Clinical decision-making during childbirth in health facilities from the perspectives of labouring women, relatives, and health care providers: A scoping review.

Problem: For health care providers to ensure appropriate decision-making in clinical settings during childbirth, facilitators and barriers must be identified.

Background: Women who experience a sense of control by participating in the decision-making process, are more likely to have a positive birth experience. However, decision-making may involve hierarchies of close observation and control.

Climate-forced Hg-remobilization associated with fern mutagenesis in the aftermath of the end-Triassic extinction.

The long-term effects of the Central Atlantic Magmatic Province, a large igneous province connected to the end-Triassic mass-extinction (201.5 Ma), remain largely elusive. Here, we document the persistence of volcanic-induced mercury (Hg) pollution and its effects on the biosphere for ~1.

Erratum: Publisher Correction: Enhanced clay formation key in sustaining the Middle Eocene Climatic Optimum.

[This corrects the article DOI: 10.1038/s41561-023-01234-y.].

Reconciling Southern Ocean fronts equatorward migration with minor Antarctic ice volume change during Miocene cooling.

Gradual climate cooling and CO decline in the Miocene were recently shown not to be associated with major ice volume expansion, challenging a fundamental paradigm in the functioning of the Antarctic cryosphere. Here, we explore Miocene ice-ocean-climate interactions by presenting a multi-proxy reconstruction of subtropical front migration, bottom water temperature and global ice volume change, using dinoflagellate cyst biogeography, benthic foraminiferal clumped isotopes from offshore Tasmania. We report an equatorward frontal migration and strengthening, concurrent with surface and deep ocean cooling but absence of ice volume change in the mid-late-Miocene.

Phenotypic profiling of CD34 cells by advanced flow cytometry improves diagnosis of juvenile myelomonocytic leukemia.

Diagnostic criteria for juvenile myelomonocytic leukemia (JMML) are currently well defined, however in some patients diagnosis still remains a challenge. Flow cytometry is a well established tool for diagnosis and follow-up of hematological malignancies, nevertheless it is not routinely used for JMML diagnosis. Herewith, we characterized the CD34+ hematopoietic precursor cells collected from 31 children with JMML using a combination of standardized EuroFlow antibody panels to assess the ability to discriminate JMML cells from normal/reactive bone marrow cell as controls (n=29) or from cells of children with other hematological diseases mimicking JMML (n=9).

Loss of Earth system resilience during early Eocene transient global warming events.

Superimposed on long-term late Paleocene-early Eocene warming (~59 to 52 million years ago), Earth's climate experienced a series of abrupt perturbations, characterized by massive carbon input into the ocean-atmosphere system and global warming. Here, we examine the three most punctuated events of this period, the Paleocene-Eocene Thermal Maximum and Eocene Thermal Maximum 2 and 3, to probe whether they were initiated by climate-driven carbon cycle tipping points. Specifically, we analyze the dynamics of climate and carbon cycle indicators acquired from marine sediments to detect changes in Earth system resilience and to identify positive feedbacks.

North Atlantic surface ocean warming and salinization in response to middle Eocene greenhouse warming.

Quantitative reconstructions of hydrological change during ancient greenhouse warming events provide valuable insight into warmer-than-modern hydrological cycles but are limited by paleoclimate proxy uncertainties. We present sea surface temperature (SST) records and seawater oxygen isotope (δO) estimates for the Middle Eocene Climatic Optimum (MECO), using coupled carbonate clumped isotope (Δ) and oxygen isotope (δO) data of well-preserved planktonic foraminifera from the North Atlantic Newfoundland Drifts. These indicate a transient ~3°C warming across the MECO, with absolute temperatures generally in accordance with trace element (Mg/Ca)-based SSTs but lower than biomarker-based SSTs for the same interval.

Improved Model-Data Agreement With Strongly Eddying Ocean Simulations in the Middle-Late Eocene.

Model simulations of past climates are increasingly found to compare well with proxy data at a global scale, but regional discrepancies remain. A persistent issue in modeling past greenhouse climates has been the temperature difference between equatorial and (sub-)polar regions, which is typically much larger in simulations than proxy data suggest. Particularly in the Eocene, multiple temperature proxies suggest extreme warmth in the southwest Pacific Ocean, where model simulations consistently suggest temperate conditions.

Eutrophication and Deoxygenation Forcing of Marginal Marine Organic Carbon Burial During the PETM.

The Paleocene-Eocene Thermal Maximum (PETM) is recognized globally by a negative excursion in stable carbon isotope ratios (δC) in sedimentary records, termed the carbon isotope excursion (CIE). Based on the CIE, the cause, duration, and mechanisms of recovery of the event have been assessed. Here, we focus on the role of increased organic carbon burial on continental margins as a key driver of CO drawdown and global exogenic δC during the recovery phase.

Limited Lateral Transport Bias During Export of Sea Surface Temperature Proxy Carriers in the Mediterranean Sea.

Some lipid-biomarker-based sea surface temperature (SST) proxies applied in the modern Mediterranean Sea exhibit large offsets from expected values, generating uncertainties in climate reconstructions. Lateral transport of proxy carriers along ocean currents prior to burial can contribute to this offset between reconstructed and expected SSTs. We perform virtual particle tracking experiments to simulate transport prior to and during sinking and derive a quantitative estimate of transport bias for alkenones and glycerol dibiphytanyl glycerol tetraethers (GDGTs), which form the basis of the U and TEX paleothermometers, respectively.

Detrital Carbonate Minerals in Earth's Element Cycles.

We investigate if the commonly neglected riverine detrital carbonate fluxes might reconciliate several chemical mass balances of the global ocean. Particulate inorganic carbon (PIC) concentrations in riverine suspended sediments, that is, carbon contained by these detrital carbonate minerals, were quantified at the basin and global scale. Our approach is based on globally representative data sets of riverine suspended sediment composition, catchment properties, and a two-step regression procedure.

Impact of Pre-Analytical and Analytical Variables Associated with Sample Preparation on Flow Cytometric Stainings Obtained with EuroFlow Panels.

Objective interpretation of FC results may still be hampered by limited technical standardization. The EuroFlow consortium conducted a series of experiments to determine the impact of different variables on the relative distribution and the median fluorescence intensity (MFI) of markers stained on different cell populations, from both healthy donors and patients' samples with distinct hematological malignancies. The use of different anticoagulants; the time interval between sample collection, preparation, and acquisition; pH of washing buffers; and the use of cell surface membrane-only (SM) vs.

Intraspecific variation in multiple trait responses of Alexandrium ostenfeldii towards elevated pCO.

Dissolved oceanic CO concentrations are rising as result of increasing atmospheric partial pressure of CO (pCO), which has large consequences for phytoplankton. To test how higher CO availability affects different traits of the toxic dinoflagellate Alexandrium ostenfeldii, we exposed three strains of the same population to 400 and 1,000 µatm CO, and measured traits including growth rate, cell volume, elemental composition, C fractionation, toxin content, and volatile organic compounds (VOCs). Strains largely increased their growth rates and particulate organic carbon and nitrogen production with higher pCO and showed significant changes in their VOC profile.

Preferred and actual mode of delivery in relation to fear of childbirth.

Purpose: This prospective cohort study aimed to investigate the interrelation between preferred/actual mode of delivery and pre- and postpartum fear of childbirth (FOC).

Material And Methods: Participants from 13 midwifery practices and four hospitals in Southwest Netherlands filled out questionnaires at 30 weeks' gestation ( = 561) and two months postpartum ( = 463), including questions on preferred mode of delivery, the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) and Hospital Anxiety Depression Scale (HADS). Results were related to obstetric data.

Millennial-Scale Climate Variability and Dinoflagellate-Cyst-Based Seasonality Changes Over the Last ~150 kyrs at "Shackleton Site" U1385.

During the last glacial period, climate conditions in the North Atlantic region were determined by the alternation of relatively warm interstadials and relatively cool stadials, with superimposed rapid warming (Dansgaard-Oeschger) and cooling (Heinrich) events. So far little is known about the impact of these rapid climate shifts on the seasonal variations in sea surface temperature (SST) within the North Atlantic region. Here, we present a high-resolution seasonal SST record for the past 152 kyrs derived from Integrated Ocean Drilling Program "Shackleton" Site U1385, offshore Portugal.

Is fear of childbirth related to the woman's preferred location for giving birth? A Dutch low-risk cohort study.

Background: In The Netherlands, women with low-risk pregnancy are routinely given the option of home birth, providing a unique opportunity to study the relationship between fear of childbirth (FOC) and preference for childbirth location, and whether women experience higher FOC when the actual location differs from their preference.

Methods: In this prospective cohort study, 331 nulliparous and parous women completed a questionnaire at gestational week 30 (T1) and two months postpartum (T2). FOC was assessed using versions A (T1) and B (T2) of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ).

Widespread Warming Before and Elevated Barium Burial During the Paleocene-Eocene Thermal Maximum: Evidence for Methane Hydrate Release?

Current climate change may induce positive carbon cycle feedbacks that amplify anthropogenic warming on time scales of centuries to millennia. Similar feedbacks might have been active during a phase of carbon cycle perturbation and global warming, termed the Paleocene-Eocene Thermal Maximum (PETM, 56 million years ago). The PETM may help constrain these feedbacks and their sensitivity to warming.

Reducing errors in the administration of medication with infusion pumps in the intensive care department: A lean approach.

Background: Medication errors occur frequently and may potentially harm patients. Administering medication with infusion pumps carries specific risks, which lead to incidents that affect patient safety.

Objective: Since previous attempts to reduce medication errors with infusion pumps failed in our intensive care unit, we chose the Lean approach to accomplish a 50% reduction of administration errors in 6 months.

Midwives' practices and knowledge about fear of childbirth and postpartum posttraumatic stress disorder.

Background: Women suffering from fear of childbirth and postpartum posttraumatic stress disorder are often not recognised by health care professionals.

Aim: To evaluate practices, knowledge and the attitudes of midwives towards women with fear of childbirth and postpartum posttraumatic stress disorder.

Methods: A cross-sectional study was performed amongst midwives who work in community practices and hospitals in the Netherlands with the use of a questionnaire purposefully designed for this research aim.

Estimating regional flood discharge during Palaeocene-Eocene global warming.

Among the most urgent challenges in future climate change scenarios is accurately predicting the magnitude to which precipitation extremes will intensify. Analogous changes have been reported for an episode of millennial-scale 5 °C warming, termed the Palaeocene-Eocene Thermal Maximum (PETM; 56 Ma), providing independent constraints on hydrological response to global warming. However, quantifying hydrologic extremes during geologic global warming analogs has proven difficult.