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

Coastal sea level monitoring in the Mediterranean and Black seas

Employed for over a century, the traditional way of monitoring sea level variability by tide gauges – in combination with modern observational techniques like satellite altimetry – is an inevitable ingredient in sea level studies over the climate scales and in coastal seas. The development of the instrumentation, remote data acquisition, processing, and archiving in the last decades has allowed the extension of the applications to a variety of users and coastal hazard managers. The Mediterranean and Black seas are examples of such a transition – while having a long tradition of sea level observations with several records spanning over a century, the number of modern tide gauge stations is growing rapidly, with data available both in real time and as a research product at different time resolutions. As no comprehensive survey of the tide gauge networks has been carried out recently in these basins, the aim of this paper is to map the existing coastal sea level monitoring infrastructures and the respective data availability. The survey encompasses a description of major monitoring networks in the Mediterranean and Black seas and their characteristics, including the type of sea level sensors, measuring resolutions, data availability, and existence of ancillary measurements, altogether collecting information about 240 presently operational tide gauge stations. The availability of the Mediterranean and Black seas sea level data in the global and European sea level repositories has been also screened and classified following their sampling interval and level of quality check, pointing to the necessity of harmonization of the data available with different metadata and series in different repositories. Finally, an assessment of the networks' capabilities for their use in different sea level applications has been done, with recommendations that might mitigate the bottlenecks and ensure further development of the networks in a coordinated way, a critical need in the era of human-induced climate changes and sea level rise.En prens

Coastal Sea Level Monitoring in the Mediterranean and Black Seas

Spanning over a century, a traditional way to monitor sea level variability by tide gauges is – in combination with modern observational techniques like satellite altimetry – an inevitable ingredient in sea level studies over the climate scales and in coastal seas. The development of the instrumentation, remote data acquisition, processing and archiving in last decades allowed for extending the applications towards a variety of users and coastal hazard managers. The Mediterranean and Black50 seas are an example for such a transition – while having a long tradition for sea level observations with several records spanning over a century, the number of modern tide gauge stations are growing rapidly, with data available both in real-time and as a research product at different time resolutions. As no comprehensive survey of the tide gauge networks has been carried out recently in these basins, the aim of this paper is to map the existing coastal sea level monitoring infrastructures and the respective data availability. The survey encompasses description of major monitoring networks in the Mediterranean and Black55 seas and their characteristics, including the type of sea level sensors, measuring resolutions, data availability and existence of ancillary measurements, altogether collecting information about 236 presently operational tide gauge stations. The availability of the Mediterranean and Black seas sea level data in the global and European sea level repositories has been also screened and classified following their sampling interval and level of quality-check, pointing to the necessity of harmonization of the data available with different metadata and series at different repositories. Finally, an assessment of the networks’ capabilities60 for their usage in different sea level applications has been done, with recommendations that might mitigate the bottlenecks and assure further development of the networks in a coordinated way, being that more necessary in the era of the human-induced climate changes and the sea level ris

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)