ArcticBeach v1.0: A physics-based parameterization of pan-Arctic coastline erosion

In the Arctic, air temperatures are increasing and sea ice is declining, resulting in larger waves and a longer open water season, all of which intensify the thaw and erosion of ice-rich coasts. Climate change has been shown to increase the rate of Arctic coastal erosion, causing problems for Arctic cultural heritage, existing industrial, military, and civil infrastructure, as well as changes in nearshore biogeochemistry. Numerical models that reproduce historical and project future Arctic erosion rates are necessary to understand how further climate change will affect these problems, and no such model yet exists to simulate the physics of erosion on a pan-Arctic scale. We have coupled a bathystrophic storm surge model to a simplified physical erosion model of a permafrost coastline. This Arctic erosion model, called ArcticBeach v1.0, is a first step toward a physical parameterization of Arctic shoreline erosion for larger-scale models. It is forced by wind speed and direction, wave period and height, sea surface temperature, all of which are masked during times of sea ice cover near the coastline. Model tuning requires observed historical retreat rates (at least one value), as well as rough nearshore bathymetry. These parameters are already available on a pan-Arctic scale. The model is validated at three study sites at 1) Drew Point (DP), Alaska, 2) Mamontovy Khayata (MK), Siberia, and 3) Veslebogen Cliffs, Svalbard. Simulated cumulative retreat rates for DP and MK respectively (169 and 170 m) over the time periods studied at each site (2007–2016, and 1995–2018) are found to the same order of magnitude as observed cumulative retreat (172 and 120 m). The rocky Veslebogen cliffs have small observed cumulative retreat rates (0.05 m over 2014–2016), and our model was also able to reproduce this same order of magnitude of retreat (0.08 m). Given the large differences in geomorphology between the study sites, this study provides a proof-of-concept that ArcticBeach v1.0 can be applied on very different permafrost coastlines. ArcticBeach v1.0 provides a promising starting point to project retreat of Arctic shorelines, or to evaluate historical retreat in places that have had few observations.Peer Reviewe

Health-related quality of life: gender differences in childhood and adolescence

Summary.: Objectives: To assess whether gender and age differences can be found in different aspects of health-related quality of life (HRQOL) of children and adolescents, and to what extent these results correspond to theoretical and empirical findings from developmental psychology. Methods: A newly developed HRQOL questionnaire was completed by 3 710 youths aged nine to 17years in seven European countries. The "Kidscreen 52” questionnaire consists of 10 scales operationalising aspects of the physical, psychological and social dimensions of HRQOL. With the use of ANOVA and effect sizes, the influence of age and gender on aspects of HRQOL is reported. Results: Children report a very good quality of life largely independent of gender. After 12years, HRQOL decreases in the majority of aspects. In the physical and psychological dimensions, a stronger decrease is found for females than for males. Conclusions: Children have higher HRQOL than adolescents in many aspects. With increasing age, HRQOL is frequently worse for females than for males. Examination of the individual aspects leads to a differentiation of the results with relevance for public healt

Quality of Life as reported by school children and their parents: a cross-sectional survey

<p>Abstract</p> <p>Background</p> <p>Comprehensive evidence exists regarding the discrepancy between children's reports and parents' by proxy reports on emotional and behavioural problems. However, little is yet known about factors influencing the extent to which child self- and parent by proxy reports differ in respect of child Quality of Life (QoL). The aim of the study was to investigate the degree of discrepancy between child and parent by proxy reports as measured by two different QoL instruments.</p> <p>Methods</p> <p>A representative Norwegian sample of 1997 school children aged 8–16 years, and their parents were studied using the Inventory of Life Quality (ILC) and the 'Kinder Lebensqualität Fragebogen' (KINDL). Child and parent reports were compared by t-test, and correlations were calculated by Pearson product moment coefficient. Psychometric aspects were examined in regard to both translated QoL instruments (internal consistency by Cronbach's alpha and test-retest reliability by intraclass correlation coefficients).</p> <p>Results</p> <p>Parents evaluated the QoL of their children significantly more positively than did the children. Correlations between mother-child and father-child reports were significant (p < 0.01) and similar but low to moderate (r = 0.32; and r = 0.30, respectively, for the KINDL, and r = 0.30 and r = 0.26, respectively, for the ILC). Mother and father reports correlated moderately highly (r = 0.54 and r = 0.61 for the KINDL and ILC, respectively). No significant differences between correlations of mother-daughter/son and father-daughter/son pairs in regard to reported child QoL were observed on either of the two instruments.</p> <p>Conclusion</p> <p>In the present general population sample, parents reported higher child QoL than did their children. Concordance between child and parent by proxy report was low to moderate. The level of agreement between mothers and fathers in regard to their child's QoL was moderate. No significant impact of parent and child gender in regard to agreement in ratings of child QoL was found. Both the child and parent versions of the Norwegian translations of the KINDL and ILC can be used in surveys of community populations, but in regard to the self-report of 9–10 years old children, only the KINDL total QoL scale or the ILC are recommended.</p

An international scoring system for self-reported health complaints in adolescents

Background: Aimed to develop a unitary scoring system for the 'Health Behaviour in school-aged Children' (HBSC) symptom checklist that would facilitate cross-national comparisons and interpretation. Rasch measurement analysis and investigation of differential item functioning (DIF) were conducted. Methods: Data were obtained from the 'WHO collaborative study HBSC 2001/2002'. A total of 162 305 students aged 11, 13 and 15 years from 35 European and North American Countries were surveyed. Unidimensionality of the items and local independence were tested using means of confirmatory factor analysis. DIF across countries, age groups and gender was investigated using a logistic regression procedure. Item and person parameters were estimated according to the Rating Scale Model (RSM). Results: All items proved to be unidimensional. One item displayed noticeable DIF across countries and was discarded. The remaining items were functioning equally across subgroups. The RSM analysis resulted in Rasch model conform item parameter estimation. Infit mean square values between 0.84 and 1.35 revealed acceptable item fit. Conclusion: The control of DIF enables comparable and unbiased assessment of subjective health complaints across countries, age groups and gender. A scoring algorithm could be developed which enables a cross-cultural comparable and interval-scaled assessment of subjective health complaints.publishersversionPeer reviewe

Sustained Observations of Changing Arctic Coastal and Marine Environments and Their Potential Contribution to Arctic Maritime Domain Awareness: A Case Study in Northern Alaska

Increased maritime activities and rapid environmental change pose significant hazards, both natural and technological, to Arctic maritime operators and coastal communities. Currently, U.S. and foreign research activities account for more than half of the sustained hazard-relevant observations in the U.S. maritime Arctic, but hazard assessment and emergency response are hampered by a lack of dedicated hazard monitoring installations in the Arctic. In the present study, we consider a number of different sustained environmental observations associated with research into atmosphere-ice-ocean processes, and discuss how they can help support the toolkit of emergency responders. Building on a case study at Utqiaġvik (Barrow), Alaska, we investigate potential hazards in the seasonally ice-covered coastal zone. Guided by recent incidents requiring emergency response, we analyze data from coastal radar and other observing assets, such as an ice mass balance site and oceanographic moorings, in order to outline a framework for coastal maritime hazard assessments that builds on diverse observing systems infrastructure. This approach links Arctic system science research to operational information needs in the context of the development of a Common Operational Picture (COP) for Maritime Domain Awareness (MDA) relevant for Arctic coastal and offshore regions. A COP in these regions needs to consider threats not typically part of the classic MDA framework, including sea ice or slow-onset hazards. An environmental security and MDA testbed is proposed for northern Alaska, building on research and community assets to help guide a hybrid research-operational framework that supports effective emergency response in Arctic regions.L’augmentation des activités maritimes et l’évolution rapide de l’environnement présentent des risques naturels et technologiques importants pour les opérateurs maritimes et les collectivités côtières de l’Arctique. Actuellement, les travaux de recherche, tant américains qu’étrangers, représentent plus de la moitié des observations prolongées liées aux dangers dans l’Arctique maritime américain, mais l’évaluation des risques et les interventions d’urgence sont entravées par le manque d’installations consacrées à la surveillance des dangers dans l’Arctique. Dans la présente étude, nous nous penchons sur diverses observations environnementales prolongées en matière de recherche sur les processus atmosphère-glace-océan et nous discutons de la façon dont elles peuvent contribuer aux interventions d’urgence. En nous appuyant sur une étude de cas faite à Utqiaġvik (Barrow), en Alaska, nous étudions les risques potentiels inhérents à la zone côtière couverte de glace saisonnière. Motivés par des incidents récents qui ont nécessité des interventions d’urgence, nous analysons les données provenant des radars côtiers et d’autres ressources d’observation, comme un site de bilan de masse des glaciers et des amarrages océanographiques, afin d’établir un cadre pour évaluer les risques maritimes côtiers, cadre qui s’appuie sur diverses infrastructures de systèmes d’observation. Cette approche relie la recherche scientifique sur le système arctique aux besoins d’information opérationnelle dans le contexte du développement d’une image commune de la situation opérationnelle (ICSO) pour la connaissance du domaine maritime (CDM) pertinente des zones côtières et extracôtières de l’Arctique. Une ICSO dans ces zones doit prendre en compte les menaces ne faisant généralement pas partie du cadre classique de la CDM, y compris la glace de mer ou les dangers à évolution lente. En s’appuyant sur des travaux de recherche et l’apport des collectivités, un banc d’essai en matière de sécurité environnementale et de CDM est proposé pour le nord de l’Alaska afin de guider un cadre hybride de recherche et d’opération qui favoriserait une intervention d’urgence efficace dans les régions arctiques

Reliability, construct and criterion validity of the KIDSCREEN-10 score: a short measure for children and adolescents’ well-being and health-related quality of life

Background To assess the criterion and construct validity of the KIDSCREEN-10 well-being and health-related quality of life (HRQoL) score, a short version of the KIDSCREEN-52 and KIDSCREEN-27 instruments. Methods The child self-report and parent report versions of the KIDSCREEN-10 were tested in a sample of 22,830 European children and adolescents aged 8–18 and their parents (n = 16,237). Correlation with the KIDSCREEN-52 and associations with other generic HRQoL measures, physical and mental health, and socioeconomic status were examined. Score differences by age, gender, and country were investigated. Results Correlations between the 10-item KIDSCREEN score and KIDSCREEN-52 scales ranged from r = 0.24 to 0.72 (r = 0.27–0.72) for the self-report version (proxy-report version). Coefficients below r = 0.5 were observed for the KIDSCREEN-52 dimensions Financial Resources and Being Bullied only. Cronbach alpha was 0.82 (0.78), test–retest reliability was ICC = 0.70 (0.67) for the self- (proxy-)report version. Correlations between other children self-completed HRQoL questionnaires and KIDSCREEN-10 ranged from r = 0.43 to r = 0.63 for the KIDSCREEN children self-report and r = 0.22–0.40 for the KIDSCREEN parent proxy report. Known group differences in HRQoL between physically/mentally healthy and ill children were observed in the KIDSCREEN-10 self and proxy scores. Associations with self-reported psychosomatic complaints were r = −0.52 (−0.36) for the KIDSCREEN-10 self-report (proxy-report). Statistically significant differences in KIDSCREEN-10 self and proxy scores were found by socioeconomic status, age, and gender. Conclusions Our results indicate that the KIDSCREEN-10 provides a valid measure of a general HRQoL factor in children and adolescents, but the instrument does not represent well most of the single dimensions of the original KIDSCREEN-52. Test–retest reliability was slightly below a priori defined thresholds

Use of vitamin K antagonists for secondary stroke prevention depends on the treating healthcare provider in Germany – results from the German AFNET registry

Background Anticoagulation using vitamin K antagonists (VKAs) significantly reduces the risk of recurrent stroke in stroke patients with atrial fibrillation (AF) and is recommended by guidelines. Methods The German Competence NETwork on Atrial Fibrillation established a nationwide prospective registry including 9,574 AF patients, providing the opportunity to analyse AF management according to German healthcare providers. Results On enrolment, 896 (9.4 %) patients reported a prior ischaemic stroke or transient ischaemic attack. Stroke patients were significantly older, more likely to be female, had a higher rate of cardiovascular risk factors, and more frequently received anticoagulation (almost exclusively VKA) than patients without prior stroke history. Following enrolment, 76.4 % of all stroke patients without VKA contraindications received anticoagulation, which inversely associated with age (OR 0.95 per year; 95 % CI 0.92–0.97). General practitioners/internists (OR 0.40; 95 % CI 0.21–0.77) and physicians working in regional hospitals (OR 0.47; 95 % CI 0.29–0.77) prescribed anticoagulation for secondary stroke prevention less frequently than physicians working at university hospitals (reference) and office-based cardiologists (OR 1.40; 95 % CI 0.76–2.60). The impact of the treating healthcare provider was less evident in registry patients without prior stroke. Conclusions In the AFNET registry, anticoagulation for secondary stroke prevention was prescribed in roughly three-quarters of AF patients, a significantly higher rate than in primary prevention. We identified two factors associated with withholding oral anticoagulation in stroke survivors, namely higher age and—most prominently—treatment by a general practitioner/internist or physicians working at regional hospitals