Global navigation satellite system (GNSS) radio occultation (RO) receivers onboard the recently-launched COSMIC-2 (C2) satellite constellation provide an unprecedented number of high vertical resolution moisture profiles throughout the tropical and subtropical atmosphere. In this study, the distribution and variability of water vapor was investigated using specific humidity retrievals from C2 observations and compared to collocated ERA5 and MERRA-2 reanalysis profiles within 40°N to 40°S from September to December 2019, which is prior to the assimilation of C2 in the reanalyses. Negative C2 moisture biases are evident within the boundary layer, so we focused on levels above the boundary layer in this study. Overall, C2 specific humidity shows excellent agreement with that of ERA5 and has larger differences with that of MERRA-2. In the tropical mid-troposphere, C2 shows positive biases compared to ERA5 (6–12%) and larger negative biases with MERRA-2 (15–30%). Strong correlations are observed between C2 and reanalysis specific humidity in the subtropics (>0.8) whereas correlations are slightly weaker in the deep tropics, especially for MERRA-2. Profile pairs with large moisture differences often occur in areas with sharp moisture gradients, highlighting the importance of measurement resolution. Locations which demonstrated weaker humidity correlations in active convection regions show that ERA5 has a negative specific humidity bias at 3 km in higher moisture environments, whereas MERRA-2 displays a large positive bias at 7 km. However, additional explanations for profile pairs with large moisture differences remain unclear and require further study.

The eruption of the Hunga Tonga–Hunga Ha’apai (HTHH) volcano on 15 January 2022 injected large amounts of water vapor (H₂O) directly into the stratosphere. While normal background levels of stratospheric H₂O are not detectable in radio occultation (RO) measurements, effects of the HTHH eruption are clearly observed as anomalous refractivity profiles from COSMIC-2, suggesting the possibility of detecting the HTHH H₂O signal. To separate temperature and H₂O effects on refractivity, we use co-located temperature observations from the Microwave Limb Sounder (MLS) to constrain a simplified H₂O retrieval. Our results show enhancements of H₂O up to ~2500–3500 ppmv in the stratosphere (~29–33 km) in the days following the HTHH eruption, with propagating patterns that follow the dispersing volcanic plume. The stratospheric H₂O profiles derived from RO are in reasonable agreement with limited radiosonde observations over Australia. The H₂O profiles during the first few days after the eruption show descent of the plume at a rate of ~−1 km/day, likely due to strong radiative cooling (~−10 K/day) induced by high H₂O concentrations; slower descent (~−200 m/day) is observed over the following week as the plume disperses. The total mass of H₂O injected by HTHH is estimated as 110 ± 14 Tg from measurements in the early plumes during 16–18 January, which equates to approximately 8% of the background global mass of stratospheric H₂O. These RO measurements provide novel quantification of the unprecedented H₂O amounts and the plume evolution during the first week after the HTHH eruption.

Lapse rate tropopause (LRT) heights in the extratropics have been shown to display a bimodal distribution, with one modal maxima above 15 km (typical of the tropical tropopause) and the other below 13 km (typical of the extratropical tropopause). The climatology of the tropopause is studied by characterizing tropopause bimodality and how it relates to the occurrence of double tropopauses (DTs). LRT heights are derived from Constellation Observing System for Meteorology, Ionosphere, and Climate (COSMIC) GPS Radio Occultation temperature profiles from 2006 to 2017. Tropopause bimodality occurs most frequently within a subtropical band (20°–40°) in both hemispheres. A distinct seasonality is observed as bimodality occurs most frequently in winter except for another local maximum along the northern edge of the Asian summer monsoon. The regions with a bimodal height distribution nearly overlap the regions that experience a high frequency of DTs. DTs occur most frequently in winter (50%–70% of the time) along the poleward edge of the bimodal band, and most LRT heights are within the extratropical mode (>80%), whereas DT occurrence decreases quickly toward the equatorward edge (<20%) along with fewer LRT heights in the extratropical mode (<50%). These results indicate that LRT height bimodality occurs along the equatorward edge due to the occurrences of double tropopauses, while the poleward edge is due to single tropopause profiles that are more tropical in nature.

Interannual variability of tropospheric moisture and temperature are key aspects of Earth’s climate. In this study, monthly mean specific humidity (q) and temperature (T) variability is analyzed using 12 years of COSMIC-1 (C1) radio occultation retrievals between 60°N and 60°S, with a focus on the tropics. C1 retrievals are relatively independent of the a priori values for q and T within the lower/middle troposphere and upper troposphere/lower stratosphere, respectively. Tropical interannual variability is dominated by El Niño–Southern Oscillation (ENSO). Systematic increases and decreases in zonal mean q and T are observed during the 2009/10 and 2015/16 El Niño events and 2007/08 and 2010/11 La Niña events, respectively. ENSO patterns in q and T are isolated using linear regression, and anomaly magnitudes increase with altitude, reaching a maximum in the upper troposphere. Upper-tropospheric q anomalies expand from the tropics into the midlatitude lower stratosphere, and the T vertical structure is consistent with a moist adiabatic response. C1 results are compared with NCAR’s Whole Atmosphere Community Climate Model (WACCM), forced by observed sea surface temperatures, to evaluate model behavior in an idealized setting. WACCM ENSO variations in q and T generally show consistent behavior with C1 with somewhat smaller magnitudes. Case studies are conducted for major ENSO events during the study period. The spatial variability of q is closely aligned with outgoing longwave radiation (OLR) anomalies. For example, midtropospheric q increases over 100% and OLR decreases over 50 W m⁻² over the central Pacific during the 2015/16 El Niño, and substantial regional q and T anomalies are observed throughout the tropics and midlatitudes for each event.

OBJECTIVE: Bladder dysfunction after nerve injury has a variable presentation, and extent of injury determines whether the bladder is spastic or atonic. The authors have proposed a series of 3 nerve transfers for functional innervation of the detrusor muscle and external urethral sphincter, along with sensory innervation to the genital dermatome. These transfers are applicable to only cases with low spinal segment injuries (sacral nerve root function is lost) and largely preserved lumbar function. Transfer of the posterior branch of the obturator nerve to the vesical branch of the pelvic nerve provides a feasible mechanism for patients to initiate detrusor contraction by thigh adduction. External urethra innervation (motor and sensory) may be accomplished by transfer of the vastus medialis nerve to the pudendal nerve. The sensory component of the pudendal nerve to the genitalia may be further enhanced by transfer of the saphenous nerve (sensory) to the pudendal nerve. The main limitations of coapting the nerve donors to their intrapelvic targets are the bifurcation or arborization points of the parent nerve. To ensure that the donor nerves had sufficient length and diameter, the authors sought to measure these parameters. METHODS: Twenty-six pelvic and anterior thigh regions were dissected in 13 female cadavers. After the graft and donor sites were clearly exposed and the branches identified, the donor nerves were cut at suitable distal sites and then moved into the pelvis for tensionless anastomosis. Diameters were measured with calipers. RESULTS: The obturator nerve was bifurcated a mean ± SD (range) of 5.5 ± 1.7 (2.0–9.0) cm proximal to the entrance of the obturator foramen. In every cadaver, the authors were able to bring the posterior division of the obturator nerve to the vesical branch of the pelvic nerve (located internal to the ischial spine) in a tensionless manner with an excess obturator nerve length of 2.0 ± 1.2 (0.0–5.0) cm. The distance between the femoral nerve arborization and the anterior superior iliac spine was 9.3 ± 1.8 (6.5–15.0) cm, and the distance from the femoral arborization to the ischial spine was 12.9 ± 1.4 (10.0–16.0) cm. Diameters were similar between donor and recipient nerves. CONCLUSIONS: The chosen donor nerves were long enough and of sufficient caliber for the proposed nerve transfers and tensionless anastomosis.