| 1. |
- Abbott, Benjamin W., et al.
(författare)
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Biomass offsets little or none of permafrost carbon release from soils, streams, and wildfire : an expert assessment
- 2016
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Ingår i: Environmental Research Letters. - : IOP Publishing. - 1748-9326. ; 11:3
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Tidskriftsartikel (refereegranskat)abstract
- As the permafrost region warms, its large organic carbon pool will be increasingly vulnerable to decomposition, combustion, and hydrologic export. Models predict that some portion of this release will be offset by increased production of Arctic and boreal biomass; however, the lack of robust estimates of net carbon balance increases the risk of further overshooting international emissions targets. Precise empirical or model-based assessments of the critical factors driving carbon balance are unlikely in the near future, so to address this gap, we present estimates from 98 permafrost-region experts of the response of biomass, wildfire, and hydrologic carbon flux to climate change. Results suggest that contrary to model projections, total permafrost-region biomass could decrease due to water stress and disturbance, factors that are not adequately incorporated in current models. Assessments indicate that end-of-the-century organic carbon release from Arctic rivers and collapsing coastlines could increase by 75% while carbon loss via burning could increase four-fold. Experts identified water balance, shifts in vegetation community, and permafrost degradation as the key sources of uncertainty in predicting future system response. In combination with previous findings, results suggest the permafrost region will become a carbon source to the atmosphere by 2100 regardless of warming scenario but that 65%-85% of permafrost carbon release can still be avoided if human emissions are actively reduced.
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| 2. |
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| 3. |
- Koven, C. D., et al.
(författare)
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A simplified, data-constrained approach to estimate the permafrost carbon-climate feedback
- 2015
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Ingår i: Philosophical Transactions. Series A. - : The Royal Society. - 1364-503X .- 1471-2962. ; 373:2054
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Tidskriftsartikel (refereegranskat)abstract
- We present an approach to estimate the feedback from large-scale thawing of permafrost soils using a simplified, data-constrained model that combines three elements: soil carbon (C) maps and profiles to identify the distribution and type of C in permafrost soils; incubation experiments to quantify the rates of C lost after thaw; and models of soil thermal dynamics in response to climate warming. We call the approach the Permafrost Carbon Network Incubation-Panarctic Thermal scaling approach (PInc-PanTher). The approach assumes that C stocks do not decompose at all when frozen, but once thawed follow set decomposition trajectories as a function of soil temperature. The trajectories are determined according to a three-pool decomposition model fitted to incubation data using parameters specific to soil horizon types. We calculate litterfall C inputs required to maintain steady-state C balance for the current climate, and hold those inputs constant. Soil temperatures are taken from the soil thermal modules of ecosystem model simulations forced by a common set of future climate change anomalies under two warming scenarios over the period 2010 to 2100. Under a medium warming scenario (RCP4.5), the approach projects permafrost soil C losses of 12.2-33.4 Pg C; under a high warming scenario (RCP8.5), the approach projects C losses of 27.9-112.6 Pg C. Projected C losses are roughly linearly proportional to global temperature changes across the two scenarios. These results indicate a global sensitivity of frozen soil C to climate change (gamma sensitivity) of -14 to -19 PgC degrees C-1 on a 100 year time scale. For CH4 emissions, our approach assumes a fixed saturated area and that increases in CH4 emissions are related to increased heterotrophic respiration in anoxic soil, yielding CH4 emission increases of 7% and 35% for the RCP4.5 and RCP8.5 scenarios, respectively, which add an additional greenhouse gas forcing of approximately 10-18%. The simplified approach presented here neglects many important processes that may amplify or mitigate C release from permafrost soils, but serves as a data-constrained estimate on the forced, large-scale permafrost C response to warming.
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| 4. |
- Schuur, E. A. G., et al.
(författare)
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Climate change and the permafrost carbon feedback
- 2015
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 520:7546, s. 171-179
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Forskningsöversikt (refereegranskat)abstract
- Large quantities of organic carbon are stored in frozen soils (permafrost) within Arctic and sub-Arctic regions. Awarming climate can induce environmental changes that accelerate the microbial breakdown of organic carbon and the release of the greenhouse gases carbon dioxide and methane. This feedback can accelerate climate change, but the magnitude and timing of greenhouse gas emission from these regions and their impact on climate change remain uncertain. Here we find that current evidence suggests a gradual and prolonged release of greenhouse gas emissions in a warming climate and present a research strategy with which to target poorly understood aspects of permafrost carbon dynamics.
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| 5. |
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| 6. |
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| 7. |
- Olefeldt, D., et al.
(författare)
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Circumpolar distribution and carbon storage of thermokarst landscapes
- 2016
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Ingår i: Nature Communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 7
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Tidskriftsartikel (refereegranskat)abstract
- Thermokarst is the process whereby the thawing of ice- rich permafrost ground causes land subsidence, resulting in development of distinctive landforms. Accelerated thermokarst due to climate change will damage infrastructure, but also impact hydrology, ecology and biogeochemistry. Here, we present a circumpolar assessment of the distribution of thermokarst landscapes, defined as landscapes comprised of current thermokarst landforms and areas susceptible to future thermokarst development. At 3.6 x 10(6) km(2), thermokarst landscapes are estimated to cover similar to 20% of the northern permafrost region, with approximately equal contributions from three landscape types where characteristic wetland, lake and hillslope thermokarst landforms occur. We estimate that approximately half of the below-ground organic carbon within the study region is stored in thermokarst landscapes. Our results highlight the importance of explicitly considering thermokarst when assessing impacts of climate change, including future landscape greenhouse gas emissions, and provide a means for assessing such impacts at the circumpolar scale.
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| 8. |
- Schuur, E. A. G., et al.
(författare)
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Expert assessment of vulnerability of permafrost carbon to climate change
- 2013
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Ingår i: Climatic Change. - : Springer Science and Business Media LLC. - 0165-0009 .- 1573-1480. ; 119:2, s. 359-374
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Tidskriftsartikel (refereegranskat)abstract
- Approximately 1700 Pg of soil carbon (C) are stored in the northern circumpolar permafrost zone, more than twice as much C than in the atmosphere. The overall amount, rate, and form of C released to the atmosphere in a warmer world will influence the strength of the permafrost C feedback to climate change. We used a survey to quantify variability in the perception of the vulnerability of permafrost C to climate change. Experts were asked to provide quantitative estimates of permafrost change in response to four scenarios of warming. For the highest warming scenario (RCP 8.5), experts hypothesized that C release from permafrost zone soils could be 19-45 Pg C by 2040, 162-288 Pg C by 2100, and 381-616 Pg C by 2300 in CO2 equivalent using 100-year CH4 global warming potential (GWP). These values become 50 % larger using 20-year CH4 GWP, with a third to a half of expected climate forcing coming from CH4 even though CH4 was only 2.3 % of the expected C release. Experts projected that two-thirds of this release could be avoided under the lowest warming scenario (RCP 2.6). These results highlight the potential risk from permafrost thaw and serve to frame a hypothesis about the magnitude of this feedback to climate change. However, the level of emissions proposed here are unlikely to overshadow the impact of fossil fuel burning, which will continue to be the main source of C emissions and climate forcing.
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| 9. |
- Chadburn, Sarah E., et al.
(författare)
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Carbon stocks and fluxes in the high latitudes : using site-level data to evaluate Earth system models
- 2017
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Ingår i: Biogeosciences. - : Copernicus GmbH. - 1726-4170 .- 1726-4189. ; 14:22, s. 5143-5169
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Tidskriftsartikel (refereegranskat)abstract
- It is important that climate models can accurately simulate the terrestrial carbon cycle in the Arctic due to the large and potentially labile carbon stocks found in permafrost-affected environments, which can lead to a positive climate feedback, along with the possibility of future carbon sinks from northward expansion of vegetation under climate warming. Here we evaluate the simulation of tundra carbon stocks and fluxes in three land surface schemes that each form part of major Earth system models (JSBACH, Germany; JULES, UK; ORCHIDEE, France). We use a site-level approach in which comprehensive, high-frequency datasets allow us to disentangle the importance of different processes. The models have improved physical permafrost processes and there is a reasonable correspondence between the simulated and measured physical variables, including soil temperature, soil moisture and snow. We show that if the models simulate the correct leaf area index (LAI), the standard C3 photosynthesis schemes produce the correct order of magnitude of carbon fluxes. Therefore, simulating the correct LAI is one of the first priorities. LAI depends quite strongly on climatic variables alone, as we see by the fact that the dynamic vegetation model can simulate most of the differences in LAI between sites, based almost entirely on climate inputs. However, we also identify an influence from nutrient limitation as the LAI becomes too large at some of the more nutrient-limited sites. We conclude that including moss as well as vascular plants is of primary importance to the carbon budget, as moss contributes a large fraction to the seasonal CO2 flux in nutrient-limited conditions. Moss photosynthetic activity can be strongly influenced by the moisture content of moss, and the carbon uptake can be significantly different from vascular plants with a similar LAI. The soil carbon stocks depend strongly on the rate of input of carbon from the vegetation to the soil, and our analysis suggests that an improved simulation of photosynthesis would also lead to an improved simulation of soil carbon stocks. However, the stocks are also influenced by soil carbon burial (e.g. through cryoturbation) and the rate of heterotrophic respiration, which depends on the soil physical state. More detailed below-ground measurements are needed to fully evaluate biological and physical soil processes. Furthermore, even if these processes are well modelled, the soil carbon profiles cannot resemble peat layers as peat accumulation processes are not represented in the models. Thus, we identify three priority areas for model development: (1) dynamic vegetation including (a) climate and (b) nutrient limitation effects; (2) adding moss as a plant functional type; and an (3) improved vertical profile of soil carbon including peat processes.
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| 10. |
- Gentsch, N., et al.
(författare)
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Storage and transformation of organic matter fractions in cryoturbated permafrost soils across the Siberian Arctic
- 2015
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Ingår i: Biogeosciences. - : Copernicus GmbH. - 1726-4170 .- 1726-4189. ; 12:14, s. 4525-4542
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Tidskriftsartikel (refereegranskat)abstract
- In permafrost soils, the temperature regime and the resulting cryogenic processes are important determinants of the storage of organic carbon (OC) and its small-scale spatial variability. For cryoturbated soils, there is a lack of research assessing pedon-scale heterogeneity in OC stocks and the transformation of functionally different organic matter (OM) fractions, such as particulate and mineral-associated OM. Therefore, pedons of 28 Turbels were sampled in 5m wide soil trenches across the Siberian Arctic to calculate OC and total nitrogen (TN) stocks based on digital profile mapping. Density fractionation of soil samples was performed to distinguish between particulate OM (light fraction, LF, < 1.6 g cm(-3)), mineral associated OM (heavy fraction, HF, > 1.6 g cm(-3)), and a mobilizable dissolved pool (mobilizable fraction, MoF). Across all investigated soil profiles, the total OC storage was 20.2 +/- 8.0 kgm(-2) (mean +/- SD) to 100 cm soil depth. Fifty-four percent of this OC was located in the horizons of the active layer (annual summer thawing layer), showing evidence of cryoturbation, and another 35% was present in the upper permafrost. The HF-OC dominated the overall OC stocks (55 %), followed by LF-OC (19% in mineral and 13% in organic horizons). During fractionation, approximately 13% of the OC was released as MoF, which likely represents a readily bioavailable OM pool. Cryogenic activity in combination with cold and wet conditions was the principle mechanism through which large OC stocks were sequestered in the subsoil (16.4 +/- 8.1 kgm(-2); all mineral B, C, and permafrost horizons). Approximately 22% of the subsoil OC stock can be attributed to LF material subducted by cryoturbation, whereas migration of soluble OM along freezing gradients appeared to be the principle source of the dominant HF (63 %) in the subsoil. Despite the unfavourable abiotic conditions, low C/N ratios and high delta C-13 values indicated substantial microbial OM transformation in the subsoil, but this was not reflected in altered LF and HF pool sizes. Partial least-squares regression analyses suggest that OC accumulates in the HF fraction due to co-precipitation with multivalent cations (Al, Fe) and association with poorly crystalline iron oxides and clay minerals. Our data show that, across all permafrost pedons, the mineral-associated OM represents the dominant OM fraction, suggesting that the HF-OC is the OM pool in permafrost soils on which changing soil conditions will have the largest impact.
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| 11. |
- Hugelius, Gustaf, et al.
(författare)
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Estimated stocks of circumpolar permafrost carbon with quantified uncertainty ranges and identified data gaps
- 2014
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Ingår i: Biogeosciences. - : Copernicus GmbH. - 1726-4170 .- 1726-4189. ; 11:23, s. 6573-6593
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Tidskriftsartikel (refereegranskat)abstract
- Soils and other unconsolidated deposits in the northern circumpolar permafrost region store large amounts of soil organic carbon (SOC). This SOC is potentially vulnerable to remobilization following soil warming and permafrost thaw, but SOC stock estimates were poorly constrained and quantitative error estimates were lacking. This study presents revised estimates of permafrost SOC stocks, including quantitative uncertainty estimates, in the 0-3m depth range in soils as well as for sediments deeper than 3m in deltaic deposits of major rivers and in the Yedoma region of Siberia and Alaska. Revised estimates are based on significantly larger databases compared to previous studies. Despite this there is evidence of significant remaining regional data gaps. Estimates remain particularly poorly constrained for soils in the High Arctic region and physiographic regions with thin sedimentary overburden (mountains, highlands and plateaus) as well as for deposits below 3mdepth in deltas and the Yedoma region. While some components of the revised SOC stocks are similar in magnitude to those previously reported for this region, there are substantial differences in other components, including the fraction of perennially frozen SOC. Upscaled based on regional soil maps, estimated permafrost region SOC stocks are 217 +/- 12 and 472 +/- 27 Pg for the 0-0.3 and 0-1 m soil depths, respectively (+/- 95% confidence intervals). Storage of SOC in 0-3m of soils is estimated to 1035 +/- 150 Pg. Of this, 34 +/- 16 PgC is stored in poorly developed soils of the High Arctic. Based on generalized calculations, storage of SOC below 3m of surface soils in deltaic alluvium of major Arctic rivers is estimated as 91 +/- 52 Pg. In the Yedoma region, estimated SOC stocks below 3mdepth are 181 +/- 54 Pg, of which 74 +/- 20 Pg is stored in intact Yedoma (late Pleistocene ice-and organic-rich silty sediments) with the remainder in refrozen thermokarst deposits. Total estimated SOC storage for the permafrost region is similar to 1300 Pg with an uncertainty range of similar to 1100 to 1500 Pg. Of this, similar to 500 Pg is in non-permafrost soils, seasonally thawed in the active layer or in deeper taliks, while similar to 800 Pg is perennially frozen. This represents a substantial similar to 300 Pg lowering of the estimated perennially frozen SOC stock compared to previous estimates.
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| 12. |
- Kuhry, E., et al.
(författare)
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Impact of hospital case volume on short-term outcome after laparoscopic operation for colonic cancer
- 2005
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Ingår i: Surgical endoscopy. - 1432-2218. ; 19:5, s. 687-92
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: High hospital case volume has been associated with improved outcome after open operation for colorectal malignancies. METHODS: To assess the impact of hospital case volume on short-term outcome after laparoscopic operation for colon cancer, we conducted an analysis of patients who underwent laparoscopic colon resection within the COlon Cancer Laparoscopic or Open Resection (COLOR) trial. RESULTS: A total of 536 patients with adenocarcinoma of the colon were included in the analysis. Median operating time was 240, 210 and 188 min in centers with low, medium, and high case volumes, respectively (p < 0.001). A significant difference in conversion rate was observed among low, medium, and high case volume hospitals (24% vs 24% vs 9%; p < 0.001). A higher number of lymph nodes were harvested at high case volume hospitals (p < 0.001). After operation, fewer complications (p = 0.006) and a shorter hospital stay (p < 0.001) were observed in patients treated at hospitals with high caseloads. CONCLUSIONS: Laparoscopic operation for colon cancer at hospitals with high caseloads appears to be associated with improved short-term results.
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| 13. |
- Kuhry, P., et al.
(författare)
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Potential Remobilization of Belowground Permafrost Carbon under Future Global Warming
- 2010
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Ingår i: Permafrost and Periglacial Processes. - : Wiley. - 1045-6740 .- 1099-1530. ; 21:2, s. 208-214
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Tidskriftsartikel (refereegranskat)abstract
- Research on permafrost carbon has dramatically increased in the past few years. A new estimate of 1672 Pg C of belowground organic carbon in the northern circumpolar permafrost region more than doubles the previous value and highlights the potential role of permafrost carbon in the Earth System. Uncertainties in this new estimate remain due to relatively few available pedon data for certain geographic sectors and the deeper cryoturbated soil horizons, and the large polygon size in the soil maps used for upscaling. The large permafrost carbon pool is not equally distributed across the landscape: peat deposits, cryoturbated soils and the loess-like deposits of the yedoma complex contain disproportionately large amounts of soil organic matter, often exhibiting a low degree of decomposition. Recent findings in Alaska and northern Sweden provide strong evidence that the deeper soil carbon in permafrost terrain is starting to be released, supporting previous reports from Siberia. The permafrost carbon pool is not yet fully integrated in climate and ecosystem models and an important objective should be to define typical pedons appropriate for model setups. The thawing permafrost carbon feedback needs to be included in model projections of future climate change.
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| 14. |
- Luoto, Tomi P., et al.
(författare)
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A 2000-year record of lake ontogeny and climate variability from the north-eastern European Russian Arctic
- 2017
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Ingår i: The Holocene. - : SAGE Publications. - 0959-6836 .- 1477-0911. ; 27:3, s. 339-348
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Tidskriftsartikel (refereegranskat)abstract
- A lake sediment record from the north-eastern European Russian Arctic was examined using palaeolimnological methods, including subfossil chironomid and diatom analysis. The objective of this study is to disentangle environmental history of the lake and climate variability during the past 2000 years. The sediment profile was divided into two main sections following changes in the lithology, separating the limno-telmatic phase between similar to 2000 and 1200 cal. yr BP and the lacustrine phase between similar to 1200 cal. yr BP and the present. Owing to the large proportion of semi-terrestrial chironomids and poor modern analogues, a reliable chironomid-based temperature reconstruction for the limno-telmatic phase was not possible. However, the lacustrine phase showed gradually cooling climate conditions from similar to 1200 cal. yr BP until similar to 700 cal. yr BP. The increase in stream chironomids within this sediment section indicates that this period may also have had increased precipitation that caused the adjacent river to overflow, subsequently transporting chironomids to the lacustrine basin. After a short-lived warm phase at similar to 700 cal. yr BP, the climate again cooled, and a progressive climate warming trend was evident from the most recent sediment samples, where the biological assemblages seem to have experienced an eutrophication-like response to climate warming. The temperature reconstruction showed more similarities with the climate development in the Siberian side of the Urals than with northern Europe. This study provides a characteristic archive of arctic lake ontogeny and a valuable temperature record from a remote climate-sensitive area of northern Russia.
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| 15. |
- Mishra, U., et al.
(författare)
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Empirical estimates to reduce modeling uncertainties of soil organic carbon in permafrost regions : a review of recent progress and remaining challenges
- 2013
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Ingår i: Environmental Research Letters. - : IOP Publishing. - 1748-9326. ; 8:3, s. 035020-
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Tidskriftsartikel (refereegranskat)abstract
- The vast amount of organic carbon (OC) stored in soils of the northern circumpolar permafrost region is a potentially vulnerable component of the global carbon cycle. However, estimates of the quantity, decomposability, and combustibility of OC contained in permafrost-region soils remain highly uncertain, thereby limiting our ability to predict the release of greenhouse gases due to permafrost thawing. Substantial differences exist between empirical and modeling estimates of the quantity and distribution of permafrost-region soil OC, which contribute to large uncertainties in predictions of carbon-climate feedbacks under future warming. Here, we identify research challenges that constrain current assessments of the distribution and potential decomposability of soil OC stocks in the northern permafrost region and suggest priorities for future empirical and modeling studies to address these challenges.
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| 16. |
- Mishra, Umakant, et al.
(författare)
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Spatial heterogeneity and environmental predictors of permafrost region soil organic carbon stocks
- 2021
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Ingår i: Science Advances. - : American Association for the Advancement of Science (AAAS). - 2375-2548. ; 7:9
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Tidskriftsartikel (refereegranskat)abstract
- Large stocks of soil organic carbon (SOC) have accumulated in the Northern Hemisphere permafrost region, but their current amounts and future fate remain uncertain. By analyzing dataset combining >2700 soil profiles with environmental variables in a geospatial framework, we generated spatially explicit estimates of permafrost-region SOC stocks, quantified spatial heterogeneity, and identified key environmental predictors. We estimated that Pg C are stored in the top 3 m of permafrost region soils. The greatest uncertainties occurred in circumpolar toe-slope positions and in flat areas of the Tibetan region. We found that soil wetness index and elevation are the dominant topographic controllers and surface air temperature (circumpolar region) and precipitation (Tibetan region) are significant climatic controllers of SOC stocks. Our results provide first high-resolution geospatial assessment of permafrost region SOC stocks and their relationships with environmental factors, which are crucial for modeling the response of permafrost affected soils to changing climate.
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| 17. |
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| 18. |
- Rinke, A., et al.
(författare)
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Arctic RCM simulations of temperature and precipitation derived indices relevant to future frozen ground conditions
- 2012
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Ingår i: Global and Planetary Change. - : Elsevier BV. - 0921-8181 .- 1872-6364. ; 80-81, s. 136-148
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Tidskriftsartikel (refereegranskat)abstract
- A regional climate model with high horizontal resolution (25 km) is used to downscale 20-year-long time slices of present-day (1980–1999) and future (2046–2065, 2080–2099) Arctic climate, as simulated by the ECHAM5/MPI-OM general circulation model under the A1B emission scenario. Changes in simulated air temperature and derived indices at the end of the century indicate that significant impacts on permafrost conditions should be expected. But the magnitude of the change is regionally conditioned beyond what is obvious: Warm permafrost in the sporadic to discontinuous zone is threatened and may degrade or even complete thaw before the end of the century. A decrease in freezing and increase in thawing degree-days is interpreted as potential decrease in seasonal freeze depth and increase in active layer thickness (ALT). We show that for some regions increasing maximum summer temperature is associated with an increase of interannual temperature variability in summer, while in other regions decreased maximum summer temperatures are related to decreased variability. The occurrence of warm/cold summers and spells changes significantly in the future time slices using the present-day criteria for classification. Taken together this implies a regionally varying exposure to significant change in permafrost conditions. In addition to these aspects of the general warming trend that would promote an increase in ALT and a northward shift of the southern permafrost boundary, an analysis of the occurrence of warm summers and spells highlight some particularly vulnerable regions for permafrost degradation (e.g. West Siberian Plain, Laptev Sea coast, Canadian Archipelago), but also some less vulnerable regions (e.g. Mackenzie Mountains).
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| 19. |
- Skotnes, Liv H., et al.
(författare)
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Perceptions and barriers that influence the ability to provide appropiate incontinence care in nursing home residents : Statements from nursing staff
- 2013
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Ingår i: Open Journal of Nursing. - : Scientific Research Publishing, Inc.. - 2162-5336 .- 2162-5344. ; 3:6, s. 437-444
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Tidskriftsartikel (refereegranskat)abstract
- among nursing home residents. Urinary incontinence in older people has a multifactorial etiology and is therefore more difficult to assess and treat than uri- nary incontinence in younger people. Previous re- search has shown that incontinence care in nursing home residents often is inadequate and little systema- tized. The aim of this study was to identify percep- tions and barriers that influence the ability of the nursing staff to provide appropriate incontinence care. This was a qualitative study using focus-group meth- odology. Data were collected from three focus-group interviews with 15 members of the nursing staff from six different units in a nursing home. The focus-group interviews were recorded on tape, transcribed verba- tim and analyzed according to qualitative content analysis. Three topics and eight categories were iden- tified. The first topic, Perceptions and barriers associ- ated with residents, consisted of one category: "phy- sical and cognitive problems". The second topic, Per- ceptions and barriers associated with nursing staff, consisted of three categories: "lack of knowledge", "attitudes and beliefs" and "lack of accessibility". The third topic, Perceptions and barriers associated with organizational culture, consisted of four cate- gories: "rigid routines", "lack of resource", "lack of documentation" and "lack of leadership". The find- ings from this study show that there are many barri- ers that might influence the possibilities of nursing staff to provide appropriate incontinence care to re- sidents in nursing homes. However, it can neverthe- less seem like opinions and the attitude of nursing staff, together with a lack of knowledge about UI, are the most important barriers to provide appropriate incontinence care.
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| 20. |
- Skotnes, Liv H., et al.
(författare)
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Urinary incontinence in Norwegian nursing home residents
- 2012
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Ingår i: Open Journal of Nursing. - : Scientific Research Publishing, Inc.. - 2162-5336 .- 2162-5344. ; 2:2, s. 116-122
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Tidskriftsartikel (refereegranskat)abstract
- Urinary incontinence is a multi-factorial condition that has a high impact on older persons living in nursing homes. While urinary incontinence is common, only a small percentage of nursing home residents have an official diagnosis. Factors influencing urinary incontinence in this population are poorly understood. The aim of this study was to evaluate the prevalence of urinary incontinence in Norwegian nursing home residents and to study the factors associated with urinary incontinence in this population. Residents from six different nursing homes were included in this study. Data on sex, age, medication, comorbid illnesses, urinary incontinence and the use of absorbent pads was collected. Barthel`s Index of Activities of Daily Living (ADL) was used to estimate residents’ functional levels. Post-voiding residual urine was measured by means of a portable ultrasound. A questionnaire was completed by the nursing staff for each of the residents. In total, 173 residents participated in the study. One hundred and twenty-two residents (69%) were incontinent for urine and 144 used absorbent pads (83%). Fourteen percent of residents used absorbent pads ‘just to make sure’. They did not have a history of urinary incontinence. Low ADL score, dementia and urinary tract infection were significantly associated with incontinence for urine. The prevalence of urinary incontinence in Norwegian nursing homes is high. Absorbent products are frequently used without a history of urinary incontinence. Physical impairment, dementia and urinary tract infections are significantly associated with urinary incontinence.
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| 21. |
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| 22. |
- Treat, C. C., et al.
(författare)
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Effects of permafrost aggradation on peat properties as determined from a pan-Arctic synthesis of plant macrofossils
- 2016
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Ingår i: Journal of Geophysical Research - Biogeosciences. - 2169-8953 .- 2169-8961. ; 121:1, s. 78-94
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Tidskriftsartikel (refereegranskat)abstract
- Permafrost dynamics play an important role in high-latitude peatland carbon balance and are key to understanding the future response of soil carbon stocks. Permafrost aggradation can control the magnitude of the carbon feedback in peatlands through effects on peat properties. We compiled peatland plant macrofossil records for the northern permafrost zone (515 cores from 280 sites) and classified samples by vegetation type and environmental class (fen, bog, tundra and boreal permafrost, and thawed permafrost). We examined differences in peat properties (bulk density, carbon (C), nitrogen (N) and organic matter content, and C/N ratio) and C accumulation rates among vegetation types and environmental classes. Consequences of permafrost aggradation differed between boreal and tundra biomes, including differences in vegetation composition, C/N ratios, and N content. The vegetation composition of tundra permafrost peatlands was similar to permafrost-free fens, while boreal permafrost peatlands more closely resembled permafrost-free bogs. Nitrogen content in boreal permafrost and thawed permafrost peatlands was significantly lower than in permafrost-free bogs despite similar vegetation types (0.9% versus 1.5% N). Median long-term C accumulation rates were higher in fens (23g C m(-2)yr(-1)) than in permafrost-free bogs (18g C m(-2)yr(-1)) and were lowest in boreal permafrost peatlands (14g C m(-2)yr(-1)). The plant macrofossil record demonstrated transitions from fens to bogs to permafrost peatlands, bogs to fens, permafrost aggradation within fens, and permafrost thaw and reaggradation. Using data synthesis, we have identified predominant peatland successional pathways, changes in vegetation type, peat properties, and C accumulation rates associated with permafrost aggradation.
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| 23. |
- Veldkamp, R., et al.
(författare)
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Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial
- 2005
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Ingår i: The lancet oncology. - 1470-2045. ; 6:7, s. 477-84
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The safety and short-term benefits of laparoscopic colectomy for cancer remain debatable. The multicentre COLOR (COlon cancer Laparoscopic or Open Resection) trial was done to assess the safety and benefit of laparoscopic resection compared with open resection for curative treatment of patients with cancer of the right or left colon. METHODS: 627 patients were randomly assigned to laparoscopic surgery and 621 patients to open surgery. The primary endpoint was cancer-free survival 3 years after surgery. Secondary outcomes were short-term morbidity and mortality, number of positive resection margins, local recurrence, port-site or wound-site recurrence, metastasis, overall survival, and blood loss during surgery. Analysis was by intention to treat. Here, clinical characteristics, operative findings, and postoperative outcome are reported. FINDINGS: Patients assigned laparoscopic resection had less blood loss compared with those assigned open resection (median 100 mL [range 0-2700] vs 175 mL [0-2000], p<0.0001), although laparoscopic surgery lasted 30 min longer than did open surgery (p<0.0001). Conversion to open surgery was needed for 91 (17%) patients undergoing the laparoscopic procedure. Radicality of resection as assessed by number of removed lymph nodes and length of resected oral and aboral bowel did not differ between groups. Laparoscopic colectomy was associated with earlier recovery of bowel function (p<0.0001), need for fewer analgesics, and with a shorter hospital stay (p<0.0001) compared with open colectomy. Morbidity and mortality 28 days after colectomy did not differ between groups. INTERPRETATION: Laparoscopic surgery can be used for safe and radical resection of cancer in the right, left, and sigmoid colon.
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| 24. |
- Wild, Birgit, et al.
(författare)
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Amino acid production exceeds plant nitrogen demand in Siberian tundra
- 2018
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Ingår i: Environmental Research Letters. - : IOP Publishing. - 1748-9326. ; 13:3
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Tidskriftsartikel (refereegranskat)abstract
- Arctic plant productivity is often limited by low soil N availability. This has been attributed to slow breakdown of N-containing polymers in litter and soil organic matter (SOM) into smaller, available units, and to shallow plant rooting constrained by permafrost and high soil moisture. Using N-15 pool dilution assays, we here quantified gross amino acid and ammonium production rates in 97 active layer samples from four sites across the Siberian Arctic. We found that amino acid production in organic layers alone exceeded literature-based estimates of maximum plant N uptake 17-fold and therefore reject the hypothesis that arctic plant N limitation results from slow SOM breakdown. High microbial N use efficiency in organic layers rather suggests strong competition of microorganisms and plants in the dominant rooting zone. Deeper horizons showed lower amino acid production rates per volume, but also lower microbial N use efficiency. Permafrost thaw together with soil drainage might facilitate deeper plant rooting and uptake of previously inaccessible subsoil N, and thereby promote plant productivity in arctic ecosystems. We conclude that changes in microbial decomposer activity, microbial N utilization and plant root density with soil depth interactively control N availability for plants in the Arctic.
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