9 research outputs found
Performance of Landsat-8 and Sentinel-2 Surface Reflectance Products for River Remote Sensing Retrievals of Chlorophyll-A and Turbidity
Rivers and other freshwater systems play a crucial role in ecosystems, industry, transportation and agriculture. Despite the more than 40 years of inland water observations made possible by optical remote sensing, a standardized reflectance product for inland waters is yet forthcoming. The aim of this work is to compare the standard USGS land surface reflectance product to two Landsat-8 and Sentinel-2 aquatic remote sensing reflectance products over the Amazon, Columbia and Mississippi rivers. Landsat-8 reflectance products from all three routines are then evaluated for their comparative performance in retrieving chlorophyll-a and turbidity in reference to shipborne, underway in situ validation measurements. The land surface product shows the best agreement (4 percent Mean Absolute Percent Difference) with field measurements of radiometry collected on the Amazon River and generates 36 percent higher reflectance values in the visible bands compared to aquatic methods (ACOLITE (Atmospheric Correction for OLI (Operational Land Imager) 'lite') and SeaDAS (Sea-viewing Wide Field-of-View Sensor (SeaWiFS) Data Analysis System)) with larger differences between land and aquatic products observed in Sentinel-2 (0.01 per steraradian) compared to Landsat-8 (0.001 per steraradian). Choice of atmospheric correction routine can bias Landsat-8 retrievals of chlorophyll-a and turbidity by as much as 59 percent and 35 percent respectively. Using a more restrictive time window for matching in situ and satellite imagery can reduce differences by 531 percent depending on correction technique. This work highlights the challenges of satellite retrievals over rivers and underscores the need for future optical and biogeochemical research aimed at improving our understanding of the absorbing and scattering properties of river water and their relationships to remote sensing reflectance
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprungâs disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprungâs disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36â39) and median bodyweight at presentation was 2·8 kg (2·3â3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
pâ€0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88â4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59â2·79], p<0·0001), sepsis at presentation (1·20
[1·04â1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4â5 vs ASA 1â2, 1·82 [1·40â2·35], p<0·0001; ASA 3 vs ASA 1â2, 1·58, [1·30â1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02â1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41â2·71], p=0·0001; parenteral nutrition 1·35, [1·05â1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47â0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50â0·86], p=0·0024) or percutaneous central line (0·69 [0·48â1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Uso de imagens LISS-III para a caracterização espectral da pluma do Rio ParaĂba do Sul
River plumes are responsible for discarding organic matter and inorganic particulate sediment in the adjacent coastal region. According to the kind of optically active constituents and environmental interaction such as winds and precipitation, this discharged material shows distinct spectral response, making possible the acquisition of information through remote sensing. The LISS-III sensor onboard the Indian Resourcesat 1 satellite has similar features such as the Landsat 5 TM sensor, representing a viable alternative for the continuity of many remote sensing applications mainly after Landsat 5 ended operation in 2012. This work aimed to use LISS-III images to characterize the optically active constituents associated with the River Paraiba do Sul plume. As far as we know, this is the first time that LISS-III is used for this kind of research in Brazil. Geographical, radiometric and atmospheric corrections were applied to four LISS-III images and hereafter were classified using the Maximum Likelihood and Linear Spectral Unmixing methods. The results showed that the LISS-III sensor provides useful images to be used to study the water body of the river plume. The resulting classes from the Maximum Likelihood classification were well defined and separated and the Linear Spectral Unmixing method helped to achieve a qualitative description of the spatial distribution of the optically active components. In conclusion, the plume of River Paraiba do Sul is mainly dominated by inorganic suspended particles and chlorophyll-a.Pages: 5353-536
Correlação de dados de reflectùncia de sensoriamento remoto estimados com dados do sensor MODIS e medidas in situ
The parameter of remote sensing reflectance (Rsr) provides quantitative and qualitative information of optically active components (OACs) in the studied water body. This parameter establishes a relationship between the images generated by sensors aboard of satellites and the in situ OACs. Among the multispectral sensors, the MODIS sensor on the Aqua platform is the most appropriate, specially the product of surface reflectance. Therefore, the objective of this research was to use measures of Rsr obtained in situ and by the product MYD09 to acquire information about the OACs present in the Manso Reservoir, Mato Grosso, Brazil. To perform this study it was made an linear spectral mixing model (LSMM) on the image composition of the product MYD09, referring to the days of in situ collection of reflectance spectrum. It were generated polynomial regressions with the values of Rsr obtained by satellite and in situ as well as measurements of concentration of chlorophyll-a (chla). The results showed that with the use of the LSMM on the composition of MYD09 it was possible to classify the water of the reservoir. Also showed that the in situ Rsr simulated to the MODIS bands agree reasonably well with those obtained by the MYD09. It was also observed that the MYD09 near infrared band with a resolution of 250 showed good results to observe the presence of chl-a in the Manso Reservoir.Pages: 5100-510
Variabilidade dos dados da bóia SIMA analisados pelo Operador de Fragmentação Assimétrico
The water quality in tropical reservoirs of Brazil has generally shown large changes in their trophic states, depending on the use and occupation of its river basis. To understand these changes and the ecological processes involved it is necessary to monitor the water quality of these ecossystems. It is important to register the temporal and spatial variability noting the various mechanisms of the water systems and drainage basin details. However, ecological data can be difficult to analyze due to complexity presented in the ecological systems with its non-linear variables. Thus, efficient methods are required to understand the information extracted out of the complex data and build an ecological prediction model. In this paper, two techniques are presented: Wavelet Transform (WT) and Asymmetric Fragmentation Operator (FA). These techniques were used to analyze the data obtained in 2007 from an eulerian buoy anchored in the Manso Reservoir, MT, Brazil. Observations showed that, due the short period analyzed, the WT technique was not appropriate in this case. All WT generated have little variation and low energy levels. On the other hand, the FA results displayed a positive geometrical relationship between chlorophyll-a, intensity and wind direction. Thus the use of FA in this study proved to be a useful tool to study the variability of parameters of water quality parameters in a tropical reservoir.Pages: 5108-511
Using CDOM optical properties for estimating DOC concentrations and pCO2 in the lower Amazon river
Coloured dissolved organic matter (CDOM) is one of the major contributors to the absorption budget of most freshwaters and can be used as a proxy to assess non-optical carbon fractions such as dissolved organic carbon (DOC) and the partial pressure of carbon dioxide (pCO2). Nevertheless, riverine studies that explore the former relationships are still relatively scarce, especially within tropical regions. Here we document the spatial-seasonal variability of CDOM, DOC and pCO2, and assess the potential of CDOM absorption coefficient (aCDOM(412)) for estimating DOC concentration and pCO2 along the Lower Amazon River. Our results revealed differences in the dissolved organic matter (DOM) quality between clearwater (CW) tributaries and the Amazon River mainstream. A linear relationship between DOC and CDOM was observed when tributaries and mainstream are evaluated separately (Amazon River: N = 42, R2 = 0.74, p<0.05; CW: N = 13, R2 = 0.57, p<0.05). However, this linear relationship was not observed during periods of higher rainfall and river discharge, requiring a specific model for these time periods to be developed (N = 25, R2 = 0.58, p<0.05). A strong linear positive relation was found between aCDOM(412) and pCO2(N = 69, R2 = 0.65, p<0.05) along the lower river. pCO2 was less affected by the optical difference between tributaries and mainstream waters or by the discharge conditions when compared to CDOM to DOC relationships. Including the river water temperature in the model improves our ability to estimate pCO(2) (N = 69; R2 = 0.80, p<0.05). The ability to assess both DOC and pCO2 from CDOM optical properties opens further perspectives on the use of ocean colour remote sensing data for monitoring carbon dynamics in large running water systems worldwide
Evolution over Time of Ventilatory Management and Outcome of Patients with Neurologic Diseaseâ
OBJECTIVES: To describe the changes in ventilator management over time in patients with neurologic disease at ICU admission and to estimate factors associated with 28-day hospital mortality. DESIGN: Secondary analysis of three prospective, observational, multicenter studies. SETTING: Cohort studies conducted in 2004, 2010, and 2016. PATIENTS: Adult patients who received mechanical ventilation for more than 12 hours. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Among the 20,929 patients enrolled, we included 4,152 (20%) mechanically ventilated patients due to different neurologic diseases. Hemorrhagic stroke and brain trauma were the most common pathologies associated with the need for mechanical ventilation. Although volume-cycled ventilation remained the preferred ventilation mode, there was a significant (p < 0.001) increment in the use of pressure support ventilation. The proportion of patients receiving a protective lung ventilation strategy was increased over time: 47% in 2004, 63% in 2010, and 65% in 2016 (p < 0.001), as well as the duration of protective ventilation strategies: 406 days per 1,000 mechanical ventilation days in 2004, 523 days per 1,000 mechanical ventilation days in 2010, and 585 days per 1,000 mechanical ventilation days in 2016 (p < 0.001). There were no differences in the length of stay in the ICU, mortality in the ICU, and mortality in hospital from 2004 to 2016. Independent risk factors for 28-day mortality were age greater than 75 years, Simplified Acute Physiology Score II greater than 50, the occurrence of organ dysfunction within first 48 hours after brain injury, and specific neurologic diseases such as hemorrhagic stroke, ischemic stroke, and brain trauma. CONCLUSIONS: More lung-protective ventilatory strategies have been implemented over years in neurologic patients with no effect on pulmonary complications or on survival. We found several prognostic factors on mortality such as advanced age, the severity of the disease, organ dysfunctions, and the etiology of neurologic disease
Rare predicted loss-of-function variants of type I IFN immunity genes are associated with life-threatening COVID-19
BackgroundWe previously reported that impaired type I IFN activity, due to inborn errors of TLR3- and TLR7-dependent type I interferon (IFN) immunity or to autoantibodies against type I IFN, account for 15-20% of cases of life-threatening COVID-19 in unvaccinated patients. Therefore, the determinants of life-threatening COVID-19 remain to be identified in similar to 80% of cases.MethodsWe report here a genome-wide rare variant burden association analysis in 3269 unvaccinated patients with life-threatening COVID-19, and 1373 unvaccinated SARS-CoV-2-infected individuals without pneumonia. Among the 928 patients tested for autoantibodies against type I IFN, a quarter (234) were positive and were excluded.ResultsNo gene reached genome-wide significance. Under a recessive model, the most significant gene with at-risk variants was TLR7, with an OR of 27.68 (95%CI 1.5-528.7, P=1.1x10(-4)) for biochemically loss-of-function (bLOF) variants. We replicated the enrichment in rare predicted LOF (pLOF) variants at 13 influenza susceptibility loci involved in TLR3-dependent type I IFN immunity (OR=3.70[95%CI 1.3-8.2], P=2.1x10(-4)). This enrichment was further strengthened by (1) adding the recently reported TYK2 and TLR7 COVID-19 loci, particularly under a recessive model (OR=19.65[95%CI 2.1-2635.4], P=3.4x10(-3)), and (2) considering as pLOF branchpoint variants with potentially strong impacts on splicing among the 15 loci (OR=4.40[9%CI 2.3-8.4], P=7.7x10(-8)). Finally, the patients with pLOF/bLOF variants at these 15 loci were significantly younger (mean age [SD]=43.3 [20.3] years) than the other patients (56.0 [17.3] years; P=1.68x10(-5)).ConclusionsRare variants of TLR3- and TLR7-dependent type I IFN immunity genes can underlie life-threatening COVID-19, particularly with recessive inheritance, in patients under 60 years old