Bias adjustment of satellite-based precipitation estimation using gauge observations: A case study in Chile

Satellite-based precipitation estimates (SPEs) are promising alternative precipitation data for climatic and hydrological applications, especially for regions where ground-based observations are limited. However, existing satellite-based rainfall estimations are subject to systematic biases. This study aims to adjust the biases in the Precipitation Estimation from Remotely Sensed Information using Artificial Neural Networks–Cloud Classification System (PERSIANN-CCS) rainfall data over Chile, using gauge observations as reference. A novel bias adjustment framework, termed QM-GW, is proposed based on the nonparametric quantile mapping approach and a Gaussian weighting interpolation scheme. The PERSIANN-CCS precipitation estimates (daily, 0.04°×0.04°) over Chile are adjusted for the period of 2009–2014. The historical data (satellite and gauge) for 2009–2013 are used to calibrate the methodology; nonparametric cumulative distribution functions of satellite and gauge observations are estimated at every 1°×1° box region. One year (2014) of gauge data was used for validation. The results show that the biases of the PERSIANN-CCS precipitation data are effectively reduced. The spatial patterns of adjusted satellite rainfall show high consistency to the gauge observations, with reduced root-mean-square errors and mean biases. The systematic biases of the PERSIANN-CCS precipitation time series, at both monthly and daily scales, are removed. The extended validation also verifies that the proposed approach can be applied to adjust SPEs into the future, without further need for ground-based measurements. This study serves as a valuable reference for the bias adjustment of existing SPEs using gauge observations worldwide

Monitoring of anticoagulation in thrombotic antiphospholipid syndrome

Anticoagulation is central to the management of thrombotic antiphospholipid syndrome (APS). The standard anticoagulant treatment for thrombotic APS is life-long warfarin or an alternative vitamin K antagonist. The role of direct oral anticoagulants for thrombotic APS is not established due to the lack of definitive evidence and has recently been addressed in international guidance. Other anticoagulant options include low-molecular-weight heparin, unfractionated heparin and fondaparinux. In APS patients, lupus anticoagulant can affect phospholipid-dependent coagulation monitoring tests, so that they may not reflect true anticoagulation intensity. Accurate assessment of anticoagulation intensity is essential, to optimise anticoagulant dosing and facilitate thrombus resolution; minimise the risk of recurrent thrombosis or bleeding; inform assessment of whether recurrent thrombosis is related to breakthrough thrombosis while on therapeutic anticoagulation, subtherapeutic anticoagulation, non-adherence or spurious results; and guide the management of bleeding. Knowledge of anticoagulant intensity also informs assessment and comparison of anticoagulation regimens in clinical studies. Considerations regarding anticoagulation dosing and/or monitoring of thrombotic APS patients underpin appropriate management in special situations, notably APS-related severe renal impairment, that may occur in APS or APS/systemic lupus erythematosus-related nephropathy or catastrophic APS; and APS-related thrombocytopenia. Anticoagulant dosing and monitoring in thrombotic APS patients also requires consideration in anticoagulant-refractory APS and pregnancy. In this review, we summarise the tests generally used in monitoring anticoagulant therapy, use of the main anticoagulants considered for thrombotic APS, lupus anticoagulant effects on anticoagulation monitoring tests, and strategies for appropriate anticoagulant monitoring in thrombotic APS

Transperineal endoscopic drainage of a presacral and paraspinal abscess

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Merging high-resolution satellite-based precipitation fields and point-scale rain gauge measurements-A case study in Chile

With high spatial-temporal resolution, Satellite-based Precipitation Estimates (SPE) are becoming valuable alternative rainfall data for hydrologic and climatic studies but are subject to considerable uncertainty. Effective merging of SPE and ground-based gauge measurements may help to improve precipitation estimation in both better resolution and accuracy. In this study, a framework for merging satellite and gauge precipitation data is developed based on three steps, including SPE bias adjustment, gauge observation gridding, and data merging, with the objective to produce high-quality precipitation estimates. An inverse-root-mean-square-error weighting approach is proposed to combine the satellite and gauge estimates that are in advance adjusted and gridded, respectively. The model is applied and tested with the Precipitation Estimation from Remotely Sensed Information using Artificial Neural Networks-Cloud Classification System (PERSIANN-CCS) estimates (daily, 0.04° × 0.04°) over Chile, for the 6 year period of 2009-2014. Daily observations from about 90% of collected gauges over the study area are used for model calibration; the rest of the gauged data are regarded as ground “truth” for validation. Evaluation results indicate high effectiveness of the model in producing high-resolution-precision precipitation data. Compared to reference data, the merged data (daily) show correlation coefficients, probabilities of detection, root-mean-square errors, and absolute mean biases that were consistently improved from the original PERSIANN-CCS estimates. The cross-validation evidences that the framework is effective in providing high-quality estimates even over nongauged satellite pixels. The same method can be applied globally and is expected to produce precipitation products in near real time by integrating gauge observations with satellite estimates

Clinical and laboratory practice for lupus anticoagulant testing: An International Society of Thrombosis and Haemostasis Scientific and Standardization Committee survey

Background: Current guidelines have contributed to more uniformity in the performance and interpretation of lupus anticoagulant (LA ) testing. However, points to reconsider include testing for LA in patients on anticoagulation, cut‐off values, and interpretation of results. Objectives: The aim of this International Society of Thrombosis and Haemostasis Scientific and Standardization committee (ISTH SSC ) questionnaire was to capture the spectrum of clinical and laboratory practice in LA detection, focusing on variability in practice, so that the responses could inform further ISTH SSC recommendations. Methods: Members of the ISTH SSC on Lupus Anticoagulant/Antiphospholipid Antibodies and participants of the Lupus Anticoagulant/Antiphospholipid Antibodies Programme of the External quality Control of diagnostic Assays and Tests Foundation were invited to complete a questionnaire on LA testing that was placed on the ISTH website using RedCap, with data tallied using simple descriptive statistics. Results: There was good agreement on several key recommendations in the ISTH and other guidelines on LA testing, such as sample processing, principles of testing, choice of tests, repeat testing to confirm persistent positivity and the use of interpretative reporting. However, the results highlight that there is less agreement on some other aspects, including the timing of testing in relation to thrombosis or pregnancy, testing in patients on anticoagulation, cut‐off values, and calculation and interpretation of results. Conclusions: Although some of the variability in practice in LA testing reflects the lack of substantive data to underpin evidence‐based recommendations, a more uniform approach, based on further guidance, should reduce the inter‐center variability of LA testing

Enhancing Holistic Identity through Yoga: Investigating Body-Mind-Spirit Interventions on Mental Illness Stigma across Culture–A Case Study

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Complications following adult cochlear implantation: experience in Manchester

Cochlear implantation is regarded as a safe and effective treatment for the profoundly deaf. However, a proportion of patients suffer complications after implant surgery. This paper examines the complications encountered in 240 adult cochlear implant operations performed in Manchester between June 1988 and June 2002. Minor complications were defined as those that either settled spontaneously or with conservative management. The total number of minor complications was 61 (25.4 per cent of cases). Non-auditory stimulation, which resolved with implant reprogramming, was present in 53 cases (22.1 per cent). Major complications were defined as those requiring further surgery, explantation or causing a significant medical problem, and occurred in 15 patients (6.25 per cent). These included implant extrusion, implant sepsis, electrode migration, flap-related problems, and persistent non-auditory stimulation. Nine of the 15 patients suffering a major complication required explantation. There were no post-operative deaths, cases of meningitis, nor persistent facial palsies in the series

Mind-Body Treatment for Depression: Clay Art Therapy with the Expressive Therapies Continuum

No. N-RE6141Conference Theme: Art Therapy: Integrating Creativity, Healing & ProfessionalismDepression creates enormous socioeconomic problems globally and is projected to become the most serious cause of disability by the year 2030 (WHO, 2003; 2008). Effective psychosocial treatments are urgently needed to help the millions of people worldwide coping with depression ...postprin

Evolution of populations expanding on curved surfaces

This is the author accepted manuscript. The final version is available from EPL Association via the DOI in this recordThe expansion of a population into new habitat is a transient process that leaves its footprints in the genetic composition of the expanding population. How the structure of the environment shapes the population front and the evolutionary dynamics during such a range expansion is little understood. Here, we investigate the evolutionary dynamics of populations consisting of many selectively neutral genotypes expanding on curved surfaces. Using a combination of individual-based off-lattice simulations, geometrical arguments, and lattice-based stepping-stone simulations, we characterise the effect of individual bumps on an otherwise flat surface. Compared to the case of a range expansion on a flat surface, we observe a transient relative increase, followed by a decrease, in neutral genetic diversity at the population front. In addition, we find that individuals at the sides of the bump have a dramatically increased expected number of descendants, while their neighbours closer to the bump's centre are far less lucky. Both observations can be explained using an analytical description of straight paths (geodesics) on the curved surface. Complementing previous studies of heterogeneous flat environments, the findings here build our understanding of how complex environments shape the evolutionary dynamics of expanding populations.Nederlandse Organisatie voor Wetenschappelijk Onderzoek I (NWO-I)American Physical SocietySociedade Brasileira de FísicaFAPESPCenter for Computation and Visualization, Brown Universit

Dissolution Dominates Silica Cycling in a Shelf Sea Autumn Bloom

Autumn phytoplankton blooms represent key periods of production in temperate and high‐latitude seas. Biogenic silica (bSiO2) production, dissolution, and standing stocks were determined in the Celtic Sea (United Kingdom) during November 2014. Dissolution rates were in excess of bSiO2 production, indicating a net loss of bSiO2. Estimated diatom bSiO2 contributed ≤10% to total bSiO2, with detritalbSiO2 supportingrapidSicycling.Basedontheaveragebiomass‐specificdissolutionrate(0.2day−1), 3weekswouldbeneededtodissolve99%ofthebSiO2 present.NegativenetbSiO2 productionwasassociated with low‐light conditions (<4 E·m−2·day−1). Our observations imply that dissolution dominates Si cycling during autumn, with low‐light conditions also likely to influence Si cycling during winter and early spring