Description: The stable carbon isotope composition of dissolved inorganic carbon (δ13C-DIC) can be used to quantify fluxes within the carbon system. For example, knowing the δ13C signature of the inorganic carbon pool can help in describing the amount of anthropogenic carbon in the water column. The measurements can also be used for evaluating modeled carbon fluxes, for making basin-wide estimates of anthropogenic carbon, and for studying seasonal and interannual variability or decadal trends in interior ocean biogeochemistry. For all these purposes, it is not only important to have a sufficient amount of data, but these data must also be internally consistent and of high quality. In this study, we present a δ13C-DIC dataset for the North Atlantic which has undergone secondary quality control. The data originate from oceanographic research cruises between 1981 and 2014. During a primary quality control step based on simple range tests, obviously bad data were flagged. In a second quality control step, biases between measurements from different cruises were quantified through a crossover analysis using nearby data of the respective cruises, and values of biased cruises were adjusted in the data product. The crossover analysis was possible for 24 of the 32 cruises in our dataset, and adjustments were applied to 11 cruises. The internal accuracy of this dataset is 0.017 ‰.

Description: The Labrador Sea is important for the modern global thermohaline circulation system through the formation of intermediate Labrador Sea Water (LSW) that has been hypothesized to stabilize the modern mode of North Atlantic deep-water circulation. The rate of LSW formation is controlled by the amount of winter heat loss to the atmosphere, the expanse of freshwater in the convection region and the inflow of saline waters from the Atlantic. The Labrador Sea, today, receives freshwater through the East and West Greenland currents (EGC, WGC) and the Labrador Current (LC). Several studies have suggested the WGC to be the main supplier of freshwater to the Labrador Sea, but the role of the southward flowing LC in Labrador Sea convection is still debated. At the same time, many paleoceanographic reconstructions from the Labrador Shelf focussed on late deglacial to early Holocene meltwater run-off from the Laurentide Ice Sheet (LIS), whereas little information exists about LC variability since the final melting of the LIS about 7000 years ago. In order to enable better assessment of the role of the LC in deep-water formation and its importance for Holocene climate variability in Atlantic Canada, this study presents high-resolution middle to late Holocene records of sea surface and bottom water temperatures, freshening, and sea ice cover on the Labrador Shelf during the last 6000 years. Our records reveal that the LC underwent three major oceanographic phases from the mid- to late Holocene. From 6.2 to 5.6 ka, the LC experienced a cold episode that was followed by warmer conditions between 5.6 and 2.1 ka, possibly associated with the late Holocene thermal maximum. While surface waters on the Labrador Shelf cooled gradually after 3 ka in response to the neoglaciation, Labrador Shelf subsurface or bottom waters show a shift to warmer temperatures after 2.1 ka. Although such an inverse stratification by cooling of surface and warming of subsurface waters on the Labrador Shelf would suggest a diminished convection during the last 2 millennia compared to the mid-Holocene, it remains difficult to assess whether hydrographic conditions in the LC have had a significant impact on Labrador Sea deep-water formation.

Description: Background: This pilot study (ClinicalTrials.gov ID: NCT01507701) assessed the feasibility and safety of clonidine in adolescent chronic fatigue syndrome (CFS). Specifically, we assessed clonidine dosage in relation to a) plasma concentration levels, b) orthostatic cardiovascular responses, and c) possible adverse effects.FindingsFive adolescent CFS patients (14-19 years old) received 50 mug clonidine twice per day during 14 days in an open, uncontrolled design. Plasma concentration of clonidine was assayed by standard laboratory methods. Changes in orthostatic cardiovascular responses were assessed by a 20o head-up tilt-test (HUT). Adverse effects were mapped by a questionnaire.After 14 days, C0 median (range) of clonidine was 0.21 (0.18-0.36) mug/L, and Cmax median (range) of clonidine was 0.41 (0.38-0.56) mug/L. Also, supine blood pressures and heart rate were lower during clonidine treatment, and the HUT response was closer to the normal response. No serious adverse effects were registered. Conclusion: Clonidine 50 mug BID seems to be safe enough to proceed from a pilot study to a controlled trial in a select group of adolescents with CFS (ClinicalTrials.gov ID: NCT01040429).

Description: Background: Previous validation studies of sick leave measures have focused on self-reports. Register-based sick leave data are considered to be valid; however methodological problems may be associated with such data. A Danish national register on sickness benefit (DREAM) has been widely used in sick leave research. On the basis of sick leave records from 3,554 and 2,311 eldercare workers in 14 different workplaces, the aim of this study was to: 1) validate registered sickness benefit data from DREAM against workplace-registered sick leave spells of at least 15 days; 2) validate self-reported sick leave days during one year against workplace-registered sick leave. Methods: Agreement between workplace-registered sick leave and DREAM-registered sickness benefit was reported as sensitivities, specificities and positive predictive values. A receiver-operating characteristic curve and a Bland-Altman plot were used to study the concordance with sick leave duration of the first spell. By means of an analysis of agreement between self-reported and workplace-registered sick leave sensitivity and specificity was calculated. Ninety-five percent confidence intervals (95% CI) were used. Results: The probability that registered DREAM data on sickness benefit agrees with workplace-registered sick leave of at least 15 days was 96.7% (95% CI: 95.6-97.6). Specificity was close to 100% (95% CI: 98.3-100). The registered DREAM data on sickness benefit overestimated the duration of sick leave spells by an average of 1.4 (SD: 3.9) weeks. Separate analysis on pregnancy-related sick leave revealed a maximum sensitivity of 20% (95% CI: 4.3-48.1).The sensitivity of self-reporting at least one or at least 56 sick leave day/s was 94.5 (95% CI: 93.4 -- 95.5) % and 58.5 (95% CI: 51.1 -- 65.6) % respectively. The corresponding specificities were 85.3 (95% CI: 81.4 -- 88.6) % and 98.9 (95% CI: 98.3 -- 99.3) %. Conclusions: The DREAM register offered valid measures of sick leave spells of at least 15 days among eldercare employees. Pregnancy-related sick leave should be excluded in studies planning to use DREAM data on sickness benefit. Self-reported sick leave became more imprecise when number of absence days increased, but the sensitivity and specificity were acceptable for lengths not exceeding one week.