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The story of the great Muhammad Ali and how he lived in relation to what was going on in the world around him--including social, civil, and political turbulence.

Physician burnout has many causes, including distress at not providing the highest-quality care, lack of collegiality within and between medical specialties, concerns about fair pay, a feeling of alignment with medical leadership, work quantity and pace, dealing with regulations and using electronic health records. There is a growing emphasis on physician wellness, but remediation of these factors is challenging. In addition to the chaos of the COVID-19 pandemic, in Alberta, the whole Physician and Family Support Program program is now in danger of having government funding withdrawn, and the relationship between the edical association and the government is often described as being at an all-time low.

Set in the bleak Fen Country of East Anglia, and spanning some 240 years in the lives of its haunted narrator and his ancestors, Waterland is a book that takes in eels and incest, ale-making and madness, the heartless sweep of history and a family romance as tormented as any in Greek tragedy.

Cardiac arrest care systems are being designed and implemented to address patients', family members', and survivors' care needs. We conducted a systematic review and a meta-synthesis to understand family experiences and care needs during cardiac arrest care to create treatment recommendations. We searched eight electronic databases to identify articles. Study findings were extracted, coded and synthesized. Confidence in the quality, coherence, relevance, and adequacy of data underpinning the resulting findings was assessed using GRADE-CERQual methods. In total 4181 studies were screened, and 39 met our inclusion criteria; these studies enrolled 215 survivors and 418 family participants-which includes both co-survivors and bereaved family members. From these studies findings and participant data we identified 5 major analytical themes: (1) When the crisis begins we must respond; (2) Anguish from uncertainty, we need to understand; (3) Partnering in care, we have much to offer; (4) The crisis surrounding the victim, ignore us, the family, no longer; (5) Our family's emergency is not over, now is when we need help the most. Confidence in the evidence statements are provided along with our review findings. The family experience of cardiac arrest care is often chaotic, distressing, complex and the aftereffects are long-lasting. Patient and family experiences could be improved for many people. High certainty family care needs identified in this review include rapid recognition and response, improved information sharing, more effective communication, supported presence and participation, or supported absence, and psychological aftercare.

We evaluate the impact of adding two-way coupling between atmosphere and ocean to the Met Office deterministic global forecast model. As part of preoperational testing of this coupled NWP configuration we have three years of daily forecasts, run in parallel to the uncoupled operational forecasts. Skill in the middle and upper troposphere out to T + 168 h is generally increased compared to the uncoupled model. Improvements are strongest in the tropics and largely neutral in midlatitudes. We attribute the additional skill in the atmosphere to the ability of the coupled model to predict sea surface temperature (SST) variability in the (sub)tropics with greater skill than persisted SSTs as used in uncoupled forecasts. In the midlatitude, ocean skill for SST is currently marginally worse than persistence, possibly explaining why there is no additional skill for the atmosphere in midlatitudes. Sea ice is predicted more skillfully than persistence out to day 7 but the impact of this on skill in the atmosphere is difficult to verify. Two-way air–sea coupling benefits tropical cyclone forecasts by reducing median track and central pressure errors by around 5%, predominantly from T + 90 to T + 132 h. Benefits from coupling are largest for large cyclones, and for smaller storms coupling can be detrimental. In this study skill in forecasts of the Madden–Julian oscillation does not change with two-way air–sea coupling out to T + 168 h.

A new climate model, HadGEM3 N96ORCA1, is presented that is part of the GC3.1 configuration of HadGEM3. N96ORCA1 has a horizontal resolution of ~135 km in the atmosphere and 1° in the ocean and requires an order of magnitude less computing power than its medium‐resolution counterpart, N216ORCA025, while retaining a high degree of performance traceability. Scientific performance is compared to both observations and the N216ORCA025 model. N96ORCA1 reproduces observed climate mean and variability almost as well as N216ORCA025. Patterns of biases are similar across the two models. In the northwest Atlantic, N96ORCA1 shows a cold surface bias of up to 6 K, typical of ocean models of this resolution. The strength of the Atlantic meridional overturning circulation (16 to 17 Sv) matches observations. In the Southern Ocean, a warm surface bias (up to 2 K) is smaller than in N216ORCA025 and linked to improved ocean circulation. Model El Niño/Southern Oscillation and Atlantic Multidecadal Variability are close to observations. Both the cold bias in the Northern Hemisphere (N96ORCA1) and the warm bias in the Southern Hemisphere (N216ORCA025) develop in the first few decades of the simulations. As in many comparable climate models, simulated interhemispheric gradients of top‐of‐atmosphere radiation are larger than observations suggest, with contributions from both hemispheres. HadGEM3 GC3.1 N96ORCA1 constitutes the physical core of the UK Earth System Model (UKESM1) and will be used extensively in the Coupled Model Intercomparison Project 6 (CMIP6), both as part of the UK Earth System Model and as a stand‐alone coupled climate model. Plain Language Summary In this article, a new version of the climate model currently used in the United Kingdom (HadGEM3) is presented and analyzed. The circulation of the atmosphere and the oceans is simulated on a relatively coarse spatial grid with a grid cell size of about 120 km. The advantage of using a coarse spatial grid is that less computing power (on a supercomputer) is needed compared to using a finer grid. This gives an opportunity to do many more simulations of the ways in which Earth's climate may evolve in the decades and centuries ahead. We have carefully compared a simulation of the climate around the year 2000 with climate observations from that time and with a simulation from the same model with a finer spatial grid. Our results show that our new, coarse‐grid version is representing the current climate reasonably well, for instance, with regards to climate variability in the tropics and major ocean currents. However, there are clear differences between the two models. In the coarse‐grid model, the ocean surface is too cold in the northwest Atlantic, while in the fine‐grid version it is too warm in the Southern Ocean around Antarctica. We look into explanations for these inaccuracies. Key Points A low‐resolution, traceable version of the current Met Office Hadley Centre climate model HadGEM3 GC3.1 is presented The scientific performance is comparable to the medium‐resolution version, while requiring much less computational resources In the low‐resolution version the Southern Ocean warm bias is reduced, linked with a more realistic ocean circulation

\"Mentally defeated and physically broken, Bruce Wayne suffered a crippling blow while battling the brutal Bane. Now the mantle of the Bat must be passed on to another, and Jean-Paul Valley answers the call! Continued from Batman: Knigtfall Vol. 2 25th Anniversary Edition, this volume includes never-before-collected material. A new Batman's deadly crusade against the criminals of Gotham City begins! Bruce Wayne, battle-broken and out of commission after his epic showdown with Gotham's famous villain Bane, has appointed a new Dark Knight to keep the bad guys at bay. Jean-Paul Valley a.k.a. Azrael, has assumed the role of the Caped Crusader, but without Bruce's integrity as a calming influence, Jean-Paul is swiftly getting out of hand, alienating both Robin and Commissioner Gordon.\"-- Provided by publisher.