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Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock
In a randomized trial involving patients with STEMI and cardiogenic shock, mortality at 6 months was lower with mechanical circulatory support with a microaxial flow pump than with standard care alone.
Journal Article
Climate to a fish sandwich : why we study the ocean's circulation
Just about everything that we experience on Earth depends upon the ocean circulation. Intended for a general lay-person audience, or as a non-science major undergraduate text, this book explains (in a non-mathematical manner) how the ocean circulation and the ocean's interactions with the atmosphere provides the basic underpinnings for global climate and ecology.
BOOK
Transient and Equilibrium Responses of the Atlantic Overturning Circulation to Warming in Coupled Climate Models
The long-term response of the Atlantic meridional overturning circulation (AMOC) to climate change remains poorly understood, in part due to the computational expense associated with running atmosphere–ocean general circulation models (GCMs) to equilibrium. Here, we use a collection of millennial-length GCM simulations to examine the transient and equilibrium responses of the AMOC to an abrupt quadrupling of atmospheric carbon dioxide. We find that GCMs consistently simulate an AMOC weakening during the first century but exhibit diverse behaviors over longer time scales, showing different recovery levels. To explain the AMOC behavior, we use a thermal-wind expression, which links the overturning circulation to the meridional density difference between deep-water formation regions and the Atlantic basin. Using this expression, we attribute the evolution of the AMOC on different time scales to changes in temperature and salinity in distinct regions. The initial AMOC shoaling and weakening occurs on centennial time scales and is attributed to a warming of the deep-water formation region. A partial recovery of the AMOC occurs over the next few centuries, and is linked to a simultaneous warming of the Atlantic basin and a positive high-latitude salinity anomaly. The latter reduces the subsurface stratification and reinvigorates deep-water formation. GCMs that exhibit a prolonged AMOC weakening tend to have smaller high-latitude salinity anomalies and increased Arctic sea ice loss. After multiple millennia, the AMOC in some GCMs is stronger than the initial state due to warming of the low-latitude Atlantic. These results highlight the importance of considering high-latitude freshwater changes when examining the past and future evolution of the AMOC evolution on long time scales.
Journal Article
Quantifying impacts of the 2018 drought on European ecosystems in comparison to 2003
In recent decades, an increasing persistence of atmospheric circulation patterns has been observed. In the course of the associated long-lasting anticyclonic summer circulations, heatwaves and drought spells often coincide, leading to so-called hotter droughts. Previous hotter droughts caused a decrease in agricultural yields and an increase in tree mortality. Thus, they had a remarkable effect on carbon budgets and negative economic impacts. Consequently, a quantification of ecosystem responses to hotter droughts and a better understanding of the underlying mechanisms are crucial. In this context, the European hotter drought of the year 2018 may be considered a key event. As a first step towards the quantification of its causes and consequences, we here assess anomalies of atmospheric circulation patterns, maximum temperature, and climatic water balance as potential drivers of ecosystem responses which are quantified by remote sensing using the MODIS vegetation indices (VIs) normalized difference vegetation index (NDVI) and enhanced vegetation index (EVI). To place the drought of 2018 within a climatological context, we compare its climatic features and remotely sensed ecosystem response with the extreme hot drought of 2003. The year 2018 was characterized by a climatic dipole, featuring extremely hot and dry weather conditions north of the Alps but comparably cool and moist conditions across large parts of the Mediterranean. Analysing the ecosystem response of five dominant land cover classes, we found significant positive effects of climatic water balance on ecosystem VI response. Negative drought impacts appeared to affect an area 1.5 times larger and to be significantly stronger in July 2018 compared to August 2003, i.e. at the respective peak of drought. Moreover, we found a significantly higher sensitivity of pastures and arable land to climatic water balance compared to forests in both years. We explain the stronger coupling and higher sensitivity of ecosystem response in 2018 by the prevailing climatic dipole: while the generally water-limited ecosystems of the Mediterranean experienced above-average climatic water balance, the less drought-adapted ecosystems of central and northern Europe experienced a record hot drought. In conclusion, this study quantifies the drought of 2018 as a yet unprecedented event, outlines hotspots of drought-impacted areas in 2018 which should be given particular attention in follow-up studies, and provides valuable insights into the heterogeneous responses of the dominant European ecosystems to hotter drought.
Journal Article
The Role of Atlantic Heat Transport in Future Arctic Winter Sea Ice Loss
During recent decades Arctic sea ice variability and retreat during winter have largely been a result of variable ocean heat transport (OHT). Here we use the Community Earth System Model (CESM) large ensemble simulation to disentangle internally and externally forced winter Arctic sea ice variability, and to assess to what extent future winter sea ice variability and trends are driven by Atlantic heat transport. We find that OHT into the Barents Sea has been, and is at present, a major source of internal Arctic winter sea ice variability and predictability. In a warming world (RCP8.5), OHT remains a good predictor of winter sea ice variability, although the relation weakens as the sea ice retreats beyond the Barents Sea. Warm Atlantic water gradually spreads downstream from the Barents Sea and farther into the Arctic Ocean, leading to a reduced sea ice cover and substantial changes in sea ice thickness. The future long-term increase in Atlantic heat transport is carried by warmer water as the current itself is found to weaken. The externally forced weakening of the Atlantic inflow to the Barents Sea is in contrast to a strengthening of the Nordic Seas circulation, and is thus not directly related to a slowdown of the Atlantic meridional overturning circulation (AMOC). The weakened Barents Sea inflow rather results from regional atmospheric circulation trends acting to change the relative strength of Atlantic water pathways into the Arctic. Internal OHT variability is associated with both upstream ocean circulation changes, including AMOC, and large-scale atmospheric circulation anomalies reminiscent of the Arctic Oscillation.
Journal Article
Opposite Responses of the Indian Ocean to the Thermal Forcing of the Tibetan Plateau before and after the Onset of the South Asian Monsoon
The atmospheric circulation changes dramatically over a few days before and after the onset of the South Asian monsoon in spring. It is accompanied by the annual maximum surface heating over the Tibetan Plateau. We conducted two sets of experiments with a coupled general circulation model to compare the response of atmospheric circulation and wind-driven circulation in the Indian Ocean to the thermal forcing of the Tibetan Plateau before and after the monsoon onset. The results show that the Tibetan Plateau’s thermal forcing modulates the sea surface temperature (SST) of the Indian Ocean and the meridional circulation in the upper ocean with opposite effects during these two stages. The thermal forcing of the Tibetan Plateau always induces a southwesterly response over the northern Indian Ocean and weakens the northeasterly background circulation before the monsoon onset. Subsequently, wind evaporation feedback results in a warming SST response. Meanwhile, the oceanic meridional circulation shows offshore upwellings in the north and southward transport in the upper layer crossing the equator, sinking near 15°S. After the monsoon onset, the thermal forcing of the Tibetan Plateau accelerates the background southwesterly and introduces a cooling response to the Indian Ocean SST. The response of oceanic meridional overturning circulation is limited to the north of the equator due to the location and structural evolution of the climatological local Hadley circulation. With an acceleration of the local Walker circulation, the underlying zonal currents also show corresponding changes, including a westerly drift along the equator, downwelling near Indonesia, offshore upwelling near Somalia, and a westward undercurrent.
Journal Article