Persistent left superior vena cava: Review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients

Persistent left superior vena cava (PLSVC) represents the most common congenital venous anomaly of the thoracic systemic venous return, occurring in 0.3% to 0.5% of individuals in the general population, and in up to 12% of individuals with other documented congential heart abnormalities. In this regard, there is very little in the literature that specifically addresses the potential importance of the incidental finding of PLSVC to surgeons, interventional radiologists, and other physicians actively involved in central venous access device placement in cancer patients. In the current review, we have attempted to comprehensively evaluate the available literature regarding PLSVC. Additionally, we have discussed the clinical implications and relevance of such congenital aberrancies, as well as of treatment-induced or disease-induced alterations in the anatomy of the thoracic central venous system, as they pertain to the general principles of successful placement of central venous access devices in cancer patients. Specifically regarding PLSVC, it is critical to recognize its presence during attempted central venous access device placement and to fully characterize the pattern of cardiac venous return (i.e., to the right atrium or to the left atrium) in any patient suspected of PLSVC prior to initiation of use of their central venous access device

Greenland coastal air temperatures linked to Baffin Bay and Greenland Sea ice conditions during autumn through regional blocking patterns

Variations in sea ice freeze onset and regional sea surface temperatures (SST) in Baffin Bay and Greenland Sea are linked to autumn surface air temperatures (SAT) around coastal Greenland through 500 hPa blocking patterns, 1979-2014. We find strong, statistically significant correlations between Baffin Bay freeze onset and SSTs and SATs across the western and southernmost coastal areas, while weaker and fewer significant correlations are found between eastern SATs, SSTs, and freeze periods observed in the neighboring Greenland Sea. Autumn Greenland Blocking Index (GBI) values and the incidence of meridional circulation patterns have increased over the modern sea ice monitoring era. Increased anticyclonic blocking patterns promote poleward transport of warm air from lower latitudes and local warm air advection onshore from ocean-atmosphere sensible heat exchange through ice-free or thin ice-covered seas bordering the coastal stations. Temperature composites by years of extreme late freeze conditions, occurring since 2006 in Baffin Bay, reveal positive monthly SAT departures that often exceed one standard deviation from the 1981-2010 climate norma

Multidecadal variability of summer temperature over Romania and its relation with Atlantic Multidecadal Oscillation

We investigate the multidecadal variability of summer temperature over Romania as measured at 14 meteorological stations with long term observational records. The dominant pattern of summer temperature variability has a monopolar structure and shows pronounced multidecadal variations. A correlation analysis reveals that these multidecadal variations are related with multidecadal variations in the frequency of four daily atmospheric circulation patterns from the North Atlantic region. It is found that, on multidecadal time scales, negative summer mean temperature (TT) anomalies are associated with positive sea level pressure (SLP) anomalies centered over the northern part of the Atlantic Ocean and Scandinavia and negative SLP anomalies centered over the northern part of Africa. It is speculated that a possible cause of multidecadal fluctuations in the frequency of these four patterns are the sea surface temperature anomalies associated to the Atlantic Multidecadal Oscillation. These results have implications for predicting the evolution of summer temperature over Romania on multidecadal time scales