A Window Into Functional Communication: Leveraging Naturalistic Speech Samples in Primary Progressive Aphasia

Purpose: Naturalistic speech samples should be routinely collected in the assessment of individuals with communication difficulties. However, even when these samples are collected, they are often underutilized. We propose that the analysis of naturalistic speech samples can greatly enhance our understanding and evaluation of the functional impact of primary progressive aphasia (PPA) on communication. First, we review the current practices of evaluating PPA. Second, we provide a framework to optimize the collection, analysis, and interpretation of speech samples to accomplish this goal. In particular, we demonstrate how speech samples can be evaluated for measures of informativeness, the presence of atypical patterns of speech, articulatory rate, and pausing, all of which are helpful metrics in characterizing disordered speech. These factors can be leveraged to identify both the strengths and difficulties an individual may face in everyday communication. / Conclusion: The collection of naturalistic speech in both clinical and naturalistic settings with typical communication partners is highly recommended to best diagnose, monitor, and inform treatment plans for individuals with PPA

Modelling snow accumulation on Greenland in Eemian, glacial inception, and modern climates in a GCM

Changing climate conditions on Greenland influence the snow accumulation rate and surface mass balance (SMB) on the ice sheet and, ultimately, its shape. This can in turn affect local climate via orography and albedo variations and, potentially, remote areas via changes in ocean circulation triggered by melt water or calving from the ice sheet. Examining these interactions in the IPSL global model requires improving the representation of snow at the ice sheet surface. In this paper, we present a new snow scheme implemented in LMDZ, the atmospheric component of the IPSL coupled model. We analyse surface climate and SMB on the Greenland ice sheet under insolation and oceanic boundary conditions for modern, but also for two different past climates, the last glacial inception (115 kyr BP) and the Eemian (126 kyr BP). While being limited by the low resolution of the general circulation model (GCM), present-day SMB is on the same order of magnitude as recent regional model findings. It is affected by a moist bias of the GCM in Western Greenland and a dry bias in the north-east. Under Eemian conditions, the SMB decreases largely, and melting affects areas in which the ice sheet surface is today at high altitude, including recent ice core drilling sites as NEEM. In contrast, glacial inception conditions lead to a higher mass balance overall due to the reduced melting in the colder summer climate. Compared to the widely applied positive degree-day (PDD) parameterization of SMB, our direct modelling results suggest a weaker sensitivity of SMB to changing climatic forcing. For the Eemian climate, our model simulations using interannually varying monthly mean forcings for the ocean surface temperature and sea ice cover lead to significantly higher SMB in southern Greenland compared to simulations forced with climatological monthly means

Evaluation of a high-resolution regional climate simulation over Greenland

A simulation of the 1991 summer has been performed over south Greenland with a coupled atmosphere–snow regional climate model (RCM) forced by the ECMWF re-analysis. The simulation is evaluated with in-situ coastal and ice-sheet atmospheric and glaciological observations. Modelled air temperature, specific humidity, wind speed and radiative fluxes are in good agreement with the available observations, although uncertainties in the radiative transfer scheme need further investigation to improve the model’s performance. In the sub-surface snow-ice model, surface albedo is calculated from the simulated snow grain shape and size, snow depth, meltwater accumulation, cloudiness and ice albedo. The use of snow metamorphism processes allows a realistic modelling of the temporal variations in the surface albedo during both melting periods and accumulation events. Concerning the surface albedo, the main finding is that an accurate albedo simulation during the melting season strongly depends on a proper initialization of the surface conditions which mainly result from winter accumulation processes. Furthermore, in a sensitivity experiment with a constant 0.8 albedo over the whole ice sheet, the average amount of melt decreased by more than 60%, which highlights the importance of a correctly simulated surface albedo. The use of this coupled atmosphere–snow RCM offers new perspectives in the study of the Greenland surface mass balance due to the represented feedback between the surface climate and the surface albedo, which is the most sensitive parameter in energy-balance-based ablation calculations.Peer reviewe

The 1979-2005 Greenland ice sheet melt extent from passive microwave data using an improved version of the melt retrieval XPGR algorithm

Analysis of passive microwave satellite observations over the Greenland ice sheet reveals a significant increase in surface melt over the period 1979-2005. Since 1979, the total melt area was found to have increased +1.22 x 10ˆ7 kmˆ2. An improved version of the cross-polarized gradient ratio (XPGR) technique is used to identify the melt from the brightness temperatures. The improvements in the melt retrieval XPGR algorithm as well as the surface melt acceleration are discussed with results from a coupled atmosphere-snow regional climate model. From 1979 to 2005, the ablation period increases everywhere over the melt zone except in the regions where the model simulates an increased summer snowfall. Indeed, more snowfall in summer decreases the liquid water content of the snowpack, raises the albedo and therefore reduces the melt. Finally, this melt acceleration over the Greenland ice sheet is highly correlated with both Greenland and global warming suggesting a continuing surface melt increase in the future.Peer reviewe

Dynamic recycling of gaseous elemental mercury in the boundary layer of the Antarctic Plateau

International audienceGaseous elemental mercury (Hg0) was investigated in the troposphere and in the interstitial air extracted from the snow at Dome Concordia station (alt. 3320 m) on the Antarctic Plateau during January 2009. Measurements and modeling studies showed evidence of a very dynamic and daily cycling of Hg0 inside the mixing layer with a range of values from 0.2 ng m−3 up to 2.3 ng m−3. During low solar irradiation periods, fast Hg0 oxidation processes in a confined layer were suspected. Unexpectedly high Hg0 concentrations for such a remote place were measured under higher solar irradiation due to snow photochemistry. We suggest that a daily cycling of reemission/oxidation occurs during summer within the mixing layer at Dome Concordia. Hg0 concentrations showed a negative correlation with ozone mixing ratios, which contrasts with atmospheric mer- cury depletion events observed during the Arctic spring. Un- like previous Antarctic studies, we think that atmospheric Hg0 removal may not be the result of advection processes. The daily and dramatic Hg0 losses could be a consequence of surface or snow induced oxidation pathways. It remains however unclear whether halogens are involved. The cycling of other oxidants should be investigated together with Hg species in order to clarify the complex reactivity on the Antarctic plateau

Sensitivity of a Greenland ice sheet model to atmospheric forcing fields

International audiencePredicting the climate for the future and how it will impact ice sheet evolution requires coupling ice sheet models with climate models. However, before we attempt to develop a realistic coupled setup, we propose, in this study, to first analyse the impact of a model simulated climate on an ice sheet. We undertake this exercise for a set of regional and global climate models. Modelled near surface air temperature and precipitation are provided as upper boundary conditions to the GRISLI (GRenoble Ice Shelf and Land Ice model) hybrid ice sheet model (ISM) in its Greenland configuration. After 20 kyrs of simulation, the resulting ice sheets highlight the differences between the climate models. While modelled ice sheet sizes are generally comparable to the observed one, there are considerable deviations among the ice sheets on regional scales. These deviations can be explained by biases in temperature and precipitation near the coast. This is especially true in the case of global models. But the deviations between the climate models are also due to the differences in the atmospheric general circulation. To account for these differences in the context of coupling ice sheet models with climate models, we conclude that appropriate downscaling methods will be needed. In some cases, systematic corrections of the climatic variables at the interface may be required to obtain realistic results for the Greenland ice sheet (GIS)

Atmospheric drying as the main driver of dramatic glacier wastage in the southern Indian Ocean

This study was funded by IPEV-1048 GLACIOCLIM-KESAACO and LEFE-INSU KCRuMBLE programs, and the Agence Nationale de la Recherche through contract ANR-14-CE01-0001-01 (ASUMA).The ongoing retreat of glaciers at southern sub-polar latitudes is particularly rapid and widespread. Akin to northern sub-polar latitudes, this retreat is generally assumed to be linked to warming. However, no long-term and well-constrained glacier modeling has ever been performed to confirm this hypothesis. Here, we model the Cook Ice Cap mass balance on the Kerguelen Islands (Southern Indian Ocean, 49°S) since the 1850s. We show that glacier wastage during the 2000s in the Kerguelen was among the most dramatic on Earth. We attribute 77% of the increasingly negative mass balance since the 1960s to atmospheric drying associated with a poleward shift of the mid-latitude storm track. Because precipitation modeling is very challenging for the current generation of climate models over the study area, models incorrectly simulate the climate drivers behind the recent glacier wastage in the Kerguelen. This suggests that future glacier wastage projections should be considered cautiously where changes in atmospheric circulation are expected.Publisher PDFPeer reviewe

Principles and philosophies for speech and language therapists working with people with primary progressive aphasia: An international expert consensus

Purpose: Primary progressive aphasia (PPA) is a language-led dementia associated with Alzheimer’s pathology and fronto-temporal lobar degeneration. Multiple tailored speech and language interventions have been developed for people with PPA. Speech and language therapists/speech-language pathologists (SLT/Ps) report lacking confidence in identifying the most pertinent interventions options relevant to their clients living with PPA during their illness trajectory. Materials and methods: The aim of this study was to establish a consensus amongst 15 clinical-academic SLT/Ps on best practice in selection and delivery of speech and language therapy interventions for people with PPA. An online nominal group technique (NGT) and consequent focus group session were held. NGT rankings were aggregated and focus groups video recorded, transcribed, and reflexive thematic analysis undertaken. Results: The results of the NGT identified 17 items. Two main themes and seven further subthemes were identified in the focus groups. The main themes comprised (1) philosophy of person-centredness and (2) complexity. The seven subthemes were knowing people deeply, preventing disasters, practical issues, professional development, connectedness, barriers and limitations, and peer support and mentoring towards a shared understanding. Conclusions: This study describes the philosophy of expert practice and outlines a set of best practice principles when working with people with PPA.Implications for rehabilitation Primary progressive aphasia (PPA) describes a group of language led dementias which deteriorate inexorably over time. Providing speech and language therapy for people with PPA is complex and must be person centred and bespoke. This study describes the philosophy of expert practice and outlines a set of best practice principles for speech and language therapists/pathologists working with people with people with PPA

Twentieth century temperature and snow cover changes in the French Alps

International audienceChanges in snow cover associated with the warming of the French Alps greatly influence social-ecological systems through their impact on water resources, mountain ecosystems, economic activities, and glacier mass balance. In this study, we investigated trends in snow cover and temperature over the twentieth century using climate model and reanalysis data. The evolution of temperature, precipitation and snow cover in the European Alps has been simulated with the Modèle Atmospherique Régional (MAR) applied with a 7-km horizontal resolution and driven by ERA-20C (1902-2010) and ERA5 (1981–2018) reanalyses data. Snow cover duration and snow water equivalent (SWE) simulated with MAR are compared to the SAFRAN - SURFEX-ISBA-Crocus - MEPRA meteorological and snow cover reanalysis (S2M) data across the French Alps (1958–2018) and in situ glacier mass balance measurements. MAR outputs provide a realistic distribution of SWE and snow cover duration as a function of elevation in the French Alps. Large disagreements are found between the datasets in terms of absolute warming trends over the second part of the twentieth century. MAR and S2M trends are in relatively good agreement for the decrease in snow cover duration, with higher decreases at low elevation ( $\sim$ ∼ 5–10%/decade). Consistent with other studies, the highest warming rates in MAR occur at low elevations ( 2000 m a.s.l) in summer. In spring, warming trends show a maximum at intermediate elevations (1500 to 1800 m). Our results suggest that higher warming at these elevations is mostly linked to the snow-albedo feedback in spring and summer caused by the disappearance of snow cover at higher elevation during these seasons. This work has evidenced that depending on the season and the period considered, enhanced warming at higher elevations may or may not be found. Additional analysis in a physically comprehensive way and more high-quality dataset, especially at high elevations, are still required to better constrain and quantify climate change impacts in the Alps and its relation to elevation

The relative contribution of orbital forcing and greenhouse gases to the North American deglaciation

Understanding what drove Northern Hemisphere ice sheet melt during the last deglaciation (21–7 ka) can help constrain how sensitive contemporary ice sheets are to greenhouse gas (GHGs) changes. The roles of orbital forcing and GHGs in the deglaciation have previously been modelled, but not yet quantified. Here, for the first time we calculate the relative effect of these forcings on the North American deglaciation by driving a dynamical ice sheet model (GLIMMER-CISM) with a set of un-accelerated transient deglacial simulations with a full primitive equation based ocean atmosphere general circulation model (FAMOUS). We find that by 9 ka, orbital forcing has caused 50% of the deglaciation, GHG 30% and the interaction between the two 20%. Orbital forcing starts affecting the ice volume at 19 ka, 2,000 years before CO2 starts increasing in our experiments, a delay which partly controls their relative effect