THE ROLE OF CLOUDE/RADIATION IN LONG-RANGE NUMERICAL WEATHER PREDICTION

We investigate the role of clouds and radiation in the general circulation of the atmosphere using a model designed for 30-day predictions.Comprehensive verifications of 30-day predictions for the 500 hPa geo- potential height field have been carried out,using the data from ECMWF objective analyses that cover the period from May 5 to June 3,1982.We perform three model simulations,including experiments with interac- tive cloud formation,without clouds,and without radiative heating.The latter two experiments allow us to study the effects of cloud/radiation interactions and feedbacks on the predicted vertical velocity,and the meridional and zonal wind profiles,averaged over a 30-day period. We demonstrate that the Hadley circulation is maintained by the presence of clouds.The radiative cooling in the atmosphere intensifies the vertical motion in low latitudes and,to some extent,also strengthens the overall meridional circulation.The meridional winds are correctly reproduced in the model if clouds are incorporated. The zonal winds are significantly affected by clouds and radiative cooling.Without an appropriate incor- poration of these physical elements,the model results would deviate significantly from observations.The presence of clouds strengthens the westerlies in middle and high levels.In May,the northerly movement of the jet stream over eastern Asia is,in part,associated with the presence of clouds.

The predictive role of the neutrophil-lymphocyte ratio in the prognosis of adult patients with stroke

Our study aimed to determine the effect of the neutrophil-lymphocyte ratio on the prognosis of adult patients with acute stroke.We searched the Web of Science,PubMed,Embase,Cochrane Library,and China National Knowledge Infrastructure databases and selected all of the potentially eligible studies.From the included studies,we extracted characteristics such as the stroke type and acquisition time until routine blood collection and the odds ratios across studies.The 95%confidence intervals and odds ratios were pooled to calculate the effect size for the neutrophil-lymphocyte ratio in acute stroke patients.We defined poor function outcomes according to the modified Rankin Scale≥3 or Glasgow Outcome Scale<3.Thirteen studies with 4443 patients were included in our analysis,including 7 ischemic and 6 hemorrhagic stroke studies.The pooled odds ratios for poor functional outcome at 3 months with a higher neutrophil-lymphocyte ratio in acute ischemic and hemorrhagic patients were 1.689(95%CI=1.184-2.409,p<0.001)and 1.125(95%CI=1.022-1.239,p<0.001),respectively,and the overall pooled odds ratio for poor functional outcome following stroke was 1.257(95%CI=1.146-1.379,p<0.001).At the same time,the overall combined odds ratio for death at 3 months was 1.632(95%CI=1.155-2.306,p<0.001).The neutrophil-lymphocyte ratio,an easily calculated marker,plays a predictive role in the short-term outcomes of adult patients(mean age≥50 years)following acute ischemic and hemorrhagic stroke.