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Both lake-calving Yakutat Glacier (337 km2), Alaska, USA, and its parent icefield (810 km2) are experiencing strong thinning, and under current climate conditions will eventually disappear. Comparison of digital elevation models shows that Yakutat Glacier thinned at area-averaged rates of 4.76 ± 0.06 m w.e.a−1 (2000–07) and 3.66 ± 0.03 m w.e.a−1 (2007–10). Simultaneously, adjacent Yakutat Icefield land-terminating glaciers thinned at lower but still substantial rates (3.79 and 2.94 m w.e.a−1 respectively for the same time periods), indicating lake-calving dynamics helps drive increased mass loss. Yakutat Glacier terminates into Harlequin Lake and for over a decade sustained a ∼3 km long floating tongue, which started to disintegrate into large tabular icebergs in 2010. Such floating tongues are rarely seen on temperate tidewater glaciers. We hypothesize that this difference is likely due to the lack of submarine melting in the case of lake-calving glaciers. Floating-tongue ice losses were evaluated in terms of overall mass balance and contribution to sea-level rise. The post-Little Ice Age collapse of Yakutat Icefield was driven in part by tidewater calving retreats of adjacent glaciers, the lake-calving retreat of Yakutat Glacier, a warming climate and by the positive feedback mechanisms through surface lowering.
Lake-calving Yakutat Glacier in southeast Alaska, USA, is undergoing rapid thinning and terminus retreat. We use a simplified glacier model to evaluate its future mass loss. In a first step we compute glacier-wide mass change with a surface mass-balance model, and add a mass loss component due to ice flux through the calving front. We then use an empirical elevation change curve to adjust for surface elevation change of the glacier and finally use a flotation criterion to account for terminus retreat due to frontal ablation. Surface mass balance is computed on a daily timescale; elevation change and retreat is adjusted on a decadal scale. We use two scenarios to simulate future mass change: (1) keeping the current (2000–10) climate and (2) forcing the model with a projected warming climate. We find that the glacier will disappear in the decade before 2110 or 2070 under constant or warming climates, respectively. For the first few decades, the glacier can maintain its current thinning rates by retreating and associated loss of high-ablating, low-elevation areas. However, once higher elevations have thinned substantially, the glacier can no longer counteract accelerated thinning by retreat and mass loss accelerates, even under constant climate conditions. We find that it would take a substantial cooling of 1.5°C to reverse the ongoing retreat. It is therefore likely that Yakutat Glacier will continue its retreat at an accelerating rate and disappear entirely.
The relative contribution of demographic, lifestyle and medication factors to the association between affective disorders and cardiometabolic diseases is poorly understood.
To assess the relationship between cardiometabolic disease and features of depresion and bipolar disorder within a large population sample.
Cross-sectional study of 145 991 UK Biobank participants: multivariate analyses of associations between features of depression or bipolar disorder and five cardiometabolic outcomes, adjusting for confounding factors.
There were significant associations between mood disorder features and ‘any cardiovascular disease’ (depression odds ratio (OR) = 1.15, 95% CI 1.12–1.19; bipolar OR = 1.28, 95% CI 1.14–1.43) and with hypertension (depression OR = 1.15, 95% CI 1.13–1.18; bipolar OR = 1.26, 95% CI 1.12–1.42). Individuals with features of mood disorder taking psychotropic medication were significantly more likely than controls not on psychotropics to report myocardial infarction (depression OR = 1.47, 95% CI 1.24–1.73; bipolar OR = 2.23, 95% CI 1.53–3.57) and stroke (depression OR = 2.46, 95% CI 2.10–2.80; bipolar OR = 2.31, 95% CI 1.39–3.85).
Associations between features of depression or bipolar disorder and cardiovascular disease outcomes were statistically independent of demographic, lifestyle and medication confounders. Psychotropic medication may also be a risk factor for cardiometabolic disease in individuals without a clear history of mood disorder.
The ecological impacts of introduced species can reveal mechanisms underlying habitat selection and behaviour. We investigated the habitat use of native frog species and the invasive cane toads (Rhinella marina) in tropical northern Australia to measure overlap in habitat use, and to test if the presence of the cane toad influences frog behaviour. Native frog species and the cane toad both preferred habitats close to water and unvegetated holes. However, native frogs were found further from water (on average 19.4 m) than were toads (on average 12.6 m), and preferred areas with higher vegetation (8–50 cm) than did toads, which were more abundant in vegetation lower than 8 cm. For both types of anuran, the next neighbour was more often of the same type (89% in frogs, 52% in toads) than expected by chance (observed ratio: 75% frogs vs 25% toads), reflecting these differences in habitat use. Our counts of frog abundance increased on average 14.5% in areas from which we removed cane toads temporarily. This result suggests that cane toads inhibit the activity of native anurans either by inducing avoidance, or by reducing activity. By modifying the behaviour and spatial distribution of native taxa, invasive cane toads may curtail activities such as feeding and breeding.
The effectiveness of practice bundles on reducing ventilator-associated pneumonia (VAP) has been questioned.
To implement a comprehensive program that included a real-time bundle compliance dashboard to improve compliance and reduce ventilator-associated complications.
Before-and-after quasi-experimental study with interrupted time-series analysis.
Academic medical center.
In 2007 a comprehensive institutional ventilator bundle program was developed. To assess bundle compliance and stimulate instant course correction of noncompliant parameters, a real-time computerized dashboard was developed. Program impact in 6 adult intensive care units (ICUs) was assessed. Bundle compliance was noted as an overall cumulative bundle adherence assessment, reflecting the percentage of time all elements were concurrently in compliance for all patients.
The VAP rate in all ICUs combined decreased from 19.5 to 9.2 VAPs per 1,000 ventilator-days following program implementation (P<.001). Bundle compliance significantly increased (Z100 score of 23% in August 2007 to 83% in June 2011 [P<.001]). The implementation resulted in a significant monthly decrease in the overall ICU VAP rate of 3.28/1,000 ventilator-days (95% CI, 2.64–3.92/1,000 ventilator-days). Following the intervention, the VAP rate decreased significantly at a rate of 0.20/1,000 ventilator-days per month (95% CI, 0.14–0.30/1,000 ventilator-days per month). Among all adult ICUs combined, improved bundle compliance was moderately correlated with monthly VAP rate reductions (Pearson correlation coefficient, −0.32).
A prevention program using a real-time bundle adherence dashboard was associated with significant sustained decreases in VAP rates and an increase in bundle compliance among adult ICU patients.
Infect. Control Hosp. Epidemiol. 2015;36(11):1261–1267
To examine the use of vitamin D supplements during infancy among the participants in an international infant feeding trial.
Information about vitamin D supplementation was collected through a validated FFQ at the age of 2 weeks and monthly between the ages of 1 month and 6 months.
Infants (n 2159) with a biological family member affected by type 1 diabetes and with increased human leucocyte antigen-conferred susceptibility to type 1 diabetes from twelve European countries, the USA, Canada and Australia.
Daily use of vitamin D supplements was common during the first 6 months of life in Northern and Central Europe (>80 % of the infants), with somewhat lower rates observed in Southern Europe (>60 %). In Canada, vitamin D supplementation was more common among exclusively breast-fed than other infants (e.g. 71 % v. 44 % at 6 months of age). Less than 2 % of infants in the USA and Australia received any vitamin D supplementation. Higher gestational age, older maternal age and longer maternal education were study-wide associated with greater use of vitamin D supplements.
Most of the infants received vitamin D supplements during the first 6 months of life in the European countries, whereas in Canada only half and in the USA and Australia very few were given supplementation.
Fat is often included in common foods as an emulsion of dispersed oil droplets to enhance the organoleptic quality and stability. The intragastric acid stability of emulsified fat may impact on gastric emptying, satiety and plasma lipid absorption. The aim of the present study was to investigate whether, compared with an acid-unstable emulsion, an acid-stable fat emulsion would empty from the stomach more slowly, cause more rapid plasma lipid absorption and cause greater satiety. Eleven healthy male volunteers received on two separate occasions 500 ml of 15 % (w/w) [13C]palmitate-enriched olive oil-in-water emulsion meals which were either stable or unstable in the acid gastric environment. MRI was used to measure gastric emptying and the intragastric oil fraction of the meals. Blood sampling was used to measure plasma lipids and visual analogue scales were used to assess satiety. The acid-unstable fat emulsion broke and rapidly layered in the stomach. Gastric emptying of meal volume was slower for the acid-stable fat emulsion (P < 0·0001; two-way ANOVA). The rate of energy delivery of fat from the stomach to the duodenum was not different up to t = 110 min. The acid-stable emulsion induced increased fullness (P < 0·05), decreased hunger (P < 0·0002), decreased appetite (P < 0·0001) and increased the concentration of palmitic acid tracer in the chylomicron fraction (P < 0·04). This shows that it is possible to delay gastric emptying and increase satiety by stabilising the intragastric distribution of fat emulsions against the gastric acid environment. This could have implications for the design of novel foods.
Emotion perception may be impaired after stroke. No study on emotion perception after stroke has taken the influence of post-stroke depressive symptoms into account, although depressive symptoms themselves may hamper emotion perception.
To compare the perception of emotional facial expressions in stroke patients with and without depressive symptoms.
Twenty-two stroke patients participated whose depressive symptoms were classified using the Montgomery-Åsberg Depression Rating Scale (cutoff = 10) and who were compared with healthy controls. Emotion recognition was measured using morphed images of facial expressions.
Patients with depressive symptoms performed worse than controls on all emotions; patients without depressive symptoms performed at control level. Patients with depressive symptoms were less sensitive to the emotions anger, happiness and sadness compared with patients without depressive symptoms.
Post-stroke depressive symptoms impair emotion perception. This extends findings in bipolar disorder indicating that emotion perception deficits are strongly related to the level of depression.