36 research outputs found
Patient tolerance during outpatient flexible cystoscopy--a prospective, randomized, double-blind study comparing plain lubrication and lidocaine gel.
Recommended from our members
Northern Eurasia Future Initiative (NEFI): facing the challenges and pathways of global change in the 21st century
During the past several decades, the Earth system has changed significantly, especially across Northern Eurasia. Changes in the socio-economic conditions of the larger countries in the region have also resulted in a variety of regional environmental changes that can
have global consequences. The Northern Eurasia Future Initiative (NEFI) has been designed as an essential continuation of the Northern Eurasia Earth Science
Partnership Initiative (NEESPI), which was launched in 2004. NEESPI sought to elucidate all aspects of ongoing environmental change, to inform societies and, thus, to
better prepare societies for future developments. A key principle of NEFI is that these developments must now be secured through science-based strategies co-designed
with regional decision makers to lead their societies to prosperity in the face of environmental and institutional challenges. NEESPI scientific research, data, and
models have created a solid knowledge base to support the NEFI program. This paper presents the NEFI research vision consensus based on that knowledge. It provides the reader with samples of recent accomplishments in regional studies and formulates new NEFI science questions. To address these questions, nine research foci are identified and their selections are briefly justified. These foci include: warming of the Arctic; changing frequency, pattern, and intensity of extreme and inclement environmental conditions; retreat of the cryosphere; changes in terrestrial water cycles; changes in the biosphere; pressures on land-use; changes in infrastructure; societal actions in response to environmental change; and quantification of Northern Eurasia's role in the global Earth system. Powerful feedbacks between the Earth and human systems in Northern Eurasia (e.g., mega-fires, droughts, depletion of the cryosphere essential for water supply, retreat of sea ice) result from past and current human activities (e.g., large scale water withdrawals, land use and governance change) and
potentially restrict or provide new opportunities for future human activities. Therefore, we propose that Integrated Assessment Models are needed as the final stage of global
change assessment. The overarching goal of this NEFI modeling effort will enable evaluation of economic decisions in response to changing environmental conditions and justification of mitigation and adaptation efforts
Comparing the effects of pethidine and diclofenac suppository on patients with renal colic in the emergency department
Endourologic strategies for a minimally invasive management of urinary tract stones in patients with urinary diversion
Lightning as a major driver of recent large fire years in North American boreal forests
Changes in climate and fire regimes are transforming the boreal forest, the world's largest biome. Boreal North America recently experienced two years with large burned area: 2014 in the Northwest Territories and 2015 in Alaska. Here we use climate, lightning, fire and vegetation data sets to assess the mechanisms contributing to large fire years. We find that lightning ignitions have increased since 1975, and that the 2014 and 2015 events coincided with a record number of lightning ignitions and exceptionally high levels of burning near the northern treeline. Lightning ignition explained more than 55% of the interannual variability in burned area, and was correlated with temperature and precipitation, which are projected to increase by mid-century. The analysis shows that lightning drives interannual and long-term ignition and burned area dynamics in boreal North America, and implies future ignition increases may increase carbon loss while accelerating the northward expansion of boreal forest