bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Characteristics and Prognosis of 244 Cardiovascular Patients Suffering From Coronavirus Disease in Wuhan, China
Authors: Peng Yudong , Meng Kai , He Meian , Zhu Ruirui , Guan Hongquan , Ke Zihan , Leng Liang , Wang Xiang , Liu Bende , Hu Caiying , Ji Qingwei , Keerman Mulatibieke , Cheng Longxian , Wu Tangchun , Huang Kai , Zeng Qiutang 
Published: August 2020

Background
The coronavirus disease 2019 (COVID‐19) has developed into a global outbreak. Patients with cardiovascular disease (CVD) with COVID‐19 have different clinical characteristics and prognostic outcomes. This study aimed to summarize the clinical characteristics and laboratory indicators of patients with COVID‐19 with CVD, especially the critically ill patients.

Methods and Results

This study included 244 patients diagnosed with COVID‐19 and CVD (hypertension, coronary heart disease, or heart failure). The patients were categorized into critical (n=36) and noncritical (n=208) groups according to the interim guidance of China’s National Health Commission. Clinical, laboratory, and outcome data were collected from the patients’ medical records and compared between the 2 groups. The average body mass index of patients was significantly higher in the critical group than in the noncritical group. Neutrophil/lymphocyte ratio, and C‐reactive protein, procalcitonin, and fibrinogen, and
d
‐dimer levels at admission were significantly increased in the critical group. The all‐cause mortality rate among cases of COVID‐19 combined with CVD was 19.26%; the proportion of coronary heart disease and heart failure was significantly higher in deceased patients than in recovered patients. High body mass index, previous history of coronary heart disease, lactic acid accumulation, and a decrease in the partial pressure of oxygen were associated with death.

Conclusions
All‐cause mortality in patients with COVID‐19 with CVD in hospitals is high. The high neutrophil/lymphocyte ratio may be a predictor of critical patients. Overweight/obesity combined with coronary heart disease, severe hypoxia, and lactic acid accumulation resulting from respiratory failure are related to poor outcomes.

Registration

URL:
https://www.chictr.org.cn
; Unique identifier: ChiCTR2000029865.
Bin-Emulating Hail Melting in Three-Moment Bulk Microphysics
Authors: Mansell Edward R. , Dawson II Daniel T. , Straka Jerry M. 
Published: August 2020

AbstractA three-moment bulk microphysics scheme is modified to treat melting in a size-dependent manner that emulates results from a spectral bin scheme. The three-moment bulk framework allows the distribution shape to change and accommodate some direct effects of melting on both the hail and raindrop size distributions. Reflectivity changes and shed raindrop sizes are calculated over discrete size ranges of the hail particle spectrum. Smaller ice particles are treated as melting into drops of the same mass, whereas large particles shed drops as they melt. As small ice particles are lost, the size spectrum naturally becomes narrower and the mean size of small hail can increase. Large hail with a narrow spectrum, however, can decrease in size from melting. A substantial effect is seen on the rain median volume diameter when small drops are shed from large melting hail. The NSSL bulk scheme is compared with bin microphysics in steady-state hail shafts and in a supercell storm case. It is also shown that melting (or any substantial removal of mass) induces gravitational size sorting in bulk microphysics to increase hail size despite the design of the process rates to maintain the mean size of the melting ice. This unintended side effect can be a correct behavior for small hail, but not for large hail with a narrow distribution, when mean hail size should decrease by melting.
The Opposing Effects of Reforestation and Afforestation on the Diurnal Temperature Cycle at the Surface and in the Lowest Atmospheric Model Level in the European Summer
Authors: Breil M. , Rechid D. , Davin E. L. , de Noblet-Ducoudré N. , Katragkou E. , Cardoso R. M. , Hoffmann P. , Jach L. L. , Soares P. M. M. , Sofiadis G. , Strada S. , Strandberg G. , Tölle M. H. , Warrach-Sagi K. 
Published: August 2020

AbstractThe biophysical effects of reforestation and afforestation (herein jointly called re/afforestation) on the diurnal temperature cycle in European summer are investigated by analyzing a regional climate model (RCM) ensemble, established within the Land Use and Climate Across Scales Flagship Pilot Study (LUCAS FPS). With this RCM ensemble, two idealized experiments are performed for Europe, one with a continent with maximized forest cover, and one in which all forests are turned into grassland. First, an in-depth analysis of one ensemble member (“CCLM-VEG3D”) is carried out, to reveal the complex process chain caused by such land use changes (LUCs). From these findings, the whole ensemble is analyzed and principal biophysical effects of re/afforestation are derived. Results show that the diurnal temperature range is reduced at the surface (top of the vegetation) with re/afforestation. Most RCMs simulate colder surface temperatures Tsurf during the day and warmer Tsurf during the night. Thus, for the first time, the principal temperature interrelations found in observation-based studies in the midlatitudes could be reproduced within a model intercomparison study. On the contrary, the diurnal temperature range in the lowest atmospheric model level (Tair) is increased with re/afforestation. This opposing temperature response is mainly caused by the higher surface roughness of forest, enhancing the turbulent heat exchange. Furthermore, these opposing temperature responses demonstrate that the use of the diagnostic 2-m temperature (weighted interpolation between Tsurf and Tair) has a limited potential to assess the effects of re/afforestation. Thus, studies about the biophysical impacts of LUCs should investigate the whole near-surface temperature profile.
Projected End-of-Century Changes in the South American Monsoon in the CESM Large Ensemble
Authors: Thome Sena Ana Claudia , Magnusdottir Gudrun 
Published: August 2020

AbstractProjected changes in the South American monsoon system by the end of the twenty-first century are analyzed using the Community Earth System Model Large Ensemble (CESM-LENS). The wet season is shorter in LENS when compared to observations, with the mean onset occurring 19 days later and the mean retreat date 21 days earlier in the season. Despite a precipitation bias, the seasonality of rainfall over South America is reproduced in LENS, as well as the main circulation features associated with the development of the South American monsoon. Both the onset and retreat of the wet season over South America are delayed in the future compared to current climate by 3 and 7 days, respectively, with a slightly longer wet season. Central and southeastern Brazil are projected to get wetter as a result of moisture convergence from the strengthening of the South Atlantic low-level jet and a weaker South Atlantic subtropical high. The Amazon is projected to get drier by the end of the century, negatively affecting rain forest productivity. During the wet season, an increase in the frequency and intensity of extreme precipitation events is found over most of South America, and especially over northeastern and southern Brazil and La Plata. Meanwhile, during the dry season an increase in the maximum number of consecutive dry days is found over northeastern Brazil and the northern Amazon.
The Long-Term Trend of Upper-Air Temperature in China Derived from Microwave Sounding Data and Its Comparison with Radiosonde Observations
Authors: Guo Yanjun , Weng Fuzhong , Wang Guofu , Xu Wenhui 
Published: August 2020

AbstractCurrently, the satellite Microwave Sounding Unit (MSU/AMSU) datasets developed from three organizations—Remote Sensing Systems (RSS), the University of Alabama at Huntsville (UAH), and the NOAA Center for Satellite Applications and Research (STAR)—are often used to monitor the global long-term trends of temperatures in the lower troposphere (TLT), midtroposphere (TMT), total troposphere (TTT), troposphere and stratosphere (TTS), and lower stratosphere (TLS). However, the trend in these temperatures over China has not been quantitatively assessed. In this study, the decadal variability and long-term trend of upper-air temperature during 1979–2018 from three MSU datasets are first evaluated over China and compared with the proxy MSU dataset simulated from homogenized surface and radiosonde profiles (EQU) at 113 stations in China. The regional mean MSU trends over China during 1979–2018 are 0.22–0.27 (TLT), 0.15–0.22 (TMT), 0.20–0.27 (TTT), 0.02–0.14 (TTS), and from −0.33 to −0.36 (TLS) K decade−1, whereas the EQU trends are 0.31 (TLT), 0.19 (TMT), 0.24 (TTT), 0.07 (TTS), and −0.26 (TLS) K decade−1. The trends from RSS generally show a better agreement with those from EQU. The trends from both MSU and EQU exhibit seasonal and regional difference with a larger warming in TLT in February and March, and stronger cooling in TLS from late winter to spring. The TLT and TMT over the Tibetan Plateau and northwestern China show larger warming trends. The variability from MSU and EQU agree well except TLT in Tibet and southern China. The major difference in regional mean temperatures over China between MSU and EQU is related primarily to the satellite instrument changes during 1979–98 and the radiosonde system changes in China in the 2000s.
Ocean Heat Storage in Response to Changing Ocean Circulation Processes
Authors: Dias Fabio Boeira , Fiedler R. , Marsland S. J. , Domingues C. M. , Clément L. , Rintoul S. R. , Mcdonagh E. L. , Mata M. M. , Savita A. 
Published: August 2020

AbstractOcean heat storage due to local addition of heat (“added”) and due to changes in heat transport (“redistributed”) were quantified in ocean-only 2xCO2 simulations. While added heat storage dominates globally, redistribution makes important regional contributions, especially in the tropics. Heat redistribution is dominated by circulation changes, summarized by the super-residual transport, with only minor effects from changes in vertical mixing. While previous studies emphasized the contribution of redistribution feedback at high latitudes, this study shows that redistribution of heat also accounts for 65% of heat storage at low latitudes and 25% in the midlatitude (35°–50°S) Southern Ocean. Tropical warming results from the interplay between increased stratification and equatorward heat transport by the subtropical gyres, which redistributes heat from the subtropics to lower latitudes. The Atlantic pattern is remarkably distinct from other basins, resulting in larger basin-average heat storage. Added heat storage is evenly distributed throughout midlatitude Southern Ocean and dominates the total storage. However, redistribution stores heat north of the Antarctic Circumpolar Current in the Atlantic and Indian sectors, having an important contribution to the peak of heat storage at 45°S. Southern Ocean redistribution results from intensified heat convergence in the subtropical front and reduced stratification in response to surface heat, freshwater, and momentum flux perturbations. These results highlight that the distribution of ocean heat storage reflects both passive uptake of heat and active redistribution of heat by changes in ocean circulation processes. The redistributed heat transport must therefore be better understood for accurate projection of changes in ocean heat uptake efficiency, ocean heat storage, and thermosteric sea level.
Tracking Moisture Sources of Precipitation over Central Asia: A Study Based on the Water-Source-Tagging Method
Authors: Jiang Jie , Zhou Tianjun , Wang Hailong , Qian Yun , Noone David , Man Wenmin 
Published: August 2020

AbstractCentral Asia is a semiarid to arid region that is sensitive to hydrological changes. We use the Community Atmosphere Model, version 5 (CAM5), equipped with a water-tagging capability, to investigate the major moisture sources for climatological precipitation and its long-term trends over central Asia. Europe, the North Atlantic Ocean, and local evaporation, which explain 33.2% ± 1.5%, 23.0% ± 2.5%, and 19.4% ± 2.2% of the precipitation, respectively, are identified as the most dominant moisture sources for northern central Asia (NCA). For precipitation over southern central Asia (SCA), Europe, the North Atlantic, and local evaporation contribute 25.4% ± 2.7%, 18.0% ± 1.7%, and 14.7% ± 1.9%, respectively. In addition, the contributions of South Asia (8.6% ± 1.7%) and the Indian Ocean (9.5% ± 2.0%) are also substantial for SCA. Modulated by the seasonal meridional shift in the subtropical westerly jet, moisture originating from the low and midlatitudes is important in winter, spring, and autumn, whereas northern Europe contributes more to summer precipitation. We also explain the observed drying trends over southeastern central Asia in spring and over NCA in summer during 1956–2005. The drying trend over southeastern central Asia in spring is mainly due to the decrease in local evaporation and weakened moisture fluxes from the Arabian Peninsula and Arabian Sea associated with the warming of the western Pacific Ocean. The drying trend over NCA in summer can be attributed to a decrease in local evaporation and reduced moisture from northern Europe that is due to the southward shift of the subtropical westerly jet.
Evaluation of Radar Quantitative Precipitation Estimates (QPEs) as an Input of Hydrological Models for Hydrometeorological Applications
Authors: Wijayarathne Dayal , Boodoo Sudesh , Coulibaly Paulin , Sills David 
Published: August 2020

AbstractWeather radar provides real-time, spatially distributed precipitation estimates, whereas traditional gauge data are restricted in space. The use of radar quantitative precipitation estimates (QPEs) as an input of hydrological models for hydrometeorological applications has increased with the development of weather radar worldwide. New dual-polarization technology and algorithms are showing improvements to radar QPEs. This study evaluates radar QPEs from C-band radar at King City, Canada (WKR), and NEXRAD S-band radar at Buffalo, New York (KBUF), to verify the reliability and accuracy for operational use in the Humber River (semiurban) and Don River (urban) watersheds in the Greater Toronto Area (GTA), Canada. Twenty rainfall events that occurred from 2011 to 2017 were determined from hourly gauge measurements and compared with nine radar QPEs. Rain rates were estimated with different algorithms using three dual-polarized reflectivity values: horizontal reflectivity Z, differential reflectivity ZDR, and specific differential phase KDP. The correlation coefficient, bias, detection, and root-mean-square error were calculated and averaged over all events for each gauge station to show the spatial distribution and in a similar pattern to represent the variation by the event. The quality of the results in terms of accuracy and reliability indicates that the radar QPEs from KBUF S-band and WKR C-band multiparameter rain rate estimators can be effectively used as precipitation forcing of hydrological models for hydrometeorological applications. The high spatiotemporal resolution, long-term data archive, and good percent detection of radar QPEs can facilitate hydrometeorological applications by providing a continuous time series for hydrological models.
Influence of the Ocean Mesoscale Eddy–Atmosphere Thermal Feedback on the Upper-Ocean Haline Stratification
Authors: Shan Xuan , Jing Zhao , Sun Bingrong , Chang Ping , Wu Lixin , Ma Xiaohui 
Published: August 2020

AbstractThe ocean mesoscale eddy–atmosphere (OME-A) interaction through the eddy-induced sea surface temperature anomaly can feedback on ocean dynamics in various ways (referred to as the OME-A thermal feedback). In this study, the influence of the OME-A thermal feedback on the upper-ocean haline structure is analyzed based on high-resolution coupled simulations. In the Oyashio Extension where pronounced surface temperature and salinity fronts are collocated, the haline stratification in the upper 200 m is significantly enhanced by the OME-A thermal feedback. This enhancement is mainly attributed to the weakening of the upward eddy salinity transport in response to the OME-A thermal feedback. The OME-A thermal feedback influences the vertical eddy salinity transport through its differed impacts on the mesoscale buoyancy and temperature anomaly variances. As temperature and salinity in the Oyashio Extension are strongly compensated for their effects on buoyancy, the dissipation of the mesoscale buoyancy anomaly variance b′2 by the OME-A thermal feedback is considerably weaker than that estimated from the mesoscale temperature anomaly alone, i.e., (gαT′)2, with g the gravity acceleration and α the thermal expansion coefficient. Correspondingly, the vertical eddy buoyancy transport (w′b′) is weakened by the OME-A thermal feedback to a lesser extent than its thermal component (gαw′T′). The different responses of w′b′ and gαw′T′ to the OME-A thermal feedback are reconciled by the reduced vertical eddy salinity transport.
Lagrangian Perspective on the Origins of Denmark Strait Overflow
Authors: Saberi Atousa , Haine Thomas W. N. , Gelderloos Renske , Femke de Jong M. , Furey Heather , Bower Amy 
Published: August 2020

AbstractThe Denmark Strait Overflow (DSO) is an important contributor to the lower limb of the Atlantic meridional overturning circulation (AMOC). Determining DSO formation and its pathways is not only important for local oceanography but also critical to estimating the state and variability of the AMOC. Despite prior attempts to understand the DSO sources, its upstream pathways and circulation remain uncertain due to short-term (3–5 days) variability. This makes it challenging to study the DSO from observations. Given this complexity, this study maps the upstream pathways and along-pathway changes in its water properties, using Lagrangian backtracking of the DSO sources in a realistic numerical ocean simulation. The Lagrangian pathways confirm that several branches contribute to the DSO from the north such as the East Greenland Current (EGC), the separated EGC (sEGC), and the North Icelandic Jet (NIJ). Moreover, the model results reveal additional pathways from south of Iceland, which supplied over 16% of the DSO annually and over 25% of the DSO during winter of 2008, when the NAO index was positive. The southern contribution is about 34% by the end of March. The southern pathways mark a more direct route from the near-surface subpolar North Atlantic to the North Atlantic Deep Water (NADW), and needs to be explored further, with in situ observations.
Three-Dimensional Structure and Interannual Variability of the Kuroshio Loop Current in the Northeastern South China Sea
Authors: Sun Zhongbin , Zhang Zhiwei , Qiu Bo , Zhang Xincheng , Zhou Chun , Huang Xiaodong , Zhao Wei , Tian Jiwei 
Published: August 2020

AbstractBased on long-term mooring-array and satellite observations, three-dimensional structure and interannual variability of the Kuroshio Loop Current (KLC) in the northeastern South China Sea (SCS) were investigated. The 3-yr moored data between 2014 and 2017 revealed that the KLC mainly occurred in winter and it exhibited significant interannual variability with moderate, weak, and strong strengths in the winters of 2014/15, 2015/16, and 2016/17, respectively. Spatially, the KLC structure was initially confined to the upper 500 m near the Luzon Strait, but it became more barotropic, with kinetic energy transferring from the baroclinic mode to the barotropic mode when it extended into the SCS interior. Through analyzing the historical altimeter data between 1993 and 2019, it is found that the KLC event in 2016/17 winter is the strongest one since 1993. Moored-data-based energetics analysis suggested that the growth of this KLC event was primarily fed by the strong wind work associated with the strengthened northeast monsoon in that La Niña–year winter. By examining all of the historical KLC events, it is found that the strength of KLC is significantly modulated by El Niño–Southern Oscillation, being stronger in La Niña and weaker in El Niño years. This interannual modulation could be explained by the strengthened (weakened) northeast monsoon associated with the anomalous atmospheric cyclone (anticyclone) in the western North Pacific during La Niña (El Niño) years, which inputs more (less) energy and negative vorticity southwest of Taiwan that is favorable (unfavorable) for the development of KLC.
Love in the Analytic Setting
Authors: Kernberg Otto F. 
Published: August 2020

In the context of viewing the analytic setting as a “clinical laboratory” to study the nature of love relations, this paper starts by outlining the relationships of transference love, “normal” love, neurotic love, and oedipal love. After a description of the vicissitudes of transference love when patient and analyst are of the same sex and of opposite sex, developments of transference love regarding homosexual and heterosexual longings in neurotic and narcissistic pathology are considered. Countertransference reactions in response to transference love are explored next, with emphasis on conditions under which erotic countertransference may become particularly intense. In describing the technical management of erotic countertransference, the analyst's ability to explore his own feelings and fantasies without constraint is stressed. The usefulness of understanding the erotic countertransference in arriving at transference interpretations is illustrated by a clinical case of a female patient with a neurotic personality structure and predominantly masochistic conflicts.
Novel Use of Vitamin B2 as a Fluorescent Tracer in Aerosol and Droplet Contamination Models in Otolaryngology
Authors: Sim Edward S. , Dharmarajan Harish , Boorgu Devi Sai Sri Kavya , Goyal Lindsey , Weinstock Michael , Whelan Rachel , Freiser Monika E. , Corcoran Timothy E. , Jabbour Noel , Wang Eric , Chi David H. 
Published: August 2020

Objective: During the COVID-19 era, a reliable method for tracing aerosols and droplets generated during otolaryngology procedures is needed to accurately assess contamination risk and to develop mitigation measures. Prior studies have not investigated the reliability of different fluorescent tracers for the purpose of studying aerosols and small droplets. Objectives include (1) comparing vitamin B2, fluorescein, and a commercial fluorescent green dye in terms of particle dispersion pattern, suspension into aerosols and small droplets, and fluorescence in aerosolized form and (2) determining the utility of vitamin B2 as a fluorescent tracer coating the aerodigestive tract mucosa in otolaryngology contamination models. Methods: Vitamin B2, fluorescein, and a commercial fluorescent dye were aerosolized using a nebulizer and passed through the nasal cavity from the trachea in a retrograde-intubated cadaveric head. In another scenario, vitamin B2 was irrigated to coat the nasal cavity and nasopharyngeal mucosa of a cadaveric head for assessment of aerosol and droplet generation from endonasal drilling. A cascade impactor was used to collect aerosols and small droplets ≤14.1 µm based on average aerodynamic diameter, and the collection chambers were visualized under UV light. Results: When vitamin B2 was nebulized, aerosols ≤5.4 µm were generated and the collected particles were fluorescent. When fluorescein and the commercial water tracer dye were nebulized, aerosols ≤8.61 µm and ≤2.08 µm respectively were generated, but the collected aerosols did not appear visibly fluorescent. Endonasal drilling in the nasopharynx coated with vitamin B2 irrigation yielded aerosols ≤3.30 µm that were fluorescent under UV light. Conclusion: Vitamin B2’s reliability as a fluorescent tracer when suspended in aerosols and small droplets ≤14.1 µm and known mucosal safety profile make it an ideal compound compared to fluorescein and commercial water-based fluorescent dyes for use as a safe fluorescent tracer in healthcare contamination models especially with human subjects.