Combining the triangle method with thermal inertia to estimate regional evapotranspiration — Applied to MSG-SEVIRI data in the Senegal River basin

Spatially distributed estimates of evaporative fraction and actual evapotranspiration are pursued using a simple remote sensing technique based on a remotely sensed vegetation index (NDVI) and diurnal changes in land surface temperature. The technique, known as the triangle method, is improved by utilizing the high temporal resolution of the geostationary MSG-SEVIRI sensor. With 15 min acquisition intervals, the MSG-SEVIRI data allow for a precise estimation of the morning rise in land surface temperature which is a strong proxy for total daytime sensible heat fluxes. Combining the diurnal change in surface temperature, dT_s with an interpretation of the triangular shaped dT_s − NDVI space allows for a direct estimation of evaporative fraction. The mean daytime energy available for evapotranspiration (R_n − G) is estimated using several remote sensors and limited ancillary data. Finally regional estimates of actual evapotranspiration are made by combining evaporative fraction and available energy estimates. The estimated evaporative fraction (EF) and actual evapotranspiration (ET) for the Senegal River basin have been validated against field observations for the rainy season 2005. The validation results showed low biases and RMSE and R² of 0.13 [−] and 0.63 for EF and RMSE of 41.45 W m^− 2 and R² of 0.66 for ET.     

Epidemiology of toxic shock syndrome toxin-1 production in Staphylococcus aureus strains isolated in Denmark between 1959 and 1990

A total of 436 Staphylococcus aureus bacteremia strains isolated between 1959 and 1990 were tested for the production of toxic shock syndrome toxin-1 (TSST-1) by a semiquantitative reversed passive latex agglutination test. TSST-1 production was found in 147/260 (57%) of phage group I strains, excluding the "80" complex, and in 17/176 (10%) of non-group I strains. Strains of the 52, 52A, 80, 81 complex ("80" complex), constituting a subgroup of group I, did not have the same high frequency of TSST-1 production as the rest of group I strains (4% versus 57%). The "80" complex has almost disappeared in Denmark. TSST-1 production was found with the same high frequency among group I strains from the beginning (1959) and throughout the observation period. The TSST-1 production was associated with the phages 29 and/or 52, which in turn lysed 95% of group I strains. The TSST-1 production was quantitatively greater in the phage group I strains than in the non-group I strains. TSST-1 production of the bacteremia strains was not correlated to the clinical parameters: mortality, age, gender, bacterial focus, underlying diseases, or whether the infection was hospital or community acquired.     

Intradermal and subcutaneous leiomyosarcoma: a clinicopathological and immunohistochemical study of 41 cases

Superficial leiomyosarcomas are rare tumours. The lesions confined to the dermis, contrary to those involving the subcutis, have been reported to carry a favourable prognosis. A retrospective study of 41 consecutive cases of surgically treated intradermal and subcutaneous leiomyosarcomas was undertaken in order to determine the prognostic factors that may influence the survival of these patients. Seven tumours were predominantly intradermal and 34 involved the subcutaneous tissue. Fifty-four percent of the tumours were located in the lower extremities. All cases stained positively for smooth muscle antigen and 66% for desmin. The tumours were classified with regard to tumour grade I (low grade, 3%), II (intermediate, 12%), IIIA (high grade, 46%) and IIIB (high grade, 39%). In all patients, follow-up information was available. Mean follow-up time was 5 years. The patients with intradermal tumours were all alive without signs of recurrence, whereas 14 of those with leiomyosarcomas involving the subcutis have died with pulmonary metastases. Our study confirms that "pure" intradermal leiomyosarcomas independent of tumour grade behave in a benign fashion, probably due to small tumour size. Tumour size > or = 5 cm, deep localization with fascia involvement, and high malignancy grade (IIIB) were found to deteriorate survival based on a univariate analysis. However, in a multivariate analysis only tumour size was found to be an independent prognostic factor.     

Attribute selection with fuzzy decision reducts

Rough set theory provides a methodology for data analysis based on the approximation of concepts in information systems. It revolves around the notion of discernibility: the ability to distinguish between objects, based on their attribute values. It allows to infer data dependencies that are useful in the fields of feature selection and decision model construction. In many cases, however, it is more natural, and more effective, to consider a gradual notion of discernibility. Therefore, within the context of fuzzy rough set theory, we present a generalization of the classical rough set framework for data-based attribute selection and reduction using fuzzy tolerance relations. The paper unifies existing work in this direction, and introduces the concept of fuzzy decision reducts, dependent on an increasing attribute subset measure. Experimental results demonstrate the potential of fuzzy decision reducts to discover shorter attribute subsets, leading to decision models with a better coverage and with comparable, or even higher accuracy.     

Miniaturization and integration of photoacoustic detection with amicrofabricated chemical reactor system

Photoacoustic spectroscopy is a useful technique for monitoring chemical composition in mesoscale analysis systems because the detection limit scales favorably with miniaturization. The key element of a photoacoustic spectrometry system is the detector. This work focuses on the miniaturization of photoacoustic detection. In particular, we are using 3.4 μm light to detect propane in a carbon dioxide background-a system that is useful for monitoring combustion reactions. Two systems have been developed. In the first, a miniature photoacoustic cell has been machined into the mounting block of a microfabricated chemical reactor, demonstrating the integration of a photoacoustic detector with a microsystem. The cell used a hearing aid microphone and an infrared diode that was modulated at the first acoustic resonance of the cell. As the gas composition of the cell changed from carbon dioxide to propane the resonance peak was observed to shift and increase, as was expected from theory. This work also presents the first demonstration of a microfabricated photoacoustic detection cell. The cell used an optical microphone and laser excitation brought into the cell via an optical fiber. The light was modulated at a frequency far below the first acoustic resonance, and a signal of 0.05 Pa was observed in the presence of propane     

Multiple Comparisons in Induction Algorithms

A single mechanism is responsible for three pathologies of induction algorithms: attribute selection errors, overfitting, and oversearching. In each pathology, induction algorithms compare multiple items based on scores from an evaluation function and select the item with the maximum score. We call this a multiple comparison procedure (MCP). We analyze the statistical properties of MCPs and show how failure to adjust for these properties leads to the pathologies. We also discuss approaches that can control pathological behavior, including Bonferroni adjustment, randomization testing, and cross-validation.     

Effects of training to implement new tools and working methods to reduce knee load in floor layers

The purpose was to measure the effect of a participatory ergonomics implementation strategy consisting of information, education, and facilitation on the use of new tools and working methods in the floor laying trade. Floor layers (n=292) were trained in using new working methods. The effects were evaluated by using questionnaires, interviews, and assessments of quality and productivity. Following the training, 43% had used the new working methods weekly/daily compared to 11% before. There was a reduction in the degree of self-reported pain in the knees among the floor layers using the new working methods weekly or daily compared to those using them never or occasionally. The musculoskeletal complaints did not increase from any other region and the quality and the productivity of the work were not decreased. This indicates that within a 3-months perspective the implementation strategy succeeded.     

Simulation of cardiovascular system diseases by including the autonomic nervous system into a minimal model

Diagnosing cardiovascular system (CVS) diseases from clinically measured data is difficult, due to the complexity of the hemodynamic and autonomic nervous system (ANS) interactions. Physiological models could describe these interactions to enable simulation of a variety of diseases, and could be combined with parameter estimation algorithms to help clinicians diagnose CVS dysfunctions. This paper presents modifications to an existing CVS model to include a minimal physiological model of ANS activation. A minimal model is used so as to minimise the number of parameters required to specify ANS activation, enabling the effects of each parameter on hemodynamics to be easily understood. The combined CVS and ANS model is verified by simulating a variety of CVS diseases, and comparing simulation results with common physiological understanding of ANS function and the characteristic hemodynamics seen in these diseases. The model of ANS activation is required to simulate hemodynamic effects such as increased cardiac output in septic shock, elevated pulmonary artery pressure in left ventricular infarction, and elevated filling pressures in pericardial tamponade. This is the first known example of a minimal CVS model that includes a generic model of ANS activation and is shown to simulate diseases from throughout the CVS.     

Role of midwives

Dr. Alfano (New England Journal of Medicine 296: 1126, 1977) is certainly entitled to his personal opinions, but when they appear in a major publication in a setting that calls for factual information, they cannot go unchallenged. Midwives have played and continue to play a major part in maternal-infant services in many advanced European countries. Combined midwife-physician services in Sweden, Finland, Japan, Netherlands, Denmark, Norway, and Switzerland produced infant mortality rates in 1972 superior to those reported by Dr. Alfano for the Commonwealth of Massachusetts in 1974. Even in 1967 Sweden and the Netherlands (where most infants are delivered by midwives) had infant mortality rates, respectively, of 12.9 and 13.4/100 live births. These numbers, of course, do not mean that midwives are superior to doctors, but they do not seem to prove them inferior when they are employed in an appropriate setting. In Oregon (where certified nurse-midwives have been employed for some years) the professional midwife is found mainly in the "expensive" practices, so that if there is a "3rd-level of care," it is delivered to the well-to-do rather than the indigent. It is a little early to tell, but the impression around here is that although the quality of the birth experience may be changed by addition of midwives to an upper-middle-class practice, the outcome in terms of numbers of live babies is no different. This finding may not apply when 1 is dealing with the economically disadvantaged. A striking study from California demonstrated a definite improvement in fetal outcome when certified midwives were added to an established program and a tendency for the infant mortality rate to rise again when their services were discontinued for lack of funds. A similar program is under way in Oregon, but it is much too early for results to be apparent. This letter is not written in defense of midwives - it is a plea for balance and rationality. Medicine is no place for a territorial imperative. Only by calling on the expertise of all qualified members of a society can one hope to progress and to improve the human condition.