Improving the applicability of radar rainfall estimates for urban pluvial flood modelling and forecasting

This work explores the possibility of improving the applicability of radar rainfall estimates (whose accuracy is generally insufficient) to the verification and operation of urban storm-water drainage models by employing a number of local gauge-based radar rainfall adjustment techniques. The adjustment techniques tested in this work include a simple mean-field bias (MFB) adjustment, as well as a more complex Bayesian radar-raingauge data merging method which aims at better preserving the spatial structure of rainfall fields. In addition, a novel technique (namely, local singularity analysis) is introduced and shown to improve the Bayesian method by better capturing and reproducing storm patterns and peaks. Two urban catchments were used as case studies in this work: the Cranbrook catchment (9 km2) in North-East London, and the Portobello catchment (53 km2) in the East of Edinburgh. In the former, the potential benefits of gauge-based adjusted radar rainfall estimates in an operational context were analysed, whereas in the latter the potential benefits of adjusted estimates for model verification purposes were explored. Different rainfall inputs, including raingauge, original radar and the aforementioned merged estimates were fed into the urban drainage models of the two catchments. The hydraulic outputs were compared against available flow and depth records. On the whole, the tested adjustment techniques proved to improve the applicability of radar rainfall estimates to urban hydrological applications, with the Bayesian-based methods, in particular the singularity sensitive one, providing more realistic and accurate rainfall fields which result in better reproduction of the urban drainage system’s dynamics. Further testing is still necessary in order to better assess the benefits of these adjustment methods, identify their shortcomings and improve them accordingly

Induced CNS expression of CXCL1 augments neurologic disease in a murine model of multiple sclerosis via enhanced neutrophil recruitment.

Increasing evidence points to an important role for neutrophils in participating in the pathogenesis of the human demyelinating disease MS and the animal model EAE. Therefore, a better understanding of the signals controlling migration of neutrophils as well as evaluating the role of these cells in demyelination is important to define cellular components that contribute to disease in MS patients. In this study, we examined the functional role of the chemokine CXCL1 in contributing to neuroinflammation and demyelination in EAE. Using transgenic mice in which expression of CXCL1 is under the control of a tetracycline-inducible promoter active within glial fibrillary acidic protein-positive cells, we have shown that sustained CXCL1 expression within the CNS increased the severity of clinical and histologic disease that was independent of an increase in the frequency of encephalitogenic Th1 and Th17 cells. Rather, disease was associated with enhanced recruitment of CD11b+ Ly6G+ neutrophils into the spinal cord. Targeting neutrophils resulted in a reduction in demyelination arguing for a role for these cells in myelin damage. Collectively, these findings emphasize that CXCL1-mediated attraction of neutrophils into the CNS augments demyelination suggesting that this signaling pathway may offer new targets for therapeutic intervention

Calcitonin gene-related peptide-expressing sensory neurons and spinal microglial reactivity contribute to pain states in collagen-induced arthritis

Objective To evaluate the contribution of sensory neurons in ankle joints and adjacent tissue to the development of pain in collagen‐induced arthritis (CIA), and to determine the relationship between pain and the appearance of clinical signs. Methods Mechanical and heat hypersensitivity and hind paw swelling were assessed in Lewis rats before and until 18 days following collagen immunization. We examined the effect of intrathecal administration of a calcitonin gene‐related peptide (CGRP) antagonist (CGRP8–37) from day 11 to day 18 postimmunization on CIA‐induced hypersensitivity. During CIA development, CGRP and p‐ERK immunoreactivity was quantified in lumbar dorsal root ganglia in which sensory neurons innervating the ankle joint were identified by retrograde labeling with Fluoro‐Gold. Microgliosis in the lumbar dorsal horn was assessed by immunohistochemistry, and release of CGRP evoked by activity of primary afferent fibers was measured using a preparation of isolated dorsal horn with dorsal roots attached. Results CIA was associated with mechanical hypersensitivity that was evident before hind paw swelling and that was exacerbated with the development of swelling. Heat hyperalgesia developed along with swelling. Concomitant with the development of mechanical hypersensitivity, joint innervating neurons exhibited enhanced CGRP expression and an activated phenotype (increased p‐ERK expression), and significant microgliosis became evident in the dorsal horn; these peripheral and central changes were augmented further with disease progression. CGRP release evoked by dorsal root stimulation was higher in the dorsal horn on day 18 in rats with CIA compared to control rats. Prolonged intrathecal administration of CGRP8–37 attenuated established mechanical hypersensitivity and reduced spinal microgliosis. Conclusion Sensory neuron–derived CGRP sustains mechanical hypersensitivity and spinal microglial reactivity in CIA, suggesting that central mechanisms play critical roles in chronic inflammatory pain. Blockade of these central events may provide pain relief in rheumatoid arthritis patients

Complex Physical Activities, Outdoor Play, and School Readiness among Preschoolers

High quality educational settings play a crucial role in preparing a child to enter kindergarten, but little work has explored how outdoor play and complex physical activity outside school and childcare settings promote school readiness among preschoolers. To address this gap, the present study explored connections among school readiness with outdoor play and participation in complex physical activity. Parents (N = 107) reported the extent and frequency of time their child spent in outdoor play during a typical week, and what complex activities (e.g., soccer, biking, basketball) the child played over the last year. School readiness was assessed with parent reports on the Preschool Behavior and Emotional Rating Scale. Results showed participating in complex activities significantly moderated the relationship between time in outdoor play with school readiness, with time in outdoor play positively related to school readiness for children who participated in two or less complex activities. For children who participated in three complex activities, time in outdoor play was not related to school readiness. Findings offer support that encouraging both outdoor play and participation in complex physical activities could promote school readiness, particularly when opportunities for outdoor playtime are limited

Neuron-immune mechanisms contribute to pain in early stages of arthritis

Background: Rheumatoid arthritis (RA) patients frequently show weak correlations between the magnitude of pain and inflammation suggesting that mechanisms other than overt peripheral inflammation contribute to pain in RA. We assessed changes in microglial reactivity and spinal excitability and their contribution to pain-like behaviour in the early stages of collagen-induced arthritis (CIA) model. Methods: Mechanically evoked hypersensitivity, spinal nociceptive withdrawal reflexes (NWRs) and hind paw swelling were evaluated in female Lewis rats before and until 13 days following collagen immunization. In the spinal dorsal horn, microgliosis was assayed using immunohistochemistry (Iba-1/p-p38) and cyto(chemo)kine levels in the cerebrospinal fluid (CSF). Intrathecal administration of microglia-targeting drugs A-438079 (P2X7 antagonist) and LHVS (cathepsin S inhibitor) were examined upon hypersensitivity, NWRs, microgliosis andcyto(chemo)kine levels in the early phase of CIA. Results: The early phase of CIA was associated with mechanical allodynia and exaggerated mechanically evoked spinal NWRs, evident before hind paw swelling, and exacerbated with the development of swelling. Concomitant with the development of hypersensitivity was the presence of reactive spinal microgliosis and an increase of IL-1β levels in CSF (just detectable in plasma). Prolonged intrathecal administration of microglial inhibitors attenuated the development of mechanical allodynia, reduced microgliosis and attenuated IL-1β increments. Acute spinal application of either microglial inhibitor significantly diminished the sensitization of the spinal NWRs. Conclusions: Mechanical hypersensitivity in the early phase of CIA is associated with central sensitization that is dependent upon microglial-mediated release of IL-1β in the spinal cord. Blockade of these spinal events may provide pain relief in RA patients

Tracing oceanic sources of heat content available for Atlantic hurricanes

In the Main Development Region (MDR) for Atlantic hurricanes, the volume of water warmer than 26.5°C quantifies the potential source of energy for major storms. Taking a Lagrangian perspective, this warm water is backtracked on seasonal timescales in an eddy-resolving ocean model hindcast spanning 1988–2010. Being confined near the surface and assuming a mixed layer depth of 50 m, net heat fluxes into or out of water parcels advected toward the MDR are inferred from along-trajectory temperature tendencies. To first order, these heat fluxes match surface net heat fluxes during the months over which water advects into the region. Contributions to this warm water in the preceding 6 months include water resident in the MDR (20%–40%), arriving via the North Brazil Current (NBC, 5%–15%), or via Ekman drift across 10°S. In relative terms, decreased contributions from the NBC and Ekman drift and more in situ warming within the MDR lead to warmer, more active hurricane seasons

Application and Effectiveness of Telehealth to Support Severe Mental Illness Management: Systematic Review

Background: It is important that people with SMI receive early interventions to prevent mental health deterioration or relapse. Telecommunications and other technologies are increasingly used to assist healthcare delivery (‘telehealth’) , providing service users with immediate real-time information to improve the management of chronic health conditions. Telehealth has been found to be successful in improving management and symptoms across a number of health conditions, whilst also being acceptable to users. Initial findings suggest technology could improve quality of life in people with SMI. Objectives: This systematic review aimed to identify the variety of uses and efficacy of teleheal th technology for SMI. Methods: We systematically searched electronic databases from inception to March 2016 (MEDLINE, EMBASE, PsycINFO, Cochrane Central Register of Controlled Trials, AMED, He alth Techno logy Assessment, CINAHL plus and NHS EED ) for randomised controlled trials (RCTs) evaluating telehealth for adults with SMI , published in English. Additional literature was identified by searching reference lists of key articles. The articles meeting the inclusion criteria were systematically reviewed and assessed for quality and risk of bias. Results: The search identified 31 eligible articles, describing 29 trials. The included studies evaluated the use of computers to deliver cognitive rehabilitation (1 5 trials), patient education (3 trials), online self- management interventions (2 trials), and to support consultations (1 trial). Virtual reality (VR) was used to simulate work and social sit uations (2 trials ) and to deliver cognitive training (1 trial). Telephones were used to prompt medication use (3 trials ) and report SMI symptoms to healthcare teams (1 trial ). Remote sensors were used to monitor medication use (1 trial). Telephone support was found effective for improving medication adherence and reducing symptom severity and inpatient days. Computer assisted cognitive rehabilitation was effective in improving cognitive function. The impact of telehealth on other outcomes was inconsistent. Few studies evaluated the 3 use of remote medication telemonitoring, VR, online self-management and computer -mediated consultations, suggesting these are novel technologies for managing SMI, although all were found effective for improving psycho social and behavioural outcomes. The results of this review should be taken in the context of varied quality in study design, with only five studies demonstrating a low risk of bias. Conclusions : A growing variety of telehealth technologies are used to support SMI. Specific types of technology have been found to be effective for som e outcomes, for example telephone prompts for medication adherence, while other types of telehealth had no benefit over traditional methods and were less acceptable to patients. Few studies found benefits for telehealth on quality of life, except for novel technologies with a limited number of trials. Further research is warranted to establish the full potential benefits of telehealth for improving quality of life in SMI, acceptability from the service user perspective, and cost-effectivenes

Complex Physical Activities, Outdoor Play, and School Readiness among Preschoolers

High quality educational settings play a crucial role in preparing a child to enter kindergarten, but little work has explored how outdoor play and complex physical activity outside school and childcare settings promote school readiness among preschoolers. To address this gap, the present study explored connections among school readiness with outdoor play and participation in complex physical activity. Parents (N = 107) reported the extent and frequency of time their child spent in outdoor play during a typical week, and what complex activities (e.g., soccer, biking, basketball) the child played over the last year. School readiness was assessed with parent reports on the Preschool Behavior and Emotional Rating Scale. Results showed participating in complex activities significantly moderated the relationship between time in outdoor play with school readiness, with time in outdoor play positively related to school readiness for children who participated in two or less complex activities. For children who participated in three complex activities, time in outdoor play was not related to school readiness. Findings offer support that encouraging both outdoor play and participation in complex physical activities could promote school readiness, particularly when opportunities for outdoor playtime are limited

Extreme air–sea interaction over the North Atlantic subpolar gyre during the winter of 2013–2014 and its sub-surface legacy

Exceptionally low North American temperatures and record-breaking precipitation over the British Isles during winter 2013–2014 were interconnected by anomalous ocean evaporation over the North Atlantic subpolar gyre region (SPG). This evaporation (or oceanic latent heat release) was accompanied by strong sensible heat loss to the atmosphere. The enhanced heat loss over the SPG was caused by a combination of surface westerly winds from the North American continent and northerly winds from the Nordic Seas region that were colder, drier and stronger than normal. A distinctive feature of the air–sea exchange was that the enhanced heat loss spanned the entire width of the SPG, with evaporation anomalies intensifying in the east while sensible heat flux anomalies were slightly stronger upstream in the west. The immediate impact of the strong air–sea fluxes on the ocean–atmosphere system included a reduction in ocean heat content of the SPG and a shift in basin-scale pathways of ocean heat and atmospheric freshwater transport. Atmospheric reanalysis data and the EN4 ocean data set indicate that a longer-term legacy of the winter has been the enhanced formation of a particularly dense mode of Subpolar Mode Water (SPMW)—one of the precursors of North Atlantic Deep Water and thus an important component of the Atlantic Meridional Overturning Circulation. Using particle trajectory analysis, the likely dispersal of newly-formed SPMW is evaluated, providing evidence for the re-emergence of anomalously cold SPMW in early winter 2014/2015