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.

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).