Integrating Dendrogeomorphology into Stress–Strain Numerical Models: An Opportunity to Monitor Slope Dynamic

Monitoring systems are recognized worldwide as fundamental tools for landslide risk management. However, monitoring can be difficult when dealing with large slopes in forested areas. In these situations, dendrogeomorphology can offer a low-cost and low-impact alternative for providing distributed information with an annual temporal resolution. The present study is a first attempt to integrate dendrometric and dendrogeomorphic data into a numerical finite difference model, in order to simulate the stress–strain behavior of the tree-slope system. By using a parametrical approach, the capability of the numerical model to effectively reproduce the tree stem anomalies (i.e., tilting angle, J-shaped feature, and internal stresses causing tree-ring growth anomalies such as eccentric growth and reaction wood) was verified, and the target parameters for the model calibration were identified based on a sensitivity analysis, which emphasized the relevance of the wood deformability; moreover, the interpretation of results allowed to point out different peculiarities (in terms of type of deformation, falling direction, and distribution of internal stresses) for different slope conditions (kinematics and depth of the failure surface) and different zones of the landslide (head scarp, main body, and toe). Afterwards, the modeling approach was applied to the Val Roncaglia landslide (Northen Italy), which involves a complex roto-translational kinematics, characterized by multiple sliding surfaces. The simulated stem anomalies showed good agreement with the ones arising from onsite dendrometric surveys, and they confirmed the conceptual model of the landslide, enabling the planning of further specific investigations. Moreover, the capability of the model in reproducing the tilting angle of trees, if correlated to their eccentricity, could provide a quite long time series (over more than 50–60 years) of the landslide reactivation and allow the use of dendrochronological data for the model calibration, thereby enhancing slope dynamic monitoring and landslide risk management

A new rating system for hydrogeological risk management along railway infrastructures in Prealpine zone (northern Italy)

AbstractRailway infrastructures in mountain areas often develop along hillslopes affected by geomorphological and hydrogeological processes which might lead hazardous events. Therefore, specific tools for risk analysis and management are required. This paper develops a new rating system (Railway Hydrogeological Management System, RHMS), based on a heuristic method which considers the susceptibility to different types of slope instabilities, as well as the peculiar features affecting the railway vulnerability. The proposed method introduces an iterative approach for the risk assessment, based on the definition of acceptability thresholds for the residual risk. The application of this method to a test area pointed out its feasibility, as well as its operational capability to identify the critical sections of the infrastructure, in which protection or mitigation measures are needed in order to reduce the risk

Effect of a heated humidifier during continuous positive airway pressure delivered by a helmet

INTRODUCTION: The helmet may be an effective interface for the delivery of noninvasive positive pressure ventilation. The high internal gas volume of the helmet can act as a 'mixing chamber', in which the humidity of the patient's expired alveolar gases increases the humidity of the dry medical gases, thus avoiding the need for active humidification. We evaluated the temperature and humidity of respiratory gases inside the helmet, with and without a heated humidifier, during continuous positive airway pressure (CPAP) delivered with a helmet. METHODS: Nine patients with acute respiratory failure (arterial oxygen tension/fractional inspired oxygen ratio 209 +/- 52 mmHg) and 10 healthy individuals were subjected to CPAP. The CPAP was delivered either through a mechanical ventilator or by continuous low (40 l/min) or high flow (80 l/min). Humidity was measured inside the helmet using a capacitive hygrometer. The level of patient comfort was evaluated using a continuous scale. RESULTS: In patients with acute respiratory failure, the heated humidifier significantly increased the absolute humidity from 18.4 +/- 5.5 mgH2O/l to 34.1 +/- 2.8 mgH2O/l during ventilator CPAP, from 11.4 +/- 4.8 mgH2O/l to 33.9 +/- 1.9 mgH2O/l during continuous low-flow CPAP, and from 6.4 +/- 1.8 mgH2O/l to 24.2 +/- 5.4 mgH2O/l during continuous high-flow CPAP. Without the heated humidifier, the absolute humidity was significantly higher with ventilator CPAP than with continuous low-flow and high-flow CPAP. The level of comfort was similar for all the three modes of ventilation and with or without the heated humidifier. The findings in healthy individuals were similar to those in the patients with acute respiratory failure. CONCLUSION: The fresh gas flowing through the helmet with continuous flow CPAP systems limited the possibility to increase the humidity. We suggest that a heated humidifier should be employed with continuous flow CPAP systems

{agromet}: un paquete en R para el análisis de datos meteorológicos

Las condiciones climáticas ejercen un efecto favorable o perjudicial sobre la producción agropecuaria. Es así que es primordial hacer un seguimiento y análisis de las distintas variables agrometeorológicas que permitan describir dichas condiciones y su efecto a largo del periodo de la producción agrícola y pecuaria. Con este enfoque se ha desarrollado un paquete en R llamado {agromet} diseñado para ser utilizado por usuarios pertenecientes al Instituto Nacional de Tecnología Agropecuaria (INTA) pero con suficiente generalidad como para ser útil a una amplia comunidad. El presente trabajo tiene como objetivo mostrar las principales características del paquete y posibles implementaciones. El paquete {agromet} incluye una serie de funciones que pueden ser utilizadas de manera habitual para el cálculo de índices y estadísticos agrometeorológicos. Los datos meteorológicos de entrada se trabajan bajo la filosofía de datos tidy o datos ordenados, donde cada columna será una variable meteorológica y cada fila será una observación (el dato de una determinada fecha). De esta forma, las funciones del paquete son genéricas, pudiendo ser aplicadas a cualquier set de datos tabulares sin importar su origen, orden o nombre de las columnas. De todas formas, atento a los requerimientos internos del INTA, el paquete también incorpora herramientas para leer datos en un formato ascii utilizado por la institución. Dentro del paquete se considera como ejemplo de datos de entrada un archivo ascii perteneciente al Observatorio Agrometeorológico de INTA Castelar-Bs.As. Argentina.Sociedad Argentina de Informática e Investigación Operativ

Oxygen consumption is depressed in patients with lactic acidosis due to biguanide intoxication

INTRODUCTION: Lactic acidosis can develop during biguanide (metformin and phenformin) intoxication, possibly as a consequence of mitochondrial dysfunction. To verify this hypothesis, we investigated whether body oxygen consumption (VO2), that primarily depends on mitochondrial respiration, is depressed in patients with biguanide intoxication. METHODS: Multicentre retrospective analysis of data collected from 24 patients with lactic acidosis (pH 6.93 +/- 0.20; lactate 18 +/- 6 mM at hospital admission) due to metformin (n = 23) or phenformin (n = 1) intoxication. In 11 patients, VO2 was computed as the product of simultaneously recorded arterio-venous difference in O2 content [C(a-v)O2] and cardiac index (CI). In 13 additional cases, C(a-v)O2, but not CI, was available. RESULTS: On day 1, VO2 was markedly depressed (67 +/- 28 ml/min/m2) despite a normal CI (3.4 +/- 1.2 L/min/m2). C(a-v)O2 was abnormally low in both patients either with (2.0 +/- 1.0 ml O2/100 ml) or without (2.5 +/- 1.1 ml O2/100 ml) CI (and VO2) monitoring. Clearance of the accumulated drug was associated with the resolution of lactic acidosis and a parallel increase in VO2 (P < 0.001) and C(a-v)O2 (P < 0.05). Plasma lactate and VO2 were inversely correlated (R2 0.43; P < 0.001, n = 32). CONCLUSIONS: VO2 is abnormally low in patients with lactic acidosis due to biguanide intoxication. This finding is in line with the hypothesis of inhibited mitochondrial respiration and consequent hyperlactatemia

Lung anatomy, energy load, and ventilator-induced lung injury

High tidal volume can cause ventilator-induced lung injury (VILI), but positive end-expiratory pressure (PEEP) is thought to be protective. We aimed to find the volumetric VILI threshold and see whether PEEP is protective per se or indirectly

Mechanisms of oxygenation responses to proning and recruitment in COVID-19 pneumonia

Purpose This study aimed at investigating the mechanisms underlying the oxygenation response to proning and recruitment maneuvers in coronavirus disease 2019 (COVID-19) pneumonia. Methods Twenty-five patients with COVID-19 pneumonia, at variable times since admission (from 1 to 3 weeks), underwent computed tomography (CT) lung scans, gas-exchange and lung-mechanics measurement in supine and prone positions at 5 cmH(2)O and during recruiting maneuver (supine, 35 cmH(2)O). Within the non-aerated tissue, we differentiated the atelectatic and consolidated tissue (recruitable and non-recruitable at 35 cmH(2)O of airway pressure). Positive/negative response to proning/recruitment was defined as increase/decrease of PaO2/FiO(2). Apparent perfusion ratio was computed as venous admixture/non aerated tissue fraction. Results The average values of venous admixture and PaO2/FiO(2) ratio were similar in supine-5 and prone-5. However, the PaO2/FiO(2) changes (increasing in 65% of the patients and decreasing in 35%, from supine to prone) correlated with the balance between resolution of dorsal atelectasis and formation of ventral atelectasis (p = 0.002). Dorsal consolidated tissue determined this balance, being inversely related with dorsal recruitment (p = 0.012). From supine-5 to supine-35, the apparent perfusion ratio increased from 1.38 +/- 0.71 to 2.15 +/- 1.15 (p = 0.004) while PaO2/FiO(2) ratio increased in 52% and decreased in 48% of patients. Non-responders had consolidated tissue fraction of 0.27 +/- 0.1 vs. 0.18 +/- 0.1 in the responding cohort (p = 0.04). Consolidated tissue, PaCO2 and respiratory system elastance were higher in patients assessed late (all p < 0.05), suggesting, all together, "fibrotic-like" changes of the lung over time. Conclusion The amount of consolidated tissue was higher in patients assessed during the third week and determined the oxygenation responses following pronation and recruitment maneuvers