The competition between anthropogenic aerosol and greenhouse gas climate forcing is revealed by North Pacific water-mass changes.

Modeled water-mass changes in the North Pacific thermocline, both in the subsurface and at the surface, reveal the impact of the competition between anthropogenic aerosols (AAs) and greenhouse gases (GHGs) over the past 6 decades. The AA effect overwhelms the GHG effect during 1950-1985 in driving salinity changes on density surfaces, while after 1985 the GHG effect dominates. These subsurface water-mass changes are traced back to changes at the surface, of which ~70% stems from the migration of density surface outcrops, equatorward due to regional cooling by AAs and subsequent poleward due to warming by GHGs.

Freshwater Flux Variability Lengthens the Period of the Low-Frequency AMOC Variability.

Atlantic Meridional Overturning Circulation (AMOC) exhibits interdecadal to multidecadal variability, yet the role of surface freshwater flux (FWF) variability in this AMOC variability remains unclear. This study isolates the contribution of FWF variability in modulating AMOC through a partially coupled experiment, in which the effect of the interactive FWF is disabled. It is demonstrated that the impact of the coupled FWF variability enhances the persistence of density and deep convection anomalies in the Labrador Sea (LS), thus lengthening the period of the AMOC oscillation on multidecadal timescale and suppressing its ∼30-year periodicity.

Quantification of the Arctic Sea Ice-Driven Atmospheric Circulation Variability in Coordinated Large Ensemble Simulations.

A coordinated set of large ensemble atmosphere-only simulations is used to investigate the impacts of observed Arctic sea ice-driven variability (SIDV) on the atmospheric circulation during 1979-2014. The experimental protocol permits separating Arctic SIDV from internal variability and variability driven by other forcings including sea surface temperature and greenhouse gases. The geographic pattern of SIDV is consistent across seven participating models, but its magnitude strongly depends on ensemble size.

Efficacy and safety of entecavir plus carnitine complex (GODEX®) compared to entecavir monotherapy in patient with ALT elevated chronic hepatitis B: randomized, multicenter open-label trials. The GOAL study.

Background/aims: Carnitine and vitamin complex (Godex®) is widely used in patients with chronic liver disease who show elevated liver enzyme in South Korea. The purpose of this study is to identify the efficacy and safety of carnitine from entecavir combination therapy in Alanine aminotransferase (ALT) elevated Chronic Hepatitis B (CHB) patients.

Methods: 130 treatment-naïve patients with CHB were enrolled from 13 sites.

Silver hake tracks changes in Northwest Atlantic circulation.

Recent studies documenting shifts in spatial distribution of many organisms in response to a warming climate highlight the need to understand the mechanisms underlying species distribution at large spatial scales. Here we present one noteworthy example of remote oceanographic processes governing the spatial distribution of adult silver hake, Merluccius bilinearis, a commercially important fish in the Northeast US shelf region. Changes in spatial distribution of silver hake over the last 40 years are highly correlated with the position of the Gulf Stream.

Hepatic cirrhosis occurring in a young woodchuck (Marmota monax) due to vertical transmission of woodchuck hepatitis virus (WHV).

Histologic and clinicopathologic findings of a woodchuck (Marmota monax) vertically infected with woodchuck hepatitis virus (WHV) are presented. The liver exhibits marked cirrhotic changes, which is characteristic of the pre-transformation phase of WHV. At necropsy, the woodchuck exhibited ascites and the liver had a grossly nodular appearance.