillatory ventilation (HFOV) had been used successfully with pediatric patients who had no congenital heart defects, this therapy was used in our unit. This report aims to describe a single-center experience with HFOV in the management of ARDS after open heart surgery with respect to mortality. This retrospective clinical study was conducted in a pediatric intensive care unit. From October 2008 to August 2012, 64 of 10,843 patients with refractory ARDS who underwent corrective surgery at our institution were ventilated with HFOV. Patients with significant uncorrected residual lesions were not included. No interventions were performed. The patients were followed up until hospital discharge. The main outcome measure was survival to hospital discharge. Severe ARDS was defined as acute-onset pulmonary failure with bilateral pulmonary infiltrates and an oxygenation index (OI) higher than 13 despite maximal ventilator settings. The indication for HFOV was acute severe ARDS unresponsive to optimal conventional treatment. The variables recorded and subjected to multivariate analysis were patient demographics, underlying disease, clinical data, and ventilator parameters and their association with hospital mortality. Nearly 10,843 patients underwent surgery during the study period, and the ARDS incidence rate was 0.76 % (83/10,843), with 64 patients (77 %, 64/83) receiving HFOV. No significant changes in systemic or central venous pressure were associated with initiation and maintenance of HFOV. The complications during HFOV included pneumothorax for 22 patients. The overall in-hospital mortality rate was 39 % (25/64). Multiple regression analyses indicated that pulmonary hypertension and recurrent respiratory tract infections (RRTIs) before surgery were independent predictors of in-hospital mortality. The findings show that HFOV is an effective and safe method for ventilating severe ARDS patients after corrective cardiac surgery. Pulmonary hypertension and RRTIs before surgery were risk factors for in-hospital mortality.

Influence of taekwondo as security martial arts training on anaerobic threshold, cardiorespiratory fitness, and blood lactate recovery.

PubMed

Kim, Dae-Young; Seo, Byoung-Do; Choi, Pan-Am

2014-04-01

[Purpose] This study was conducted to determine the influence of Taekwondo as security martial arts training on anaerobic threshold, cardiorespiratory fitness, and blood lactate recovery. [Subjects and Methods] Fourteen healthy university students were recruited and divided into an exercise group and a control group (n = 7 in each group). The subjects who participated in the experiment were subjected to an exercise loading test in which anaerobic threshold, value of ventilation, oxygen uptake, maximal oxygen uptake, heart rate, and maximal values of ventilation / heart rate were measured during the exercise, immediately after maximum exercise loading, and at 1, 3, 5, 10, and 15 min of recovery. [Results] At the anaerobic threshold time point, the exercise group showed a significantly longer time to reach anaerobic threshold. The exercise group showed significantly higher values for the time to reach VO2max, maximal values of ventilation, maximal oxygen uptake and maximal values of ventilation / heart rate. Significant changes were observed in the value of ventilation volumes at the 1- and 5-min recovery time points within the exercise group; oxygen uptake and maximal oxygen uptake were significantly different at the 5- and 10-min time points; heart rate was significantly different at the 1- and 3-min time points; and maximal values of ventilation / heart rate was significantly different at the 5-min time point. The exercise group showed significant decreases in blood lactate levels at the 15- and 30-min recovery time points. [Conclusion] The study results revealed that Taekwondo as a security martial arts training increases the maximal oxygen uptake and anaerobic threshold and accelerates an individual's recovery to the normal state of cardiorespiratory fitness and blood lactate level. These results are expected to contribute to the execution of more effective security services in emergencies in which violence can occur.

13.000 years of multicentennial variability in Nile discharge: The link between solar activity, Indian monsoon, and Sapropel S1 formation

NASA Astrophysics Data System (ADS)

Hennekam, Rick; Jilbert, Tom; Schnetger, Bernhard; De Lange, Gert J.

2014-05-01

Sediments in the southeast Mediterranean are characterized by high accumulation rates, being influenced by suspended matter from the Nile plume. Therefore, the sediments from this area offer an invaluable high-resolution climate archive. Earlier work has shown that Nile River outflow has influenced water chemistry in this region throughout the entire Holocene, being well recorded in the oxygen isotopic ratio of the planktic foraminifer Globigerinoides ruber (δ18Oruber). The deposition of organic-rich layers (sapropels) during precession minima is often linked to Nile discharge. Here we present a multi-proxy study of a well-dated sediment core from the southeast Mediterranean basin to study in high-resolution the variability in Nile discharge during the early- to mid-Holocene. High sedimentation rates and sample resolution allow for recognition of (multi-)centennial variability in Nile discharge as recorded by δ18Oruber. Moreover, we measured bulk sediment Ba/Al (representing export-productivity), V/Al (representing redox conditions), and total organic carbon (Corg) during deposition of sapropel S1 (~6-10 kyr BP). Nile discharge is influenced by moisture transport from both the Atlantic and Indian Oceans, being presently dominated by Atlantic moisture. We show that Nile discharge during the early- to mid-Holocene was dominated by Indian Ocean moisture transport. This is supported by the maximum in Nile discharge at ~9.5 cal. kyr BP, similar to the maximum intensity of Indian Ocean-influenced southwest Indian summer monsoon. Moreover, the strong solar activity signal observed in multi-centennial oscillations in Nile discharge during this time interval concords with those recorded in contemporaneous Indian Ocean-derived monsoon records, but not with those from the Atlantic Ocean. Solar-induced variability in Nile discharge also influenced the conditions relating to Sapropel S1 formation. During its deposition, similar multi-centennial variability is found in bulk sediment Ba/Al, V/Al, and Corg, indicating that nutrient availability and shallow water column ventilation in the eastern Mediterranean were sensitive to Nile discharge.

Tropical Hydroclimate Change during Heinrich Stadial 1: An Integrative Proxy-Model Synthesis

NASA Astrophysics Data System (ADS)

Lawman, A. E.; Sun, T.; Shanahan, T. M.; Di Nezio, P. N.; Gomez, K.; Piatrunia, N.; Sun, C.; Wu, X.; Kageyama, M.; Merkel, U.; Otto-Bliesner, B. L.; Abe-Ouchi, A.; Lohmann, G.; Singarayer, J. S.

2017-12-01

We explore the response of tropical climate to abrupt cooling of the North Atlantic (NA) during Heinrich Stadial 1 (HS1) combining paleoclimate proxies with model simulations. A total of 146 published paleoclimate records from tropical locations are used to categorize whether HS1 was wetter, drier, or unchanged relative to a deglacial baseline state. Only records with sufficient resolution to resolve HS1 and sufficient length to characterize the deglacial trend are considered. This synthesis reveals large-scale patterns of hydroclimate change relative to glacial conditions, confirming previously reported weaker Indian summer monsoon, a wetter southern Africa, and drying over the Caribbean. Our synthesis also reveals large-scale drying over the Maritime continent as well as wetter conditions in northern Australia and southern tropical South America. Our reinterpretation of the available proxy data reveals far more complexity and uncertainties for equatorial East Africa, a region that appears to straddle a pattern of dryer conditions to the north and wetter conditions to the south. Overall, these patterns of hydroclimate change depart from a southward shift of the Inter Tropical Convergence Zone (ITCZ), particularly outside the tropical Atlantic. We explore mechanisms driving these changes using a multi-model ensemble of "hosing" simulations performed relative to glacial conditions. The models show robust weakening of the Afro-Asian Monsoon, which we attribute to ventilation of colder mid-latitude air. Not all models simulate the remaining patterns inferred from the proxy data. The best-agreeing models indicate that cooling over the tropical NA and the Caribbean may be essential to communicate the response to the global tropics. This response can induce warming over the tropical South Atlantic via the wind-evaporation-SST feedback, driving wetter conditions in South Africa and tropical South America. Cooling over the Caribbean is communicated to the Pacific over the Central American isthmus resulting in an El Niño-like pattern accompanied by drying over the Maritime Continent - as seen in the proxy data. Together these results show a dominant role for altered tropical SST gradients driving changes in tropical rainfall, and a lesser role for inter-hemispheric shifts in the ITCZ.

[Neurally adjusted ventilatory assist (NAVA). A new mode of assisted mechanical ventilation].

PubMed

Moerer, O; Barwing, J; Quintel, M

2008-10-01

The aim of mechanical ventilation is to assure gas exchange while efficiently unloading the respiratory muscles and mechanical ventilation is an integral part of the care of patients with acute respiratory failure. Modern lung protective strategies of mechanical ventilation include low-tidal-volume ventilation and the continuation of spontaneous breathing which has been shown to be beneficial in reducing atelectasis and improving oxygenation. Poor patient-ventilator interaction is a major issue during conventional assisted ventilation. Neurally adjusted ventilator assist (NAVA) is a new mode of mechanical ventilation that uses the electrical activity of the diaphragm (EAdi) to control the ventilator. First experimental studies showed an improved patient-ventilator synchrony and an efficient unloading of the respiratory muscles. Future clinical studies will have to show that NAVA is of clinical advantage when compared to conventional modes of assisted mechanical ventilation. This review characterizes NAVA according to current publications on this topic.

Coupled climate impacts of the Drake Passage and the Panama Seaway

NASA Astrophysics Data System (ADS)

Yang, Simon; Galbraith, Eric; Palter, Jaime

2014-07-01

Tectonically-active gateways between ocean basins have modified ocean circulation over Earth history. Today, the Atlantic and Pacific are directly connected via the Drake Passage, which forms a barrier to the time-mean geostrophic transport between the subtropics and Antarctica. In contrast, during the warm early Cenozoic era, when Antarctica was ice-free, the Drake Passage was closed. Instead, at that time, the separation of North and South America provided a tropical seaway between the Atlantic and Pacific that remained open until the Isthmus of Panama formed in the relatively recent geological past. Ocean circulation models have previously been used to explore the individual impacts of the Drake Passage and the Panama Seaway, but rarely have the two gateways been considered together, and most explorations have used very simple atmospheric models. Here we use a coupled ocean-ice-atmosphere model (GFDL's CM2Mc), to simulate the impacts of a closed Drake Passage both with and without a Panama Seaway. We find that the climate response to a closed Drake Passage is relatively small when the Panama Seaway is absent, similar to prior studies, although the coupling to a dynamical atmosphere does increase the temperature change. However, with a Panama Seaway, closing Drake Passage has a much larger effect, due to the cessation of deep water formation in the northern hemisphere. Both gateways alter the transport of salt by ocean circulation, with the Panama Seaway allowing fresh Pacific water to be imported to the North Atlantic, and the Drake Passage preventing the flow of saline subtropical water to the circum-Antarctic, a flow that is particularly strong when the Panama Seaway is open. Thus, with a Panama Seaway and a closed Drake Passage, the Southern Ocean tends to be relatively salty, while the North Atlantic tends to be relatively fresh, such that the deep ocean is ventilated from the circum-Antarctic. Ensuing changes in the ocean heat transport drive a bi-polar shift of surface ocean temperatures, and the Intertropical Convergence Zone migrates toward the warmer southern hemisphere. The response of clouds to changes in surface ocean temperatures amplifies the climate response, resulting in temperature changes of up to 9 °C over Antarctica, even in the absence of land-ice feedbacks. These results emphasize the importance of tectonic gateways to the climate history of the Cenozoic, and support a role for ocean circulation changes in the glaciation of Antarctica.

Ultrafine particles and nitrogen oxides generated by gas and electric cooking.

PubMed

Dennekamp, M; Howarth, S; Dick, C A; Cherrie, J W; Donaldson, K; Seaton, A

2001-08-01

To measure the concentrations of particles less than 100 nm diameter and of oxides of nitrogen generated by cooking with gas and electricity, to comment on possible hazards to health in poorly ventilated kitchens. Experiments with gas and electric rings, grills, and ovens were used to compare different cooking procedures. Nitrogen oxides (NO(x)) were measured by a chemiluminescent ML9841A NO(x) analyser. A TSI 3934 scanning mobility particle sizer was used to measure average number concentration and size distribution of aerosols in the size range 10-500 nm. High concentrations of particles are generated by gas combustion, by frying, and by cooking of fatty foods. Electric rings and grills may also generate particles from their surfaces. In experiments where gas burning was the most important source of particles, most particles were in the size range 15-40 nm. When bacon was fried on the gas or electric rings the particles were of larger diameter, in the size range 50-100 nm. The smaller particles generated during experiments grew in size with time because of coagulation. Substantial concentrations of NO(X) were generated during cooking on gas; four rings for 15 minutes produced 5 minute peaks of about 1000 ppb nitrogen dioxide and about 2000 ppb nitric oxide. Cooking in a poorly ventilated kitchen may give rise to potentially toxic concentrations of numbers of particles. Very high concentrations of oxides of nitrogen may also be generated by gas cooking, and with no extraction and poor ventilation, may reach concentrations at which adverse health effects may be expected. Although respiratory effects of exposure to NO(x) might be anticipated, recent epidemiology suggests that cardiac effects cannot be excluded, and further investigation of this is desirable.

Intensified anticyclonic anomaly over the western North Pacific during El Niño decaying summer under a weakened Atlantic thermohaline circulation

NASA Astrophysics Data System (ADS)

Chen, Wei; Lu, Riyu; Dong, Buwen

2014-12-01

It has been well documented that there is an anticyclonic anomaly over the western North Pacific (WNPAC, hereafter) during El Niño decaying summer. This El Niño-WNPAC relationship is greatly useful for the seasonal prediction of summer climate in the WNP and East Asia. In this study, we investigate the modification of the El Niño-WNPAC relationship induced by a weakened Atlantic thermohaline circulation (THC) in a water-hosing experiment. The results suggest that the WNPAC during the El Niño decaying summer, as well as the associated precipitation anomaly over the WNP, is intensified under the weakened THC. On the one hand, this intensification is in response to the increased amplitude and frequency of El Niño events in the water-hosing experiment. On the other hand, this intensification is also because of greater climatological humidity over the western to central North Pacific under the weakened THC. We suggest that the increase of climatological humidity over the western to central North Pacific during summer under the weakened THC is favorable for enhanced interannual variability of precipitation, and therefore favorable for the intensification of the WNPAC during El Niño decaying summer. This study suggests a possible modulation of the El Niño-Southern Oscillation-WNP summer monsoon relationship by the low-frequency fluctuation of Atlantic sea surface temperature. The results offer an explanation for the observed modification of the multidecadal fluctuation of El Niño-WNPAC relationship by the Atlantic multidecadal oscillation.

Fragmentation impairs the microclimate buffering effect of tropical forests.

PubMed

Ewers, Robert M; Banks-Leite, Cristina

2013-01-01

Tropical forest species are among the most sensitive to changing climatic conditions, and the forest they inhabit helps to buffer their microclimate from the variable climatic conditions outside the forest. However, habitat fragmentation and edge effects exposes vegetation to outside microclimatic conditions, thereby reducing the ability of the forest to buffer climatic variation. In this paper, we ask what proportion of forest in a fragmented ecosystem is impacted by altered microclimate conditions driven by edge effects, and extrapolate these results to the whole Atlantic Forest biome, one of the most disturbed biodiversity hotspots. To address these questions, we collected above and below ground temperature for a full year using temperature sensors placed in forest fragments of different sizes, and at different distances from the forest edge. In the Atlantic forests of Brazil, we found that the buffering effect of forests reduced maximum outside temperatures by one third or more at ground level within a forest, with the buffering effect being stronger below-ground than one metre above-ground. The temperature buffering effect of forests was, however, reduced near forest edges with the edge effect extending up to 20 m inside the forest. The heavily fragmented nature of the Brazilian Atlantic forest means that 12% of the remaining biome experiences altered microclimate conditions. Our results add further information about the extent of edge effects in the Atlantic Forest, and we suggest that maintaining a low perimeter-to-area ratio may be a judicious method for minimizing the amount of forest area that experiences altered microclimatic conditions in this ecosystem.

Fragmentation Impairs the Microclimate Buffering Effect of Tropical Forests

PubMed Central

Ewers, Robert M.; Banks-Leite, Cristina

2013-01-01

Background Tropical forest species are among the most sensitive to changing climatic conditions, and the forest they inhabit helps to buffer their microclimate from the variable climatic conditions outside the forest. However, habitat fragmentation and edge effects exposes vegetation to outside microclimatic conditions, thereby reducing the ability of the forest to buffer climatic variation. In this paper, we ask what proportion of forest in a fragmented ecosystem is impacted by altered microclimate conditions driven by edge effects, and extrapolate these results to the whole Atlantic Forest biome, one of the most disturbed biodiversity hotspots. To address these questions, we collected above and below ground temperature for a full year using temperature sensors placed in forest fragments of different sizes, and at different distances from the forest edge. Principal Findings In the Atlantic forests of Brazil, we found that the buffering effect of forests reduced maximum outside temperatures by one third or more at ground level within a forest, with the buffering effect being stronger below-ground than one metre above-ground. The temperature buffering effect of forests was, however, reduced near forest edges with the edge effect extending up to 20 m inside the forest. The heavily fragmented nature of the Brazilian Atlantic forest means that 12% of the remaining biome experiences altered microclimate conditions. Conclusions Our results add further information about the extent of edge effects in the Atlantic Forest, and we suggest that maintaining a low perimeter-to-area ratio may be a judicious method for minimizing the amount of forest area that experiences altered microclimatic conditions in this ecosystem. PMID:23483976

Operational Improvements From the In-Trail Procedure in the North Atlantic Organized Track System

NASA Technical Reports Server (NTRS)

Chartrand, Ryan C.; Bussink, Frank J. L.; Graff, Thomas J.; Murdoch, Jennifer L.; Jones, Kenneth M.

2008-01-01

This paper explains the computerized batch processing experiment examining the operational impacts of the introduction of Automatic Dependent Surveillance-Broadcast (ADS-B) equipment and the In-Trail Procedure (ITP) to the North Atlantic Organized Track System (NATOTS). This experiment was conducted using the Traffic Manager (TMX), a desktop simulation capable of simulating airspace environments and aircraft operations. ADS-B equipment can enable the use of new ground and airborne procedures, such as the ITP. The ITP is among the first of these new procedures, which will make use of improved situation awareness in the local surrounding airspace of ADS-B equipped aircraft to enable more efficient oceanic flight level changes. The data collected were analyzed with respect to multiple operationally relevant parameters including fuel burn, request approval rates, and the distribution of fuel savings. This experiment showed that through the use of ADS-B or ADS-B and the ITP that operational improvements and benefits could be achieved.

Operational Improvements From Using the In-Trail Procedure in the North Atlantic Organized Track System

NASA Technical Reports Server (NTRS)

Chartrand, Ryan C.; Bussink, Frank J.; Graff, Thomas J.; Jones, Kenneth M.

2009-01-01

This paper explains the computerized batch processing experiment examining the operational impacts of the introduction of Automatic Dependent Surveillance-Broadcast (ADS-B) equipment and the In-Trail Procedure (ITP) to the North Atlantic Organized Track System. This experiment was conducted using the Traffic Manager (TMX), a desktop simulation capable of simulating airspace environments and aircraft operations. ADS-B equipment can enable the use of new ground and airborne procedures, such as the ITP. ITP is among the first of these new procedures, which will make use of improved situation awareness in the local surrounding airspace of ADS-B equipped aircraft to enable more efficient oceanic flight level changes. The collected data were analyzed with respect to multiple operationally relevant parameters including fuel burn, request approval rates, and the distribution of fuel savings. This experiment showed that through the use of ADS-B or ADS-B and the ITP that operational improvements and benefits could be achieved.

Antibiotic therapy in ventilator-associated tracheobronchitis: a literature review.

PubMed

Alves, Abel Eduardo; Pereira, José Manuel

2018-03-01

The concept of ventilator-associated tracheobronchitis is controversial; its definition is not unanimously accepted and often overlaps with ventilator-associated pneumonia. Ventilator-associated tracheobronchitis has an incidence similar to that of ventilator-associated pneumonia, with a high prevalence of isolated multiresistant agents, resulting in an increase in the time of mechanical ventilation and hospitalization but without an impact on mortality. The performance of quantitative cultures may allow better diagnostic definition of tracheobronchitis associated with mechanical ventilation, possibly avoiding the overdiagnosis of this condition. One of the major difficulties in differentiating between ventilator-associated tracheobronchitis and ventilator-associated pneumonia is the exclusion of a pulmonary infiltrate by chest radiography; thoracic computed tomography, thoracic ultrasonography, or invasive specimen collection may also be required. The institution of systemic antibiotic therapy does not improve the clinical impact of ventilator-associated tracheobronchitis, particularly in reducing time of mechanical ventilation, hospitalization or mortality, despite the possible reduced progression to ventilator-associated pneumonia. However, there are doubts regarding the methodology used. Thus, considering the high prevalence of tracheobronchitis associated with mechanical ventilation, routine treatment of this condition would result in high antibiotic usage without clear benefits. However, we suggest the institution of antibiotic therapy in patients with tracheobronchitis associated with mechanical ventilation and septic shock and/or worsening of oxygenation, and other auxiliary diagnostic tests should be simultaneously performed to exclude ventilator-associated pneumonia. This review provides a better understanding of the differentiation between tracheobronchitis associated with mechanical ventilation and pneumonia associated with mechanical ventilation, which can significantly decrease the use of antibiotics in critically ventilated patients.

Key roles of sea ice in inducing contrasting modes of glacial AMOC and climate

NASA Astrophysics Data System (ADS)

Sherriff-Tadano, S.; Abe-Ouchi, A.

2017-12-01

Gaining a better understanding of glacial Atlantic meridional overturning circulation (AMOC) is important to interpret the glacial climate changes such as the Heinrich event. Recent studies suggest that changes in sea ice over the North Atlantic largely affect the surface wind. Since changes in surface wind have a large impact on the AMOC, this implies a role of sea ice in modifying the AMOC though surface wind. However, the impact of sea ice on the surface winds and the impact of changes in the winds on the AMOC remain unclear. In this study, we first assess the impact of sea ice expansion on the winds. We then explore whether the changes in winds play a role in modifying the AMOC and climate. For this purpose, results from MIROC4m are analyzed (Kawamura et al. 2017). To clarify the impact of changes in sea ice on the surface wind, sensitivity experiments are conducted with an atmospheric general circulation model (AGCM). In the AGCM experiments, we modify the sea ice to extract the impact of sea ice on the winds. Partial decouple experiments are conducted with the coupled model MIROC4m, which we modify the surface winds to assess the impact of changes in the surface wind due to sea ice expansion on the AMOC. Results show that expansion of sea ice substantially weakens the surface wind over the northern North Atlantic. AGCM experiments show that a drastic decrease in surface temperature duo to a suppression of sensible heat flux plays a dominant role in weakening the surface winds through increasing the static stability of the air column near the surface. Partial decouple experiments with MIROC4m show that the weakening of the surface wind due to the expansion of sea ice plays an important role in maintaining the weak AMOC. Thus, these experiments show that the weakening of the surface winds due to sea ice expansion plays a role in stabilizing the AMOC.

Tracheostomy and invasive mechanical ventilation in amyotrophic lateral sclerosis: decision-making factors and survival analysis.

PubMed

Kimura, Fumiharu

2016-04-28

Invasive and/or non-invasive mechanical ventilation are most important options of respiratory management in amyotrophic lateral sclerosis. We evaluated the frequency, clinical characteristics, decision-making factors about ventilation and survival analysis of 190 people with amyotrophic lateral sclerosis patients from 1990 until 2013. Thirty-one percentage of patients underwent tracheostomy invasive ventilation with the rate increasing more than the past 20 years. The ratio of tracheostomy invasive ventilation in patients >65 years old was significantly increased after 2000 (25%) as compared to before (10%). After 2010, the standard use of non-invasive ventilation showed a tendency to reduce the frequency of tracheostomy invasive ventilation. Mechanical ventilation prolonged median survival (75 months in tracheostomy invasive ventilation, 43 months in non-invasive ventilation vs natural course, 32 months). The life-extending effects by tracheostomy invasive ventilation were longer in younger patients ≤65 years old at the time of ventilation support than in older patients. Presence of partners and care at home were associated with better survival. Following factors related to the decision to perform tracheostomy invasive ventilation: patients ≤65 years old: greater use of non-invasive ventilation: presence of a spouse: faster tracheostomy: higher progression rate; and preserved motor functions. No patients who underwent tracheostomy invasive ventilation died from a decision to withdraw mechanical ventilation. The present study provides factors related to decision-making process and survival after tracheostomy and help clinicians and family members to expand the knowledge about ventilation.

Closed-loop mechanical ventilation for lung injury: a novel physiological-feedback mode following the principles of the open lung concept.

PubMed

Schwaiberger, David; Pickerodt, Philipp A; Pomprapa, Anake; Tjarks, Onno; Kork, Felix; Boemke, Willehad; Francis, Roland C E; Leonhardt, Steffen; Lachmann, Burkhard

2018-06-01

Adherence to low tidal volume (V T ) ventilation and selected positive end-expiratory pressures are low during mechanical ventilation for treatment of the acute respiratory distress syndrome. Using a pig model of severe lung injury, we tested the feasibility and physiological responses to a novel fully closed-loop mechanical ventilation algorithm based on the "open lung" concept. Lung injury was induced by surfactant washout in pigs (n = 8). Animals were ventilated following the principles of the "open lung approach" (OLA) using a fully closed-loop physiological feedback algorithm for mechanical ventilation. Standard gas exchange, respiratory- and hemodynamic parameters were measured. Electrical impedance tomography was used to quantify regional ventilation distribution during mechanical ventilation. Automatized mechanical ventilation provided strict adherence to low V T -ventilation for 6 h in severely lung injured pigs. Using the "open lung" approach, tidal volume delivery required low lung distending pressures, increased recruitment and ventilation of dorsal lung regions and improved arterial blood oxygenation. Physiological feedback closed-loop mechanical ventilation according to the principles of the open lung concept is feasible and provides low tidal volume ventilation without human intervention. Of importance, the "open lung approach"-ventilation improved gas exchange and reduced lung driving pressures by opening atelectasis and shifting of ventilation to dorsal lung regions.

Japanese Cargo Ship Launches to ISS on This Week @NASA - August 21, 2015

NASA Image and Video Library

2015-08-21

On Aug. 19, the On Aug. 19, the Japan Aerospace Exploration Agency launched its “Kounotori” H-II Transfer Vehicle, or HTV-5 from the Tanegashima Space Center to the International Space Station. The unpiloted cargo spacecraft is loaded with almost five tons of supplies and scientific experiments. It will spend about five weeks at the station. Also, National Aviation Day, First Atlantic hurricane of 2015, New hurricane mission, Spotlight on The Martian and more! launched its “Kounotori” H-II Transfer Vehicle, or HTV-5 from the Tanegashima Space Center to the International Space Station. The unpiloted cargo spacecraft is loaded with almost five tons of supplies and scientific experiments. It will spend about five weeks at the station. Also, National Aviation Day, First Atlantic hurricane of 2015, New hurricane mission, Spotlight on The Martian and more!

Epidemiology of Noninvasive Ventilation in Pediatric Cardiac ICUs.

PubMed

Romans, Ryan A; Schwartz, Steven M; Costello, John M; Chanani, Nikhil K; Prodhan, Parthak; Gazit, Avihu Z; Smith, Andrew H; Cooper, David S; Alten, Jeffrey; Mistry, Kshitij P; Zhang, Wenying; Donohue, Janet E; Gaies, Michael

2017-10-01

To describe the epidemiology of noninvasive ventilation therapy for patients admitted to pediatric cardiac ICUs and to assess practice variation across hospitals. Retrospective cohort study using prospectively collected clinical registry data. Pediatric Cardiac Critical Care Consortium clinical registry. Patients admitted to cardiac ICUs at PC4 hospitals. None. We analyzed all cardiac ICU encounters that included any respiratory support from October 2013 to December 2015. Noninvasive ventilation therapy included high flow nasal cannula and positive airway pressure support. We compared patient and, when relevant, perioperative characteristics of those receiving noninvasive ventilation to all others. Subgroup analysis was performed on neonates and infants undergoing major cardiovascular surgery. To examine duration of respiratory support, we created a casemix-adjustment model and calculated adjusted mean durations of total respiratory support (mechanical ventilation + noninvasive ventilation), mechanical ventilation, and noninvasive ventilation. We compared adjusted duration of support across hospitals. The cohort included 8,940 encounters from 15 hospitals: 3,950 (44%) received noninvasive ventilation and 72% were neonates and infants. Medical encounters were more likely to include noninvasive ventilation than surgical. In surgical neonates and infants, 2,032 (55%) received postoperative noninvasive ventilation. Neonates, extracardiac anomalies, single ventricle, procedure complexity, preoperative respiratory support, mechanical ventilation duration, and postoperative disease severity were associated with noninvasive ventilation therapy (p < 0.001 for all). Across hospitals, noninvasive ventilation use ranged from 32% to 65%, and adjusted mean noninvasive ventilation duration ranged from 1 to 4 days (3-d observed mean). Duration of total adjusted respiratory support was more strongly correlated with duration of mechanical ventilation compared with noninvasive ventilation (Pearson r = 0.93 vs 0.71, respectively). Noninvasive ventilation use is common in cardiac ICUs, especially in patients admitted for medical conditions, infants, and those undergoing high complexity surgery. We observed wide variation in noninvasive ventilation use across hospitals, though the primary driver of total respiratory support time seems to be duration of mechanical ventilation.

The lagged connection of the positive NAO with the MJO phase 3 in a simplified atmospheric model

NASA Astrophysics Data System (ADS)

Shao, Xiaolu; Song, Jie; Li, Shuanglin

2018-03-01

Based on a simplified nonlinear model and reanalysis data, the lagged connection of the North Atlantic Oscillation (NAO) with the Madden-Julian Oscillation (MJO) in boreal winters is investigated. The positive NAO is observed to occur more frequently about 8-20 days after the onset of the MJO phase 3. A series of heating forcing experiments and initial-value experiments are conducted by utilizing the Geophysical Fluid Dynamics Laboratory (GFDL) dynamical core atmospheric model. The extratropical responses to the tropical heating associated with the MJO phase 3 are characterized by a wave train over the Pacific-North American region with an anticyclone anomaly over the northeastern Pacific and then followed by a positive-NAO-like pattern over the North Atlantic sector. These circulation anomalies generally match the observed lagged-connection well. At the earlier stage, the Rossby wave train excited by the MJO convection propagates into the North Atlantic, leading to a planetary wave anomaly with a low-over-high dipole prior to the positive NAO. At the later stage, the anomalous synoptic eddy vorticity forcing (EVF) streamfunction tendency has a negative-over-positive dipole, which plays a key role in the development of the positive NAO. Further analysis of the initial-value experiments indicates that, for the subsequent formation of the positive NAO, the anomalous circulation over the Indian Ocean aroused by the MJO phase 3 is more crucial than that over the northeastern Pacific.

FORCED AIR VENTILATION FOR REMEDIATION OF UNSATURATED SOILS CONTAMINATED BY VOC

EPA Science Inventory

Parameters which were expected to control the removal process of VOCs from contaminated soil during the SVE operation were studied by means of numerical simulations and laboratory experiments in this project. Experimental results of SVE with soil columns in the laboratory indicat...

Flow and contaminant transport in an airliner cabin induced by a moving body: Model experiments and CFD predictions

NASA Astrophysics Data System (ADS)

Poussou, Stephane B.; Mazumdar, Sagnik; Plesniak, Michael W.; Sojka, Paul E.; Chen, Qingyan

2010-08-01

The effects of a moving human body on flow and contaminant transport inside an aircraft cabin were investigated. Experiments were performed in a one-tenth scale, water-based model. The flow field and contaminant transport were measured using the Particle Image Velocimetry (PIV) and Planar Laser-Induced Fluorescence (PLIF) techniques, respectively. Measurements were obtained with (ventilation case) and without (baseline case) the cabin environmental control system (ECS). The PIV measurements show strong intermittency in the instantaneous near-wake flow. A symmetric downwash flow was observed along the vertical centerline of the moving body in the baseline case. The evolution of this flow pattern is profoundly perturbed by the flow from the ECS. Furthermore, a contaminant originating from the moving body is observed to convect to higher vertical locations in the presence of ventilation. These experimental data were used to validate a Computational Fluid Dynamic (CFD) model. The CFD model can effectively capture the characteristic flow features and contaminant transport observed in the small-scale model.

Improved Decadal Climate Prediction in the North Atlantic using EnOI-Assimilated Initial Condition

NASA Astrophysics Data System (ADS)

Li, Q.; Xin, X.; Wei, M.; Zhou, W.

2017-12-01

Decadal prediction experiments of Beijing Climate Center climate system model version 1.1(BCC-CSM1.1) participated in Coupled Model Intercomparison Project Phase 5 (CMIP5) had poor skill in extratropics of the North Atlantic, the initialization of which was done by relaxing modeled ocean temperature to the Simple Ocean Data Assimilation (SODA) reanalysis data. This study aims to improve the prediction skill of this model by using the assimilation technique in the initialization. New ocean data are firstly generated by assimilating the sea surface temperature (SST) of the Hadley Centre Sea Ice and Sea Surface Temperature (HadISST) dataset to the ocean model of BCC-CSM1.1 via Ensemble Optimum Interpolation (EnOI). Then a suite of decadal re-forecasts launched annually over the period 1961-2005 is carried out with simulated ocean temperature restored to the assimilated ocean data. Comparisons between the re-forecasts and previous CMIP5 forecasts show that the re-forecasts are more skillful in mid-to-high latitude SST of the North Atlantic. Improved prediction skill is also found for the Atlantic multi-decadal Oscillation (AMO), which is consistent with the better skill of Atlantic meridional overturning circulation (AMOC) predicted by the re-forecasts. We conclude that the EnOI assimilation generates better ocean data than the SODA reanalysis for initializing decadal climate prediction of BCC-CSM1.1 model.

Interactive simulation system for artificial ventilation on the internet: virtual ventilator.

PubMed

Takeuchi, Akihiro; Abe, Tadashi; Hirose, Minoru; Kamioka, Koichi; Hamada, Atsushi; Ikeda, Noriaki

2004-12-01

To develop an interactive simulation system "virtual ventilator" that demonstrates the dynamics of pressure and flow in the respiratory system under the combination of spontaneous breathing, ventilation modes, and ventilator options. The simulation system was designed to be used by unexperienced health care professionals as a self-training tool. The system consists of a simulation controller and three modules: respiratory, spontaneous breath, and ventilator. The respiratory module models the respiratory system by three resistances representing the main airway, the right and left lungs, and two compliances also representing the right and left lungs. The spontaneous breath module generates inspiratory negative pressure produced by a patient. The ventilator module generates driving force of pressure or flow according to the combination of the ventilation mode and options. These forces are given to the respiratory module through the simulation controller. The simulation system was developed using HTML, VBScript (3000 lines, 100 kB) and ActiveX control (120 kB), and runs on Internet Explorer (5.5 or higher). The spontaneous breath is defined by a frequency, amplitude and inspiratory patterns in the spontaneous breath module. The user can construct a ventilation mode by setting a control variable, phase variables (trigger, limit, and cycle), and options. Available ventilation modes are: controlled mechanical ventilation (CMV), continuous positive airway pressure, synchronized intermittent mandatory ventilation (SIMV), pressure support ventilation (PSV), SIMV + PSV, pressure-controlled ventilation (PCV), pressure-regulated volume control (PRVC), proportional assisted ventilation, mandatory minute ventilation (MMV), bilevel positive airway pressure (BiPAP). The simulation system demonstrates in a graph and animation the airway pressure, flow, and volume of the respiratory system during mechanical ventilation both with and without spontaneous breathing. We developed a web application that demonstrated the respiratory mechanics and the basic theory of ventilation mode.

Dominant Role of Atlantic Multidecadal Oscillation in the Recent Decadal Changes in Western North Pacific Tropical Cyclone Activity

NASA Astrophysics Data System (ADS)

Zhang, Wei; Vecchi, Gabriel A.; Murakami, Hiroyuki; Villarini, Gabriele; Delworth, Thomas L.; Yang, Xiaosong; Jia, Liwei

2018-01-01

Over the 1997-2014 period, the mean frequency of western North Pacific (WNP) tropical cyclones (TCs) was markedly lower ( 18%) than the period 1980-1996. Here we show that these changes were driven by an intensification of the vertical wind shear in the southeastern/eastern WNP tied to the changes in the Walker circulation, which arose primarily in response to the enhanced sea surface temperature (SST) warming in the North Atlantic, while the SST anomalies associated with the negative phase of the Pacific Decadal Oscillation in the tropical Pacific and the anthropogenic forcing play only secondary roles. These results are based on observations and experiments using the Geophysical Fluid Dynamics Laboratory Forecast-oriented Low-ocean Resolution Coupled Climate Model coupled climate model. The present study suggests a crucial role of the North Atlantic SST in causing decadal changes to WNP TC frequency.

Tropical Forcing of the Summer East Atlantic Pattern

NASA Astrophysics Data System (ADS)

Wulff, C. Ole; Greatbatch, Richard J.; Domeisen, Daniela I. V.; Gollan, Gereon; Hansen, Felicitas

2017-11-01

The Summer East Atlantic (SEA) mode is the second dominant mode of summer low-frequency variability in the Euro-Atlantic region. Using reanalysis data, we show that SEA-related circulation anomalies significantly influence temperatures and precipitation over Europe. We present evidence that part of the interannual SEA variability is forced by diabatic heating anomalies of opposing signs in the tropical Pacific and Caribbean that induce an extratropical Rossby wave train. This precipitation dipole is related to SST anomalies characteristic of the developing El Niño-Southern Oscillation phases. Seasonal hindcast experiments forced with observed sea surface temperatures (SSTs) exhibit skill at capturing the interannual SEA variability corroborating the proposed mechanism and highlighting the possibility for improved prediction of boreal summer variability. Our results indicate that tropical forcing of the SEA likely played a role in the dynamics of the 2015 European heat wave.

Macrofouling of deep-sea instrumentation after three years at 3690 m depth in the Charlie Gibbs fracture zone, mid-Atlantic ridge, with emphasis on hydroids (Cnidaria: Hydrozoa)

NASA Astrophysics Data System (ADS)

Blanco, R.; Shields, M. A.; Jamieson, A. J.

2013-12-01

Macrofouling is a common problem when deploying underwater instrumentation for long periods of time. It is a problem which can effect scientific experiments and monitoring missions though the creation of artificial reefs (thus increasing local biological activity) and reduce the quality of scientific data. Macrofouling is an issue typically considered to be restricted to the photic zones and is absent or negligible in the deep sea. To the contrary, the recovery of an accidentally lost deep-sea lander after 3 years submergence at 3960 m on the Mid-Atlantic Ridge (North Atlantic) revealed dense colonisation of macrofouling organisms. These organisms were found attached to all surfaces of the lander regardless of orientation and materials. The occurrence of such deep-sea macrofouling should be carefully investigated given the recent developments in long-term deep-sea observatory networks.

Volume guarantee ventilation during surgical closure of patent ductus arteriosus.

PubMed

Keszler, Martin; Abubakar, Kabir

2015-01-01

Surgical closure of patent ductus arteriosus (PDA) is associated with adverse outcomes. Surgical exposure requires retraction of the lung, resulting in decreased aeration and compliance. Optimal respiratory support for PDA surgery is unknown. Experience with volume guarantee (VG) ventilation at our institution led us to hypothesize that surgery would be better tolerated with automatic adjustment of pressure by VG to maintain tidal volume (VT) during retraction. The objective of this study was to describe ventilator support, VT, and oxygenation of infants supported with VG during PDA surgery. Ventilator variables, oxygen saturation, and heart rate were recorded during PDA surgery in a convenience sample of infants during PDA closure on VG. Pressure limit increased 11% and set VT was 26% lower during lung retraction. Fentanyl and pancuronium/vecuronium were used for anesthesia/muscle relaxation. Longitudinal data were analyzed by analysis of variance for repeated measures. Seven infants, 25.4 ± 1.5 weeks and 723 ± 141 g, underwent closure of PDA on VG at a mean age 29.9 days. No air leak, bradycardia, or death occurred. Target VT was maintained with a modest increase in inflation pressure. Oxygenation remained adequate. VG avoided hypoxemia and maintained adequate VT with only a modest increase in peak inflation pressure and thus may be a useful mode during PDA surgery. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Respiratory Toxicity of Dimethyl Sulfoxide.

PubMed

Takeda, Kotaro; Pokorski, Mieczyslaw; Sato, Yutaka; Oyamada, Yoshitaka; Okada, Yasumasa

2016-01-01

Dimethyl sulfoxide (DMSO) is one of the most commonly used solvents for hydrophobic substances in biological experiments. In addition, the compound exhibits a plethora of bioactivities, which makes it of potential pharmacological use of its own. The influence on respiration, and thus on arterial blood oxygenation, of DMSO is unclear, contentious, and an area of limited study. Thus, in the present investigation we set out to determine the influence on lung ventilation of cumulated doses of DMSO in the amount of 0.5, 1.5, 3.5, 7.5, and 15.5 g/kg; each dose given intraperitoneally at 1 h interval in conscious mice. Ventilation and its responses to 7 % hypoxia (N(2) balanced) were recorded in a whole body plethsymograph. We demonstrate a dose-dependent inhibitory effect of DMSO on lung ventilation and its hypoxic responsiveness, driven mostly by changes in the tidal component. The maximum safe dose of DMSO devoid of meaningful consequences for respiratory function was 3.5 g/kg. The dose of 7.5 g/kg of DMSO significantly dampened respiration, with yet well preserved hyperventilatory response to hypoxia. The highest dose of 15.5 g/kg severely impaired ventilation and its responses. The study delineates the safety profile of DMSO regarding the respiratory function which is essential for maintaining proper tissue oxygenation. Caution should be exercised concerning dose concentration of DMSO.

[The first national program of pediatric lung transplantation: the experience in pediatric intensive care].

PubMed

Frías Pérez, M; Montero Schiemann, C; Ibarra de la Rosa, I; Ulloa Santamaría, E; Muñoz Bonet, J; Velasco Jabalquinto, M; Pérez Navero, J; Lama Martínez, R; Santos Luna, F; Salvatierra Velázquez, A; López Pujol, J

1999-06-01

The aim of this study was to analyze the postoperative progress and medical management in the Pediatric Intensive Care Unit (PICU) of patients that underwent bilateral lung transplant. From April 1997 to June 1998, 10 pediatric lung transplants were performed at the Hospital Reina Sofía (Córdoba, Spain). There were 4 males and 6 females (mean age 11.5 years, range 5 to 15 years). Indications for transplantation were cystic fibrosis (n = 9) and one pulmonary fibrosis secondary to viral infection. Before the transplant, two patients required mechanical ventilation for acute respiratory decompensation and one patient was ventilator-dependent. Immunosuppression consisted of corticosteroids, azathioprine and cyclosporine or tacrolimus. Post-transplantation management included early extubation, when possible, optimal fluid balance to prevent lung edema, low aggressive mechanical ventilation and adequate treatment of complications, such as rejection and infection. There were no peri-operative mortalities. The mean stay in the PICU was 28 days (median: 17 days) and the mean time on mechanical ventilation was 19 days (median: 5.5 days). The most frequent complications were rejection (n = 8), hyperglycemia (n = 6), renal failure (n = 4), arterial hypertension (n = 4) and respiratory infections (n = 3). There were no airway complications. Even if the post-operative period in pediatric lung transplant patients is difficult, the results have been good with an important improvement in the quality of life of these patients has been achieved.

Comparison of 4-Dimensional Computed Tomography Ventilation With Nuclear Medicine Ventilation-Perfusion Imaging: A Clinical Validation Study

DOE Office of Scientific and Technical Information (OSTI.GOV)

Vinogradskiy, Yevgeniy, E-mail: yevgeniy.vinogradskiy@ucdenver.edu; Koo, Phillip J.; Castillo, Richard

Purpose: Four-dimensional computed tomography (4DCT) ventilation imaging provides lung function information for lung cancer patients undergoing radiation therapy. Before 4DCT-ventilation can be implemented clinically it needs to be validated against an established imaging modality. The purpose of this work was to compare 4DCT-ventilation to nuclear medicine ventilation, using clinically relevant global metrics and radiologist observations. Methods and Materials: Fifteen lung cancer patients with 16 sets of 4DCT and nuclear medicine ventilation-perfusion (VQ) images were used for the study. The VQ-ventilation images were acquired in planar mode using Tc-99m-labeled diethylenetriamine-pentaacetic acid aerosol inhalation. 4DCT data, spatial registration, and a density-change-based modelmore » were used to compute a 4DCT-based ventilation map for each patient. The percent ventilation was calculated in each lung and each lung third for both the 4DCT and VQ-ventilation scans. A nuclear medicine radiologist assessed the VQ and 4DCT scans for the presence of ventilation defects. The VQ and 4DCT-based images were compared using regional percent ventilation and radiologist clinical observations. Results: Individual patient examples demonstrate good qualitative agreement between the 4DCT and VQ-ventilation scans. The correlation coefficients were 0.68 and 0.45, using the percent ventilation in each individual lung and lung third, respectively. Using radiologist-noted presence of ventilation defects and receiver operating characteristic analysis, the sensitivity, specificity, and accuracy of the 4DCT-ventilation were 90%, 64%, and 81%, respectively. Conclusions: The current work compared 4DCT with VQ-based ventilation using clinically relevant global metrics and radiologist observations. We found good agreement between the radiologist's assessment of the 4DCT and VQ-ventilation images as well as the percent ventilation in each lung. The agreement lessened when the data were analyzed on a regional level. Our study presents an important step for the integration of 4DCT-ventilation into thoracic clinical practice.« less

Utilization profile of the trauma intensive care unit at the Role 3 Multinational Medical Unit at Kandahar Airfield between May 1 and Oct. 15, 2009

PubMed Central

Shah, Kalpa; Pirie, Steven; Compton, Lisa; McAlister, Vivian; Church, Brian; Kao, Raymond

2011-01-01

Background In the war against the Taliban, Canada was the lead North Atlantic Treaty Organization (NATO) nation to provide medical and surgical care to NATO soldiers, Afghanistan National Army soldiers, Afghanistan Nation Police, civilians working in and outside Kandahar Airfield and Afghanistan civilians at the Role 3 Multinational Medical Unit (R3MMU) from February 2006 to October 2009. Methods We obtained data from the Joint Theatre Trauma Registry between May 1 and Oct. 15, 2009; 188 patients were admitted to the R3MMU intensive care unit (ICU). We analyzed the ICU data according to types and causes of trauma, mechanical ventilation prevalence, ICU medical and surgical complications, blood products utilization, length of stay in the ICU and mortality. Results The admitting services were general surgery (35%), neurosurgery (29%), orthopedic surgery (18%) and internal medicine (3%). Improvised explosive devices (46%) and gunshot wounds (26%) were the main causes of ICU admissions. The mean injury severity score for all patients admitted to the ICU was 37, and 81% of ICU patients required mechanical ventilation for a mean duration of 3 days. The main ICU complications were coagulopathy (6.4%), aspiration pneumonia (4.3%), pneumothorax (3.7%) and wound infection (2.7%). The following blood products were most used: packed red blood cells (55%), fresh frozen plasma (54%), platelets (29%) and cryoprecipitate (23%). The average length of stay in the ICU was 4.3 days, and the survival rate was 93%. Conclusion The high survival rate suggests that ICU care is a necessary and vital resource for a trauma hospital in a war zone. PMID:22099326

The Southern Ocean's role in ocean circulation and climate transients

NASA Astrophysics Data System (ADS)

Thompson, A. F.; Stewart, A.; Hines, S.; Adkins, J. F.

2017-12-01

The ventilation of deep and intermediate density classes at the surface of the Southern Ocean impacts water mass modification and the air-sea exchange of heat and trace gases, which in turn influences the global overturning circulation and Earth's climate. Zonal variability occurs along the Antarctic Circumpolar Current and the Antarctic margins related to flow-topography interactions, variations in surface boundary conditions, and exchange with northern basins. Information about these zonal variations, and their impact on mass and tracer transport, are suppressed when the overturning is depicted as a two-dimensional (depth-latitude) streamfunction. Here we present an idealized, multi-basin, time-dependent circulation model that applies residual circulation theory in the Southern Ocean and allows for zonal water mass transfer between different ocean basins. This model efficiently determines the temporal evolution of the ocean's stratification, ventilation and overturning strength in response to perturbations in the external forcing. With this model we explore the dynamics that lead to transitions in the circulation structure between multiple, isolated cells and a three-dimensional, "figure-of-eight," circulation in which traditional upper and lower cells are interleaved. The transient model is also used to support a mechanistic explanation of the hemispheric asymmetry and phase lag associated with Dansgaard-Oeschger (DO) events during the last glacial period. In particular, the 200 year lag in southern hemisphere temperatures, following a perturbation in North Atlantic deep water formation, depends critically on the migration of Southern Ocean isopycnal outcropping in response to low-latitude stratification changes. Our results provide a self-consistent dynamical framework to explain various ocean overturning transitions that have occurred over the Earth's last 100,000 years, and motivate an exploration of these mechanisms in more sophisticated climate models.

Impact of Room Ventilation Rates on Mouse Cage Ventilation and Microenvironment.

PubMed

Reeb, Carolyn K.; Jones, Robert B.; Bearg, David W.; Bedigian, Hendrick; Paigen, Beverly

1997-01-01

To assess the impact of room ventilation on animal cage microenvironment, intracage ventilation rate, temperature, humidity, and concentrations of carbon dioxide and ammonia were monitored in nonpressurized, bonnet-topped mouse cages. Cages on the top, middle, and bottom rows of a mouse rack were monitored at room ventilation rates of 0, 5, 10, and 20 air changes/h (ACH). Ventilation inside the animal cage increased somewhat from 12.8 to 18.9 ACH as room ventilation rate in- creased from 0 to 20 ACH, but the differences were not statistically significant, and most of the increase occurred in cages in the top row nearest to the fresh air supply. Cages containing mice had ventilation rate between 10 and 15 ACH even when room ventilation was reduced to 0 ACH; this ventilation is a result of the thermal heat load of the mice. After 6 days of soiled bedding, intracage ammonia concentration was c 3 ppm at all room ventilation rates and was not affected by increasing room ventilation. Temperature inside cages did not change with increasing ventilation. Humidity inside cages significantly decreased with increasing ventilation, from 55% relative humidity at 5 ACH to 36% relative humidity at 20 ACH. Carbon dioxide concentration decreased from 2,500 ppm to 1,900 ppm when ventilation rate increased from 5 ACH to 10 ACH, but no further significant decrease was observed at 20 ACH. In conclusion, increasing the room ventilation rate higher than 5 ACH did not result in significant improvements in the cage microenvironment.

Automated continuous quantitative measurement of proximal airways on dynamic ventilation CT: initial experience using an ex vivo porcine lung phantom.

PubMed

Yamashiro, Tsuneo; Tsubakimoto, Maho; Nagatani, Yukihiro; Moriya, Hiroshi; Sakuma, Kotaro; Tsukagoshi, Shinsuke; Inokawa, Hiroyasu; Kimoto, Tatsuya; Teramoto, Ryuichi; Murayama, Sadayuki

2015-01-01

The purpose of this study was to evaluate the feasibility of continuous quantitative measurement of the proximal airways, using dynamic ventilation computed tomography (CT) and our research software. A porcine lung that was removed during meat processing was ventilated inside a chest phantom by a negative pressure cylinder (eight times per minute). This chest phantom with imitated respiratory movement was scanned by a 320-row area-detector CT scanner for approximately 9 seconds as dynamic ventilatory scanning. Obtained volume data were reconstructed every 0.35 seconds (total 8.4 seconds with 24 frames) as three-dimensional images and stored in our research software. The software automatically traced a designated airway point in all frames and measured the cross-sectional luminal area and wall area percent (WA%). The cross-sectional luminal area and WA% of the trachea and right main bronchus (RMB) were measured for this study. Two radiologists evaluated the traceability of all measurable airway points of the trachea and RMB using a three-point scale. It was judged that the software satisfactorily traced airway points throughout the dynamic ventilation CT (mean score, 2.64 at the trachea and 2.84 at the RMB). From the maximum inspiratory frame to the maximum expiratory frame, the cross-sectional luminal area of the trachea decreased 17.7% and that of the RMB 29.0%, whereas the WA% of the trachea increased 6.6% and that of the RMB 11.1%. It is feasible to measure airway dimensions automatically at designated points on dynamic ventilation CT using research software. This technique can be applied to various airway and obstructive diseases.

Prevalence of large and occult pneumothoraces in patients with severe blunt trauma upon hospital admission: experience of 526 cases in a French level 1 trauma center.

PubMed

Charbit, Jonathan; Millet, Ingrid; Maury, Camille; Conte, Benjamin; Roustan, Jean-Paul; Taourel, Patrice; Capdevila, Xavier

2015-06-01

Occult pneumothoraces (PTXs), which are not visible on chest x-ray, may progress to tension PTX. The aim of study was to establish the prevalence of large occult PTXs upon admission of patients with severe blunt trauma, according to prehospital mechanical ventilation. Patients with severe trauma consecutively admitted to our institution for 5 years were retrospectively analyzed. All patients with blunt thoracic trauma who had undergone computed tomographic (CT) within the first hour of hospitalization were included. Mechanical ventilation was considered as early if it was introduced in the prehospital period or on arrival at the hospital. Occult PTXs were defined as PTXs not visible on chest x-ray. All PTXs were measured on CT scan (largest thickness and vertical dimension). Large occult PTXs were defined by a largest thickness of 30 mm or more. Of the 526 patients studied, 395 (75%) were male, mean age was 37.9 years, mean Injury Severity Score was 22.2, and 247 (47%) received early mechanical ventilation. Of 429 diagnosed PTXs, 296 (69%) were occult. The proportion of occult PTXs classified as large was 11% (95% confidence interval, 8%-15%). The overall prevalence of large occult PTXs was 6% (95% confidence interval, 4%-8%). Both CT measurements and proportion of large occult PTXs were found statistically comparable in patients with or without mechanical ventilation. Six percent of studied patients with severe trauma had a large and occult PTX as soon as admission despite a normal chest x-ray result. The observed sizes and rates of occult PTX were comparable regardless of the initiation of early mechanical ventilation. Copyright © 2015. Published by Elsevier Inc.

Perspectives on advance care planning among patients recently requiring non-invasive ventilation for acute respiratory failure: A qualitative study using thematic analysis.

PubMed

Smith, Tracy A; Disler, Rebecca T; Jenkins, Christine R; Ingham, Jane M; Davidson, Patricia M

2017-06-01

Patients requiring non-invasive ventilation for acute-on-chronic respiratory failure due to chronic obstructive pulmonary disease or heart failure exacerbations may have a poor prognosis underscoring the importance of advance care planning. We aimed to describe attitudes to, and experiences of, discussing the future among patients recently treated with non-invasive ventilation. Qualitative research using thematic analysis. Tertiary teaching hospital. Patients with acute hypercapnic respiratory failure requiring non-invasive ventilation. Individuals recently treated with non-invasive ventilation describe feeling the future is beyond their control and instead controlled by their illness. Participants often recognised their poor prognosis but avoided discussing some difficult topics. The majority preferred not to undergo cardiopulmonary resuscitation but most had not discussed this with healthcare professionals. When participants voiced concerns about their future health to family members, they were met with polarised responses. Some encountered willingness for further discussion, while others met deflection, deterring further conversation. An overarching narrative of 'Looking through my illness to an uncertain but concerning future' unites these themes. This study suggests opportunities and barriers for advance care planning in individuals with chronic disease. Patients' understanding of their prognosis and their attitudes to cardiopulmonary resuscitation suggests an opportunity for advance care planning. Structuring discussions around patients' preferences for care during future exacerbations may foster a sense of control over the future despite illness. The diversity of familial responses to patients' concerns about their future health has implications for advance care planning. These findings have the potential to improve care for patients with respiratory failure and suggest an important ongoing research agenda.

Effect of Increased Body Mass Index on Complication Rates during Laryngotracheal Surgery Utilizing Jet Ventilation.

PubMed

Barry, Rachel A; Fink, Daniel S; Pourciau, Dusty Cole; Hayley, Kasey; Lanius, Rachael; Hayley, Schuylor; Sims, Eddy; McWhorter, Andrew J

2017-09-01

Objective Jet ventilation has been used for >30 years as an anesthetic modality for laryngotracheal surgery. Concerns exist over increased risk with elevated body mass index (BMI). We reviewed our experience using jet ventilation for laryngotracheal stenosis to assess for complication rates with substratification by BMI. Study Design Case series with chart review. Setting Tertiary care center. Subjects and Methods A total of 126 procedures with jet ventilation were identified from October 2006 to December 2014. Complications were recorded, including intubation, unplanned admission, readmission, dysphonia, oral trauma, pneumothorax, pneumomediastinum, and tracheostomy. Lowest intraoperative oxygen saturation and maximum end-tidal CO 2 (ETCO 2 ) levels were recorded. Results Among 126 patients, 43, 77, and 6 had BMIs of <25, 25-35, and 36-45, respectively. In the BMI <25 group, there was 1 unplanned intubation. Mean maximum ETCO 2 was 36.51 with no hypoxemia observed. In the BMI 25-35 group, 2 patients required intubation, and 1 sustained minor oral trauma. The mean maximum ETCO 2 was 38.85, with 4 patients having oxygen saturation <90%. In the BMI 36-45 group, 2 patients required intubation. The mean maximum ETCO 2 was 41 with no hypoxemia observed. BMI and length of stenosis were statistically significant variables associated with incidence of intraoperative intubation. Conclusion Increased BMI was associated with an increase in highest ETCO 2 intraoperatively. However, this was not associated with an increase in major complications. Jet ventilation was performed without significant adverse events in this sample, and it is a viable option if used with an experienced team in the management of laryngotracheal stenosis.

Ventilation changes associated with hatching and maturation of an endothermic phenotype in the Pekin duck, Anas platyrhynchos domestica.

PubMed

Sirsat, Tushar S; Dzialowski, Edward M

2016-04-15

Precocial birds begin embryonic life with an ectothermic metabolic phenotype and rapidly develop an endothermic phenotype after hatching. Switching to a high-energy, endothermic phenotype requires high-functioning respiratory and cardiovascular systems to deliver sufficient environmental oxygen to the tissues. We measured tidal volume (VT), breathing frequency (ƒ), minute ventilation (V̇e), and whole-animal oxygen consumption (V̇o2) in response to gradual cooling from 37.5°C (externally pipped paranates, EP) or 35°C (hatchlings) to 20°C along with response to hypercapnia during developmental transition from an ectothermic, EP paranate to endothermic hatchling. To examine potential eggshell constraints on EP ventilation, we repeated these experiments in artificially hatched early and late EP paranates. Hatchlings and artificially hatched late EP paranates were able to increase V̇o2significantly in response to cooling. EP paranates had high ƒ that decreased with cooling, coupled with an unchanging low VT and did not respond to hypercapnia. Hatchlings had significantly lower ƒ and higher VT and V̇e that increased with cooling and hypercapnia. In response to artificial hatching, all ventilation values quickly reached those of hatchlings and responded to hypercapnia. The timing of artificial hatching influenced the temperature response, with only artificially hatched late EP animals, exhibiting the hatchling ventilation response to cooling. We suggest one potential constraint on ventilatory responses of EP paranates is the rigid eggshell, limiting air sac expansion during inhalation and constraining VT Upon natural or artificial hatching, the VT limitation is removed and the animal is able to increase VT, V̇e, and thus V̇o2, and exhibit an endothermic phenotype. Copyright © 2016 the American Physiological Society.

Ventilation changes associated with hatching and maturation of an endothermic phenotype in the Pekin duck, Anas platyrhynchos domestica

PubMed Central

Sirsat, Tushar S.

2016-01-01

Precocial birds begin embryonic life with an ectothermic metabolic phenotype and rapidly develop an endothermic phenotype after hatching. Switching to a high-energy, endothermic phenotype requires high-functioning respiratory and cardiovascular systems to deliver sufficient environmental oxygen to the tissues. We measured tidal volume (VT), breathing frequency (ƒ), minute ventilation (V̇e), and whole-animal oxygen consumption (V̇o2) in response to gradual cooling from 37.5°C (externally pipped paranates, EP) or 35°C (hatchlings) to 20°C along with response to hypercapnia during developmental transition from an ectothermic, EP paranate to endothermic hatchling. To examine potential eggshell constraints on EP ventilation, we repeated these experiments in artificially hatched early and late EP paranates. Hatchlings and artificially hatched late EP paranates were able to increase V̇o2 significantly in response to cooling. EP paranates had high ƒ that decreased with cooling, coupled with an unchanging low VT and did not respond to hypercapnia. Hatchlings had significantly lower ƒ and higher VT and V̇e that increased with cooling and hypercapnia. In response to artificial hatching, all ventilation values quickly reached those of hatchlings and responded to hypercapnia. The timing of artificial hatching influenced the temperature response, with only artificially hatched late EP animals, exhibiting the hatchling ventilation response to cooling. We suggest one potential constraint on ventilatory responses of EP paranates is the rigid eggshell, limiting air sac expansion during inhalation and constraining VT. Upon natural or artificial hatching, the VT limitation is removed and the animal is able to increase VT, V̇e, and thus V̇o2, and exhibit an endothermic phenotype. PMID:26818053

Controlling factors of the OMZ in the Arabian Sea

NASA Astrophysics Data System (ADS)

Resplandy, L.; Lévy, M.; Bopp, L.; Echevin, V.; Pous, S.; Sarma, V. V. S. S.; Kumar, D.

2012-05-01

In-situ observations indicate that the Arabian Sea oxygen minimum zone (OMZ) is only weakly influenced by the strong seasonal cycle of ocean dynamic and biogeochemistry forced by the asian monsoon system and it is spatially decorrelated from the coastal upwelling systems where the biological production is the strongest. In this study we examine the factors controlling the seasonality and the spatial distribution of the OMZ in the Arabian Sea using a coupled bio-physical model. We find that the oxygen concentration in the OMZ displays a seasonal cycle with an amplitude of 5-15 % of the annual mean oxygen concentration. The OMZ is ventilated by lateral ventilation along the western boundary current and in the coastal undercurrent along India during the summer monsoon and by coastal downwelling and negative Ekman pumping during the fall intermonsoon and winter monsoon. This ventilation is counterbalanced by strong coastal upwelling and positive Ekman pumping of low oxygen waters at the base of the OMZ during the spring intermonsoon. Although the factors controlling the OMZ seasonality are associated with the men circulation, we find that mesoscale dynamics modulates them by limiting the vertical ventilation during winter and enhancing it through lateral advection during the rest of the year. Processes explaining the establishment and spatial distribution of the OMZ were quantified using a perturbation experiment initialised with no OMZ. As expected, the oxygen depletion is triggered by strong biological activity in central Arabian Sea during winter and in western and eastern boundary coastal upwelling systems during summer. We find that the 3-D ocean dynamic largely controls the spatial distribution of the OMZ. The eastward shift ensues from the northward lateral transport of ventilated waters along the western and eastern coasts and the advection offshore of low oxygen waters formed in the upwelling system.

A Study on The Development of Local Exhaust Ventilation System (LEV’s) for Installation of Laser Cutting Machine

NASA Astrophysics Data System (ADS)

Harun, S. I.; Idris, S. R. A.; Tamar Jaya, N.

2017-09-01

Local exhaust ventilation (LEV) is an engineering system frequently used in the workplace to protect operators from hazardous substances. The objective of this project is design and fabricate the ventilation system as installation for chamber room of laser cutting machine and to stimulate the air flow inside chamber room of laser cutting machine with the ventilation system that designed. LEV’s fabricated with rated voltage D.C 10.8V and 1.5 ampere. Its capacity 600 ml, continuously use limit approximately 12-15 minute, overall length LEV’s fabricated is 966 mm with net weight 0.88 kg and maximum airflow is 1.3 meter cubic per minute. Stimulate the air flow inside chamber room of laser cutting machine with the ventilation system that designed and fabricated overall result get 2 main gas vapor which air and carbon dioxide. For air gas which experimented by using anemometer, general duct velocity that produce is same with other gas produce, carbon dioxide which 5 m/s until 10 m/s. Overall result for 5 m/s and 10 m/s as minimum and maximum duct velocity produce for both air and carbon dioxide. The air gas flow velocity that captured by LEV’s fabricated, 3.998 m/s average velocity captured from 5 m/s duct velocity which it efficiency of 79.960% and 7.667 m/s average velocity captured from 10 m/s duct velocity with efficiency of 76.665%. For carbon dioxide gas flow velocity that captured by LEV’s fabricated, 3.674 m/s average velocity captured from 5 m/s duct velocity which it efficiency of 73.480% and 8.255 m/s average velocity captured from 10 m/s duct velocity with efficiency of 82.545%.

Measurement of tidal volume using respiratory ultrasonic plethysmography in anaesthetized, mechanically ventilated horses.

PubMed

Russold, Elena; Ambrisko, Tamas D; Schramel, Johannes P; Auer, Ulrike; Van Den Hoven, Rene; Moens, Yves P

2013-01-01

To compare tidal volume estimations obtained from Respiratory Ultrasonic Plethysmography (RUP) with simultaneous spirometric measurements in anaesthetized, mechanically ventilated horses. Prospective randomized experimental study. Five experimental horses. Five horses were anaesthetized twice (1 week apart) in random order in lateral and in dorsal recumbency. Nine ventilation modes (treatments) were scheduled in random order (each lasting 4 minutes) applying combinations of different tidal volumes (8, 10, 12 mL kg(-1)) and positive end-expiratory pressures (PEEP) (0, 10, 20 cm H(2)O). Baseline ventilation mode (tidal volume=15 mL kg(-1), PEEP=0 cm H(2)O) was applied for 4 minutes between all treatments. Spirometry and RUP data were downloaded to personal computers. Linear regression analyses (RUP versus spirometric tidal volume) were performed using different subsets of data. Additonally RUP was calibrated against spirometry using a regression equation for all RUP signal values (thoracic, abdominal and combined) with all data collectively and also by an individually determined best regression equation (highest R(2)) for each experiment (horse versus recumbency) separately. Agreement between methods was assessed with Bland-Altman analyses. The highest correlation of RUP and spirometric tidal volume (R(2)=0.81) was found with the combined RUP signal in horses in lateral recumbency and ventilated without PEEP. The bias ±2 SD was 0±2.66 L when RUP was calibrated for collective data, but decreased to 0±0.87 L when RUP was calibrated with individual data. A possible use of RUP for tidal volume measurement during IPPV needs individual calibration to obtain limits of agreement within ±20%. © 2012 The Authors. Veterinary Anaesthesia and Analgesia. © 2012 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesiologists.

Pulmonary NO and C18O2 uptake during pressure-induced lung expansion in rabbits.

PubMed

Heller, Hartmut; Schuster, Klaus-Dieter

2007-01-01

In artificially ventilated animals we investigated the dependence of the pulmonary diffusing capacities of nitric oxide (NO) and doubly 18O-labeled carbon dioxide (DLNO, DLC18O2) on lung expansion with respect to ventilator-driven increases in intrapulmonary pressure. For this purpose we applied computerized single-breath experiments to 11 anesthetized paralyzed rabbits (weight 2.8-3.8 kg) at various alveolar volumes (45-72 ml) by studying the almost entire inspiratory limb of the respective pressure/volume curves (intrapulmonary pressure: 6-27 cmH2O). The animals were ventilated with room air, employing a computerized ventilatory servo-system that we designed to maintain mechanical ventilation and to execute the particular lung function tests automatically. Each single-breath maneuver was started from residual volume (13.5+/-2 ml, mean+/-SD) by inflating the rabbit lungs with 35-55 ml indicator gas mixture containing 0.05% NO in N2 or 0.9% C18O2 in N2. Alveolar partial pressures of NO and C18O2 were measured by respiratory mass spectrometry. Values of DLNO and DLC18O2 ranged between 1.55 and 2.49 ml/(mmHg min) and 11.7 and 16.6 ml/(mmHg min), respectively. Linear regression analyses yielded a significant increase in DLNO with simultaneous increase in alveolar volume (P<0.005) and intrapulmonary pressure (P<0.023) whereas DLC18O2 was not improved. Our results suggest that the ventilator-driven lung expansion impaired the C18O2 blood uptake conductance, finally compensating for the beneficial effect of the increase in alveolar volume on DLC18O2 values.

Variable mechanical ventilation

PubMed Central

Fontela, Paula Caitano; Prestes, Renata Bernardy; Forgiarini Jr., Luiz Alberto; Friedman, Gilberto

2017-01-01

Objective To review the literature on the use of variable mechanical ventilation and the main outcomes of this technique. Methods Search, selection, and analysis of all original articles on variable ventilation, without restriction on the period of publication and language, available in the electronic databases LILACS, MEDLINE®, and PubMed, by searching the terms "variable ventilation" OR "noisy ventilation" OR "biologically variable ventilation". Results A total of 36 studies were selected. Of these, 24 were original studies, including 21 experimental studies and three clinical studies. Conclusion Several experimental studies reported the beneficial effects of distinct variable ventilation strategies on lung function using different models of lung injury and healthy lungs. Variable ventilation seems to be a viable strategy for improving gas exchange and respiratory mechanics and preventing lung injury associated with mechanical ventilation. However, further clinical studies are necessary to assess the potential of variable ventilation strategies for the clinical improvement of patients undergoing mechanical ventilation. PMID:28444076

The impact of climatological model biases in the North Atlantic jet on predicted future circulation change

NASA Astrophysics Data System (ADS)

Simpson, I.

2015-12-01

A long standing bias among global climate models (GCMs) is their incorrect representation of the wintertime circulation of the North Atlantic region. Specifically models tend to exhibit a North Atlantic jet (and associated storm track) that is too zonal, extending across central Europe, when it should tilt northward toward Scandinavia. GCM's consistently predict substantial changes in the large scale circulation in this region, consisting of a localized anti-cyclonic circulation, centered over the Mediterranean and accompanied by increased aridity there and increased storminess over Northern Europe.Here, we present preliminary results from experiments that are designed to address the question of what the impact of the climatological circulation biases might be on this predicted future response. Climate change experiments will be compared in two versions of the Community Earth System Model: the first is a free running version of the model, as typically used in climate prediction; the second is a bias corrected version of the model in which a seasonally varying cycle of bias correction tendencies are applied to the wind and temperature fields. These bias correction tendencies are designed to account for deficiencies in the fast parameterized processes, with an aim to push the model toward a more realistic climatology.While these experiments come with the caveat that they assume the bias correction tendencies will remain constant with time, they allow for an initial assessment, through controlled experiments, of the impact that biases in the climatological circulation can have on future predictions in this region. They will also motivate future work that can make use of the bias correction tendencies to understand the underlying physical processes responsible for the incorrect tilt of the jet.

Effects of positive end-expiratory pressure and recruitment maneuvers in a ventilator-induced injury mouse model

PubMed Central

Franzi, Lisa M.; Linderholm, Angela L.; Last, Jerold A.; Adams, Jason Y.; Harper, Richart W.

2017-01-01

Background Positive-pressure mechanical ventilation is an essential therapeutic intervention, yet it causes the clinical syndrome known as ventilator-induced lung injury. Various lung protective mechanical ventilation strategies have attempted to reduce or prevent ventilator-induced lung injury but few modalities have proven effective. A model that isolates the contribution of mechanical ventilation on the development of acute lung injury is needed to better understand biologic mechanisms that lead to ventilator-induced lung injury. Objectives To evaluate the effects of positive end-expiratory pressure and recruitment maneuvers in reducing lung injury in a ventilator-induced lung injury murine model in short- and longer-term ventilation. Methods 5–12 week-old female BALB/c mice (n = 85) were anesthetized, placed on mechanical ventilation for either 2 hrs or 4 hrs with either low tidal volume (8 ml/kg) or high tidal volume (15 ml/kg) with or without positive end-expiratory pressure and recruitment maneuvers. Results Alteration of the alveolar-capillary barrier was noted at 2 hrs of high tidal volume ventilation. Standardized histology scores, influx of bronchoalveolar lavage albumin, proinflammatory cytokines, and absolute neutrophils were significantly higher in the high-tidal volume ventilation group at 4 hours of ventilation. Application of positive end-expiratory pressure resulted in significantly decreased standardized histology scores and bronchoalveolar absolute neutrophil counts at low- and high-tidal volume ventilation, respectively. Recruitment maneuvers were essential to maintain pulmonary compliance at both 2 and 4 hrs of ventilation. Conclusions Signs of ventilator-induced lung injury are evident soon after high tidal volume ventilation (as early as 2 hours) and lung injury worsens with longer-term ventilation (4 hrs). Application of positive end-expiratory pressure and recruitment maneuvers are protective against worsening VILI across all time points. Dynamic compliance can be used guide the frequency of recruitment maneuvers to help ameloriate ventilator-induced lung injury. PMID:29112971

A Career on Both Sides of the Atlantic: Memoirs of a Molecular Plant Pathologist.

PubMed

Panopoulos, Nickolas J

2017-08-04

This article recounts the experiences that shaped my career as a molecular plant pathologist. It focuses primarily on technical and conceptual developments in molecular phytobacteriology, shares some personal highlights and untold stories that impacted my professional development, and describes the early years of agricultural biotechnology. Writing this article required reflection on events occurring over several decades that were punctuated by a mid-career relocation across the Atlantic. I hope it will still be useful, informative, and enjoyable to read. An extended version of the abstract is provided in the Supplemental Materials , available online.

Experimental data from coastal diffusion tests. [Smoke diffusion over coastal waters

DOE Office of Scientific and Technical Information (OSTI.GOV)

Raynor, G S; Brown, R M; SethuRaman, S

1976-10-01

Data are reported from a series of seven experiments on the diffusion of smoke plumes over northeast Atlantic Ocean coastal waters in response to wind fluctuations and other meteorological variables. A qualitative description of smoke behavior during each experiment is included and photographs of the smoke are included to illustrate the type of diffusion observed. (CH)

Crossing the Atlantic: Integrating Cross-Cultural Experiences into Undergraduate Business Courses Using Virtual Communities Technology

ERIC Educational Resources Information Center

Luethge, Denise J.; Raska, David; Greer, Bertie M.; O'Connor, Christina

2016-01-01

Today's business school academics are tasked with pedagogy that offers students an understanding of the globalization of markets and the cross-cultural communication skills needed in today's business environment. The authors describe how a virtual cross-cultural experience was integrated into an undergraduate business course and used as an…

Science Teachers' Beliefs about the Influence of Their Summer Research Experiences on Their Pedagogical Practices

ERIC Educational Resources Information Center

Miranda, Rommel J.; Damico, Julie B.

2013-01-01

This study sought to determine the beliefs that tenured, in-service high school science teachers hold about how their participation in a large mid-Atlantic university's 6-week summer research experiences for teachers (RET) program might influence their pedagogical practices. The findings show a number of factors that teachers believed helped them…

Partners in Learning: Exploring Two Transformative University and High School Service-Learning Partnerships

ERIC Educational Resources Information Center

Bialka, Christa S.; Havlik, Stacey A.

2016-01-01

This study describes a service-learning partnership between a Mid-Atlantic university and two private, urban high schools by examining the perspectives of those engaged in the service experience. The purpose of this study was to explore the shared experiences of service-learning in schools from the perspectives of both university and high school…

Introduction to: Atlantic Meridional Overturning Circulation(AMOC)

NASA Technical Reports Server (NTRS)

Hakkinen, Sirpa; Carton, James A.

2011-01-01

A striking conclusion of the Intergovernmental Panel on Climate Change 2007 report is the crucial role that the Atlantic Meridional Overturning Circulation (AMOC) may play in anthropogenic climate change. However, these IPCC coupled climate simulations show a broad range of uncertainty in the magnitude and timing of AMOC transport change ranging from none to nearly complete collapse within the 21st century. The potential consequences of large changes in the characteristics of AMOC have motivated the creation in the United States of an interagency program and implementation plan to develop monitoring and prediction capabilities for the AMOC This program parallels the development of substantial monitoring efforts by European, South American and African countries -- notably the UK Rapid and Rapid-Watch programs. The papers contained in this volume are derived from presentations at the First U.S. Atlantic Meridional Overturning Circulation (AMOC) Meeting held 4 - 6 May, 2009 to review the US implementation plan and its coordination with other monitoring activities. The Atlantic Meridional Overturning Circulation consists of multiple components illustrated in an attached figure. Water enters the South Atlantic at upper and intermediate depths through both western and eastern routes (where eddy transport is especially important) and is transported northward across the equator, where it recirculates within the northern subtropical and subpolar gyres. The northern end is defined by the sinking regions of the Nordic Seas and the Labrador Sea where the waters that eventually form the upper and lower branches of North Atlantic Deep Water are conditioned. High surface salinities, the result of high net evaporation in the tropics and subtropics (including the Mediterranean Sea), and presence of regions of the Arctic Ocean that remain ice-free even in winter allow for the rapid cooling and thus densification of surface water. This dense surface water becomes the source of deep water formation in the sinking regions. In addition to transporting mass, the AMOC transports roughly half of the total amount of heat carried northward through the northern subtropics (down the temperature-gradient) by the ocean. In contrast in the Southern Hemisphere AMOC transports heat up-gradient from the cool Circumpolar Current to the warm tropics. Paleoevidence suggests that AMOC heat transport in the two hemispheres has varied over time in ways intimately tied to millennial changes in the Earth's climate. In one example, the abrupt Younger Dryas spell of cold weather over the North Atlantic, which began 13,000 years ago, has generally been linked to a millennial shutdown of the AMOC as a result of massive freshwater discharge from the North American continent. The current AMOC monitoring array consists of a series of instrumented transects located across key passages (see Cunningham et al., 2010 for a recent review). In the Arctic and sub-Arctic, transects cross Fram Strait, Denmark Strait and the Faroe Channel (connecting Greenland, Iceland, and the United Kingdom), as well as the entrance to the Labrador Sea. Further south and extending outwards from the east coast of North America there are a series of monitoring arrays including arrays of the Canadian Atlantic Zone Monitoring Program, deployments of the Rapid Western Atlantic Variability Experiment (WAVE), Line W at 39 N, as well as the Rapid-MOC moored array. The latter spans the entire Atlantic basin along 26.5 N. At tropical latitudes we have the Meridional Overturning Variability Experiment (MOVE) array at 16 N, while in the Southern Hemisphere a corresponding basin-spanning transect is being established at the latitude of Cape of Good Hope, complemented by arrays at Drake Passage.

46 CFR 111.103-1 - Power ventilation systems except machinery space ventilation systems.

Code of Federal Regulations, 2010 CFR

2010-10-01

... (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Remote Stopping Systems § 111.103-1 Power ventilation systems except machinery space ventilation systems. Each power ventilation system must... 46 Shipping 4 2010-10-01 2010-10-01 false Power ventilation systems except machinery space...

46 CFR 111.103-1 - Power ventilation systems except machinery space ventilation systems.

Code of Federal Regulations, 2011 CFR

2011-10-01

... (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Remote Stopping Systems § 111.103-1 Power ventilation systems except machinery space ventilation systems. Each power ventilation system must... 46 Shipping 4 2011-10-01 2011-10-01 false Power ventilation systems except machinery space...

46 CFR 111.103-1 - Power ventilation systems except machinery space ventilation systems.

Code of Federal Regulations, 2014 CFR

2014-10-01

... (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Remote Stopping Systems § 111.103-1 Power ventilation systems except machinery space ventilation systems. Each power ventilation system must... 46 Shipping 4 2014-10-01 2014-10-01 false Power ventilation systems except machinery space...

46 CFR 111.103-1 - Power ventilation systems except machinery space ventilation systems.

Code of Federal Regulations, 2012 CFR

2012-10-01

... (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Remote Stopping Systems § 111.103-1 Power ventilation systems except machinery space ventilation systems. Each power ventilation system must... 46 Shipping 4 2012-10-01 2012-10-01 false Power ventilation systems except machinery space...

46 CFR 111.103-1 - Power ventilation systems except machinery space ventilation systems.

Code of Federal Regulations, 2013 CFR

2013-10-01

... (CONTINUED) ELECTRICAL ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Remote Stopping Systems § 111.103-1 Power ventilation systems except machinery space ventilation systems. Each power ventilation system must... 46 Shipping 4 2013-10-01 2013-10-01 false Power ventilation systems except machinery space...

Visualizing dissolved oxygen transport for liquid ventilation in an in vitro model of the human airways

NASA Astrophysics Data System (ADS)

Janke, T.; Bauer, K.

2017-04-01

Up until to now, the measurement of dissolved oxygen concentrations during liquid ventilation is limited to the determination of averaged concentrations of the liquid entering or leaving the body. The work presented in this paper aims to extend the possible measurement techniques in the research of liquid ventilation. Therefore optical measurements of the dissolved oxygen concentration, using a luminescent sensor dye, are performed. The preparation of a suitable sensor liquid, based on the metal complex Dichlorotris(1,10)-(phenanthroline)ruthenium(II), is presented. A transparent simplified human lung geometry is used for conducting the experiments. Inspiratory as well as expiratory flow at three different constant flow rates is investigated, covering the flow regimes \\text{Re}=83 -333 and \\text{Pe}=33 300 -133 000. The applied measurement technique is capable to reveal distinctive concentration patterns during inspiration and expiration caused by the laminar flow characteristics. Allowing a sufficiently long flow duration, local concentration inhomogeneities disappear and an exponential rise and decay of the mean values can be observed for inspiration and expiration.

Experimental study of effectiveness of four radon mitigation solutions, based on underground depressurization, tested in prototype housing built in a high radon area in Spain.

PubMed

Frutos Vázquez, Borja; Olaya Adán, Manuel; Quindós Poncela, Luis Santiago; Sainz Fernandez, Carlos; Fuente Merino, Ismael

2011-04-01

The present paper discusses the results of an empirical study of four approaches to reducing indoor radon concentrations based on depressurization techniques in underground sumps. The experiments were conducted in prototype housing built in an area of Spain where the average radon concentration at a depth of 1 m is 250 kBq m(-3). Sump effectiveness was analysed in two locations: underneath the basement, which involved cutting openings into the foundation, ground storey and roof slabs, and outside the basement walls, which entailed digging a pit alongside the building exterior. The effectiveness of both sumps was likewise tested with passive and forced ventilation methods. The systems proved to be highly efficient, lowering radon levels by 91-99%, except in the solution involving passive ventilation and the outside sump, where radon levels were reduced by 53-55%. At wind speeds of over 8 m/s, however, passive ventilation across an outside sump lowered radon levels by 95% due to a Venturi effect induced drop in pressure. Copyright © 2011 Elsevier Ltd. All rights reserved.

Simultaneous application of two independent EIT devices for real-time multi-plane imaging.

PubMed

Schullcke, B; Krueger-Ziolek, S; Gong, B; Mueller-Lisse, U; Moeller, K

2016-09-01

Diagnosis and treatment of many lung diseases like cystic fibrosis (CF) or chronic obstructive pulmonary disease (COPD) could benefit from 3D ventilation information. Applying two EIT systems concurrently is a simple approach without specialized hardware that allows monitoring of regional changes of ventilation distribution inside the thorax at different planes with the high temporal resolution much valued in common single plane EIT. Effects of two simultaneously operated EIT devices on one subject were investigated to monitor rapid processes inside the thorax with a multi-plane approach. Results obtained by simulations with a virtual phantom and measurements with a phantom tank reveal that the distance of electrode planes has an important influence on the signal quality. Band-pass filters adapted according to the distance of the planes, can be used to reduce the crosstalk of the concurrent EIT systems. Besides simulations and phantom tank experiments measurements were also taken from a lung healthy volunteer to demonstrate the operation under realistic conditions. Reconstructed images indicate that it is possible to simultaneously visualize regional ventilation at different planes if settings of the EIT devices are chosen appropriately.

Parametric laws to model urban pollutant dispersion with a street network approach

NASA Astrophysics Data System (ADS)

Soulhac, L.; Salizzoni, P.; Mejean, P.; Perkins, R. J.

2013-03-01

This study discusses the reliability of the street network approach for pollutant dispersion modelling in urban areas. This is essentially based on a box model, with parametric relations that explicitly model the main phenomena that contribute to the street canyon ventilation: the mass exchanges between the street and the atmosphere, the pollutant advection along the street axes and the pollutant transfer at street intersections. In the first part of the paper the focus is on the development of a model for the bulk transfer street/atmosphere, which represents the main ventilation mechanisms for wind direction that are almost perpendicular to the axis of the street. We then discuss the role of the advective transfer along the street axis on its ventilation, depending on the length of the street and the direction of the external wind. Finally we evaluate the performances of a box model integrating parametric exchange laws for these transfer phenomena. To that purpose we compare the prediction of the model to wind tunnel experiments of pollutant dispersion within a street canyon placed in an idealised urban district.

An Experimental Study on Burning Characteristics of n-Heptane/Ethanol Mixture Pool Fires in a Reduced Scaled Tunnel

NASA Astrophysics Data System (ADS)

Yozgatligil, Ahmet; Shafee, Sina

2016-11-01

Fire accidents in recent decades have drawn attention to safety issues associated with the design, construction and maintenance of tunnels. A reduced scale tunnel model constructed based on Froude scaling technique is used in the current work. Mixtures of n-heptane and ethanol are burned with ethanol volumetric fraction up to 30 percent and the longitudinal ventilation velocity varying from 0.5 to 2.5 m/s. The burning rates of the pool fires are measured using a precision load cell. The heat release rates of the fires are calculated according to oxygen calorimetry method and the temperature distributions inside the tunnel are also measured. Results of the experiments show that the ventilation velocity variation has a significant effect on the pool fire burning rate, smoke temperature and the critical ventilation velocity. With increased oxygen depletion in case of increased ethanol content of blended pool fires, the quasi-steady heat release rate values tend to increase as well as the ceiling temperatures while the combustion duration decreases.

Modeling the internal dynamics of energy and mass transfer in an imperfectly mixed ventilated airspace.

PubMed

Janssens, K; Van Brecht, A; Zerihun Desta, T; Boonen, C; Berckmans, D

2004-06-01

The present paper outlines a modeling approach, which has been developed to model the internal dynamics of heat and moisture transfer in an imperfectly mixed ventilated airspace. The modeling approach, which combines the classical heat and moisture balance differential equations with the use of experimental time-series data, provides a physically meaningful description of the process and is very useful for model-based control purposes. The paper illustrates how the modeling approach has been applied to a ventilated laboratory test room with internal heat and moisture production. The results are evaluated and some valuable suggestions for future research are forwarded. The modeling approach outlined in this study provides an ideal form for advanced model-based control system design. The relatively low number of parameters makes it well suited for model-based control purposes, as a limited number of identification experiments is sufficient to determine these parameters. The model concept provides information about the air quality and airflow pattern in an arbitrary building. By using this model as a simulation tool, the indoor air quality and airflow pattern can be optimized.

Early initiation of night-time NIV in an outpatient setting: a randomized non-inferiority study in ALS patients.

PubMed

Bertella, Enrica; Banfi, Paolo; Paneroni, Mara; Grilli, Silvia; Bianchi, Luca; Volpato, Eleonora; Vitacca, Michele

2017-12-01

In patients with amyotrophic lateral sclerosis (ALS), non-invasive ventilation (NIV) is usually initiated in an in-hospital regime. We investigated if NIV initiated in an outpatient setting can be as effective in terms of patients' acceptance/adherence. We also evaluated factors predicting NIV acceptance and adherence and disease progression. Prospective randomized study. Outpatient versus inpatient rehabilitation. ALS patients. ALS patients were randomized to two groups for NIV initiation: outpatients versus inpatients. At baseline (T0), end of NIV trial program (T1) and after 3 months from T1 (T2), respiratory function tests, blood gas analysis, and sleep study were performed. At T1, we assessed: NIV acceptance (>4 h/night), and dyspnea symptoms (day/night) by Visual analogue scale (VAS), staff and patients' experience (how difficult NIV was to accept, how difficult ventilator was to manage, satisfaction); at T2: NIV adherence (>120 h/month) and patients' experience. Fifty patients participated. There were no differences in acceptance failure (P=0.733) or adherence failure (P=0.529). At T1, outpatients had longer hours of nocturnal ventilation (P<0.02), at T2 this was similar (P=0.34). Female gender and spinal onset of the disease were predictors for NIV acceptance/adherence failure. There were no between-group differences in progression of respiratory impairment, symptoms and sleep quality. Early outpatient initiation of NIV in ALS is as effective as inpatient initiation.

Decline of the performance of a portable axial-flow fan due to the friction and duct bending loss of a connected flexible duct.

PubMed

Ojima, Jun

2017-03-28

In a job site, a portable fan is often used to ventilate a confined space. When a portable fan is applied to such a space, the actual ventilation flow rate must be accurately estimated in advance because the safety level of contaminant and oxygen concentrations in the space will determine the ventilation requirements. When a portable fan is used with a flexible duct, the actual flow rate of the fan decreases due to the friction and duct bending loss of the duct. Intending to show the decline of a fan performance, the author conducted laboratory experiments and reported the quantitative effect of the friction and duct bending loss of a flexible duct to the flow rate of a portable fan. Four commercial portable fans of different specifications were procured for the experiments, and the decline of the performance of each portable fan due to the friction loss etc. of a connected flexible duct was investigated by measuring actual flow rate. The flow rate showed an obvious decrease from the rated flow rate when a flexible duct was connected. Connection of a straight polyester flexible duct and a straight aluminum flexible duct reduced the flow rates to 81.2 - 52.9% and less than 50%, respectively. The flow rate decreased with an increase of the bend angle of the flexible duct. It is recommended that flow rate check of a portable fan should be diligently carried out in every job site.

[Anesthesia ventilators].

PubMed

Otteni, J C; Beydon, L; Cazalaà, J B; Feiss, P; Nivoche, Y

1997-01-01

To review anaesthesia ventilators in current use in France by categories of ventilators. References were obtained from computerized bibliographic search. (Medline), recent review articles, the library of the service and personal files. Anaesthesia ventilators can be allocated into three groups, depending on whether they readminister expired gases or not or allow both modalities. Contemporary ventilators provide either constant volume ventilation, or constant pressure ventilation, with or without a pressure plateau. Ventilators readministering expired gases after CO2 absorption, or closed circuit ventilators, are either of a double- or a single-circuit design. Double-circuit ventilators, or pneumatical bag or bellows squeezers, or bag-in-bottle or bellows-in-bottle (or box) ventilators, consist of a primary, or driving circuit (bottle or box) and a secondary or patient circuit (including a bag or a bellows or membrane chambers). Bellows-in-bottle ventilators have either standing bellows ascending at expiration, or hanging bellows, descending at expiration. Ascending bellows require a positive pressure of about 2 cmH2O throughout exhalation to allow the bellows to refill. The expired gas volume is a valuable indicator for leak and disconnection. Descending bellows generate a slight negative pressure during exhalation. In case of leak or disconnection they aspirate ambient air and cannot act therefore as an indicator for integrity of the circuit and the patient connection. Closed circuit ventilators with a single-circuit (patient circuit) include a insufflating device consisting either in a bellows or a cylinder with a piston, operated by a electric or pneumatic motor. As the hanging bellows of the double circuit ventilators, they generate a slight negative pressure during exhalation and aspirate ambient air in case of leak or disconnection. Ventilators not designed for the readministration of expired gases, or open circuit ventilators, are generally stand-alone mechanical ventilators modified to allow the administration of inhalational anaesthetic agents.

[Patient endangerment due to device diversity? : Discussion of a risk factor based on the results of two surveys of German hospitals].

PubMed

Lange, K; Brinker, A; Nowak, M; Zöllner, C; Lauer, W

2018-05-25

The Federal Institute for Drugs and Medical Devices (BfArM) was notified of an event in which it was not possible to sufficiently ventilate a patient suffering a severe asthma attack. It turned out that the ventilation pressures used by the device for pressure-controlled ventilation were below the values set by the user, which the user was not aware of. The ventilation pressures chosen by the user exceeded the preset alarm limits of the ventilator. This pressure and alarm management significantly differed from that of other ventilators used in the hospital. This and similar incident reports suggest that safely operating medical devices for anesthesia and intensive care may be impaired when different models of a device are used within a hospital. If different models are used, more device information needs to be stored in memory. Existing knowledge on human memory suggests that the more individual memory items (e. g. different operating rules) are stored, the greater the risk of memory interference and hence of impaired retrieval, particularly if the different items are associated with overlapping retrieval cues. This is the case when different devices are used for a single functional purpose under identical or similar circumstances. Based on individual incident reports and theoretical knowledge on an association between device diversity and use problems, this study aimed to determine the organizational conditions regarding device diversity that prevail in German hospitals. Additionally, the anesthetists' perspectives and experiences in defined clinical settings were investigated. For selected groups of medical devices, the biomedical engineers of German hospitals were surveyed about the different makes used in their hospital. Additionally, questionnaires were sent to a department of anesthesiology of a large University Hospital to investigate the personal experiences of working with different makes and models of a device. Using devices by different manufacturers was particularly frequent for ventilators, but there were also a considerable number of hospitals with syringe pumps and patient monitoring systems from different manufacturers. Almost all participants stated that they work or have worked with different models of a device. The majority of respondents had encountered problems or errors, which they ascribed to the requirement to learn a different method of operation for each device; however, they also listed various benefits, for instance the possibility to optimally address the requirements of specific situations or patient groups. Both biomedical engineers and anesthetists suggested a homogeneous device pool within the hospital and regular and repeated training sessions for each device model used. Using different device models for anesthesia and intensive care seems to be common in many German hospitals, particularly for ventilators. An association between device diversity and problems operating a device is plausible, given the functioning of human memory. This topic should be investigated by future studies in order to identify factors that may contribute to such problems and possible solutions for clinical settings. Likewise, the potential benefits of having different device models at one's disposal should be evaluated. To pinpoint the measures that will be most effective given the specific settings of the individual hospital, all underlying clinical and economic considerations must be carefully balanced against the associated potential risks.

Ventilation practices in the neonatal intensive care unit: a cross-sectional study.

PubMed

van Kaam, Anton H; Rimensberger, Peter C; Borensztajn, Dorine; De Jaegere, Anne P

2010-11-01

To assess current ventilation practices in newborn infants. We conducted a 2-point cross-sectional study in 173 European neonatal intensive care units, including 535 infants (mean gestational age 28 weeks and birth weight 1024 g). Patient characteristics, ventilator settings, and measurements were collected bedside from endotracheally ventilated infants. A total of 457 (85%) patients were conventionally ventilated. Time cycled pressure-limited ventilation was used in 59% of these patients, most often combined with synchronized intermittent mandatory ventilation (51%). Newer conventional ventilation modes like volume targeted and pressure support ventilation were used in, respectively, 9% and 7% of the patients. The mean tidal volume, measured in 84% of the conventionally ventilated patients, was 5.7 ± 2.3 ml/kg. The mean positive end-expiratory pressure was 4.5 ± 1.1 cmH(2)O and rarely exceeded 7 cmH(2)O. Time cycled pressure-limited ventilation is the most commonly used mode in neonatal ventilation. Tidal volumes are usually targeted between 4 to 7 mL/kg and positive end-expiratory pressure between 4 to 6 cmH(2)O. Newer ventilation modes are only used in a minority of patients. Copyright © 2010 Mosby, Inc. All rights reserved.

Differential lung ventilation via tracheostomy using two endotracheal tubes in an infant: a case report.

PubMed

Demirkol, Demet; Ataman, Yasemin; Gündoğdu, Gökhan

2017-09-08

This case report presents differential lung ventilation in an infant. The aim is to define an alternative technique for performing differential lung ventilation in children. To the best of our knowledge, this is the first report of this kind. A 4.2-kg, 2.5-month-old Asian boy was referred to our facility with refractory hypoxemia and hypercarbia due to asymmetric lung disease with atelectasis of the left lung and hyperinflation of the right lung. He was unresponsive to conventional ventilator strategies; different ventilator settings were required. To perform differential lung ventilation, two separate single-lumen endotracheal tubes were inserted into the main bronchus of each lung by tracheotomy; the tracheal tubes were attached to discrete ventilators. The left lung was ventilated with a lung salvage strategy using high-frequency oscillatory ventilation, and the right lung was ventilated with a lung-protective strategy using pressure-regulated volume control mode. Differential lung ventilation was performed successfully with this technique without complications. Differential lung ventilation may be a lifesaving procedure in select patients who have asymmetric lung disease. Inserting two single-lumen endotracheal tubes via tracheotomy for differential lung ventilation can be an effective and safe alternative method.

Effect of one-lung ventilation on end-tidal carbon dioxide during cardiopulmonary resuscitation in a pig model of cardiac arrest.

PubMed

Ryu, Dong Hyun; Jung, Yong Hun; Jeung, Kyung Woon; Lee, Byung Kook; Jeong, Young Won; Yun, Jong Geun; Lee, Dong Hun; Lee, Sung Min; Heo, Tag; Min, Yong Il

2018-01-01

Unrecognized endobronchial intubation frequently occurs after emergency intubation. However, no study has evaluated the effect of one-lung ventilation on end-tidal carbon dioxide (ETCO2) during cardiopulmonary resuscitation (CPR). We compared the hemodynamic parameters, blood gases, and ETCO2 during one-lung ventilation with those during conventional two-lung ventilation in a pig model of CPR, to determine the effect of the former on ETCO2. A randomized crossover study was conducted in 12 pigs intubated with double-lumen endobronchial tube to achieve lung separation. During CPR, the animals underwent three 5-min ventilation trials based on a randomized crossover design: left-lung, right-lung, or two-lung ventilation. Arterial blood gases were measured at the end of each ventilation trial. Ventilation was provided using the same tidal volume throughout the ventilation trials. Comparison using generalized linear mixed model revealed no significant group effects with respect to aortic pressure, coronary perfusion pressure, and carotid blood flow; however, significant group effect in terms of ETCO2 was found (P < 0.001). In the post hoc analyses, ETCO2 was lower during the right-lung ventilation than during the two-lung (P = 0.006) or left-lung ventilation (P < 0.001). However, no difference in ETCO2 was detected between the left-lung and two-lung ventilations. The partial pressure of arterial carbon dioxide (PaCO2), partial pressure of arterial oxygen (PaO2), and oxygen saturation (SaO2) differed among the three types of ventilation (P = 0.003, P = 0.001, and P = 0.001, respectively). The post hoc analyses revealed a higher PaCO2, lower PaO2, and lower SaO2 during right-lung ventilation than during two-lung or left-lung ventilation. However, the levels of these blood gases did not differ between the left-lung and two-lung ventilations. In a pig model of CPR, ETCO2 was significantly lower during right-lung ventilation than during two-lung ventilation. However, interestingly, ETCO2 during left-lung ventilation was comparable to that during two-lung ventilation.

Multiple causes of the Younger Dryas cold period: new insights from coupled model experiments constrained by data assimilation

NASA Astrophysics Data System (ADS)

Renssen, Hans; Mairesse, Aurélien; Goosse, Hugues; Mathiot, Pierre; Heiri, Oliver; Roche, Didier M.; Nisancioglu, Kerim H.; Valdes, Paul J.

2016-04-01

The Younger Dryas cooling event disrupted the overall warming trend in the North Atlantic region during the last deglaciation. Climate change during the Younger Dryas was abrupt, and thus provides insights into the sensitivity of the climate system to perturbations. The sudden Younger Dryas cooling has traditionally been attributed to a shut-down of the Atlantic meridional overturning circulation by meltwater discharges. However, alternative explanations such as strong negative radiative forcing and a shift in atmospheric circulation have also been offered. In this study we investigate the importance of these different forcings in coupled climate model experiments constrained by data assimilation. We find that the Younger Dryas climate signal as registered in proxy evidence is best simulated using a combination of processes: a weakened Atlantic meridional overturning circulation, moderate negative radiative forcing and an altered atmospheric circulation. We conclude that none of the individual mechanisms alone provide a plausible explanation for the Younger Dryas cold period. We suggest that the triggers for abrupt climate changes like the Younger Dryas are more complex than suggested so far, and that studies on the response of the climate system to perturbations should account for this complexity. Reference: Renssen, H. et al. (2015) Multiple causes of the Younger Dryas cold period. Nature Geoscience 8, 946-949.

Quantifying the role of ocean initial conditions in decadal prediction

NASA Astrophysics Data System (ADS)

Matei, D.; Pohlmann, H.; Müller, W.; Haak, H.; Jungclaus, J.; Marotzke, J.

2009-04-01

The forecast skill of decadal climate predictions is investigated using two different initialization strategies. First we apply an assimilation of ocean synthesis data provided by the GECCO project (Köhl and Stammer 2008) as initial conditions for the coupled model ECHAM5/MPI-OM. The results show promising skill up to decadal time scales particularly over the North Atlantic (see also Pohlmann et al. 2009). However, mismatches between the ocean climates of GECCO and the MPI-OM model may lead to inconsistencies in the representation of water masses. Therefore, we pursue an alternative approach to the representation of the observed North Atlantic climate for the period 1948-2007. Using the same MPI-OM ocean model as in the coupled system, we perform an ensemble of four NCEP integrations. The ensemble mean temperature and salinity anomalies are then nudged into the coupled model, followed by hindcast/forecast experiments. The model gives dynamically consistent three-dimensional temperature and salinity fields, thereby avoiding the problems of model drift that were encountered when the assimilation experiment was only driven by reconstructed SSTs (Keenlyside et al. 2008, Pohlmann et al. 2009). Differences between the two assimilation approaches are discussed by comparing them with the observational data in key regions and processes, such as North Atlantic and Tropical Pacific climate, MOC variability, Subpolar Gyre variability.

The Once and Future North Atlantic: How the Mid-Pliocene Warm Period Can Increase Stakeholder Preparedness in a Warming World

NASA Astrophysics Data System (ADS)

Jacobs, P.; de Mutsert, K.

2013-12-01

Paleoclimatic reconstructions, particularly from periods that may serve as an analog to the present and future greenhouse-driven warming, are increasingly being used to validate climate models as well as to provide constraints on broad impacts such as global temperature and sea level change. However, paleoclimatic data remains under-utilized in decision-making processes by stakeholders, who typically rely on scenarios produced by computer models or naive extrapolation of present trends. We hope to increase the information available to stakeholders by incorporating paleoclimatic data from the mid-Pliocene Warm Period (mPWP, ~3ma) into a fisheries model of the North Atlantic. North Atlantic fisheries are economically important and are expected to be sensitive to climatic change. State of the art climate models remain unable to realistically simulate the North Atlantic, both over the observational record as well as during times in the geologic past such as the mPWP. Given that the mPWP shares many of the same boundary conditions as those likely to be seen in the near future, we seek to answer the question 'What if the climate of the future looks more like the climate of the past?' relative to what state of the art computer models currently project. To that end we have created a suite of future North Atlantic Ocean scenarios using output from the CMIP3 and CMIP5 modeling experiments, as well as the PRISM group's Mid-Pliocene ocean reconstruction. We use these scenarios to drive an ecosystem-based fisheries model using the Ecopath with Ecosim (EwE) software to identify differences between the scenarios as the North Atlantic Ocean changes through time. Additionally, we examine the spatial component of these differences by using the Ecospace module of EwE. Whereas the Ecosim realizations are intended to capture the dynamic response to changing oceanographic parameters (SST, SSS, DO) over time, the Ecospace experiments are intended to explore the impact of different equilibrium conditions on fish community longer-term spatial redistribution. By making use not only of climate model output but also paleoclimatic data from a period that closely resembles our near future, stakeholders can make decisions informed by a more robust range of potential outcomes as greenhouse emissions warm the planet.

An overview of the South Atlantic Ocean climate variability and air-sea interaction processes

NASA Astrophysics Data System (ADS)

Pezzi, L. P.; Parise, C. K.; Souza, R.; Gherardi, D. F.; Camargo, R.; Soares, H. C.; Silveira, I.

2013-05-01

The Ocean Modeling Group at the National Institute of Space Research (INPE) in Brazil has been developing several studies to understand the role of the Atlantic ocean on the South America climate. Studies include simulating the dynamics of the Tropical South-Atlantic Ocean and Southern Ocean. This is part of an ongoing international cooperation, in which Brazil participates with in situ observations, numerical modeling and statistical analyses. We have focused on the understanding of the impacts of extreme weather events over the Tropical South Atlantic Ocean and their prediction on different time-scales. One such study is aimed at analyzing the climate signal generated by imposing an extreme condition on the Antarctic sea ice and considering different complexities of the sea ice model. The influence of the Brazil-Malvinas Confluence (BMC) region on the marine atmospheric boundary layer (MABL) is also investigated through in situ data analysis of different cruises and numerical experiments with a regional numerical model. There is also an ongoing investigation that revealed basin-scale interannual climate variation with impacts on the Brazilian Large Marine Ecosystems (LMEs), which are strongly correlated with climate indices such as ENSO, AAO and PDO.

Slow Adaptation in the Face of Rapid Warming Leads to the Collapse of Atlantic Cod in the Gulf of Maine

NASA Astrophysics Data System (ADS)

Pershing, A. J.; Alexander, M. A.; Hernandez, C.; Kerr, L. A.; Le Bris, A.; Mills, K.; Nye, J. A.; Record, N.; Scannell, H. A.; Scott, J. D.; Sherwood, G. D.; Thomas, A. C.

2016-02-01

Climate change is altering conditions in all marine ecosystems, but the pace of change is not uniform. Rapid changes in environmental conditions pose a challenge for resource management, especially when available tools or policies assume the environment is stationary. Between 2004 and 2013, the Gulf of Maine and northwest Atlantic Shelf warmed at a rate that few large marine ecosystems have ever experienced. This warming was associated with a northward shift in the Gulf Stream and with Atlantic Multidecadal Oscillation and Pacific Decadal Oscillation. The unprecedented warming led to reduced recruitment and enhanced mortality of Atlantic cod. Fisheries management has built-in feedbacks designed to reduce quotas as populations decline, but the management process could not keep pace with the rapid temperature-related changes in the Gulf of Maine cod stock. Future recovery of this fishery now depends on both sound management and favorable temperatures. The experience in the Gulf of Maine highlights the need to incorporate environmental factors into resource management and to build resiliency in coupled social-ecological systems. It also highlights a need for scientific and policy guidance for managing species threatened by future warming.

C:n:p Stoichiometry of New Production In The North Atlantic

NASA Astrophysics Data System (ADS)

Koeve, W.

Recently and independently published estimates of global net community production which were based on seasonal changes of either nutrients (NO3 and PO4) or dissolved inorganic carbon (DIC) in the surface ocean indicate that the stoichiometry of new pro- duction strongly differs from the well established remineralisation ratios in the deep ocean (the Redfield ratio). This difference appears to be most pronounce in the North Atlantic ocean. Data quality issues as well as methodological differences in the data analysis applied in the published studies, however, make this comparison of nutri- ent and carbon based estimated ambigious. In this presentation historical data (World Ocean Atlas and Data 1998), data from the World Ocean Circulation Experiment and empirical approaches are combined in a consistent way to provide a reassessment of the C:N:P elemental ratio of new (export) production in the North Atlantic. It is found that published nutrient budgets are severe underestimates and hence apparent C:N:P ratios were overestimated. At least in the North Atlantic the uncertainty of the winter time distribution of nutrients (and DIC) is a major source of the uncertainty of the C:N:P ratio of net community production.

Protective mechanical ventilation in United Kingdom critical care units: A multicentre audit

PubMed Central

Martin, Matthew J; Richardson, Neil; Bourdeaux, Christopher P

2016-01-01

Lung protective ventilation is becoming increasingly used for all critically ill patients being mechanically ventilated on a mandatory ventilator mode. Compliance with the universal application of this ventilation strategy in intensive care units in the United Kingdom is unknown. This 24-h audit of ventilation practice took place in 16 intensive care units in two regions of the United Kingdom. The mean tidal volume for all patients being ventilated on a mandatory ventilator mode was 7.2(±1.4) ml kg−1 predicted body weight and overall compliance with low tidal volume ventilation (≤6.5 ml kg−1 predicted body weight) was 34%. The mean tidal volume for patients ventilated with volume-controlled ventilation was 7.0(±1.2) ml kg−1 predicted body weight and 7.9(±1.8) ml kg−1 predicted body weight for pressure-controlled ventilation (P < 0.0001). Overall compliance with recommended levels of positive end-expiratory pressure was 72%. Significant variation in practice existed both at a regional and individual unit level. PMID:28979556

Protective mechanical ventilation in United Kingdom critical care units: A multicentre audit.

PubMed

Newell, Christopher P; Martin, Matthew J; Richardson, Neil; Bourdeaux, Christopher P

2017-05-01

Lung protective ventilation is becoming increasingly used for all critically ill patients being mechanically ventilated on a mandatory ventilator mode. Compliance with the universal application of this ventilation strategy in intensive care units in the United Kingdom is unknown. This 24-h audit of ventilation practice took place in 16 intensive care units in two regions of the United Kingdom. The mean tidal volume for all patients being ventilated on a mandatory ventilator mode was 7.2(±1.4) ml kg -1 predicted body weight and overall compliance with low tidal volume ventilation (≤6.5 ml kg -1 predicted body weight) was 34%. The mean tidal volume for patients ventilated with volume-controlled ventilation was 7.0(±1.2) ml kg -1 predicted body weight and 7.9(±1.8) ml kg -1 predicted body weight for pressure-controlled ventilation ( P  < 0.0001). Overall compliance with recommended levels of positive end-expiratory pressure was 72%. Significant variation in practice existed both at a regional and individual unit level.

Clinical challenges in mechanical ventilation.

PubMed

Goligher, Ewan C; Ferguson, Niall D; Brochard, Laurent J

2016-04-30

Mechanical ventilation supports gas exchange and alleviates the work of breathing when the respiratory muscles are overwhelmed by an acute pulmonary or systemic insult. Although mechanical ventilation is not generally considered a treatment for acute respiratory failure per se, ventilator management warrants close attention because inappropriate ventilation can result in injury to the lungs or respiratory muscles and worsen morbidity and mortality. Key clinical challenges include averting intubation in patients with respiratory failure with non-invasive techniques for respiratory support; delivering lung-protective ventilation to prevent ventilator-induced lung injury; maintaining adequate gas exchange in severely hypoxaemic patients; avoiding the development of ventilator-induced diaphragm dysfunction; and diagnosing and treating the many pathophysiological mechanisms that impair liberation from mechanical ventilation. Personalisation of mechanical ventilation based on individual physiological characteristics and responses to therapy can further improve outcomes. Copyright © 2016 Elsevier Ltd. All rights reserved.

GENERAL VIEW SHOWING VENTILATOR NUMBER NINE. THIS VENTILATOR IS SLIGHTLY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

GENERAL VIEW SHOWING VENTILATOR NUMBER NINE. THIS VENTILATOR IS SLIGHTLY MORE ORNATE THAN WAS GENERALLY USED BECAUSE OF ITS LOCATION - Old Croton Aqueduct, Ventilator Number 9, Spring & Everett Streets, Ossining, Westchester County, NY

How Do Tropical Sea Surface Temperatures Influence the Seasonal Distribution of Precipitation in the Equatorial Amazon?.

NASA Astrophysics Data System (ADS)

Fu, Rong; Dickinson, Robert E.; Chen, Mingxuan; Wang, Hui

2001-10-01

Although the correlation between precipitation over tropical South America and sea surface temperatures (SSTs) over the Pacific and Atlantic has been documented since the early twentieth century, the impact of each ocean on the timing and intensity of the wet season over tropical South America and the underlying mechanisms have remained unclear. Numerical experiments have been conducted using the National Center for Atmospheric Research Community Climate Model Version 3 to explore these impacts. The results suggest the following.1)Seasonality of SSTs in the tropical Pacific and Atlantic has an important influence on precipitation in the eastern Amazon during the equinox seasons. The eastern side of the Amazon is influenced both by the direct thermal circulation of the Atlantic intertropical convergence zone (ITCZ) and by Rossby waves. These processes are enhanced by the seasonal cycles of SSTs in the tropical Atlantic and Pacific. SSTs affect Amazon precipitation much less during the solstice seasons and in the western Amazon.2)The seasonality of SSTs in the Atlantic more strongly affects Amazon rainfall than does that of the Pacific. Without the former, austral spring in the eastern equatorial Amazon would be a wet season, rather than the observed dry season. As a consequence of the lag at that time of the southward seasonal migration of the Atlantic SSTs behind that of the insolation, the Atlantic ITCZ centers itself near 10°N, instead of at the equator, imposing subsidence and low-level anticyclonic flow over the eastern equatorial Amazon, thus drying the air above the planetary boundary layer and reducing the low-level moisture convergence. Consequently, convection in the eastern Amazon is suppressed despite strong surface heating.3)Seasonality of the SSTs in the tropical Pacific also tends to reduce precipitation in the eastern Amazon during both spring and fall. In spring, subsidence is enhanced not only through a zonal direct circulation, but also through Rossby waves propagating from the extratropical South Pacific to subtropical South America. This teleconnection strengthens the South Atlantic convergence zone (SACZ) and the Nordeste low, in both cases reducing precipitation in the eastern Amazon. A direct thermal response to the Pacific SSTs enhances lower-level divergence and reduces precipitation from the northern tropical Atlantic to the northeastern Amazon.

The increasing control of the Atlantic Ocean on ENSO after the early 1990s

NASA Astrophysics Data System (ADS)

Yu, J. Y.; Paek, H.; Wang, L.; Lyu, K.

2016-12-01

The El Niño-Southern Oscillation (ENSO) is the most powerful interannual variability in Earth's climate system. Previous studies have emphasized processes within the tropical Pacific or Indian Oceans for the generation of ENSO. Recent studies have increasingly suggested that the Atlantic Ocean may play an active role in forcing ENSO variability. In this talk, we will present evidence from observational analyses and modeling experiments to show that the Atlantic Ocean became more capable of influencing ENSO properties after the Atlantic Multidecadal Oscillation (AMO) changed to its positive phase in the early-1990s. A wave source mechanism is proposed to explain how the positive phase of the AMO can intensify the North Pacific Subtropical High (NPSH) to change the ENSO from the Eastern Pacific (EP) type to the Central Pacific (CP) type. A sequence of processes are identified to suggest that the AMO can displace the Pacific Walker circulation, induce a wave source in the tropical central Pacific, and excite a barotropic wave train toward higher-latitudes to enhance the NPSH, which then triggers subtropical Pacific atmospheric forcing and atmosphere-ocean coupling to increase the occurrence of the CP ENSO. An Atlantic capacitor mechanism is also proposed to explain how the positive phase of the AMO can intensify the quasi-biennial (QB) component of ENSO resulting in a more frequent occurrence of ENSO events. We will show that the capacitor mechanism works only after the AMO warmed up the Atlantic sea surface temperatures after the early-1990s. The increased feedback from the Atlantic to the Pacific has enabled the Atlantic capacitor mechanism to intensify the biennial variability in the Pacific during the past two decades. Our suggestion is very different from the previous prevailing views that have emphasized the Indo-Pacific Oceans as the pacemaker for the biennial variability in ENSO. The increasing control of the Atlantic has enabled the CP ENSO dynamics to influence most of the ENSO events during the past two decades, including the most recent 2015-16 El Niño. We will explain how the CP ENSO dynamics made the 2015-16 "Godzilla" El Niño different from the 1997-98 "Godzilla" El Niño and why these two extreme El Niño events produced different impacts on the US climate.

Rescue therapy in adult and pediatric patients with pH1N1 influenza infection: a tertiary center intensive care unit experience from April to October 2009.

PubMed

Norfolk, Stephanie G; Hollingsworth, Caroline L; Wolfe, Cameron R; Govert, Joseph A; Que, Loretta G; Cheifetz, Ira M; Hollingsworth, John W

2010-11-01

Severe respiratory failure is a well-recognized complication of pH1N1 influenza infection. Limited data regarding the efficacy of rescue therapies, including high-frequency oscillatory ventilation and extracorporeal membrane oxygenation, have been previously reported in the setting of pH1N1 influenza infection in the United States. Retrospective, single-center cohort study. Pediatric, cardiac, surgical, and medical intensive care units in a single tertiary care center in the United States. One hundred twenty-seven consecutive patients with confirmed influenza A infection requiring hospitalization between April 1, 2009, and October 31, 2009. Electronic medical records were reviewed for demographic and clinical data. The number of intensive care unit admissions appears inversely related to age with 39% of these admissions <20 yrs of age. Median duration of intensive care unit care was 10.0 days (4.0-24.0), and median duration of mechanical ventilation was 8.0 days (0.0-23.5). Rescue therapy (high-frequency oscillatory ventilation or extracorporeal membrane oxygenation) was used in 36% (12 of 33) of intensive care unit patients. The severity of respiratory impairment was determined by Pao²/Fio² ratio and oxygenation index. High-frequency oscillatory ventilation at 24 hrs resulted in improvements in median Pao²/Fio² ratio (71 [58-93] vs. 145 [126-185]; p < .001), oxygenation index (27 [20-30] vs. 18 [12-25]; p = .016), and Fio2 (100 [70-100] vs. 45 [40-55]; p < .001). Extracorporeal membrane oxygenation resulted in anticipated improvement in parameters of oxygenation at both 2 hrs and 24 hrs after initiation of therapy. Despite the severity of oxygenation impairment, overall survival for both rescue therapies was 75% (nine of 12), 80% (four of five) for high-frequency oscillatory ventilation alone, and 71% (five of seven) for high-frequency oscillatory ventilation + extracorporeal membrane oxygenation. In critically ill adult and pediatric patients with pH1N1 infection and severe lung injury, the use of high-frequency oscillatory ventilation and extracorporeal membrane oxygenation can result in significant improvements in Pao²/Fio² ratio, oxygenation index, and Fio². However, the impact on mortality is less certain.