System-level recommendations for improved wellness for gynecologic oncologists: A Society of Gynecologic Oncology Review.

Burnout and its negative sequelae are a persistent problem in gynecologic oncology, threatening the health of our physician workforce. Individual-level interventions such as stress management training, physical activity, and sleep hygiene only partially address this widespread, systemic crisis rooted in the extended work hours and stressful situations associated with gynecologic oncology practice. There is an urgent need for systematic, institution-level changes to allow gynecologic oncologists to continue the crucial work of caring for people with gynecologic cancer. We present recommendations for institution-level changes which are grounded in the framework presented by the National Plan for Health Workforce Well-Being by the National Academy of Medicine. These are aimed at facilitating gynecologic oncologists' well-being and reduction of burnout. Recommendations include efforts to create a more positive and inclusive work environment, decrease administrative barriers, promote mental health, optimize electronic medical record use, and support a diverse workforce. Implementation and regular evaluation of these interventions, with specific attention to at-risk groups, is an important next step.

Variation of phytoplankton assemblages of Kongsfjorden in early autumn 2012: a microscopic and pigment ratio-based assessment.

Phytoplankton species distribution and composition were determined by using microscopy and pigment ratios in the Kongsfjorden during early autumn 2012. Variation in sea surface temperature (SST) was minimal and matched well with satellite-derived SST. Nutrients were generally limited. Surface phytoplankton abundance ranged from 0.21 × 10(3) to 10.28 × 10(3) cells L(-1). Phytoplankton abundance decreased with depth and did not show any significant correlation with chlorophyll a (chl a). Column-integrated phytoplankton cell counts (PCC) ranged from 94.3 × 10(6) cells m(-2) (Kf4) to 13.7 × 10(6) cells m(-2) (Kf5), while chl a was lowest at inner part of the fjord (6.3 mg m(-2)) and highest towards the mouth (24.83 mg m(-2)). Biomass from prymnesiophytes and raphidophytes dominated at surface and 10 m, respectively. The contribution of Bacillariophyceae to biomass was low. Generally, heterotrophic dinoflagellates were great in abundance (12.82 %) and ubiquitous in nature and were major contributors to biomass. Various chl pigments (chl b, chl c, phaeopigments (phaeo)) were measured to obtain pigment/chl a ratios to ascertain phytoplankton composition. Phaeo were observed only in inner fjord. Chl b:a ratios and microscopic observations indicated dominance of Chlorophyceae at greater depths than surface. Furthermore, microscopic observations confirmed dominance of chl c containing algae throughout the fjord. The study indicates that pigment ratios can be used as a tool for preliminary identification of major phytoplankton groups. However, under the presence of a large number of heterotrophic dinoflagellates such as Gymnodinium sp. and Gyrodinium sp., pigment signatures need to be supplemented by microscopic observations.

Response of micro- and mesozooplankton in the southwestern Bay of Bengal to a cyclonic eddy during the winter monsoon, 2005.

A cyclonic eddy (CE) in the southwestern Bay of Bengal (SWBoB; 10-15° N; 81-87° E) during winter monsoon 2005 and associated changes in the open ocean hydrography and productivity patterns were studied using satellite observations and in situ measurements. Analysis of the satellite-derived sea surface height anomaly (SSHA) indicated the existence of a large eddy (10-15° N; 81-87° E) from November to January, with its core centered at 13° N and 82° E. The large positive wind stress curl (~1.8 × 10(-7) N m(-2)) and resultant Ekman pumping (~3 × 10(-2) cm s(-1)) were identified as the prominent forcing mechanisms. In addition, the cyclonic storms and depressions experienced in the region during the study period seem to have served to maintain the strength of the CE through associated Ekman pumping. The cold (~26.6 °C), nutrient-enriched (NO3 > 2 µM, PO4 > 0.73 µM and SiO4 > 3 µM) upwelled waters in the upper layers of the CE enhanced the biological production (chl. a > 0.56 mg m(-3)). Dissolved oxygen in the surface waters was > 200 µM. The phytoplankton and zooplankton biomass recorded during the season was comparable or perhaps higher than the peak values reported from the northeastern Arabian Sea (chlorophyll a concentrations of 0.2 to 0.4 mg m(-3) and zooplankton biovolume 0.6 ml m(-3)) during winter. Occurrence of a higher mesozooplankton biovolume (0.8 ml m(-3)) and relatively low abundance of microzooplankton indicates the prevalence of a short food chain. In conclusion, high biological production, both at primary as well as secondary level, suggests the prevalence of an efficient food web as a result of physical forcing and subsequent ecological interactions evident up to tertiary level in an oligotrophic basin like BoB.

Characteristics of a cyclonic eddy and its influence on mesozooplankton community in the northern Bay of Bengal during early winter monsoon.

Characteristics of a cold-core eddy and its influence on the mesozooplankton community were studied along the central (87° E) Bay of Bengal during winter monsoon (November 2008) based on in situ data. The thermo-haline structure and the satellite-derived sea level anomaly maps showed the presence of a cyclonic eddy between 16° N and 20° N. The nutrient enhancement due to the eddy pumping in the euphotic column (∼ 50 m) had resulted in high chlorophyll a concentration, a factor of 8 times higher than that outside the eddy, which led to higher mesozooplankton biovolume (0.35 ± 0.36 ml m(-3)) and abundance (276 ± 184 ind m(-3)). The northern cyclonic eddy (NCE) seems to exist for approximately 6 months between July and January. During summer, the NCE is forced by local wind stress curl and the resultant Ekman pumping, whereas during fall and early phase of the winter, it is sustained by westward propagating semi-annual Rossby waves. The longer existence of NCE in the study region, which originated 6 months prior to the present observation, provides a favourable environment for the mesozooplankton community to grow and reproduce, resulting in noticeable increase in the biovolume. Hence, the persistent and longer existence of NCE significantly influences the biological production of the generally oligotrophic BoB, making it locally biologically 'active'.

Biological response to physical processes in the Indian Ocean sector of the Southern Ocean: a case study in the coastal and oceanic waters.

The spatial variation of chlorophyll a (Chl a) and factors influencing the high Chl a were studied during austral summer based on the physical and biogeochemical parameters collected near the coastal waters of Antarctica in 2010 and a zonal section along 60°S in 2011. In the coastal waters, high Chl a (>3 mg m(-3)) was observed near the upper layers (∼15 m) between 53°30'E and 54°30'E. A comparatively higher mesozooplankton biomass (53.33 ml 100 m(-3)) was also observed concordant with the elevated Chl a. Low saline water formed by melting of glacial ice and snow, as well as deep mixed-layer depth (60 m) due to strong wind (>11 ms(-1)) could be the dominant factors for this biological response. In the open ocean, moderately high surface Chl a was observed (>0.6 mg m(-3)) between 47°E and 50°E along with a Deep Chlorophyll Maximum of ∼1 mg m(-3) present at 30-40 m depth. Melt water advected from the Antarctic continent could be the prime reason for this high Chl a. The mesozooplankton biomass (22.76 ml 100 m(-3)) observed in the open ocean was comparatively lower than that in the coastal waters. Physical factors such as melting, advection of melt water from Antarctic continent, water masses and wind-induced vertical mixing may be the possible reasons that led to the increase in phytoplankton biomass (Chl a).

Investigation of Black Carbon characteristics over southern ocean: Contribution of fossil fuel and biomass burning.

Black Carbon (BC) is an absorbing aerosol which has significant impact on the Earth - Atmosphere radiation balance and hence on climate. The variation of BC mass concentration and contribution of fossil fuel and biomass burning have been investigated over the Indian ocean sector of the Southern Ocean during austral summer. BC mass was in the range of 300-500 ng m-3 between 23.3oS to 24.5oS followed by decrease in BC to 150 ng m-3 as moving to higher southern latitudes till 41oS latitude. An increase in BC mass from 250 to 450 ng m-3 was found between 41 and 50oS due to trap of air masses by cyclonic wind and transport of aerosols from the southern part of African and eastern Madagascar regions. Higher BC concentration (250-350 ng m-3) was observed in the latitude range of 57-60oS which can be attributed to convergence of north-westerly and south-easterly winds. The dominant contributor to BC was fossil fuel, which was > 80% during half of the total observations, while > 20% biomass burning contributed to one fifth of observations. The coastal Antarctic region showed higher BC mass concentration with mixed type of contributions of biomass and fossil fuel. Such accumulation of BC near the Antarctic coast can have a crucial impact on the sea-ice albedo which significantly affect the Antarctic climate system locally and global climate in general.