The El Niño-Southern Oscillation (ENSO) Modoki signal in the stratosphere

El Niño-Southern Oscillation (ENSO) is known to be the largest source of interannual variability in the tropical troposphere. However, the variability in the tropical Pacific since 1979 seems to be associated not only with "canonical" ENSO events but also with a variation thereof known as ENSO Modoki, which is characterized by warm anomalies in the central Pacific, west from those occurring during a typical ENSO. This works analyzes the signal of ENSO Modoki in the stratosphere and compares it to canonical ENSO by using the chemistry-climate Whole Atmosphere Community Climate Model (WACCM3.5). The results reveal a significant warming in the Southern Hemisphere polar stratosphere during boreal winter months, which propagates downward in early spring; this is absent during canonical warm ENSO events. On the other hand, in the Northern Hemisphere stratosphere, the anomalous warming typical of canonical El Niño episodes during boreal winter is not statistically significant during El Niño Modoki events. These differences are related in WACCM3.5 to changes in tropical convection and tropospheric teleconnections associated with each type of event. In particular, an enhancement and westward displacement of the anomalous convective area during El Niño Modoki episodes is related to an intensification of the Pacific South American teleconnection pattern and a weakening of the Aleutian Low. During cold ENSO Modoki events a significant anomalous cooling is present in the model simulations

Wave Forcing of the Tropical Upwelling in the Lower Stratosphere under Increasing Concentrations of Greenhouse Gases

Two simulations from the Whole Atmosphere Community Climate Model, covering the periods 1950-2003 and 1980-2050, are used to investigate the nature of the waves that force the increase of the tropical upwelling in the lower stratosphere as the concentration of greenhouse gases increases. Decomposition of the wave field resolved by the model into stationary and transient wavenumber spectra allows attribution of trends in the Eliassen-Palm (EP) flux and its divergence to specific wave components. This analysis reveals that enhanced dissipation of stationary planetary waves is the main driver of trends in the tropical upwelling in the lower stratosphere. The contribution of transient waves is smaller and is responsible mainly for trends in wave forcing in the subtropics and middle latitudes, which, however, provide only minor contributions to the mean tropical upwelling. Examination of individual wave structures shows that the stationary waves are tropical Rossby waves trapped in the upper troposphere and lower stratosphere, whereas the transient components are synoptic waves present in the subtropics and middle latitudes. The authors also present evidence that trends in resolved wave forcing in the lower stratosphere are due to both changes in wave transmissivity and changes in wave excitation, with the first mechanism dominating the behavior of the simulation during the last half of the twentieth century, while the second is clearly more important in the simulation during the first half of the twenty-first century

The Stratospheric Pathway of La Niña

A Northern Hemisphere (NH) polar stratospheric pathway for La Nina events is established during wintertime based on reanalysis data for the 1958-2012 period. A robust polar stratospheric response is observed in the NH during strong La Nina events, characterized by a significantly stronger and cooler polar vortex. Significant wind anomalies reach the surface, and a robust impact on the North Atlantic-European (NAE) region is observed. A dynamical analysis reveals that the stronger polar stratospheric winds during La Nina winters are due to reduced upward planetary wave activity into the stratosphere. This finding is the result of destructive interference between the climatological and the anomalous La Nina tropospheric stationary eddies over the Pacific-North American region. In addition, the lack of a robust stratospheric signature during La Nina winters reported in previous studies is investigated. It is found that this is related to the lower threshold used to detect the events, which signature is consequently more prone to be obscured by the influence of other sources of variability. In particular, the occurrence of stratospheric sudden warmings (SSWs), partly linked to the phase of the quasi-biennial oscillation, modulates the observed stratospheric signal. In the case of La Nina winters defined by a lower threshold, a robust stratospheric cooling is found only in the absence of SSWs. Therefore, these results highlight the importance of using a relatively restrictive threshold to define La Nina events in order to obtain a robust surface response in the NAE region through the stratosphere

Influence of the quasi-biennial oscillation and El Niño-Southern Oscillation on the frequency of sudden stratospheric warmings

Stratospheric sudden warmings (SSWs) are a major source of variability during Northern Hemisphere winter. The frequency of occurrence of SSWs is influenced by El Nino-Southern Oscillation (ENSO), the quasi-biennial oscillation (QBO), the 11 year solar cycle, and volcanic eruptions. This study investigates the role of ENSO and the QBO on the frequency of SSWs using the National Center for Atmospheric Research's Whole Atmosphere Community Climate Model, version 3.5 (WACCM3.5). In addition to a control simulation, WACCM3.5 simulations with different combinations of natural variability factors such as the QBO and variable sea surface temperatures (SSTs) are performed to investigate the role of QBO and ENSO. Removing only one forcing, variable SSTs or QBO, yields a SSW frequency similar to that in the control experiment; however, removing both forcings results in a significantly decreased SSW frequency. These results imply nonlinear interactions between ENSO and QBO signals in the polar stratosphere during Northern Hemisphere winter. This study also suggests that ENSO and QBO force SSWs differently. The QBO forces SSW events that are very intense and whose impact on the stratospheric temperature can be seen between December and June, whereas ENSO forces less intense SSWs whose response is primarily confined to the months of January, February, and March. The effects of SSWs on the stratospheric background climate is also addressed here

Postpartum Depression in Fathers: A Systematic Review

[EN] Background/Objectives: Postpartum depression is usually defined as a major depressive episode that occurs shortly after childbirth. This condition is most commonly found in females; however, paternal postpartum depression has begun to attract more research attention. This study aims to identify different instruments for measuring this mental health problem and to detect risk factors as well as the main sources of resilience in paternal postpartum depression. Methods: A literature review was conducted following the PRISMA method. Results: After analyzing 10 articles, it was determined that the Edinburgh Postpartum Depression Scale is the most widely used instrument for the diagnosis of postpartum depression in the female population, and after several studies, it has already been validated for the male sex. After several studies were analyzed to highlight the main risk factors for paternal postpartum depression, it was established that the most influential factor is male gender role stress. These findings highlight the traditional role of fathers today. Most health professionals see the mother as the priority. Conclusions: Paternal depression is a major problem for mothers and fathers today, as well as for the newborn. As time goes on, there is a growing need to incorporate fathers into current and future mental health programs to be able to provide the necessary support.S

Educación Patrimonial: una disciplina científica

El presente Trabajo de Fin de Máster desarrolla un estado de la cuestión acerca de la Educación Patrimonial, haciendo un recorrido en primer lugar, por los conceptos de la Didáctica de las Ciencias Sociales y la didáctica del Patrimonio, hasta llegar al concepto de la Educación Patrimonial. Esto se ha realizado con el objetivo de la puesta en valor de la disciplina de la Educación Patrimonial, área reciente que ha tenido un fuerte auge en los últimos veinte años. Además, con el fin de demostrar que el proceso didáctico de enseñanza-aprendizaje a través del patrimonio con distintas metodologías, es una manera perfecta para desarrollar el pensamiento histórico en los alumnos.<br /

Cost-Effectiveness of Upper Extremity Dry Needling in Chronic Stroke

[EN] Introduction: Dry needling is a non-pharmacological approach that has proven to be effective in different neurological conditions. Objective: The aim of this study was to evaluate the cost-effectiveness of a single dry needling session in patients with chronic stroke. Methods: A cost-effectiveness analysis was performed based on a randomized controlled clinical trial. The results obtained from the values of the EuroQol-5D questionnaire and the Modified Modified Ashworth Scale were processed in order to obtain the percentage of treatment responders and the quality-adjusted life years (QALYs) for each alternative. The cost analysis was that of the hospital, clinic, or health center, including the equipment and physiotherapist. The cost per respondent and the incremental cost-effectiveness ratio of each alternative were assessed. Results: Twenty-three patients with stroke were selected. The cost of DN treatment was EUR 14.96, and the data analysis showed a favorable cost-effectiveness ratio of both EUR/QALY and EUR/responder for IG, although the sensitivity analysis using limit values did not confirm the dominance (higher effectiveness with less cost) of the dry needling over the sham dry needling. Conclusions: Dry needling is an affordable alternative with good results in the cost-effectiveness analysis—both immediately, and after two weeks of treatment—compared to sham dry needling in persons with chronic stroke.S

Cost-Effectiveness of Upper Extremity Dry Needling in Chronic Stroke

Introduction: Dry needling is a non-pharmacological approach that has proven to be effective in different neurological conditions. Objective: The aim of this study was to evaluate the cost-effectiveness of a single dry needling session in patients with chronic stroke. Methods: A cost-effectiveness analysis was performed based on a randomized controlled clinical trial. The results obtained from the values of the EuroQol-5D questionnaire and the Modified Modified Ashworth Scale were processed in order to obtain the percentage of treatment responders and the quality-adjusted life years (QALYs) for each alternative. The cost analysis was that of the hospital, clinic, or health center, including the equipment and physiotherapist. The cost per respondent and the incremental cost-effectiveness ratio of each alternative were assessed. Results: Twenty-three patients with stroke were selected. The cost of DN treatment was EUR 14.96, and the data analysis showed a favorable cost-effectiveness ratio of both EUR/QALY and EUR/responder for IG, although the sensitivity analysis using limit values did not confirm the dominance (higher effectiveness with less cost) of the dry needling over the sham dry needling. Conclusions: Dry needling is an affordable alternative with good results in the cost-effectiveness analysis—both immediately, and after two weeks of treatment—compared to sham dry needling in persons with chronic stroke

Termalismo solidario y accesible para el tratamiento de la piel

[ES] Habitualmente relacionamos la crenoterapia con el uso que se hace de ella en instalaciones privadas creadas para tal fin, los balnearios. No obstante existen lugares donde los beneficios y las surgencias de agua mineromedicinal están gratuitamente al alcance de la ciudadanía, en forma de termas públicas o semipúblicas, siendo el uso tópico una de las mayores ventajas que ofrece por su rápida absorción a través de la piel, y al que pueden acudir personas que quieren mejorar determinados problemas de salud, disfrutar como recreo o, incluso, ser destino turístico.S