Assimilation of atmospheric infrasound data to constrain tropospheric and stratospheric winds

This data assimilation study exploits infrasound from explosions to probe an atmospheric wind component from the ground up to stratospheric altitudes. Planned explosions of old ammunition in Finland generate transient infrasound waves that travel through the atmosphere. These waves are partially reflected back towards the ground from stratospheric levels, and are detected at a receiver station located in northern Norway at 178 km almost due North from the explosion site. The difference between the true horizontal direction towards the source and the backazimuth direction(the horizontal direction of arrival) of the incoming infrasound wave-fronts, in combination with the pulse propagation time, are exploited to provide an estimate of the average cross-wind component in the penetrated atmosphere. We perform offline assimilation experiments with an ensemble Kalman filter and these observations, using the ERA5 ensemble reanalysis atmospheric product as background(prior) for the wind at different vertical levels. We demonstrate that information from both source scan be combined to obtain analysis (posterior) estimates of cross-winds at different vertical levels of the atmospheric slice between the explosion site and the recording station. The assimilation makes greatest impact at the 12−60 km levels, with some changes with respect to the prior of the order of 0.1−1.0 m/s, which is a magnitude larger than the typical standard deviation of the ERA5 background. The reduction of background variance in the higher levels often reached 2−5%. This is the first published study demonstrating techniques to implement assimilation of infrasound data into atmospheric models. It paves the way for further exploration in the use of infrasound observations– especially natural and continuous sources – to probe the middle atmospheric dynamics and to assimilate these data into atmospheric model products

Seasonal Predictability over Europe Arising from El Nino and Stratospheric Variability in the MPI-ESM Seasonal Prediction System

Predictability on seasonal time scales over the North Atlantic–Europe region is assessed using a seasonal prediction system based on an initialized version of the Max Planck Institute Earth System Model (MPI-ESM). For this region, two of the dominant predictors on seasonal time scales are El Niño–Southern Oscillation (ENSO) and sudden stratospheric warming (SSW) events. Multiple studies have shown a potential for improved North Atlantic predictability for either predictor. Their respective influences are however difficult to disentangle, since the stratosphere is itself impacted by ENSO. Both El Niño and SSW events correspond to a negative signature of the North Atlantic Oscillation (NAO), which has a major influence on European weather. This study explores the impact on Europe by separating the stratospheric pathway of the El Niño teleconnection. In the seasonal prediction system, the evolution of El Niño events is well captured for lead times of up to 6 months, and stratospheric variability is reproduced with a realistic frequency of SSW events. The model reproduces the El Niño teleconnection through the stratosphere, involving a deepened Aleutian low connected to a warm anomaly in the northern winter stratosphere. The stratospheric anomaly signal then propagates downward into the troposphere through the winter season. Predictability of 500-hPa geopotential height over Europe at lead times of up to 4 months is shown to be increased only for El Niño events that exhibit SSW events, and it is shown that the characteristic negative NAO signal is only obtained for winters also containing major SSW events for both the model and the reanalysis data

Stratospheric influence on the winter North Atlantic storm track in subseasonal reforecasts

Extreme stratospheric polar vortex events, such as sudden stratospheric warmings (SSWs) or extremely strong polar vortex events, can have a significant impact on surface weather in winter. SSWs are most often associated with negative North Atlantic Oscillation (NAO) conditions, cold air outbreaks in the Arctic and a southward-shifted midlatitude storm track in the North Atlantic, while strong polar vortex events tend to be followed by a positive phase of the NAO, relatively warm conditions in the extratropics and a poleward-shifted storm track. Such changes in the storm track position and associated extratropical cyclone frequency over the North Atlantic and Europe can increase the risk of extreme windstorm, flooding or heavy snowfall over populated regions. Skillful predictions of the downward impact of stratospheric polar vortex extremes can therefore improve the predictability of extratropical winter storms on subseasonal timescales. However, there exists a strong inter-event variability in these downward impacts on the tropospheric storm track. Using ECMWF reanalysis data and reforecasts from the Subseasonal to Seasonal (S2S) Prediction Project database, we investigate the stratospheric influence on extratropical cyclones, identified with a cyclone detection algorithm. Following SSWs, there is an equatorward shift in cyclone frequency over the North Atlantic and Europe in reforecasts, and the opposite response is observed after strong polar vortex events, consistent with the response in reanalysis. However, although the response of cyclone frequency following SSWs with a canonical surface impact is typically captured well during weeks 1–4, less than 25 % of the reforecasts manage to capture the response following SSWs with a “non-canonical” impact. This suggests a possible overconfidence in the reforecasts with respect to reanalysis in predicting the canonical response after SSWs, although it only occurs in about two-thirds of the events. The cyclone forecasts following strong polar vortex events are generally more successful. Understanding the role of the stratosphere in subseasonal variability and predictability of storm tracks during winter can provide a key for reliable forecasts of midlatitude storms and their surface impacts.</p

An intercomparison of skill and overconfidence/underconfidence of the wintertime North Atlantic Oscillation in multimodel seasonal forecasts

Recent studies of individual seasonal forecast systems have shown that the wintertime North Atlantic Oscillation (NAO) can be skillfully forecast. However, it has also been suggested that these skillful forecasts tend to be underconfident, meaning that there is too high a proportion of unpredictable noise in the forecasts. We assess the skill and overconfidence/underconfidence of the seasonal forecast systems contributing to the EUROpean Seasonal to Interannual Prediction (EUROSIP) multimodel ensemble system. Five of the seven systems studied have significant skill for forecasting the wintertime NAO at 2‐ to 4‐month lead times. Four of these skillful systems are underconfident for forecasting the NAO. A multimodel ensemble (ensemble size 126 members) is both skillful and clearly underconfident. Underconfidence becomes more pronounced as the ensemble size increases. Certain years in the hindcast period are well forecast by all or most models. This implies that common teleconnections and drivers of the NAO are being captured by the EUROSIP seasonal forecasts

Complexity in Non-Pharmacological Caregiving Activities at the End of Life: An International Qualitative Study

In a qualitative study reported by Olav Lindqvist and colleagues, the range of nonpharmacological caregiving activities used in the last days of a patient's life are described

Impact Forecasting to Support Emergency Management of Natural Hazards

Forecasting and early warning systems are important investments to protect lives, properties, and livelihood. While early warning systems are frequently used to predict the magnitude, location, and timing of potentially damaging events, these systems rarely provide impact estimates, such as the expected amount and distribution of physical damage, human consequences, disruption of services, or financial loss. Complementing early warning systems with impact forecasts has a twofold advantage: It would provide decision makers with richer information to take informed decisions about emergency measures and focus the attention of different disciplines on a common target. This would allow capitalizing on synergies between different disciplines and boosting the development of multihazard early warning systems. This review discusses the state of the art in impact forecasting for a wide range of natural hazards. We outline the added value of impact-based warnings compared to hazard forecasting for the emergency phase, indicate challenges and pitfalls, and synthesize the review results across hazard types most relevant for Europe

Emerging pharmacotherapy of tinnitus

Tinnitus, the perception of sound in the absence of an auditory stimulus, is perceived by about 1 in 10 adults, and for at least 1 in 100, tinnitus severely affects their quality of life. Because tinnitus is frequently associated with irritability, agitation, stress, insomnia, anxiety and depression, the social and economic burdens of tinnitus can be enormous. No curative treatments are available. However, tinnitus symptoms can be alleviated to some extent. The most widespread management therapies consist of auditory stimulation and cognitive behavioral treatment, aiming at improving habituation and coping strategies. Available clinical trials vary in methodological rigor and have been performed for a considerable number of different drugs. None of the investigated drugs have demonstrated providing replicable long-term reduction of tinnitus impact in the majority of patients in excess of placebo effects. Accordingly, there are no FDA or European Medicines Agency approved drugs for the treatment of tinnitus. However, in spite of the lack of evidence, a large variety of different compounds are prescribed off-label. Therefore, more effective pharmacotherapies for this huge and still growing market are desperately needed and even a drug that produces only a small but significant effect would have an enormous therapeutic impact. This review describes current and emerging pharmacotherapies with current difficulties and limitations. In addition, it provides an estimate of the tinnitus market. Finally, it describes recent advances in the tinnitus field which may help overcome obstacles faced in the pharmacological treatment of tinnitus. These include incomplete knowledge of tinnitus pathophysiology, lack of well-established animal models, heterogeneity of different forms of tinnitus, difficulties in tinnitus assessment and outcome measurement and variability in clinical trial methodology. © 2009 Informa UK Ltd.Fil: Langguth, Berthold. Universitat Regensburg; AlemaniaFil: Salvi, Richard. State University of New York; Estados UnidosFil: Elgoyhen, Ana Belen. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ingeniería Genética y Biología Molecular "Dr. Héctor N. Torres"; Argentin

Northern hemisphere stratosphere‐troposphere circulation change in CMIP6 models: 1. inter‐model spread and scenario sensitivity

Projected changes in the Northern Hemisphere stratospheric polar vortex are analyzed using Climate Model Intercomparison Project Phase 6 experiments. Previous studies showed that projections of the wintertime zonally averaged polar vortex strength diverge widely between climate models with no agreement on the sign of change, and that this uncertainty contributes to the regional climate change uncertainty. Here, we show that there remains large uncertainty in the projected strength of the polar vortex in experiments with global warming levels ranging from moderate (SSP245 runs) to large (Abrupt-4xCO2 runs), and that the uncertainty maximizes in winter. Partitioning of the uncertainty in wintertime polar vortex strength projections reveals that, by the end of the 21st century, model uncertainty contributes half of the total uncertainty, with scenario uncertainty contributing only 10%. Regression analysis shows that up to 20% of the intermodel spread in projected precipitation over the Iberian Peninsula and northwestern US, and 20%–30% in near-surface temperature over western US and northern Eurasian, can be associated with the spread in vortex strength projections after accounting for global warming. While changes in the magnitude and sign of the zonally averaged vortex strength are uncertain, most models (>95%) predict an eastward shift of the vortex by 8°–20° degrees in longitude relative to its historical location with the magnitude of the shift increasing for larger global warming levels. There is less agreement across models on a latitudinal shift, whose direction and magnitude correlate with changes in the zonally averaged vortex strength so that vortex weakening/strengthening corresponds to a southward/poleward shift