38 research outputs found
Geo-environmental mapping using physiographic analysis: constraints on the evaluation of land instability and groundwater pollution hazards in the Metropolitan District of Campinas, Brazil
Geo-environmental terrain assessments and territorial zoning are useful tools for the formulation and implementation of environmental management instruments (including policy-making, planning, and enforcement of statutory regulations). They usually involve a set of procedures and techniques for delimitation, characterisation and classification of terrain units. However, terrain assessments and zoning exercises are often costly and time-consuming, particularly when encompassing large areas, which in many cases prevent local agencies in developing countries from properly benefiting from such assessments. In the present paper, a low-cost technique based on the analysis of texture of satellite imagery was used for delimitation of terrain units. The delimited units were further analysed in two test areas situated in Southeast Brazil to provide estimates of land instability and the vulnerability of groundwater to pollution hazards. The implementation incorporated procedures for inferring the influences and potential implications of tectonic fractures and other discontinuities on ground behaviour and local groundwater flow. Terrain attributes such as degree of fracturing, bedrock lithology and weathered materials were explored as indicators of ground properties. The paper also discusses constraints on- and limitations of- the approaches taken
Assessment of SARS-CoV-2 Immunity in Convalescent Children and Adolescents
Persistence of protective immunity for SARS-CoV-2 is important against reinfection. Knowledge on SARS-CoV-2 immunity in pediatric patients is currently lacking. We opted to assess the SARS-CoV-2 adaptive immunity in recovered children and adolescents, addressing the pediatrics specific immunity towards COVID-19. Two independent assays were performed to investigate humoral and cellular immunological memory in pediatric convalescent COVID-19 patients. Specifically, RBD IgG, CD4+, and CD8+ T cell responses were identified and quantified in recovered children and adolescents. SARS-CoV-2-specific RBD IgG detected in recovered patients had a half-life of 121.6 days and estimated duration of 7.9 months compared with baseline levels in controls. The specific T cell response was shown to be independent of days after diagnosis. Both CD4+ and CD8+ T cells showed robust responses not only to spike (S) peptides (a main target of vaccine platforms) but were also similarly activated when stimulated by membrane (M) and nuclear (N) peptides. Importantly, we found the differences in the adaptive responses were correlated with the age of the recovered patients. The CD4+ T cell response to SARS-CoV-2 S peptide in children aged <12 years correlated with higher SARS-CoV-2 RBD IgG levels, suggesting the importance of a T cell-dependent humoral response in younger children under 12 years. Both cellular and humoral immunity against SARS-CoV-2 infections can be induced in pediatric patients. Our important findings provide fundamental knowledge on the immune memory responses to SARS-CoV-2 in recovered pediatric patients
Evaluation of prognostic risk models for postoperative pulmonary complications in adult patients undergoing major abdominal surgery: a systematic review and international external validation cohort study
Background
Stratifying risk of postoperative pulmonary complications after major abdominal surgery allows clinicians to modify risk through targeted interventions and enhanced monitoring. In this study, we aimed to identify and validate prognostic models against a new consensus definition of postoperative pulmonary complications.
Methods
We did a systematic review and international external validation cohort study. The systematic review was done in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched MEDLINE and Embase on March 1, 2020, for articles published in English that reported on risk prediction models for postoperative pulmonary complications following abdominal surgery. External validation of existing models was done within a prospective international cohort study of adult patients (≥18 years) undergoing major abdominal surgery. Data were collected between Jan 1, 2019, and April 30, 2019, in the UK, Ireland, and Australia. Discriminative ability and prognostic accuracy summary statistics were compared between models for the 30-day postoperative pulmonary complication rate as defined by the Standardised Endpoints in Perioperative Medicine Core Outcome Measures in Perioperative and Anaesthetic Care (StEP-COMPAC). Model performance was compared using the area under the receiver operating characteristic curve (AUROCC).
Findings
In total, we identified 2903 records from our literature search; of which, 2514 (86·6%) unique records were screened, 121 (4·8%) of 2514 full texts were assessed for eligibility, and 29 unique prognostic models were identified. Nine (31·0%) of 29 models had score development reported only, 19 (65·5%) had undergone internal validation, and only four (13·8%) had been externally validated. Data to validate six eligible models were collected in the international external validation cohort study. Data from 11 591 patients were available, with an overall postoperative pulmonary complication rate of 7·8% (n=903). None of the six models showed good discrimination (defined as AUROCC ≥0·70) for identifying postoperative pulmonary complications, with the Assess Respiratory Risk in Surgical Patients in Catalonia score showing the best discrimination (AUROCC 0·700 [95% CI 0·683–0·717]).
Interpretation
In the pre-COVID-19 pandemic data, variability in the risk of pulmonary complications (StEP-COMPAC definition) following major abdominal surgery was poorly described by existing prognostication tools. To improve surgical safety during the COVID-19 pandemic recovery and beyond, novel risk stratification tools are required.
Funding
British Journal of Surgery Society
Underground operation at best sensitivity of the mobile LNE-SYRTE cold atom gravimeter
Low noise underground environments offer conditions allowing assessment of ultimate performance of high sensitivity sensors such as accelerometers, gyrometers, seismometers⋯ Such facilities are for instance ideal for observing the tiny signals of interest for geophysical studies. Laboratoire Souterrain à Bas Bruit (LSBB) in which we have installed our cold atom gravimeter provides such an environment. We report here the best short term sensitivity ever obtained without any ground vibration isolation system with such an instrument: 10−8 m s−2 in 100 s measurement time
Investigation of coupled hydraulic-geomechanical processes at the KTB site: pressure-dependent characteristics of a long-term pump test and elastic interpretation using a geomechanical facies model
Identification of putative biomarkers specific to foodborne pathogens using metabolomics
Steady Flow from an Array of Subsurface Emitters: Kornev’s Irrigation Technology and Kidder’s Free Boundary Problems Revisited
Kornev’s (Subsurface irrigation, Selhozgiz, Moscow-Leningrad, 1935) subsurface irrigation with a periodic array of emitting porous pipes is analytically modeled as a steady potential Darcian flow from a line source generating a phreatic surface. The hodograph method is used. The complex potential strip is mapped onto the triangle of the inverted hodograph. An analogy with the Deemter (Theoretische en numerieke behandeling van ontwaterings-en infiltratie stromings problemen (in Dutch). Theoretical and numerical treatment of flow problems connected to drainage and irrigation. Ph.D. dissertation, Delft University of Technology, 1950) drainage problem and Kidder (J Appl Phys 27(8):867–869, 1956) free-surface flow toward an array of oil wells underlain by a “wavy” oil–water interface is drawn. For a half-period of Kornev’s flow, the “wavy” phreatic surface has an inflection point. The “waviness” of the phreatic surface is controlled by the spacing between emitters, the strength of line sources, and the pipe pressure and radius. Numerical modeling with HYDRUS involved two factors which constrained the saturated–unsaturated flow: the positive pressure head at the outlet of the modeled domain and lateral no-flow boundaries, with a qualitative corroboration of analytical solutions for potential (fully saturated) and purely unsaturated flows. HYDRUS is also applied to a generalized Philip’s regime of an unsaturated flow past a subterranean hole, which is impermeable at its top and leaks at the bottom
