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The article presents information on the El Niño water current. The methods used in the observations and predictions of the 2015-16 El Niño, the El Niño-Southern Oscillation (ENSO) status for the countries of Australia, Peru, and the United States, and the forecasts for the sea temperature regarding the current are presented.

This study examines the characteristics of cold-season (November-March) daily precipitation over the contiguous United States during active periods of the Madden-Julian oscillation (MJO). A large response in the precipitation rate anomaly is found over the eastern United States when MJO-related enhanced tropical convection is moving through the far western to central Pacific (conventionally known as phases 5, 6, and 7 of the MJO). Positive anomalies occur in the region of the eastern Mississippi River basin, and negative anomalies occur in the Southeast. The relative stability of this pattern throughout the three phases suggests that they can be considered together. During phases 5-7, the central United States has a daily precipitation rate between 110%% and 150%% of normal, while the precipitation rate over much of Florida is less than 70%% of normal. Much of the lower Mississippi River basin region receives somewhat more frequent daily precipitation during MJO phases 5-7, but a greater increase is found in the daily precipitation intensity, suggesting more intense storms. On the other hand, Florida has substantially fewer daily precipitation events, with a smaller decrease in the intensity. To understand the atmospheric mechanisms related to the above shifts in daily precipitation, elements of the atmospheric circulation were examined. Positive moisture flux convergence anomalies, which have been linked to increased precipitation rate and intensity, are found in the region of increased precipitation rate during MJO phases 5-7. During those phases, the North American jet stream is shifted northward, likely leading to a higher incidence of storms over the lower Mississippi River basin and fewer storms over Florida. This is supported by the fact that the storm track also shows increased activity over the central United States during MJO phases 5-7. [ABSTRACT FROM AUTHOR]

This study examines the seasonal characteristics of daily precipitation over the United States using the North American Regional Reanalysis (NARR). To help understand the physical mechanisms that contribute to changes in the characteristics of daily precipitation, vertically integrated moisture flux convergence (MFC) and precipitable water were included in the study. First, an analysis of the NARR precipitation was carried out because while observed precipitation is indirectly assimilated in the system, differences exist. The NARR mean seasonal amount is very close to that of observations throughout the year, although NARR exhibits a slight systematic bias toward more-frequent, lighter precipitation. Particularly during summer, the precipitation intensity and the probability distribution function (PDF) indicate that NARR somewhat underestimates extremes and overestimates lighter events in the eastern half of the United States. The intensity and PDF of moisture flux convergence exhibit a strong similarity to those of precipitation, suggesting a link between strong MFC and precipitation extremes. On the other hand, the relationship between the precipitable water and precipitation PDFs is weaker, based on the lack of agreement of their gamma distribution parameters. The dependence of the precipitation PDF on the lower-frequency modulation of ENSO was examined. During El Niño winters, the Southwest and central United States, Gulf of Mexico region, and southeastern coast have greater precipitation intensity and extremes than during La Niña, and the Ohio River and Red River basins have lower intensity and fewer extreme events. During summer, the northern Rocky Mountains receive higher intensity precipitation with more extreme events. Most areas where the change in the daily mean precipitation between ENSO phases is large have greater shifts in the extreme tail of the PDF. The ENSO-related response of moisture flux convergence is similar to that of precipitation. ENSO-related shifts in the precipitation PDF do not appear to have a strong relationship to the shifts in precipitable water. [ABSTRACT FROM AUTHOR]

The structure of the diurnal cycle of warm-season precipitation and its associated fields during the North American monsoon are examined for the core monsoon region and for the southwestern United States, using a diverse set of observations, analyses, and forecasts from the North American Monsoon Experiment field campaign of 2004. Included are rain gauge and satellite estimates of precipitation, Eta Model forecasts, and the North American Regional Reanalysis (NARR). Daily rain rates are of about the same magnitude in all datasets with the exception of the Climate Prediction Center (CPC) Morphing (CMORPH) technique, which exhibits markedly higher precipitation values. The diurnal cycle of precipitation within the core region occurs earlier in the day at higher topographic elevations, evolving with a westward shift of the maximum. This shift appears in the observations, reanalysis, and, while less pronounced, in the model forecasts. Examination of some of the fields associated with this cycle, including convective available potential energy (CAPE), convective inhibition (CIN), and moisture flux convergence (MFC), reveals that the westward shift appears in all of them, but more prominently in the latter. In general, warm-season precipitation in southern Arizona and parts of New Mexico shows a strong effect due to northward moisture surges from the Gulf of California. A reported positive bias in the NARR northward winds over the Gulf of California limits their use with confidence for studies of the moist surges along the Gulf; thus, the analysis is complemented with operational analysis and the Eta Model short-term simulations. The nonsurge diurnal cycle of precipitation lags the CAPE maximum by 6 h and is simultaneous with a minimum of CIN, while the moisture flux remains divergent throughout the day. During surges, CAPE and CIN have modifications only to the amplitude of their cycles, but the moisture flux becomes strongly convergent about 6 h before the precipitation maximum, suggesting a stronger role in the development of precipitation. [ABSTRACT FROM AUTHOR]

Explores the applicability of published regression equations to estimate stature of elderly Hispanics living in the northeastern part of the United States. Development of ethnicity-specific equations; Comparison of results between established equations with the developed ethnic-specific equation.

During the COVID-19 pandemic, the Centers for Disease Control and Prevention established infection prevention recommendations, resulting in hospital systems adopting universal mask-wearing. Mask-wearing and its impact on patient-provider communication have been highlighted, yet have not been systematically studied to date. The purpose of this study was to assess the impact of mask-wearing on provider communication during wheelchair education. Allied health professionals (65 physical and occupational therapists and 1 other) completed a 24-item, online self-report survey on the impact of provider mask-wearing on communication with patients and/or their caregivers during wheelchair education. This survey contained questions, graded on 5-point Likert-like scales, regarding the perceived impact of mask-wearing on the quality of communication efficiency and effectiveness, the types and frequency of communication strategies used to enhance communication during breakdowns, knowledge/confidence in implementing communication strategies, and preferences for additional training. Results indicated that mask-wearing impacted communication, yet clinicians made adaptations of various verbal and nonverbal communication strategies to avoid disruptions in providing education. Clinicians identified training preferences for additional support with provider communication. As the pandemic continues, patient-provider communication can be supported through targeted training in communication strategies.

Measurement-based care (MBC) is an increasingly popular, evidence-based practice, but there are no tools with established psychometrics to evaluate clinician use of MBC practices in mental health service delivery. The current study evaluated the reliability, validity, and factor structure of scores generated from a brief, standardized tool to measure MBC practices, the Current Assessment Practice Evaluation-Revised (CAPER). Survey data from a national sample of 479 mental health clinicians were used to conduct exploratory and confirmatory factor analyses, as well as reliability and validity analyses (e.g., relationships between CAPER subscales and clinician MBC attitudes). Analyses revealed competing two- and three-factor models. Regardless of the model used, scores from CAPER subscales demonstrated good reliability and convergent and divergent validity with MBC attitudes in the expected directions. The CAPER appears to be a psychometrically sound tool for assessing clinician MBC practices. Future directions for development and application of the tool are discussed.