Post-onset Periods Research Articles

Rainfall characteristics during pre- and post-onset of local climate change in Aceh Besar District, Indonesia

Climate change caused by global warming, which is characterized by increasing temperatures on the earth’s surface, is the biggest problem in the world today. This study attempts to examine how local climate change has affected the characteristics of rainfall in Aceh Besar District, which is situated in the far north of Indonesia’s Sumatra Island. 2001 was assumed to be the onset of local climate change in the region. Using EasyFit, probability distribution that best fits the rainfall data during the pre- and post-onset of climate change is chosen. The results indicated that the annual rainfall amount has increased over the past decade. The probability of receiving an annual total rainfall exceeding the long-term average (1700 mm) has increased significantly after the local climate change. Meanwhile, although the lowest and highest amounts of annual maximum daily rainfall for pre- and post-onset periods remain the same, the frequency of the maximum daily rainfall in a year greater than 140 mm/day was doubled during the post-onset period. Consequently, local climate change has increased the expected amount of annual maximum daily rainfall for return periods of 2, 5, and 10 years.

A Dynamic Perspective on Job Knowledge Characteristics during the COVID-19 Pandemic

AbstractJob knowledge characteristics have long been regarded as relatively fixed. However, this may no longer be the case given the dynamic and complex situations faced by employees during the COVID-19 pandemic. On the basis of event system theory and the work design literature, we argue that the onset of COVID-19 created an immediate decrease in job knowledge characteristics, which gradually increased over time in the post-onset period because of employees’ coping with the pandemic. The rate of increase in job knowledge characteristics is higher for those with higher individual task adaptivity than for others. We further argue that changes in job knowledge characteristics produced changes in job stress, and that this effect is weakened by job security. We conducted a 6-month, 6-wave longitudinal survey to gather data from 235 employees in Macau, China covering the pre-onset, onset, and post-onset periods of the COVID-19 outbreak. The results, based on discontinuous growth modeling and latent change score modeling, support our arguments. Our study advances the dynamic view of work design by identifying how a macro event may shape job knowledge characteristics and the implications of a time-to-time change in job knowledge characteristics. Overall, we suggest that there are psychological costs when employees cope at work with the business interruptions caused by COVID-19.

COVID-19 and employee job performance trajectories: The moderating effect of different sources of status.

This study investigates the impact of the COVID-19 pandemic on employee job performance trajectories, and further examines the moderating effects of different sources of status. Drawing from event system theory (EST), we propose that employee job performance decreases upon COVID-19 onset, but gradually increases during the postonset period. Furthermore, we argue that status from society, occupation, and workplace functions to moderate such performance trajectories. We test our hypotheses with a unique dataset of 708 employees that combines survey responses and job performance archival data over 21 consecutive months (10,808 observations) spanning the preonset, onset, and postonset periods of the initial encounter with COVID-19 in China. Utilizing discontinuous growth modeling (DGM), our findings indicate that the onset of COVID-19 created an immediate decrease in job performance, but such decrease was weakened by higher occupation and/or workplace status. However, the postonset period resulted in a positive employee job performance trajectory, which was strengthened for employees with lower occupational status. These findings enrich our understanding of COVID-19's impact on employee job performance trajectories, highlight the role of status in moderating such changes over time, and also provide practical implications to understand employee performance when facing such a crisis.

Quality of Communication Life in People with Aphasia: Implications for Intervention.

Background and Aims:The main goals were to determine the effectiveness of two commonly used communication-related Quality of Life (QoCL) measures, and the impact of aphasia-related factors on quality of life (QoL) and QoCL in persons with aphasia (PWAs).Method:Twenty-one PWAs ranging from 47 to 91 years of age with post-onset periods of 2 months to 14 years were tested using standardized and criterion-measure tools to assess their language and cognitive functions, QoL, and QoCL. Additionally, participants completed a demographics questionnaire, which also included information on their stroke and the kinds of therapies they had received. Assessments were conducted over two sessions with randomized order of test administrations to control fatigue and order effects.Results and Discussions:Correlation-matrix was used to determine the strength of relations between test measures. The impact of QoL related factors (viz., aphasia severity, cognitive functioning, time post-onset, and therapy received) on QoCL was examined using ANOVAs. The ASHA Quality of Communication Life Scale (ASHA-QCL) had more significant correlations with other QoL measures than the ASHA-Functional Assessment of Communication Skills (ASHA-FACS). Aphasia severity, cognitive deficits, and therapy received contributed significantly to QoL and QoCL in PWAs.Conclusions:Evaluating overall QoL may not fully reveal the QoCL in PWAs. Measuring QoCL specifically is crucial in aphasia interventions, and it is equally important to use sensitive tools that can capture the QoCL effectively. ASHA-QCL was more effective than ASHA-FACS in capturing the QoCL. QoCL must be considered even when working with PWAs with severe aphasias and/or mild cognitive deficits.

Tracking the dynamic representation of consonants from auditory periphery to cortex.

In order to perceive meaningful speech, the auditory system must recognize different phonemes amidst a noisy and variable acoustic signal. To better understand the processing mechanisms underlying this ability, evoked cortical responses to different spoken consonants were measured with electroencephalography (EEG). Using multivariate pattern analysis (MVPA), binary classifiers attempted to discriminate between the EEG activity evoked by two given consonants at each peri-stimulus time sample, providing a dynamic measure of their cortical dissimilarity. To examine the relationship between representations at the auditory periphery and cortex, MVPA was also applied to modelled auditory-nerve (AN) responses of consonants, and time-evolving AN-based and EEG-based dissimilarities were compared with one another. Cortical dissimilarities between consonants were commensurate with their articulatory distinctions, particularly their manner of articulation, and to a lesser extent, their voicing. Furthermore, cortical distinctions between consonants in two periods of activity, centered at 130 and 400 ms after onset, aligned with their peripheral dissimilarities in distinct onset and post-onset periods, respectively. In relating speech representations across articulatory, peripheral, and cortical domains, the understanding of crucial transformations in the auditory pathway underlying the ability to perceive speech is advanced.

Simulation of Indian summer monsoon onset with different parameterization convection schemes of RegCM-4.3

Simulation of Indian Summer Monsoon (ISM) onset over South Asia Coordinated Regional Climate Downscaling Experiment (CORDEX) domain in pentad composite pattern is considered for this study. The latest version of the International Center for Theoretical Physics' (ICTP's) Regional Climate Model version 4.3 (RegCM-4.3) is used for the simulation of a pentad composite onset for three time period: Pre-onset, Onset and Post-onset periods of ISM. Each pentad composite is average of five consecutive days. 10years (2001–2010) worth of pentad composites of rainfall, mean sea level pressure (MSLP), outgoing longwave radiation (OLR), wind at 850hPa and 925hPa levels till 7days prior to the date of onset of monsoon and 7days after the onset are analyzed to find out the predictive skill. Six Parameterization convection schemes (PCSs) viz. Kuo, Mix98, Mix99, Tiedtke, Emanuel and Grell are used in sensitivity experiment and estimation of their performance has been done. From the experiment, some modulation is found in the OLR field (≤200Wm−2) within the region 5°N–10°N and 70°N–75°E. Yearly analysis has shown the strength of wind at 925hPa over the region 5°N–10°N and 70°E–80°E on pentad composite onset of ISM. Yearly analysis is conducted for finding the best fitted PCS which has provided the precursor for simulating the onset.

The Response of the South Asian Summer Monsoon to Temporal and Spatial Variations in Absorbing Aerosol Radiative Forcing

Abstract Previous studies on the response of the South Asian summer monsoon to the direct radiative forcing caused by anthropogenic absorbing aerosols have emphasized the role of premonsoonal aerosol forcing. This study examines the roles of aerosol forcing in both pre- and postonset periods using the Community Earth System Model, version 1.0.4, with the Community Atmosphere Model, version 4. Simulations were perturbed by model-derived radiative forcing applied (i) only during the premonsoonal period (May–June), (ii) only during the monsoonal period (July–August), and (iii) throughout both periods. Soil water storage is found to retain the effects of premonsoonal forcing into succeeding months, resulting in monsoonal central India drying. Monsoonal forcing is found to dry all of India through local responses. Large-scale responses, such as the meridional rotation of monsoon jet during June and its weakening during July–August, are significant only when aerosol forcing is present throughout both premonsoonal and monsoonal periods. Monsoon responses to premonsoonal forcing by the model-derived “realistic” distribution versus a uniform wide-area distribution were compared. Both simulations exhibit central India drying in June. June precipitation over northwestern India (increase) and southwestern India (decrease) is significantly changed under realistic but not under wide-area forcing. Finally, the same aerosol forcing is found to dry or moisten the July–August period following the warm or cool phase of the simulations’ ENSO-like internal variability. The selection of years used for analysis may affect the precipitation response obtained, but the overall effect seems to be an increase in rainfall variance over northwest and southwest India.

Features of clouds and convection during the pre- and post-onset periods of the Asian summer monsoon

The statistical characteristics of the vertical structure of clouds in the Asian summer monsoon region are investigated using two CloudSat standard products (Geometrical Profiling Product (GEOPROF) and GEOPROF-lidar) during the pre- and post-onset periods of the Asian summer monsoon, from April to August in 2007–2010. The characteristics of the vertical structure of clouds are analyzed and compared for different underlying surfaces in four subregions during this period. Also analyzed are the evolution of precipitation and hydrometeors with the northward advance of the Asian summer monsoon, and different hydrometeor characteristics attributed to the underlying surface features. The results indicate that the vertical cloud amounts increase significantly after the summer monsoon onset; this increase occurs first in the upper troposphere and then at lower altitudes over tropical regions (South Asian and tropical Northwest Pacific regions). The heights of the cloud top ascend, and the vertical height between the top and the base of the whole cloud increases. Single-layer (SL) and double-layer (DL) hydrometeors contribute over half and one third of the cloudiness in these 5 months (April to August), respectively. The multilayer frequencies increase in four different regions, and cloud layer depths (CLD) increase after the summer monsoon onset. These changes are stronger in tropical regions than in subtropical regions, while the vertical distance between cloud layers (VDCL) deceases in tropical regions and increases in subtropical regions.

Neurocognition in youth and young adults under age 30 at familial risk for schizophrenia: A quantitative and qualitative review

Introduction. Neurocognitive dysfunction is a central feature of schizophrenia and is observed during all phases of the illness. Because schizophrenia is known to run in families, studying neurocognitive function in first-degree, nonpsychotic relatives has been a widely utilised strategy for almost 50 years for understanding presumed “genetic risk”. Studying nonpsychotic relatives (“familial high-risk”, or FHR) allows for identification of cognitive vulnerability markers independent of confounds associated with psychosis. Methods. Prior meta-analyses have elucidated the level and pattern of cognitive deficits in the premorbid, prodromal, and postonset periods of psychosis, and in relatives regardless of age. However, no prior quantitative analyses have specifically focused on studies of young first-degree relatives of individuals with schizophrenia who have not passed through the peak age illness risk (<age 30). The English language literature of neuropsychological studies of first-degree relatives for schizophrenia was identified up to 15 May 2011. Results. From 33 studies, 28 studies met our criteria for quantitative review, utilising >70 individual tests and 250 variables. Conclusions. In general, young FHR individuals demonstrated deficits with a moderate level of severity compared with healthy controls. The largest average effect sizes (ESs), based on tests given in at least three independent studies, were on estimates of Full Scale IQ (d= −0.777), followed by Vocabulary (d= −0.749) and single word reading tests (d= −0.698) (often used as estimates of IQ). Measures of declarative memory, sustained attention, working memory and others had more modest ESs. Deficits were milder than in established schizophrenia, but often as severe as in clinical high-risk or putatively prodromal participants and in older relatives examined in prior meta-analyses. Additionally, while assessed from a more limited literature, youth at FHR for schizophrenia tended to show worse neurocognitive functioning than those at FHR for affective psychosis. This suggests that genetic risk for schizophrenia as reflected in a positive FHR carries an especially heavy impact on cognitive ability.

Neurocognition in the Psychosis Risk Syndrome: A Quantitative and Qualitative Review

Cognitive dysfunction is a hallmark feature of schizophrenia and is evident across all phases of the illness. While prior meta-analyses have elucidated the level and pattern of cognitive deficits in the premorbid and post-onset periods of psychosis, no meta-analyses of studies of the putative prodromal period have been published. Our primary aim is to provide a meta-analysis of neurocognitive findings from 14 studies of psychosis risk syndrome (PRS) individuals published through February 2011, and compare the resulting profile with that synthesized by meta-analyses from other periods of the disorder. Meta-analysis of 1215 PRS individuals with a mean age of 19.2 (± 3.3) and 851 healthy control subjects yielded small-to-medium impairments across nine of 10 neurocognitive domains (Cohen's d = -0.26 to -0.67). Seven studies reported on PRS individuals who later developed psychosis (n = 175) and their baseline performance level generally yielded moderate-to-large ESs (d = -0.35 to -0.84). Mild cognitive deficits are reliably and broadly present in PRS individuals, falling at a level that is intermediate between healthy individuals and those diagnosed with schizophrenia, and at a level that is comparable to those at familial ("genetic") risk and with premorbid data. Moreover, baseline neurocognition in PRS individuals who converted to psychosis showed more severe deficits than non-converters in nearly all domains. However, considerable heterogeneity of ESs across studies in many domains underscores variability in phenotypic expression and/or measurement sensitivity, and a critical need for improved reporting of sample characteristics to support moderator variable analyses.

Effect of an action plan with ongoing support by a case manager on exacerbation-related outcome in patients with COPD: a multicentre randomised controlled trial

An individualised action plan (AP) is a potentially effective method of helping patients with chronic obstructive pulmonary disease (COPD) to recognise and anticipate early exacerbation symptoms. This multicentre randomised controlled trial evaluates the hypothesis that individualised APs reduce exacerbation recovery time. Two hundred and thirty-three patients with COPD (age 65±10 years, forced expiratory volume in 1 s 56±21% predicted) were randomised to receive either an individualised AP (n=111) or care as usual (n=122). The AP provides individualised treatment prescriptions (pharmaceutical and non-pharmaceutical) related to a colour-coded symptom status to enhance an adequate response to periods of symptom deterioration (reinforced at 1 and 4 months). Exacerbation onset was defined using the Anthonisen symptom diary card algorithm. Every 3 days the Clinical COPD Questionnaire (CCQ) was assessed to evaluate the longitudinal course of health status. The primary outcome was health status recovery in the event of an exacerbation. During the 6-month follow-up period there was no difference in exacerbation rates and healthcare utilisation between the two groups. Cox-adjusted survival analysis including frailty showed enhanced health status recovery (HR 1.58; 95% CI 0.96 to 2.60) and reduced length of the exacerbation (HR 1.30; 95% CI 0.92 to 1.84). The mean difference in symptom recovery time was -3.68 days (95% CI -7.32 to -0.04). Mixed model repeated measure analysis showed that an AP decreased the impact of exacerbations on health status both in the prodromal and early post-onset periods. Between-group differences in CCQ scores were above the minimal clinically relevant difference of 0.4 points (3.0±0.7 vs. 3.4±0.9; p≤0.01). This study shows that an individualised AP, including ongoing support by a case manager, decreases the impact of exacerbations on health status and tends to accelerate recovery. APs can be considered a key component of self-management programmes in patients with COPD.

Characterization of the Diurnal Cycle of the West African Monsoon around the Monsoon Onset

Abstract This study investigates the diurnal cycle of the West African monsoon and its seasonal modulation with particular focus on the monsoon onset period. A composite analysis around the monsoon onset date is applied to the 1979–2000 NCEP–DOE reanalysis and 40-yr ECMWF Re-Analysis (ERA-40) at 0000, 0600, 1200, and 1800 UTC. This study points out two independent modes describing the space–time variability of the diurnal cycle of low-level wind and temperature. While the first mode appears to belong to a gradual and seasonal pattern linked with the northward migration of the whole monsoon system, the second mode is characterized by more rapid time variations with a peak of both temperature and wind anomalies around the monsoon onset date. This latter mode is connected with the time pattern of a nocturnal jet reaching its highest values around the onset date. The diurnal cycle of dry and deep convection is also investigated through the same method. A distinct diurnal cycle of deep convection in the ITCZ is evidenced with a peak at 1200 UTC before the monsoon onset, and at 1800 UTC after the monsoon onset. Strong ascending motions associated with deep convection may generate a gravity wave that propagates northward and reaches the Saharan heat low region 12 h later. The diurnal cycle of the dry convection in the Saharan heat low is similar during the preonset and the postonset periods with a peak at night (0000 UTC) consistent with the nocturnal jet intensification. This convection is localized at 15° and 20°N before and after the monsoon onset, respectively. Both during the first rainy season in spring and the monsoon season in summer, the nocturnal jet brings moisture in the boundary layer north of the ITCZ favoring humidification and initiation of new convective cells, helping the northward progression of the ITCZ. At the end of the summer the southward return of the ITCZ is associated with the disappearance of the core of the monsoon jet. Despite a lot of similarities between the results obtained using NCEP–DOE and ERA-40 reanalyses, giving confidence in the significance of these results, some differences are identified, especially in the diurnal cycle of deep convection, which limit the interpretation of some of these results and highlight discrepancies in the reanalyses.

Interannual variability of onset of the summer monsoon over India and its prediction

In this article, the interannual variability of certain dynamic and thermodynamic characteristics of various sectors in the Asian summer monsoon domain was examined during the onset phase over the south Indian peninsula (Kerala Coast). Daily average (0000 and 1200 UTC) reanalysis data sets of the National Centre for Environmental Prediction/National Centre for Atmospheric Research (NCEP/NCAR) for the period 1948-1999 were used. Based on 52 years onset date of the Indian summer monsoon, we categorized the pre-onset, onset, and post-onset periods (each an average of 5 days) to investigate the interannual variability of significant budget terms over the Arabian Sea, Bay of Bengal, and the Indian peninsula. A higher difference was noticed in low-level kinetic energy (850 hPa) and the vertically integrated generation of kinetic energy over the Arabian Sea from the pre-onset, onset, and post-onset periods. Also, significant changes were noticed in the net tropospheric moisture and diabatic heating over the Arabian Sea and Indian peninsula from the pre-onset to the post-onset period. It appears that attaining the magnitude of 40 m 2 s -2 and then a sharp rise in kinetic energy at 850 hPa is an appropriate time to declare the onset of the summer monsoon over India. In addition to a sufficient level of net tropospheric moisture (40 mm), a minimum strength of low-level flow is needed to trigger convective activity over the Arabian Sea and the Bay of Bengal. An attempt was also made to develop a location-specific prediction of onset dates of the summer monsoon over India based on energetics and basic meteorological parameters using multivariate statistical techniques. The regression technique was developed with the data of May and June for 42 years (1948-1989) and validated with 10 years NCEP reanalysis from 1990 to 1999. It was found that the predicted onset dates from the regression model are fairly in agreement with the observed onset dates obtained from the Indian Meteorology Department.

Onset characteristics of the southwest monsoon over India

Dynamic and thermodynamic characteristics of the Asian summer monsoon during the onset phase over the Indian Peninsula (Kerala coast) and its variability are examined with reanalysis data sets. For this study, daily averaged (0000 and 1200 UTC) reanalysis data sets of National Centre for Environmental Prediction–National Centre for Atmospheric Research for the period 1948–99 are used. Based on 52 years of onset dates of the Indian summer monsoon, we categorized pre-onset, onset and post-onset periods (each averaged 5 days) to investigate the mean circulation characteristics and the large-scale energetics of the Asian summer monsoon. It is found that the strength of the low-level Somali jet and upper tropospheric tropical easterly jet increase rapidly during the time of evolution of the summer monsoon over India. Over the Bay of Bengal and the Arabian Sea, predominant changes are noticed in the large-scale balances of kinetic energy, heat and moisture from the pre-onset to the post-onset periods. Prior to the onset of the summer monsoon over India, a zone of flux convergence of heat and moisture is noticed over the eastern sector of the Bay of Bengal and this intensifies in the onset and post-onset periods. During onset of the monsoon over India, the horizontal flux convergence of heat and moisture, as well as diabatic heating, are enhanced over the Arabian Sea. These subsequently increase with the evolution and advancement of the monsoon over India. Further, the dynamics of the evolution processes (15 days before and 30 days after the onset date of the monsoon over Kerala for each annual cycle) are studied over various sectors, such as the Arabian Sea, Bay of Bengal and Indian Peninsula region. The study reveals that the low-level kinetic energy, vertically integrated generation of kinetic energy and net tropospheric moisture over Arabian Sea can be used as potential predictors for the prediction of the possible onset date of the summer monsoon over the Indian Peninsula. Copyright © 2005 Royal Meteorological Society

The role of an uncommon type of oral streptococcus sanguis in the etiology of behcet’s disease

The relationships of Behcet's disease (BD) with oral diseases and the prevalence of an uncommon type of oralStreptococcus sanguis (Str. sanguis) in the oral cavity were investigated in a case-control study. BD patients were compared to patient controls (collagen disease) and healthy controls.An interview questionnaire survey of BD and oral diseases showed that during the pre-onset, onset, and post-onset periods, the incidences of tonsillitis and dental caries, or the history of dental treatment, were greater in BD cases. Typological analysis showed a higher prevalence of an uncommon type ofStr. sanguis, differing from the common type, among BD cases compared to control groups. These results, showing a higher incidence of tonsillitis and dental caries during the presymptomatic period, a greater frequency of dental treatments during the symptomatic period, and the presence of an uncommon type ofStr. sanguis, indicate thatStr. sanguis of an uncommon type is related to increased risk of BD, and the possibility of a causal role is suggested.

Radiative Energy Budget Estimates for the 1979 Southwest Summer Monsoon

Obsemations of temperature moisture, cloud amount, cloud height and soil-derived aerosols are incorporated into radiative transfer models to yield estimates of the tropospheric and surface radiative energy budgets for the summer Monsoon of 1979. Results are presented for six phases of the monsoon for the region 30°S to 40°N latitude and 30°E to 100°E longitude. The derived radiative fields are significantly different from climatological estimates. The evolution of the radiative energy budgets are discussed in relation to monsoon activity. Total tropospheric convergence (TTC) for the January and February phases exhibits a minimum cooling over the southern Indian Ocean and a maximum tropospheric radiative energy loss over the Arabian Sea and Bay of Bengal. The early May, pre-onset, onset and post-onset periods exhibit cellular patterns in TTC, with maximum cooling over the cloud-free oceanic regions, and minimum cooling associated with continental regions and areas with large amounts of cloud. This cellular structure is still evident when TTC is averaged over 10° regions. Large seasonal variations in TTC are observed over the deserts, due to the presence of dust in the summer. Regions with large seasonal variations in cloud cover (e.g., the Arabian Sea) also display large variations in TTC. Regionally averaged radiative heating profiles also change significantly with period. These variations result primarily from changes in the cloud distribution associated with the evolution of the monsoon. The net surface radiative flux varies markedly from period to period, and within the same period. As expected, all six periods have a maximum surface radiative energy gain for the cloud-free oceanic regions, while cloudy and continental regions tend to have relative minimae. Large spatial and temporal variations exist in the net surface flux.