Estimation of heterogeneous aquifer parameters using centralized and decentralized fusion of hydraulic tomography data

Characterization of spatial variability of hydraulic properties of groundwater systems at high resolution is essential to simulate flow and transport phenomena. This paper investigates two schemes to invert transient hydraulic head data resulting from multiple pumping tests for the purpose of estimating the spatial distributions of the hydraulic conductivity, K, and the specific storage, Ss, of an aquifer. The two methods are centralized fusion and decentralized fusion. The centralized fusion of transient data is achieved when data from all pumping tests are processed concurrently using a central inversion processor, whereas the decentralized fusion inverts data from each pumping test separately to obtain optimal local estimates of hydraulic parameters, which are consequently fused using the generalized Millman formula, an algorithm for merging multiple correlated or uncorrelated local estimates. For both data fusion schemes, the basic inversion processor employed is the ensemble Kalman filter, which is employed to assimilate the temporal moments of impulse response functions obtained from the transient hydraulic head measurements resulting from multiple pumping tests. Assimilating the temporal moments instead of the hydraulic head transient data themselves is shown to provide a significant improvement in computational efficiency. Additionally, different assimilation strategies to improve the estimation of Ss are investigated. Results show that estimation of the K and Ss distributions using temporal moment analysis is fairly good, and the centralized inversion scheme consistently outperforms the decentralized inversion scheme

Surface energy balance model

Presented at the fifth international conference on irrigation and drainage, Irrigation and drainage for food, energy and the environment on November 3-6, 2009 in Salt Lake City, Utah.Includes bibliographical references.Remote sensing algorithms are currently being used to estimate regional surface energy fluxes [e.g., latent heat flux (LE) or evapotranspiration (ET)]. Many of these surface energy balance models use information derived from satellite imagery such as Landsat, AVHRR, ASTER, and MODIS to estimate ET. The remote sensing approach to estimating ET provides advantages over traditional methods. One of the most important advantages is that it can provide regional estimates of actual ET at low cost. Most conventional methods are based on point measurements (i.e., soil water sensors, lysimeters, weather station data, etc.), limiting their ability to capture the spatial variability of ET. Another advantage of remote sensing/surface energy balance ET models is that they are able to estimate the actual crop ET as a residual of the energy balance without the need of using reference crop ET and tabulated crop coefficients. This study focuses on the use of the energy balance-based model "Remote Sensing of ET" (ReSET) that uses an enhanced procedure to deal with the spatial and temporal variability of ET. ET was estimated for several years of data for the Arkansas River Basin, South Platte, and Palo Verde Irrigation District along with one day ET estimates for the Southern High Plains. Comparisons between the Remote Sensing ET values and ET values from more conventional ET methods [e.g., 2005 ASCE-EWRI Standardized Reference Evapotranspiration (Penman-Monteith) Equation] also are presented

Satellite-based energy balance model

Presented at Meeting irrigation demands in a water-challenged environment: SCADA and technology: tools to improve production: a USCID water management conference held on September 28 - October 1, 2010 in Fort Collins, Colorado.Includes bibliographical references.Accurate estimates of evapotranspiration for agricultural crops are essential for water resources management and for crop production. Traditional methods for estimating crop evapotranspiration are based on weather based reference evapotranspiration estimates multiplied by a crop coefficient (Kc). The crop coefficient varies based on crop type and growth stage and optimum growing conditions are assumed in this approach. Satellite based energy balance models can directly measure actual ET in fields and these measurements can be used to develop crop coefficients for different crops for a particular region. In this study a surface energy balance model (ReSET) is used to measure actual ET for corn fields in the South Plate River Basin of Colorado. The study covers four growing seasons (2001, 2004, 2005 and 2006). A total of 79 Landsat 5 and 7 images were used for the four years using two satellite paths 33/32 and 32/32

The risk of clinically diagnosed Alzheimer disease in patients with noninsulin dependent diabetes mellitus

ABSTRACT Background: The role of DM as a risk factor for cognitive decline in later life has received little epidemiological attention until recently. This is despite the high prevalence of diabetes (especially type 2) in older populations. Objective: To compare between the risk of development of Alzheimer disease (AD) in patients with and without noninsulin dependent diabetes mellitus (NIDDM). Methods: This study is a longitudinal cohort study. For up to 2 years, 764 subjects underwent annual evaluation that included medical history, neurological examination, neuropsychological performance testing, and review of a brain scan when available. For a diagnosis of probable Alzheimer's disease, the criteria adapted from the National Institute of Neurological and Communicative Disorders and Stroke and Alzheimer's disease and Related Disorders Association (NINCDS-ADRDA). Results: Diabetes mellitus was present in 106 (13.9%) of the participants. During a mean of 2 years of observation, 137 persons developed AD. In a proportional hazards model adjusted for age, sex, and educational level, those with diabetes mellitus had a 61% increase in the risk of developing AD compared with those without diabetes mellitus (hazard ratio, 1.53; 95% confidence interval, 0.96-2.45). The risk of incident dementia was clearly modified by baseline treatment), with the lowest relative risk in newly discovered or untreated diabetic patients (RR 1.3, 95% CI 0.7 to 2.3) and the highest RR among patients treated with insulin (RR 4.3, 95% CI 1.7 to 10.5). Conclusion: Patients with NIDDM; particularly those treated with insulin may be at an increased risk of developing AD

Global Retinoblastoma Presentation and Analysis by National Income Level

Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- A nd middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs

One and a half million hematopoietic stem cell transplants: continuous and differential improvement in worldwide access with the use of non-identical family donors

The Worldwide Network of Blood and Marrow Transplantation (WBMT) pursues the mission of promoting hematopoietic cell transplantation (HCT) for instance by evaluating activities through member societies, national registries and individual centers. In 2016, 82,718 first HCT were reported by 1,662 HCT teams in 86 of the 195 World Health Organization member states representing a global increase of 6.2% in autologous HCT and 7.0% in allogeneic HCT and bringing the total to 1,298,897 procedures. Assuming a frequency of 84,000/year, 1.5 million HCT were performed by 2019 since 1957. Slightly more autologous (53.5%) than allogeneic and more related (53.6%) than unrelated HCT were reported. A remarkable increase was noted in haploidentical related HCT for leukemias and lymphoproliferative diseases, but even more in non-malignant diseases. Transplant rates (TR; HCT/10 million population) varied according to region reaching 560.8 in North America, 438.5 in Europe, 76.7 in Latin America, 53.6 in South East Asia/Western Pacific (SEA/WPR) and 27.8 in African/East Mediterranean (AFR/EMR). Interestingly, haploidentical TR amounted to 32% in SEA/WPR and 26% in Latin America, but only 14% in Europe and EMR and 4.9% in North America of all allogeneic HCT. HCT team density (teams/10 million population) was highest in Europe (7.7) followed by North America (6.0), SEA/WPR (1.9), Latin America (1.6) and AFR/EMR (0.4). HCT are increasing steadily worldwide with narrowing gaps between regions and greater increase in allogeneic compared to autologous activity. While related HCT is rising, largely due to increase in haploidentical HCT, unrelated HCT is plateauing and cord blood HCT is in decline

Light-Induced Stomatal Opening Is Affected by the Guard Cell Protein Kinase APK1b.

Guard cells allow land plants to survive under restricted or fluctuating water availability. They control the exchange of gases between the external environment and the interior of the plant by regulating the aperture of stomatal pores in response to environmental stimuli such as light intensity, and are important regulators of plant productivity. Their turgor driven movements are under the control of a signalling network that is not yet fully characterised. A reporter gene fusion confirmed that the Arabidopsis APK1b protein kinase gene is predominantly expressed in guard cells. Infrared gas analysis and stomatal aperture measurements indicated that plants lacking APK1b are impaired in their ability to open their stomata on exposure to light, but retain the ability to adjust their stomatal apertures in response to darkness, abscisic acid or lack of carbon dioxide. Stomatal opening was not specifically impaired in response to either red or blue light as both of these stimuli caused some increase in stomatal conductance. Consistent with the reduction in maximum stomatal conductance, the relative water content of plants lacking APK1b was significantly increased under both well-watered and drought conditions. We conclude that APK1b is required for full stomatal opening in the light but is not required for stomatal closure

Travel burden and clinical presentation of retinoblastoma: analysis of 1024 patients from 43 African countries and 518 patients from 40 European countries

BACKGROUND: The travel distance from home to a treatment centre, which may impact the stage at diagnosis, has not been investigated for retinoblastoma, the most common childhood eye cancer. We aimed to investigate the travel burden and its impact on clinical presentation in a large sample of patients with retinoblastoma from Africa and Europe. METHODS: A cross-sectional analysis including 518 treatment-naïve patients with retinoblastoma residing in 40 European countries and 1024 treatment-naïve patients with retinoblastoma residing in 43 African countries. RESULTS: Capture rate was 42.2% of expected patients from Africa and 108.8% from Europe. African patients were older (95% CI -12.4 to -5.4, p<0.001), had fewer cases of familial retinoblastoma (95% CI 2.0 to 5.3, p<0.001) and presented with more advanced disease (95% CI 6.0 to 9.8, p<0.001); 43.4% and 15.4% of Africans had extraocular retinoblastoma and distant metastasis at the time of diagnosis, respectively, compared to 2.9% and 1.0% of the Europeans. To reach a retinoblastoma centre, European patients travelled 421.8 km compared to Africans who travelled 185.7 km (p<0.001). On regression analysis, lower-national income level, African residence and older age (p<0.001), but not travel distance (p=0.19), were risk factors for advanced disease. CONCLUSIONS: Fewer than half the expected number of patients with retinoblastoma presented to African referral centres in 2017, suggesting poor awareness or other barriers to access. Despite the relatively shorter distance travelled by African patients, they presented with later-stage disease. Health education about retinoblastoma is needed for carers and health workers in Africa in order to increase capture rate and promote early referral

Narrowing the gap for hematopoietic stem cell transplantation in the East-Mediterranean/African region: comparison with global HSCT indications and trends.

Hematopoietic Stem Cell Transplantation (HSCT) activity was evaluated in the African (AFR)/EMRO region and compared to the global activity for the years 2006-2013. Data were obtained from 1570 teams in the 6 WHO continental regions. Of these, 29 (1.85%) of all teams were active in 12 of the 68 AFR/EMRO countries. They reported 2.331 (3.3%) of the worldwide 71.036 HSCT, and a transplant rate of 32.8 (TR; HSCT/10 million inhabitants; worldwide 128.5). This reflects still the lowest regional TR despite an increase of 90% since 2006. HSCT activity in AFR/EMRO countries was characterized by a higher use of allogeneic compared to autologous HSCT, an almost exclusive use of family donors, including haploidentical family donors. These findings contrast with the prevalence of autologous over allogeneic HSCT, and a higher frequency of unrelated HSCT in other parts of the world. Of note, the increase by 200% in HSCT for hemoglobinopathies from 2006 to 2013 (72 per year) in the AFR/EMRO region. This reflects the specific role of HSCT for these disease categories with high prevalence and incidence in the AFR/EMRO region. This report provides information for the competent authorities to foster adequate infrastructure. It urges transplant organization to optimize their cooperation

Global Retinoblastoma Presentation and Analysis by National Income Level.

Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs