Aeolus wind lidar observations of the 2019/2020 Quasi-Biennial Oscillation disruption with comparison to radiosondes and reanalysis

The quasi-biennial oscillation (QBO) was unexpectedly disrupted for only the second time in the historical record during the 2019/20 boreal winter. As the dominant mode of atmospheric variability in the tropical stratosphere, and a significant source of seasonal predictability globally, understanding the drivers behind this unusual behaviour is very important. Here, novel data from Aeolus, the first Doppler wind lidar in space, is used to observe the 2019/20 QBO disruption. Aeolus is the first satellite able to observe winds at high resolution on a global scale, and is therefore a uniquely capable platform for studying the evolution of the disruption and the broader circulation changes triggered by it. This study therefore contains the first direct wind observations of the QBO from space, and exploits measurements from a special Aeolus scanning mode, implemented to observe this disruption as it happened. Aeolus observes easterly winds of up to 20 ms&minus;1 in the core of the disruption jet during July 2020. By co-locating with radiosonde measurements from Singapore and ERA5 reanalysis, like-for-like comparisons of the observed wind structures in the tropical stratosphere are produced, showing equatorial Kelvin wave activity and key parts of the Walker Circulation during the disruption period. The onset of the disruption easterly jet occurs 5 days earlier in Aeolus observations compared with the reanalysis. This analysis highlights how Aeolus and future Doppler wind lidar satellites can deepen our understanding of the QBO, its disruptions, and the tropical upper-troposphere lower-stratosphere region more generally.</p

An evaluation of a nurse led unit: an action research study

This study is an exemplar of working in a participatory way with members of the public and health and social care practitioners as co-researchers. A Nurse Consultant Older People working in a nurse-led bed, intermediate care facility in a community hospital acted as joint project lead with an academic researcher. From the outset, members of the public were part of a team of 16 individuals who agreed an evaluation focus and were involved in all stages of the research process from design through to dissemination. An extensive evaluation reflecting all these stakeholders’ preferences was undertaken. Methods included research and audit including: patient and carer satisfaction questionnaire surveys, individual interviews with patients, carers and staff, staff surveys, graffiti board, suggestion box, first impressions questionnaire, patient tracking and a bed census. A key aim of the study has been capacity building of the research team members which has also been evaluated. In terms of impact, the co-researchers have developed research skills and knowledge, grown in confidence, developed in ways that have impacted elsewhere in their lives, developed posters, presented at conferences and gained a better understanding of the NHS. The evaluation itself has provided useful information on the processes and outcomes of intermediate care on the ward which was used to further improve the service

Gravity waves in the winter stratosphere over the Southern Ocean: high-resolution satellite observations and 3-D spectral analysis.

Atmospheric gravity waves play a key role in the transfer of energy and momentum between layers of the Earth's atmosphere. However, nearly all Global Circulation Models (GCMs) seriously under-represent the momentum fluxes of gravity waves at latitudes near 60° S. This can result in modelled winter stratospheres that are unrealistically cold – a significant bias known as the "cold-pole problem". There is thus a need for measurements of gravity-wave fluxes near 60S to test and constrain GCMs. Such measurements are notoriously difficult, because they require 3-D observations of wave properties if the fluxes are to be estimated without using significant limiting assumptions. Here we use 3-D satellite measurements of stratospheric gravity waves from NASA's AIRS/Aqua instrument. We present the first extended application of a 3-D Stockwell transform (3DST) method to determine localised gravity-wave amplitudes, wavelengths and directions of propagation around the entire region of the Southern Ocean near 60° S during austral winter 2010. We first validate our method using a synthetic wave field and two case studies of real gravity waves over the Southern Andes and the island of South Georgia. A new technique to overcome wave amplitude attenuation problems in previous methods is also presented. We then characterise large-scale gravity-wave occurrence frequencies, directional momentum fluxes and short-timescale intermittency over the entire Southern Ocean. Our results show that highest wave-occurrence frequencies, amplitudes and momentum fluxes are observed in the stratosphere over the mountains of the Southern Andes and Antarctic Peninsula. However, we find that around 60–80 % of total zonal-mean momentum flux is located over the open Southern Ocean during June–August, where a large "belt" of increased wave-occurrence frequencies, amplitudes and fluxes is observed. Our results also suggest significant short-timescale variability of fluxes from both orographic and non-orographic sources in the region. A particularly striking result is a widespread convergence of gravity-wave momentum fluxes towards latitudes around 60° S from the north and south. We propose that this convergence, which is observed at nearly all longitudes during winter, accounts for a significant part of the under-represented flux in GCMs at these latitudes

Outcomes of the RAFT Trial: Robotic surgery After Focal Therapy

OBJECTIVES: To report toxicity of treatment observed in men participating in the Robotic surgery After Focal Therapy (RAFT) clinical trial. SUBJECTS/PATIENTS AND METHODS: Men were eligible for this prospective single group interventional study if they had histologically confirmed recurrent/residual prostate adenocarcinoma following primary FT. The short-form Expanded Prostate Cancer Index Composite (EPIC-26) measured prior to salvage robotic prostatectomy (S-RARP) and 3-monthly post-operatively together with Clavien-Dindo complications (I-IV). Secondary outcomes included biochemical recurrence-free survival (BCFS) following surgery and need for salvage treatment after surgery. This study is registered with ClinicalTrials.gov NCT03011606. RESULTS: 24 men were recruited between February 2016 and September 2018. 1 patient withdrew from the trial after consenting and before S-RARP. 23 men completed 12-month post S-RARP follow-up. Median EPIC-26 urinary continence scores initially deteriorated after 3 months (82.4 versus 100) but there was no statistically significant difference from baseline at 12 months (100 versus 100, p=0.31). Median lower urinary tract symptom scores improved after 12 months compared to baseline (93.8 versus 87.5, p=0.01). At 12 months, 19/23 (83%) were pad-free and 22/23 (96%) required 0/1 pads. Median sexual function subscale scores deteriorated and remained low at 12 months (22.2 versus 58.3, p<0.001). Utilising a minimally important difference of 9 points, at 12 months after surgery 17/23 (74%) reported urinary continence to be "better" or "not different" to pre-operative baseline. The corresponding figure for sexual function (utilising a minimally important difference of 12 points) was 7/23 (30%). There was no statistically significant difference on median bowel/hormonal subscale scores. Only a single patient had a post-operative complication (Clavien-Dindo Grade I). BCFS at 12 months after surgery was 82.6% (95% confidence interval [CI]: 60.1% - 93.1%] while 4/23 (17%) received salvage radiation. CONCLUSIONS: The RAFT clinical trial suggests toxicity of surgery after FT is low, with good urinary function outcomes, albeit sexual function deteriorated overall. Oncological outcomes at 12 months appear acceptable

The spatialization of decent Work and the role of employability empowerment for minority ethnic young people in emerging economies

Global rises in precarious labour conditions have prompted further empirical work in Decent Work, a special category of employment characterised by equitable pay, treatment, and healthy working conditions. Despite this, research has tended to be conducted in developed countries with privileged groups such as those with typical working arrangements and rely on psychologically framed individual characteristics to explain marginalising factors. We propose a more sociologically framed, spatialised perspective on Decent Work which posits that marginalising factors are spatially variable and determined but moderated by employability empowerment. We measure our propositions across three spatially different sites of Vietnam through (1) a survey of minority ethnic students and graduates (N=1071) and (2) a survey of stakeholders involved in the recruitment and employment of this group (N=204). We find support for most of our propositions and call for more spatialised empirical work in the field of Decent Work

Physics, Topology, Logic and Computation: A Rosetta Stone

In physics, Feynman diagrams are used to reason about quantum processes. In the 1980s, it became clear that underlying these diagrams is a powerful analogy between quantum physics and topology: namely, a linear operator behaves very much like a "cobordism". Similar diagrams can be used to reason about logic, where they represent proofs, and computation, where they represent programs. With the rise of interest in quantum cryptography and quantum computation, it became clear that there is extensive network of analogies between physics, topology, logic and computation. In this expository paper, we make some of these analogies precise using the concept of "closed symmetric monoidal category". We assume no prior knowledge of category theory, proof theory or computer science.Comment: 73 pages, 8 encapsulated postscript figure

Atypical audiovisual speech integration in infants at risk for autism

The language difficulties often seen in individuals with autism might stem from an inability to integrate audiovisual information, a skill important for language development. We investigated whether 9-month-old siblings of older children with autism, who are at an increased risk of developing autism, are able to integrate audiovisual speech cues. We used an eye-tracker to record where infants looked when shown a screen displaying two faces of the same model, where one face is articulating/ba/and the other/ga/, with one face congruent with the syllable sound being presented simultaneously, the other face incongruent. This method was successful in showing that infants at low risk can integrate audiovisual speech: they looked for the same amount of time at the mouths in both the fusible visual/ga/− audio/ba/and the congruent visual/ba/− audio/ba/displays, indicating that the auditory and visual streams fuse into a McGurk-type of syllabic percept in the incongruent condition. It also showed that low-risk infants could perceive a mismatch between auditory and visual cues: they looked longer at the mouth in the mismatched, non-fusible visual/ba/− audio/ga/display compared with the congruent visual/ga/− audio/ga/display, demonstrating that they perceive an uncommon, and therefore interesting, speech-like percept when looking at the incongruent mouth (repeated ANOVA: displays x fusion/mismatch conditions interaction: F(1,16) = 17.153, p = 0.001). The looking behaviour of high-risk infants did not differ according to the type of display, suggesting difficulties in matching auditory and visual information (repeated ANOVA, displays x conditions interaction: F(1,25) = 0.09, p = 0.767), in contrast to low-risk infants (repeated ANOVA: displays x conditions x low/high-risk groups interaction: F(1,41) = 4.466, p = 0.041). In some cases this reduced ability might lead to the poor communication skills characteristic of autism

Paracetamol reduces influenza-induced immunopathology in a mouse model of infection without compromising virus clearance or the generation of protective immunity

Background: Seasonal influenza A infection affects a significant cohort of the global population annually, resulting in considerable morbidity and mortality. Therapeutic strategies are of limited efficacy, and during a pandemic outbreak would only be available to a minority of the global population. Over-the-counter medicines are routinely taken by individuals suffering from influenza, but few studies have been conducted to determine their effectiveness in reducing pulmonary immunopathology or the influence they exert upon the generation of protective immunity. Methods: A mouse model of influenza infection was utilised to assess the efficacy of paracetamol (acetaminophen) in reducing influenza-induced pathology and to examine whether paracetamol affects generation of protective immunity. Results: Administration (intraperitoneal) of paracetamol significantly decreased the infiltration of inflammatory cells into the airway spaces, reduced pulmonary immunopathology associated with acute infection and improved the overall lung function of mice, without adversely affecting the induction of virus-specific adaptive responses. Mice treated with paracetamol exhibited an ability to resist a second infection with heterologous virus comparable with that of untreated mice. Conclusions: Our results demonstrate that paracetamol dramatically reduces the morbidity associated with influenza but does not compromise the development of adaptive immune responses. Overall, these data support the utility of paracetamol for reducing the clinical symptoms associated with influenza virus infection