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The high‐mountain system, a storehouse of major waterways that support important ecosystem services to about 1.5 billion people in the Himalaya, is facing unprecedented challenges due to climate change during the 21st century. Intensified floods, accelerating glacial retreat, rapid permafrost degradation, and prolonged droughts are altering the natural hydrological balances and generating unpredictable spatial and temporal distributions of water availability. Anthropogenic activities are adding further pressure onto Himalayan waterways. The fundamental question of waterway management in this region is therefore how this hydro‐meteorological transformation, caused by climate change and anthropogenic perturbations, can be tackled to find avenues for sustainability. This requires a framework that can diagnose threats at a range of spatial and temporal scales and provide recommendations for strong adaptive measures for sustainable future waterways. This focus paper assesses the current literature base to bring together our understanding of how recent climatic changes have threatened waterways in the Asian Himalayas, how society has been responding to rapidly changing waterway conditions, and what adaptive options are available for the region. The study finds that Himalayan waterways are crucial in protecting nature and society. The implementation of integrated waterways management measures, the rapid advancement of waterway infrastructure technologies, and the improved governance of waterways are more critical than ever. This article is categorized under:Engineering Water > Sustainable Engineering of Water [ABSTRACT FROM AUTHOR]

The Samalá River in western Guatemala is critical for sustaining diverse agricultural production systems, from staple crop production in the upper basin to sugar cane in the lowlands. The streamflow from the Samalá River also supports hydroelectric power generation within the basin. The watershed is home to more than a hundred settlements including cities, towns, and villages, some of which have experienced extreme hydrological events, including destructive flooding from the river. However, the Samalá River streamflow record, only 38 years in length (1979–2016), is too short to assess the full range of hydrological variability for this economically important region, including Guatemala's second largest city –Quetzaltenango. This paper presents a tree-ring based reconstruction of mean August streamflow for 125 years (1889–2013). Our results suggest that annual tree-ring width measurements from Abies guatemalensis are correlated with monthly mean streamflow records in the upper Samalá River basin. This association seems to be modulated in part by variability in the ENSO 3.4 region in the Pacific Ocean, suggesting decreased streamflow during the warm events of the sea surface temperature in the Pacific Ocean. The record indicates that single year events of low streamflow dominate the record. Nevertheless, a period of up to 8 consecutive years below-average streamflow is shown in the record between 1905 and 1912. Overall, this extended record of streamflow suggests that tree-ring studies in the area have the potential to provide useful inputs in the future that can be utilized by stakeholders and decision-makers within the Samalá watershed involving the management of discharge for crop irrigation, hydropower production, and disaster mitigation. [ABSTRACT FROM AUTHOR]

The authors report a case of a 47year-old man who presented with treatment-resistant anxiety disorder. Behavioral observation raised clinical suspicion of auditory neuropathy spectrum disorder. The presence of auditory neuropathy spectrum disorder was confirmed on audiological investigations. The patient was experiencing extreme symptoms of anxiety, which initially masked the underlying diagnosis of auditory neuropathy spectrum disorder. Challenges in diagnosis and treatment of auditory neuropathy spectrum disorder are discussed. [ABSTRACT FROM AUTHOR]

Much of the eastern United States (US) experienced increased precipitation over the 20 th century. Characterizing these trends and their causes is critical for assessing future hydroclimate risks. Here, US precipitation trends are analyzed during 1895-2016, revealing that fall precipitation in the southeastern region north of the Gulf of Mexico (SE-Gulf) increased by nearly 40%, primarily increasing after the mid-1900s. As fall is the climatological dry season in the SE-Gulf and precipitation in other seasons changed insignificantly, the seasonal precipitation cycle diminished substantially. The increase in SE-Gulf fall precipitation was caused by increased southerly moisture transport from the Gulf of Mexico, which was almost entirely driven by stronger winds associated with enhanced anticyclonic circulation west of the North Atlantic Subtropical High (NASH) and not by increases in specific humidity. Atmospheric models forced by observed SSTs and fully-coupled models forced by historical anthropogenic forcing do not robustly simulate 20 th -century fall wetting in the SE-Gulf. SST-forced atmospheric models do simulate an intensified anticyclonic low-level circulation around the NASH, but the modeled intensification occurred farther west than observed. CMIP5 analyses suggest an increased likelihood of positive SE-Gulf fall precipitation trends given historical and future GHG forcing. Nevertheless, individual model simulations (both SST-forced and fully-coupled) only very rarely produce the observed magnitude of the SE-Gulf fall precipitation trend. Further research into model representation of the western ridge of the fall NASH is needed, which will help us better predict whether 20 th -century increases in SE-Gulf fall precipitation will persist into the future.