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Ice crystal formation in the mixed-phase region of deep convective clouds can affect the properties of climatically important convectively generated anvil clouds. Small ice crystals in the mixed-phase cloud region can be formed by heterogeneous ice nucleation by ice-nucleating particles (INP) and secondary ice production (SIP) by, for example, the Hallett-Mossop process. We quantify the effects of INP number concentration, the temperature dependence of the INP number concentration at mixedphase temperatures, and the Hallett-Mossop splinter production efficiency on the anvil of an idealised deep convective cloud using a Latin hypercube sampling method, which allows optimal coverage of a multidimensional parameter space, and statistical emulation, which allows us to identify interdependencies between the three uncertain inputs. Our results show that anvil ice crystal number concentration (ICNC) is determined predominately by INP number concentration, with the temperature dependence of ice-nucleating aerosol activity having a secondary role. Conversely, ice crystal size is determined predominately by the temperature dependence of ice-nucleating aerosol activity, with INP number concentration having a secondary role. This is because in our simulations ICNC is predominately controlled by the number concentration of cloud droplets reaching the homogeneous freezing level which is in turn determined by INP number concentrations at low temperatures. Ice crystal size however is more strongly affected by the amount of liquid available for riming and the time available for deposition growth which is determined by INP number concentrations at higher temperatures. This work indicates that the amount of ice particle production by the Hallett-Mossop process is determined jointly by the prescribed Hallett-Mossop splinter production efficiency and the temperature dependence of ice-nucleating aerosol activity. In particular, our sampling of the joint parameter space shows that high rates of SIP do not occur unless the INP parameterisation slope (the temperature dependence of the number concentration of particles which nucleate ice) is shallow, regardless of the prescribed Hallett-Mossop splinter production efficiency. The effect of a shallow INP parameterisation slope and consequently high ice particle production by the Hallett-Mossop process in our simulations leads to a sharp transition to a cloud with extensive glaciation at warm temperatures, higher cloud updrafts, enhanced vertical mass flux and condensate divergence at the outflow level, all of which leads to a larger convectively generated anvil comprised of larger ice crystals. This work highlights the importance of quantifying the full spectrum of INP number concentrations across all mixed-phase altitudes, and the ways in which INP and SIP interact to control anvil properties.

This paper examines the mechanisms responsible for the production of ice in convective clouds influenced by mineral dust. Observations were made in the Ice in Clouds Experiment – Dust (ICE-D) field campaign which took place in the vicinity of Cape Verde during August 2015. Measurements made with instruments on the FAAM aircraft through the clouds on 21 August showed that ice particles were observed in high concentrations at temperatures greater than about −8 °C. Sensitivity studies were performed using existing parametrisation schemes in a cloud model to explore the impact of the freezing onset temperature, the efficiency of freezing, mineral dust as efficient ice nuclei, and multi-thermals on secondary ice production by the rime-splintering process. The simulation with the default Morrison microphysics scheme (Morrison et al., 2005) that involved a single thermal produced a concentration of secondary ice that was much lower than the observed value of total ice number concentration. Relaxing the onset temperature to a higher value, enhancing the freezing efficiency, or combinations of these, increased the secondary ice particle concentration, but not by a sufficient amount. Simulations that involved only dust particles as ice nucleating particles produced a lower concentration of secondary ice particles, since the freezing onset temperature is low. The simulations implicate that a higher concentration of ice nucleating particles with a higher freezing onset temperature may explain some of the observed high concentrations of secondary ice. However, a simulation with two thermals that used the original Morrison scheme without enhancement or relaxation produced the greatest concentration of secondary ice particles. It did so because of the increased time that graupel particles were exposed to significant cloud liquid water content in the Hallett-Mossop temperature zone. The forward-facing camera and measurements of the vertical wind in repeated passes of the same cloud suggested that these tropical clouds contained multiple thermals. Hence, in a similar way to other convective clouds observed elsewhere in the world, it is likely that multi-thermals play an important role in producing very high concentrations of secondary ice particles in some tropical clouds.

Convective cloud systems in the maritime tropics play a critical role in global climate, but accurately representing aerosol interactions within these clouds persists as a major challenge for weather and climate modelling. We quantify the effect of ice-nucleating particles (INPs) on the radiative properties of a complex tropical Atlantic deep convective cloud field using a regional model with an advanced double-moment microphysics scheme. Our results show that the domain-mean daylight outgoing radiation varies by up to 18 W m−2 depending on the chosen INP parameterisation. The key distinction between different INP parameterisations is the temperature dependence of ice formation, which alters the vertical distribution of cloud microphysical processes. The controlling effect of the INP temperature dependence is substantial even in the presence of Hallett–Mossop secondary ice production, and the effects of secondary ice formation depend strongly on the chosen INP parameterisation. Our results have implications for climate model simulations of tropical clouds and radiation, which currently do not consider a link between INP particle type and ice water content. The results also provide a challenge to the INP measurement community, as we demonstrate that INP concentration measurements are required over the full mixed-phase temperature regime, which covers around 10 orders of magnitude.

Convective cloud systems in the maritime tropics play a critical role in global climate, but accurately representing aerosol interactions within these clouds persists as a major challenge for weather and climate modelling. We quantify the effect of ice-nucleating particles (INP) on the radiative properties of a complex Tropical Atlantic deep convective cloud field using a regional model with an advanced double-moment microphysics scheme. Our results show that the domain-mean daylight outgoing radiation varies by up to 18 W m−2 depending on the bio- and physico-chemical properties of INP. The key distinction between different INPs is the temperature dependence of ice formation, which alters the vertical distribution of cloud microphysical processes. The controlling effect of the INP temperature dependence is substantial even in the presence of secondary ice production, and the effects of secondary ice formation depend strongly on the nature of the INP. Our results have implications for climate model simulations of tropical clouds and radiation, which currently do not consider a link between INP particle type and ice water content. The results also provide a challenge to the INP measurement community, since we demonstrate that INP concentration measurements are required over the full mixed-phase temperature regime, which covers around 10 orders of magnitude in INP concentration.

The phenomenon of posttraumatic growth (PTG) and contributing factors were studied in a sample of 10 Iraq and Afghanistan veterans using a phenomenological methodology. Veterans were included in the study if they reported experiencing moderate to high levels of PTG in at least two of the five domains of growth identified in PTG literature. Through semi-structured interviews, participants reported that the factors which mostly contributed to their growth were: (a) remaining connected to veterans or the military, (b) connecting with others and feeling supported by loved ones, (c) working with a counselor, (d) time, and (e) developmental reading. Seven participants reported symptoms of posttraumatic stress disorder (PTSD). The narratives provided by participants indicate the importance for clinicians to ask clients about PTG, in addition to PTSD symptoms. This article concludes with the description of clinical implications for working with veterans who have experienced combat-related trauma, and reco...

We report a case of anomalous right coronary artery from pulmonary artery (ARCAPA), which is a very rare congenital coronary defect. It can be an isolated lesion or associated with congenital cardiac defects such as tetralogy of Fallot or shunt lesions in up to 40' of cases. The clinical presentation varies from asymptomatic to signs of myocardial ischemia, cardiac failure, and/or ventricular arrhythmia. The electrocardiogram can be normal in a significant fraction of the cases. The diagnosis of ARCAPA may be confirmed by cardiac catheterization, computed tomographic angiogram, and cardiac magnetic resonance angiogram. Reimplantation of anomalous coronary artery is the treatment of choice. In the current era, systematic preoperative screening by echo is recommended.