Hidden on the ward : the abuse of children in hospitals

While there have been a small number of high profile cases of the abuse of children by hospital staff, there has been relatively little attention paid to the child protection issues for children staying in hospitals. Drawing on a conceptual framework from work on institutional abuse, we identify three types of abuse: physical and sexual abuse; programme abuse; and system abuse. Physical and sexual abuse can be perpetrated by medical professionals and hospital workers, it can be perpetrated by other children, or it can be perpetrated by the child's own parent(s). Research evidence from the United States suggests that the rate of abuse in hospitals is higher than in the family home. Programme abuse occurs when treatment and care falls below normally accepted standards. Recently, a tragic case of programme abuse concerned the unacceptably high death rate of babies undergoing heart surgery at Bristol Royal Infirmary. System abuse is the most difficult to define but concerns the way in which child health services fail to meet the needs of children. Recent reports have highlighted inadequate services for children and young people, lack of priority given to children's services, and geographical inequalities in the provision of services. Three crucial aspects in safeguarding children from abuse are highlighted: listening to children; the selection support and training of staff; and external systems of inspection, monitoring and standards. The recent government agenda which has placed quality at the centre of NHS service developments are discussed. Only by addressing the abuse of children in hospital openly and honestly will effective child protection be possible

Depletion of atmospheric nitrate and chloride as a consequence of the Toba Volcanic Eruption

Continuous measurements of SO42− and electrical conductivity (ECM) along the GISP2 ice core record the Toba mega‐eruption at a depth 2590.95 to 2091.25 m (71,000±5000 years ago). Major chemical species were analyzed at a resolution of 1 cm per sample for this section. An ∼6‐year long period with extremely high volcanic SO42− coincident with a 94% depletion of nitrate and 63% depletion of chloride is observed at the depth of the Toba horizon. Such a reduction of chloride in a volcanic layer preserved in an ice core has not been observed in any previous studies. The nearly complete depletion of nitrate (to 5 ppb) encountered at the Toba level is the lowest value in the entire ∼250,000 years of the GISP2 ice core record. We propose possible mechanisms to explain the depletion of nitrate and chloride resulting from this mega‐eruption

Potential atmospheric impact of the Toba Mega‐Eruption ∼71,000 years ago

An ∼6‐year long period of volcanic sulfate recorded in the GISP2 ice core about 71,100 ± 5000 years ago may provide detailed information on the atmospheric and climatic impact of the Toba mega‐eruption. Deposition of these aerosols occur at the beginning of an ∼1000‐year long stadial event, but not immediately before the longer glacial period beginning ∼67,500 years ago. Total stratospheric loading estimates over this ∼6‐year period range from 2200 to 4400 Mt of H2SO4 aerosols. The range in values is given to compensate for uncertainties in aerosol transport. Magnitude and longevity of the atmospheric loading may have led directly to enhanced cooling during the initial two centuries of this ∼1000‐year cooling event

Volcanic aerosol records and tephrochronology of the Summit, Greenland, ice cores

The recently collected Greenland Ice Sheet Project 2 (GISP2) and Greenland Ice Core Project ice cores from Summit, Greenland, provide lengthy and highly resolved records of the deposition of both the aerosol (H2SO4) and silicate (tephra) components of past volcanism. Both types of data are very beneficial in developing the hemispheric to global chronology of explosive volcanism and evaluating the entire volcanism‐climate system. The continuous time series of volcanic SO42− for the last 110,000 years show a strong relationship between periods of increased volcanism and periods of climatic change. The greatest number of volcanic SO42− signals, many of very high magnitude, occur during and after the final stages of deglaciation (6000–17,000 years ago), possibly reflecting the increased crustal stresses that occur with changing volumes of continental ice sheets and with the subsequent changes in the volume of water in ocean basins (sea level change). The increase in the number of volcanic SO42− signals at 27,000–36,000 and 79,000–85,000 years ago may be related to initial ice sheet growth prior to the glacial maximum and prior to the beginning of the last period of glaciation, respectively. A comparison of the electrical conductivity of the GISP2 core with that of the volcanic SO42− record for the Holocene indicates that only about half of the larger volcanic signals are coincident in the two records. Other volcanic acids besides H2SO4 and other SO42− sources can complicate the comparisons, although the threshold level picked to make such comparisons is especially critical. Tephra has been found in both cores with a composition similar to that originating from the Vatnaöldur eruption that produced the Settlement Layer in Iceland (mid‐A.D. 870s), from the Icelandic eruption that produced the Saksunarvatn ash (∼10,300 years ago), and from the Icelandic eruption(s) that produced the Z2 ash zone in North Atlantic marine cores (∼52,700 years ago). The presence of these layers provides absolute time lines for correlation between the two cores and for correlation with proxy records from marine sediment cores and terrestrial deposits containing these same tephras. The presence of both rhyolitic and basaltic shards in the Z2 ash in theGISP2 core and the composition of the basaltic grains lend support to multiple Icelandic sources (Torfajökull area and Katla) for the Z2 layer. Deposition of the Z2 layer occurs at the beginning of a stadial event, further reflecting the possibility of a volcanic triggering by the effects of changing climatic conditions

Electrical Measurements on the Greenland Ice Sheet Project 2 Core

The Greenland Ice Sheet Project 2 (GISP2) electrical conductivity measurement (ECM) record is an indication of the concentration of H+ in the core. The ECM detected seasonal variations in the nitrate concentration of the core which were used to assist in dating the core by annual layer counting. Volcanic eruptions that produce acidic aerosols are recorded in the ECM record. Evidence of biomass burning is detected by the ECM because fire-related ammonium emissions neutralize the acids in the core. Rapid climate transitions associated with the Younger Dryas and Dansgaard/Oeschger interstadial events alter the concentration of alkaline dust and are detected by the ECM. The ECM has been used to develop stratigraphic ties between the GISP2 and the Greenland Ice Core Project cores. Users of the data should be aware of some instrument-related artifacts in the ECM record

CO(2) Diffusion in Polar Ice: Observations from Naturally Formed CO(2) Spikes in the Siple Dome (Antarctica) Ice Core

One common assumption in interpreting ice-core CO(2) records is that diffusion in the ice does not affect the concentration profile. However, this assumption remains untested because the extremely small CO(2) diffusion coefficient in ice has not been accurately determined in the laboratory. In this study we take advantage of high levels of CO(2) associated with refrozen layers in an ice core from Siple Dome, Antarctica, to study CO(2) diffusion rates. We use noble gases (Xe/Ar and Kr/Ar), electrical conductivity and Ca(2+) ion concentrations to show that substantial CO(2) diffusion may occur in ice on timescales of thousands of years. We estimate the permeation coefficient for CO(2) in ice is similar to 4 x 10(-21) mol m(-1) s(-1) Pa(-1) at -23 degrees C in the top 287 m (corresponding to 2.74 kyr). Smoothing of the CO(2) record by diffusion at this depth/age is one or two orders of magnitude smaller than the smoothing in the firn. However, simulations for depths of similar to 930-950m (similar to 60-70 kyr) indicate that smoothing of the CO(2) record by diffusion in deep ice is comparable to smoothing in the firn. Other types of diffusion (e.g. via liquid in ice grain boundaries or veins) may also be important but their influence has not been quantified