60 research outputs found

    Estimating surface water availability in high mountain rock slopes using a numerical energy balance model

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    Water takes part in most physical processes that shape the mountainous periglacial landscapes and initiation of mass wasting. An observed increase in rockfall activity in several mountainous regions was previously linked to permafrost degradation in high mountains, and water that infiltrates into rock fractures is one of the likely drivers of these processes. However, there is very little knowledge on the quantity and timing of water availability for infiltration in steep rock slopes. This knowledge gap originates from the complex meteorological, hydrological and thermal processes that control snowmelt, and also the challenging access and data acquisition in the extreme alpine environments. Here we use field measurement and numerical modeling to simulate the energy balance and hydrological fluxes in a steep high elevation permafrost affected rock slope at Aiguille du Midi (3842 m a.s.l), in the Mont-Blanc massif. Our results provide new information about water balance at the surface of steep rock slopes. Model results suggest that only ~25 % of the snowfall accumulates in our study site, the remaining ~75 % are redistributed by wind and gravity. Snow accumulation depth is inversely correlated with surface slopes between 40&deg; to 70&deg;. Snowmelt occurs between spring and late summer and most of it does not reach the rock surface due to the formation of an impermeable ice layer at the base of the snowpack. The annual effective snowmelt, that is available for infiltration, is highly variable and ranges over a factor of six with values between 0.05&ndash;0.28 m in the years 1959&ndash;2021. The onset of the effective snowmelt occurs between May and August, and ends before October. It precedes the first rainfall by one month on average. Sublimation is the main process of snowpack mass loss in our study site. Model simulations at varying elevations show that effective snowmelt is the main source of water for infiltration above 3600 m a.s.l.; below, direct rainfall is the dominant source. The change from snowmelt-dominated to rainfall-dominated water availability is nonlinear and characterized by a rapid increase in water availability for infiltration. We suggest that this elevation of water availability transition is highly sensitive to climate change, if snowmelt-dominated permafrost-affected slopes experience an abrupt increase in water input that can initiate rock slope failure.</p

    Invest Ophthalmol Vis Sci

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    PURPOSE: The purpose of this study was to compare 24-hour intraocular pressure (IOP) related fluctuations monitoring between 2 groups of visual field progression rates in patients with open angle glaucoma (OAG). METHODS: Cross-sectional study performed at Bordeaux University Hospital. Twenty-four-hour monitoring was performed using a contact lens sensor (CLS; Triggerfish; SENSIMED, Etagnières, Switzerland). Progression rate was calculated using a linear regression of the mean deviation (MD) parameter of the visual field test (Octopus; HAAG-STREIT, Switzerland). Patients were allocated into two groups: group 1 with an MD progression rate <-0.5 dB/year and group 2 with an MD progression rate ≥-0.5 dB/year. An automatic signal-processing program was developed and a frequency filtering of the monitoring by wavelet transform analysis was used to compare the output signal between the two groups. A multivariate classifier was performed for prediction of the faster progression group. RESULTS: Fifty-four eyes of 54 patients were included. The mean progression rate was -1.09 ± 0.60 dB/year in group 1 (n = 22) and -0.12 ± 0.13 dB/year in group 2 (n = 32). Twenty-four-hour magnitude and absolute area under the monitoring curve were significantly higher in group 1 than in group 2 (group 1: 343.1 ± 62.3 millivolts [mVs] and 8.28 ± 2.10 mVs, respectively, group 2: 274.0 ± 75.0 mV and 6.82 ± 2.70 mVs respectively, P < 0.05). Magnitude and area under the wavelet curve for short frequency periods ranging from 60 to 220 minutes were also significantly higher in group 1 (P < 0.05). CONCLUSIONS: The 24-hour IOP related fluctuations characteristics, as assessed by a CLS, may act as a risk factor for progression in OAG. In association with other predictive factors of glaucoma progression, the CLS may help adjust treatment strategy earlier

    Associations of biomechanical properties of the cornea with environmental and metabolic factors in an elderly population : the ALIENOR study

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    PURPOSE: The purpose of this study was to assess the associations of biomechanical properties of the cornea with metabolic and environmental factors in an elderly population. METHODS: The ALIENOR (Antioxydants, Lipides Essentiels, Nutrition, and Maladies OculaiRes) study is a population-based study. In 2009-2010, 624 subjects, aged 74 years or more, underwent an eye examination, including intraocular pressure (IOP), central corneal thickness (CCT), and biomechanical properties of the cornea measurements using the Ocular Response Analyzer. Socio-demographic, lifestyle, and medical history data were collected using standardized questionnaires. Mean lifetime ambient ultraviolet (UV) exposure was estimated using residential history and statistics of UV radiation at each location using the Eurosun UV database. RESULTS: Mean age was 82.2 ± 4.3 years. Mean corneal hysteresis (CH), corneal resistance factor (CRF), and CCT were 9.4 ± 1.9, 9.8 ± 1.9 mm Hg, and 551.6 ± 36.8 μm, respectively. In the multivariate analysis, CH and CRF values were significantly lower in subjects older than 80 years (-0.56; 95% confidence interval [CI]: -0.89;-0.24); P < 0.001 and -0.48; 95% CI: -0.75;-0.20; P < 0.001, respectively), in subjects having higher ambient UV exposure (-0.50; 95% CI: -0.88;-0.12; P < 0.01; and -0.46; 95% CI: -0.78;-0.13); P < 0.05, respectively), and in subjects with high plasma LDL cholesterol (CH: -0.46; 95% CI: -0.86;-0.03; P < 0.05; and CRF: -0.37; 95% CI: -0.72;-0.008; P < 0.05). Central corneal thickness was significantly higher in former smokers than in never smokers (+11.01; 95% CI: 0.48;21.55; P < 0.05) and was not significantly associated with age, ambient UV exposure, diabetes, or LDL cholesterol. CONCLUSIONS: Biomechanical properties of the cornea are modified by metabolic and lifetime environmental factors, especially UV exposure. The manner these factors may influence onset and progression of ocular diseases or IOP measurements need further investigation

    Global trends in myopia management attitudes and strategies in clinical practice

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    PURPOSE: Myopia is a global public health issue; however, no information exists as to how potential myopia retardation strategies are being adopted globally. METHODS: A self-administrated, internet-based questionnaire was distributed in six languages, through professional bodies to eye care practitioners globally. The questions examined: awareness of increasing myopia prevalence, perceived efficacy and adoption of available strategies, and reasons for not adopting specific strategies. RESULTS: Of the 971 respondents, concern was higher (median 9/10) in Asia than in any other continent (7/10, p<0.001) and they considered themselves more active in implementing myopia control strategies (8/10) than Australasia and Europe (7/10), with North (4/10) and South America (5/10) being least proactive (p<0.001). Orthokeratology was perceived to be the most effective method of myopia control, followed by increased time outdoors and pharmaceutical approaches, with under-correction and single vision spectacles felt to be the least effective (p<0.05). Although significant intra-regional differences existed, overall most practitioners 67.5 (±37.8)% prescribed single vision spectacles or contact lenses as the primary mode of correction for myopic patients. The main justifications for their reluctance to prescribe alternatives to single vision refractive corrections were increased cost (35.6%), inadequate information (33.3%) and the unpredictability of outcomes (28.2%). CONCLUSIONS: Regardless of practitioners' awareness of the efficacy of myopia control techniques, the vast majority still prescribe single vision interventions to young myopes. In view of the increasing prevalence of myopia and existing evidence for interventions to slow myopia progression, clear guidelines for myopia management need to be established

    Global trends in myopia management attitudes and strategies in clinical practice – 2019 Update

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    Purpose: A survey in 2015 identified a high level of eye care practitioner concern about myopia with a reported moderately high level of activity, but the vast majority still prescribed single vision interventions to young myopes. This research aimed to update these findings 4 years later. Methods: A self-administrated, internet-based questionnaire was distributed in eight languages, through professional bodies to eye care practitioners globally. The questions examined: awareness of increasing myopia prevalence, perceived efficacy of available strategies and adoption levels of such strategies, and reasons for not adopting specific strategies. Results: Of the 1336 respondents, concern was highest (9.0 ± 1.6; p < 0.001) in Asia and lowest (7.6 ± 2.2; p < 0.001) in Australasia. Practitioners from Asia also considered their clinical practice of myopia control to be the most active (7.7 ± 2.3; p < 0.001), the North American practitioners being the least active (6.3 ± 2.9; p < 0.001). Orthokeratology was perceived to be the most effective method of myopia control, followed by pharmaceutical approaches and approved myopia control soft contact lenses (p < 0.001). Although significant intra-regional differences existed, overall, most practitioners did not consider single-vision distance under-correction to be an effective strategy for attenuating myopia progression (79.6 %), but prescribed single vision spectacles or contact lenses as the primary mode of correction for myopic patients (63.6 ± 21.8 %). The main justifications for their reluctance to prescribe alternatives to single vision refractive corrections were increased cost (20.6 %) and inadequate information (17.6 %). Conclusions: While practitioner concern about myopia and the reported level of activity have increased over the last 4 years, the vast majority of eye care clinicians still prescribe single vision interventions to young myopes. With recent global consensus evidence-based guidelines having been published, it is hoped that this will inform the practice of myopia management in future

    Analyse rétrospective de l'équipement en lentilles de contact chez l'enfant au CHU de Brest (liens entre contactologie et ophtalmologie pédiatrique)

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    BREST-BU Médecine-Odontologie (290192102) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

    Snow control on active layer and permafrost in steep alpine rock walls (Aiguille du Midi, 3842 m a.s.l, Mont Blanc massif).

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    International audienceProcesses that control climate-dependent rockfall from permafrost-affected rock slopes are still poorly understood.In this study, we present the results of a Wireless Sensor Network, integrated within the Swiss project PermaSenseand developed in 2012, to measure rock temperature and geotechnical parameters in the steep rockwalls of theAiguille du Midi (AdM, 3842 m a.s.l., Mont Blanc massif, France). Accessible year round by cable car, the AdMcomprises two main peaks: (i) the Piton Nord with the cable car arrival station, where 4 crack-meters are placed onfour major fractures, and (ii) the Piton Central with many touristic infrastructure, equipped with three 10-m-deepboreholes with 15 temperatures sensors since 2009, and where 2 crack-meters are installed along a major fracture.Three major kinematic regimes are observed: (i) opening of clefts when the rock temperature becomes positive,followed by closing during the cold period, (ii) summer opening continued by a winter opening, and (iii) closingduring the warm period followed by opening in winter
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