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International audience; Satellite ammonia (NH3) observations provide unprecedented insights into NH3 emissions, spatiotemporal variabilities and trends, but validation with in‐situ measurements remains lacking. Here, total columns from the Infrared Atmospheric Sounding Interferometer (IASI) were intercompared to boundary layer NH3 profiles derived from aircraft‐ and surface‐based measurements primarily in Colorado, USA, in the summer of 2014. IASI‐NH3 version 3 near real‐time dataset compared well to in‐situ derived columns (windows ±15 km around centroid, ±1 hour around overpass time) with a correlation of 0.58, a slope of 0.78±0.14, and an intercept of 2.1×1015±1.5×1015 molecules cm‐2. Agreement degrades at larger spatiotemporal windows, consistent with the short atmospheric lifetime of NH3. We also examined IASI version 3R data, which relies on temperature retrievals from the ERA Reanalysis, and a third product generated using aircraft‐measured temperature profiles. The overall agreement improves slightly for both cases, and neither is biased within their combined measurement errors. Thus, spatiotemporal averaging of IASI over large windows can be used to reduce retrieval noise. Nonetheless, sampling artifacts of airborne NH3 instruments result in significant uncertainties of the in‐situ‐derived columns. For example, large validation differences exist between ascent and descent profiles, and the assumptions of the free tropospheric NH3 profiles used above the aircraft ceiling significantly impact the validation. Because short‐lived species like NH3 largely reside within the boundary layer with complex vertical structures, more comprehensive validation is needed across a wide range of environments. More accurate and widespread in‐situ NH3 datasets are therefore required for improved validations of satellite products.

BackgroundWhile surgery is the first-line treatment for patients with endogenous hypercortisolism (Cushing syndrome [CS]), mifepristone has been shown to be a beneficial medical treatment option, as demonstrated in the SEISMIC (Study of the Efficacy and Safety of Mifepristone in the Treatment of Endogenous Cushing Syndrome) trial. Mifepristone is a competitive glucocorticoid receptor antagonist and progesterone receptor antagonist that is associated with several treatment effects and adverse events that clinicians need to be aware of when considering its use. The objective of this review was to provide updated clinical management recommendations for patients with CS treated with mifepristone.MethodsA panel of endocrinologists from the US with extensive experience in treating patients with CS, including with mifepristone, convened as part of a clinical advisory board to develop a consensus on the practical, real-world clinical management of patients on mifepristone.ResultsComprehensive considerations and recommendations are provided for managing mifepristone-associated effects, including symptoms of cortisol withdrawal, hypokalemia, and change in thyroid function; effects related to its antiprogesterone activity; and rash. Additional management strategies to address concomitant medications and special clinical situations, such as surgery and use in specific populations, are also provided.ConclusionSafe and effective use of mifepristone requires clinical judgment and close patient monitoring to ensure optimal clinical outcomes. These consensus recommendations provide useful, practical guidance to clinicians using mifepristone.

Impurity ion dynamics measured with simultaneously high spatial and temporal resolution reveal classical ion transport in the reversed-field pinch. The boron, carbon, oxygen, and aluminum impurity ion density profiles are obtained in the Madison Symmetric Torus [R. N. Dexter et al., Fusion Technol. 19, 131 (1991)] using a fast, active charge-exchange-recombination-spectroscopy diagnostic. Measurements are made during improved-confinement plasmas obtained using inductive control of tearing instability to mitigate stochastic transport. At the onset of the transition to improved confinement, the impurity ion density profile becomes hollow, with a slow decay in the core region concurrent with an increase in the outer region, implying an outward convection of impurities. Impurity transport from Coulomb collisions in the reversed-field pinch is classical for all collisionality regimes, and analysis shows that the observed hollow profile and outward convection can be explained by the classical temperature screening mechanism. The profile agrees well with classical expectations. Experiments performed with impurity pellet injection provide further evidence for classical impurity ion confinement.

Charge-exchange recombination spectroscopy, which is generally used to measure low-Z impurities in fusion devices, has been used for measuring Al+11 and Al+13 impurities in the Madison Symmetric Torus reversed field pinch. To obtain the impurity ion temperature, the experimental emission spectrum is fitted with a model which includes fine structure in the atomic transition. Densities of these two ionization states, calculated from charge-exchange emission brightness, are used in combination with a collisional radiative model to estimate the abundance of all other charge states of aluminum in the plasma and the contribution of aluminum to the effective ionic charge of the plasma.