Changes In PCO2 Research Articles

Simultaneous measurement of DC-EEG and transcutaneous pCO2

Abstract DC potential shifts are the shifts observed in the EEG baseline which can last from seconds to minutes. The significance of these low-frequency components in healthy as well as pathological states of human physiology is getting more and more attention not only in scientific research but also in clinical applications. In this paper, we present our novel multimodal measurement setup for simultaneously investigating DC potential shifts in EEG (DC-EEG) and the changes in noninvasive transcutaneous pCO2 measurements. We present preliminary results of our measurements during hyperventilation and apnea, which are two commonly used activation methods for changes in pCO2.

Mesophyll conductance response to short-term changes in pCO2 is related to leaf anatomy and biochemistry in diverse C4 grasses.

Mesophyll CO2 conductance (gm ) in C3 species responds to short-term (minutes) changes in environment potentially due to changes in leaf anatomical and biochemical properties and measurement artefacts. Compared with C3 species, there is less information on gm responses to short-term changes in environmental conditions such as partial pressure of CO2 (pCO2 ) across diverse C4 species and the potential determinants of these responses. Using 16 C4 grasses we investigated the response of gm to short-term changes in pCO2 and its relationship with leaf anatomy and biochemistry. In general, gm increased as pCO2 decreased (statistically significant increase in 12 species), with percentage increases in gm ranging from +13% to +250%. Greater increase in gm at low pCO2 was observed in species exhibiting relatively thinner mesophyll cell walls along with greater mesophyll surface area exposed to intercellular air spaces, leaf N, photosynthetic capacity and activities of phosphoenolpyruvate carboxylase and Rubisco. Species with greater CO2 responses of gm were also able to maintain their leaf water-use efficiencies (TEi ) under low CO2 . Our study advances understanding of CO2 response of gm in diverse C4 species, identifies the key leaf traits related to this response and has implications for improving C4 photosynthetic models and TEi through modification of gm .

Variable pH and subsequent change in pCO2 modulates the biofilm formation, synthesis of extracellular polymeric substances, and survivability of a marine bacterium Bacillus stercoris GST-03

Biofilm-forming bacteria adhere to the substrates and engage in the nutrient cycling process. However, environmental conditions may interrupt the biofilm formation ability, which ultimately may affect various biogeochemical cycles. The present study reports the effect of varying pH and subsequent change in pCO2 on the survivability, biofilm formation, and synthesis of extracellular polymeric substances (EPS) of a biofilm-forming marine bacterium Bacillus stercoris GST-03 isolated from the Bhitarkanika mangrove ecosystem, Odisha, India. Understanding the pH-dependent alteration in EPS constituents, and associated functional groups of a marine bacterium will provide better insight into the adaptability of the bacteria in future ocean acidification scenarios. The strain was found to tolerate and form biofilm up to pH 4, with the maximum biofilm formation at pH 6. EPS yield and the synthesis of the key components of the EPS, including carbohydrate, protein, and lipid, were found maximum at pH 6. Changes in biofilm formation patterns and various topological parameters at varying pH/pCO2 conditions were observed. A cellular chaining pattern was observed at pH 4, and maximum biofilm formation was obtained at pH 6 with biomass of 5.28582 ± 0.5372 μm3/μm2 and thickness of 9.982 ± 1.5288 μm. Structural characterization of EPS showed changes in various functional groups of constituent macromolecules with varying pH. The amorphous nature of the EPS and the changes in linkages and associated functional groups (-R2CHOR, –CH3, and –CH2) with pH variation was confirmed. EPS showed a two-step degradation with a maximum weight loss of 59.147% and thermal stability up to 480 °C at pH 6. The present work efficiently demonstrates the role of EPS in providing structural and functional stability to the biofilm in varying pH conditions. The findings will provide a better understanding of the adaptability of marine bacteria in the future effect of ocean acidification.

Diurnal fluctuations in seawater pCO2 amplify the negative effects of ocean acidification on the biotic performance of the calcifying macroalga Halimeda opuntia

Although the adverse effects of increasing atmospheric CO2-induced ocean acidification (OA) on marine calcifying macroalgae have been widely reported, there are limited studies on how daily fluctuations in pCO2 (pH) within shallow ecosystems influence the growth and physiological performance of these calcifiers. Therefore, a 42-day laboratory mimetic experiment to determine how growth, biological performance and related carbon and nitrogen metabolic products of the calcifying macroalga, Halimeda opuntia are generated in response to fluctuating pCO2 under OA conditions (1200 ppmv) was performed. The results of present study showed that the adverse effects of OA were more determined by the adverse influence of elevated acidity (H+) on growth rates, calcification, photosynthesis and the related biotic performance of H. opuntia compared with the positive effects that higher CO2 provided. Moreover, diurnal fluctuations in pCO2 levels [with higher (nearly 8.10) and lower pH (nearly 7.40) values during day and night times, respectively] have amplified these negative influences on H. opuntia. To mitigate elevated pCO2-related stress, higher contents of free amino acids and proline were highly secreted and likely linked to protecting the integrity of algal cellular structures. The above results contribute to increasing our understanding of the biological consequences of pCO2 (pH) variability on calcifying Halimeda species and their physiological plasticity in response to further oceanic pCO2 changes.

Effects of the glacial meltwater supply on carbonate chemistry in Bowdoin Fjord, Northwestern Greenland

To understand the effects of the glacial meltwater supply on carbonate chemistry and the air–sea CO2 flux within the fjord, water samples were collected in Bowdoin Fjord in northwestern Greenland for dissolved inorganic carbon (DIC) concentration, total alkalinity (TA), oxygen isotopic ratio (δ18O), and chlorophyll a concentration analyses in the summers of 2016 and 2017. The partial pressure of CO2 (pCO2) in surface water, calculated from DIC and TA, was less than 200 µatm, and was significantly lower than that in the atmosphere (399 ± 3 µatm). Therefore, surface water of the fjord acts as sink for CO2 in the atmosphere (–4.9 ± 0.7 mmol m–2 d–1). To evaluate the effects of freshwater and land-derived substances by glacial meltwater on pCO2 in the fjord, we calculated the changes of pCO2 in salinity and carbonate chemistry that would result from the inflow of glacial meltwater into the fjord. The calculated pCO2 was high near the calving front, where the contribution of glacier meltwater was significant. Examination of the relationship between salinity-normalized DIC and TA, which was considered DIC and TA input from the land, suggested that the land-derived high pCO2 freshwater affected mainly by the remineralization of the organic matter by bacterial activity was supplied to the Bowdoin Fjord.

Monsoon- and ENSO-driven surface-water pCO2 variation in the tropical West Pacific since the Last Glacial Maximum

The East Asian monsoon (EAM) and El Niño-Southern Oscillation (ENSO) are large-scale oceanic-atmospheric fluctuations that dominate climate variability in the tropical Pacific Ocean. Although the effects of EAM and ENSO on physical and biological processes are increasingly understood, little is known about their influence on seawater carbonate chemistry in the tropical Pacific, especially in the geological past. Here, we present reconstructed variations in surface-water pCO2 (pCO2(sw)) and their deviation from atmospheric pCO2 (ΔpCO2(sw-atm)) in the western Philippine Sea (WPS) since 27 ka. Our record displays covariation between ΔpCO2(sw-atm) and the intensity of the East Asian summer monsoon (EASM) since the Last Glacial Maximum (LGM), suggesting that EASM-driven upwelling controls long-term changes in surface-water carbonate chemistry and air-sea CO2 fluxes. Rapid changes in ΔpCO2(sw-atm) were linked to the ENSO-like state and, to a lesser extent, the East Asian winter monsoon (EAWM) during the Last Deglaciation, with low values corresponding to La Niña-like phases and strong EAWM during Heinrich Event 1, the Allerød and the Younger Dryas, and high values corresponding to El Niño-like phases and weak EAWM during the Bølling and Pre-Boreal. This interpretation is supported by the relationship of EAM and ENSO to modern surface-water carbonate chemistry in the WPS. Our new record, combined with previously published data, suggests that the tropical Pacific played a minimal role in sequestering CO2(atm) during the LGM. Tropical Pacific surface waters overall became a pronounced CO2 source to the atmosphere during the Last Deglaciation, possibly making a substantial contribution to the deglacial pCO2(atm) rise. We infer that this flux was mainly due to ENSO-related patterns of vertical stratification or lateral advection, perhaps in addition to equatorial upwelling of southern-sourced waters already enriched in dissolved inorganic carbon. Our findings indicate that tropical conditions (i.e., EAM and ENSO-like state) played a crucial role in glacial-interglacial pCO2(atm) changes, suggesting that this is an important area for future research into the causes of glacial pCO2(atm) cycles.

Retrospective Evaluation of Optic Nerve Sheath Diameters of Patients Diagnosed With Brain Death

Introduction: Aim of the study is to investigate whether there is a correlation between causes of brain death, blood gas parameters before and after the apnea test and optic nerve sheath diameter (ONSD).
 Method: The records of 92 patients with brain death diagnosis were retrospectively analyzed for ONSD measurements of the right and left eyes, partial carbon dioxide pressure (pCO2), blood gas parameters before and after the apnea test. 
 Results: Subarachnoidal hemorrhage and intracerebral hemorrhage were the two most common brain death etiology. Mean ONSD for right eye was 6.37±1.03 mm. Mean ONSD for left eye was 6.43±1.02 mm. Only 8 patients had ONSD below 5.00 mm. There was no statistically significant correlation between the percent change of pCO2 and ONSD change (p>0.05).
 Conclusion: The present study shows that ONSD values are very high regardless of the partial pressure of carbon dioxide in patients with brain death diagnosis. We can suggest that ONSD can find itself a place for evaluating comatose patients for brain death diagnosis.

Pleistocene drivers of Northwest African hydroclimate and vegetation

Savanna ecosystems were the landscapes for human evolution and are vital to modern Sub-Saharan African food security, yet the fundamental drivers of climate and ecology in these ecosystems remain unclear. Here we generate plant-wax isotope and dust flux records to explore the mechanistic drivers of the Northwest African monsoon, and to assess ecosystem responses to changes in monsoon rainfall and atmospheric pCO2. We show that monsoon rainfall is controlled by low-latitude insolation gradients and that while increases in precipitation are associated with expansion of grasslands into desert landscapes, changes in pCO2 predominantly drive the C3/C4 composition of savanna ecosystems.

Quantifying the Role of Seasonality in the Marine Carbon Cycle Feedback: An ESM2M Case Study

AbstractObservations and climate models indicate that changes in the seasonal amplitude of sea surface carbon dioxide partial pressure (A‐pCO2) are underway and driven primarily by anthropogenic carbon (Cant) accumulation in the ocean. This occurs because pCO2 is more responsive to seasonal changes in physics (including warming) and biology in an ocean that contains more Cant. A‐pCO2 changes have the potential to alter annual ocean carbon uptake and contribute to the overall marine carbon cycle feedback. Using the GFDL ESM2M Large Ensemble and a novel analysis framework, we quantify the influence of Cant accumulation on pCO2 seasonal cycles and sea‐air CO2 fluxes. Specifically, we reconstruct alternative evolutions of the contemporary ocean state in which the sensitivity of pCO2 to seasonal thermal and biophysical variation is fixed at preindustrial levels, however the background, mean‐state pCO2 fully responds to anthropogenic forcing. We find near‐global A‐pCO2 increases of >100% by 2100, under RCP8.5 forcing, with rising Cant accounting for ∼100% of thermal and ∼50% of nonthermal pCO2 component amplitude changes. The other ∼50% of nonthermal pCO2 component changes are attributed to modeled changes in ocean physics and biology caused by climate change. Cant‐induced A‐pCO2 changes cause an 8.1 ± 0.4% (ensemble mean ± 1σ) increase in ocean carbon uptake by 2100. This is because greater wintertime wind speeds enhance the impact of wintertime pCO2 changes, which work to increase the ocean carbon sink. Thus, the seasonal ocean carbon cycle feedback works in opposition to the larger, mean‐state feedback that reduces ocean carbon uptake by ∼60%.

Astronomically paced climate evolution during the Late Paleozoic icehouse-to-greenhouse transition

Late Paleozoic deglaciation is Earth's first icehouse-to-greenhouse transition with extensive vegetation, but the response of tropical climate to this transition has not yet been fully addressed. Here, cyclostratigraphic analysis was conducted on the magnetic susceptibility (MS) record of a deep marine carbonate succession in South China to construct the astrochronology of late Cisuralian (Early Permian), and decipher the evolutionary response to the climate transition in the MS and δ13Ccarb time series. The constructed astronomical time scale indicates an age of 272.83 ± 0.2 Ma for the Cisuralian–Guadalupian boundary in South China. Synchronizing global records demonstrates a complicated linkage between low and high latitudes, involving secular changes in atmospheric pCO2, ice volume, tropical climate and carbon cycling. In the final stage of the Early Permian icehouse (~290–288.2 Ma), the delivery of moisture from low to high latitudes was reduced in comparison with that in the icehouse apex. A more humid climate facilitated the development of tropical coal forests and more storage of 12C on land. In a full greenhouse condition (~281–272 Ma), the tropical responses to a rise in atmospheric pCO2 involved continental drying and ocean stagnation. On a shorter time scale, the nodes of 1.36 Myr obliquity cycles triggered ice-sheet expansion and enhanced tropical precipitation during an icehouse condition. With the gradual transition to an arid greenhouse, the insolation-climate relationship began to change at ~285.1 Ma, and the obliquity nodes became associated instead with terrestrial aridity and marine anoxia. These results bring into a focus pattern of shifting dynamics involving Earth's astronomical parameters and climate change for icehouse and greenhouse worlds in the Late Paleozoic Era.

Corticosteroid response predicts bronchopulmonary dysplasia status at 36 weeks in preterm infants treated with dexamethasone: A pilot study.

A major barrier to therapeutic development in neonates is a lack of standardized drug response measures that can be used as clinical trial endpoints. The ability to quantify treatment response in a way that aligns with relevant downstream outcomes may be useful as a surrogate marker for new therapies, such as those for bronchopulmonary dysplasia (BPD). To construct a measure of clinical response to dexamethasone that was well aligned with the incidence of severe BPD or death at 36 weeks' postmenstrual age. Retrospective cohort study. Level IV Neonatal Intensive Care Unit. Infants treated with dexamethasone for developing BPD between 2010 and 2020. Two models were built based on demographics, changes in ventilatory support, andpartial pressure of carbon dioxide (pCO2 ) after dexamethasone administration. An ordinal logistic regression and regularized binary logistic model for the composite outcome were used to associate response level to BPD outcomes defined by both the 2017 BPD Collaborative and 2018 Neonatal Research Network definitions. Ninety-fiveinfants were treated with dexamethasone before 36 weeks. Compared to the baseline support and demographic data at the time of treatment, changes in ventilatory support improved ordinal model sensitivity and specificity. For the binary classification, BPD incidence was well aligned with risk levels, increasing from 16% to 59%. Incorporation of response variables as measured by changes in ventilatory parameters and pCO2 following dexamethasone administration were associated with downstream outcomes. Incorporating drug response phenotype into a BPD model may enable more rapid development of future therapeutics.

Impact of Face Masks on Exercise Capacity and Lactate Thresholds in Healthy Young Adults.

Although many countries have introduced strict guidelines regarding mouth and nose coverage in public to contain infection rates during the SARS-CoV-2 pandemic, more information is needed regarding the impact of wearing face masks on lactate thresholds (LT) and performance parameters during exercise. Ten healthy male and 10 healthy female subjects (age = 33.4 [10.26]y, body mass index = 23.52 [2.36]kg/m2) performed 3 incremental performance tests, wearing no mask (NM), surgical mask (SM), and filtering face piece mask class 2 (FFP2), with a cycle ergometer. The authors analyzed changes in the LT, in blood gas parameters, and in the rating of perceived exertion (RPE). Performance at LT remained unchanged in subjects wearing SM or FFP2 in comparison with NM (162.5 [50.6] vs 167.2 [58.9] vs 162.2 [58.4]W with NM, SM, and FFP2, respectively, P = .24). However, the peak performance was significantly reduced wearing FFP2 compared with NM (213.8 [71.3] vs 230.5 [77.27]W, FFP2 vs NM, respectively, P < .001). Capillary pCO2 was increased while wearing SM as well as FFP2 compared with NM (29 [3.1] vs 33.3 [4] vs 35.8 [4.9]mmHg with NM, SM, and FFP2, respectively; P < .001), and pO2 decreased under maximum performance (84 [6.7] vs 79.1 [7.5] vs 77.3 [8.2]mmHg with NM, SM, and FFP2, P < .01). Importantly, rating of perceived exertion was significantly increased by wearing FFP2 compared with NM at LT according to Mader (16.7 [2.7] vs 15.3 [1.8] FFP2 vs NM, respectively, P < .01). Wearing face masks during exercise showed no effect on LT, limited maximum performance, and induced discrete changes in capillary pCO2 and pO2 within the physiologic range while increasing RPE at LT.

Eocene to Oligocene vegetation and climate in the Tasmanian Gateway region were controlled by changes in ocean currents and &amp;lt;i&amp;gt;p&amp;lt;/i&amp;gt;CO&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;

Abstract. Considered one of the most significant climate reorganizations of the Cenozoic period, the Eocene–Oligocene Transition (EOT; ca. 34.44–33.65) is characterized by global cooling and the first major glacial advance on Antarctica. In the southern high latitudes, the EOT cooling is primarily recorded in the marine realm, and its extent and effect on the terrestrial climate and vegetation are poorly documented. Here, we present new, well-dated, continuous, high-resolution palynological (sporomorph) data and quantitative sporomorph-based climate estimates recovered from the East Tasman Plateau (ODP Site 1172) to reconstruct climate and vegetation dynamics from the late Eocene (37.97 Ma) to the early Oligocene (33.06 Ma). Our results indicate three major climate transitions and four vegetation communities occupying Tasmania under different precipitation and temperature regimes: (i) a warm-temperate Nothofagus–Podocarpaceae-dominated rainforest with paratropical elements from 37.97 to 37.52 Ma; (ii) a cool-temperate Nothofagus-dominated rainforest with secondary Podocarpaceae rapidly expanding and taking over regions previously occupied by the warmer taxa between 37.306 and 35.60 Ma; (iii) fluctuation between warm-temperate–paratropical taxa and cool temperate forest from 35.50 to 34.49 Ma, followed by a cool phase across the EOT (34.30–33.82 Ma); and (iv) a post-EOT (earliest Oligocene) recovery characterized by a warm-temperate forest association from 33.55 to 33.06 Ma. Coincident with changes in the stratification of water masses and sequestration of carbon from surface water in the Southern Ocean, our sporomorph-based temperature estimates between 37.52 and 35.60 Ma (phase ii) showed 2–3 ∘C terrestrial cooling. The unusual fluctuation between warm and cold temperate forest between 35.50 to 34.59 Ma is suggested to be linked to the initial deepening of the Tasmanian Gateway, allowing eastern Tasmania to come under the influence of warm water associated with the proto-Leeuwin Current (PLC). Further to the above, our terrestrial data show the mean annual temperature declining by about 2 ∘C across the EOT before recovering in the earliest Oligocene. This phenomenon is synchronous with regional and global cooling during the EOT and linked to declining pCO2. However, the earliest Oligocene climate rebound along eastern Tasmania is linked to a transient recovery of atmospheric pCO2 and sustained deepening of the Tasmanian Gateway, promoting PLC throughflow. The three main climate transitional events across the studied interval (late Eocene–earliest Oligocene) in the Tasmanian Gateway region suggest that changes in ocean circulation due to accelerated deepening of the Tasmanian Gateway may not have been solely responsible for the changes in terrestrial climate and vegetation dynamics; a series of regional and global events, including a change in the stratification of water masses, sequestration of carbon from surface waters, and changes in pCO2, may have also played vital roles.

Listriodon dukkar sp. nov. (Suidae, Artiodactyla, Mammalia) from the late Miocene of Pasuda (Gujarat, India): the decline and extinction of the Listriodontinae

The Listriodontinae were a common and widespread group of Suidae (pigs) that lived in an area extending from Portugal to China and to southern Africa. Here, we describe the new species Listriodon dukkar from Pasuda (Gujarat, India). It shares features with Li. pentapotamiae, evolved from it, and is the last representative of this lineage. The Listriodontinae flourished for about 10 million years, reached their maximum diversity and geographic extension during the Mid-Miocene Climatic Optimum (about 17–13.6 Ma), and their last records are close in age and date to ~ 9.8 Ma in the Indian Subcontinent, 9.78 Ma in Europe, and ~ 10 Ma in Africa. We review the environments in which the last listriodont lineages lived and went extinct. Their extinctions occurred against a background of increasing seasonality, vegetation change, a rise in bovid diversity and abundance, and local events, such as the European Vallesian Crisis and a dramatic drop in tragulid abundance in the Siwaliks. However, changes in the atmospheric pCO2 may have contributed to their decline and extinction in all their geographic distribution. Decreasing pCO2 is expected to have decreased sugar content and increased protein content of leaves and fruit. Hindgut fermenting Suoidea have higher protein requirements, while foregut fermenting Suoidea are more efficient in digesting sugars. Listriodontinae were probably foregut fermenters and were less well adapted in a low pCO2 world.

Moderate CO2 sink due to phytoplankton bloom following a typhoon passage over the East China Sea

In September 2017, following passage of Typhoon Talim, daily satellite imagery captured a large area (∼300-km long and ∼160-km wide) of high concentration of chlorophyll a (Chl a) that persisted for at least 8 days on the East China Sea (ECS) shelf. Ship-based measurements were conducted 5–6 days after the passage of Talim. Results showed that surface seawater within the area of high Chl a concentration had features of high salinity, low temperature, and low partial pressure of CO2 (pCO2) in comparison with surrounding seawater. The high Chl a concentration reflected a phytoplankton bloom triggered by upwelling nutrient-rich deeper water attributable to the passage of Typhoon Talim. The change in surface pCO2 in the area of high Chl a concentration was explained by the combined effects of upwelling deeper water and subsequent biological production. The air–sea CO2 flux in the area of high Chl a concentration was −2.8 ± 0.4 mmol m−2 d−1 in the post-typhoon stage, which turned the study area from near equilibrium (0.3 ± 0.3 mmol m−2 d−1 in the surrounding water) to a moderate CO2 sink. This phytoplankton bloom absorbed 0.013 Tg C during the 8 days following the passage of Talim, effectively canceling out 28% of the typhoon-induced CO2 efflux during typhoon passage across the ECS. Therefore, the effect of typhoons on air–sea CO2 flux in the post-typhoon stage cannot be ignored.

Quantifying volcanism and organic carbon burial across Oceanic Anoxic Event 2

AbstractOceanic Anoxic Event 2 (ca. 94 Ma; OAE2) was one of the largest Mesozoic carbon cycle perturbations, but associated carbon emissions, primarily from the Caribbean large igneous province (LIP) and marine burial fluxes, are poorly constrained. Here, we use the carbon cycle box model LOSCAR-P to quantify the role of LIP volcanism and enhanced marine organic carbon (Corg) burial as constrained by the magnitude and shape of the positive stable carbon isotope (δ13C) excursion (CIE) in the exogenic carbon pool and atmospheric pCO2 reconstructions. In our best fit scenario, two pulses of volcanic carbon input—0.065 Pg C yr–1 over 170 k.y. and 0.075 Pg C yr–1 over 40 k.y., separated by an 80 k.y. interval with an input of 0.02 Pg C yr–1—are required to simulate observed changes in δ13C and pCO2. Reduced LIP activity and Corg burial lead to pronounced pCO2 reductions at the termination of both volcanic pulses, consistent with widespread evidence for cooling and a temporal negative trend in the global exogenic δ13C record. Finally, we show that observed leads and lags between such features in the records and simulations are explained by differences in the response time of components of the carbon cycle to volcanic forcing.

Safety and efficacy of high-flow nasal cannula therapy in acute hypercapnic respiratory failure: a retrospective audit.

While the role of high-flow nasal cannulae (HFNC) in the management of respiratory failure continues to expand, few studies describe its use in acute hypercapnic respiratory failure. In this retrospective study, we assessed the safety and efficacy of HFNC for the treatment of acute hypercapnic respiratory failure. Admissions with acute hypercapnic respiratory failure to a thoracic medicine unit at a tertiary centre between January and August 2018 were included if treated with either HFNC or non-invasive ventilation (NIV). The primary outcome was post-treatment change in arterial pCO2 . Demographics, comorbidities, length of stay, readmission rate and mortality were also collected. Sixty-four patients were identified, comprising 69 presentations grouped according to initial treatment: HFNC (n = 24) or NIV (n = 45). Patients in the NIV group had more severe blood gas derangement. In both groups, mean arterial pCO2 improved significantly (-10 (95% confidence interval: -14 to -6) mmHg) from baseline with no evidence of a differential effect between groups. Six (25%) patients, of whom three had comorbid obesity and two had sleep-disordered breathing, were transitioned from HFNC to NIV. No significant differences in hospital length of stay, 30-day readmission rate or 90-day mortality were observed. HFNC might be a reasonable initial treatment for patients with mild acute hypercapnic respiratory failure who do not have comorbid obesity or sleep-disordered breathing. A prospective study might help identify clinical factors or phenotypes predictive of success with this treatment modality.

Neural respiratory drive in chronic thromboembolic pulmonary hypertension: Effect of balloon pulmonary angioplasty

Excessive ventilation (V̇E) during exercise, ascribed to heightened neural ventilatory drive and/or to increased “wasted” ventilation, is a feature of chronic thromboembolic pulmonary hypertension (CTEPH). In selected CTEPH patients, balloon pulmonary angioplasty (BPA) allows near-normalization of resting haemodynamic parameters but does not allow excess exercise hyperventilation to normalize. Neural ventilatory drive can be estimated by studying how arterial PCO2 (PaCO2), end-tidal PCO2 (PETCO2), V̇E and CO2 output (V̇CO2) change across the exercise-to-recovery transition during a cardiopulmonary exercise test. Increased “wasted” ventilation can be quantified by the physiological dead space fraction of tidal volume (VD/VT) calculated with the Enghoff simplification of the Bohr equation. These measurements were made before and after BPA in 22 CTEPH patients without significant cardiac and/or pulmonary comorbidities. Our observations suggest that before BPA, excessive hyperventilation was secondary to both heightened neural ventilatory drive and increased “wasted” ventilation; after BPA, measurements made across the exercise-to-recovery transition suggest that heightened neural ventilatory drive was no longer present.

Elevated pCO2 changes community structure and function by affecting phytoplankton group-specific mortality

The rise of atmospheric pCO2 has created a number of problems for marine ecosystem. In this study, we initially quantified the effects of elevated pCO2 on the group-specific mortality of phytoplankton in a natural community based on the results of mesocosm experiments. Diatoms dominated the phytoplankton community, and the concentration of chlorophyll a was significantly higher in the high-pCO2 treatment than the low-pCO2 treatment. Phytoplankton mortality (percentage of dead cells) decreased during the exponential growth phase. Although the mortality of dinoflagellates did not differ significantly between the two pCO2 treatments, that of diatoms was lower in the high-pCO2 treatment. Small diatoms dominated the diatom community. Although the mortality of large diatoms did not differ significantly between the two treatments, that of small diatoms was lower in the high-pCO2 treatment. These results suggested that elevated pCO2 might enhance dominance by small diatoms and thereby change the community structure of coastal ecosystems.

Discontinuous gas exchange in Madagascar hissing cockroaches is not a consequence of hysteresis around a fixed PCO2threshold.

It has been hypothesised that insects display discontinuous gas-exchange cycles (DGCs) as a result of hysteresis in their ventilatory control, where CO2-sensitive respiratory chemoreceptors respond to changes in haemolymph PCO2only after some delay. If correct, DGCs would be a manifestation of an unstable feedback loop between chemoreceptors and ventilation, causing PCO2to oscillate around some fixed threshold value: PCO2above this ventilatory threshold would stimulate excessive hyperventilation, driving PCO2below the threshold and causing a subsequent apnoea. This hypothesis was tested by implanting micro-optodes into the haemocoel of Madagascar hissing cockroaches and measuring haemolymph PO2and PCO2simultaneously during continuous and discontinuous gas exchange. The mean haemolymph PCO2of 1.9 kPa measured during continuous gas exchange was assumed to represent the threshold level stimulating ventilation, and this was compared with PCO2levels recorded during DGCs elicited by decapitation. Cockroaches were also exposed to hypoxic (PO210 kPa) and hypercapnic (PCO22 kPa) gas mixtures to manipulate haemolymph PO2and PCO2. Decapitated cockroaches maintained DGCs even when their haemolymph PCO2was forced above or below the putative ∼2 kPa ventilation threshold, demonstrating that the characteristic oscillation between apnoea and gas exchange is not driven by a lag between changing haemolymph PCO2and a PCO2chemoreceptor with a fixed ventilatory threshold. However, it was observed that the gas exchange periods within the DGC were altered to enhance O2 uptake and CO2 release during hypoxia and hypercapnia exposure. This indicates that while respiratory chemoreceptors do modulate ventilatory activity in response to haemolymph gas levels, their role in initiating or terminating the gas exchange periods within the DGC remains unclear.