The impact of chemical lateral boundary conditions on CMAQ predictions of tropospheric ozone over the continental United States

A sensitivity study is performed to examine the impact of lateral boundary conditions (LBCs) on the NOAA-EPA operational Air Quality Forecast Guidance over continental USA. We examined six LBCS: the fixed profile LBC, three global LBCs, and two ozonesonde LBCs for summer 2006. The simulated results from these six runs are compared to IONS ozonesonde and surface ozone measurements from August 1 to 5, 2006. The choice of LBCs can affect the ozone prediction throughout the domain, and mainly influence the predictions in upper altitude or near inflow boundaries, such as the US west coast and the northern border. Statistical results shows that the use of global model predictions for LBCs could improve the correlation coefficients of surface ozone prediction over the US west coast, but could also increase the ozone mean bias in most regions of the domain depending on global models. In this study, the use of the MOZART (Model for Ozone And Related chemical Tracers) prediction for CMAQ (Community Multiscale Air Quality) LBC shows a better surface ozone prediction than that with fixed LBC, especially over the US west coast. The LBCs derived from ozonesonde measurements yielded better O3 correlations in the upper troposphere.The IONS ozonesonde data, which was supported by NASA’s INTEX project within the Tropospheric Chemistry Program (B. G. Doddridge and J. H. Crawford). EPA AIRNOW program staff provided the observations necessary for quantitative model evaluation.https://link.springer.com/article/10.1007/s10652-008-9092-

Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19

BACKGROUND The extent to which health care systems have adapted to the COVID-19 pandemic to provide necessary cardiac diagnostic services is unknown.OBJECTIVES The aim of this study was to determine the impact of the pandemic on cardiac testing practices, volumes and types of diagnostic services, and perceived psychological stress to health care providers worldwide.METHODS The International Atomic Energy Agency conducted a worldwide survey assessing alterations from baseline in cardiovascular diagnostic care at the pandemic's onset and 1 year later. Multivariable regression was used to determine factors associated with procedure volume recovery.RESULTS Surveys were submitted from 669 centers in 107 countries. Worldwide reduction in cardiac procedure volumes of 64% from March 2019 to April 2020 recovered by April 2021 in high- and upper middle-income countries (recovery rates of 108% and 99%) but remained depressed in lower middle- and low-income countries (46% and 30% recovery). Although stress testing was used 12% less frequently in 2021 than in 2019, coronary computed tomographic angiography was used 14% more, a trend also seen for other advanced cardiac imaging modalities (positron emission tomography and magnetic resonance; 22%-25% increases). Pandemic-related psychological stress was estimated to have affected nearly 40% of staff, impacting patient care at 78% of sites. In multivariable regression, only lower-income status and physicians' psychological stress were significant in predicting recovery of cardiac testing.CONCLUSIONS Cardiac diagnostic testing has yet to recover to prepandemic levels in lower-income countries. Worldwide, the decrease in standard stress testing is offset by greater use of advanced cardiac imaging modalities. Pandemic-related psychological stress among providers is widespread and associated with poor recovery of cardiac testing. (C) 2022 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation