Aerosol-Cloud-Precipitation Interactions in the Context of Convective Self-Aggregation.

We investigate the sensitivity of self-aggregated radiative-convective-equilibrium cloud-resolving model simulations to the cloud condensation nuclei (CCN) concentration. Experiments were conducted on a long (2,000-km × 120-km) channel domain, allowing the emergence of multiple convective clusters and dry regions of subsidence. Increasing the CCN concentration leads to increased moisture in the dry regions, increased midlevel and upper level clouds, decreased radiative cooling, and decreased precipitation. We find that these trends follow from a decrease in the strength of the self-aggregation as measured by the moist static energy (MSE) variance. In our simulations, precipitation is correlated, both locally and in total, with the distribution of MSE anomalies. We thus quantify changes in the adiabatic/diabatic contributions to MSE anomalies (Wing & Emanuel, 2014, https://doi.org/10.1002/2013MS000269) and relate those changes to changes in precipitation. Through a simple two-column conceptual model, we argue that the reduction in precipitation can be explained thermodynamically by the reduction in mean net radiative cooling and mechanistically by the weakening of the area-weighted radiatively driven subsidence velocity-defined as the ratio of the total radiative cooling over the dry regions and the static stability. We interpret the system's response to increasing CCN as a thermodynamically constrained realization of an aerosol indirect effect on clouds and precipitation.

[Short- and long-term results of tuberculosis therapy with a fixed combination of isoniazide, prothionamide and diaminodiphenylsulfone combined with rifampicin]. / Kurz- und Langzeitergebnisse der Tuberkulosetherapie mit einer fixen Kombination aus Isoniazid, Prothionamid und Diaphenylsulfon (IPD) in Verbindung mit Rifampicin.

This is a report on 912 patients treated during 1973 to 1979 for pulmonary tuberculosis and/or extrapulmonary organ involvement. These patients had been treated with a fixed tablet combination of isoniacide, prothionamide and diaphenyl sulfone in association with rifampicin and partly other substances. It was the aim of our study to examine this form of therapy in respect of side effects and effectivity. 535 of these 912 patients were followed up for as long as 13 years (maximum follow-up period). According to the criteria of the American Tuberculosis and Respiratory Diseases Association the patients were suffering from 182 cases of pulmonary tuberculosis of only slight extension, 490 of moderate extension and 130 of large extension, as well as 55 cases of pleuritis, 67 extrapulmonary organ tuberculoses and 1 tuberculosis of the bronchial mucosa. Allergic skin reactions occurred in 0.7% of the cases, and in 0.9% there were neurological disturbances such as vertigo, paroxysms and polyneuropathies. In 7.4% of the patients there was an increase in serum enzyme activities of SGOT, SGPT, Y-GT as a sign of hepatotoxicity. In 5.5% of the patients there were several gastrointestinal concomitant phenomena such as sensation of fullness, nausea, and vomiting. Under IPD therapy the hemoglobin valuedropped on the average by 12% up to the 5th or 6th week of treatment and rose subsequently to almost normal levels. No permanent damage was seen in any of the patients under observation. In the moderately extended tuberculosis cases disinfection occurred on the average between the 6th and 8th week of treatment, in the greatly extended cases on the average in the 9th to 13th week.(ABSTRACT TRUNCATED AT 250 WORDS)