Response of the Intertropical Convergence Zone to Antarctic Ice Sheet melt

Past cooling events in the Northern Hemisphere have been shown to impact the location of the intertropical convergence zone (ITCZ) and therewith induce a southward shift of tropical precipitation. Here we use high‐resolution coupled ocean‐atmosphere simulations to show that reasonable past melt rates of the Antarctic Ice Sheet can similarly have led to shifts of the ITCZ, albeit in opposite direction, through large‐scale surface air temperature changes over the Southern Ocean. Through sensitivity experiments employing slightly negative to large positive meltwater fluxes we deduce that meridional shifts of the Hadley cell and therewith the ITCZ are, to a first order, a linear response to Southern Hemisphere high‐latitude surface air temperature changes and Antarctic Ice Sheet melt rates. This highlights the possibility to use past episodes of anomalous melt rates to better constrain a possible future response of low latitude precipitation to continued global warming and a shrinking Antarctic Ice Sheet

Do physical work factors and musculoskeletal complaints contribute to the intention to leave or actual dropout in student nurses?:A prospective cohort study

Background: Little is known, whether physical workload and musculoskeletal complaints (MSCs) have an impact on the intended or actual dropout of nursing students in the later years of their degree program. Purpose: Studying the determinants of intention to leave and actual dropout from nursing education. We hypothesized that physical workload and MSCs are positively associated with these outcomes. Methods: A prospective cohort study among 711 third-year students at a Dutch Bachelor of Nursing degree program. Multivariable backward binary logistic regression was used to examine the association between physical work factors and MSCs, and intention to leave or actual dropout. Results: Intention to leave was 39.9% and actual dropout 3.4%. Of the nursing students, 79% had regular MSCs. The multivariable model for intention to leave showed a significant association with male sex, working at a screen, physical activity, decision latitude, co-worker support, distress and need for recovery. The multivariable model for dropout showed a significant association with living situation (not living with parents), male sex, sick leave during academic year and decision latitude. Conclusions: Our research shows that the prevalence of MSCs among nursing students is surprisingly high, but is not associated with intention to leave nor with actual dropout

The evolution of deep-ocean flow speeds and δ¹³C under large changes in the Atlantic overturning circulation: Toward a more direct model-data comparison

To investigate the dynamics of the Atlantic meridional overturning circulation (AMOC) on timescales longer than the observational records, model-data comparisons of past AMOC variability are imperative. However, this remains challenging because of dissimilarities between different proxy-based AMOC tracers and the difficulty of comparing these to model output. We present an iLOVECLIM simulation with tuned AMOC evolution and focus on AMOC tracers that are directly comparable to reconstructions: flow speeds and δ¹³C. We deduce their driving factors and show that they yield different but complementary information about AMOC changes. Simulated flow speed changes are only linked to AMOC changes in regions bathed by North Atlantic Deep Water; however, in those regions they do provide details on vertical migration and thickness changes of the water masses. Simulated δ¹³C changes in the North Atlantic Deep Water region are again related to AMOC changes. Yet in regions bathed by Antarctic Bottom Water or Antarctic Intermediate Water, the δ¹³C evolution is driven by Southern Hemisphere source water δ¹³C changes, while in the Nordic Seas and the two major overflow regions it is driven by Northern Hemisphere source water δ¹³C changes. This shows that AMOC changes are not necessarily recorded by δ¹³C and stresses the need for combining both tracers in paleoclimate studies. A preliminary model-data comparison for Last Interglacial flow speeds and δ¹³C changes in the Deep Western Boundary Current shows that this integrated approach is far from straightforward and currently inconclusive on the Last Interglacial AMOC evolution. Nonetheless, the approach yields potential for more direct and in-depth model-data comparisons of past AMOC changes

Psychosocial work characteristics associated with distress and intention to leave nursing education; a one-year follow-up study

Background: Dropout in later years of the nursing degree programme involves lost investment and is a particular problem for both students and educators. Reasons for late dropout seem to be related to the work and learning environment of the clinical placement. Objectives: The aim of this study was to investigate associations between psychosocial work characteristics and distress and intention to leave nursing education among third-year nursing students. Design: A prospective cohort study. Setting A Bachelor of Nursing programme of a University of Applied Sciences in [name country]. Participants: 363 third-year nursing students. Methods: Baseline and one-year follow-up measurements were used from a prospective cohort study. Third-year nursing students were invited annually in May between 2016 and 2018. Psychosocial work characteristics were psychological demands, supervisor and co-worker support, and acts of offensive behaviour. Logistic regression analyses were used to build multivariate models. Results: Frequent exposure to violence (OR = 2.52, 95% CI: 1.29-4.92) was univariately associated with distress. In the multivariate model for distress, psychological demands (OR = 1.63, 95% CI: 1.05-2.52) and frequent exposure to violence (OR = 3.02, 95% CI: 1.48-6.19) were associated with distress. Supervisor support (OR = 0.54, 95% CI: 0.36-0.80) and co-worker support (OR = 0.41, 95% CI: 0.24-0.72) were negatively associated with intention to leave (i.e. were protective) in the univariate model. In the adjusted multivariate model, only co-worker support (OR = 0.50, 95% CI: 0.25-0.97) was a protective factor for an intention to leave. Conclusion: Psychological demands and frequent exposure to violence are risk factors for distress, and co-worker support is a protective factor reducing the intention to leave nursing education in the last stage of the programme. Improving the psychosocial working climate of nursing students may reduce the intention to leave at a late stage in nursing education, and hence actual late dropout

Improving mental health of student and novice nurses to prevent dropout:A systematic review

Aims: To provide: (a) an overview of interventions aimed at improving mental health of student or novice nurses; and (b) an evaluation of their effectiveness on dropout-related outcomes. Design: Systematic review. Data sources: Research papers published between January 1971–February 2019 were identified from the following databases: Embase, Medline, PsycInfo, CINAHL, ERIC, the Cochrane Library, Web of Science, and Google Scholar. Review methods: We followed the procedures recommended by the Editorial Board of the Cochrane Collaboration Back Review Group. We included peer-reviewed articles with a quantitative research design, examining interventions aimed at improving mental health of student and novice nurses and their effect on dropout-related outcomes. The large variation in studies prohibited statistical pooling and a synthesis without meta-analysis of studies was performed. Results: We identified 21 studies with three areas of focus: managing stress or stressors (N = 4); facilitating the transition to nursing practice (N = 14); and a combined approach (N = 3). Five studies showed a statistically significant effect on dropout-related outcomes. The overall risk of bias was high. Conclusion: A wide range of interventions are available, but the evidence for their effectiveness is limited. There is a need for high-quality studies in this field, preferably with a randomized controlled design

European climate optimum and enhanced Greenland melt during the Last Interglacial

The Last Interglacial climatic optimum, ca. 128 ka, is the most recent climate interval signifi cantly warmer than present, providing an analogue (albeit imperfect) for ongoing global warming and the effects of Greenland Ice Sheet (GIS) melting on climate over the coming millennium. While some climate models predict an Atlantic meridional overturning circulation (AMOC) strengthening in response to GIS melting, others simulate weakening, leading to cooling in Europe. Here, we present evidence from new proxy-based paleoclimate and ocean circulation reconstructions that show that the strongest warming in western Europe coincided with maximum GIS meltwater runoff and a weaker AMOC early in the Last Interglacial. By performing a series of climate model sensitivity experiments, including enhanced GIS melting, we were able to simulate this confi guration of the Last Interglacial climate system and infer information on AMOC slowdown and related climate effects. These experiments suggest that GIS melt inhibited deep convection off the southern coast of Greenland, cooling local climate and reducing AMOC by ~24% of its present strength. However, GIS melt did not perturb overturning in the Nordic Seas, leaving heat transport to, and thereby temperatures in, Europe unaffected. © 2012 Geological Society of America

How warm was Greenland during the last interglacial period?

The last interglacial period (LIG, ~ 129–116 thousand years ago) provides the most recent case study for multi-millennial polar warming above pre-industrial level and a respective response of the Greenland and Antarctic ice sheets to this warming, as well as a test bed for climate and ice sheet models. Past changes in Greenland ice sheet thickness and surface temperature during this period were recently derived from the NEEM ice core records, North-West Greenland. The NEEM paradox has emerged from an estimated large local warming above pre-industrial level (7.5 ± 1.8 °C at the deposition site 126 ka ago without correction for any overall ice sheet altitude changes between the LIG and pre-industrial) based on water isotopes, together with limited local ice thinning, suggesting more resilience of the real Greenland ice sheet than shown in some ice sheet models. Here, we provide an independent assessment of the average LIG Greenland surface warming using ice core air isotopic composition (δ15N) and relationships between accumulation rate and temperature. The LIG surface temperature at the upstream NEEM deposition site without ice sheet altitude correction is estimated to be warmer by +7 to +11 °C (+8 °C being the most likely estimate according to constraints on past accumulation rate) compared to the pre-industrial period. This temperature estimate is consistent with the 7.5 ± 1.8 °C warming initially determined from NEEM water isotopes. Moreover, we show that under such warm temperatures, melting of snow probably led to a significant firn shrinking by ~ 15 m. Climate simulations performed with present day ice sheet topography lead to much smaller warming but larger amplitudes (up to 5 °C) can be obtained from changes in sea ice extent and ice sheet topography. Still, ice sheet simulations forced by 5 °C surface warming lead to large ice sheet decay that are not compatible with existing data. Our new, independent temperature constrain therefore reinforces the NEEM paradox