Rainfall frequency analysis for ungauged sites using satellite precipitation products

The occurrence of extreme rainfall events and their impacts on hydrologic systems and society are critical considerations in the design and management of a large number of water resources projects. As precipitation records are often limited or unavailable at many sites, it is essential to develop better methods for regional estimation of extreme rainfall at these partially-gauged or ungauged sites. In this study, an innovative method for regional rainfall frequency analysis for ungauged sites is presented. The new method (hereafter, this is called the RRFA-S) is based on corrected annual maximum series obtained from a satellite precipitation product (e.g., PERSIANN-CDR). The probability matching method (PMM) is used here for bias correction to match the CDF of satellite-based precipitation data with the gauged data. The RRFA-S method was assessed through a comparative study with the traditional index flood method using the available annual maximum series of daily rainfall in two different regions in USA (11 sites in Colorado and 18 sites in California). The leave-one-out cross-validation technique was used to represent the ungauged site condition. Results of this numerical application have found that the quantile estimates obtained from the new approach are more accurate and more robust than those given by the traditional index flood method

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Rainfall frequency analysis for ungauged sites using satellite precipitation products

The occurrence of extreme rainfall events and their impacts on hydrologic systems and society are critical considerations in the design and management of a large number of water resources projects. As precipitation records are often limited or unavailable at many sites, it is essential to develop better methods for regional estimation of extreme rainfall at these partially-gauged or ungauged sites. In this study, an innovative method for regional rainfall frequency analysis for ungauged sites is presented. The new method (hereafter, this is called the RRFA-S) is based on corrected annual maximum series obtained from a satellite precipitation product (e.g., PERSIANN-CDR). The probability matching method (PMM) is used here for bias correction to match the CDF of satellite-based precipitation data with the gauged data. The RRFA-S method was assessed through a comparative study with the traditional index flood method using the available annual maximum series of daily rainfall in two different regions in USA (11 sites in Colorado and 18 sites in California). The leave-one-out cross-validation technique was used to represent the ungauged site condition. Results of this numerical application have found that the quantile estimates obtained from the new approach are more accurate and more robust than those given by the traditional index flood method

Impact of inclined double-cutoff walls under hydraulic structures on uplift forces, seepage discharge and exit hydraulic gradient

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record In hydraulic structures design, using cutoff walls is essential to reduce and control the resultant uplift force (U), seepage discharge (Q), and exit hydraulic gradient (i). This research investigates the effectiveness of inclined double cutoff walls under hydraulic structures, considering the influence of depths, locations, and inclination angles of the upstream and downstream cutoff walls by using Finite Element Method (FEM). The results confirmed that installing a deeper cutoff wall on the downstream reduces the exit gradient even further. In the case of the cutoff walls located in the upstream and downstream ends, the exit gradient will be less than when the cutoff walls are installed at a closer distance. Increasing the inclination angle of downstream cutoff wall has a major impact on exit gradient reduction. Embedment of cutoff walls in the upstream and downstream ends with right angles and equal depths reduces the seepage discharge more than other cases