Potential Influences of Volcanic Eruptions on Future Global Land Monsoon Precipitation Changes

The global monsoon system is of exceptional socioeconomic importance owing to its impacts on two-thirds of the globe’s population. Major volcanic eruptions strongly influence global land monsoon (GLM) precipitation change. By using 60 plausible eruption scenarios sampled from reconstructed volcanic proxies over the past 2,500 years, 21st century volcanic influences on GLM precipitation projections are examined with an Earth system model under a moderate emission scenario. The decadal-scale ensemble spread with realistic eruptions (VOLC) increases by 17.5% and 20.1% compared to no-volcanic (NO-VOLC) and constant background-volcanic (VOLC-CONST) scenarios, respectively. Compared with NO-VOLC, the centennial mean VOLC GLM precipitation shows a 10% overall reduction and regionally, Asia is the most impacted. Changes in atmospheric circulation in the aftermath of large volcanic eruptions match the global warming response patterns well with opposite sign, with the North American monsoon precipitation enhanced following large volcanic eruptions, which is in sharp contrast to the robust decrease in Asian monsoon rainfall. Volcanic activity could delay the time of emergence of anthropogenic influence by five years on average over about 60% of the GLM area. Our results demonstrate the importance of statistical representation of potential volcanism for the projections of future monsoon variability. Quantifying volcanic impacts on regional climate projections and their socioeconomic influences on infrastructure planning, food security, and disaster management should be a priority of future work.publishedVersio

Reconstructed springtime (March–June) precipitation tracked by tree rings dating back to 1760 CE in the Qinling-Bashan mountainous area

In recent decades, considerable advances have been made in dendroclimatic reconstruction in the eastern monsoon region of China. However, understanding of long-term hydroclimatic changes has not been comprehensive due to the complexity of the regional geography in China's north-south transitional zone. Growth-climate response analysis indicated that springtime precipitation is the main factor limiting the radial growth of pine trees in the Qinling-Bashan mountainous area. Based on the three tree ring chronologies distributed in the southeast of Shaanxi Province, we developed a March–June precipitation reconstruction spanning 1760–2020 CE for the Qinling-Bashan mountainous area. Precipitation reconstruction accounts for 40.6% of the total precipitation variance during the instrumental period 1955–2016. Spatial correlation analysis indicated that the precipitation reconstruction recorded similar common precipitation signals for the eastern Qinling Mountains and the Yangtze-Huai River Basin. The results of the superposed epoch analysis (SEA) revealed that low precipitation was one of the main causes of severe drought and locust plague events. The preliminary synoptic climatology analysis showed that our reconstructed precipitation is closely linked to the El Niño-Southern Oscillation (ENSO) and Indian Ocean Dipole (IOD) variability.Fil: Wang, Shijie. Yunnan University; ChinaFil: Man, Wenmin. Chinese Academy of Sciences; República de ChinaFil: Chen, Feng. Yunnan University; China. China Meteorological Administration; ChinaFil: Chen, Youping. Yunnan University; ChinaFil: Yu, Shulong. China Meteorological Administration; ChinaFil: Cao, Honghua. Yunnan University; ChinaFil: Hu, Mao. Yunnan University; ChinaFil: Hou, Tiyuan. Yunnan University; ChinaFil: Hadad, Martín Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - San Juan. Centro de Investigaciones de la Geosfera y Biosfera. Universidad Nacional de San Juan. Facultad de Ciencias Exactas Físicas y Naturales. Centro de Investigaciones de la Geosfera y Biosfera; ArgentinaFil: Roig Junent, Fidel Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Provincia de Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Universidad Nacional de Cuyo. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales; Argentina. Universidad Mayor; Chil

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat