Major cause of unprecedented Arctic warming in January 2016: Critical role of an Atlantic windstorm.

In January 2016, the Arctic experienced an extremely anomalous warming event after an extraordinary increase in air temperature at the end of 2015. During this event, a strong intrusion of warm and moist air and an increase in downward longwave radiation, as well as a loss of sea ice in the Barents and Kara seas, were observed. Observational analyses revealed that the abrupt warming was triggered by the entry of a strong Atlantic windstorm into the Arctic in late December 2015, which brought enormous moist and warm air masses to the Arctic. Although the storm terminated at the eastern coast of Greenland in late December, it was followed by a prolonged blocking period in early 2016 that sustained the extreme Arctic warming. Numerical experiments indicate that the warming effect of sea ice loss and associated upward turbulent heat fluxes are relatively minor in this event. This result suggests the importance of the synoptically driven warm and moist air intrusion into the Arctic as a primary contributing factor of this extreme Arctic warming event.

Effects of a Resting Foot Splint in Early Brain Injury Patients.

OBJECTIVE: To assess the effectiveness of the resting foot splint to prevent ankle contracture. METHODS: We performed a randomized controlled trial in 33 patients with brain injury with ankle dorsiflexor weakness (muscle power ≤grade 2). Both groups continued conventional customized physical therapy, but the patients in the foot splint group were advised to wear a resting foot splint for more than 12 hours per day for 3 weeks. The data were assessed before and 3 weeks after the study. The primary outcome was the change in ankle dorsiflexion angle after 3 weeks. RESULTS: Before the study, there were no differences between groups in gender, age, time post-injury, brain injury type, initial edema, spasticity, passive range of ankle dorsiflexion, Fugl-Meyer score (FMS), or Functional Ambulation Classification. A significant improvement in ankle dorsiflexion angle, and FMS was found after 3 weeks in both groups. The splint group showed more spasticity than the control group after 3 weeks (p=0.04). The change of ankle dorsiflexion angle, foot circumference, spasticity, and FMS after adjusting initial value and spasticity were not significantly different between the 2 groups. CONCLUSION: Wearing a resting foot splint for 3 weeks did not affect joint mobility in patients with subacute brain injury regularly attending personalized rehabilitation programs. Further studies of larger sample sizes with well controlled in spasticity are required to evaluate the effects of the resting foot splint.