Using atmospheric model output to simulate the meteorological tsunami response to Tropical Storm Helene (2000)

[1] In the fall of both 1999 and 2000, unexpected “rapid tides” occurred along the coast of the Avalon Peninsula of Newfoundland. These rapid tides have been linked to the passing of Tropical Storm Jose (1999) and Tropical Storm Helene (2000) over the Grand Banks. Here we examine the dynamic ocean response to Tropical Storm Helene (2000) using a barotropic shallow water ocean model forced by atmospheric pressure and surface winds derived from a simulation of Helene using a dynamical model of the atmosphere. The ocean model is able to capture the main features of the observed response at the coast of Newfoundland as seen in the available tide gauge data. Results show that the simulated sea level response at the coast is driven by a combination of wind stress and atmospheric pressure forcing, the former generally dominating. An exception is Conception Bay, Newfoundland, where the response is captured mainly by atmospheric pressure forcing. Offshore near the edge of the Grand Banks, atmospheric pressure and wind stress forcing are equally important. The wind-forced response depends on the divergence of the surface wind stress and hence on the structure of the storm in the atmospheric model simulation. Sensitivity studies show the importance of having a small time interval (on the order of minutes) at which the atmospheric forcing is supplied to the ocean model and show the importance of the location of the storm track

On the seasonal variability of eddy kinetic energy in the Gulf Stream region. Geophys

. [1] In the Gulf Stream region, eddy kinetic energy (EKE) peaks in summer while, as measured by the baroclinic eddy growth time scale, the ocean is most baroclinically unstable in late winter. We argue that the seasonally-varying Ekman pumping is unlikely to be responsible for the seasonal variation in growth time, and that the summer peak in EKE results from a reduction in dissipation in summer compared to winter. Citation: Zhai, X., R

Origin of Variability in Northern Hemisphere Winter Blocking on Interannual to Decadal Time Scales

Variability of mid-latitude blocking in the boreal winter northern hemisphere is investigated for the period 1960/61 to 2001/02 by means of relaxation experiments with the model of the European Center for Medium-Range Weather Forecasts. It is shown that there is pronounced interannual and decadal variability in blocking, especially over the Eurasian continent, consistent with previous studies. The relaxation experiments show that realistic variability in the tropics can account for a significant part of observed interannual blocking variability, but also that about half of the observed variability can only be explained by extratropical tropospheric variability. On the quasi-decadal time scale, extratropical sea surface temperature and sea-ice, in addition to tropical variability, play a more important role. The stratosphere, which has been shown to influence interannual variability of the North Atlantic Oscillation in previous studies, has no significant influence on blocking according to our analysis

The dynamics of power and resistance in police interview discourse

This is a study of police interviewing using an integrated approach, drawing on CA, CDA and pragmatics. The study focuses on the balance of power and control, finding that in particular the institutional status of the participants, the discursive roles assigned to them by the context, and their relative knowledge, are significant factors affecting the dynamics of the discourse. Four discursive features are identified as particularly significant, and a detailed analysis of the complex interplay of these features shows that power and control are constantly under negotiation, and are always open to challenge and resistance. Further it is shown that discursive dominance is not necessarily advantageous to participants, due to the specific goals and purposes of the police interview context. A wider consideration of the context illustrates the contribution that linguistics can make to the use of police interview data as evidence in the UK criminal justice system

A study of general practitioners' perspectives on electronic medical records systems in NHS Scotland

<b>Background</b> Primary care doctors in NHSScotland have been using electronic medical records within their practices routinely for many years. The Scottish Health Executive eHealth strategy (2008-2011) has recently brought radical changes to the primary care computing landscape in Scotland: an information system (GPASS) which was provided free-of-charge by NHSScotland to a majority of GP practices has now been replaced by systems provided by two approved commercial providers. The transition to new electronic medical records had to be completed nationally across all health-boards by March 2012. <p></p><b> Methods</b> We carried out 25 in-depth semi-structured interviews with primary care doctors to elucidate GPs' perspectives on their practice information systems and collect more general information on management processes in the patient surgical pathway in NHSScotland. We undertook a thematic analysis of interviewees' responses, using Normalisation Process Theory as the underpinning conceptual framework. <p></p> <b>Results</b> The majority of GPs' interviewed considered that electronic medical records are an integral and essential element of their work during the consultation, playing a key role in facilitating integrated and continuity of care for patients and making clinical information more accessible. However, GPs expressed a number of reservations about various system functionalities - for example: in relation to usability, system navigation and information visualisation. <b>Conclusion </b>Our study highlights that while electronic information systems are perceived as having important benefits, there remains substantial scope to improve GPs' interaction and overall satisfaction with these systems. Iterative user-centred improvements combined with additional training in the use of technology would promote an increased understanding, familiarity and command of the range of functionalities of electronic medical records among primary care doctors

The Heart of the Matter. About Good Nursing and Telecare

Nurses and ethicists worry that the implementation of care at a distance or telecare will impoverish patient care by taking out ‘the heart’ of the clinical work. This means that telecare is feared to induce the neglect of patients, and to possibly hinder the development of a personal relation between nurse and patient. This study aims to analyse whether these worries are warranted by analysing Dutch care practices using telemonitoring in care for chronic patients in the Netherlands. How do clinical practices of nursing change when telecare devices are introduced and what this means for notions and norms of good nursing? The paper concludes that at this point the practices studied do not warrant the fear of negligence and compromised relations. Quite the contrary; in the practices studied, telecare lead to more frequent and more specialised contacts between nurses and patients. The paper concludes by reflecting on the ethical implications of these changes