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- Johansson, Joakim, et al.
(författare)
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Symptomatic absorption of isotonic saline during transcervical endometrial resection
- 2017
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Ingår i: Acta Anaesthesiologica Scandinavica. - : Wiley. - 0001-5172 .- 1399-6576. ; 61:1, s. 121-124
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Tidskriftsartikel (refereegranskat)abstract
- Absorption of irrigating fluid is a well-known complication of endoscopic surgeries, such as transurethral resection of the prostate and transcervical endometrial resection (TCER). Irrigating fluid is used to distend the hollow organ and allows the surgeon to visualize the operating field. Traditional monopolar diathermy requires irrigating fluid to be electrolyte free, which is unphysiological and therefore elicits various symptoms when absorbed.(1-4) In recent years, endoscopic resections have often been conducted with a bipolar resectoscope, which allows crystalloid fluid to be used for irrigation. The symptoms, hemodynamic effects, and biochemical changes that arise from rapid inadvertent overload of crystalloid fluid in clinical settings are not as well known as those due to overload of electrolyte-free fluid. Further, current guidelines may be interpreted as that 2500-ml resorption of saline could be accepted.(5) Therefore, we describe two patients who absorbed isotonic saline during TCERs performed under general anesthesia. The second one (case B) probably was further complicated by a venous gas embolus.
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- Sjöström, Jenny K., et al.
(författare)
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Holocene storminess dynamics in northwestern Ireland : shifts in storm duration and frequency between the mid- and late Holocene
- 2024
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Ingår i: Quaternary Science Reviews. - : Elsevier. - 0277-3791 .- 1873-457X. ; 337
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Tidskriftsartikel (refereegranskat)abstract
- Substantial uncertainties exist regarding how future climate change will affect storminess (storm frequency and intensity) in Ireland and the United Kingdom (UK). Knowledge about spatiotemporal variations of past storminess gives us a better understanding of its mechanisms on centennial to millennial time scales, as well as the impact of external forcing on future storminess in climate models. Here, we present the oldest storm record to date from Ireland, covering the last 8000 years, reconstructed from the Roycarter Bog, a coastal blanket bog in north-western Ireland. The sequence was analysed for grain-size, chemical, mineral and organic molecular composition. The chronology was built on 11 AMS radiocarbon dates. The deposit characteristics, location and low inorganic content suggest aeolian transport of particles to the bog throughout the studied period. Cluster analysis of the grain-size frequency curves, along with the coarse to fine sand ratio, allowed the identification of eleven storm periods (cal yr BP): 6150–5500 (1); 4970–4130 (2); 4000 (3); 3490–3290 (4); 3230 (5); 2850–2590 (6); 2170–1920 (7); 1440 (8); 1225–890 (9); 620–470 (10); and 290–230 (11).During the mid-Holocene, the relative sea level was lower and the local beach sources located further away, giving a longer transport distance compared to the late Holocene. In the latter part of the mid-Holocene (6150–4130 cal yr BP), during the Holocene thermal maximum, increased storminess and wind strengths were inferred for north-western Ireland, manifested as two longer storm periods. During the late Holocene the storm frequency increased, and a greater number (9) of shorter storm periods were recorded. Comparison between our results and regional peat palaeostorm records from Scotland, north of our study site, showed an antiphase relationship between storminess in Ireland and Scotland during the latter part of the mid-Holocene, but mostly in-phase storminess over the last 3000 years. Taken together, enhanced wind strength and storminess were recorded during the warmer mid-Holocene, while an increased frequency of storm events occurred in the cooler late Holocene. Mid-Holocene storm periods occurred during locally wet periods, while most of the storm periods during late Holocene occurred during drier phases. Alternatively, the elevated mineral input during late Holocene promoted microbial activity and peat decomposition. The apparent variability in cyclicity and frequency between the mid- and late Holocene indicates that the processes governing storminess in the region shifted. This calls for further studies ahead, including climate modelling, to disentangle the complex processes governing storminess on millennial to centennial time scale.
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- Stokes, Chris R., et al.
(författare)
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On the reconstruction of palaeo-ice sheets : Recent advances and future challenges
- 2015
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Ingår i: Quaternary Science Reviews. - : Elsevier BV. - 0277-3791 .- 1873-457X. ; 125, s. 15-49
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Forskningsöversikt (refereegranskat)abstract
- Reconstructing the growth and decay of palaeo-ice sheets is critical to understanding mechanisms of global climate change and associated sea-level fluctuations in the past, present and future. The significance of palaeo-ice sheets is further underlined by the broad range of disciplines concerned with reconstructing their behaviour, many of which have undergone a rapid expansion since the 1980s. In particular, there has been a major increase in the size and qualitative diversity of empirical data used to reconstruct and date ice sheets, and major improvements in our ability to simulate their dynamics in numerical ice sheet models. These developments have made it increasingly necessary to forge interdisciplinary links between sub-disciplines and to link numerical modelling with observations and dating of proxy records. The aim of this paper is to evaluate recent developments in the methods used to reconstruct ice sheets and outline some key challenges that remain, with an emphasis on how future work might integrate terrestrial and marine evidence together with numerical modelling. Our focus is on pan-ice sheet reconstructions of the last deglaciation, but regional case studies are used to illustrate methodological achievements, challenges and opportunities. Whilst various disciplines have made important progress in our understanding of ice-sheet dynamics, it is clear that data-model integration remains under-used, and that uncertainties remain poorly quantified in both empirically-based and numerical ice-Sheet reconstructions. The representation of past climate will continue to be the largest source of uncertainty for numerical modelling. As such, palaeo-observations are critical to constrain and validate modelling. State-of-the-art numerical models will continue to improve both in model resolution and in the breadth of inclusion of relevant processes, thereby enabling more accurate and more direct comparison with the increasing range of palaeo-observations. Thus, the capability is developing to use all relevant palaeo-records to more strongly constrain deglacial (and to a lesser extent pre-LGM) ice sheet evolution. In working towards that goal, the accurate representation of uncertainties is required for both constraint data and model outputs. Close cooperation between modelling and data-gathering communities is essential to ensure this capability is realised and continues to progress.
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