Improving land cover classification using input variables derived from a geographically weighted principal components analysis

This study demonstrates the use of a geographically weighted principal components analysis (GWPCA) of remote sensing imagery to improve land cover classification accuracy. A principal components analysis (PCA) is commonly applied in remote sensing but generates global, spatially-invariant results. GWPCA is a local adaptation of PCA that locally transforms the image data, and in doing so, can describe spatial change in the structure of the multi-band imagery, thus directly reflecting that many landscape processes are spatially heterogenic. In this research the GWPCA localised loadings of MODIS data are used as textural inputs, along with GWPCA localised ranked scores and the image bands themselves to three supervised classification algorithms. Using a reference data set for land cover to the west of Jakarta, Indonesia the classification procedure was assessed via training and validation data splits of 80/20, repeated 100 times. For each classification algorithm, the inclusion of the GWPCA loadings data was found to significantly improve classification accuracy. Further, but more moderate improvements in accuracy were found by additionally including GWPCA ranked scores as textural inputs, data that provide information on spatial anomalies in the imagery. The critical importance of considering both spatial structure and spatial anomalies of the imagery in the classification is discussed, together with the transferability of the new method to other studies. Research topics for method refinement are also suggested

Open Questions in GRB Physics

Open questions in GRB physics are summarized as of 2011, including classification, progenitor, central engine, ejecta composition, energy dissipation and particle acceleration mechanism, radiation mechanism, long term engine activity, external shock afterglow physics, origin of high energy emission, and cosmological setting. Prospects of addressing some of these problems with the upcoming Chinese-French GRB mission, SVOM, are outlined.Comment: 27 pages. To appear in a special issue of Comptes Rendus Physique "GRB studies in the SVOM era", Eds. F. Daigne, G. Dubu

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

Introduction: The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures. Methods: In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025. Findings: Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p<0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5–5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p<0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4–10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p<0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32–4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP >5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation. Interpretation: After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification

Specimen academicum, de præstantia actionis virtutisque moralis, quod, ... sub moderamine, amplissimi atque celeberrimi viri, Mag. Fabiani Törner ... Publicæ bonorum disquisitioni modeste sistit S:æ R:æ M:tis Alumnus, Johannes Sparschuch Norcopia O-Gothus, in Aud. Gust. Maj. ad diem 7 Octob. A. MDCCXXVII. Horis ante meridiem solitis.

N2O surface fluxes were estimated for 1999 to 2009 using a time-dependent Bayesian inversion technique. Observations were drawn from 5 different networks, incorporating 59 surface sites and a number of ship-based measurement series. To avoid biases in the inverted fluxes, the data were adjusted to a common scale and scale offsets were included in the optimization problem. The fluxes were calculated at the same resolution as the transport model (3.75° longitude × 2.5° latitude) and at monthly time resolution. Over the 11-year period, the global total N2O source varied from 17.5 to 20.1 Tg a−1 N. Tropical and subtropical land regions were found to consistently have the highest N2O emissions, in particular in South Asia (20 ± 3% of global total), South America (13 ± 4%) and Africa (19 ± 3%), while emissions from temperate regions were smaller: Europe (6 ± 1%) and North America (7 ± 2%). A significant multi-annual trend in N2O emissions (0.045 Tg a−2 N) from South Asia was found and confirms inventory estimates of this trend. Considerable interannual variability in the global N2O source was observed (0.8 Tg a−1 N, 1 standard deviation, SD) and was largely driven by variability in tropical and subtropical soil fluxes, in particular in South America (0.3 Tg a−1 N, 1 SD) and Africa (0.3 Tg a−1 N, 1 SD). Notable variability was also found for N2O fluxes in the tropical and southern oceans (0.15 and 0.2 Tg a−1 N, 1 SD, respectively). Interannual variability in the N2O source shows some correlation with the El Niño–Southern Oscillation (ENSO), where El Niño conditions are associated with lower N2O fluxes from soils and from the ocean and vice versa for La Niña conditions