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Is waging ‘war’ the only way to take on the coronavirus?

What do climate change, drugs, and Christmas have in common? The United States has supposedly been at “war” with all of them.

When facing any sort of crisis, big or small, Americans often frame the situation through the lens of a battle. So when coronavirus brought daily life in the United States to a halt last month, it seemed nearly inevitable that President Donald Trump would declare himself a “wartime president.”

“The world is at war with a hidden enemy,” he tweeted. “WE WILL WIN!”

Similar language has been invoked by leaders around the world. France’s President Emmanuel Macron deployed the phrase “we are at war” no less than six times in one speech last month. And in a rare special address to the United Kingdom last week, Queen Elizabeth II invoked the “Blitz spirit” of World War II, a time of shared sacrifice.

Wartime rhetoric serves as an aggressive moral appeal, drumming up emotion and calling people to action. But here’s the thing about the war on coronavirus: We’ve already lost it.

“I think war metaphors are best used as a mobilizing effort,” said Stephen Flusberg, an associate professor of psychology at Purchase College in New York. “And it’s too late in the United States. We’ve failed.”

If coronavirus were truly a “war,” the United States would be the best prepared in the world, with a so-called “defense” budget at $700 billion a year and climbing — more than what the next seven largest countries spend added together. What the country was unprepared for was a pandemic, something infectious disease experts had warned was eventually coming.

Warlike language has been part of our speech for so long, it usually goes unnoticed. When the Spanish Flu hit England in the summer of 1918, newspapers warned their readers to prepare “defenses” against the disease. Soon enough, they described the flu as a “new foe,” and people freaked out, panic-buying quinine. It sounds all too familiar to anyone who’s been following the news of coronavirus, which the New York Times first painted as a “mystery” illness in January, something to “combat” in February, and an “all-out war” in March.

Fighting words have their time and place, language experts say, but public discourse seems to get stuck fighting everything. Studies show that this framing can paralyze people with fear and limit our collective imagination about what can be done to fix complex problems. In times of pandemic, calling the virus an “invisible enemy” can evoke xenophobia and racism. The framing primes people to view problems like climate change as a battlefield — this side vs. that side — widening partisan divides while obscuring any common ground.

“When a metaphor is used again and again and again, it really makes people experience something in those terms,” said Veronika Koller, a linguist at Lancaster University in England. In other words, people start to feel like they’re living in wartime. This can help governments gain public support for short-term actions that would normally be unpopular, like closing borders or exercising emergency powers. But for a prolonged crisis, it results in fatigue, Koller said. From climate change to cancer to coronavirus, the struggle is not a matter of weeks, but months, years, and decades.

Researchers say that it’s clear we need a new way to discuss big problems, a broader repertoire of metaphors to choose from. “There’s a paucity of the imagination around insurmountable challenges,” said Brent Ryan Bellamy, an instructor at Trent University in Canada.

Last week, Trump tweeted, “The Invisible Enemy will soon be in full retreat!” Though he didn’t mention the virus, no one seemed confused by what he was referring to — a sign that the war narrative has firmly taken hold. But others are already describing the pandemic in creative terms, comparing the government’s response to a storyline in a Harry Potter book, or practicing social distancing to a string section playing quietly (it only works, after all, if everyone does it). A group of linguists are attempting to #ReframeCovid, tracking international efforts to put new words to the crisis.

Flipping the usual script can lead to fresh critiques, new alliances, and eventually, if the new metaphors take hold, different ways to cope.

Coming next week: A look at efforts to use a new vocabulary to take on social problems.

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Is waging ‘war’ the only way to take on the coronavirus?

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Unlikely Friendships – Jennifer S. Holland

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Unlikely Friendships

47 Remarkable Stories from the Animal Kingdom

Jennifer S. Holland

Genre: Nature

Price: $9.99

Publish Date: June 15, 2011

Publisher: Workman Publishing

Seller: OpenRoad Integrated Media, LLC


The “irresistible” New York Times bestseller that “features heartwarming stories of interspecies love and adorable photographs” ( The New York Times Book Review ). Written by National Geographic magazine writer Jennifer Holland, Unlikely Friendships documents one heartwarming tale after another of animals who, with nothing else in common, bond in the most unexpected ways. A cat and a bird. A mare and a fawn. An elephant and a sheep. A snake and a hamster. The well-documented stories of Koko the gorilla and All Ball the kitten; and the hippo Owen and the tortoise Mzee. And almost inexplicable stories of predators befriending prey—an Indian leopard slips into a village every night to sleep with a calf. A lionness mothers a baby oryx. Holland narrates the details and arc of each story, and offers insights into why—how the young leopard, probably motherless, sought maternal comfort with the calf, and how a baby oryx inspired the same mothering instinct in the lionness. Or, in the story of Cashew, the lab mix that was losing his eyesight, and Libby, the stray cat who began to guide the dog’s way through the house and yard. With Libby, Cashew lived out his last few years with loving support and a lasting friendship. These are the most amazing friendships between species, collected from around the world and documented in a selection of full-color candid photographs. “The feel-good book of the summer—maybe the year—may very well be Unlikely Friendships .” — USA Today “With aww-inducing photographs, the book highlights the most improbable animal connections.” — National Geographic

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Unlikely Friendships – Jennifer S. Holland

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10 Women Who Changed Science and the World – Catherine Whitlock & Rhodri Evans

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10 Women Who Changed Science and the World

Catherine Whitlock & Rhodri Evans

Genre: History

Price: $11.99

Publish Date: June 11, 2019

Publisher: Diversion Books

Seller: OpenRoad Integrated Media, LLC


Spanning the nineteenth and twentieth centuries, this fascinating history explores the lives and achievements of great women in science across the globe.   Ten Women Who Changed Science and the World tells the stories of trailblazing women who made a historic impact on physics, biology, chemistry, astronomy, and medicine. Included in this volume are famous figures, such as two-time Nobel Prize winner Marie Curie, as well as individuals whose names will be new to many, though their breakthroughs were no less remarkable.   These women overcame significant obstacles, discrimination, and personal tragedies in their pursuit of scientific advancement. They persevered in their research, whether creating life-saving drugs or expanding our knowledge of the cosmos. By daring to ask ‘How?’ and ‘Why?’, each of these women made a positive impact on the world we live in today.   In this book, you will learn about:   Astronomy Henrietta Leavitt (United States, 1868–1921) discovered the period-luminosity relationship for Cepheid variable stars, which enabled us to measure the size of our galaxy and the universe.   Physics Lise Meitner (Austria, 1878–1968) fled Nazi Germany in 1938, taking with her the experimental results which showed that she and Otto Hahn had split the nucleus and discovered nuclear fission.   Chien-Shiung Wu (United States, 1912–1997) demonstrated that the widely accepted ‘law of parity’, which stated that left-spinning and right-spinning subatomic particles would behave identically, was wrong.   Chemistry Marie Curie (France, 1867–1934) became the only person in history to have won Nobel prizes in two different fields of science.   Dorothy Crowfoot Hodgkin (United Kingdom, 1910–1994) won the Nobel Prize for Chemistry in 1964 and pioneered the X-ray study of large molecules of biochemical importance.   Medicine Virginia Apgar (United States, 1909–1974) invented the Apgar score, used to quickly assess the health of newborn babies.   Gertrude Elion (United States, 1918–1999) won the Nobel Prize for Physiology or Medicine in 1988 for her advances in drug development.   Biology Rita Levi-Montalcini (Italy, 1909–2012) won the Nobel Prize for Physiology or Medicine in 1986 for her co-discovery in 1954 of Nerve Growth Factor (NGF).   Elsie Widdowson (United Kingdom, 1906–2000) pioneered the science of nutrition and helped devise the World War II food-rationing program.   Rachel Carson (United States, 1907–1964) forged the environmental movement, most famously with her influential book Silent Spring .

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10 Women Who Changed Science and the World – Catherine Whitlock & Rhodri Evans

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Relax, The Day After Tomorrow isn’t going to happen, like, tomorrow

Back in 2004, the blockbuster disaster film The Day After Tomorrow introduced the world to the important role that the Atlantic Ocean’s circulation might play in kicking climate change into overdrive. The ocean’s heat-transport system collapses in the movie, unleashing a tidal wave on New York City, spawning continent-sized superstorms, and freezing much of the Northern Hemisphere.

More than a decade later, mainstream science is still fighting the popular perception that abrupt climate change might just happen one afternoon — a ridiculous notion that skews our perception of the massive real-world consequences climate change is already bringing.

Problem is, there’s a thread of truth to that movie’s skewed premise: We know the Atlantic’s circulation is slowing down. And we know it’s expected to slow down in the future because of climate change. But the evidence of a catastrophic collapse anytime soon remains extremely tenuous.

This week, two teams of researchers published new evidence in the journal Nature that the Atlantic Ocean’s circulation is now at its weakest in at least the past 1,600 years.

Taken at face value, this news is troubling. If the Atlantic’s circulation continues to slow dramatically, it would mean changes in European weather, drought in central and west Africa, fluctuations in hurricane frequency, and sharp rises in sea level on the east coast of the United States as ocean water from the wind-driven Gulf Stream current piled up without an escape route.

Dig further, however, and you’ll find that there are reasons not to lose too much sleep over a looming ocean-triggered apocalypse.

The initial wave of news coverage this time around has been predictably dire, even for jaded journalists routinely confronted with the possibility of climate-induced civilizational collapse.

Take this line from the Washington Post’s coverage: “The Atlantic Ocean circulation that carries warmth into the Northern Hemisphere’s high latitudes is slowing down because of climate change, a team of scientists asserted Wednesday, suggesting one of the most feared consequences is already coming to pass.” Others went further: “Gulf Stream current at ‘record low’ with potentially devastating consequences for weather, warn scientists,” read a headline in The Independent.

Deep breaths, people. The truth isn’t quite so scary.

For starters, these results aren’t especially new. Similar work in 2015 showed largely the same thing — a slowdown coinciding with the rise of industrial civilization. Sure enough, a persistent cool spot has started to appear over the North Atlantic in recent years, just south of Greenland, exactly where we’d expect one if a slowdown was underway.

In phone and email conversations with Grist, the lead authors of both papers as well as outside experts strongly cautioned against making too much of the new research.

“I would not call it a global catastrophe,” says Levke Caesar, a physicist at Germany’s Potsdam Institute for Climate Impact Research and lead author of the first paper.

David Thornalley, a geographer at University College London and lead author of the second paper, mostly agrees. He says the best data available suggests that most likely the Atlantic Ocean’s circulation will gradually weaken over the next century. While that doesn’t rule out a collapse scenario, he says, “We don’t know how close we are to a tipping point.”

Other experts who study the Atlantic Meridional Overturning Circulation (AMOC), the scientific name for this phenomenon, say that recent news coverage has twisted their colleagues’ work out of context.

Isabela Astiz Le Bras, a physical oceanographer at Scripps Institution of Oceanography in San Diego, says that direct measurements of the AMOC taken over the past 20 years “do not reflect the reported trends” that media coverage has latched on to. That’s partly because the new papers rely on indirect approximations, or proxies, of the AMOC.

“It seems like the uncertainty has been underplayed in the media, and the implications blown out of proportion, which is unfortunate,” Le Bras says.

Martha Buckley, an oceanographer at George Mason University, goes even further. She disputes the claim that the circulation has slowed down primarily as a result of climate change, mostly because there just isn’t enough evidence yet.

“I do not believe the framing of this research as a global catastrophe is supported by the science,” she says. “Furthermore, I believe it detracts from the imminent and certain impacts of climate change, such as sea level rise, more heat waves, melting of ice, and ocean acidification.”

Setting aside possible human influence, the strength of the AMOC varies a lot naturally. David Smeed, an oceanographer at the National Oceanography Centre in Southampton, United Kingdom, is the principal investigator for the leading effort to directly measure the AMOC, which he and his colleagues began in 2004.

“From our measurements that we make, so far what we’ve observed is consistent with natural variability,” Smeed says. “To detect an anthropogenic change, when we compare with the climate models, we realize that we need to measure a lot longer before we’d be able to detect that signal.”

At an international scientific meeting this summer, researchers will present their latest results and hash out their differences.

There is evidence that a sudden slowdown has happened before, about 30,000 years ago, an era defined by stronger storms and sudden sea-level rise. Another collapse would take years — not hours as in The Day After Tomorrow — and Buckley says not a single model predicts this scenario for this century without invoking simultaneous collapses in other climate systems, like the Greenland ice sheet.

But precisely because the AMOC has collapsed relatively quickly before, Thornally says, it’s worth worrying about now, especially because man-made climate change is creating “the right conditions for it to happen” — even if those conditions haven’t been met yet.

The media, says Thornalley, are “right to flag it as something that is potentially catastrophic, though catastrophic obviously in a different way than in a movie.”

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Relax, The Day After Tomorrow isn’t going to happen, like, tomorrow

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The National Park Service has both a sexual harassment and a discrimination problem.

In parts of the United Kingdom Monday morning, people woke up to a blood-red sun — a phenomenon seen around the globe this year.

The color was caused by smoke that blew in from wildfires across Portugal and Spain. Hurricane Ophelia deepened the reddish hue by dragging up dust from the Sahara.

Red skies have haunted the western U.S. recently as wildfires burned in Montana and ash rained down in Seattle. This month in Northern California, 20,000 people evacuated from massive wildfires under a red-orange sky.

Anadolu Agency / Contributor / Getty Images

On the other side of the world, wildfires burned in Siberia all summer long, covering the sun with enormous clouds of smoke and ash.

REUTERS/Ilya Naymushin

To understand why this happens, you need to know a bit of optics. Sun rays contain light from the whole visible spectrum. As the sun’s white light beams into the atmosphere, it collides with molecules that diffuse some of the wavelengths. On a normal day, short wavelength colors, like purple and blue, are filtered out, making the sun look yellow.

But high concentrations of light-scattering molecules in the air (like smoke particles from a wildfire) crowd out more of those short-wavelength colors, leaving behind that hellish red color.

Since climate change makes wildfires worse, we’ll be seeing a lot more of it.

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The National Park Service has both a sexual harassment and a discrimination problem.

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Ophelia is the strongest storm to hit Ireland in at least 50 years.

In parts of the United Kingdom Monday morning, people woke up to a blood-red sun — a phenomenon seen around the globe this year.

The color was caused by smoke that blew in from wildfires across Portugal and Spain. Hurricane Ophelia deepened the reddish hue by dragging up dust from the Sahara.

Red skies have haunted the western U.S. recently as wildfires burned in Montana and ash rained down in Seattle. This month in Northern California, 20,000 people evacuated from massive wildfires under a red-orange sky.

Anadolu Agency / Contributor / Getty Images

On the other side of the world, wildfires burned in Siberia all summer long, covering the sun with enormous clouds of smoke and ash.

REUTERS/Ilya Naymushin

To understand why this happens, you need to know a bit of optics. Sun rays contain light from the whole visible spectrum. As the sun’s white light beams into the atmosphere, it collides with molecules that diffuse some of the wavelengths. On a normal day, short wavelength colors, like purple and blue, are filtered out, making the sun look yellow.

But high concentrations of light-scattering molecules in the air (like smoke particles from a wildfire) crowd out more of those short-wavelength colors, leaving behind that hellish red color.

Since climate change makes wildfires worse, we’ll be seeing a lot more of it.

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Ophelia is the strongest storm to hit Ireland in at least 50 years.

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Mohsin Hamid’s Resistance Reading

Mother Jones

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We asked a range of authors and creative types to recommend books that bring solace and/or understanding in this age of rancor. More than two dozen responded. Since the publication of his first novel, Moth Smoke, in 2000, the Pakistani novelist Mohsin Hamid (read our recent interview) has won a Man Booker Prize, has had his best-selling works adapted for film and translated into 35 languages, and has been named one of Foreign Policy magazine’s “Leading Global Thinkers.” We conclude our author series with Hamid’s selections.

Latest book: Exit West
Also known for: How to Get Filthy Rich in Rising Asia
Reading recommendations:
Beloved, by Toni Morrison, because it is so beautiful and so harrowing and because it slaps us in the face with just how viscerally vicious the oppression of human beings by other human beings can be. (And how echoes never cease.) Kingdom’s End, by Saadat Hasan Manto because Manto writes about the violence and craziness and tribalism that occurred around the separation of India and Pakistan, and because he reminds us that humor is one of our most potent responses to the absurdity of tyranny. And Fantastic Mr. Fox, by Roald Dahl, because he takes us into the world of imperfect but resolutely defiant characters who triumph in the face of impossible odds, and because no matter how powerful the mechanical shovels that come for us, we can always dig, dig, until we make a better world.
______________
The complete series: Daniel Alarcón, Kwame Alexander, Margaret Atwood, W. Kamau Bell, Ana Castillo, Jeff Chang, T Cooper, Michael Eric Dyson, Dave Eggers, Reza Farazmand, William Gibson, Mohsin Hamid, Piper Kerman, Phil Klay, Alex Kotlowitz, Bill McKibben, Rabbi Jack Moline, Siddhartha Mukherjee, Peggy Orenstein, Wendy C. Ortiz, Darryl Pinckney, Joe Romm, Karen Russell, George Saunders, Tracy K. Smith, Ayelet Waldman, Jesmyn Ward, and Gene Luen Yang.

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Mohsin Hamid’s Resistance Reading

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A Brief History of GPS—from James Bond to Pokémon Go

Mother Jones

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In our current print edition—why, yes! Mother Jones does have a fabulous print magazine, to which you can subscribe at a ridiculously low price—science writer David Dobbs explores the neuroscience of GPS smartphone apps like Waze and Google Maps, and the strange fact that heavy reliance on their step-by-step instructions might literally be messing with our brains. Speaking of brains, it’s time to fill yours with this fun history of the technology that lets us track wandering grandpas and wayward teens, catch Pokémon, and, you know, “bomb the shit out of” ISIS-controlled oil facilities.

1956

Sci-fi author Arthur C. Clarke envisions “a position-finding grid whereby anyone on earth could locate himself by means of a couple of dials on an instrument about the size of a watch…No one on the planet need ever get lost…unless he wanted to be.”

1957

The Soviet Union sends Sputnik into orbit; US officials scramble to catch up.

1960

The Navy tests Transit, a satellite program to mark ship positions every 90 minutes.

Early 1960s

Radio collars for Yellowstone’s grizzlies are among the first remote tracking devices created for nonmilitary use.

Vassiliy Vishnevskiy/iStock

1964

A navigation unit on the dash of James Bond’s Aston Martin helps 007 find the headquarters of his evil nemesis Auric Goldfinger.

1973

The Pentagon unveils the Navstar Global Positioning System, a satellite program intended to supplant separate (and jealously guarded) Navy and Air Force systems. These branches try “various tactics to get GPS watered down or defunded,” notes Yale historian Bill Rankin. But the “GPS mafia” prevails: The first satellite goes up in 1978.

Rockwell Clark/National Air and Space Museum, Smithsonian Institution

1983

Korean Airlines Flight 007 is shot down after straying into Soviet airspace. President Ronald Reagan declassifies GPS technology as a means to avoid similar incidents.

Late 1980s

To avoid giving advanced targeting capabilities to America’s enemies, the Pentagon degrades the civilian GPS signal to make it less accurate.

1989

The Magellan GPS Nav 1000, the first commercial unit, goes on sale for $3,000. It weighs 1.5 pounds and runs for a few hours on six AA batteries.

1991

Operation Desert Storm marks the Army’s first battlefield use of GPS, but receivers are in short supply. Soldiers beg their families to send commercial units.

1992

Kick-started by military demand, the civilian market explodes. In five years, the price of a GPS receiver plummets from $1,000 to $100.

1994

General Motors offers GuideStar navigation on the Oldsmobile 88. It costs $2,000 and service is spotty. Skeptical execs limit the rollout to just four states.

1999

Benefon markets the first GPS-enabled cellphone, and Casio rolls out the first GPS wristwatch.

Casio

2000

President Bill Clinton upgrades the civilian GPS signal, making it accurate to 40 feet or better. (Military GPS can guide bombs to within centimeters of a target.) One result is “geocaching,” a global treasure hunt that eventually includes more than 2 million secret stashes.

2005

Google rolls out a mobile map app. And after a wave of nativity scene thefts, a Manhattan security firm offers GPS locators to plant on at-risk baby Jesuses.

Henrique NDR Martins/iStock

2006

GTX Corp. markets a shoe with GPS inserts to help families track forgetful grandparents.

Smart Soles

2008

Apple gives the iPhone GPS capabilities.

2011

Russia makes its navigation system globally accessible and China, Japan, and India plan their own, Rankin says, to “de-Americanize global coordinates.”

2012

Parallel Kingdom, a GPS role-playing game, gets its millionth user.

2014

Artist Jeremy Wood drives 9,750 miles in 44 days, tracking his movements with GPS software to create the world’s largest drawing.

Vauxhall

2015

Requests for AAA road maps are down 50 percent from a decade earlier. Meanwhile, the Navy, worried that cyberattacks will knock out GPS, resumes teaching cadets celestial navigation, a practice it largely abandoned in 1998.

2016

GPS satellites get off by 13 microseconds, resulting in a 12-hour global telecom glitch.

2016

Pokemon Go players tumble off cliffs, crash their cars, and get robbed at “Pokestops” set up by crooks. The National Safety Council “urges gamers to consider safety over their scores before a life is lost.” Weeks later, a college student is fatally shot while hunting for virtual creatures in a San Francisco park.

CTRPhotos/iStock

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A Brief History of GPS—from James Bond to Pokémon Go

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Antarctica is about to lose a chunk of ice the size of Delaware

the biggest loser

Antarctica is about to lose a chunk of ice the size of Delaware

By on Aug 24, 2016Share

This story was originally published by Huffington Post and is reproduced here as part of the Climate Desk collaboration.

A massive crack in one of Antarctica’s largest ice shelves has grown exponentially in recent months, and scientists worry a break-off could destabilize the entire structure.

For two years, United Kingdom-based Project MIDAS has been monitoring a large rift in the Larsen C ice shelf, located on the northern end of the Antarctic peninsula. And if the project’s latest findings are any indication, Larsen C could be headed for a similar fate as nearby Larsen A and Larsen B, which collapsed and disintegrated in 1995 and 2002, respectively.

Since March, the last time satellites were able to observe Larsen C, Project MIDAS said the crack has extended nearly 14 miles ― about three miles per month.

“As this rift continues to extend, it will eventually cause a large section of the ice shelf to break away as an iceberg,” according to the report.

Now, measuring some 80 miles in length, the crack could ultimately dislodge a chunk of ice the size of Delaware, The Washington Post reports.

At 21,000 square miles, Larsen C is the largest ice shelf in the region, according to a 2015 report. In recent years, however, what was once a small fracture has rapidly moved through the frozen structure, widening to more than 1,000 feet. The crack, scientists wrote in last year’s report, “is likely in the near future to generate the largest calving event since the 1980s and result in a new minimum area for the ice shelf.”

Project MIDAS previously estimated the breakaway would remove between 9 and 12 percent of the ice shelf.

“The trajectory of the rift now implies that the higher of these two estimates is more likely,” the MIDAS team wrote in its post last week. “Computer modeling suggests that the remaining ice could become unstable, and that Larsen C may follow the example of its neighbor Larsen B, which disintegrated in 2002 following a similar rift-induced calving event.”

In 2014, more than a decade after its collapse, scientists determined the event was triggered by warming air temperatures.

Since ice shelves float on the ocean’s surface, the calving event wouldn’t immediately raise sea levels. An event of this scale, however, could destabilize the entire shelf, resulting in its disintegration and the release of the glacier ice it holds back ― ultimately raising sea levels.

As for when the iceberg will make its break, that’s hard to say, Martin O’Leary, a glaciologist at Swansea University in the United Kingdom, told The Washington Post.

It’s a lot like predicting an earthquake ― exact timings are hard to come by,” he told the Post. “Probably not tomorrow, probably not more than a few years.”

When it does, it could spark a vanishing act that resembles what happened at Larsen B, which NASA highlights in the video below:

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Antarctica is about to lose a chunk of ice the size of Delaware

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The Biggest Threat to Women’s Health That No One Talks About

Mother Jones

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The lady doctors are disappearing, right when women need them the most.

According to the American College of Nurse-Midwives, nearly half of all counties in the United States don’t have a single OB-GYN. That’s a problem because, as Pew Charitable Trusts reports, the overall population is expected to boom by 18 percent between 2010 and 2030, and that means more women and babies who need health care. Maternal deaths are already high in the United States compared with other developed countries—there are 18.5 deaths for every 100,000 live births, compared with 8.2 in Canada and 6.1 in Japan and the United Kingdom.

And while the number of births increases, the number of practicing OB-GYNs is projected to decrease even more. The American Congress of Obstetricians and Gynecologists (ACOG) estimates that the United States will face a shortage of OB-GYNs—6,000 to 8,800 fewer of them than necessary—by 2020. By 2050, that shortage will grow to 22,000.

Why? A few reasons. First, the number of medical students choosing to specialize in obstetrics and gynecology has remained relatively steady since 1980, but in the past couple of years, more than four out of five first-year OB-GYNs were women. That’s a change—like most medical specialties, the field used to be dominated by men. Thomas Gellhaus, president of ACOG, said female OB-GYNs tend to retire about a decade earlier than male OB-GYNs and tend to prefer part-time schedules.

Another factor: While OB-GYNs were once expected to be available around the clock, few doctors today will put up with such a demanding schedule. This change has given way to “laborists,” providers who work only in hospitals and focus strictly on labor and deliveries.

Finally, students going into obstetrics and gynecology today are choosing more lucrative subspecialties like gynecologic oncology and reproductive endocrinology and fertility, leaving a gap in routine gynecological care providers. Opting for a subspecialty over a general OB-GYN practice could mean up to a $100,000 annual difference in salary.

One potential solution: Let certified nurse-midwives pick up the slack. A California bill introduced by state Assemblywoman Autumn Burke would remove the requirement that nurse-midwives—registered nurses who have also completed an accredited nurse-widwifery program and passed an exam given by the American Midwifery Certification Board—practice under the supervision of doctors. Pew reports that the number of nurse-midwives in the United States has risen as states have relaxed restrictions—the profession has grown by 30 percent since 2012.

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The Biggest Threat to Women’s Health That No One Talks About

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