Evaluating the value of a network of cosmic-ray probes for improving land surface modelling

Land surface models can model matter and energy fluxes between the land surface and atmosphere, and provide a lower boundary condition to atmospheric circulation models. For these applications, accurate soil moisture quantification is highly desirable but not always possible given limited observations and limited subsurface data accuracy. Cosmic-ray probes (CRPs) offer an interesting alternative to indirectly measure soil moisture and provide an observation that can be assimilated into land surface models for improved soil moisture prediction. Synthetic studies have shown the potential to estimate subsurface parameters of land surface models with the assimilation of CRP observations. In this study, the potential of a network of CRPs for estimating subsurface parameters and improved soil moisture states is tested in a real-world case scenario using the local ensemble transform Kalman filter with the Community Land Model. The potential of the CRP network was tested by assimilating CRP-data for the years 2011 and 2012 (with or without soil hydraulic parameter estimation), followed by the verification year 2013. This was done using (i) the regional soil map as input information for the simulations, and (ii) an erroneous, biased soil map. For the regional soil map, soil moisture characterization was only improved in the assimilation period but not in the verification period. For the biased soil map, soil moisture characterization improved in both periods strongly from a ERMS of 0.11 cm3/cm3 to 0.03 cm3/cm3 (assimilation period) and from 0.12 cm3/cm3 to 0.05 cm3/cm3 (verification period) and the estimated soil hydraulic parameters were after assimilation closer to the ones of the regional soil map. Finally, the value of the CRP network was also evaluated with jackknifing data assimilation experiments. It was found that the CRP network is able to improve soil moisture estimates at locations between the assimilation sites from a ERMS of 0.12 cm3/cm3 to 0.06 cm3/cm3 (verification period), but again only if the initial soil map was biased

Twelve-year outcomes of watchful waiting versus surgery of mildly symptomatic or asymptomatic inguinal hernia in men aged 50 years and older:a randomised controlled trial

Background: Inguinal hernia belongs to the most common surgical pathology worldwide. Approximately, one third is asymptomatic. The value of watchful waiting (WW) in patients with asymptomatic or mildly symptomatic inguinal hernia has been established in a few randomised controlled trials (RCTs). The aim of this study was to assess long-term outcomes of a RCT comparing WW and elective surgery.Methods: In the original study, men aged ≥50 years with an asymptomatic or mildly symptomatic inguinal hernia were randomly assigned to WW or elective repair. In the present study, the primary outcome was the 12-year crossover rate to surgery, secondary outcomes were time-to-crossover, patient regret, pain, quality of life and incarceration. Dutch Trial Registry: NTR629. Findings: Out of 496 originally analysed patients, 488 (98.4%) were evaluable for chart review (WW: n = 258, surgery: n = 230), and 200 (41.0%) for telephone contact (WW: n = 106, surgery: n = 94) between November 2021 and March 2022 with a median 12 years follow-up (IQR 9–14). After 12 years, the estimated cumulative crossover rate to surgery was 64.2%, which was higher in mildly symptomatic than in asymptomatic patients (71.7% versus 60.4%, HR 1.451, 95% CI: 1.064–1.979). Time-to-crossover was longer in asymptomatic patients (50% after 6.0 years versus 2.0 years, p = 0.019). Patient regret was higher in the WW group (37.7 versus 18.0%, p = 0.002), as well as pain/discomfort (p = 0.031). Quality of life did not differ (p = 0.737). In the WW group, incarceration occurred in 10/255 patients (3.9%). Interpretation: During 12-year follow-up, most WW patients crossed over to surgery, significantly earlier with mildly symptomatic hernia. Considering the relatively low incarceration rate, WW might still be an option in asymptomatic patients with a clear preference and being well-informed about pros and cons.</p

Twelve-year outcomes of watchful waiting versus surgery of mildly symptomatic or asymptomatic inguinal hernia in men aged 50 years and older:a randomised controlled trial

Background: Inguinal hernia belongs to the most common surgical pathology worldwide. Approximately, one third is asymptomatic. The value of watchful waiting (WW) in patients with asymptomatic or mildly symptomatic inguinal hernia has been established in a few randomised controlled trials (RCTs). The aim of this study was to assess long-term outcomes of a RCT comparing WW and elective surgery. Methods: In the original study, men aged ≥50 years with an asymptomatic or mildly symptomatic inguinal hernia were randomly assigned to WW or elective repair. In the present study, the primary outcome was the 12-year crossover rate to surgery, secondary outcomes were time-to-crossover, patient regret, pain, quality of life and incarceration. Dutch Trial Registry: NTR629. Findings: Out of 496 originally analysed patients, 488 (98.4%) were evaluable for chart review (WW: n = 258, surgery: n = 230), and 200 (41.0%) for telephone contact (WW: n = 106, surgery: n = 94) between November 2021 and March 2022 with a median 12 years follow-up (IQR 9–14). After 12 years, the estimated cumulative crossover rate to surgery was 64.2%, which was higher in mildly symptomatic than in asymptomatic patients (71.7% versus 60.4%, HR 1.451, 95% CI: 1.064–1.979). Time-to-crossover was longer in asymptomatic patients (50% after 6.0 years versus 2.0 years, p = 0.019). Patient regret was higher in the WW group (37.7 versus 18.0%, p = 0.002), as well as pain/discomfort (p = 0.031). Quality of life did not differ (p = 0.737). In the WW group, incarceration occurred in 10/255 patients (3.9%). Interpretation: During 12-year follow-up, most WW patients crossed over to surgery, significantly earlier with mildly symptomatic hernia. Considering the relatively low incarceration rate, WW might still be an option in asymptomatic patients with a clear preference and being well-informed about pros and cons. Funding: The initial trial was funded by the Netherlands Organisation for Health Research and Development (ZonMW). This long-term study did not receive funding.</p

Evaluation of a cosmic-ray neutron sensor network for improved land surface model predictio

In-situ soil moisture sensors provide highly accurate but very local soil moisture measurements while remotely sensed soil moisture is strongly affected by vegetation and surface roughness. In contrast, Cosmic-Ray Neutron Sensors (CRNS) allow highly accurate soil moisture estimation at the field scale which could be valuable to improve land surface model predictions. In this study, the potential of a network of CRNS installed in the 2354 km2 Rur catchment (Germany) for estimating soil hydraulic parameters and improving soil moisture states was tested. Data measured by the CRNS were assimilated with the local ensemble transform Kalman filter in the Community Land Model v. 4.5. Data of four, eight and nine CRNS were assimilated for the years 2011 and 2012 (with and without soil hydraulic parameter estimation), followed by a verification year 2013 without data assimilation. This was done using (i) a regional high resolution soil map, (ii) the FAO soil map and (iii) an erroneous, biased soil map as input information for the simulations. For the regional soil map, soil moisture characterization was only improved in the assimilation period but not in the verification period. For the FAO soil map and the biased soil map soil moisture predictions improved strongly to a root mean square error of 0.03 cm3/cm3 for the assimilation period and 0.05 cm3/cm3 for the evaluation period. Improvements were limited by the measurement error of CRNS (0.03 cm3/cm3). The positive results obtained with data assimilation of nine CRNS were confirmed by the jackknife experiments with four and eight CRNS used for assimilation. The results demonstrate that assimilated data of a CRNS network can improve the characterization of soil moisture content at the catchment scale by updating spatially distributed soil hydraulic parameters of a land surface model

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit.

Preclinical animal models with hemodynamic, morphologic, and histologic characteristics close to human intracranial aneurysms play a key role in the understanding of the pathophysiological processes and the development and testing of new therapeutic strategies. This study aims to describe a new rabbit aneurysm model that allows the creation of two elastase-digested saccular aneurysms with different hemodynamic conditions within the same animal. Five female New Zealand white rabbits with a mean weight of 4.0 (± 0.3) kg and mean age of 25 (±5) weeks underwent microsurgical stump and bifurcation aneurysm creation. One aneurysm (stump) was created by right common carotid artery (CCA) exposure at its origin at the brachiocephalic trunk. A temporary clip was applied at the CCA origin and another, 2 cm above. This segment was treated with a local injection of 100 U of elastase for 20 min. A second aneurysm (bifurcation) was created by suturing an elastase-treated arterial pouch into the end-to-side anastomosis of the right CCA to left CCA. Patency was controlled by fluorescence angiography immediately after creation. The average duration of surgery was 221 min. The creation of two aneurysms in the same animal was successful in all rabbits without complication. All aneurysms were patent immediately after surgery except for one bifurcation aneurysm, which showed an extreme tissue reaction due to elastase incubation and an immediate intraluminal thrombosis. No mortality was observed during surgery and up to one-month follow-up. Morbidity was limited to a transient vestibular syndrome (one rabbit), which recovered spontaneously within one day. Demonstrated here for the first time is the feasibility of creating a two-aneurysm rabbit model with stump and bifurcation hemodynamic characteristics and highly degenerated wall conditions. This model allows the study of the natural course and potential treatment strategies on the basis of aneurysm biology under different flow conditions

Uncertainty in Terrestrial Water Cycle Simulations

TerrSysMP has been exploited to advance our understanding of terrestrial water cycle, by conducting km-scale simulations from field scale to continental scale at the massively parallel supercomputing environment of the Jülich Supercomputing Centre (JSC). The numerical simulations have led to quantification of uncertainties in the simulated terrestrial water cycle in terms of grid-scale representation of heterogeneity and bio-geophysical parameterisations. Ensemble simulations are thus prerequisite to quantify the uncertainty in the terrestrial water cycle, which then could also be utilised for data assimilation to improve prediction

Anatomical Variations of the Common Carotid Arteries and Neck Structures of the New Zealand White Rabbit and Their Implications for the Development of Preclinical Extracranial Aneurysm Models.

BACKGROUND Rabbit models involving neck arteries are of growing importance for the development of preclinical aneurysm models. An optimal understanding of the anatomy is primordial to allow the conception of models while minimizing mortality and morbidity. The aim of this study is to give reliable anatomical landmarks to allow a standardized approach to the neck vessels. METHODS We performed a necropsy on nine specimens from ongoing experimental studies. We measured the distance between the origins of the right and left common carotid artery (rCCA/lCCA) and between the rCCA and the manubrium sterni (MS). The structures at risk were described. RESULTS Female New Zealand White rabbits (NZWR) weighing 3.7 ± 0.3 kg and aged 25 ± 5 weeks were included. The rCCA origin was located 9.6 ± 1.2 mm laterally and 10.1 ± 3.3 mm caudally to the MS. In all specimens, the lCCA originated from the aortic arch, together with the brachiocephalic trunk (BCT), and 6.2 ± 3.1 mm proximally to the rCCA origin. The external and internal jugular veins, trachea and laryngeal nerve were the main structures at risk. CONCLUSIONS The data help to localize both CCAs and their origin to guide surgical approaches with the manubrium sterni as a main landmark. Special attention has to be paid to the trachea, jugular veins and laryngeal nerves

Anatomical Variations of the Common Carotid Arteries and Neck Structures of the New Zealand White Rabbit and Their Implications for the Development of Preclinical Extracranial Aneurysm Models

Background: Rabbit models involving neck arteries are of growing importance for the development of preclinical aneurysm models. An optimal understanding of the anatomy is primordial to allow the conception of models while minimizing mortality and morbidity. The aim of this study is to give reliable anatomical landmarks to allow a standardized approach to the neck vessels. Methods: We performed a necropsy on nine specimens from ongoing experimental studies. We measured the distance between the origins of the right and left common carotid artery (rCCA/lCCA) and between the rCCA and the manubrium sterni (MS). The structures at risk were described. Results: Female New Zealand White rabbits (NZWR) weighing 3.7 &plusmn; 0.3 kg and aged 25 &plusmn; 5 weeks were included. The rCCA origin was located 9.6 &plusmn; 1.2 mm laterally and 10.1 &plusmn; 3.3 mm caudally to the MS. In all specimens, the lCCA originated from the aortic arch, together with the brachiocephalic trunk (BCT), and 6.2 &plusmn; 3.1 mm proximally to the rCCA origin. The external and internal jugular veins, trachea and laryngeal nerve were the main structures at risk. Conclusions: The data help to localize both CCAs and their origin to guide surgical approaches with the manubrium sterni as a main landmark. Special attention has to be paid to the trachea, jugular veins and laryngeal nerves