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  • 1
    ISSN: 1524-475X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: A multicenter prospective randomized clinical trial was undertaken to compare a generic four-layer bandage system with a cohesive short-stretch system (Actico, Activa Healthcare) in the management of venous leg ulceration. Both systems are designed to produce sufficient pressure to counteract venous hypertension. Patients in leg ulcer services with leg ulceration were screened for inclusion in this trial. Patients with arterial disease (ankle brachial pressure index 〈 0.8) and causes of ulceration other than venous disease were excluded. For patients with bilateral ulceration, the limb with the larger area of ulceration was studied. Patients were randomized to receive either type of compression bandage and simultaneously randomized to one of two foam dressings that were changed weekly unless more frequent changes were clinically required. In all, 156 patients met entry criteria and were randomized from the 12 clinical centers with median (range) ulcer size of 4.33 (0.33–123.10) cm2. Analysis revealed that after 24 weeks a total of 111 (71%) of patients had complete ulcer closure, 32 (21%) had withdrawn from the trial, 12 (8%) remained with open ulceration, and one patient had died. Of the 74 patients randomized to the four-layer bandage, 51(69%) had ulcer closure on treatment compared with 60/82 (73%) on the cohesive short-stretch system. Intention-to-treat analysis produced a hazard ratio for healing of 1.08 (95 percent CI 0.63–1.85, p= 0.79). Withdrawal rates were similar between groups (15, 20% four-layer bandage; 17, 21% cohesive short-stretch system). Ulcer closure rates for patients treated with the cohesive short-stretch system were similar to those for patients managed by the four-layer bandage system in this trial.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1524-475X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: To compare a four-layer bandage system with a two-layer system in the management of chronic venous leg ulceration, a prospective randomized open parallel groups trial was undertaken. In total, 112 patients newly presenting to leg ulcer services with chronic leg ulceration, screened to exclude the presence of arterial disease (ankle brachial pressure index 〈0.8) and causes of ulceration other than venous disease, were entered into the trial. Patients were randomized to receive either four-layer (Profore™) or two-layer (Surepress™) high-compression elastic bandage systems. In all, 109 out of 112 patients had at least one follow-up. After 24 weeks, 50 out of 57 (88%) patients randomized to the four-layer bandage system with follow-up had ulcer closure (full epithelialization) compared with 40 out of 52 (77%) on the two-layer bandage, hazard ratio = 1.18 (95% confidence interval 0.69–2.02), p = 0.55. After 12 weeks, 40 out of 57 (70%) patients randomized to the four-layer bandage system with follow-up had ulcer closure compared with 30 out of 52 (58%) on the two-layer bandage, odds ratio = 4.23 (95% confidence interval 1.29–13.86), p = 0.02. Withdrawal rates were significantly greater on the two-layer bandage (30 out of 54; 56%) compared with the four-layer bandage system (8 out of 58; 14%), p 〈 0.001, and the number of patients with at least one device-related adverse incident was significantly greater on the two-layer bandaging system (15 out of 54; 28%) compared with four-layer bandaging (5 out of 54; 9%), p = 0.01. The higher mean cost of treatment in the two-layer bandaging system arm over 24 weeks ($1374 [£916] vs. $1314 [£876]) was explained by the increased mean number of bandage changes (1.5 vs. 1.1 per week) with the two-layer system. In conclusion, the four-layer bandage offers advantages over the two-layer bandage in terms of reduced withdrawal from treatment, fewer adverse incidents, and lower treatment cost. (WOUND REP REG 2003;11:166–171)
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Malden, USA : Blackwell Science Inc
    Wound repair and regeneration 10 (2002), S. 0 
    ISSN: 1524-475X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Little is known of the impact of pressure ulceration on adult patients' health-related quality of life. The purpose of this study was to determine the impact pressure ulceration has on pressure ulcer patients cared for in the community. A case control study design was used by drawing a random sample from patients receiving community nursing care, stratified by the presence of pressure ulceration. In all, 75 patients with pressure ulcers were compared with 100 controls without ulcers using the four-point ulcer grading scale described by United Kingdom consensus guidelines. Patients were interviewed using the Short Form-36 (SF-36) questionnaire and activities of daily living assessed using the modified Barthel scale. Patients with pressure ulcers had significantly poorer physical function (mean difference [d]=37.6, 95% CI 28.6–46.6, p 〈 0.001) and social functioning (d=33.9, 95 % CI 24.0–43.9, p 〈 0.001) than published age- and sex-matched normative data from the United Kingdom. The difference between cases and controls was much smaller in these domains, with neither approaching statistical significance. After adjustment for age and gender, scores for bodily pain were poorer in patients with no ulceration (d=−10.5, 95% CI – 20.6 to – 0.4, p=0.042) indicating greater pain in these patients compared with the cases with ulceration. Activities of daily living determined by the modified Barthel scale showed reduced self-care (d=−7.6, 95% CI –12.5 to − 2.7, p=0.010) and mobility (d=−9.2, 95% CI −14.6 to − 3.8, p=0.001) in patients with pressure ulceration. The overall ability to perform these activities was also significantly poorer in this group (d=−16.3, 95% CI –27.3 to −5.3, p=0.004).While patients with pressure ulceration experience some deficits in their health-related quality of life compared with a normal population, these differences are similar to those experienced by other patients receiving community nursing care. (WOUND REP REG 2002;10:)
    Type of Medium: Electronic Resource
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  • 4
    Publication Date: 2024-02-23
    Description: The geological record encodes the relationship between climate and atmospheric carbon dioxide (CO 2 ) over long and short timescales, as well as potential drivers of evolutionary transitions. However, reconstructing CO 2 beyond direct measurements requires the use of paleoproxies and herein lies the challenge, as proxies differ in their assumptions, degree of understanding, and even reconstructed values. In this study, we critically evaluated, categorized, and integrated available proxies to create a high-fidelity and transparently constructed atmospheric CO 2 record spanning the past 66 million years. This newly constructed record provides clearer evidence for higher Earth system sensitivity in the past and for the role of CO 2 thresholds in biological and cryosphere evolution. Editor’s summary The concentration of atmospheric carbon dioxide is a fundamental driver of climate, but its value is difficult to determine for times older than the roughly 800,000 years for which ice core records are available. The Cenozoic Carbon dioxide Proxy Integration Project (CenCO2PIP) Consortium assessed a comprehensive collection of proxy determinations to define the atmospheric carbon dioxide record for the past 66 million years. This synthesis provides the most complete record yet available and will help to better establish the role of carbon dioxide in climate, biological, and cryosphere evolution. — H. Jesse Smith
    Type: Article , PeerReviewed
    Format: text
    Format: text
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  • 5
    Publication Date: 2021-04-19
    Description: A variety of proxies have been developed to reconstruct paleo‐CO2 from fossil leaves. These proxies rely on some combination of stomatal morphology, leaf δ13C, and leaf gas exchange. A common conceptual framework for evaluating these proxies is lacking, which has hampered efforts for inter‐comparison. Here we develop such a framework, based on the underlying physics and biochemistry. From this conceptual framework, we find that the more extensively parameterised proxies, such as the optimisation model, are likely to be the most robust. The simpler proxies, such as the stomatal ratio model, tend to under‐predict CO2, especially in warm (〉15°C) and moist (〉50% humidity) environments. This identification of a structural under‐prediction may help to explain the common observation that the simpler proxies often produce estimates of paleo‐CO2 that are lower than those from the more complex proxies and other, non‐leaf‐based CO2 proxies. The use of extensively parameterised models is not always possible, depending on the preservation state of the fossils and the state of knowledge about the fossil's nearest living relative. With this caveat in mind, our analysis highlights the value of using the most complex leaf‐based model as possible.
    Description: National Science Foundation http://dx.doi.org/10.13039/100000001
    Description: The Australian Research Council
    Keywords: 561 ; CO2 ; leaf gas exchange ; palaeoclimate ; proxy ; stomatal ratio ; δ13c
    Type: article
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  • 6
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    Massachusetts Institute of Technology and Woods Hole Oceanographic Institution
    Publication Date: 2022-05-25
    Description: Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at the Massachusetts Institute of Technology and the Woods Hole Oceanographic Institution May 1990
    Description: Numerous studies have shown dinoflagellate blooms to be closely related to density discontinuities and fronts in the ocean. The spatial and temporal patterns of the dinoflagellate population depend on the predominant mode of physical forcing, and its scales of variability. The present study combined field sampling of hydrographic and biological variables to examine the relationship of dinoflagellate population distributions to physical factors along the southwestern cost of the Gulf of Maine. A bloom of Ceratium longipes occurred along this coast during the month of June, 1987. A simple model which coupled along-isopycnal diffusion with the logistic growth equation suggested that the cells had a growth rate of about 0.1 d-1 , and had reached a steady horizontal across-shelf distribution within about 10 d. Fur~her variations in population density appeared to be related to fluctuations of light with periods of -10 d. To our knowledge, this was the first use of this simple diffusion model as a diagnostic tool for quantifying parameters describing the growth and movement of a specific phytoplankton population. Blooms of the toxic dinoflagellate, Alexandrium tamarense have been nearly annual features along the coasts of southern Maine, New Hampshire and Massachusetts since 1972; however the mechanisms controlling the distribution of cells and concomitant shellfish toxicity are relatively poorly understood. Analysis of field data gathered from April to September, 1987-1989, showed that in two years when toxicity was detected in the southern part of this region, A. tamarense cells were apparently transported into the study area between Portsmouth and Cape Ann, Massachusetts, in a coastally trapped buoyant plume. This plume appears to have been formed off Maine by the outflow from the Androscoggin and Kennebec Rivers. Flow rates of these rivers, hydrographic sections, and satellite images suggest that the plume had a duration of about a month, and extended alongshore for several hundred kilometers. The distribution of cells followed the position of the plume as it was influenced by wind and topography. Thus when winds were downwelling-favourable, cells were moved alongshore to the south, and were held to the coast; when winds were upwelling-favourable, the plume sometimes separated from the coast, advecting the cells offshore. The alongshore advection of toxic cells within a coastally trapped buoyant plume can explain the temporal and spatial patterns of shellfish toxicity along the coast. The general observation of a north-to-south temporal trend of toxicity is consistent with the southward advection of the plume. In 1987 when no plume was present, Alexandrium tamarense cells were scarce, and no toxicity was recorded at the southern stations. A hypothesis was formulated explaining the development and spread of toxic dinoflagellate blooms in this region. This plume-advection hypothesis included: source A. tamarense populations in the north, possibly associated with the Androscoggin and Kennebec estuaries; a relationship between toxicity patterns and river flow volume and timing of flow peaks; and a relationship between wind stresses and the distribution of low salinity water and cells. Predictions of the plume-advection hypothesis were tested with historical records of shellfish toxicity, wind speed and direction, and river flow. The predictions tested included the north-south progression of toxic outbreaks, the occurrence of a peak in river flow prior to the PSP events, the relationship of transit time of PSP toxicity along the coast with river flow volume, and the influence of surface wind stress on the timing and location of shellfish toxicity. All the predictions tested were supported by the historical records. In addition it was found that the plume-advection hypothesis explains many details of the timing and spread of shellfish toxicity, including the sporadic nature of toxic outbreaks south of Massachusetts Bay, and the apparently rare occurrence of toxicity well offshore on Nantucket Shoals and Georges Bank.
    Description: This research was supported by ONR contract N00014-87-K-0007 and ONR grant N00014-89-J-111 to Donald M. Anderson, and NOAA Office of Sea Grant contract NA86AA-D-SG090.
    Keywords: Dinoflagellates ; Hydrography
    Repository Name: Woods Hole Open Access Server
    Type: Thesis
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  • 7
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    Biological and Chemical Oceanography Data Management Office (BCO-DMO). Contact: bco-dmo-data@whoi.edu
    Publication Date: 2022-05-25
    Description: Dataset: Temperature from thermistor chain
    Description: Temperature from a thermistor chain deployed along a 30m depth contour at Mission Beach, CA in June of 2016. For a complete list of measurements, refer to the full dataset description in the supplemental file 'Dataset_description.pdf'. The most current version of this dataset is available at: https://www.bco-dmo.org/dataset/742137
    Description: NSF Division of Ocean Sciences (NSF OCE) OCE-1459393
    Repository Name: Woods Hole Open Access Server
    Type: Dataset
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  • 8
    Publication Date: 2022-05-25
    Description: Author Posting. © American Geophysical Union, 2003. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 108, C11 (2003): 8008, doi:10.1029/2001JC001245.
    Description: The influence of the diurnal heat flux on summer stratification and residual circulation over Georges Bank was examined using a three-dimensional primitive equation numerical circulation model. For a given spatially uniform and time-varying heat flux the model results show that the surface water is heated much faster on the southern flank than on the northern flank and much faster in the stratified region than in the mixed region. Heating significantly strengthens the tidal mixing front and intensifies the frontward convergence near the surface. As seasonal stratification develops, the location of the tidal mixing front gradually shifts on bank on the southern flank, while remaining almost unchanged on the northern flank. Response of the tidal currents to the diurnal variation in the heat flux varies across Georges Bank. It changes periodically with tidal cycles on the southern flank but is locked to the phase of the eastward tidal current on the northern flank. This phase-lock feature directly contributes to the intensification of the along-bank residual current jet on the northern flank. Diagnostic analysis suggests that this intensification is mainly caused by the heat-enhanced, cross-bank momentum flux. Model-computed variations of near-surface temperature and residual currents are in good agreement with satellite-derived sea surface temperature data and drifter measurements.
    Description: This research was supported by the U.S. GLOBEC Northwest Atlantic/Georges Bank program through NOAA grants NA56RG0487, NA960P003, and NA960P005 to C. Chen, NSF grants OCE 96-32357, OCE 98-06379, and OCE 02-27679 to R. Beardsley, and NOAA grant NA76GP0176 to Peter Franks.
    Keywords: Heat flux ; Tidal mixing front ; Residual current ; Stratification ; Frontward convergence
    Repository Name: Woods Hole Open Access Server
    Type: Article
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  • 9
    Publication Date: 2022-05-25
    Description: Author Posting. © Inter-Research, 2007. This article is posted here by permission of Inter-Research for personal use, not for redistribution. The definitive version was published in Marine Ecology Progress Series 344 (2007): 49-61, doi:10.3354/meps06952.
    Description: Dinoflagellates demonstrate a variety of vertical migration patterns that presumably give them a competitive advantage when nutrients are depleted in the surface layer of stratified waters. In this study, a simple quota-based model was used to examine the relationships between the vertical migration pattern and internal nutritional status, and to assess how external environmental conditions, such as mixing layer depth (MLD) and internal waves, can influence these relationships. Dinoflagellates may form subsurface aggregations or conduct vertical migration (diel or non-diel) in response to their internal nutrient quota, but within a limited physiological parameter space. The model was implemented in a 1D (vertical) domain using an individual-based modeling approach, tracking the change in nutrient quota and the trajectory of many individual cells in a water column. The model shows that dinoflagellate cells might change from one vertical migration pattern to another when the external environmental conditions change. Using the average net growth rate as an index of fitness, 2 migration strategies, photo-/geotaxis vs. quota-based migration, were assessed with regard to MLD and internal wave regime. It was found that dinoflagellates might choose different migration strategies under different mixing/stratification regimes. In addition, under the same environmental conditions, different species might display unique vertical migration patterns due to inherent physiological differences. This study reveals the sensitivity of dinoflagellate vertical migration to biological and physical factors and offers possible explanations for the various vertical distributions and migration patterns observed in the field.
    Description: R.J. received support from the WHOI Penzance Assistant Scientist Fund and NOAA grant NA- 17RJ1223. The support for P.J.S.F. was from NSF grant OCE0220379 and ONR grant N00014-06-0304.
    Keywords: Dinoflagellates ; Vertical migration ; Model ; Nitrogen quota
    Repository Name: Woods Hole Open Access Server
    Type: Article
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  • 10
    Publication Date: 2022-05-26
    Description: Author Posting. © Association for the Sciences of Limnology and Oceanography, 2012. This article is posted here by permission of Association for the Sciences of Limnology and Oceanography for personal use, not for redistribution. The definitive version was published in Limnology and Oceanography 57 (2012): 1673-1688, doi:10.4319/lo.2012.57.6.1673.
    Description: Three distinct phytoplankton blooms lasting 4–9 d were observed in approximately 15-m water depth near Huntington Beach, California, between June and October of 2006. Each bloom was preceded by a vertical NO3 flux event 6–10 d earlier. NO3 concentrations were estimated using a temperature proxy that was verified by comparison with the limited NO3 observations. The lower–water-column vertical NO3 flux from vertical advection was inferred from observed vertical isotherm displacement. Turbulent vertical eddy diffusivity was parameterized based on the observed background (〈 0.3 cycles h−1) stratification and vertical shear in the horizontal currents. The first vertical nitrate flux event in June contained both advective and turbulent fluxes, whereas the later two events were primarily turbulent, driven by shear in the lower part of the water column. The correlation between the NO3 flux and the observed chlorophyll a (Chl a) was maximum (r2 = 0.40) with an 8-d lag. A simple nitrate–phytoplankton model using a linear uptake function and driven with the NO3 flux captured the timing, magnitude, and duration of the three Chl a blooms (skill = 0.61) using optimal net growth rate parameters that were within the expected range. Vertical and horizontal advection of Chl a past the measurement site were too small to explain the observed Chl a increases during the blooms. The vertical NO3 flux was a primary control on the growth events, and estimation of both the advective (upwelled) and turbulent fluxes is necessary to best predict these episodic blooms.
    Description: California Sea Grant, National Oceanic and Atmospheric Administration, California Coastal Conservancy, National Science Foundation, and the Office of Naval Research supported this research.
    Repository Name: Woods Hole Open Access Server
    Type: Article
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