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The shape of ice shelf cavities are a major source of uncertainty in understanding ice‐ocean interactions. This limits assessments of the response of the Antarctic ice sheets to climate change. Here we use vibroseis seismic reflection surveys to map the bathymetry beneath the Ekström Ice Shelf, Dronning Maud Land. The new bathymetry reveals an inland‐sloping trough, reaching depths of 1,100 m below sea level, near the current grounding line, which we attribute to erosion by palaeo‐ice streams. The trough does not cross‐cut the outer parts of the continental shelf. Conductivity‐temperature‐depth profiles within the ice shelf cavity reveal the presence of cold water at shallower depths and tidal mixing at the ice shelf margins. It is unknown if warm water can access the trough. The new bathymetry is thought to be representative of many ice shelves in Dronning Maud Land, which together regulate the ice loss from a substantial area of East Antarctica. Plain Language Summary: Antarctica is surrounded by floating ice shelves, which play a crucial role in regulating the flow of ice from the continent into the oceans. The ice shelves are susceptible to melting from warm ocean waters beneath them. In order to better understand the melting, knowledge of the shape and depth of the ocean cavity beneath ice shelves is crucial. In this study, we present new measurements of the sea floor depth beneath Ekström Ice Shelf in East Antarctica. The measurements reveal a much deeper sea floor than previously known. We discuss the implications of this for access of warm ocean waters, which can melt the base of the ice shelf and discuss how the observed sea floor features were formed by historical ice flow regimes. Although Ekström Ice Shelf is relatively small, the geometry described here is thought to be representative of the topography beneath many ice shelves in this region, which together regulate the ice loss from a substantial area of East Antarctica. Key Points: Vibroseis seismic surveys used to map the ice shelf cavity beneath Ekström Ice Shelf in AntarcticaDeep trough with transverse sills and overdeepenings provide evidence of past ice streaming and retreatTwo ocean circulation regimes inferred in the shallow and deep parts of the cavity [ABSTRACT FROM AUTHOR]

Objective: To describe the associations between autoantibodies, clinical presentation, and outcomes among patients with systemic sclerosis (SSc) in order to develop a novel SSc classification scheme that would incorporate both antibodies and the cutaneous disease subset as criteria. Methods: Demographic and clinical characteristics, including cutaneous subset, time of disease and organ complication onset, and autoantibody specificities, were determined in a cohort of SSc subjects. Survival analysis was used to assess the effect of the autoantibodies on organ disease and death. Results: The study included 1,325 subjects. Among the antibody/skin disease subsets, anticentromere antibody–positive patients with limited cutaneous SSc (lcSSc) (n = 374) had the highest 20‐year survival (65.3%), lowest incidence of clinically significant pulmonary fibrosis (PF) (8.5%) and scleroderma renal crisis (SRC) (0.3%), and lowest incidence of cardiac SSc (4.9%), whereas the frequency of pulmonary hypertension (PH) was similar to the mean value in the SSc cohort overall. The anti–Scl‐70+ groups of patients with lcSSc (n = 138) and patients with diffuse cutaneous SSc (dcSSc) (n = 149) had the highest incidence of clinically significant PF (86.1% and 84%, respectively, at 15 years). Anti‐Scl‐70+ patients with dcSSc had the lowest survival (32.4%) and the second highest incidence of cardiac SSc (12.9%) at 20 years. In contrast, in anti‐Scl‐70+ patients with lcSSc, other complications were rare, and these patients demonstrated the lowest incidence of PH (6.9%) and second highest survival (61.8%) at 20 years. Anti–RNA polymerase antibody–positive SSc patients (n = 147) had the highest incidence of SRC (28.1%) at 20 years. The anti–U3 RNP+ SSc group (n = 56) had the highest incidence of PH (33.8%) and cardiac SSc (13.2%) at 20 years. Among lcSSc patients with other autoantibodies (n = 295), the risk of SRC and cardiac SSc was low at 20 years (2.7% and 2.4%, respectively), while the frequencies of other outcomes were similar to the mean values in the full SSc cohort. Patients with dcSSc who were positive for other autoantibodies (n = 166) had a poor prognosis, demonstrating the second lowest survival (33.6%) and frequent organ complications. Conclusion: These findings highlight the importance of autoantibodies, cutaneous subset, and disease duration when assessing morbidity and mortality in patients with SSc. Our novel classification scheme may improve disease monitoring and benefit future clinical trial designs in SSc. [ABSTRACT FROM AUTHOR]

Objective To delineate the constitutive pulmonary vascular phenotype of the TβRIIΔk-fib mouse model of scleroderma, and to selectively induce pulmonary endothelial cell injury using vascular endothelial growth factor (VEGF) inhibition to develop a model with features characteristic of pulmonary arterial hypertension (PAH). Methods The TβRIIΔk-fib mouse strain expresses a kinase-deficient transforming growth factor β (TGFβ) receptor type II driven by a fibroblast-specific promoter, leading to ligand-dependent up-regulation of TGFβ signaling, and replicates key fibrotic features of scleroderma. Structural, biochemical, and functional assessments of pulmonary vessels, including in vivo hemodynamic studies, were performed before and following VEGF inhibition, which induced pulmonary endothelial cell apoptosis. These assessments included biochemical analysis of the TGFβ and VEGF signaling axes in tissue sections and explanted smooth muscle cells. Results In the TβRIIΔk-fib mouse strain, a constitutive pulmonary vasculopathy with medial thickening, a perivascular proliferating chronic inflammatory cell infiltrate, and mildly elevated pulmonary artery pressure resembled the well-described chronic hypoxia model of pulmonary hypertension. Following administration of SU5416, the pulmonary vascular phenotype was more florid, with pulmonary arteriolar luminal obliteration by apoptosis-resistant proliferating endothelial cells. These changes resulted in right ventricular hypertrophy, confirming hemodynamically significant PAH. Altered expression of TGFβ and VEGF ligand and receptor was consistent with a scleroderma phenotype. Conclusion In this study, we replicated key features of systemic sclerosis-related PAH in a mouse model. Our results suggest that pulmonary endothelial cell injury in a genetically susceptible mouse strain triggers this complication and support the underlying role of functional interplay between TGFβ and VEGF, which provides insight into the pathogenesis of this disease. [ABSTRACT FROM AUTHOR]

Against the background of the increasing trend towards tailoring psychotherapeutic procedures to the needs of the individual patient, this study aims at the formulation of empirically validated heuristics to guide the therapist's session-to-session decisions. A new research strategy, ‘selection from natural variation’, was employed, and the selected samples of therapy sessions from four different phases of therapy were subsequently examined with regard to their process and outcome characteristics. Process characteristics were assessed by ‘therapy spectrum analysis’ and outcome characteristics by the ‘Bernese Post Session Report—Patient Form’. Meaningful co-occurrences of process and outcome variables were identified using ‘feature pattern analysis’, which is a statistical procedure especially suited to the task of identifying underlying regularities in heterogeneous samples. The extracted rules specify the mixture of resource- and problem-focused interventions suited to the different phases of therapy and can be translated into guidelines for the continual adaptation of treatment procedures. Copyright © 2005 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]