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This paper evaluates the relationships between atmospheric circulation, climate and streamflow in the northern North Atlantic region over the last century and especially the last 50 years. Improved understanding of climatic influences on streamflow is vital given the great importance of fluvial processes to natural systems and water resources, especially in the light of recent and predicted climate change. The main focus lies with climatic and hydrologic implications of the major circulation patterns in the northern North Atlantic, namely the North Atlantic Oscillation (NAO) and Arctic Oscillation (AO). The studies reviewed here reveal key relationships between circulation, climate and streamflow across the northern North Atlantic, allowing the construction of a simple conceptual model for this system. Generally positive NAO/AO-streamflow relationships are found in northwest Europe and northeast USA, with both positive and negative NAO/AO-streamflow linkages apparent for parts of eastern Canada. To help promote a better understanding of the system, several research gaps are identified and critically examined, including: the spatial scope and coverage of investigations; data quality and homogeneity; appropriateness of analytical techniques; and the need for greater knowledge and technique sharing between hydrology and climatology, particularly regarding the rigorous characterization of atmospheric circulation patterns. Among these, the development of seasonally varying, or mobile, NAO indices, to capture variations in subseasonal, seasonal and annual movements in the centres of action, and the need to develop analyses of more hydrologically meaningful climate variables beyond conventional time averaged statistics, are deemed particularly important. [ABSTRACT FROM AUTHOR]