A Record of Antarctic Climate and Ice Sheet History Recovered

Antarctica’s late Cenozoic (the past ~15 million years) climate history is poorly known from direct evidence, owing to its remoteness, an extensive sea ice apron, and an ice sheet cover over the region for the past 34 million years. Consequently, knowledge about the role of Antarctica’s ice sheets in global sea level and climate has relied heavily upon interpretations of oxygen isotope records from deep-sea cores. Whereas these isotopic records have revolutionized our understanding of climate-ice-ocean interactions, questions still remain about the specific role of Antarctic ice sheets in global climate. Such questions can be addressed from geological records at the marine margin of the ice sheets, recovered by drilling from floating ice platforms [e.g., Davey et al., 2001; Harwood et al., 2006; Barrett, 2007]. During the austral summer of 2006–2007, a new Antarctic geological drilling program (ANDRILL) successfully recovered a 1285- meter-long record of climate and ice sheet variability spanning the past 13 million years from beneath the McMurdo Ice Shelf (Figure 1). The cores contain sedimentary rocks deposited by the ice sheets grounded in the sea, and they provide the best direct evidence to date of past Antarctic ice sheet and climate fluctuations for this period of Earth’s history. The new geological evidence is being used to provide direct physical calibrationfor deep-sea isotope records, low-latitude continental margin sea level records, and numerical climate and ice sheet models, especially for times of past global warmth. Such analogs are becoming increasingly important because of the difficulties in predicting the dynamic response of ice sheets to global warming [Vaughan and Athern, 2007]. In this article we summarize the initial results of the ANDRILL program’s first drilling project from the McMurdo Ice Shelf (MIS) site [Naish et al., 2007a, 2007b], with an emphasis on the potential of the record for improving our knowledge of Antarctica’s influence on, and response to, global climate change

Signatures from a merging galaxy cluster and its AGN population : LOFAR observations of Abell 1682

Reproduced with permission from Astronomy & Astrophysics. © 2019 ESOWe present LOFAR data from 110-180 MHz of the merging galaxy cluster Abell 1682, alongside archival optical, radio, and X-ray data. Our images of 6 arcsec in resolution at low frequencies reveal new structures associated with numerous radio galaxies in the cluster. At a resolution of 20 arcsec we see diffuse emission throughout the cluster over hundreds of kiloparsecs, indicating particle acceleration mechanisms are in play as a result of the cluster merger event and powerful active galactic nuclei. We show that a significant part of the cluster emission is from an old radio galaxy with very steep spectrum emission (having a spectral index of α < -2.5). Furthermore, we identify a new region of diffuse steep-spectrum emission (α < -1.1) as a candidate for a radio halo which is co-spatial with the centre of the cluster merger. We suggest its origin as a population of old and mildly relativistic electrons left over from radio galaxies throughout the cluster which have been re-accelerated to higher energies by shocks and turbulence induced by the cluster merger event. We also note the discovery of six new giant radio galaxies in the vicinity of Abell 1682.Peer reviewedFinal Accepted Versio

Medication decision-making and adherence in lupus: patient–physician discordance and the impact of previous ‘adverse medical experiences’

OBJECTIVES: Medication adherence is critical in the successful management of lupus. There is very limited existing literature on reasons why non-adherence is not reported. This study explores the impact of current and previous medical experiences on patient satisfaction, adherence and reporting of non-adherence. METHODS: Mixed methodology involved thematic analysis of in-depth interviews (N = 23) to further explore the statistically analysed quantitative survey findings (N = 186). RESULTS: This study identified five themes: 1) physician-patient discordance and a 'hierarchy of evidence' in medication decisions, 2) the association of adherence with satisfaction with care, 3) the persisting impact of past Adverse Medical Experiences (AMEs), 4) the dynamic balance of patient-physician control, and 5) holistic care - beyond a purely medication- based focus. Improving quality of life (43% of participants) and a supportive medical relationship (24%) were the main reasons for adherence. Patient-priorities and self-reported symptoms were perceived as less important to physicians than organ-protection and blood results. Non-reporters of non-adherence, non-adherers and those with past AMEs (e.g. psychosomatic misdiagnoses) had statistically significant lower satisfaction with care. The importance of listening to patients was a key component of every theme, and associated with patient satisfaction and adherence. The mean rating for rheumatologist's listening skills was 2.88 for non-adherers compared to 3.53 for other participants (mean difference 0.65, P = 0.003). CONCLUSION: Patients would like more weight and discussion given to self-reported symptoms and quality of life in medication decisions. Greater understanding and interventions are required to alleviate the persisting impact of past AMEs on some patients' wellbeing, behaviour and current medical relationships

ANDRILL's Success During the 4th International Polar Year

One of the scientific programs of the Fourth International Polar Year (Allison et al., 2007; www.ipy.org), the ANDRILL (ANtarctic geological DRILLing) Program (Fig. 1) demonstrated ability to recover high quality marine and glacimarine sedimentary drill cores from high latitude ice-covered areas. ANDRILL's inaugural 2006 and 2007 drilling seasons resulted in the two deepest drill holes on the Antarctic continental margin, recovering high-quality and nearly continuous 2400 meters of sediment cores. A chief scientific objective of this collaborative effort of scientists, engineers, technicians, students, educators, drillers, and support personnel from Germany, Italy, New Zealand, and the United States is the recovery of sedimentary archives from which past climatic and environmental changes in the southern high latitudes can be reconstructed. More than 120 individuals have been involved in each of the two drilling projects, eighty of whom worked in Antarctica during each austral summer season

Supporting people living with dementia and faecal incontinence.

This document is the Accepted Manuscript version of the following article: Bridget Russell, et al, 'Supporting people living with dementia and faecal incontinence', British Journal of Community Nursing, Vol. 22 (3): 110-114, March 2017, doi: http://www.magonlinelibrary.com/doi/pdf/10.12968/bjcn.2017.22.3.110. © 2017 MA Healthcare Ltd.There are approximately 17 500 care homes in the UK which are home to about 487 000 older people, the majority are women aged 80 years or older (Care Quality Commission, 2010). As many as 80% of care home residents may have dementia, though this is not always documented, (Gordon et al, 2014). In England the majority of care homes do not have on site nursing provision and rely on community nurse specialists for support when residents require nursing advice and care. The support of people living in care homes is a well-documented problem (Taunton et al, 2005; Heckenberg, 2008; Saga, 2014) and how well they are managed is often seen as a marker of the quality of care (Care Quality Commission, 2010). Faecal incontinence can be a source of distress, discomfort, lead to complications such as skin breakdown and infection and affect an individual’s sense of dignity and self-worth. It can also be a challenging aspect of care for those who work in care homes.Non peer reviewe

Core burnout and power in Portuguese nursing staff: An explanatory model based on structural empowerment

In the nursing context, structural empowerment has proved to be an organizational tool leading to the prevention of stress and burnout. Structural empowerment is defined as the perception of the presence or absence of empowering conditions in the workplace. However, few studies have explored the particular relationships between power in organizations, structural empowerment, and burnout. The aim of this study was to examine the mediator role of structural empowerment (access to opportunities, information, support, and resources) in the relationship between formal and informal power, and core burnout among Portuguese nurses. We administered a questionnaire among a convenience sample of 304 nurses employed in public hospitals. Model fit and mediation analysis were conducted using path analysis and bootstrapping methods. Formal power, informal power, access to opportunities, and access to resources were significant and negative predictors of core burnout. Opportunities, resources, and informal power had a direct influence on core burnout. Formal power and informal power showed an indirect influence, mediated by opportunities and resources, on core burnout. These findings suggest that by providing nurses with high levels of formal and informal power, as well as access to resources and opportunities, their risk of core burnout can be lowered.info:eu-repo/semantics/publishedVersio

Reducing and managing faecal incontinence in people with advanced dementia who are resident in care homes: protocol for a realist synthesis.

INTRODUCTION: Faecal incontinence (FI) is the involuntary loss of liquid or solid stool that is a social or hygienic problem. The prevalence of FI in residents of care homes is high, but it is not an inevitable consequence of old age or dementia. There is good evidence on risk factors, but few studies provide evidence about effective interventions. There is a need to understand how, why, and in what circumstances particular programmes to reduce and manage FI are effective (or not) for people with dementia. The purpose of this review is to identify which (elements of the) interventions could potentially be effective, and examine the barriers and facilitators to the acceptability, uptake and implementation of interventions designed to address FI in people with dementia who are resident in care homes. METHODS AND ANALYSIS: A realist synthesis approach to review the evidence will be used which will include studies on continence, person-centred care, implementation research in care homes, workforce and research on care home culture. An iterative four-stage approach is planned. Phase 1: development of an initial programme theory or theories that will be 'tested' through a first scoping of the literature and consultation with five stakeholder groups (care home providers, user representatives, academics and practice educators, clinicians with a special interest in FI and continence specialists). Phase 2: a systematic search and analysis of published and unpublished evidence to test and develop the programme theories identified in phase 1. Phase 3: validation of programme theory/ies with a purposive sample of participants from phase 1. ETHICS AND DISSEMINATION: The overall protocol does not require ethical review. The University research ethics committee will review interviews conducted as part of phase 1 and 3. The final fourth phase will synthesise and develop recommendations for practice and develop testable hypotheses for further research

Duty cycle of the radio galaxy B2 0258+35

Radio loud Active Galactic Nuclei are episodic in nature, cycling through periods of activity and quiescence. In this work we investigate the duty cycle of the radio galaxy B2~0258+35, which was previously suggested to be a restarted radio galaxy based on its morphology. The radio source consists of a pair of kpc-scale jets embedded in two large-scale lobes (~240 kpc) with relaxed shape and very low surface brightness, which resemble remnants of a past AGN activity. We have combined new LOFAR data at 145 MHz and new SRT data at 6600 MHz with available WSRT data at 1400 MHz to investigate the spectral properties of the outer lobes and derive their age. Interestingly, the spectrum of both the outer Northern and Southern lobes is not ultra-steep as expected for an old ageing plasma with spectral index values equal to $\rm \alpha_{1400}^{145}=0.48\pm0.11$ and $\rm \alpha_{6600}^{1400}=0.69\pm0.20$ in the outer Northern lobe, and $\rm \alpha_{1400}^{145}=0.73\pm0.07$ in the outer Southern lobe. Moreover, despite the wide frequency coverage available for the outer Northern lobe (145-6600~MHz), we do not identify a significant spectral curvature (SPC$\simeq$0.2$\pm0.2$). While mechanisms such as in-situ particle reacceleration, mixing or compression can temporarily play a role in preventing the spectrum from steepening, in no case seem the outer lobes to be compatible with being very old remnants of past activity as previously suggested (with age $\gtrsim$ 80 Myr). We conclude that either the large-scale lobes are still fuelled by the nuclear engine or the jets have switched off no more than a few tens of Myr ago. Our study shows the importance of combining morphological and spectral properties to reliably classify the evolutionary stage of low surface brightness, diffuse emission that low frequency observations are revealing around a growing number of radio sources.Comment: 13 pages, 4 figures, 6 tables, A&A accepte

Management of Fecal Incontinence in Older People With Dementia Resident in Care Homes: A Realist Synthesis-The FINCH Study.

This document is the Accepted Manuscript version of the Editorial to Journal of the American Medical Directors Association, Vol. 198 (9):750-751. Under embargo. Embargo end date: 21 July 2018. The published version is available online at doi: https://doi.org/10.1016/j.jamda.2017.06.001. Crown Copyright © 2017 Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.Peer reviewe