Characterizing 15 Years of Saharan-like, Dry, Well-Mixed Air Layers in North Africa

The Saharan Air Layer (SAL) is a dry, well-mixed layer (WML) of warm and sometimes dusty air of nearly constant water vapor mixing ratio generated by the intense surface heating and strong, dry convection in the Sahara Desert, which has notable downstream impacts on the surface energy balance, organized convective system development, seasonal precipitation, and air quality. Characterizing both WMLs and SALs from the existing rawinsonde network has proven challenging because of its sparseness and inconsistent data reporting. Spurred on by this challenge, we previously created a detection methodology and supporting software to automate the identification and characterization of WMLs from multiple data sources including rawinsondes, remote sensing platforms, and model products. We applied our algorithm to each dataset at both its native and at a common (most coarse data product) vertical resolution to detect WMLs and their characteristics (temperature, mixing ratio, AOD, etc.) at each of the 53 rawinsonde launch sites in north Africa

Critical appraisal of laropiprant and extended-release niacin combination in the management of mixed dyslipidemias and primary hypercholesterolemia

Niacin is a B-complex vitamin which has been used for decades for the management of mixed dyslipidemias and primary hypercholesterolemia. It decreases the risk of cardiovascular events either when used as a monotherapy or in combination with other lipid lowering medications. However, a major limitation to its use is niacin-induced flushing occurring even with the extended-release formulations. Laropiprant, a selective prostaglandin-2 receptor inhibitor, specifically targets the cascade of events causing the flushing. It has been recently used in combination with extended-release niacin. This article will review the early experience with this combination with focus on efficacy, safety, tolerability and current place in therapy. Early data are promising and suggest that more patients in clinical practice will benefit from niacin combined with laropiprant. Ongoing clinical trials will provide a better insight on the long-term safety of the drug and its efficacy for reducing cardiovascular events

An Analysis of the Environments of Intense Convective Systems in West Africa in 2003

We investigated the local- and regional-scale thermodynamical and dynamical environments associated with intense convective systems in West Africa during 2003. We identified convective system cases from TRMM microwave imagery, classifying each case by the system minimum 85-GHz brightness temperature and by the estimated elapsed time of propagation from high terrain. The speed of the mid-level jet, the magnitude of the low-level shear, and the surface equivalent potential temperature (theta(sub e)) were greater for the intense cases compared to the non-intense cases, although the differences between the means tended to be small, less than 3K for surface theta(sub e). Hypothesis testing of a series of commonly used intensity prediction metrics resulted in significant results only for low-level metrics such as convective available potential energy and not for any of the mid- or upper-level metrics such as 700-hPa theta(sub e). None of the environmental variables or intensity metrics by themselves or in combination appeared to be reliable direct predictors of intensity. In the regional scale analysis, the majority of intense convective systems occurred in the surface baroclinic zone where surface theta(sub e) exceeded 344 K and the 700-hPa zonal wind speeds were less than -6/ms. Fewer intense cases compared to non-intense cases were associated with African easterly wave troughs. Fewer than 25% of our cases occurred in environments with detectable Saharan dust loads, and the results for intense and non-intense cases were similar. Our results for the regional analysis were consistent with the seasonal movement of the WAM and the intertropical front, regional differences in topography, and AEW energetics

International Journal of Molecular Science Best Paper Award 2014

International Journal of Molecular Science is instituting an annual award to recognize outstanding papers in the area of chemistry, molecular physics and molecular biology published in International Journal of Molecular Science. We are pleased to announce the third "International Journal of Molecular Science Best Paper Award" for 2014 [1,2]. Nominations were made by the Section Editors-in-Chief of International Journal of Molecular Science from all papers published in 2010

PCSK9 inhibitors and reduction in cardiovascular events: Current evidence and future perspectives

Proprotein convertase subtilisin/kexin type 9 (PCSK9) plays an important role in low-density lipoprotein (LDL) metabolism. Pharmacological PCSK9 inhibitors have been developed as a novel approach to treating dyslipidemia. This article reviews the spectrum of evidence implicating the role of PCSK9 in lipid metabolism and the clinical impact of PCSK9 inhibitors on lipid parameters and cardiovascular risk. Biochemical and genomic studies have established the role that PCSK9 plays in lipid metabolism and potential protection from cardiovascular disease observed in the setting of PCSK9 deficiency. This led to the development of inhibitory monoclonal antibodies (evolocumab, alirocumab) that produce dose-dependent lowering of LDL cholesterol up to 60%, with evidence of regression and stabilization of coronary atherosclerosis (GLAGOV, HUYGENS, PACMAN-AMI) and reduction in cardiovascular risk in large clinical outcomes trials (FOURIER, ODYSSEY Outcomes). More recent developments have witnessed alternative approaches to PCSK9 inhibition such as RNA interference (inclisiran), vaccines, and gene editing, which are currently undergoing clinical evaluation. PCSK9 inhibition has emerged as an important component of treatment approaches to lowering LDL cholesterol and plays an increasing role in preventive strategies

Comparison of Surface Fluxes Derived from CYGNSS and Simulated by WRF Model: An MJO Case Study

This study focuses on ocean surface fluxes, mainly the latent heat flux, and their impact on MJO propagation and associated precipitation structures over the Indian Ocean and Maritime Continent. The Coupled-Ocean-Atmosphere-Wave-Sediment Transport (COAWST) model is used to simulate two MJO events during the 2017-2018 season: the December 10 - January 20, 2017 case, which maintained its strong precipitation signal over the Maritime Continent, and the March 1 - 20, 2018 case, which was weaker and did not propagate through the Maritime Continent. Both simulated MJO events show positive biases in surface rainfall compared with GPM IMERG data. During the MJO suppressed phase, the simulations rain more often than the observations. During the active phase, the westward propagating precipitation structures are more organized and much stronger compared with the observations, sometimes forming westward propagating cyclones that weakened the eastward precipitation signals. Two aspects of the surface flux interactions are investigated: the impact of the domain mean surface fluxes, and the impact of storm scale circulations and their interactions with local surface fluxes. Both aspects affect water vapor budget, atmosphere instability and mean flow, through which convection initiation, organization, and propagation are influenced. Model sensitivity tests with different radiation, microphysics, PBL schemes and nudging schemes indicate that in the control simulations, higher SST and surface fluxes, especially during the suppressed period, are the main reason of rainfall overestimation compared with IMERG data. The strong westward propagating signals are caused by both increased atmosphere instability and reduced mean wind shear. Unfortunately, the small differences in mean SST and surface fluxes between different model sensitivity tests are all within the satellite observation error margin, and cannot be directly corroborated by observations. One of the advantages of CYGNSS satellites is that they observe ocean surface wind and heat fluxes underneath strong rainfall events such as the convective systems associated with MJO active phases. Currently we are comparing CYGNSS level 2 surface fluxes retrievals and the model simulations in order to better understand the second aspect of the MJO and surface fluxes interactions, and how this affects MJO strengths and propagations. The interactive atmosphere-ocean-wave model also provides cases that directly comparing satellite observables (the bistatic radar cross section) and the model simulations (through CYGNSS satellite simulator). These discrepancies are more prominent in coupled ocean simulations, mainly due to higher SST and enhanced surface fluxes

Plasma Myeloperoxidase Predicts Incident Cardiovascular Risks in Stable Patients Undergoing Medical Management for Coronary Artery Disease

BACKGROUND: Myeloperoxidase (MPO) concentrations predict adverse clinical outcomes in the setting of acute coronary syndromes and heart failure, but the prognostic role of MPO in stable patients with known atherosclerotic burden is unclear. METHODS: We examined plasma MPO concentrations and their relationship with prevalent significant coronary artery disease (defined as \u3e50% stenosis in any coronary vessel) and incident major adverse cardiovascular events (MACEs), including death, myocardial infarction, and stroke, in a 3-year prospective follow-up study of 1895 patients undergoing elective coronary angiography. RESULTS: The median plasma MPO concentration was 101 pmol/L (interquartile range 68–187 pmol/L). Patients with plasma MPO concentrations \u3e322 pmol/L (14.6% of population) had increased risk of developing future MACEs [hazard ratio (HR) 1.78, 95% CI 1.33–2.37, P \u3c 0.001], and MPO as a single variable predictor of MACE showed an area under the ROC curve of 0.67. After adjusting for traditional cardiac risk factors, creatinine clearance, B-type natriuretic peptide, and high-sensitivity C-reactive protein (hsCRP), increased MPO concentrations remained significantly associated with incident MACEs over the ensuing 3-year period (HR 1.71; 95% CI 1.27–2.30, P \u3c 0.001). In patients with increased hsCRP, MPO ≤322 pmol/L was associated with lower event rates than observed with MPO \u3e322 pmol/L. CONCLUSIONS: Plasma MPO concentrations provide independent prognostic value for the prediction of long-term incident MACEs in a stable, medically managed patient population with coronary artery disease. In individuals with increased hsCRP concentrations, we observed lower risk of incident MACEs when concomitant MPO concentrations were low vs when MPO concentrations were high

Plasma Myeloperoxidase Predicts Incident Cardiovascular Risks in Stable Patients Undergoing Medical Management for Coronary Artery Disease

BACKGROUND: Myeloperoxidase (MPO) concentrations predict adverse clinical outcomes in the setting of acute coronary syndromes and heart failure, but the prognostic role of MPO in stable patients with known atherosclerotic burden is unclear. METHODS: We examined plasma MPO concentrations and their relationship with prevalent significant coronary artery disease (defined as \u3e50% stenosis in any coronary vessel) and incident major adverse cardiovascular events (MACEs), including death, myocardial infarction, and stroke, in a 3-year prospective follow-up study of 1895 patients undergoing elective coronary angiography. RESULTS: The median plasma MPO concentration was 101 pmol/L (interquartile range 68–187 pmol/L). Patients with plasma MPO concentrations \u3e322 pmol/L (14.6% of population) had increased risk of developing future MACEs [hazard ratio (HR) 1.78, 95% CI 1.33–2.37, P \u3c 0.001], and MPO as a single variable predictor of MACE showed an area under the ROC curve of 0.67. After adjusting for traditional cardiac risk factors, creatinine clearance, B-type natriuretic peptide, and high-sensitivity C-reactive protein (hsCRP), increased MPO concentrations remained significantly associated with incident MACEs over the ensuing 3-year period (HR 1.71; 95% CI 1.27–2.30, P \u3c 0.001). In patients with increased hsCRP, MPO ≤322 pmol/L was associated with lower event rates than observed with MPO \u3e322 pmol/L. CONCLUSIONS: Plasma MPO concentrations provide independent prognostic value for the prediction of long-term incident MACEs in a stable, medically managed patient population with coronary artery disease. In individuals with increased hsCRP concentrations, we observed lower risk of incident MACEs when concomitant MPO concentrations were low vs when MPO concentrations were high

Young metropolitan Anglo-Jewish masculinities: a qualitative interview study investigating intersectionality between Jewishness, Britishness, and masculinity

My thesis is an empirical study of young British Jews, exploring their experience of being Jewish, British, and male in society today given the fluid nature of each of these aspects of their identity. As society has changed over the last half century each of these aspects which had normative monocultural taken-for-granted expressions have been repeatedly deconstructed, examined and re-built, and I argue that in the process they have emerged as fluid entities. It is in negotiating these fluid aspects that today’s young male Jews ask, what does it mean to be a Jew, what does it mean to be British, and what does it mean to be male as they try to make sense of their lives. The method chosen for this study has been the in-depth interview which I conducted with a sample of 16 interviewees chosen to reflect the diverse range of religiosity, age and intellectual ability which is apparent in the heterogenous nature of the Anglo-Jewish community supplemented with a group discussion. I have produced an interview tool of overlapping coloured discs representing the three aspects I am studying as an aid for the interviewee to think and talk about themselves. I have transcribed the interviews and used constructionist thematic analysis to advance my argument. I argue that Jewishness is constructed between extremes of adherence to halachic requirement on one hand and a Jewishness experienced as cultural affinity to history, family, and tradition without recourse to halacha on the other hand. I argue that Britishness is being experienced between varying degrees of nationalistic localism against cosmopolitan liberalism played out against a backdrop of Britain contrasted with the rest of the world and also London against the rest of Britain. With regard to being male, I have rejected the view that masculinity is constructed in the inherently unstable terms of physicality against intellectualism. Instead, I argue that it is better considered as lying in a range between competitive hegemonic masculinity on the one hand against a cooperative model with which physicality and intellectualism can combine to produce a more stable and emotionally satisfying mode of living. I argue that young Jewish men inhabit a fluid three-dimensional matrix being aware of the pitfalls of particularism, xenophobia, and misogyny as they negotiate their relationships with their families, communities, and wider society to construct their Jewish British masculine identity