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Abstract The selection of implants for fixing unstable femoral neck fractures (FNF) remains contentious. This study employs finite element analysis to examine the biomechanics of treating Pauwels type III femoral neck fractures using cannulated compression screws (3CS), biplane double-supported screw fixation (BDSF), and the femoral neck system (FNS). A three-dimensional model of the proximal femur was developed using computed tomography scans. Fracture models of the femoral neck were created with 3CS, BDSF, and FNS fixations. Von Mises stress on the proximal femur, fracture ends, internal fixators, and model displacements were assessed and compared across the three fixation methods (3CS, BDSF, and FNS) during the heel strike of normal walking. The maximum Von Mises stress in the proximal fragment was significantly higher with 3CS fixation compared to BDSF and FNS fixations (120.45 MPa vs. 82.44 MPa and 84.54 MPa, respectively). Regarding Von Mises stress distribution at the fracture ends, the highest stress in the 3CS group was 57.32 MPa, while BDSF and FNS groups showed 51.39 MPa and 49.23 MPa, respectively. Concerning implant stress, the FNS model exhibited greater Von Mises stress compared to the 3CS and BDSF models (236.67 MPa vs. 134.86 MPa and 140.69 MPa, respectively). Moreover, BDSF displayed slightly lower total displacement than 3CS fixation (7.19 mm vs. 7.66 mm), but slightly higher displacement than FNS (7.19 mm vs. 7.03 mm). This study concludes that BDSF outperforms 3CS fixation in terms of biomechanical efficacy and demonstrates similar performance to the FNS approach. As a result, BDSF stands as a dependable alternative for treating Pauwels type III femoral neck fractures.

Abstract Changes in tropical deep convection with global warming are a leading source of uncertainty for future climate projections. A comparison of the responses of active sensor measurements of cloud ice to interannual variability and next-generation global storm-resolving model (also known as k-scale models) simulations to global warming shows similar changes for events with the highest column-integrated ice. The changes reveal that the ice loading decreases outside the most active convection but increases at a rate of several percent per Kelvin surface warming in the most active convection. Disentangling thermodynamic and vertical velocity changes shows that the ice signal is strongly modulated by structural changes of the vertical wind field towards an intensification of strong convective updrafts with warming, suggesting that changes in ice loading are strongly influenced by changes in convective velocities, as well as a path toward extracting information about convective velocities from observations.

Objective: This study provided a quantitative prediction of best-corrected visual acuity (BCVA) for cataract patients using the inverse problem algorithm (IPA) technique earlier proposed by the authors. Methods: To this end, seven risk factors (age, BMI, MAP, IOP, HbA1c, LDL-C, and gender) were linked by a semi-empirical formula by normalizing each factor into a dimensionless range of −1.0 to +1.0. The adopted inverse problem algorithm (IPA) technique was run via a self-developed program in STATISTICA 7.0, featuring a 29-term nonlinear equation considering seven risk factors, cross-interaction between various pairs of factors, and one constant term [7 + (7 × 6)/2 + 1 = 29]. The IPA neglected quadratic, triple, or quadruple factors′ cross-interactions. This study used a dataset of 632 cataract patients to attain a reliable BCVA prediction with a variance of 0.929. A verification dataset of 160 patients with similar symptoms was used to verify this approach′s feasibility, reaching a good correlation with R2 = 0.909. Results: The verification group′s derived average AT (agreement) (9.12 ± 27.00%) indicated a slight deviation between the theoretical prediction and practical BCVA. The significant factors were age, body mass index (BMI), and intraocular pressure (IOP), whereas mean arterial pressure (MAP), hemoglobin A1c (HbA1c), low-density-lipoprotein cholesterol (LDL-C), and gender insignificantly contributed to BCVA. Conclusions: The proposed approach is instrumental in AI-assisted clinical diagnosis, yielding robust BCVA predictions for individual cataract patients based on their biological indices before the ophthalmological examination procedure.

Abstract We investigate the representation of individual supercells and intriguing tornado‐like vortices in a simplified, locally refined global atmosphere model. The model, featuring grid stretching, can locally enhance the model resolution and reach cloud‐resolving scales with modest computational resources. Given a conditionally unstable sheared environment, the model can simulate supercells realistically, with a near‐ground vortex and funnel cloud at the center of a rotating updraft reminiscent of a tornado. An analysis of the Eulerian vertical vorticity budget suggests that the updraft core of the supercell tilts horizontal vorticity into the tornado‐like vortex, which is then amplified through vertical stretching by the updraft. Results suggest that the simulated vortex is dynamically similar to observed tornadoes, as well as those simulated in modeling studies at much higher horizontal resolution. Lastly, we discuss the prospects for the study of cross‐scale interactions involving supercells.

Tropical cyclone (TC) intensity forecasting poses challenges due to complex dynamical processes and data inadequacies during model initialization. This paper describes efforts to improve TC intensity prediction in the Geophysical Fluid Dynamics Laboratory (GFDL) System for High-resolution prediction on Earth-to-Local Domains (SHiELD) model by implementing a Vortex Initialization (VI) technique. The GFDL SHiELD model, relying on the Global Forecast System (GFS) analysis for initialization, faces deficiencies in initial TC structure and intensity. The VI method involves adjusting the TC vortex inherited from the GFS analysis and merging it back into the environment at the observed location, enhancing the analyzed representation of storm structure. We made modifications to the VI package implemented in the operational Hurricane Analysis and Forecast System, including handling initial condition data, reducing input domain size, and improving storm intensity enhancement. Experiments using the T-SHiELD configuration demonstrate that using VI significantly improves the representation of initial TC intensity and size, enhancing TC predictions, particularly in storm intensity and outer wind forecasts within the first 48 h.

Abstract Global storm‐resolving models (GSRMs) that can explicitly resolve some of deep convection are now being integrated for climate timescales. GSRMs are able to simulate more realistic precipitation distributions relative to traditional Coupled Model Intercomparison Project 6 (CMIP6) models. In this study, we present results from two‐year‐long integrations of a GSRM developed at Geophysical Fluid Dynamics Laboratory, eXperimental System for High‐resolution prediction on Earth‐to‐Local Domains (X‐SHiELD), for the response of precipitation to sea surface temperature warming and an isolated increase in CO2 and compare it to CMIP6 models. At leading order, X‐SHiELD's response is within the range of the CMIP6 models. However, a close examination of the precipitation distribution response reveals that X‐SHiELD has a different response at lower percentiles and the response of the extreme events are at the lower end of the range of CMIP6 models. A regional decomposition reveals that the difference is most pronounced for midlatitude land, where X‐SHiELD shows a lower increase at intermediate percentiles and drying at lower percentiles.

IntroductionComminuted fractures are characterized by bones broken in at least two places, destabilizing the bone and requiring surgery. Children whose bones are still developing and maturing tend to have a higher risk of sustaining comminuted fractures as the result of trauma. Trauma is a major cause of death in children and constitutes a major issue in orthopedics because of the unique properties of children's bones compared to adult bones and the associated complications.MethodsThis retrospective, cross-sectional study aimed to refine the association between comorbid disease and comminuted fractures in pediatric subjects using a large, national database. All data were extracted from the National Inpatient Sample (NIS) database from 2005 to 2018. Logistic regression analysis was used to evaluate associations between comorbidities and comminuted fracture surgery and between various comorbidities and LOS or unfavorable discharge.ResultsA total of 2,356,483 patients diagnosed with comminuted fractures were selected initially, of whom 101,032 patients aged younger than 18 years who underwent surgery for comminuted fractures were included. Study results suggest that patients with any comorbidities undergoing orthopedic surgery for comminuted fracture appear to have longer LOS and a higher proportion of discharge to long-term care facilities.DiscussionAlmost all comorbidities were significantly associated with poor in-hospital outcomes and longer LOS. The analysis of comminuted fractures in children may provide useful information to help first responders and medical personnel evaluate and manage comminuted fractures appropriately.

We perform a sensitivity study on the ventilation effect of large hydrometeors, namely, raindrops, snow aggregates, and hail in a cloud-resolving model. The ventilation effect could accelerate the heat and mass transfer rates between vapor and falling hydrometeors. It causes the falling hydrometeors to grow (in a supersaturated environment) and dissipate (in a subsaturated environment) faster than the stationary ones. The parameterizations of the ventilation effect on hydrometeors in a cloud model is critical as it could dramatically alter the structure and the lifespan of the simulated storm. Enhancing the ventilation coefficients of falling hydrometeors leads to a longer-lived storm featured by apparent storm splitting. The temporal evolution of hail density fluctuates greater than the default case (the control case) indicating both stronger deposition and sublimation in hail microphysical processes. However, both rainfall and hailfall become less intense than the control run. In contrast, reducing the ventilation effect causes moderate evaporation of raindrops as they fall through subsaturated air. Consequently, the concentration and precipitation rate of raindrops increase near the surface. Strong downdraft accompanying the heavy rainfall cuts off the low-level inflow of unstable moist air into the storm and results in early dissipation of the storm.

The paper reveals the essence of the concept of an expanded understanding of oneself. It was appeared as a result of the merger of online and offline reality into a single thing-subject continuum. A person positions himself, his inner world, demonstrates self-expression through the correlation of the subject-object component with himself, his attachments and consumption in general. This lets to maintain and promote his sense of identity through the extended self. It is argued that the extended self, that defines self-identification, self-awareness and is realized through the practice of selfhood and «technologies of the self» (M. Foucault), allows one to adapt in the «liquid world». The purpose of the paper is to show that adaptation in the world of «I-for-myself» and «I-for-others» is possible through the formation and acceptance by a person of his extended self. The methods used to achieve this goal are synthesis and theoretical generalization. It is concluded that the «technologies of the self» allows one to find one's place in the modern world, to structure the idea of oneself, to find oneself in the real-virtual world through the realization of one's extended self in material-object expression. The extended self affects the adaptation and adaptability of the personality through transformation of oneself to achieve the subjective state of perfection, comfort, recognition, etc. Thus, it affects the identification of the personality in the context of «I-for-myself» and «I-for-others», create myths about the right and wrong, the rules of interaction, adaptation to the environment and interaction with it.

Abstract Background As an essential component of multimodal analgesia approaches after total knee arthroplasty (TKA), local infiltration analgesia (LIA) can be classified into peri-articular injection (PAI) and intra-articular injection (IAI) according to administration techniques. Currently, there is no definite answer to the optimal choice between the two techniques. Our study aims to investigate analgesic efficacy and safety of PAI versus IAI in patients receiving simultaneous bilateral TKA. Methods This randomized controlled trial was conducted from February 2017 and finished in July 2018. Sixty patients eligible for simultaneous bilateral total knee arthroplasty were randomly assigned to receive PAI on one side and IAI on another. Primary outcomes included numerical rating scale (NRS) pain score at rest or during activity at 3 h, 6 h, 12 h, 24 h, 48 h, and 72 h following surgery. Secondary outcomes contained active or passive range of motion (ROM) at 1, 2, and 3 days after surgery, time to perform straight leg raise, wound drainage, operation time, and wound complications. Results Patients experienced lower NRS pain scores of the knee receiving PAI compared with that with PAI during the first 48 h after surgery. The largest difference of NRS pain score at rest occurred at 48 h (PAI: 0.68, 95%CI[0.37, 0.98]; IAI: 2.63, 95%CI [2.16, 3.09]; P

Abstract Background This study investigated the impact of post-radiation sinusitis on the prognosis of nasopharyngeal carcinoma (NPC) patients treated with intensity-modulated radiation therapy (IMRT). Methods Two hundred and thirty patients with non-metastatic NPC were analyzed in terms of freedom from local failure (FFLF), freedom from distant failure (FFDF), overall survival (OS), and disease-free survival (DFS). For each patient, the status of the sinus mucosa was flexibly assessed by documenting mucosal changes as indicated by differences between images obtained before radiotherapy and more than 6 months post-radiation. Results With a median follow-up of 39.7 months (8 to 81 months), 19 (8.26%) patients relapsed locally, 13 (5.65%) patients failed in the neck, and 26 (11.3%) patients developed distant metastases. The presence of sinusitis noted in images post-radiation was a significant predictor for DFS (p = 0.001), FFLF (p = 0.004), and FFDF (p = 0.015), in addition to having high negative predictive value for local relapse (97.5%). Conclusions This is the first study to investigate the prognostic value of post-radiation sinusitis in NPC patients treated with IMRT. Post-radiation sinusitis was found to be a significant predictor for DFS, FFLF, and FFDF, and was also found to have high negative predictive value for local recurrence (97.5%). It may thus be used as an additional tool for clinicians to determine the possibility of recurrence.

Abstract We present the System for High‐resolution prediction on Earth‐to‐Local Domains (SHiELD), an atmosphere model developed by the Geophysical Fluid Dynamics Laboratory (GFDL) coupling the nonhydrostatic FV3 Dynamical Core to a physics suite originally taken from the Global Forecast System. SHiELD is designed to demonstrate new capabilities within its components, explore new model applications, and to answer scientific questions through these new functionalities. A variety of configurations are presented, including short‐to‐medium‐range and subseasonal‐to‐seasonal prediction, global‐to‐regional convective‐scale hurricane and contiguous U.S. precipitation forecasts, and global cloud‐resolving modeling. Advances within SHiELD can be seamlessly transitioned into other Unified Forecast System or FV3‐based models, including operational implementations of the Unified Forecast System. Continued development of SHiELD has shown improvement upon existing models. The flagship 13‐km SHiELD demonstrates steadily improved large‐scale prediction skill and precipitation prediction skill. SHiELD and the coarser‐resolution S‐SHiELD demonstrate a superior diurnal cycle compared to existing climate models; the latter also demonstrates 28 days of useful prediction skill for the Madden‐Julian Oscillation. The global‐to‐regional nested configurations T‐SHiELD (tropical Atlantic) and C‐SHiELD (contiguous United States) show significant improvement in hurricane structure from a new tracer advection scheme and promise for medium‐range prediction of convective storms.

Incomplete visual recovery, color vision defects, or persistent metamorphopsia may persist even after successful surgery for rhegmatogenous retinal detachment (RRD), especially in cases of RD with macula off, suggesting microstructural macular damage that standard fundus biomicroscopy could not detect. We compared spectral-domain optical coherence tomography imaging with preoperative and postoperative visual acuity to evaluate the relationship between morphological changes in the outer retina and visual outcome after successful repair of RRD with macula on or off. We enrolled 43 patients (43 eyes) with successful repair of RRD and a minimum 6-month follow up after surgery in this retrospective research. Patients accepted spectral-domain optical coherence tomography postoperatively and visual acuity examination preoperatively and postoperatively. The mean age of the patients was 48.74 ± 12.68 years (range: 16–77 years). The mean visual acuity (logarithm of minimal angle of resolution) before surgery was 0.87 ± 0.70. Disrupted ellipsoid zone was noted in one of 11 eyes in the macula-on group (9.1%) and 19 of 32 eyes in the macula-off group (59.4%). Disrupted external limiting membrane (ELM) was noted in no eye in the macula-on group (0%) and 11 of 32 eyes in the macula-off group (34.4%). The macula-off group was associated with better postoperative visual gains than the macula-on group (p = 0.013). Patients with integrity of the ellipsoid zone and ELM were associated with significant visual improvement than patients with disruption of the ellipsoid zone or ELM.

Vapor-phase germanium diffusion has been demonstrated in Zn-doped and semi-insulating GaAs in sealed ampoules with GeAs powders and excess arsenic. Secondary-ion-mass spectroscopy (SIMS) profiles indicate the presence of unintentional co-incorporation of oxygen in high densities (>1017/cm3) along with diffused germanium donors whose concentration (>>1018/cm3) determined by electro-chemical capacitance-voltage (ECV) profiler shows significant compensation near the surface. The source of oxygen mainly originates from the GeAs powder which contains Ge-O surface oxides. Variable-temperature photoluminescence (PL) shows that in GeAs-diffused samples, a broad peak ranging from 0.86-1.38 eV with the peak position around 1.1 eV predominates at low temperatures while the near band-edge luminescence quenches. The broad band is attributed to the GeGa-VGa self-activated (SA) centers possibly associated with nearby oxygen-related defect complex, and its luminescence persists up to 400 K. The configurational-coordinate modeling finds that the SA defect complex has a thermal activation energy of 150-180 meV and a vibrational energy 26.8 meV. The presence of oxygen does not much affect the SA emission intensity but may have influenced the peak position, vibration frequency and activation energy as compared to other common donor-VGa defects in GaAs.

Background/purpose: The aim of the study was to examine the intraobserver reliability of landmark identification in cone-beam computed tomography (CBCT)-synthesized two-dimensional (2D) lateral cephalograms versus conventional digital cephalograms. Materials and methods: Twenty CBCT scans and the corresponding conventional lateral cephalograms were randomly selected. Two-dimensional lateral cephalograms were constructed from the three-dimensional CBCT scans by summing the voxels of the entire volume. All the images were imported into the computer using the analyzing software WinCeph version 8.0. Twenty landmarks in the CBCT-synthesized 2D cephalograms and conventional cephalograms were identified directly on the computer screen by an experienced orthodontist and the operation was repeated 2 weeks later. The x- and y-coordinates of each landmark were examined for intraobserver reliability. The differences in landmark reproducibility between the two modalities were analyzed with a paired Student t test. Results: The horizontal and vertical errors of landmark identification by the two modalities of cephalometry ranged from 0.18 mm to 1.67 mm. Fewer landmarks in CBCT-synthesized cephalograms had intraobserver error >1 mm. Significantly better reliability was observed in CBCT-synthesized cephalograms at the menton, lower central incisor edge, and lower central incisor root apex landmarks in the horizontal dimension and at the pogonion, gnathion, menton, upper central incisor root apex, lower central incisor root apex, and lower molar landmarks in the vertical dimension. Scatter-plots revealed a characteristic pattern of error distribution for each landmark. Conclusion: CBCT-synthesized lateral cephalograms can successfully replace conventional cephalograms for orthodontic diagnosis.

The multi-dimensional nature of pain renders difficult a holistic understanding of it. The conceptual framework of pain is said to be cognitive-evaluative, in addition to being sensory-discriminative and affective-motivational. To compare participants’ brain-behavior response before and after a six-week mindfulness-based stress reduction (MBSR) training course on mindfulness in relation to pain modulation, three questionnaires (the Dallas Pain Questionnaire, Short Form McGill Pain Questionnaire-SFMPQ, and Kentucky Inventory of Mindfulness) as well as resting-state functional magnetic resonance imaging (fMRI) were administered to participants, divided into a pain-afflicted group (N=18) and a control group (N=16). Our results showed that the pain-afflicted group experienced significantly less pain after the mindfulness treatment than before, as measured by the SFMPQ. In conjunction, an increased connection from the anterior insular cortex (AIC) to the dorsal anterior midcingulate cortex (daMCC) was observed in the post-training pain-afflicted group and a significant correlation was found between AIC-daMCC connectivity and SFMPQ scores. The results suggest that mindfulness training can modulate the brain network dynamics underlying the subjective experience of pain.

Polymer gel dosimeters have been proven useful for dose evaluation in radiotherapy treatments. Previous studies have demonstrated that using a polymer gel dosimeter requires a 24 h reaction time to stabilize and further evaluate the measured dose distribution in two-dimensional dosimetry. In this study, the short-term stability within 24 h and feasibility of N-isopropylacrylamide (NIPAM) polymer gel dosimeters for use in three-dimensional dosimetry were evaluated using magnetic resonance imaging (MRI). NIPAM gels were used to measure the dose volume in a clinical case of intensity-modulated radiation therapy (IMRT). For dose readouts, MR images of irradiated NIPAM gel phantoms were acquired at 2, 5, 12, and 24 h after dose delivery. The mean standard errors of dose conversion from using dose calibration curves (DRC) were calculated. The measured dose volumes at the four time points were compared with those calculated using a treatment planning system (TPS). The mean standard errors of the dose conversion from using the DRCs were lower than 1 Gy. Mean pass rates of 2, 5, 12, and 24 h axial dose maps calculated using gamma evaluation with 3% dose difference and 3 mm distance-to-agreement criteria were 83.5% ± 0.9%, 85.9% ± 0.6%, 98.7% ± 0.3%, and 98.5% ± 0.9%, respectively. Compared with the dose volume histogram of the TPS, the absolute mean relative volume differences of the 2, 5, 12, and 24 h measured dose volumes were lower than 1% for the irradiated region with an absorbed dose higher than 2.8 Gy. It was concluded that a 12 h reaction time was sufficient to acquire accurate dose volume using the NIPAM gels with MR readouts.

Parkinson's disease (PD) is a neurodegenerative disease characterized by progressive loss of dopaminergic neurons in the basal ganglia. Single photon emission computed tomography (SPECT) scans using [99mTc]TRODAT-1 can image dopamine transporters and provide valuable diagnostic information of PD. In this study, we optimized the scanning parameters for [99mTc]TRODAT-1/SPECT using the Taguchi analysis to improve image quality. SPECT scans were performed on forty-five healthy volunteers according to an L9 orthogonal array. Three parameters were considered, including the injection activity, uptake duration, and acquisition time per projection. The signal-to-noise ratio (SNR) was calculated from the striatum/occipital activity ratio as an image quality index. Ten healthy subjects and fifteen PD patients were used to verify the optimal parameters. The estimated optimal parameters were 962 MBq for [99mTc]TRODAT-1 injection, 260 min for uptake duration, and 60 s/projection for data acquisition. The uptake duration and time per projection were the two dominant factors which had an F-value of 18.638 (38%) and 25.933 (53%), respectively. Strong cross interactions existed between the injection activity/uptake duration and injection activity/time per projection. Therefore, under the consideration of as low as reasonably achievable (ALARA) for radiation protection, we can decrease the injection activity to 740 MBq. The image quality remains almost the same for clinical applications.

Background. Gastroesophageal reflux disease (GERD) is a common disease and a major upper gastrointestinal problem. The purpose of the present study is to evaluate the use of noninvasive 2-fluoro-2-deoxy-d-glucose positron emission tomography (FDG-PET) to detect gastroesophageal reflux esophagitis. Materials and Methods. This is a retrospective study reviewing 408 healthy check-up subjects (169 females and 239 men), who underwent both FDG-PET and upper gastrointestinal endoscopy during September 2008 to December 2009. Quantitative analysis of FDG uptake in the distal part of the esophagus was performed by calculating the maximum standard uptake value (SUVmax). This indicated the degree of esophagitis. FDG-PET findings were compared with endoscopic (modified version of the Los Angeles classification) diagnoses as the gold standard. Results. The SUVmax ranged from 1.30 to 3.40 in normal subjects and from 1.30 to 4.00 in subjects with gastroesophageal reflux esophagitis. In the esophagitis group, the SUVmax was 2.13±0.42 in subjects with modified LA grade M, 2.21±0.45 in subjects with LA grade A, and 2.48±0.44 in subjects with LA grade B and C gastroesophageal reflux esophagitis. One-way ANOVA and post-hoc comparison with Bonferroni correction (P value = 0.003) identified statistical differences between the three groups. Conclusion. Noninvasive FDG-PET may be useful in the detection and evaluation of various degrees of gastroesophageal reflux esophagitis.

The response of thin polymer gel cassettes (called NIPAM gels) to ionizing radiation was investigated in this study. The NIPAM gels were prepared from gelatin, N-isopropyl acrylamide, tetrakis (hydroxymethyl) phosphoniumchloride, and N,N'-methylene-bis-acrylamide. Gel cassettes were irradiated in a phantom using a linear accelerator, and the polymerization morphology of irradiated NIPAM gel was characterized using scanning electron microscopy. The dose-response sensitivity of the NIPAM gels was evaluated using the differences in optical densities. The optical densities were obtained using a computer-controlled CCD camera that was connected to a planar illumination source for acquisition of optical transmission images. The central axis depth dose profiles of the phantom were extracted, and a comparison with ionization chamber measurements demonstrated similarities in profiles. The sensitivity, linearity of the response, accuracy, and reproducibility of the polymer gel cassettes were acceptable. However, the profiles of the half-blocked field irradiation showed no significant dispersion in the visible region. This study also extensively investigated the spatial stability of the NIPAM gel. The results showed that the gel cassette response remains stable for up to three months after irradiation.

The climate simulation frontier of a global storm-resolving model (GSRM; or k-scale model because of its kilometer-scale horizontal resolution) is deployed for climate change simulations. The climate sensitivity, effective radiative forcing, and relative humidity changes are assessed in multiyear atmospheric GSRM simulations with perturbed sea-surface temperatures and/or carbon dioxide concentrations. Our comparisons to conventional climate model results can build confidence in the existing climate models or highlight important areas for additional research. This GSRM's climate sensitivity is within the range of conventional climate models, although on the lower end as the result of neutral, rather than amplifying, shortwave feedbacks. Its radiative forcing from carbon dioxide is higher than conventional climate models, and this arises from a bias in climatological clouds and an explicitly simulated high-cloud adjustment. Last, the pattern and magnitude of relative humidity changes, simulated with greater fidelity via explicitly resolving convection, are notably similar to conventional climate models. [ABSTRACT FROM AUTHOR]