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Meltwater from the Greenland Ice Sheet can alter the continental shelf/slope circulation and cross-shelf freshwater fluxes and limit deep convection in adjacent basins through surface freshening. We explore the impacts on the West Greenland Current and eastern Labrador Sea with different vertical distributions of the meltwater forcing. In this study, we present the results from global coupled ocean/sea ice simulations, forced with atmospheric reanalysis, that are mesoscale eddy-active (∼2–3-km horizontal spacing) and eddy-permitting (∼6–7-km horizontal spacing) in the study region. We compare the West Greenland Current in mesoscale eddy-active and eddy-permitting without meltwater to highlight the role of small-scale features. The mesoscale eddy-active configuration is then used to assess the change in the eastern Labrador Sea when meltwater is added to the surface or vertically distributed to account for mixing within fjords. In both simulations with meltwater, the West Greenland and West Greenland Coastal Currents are faster than in the simulation with no meltwater; their mean surface speeds are the highest in the vertical distribution case. In the latter case, there is enhanced baroclinic conversion at the shelf break compared to the simulation with no meltwater. When meltwater is vertically distributed, there is an increase in baroclinic conversion at the shelf break associated with increased eddy kinetic energy. In addition, in the eastern Labrador Sea, the salinity is lower and the meltwater volume is greater when meltwater is vertically distributed. Therefore, the West Greenland Current is sensitive to how meltwater is added to the ocean with implications for the freshening of the Labrador Sea.

Reproducing characteristics of observed sea ice extent remains an important climate modeling challenge. This study describes several approaches to improve how model biases in total sea ice distribution are quantified, and applies them to historically forced simulations contributed to phase 5 of the Coupled Model Intercomparison Project (CMIP5). The quantity of hemispheric total sea ice area, or some measure of its equatorward extent, is often used to evaluate model performance. A new approach is introduced that investigates additional details about the structure of model errors, with an aim to reduce the potential impact of compensating errors when gauging differences between simulated and observed sea ice. Using multiple observational datasets, several new methods are applied to evaluate the climatological spatial distribution and the annual cycle of sea ice cover in 41 CMIP5 models. It is shown that in some models, error compensation can be substantial, for example resulting from too much sea ice in one region and too little in another. Error compensation tends to be larger in models that agree more closely with the observed total sea ice area, which may result from model tuning. The results herein suggest that consideration of only the total hemispheric sea ice area or extent can be misleading when quantitatively comparing how well models agree with observations. Further work is needed to fully develop robust methods to holistically evaluate the ability of models to capture the finescale structure of sea ice characteristics; however, the “sector scale” metric used here aids in reducing the impact of compensating errors in hemispheric integrals.

A moderately fine‐resolution (0.4°, 40 vertical levels), global, coupled ice‐ocean model was configured and run for 24 years (1979–2002), forced with high‐frequency National Center for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR) atmospheric fluxes. The model consists of the Los Alamos National Laboratory Parallel Ocean Program (POP) and sea ice model (CICE). The fidelity of the simulated mean climatological state and variability of key variables such as ice concentration, total ice area, ice thickness and drift were compared to observational data sets from satellite and ice drift buoy measurements. Basin‐scale changes in the lower atmosphere/surface ocean/sea‐ice in the simulated Arctic and Nordic Seas before and after the North Atlantic Oscillation (NAO) phase switch in 1995 were examined using winter composite analyses over the period 1990–1999. Ice cover changes between the two NAO phases were consistent with observations in that reduced concentrations were found in the Nordic and Barents Seas and increased values occurred in the Labrador Sea. Next we regionally evaluated the relative importance of winter anomalies of upper‐ocean mixed layer net heat fluxes and of ocean temperature advection on marginal ice zone variability in the Irminger, Greenland, and Barents Seas for this ten‐year period. We found that the net heat flux winter anomaly was at least four times more important than the winter anomaly of ocean temperature advection in the Greenland and Barents Seas, while it was twice as important in the Irminger Sea. The Ekman ocean temperature advection component generally dominated the geostrophic component in all three regions. Key Points Bottom ice melt rates closely related to the ocean advection Bottom ice melt rates dominate the top ice melt rates in MIZ Ageostrophic ocean advection dominates the geostrophic during winter and NAO+

Meltwater from the Greenland Ice Sheet can alter the continental shelf/slope circulation, cross-shelf freshwater fluxes, and limit deep convection in adjacent basins through surface freshening. We explore the impacts on the West Greenland Current and Eastern Labrador Sea with different vertical distributions of the meltwater forcing. In this study, we present results from global coupled ocean/sea-ice simulations, forced with atmospheric reanalysis, that are mesoscale eddy-active ( 2–3 km horizontal spacing) and eddy-permitting ( 6–7 km horizontal spacing) in the study region. We compare the West Greenland Current in mesoscale eddy-active and eddy-permitting without meltwater to highlight the role of small scale features. Here, the mesoscale eddy-active configuration is then used to assess the change in the Eastern Labrador Sea when meltwater is added to the surface or vertically distributed to account for mixing within fjords. In both simulations with meltwater, the West Greenland and West Greenland Coastal Currents are faster than in the simulation with no meltwater; their mean surface speeds are highest in the vertical distribution case. In the latter case, there is enhanced baroclinic conversion at the shelf break compared to the simulation with no meltwater. When meltwater is vertically distributed, there is an increase in baroclinic conversion at the shelf break associated with increased eddy kinetic energy. In addition, in the Eastern Labrador Sea the salinity is lower and the meltwater volume greater when meltwater is vertically distributed. Therefore, the West Greenland Current is sensitive to how meltwater is added to the ocean with implications for the freshening of the Labrador Sea.

Currently, diabetes mellitus (DM) is relevant problem, both for its prevalence and complications, including distal polyneuropathy (DPNP). At the same time, discussions continue on analgesic efficacy of transcutaneous electrical nerve stimulation (TENS) in DPNP. Aim of this study was to conduct a multi-faceted assessment of pain syndrome in these patients before and after TENS, taking into account levels of polyneuropathy, its severity and age of patients. The study was conducted in accordance with the research of the Federal State Budgetary Institution of the National Medical Research Center for Rehabilitation and Balneology of the Ministry of Health of the Russian Federation (CTR No. 121040100062-3) and with the permission of the Local Ethics Committee (IRB No. 2 dated 14.01.2021). The study included 75 patients with DM type II with DPNP, which are distributed into 3 groups of 25 people: Group 1a, patients received high–frequency TENS (HF); Group Ib, patients received low-frequency TENS (LF); as control, Group C received a standard method of pharmacological therapy without physiotherapy. Intensity of DPNP was evaluated before and after the course of treatment using a visual analog scale (VAS), the McGill Pain Questionnaire (MPQ), and a graphical linear analysis of pain on the neuropathic pain diagnostic questionnaire 4 (DN4) scale. TENS provides an analgesic effect that may exceed pharmacotherapy in terms of efficacy and safety. There was a 65.9% reduction in neuropathic pain according to VAS after a course of application, with the effects remaining up to 34% during the 6-month follow-up. HF TENS provided a higher significant analgesic effects than LF TENS, as it ensures the reduction of pain syndrome according to VAS by 25.8% (p <0.01), and total estimated characteristics - 35.5% (p <0.01), and touch - in at 58.1% (p = 0.001) and according to the scales of the MPQ (S) and DN4 - by 21% (p = 0.007). The observed differences in analgesic effects between HF TENS and LF TENS are based on analyses of pain in the immediate and long-term follow-up periods of type II DM patients with DPNP. These results, based on summation of the estimated parameters of the international pain scales support expectation of an expansion of the the use of analgesic TENS in aging patients suffering with DM of varying severity and extent of DPNP damage, a goal of great scientific and practical importance.

Earth system models (ESMs) are key tools for providing climate projections under different scenarios of human-induced forcing. ESMs include a large number of additional processes and feedbacks such as biogeochemical cycles that traditional physical climate models do not consider. Yet, some processes such as cloud dynamics and ecosystem functional response still have fairly high uncertainties. In this article, we present an overview of climate feedbacks for Earth system components currently included in state-of-the-art ESMs and discuss the challenges to evaluate and quantify them. Uncertainties in feedback quantification arise from the interdependencies of biogeochemical matter fluxes and physical properties, the spatial and temporal heterogeneity of processes, and the lack of long-term continuous observational data to constrain them. We present an outlook for promising approaches that can help to quantify and to constrain the large number of feedbacks in ESMs in the future. The target group for this article includes generalists with a background in natural sciences and an interest in climate change as well as experts working in interdisciplinary climate research (researchers, lecturers, and students). This study updates and significantly expands upon the last comprehensive overview of climate feedbacks in ESMs, which was produced 15 years ago (NRC, 2003).

Magnetic therapy (MT) is a non-drug method that improves the effectiveness of treatment of musculoskeletal pain, including:acute non-specific back pain (NBP). Objective of our study was to evaluate the results of complex treatment of patients with acute/subacute NBP at home using MT. The study group consisted of 339 patients with severe acute/subacute NBP. All patients received nonsteroidal anti-inflammatory drugs (NSAIDs). 166 patients (Group 1) received a course of MT (ALMAG+ device), 173 patients or a control group (Group 2) who did not receive MT. The dynamics of pain was significantly higher in group 1 than in group 2. So, the intensity of pain during movement (NRS) decreased from 7 [5;8] and 7 [5;8] to 0 [0;13] and 2 [1;3] after 1 month. (p<0.001). Significant differences between Groups 1 and 2 were observed in the dynamics of pain at rest and at night, overall health assessment (OHA), and sleep function and disorders. The average duration of NSAIDs use in Group 1 was 8.8±3.9, Group 2 – 11.8±5.7 days (p<0.001). The use of MT increases the effectiveness of treatment of acute/subacute NBP and reduces the need for NSAIDs use.