82 research outputs found

    A mini tour of HARMONIE AROME physics

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    PresentaciĂłn realizada en: 2nd ACCORD ASW celebrado del 4 al 8 de abril de 2022 en Ljubljana, Eslovenia

    Sensitivity of radiative fluxes to aerosols in the ALADIN-HIRLAM numerical weather prediction system

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    The direct radiative effect of aerosols is taken into account in many limited-area numerical weather prediction models using wavelength-dependent aerosol optical depths of a range of aerosol species. We studied the impact of aerosol distribution and optical properties on radiative transfer, based on climatological and more realistic near real-time aerosol data. Sensitivity tests were carried out using the single-column version of the ALADIN-HIRLAM numerical weather prediction system, set up to use the HLRADIA simple broadband radiation scheme. The tests were restricted to clear-sky cases to avoid the complication of cloud–radiation–aerosol interactions. The largest differences in radiative fluxes and heating rates were found to be due to different aerosol loads. When the loads are large, the radiative fluxes and heating rates are sensitive to the aerosol inherent optical properties and the vertical distribution of the aerosol species. In such cases, regional weather models should use external real-time aerosol data for radiation parametrizations. Impacts of aerosols on shortwave radiation dominate longwave impacts. Sensitivity experiments indicated the important effects of highly absorbing black carbon aerosols and strongly scattering desert dust

    The HIRLAM fast radiation scheme for mesoscale numerical weather prediction models

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    This paper provides an overview of the HLRADIA shortwave (SW) and longwave (LW) broadband radiation schemes used in the HIRLAM numerical weather prediction (NWP) model and available in the HARMONIE-AROME mesoscale NWP model. The advantage of broadband, over spectral, schemes is that they can be called more frequently within the model, without compromising on computational efficiency. In mesoscale models fast interactions between clouds and radiation and the surface and radiation can be of greater importance than accounting for the spectral details of clear-sky radiation; thus calling the routines more frequently can be of greater benefit than the deterioration due to loss of spectral details. Fast but physically based radiation parametrizations are expected to be valuable for high-resolution ensemble forecasting, because as well as the speed of their execution, they may provide realistic physical perturbations. Results from single-column diagnostic experiments based on CIRC benchmark cases and an evaluation of 10 years of radiation output from the FMI operational archive of HIRLAM forecasts indicate that HLRADIA performs sufficiently well with respect to the clear-sky downwelling SW and longwave LWfluxes at the surface. In general, HLRADIA tends to overestimate surface fluxes, with the exception of LW fluxes under cold and dry conditions. The most obvious overestimation of the surface SW flux was seen in the cloudy cases in the 10-year comparison; this bias may be related to using a cloud inhomogeneity correction, which was too large. According to the CIRC comparisons, the outgoing LW and SW fluxes at the top of atmosphere are mostly overestimated by HLRADIA and the net LW flux is underestimated above clouds. The absorption of SW radiation by the atmosphere seems to be underestimated and LW absorption seems to be overestimated. Despite these issues, the overall results are satisfying and work on the improvement of HLRADIA for the use in HARMONIE-AROME NWP system is ongoing. In a HARMONIE-AROME 3-D forecast experiment we have shown that the frequency of the call for the radiation parametrization and choice of the parametrization scheme makes a difference to the surface radiation fluxes and changes the spatial distribution of the vertically integrated cloud cover and precipitation.Peer reviewe

    Measuring white matter microstructure in 1,457 cannabis users and 1,441 controls : A systematic review of diffusion-weighted MRI studies

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    Introduction: Cannabis is the most widely used regulated substance by youth and adults. Cannabis use has been associated with psychosocial problems, which have been partly ascribed to neurobiological changes. Emerging evidence to date from diffusion-MRI studies shows that cannabis users compared to controls show poorer integrity of white matter fibre tracts, which structurally connect distinct brain regions to facilitate neural communication. However, the most recent evidence from diffusion-MRI studies thus far has yet to be integrated. Therefore, it is unclear if white matter differences in cannabis users are evident consistently in selected locations, in specific diffusion-MRI metrics, and whether these differences in metrics are associated with cannabis exposure levels. Methods: We systematically reviewed the results from diffusion-MRI imaging studies that compared white matter differences between cannabis users and controls. We also examined the associations between cannabis exposure and other behavioral variables due to changes in white matter. Our review was pre-registered in PROSPERO (ID: 258250; https://www.crd.york.ac.uk/prospero/). Results: We identified 30 diffusion-MRI studies including 1,457 cannabis users and 1,441 controls aged 16-to-45 years. All but 6 studies reported group differences in white matter integrity. The most consistent differences between cannabis users and controls were lower fractional anisotropy within the arcuate/superior longitudinal fasciculus (7 studies), and lower fractional anisotropy of the corpus callosum (6 studies) as well as higher mean diffusivity and trace (4 studies). Differences in fractional anisotropy were associated with cannabis use onset (4 studies), especially in the corpus callosum (3 studies). Discussion: The mechanisms underscoring white matter differences are unclear, and they may include effects of cannabis use onset during youth, neurotoxic effects or neuro adaptations from regular exposure to tetrahydrocannabinol (THC), which exerts its effects by binding to brain receptors, or a neurobiological vulnerability predating the onset of cannabis use. Future multimodal neuroimaging studies, including recently developed advanced diffusion-MRI metrics, can be used to track cannabis users over time and to define with precision when and which region of the brain the white matter changes commence in youth cannabis users, and whether cessation of use recovers white matter differences. Systematic review registration: www.crd.york.ac.uk/prospero/, identifier: 258250

    The HARMONIE–AROME Model Configuration in the ALADIN–HIRLAM NWP System

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    The aim of this article is to describe the reference configuration of the convection-permitting numerical weather prediction (NWP) model HARMONIE-AROME, which is used for operational short-range weather forecasts in Denmark, Estonia, Finland, Iceland, Ireland, Lithuania, the Netherlands, Norway, Spain, and Sweden. It is developed, maintained, and validated as part of the shared ALADIN–HIRLAM system by a collaboration of 26 countries in Europe and northern Africa on short-range mesoscale NWP. HARMONIE–AROME is based on the model AROME developed within the ALADIN consortium. Along with the joint modeling framework, AROME was implemented and utilized in both northern and southern European conditions by the above listed countries, and this activity has led to extensive updates to themodel’s physical parameterizations. In this paper the authors present the differences inmodel dynamics and physical parameterizations compared with AROME, as well as important configuration choices of the reference, such as lateral boundary conditions, model levels, horizontal resolution, model time step, as well as topography, physiography, and aerosol databases used. Separate documentation will be provided for the atmospheric and surface data-assimilation algorithms and observation types used, as well as a separate description of the ensemble prediction system based on HARMONIE–AROME, which is called HarmonEPS

    Towards nationally curated data archives for clinical radiology image analysis at scale: Learnings from national data collection in response to a pandemic

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    The prevalence of the coronavirus SARS-CoV-2 disease has resulted in the unprecedented collection of health data to support research. Historically, coordinating the collation of such datasets on a national scale has been challenging to execute for several reasons, including issues with data privacy, the lack of data reporting standards, interoperable technologies, and distribution methods. The coronavirus SARS-CoV-2 disease pandemic has highlighted the importance of collaboration between government bodies, healthcare institutions, academic researchers and commercial companies in overcoming these issues during times of urgency. The National COVID-19 Chest Imaging Database, led by NHSX, British Society of Thoracic Imaging, Royal Surrey NHS Foundation Trust and Faculty, is an example of such a national initiative. Here, we summarise the experiences and challenges of setting up the National COVID-19 Chest Imaging Database, and the implications for future ambitions of national data curation in medical imaging to advance the safe adoption of artificial intelligence in healthcare

    Early Signs Monitoring to Prevent Relapse in Psychosis and Promote Well-Being, Engagement, and Recovery:Protocol for a Feasibility Cluster Randomized Controlled Trial Harnessing Mobile Phone Technology Blended With Peer Support

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    BACKGROUND: Relapse in schizophrenia is a major cause of distress and disability and is predicted by changes in symptoms such as anxiety, depression, and suspiciousness (early warning signs [EWSs]). These can be used as the basis for timely interventions to prevent relapse. However, there is considerable uncertainty regarding the implementation of EWS interventions. OBJECTIVE: This study was designed to establish the feasibility of conducting a definitive cluster randomized controlled trial comparing Early signs Monitoring to Prevent relapse in psychosis and prOmote Well-being, Engagement, and Recovery (EMPOWER) against treatment as usual (TAU). Our primary outcomes are establishing parameters of feasibility, acceptability, usability, safety, and outcome signals of a digital health intervention as an adjunct to usual care that is deliverable in the UK National Health Service and Australian community mental health service (CMHS) settings. We will assess the feasibility of candidate primary outcomes, candidate secondary outcomes, and candidate mechanisms for a definitive trial. METHODS: We will randomize CMHSs to EMPOWER or TAU. We aim to recruit up to 120 service user participants from 8 CMHSs and follow them for 12 months. Eligible service users will (1) be aged 16 years and above, (2) be in contact with local CMHSs, (3) have either been admitted to a psychiatric inpatient service or received crisis intervention at least once in the previous 2 years for a relapse, and (4) have an International Classification of Diseases-10 diagnosis of a schizophrenia-related disorder. Service users will also be invited to nominate a carer to participate. We will identify the feasibility of the main trial in terms of recruitment and retention to the study and the acceptability, usability, safety, and outcome signals of the EMPOWER intervention. EMPOWER is a mobile phone app that enables the monitoring of well-being and possible EWSs of relapse on a daily basis. An algorithm calculates changes in well-being based on participants' own baseline to enable tailoring of well-being messaging and clinical triage of possible EWSs. Use of the app is blended with ongoing peer support. RESULTS: Recruitment to the trial began September 2018, and follow-up of participants was completed in July 2019. Data collection is continuing. The database was locked in July 2019, followed by analysis and disclosing of group allocation. CONCLUSIONS: The knowledge gained from the study will inform the design of a definitive trial including finalizing the delivery of our digital health intervention, sample size estimation, methods to ensure successful identification, consent, randomization, and follow-up of participants, and the primary and secondary outcomes. The trial will also inform the final health economic model to be applied in the main trial. TRIAL REGISTRATION: International Standard Randomized Controlled Trial Number (ISRCTN): 99559262; http://isrctn.com/ISRCTN99559262. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/15058

    Reading Room Electives: Say Goodbye to the “Radi-Holiday”

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    Reading room electives are among the most challenging curricula to develop for medical student educators. Students tend to have few responsibilities and poorly defined learning objectives. The authors review the components of a successful reading room elective. The important components include a thorough orientation, written goals and expectations, attendance and feedback systems, objective mid-elective and end-of-elective evaluations, and an end-of-elective debriefing session. Many educational activities, tools, and assessments are available and should be considered to supplement the curriculum. Radiology electives must break free of the "radi-holiday" stereotype and adopt increased responsibilities and expectations, similar to rigorous clinical subinternships
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