The influence of ENSO events on the stratospheric QBO in a multi-model ensemble

AbstractThe Quasi-Biennial Oscillation (QBO) and the El Niño–Southern Oscillation (ENSO) are two dominant modes of climate variability at the Equator. There exist observational evidences of mutual interactions between these two phenomena, but this possibility has not been widely studied using climate model simulations. In this work we assess how current models represent the ENSO/QBO relationship, in terms of the response of the amplitude and descent rate of stratospheric wind regimes, by analyzing atmosphere-only and ocean–atmosphere coupled simulations from a large multi-model ensemble. The annual cycle of the QBO descent rate is well represented in both coupled and uncoupled models. Previous results regarding the phase alignment of the QBO after the 1997/98 strong warm ENSO event are confirmed in a larger ensemble of uncoupled experiments. However, in general we find that a relatively high horizontal resolution is necessary to reproduce the observed modulation of the QBO descent rate under strong ENSO events, while the amplitude response is generally weak at any horizontal resolution. We argue that biases in the mean state and over-dependence on parameterized wave forcing undermine the realism of the simulated coupling between the ocean and the stratosphere in the tropics in current climate models. The modulation of the QBO by the ENSO in a high emission scenario consistently differs from that in the historical period, suggesting that this relationship is sensitive to changes in the large-scale circulation

Cryostratigraphy, sedimentology, and the late Quaternary evolution of the Zackenberg River delta, northeast Greenland

The Zackenberg River delta is located in northeast Greenland (74°30′ N, 20°30′ E) at the outlet of the Zackenberg fjord valley. The fjord-valley fill consists of a series of terraced deltaic deposits (ca. 2 km2) formed during relative sea-level (RSL) fall. We investigated the deposits using sedimentological and cryostratigraphic techniques together with optically stimulated luminescence (OSL) dating. We identify four facies associations in sections (4 to 22 m in height) exposed along the modern Zackenberg River and coast. Facies associations relate to (I) overriding glaciers, (II) retreating glaciers and quiescent glaciomarine conditions, (III) delta progradation in a fjord valley, and (IV) fluvial activity and niveo-aeolian processes. Pore, layered, and suspended cryofacies are identified in two 20 m deep ice-bonded sediment cores. The cryofacies distribution, together with low overall ground-ice content, indicates that permafrost is predominately epigenetic in these deposits. Fourteen OSL ages constrain the deposition of the cored deposits to between approximately 13 and 11 ka, immediately following deglaciation. The timing of permafrost aggradation was closely related to delta progradation and began following the subaerial exposure of the delta plain (ca. 11 ka). Our results reveal information concerning the interplay between deglaciation, RSL change, sedimentation, permafrost aggradation, and the timing of these events. These findings have implications for the timing and mode of permafrost aggradation in other fjord valleys in northeast Greenland

Similar clinical outcome after unicompartmental knee arthroplasty using a conventional or accelerated care program: A randomized, controlled study of 40 patients

Background and purpose Over the last 5 years, there has been increasing interest in reducing length of hospitalization (LOS) through accelerated programs. We examined the clinical outcome of patients undergoing a unicompartmental knee replacement (UKR) in an accelerated care program (A group) compared to a conventional care program (C group)

Cryostratigraphy, sedimentology, and the late Quaternary evolution of the Zackenberg River delta, northeast Greenland

The Zackenberg River delta is located in northeast Greenland (74°30′ N, 20°30′ E) at the outlet of the Zackenberg fjord valley. The fjord-valley fill consists of a series of terraced deltaic deposits (ca. 2 km2) formed during relative sea-level (RSL) fall. We investigated the deposits using sedimentological and cryostratigraphic techniques together with optically stimulated luminescence (OSL) dating. We identify four facies associations in sections (4 to 22 m in height) exposed along the modern Zackenberg River and coast. Facies associations relate to (I) overriding glaciers, (II) retreating glaciers and quiescent glaciomarine conditions, (III) delta progradation in a fjord valley, and (IV) fluvial activity and niveo-aeolian processes. Pore, layered, and suspended cryofacies are identified in two 20 m deep ice-bonded sediment cores. The cryofacies distribution, together with low overall ground-ice content, indicates that permafrost is predominately epigenetic in these deposits. Fourteen OSL ages constrain the deposition of the cored deposits to between approximately 13 and 11 ka, immediately following deglaciation. The timing of permafrost aggradation was closely related to delta progradation and began following the subaerial exposure of the delta plain (ca. 11 ka). Our results reveal information concerning the interplay between deglaciation, RSL change, sedimentation, permafrost aggradation, and the timing of these events. These findings have implications for the timing and mode of permafrost aggradation in other fjord valleys in northeast Greenland

Tracing postrepresentational visions of the city: representing the unrepresentable Skateworlds of Tyneside

In any visualisation of the city more is left unseen than made visible. Contemporary visualisations of the city are increasingly influenced by quantification, and thus anything which cannot be quantified is hidden. In contrast, we explore the use of ‘lo-fi’, doodled, participatory maps made by skateboarders in Tyneside, England, as a means to represent their cityscape. Drawing on established work an skateboarding and recent developments in cartography, we argue that skateboarders understand the city from a postrepresentational perspective. Such a framing presents a series of challenges to map their worlds which we explore through a processual account of our mapmaking practice. In this process we chart how skateboarders’ mappings became part of a more significant interplay of performance, identity, visualisation, and exhibition. The paper makes contributions to the emerging field of postrepresentational cartography and argues that its processual focus provides useful tools to understand how visions of the city are produced

The smallest worthwhile effect of primary care physiotherapy did not differ across musculoskeletal pain sites

Objectives: To determine and compare estimates of the smallest worthwhile effect (SWE) for physiotherapy in neck, shoulder, and low-back pain patients and to investigate the influence of sociodemographic, clinical, and psychological factors on these estimates. Methods: A structured telephone interview was conducted before treatment was commenced in 160 patients referred for primary care physiotherapy. The benefit-harm trade-off method was used to estimate the SWE of physiotherapy for the following outcomes; pain, disability, and time to recovery, compared with the improvement achieved without any treatment (natural course). Regression analyses were used to assess the influence of sociodemographics, clinical variables, and intake scores on pain, disability, and psychological scales. Results: The median SWE for improvements on pain and disability was 20% (interquartile range 10%–30%), and the SWE for time to recovery was 10 days (interquartile range 7–14 days) over a period of 6 weeks. These estimates did not differ with respect to pain location (neck, shoulder, or back) and were generally unaffected by sociodemographic, clinical, and psychological factors. Conclusion: People with neck, shoulder, and low-back pain need to see at least 20% of additional improvement on pain and disability compared with natural recovery to consider that the effect of physiotherapy is worthwhile, given its costs, potential side effects, and inconveniences