Altimetry for the future: Building on 25 years of progress

In 2018 we celebrated 25 years of development of radar altimetry, and the progress achieved by this methodology in the fields of global and coastal oceanography, hydrology, geodesy and cryospheric sciences. Many symbolic major events have celebrated these developments, e.g., in Venice, Italy, the 15th (2006) and 20th (2012) years of progress and more recently, in 2018, in Ponta Delgada, Portugal, 25 Years of Progress in Radar Altimetry. On this latter occasion it was decided to collect contributions of scientists, engineers and managers involved in the worldwide altimetry community to depict the state of altimetry and propose recommendations for the altimetry of the future. This paper summarizes contributions and recommendations that were collected and provides guidance for future mission design, research activities, and sustainable operational radar altimetry data exploitation. Recommendations provided are fundamental for optimizing further scientific and operational advances of oceanographic observations by altimetry, including requirements for spatial and temporal resolution of altimetric measurements, their accuracy and continuity. There are also new challenges and new openings mentioned in the paper that are particularly crucial for observations at higher latitudes, for coastal oceanography, for cryospheric studies and for hydrology. The paper starts with a general introduction followed by a section on Earth System Science including Ocean Dynamics, Sea Level, the Coastal Ocean, Hydrology, the Cryosphere and Polar Oceans and the ‘‘Green” Ocean, extending the frontier from biogeochemistry to marine ecology. Applications are described in a subsequent section, which covers Operational Oceanography, Weather, Hurricane Wave and Wind Forecasting, Climate projection. Instruments’ development and satellite missions’ evolutions are described in a fourth section. A fifth section covers the key observations that altimeters provide and their potential complements, from other Earth observation measurements to in situ data. Section 6 identifies the data and methods and provides some accuracy and resolution requirements for the wet tropospheric correction, the orbit and other geodetic requirements, the Mean Sea Surface, Geoid and Mean Dynamic Topography, Calibration and Validation, data accuracy, data access and handling (including the DUACS system). Section 7 brings a transversal view on scales, integration, artificial intelligence, and capacity building (education and training). Section 8 reviews the programmatic issues followed by a conclusion

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Identité urbaine, question d’images

Depuis la fin des années 2000, l’identité urbaine est devenue une notion à la mode pour beaucoup de disciplines des sciences humaines. Ce travail propose un cadre conceptuel permettant de comprendre la formation des identités urbaines par l’articulation entre les images projetées et les images perçues. La mobilisation d’études quantitatives, pour différentes tailles urbaines, permet d’évaluer l’influence des composantes des images projetées par les villes. Une étude de cas issue d’un atelier de prospective Bordeaux 2050 (BM2050) examine les représentations qualitatives de l’image perçue. La compréhension de la structure de l’identité est utile pour ceux qui la conçoivent comme facteur majeur du développement des villes.Since the late 2000s, urban identity has become a fashionable concept for many humanities. This paper aims to produce a conceptual framework for capturing the formation of urban identities through the articulation between projected images and perceived images and their respective components. From an extensive and a cross-disciplinary approach, we highlight the components of each one. The components of the perceived image are the desired image, the lived image, and the inherited image. The components of the projected identity are the normative identity, the strategic identity, the socially dominant identity and the marketed identity. For capturing the components of projected identities, we refer to empirical studies about websites contents for a range of French cities from global to small ones. Results confirm the framework of components and indicate a strong influence of strategic and normative identities compared to marketed and socially dominant identities. The lack of a socially dominant identity in sprawling and fragmented metropolises or the absence of real distinctive features in small towns could explain such a pattern. Alongside, a case study from the Bordeaux 2050 foresight workshops allows us to consider the influences of the components of the perceived image. This qualitative study validates the structure of the perceived image in which the lived image seems to be crucial but tied to the individuals' social conditions. The lived image generates the feared images that give rise to the desired images. Finally, by mobilizing the works concerned, we highlight the negative effects in terms of attractiveness of an inconsistency between perceived images and projected identities. Understanding the structure of identity is therefore useful for those who conceive it as a major driving force for the development of cities

Détection des polluants métalliques particulaires dans les eaux par spectroscopie de plasma induit par laser (LIBS : Laser-Induced Breakdown Spectroscopy)

International audienceA l'échelle européenne comme sur le plan national, les pollutions de l'air et des eaux sont des préoccupations majeures. Dans le but de mieux protéger et d'améliorer la qualité des eaux, la communauté européenne s'est dotée d'une directive cadre sur l'eau (DCE). Celle-ci vise d'ici 2015 à veiller à la non-dégradation et au maintien d'un bon état général des eaux. La directive vise une liste de polluants et parmi ceux-ci, les métaux lourds. Elle ne fait pas encore mention des nanoparticules manufacturées considérées comme polluants émergents. Néanmoins, ces dernières doivent être surveillées. Aujourd'hui l'INERIS engage des actions de recherches axées sur la métrologie de l'environnement dans le but de contribuer à l'amélioration de la mesure des concentrations de polluants dans les eaux, avec comme applications le monitoring environnemental, le contrôle des effluents d'un procédé industriel, etc. Réduire la pollution implique le suivi de ces polluants à l'état particulaire avec des outils adéquats. Les contraintes imposées par des réglementations de plus en plus strictes sur les métaux lourds et l'émergence de nouveaux polluants (nanoparticules) impliquent le développement de nouveaux outils aptes à répondre aux problématiques de mesurage posées et permettant une analyse in-situ, automatique et en temps réel. La technique LIBS (Laser-Induced Breakdown Spectroscopy) a été retenue pour la conception de cet outil. Elle permet l'identification chimique élémentaire de l'eau in situ et en temps réel. Elle permet également la détermination de la concentration en masse du polluant aussi bien à l'état dissout qu'à l'état particulair

Red obsession ::the ascent of fine wine in China

This article uses hammer prices from five global auction houses to analyse the price premium Bordeaux fine wine yields at Hong Kong wine auctions. We find that fine wine is on average sold at a 19% premium in Hong Kong. We further observe that the Hong Kong premium is not uniform and most pronounced for wines with perfect Parker scores and the most powerful brands. The premium has declined throughout the sample period from 60% in 2008 to a level of around 15% since 2012. This can be attributed to the increase in knowledge on fine wine by Chinese customers

Red obsession ::the ascent of fine wine in China

This article uses hammer prices from five global auction houses to analyse the price premium Bordeaux fine wine yielded at Hong Kong wine auctions over the period 2007 to 2014 . We find that fine wine was on average sold at a 19% premium on the Hong Kong market . The strong latent demand by Chinese customers coupled to wine market characteristics are put forward as an explanation for this premium . We further observe that the Hong Kong premium is not uniform and most pronounced for wines with perfect Parker scores or for the most powerful brands . The premium has declin ed through out the sample period from 60% in 2008 to establish itself at a level of 15% since 2012. This can be attributed to the increase in knowledge on fine wine by Chinese customers