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As subsystems of the Asian summer monsoon, summer precipitation variations in India and the northern part of eastern China (NEC) are physically connected. This study noted that the connection has been significantly enhanced after 1999 compared to 1979-98, which is due to the strengthened water vapor transportation connection between the two regions. That is associated with interdecadal variations of the combined effects of El Niño-Southern Oscillation (ENSO) and sea surface temperature anomalies (SSTAs) over the tropical Indian Ocean (TIO) on the northwest Pacific subtropical high (NWPSH) and the Indo-Pacific Walker cell. Against the background of La Niña, the strengthened NWPSH and Indo-Pacific Walker cell favor water vapor transport to India and the NEC since 1999. Accordingly, summer precipitation in the two regions increases simultaneously, leading to the enhancement of the summer precipitation teleconnection between them. In addition, the influence of TIO SSTAs and the Indian Ocean dipole (IOD) on Indo-Pacific circulations decreases, which further enhances the relative importance of ENSO on the summer precipitation in the two regions. However, during 1979-98, La Niña SSTAs has weak effects on the NWPSH and Indo-Pacific Walker cell, the negative TIO SSTAs significantly weaken NWPSH, and the negative IOD also obstructs the westward extension of the Indo-Pacific Walker cell. Circulations and water vapor transportation related to the Indian Ocean and NEC summer precipitation are inconsistent, resulting in a weak precipitation teleconnection between them. The above conclusions are also validated by extreme case analysis and CMIP6 models. [ABSTRACT FROM AUTHOR]

Research on the primary thyroid lymphoma (PTL) diagnosis is limited, with only a few large sample size studies, reported from Asian countries. The aim of the present study was to clarify the current prevalence and challenges in PTL diagnosis, and recommended ancillary studies for PTL in non-Western countries. PTL (n = 153) cases were retrieved from 10 institutions in non-Western countries and analyzed. Ultrasound examination (UE) and fine needle aspiration cytology (FNAC) were used as main preoperative diagnostic tools in all participating institutions. Flow cytometry (FCM) was performed in the 5 institutions (50%). Lobectomy was the most common histological procedure to confirm the PTL diagnosis. All institutions routinely performed immuno-histochemical analysis. PTL was 0.54% of malignant thyroid tumor cases, with mucosa-associated lymphoid tissue lymphoma (MALTL) and diffuse large B-cell lymphoma (DLBCL) being 54.9% and 38.6%, respectively. Kuma Hospital, where the frequency of MALTL was highest (83.7%), routinely performed FCM using the materials obtained by FNAC. UE and FNAC sensitivities were 62.5% and 57.8%, respectively. In both UE and FNAC, sensitivity of MALTL was lower than of DLBCL. The study elucidated that the prevalence of PTL in non-Western countries was lower than previously reported. We propose that FCM should be more actively used to improve the preoperative diagnosis of MALTL. Our data predicted that the MALTL proportion will increase with improved diagnostic tools, while observation of PTL-suspected nodules without histological examination remains a viable option.