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Objective To investigate the risk factors for neonatal asphyxia in Hubei Enshi Tujia and Miao Autonomous Prefecture and establish a nomogram model for predicting the risk of neonatal asphyxia. Methods A retrospective study was conducted with 613 cases of neonatal asphyxia treated in 20 cooperative hospitals in Enshi Tujia and Miao Autonomous Prefecture from January to December 2019 as the asphyxia group, and 988 randomly selected non-asphyxia neonates born and admitted to the neonatology department of these hospitals during the same period as the control group. Univariate and multivariate analyses were used to identify risk factors for neonatal asphyxia. R software (4.2.2) was used to establish a nomogram model. Receiver operator characteristic curve, calibration curve, and decision curve analysis were used to assess the discrimination, calibration, and clinical usefulness of the model for predicting the risk of neonatal asphyxia, respectively. Results Multivariate logistic regression analysis showed that minority (Tujia), male sex, premature birth, congenital malformations, abnormal fetal position, intrauterine distress, maternal occupation as a farmer, education level below high school, fewer than 9 prenatal check-ups, threatened abortion, abnormal umbilical cord, abnormal amniotic fluid, placenta previa, abruptio placentae, emergency caesarean section, and assisted delivery were independent risk factors for neonatal asphyxia (P<0.05). The area under the curve of the model for predicting the risk of neonatal asphyxia based on these risk factors was 0.748 (95%CI: 0.723-0.772). The calibration curve indicated high accuracy of the model for predicting the risk of neonatal asphyxia. The decision curve analysis showed that the model could provide a higher net benefit for neonates at risk of asphyxia. Conclusions The risk factors for neonatal asphyxia in Hubei Enshi Tujia and Miao Autonomous Prefecture are multifactorial, and the nomogram model based on these factors has good value in predicting the risk of neonatal asphyxia, which can help clinicians identify neonates at high risk of asphyxia early, and reduce the incidence of neonatal asphyxia. [ABSTRACT FROM AUTHOR]

Warm-sector heavy rainfall (WR), shear-line heavy rainfall (SR), and frontal heavy rainfall (FR) are three types of rainfall that frequently occur during the pre-summer rainy season in south China. In this research, we investigated the differences in microphysical characteristics of heavy rainfall events during the period of 10-15 May 2022 based on the combined observations from 11 S-band polarimetric radars in south China. The conclusions are as follows: (1) WR has the highest radar echo top height, the strongest radar echo at all altitudes, the highest lightning density, and the most active ice-phase process, which suggests that the convection is the most vigorous in the WR, moderate in the FR, and the weakest in the SR. (2) Three types of rainfall are all marine-type precipitation, the massweighted mean diameter (Dm, mm) and the intercept parameter (Nw, mm-1m-3) of the raindrops in the WR are the largest. (3) The WR possesses the highest proportion of graupel compared with the FR and SR, and stronger updrafts and more abundant water vapor supply may lead to larger raindrops during the melting and collision-coalescence processes. (4) Over all the heights, liquid and ice water content in the WR are higher than those in the SR and FR, the ratio of ice to liquid water content in the WR is as high as 27% when ZH exceeds 50 dBZ, definitely higher than that in the SR and FR, indicating that the active ice-phase process existing in the WR is conducive to the formation of heavy rainfall. [ABSTRACT FROM AUTHOR]

In this paper, the data of Automatic Weather Stations (AWSs), ERA5 reanalysis, sounding, wind profile radar, and dual-polarization radar are used to study an extreme rainfall event in the south China Coast on 11 to 12 May 2022 from the aspects of thermodynamics and microphysical characteristics under the influence of low-level jets (LLJs). Results show that: (1) The extreme rainfall event can be divided into two stages: the first stage (S1) from 0000 to 0600 LST on May 12 and the second stage (S2) from 0700 to 1700 LST on the same day. During S1, the rainfall is mainly caused by the upper-level shortwave trough and the boundary layer jet (BLJ), characterized by strong upward motion on the windward side of mountains. In S2, the combined influence of the BLJ and synoptic-system-related low-level jet (SLLJ) increases the vertical wind shear and vertical vorticity, strengthening the rainstorm. In combination with the effect of topography, a warm and humid southwest flow continuously transports water vapor to farther north, resulting in a significant increase in rainfall over the study area (on the terrain's windward slope). From S1 to S2, the altitude of a divergence center in the upper air decreases obviously. (2) The rainfalls in the two stages are both associated with the mesoscale convergence line (MCL) on the surface, and the wind field from the mesoscale outflow boundary (MOB) in S1 is in the same direction as the environmental winds. Due to a small area of convergence that is left behind the MOB, convection moves eastward quickly and causes a short duration of heavy rainfall. In S2, the convergence along the MOB is enhanced, which strengthens the rainfall and leads to strong outflows, further enhancing the surface convergence near the MOB and forming a positive feedback mechanism. It results in a slow motion of convection and a long duration of heavy rainfall. (3) In terms of microphysics, the center of a strong echo in S1 is higher than in S2. The warm-rain process of the oceanic type characterizes both stages, but the convective intensity in S2 is significantly stronger than that in S1, featuring bigger drop sizes and lower concentrations. It is mainly due to the strengthening of LLJs, which makes small cloud droplets lift to melting levels, enhancing the ice phase process (riming process), producing large amounts of graupel particles and enhancing the melting and collision processes as they fall, resulting in the increase of liquid water content (LWC) and the formation of large raindrops near the surface. [ABSTRACT FROM AUTHOR]