Interdecadal modulation of Ningaloo Niño/Niña strength in the Southeast Indian Ocean by the Atlantic Multidecadal Oscillation.

The Southeast Indian Ocean is a global hotspot for marine heatwaves. In that region, marine heatwaves/cold-spells are known as Ningaloo Niño/Niña events, and have substantial impacts on regional climate anomalies and unique marine ecosystems. However, the strength of Ningaloo Niño/Niña events is nonstationary and varies considerably at multidecadal timescales.

Sublingual immunotherapy for cedar pollinosis possibly triggers eosinophilic esophagitis.

Sublingual immunotherapy (SLIT) is an effective and popular treatment for cedar pollinosis. Although SLIT can cause allergic side effects, eosinophilic esophagitis (EoE) is a lesser-known side effect of SLIT. A 26-year-old male with cedar pollinosis, wheat-dependent exercise-induced anaphylaxis, and food allergies to bananas and avocados presented with persistent throat itching, difficulty swallowing, heartburn, and anterior chest pain 8 days after starting SLIT for cedar pollinosis.

Stabilised frequency of extreme positive Indian Ocean Dipole under 1.5 °C warming.

Extreme positive Indian Ocean Dipole (pIOD) affects weather, agriculture, ecosystems, and public health worldwide, particularly when exacerbated by an extreme El Niño. The Paris Agreement aims to limit warming below 2 °C and ideally below 1.5 °C in global mean temperature (GMT), but how extreme pIOD will respond to this target is unclear.

Climate Based Predictability of Oil Palm Tree Yield in Malaysia.

The influence of local conditions and remote climate modes on the interannual variability of oil palm fresh fruit bunches (FFB) total yields in Malaysia and two major regions (Peninsular Malaysia and Sabah/Sarawak) is explored. On a country scale, the state of sea-surface temperatures (SST) in the tropical Pacific Ocean during the previous boreal winter is found to influence the regional climate. When El Niño occurs in the Pacific Ocean, rainfall in Malaysia reduces but air temperature increases, generating a high level of water stress for palm trees.

Inter-basin sources for two-year predictability of the multi-year La Niña event in 2010-2012.

Multi-year La Niña events often induce persistent cool and wet climate over global lands, altering and in some case mitigating regional climate warming impacts. The latest event lingered from mid-2010 to early 2012 and brought about intensive precipitation over many land regions of the world, particularly Australia. This resulted in a significant drop in global mean sea level despite the background upwards trend.

ENSO's far reaching connection to Indian cold waves.

During boreal winters, cold waves over India are primarily due to transport of cold air from higher latitudes. However, the processes associated with these cold waves are not yet clearly understood. Here by diagnosing a suite of datasets, we explore the mechanisms leading to the development and maintenance of these cold waves.

Anatomy of Indian heatwaves.

India suffers from major heatwaves during March-June. The rising trend of number of intense heatwaves in recent decades has been vaguely attributed to global warming. Since the heat waves have a serious effect on human mortality, root causes of these heatwaves need to be clarified.

A Regional Climate Mode Discovered in the North Atlantic: Dakar Niño/Niña.

The interrannual variability of coastal sea surface temperature (SST) anomalies confined off Senegal is explored from a new viewpoint of the ocean-land-atmosphere interaction. The phenomenon may be classified into "coastal Niño/Niña" in the North Atlantic as discussed recently in the Northeastern Pacific and Southeastern Indian Oceans. The interannual variability of the regional mixed-layer temperature anomaly that evolves in boreal late fall and peaks in spring is associated with the alongshore wind anomaly, mixed-layer depth anomaly and cross-shore atmospheric pressure gradient anomaly, suggesting the existence of ocean-land-atmosphere coupled processes.

Impacts of IOD, ENSO and ENSO Modoki on the Australian Winter Wheat Yields in Recent Decades.

Impacts of the Indian Ocean Dipole (IOD), two different types of El Niño/Southern Oscillation (ENSO): canonical ENSO and ENSO Modoki, on the year-to-year winter wheat yield variations in Australia have been investigated. It is found that IOD plays a dominant role in the recent three decades; the wheat yield is reduced (increased) by -28.4% (12.

More-frequent extreme northward shifts of eastern Indian Ocean tropical convergence under greenhouse warming.

The Intertropical Convergence Zone (ITCZ) in the tropical eastern Indian Ocean exhibits strong interannual variability, often co-occurring with positive Indian Ocean Dipole (pIOD) events. During what we identify as an extreme ITCZ event, a drastic northward shift of atmospheric convection coincides with an anomalously strong north-minus-south sea surface temperature (SST) gradient over the eastern equatorial Indian Ocean. Such shifts lead to severe droughts over the maritime continent and surrounding islands but also devastating floods in southern parts of the Indian subcontinent.

Increased frequency of extreme Indian Ocean Dipole events due to greenhouse warming.

The Indian Ocean dipole is a prominent mode of coupled ocean-atmosphere variability, affecting the lives of millions of people in Indian Ocean rim countries. In its positive phase, sea surface temperatures are lower than normal off the Sumatra-Java coast, but higher in the western tropical Indian Ocean. During the extreme positive-IOD (pIOD) events of 1961, 1994 and 1997, the eastern cooling strengthened and extended westward along the equatorial Indian Ocean through strong reversal of both the mean westerly winds and the associated eastward-flowing upper ocean currents.

Impacts of El Niño Southern Oscillation on the global yields of major crops.

The monitoring and prediction of climate-induced variations in crop yields, production and export prices in major food-producing regions have become important to enable national governments in import-dependent countries to ensure supplies of affordable food for consumers. Although the El Niño/Southern Oscillation (ENSO) often affects seasonal temperature and precipitation, and thus crop yields in many regions, the overall impacts of ENSO on global yields are uncertain. Here we present a global map of the impacts of ENSO on the yields of major crops and quantify its impacts on their global-mean yield anomalies.

California Niño/Niña.

The present study shows the existence of intrinsic coastal air-sea coupled phenomenon in the coastal ocean off Baja California and California in boreal summer for the first time. It contributes significantly to the interannual sea surface temperature (SST) anomalies there. An initial decrease/increase in the equatorward alongshore surface winds weakens/strengthens the coastal upwelling and raises/lowers the coastal SSTs through oceanic mixed-layer processes.

Predictability of the Ningaloo Niño/Niña.

The seasonal prediction of the coastal oceanic warm event off West Australia, recently named the Ningaloo Niño, is explored by use of a state-of-the-art ocean-atmosphere coupled general circulation model. The Ningaloo Niño/Niña, which generally matures in austral summer, is found to be predictable two seasons ahead. In particular, the unprecedented extreme warm event in February 2011 was successfully predicted 9 months in advance.

Decline of plasma brain natriuretic peptide level after carvedilol therapy to treat dilated cardiomyopathy presenting with mechanical alternans.

Mechanical alternans is observed in patients with severe left ventricular dysfunction. We report a case of dilated cardiomyopathy with mechanical alternans. He presented with a remarkable decrease in plasma brain natriuretic peptide (BNP) levels after beta-blocker therapy despite persistency of the mechanical alternans.

Acute myocardial infarction following hormone replacement in hypothyroidism.

Patients with hypothyroidism have an increased risk of coronary artery disease because of significant changes in lipid metabolism and arterial hypertension. We report a 67-year-old man who developed acute myocardial infarction following hormone replacement in hypothyroidism in spite of no previous cardiac symptoms and no ischemia in intravenous dipyridamole myocardial perfusion imaging. Careful examination for ischemic heart disease should be performed before hormone replacement in hypothyroidism.

Asymmetric evolution of eddies in rotating shallow water.

It is demonstrated that cyclones evolve in a way different from that of anticyclones in rotating shallow water. The anticyclones merge and eventually take circular coherent forms, but cyclones are elongated with active enstrophy cascading. This asymmetric evolution is strengthened with increasing surface displacements.