23 results on '"Sims, Richard P."'
Search Results
2. OceanSODA-UNEXE: a multi-year gridded Amazon and Congo River outflow surface ocean carbonate system dataset.
- Author
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Sims, Richard P., Holding, Thomas M., Land, Peter E., Piolle, Jean-Francois, Green, Hannah L., and Shutler, Jamie D.
- Subjects
- *
OCEAN , *CARBONATE reservoirs , *CARBONATE minerals , *PARTIAL pressure , *ARTIFICIAL satellites , *WATER transfer , *CARBON dioxide , *CARBONATES - Abstract
Large rivers play an important role in transferring water and all of its constituents, including carbon in its various forms, from the land to the ocean, but the seasonal and inter-annual variations in these riverine flows remain unclear. Satellite Earth observation datasets and reanalysis products can now be used to observe synoptic-scale spatial and temporal variations in the carbonate system within large river outflows. Here, we present the University of Exeter (UNEXE) Satellite Oceanographic Datasets for Acidification (OceanSODA) dataset (OceanSODA-UNEXE) time series, a dataset of the full carbonate system in the surface water outflows of the Amazon (2010–2020) and Congo (2002–2016) rivers. Optimal empirical approaches were used to generate gridded total alkalinity (TA) and dissolved inorganic carbon (DIC) fields in the outflow regions. These combinations were determined by equitably evaluating all combinations of algorithms and inputs against a reference matchup database of in situ observations. Gridded TA and DIC along with gridded temperature and salinity data enable the calculation of the full carbonate system in the surface ocean (which includes pH and the partial pressure of carbon dioxide, pCO2). The algorithm evaluation constitutes a Type-A uncertainty evaluation for TA and DIC, in which model, input and sampling uncertainties are considered. Total combined uncertainties for TA and DIC were propagated through the carbonate system calculation, allowing all variables to be provided with an associated uncertainty estimate. In the Amazon outflow, the total combined uncertainty for TA was 36 µmolkg-1 (weighted root-mean-squared difference, RMSD, of 35 µmolkg-1 and weighted bias of 8 µmolkg-1 for n = 82), whereas it was 44 µmolkg-1 for DIC (weighted RMSD of 44 µmolkg-1 and weighted bias of - 6 µmolkg-1 for n = 70). The spatially averaged propagated combined uncertainties for the pCO2 and pH were 85 µatm and 0.08, respectively, where the pH uncertainty was relative to an average pH of 8.19. In the Congo outflow, the combined uncertainty for TA was identified as 29 µmolkg-1 (weighted RMSD of 28 µmolkg-1 and weighted bias of 6 µmolkg-1 for n = 102), whereas it was 40 µmolkg-1 for DIC (weighted RMSD of 37 µmolkg-1 and weighted bias of - 16 µmolkg-1 for n = 77). The spatially averaged propagated combined uncertainties for pCO2 and pH were 74 µatm and 0.08, respectively, where the pH uncertainty was relative to an average pH of 8.21. The combined uncertainties in TA and DIC in the Amazon and Congo outflows are lower than the natural variability within their respective regions, allowing the time-varying regional variability to be evaluated. Potential uses of these data would be the assessment of the spatial and temporal flow of carbon from the Amazon and Congo rivers into the Atlantic and the assessment of the riverine-driven carbonate system variations experienced by tropical reefs within the outflow regions. The data presented in this work are available at 10.1594/PANGAEA.946888 (Sims et al., 2023). [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
3. High interannual surface pCO2 variability in the southern Canadian Arctic Archipelago's Kitikmeot Sea.
- Author
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Sims, Richard P., Ahmed, Mohamed M. M., Butterworth, Brian J., Duke, Patrick J., Gonski, Stephen F., Jones, Samantha F., Brown, Kristina A., Mundy, Christopher J., Williams, William J., and Else, Brent G. T.
- Subjects
ATMOSPHERIC carbon dioxide ,SEA ice ,CARBON dioxide ,ARCTIC climate ,ARCHIPELAGOES ,RESEARCH vessels - Abstract
Warming of the Arctic due to climate change means the Arctic Ocean is now free from ice for longer, as sea ice melts earlier and refreezes later. Yet, it remains unclear how this extended ice-free period will impact carbon dioxide (CO 2) fluxes due to scarcity of surface ocean CO 2 measurements. Baseline measurements are urgently needed to understand spatial and temporal air–sea CO 2 flux variability in the changing Arctic Ocean. There is also uncertainty as to whether the previous basin-wide surveys are representative of the many smaller bays and inlets that make up the Canadian Arctic Archipelago (CAA). By using a research vessel that is based in the remote Inuit community of Ikaluqtuutiak (Cambridge Bay, Nunavut), we have been able to reliably survey p CO 2 shortly after ice melt and access previously unsampled bays and inlets in the nearby region. Here we present 4 years of consecutive summertime p CO 2 measurements collected in the Kitikmeot Sea in the southern CAA. Overall, we found that this region is a sink for atmospheric CO 2 in August (average of all calculated fluxes over the four cruises was - 4.64 mmol m -2 d -1), but the magnitude of this sink varies substantially between years and locations (average calculated fluxes of + 3.58, - 2.96, - 16.79 and - 0.57 mmol m -2 d -1 during the 2016, 2017, 2018 and 2019 cruises, respectively). Surface ocean p CO 2 varied by up to 156 µ atm between years, highlighting the importance of repeat observations in this region, as this high interannual variability would not have been captured by sparse and infrequent measurements. We find that the surface ocean p CO 2 value at the time of ice melt is extremely important in constraining the magnitude of the air–sea CO 2 flux throughout the ice-free season. However, further constraining the air–sea CO 2 flux in the Kitikmeot Sea will require a better understanding of how p CO 2 changes outside of the summer season. Surface ocean p CO 2 measurements made in small bays and inlets of the Kitikmeot Sea were ∼ 20–40 µ atm lower than in the main channels. Surface ocean p CO 2 measurements made close in time to ice breakup (i.e. within 2 weeks) were ∼ 50 µ atm lower than measurements made > 4 weeks after breakup. As previous basin-wide surveys of the CAA have focused on the deep shipping channels and rarely measure close to the ice breakup date, we hypothesize that there may be an observational bias in previous studies, leading to an underestimate of the CO 2 sink in the CAA. These high-resolution measurements constitute an important new baseline for gaining a better understanding of the role this region plays in the uptake of atmospheric CO 2. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
4. Warming-Induced Shrub Expansion and Lichen Decline in the Western Canadian Arctic
- Author
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Fraser, Robert H., Lantz, Trevor C., Olthof, Ian, Kokelj, Steven V., and Sims, Richard A.
- Published
- 2014
- Full Text
- View/download PDF
5. OceanSODA-UNEXE: A multi-year gridded Amazon and Congo River outflow surface ocean carbonate system dataset.
- Author
-
Sims, Richard P., Holding, Thomas M., Land, Peter E., Piolle, Jean-Francois, Green, Hannah L., and Shutler, Jamie D.
- Subjects
- *
CARBONATE minerals , *CARBONATE reservoirs , *OCEAN , *PARTIAL pressure , *ARTIFICIAL satellites , *CARBONATES , *LANDFORMS , *WATER transfer - Abstract
Large rivers play an important role in transferring water and all of its constituents including carbon in its various forms from the land to the ocean, but the seasonal and inter-annual variations in these riverine flows remain unclear. Satellite Earth observation datasets and reanalysis products can now be used to observe synoptic-scale spatial and temporal variations in the carbonate system within large river outflows. Here we present the OceanSODA-UNEXE time series, a dataset of the full carbonate system in the surface water outflows of the Amazon (2010-2020) and Congo Rivers (2002-2016). Optimal empirical approaches were used to generate gridded Total alkalinity (TA) and dissolved inorganic carbon (DIC) fields in the outflow regions. These combinations were determined by equitably evaluating all combinations of algorithms and inputs against a matchup database of in situ observations. Gridded TA and DIC along with gridded temperature and salinity data enable the calculation of the full carbonate system in the surface ocean. The algorithm evaluation constitutes a Type A uncertainty evaluation for TA and DIC where model, input and sampling uncertainties are considered. Total combined uncertainties for TA and DIC were propagated through the carbonate system calculation allowing all variables to be provided with an associated uncertainty estimate. In the Amazon outflow, the total combined uncertainty for TA was identified as 36 µmol kg-1 (weighted RMSD 35 µmol kg-1 and weighted bias 8 µmol kg-1 for n=82) and for DIC was 44 µmol kg-1 (weighted RMSD 44 µmol kg-1 and weighted bias -6 µmol kg-1 for n=70). The spatially averaged propagated uncertainties for the partial pressure of carbon dioxide (pCO2) and pH are 85 µatm and 0.08 respectively, where the pH uncertainty is relative to an average pH of 8.19. In the Congo outflow, the combined uncertainty for TA was identified as 29 µmol kg-1 (weighted RMSD 28 µmol kg-1 and weighted bias 6 µmol kg-1 for n=102) and for DIC was 40 µmol kg-1 (weighted RMSD 37 µmol kg-1and weighted bias -16 µmol kg-1 for n=77). The spatially averaged propagated uncertainties for pCO2 and pH are 74 µatm and 0.08 respectively, where the pH uncertainty is relative to an average pH of 8.21. The combined uncertainties in TA and DIC in the Amazon and Congo outflows are lower than the natural variability their respective regions allowing the time varying regional variability to be evaluated. Potential uses of these data would be for assessing the spatial and temporal flow of carbon from the Amazon and Congo rivers into the Atlantic and for assessing the riverine driven carbonate system variations experienced by tropical reefs within the outflow regions. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
6. Variability in sea ice carbonate chemistry: a case study comparing the importance of ikaite precipitation, bottom-ice algae, and currents across an invisible polynya.
- Author
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Else, Brent G. T., Cranch, Araleigh, Sims, Richard P., Jones, Samantha, Dalman, Laura A., Mundy, Christopher J., Segal, Rebecca A., Scharien, Randall K., and Guha, Tania
- Subjects
SEA ice ,CARBON cycle ,ALGAL communities ,BIOLOGICAL productivity ,POLYNYAS ,RESOLUTION (Chemistry) - Abstract
The carbonate chemistry of sea ice is known to play a role in global carbon cycles, but its importance is uncertain in part due to disparities in reported results. Variability in physical and biological drivers is usually invoked to explain differences between studies. In the Canadian Arctic Archipelago, "invisible polynyas" – areas of strong currents, thin ice, and potentially high biological productivity – are examples of extreme spatial variability. We used an invisible polynya as a natural laboratory to study the effects of inferred initial ice formation conditions, ice growth rate, and algal biomass on the distribution of carbonate species by collecting enough cores to perform a statistical comparison between sites located within, and just outside of, a polynya near Iqaluktuttiaq (Cambridge Bay, Nunavut, Canada). At both sites, the uppermost 10 cm ice horizon showed evidence of CO 2 off-gassing, while carbonate distributions in the middle and bottommost 10 cm horizons largely followed the salinity distribution. In the polynya, the upper ice horizon had significantly higher bulk total inorganic carbon (TIC), total alkalinity (TA), and salinity potentially due to freeze-up conditions that favoured frazil ice production. The middle ice horizons were statistically indistinguishable between sites, suggesting that ice growth rate is not an important factor for the carbonate distribution under mid-winter conditions. The thicker (non-polynya) site experienced higher algal biomass, TIC, and TA in the bottom horizon. Carbonate chemistry in the bottom horizon could largely be explained by the salinity distribution, with the strong currents at the polynya site potentially playing a role in desalinization; biology appeared to exert only a minor control, with some evidence that the ice algae community was net heterotrophic. We did see evidence of calcium carbonate precipitation but with little impact on the TIC:TA ratio and little difference between sites. Because differences were constrained to relatively thin layers at the top and bottom, vertically averaged values of TIC, TA, and especially the TIC:TA ratio were not meaningfully different between sites. This provides some justification for using a single bulk value for each parameter when modelling sea ice effects on ocean chemistry at coarse resolution. Exactly what value to use (particularly for the TIC:TA ratio) likely varies by region but could potentially be approximated from knowledge of the source seawater and sea ice salinity. Further insights await a rigorous intercomparison of existing data. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
7. The mouse B cell-specific mb-1 gene encodes an immunoreceptor tyrosine-based activation motif (ITAM) protein that may be evolutionarily conserved in diverse species by purifying selection
- Author
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Sims, Richard, Vandergon, Virginia Oberholzer, and Malone, Cindy S.
- Published
- 2012
- Full Text
- View/download PDF
8. PO-01-111 ELECTROCARDIOGRAPHIC CRITERIA FOR THE PREDICTION OF SUCCESSFUL RIGHT VS. LEFT SIDED RADIOFREQUENCY ABLATION OF PARA-HISIAN PREMATURE VENTRICULAR CONTRACTIONS.
- Author
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Losiniecki, Fergie, Waits, George S., Sims, Richard, Mark, Justin, Laxina, Ian, Thompson, Burke, Lopez, Jose, Long, Matthew, Gowani, Zain, Kroman, Anne M., Dhakal, Bishnu P., Kaplan, Rachel M., Vo, Chau N., Pinski, Sergio L., Gold, Michael R., Wharton, J.M., and Winterfield, Jeffrey R.
- Published
- 2024
- Full Text
- View/download PDF
9. High interannual surface pCO2 variability in the Southern Canadian Arctic Archipelago's Kitikmeot Sea.
- Author
-
Sims, Richard P., Ahmed, Mohamed, Butterworth, Brian J., Duke, Patrick J., Gonski, Stephen F., Jones, Samantha F., Brown, Kristina A., Mundy, Christopher J., Williams, William J., and Else, Brent. G. T.
- Subjects
ARCHIPELAGOES ,ARCTIC climate ,RESEARCH vessels ,CARBON dioxide ,COMMUNITIES ,SUMMER - Abstract
Warming of the Arctic due to climate change means the Arctic Ocean is now ice-free for longer as sea ice melts earlier and refreezes later. It remains unclear how the extended ice-free period will impact carbon dioxide (CO
2 ) fluxes due to scarcity of surface ocean CO2 measurements. Baseline measurements are urgently needed to understand how air-sea CO2 fluxes will spatially and temporally vary in a changing Arctic Ocean. It is uncertain whether the previous basin-wide surveys are representative of the many smaller bays and inlets that make up the Canadian Arctic Archipelago. By using a research vessel that is based in the remote Inuit community of Cambridge Bay (Ikaluqtuutiak, Nunavut), we have been able to reliably survey pCO2 shortly after ice melt and access previously unsampled bays and inlets in the nearby region. We present four years of consecutive summertime pCO2 measurements collected in the Kitikmeot Sea in the southern Canadian Arctic Archipelago. Overall, we found that this region is a sink for atmospheric CO2 in August (average of all calculated fluxes over the four cruises was -8.3 mmol m-2 d-1 ) but the magnitude of this sink varies substantially between years and locations (average calculated fluxes of 0.41, -7.70, -21.26 and -2.08 mmol m-2 d-1 during the 2016.2017,2018 and 2019 cruises respectively). Surface ocean pCO2 varied by up to 142 μatm between years; this highlights the importance of repeat observations in the Arctic as this high interannual variability would not have been captured by sparse and infrequent measurements. We find that the pCO2 value of the surface ocean at the time of ice melt is extremely important in constraining the magnitude of the air-sea flux throughout the ice-free season. Further constraining the flux in the Kitikmeot Sea will require a better understanding of how pCO2 changes outside of the summer season. Surface ocean pCO2 measurements made in the bays and inlets in the Kitikmeot Sea were ~20-40 μatm lower than in the main channels, and pCO2 measurements made close to ice breakup (i.e. within 2 weeks) were 50-100 μatm lower than measurements made >4 weeks after breakup. As basin-wide surveys of the CAA have focused on the deeper shipping channels and rarely measure close to the ice break-up date, we hypothesize that there may be an observational bias in previous studies, leading to an underestimate of the CO2 sink in the Canadian Arctic Archipelago. These high-resolution measurements constitute an important new baseline for gaining a better understanding of the role this region plays in the uptake of atmospheric CO2 . [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
10. Racial similarities and differences in predictors of mobility change over eighteen months
- Author
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Allman, Richard M., Baker, Patricia Sawyer, Maisiak, Richard M., Sims, Richard V., and Roseman, Jeffrey M.
- Published
- 2004
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- View/download PDF
11. Increasing Communication Among Nursing Home Residents
- Author
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Allen-Burge, Rebecca, Burgio, Louis D., Bourgeois, Michelle S., Sims, Richard, and Nunnikhoven, Jennifer
- Published
- 2001
- Full Text
- View/download PDF
12. Tidal mixing of estuarine and coastal waters in the western English Channel is a control on spatial and temporal variability in seawater CO2.
- Author
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Sims, Richard P., Bedington, Michael, Schuster, Ute, Watson, Andrew J., Kitidis, Vassilis, Torres, Ricardo, Findlay, Helen S., Fishwick, James R., Brown, Ian, and Bell, Thomas G.
- Subjects
TERRITORIAL waters ,CARBON dioxide ,OCEANIC mixing ,REGIONS of freshwater influence ,SEAWATER ,SALTWATER encroachment - Abstract
Surface ocean carbon dioxide (CO2) measurements are used to compute the oceanic air–sea CO2 flux. The CO2 flux component from rivers and estuaries is uncertain due to the high spatial and seasonal heterogeneity of CO2 in coastal waters. Existing high-quality CO2 instrumentation predominantly utilises showerhead and percolating style equilibrators optimised for open-ocean observations. The intervals between measurements made with such instrumentation make it difficult to resolve the fine-scale spatial variability of surface water CO2 at timescales relevant to the high frequency variability in estuarine and coastal environments. Here we present a novel dataset with unprecedented frequency and spatial resolution transects made at the Western Channel Observatory in the south-west of the UK from June to September 2016, using a fast-response seawater CO2 system. Novel observations were made along the estuarine–coastal continuum at different stages of the tide and reveal distinct spatial patterns in the surface water CO2 fugacity (fCO2) at different stages of the tidal cycle. Changes in salinity and fCO2 were closely correlated at all stages of the tidal cycle and suggest that the mixing of oceanic and riverine endmembers partially determines the variations in fCO2. The correlation between salinity and fCO2 was different in Cawsand Bay, which could be due to enhanced gas exchange or to enhanced biological activity in the region. The observations demonstrate the complex dynamics determining spatial and temporal patterns of salinity and fCO2 in the region. Spatial variations in observed surface salinity were used to validate the output of a regional high-resolution hydrodynamic model. The model enables a novel estimate of the air–sea CO2 flux in the estuarine–coastal zone. Air–sea CO2 flux variability in the estuarine–coastal boundary region is influenced by the state of the tide because of strong CO2 outgassing from the river plume. The observations and model output demonstrate that undersampling the complex tidal and mixing processes characteristic of estuarine and coastal environment biases quantification of air–sea CO2 fluxes in coastal waters. The results provide a mechanism to support critical national and regional policy implementation by reducing uncertainty in carbon budgets. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
13. Tree species in relation to soil moisture regime in northwestern Ontario, Canada
- Author
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Sims, Richard A., Baldwin, Kenneth A., Kershaw, H. Maureen, and Wang, Yonghe
- Published
- 1996
- Full Text
- View/download PDF
14. Primary databases for forest ecosystem management-examples from Ontario and possibilities for Canada: NatGRID
- Author
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McKenney, Daniel W., Mackey, Brendan G., and Sims, Richard A.
- Published
- 1996
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15. Introduction-global to local: Ecological Land Classification
- Author
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Sims, Richard A., Corns, Ian G. W., and Klinka, Karel
- Published
- 1996
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16. Differential Diagnosis of Dementia, Delirium and Depression: Implications for Drug Therapy
- Author
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Johnson, Jerry, Sims, Richard, and Gottlieb, Gary
- Published
- 1994
- Full Text
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17. Effects of Seasonal Ice Coverage on the Physical Oceanographic Conditions of the Kitikmeot Sea in the Canadian Arctic Archipelago.
- Author
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Xu, Chengzhu, Mikhael, Wahad, Myers, Paul G., Else, Brent, Sims, Richard P., and Zhou, Qi
- Abstract
Copyright of Atmosphere -- Ocean (Taylor & Francis Ltd) is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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18. Integrating residency training in geriatrics into existing outpatient curricula
- Author
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Lavizzo-Mourey, Risa, Beck, Laurence H., Diserens, Deborah, Day, Susan, Johnson, Jerry, Forciea, Mary Ann, and Sims, Richard V.
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- 1990
- Full Text
- View/download PDF
19. Preface
- Author
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Sims, Richard A., Corns, Ian G. W., and Klinka, Karel
- Published
- 1996
- Full Text
- View/download PDF
20. A measurement system for vertical seawater profiles close to the air/sea interface.
- Author
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Sims, Richard P., Schuster, Ute, Watson, Andrew J., Ming Xi Yang, Hopkins, Frances E., Stephens, John, and Bell, Thomas G.
- Subjects
SEA water analysis ,WATER depth ,OCEAN temperature - Abstract
This paper describes a Near Surface Ocean Profiler, which has been designed to precisely measure vertical gradients in the top 10 m of the ocean. Variations in the depth of seawater collection are minimised when using the profiler compared to conventional CTD/rosette deployments. The profiler consists of a remotely operated winch mounted on a tethered yet free floating buoy, which is used to raise and lower a small frame housing sensors and inlet tubing. Seawater at the inlet depth is pumped back to the ship for analysis. The profiler can be used to make continuous vertical profiles or to target a series of discrete depths. The profiler has been successfully deployed during wind speeds up to 10 m s
-1 and significant wave heights up to 2 m. We demonstrate the potential of the profiler by presenting measured vertical profiles of the trace gases carbon dioxide and dimethylsulfide. Trace gas measurements use an efficient microporous membrane equilibrator to minimise the system response time. The example profiles show vertical gradients in the upper 5 m for temperature, carbon dioxide and dimethylsulfide of 0.15 °C, 4 μatm and 0.4 nM respectively. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
21. Catheter Ablation for Atrial Fibrillation in Adult Congenital Heart Disease: An International Multicenter Registry Study.
- Author
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Griffiths, Jack R., Nussinovitch, Udi, Liang, Jackson J., Sims, Richard, Yoneda, Zachary T., Bernstein, Hannah M., Viswanathan, Mohan N., Khairy, Paul, Srivatsa, Uma N., Frankel, David S., Marchlinski, Francis E., Sandhu, Amneet, Shoemaker, M. Benjamin, Mohanty, Sanghamitra, Burkhardt, John D., Natale, Andrea, Lakireddy, Dhanunjaya, De Groot, Natasja M.S., Gerstenfeld, Edward P., and Moore, Jeremy P.
- Subjects
ATRIAL fibrillation diagnosis ,MYOCARDIAL depressants ,RESEARCH ,TRANSPOSITION of great vessels ,RESEARCH methodology ,ATRIAL fibrillation ,CATHETER ablation ,CONGENITAL heart disease ,RETROSPECTIVE studies ,ACQUISITION of data ,EVALUATION research ,TREATMENT effectiveness ,COMPARATIVE studies ,PULMONARY veins ,DISEASE complications - Abstract
Background: Data on atrial fibrillation (AF) ablation and outcomes are limited in patients with congenital heart disease (CHD). We aimed to investigate the characteristics of patients with CHD presenting for AF ablation and their outcomes.Methods: A multicenter, retrospective analysis was performed of patients with CHD undergoing AF ablation between 2004 and 2020 at 13 participating centers. The severity of CHD was classified using 2014 Pediatric and Congenital Electrophysiology Society/Heart Rhythm Society guidelines. Clinical data were collected. One-year complete procedural success was defined as freedom from atrial tachycardia or AF in the absence of antiarrhythmic drugs or including previously failed antiarrhythmic drugs (partial success).Results: Of 240 patients, 127 (53.4%) had persistent AF, 62.5% were male, and mean age was 55.2±13.3 years. CHD complexity categories included 147 (61.3%) simple, 68 (28.3%) intermediate, and 25 (10.4%) severe. The most common CHD type was atrial septal defect (n=78). More complex CHD conditions included transposition of the great arteries (n=14), anomalous pulmonary veins (n=13), tetralogy of Fallot (n=8), cor triatriatum (n=7), single ventricle physiology (n=2), among others. The majority (71.3%) of patients had trialed at least one antiarrhythmic drug. Forty-six patients (22.1%) had reduced systemic ventricular ejection fraction <50%, and mean left atrial diameter was 44.1±8.2 mm. Pulmonary vein isolation was performed in 227 patients (94.6%); additional ablation included left atrial linear ablations (40%), complex fractionated atrial electrogram (19.2%), and cavotricuspid isthmus ablation (40.8%). One-year complete and partial success rates were 45.0% and 20.5%, respectively, with no significant difference in the rate of complete success between complexity groups. Overall, 38 patients (15.8%) required more than one ablation procedure. There were 3 (1.3%) major and 13 (5.4%) minor procedural complications.Conclusions: AF ablation in CHD was safe and resulted in AF control in a majority of patients, regardless of complexity. Future work should address the most appropriate ablation targets in this challenging population. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
22. Heart Failure Is a Risk Factor for Incident Driving Cessation Among Community-Dwelling Older Adults: Findings From a Prospective Population Study.
- Author
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Sims, Richard V., Mujib, Marjan, McGwin, Gerald, Zhang, Yan, Ahmed, Mustafa I., Desai, Ravi V., Aban, Inmaculada B., Sawyer, Patricia, Anker, Stefan D., and Ahmed, Ali
- Abstract
Background: Heart failure (HF) patients often depend on driving for access to specialty care. We analyzed a public-use copy of the Cardiovascular Health Study (CHS) data to determine if HF is a risk factor for driving cessation and to identify other risk factors for driving cessation among those with HF. Methods and Results: Of the 5,383 community-dwelling drivers aged ≥65 years (mean age 73 years, 55% women, 13% African American), 839 had HF: 246 had baseline prevalent HF and 593 developed incident HF before driving cessation during 9 years of follow-up. Incident driving cessation occurred at rates of 3,980 and 3,709 per 10,000 person-years of follow-up for those with and without HF, respectively (unadjusted hazard ratio [HR] associated with HF as a time-varying variable: 2.13, 95% confidence interval [CI] 1.83–2.47; P < .001). This association remained unchanged after multivariable risk adjustment (HR 1.43, 95% CI 1.21–1.68; P < .001). Among the 839 older drivers with HF, independent predictors for incident driving cessation were age ≥75 years (HR 1.99, 95% CI 1.44–2.73; P < .001), female gender (HR 1.93, 95% CI 1.37–2.74; P < .001), difficulty walking half a mile (HR 1.47 (1.04–2.08); P = .028), vision problems (HR 1.47, 95% CI 1.07–2.02; P = .018), and stroke as a time-varying covariate (HR 1.96, 95% CI 1.38–2.79; P < .001). Conclusions: HF is an independent risk factor for incident driving cessation among community-dwelling older drivers. Several patient characteristics predicted driving cessation in older HF patients, which may be targets for interventions to prevent driving cessation among these patients. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
23. Epiphytes on White Elm, Ulmus americana, near Thunder Bay, Ontario
- Author
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Sims, Richard A. and Barclay-Estrup, P.
- Published
- 1979
- Full Text
- View/download PDF
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