Editorial: Safety monitoring for peripheral nerve blocks - Is there a state-of-the-art standard to avoid nerve injuries?

Highlights • Since there is only a low level of evidence, it is difficult to agree on state-of-the-art standards or to provide recommendations and guidelines. • The value of combining several monitoring devices for dual or triple guidance must be challenged. • The principle of fascial plane blocks is suitable to avoid traumatic needle-to-nerve contact. However, local toxicity must be regarded as a possible mechanism for nerve injuries. • Block procedures might be conducted during sedation or general anesthesia when considering the individual patients' clinical situations and the expertise of the anesthesiologist. • The quality of ultrasound equipment and education provided by the corresponding anesthesia department is highly relevan

Bullying Among Adolescent Football Players: Role of Masculinity and Moral Atmosphere

Identifying practices of masculinity socialization that contribute to the establishment of gender privilege can help address violence and bullying in schools (Connell, 1996). Because the sport of football is considered an important contributor to masculinity construction, establishing peer networks, and creating hierarchies of student status, this study examined the influence of social norms (i.e., moral atmosphere, meanings of adolescent masculinity) on bullying beliefs and behaviors of 206 high school football players. Results demonstrated that moral atmosphere (Peer Influence, Influential Male Figure) and adherence to male role norms significantly predicted bullying, but the strongest predictor was the perception of whether the most influential male in a player’s life would approve of the bullying behavior. In addition to prevention interventions highlighting the role of influential men and masculinity norms in this process, implications for practice suggest that football players can use their peer influence and status as center sport participants to create a school culture that does not tolerate bullying

Atlantic CFC data in CARINA

Water column data of carbon and carbon-relevant parameters have been collected and merged into a new database called CARINA (CARbon IN the Atlantic). In order to provide a consistent data set, all data have been examined for systematic biases and adjusted if necessary (secondary quality control (QC)). The CARINA data set is divided into three regions: the Arctic/Nordic Seas, the Atlantic region and the Southern Ocean. Here we present the CFC data for the Atlantic region, including the chlorofluorocarbons CFC-11, CFC-12 and CFC-113 as well as carbon tetrachloride (CCl4). The methods applied for the secondary quality control, a crossover analyses, the investigation of CFC ratios in the ocean and the CFC surface saturation are presented. Based on the results, the CFC data of some cruises are adjusted by a certain factor or given a “poor” quality flag

Perspectives of Social Justice Activists: Advocating Against Native-themed Mascots, Nicknames, and Logos

This study investigated perspectives of social justice activists who directly advocate for the elimination of Native-themed mascots, nicknames, and logos. Using Consensual Qualitative Research methodology, the research team analyzed transcripts of interviews conducted with eleven social justice activists to generate themes, categories, and domains within the data. Five domains emerged: (a) deleterious impact of Native-themed mascots, nicknames, and logos; (b) components of identity preservation among supporters; (c) reasons why some American Indians might support Native-themed mascots, nicknames, logos; (d) frontline advocacy efforts; and (e) coping strategies for advocates. Results provided insights into the sociopsychological processes which operate—among both non-Indians and Indians—to allow the misappropriation of American Indian culture, symbols, and imagery in sport to continue to exist in society. Findings can help counseling psychologists better understand the lived experience of social justice activists, while also highlighting ways that our field can support efforts to eliminate race-based mascots, nicknames, and logos

A Contextual Examination of Gender Role Conflict Among College Football Players

This mixed methods study examined the contextual nature of gender role conflict (GRC). Using a quasi-experimental design, 153 male college football players were randomly assigned to two groups wherein they were instructed to report levels of GRC based on the assigned life domain (within the football environment vs. life outside of football). Results indicated that participants did not differ significantly in levels of GRC across life domains, but did reveal that life domain (within the football environment) moderated the significant relationship between Restrictive Affectionate Behavior Between Men (RABBM) and life satisfaction. Qualitative findings provided support for quantitative results, and described ways that football players express emotions and affection toward other men within this unique context. Results can help psychologists design interventions that normalize and encourage affective and emotional expression within the domain of football, with the intent of teaching players to transfer these behaviors to life domains outside of football

Changes in ventilation of the Mediterranean Sea during the past 25 year

Significant changes in the overturning circulation of the Mediterranean Sea has been observed during the last few decades, the most prominent phenomena being the Eastern Mediterranean Transient (EMT) in the early 1990s and the Western Mediterranean Transition (WMT) during the mid-2000s. During both of these events unusually large amounts of deep water were formed, and in the case of the EMT, the deep water formation area shifted from the Adriatic to the Aegean Sea. Here we synthesize a unique collection of transient tracer (CFC-12, SF6 and tritium) data from nine cruises conducted between 1987 and 2011 and use these data to determine temporal variability of Mediterranean ventilation. We also discuss biases and technical problems with transient tracer-based ages arising from their different input histories over time; particularly in the case of time-dependent ventilation. We observe a period of low ventilation in the deep eastern (Levantine) basin after it was ventilated by the EMT so that the age of the deep water is increasing with time. In the Ionian Sea, on the other hand, we see evidence of increased ventilation after year 2001, indicating the restarted deep water formation in the Adriatic Sea. This is also reflected in the increasing age of the Cretan Sea deep water and decreasing age of Adriatic Sea deep water since the end of the 1980s. In the western Mediterranean deep basin we see the massive input of recently ventilated waters during the WMT. This signal is not yet apparent in the Tyrrhenian Sea, where the ventilation seems to be fairly constant since the EMT. Also the western Alboran Sea does not show any temporal trends in ventilation

Inventory changes of anthropogenic carbon in the Atlantic between 1997 and 2003

The oceans absorb and store a significant portion of anthropogenic CO2 emissions, but large uncertainties remain in the quantification of this sink. An improved assessment of the present and future oceanic carbon sink is therefore necessary to provide recommendations for long‐term global carbon cycle and climate policies. The formation of North Atlantic Deep Water (NADW) is a unique fast track for transporting anthropogenic CO2 into the ocean's interior, making the deep waters rich in anthropogenic carbon. Thus the Atlantic is presently estimated to hold 38% of the oceanic anthropogenic CO2 inventory, although its volume makes up only 25% of the world ocean. Here we analyze the inventory change of anthropogenic CO2 in the Atlantic between 1997 and 2003 and its relationship to NADW formation. For the whole region between 20°S and 65°N the inventory amounts to 32.5 ± 9.5 Petagram carbon (Pg C) in 1997 and increases up to 36.0 ± 10.5 Pg C in 2003. This result is quite similar to earlier studies. Moreover, the overall increase of anthropogenic carbon is in close agreement with the expected change due to rising atmospheric CO2 levels of 1.69% a−1. On the other hand, when considering the subpolar region only, the results demonstrate that the recent weakening in the formation of Labrador Sea Water, a component of NADW, has already led to a decrease of the anthropogenic carbon inventory in this water mass. As a consequence, the overall inventory for the total water column in the western subpolar North Atlantic increased only by 2% between 1997 and 2003, much less than the 11% that would be expected from the increase in atmospheric CO2 levels

Novice Counselors’ Conceptualizations and Experiences of Therapeutic Relationships

This qualitative study investigated three novice counselors’ experiences and characterizations of therapeutic relationships. Thematic analyses of interviews and diaries revealed six common themes: (a) the centrality of supervision and training experiences to navigating interpersonal experiences with clients; (b) anxiety about counselors’ roles in therapeutic relationships; (c) the perception of the therapeutic relationship as less directive than outside (lay) helping relationships; (d) experimentation with different interpersonal styles; (e)awareness of countertransference; and, (f) impact of therapeutic relationships on outside relationships. Findings expand upon the therapeutic relationship as a focal point for the training and supervision of novice counselors

Neodymium isotopic composition and concentration in the western North Atlantic Ocean: results from the GEOTRACES GA02 section

The neodymium (Nd) isotopic composition of seawater is commonly used as a proxy to study past changes in the thermohaline circulation. The modern database for such reconstructions is however poor and the understanding of the underlying processes is incomplete. Here we present new observational data for Nd isotopes and concentrations from twelve seawater depth profiles, which follow the flow path of North Atlantic Deep Water (NADW) from its formation region in the North Atlantic to the northern equatorial Atlantic. Samples were collected during two cruises constituting the northern part of the Dutch GEOTRACES transect GA02 in 2010. The results show that the different water masses in the subpolar North Atlantic Ocean, which ultimately constitute NADW, have the following Nd isotope characteristics: Upper Labrador Sea Water (ULSW), εNd = -14.2 ± 0.3; Labrador Sea Water (LSW), εNd = -13.7 ± 0.9; Northeast Atlantic Deep Water (NEADW), εNd = -12.5 ± 0.6; Northwest Atlantic Bottom Water (NWABW), εNd = -11.8 ± 1.4. In the subtropics, where these source water masses have mixed to form NADW, which is exported to the global ocean, upper-NADW is characterised by εNd values of -13.2 ± 1.0 (2sd) and lower-NADW exhibits values of εNd = -12.4 ± 0.4 (2sd). While both signatures overlap within error, the signature for lower-NADW is significantly more radiogenic than the traditionally used value for NADW (εNd = -13.5) due to the dominance of source waters from the Nordic Seas (NWABW and NEADW). Comparison between the concentration profiles and the corresponding Nd isotope profiles with other water mass properties such as salinity, silicate concentrations, neutral densities and chlorofluorocarbon (CFC) concentration provides novel insights into the geochemical cycle of Nd and reveals that different processes are necessary to account for the observed Nd characteristics in the subpolar and subtropical gyres and throughout the vertical water column. While our data set provides additional insights into the contribution of boundary exchange in areas of sediment resuspension, the results for open ocean seawater demonstrate, at an unprecedented level, the suitability of Nd isotopes to trace modern water masses in the strongly advecting western Atlantic Ocean