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Purpose: Based on the various streams of distance literature in management, a framework is provided to make discourses on distance clear. Design / Method / Approach: After a review of the most relevant distance concepts, a typology with five categories is introduced, which are then applied to the most relevant distance concepts in management. Findings: A clear typology helps to clearly define and differentiate the various streams of distance literature. Theoretical implications: With the conceptual categories ‘topic’, ‘dimensionality’, and ‘level of analysis’, and the empirical categories ‘variables’ and ‘distance calculation’, distance concepts become more consistent. Practical implications: With a terminology for the different aspects of distance, practitioners can focus more clearly on specific remedies to bridge distance. Originality / Value: The paper offers a new typology of different elements of distance. Research limitations / Future research: The introduced typology will aid in the discussion of distance in management. Paper type (empirical / conceptual): conceptual

Purpose. Drawing on the concept of dynamic managerial capabilities, to propose a model that incorporates managerial human and social capital, and managerial cognition in the dynamic capabilities framework. Design/Method/Approach. The study is an empirical in the context of the current conflict in the eastern Ukraine and is an analysis a non-profit field with an extremely high dynamic environment. The data was collected using a quantitative survey with 70 private corps, non-commissioned officers, and higher-ranked officers. Findings. The model provides a direct relationship between dynamic capabilities and dynamic managerial capabilities, whereby the latter is constituted by the perceived manager’s competence (manager’s human capital), manager’s team (manager’s social capital), and manager’s goal congruence towards the goals of the organization (managerial cognition). Theoretical implications. This paper expanded the body of research on dynamic managerial capabilities by developing the following arguments: (1) dynamic managerial capabilities directly influence organizational dynamic capabilities; (2) managerial social capital mediates relationships between managerial human capital and organizational dynamic capabilities; (3) managerial social capital mediates relationships between managerial cognition and organizational dynamic capabilities. Originality/value. This research not only shows how a non-profit organization can act efficiently, it is also an example of an application of strategic management theory to a practical field with life or death consequences. Research limitations/Future research. This research opens avenues for future research on dynamic capabilities in non-profit organizations. Paper type – empirical.

Since climate model studies project a decline of the Atlantic Meridional Overturning Circulation (AMOC) in the 21st century, monitoring AMOC changes remains essential. While AMOC variability is expected to be coherent across latitudes on longer than decadal timescales, connectivity on inter‐annual and seasonal timescales is less clear. Model studies and observational estimates disagree on the regions and timescales of meridional connectivity and AMOC observations at multiple latitudes are needed to study its connectivity. We calculate basin‐wide AMOC volume transports (1993–2018) from measurements of the North Atlantic Changes (NOAC) array at 47°N, combining data from moored instruments with hydrography and satellite altimetry. The mean NOAC AMOC is 17.2 Sv exhibiting no long‐term trend. Both the unfiltered and low‐pass filtered NOAC AMOC show a significant correlation with the RAPID‐MOCHA‐WBTS AMOC at 26°N when the NOAC AMOC leads by about one year. Plain Language Summary: In the North Atlantic Ocean, currents transport heat and salt from the warm subtropical regions to the colder and less saline subpolar regions. This current system is part of the Atlantic Meridional Overturning Circulation (AMOC). This enormous northward heat transport associated with the AMOC impacts regional and global climate. In a warming world, climate models project a reduction of the AMOC, affecting, for example, air temperature and rain patterns over the continents. Continuous observations are required to investigate whether climate models realistically simulate the AMOC and assess the validity of these projections. We calculate the AMOC from moored observations, hydrography, and satellite data at 47°N from 1993 to 2018. In this period, the AMOC at 47°N does not show a trend. The 26°N AMOC lags the 47°N AMOC by about one year, indicating that the AMOC evolution at these two latitudes is connected. Key Points: We present a 25‐year observational Atlantic Meridional Overturning Circulation (AMOC) volume transport record at 47°N with a mean basin‐wide AMOC transport of 17.2 SvThe inter‐annual variability at 47°N is similar to the RAPID AMOC at 26°N, while the monthly variability is much stronger at 47°NThe AMOC time series at 47°N and 26°N show a significant lag correlation when the AMOC at 47°N leads by about one year [ABSTRACT FROM AUTHOR]

The Eastern Boundary Current is an essential part of the water mass exchange between the subtropical and subpolar North Atlantic. Here, we study the offshore branch of the European Shelf Current (ESC) over the Goban Spur slope area off Ireland. Our analysis is based on current measurements obtained from a multiyear mooring effort, complemented by ship‐board observations along a hydrographic section, satellite‐derived estimates of absolute dynamic topography with geostrophic currents, and float trajectories. These data serve to quantify the offshore branch of the ESC on intraannual to interannual timescales. From the moored observations, we derive a mean poleward along‐slope volume flux of 3.7 ± 0.7 Sv for the period 2017–2019. Using a multilinear regression model and geostrophic surface velocities, we extend the time series to the period 1993–2019 and obtain a long‐term mean transport of 3.2 ± 0.4 Sv. Both time series show strong variability ranging from −7.5 to 15.7 Sv. The variability is linked to a dynamic eddy field, especially a stationary cyclonic circulation pattern near the mooring array, and meandering of current branches originating from the North Atlantic Current. We find no evidence of a consistent deep boundary current extending from the shelf break to the position of the offshore mooring (4,500 m depth), but confirm a persistent along‐slope flow at the shallower slope (1,500 m depth). Geostrophic surface velocities and float trajectories reveal that the offshore branch of the ESC does not follow a clear northward path from the eastern subtropical regions but rather indicate the intermittent character of the flow. Plain Language Summary: In this study, we describe the European Shelf Current (ESC) in the eastern North Atlantic. The study area is the deeper part of the Goban Spur area off Ireland. We use current measurements of instruments deployed in the water column from 2016 to 2019 combined with satellite observations of surface circulation and drifting float paths. We aim to quantify the contribution of the offshore branch to the ESC system. We calculate a poleward volume transport following the slope that is on average 3.7 ± 0.7 Sverdrup (Sv; 1 Sv = 1 million cubic meter per second) for the period 2017–2019. We use a mathematical relation between mooring data and satellite observations to extend the time series to the period 1993–2019 and obtain an average transport of 3.2 ± 0.4 Sv. There occur strong changes over time ranging from −5 to 15 Sv. These changes are caused by rotating vortices (eddies), especially a counter‐clockwise rotating circulation pattern near the moorings, and changing positions of currents branching from the North Atlantic Current. We find that the offshore branch of the ESC does not follow a clear northward path from the eastern subtropical regions of the North Atlantic. Instead, the flow is of rather unsteady character. Key Points: The analysis of multiplatform observational efforts is used to study the circulation at the North Atlantic Eastern BoundaryThe volume transport of the offshore branch of the European Shelf Current is on average 3.2 ± 0.4 Sv for the period 1993–2019Transport variability is in the range of −7.5–15.7 Sv and induced by eddies and meandering North Atlantic Current branches [ABSTRACT FROM AUTHOR]

The Denmark Strait overflow is the major export route of dense water from the Arctic Mediterranean into the North Atlantic. At the Strait's shallow sill, the overflow is a bottom‐intensified cold and dense plume, bound to the east by a thermal front formed with the warmer, northward flowing North Icelandic Irminger Current. More than two decades of observations at the sill show strong fluctuations of volume flux on daily time scales. To better understand the source of this variability, a five‐mooring array was installed at the sill, capturing nearly 1 year of velocity and bottom temperature measurements at a high temporal and spatial resolution. Bottom temperature fluctuations that exceed 4 °C indicate a meandering of the front between the plume and the North Icelandic Irminger Current. Current vector rotation shows trains of alternating cyclones and anticyclones at the sill. An eddy crosses the sill every 3 to 6 days with a mean velocity of 0.4 m/s and a typical diameter of 30 to 40 km. The results suggest that anticyclones, with centers passing through the deepest part of the sill, may be responsible for periods of increased volume flux—also referred to as boluses and pulses in previous studies. Although the relationship between eddies, pulses, and boluses is still unclear, the results show that eddies are directly linked to fluctuations in the strength, thickness, and position of the overflow plume. Plain Language Summary: The southward flow of dense water from the Arctic ocean plays a crucial role in global ocean circulation but is almost immediately constrained on its way south by a submarine ridge that connects Greenland, Iceland, the Faroe Islands, and Scotland. The southward flow is therefore forced to pass through several straits and up and over relatively shallow sills. Most of the flow passes over a sill in the Denmark Strait, located between Greenland and Iceland. In this study, we present observations from an array of instruments, which measure the southward flow as it passes over the Denmark Strait sill. The flow is characterised by trains of eddies (vortices), with an alternating sense of rotation; meaning a counterclockwise eddy is usually followed by a clockwise eddy. The eddies are 30 to 40 km wide and need about 1 day to pass over the sill. These eddies help to explain pronounced changes in the flow across the sill, as they can help either to speed up the flow or slow it down. The results of this study contribute to understanding mesoscale fluctuations, which influence local mixing processes and water mass transports. Key Points: Mesoscale flow variability is observed at the Denmark Strait Sill with a five‐mooring arrayTrains of alternating eddies are passing the sillAnticyclones are found to be related to the occurence of boluses and pulses [ABSTRACT FROM AUTHOR]

The Arctic Mediterranean (AM) is the collective name for the Arctic Ocean, the Nordic Seas, and their adjacent shelf seas. Water enters into this region through the Bering Strait (Pacific inflow) and through the passages across the Greenland–Scotland Ridge (Atlantic inflow) and is modified within the AM. The modified waters leave the AM in several flow branches which are grouped into two different categories: (1) overflow of dense water through the deep passages across the Greenland–Scotland Ridge, and (2) outflow of light water – here termed surface outflow – on both sides of Greenland. These exchanges transport heat and salt into and out of the AM and are important for conditions in the AM. They are also part of the global ocean circulation and climate system. Attempts to quantify the transports by various methods have been made for many years, but only recently the observational coverage has become sufficiently complete to allow an integrated assessment of the AM exchanges based solely on observations. In this study, we focus on the transport of water and have collected data on volume transport for as many AM-exchange branches as possible between 1993 and 2015. The total AM import (oceanic inflows plus freshwater) is found to be 9.1 Sv (sverdrup, 1 Sv =106 m 3 s -1) with an estimated uncertainty of 0.7 Sv and has the amplitude of the seasonal variation close to 1 Sv and maximum import in October. Roughly one-third of the imported water leaves the AM as surface outflow with the remaining two-thirds leaving as overflow. The overflow water is mainly produced from modified Atlantic inflow and around 70 % of the total Atlantic inflow is converted into overflow, indicating a strong coupling between these two exchanges. The surface outflow is fed from the Pacific inflow and freshwater (runoff and precipitation), but is still approximately two-thirds of modified Atlantic water. For the inflow branches and the two main overflow branches (Denmark Strait and Faroe Bank Channel), systematic monitoring of volume transport has been established since the mid-1990s, and this enables us to estimate trends for the AM exchanges as a whole. At the 95 % confidence level, only the inflow of Pacific water through the Bering Strait showed a statistically significant trend, which was positive. Both the total AM inflow and the combined transport of the two main overflow branches also showed trends consistent with strengthening, but they were not statistically significant. They do suggest, however, that any significant weakening of these flows during the last two decades is unlikely and the overall message is that the AM exchanges remained remarkably stable in the period from the mid-1990s to the mid-2010s. The overflows are the densest source water for the deep limb of the North Atlantic part of the meridional overturning circulation (AMOC), and this conclusion argues that the reported weakening of the AMOC was not due to overflow weakening or reduced overturning in the AM. Although the combined data set has made it possible to establish a consistent budget for the AM exchanges, the observational coverage for some of the branches is limited, which introduces considerable uncertainty. This lack of coverage is especially extreme for the surface outflow through the Denmark Strait, the overflow across the Iceland–Faroe Ridge, and the inflow over the Scottish shelf. We recommend that more effort is put into observing these flows as well as maintaining the monitoring systems established for the other exchange branches. [ABSTRACT FROM AUTHOR]

The Arctic Mediterranean (AM) is the collective name for the Arctic Ocean, the Nordic Seas, and their adjacent shelf seas. Into this region, water enters through the Bering Strait (Pacific inflow) and through the passages across the Greenland-Scotland Ridge (Atlantic inflow) and then modified within the AM. The modified waters leave the AM in several flow branches, which are grouped into two different categories: (1) overflow of dense water through the deep passages across the Greenland-Scotland Ridge, and (2) outflow of light water - here termed surface outflow - on both sides of Greenland. These exchanges transport heat, salt, and other substances into and out of the AM and are important for conditions in the AM. They are also part of the global ocean circulation and climate system. Attempts to quantify the transports by various methods have been made for many years, but only recently, has the observational coverage become sufficiently complete to allow an integrated assessment of the AM-exchanges based solely on observations. In this study, we focus on the transport of water and have collected data on volume transport for as many AM-exchange branches as possible between 1993-2015. The total AM-import (oceanic inflows plus freshwater) is found to be 9.1 ± 0.7 Sv (1 Sv = 106 m³ s-1) and has a seasonal variation of amplitude close to 1 Sv and maximum import in October. Roughly one third of the imported water leaves the AM as surface outflow with the remaining two thirds leaving as overflow. The overflow is mainly produced from modified Atlantic inflow and around 70 % of the total Atlantic inflow is converted into overflow, indicating a strong coupling between these two exchanges. The surface outflow is fed from the Pacific inflow and freshwater, but is still ~ 2/3rds from modified Atlantic water. For the inflow branches and the two main overflow branches (Denmark Strait and Faroe Bank Channel), systematic monitoring of volume transport has been established since the mid-1990s and this allows us to estimate trends for the AM-exchanges as a whole. At the 95 % level, only the inflow of Pacific water through the Bering Strait showed a statistically significant trend, which was positive. Both the total AM-inflow and the combined transport of the two main overflow branches also showed trends consistent with strengthening, but they were not statistically significant. They do suggest, however, that any significant weakening of these flows during the last two decades is unlikely and the overall message is that the AM-exchanges remained remarkably stable in the period from the mid-1990s to the mid-2010s. The overflows are the densest source water for the deep limb of the North Atlantic part of the Meridional Overturning Circulation (AMOC), and this conclusion argues that the reported weakening of the AMOC was not due to overflow weakening or reduced overturning in the AM. Although the combined data set has made it possible to establish a consistent budget for the AM-exchanges, the observational coverage for some of the branches is limited, which introduces considerable uncertainty. This lack of coverage is especially extreme for the surface outflows through the Denmark Strait, the overflow across the Iceland-Faroe Ridge, and the inflow over the Scottish shelf. We recommend that more effort is put into observing these flows as well as maintaining the monitoring systems established for the other exchange branches. [ABSTRACT FROM AUTHOR]

Abstract: The descent of the Denmark Strait overflow plume is an important process in the Atlantic Meridional Overturning Circulation. Downstream of the sill, the plume entrains ambient water, increasing its volume transport. The entrainment and related transfer of energy can be driven by vertical or horizontal turbulent mixing, and varies spatially, as the plume descends, and temporally, as the volume transport at the sill changes. Using over 30 years of profile data, this spatial and temporal variability in the first 200 km downstream of the sill was investigated. Dissipation and entrainment rates were derived from Thorpe scales, and each profile was identified as either a low‐ or high‐transport flow, defined as below or above‐average volume transport at the sill. In the first 175 km flow type explains most of the variability in entrainment and dissipation rates, with high‐transport flow producing order of magnitude higher rates. Sections crossing the plume and yo‐yo casts (continuous profiling) indicate that dissipation and entrainment are likely driven by the formation of shear instabilities in the interfacial layer, when the vertical velocity shear overcomes the stratification. This vertical turbulent mixing explains most of the variability within the first 175 km, suggesting horizontal turbulent mixing processes may not play as important a role in this region. The importance of temporal flow variability means that further improvements to our understanding of plume dynamics in the Denmark Strait will require a novel observational approach to fully account for spatial and temporal contributions. [ABSTRACT FROM AUTHOR]

The Eastern North Atlantic is one of the important source regions for water mass inflow into the North Sea. The inflow of Atlantic Water into the North Sea occurs mainly over its northern border via the Rockall Trough where NAC waters are mixed with waters from the Eastern Boundary Current which is carrying portions of Mediterranean Water northward. Water mass characteristics in the Rockall Trough depend on the mixing rate between its source waters originating in the subpolar and subtropical gyre. The westward movement of the Subpolar Front leads to stronger northward transports of subtropical gyre water masses. The hydrographic conditions along the North West European Shelf are thus governed by different processes: varying transports and water mass proportions from both gyres, as well as trends within the source water masses. To determine these changes we created time series from Argo Float data between 2000 and 2018 for Sub-polar Mode Water (SPMW), Intermediate Water (IW), upper Labrador Sea Water (uLSW) and deep Labrador Sea Water (dLSW) at defined positions along the North West European Shelf. The analysis of the upper Labrador Sea Water layer shows low variability and opposing trends at the source regions, and a low variability in the Rockall Trough compared to regions along the Eastern Boundary Current path. The highest variability in the contributions from the two gyres along the Eastern Boundary Current is observed in a broad area around Goban Spur. Additional mooring observations of hydrographic and transport changes are needed to understand the mixing along the North West European Shelf. For the study of transport fluctuations time series from the NOAC array have been used, which is part of the RACE (Regional circulation and Global change) program (2012-2018) and predecessor programs. These programs have monitored the subpolar gyre in the western basin and provide time series of transports and hydrographic anomalies from moored instruments at the western flank of the Mid Atlantic Ridge (MAR) and within the Eastern Boundary Current at Goban Spur. [ABSTRACT FROM AUTHOR]

In severe airway hemorrhage, simultaneous suction and laryngoscopy may render intubation difficult. We built a suction laryngoscope that consists of an adjustable stainless steel-guide tube fixed at the lingual surface of a standard Macintosh laryngoscope blade. Via this steel-guide tube, a large suction catheter can be inserted and positioned exactly to suction pharyngeal blood or vomitus, rendering simultaneous suctioning and laryngoscopy possible. In contrast to previous suction laryngoscopes, our suction catheter has a large lumen, which enables fast suctioning and exact placement by adjusting the steel-guide tube. To assess whether our suction laryngoscope could provide better intubation conditions in comparison to a standard Macintosh laryngoscope in a bleeding airway scenario, 44 medical students intubated a manikin with severe simulated airway hemorrhage using our suction laryngoscope and a standard Macintosh laryngoscope in random order. There was no significant difference in time needed for intubation when using the suction versus the Macintosh laryngoscope (mean +/- SD: 43 +/- 13 vs 52 +/- 31 s; P = 0.07), but the number of esophageal intubations was significantly lower when using the suction laryngoscope [6 of 44 (13.6%) vs 19 of 44 (43.2%); P = 0.004]. In conclusion, when compared with a standard Macintosh laryngoscope, using a suction laryngoscope did not result in more rapid intubation, but significantly decreased the likelihood of esophageal intubations.