Continuous estimate of Atlantic oceanic freshwater flux at 26.5°N

The first continuous estimates of freshwater flux across 26.5°N are calculated using observations from the RAPID–MOCHA–Western Boundary Time Series (WBTS) and Argo floats every 10 days between April 2004 and October 2012. The mean plus or minus the standard deviation of the freshwater flux (FW) is −1.17 ± 0.20 Sv (1 Sv ≡ 106 m3 s−1; negative flux is southward), implying a freshwater divergence of −0.37 ± 0.20 Sv between the Bering Strait and 26.5°N. This is in the sense of an input of 0.37 Sv of freshwater into the ocean, consistent with a region where precipitation dominates over evaporation. The sign and the variability of the freshwater divergence are dominated by the overturning component (−0.78 ± 0.21 Sv). The horizontal component of the freshwater divergence is smaller, associated with little variability and positive (0.35 ± 0.04 Sv). A linear relationship, describing 91% of the variance, exists between the strength of the meridional overturning circulation (MOC) and the freshwater flux (−0.37 − 0.047 Sv of FW per Sverdrups of MOC). The time series of the residual to this relationship shows a small (0.02 Sv in 8.5 yr) but detectable decrease in the freshwater flux (i.e., an increase in the southward freshwater flux) for a given MOC strength. Historical analyses of observations at 24.5°N are consistent with a more negative freshwater divergence from −0.03 to −0.37 Sv since 1974. This change is associated with an increased southward freshwater flux at this latitude due to an increase in the Florida Straits salinity (and therefore the northward salinity flux)

COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

Manuel pratique du jardinage : ouvrage spécialement destiné aux amateurs d'horticulture, contenant tout ce qu'il est nécessaire de savoir pour cultiver soi-même un jardin ou en diriger la culture

Las h. de grab. representan utensilios empleados en la jardinerí