Editorial: (10 years) Water-energy-food nexus: Impact of climate variability and change on the water-energy-food nexus

Peer reviewe

The teleconnection of the tropical Atlantic to Indo-Pacific sea surface temperatures on inter-annual to centennial time scales: a review of recent findings

In this paper, the teleconnections from the tropical Atlantic to the Indo-Pacific region from inter-annual to centennial time scales will be reviewed. Identified teleconnections and hypotheses on mechanisms at work are reviewed and further explored in a century-long pacemaker coupled ocean-atmosphere simulation ensemble. There is a substantial impact of the tropical Atlantic on the Pacific region at inter-annual time scales. An Atlantic Niño (Niña) event leads to rising (sinking) motion in the Atlantic region, which is compensated by sinking (rising) motion in the central-western Pacific. The sinking (rising) motion in the central-western Pacific induces easterly (westerly) surface wind anomalies just to the west, which alter the thermocline. These perturbations propagate eastward as upwelling (downwelling) Kelvin-waves, where they increase the probability for a La Niña (El Niño) event. Moreover, tropical North Atlantic sea surface temperature anomalies are also able to lead La Niña/El Niño development. At multidecadal time scales, a positive (negative) Atlantic Multidecadal Oscillation leads to a cooling (warming) of the eastern Pacific and a warming (cooling) of the western Pacific and Indian Ocean regions. The physical mechanism for this impact is similar to that at inter-annual time scales. At centennial time scales, the Atlantic warming induces a substantial reduction of the eastern Pacific warming even under CO2 increase and to a strong subsurface cooling

Global Meteorological Drought: A Synthesis of Current Understanding with a Focus on SST Drivers of Precipitation Deficits

Drought affects virtually every region of the world, and potential shifts in its character in a changing climate are a major concern. This article presents a synthesis of current understanding of meteorological drought, with a focus on the large-scale controls on precipitation afforded by sea surface temperature (SST) anomalies, land surface feedbacks, and radiative forcings. The synthesis is primarily based on regionally focused articles submitted to the Global Drought Information System (GDIS) collection together with new results from a suite of atmospheric general circulation model experiments intended to integrate those studies into a coherent view of drought worldwide. On interannual time scales, the preeminence of ENSO as a driver of meteorological drought throughout much of the Americas, eastern Asia, Australia, and theMaritime Continent is now well established, whereas in other regions (e.g., Europe, Africa, and India), the response to ENSO is more ephemeral or nonexistent. Northern Eurasia, central Europe, and central and eastern Canada stand out as regions with few SST-forcedimpacts on precipitation oninterannual time scales.Decadal changesin SST appear to be a major factor in the occurrence of long-term drought, as highlighted by apparent impacts on precipitation of the late 1990s ‘‘climate shifts’’ in the Pacific and Atlantic SST. Key remaining research challenges include (i) better quantification of unforced and forced atmospheric variability as well as land–atmosphere feedbacks, (ii) better understanding of the physical basis for the leading modes of climate variability and their predictability, and (iii) quantification of the relative contributions of internal decadal SST variability and forced climate change to long-term drought

Can reducing the incoming energy flux over the Southern Ocean in a CGCM improve its simulation of tropical climate?

Atmosphere-ocean general circulation models (CGCMs) show important systematic errors. Simulated precipitation in the tropics is generally overestimated over the oceans south of the equator, and stratocumulus (SCu) clouds are underestimated above too warm sea surface temperatures (SSTs). In the extratropics, SSTs are also too warm over the Southern Ocean. We argue that ameliorating these extratropical errors in a CGCM can result in an improved model's performance in the tropics depending upon the success in simulating the sensitivity of SCu to underlying SST. Our arguments are supported by the very different response obtained with two CGCMs to an idealized reduction of solar radiation flux incident at the top of the atmosphere over the Southern Ocean. It is shown that local perturbation impacts are very similar in the two models but that SST reductions in the SCu regions of the southern subtropics are stronger in the model with the stronger SCu-SST feedbacks.NOAA's Climate Program Office, Climate Variability and Predictability Program Award. Grant Number: NA14OAR4310278. European Union Seventh Framework Programme. Grant Numbers: FP7/2007–2013, 60352Peer reviewe

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Editorial: Wet and dry periods in regions surrounding the Atlantic Ocean Basin

The Atlantic Ocean is the second-largest of the world's oceanic divisions. It is bounded by the continents of America, Europe, and Africa and at its polewards margins by the Arctic and the Southern Oceans. Different climatic patterns can be observed along its large latitudinal domain, which extends from the equator to sub-polar regions. Thus, different tropical and extra-tropical meteorological systems may have some influence on the characterization of precipitation regimes observed surrounding the basin, such as the Intertropical Convergence Zone (ITCZ), tropical monsoon systems, westerly storm tracks, and atmospheric rivers. The subtropical regions of the Azores and South Atlantic high pressure systems are large evaporative areas which act as important moisture sources for the adjacent continents. Variations in the oceanic characteristics may influence the moisture transport toward the neighboring landmasses and alter the precipitation. The influence of climatic variability modes manifest not only over the Atlantic Ocean, but also over other oceanic regions, may also interact with the regional hydrological budget, thereby generating long periods of drought, or excessive precipitation over the Atlantic rim landmasses.Fil: Drumond, Anita. Universidad de Vigo; EspañaFil: Rodriguez Fonseca, Belen. Universidad Complutense de Madrid; España. Consejo Superior de Investigaciones Científicas; EspañaFil: Reason, Chris. University of Cape Town; SudáfricaFil: Solman, Silvina Alicia. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Centro de Investigaciones del Mar y la Atmósfera; Argentin

The role of North Atlantic in modulating Mediterranean teleconnection with the Sahel

International audienceSea surface temperature (SST) is the key variable when addressing Sahelian rainfall variability, in turn playing a crucial role in predictability. In this way, the multidecadal variability in the North Atlantic has been shown to strongly influence the West African Monsoon. On the one hand, interhemispheric SST gradients determine the location of the rain belt within West Africa. On the other hand, the anthropogenic-related warming component in the Mediterranean Sea has been linked to the recovery trend of rainfall in the Sahel after the severe drought experienced from the early 1970s to the 1990s. Moreover, at interannual timescales, the teleconnections from several oceanic regions well-known for impacting the Sahel seems to be non-stationary on time. In this context, beyond the tropical ocean basins, the Mediterranean is playing an outstanding role. The impact of a warm Mediterranean on the Sahel is explained in terms of enhanced low-level moisture transport across the Sahara to the south, feeding converge in the Sahel with the associated increase in rainfall. Starting from an observational analysis, we conduct a set of sensitivity experiments to show how the teleconnection between the Mediteranean and the Sahel is enhanced under a warming scenario in the North Atlantic. In this framework we propose a mechanism by which a warm North Atlantic SST background in turn causes a strengthening of the Saharan heat low due to the combination of low-level moisture inflow from both the subtropical North Atlantic and the Mediterranean. Under these conditions, rainfall in the Sahel is increased from the improved flux convergence