Net precipitation over the Baltic Sea for one year using several methods

Precipitation and evaporation over the Baltic Sea are calculated for a one-year period from September 1998 to August 1999 by four different tools, the two atmospheric regional models HIRLAM and REMO, the oceanographic model PROBE-Baltic in combination with the SMHI (1 × 1)° database and Interpolated Fields, based essentially on ship measurements. The investigated period is slightly warmer and wetter than the climatological mean. Correlation coefficients of the differently calculated latent heat fluxes vary between 0.81 (HIRLAM and REMO) and 0.56 (SMHI/PROBE-Baltic and Interpolated Fields), while the correlation coefficients between model fluxes and measured fluxes range from 0.61 and 0.78. Deviations of simulated and interpolated monthly precipitation over the Baltic Sea are less than ±5 mm in the southern Baltic and up to 20 mm near the Finnish coast for the one-year period. The methods simulate the annual cycle of precipitation and evaporation of the Baltic Proper in a similar manner with a broad maximum of net precipitation in spring and early summer and a minimum in late summer. The annual averages of net precipitation of the Baltic Proper range from 57 mm (REMO) to 262 mm (HIRLAM) and for the Baltic Sea from 96 mm (SMHI/PROBE-Baltic) to 209 mm (HIRLAM). This range is considered to give the uncertainty of present-day determination of the net precipitation over the Baltic Sea

Determinants of patient satisfaction in ambulatory oncology: a cross sectional study based on the OUT-PATSAT35 questionnaire

<p>Abstract</p> <p>Background</p> <p>The aim of this study was to identify factors associated with satisfaction with care in cancer patients undergoing ambulatory treatment. We investigated associations between patients' baseline clinical and socio-demographic characteristics, as well as self-reported quality of life, and satisfaction with care.</p> <p>Methods</p> <p>Patients undergoing ambulatory chemotherapy or radiotherapy in 2 centres in France were invited, at the beginning of their treatment, to complete the OUT-PATSAT35, a 35 item and 13 scale questionnaire evaluating perception of doctors, nurses and aspects of care organisation. Additionally, for each patient, socio-demographic variables, clinical characteristics and self-reported quality of life using the EORTC QLQ-C30 questionnaire were recorded.</p> <p>Results</p> <p>Among 692 patients included between January 2005 and December 2006, only 6 were non-responders. By multivariate analysis, poor perceived global health strongly predicted dissatisfaction with care (<it>p </it>< 0.0001). Patients treated by radiotherapy (vs patients treated by chemotherapy) reported lower levels of satisfaction with doctors' technical and interpersonal skills, information provided by caregivers, and waiting times. Patients with primary head and neck cancer (vs other localisations), and those living alone were less satisfied with information provided by doctors, and younger patients (< 55 years) were less satisfied with doctors' availability.</p> <p>Conclusions</p> <p>A number of clinical of socio-demographic factors were significantly associated with different scales of the satisfaction questionnaire. However, the main determinant was the patient's global health status, underlining the importance of measuring and adjusting for self-perceived health status when evaluating satisfaction. Further analyses are currently ongoing to determine the responsiveness of the OUT-PATSAT35 questionnaire to changes over time.</p