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Aerosol variability is influenced by changes in emissions and atmospheric dynamics. The aim of this study is to identify the role of synoptic weather systems in affecting the aerosol variation over East Asia under future changes in atmospheric dynamics. First we investigate the influence of synoptic weather on aerosol optical depth (AOD) spatiotemporal variability using long-term observations from Moderate Resolution Imaging Spectroradiometer (MODIS). We demonstrate that the major synoptic weather patterns of each season are among the dominant factors that affect AOD variations. During spring and autumn, AOD variability is significantly influenced by dynamic transport under northeasterly (winter monsoon) or southwesterly (summer monsoon) conditions. In summer, the maximum anomaly of the AOD variability was associated with the occurrence of fronts and tropical cyclones near Taiwan. While in winter, cold surge was the major event controlling the AOD variability. As atmospheric dynamics are well connected with AOD interannual variability, the AOD predictability over East Asia is associated with the predictability of synoptic weather systems. We apply the high-resolution atmospheric model (HiRAM) to identify these weather systems in present climate and under future warming scenarios. Under future climate based on HiRAM, the occurrence of summer tropical cyclones decreases by 32%, and the autumn southwesterly pattern increases by 50%. Considering the frequency change in summer tropical cyclones and autumn southwestlies under future scenarios, this may lead to the accumulation of AOD over China during summer and autumn through dynamic transport. The results suggest that AOD variations in East Asia may change along with future changes in the large-scale circulation under global warming. • Transport under monsoons notably altered aerosol variability in spring and fall. • In summer, AOD variability was highly linked to fronts and cyclones near Taiwan. • Cold surge was the major event controlling the aerosol variability in winter. • The future change in event frequency may lead to aerosol accumulation over China. [ABSTRACT FROM AUTHOR]

Background: During the COVID-19 surge in Taiwan, the Far East Memorial Hospital established a system including a centralized quarantine unit and triage admission protocol to facilitate acute care surgical inpatient services, prevent nosocomial COVID-19 infection and maintain the efficiency and quality of health care service during the pandemics. Materials and methods: This retrospective cohort study included patients undergoing acute care surgery. The triage admission protocol was based on rapid antigen tests, Liat® PCR and RT-PCT tests. Type of surgical procedure, patient characteristics, and efficacy indices of the centralized quarantine unit and emergency department (ED) were collected and analyzed before (Phase I: May 11 to July 2, 2021) and after (Phase II: July 3 to July 31, 2021) the system started. Results: A total of 287 patients (105 in Phase I and 182 in Phase II) were enrolled. Nosocomial COVID-19 infection occur in 27 patients in phase I but zero in phase II. More patients received traumatological, orthopedic, and neurologic surgeries in phase II than in phase I. The patients' surgical risk classification, median total hospital stay, intensive care unit (ICU) stay, intraoperative blood loss, operation time, and the number of patients requiring postoperative ICU care were similar in both groups. The duration of ED stay and waiting time for acute care surgery were longer in Phase II (397 vs. 532 minutes, p < 0.0001). The duration of ED stay was positively correlated with the number of surgical patients visiting the ED (median = 66 patients, Spearman's ρ = 0.207) and the occupancy ratio in the centralized quarantine unit on that day (median = 90.63%, Spearman's ρ = 0.191). Conclusions: The triage admission protocol provided resilient quarantine needs and sustainable acute care surgical services during the COVID-19 pandemic. The efficiency was related to the number of medical staff dedicated to the centralized quarantine unit and number of surgical patients visited in ED. [ABSTRACT FROM AUTHOR]