16 research outputs found

    Impact of climate change on hydrological regimes and water resource management in the Rhine basin”,

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    Abstract. The International Commission for the Hydrology of the Rhine basin (CHR) has carried out a research project to assess the impact of climate change on the river flow conditions in the Rhine basin. Along a bottom-up line, different detailed hydrological models with hourly and daily time steps have been developed for representative sub-catchments of the Rhine basin. Along a topdown line, a water balance model for the entire Rhine basin has been developed, which calculates monthly discharges and which was tested on the scale of the major tributaries of the Rhine. Using this set of models, the effects of climate change on the discharge regime in different parts of the Rhine basin were calculated using the results of UKHI and XCCC GCM-experiments. All models indicate the same trends in the changes: higher winter discharge as a result of intensified snow-melt and increased winter precipitation, and lower summer discharge due to the reduced winter snow storage and an increase of evapotranspiration. When the results are considered in more detail, however, several differences show up. These can firstly be attributed to different physical characteristics of the studied areas, but different spatial and temporal scales used in the modelling and different representations of several hydrological processes (e.g., evapotranspiration, snow melt) are responsible for the differences found as well. Climate change can affect various socio-economic sectors. Higher temperatures may threaten winter tourism in the lower winter sport areas. The hydrological changes will increase flood risk during winter, whilst low flows during summer will adversely affect inland navigation, and reduce water availability for agriculture and industry. Balancing the required actions against economic cost and the existing uncertainties in the climate change scenarios, a policy of 'noregret and flexibility' in water management planning and design is recommended, where anticipatory adaptive measures in response to climate change impacts are undertaken in combination with ongoing activities. Present address

    Previous Lung Diseases and Lung Cancer Risk: A Systematic Review and Meta-Analysis

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    In order to review the epidemiologic evidence concerning previous lung diseases as risk factors for lung cancer, a meta-analysis and systematic review was conducted.Relevant studies were identified through MEDLINE searches. Using random effects models, summary effects of specific previous conditions were evaluated separately and combined. Stratified analyses were conducted based on smoking status, gender, control sources and continent.A previous history of COPD, chronic bronchitis or emphysema conferred relative risks (RR) of 2.22 (95% confidence interval (CI): 1.66, 2.97) (from 16 studies), 1.52 (95% CI: 1.25, 1.84) (from 23 studies) and 2.04 (95% CI: 1.72, 2.41) (from 20 studies), respectively, and for all these diseases combined 1.80 (95% CI: 1.60, 2.11) (from 39 studies). The RR of lung cancer for subjects with a previous history of pneumonia was 1.43 (95% CI: 1.22-1.68) (from 22 studies) and for subjects with a previous history of tuberculosis was 1.76 (95% CI=1.49, 2.08), (from 30 studies). Effects were attenuated when restricting analysis to never smokers only for COPD/emphysema/chronic bronchitis (RR=1.22, 0.97-1.53), however remained significant for pneumonia 1.36 (95% CI: 1.10, 1.69) (from 8 studies) and tuberculosis 1.90 (95% CI: 1.45, 2.50) (from 11 studies).Previous lung diseases are associated with an increased risk of lung cancer with the evidence among never smokers supporting a direct relationship between previous lung diseases and lung cancer

    Prise en charge des voies aériennes – 1re partie – Recommandations lorsque des difficultés sont constatées chez le patient inconscient/anesthésié

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    Decision Making during International Crises

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    This study investigated the hypothesis that high-quality decision-making procedures during crises are associated with better crisis outcomes than are defective decision-making procedures. Presidential decision making during 19 international crises since World War II was examined for seven symptoms of defective decision making proposed by Janis and Mann (1977). Crisis outcomes were rated by outside experts in terms of their effect on U.S. vital interests and on international conflict. Results indicated that crisis outcomes tended to have more adverse effects on U.S. interests and were more likely to increase international conflict when the decision-making process was characterized by a large number of symptoms. Alternative explanations are considered and the implications of these results for improving decision makers' procedures are discussed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66832/2/10.1177_0022002787031002001.pd
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