Superiority of Dynamic Weights against Fixed Weights in Merging Multi-Satellite Precipitation Datasets over Pakistan

Data Availability Statement: The data utilized in this study were acquired through purchase from the Pakistan Meteorology Department (PMD) and the Water and Power Development Authority. Information about the data is available at https://www.pmd.gov.pk/en/ (accessed on 1 January 2023) and http://www.wapda.gov.pk/ (accessed on 1 January 2023), respectively.Satellite precipitation products (SPPs) are undeniably subject to uncertainty due to retrieval algorithms and sampling issues. Many research efforts have concentrated on merging SPPs to create high-quality merged precipitation datasets (MPDs) in order to reduce these uncertainties. This study investigates the efficacy of dynamically weighted MPDs in contrast to those using static weights. The analysis focuses on comparing MPDs generated using the “dynamic clustered Bayesian averaging (DCBA)” approach with those utilizing the “regional principal component analysis (RPCA)” under fixed-weight conditions. These MPDs were merged from SPPs and reanalysis precipitation data, including TRMM (Tropical Rainfall Measurement Mission) Multi-satellite Precipitation Analysis (TMPA) 3B42V7, PERSIANN-CDR, CMORPH, and the ERA-Interim reanalysis precipitation data. The performance of these datasets was evaluated in Pakistan’s diverse climatic zones—glacial, humid, arid, and hyper-arid—employing data from 102 rain gauge stations. The effectiveness of the DCBA model was quantified using Theil’s U statistic, demonstrating its superiority over the RPCA model and other individual merging methods in the study area The comparative performances of DCBA and RPCA in these regions, as measured by Theil’s U, are 0.49 to 0.53, 0.38 to 0.45, 0.37 to 0.42, and 0.36 to 0.43 in glacial, humid, arid, and hyper-arid zones, respectively. The evaluation of DCBA and RPCA compared with SPPs at different elevations showed poorer performance at high altitudes (>4000 m). The comparison of MPDs with the best performance of SPP (i.e., TMPA) showed significant improvement of DCBA even at altitudes above 4000 m. The improvements are reported as 49.83% for mean absolute error (MAE), 42.31% for root-mean-square error (RMSE), 27.94% for correlation coefficient (CC), 40.15% for standard deviation (SD), and 13.21% for Theil’s U. Relatively smaller improvements are observed for RPCA at 13.04%, 1.56%, 10.91%, 1.67%, and 5.66% in the above indices, respectively. Overall, this study demonstrated the superiority of DCBA over RPCA with static weight. Therefore, it is strongly recommended to use dynamic variation of weights in the development of MPDs.National Natural Science Foundation of China (grant numbers 51839006 and 52250410336)

Post-acute COVID syndrome (long COVID): What should radiographers know and the potential impact for imaging services

This is the final version. Available on open access from Elsevier via the DOI in this recordOBJECTIVES: The COVID-19 pandemic caused an unprecedented health crisis resulting in over 6 million deaths worldwide, a figure, which continues to grow. In addition to the excess mortality, there are individuals who recovered from the acute stages, but suffered long-term changes in their health post COVID-19, commonly referred to as long COVID. It is estimated there are currently 1.8 million long COVID sufferers by May 2022 in the UK alone. The aim of this narrative literature review is to explore the signs, symptoms and diagnosis of long COVID and the potential impact on imaging services. KEY FINDINGS: Long COVID is estimated to occur in 9.5% of those with two doses of vaccination and 14.6% if those with a single dose or no vaccination. Long COVID is defined by ongoing symptoms lasting for 12 or more weeks post acute infection. Symptoms are associated with reductions in the quality of daily life and may involve multisystem manifestations or present as a single symptom. CONCLUSION: The full impact of long COVID on imaging services is yet to be realised, but there is likely to be significant increased demand for imaging, particularly in CT for the assessment of lung disease. Educators will need to include aspects related to long COVID pathophysiology and imaging presentations in curricula, underpinned by the rapidly evolving evidence base. IMPLICATIONS FOR PRACTICE: Symptoms relating to long COVID are likely to become a common reason for imaging, with a particular burden on Computed Tomography services. Planning, education and updating protocols in line with a rapidly emerging evidence base is going to be essential

Evaluation of internet access and utilization by medical students in Lahore, Pakistan

<p>Abstract</p> <p>Background</p> <p>The internet is increasingly being used worldwide in imparting medical education and improving its delivery. It has become an important tool for healthcare professionals training but the data on its use by medical students in developing countries is lacking with no study on the subject from Pakistan. This study was, therefore, carried out with an aim to evaluate the pattern of internet access and utilization by medical students in Pakistan.</p> <p>Methods</p> <p>A structured pre-tested questionnaire was administered to a group of 750 medical students in clinical years studying at various public and private medical colleges in Lahore. The questions were related to patterns of internet access, purpose of use and self reported confidence in performing various internet related tasks, use of health related websites to supplement learning and the problems faced by students in using internet at the institution.</p> <p>Results</p> <p>A total of 532 medical students (70.9%) returned the questionnaire. The mean age of study participants was 21.04 years (SD 1.96 years). Majority of the respondents (84.0%) reported experience with internet use. About half of the students (42.1%) were using internet occasionally with 23.1%, 20.9% and 13.9% doing so frequently, regularly and rarely respectively. About two third of the students (61.0%) stated that they use internet for both academic and professional activities. Most of the participants preferred to use internet at home (70.5%). Self reported ability to search for required article from PubMed and PakMedinet was reported by only 34.0% of the entire sample. Students were moderately confident in performing various internet related tasks including downloading medical books from internet, searching internet for classification of diseases and downloading full text article. Health related websites were being accessed by 55.1% students to supplement their learning process. Lack of time, inadequate number of available computers and lack of support from staff were cited as the most common problems faced by students while accessing internet in the institution premises. There were significant differences among male and female students with respect to the place of internet use (p = 0.001) and the ability to search online databases for required articles (p = 0.014).</p> <p>Conclusions</p> <p>Majority of the medical students in this study had access to internet and were using it for both academic and personal reasons. Nevertheless, it was seen that there is under utilization of the potential of internet resources to augment learning. Increase in awareness, availability of requisite facilities and training in computing skills are required to enable better utilization of digital resources of digital resources by medical students.</p

Intravenous magnesium prevents atrial fibrillation after coronary artery bypass grafting: a meta-analysis of 7 double-blind, placebo-controlled, randomized clinical trials

<p>Abstract</p> <p>Background</p> <p>Postoperative atrial fibrillation (POAF) is the most common complication after coronary artery bypass grafting (CABG). The preventive effect of magnesium on POAF is not well known. This meta-analysis was undertaken to assess the efficacy of intravenous magnesium on the prevention of POAF after CABG.</p> <p>Methods</p> <p>Eligible studies were identified from electronic databases (Medline, Embase, and the Cochrane Library). The primary outcome measure was the incidence of POAF. The meta-analysis was performed with the fixed-effect model or random-effect model according to heterogeneity.</p> <p>Results</p> <p>Seven double-blind, placebo-controlled, randomized clinical trials met the inclusion criteria including 1,028 participants. The pooled results showed that intravenous magnesium reduced the incidence of POAF by 36% (RR 0.64; 95% confidence interval (CI) 0.50-0.83; <it>P </it>= 0.001; with no heterogeneity between trials (heterogeneity <it>P </it>= 0.8, <it>I</it>²= 0%)).</p> <p>Conclusions</p> <p>This meta-analysis indicates that intravenous magnesium significantly reduces the incidence of POAF after CABG. This finding encourages the use of intravenous magnesium as an alternative to prevent POAF after CABG. But more high quality randomized clinical trials are still need to confirm the safety.</p