57 research outputs found
Using quinine as a fluorescent tracer to estimate overland flow velocities on bare soil: Proof of concept under controlled laboratory conditions
This study presents a tracer technique based on the fluorescent properties of quinine to help on the visualization of shallow flows and allow a quantitative measurement of overland flow velocities. Laboratory experiments were conducted to compare the traditional dye tracer and thermal tracer techniques with this novel fluorescent (quinine) tracer by injecting a quinine solution and the other tracers into shallow flowing surface water. The leading-edge tracer velocities, estimated using videos of the experiments with the quinine tracer were compared with the velocities obtained by using thermograms and real imaging videos of the dye tracers. The results show that the quinine tracer can be used to estimate both overland and rill flow velocities, since measurements are similar to those resulting from using other commonly used tracers. The main advantage of using the quinine tracer is the higher visibility of the injected tracer under ultraviolet A (UVA) light for low luminosity conditions. In addition, smaller amounts of quinine tracer are needed than for dye tracers, which lead to smaller disturbances in the flow. It requires a simple experimental setup and is non-toxic to the environment.UIDB/04292/2020info:eu-repo/semantics/publishedVersio
Comparison of ratioing and RCNA methods in the detection of flooded areas using Sentinel 2 Imagery (case study: Tulun, Russia)
Climate change and natural disasters caused by hydrological, meteorological, and climatic phenomena have a significant impact on cities. Russia, a continental country with a vast territory of complex geographic–ecological environments and highly variable climatic conditions, is subject to substantial and frequent natural disasters. On 29 June 2019, an extreme precipitation event occurred in the city of Tulun in the Irkutsk oblast, Russian Federation, which caused flooding due to the increase in the water level of the Iya River that passes through the city, leaving many infrastructures destroyed and thousands of people affected. This study aims to determine the flooded areas in the city of Tulun based on two change detection methods: Radiometric Rotation Controlled by No-change Axis (RCNA) and Ratioing, using Sentinel 2 images obtained before the event (19 June 2019) and during the flood peak (29 June 2019). The results obtained by the two methodologies were compared through cross-classification, and a 98% similarity was found in the classification of the areas. The study was validated based on photointerpretation of Google Earth images. The methodology presented proved to be useful for the automatic precession of flooded areas in a straightforward, but rigorous, manner. This allows stakeholders to efficiently manage areas that are buffeted by flooding episodes.LA/P/0069/2020info:eu-repo/semantics/publishedVersio
Soil erosion, Serra de Grandola (Portugal)
Soil erosion has long been the subject of attention for environmental management researchers because it implies the loss of a key natural resource for sustaining life. Several methodologies for soil erosion assessment have been developed; many of these are supported by Geographic Information Systems. This study aims to classify the susceptibility of rainfall-induced erosion at the Serra de Grandola (Portugal), based on the Priority Actions Programme/Regional Activity Centre guidelines for mapping soil erosion on the Mediterranean coast. Results show a low-to-moderate susceptibility to rainfall-induced erosion in the lowlands, becoming moderate to high in the highlands of the Serra de Grandola
Classification of landforms in Southern Portugal (Ria Formosa Basin)
A Geographic Information Systems-based tool is used for macro-landform classification following the Hammond procedure, based upon a Digital Terrain Model (DTM) created from ordinary Kriging. Gentle slopes, surface curvature, highlands and lowlands areas are derived from the DTM. Combining this information allows the classification of terrain units (landforms). The procedure is applied to the Ria Formosa basin (Southern Portugal), with five different terrain types classified (plains, tablelands, plains with hills, open hills and hills)
Diversity and ethics in trauma and acute care surgery teams: results from an international survey
Background Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. Methods The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Results Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Conclusions Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures. Level of evidence Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance
Albiglutide and cardiovascular outcomes in patients with type 2 diabetes and cardiovascular disease (Harmony Outcomes): a double-blind, randomised placebo-controlled trial
Background:
Glucagon-like peptide 1 receptor agonists differ in chemical structure, duration of action, and in their effects on clinical outcomes. The cardiovascular effects of once-weekly albiglutide in type 2 diabetes are unknown. We aimed to determine the safety and efficacy of albiglutide in preventing cardiovascular death, myocardial infarction, or stroke.
Methods:
We did a double-blind, randomised, placebo-controlled trial in 610 sites across 28 countries. We randomly assigned patients aged 40 years and older with type 2 diabetes and cardiovascular disease (at a 1:1 ratio) to groups that either received a subcutaneous injection of albiglutide (30–50 mg, based on glycaemic response and tolerability) or of a matched volume of placebo once a week, in addition to their standard care. Investigators used an interactive voice or web response system to obtain treatment assignment, and patients and all study investigators were masked to their treatment allocation. We hypothesised that albiglutide would be non-inferior to placebo for the primary outcome of the first occurrence of cardiovascular death, myocardial infarction, or stroke, which was assessed in the intention-to-treat population. If non-inferiority was confirmed by an upper limit of the 95% CI for a hazard ratio of less than 1·30, closed testing for superiority was prespecified. This study is registered with ClinicalTrials.gov, number NCT02465515.
Findings:
Patients were screened between July 1, 2015, and Nov 24, 2016. 10 793 patients were screened and 9463 participants were enrolled and randomly assigned to groups: 4731 patients were assigned to receive albiglutide and 4732 patients to receive placebo. On Nov 8, 2017, it was determined that 611 primary endpoints and a median follow-up of at least 1·5 years had accrued, and participants returned for a final visit and discontinuation from study treatment; the last patient visit was on March 12, 2018. These 9463 patients, the intention-to-treat population, were evaluated for a median duration of 1·6 years and were assessed for the primary outcome. The primary composite outcome occurred in 338 (7%) of 4731 patients at an incidence rate of 4·6 events per 100 person-years in the albiglutide group and in 428 (9%) of 4732 patients at an incidence rate of 5·9 events per 100 person-years in the placebo group (hazard ratio 0·78, 95% CI 0·68–0·90), which indicated that albiglutide was superior to placebo (p<0·0001 for non-inferiority; p=0·0006 for superiority). The incidence of acute pancreatitis (ten patients in the albiglutide group and seven patients in the placebo group), pancreatic cancer (six patients in the albiglutide group and five patients in the placebo group), medullary thyroid carcinoma (zero patients in both groups), and other serious adverse events did not differ between the two groups. There were three (<1%) deaths in the placebo group that were assessed by investigators, who were masked to study drug assignment, to be treatment-related and two (<1%) deaths in the albiglutide group.
Interpretation:
In patients with type 2 diabetes and cardiovascular disease, albiglutide was superior to placebo with respect to major adverse cardiovascular events. Evidence-based glucagon-like peptide 1 receptor agonists should therefore be considered as part of a comprehensive strategy to reduce the risk of cardiovascular events in patients with type 2 diabetes.
Funding:
GlaxoSmithKline
Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study
: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI
Search for eccentric black hole coalescences during the third observing run of LIGO and Virgo
Despite the growing number of confident binary black hole coalescences observed through gravitational waves so far, the astrophysical origin of these binaries remains uncertain. Orbital eccentricity is one of the clearest tracers of binary formation channels. Identifying binary eccentricity, however, remains challenging due to the limited availability of gravitational waveforms that include effects of eccentricity. Here, we present observational results for a waveform-independent search sensitive to eccentric black hole coalescences, covering the third observing run (O3) of the LIGO and Virgo detectors. We identified no new high-significance candidates beyond those that were already identified with searches focusing on quasi-circular binaries. We determine the sensitivity of our search to high-mass (total mass M>70 M⊙) binaries covering eccentricities up to 0.3 at 15 Hz orbital frequency, and use this to compare model predictions to search results. Assuming all detections are indeed quasi-circular, for our fiducial population model, we place an upper limit for the merger rate density of high-mass binaries with eccentricities 0<e≤0.3 at 0.33 Gpc−3 yr−1 at 90\% confidence level
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