Multidecadal climate oscillations during the past millennium driven by volcanic forcing.

Past research argues for an internal multidecadal (40- to 60-year) oscillation distinct from climate noise. Recent studies have claimed that this so-termed Atlantic Multidecadal Oscillation is instead a manifestation of competing time-varying effects of anthropogenic greenhouse gases and sulfate aerosols. That conclusion is bolstered by the absence of robust multidecadal climate oscillations in control simulations of current-generation models.

Absence of internal multidecadal and interdecadal oscillations in climate model simulations.

For several decades the existence of interdecadal and multidecadal internal climate oscillations has been asserted by numerous studies based on analyses of historical observations, paleoclimatic data and climate model simulations. Here we use a combination of observational data and state-of-the-art forced and control climate model simulations to demonstrate the absence of consistent evidence for decadal or longer-term internal oscillatory signals that are distinguishable from climatic noise. Only variability in the interannual range associated with the El Niño/Southern Oscillation is found to be distinguishable from the noise background.

Projected changes in persistent extreme summer weather events: The role of quasi-resonant amplification.

Persistent episodes of extreme weather in the Northern Hemisphere summer have been associated with high-amplitude quasi-stationary atmospheric Rossby waves, with zonal wave numbers 6 to 8 resulting from the phenomenon of quasi-resonant amplification (QRA). A fingerprint for the occurrence of QRA can be defined in terms of the zonally averaged surface temperature field. Examining state-of-the-art [Coupled Model Intercomparison Project Phase 5 (CMIP5)] climate model projections, we find that QRA events are likely to increase by ~50% this century under business-as-usual carbon emissions, but there is considerable variation among climate models.

Effectiveness of an Educational Module on Dental Hygiene Students' Attitudes Towards Persons with Disabilities.

Persons with disabilities (PWDs) perceive gaps in health care providers' understanding of their health care needs are more likely to delay or not seek health care as compared to persons without disabilities. Oral health is considered an essential component of overall health, however, disparities exist in the United States, especially for persons with disabilities. Improving the education and training of dentists and dental hygienists may contribute to reducing oral health care barriers for PWDs.

Corrigendum: Influence of Anthropogenic Climate Change on Planetary Wave Resonance and Extreme Weather Events.

This corrects the article DOI: 10.1038/srep45242.

Influence of Anthropogenic Climate Change on Planetary Wave Resonance and Extreme Weather Events.

Persistent episodes of extreme weather in the Northern Hemisphere summer have been shown to be associated with the presence of high-amplitude quasi-stationary atmospheric Rossby waves within a particular wavelength range (zonal wavenumber 6-8). The underlying mechanistic relationship involves the phenomenon of quasi-resonant amplification (QRA) of synoptic-scale waves with that wavenumber range becoming trapped within an effective mid-latitude atmospheric waveguide. Recent work suggests an increase in recent decades in the occurrence of QRA-favorable conditions and associated extreme weather, possibly linked to amplified Arctic warming and thus a climate change influence.

The Likelihood of Recent Record Warmth.

2014 was nominally the warmest year on record for both the globe and northern hemisphere based on historical records spanning the past one and a half centuries. It was the latest in a recent run of record temperatures spanning the past decade and a half. Press accounts reported odds as low as one-in-650 million that the observed run of global temperature records would be expected to occur in the absence of human-caused global warming.

Ozone profiles in the Baltimore-Washington region (2006-2011): satellite comparisons and DISCOVER-AQ observations.

Much progress has been made in creating satellite products for tracking the pollutants ozone and NO in the troposphere. Yet, in mid-latitude regions where meteorological interactions with pollutants are complex, accuracy can be difficult to achieve, largely due to persistent layering of some constituents. We characterize the layering of ozone soundings and related species measured from aircraft over two ground sites in suburban Washington, DC (Beltsville, MD, 39.

From Impairment to Empowerment: A Longitudinal Medical School Curriculum on Disabilities.

Problem: All physicians will care for individuals with disabilities; however, education about disabilities is lacking at most medical schools. Most of the schools that do include such education exclusively teach the medical model, in which disability is viewed as an impairment to be overcome. Disability advocates contest this approach because it overlooks the social and societal contexts of disability.

Fostering informed empathy through patient-centred education about persons with disabilities.

Introduction: Having a disability can negatively affect provider-patient communication. Persons with disabilities report the need for better communication with their health care providers and argue that education regarding disabilities is lacking for health care professionals. We sought to determine if a patient-centred curriculum focused on individuals with disabilities could foster the development of informed empathy.

Climate change. Atlantic and Pacific multidecadal oscillations and Northern Hemisphere temperatures.

The recent slowdown in global warming has brought into question the reliability of climate model projections of future temperature change and has led to a vigorous debate over whether this slowdown is the result of naturally occurring, internal variability or forcing external to Earth's climate system. To address these issues, we applied a semi-empirical approach that combines climate observations and model simulations to estimate Atlantic- and Pacific-based internal multidecadal variability (termed "AMO" and "PMO," respectively). Using this method, the AMO and PMO are found to explain a large proportion of internal variability in Northern Hemisphere mean temperatures.

A curriculum focused on informed empathy improves attitudes toward persons with disabilities.

Empathy is an important component of the provider-patient relationship. In the United States one in five persons has a disability. Persons with disabilities perceive gaps in health care providers' understanding of their health care preferences and needs.

A qualitative study of the perspectives of individuals with disabilities about their health care experiences: implications for culturally appropriate health care.

Purpose: This study explores the health care experience of individuals with disabilities and how this knowledge can guide health care professionals in providing effective and compassionate care for persons with disabilities.

Methods: Participants' experiences about the health care they received were quantitatively analyzed for common themes.

Results: Participants most often discussed the process of how they came to receive their official disability diagnosis.

Proxy-based reconstructions of hemispheric and global surface temperature variations over the past two millennia.

Following the suggestions of a recent National Research Council report [NRC (National Research Council) (2006) Surface Temperature Reconstructions for the Last 2,000 Years (Natl Acad Press, Washington, DC).], we reconstruct surface temperature at hemispheric and global scale for much of the last 2,000 years using a greatly expanded set of proxy data for decadal-to-centennial climate changes, recently updated instrumental data, and complementary methods that have been thoroughly tested and validated with model simulation experiments. Our results extend previous conclusions that recent Northern Hemisphere surface temperature increases are likely anomalous in a long-term context.

Popliteal aneurysm as a source of phantom pain: a case report.

A 42-year-old man with a remote history of right transtibial amputation but no history of phantom pain developed severe phantom pain 10 years after amputation. A literature review suggested that his presentation was contrary to the natural history of phantom pain, which is usually most prominent in the early stages after amputation. Diagnostic workup revealed a popliteal artery aneurysm, which was successfully treated with coil embolization.