Severe Drought Conditions in Northern East Asia During the Early Pliocene Caused by Weakened Pacific Meridional Temperature Gradient

The evolution of hydroclimate in East Asia during the Pliocene—a potential analog of the future greenhouse climate—remains highly uncertain. Here we reconstruct changes in the hydroclimate of Northern China during this epoch. Our results reveal previously undocumented severe drought conditions that persisted through the early Pliocene with a significantly greater magnitude than suggested by other records. Using a broad hierarchy of climate simulations, we find that reduction in the Pacific meridional sea surface temperature (SST) gradient has particularly strong impacts on precipitation over Northern China, which suggests its key role in maintaining drought conditions during the early Pliocene. The weaker Pacific meridional SST gradient causes the weakening of the East Asian summer monsoon precipitation over this region via a reduction of atmospheric northward moisture transport from the ocean, which enhances aridity inland. Our results highlight the fundamental control of the tropical ocean on the extra-tropical hydrological cycle

Severe Drought Conditions in Northern East Asia During the Early Pliocene Caused by Weakened Pacific Meridional Temperature Gradient

International audienceThe evolution of hydroclimate in East Asia during the Pliocene—a potential analog of the future greenhouse climate—remains highly uncertain. Here we reconstruct changes in the hydroclimate of Northern China during this epoch. Our results reveal previously undocumented severe drought conditions that persisted through the early Pliocene with a significantly greater magnitude than suggested by other records. Using a broad hierarchy of climate simulations, we find that reduction in the Pacific meridional sea surface temperature (SST) gradient has particularly strong impacts on precipitation over Northern China, which suggests its key role in maintaining drought conditions during the early Pliocene. The weaker Pacific meridional SST gradient causes the weakening of the East Asian summer monsoon precipitation over this region via a reduction of atmospheric northward moisture transport from the ocean, which enhances aridity inland. Our results highlight the fundamental control of the tropical ocean on the extra-tropical hydrological cycle

The effect of a therapeutic regimen of Traditional Chinese Medicine rehabilitation for post-stroke cognitive impairment: study protocol for a randomized controlled trial

Background Post-stroke cognitive impairment (PSCI) lessens quality of life, restricts the rehabilitation of stroke, and increases the social and economic burden stroke imposes on patients and their families. Therefore effective treatment is of paramount importance. However, the treatment of PSCI is very limited. The primary aim of this protocol is to propose a lower cost and more effective therapy, and to confirm the long-term effectiveness of a therapeutic regimen of Traditional Chinese Medicine (TCM) rehabilitation for PSCI. Methods/Design A prospective, multicenter, large sample, randomized controlled trial will be conducted. A total of 416 eligible patients will be recruited from seven inpatient and outpatient stroke rehabilitation units and randomly allocated into a therapeutic regimen of TCM rehabilitation group or cognitive training (CT) control group. The intervention period of both groups will last 12 weeks (30 minutes per day, five days per week). Primary and secondary outcomes will be measured at baseline, 12 weeks (at the end of the intervention), and 36 weeks (after the 24-week follow-up period). Discussion This protocol presents an objective design of a multicenter, large sample, randomized controlled trial that aims to put forward a lower cost and more effective therapy, and confirm the long-term effectiveness of a therapeutic regimen of TCM rehabilitation for PSCI through subjective and objective assessments, as well as highlight its economic advantages