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A basinwide warming (cooling) in the Indian Ocean is observed following the El Niñ o (La Niñ a) mature phase, with the amplitude of the warming being significantly larger than the cooling. A composite analysis reveals that the amplitude asymmetry (positive skewness) between the warm and cold Indian Ocean basinwide sea surface temperature anomaly pattern (IOB) appears only when ENSO is concurrent with the Indian Ocean dipole (IOD). The amplitude asymmetry becomes insignificant during the ENSO-only and the IOD-only events.The physical mechanism for the amplitude asymmetry is investigated by analyzing the mixed layer heat budget based on the Simple Ocean Data Assimilation (SODA) 2.0.2 data. It is found that the positive skewness in the IOD west pole (IODW) is mainly caused by the asymmetry of ocean temperature advection, whereas the positive skewness in the IOD east pole (IODE) is caused by the asymmetry of the surface heat flux anomaly (primarily shortwave radiation) in response to the ENSO remote forcing.The asymmetry of the mixed layer depth (MLD) between warm and cold events is another factor contributing to the IOB positive skewness. The MLD in IODE during the warm events (27 m) is shallower than that of the cold events (45 m), resulting a larger (smaller) temperature tendency during the warm (cold) events. In contrast, the MLD in IODW during the warm events (44 m) is deeper than that of the cold events (37 m). Because the positive skewness in IODW is caused by the ocean temperature advection and the surface heat flux plays a damping role, a larger (smaller) MLD leads to a weaker (stronger) thermodynamic damping. Thus the asymmetry of MLD in both IODE and IODW favors a greater basinwide warming than cooling.

BackgroundSterile larvae—maggots of the green bottle blowfly Lucilia sericata are employed as a treatment tool for various types of chronic wounds. Previous studies reported that excretions/secretions (ES) of the sterile larvae could prevent and remove the biofilms of various species of bacteria. In the present study we assessed the effect of ES from the larvae pretreated with Pseudomonas aeruginosa on the bacteria biofilms.Methods and FindingsWe investigated the effects of ES from the maggot pretreated with P. aeruginosa on the biofilms using microtitre plate assays and on bactericidal effect using the colony-forming unit (CFU) assay. The results showed that only 30 µg of the ES from the pretreated maggots could prevent and degrade the biofilm of P. aeruginosa. However, the CFU count of P. aeruginosa was not decrease when compared to the ES from non pretreated maggots in this study condition. It is suggested that the ES from the pretreated maggot was more effective against biofilm of P. aeruginosa than sterile maggot ES.ConclusionsOur results showed that the maggot ES, especially the bacteria-pretreated larva ES may provide a new insight into the treatment tool of the bacterial biofilms.

Patients undergoing gynecological surgery commonly receive indwelling transurethral Foley catheters, however duration of catheterization is associated with risk of urinary tract infections and other adverse effects. Early removal of catheters is encouraged, however optimal timing postsurgery remains unclear. This quasi-experimental study compared outcomes for women after removal of a Foley catheter at two different times following benign gynecological surgery. Participants received either early catheter removal, within 6 hours of surgery ( n = 38) or standard catheter removal, within 12 to 24 hours of surgery ( n = 45). There were no significant differences in outcomes for discomfort scores or re-catheterization rates between groups. However, the early removal group had a significantly shorter time to first ambulation and shorter hospital stays. Early removal of Foley catheters in patients who underwent gynecological surgery did not increase adverse events. Early removal of catheters after gynecological surgery may decrease re-catheterization rates and increase patient satisfaction.

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