NobleBlocks

Swiss Academy of Sciences

otherBern, Bern, Switzerland

Research output, citation impact, and the most-cited recent papers from Swiss Academy of Sciences (Switzerland). Aggregated across the NobleBlocks index of 300M+ scholarly works.

Total works
989
Citations
13.6K
h-index
60
i10-index
200
Also known as
Académie Suisse des Sciences NaturellesAccademia Svizzera di Scienze NaturaliAkademie der Naturwissenschaften SchweizSwiss Academy of Sciences

Top-cited papers from Swiss Academy of Sciences

IMILAST: A Community Effort to Intercompare Extratropical Cyclone Detection and Tracking Algorithms
Urs Neu, Mirseid Akperov, Nina Bellenbaum, Rasmus Benestad +4 more
2012· Bulletin of the American Meteorological Society682doi:10.1175/bams-d-11-00154.1

The variability of results from different automated methods of detection and tracking of extratropical cyclones is assessed in order to identify uncertainties related to the choice of method. Fifteen international teams applied their own algorithms to the same dataset—the period 1989–2009 of interim European Centre for Medium-Range Weather Forecasts (ECMWF) Re-Analysis (ERAInterim) data. This experiment is part of the community project Intercomparison of Mid Latitude Storm Diagnostics (IMILAST; see www.proclim.ch/imilast/index.html). The spread of results for cyclone frequency, intensity, life cycle, and track location is presented to illustrate the impact of using different methods. Globally, methods agree well for geographical distribution in large oceanic regions, interannual variability of cyclone numbers, geographical patterns of strong trends, and distribution shape for many life cycle characteristics. In contrast, the largest disparities exist for the total numbers of cyclones, the detection of weak cyclones, and distribution in some densely populated regions. Consistency between methods is better for strong cyclones than for shallow ones. Two case studies of relatively large, intense cyclones reveal that the identification of the most intense part of the life cycle of these events is robust between methods, but considerable differences exist during the development and the dissolution phases.

Researchers' roles in knowledge co-production: experience from sustainability research in Kenya, Switzerland, Bolivia and Nepal
Christian Pohl, Stephan Rist, Anne Zimmermann, Patricia Fry +4 more
2010· Science and Public Policy548doi:10.3152/030234210x496628

Co-production of knowledge between academic and non-academic communities is a prerequisite for research aiming at more sustainable development paths. Sustainability researchers face three challenges in such co-production: (a) addressing power relations; (b) interrelating different perspectives on the issues at stake; and (c) promoting a previously negotiated orientation towards sustainable development. A systematic comparison of four sustainability research projects in Kenya (vulnerability to drought), Switzerland (soil protection), Bolivia and Nepal (conservation vs. development) shows how the researchers intuitively adopted three different roles to face these challenges: the roles of reflective scientist, intermediary, and facilitator of a joint learning process. From this systematized and iterative self-reflection on the roles that a researcher can assume in the indeterminate social space where knowledge is co-produced, we draw conclusions regarding training.

Ten facts about land systems for sustainability
Patrick Meyfroidt, Ariane de Bremond, Casey M. Ryan, Emma Archer +4 more
2022· Proceedings of the National Academy of Sciences412doi:10.1073/pnas.2109217118

Land use is central to addressing sustainability issues, including biodiversity conservation, climate change, food security, poverty alleviation, and sustainable energy. In this paper, we synthesize knowledge accumulated in land system science, the integrated study of terrestrial social-ecological systems, into 10 hard truths that have strong, general, empirical support. These facts help to explain the challenges of achieving sustainability in land use and thus also point toward solutions. The 10 facts are as follows: 1) Meanings and values of land are socially constructed and contested; 2) land systems exhibit complex behaviors with abrupt, hard-to-predict changes; 3) irreversible changes and path dependence are common features of land systems; 4) some land uses have a small footprint but very large impacts; 5) drivers and impacts of land-use change are globally interconnected and spill over to distant locations; 6) humanity lives on a used planet where all land provides benefits to societies; 7) land-use change usually entails trade-offs between different benefits-"win-wins" are thus rare; 8) land tenure and land-use claims are often unclear, overlapping, and contested; 9) the benefits and burdens from land are unequally distributed; and 10) land users have multiple, sometimes conflicting, ideas of what social and environmental justice entails. The facts have implications for governance, but do not provide fixed answers. Instead they constitute a set of core principles which can guide scientists, policy makers, and practitioners toward meeting sustainability challenges in land use.

Methodological challenges of transdisciplinary research
Christian Pohl, Gertrude Hirsch Hadorn
2008· Natures Sciences Sociétés316doi:10.1051/nss:2008035

Transdisciplinary research (TR) develops descriptive, normative and practice-oriented knowledge in order to help solve, mitigate or prevent life-world problems. TR deals with problem fields in such a way that it can (a) grasp the complexity of problems, (b) take into account the diversity of scientific and life-world perceptions of problems, (c) link abstract and case-specific knowledge, and (d) develop knowledge and practices that promote what is perceived to be the common good. For these purposes disciplinary researchers and actors of the life-world collaborate. They contribute substantial knowledge about the issue (practical experience, scientific models, results) as well as formal approaches (methods from systems dynamics, operational or action research, etc.). These knowledge bases have to be interrelated and transformed through the specific problem field during the research process: in problem identification and structuring, in problem analysis as well as in bringing results to fruition. We discuss the interrelation of knowledge bases in relation to requirements a-d. Furthermore, we identify particular transdisciplinary challenges and propose methods and tools to address them.

A multinational Delphi consensus to end the COVID-19 public health threat
Jeffrey V. Lazarus, Diana Romero, Christopher J. Kopka, Salim S. Abdool Karim +4 more
2022· Nature234doi:10.1038/s41586-022-05398-2

Abstract Despite notable scientific and medical advances, broader political, socioeconomic and behavioural factors continue to undercut the response to the COVID-19 pandemic 1,2 . Here we convened, as part of this Delphi study, a diverse, multidisciplinary panel of 386 academic, health, non-governmental organization, government and other experts in COVID-19 response from 112 countries and territories to recommend specific actions to end this persistent global threat to public health. The panel developed a set of 41 consensus statements and 57 recommendations to governments, health systems, industry and other key stakeholders across six domains: communication; health systems; vaccination; prevention; treatment and care; and inequities. In the wake of nearly three years of fragmented global and national responses, it is instructive to note that three of the highest-ranked recommendations call for the adoption of whole-of-society and whole-of-government approaches 1 , while maintaining proven prevention measures using a vaccines-plus approach 2 that employs a range of public health and financial support measures to complement vaccination. Other recommendations with at least 99% combined agreement advise governments and other stakeholders to improve communication, rebuild public trust and engage communities 3 in the management of pandemic responses. The findings of the study, which have been further endorsed by 184 organizations globally, include points of unanimous agreement, as well as six recommendations with >5% disagreement, that provide health and social policy actions to address inadequacies in the pandemic response and help to bring this public health threat to an end.

Expertise in research integration and implementation for tackling complex problems: when is it needed, where can it be found and how can it be strengthened?
Gabriele Bammer, Michael O’Rourke, Deborah O’Connell, Linda Neuhauser +4 more
2020· Palgrave Communications205doi:10.1057/s41599-019-0380-0

Abstract Expertise in research integration and implementation is an essential but often overlooked component of tackling complex societal and environmental problems. We focus on expertise relevant to any complex problem, especially contributory expertise, divided into ‘knowing-that’ and ‘knowing-how.’ We also deal with interactional expertise and the fact that much expertise is tacit. We explore three questions. First, in examining ‘when is expertise in research integration and implementation required?,’ we review tasks essential (a) to developing more comprehensive understandings of complex problems, plus possible ways to address them, and (b) for supporting implementation of those understandings into government policy, community practice, business and social innovation, or other initiatives. Second, in considering ‘where can expertise in research integration and implementation currently be found?,’ we describe three realms: (a) specific approaches, including interdisciplinarity, transdisciplinarity, systems thinking and sustainability science; (b) case-based experience that is independent of these specific approaches; and (c) research examining elements of integration and implementation, specifically considering unknowns and fostering innovation. We highlight examples of expertise in each realm and demonstrate how fragmentation currently precludes clear identification of research integration and implementation expertise. Third, in exploring ‘what is required to strengthen expertise in research integration and implementation?,’ we propose building a knowledge bank. We delve into three key challenges: compiling existing expertise, indexing and organising the expertise to make it widely accessible, and understanding and overcoming the core reasons for the existing fragmentation. A growing knowledge bank of expertise in research integration and implementation on the one hand, and accumulating success in addressing complex societal and environmental problems on the other, will form a virtuous cycle so that each strengthens the other. Building a coalition of researchers and institutions will ensure this expertise and its application are valued and sustained.

People need freshwater biodiversity
Abigail J. Lynch, Steven J. Cooke, Angela H. Arthington, Claudio Baigún +4 more
2023· Wiley Interdisciplinary Reviews Water201doi:10.1002/wat2.1633

Abstract Freshwater biodiversity, from fish to frogs and microbes to macrophytes, provides a vast array of services to people. Mounting concerns focus on the accelerating pace of biodiversity loss and declining ecological function within freshwater ecosystems that continue to threaten these natural benefits. Here, we catalog nine fundamental ecosystem services that the biotic components of indigenous freshwater biodiversity provide to people, organized into three categories: material (food; health and genetic resources; material goods), non‐material (culture; education and science; recreation), and regulating (catchment integrity; climate regulation; water purification and nutrient cycling). If freshwater biodiversity is protected, conserved, and restored in an integrated manner, as well as more broadly appreciated by humanity, it will continue to contribute to human well‐being and our sustainable future via this wide range of services and associated nature‐based solutions to our sustainable future. This article is categorized under: Human Water > Value of Water Water and Life > Nature of Freshwater Ecosystems Science of Water > Water and Environmental Change

The impact of intelligent cyber-physical systems on the decarbonization of energy
Oliver R. Inderwildi, Chuan Zhang, Xiaonan Wang, Markus Kraft
2020· Energy & Environmental Science199doi:10.1039/c9ee01919g

Assessing the impact of digital technologies and artificial intelligence, so-called intelligent cyber-physical systems, on emission reduction in the critical sector of energy provision.

Heat stored in the Earth system 1960–2020: where does the energy go?
Karina von Schuckmann, Audrey Minière, Flora Gues, Francisco José Cuesta‐Valero +4 more
2023· Earth system science data198doi:10.5194/essd-15-1675-2023

Abstract. The Earth climate system is out of energy balance, and heat has accumulated continuously over the past decades, warming the ocean, the land, the cryosphere, and the atmosphere. According to the Sixth Assessment Report by Working Group I of the Intergovernmental Panel on Climate Change, this planetary warming over multiple decades is human-driven and results in unprecedented and committed changes to the Earth system, with adverse impacts for ecosystems and human systems. The Earth heat inventory provides a measure of the Earth energy imbalance (EEI) and allows for quantifying how much heat has accumulated in the Earth system, as well as where the heat is stored. Here we show that the Earth system has continued to accumulate heat, with 381±61 ZJ accumulated from 1971 to 2020. This is equivalent to a heating rate (i.e., the EEI) of 0.48±0.1 W m−2. The majority, about 89 %, of this heat is stored in the ocean, followed by about 6 % on land, 1 % in the atmosphere, and about 4 % available for melting the cryosphere. Over the most recent period (2006–2020), the EEI amounts to 0.76±0.2 W m−2. The Earth energy imbalance is the most fundamental global climate indicator that the scientific community and the public can use as the measure of how well the world is doing in the task of bringing anthropogenic climate change under control. Moreover, this indicator is highly complementary to other established ones like global mean surface temperature as it represents a robust measure of the rate of climate change and its future commitment. We call for an implementation of the Earth energy imbalance into the Paris Agreement's Global Stocktake based on best available science. The Earth heat inventory in this study, updated from von Schuckmann et al. (2020), is underpinned by worldwide multidisciplinary collaboration and demonstrates the critical importance of concerted international efforts for climate change monitoring and community-based recommendations and we also call for urgently needed actions for enabling continuity, archiving, rescuing, and calibrating efforts to assure improved and long-term monitoring capacity of the global climate observing system. The data for the Earth heat inventory are publicly available, and more details are provided in Table 4.

How Social Considerations Improve the Equity and Effectiveness of Ecosystem Restoration
Sara Löfqvist, Fritz Kleinschroth, Adia Bey, Ariane de Bremond +4 more
2022· BioScience173doi:10.1093/biosci/biac099

Ecosystem restoration is an important means to address global sustainability challenges. However, scientific and policy discourse often overlooks the social processes that influence the equity and effectiveness of restoration interventions. In the present article, we outline how social processes that are critical to restoration equity and effectiveness can be better incorporated in restoration science and policy. Drawing from existing case studies, we show how projects that align with local people's preferences and are implemented through inclusive governance are more likely to lead to improved social, ecological, and environmental outcomes. To underscore the importance of social considerations in restoration, we overlay existing global restoration priority maps, population, and the Human Development Index (HDI) to show that approximately 1.4 billion people, disproportionately belonging to groups with low HDI, live in areas identified by previous studies as being of high restoration priority. We conclude with five action points for science and policy to promote equity-centered restoration.

Cyclones, windstorms and the IMILAST project
Tim Hewson, Urs Neu
2015· Tellus A Dynamic Meteorology and Oceanography142doi:10.3402/tellusa.v67.27128

By way of introduction to the TELLUS thematic cluster on outcomes of the IMILAST project (Intercomparison of MId-LAtitude STorm diagnostics), this paper presents the results of new research that is fundamental for the correct interpretation of IMILAST results. Specifically we investigated the mesoscale structure of cyclonic windstorms, and the representation of those windstorms in re-analysis data. The paper concludes with an overview of the project itself. Twenty-nine historic windstorms are studied in detail, using wide-ranging observational data, and on this basis a conceptual model of the life cycle of a typical windstorm-generating cyclone is developed. The model delineates three wind phenomena, the warm jet, the sting jet and the cold jet, and maps out the typical damage footprint left by each. Focussing on the boundary layer, the physical processes at work in each jet zone are investigated. These include the impact of near-surface stability and exposure on gust strength. Based on numerous cases, a generic description of the sting jet is provided, with many new features highlighted. This phenomenon looks to be unique in that exceptional gusts can be realised well inland because destabilisation is activated from above. We next investigate how well the widely-referenced ERA-Interim re-analysis, that has been a primary data source for IMILAST, can represent windstorms. In many ways, performance is suboptimal. Compared to a benchmark manually-analysed dataset, windstorm-generating cyclones generally do not deepen rapidly enough. In part, this is a resolution limitation. For one medium-sized cyclone, it is shown, using other models, that horizontal resolution of order 20 km or better is required to capture the most damaging winds. In the context of IMILAST, which has used data at resolutions ≥80 km, this is a fundamental result. For this and other reasons, caution is clearly needed when inferring storm behaviour and severity from model-based metrics.

Releasing global forests from human management: How much more carbon could be stored?
Caspar T. J. Roebroek, Grégory Duveiller, Sonia I. Seneviratne, Édouard L. Davin +1 more
2023· Science129doi:10.1126/science.add5878

Carbon storage in forests is a cornerstone of policy-making to prevent global warming from exceeding 1.5°C. However, the global impact of management (for example, harvesting) on the carbon budget of forests remains poorly quantified. We integrated global maps of forest biomass and management with machine learning to show that by removing human intervention, under current climatic conditions and carbon dioxide (CO 2 ) concentration, existing global forests could increase their aboveground biomass by up to 44.1 (error range: 21.0 to 63.0) petagrams of carbon. This is an increase of 15 to 16% over current levels, equating to about 4 years of current anthropogenic CO 2 emissions. Therefore, without strong reductions in emissions, this strategy holds low mitigation potential, and the forest sink should be preserved to offset residual carbon emissions rather than to compensate for present emissions levels.

A New High-Resolution Map of World Mountains and an Online Tool for Visualizing and Comparing Characterizations of Global Mountain Distributions
Roger Sayre, Charlie Frye, Deniz Karagulle, Jürg Krauer +4 more
2018· Mountain Research and Development127doi:10.1659/mrd-journal-d-17-00107.1

Answers to the seemingly straightforward questions “what is a mountain?” and “where are the mountains of the world?” are in fact quite complex, and there have been few attempts to map the mountains of the earth in a consistent and rigorous fashion. However, knowing exactly where mountain ecosystems are distributed on the planet is a precursor to conserving them, as called for in Sustainable Development Goals 6 and 15 of the United Nations 2030 Agenda for Sustainable Development. In this article we first compare 3 characterizations of global mountain distributions, including a new, high-resolution (250 m) map of global mountains derived from terrain characteristics. We show how differences in conceptual definition, methodology, and spatial resolution of source data can result in differences in the extent and location of lands classed as mountains. For example, the new 250-m resource documents a larger global mountain extent than previous characterizations, although it excludes plateaus, hilly forelands, and other landforms that are often considered part of mountain areas. We then introduce the Global Mountain Explorer, a new web-based application specifically developed for exploration, visualization, and comparison of these maps. This new open-access tool is an intuitive and versatile resource suitable for a broad range of users and applications.

Methods and procedures of transdisciplinary knowledge integration: empirical insights from four thematic synthesis processes
Sabine Hoffmann, Christian Pohl, Janet G. Hering
2017· Ecology and Society122doi:10.5751/es-08955-220127

Hoffmann, S., C. Pohl, and J. G. Hering. 2017. Methods and procedures of transdisciplinary knowledge integration: empirical insights from four thematic synthesis processes. Ecology and Society 22(1):27. https://doi.org/10.5751/ES-08955-220127

A hierarchical inventory of the world’s mountains for global comparative mountain science
Mark A. Snethlage, Jonas Geschke, Ajay Ranipeta, Walter Jetz +4 more
2022· Scientific Data122doi:10.1038/s41597-022-01256-y

A standardized delineation of the world's mountains has many applications in research, education, and the science-policy interface. Here we provide a new inventory of 8616 mountain ranges developed under the auspices of the Global Mountain Biodiversity Assessment (GMBA). Building on an earlier compilation, the presented geospatial database uses a further advanced and generalized mountain definition and a semi-automated method to enable globally standardized, transparent delineations of mountain ranges worldwide. The inventory is presented on EarthEnv at various hierarchical levels and allows users to select their preferred level of regional aggregation from continents to small subranges according to their needs and the scale of their analyses. The clearly defined, globally consistent and hierarchical nature of the presented mountain inventory offers a standardized resource for referencing and addressing mountains across basic and applied natural as well as social sciences and a range of other uses in science communication and education.

From Transdisciplinarity to Transdisciplinary Research
Christian Pohl
2010· Transdisciplinary Journal of Engineering & Science115doi:10.22545/2010/0006

Scholars promote various definitions and concepts of transdisciplinarity in the current dialogue. The concepts can be described as alternative combinations of four characteristic features of transdisciplinarity, namely (a) to relate to socially relevant issues, (b) to transcend and integrate disciplinary paradigms, (c) to do participatory research, and (d) to search for a unity of knowledge. The meaning of transdisciplinarity in the German- European environmental and sustainability research shifted during the last decades, making a feature (c) – to do participatory research – its major component. Against that background, td-net has developed and promoted a concept of transdisciplinary research that includes additional features. Formulated from the perspective of transdisciplinary researchers, our concept endeavors to frame, analyze, and process a socially relevant issue in such a way that the research project (1) grasps the complexity of the issue, (2) takes the diverse perspectives on the issue into account, (3) links abstract and case-specific knowledge, and (4) develops knowledge and practices that promote what is perceived to be the common good.

Scenario setup and forcing data for impact model evaluation and impact attribution within the third round of the Inter-Sectoral Impact Model Intercomparison Project (ISIMIP3a)
Katja Frieler, Jan Volkholz, Stefan Lange, Jacob Schewe +4 more
2024· Geoscientific model development111doi:10.5194/gmd-17-1-2024

Abstract. This paper describes the rationale and the protocol of the first component of the third simulation round of the Inter-Sectoral Impact Model Intercomparison Project (ISIMIP3a, http://www.isimip.org, last access: 2 November 2023) and the associated set of climate-related and direct human forcing data (CRF and DHF, respectively). The observation-based climate-related forcings for the first time include high-resolution observational climate forcings derived by orographic downscaling, monthly to hourly coastal water levels, and wind fields associated with historical tropical cyclones. The DHFs include land use patterns, population densities, information about water and agricultural management, and fishing intensities. The ISIMIP3a impact model simulations driven by these observation-based climate-related and direct human forcings are designed to test to what degree the impact models can explain observed changes in natural and human systems. In a second set of ISIMIP3a experiments the participating impact models are forced by the same DHFs but a counterfactual set of atmospheric forcings and coastal water levels where observed trends have been removed. These experiments are designed to allow for the attribution of observed changes in natural, human, and managed systems to climate change, rising CH4 and CO2 concentrations, and sea level rise according to the definition of the Working Group II contribution to the IPCC AR6.

Promising degrees of stakeholder interaction in research for sustainable development
Flurina Schneider, Tobias Büser
2017· Sustainability Science105doi:10.1007/s11625-017-0507-4

Stakeholder interactions are increasingly viewed as an important element of research for sustainable development. But to what extent, how, and for which goals should stakeholders be involved? In this article, we explore what degrees of stakeholder interaction show the most promise in research for sustainable development. For this purpose, we examine 16 research projects from the transdisciplinary research programme NRP 61 on sustainable water management in Switzerland. The results suggest that various degrees of stakeholder interaction can be beneficial depending on each project's intended contribution to sustainability, the form of knowledge desired, how contested the issues are, the level of actor diversity, actors' interests, and existing collaborations between actors. We argue that systematic reflection about these six criteria can enable tailoring stakeholder interaction processes according specific project goals and context conditions.

Perinatal care at the limit of viability between 22 and 26 completed weeks of gestation in Switzerland
Alama El, Irène Hösli, M Nelle, Daniel Surbek +4 more
2011· Swiss Medical Weekly104doi:10.4414/smw.2011.13280

Perinatal care of pregnant women at high risk for preterm delivery and of preterm infants born at the limit of viability (22-26 completed weeks of gestation) requires a multidisciplinary approach by an experienced perinatal team. Limited precision in the determination of both gestational age and foetal weight, as well as biological variability may significantly affect the course of action chosen in individual cases. The decisions that must be taken with the pregnant women and on behalf of the preterm infant in this context are complex and have far-reaching consequences. When counselling pregnant women and their partners, neonatologists and obstetricians should provide them with comprehensive information in a sensitive and supportive way to build a basis of trust. The decisions are developed in a continuing dialogue between all parties involved (physicians, midwives, nursing staff and parents) with the principal aim to find solutions that are in the infant's and pregnant woman's best interest. Knowledge of current gestational age-specific mortality and morbidity rates and how they are modified by prenatally known prognostic factors (estimated foetal weight, sex, exposure or nonexposure to antenatal corticosteroids, single or multiple births) as well as the application of accepted ethical principles form the basis for responsible decision-making. Communication between all parties involved plays a central role. The members of the interdisciplinary working group suggest that the care of preterm infants with a gestational age between 22 0/7 and 23 6/7 weeks should generally be limited to palliative care. Obstetric interventions for foetal indications such as Caesarean section delivery are usually not indicated. In selected cases, for example, after 23 weeks of pregnancy have been completed and several of the above mentioned prenatally known prognostic factors are favourable or well informed parents insist on the initiation of life-sustaining therapies, active obstetric interventions for foetal indications and provisional intensive care of the neonate may be reasonable. In preterm infants with a gestational age between 24 0/7 and 24 6/7 weeks, it can be difficult to determine whether the burden of obstetric interventions and neonatal intensive care is justified given the limited chances of success of such a therapy. In such cases, the individual constellation of prenatally known factors which impact on prognosis can be helpful in the decision making process with the parents. In preterm infants with a gestational age between 25 0/7 and 25 6/7 weeks, foetal surveillance, obstetric interventions for foetal indications and neonatal intensive care measures are generally indicated. However, if several prenatally known prognostic factors are unfavourable and the parents agree, primary non-intervention and neonatal palliative care can be considered. All pregnant women with threatening preterm delivery or premature rupture of membranes at the limit of viability must be transferred to a perinatal centre with a level III neonatal intensive care unit no later than 23 0/7 weeks of gestation, unless emergency delivery is indicated. An experienced neonatology team should be involved in all deliveries that take place after 23 0/7 weeks of gestation to help to decide together with the parents if the initiation of intensive care measures appears to be appropriate or if preference should be given to palliative care (i.e., primary non-intervention). In doubtful situations, it can be reasonable to initiate intensive care and to admit the preterm infant to a neonatal intensive care unit (i.e., provisional intensive care). The infant's clinical evolution and additional discussions with the parents will help to clarify whether the life-sustaining therapies should be continued or withdrawn. Life support is continued as long as there is reasonable hope for survival and the infant's burden of intensive care is acceptable. If, on the other hand, the health care team and the parents have to recognise that in the light of a very poor prognosis the burden of the currently used therapies has become disproportionate, intensive care measures are no longer justified and other aspects of care (e.g., relief of pain and suffering) are the new priorities (i.e., redirection of care). If a decision is made to withhold or withdraw life-sustaining therapies, the health care team should focus on comfort care for the dying infant and support for the parents.

Are Greenhouse Gas Signals of Northern Hemisphere winter extra-tropical cyclone activity dependent on the identification and tracking algorithm?
Uwe Ulbrich, Gregor C. Leckebusch, Jens Grieger, Mareike Schuster +4 more
2013· Meteorologische Zeitschrift102doi:10.1127/0941-2948/2013/0420

For Northern Hemisphere extra-tropical cyclone activity, the dependency of a potential anthropogenic climate change signal on the identification method applied is analysed. This study investigates the impact of the used algorithm on the changing signal, not the robustness of the climate change signal itself. Using one single transient AOGCM simulation as standard input for eleven state-of-the-art identification methods, the patterns of model simulated present day climatologies are found to be close to those computed from re-analysis, independent of the method applied. Although differences in the total number of cyclones identified exist, the climate change signals (IPCC SRES A1B) in the model run considered are largely similar between methods for all cyclones. Taking into account all tracks, decreasing numbers are found in the Mediterranean, the Arctic in the Barents and Greenland Seas, the mid-latitude Pacific and North America. Changing patterns are even more similar, if only the most severe systems are considered: the methods reveal a coherent statistically significant increase in frequency over the eastern North Atlantic and North Pacific. We found that the differences between the methods considered are largely due to the different role of weaker systems in the specific methods.