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- Fiedler, Stephanie, et al.
(author)
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Simulated Tropical Precipitation Assessed across Three Major Phases of the Coupled Model Intercomparison Project (CMIP)
- 2020
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In: Monthly Weather Review. - 0027-0644 .- 1520-0493. ; 148:9, s. 3653-3680
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Journal article (peer-reviewed)abstract
- The representation of tropical precipitation is evaluated across three generations of models participating in phases 3, 5, and 6 of the Coupled Model Intercomparison Project (CMIP). Compared to state-of-the-art observations, improvements in tropical precipitation in the CMIP6 models are identified for some metrics, but we find no general improvement in tropical precipitation on different temporal and spatial scales. Our results indicate overall little changes across the CMIP phases for the summer monsoons, the double-ITCZ bias, and the diurnal cycle of tropical precipitation. We find a reduced amount of drizzle events in CMIP6, but tropical precipitation occurs still too frequently. Continuous improvements across the CMIP phases are identified for the number of consecutive dry days, for the representation of modes of variability, namely, the Madden–Julian oscillation and El Niño–Southern Oscillation, and for the trends in dry months in the twentieth century. The observed positive trend in extreme wet months is, however, not captured by any of the CMIP phases, which simulate negative trends for extremely wet months in the twentieth century. The regional biases are larger than a climate change signal one hopes to use the models to identify. Given the pace of climate change as compared to the pace of model improvements to simulate tropical precipitation, we question the past strategy of the development of the present class of global climate models as the mainstay of the scientific response to climate change. We suggest the exploration of alternative approaches such as high-resolution storm-resolving models that can offer better prospects to inform us about how tropical precipitation might change with anthropogenic warming.
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- Hauke, DJ, et al.
(author)
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Multimodal prognosis of negative symptom severity in individuals at increased risk of developing psychosis
- 2021
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In: Translational psychiatry. - : Springer Science and Business Media LLC. - 2158-3188. ; 11:1, s. 312-
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Journal article (peer-reviewed)abstract
- Negative symptoms occur frequently in individuals at clinical high risk (CHR) for psychosis and contribute to functional impairments. The aim of this study was to predict negative symptom severity in CHR after 9 months. Predictive models either included baseline negative symptoms measured with the Structured Interview for Psychosis-Risk Syndromes (SIPS-N), whole-brain gyrification, or both to forecast negative symptoms of at least moderate severity in 94 CHR. We also conducted sequential risk stratification to stratify CHR into different risk groups based on the SIPS-N and gyrification model. Additionally, we assessed the models’ ability to predict functional outcomes in CHR and their transdiagnostic generalizability to predict negative symptoms in 96 patients with recent-onset psychosis (ROP) and 97 patients with recent-onset depression (ROD). Baseline SIPS-N and gyrification predicted moderate/severe negative symptoms with significant balanced accuracies of 68 and 62%, while the combined model achieved 73% accuracy. Sequential risk stratification stratified CHR into a high (83%), medium (40–64%), and low (19%) risk group regarding their risk of having moderate/severe negative symptoms at 9 months follow-up. The baseline SIPS-N model was also able to predict social (61%), but not role functioning (59%) at above-chance accuracies, whereas the gyrification model achieved significant accuracies in predicting both social (76%) and role (74%) functioning in CHR. Finally, only the baseline SIPS-N model showed transdiagnostic generalization to ROP (63%). This study delivers a multimodal prognostic model to identify those CHR with a clinically relevant negative symptom severity and functional impairments, potentially requiring further therapeutic consideration.
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- Hess, Timo, et al.
(author)
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Dissecting the genetic heterogeneity of gastric cancer
- 2023
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In: EBioMedicine. - : Elsevier. - 2352-3964. ; 92
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Journal article (peer-reviewed)abstract
- Background: Gastric cancer (GC) is clinically heterogenous according to location (cardia/non-cardia) and histopathology (diffuse/intestinal). We aimed to characterize the genetic risk architecture of GC according to its subtypes. Another aim was to examine whether cardia GC and oesophageal adenocarcinoma (OAC) and its precursor lesion Barrett's oesophagus (BO), which are all located at the gastro-oesophageal junction (GOJ), share polygenic risk architecture.Methods: We did a meta-analysis of ten European genome-wide association studies (GWAS) of GC and its subtypes. All patients had a histopathologically confirmed diagnosis of gastric adenocarcinoma. For the identification of risk genes among GWAS loci we did a transcriptome-wide association study (TWAS) and expression quantitative trait locus (eQTL) study from gastric corpus and antrum mucosa. To test whether cardia GC and OAC/BO share genetic aetiology we also used a European GWAS sample with OAC/BO.Findings: Our GWAS consisting of 5816 patients and 10,999 controls highlights the genetic heterogeneity of GC according to its subtypes. We newly identified two and replicated five GC risk loci, all of them with subtype-specific association. The gastric transcriptome data consisting of 361 corpus and 342 antrum mucosa samples revealed that an upregulated expression of MUC1, ANKRD50, PTGER4, and PSCA are plausible GC-pathomechanisms at four GWAS loci. At another risk locus, we found that the blood-group 0 exerts protective effects for non-cardia and diffuse GC, while blood-group A increases risk for both GC subtypes. Furthermore, our GWAS on cardia GC and OAC/BO (10,279 patients, 16,527 controls) showed that both cancer entities share genetic aetiology at the polygenic level and identified two new risk loci on the single-marker level.Interpretation: Our findings show that the pathophysiology of GC is genetically heterogenous according to location and histopathology. Moreover, our findings point to common molecular mechanisms underlying cardia GC and OAC/BO.
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