43 research outputs found

    Assessing the sensitivity of modelled water partitioning to global precipitation datasets in a data‐scarce dryland region

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    Precipitation is the primary driver of hydrological models, and its spatial and temporal variability have a great impact on water partitioning. However, in data‐sparse regions, uncertainty in precipitation estimates is high and the sensitivity of water partitioning to this uncertainty is unknown. This is a particular challenge in drylands (semi‐arid and arid regions) where the water balance is highly sensitive to rainfall, yet there is commonly a lack of in situ rain gauge data. To understand the impact of precipitation uncertainty on the water balance in drylands, here we have performed simulations with a process‐based hydrological model developed to characterize the water balance in arid and semi‐arid regions (DRYP: DRYland water Partitioning model). We performed a series of numerical analyses in the Upper Ewaso Ng'iro basin, Kenya driven by three gridded precipitation datasets with different spatio‐temporal resolutions (IMERG, MSWEP, and ERA5), evaluating simulations against streamflow observations and remotely sensed data products of soil moisture, actual evapotranspiration, and total water storage. We found that despite the great differences in the spatial distribution of rainfall across a climatic gradient within the basin, DRYP shows good performance for representing streamflow (KGE >0.6), soil moisture, actual evapotranspiration, and total water storage (r >0.5). However, the choice of precipitation datasets greatly influences surface (infiltration, runoff, and transmission losses) and subsurface fluxes (groundwater recharge and discharge) across different climatic zones of the Ewaso Ng'iro basin. Within humid areas, evapotranspiration does not show sensitivity to the choice of precipitation dataset, however, in dry lowland areas it becomes more sensitive to precipitation rates as water‐limited conditions develop. The analysis shows that the highest rates of precipitation produce high rates of diffuse recharge in Ewaso uplands and also propagate into runoff, transmission losses and, ultimately focused recharge, with the latter acting as the main mechanism of groundwater recharge in low dry areas. The results from this modelling exercise suggest that care must be taken in selecting forcing precipitation data to drive hydrological modelling efforts, especially in basins that span a climatic gradient. These results also suggest that more effort is required to reduce uncertainty between different precipitation datasets, which will in turn result in more consistent quantification of the water balance

    Mouse Chromosome 3

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46995/1/335_2004_Article_BF00648421.pd

    ICDs in end-stage heart failure

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    Implantable cardioverter defibrillators (ICDs) reduce mortality in selected patients with chronic heart failure but prognostic benefit is likely to attenuate with progression to end-stage heart failure. The incidence of multiple futile ICD shocks before death is uncertain. Only individual patients, supported by their healthcare professionals, can decide when ICD therapy becomes futile in end-stage heart failure. Despite consensus that ICD deactivation should be routinely discussed, this rarely occurs in clinical practice for many reasons including uncertainty about when to initiate these discussions and reluctance to confront death and dying. Patient and carer opinions about end-stage heart failure and ICD deactivation may not meet professional expectations. Future research should focus on these opinions and examine interventions that bridge the gap between best practice and the reality of current clinical practice
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