scholarly journals Robustness of a parsimonious subsurface drainage model at the French national scale

2021 ◽  
Vol 25 (10) ◽  
pp. 5447-5471
Author(s):  
Alexis Jeantet ◽  
Hocine Henine ◽  
Cédric Chaumont ◽  
Lila Collet ◽  
Guillaume Thirel ◽  
...  
Keyword(s):  
Hydrological Modeling ◽  
Management Tool ◽  
Silty Clay ◽  
Arable Soils ◽  
Split Sample ◽  
Sample Test ◽  
Silty Soils ◽  
Term Management

Abstract. Drainage systems are currently implemented on agricultural plots subjected to temporary or permanent waterlogging issues. Drained plots account for 9 % of all arable soils in France. As such, the need for accurate hydrological modeling is crucial, especially in an unstable future context affected by climate change. The aim of this paper is to assess the capacity of the SIDRA-RU hydrological drainage model to represent the variability in pedoclimatic conditions within French metropolitan areas and to demonstrate the utility of this model as a long-term management tool. The model is initially calibrated using the KGE′ criterion as an objective function (OF) on a large and unique database encompassing 22 plots spread across France and classified according to three main soil textures (silty, silty–clay, and clayey). The performance of SIDRA-RU is evaluated by monitoring both the set of KGE′ calibration values and the quality of simulations on each plot with respect to high and low discharges, as well as the annual drained water balance. Next, the temporal robustness of the model is assessed by conducting, on selected plots, the split-sample test capable of satisfying the data requirements. Results show that the SIDRA-RU model accurately simulates drainage discharge, especially on silty soils. The performance on clayey soils is slightly weaker than that on silty soils yet remains acceptable. Similarly, the split-sample test indicates that SIDRA-RU is temporally robust on all three soil textures. Consequently, the SIDRA-RU model closely replicates the diversity of French drained soil and could be used for its long-term management potential.

scholarly journals Robustness of a parsimonious subsurface drainage model at the French national scale

2021 ◽  
Author(s):  
Alexis Jeantet ◽  
Hocine Henine ◽  
Cédric Chaumont ◽  
Lila Collet ◽  
Guillaume Thirel ◽  
...  
Keyword(s):  
Hydrological Modeling ◽  
Management Tool ◽  
Arable Soils ◽  
Split Sample ◽  
Sample Test ◽  
Silty Soils ◽  
Data Requirements ◽  
Term Management

Abstract. Drainage systems are currently implemented on agricultural plots subjected to temporary or permanent waterlogging issues. Drained plots account for 9 % of all arable soils in France. As such, the need for accurate hydrological modeling is crucial, especially in an unstable future context affected by climate change. The aim of this paper is to assess the capacity of the SIDRA-RU hydrological drainage model in representing the variability of pedoclimatic conditions within French metropolitan areas, as well as to demonstrate the utility of this model as a long-term management tool. The model is initially calibrated using the KGE' criterion as an Objective Function (OF) on a large and unique database encompassing 22 plots spread across France and classified according to three main soil textures (silty, silty-clayey and clayey). The performance of SIDRA-RU is evaluated by monitoring the KGE' calibration values, as well as the quality of the simulations of both high and low discharges and the annual drained water balance on each plot. Next, the temporal robustness of the model is assessed by conducting the split-sample test on the selected plots that satisfy the data requirements. Results show that the SIDRA-RU model accurately simulates the drainage discharge, especially on silty soils. The performance on clayey soils is slightly weaker than that on silty soils yet remains acceptable. Similarly, the split-sample test indicates that SIDRA-RU is temporally robust on all three soil textures. Consequently, the SIDRA-RU model closely represents the diversity of French drained soil and could be used for its long-term management.

scholarly journals Adrenal Insufficiency - Aetiology, Diagnosis and Treatment

2015 ◽  
Vol 3 (1) ◽  
pp. 36-47
Author(s):  
Nazma Akter ◽  
Nazmul Kabir Qureshi
Keyword(s):  
Quality Of Life ◽  
Adrenal Insufficiency ◽  
Presenting Symptoms ◽  
Life Saving ◽  
Life Threatening ◽  
Diagnostic Work ◽  
Work Up ◽  
Term Management

Adrenal insufficiency is caused by either primary adrenal failure or by hypothalamic-pituitary impairment of the corticotropic axis. Adrenal insufficiency, first codified in 1855 by Thomas Addison, remains relevant in 2014 because of its lethal nature. Though, it is a rare disease but is life threatening when overlooked. Main presenting symptoms such as fatigue, anorexia and weight loss are nonspecific, thus diagnosis is often delayed. The diagnostic work-up is well established but some pitfalls remain. The diagnosis is adequately established by the 250 ?g ACTH (adrenocorticotropic hormone) stimulation test in most cases. Glucocorticoids provide life saving treatment but long-term quality of life is impaired, perhaps because therapy is not given in a physiologic way. Dehydroepiandrosterone-replacement therapy has been introduced that could help to restore quality of life. It may be useful in pubertal girls, but not in adults. Monitoring of glucocorticoid-replacement is difficult due to lack of objective methods of assessment and is therefore largely based on clinical grounds. Thus, long-term management of patients with adrenal insufficiency remains a challenge, requiring an experienced specialist. DOI: http://dx.doi.org/10.3329/dmcj.v3i1.22238 Delta Med Col J. Jan 2015; 3(1): 36-47

Imaging in children

2013 ◽  
pp. 540-554
Author(s):  
Emma Gerety ◽  
Karl Johnson
Keyword(s):  
Imaging Modality ◽  
Disease Process ◽  
Paediatric Population ◽  
Radiological Findings ◽  
Term Management ◽  
The Ideal

The radiological findings of the rheumatological conditions that occur in childhood, are in the majority of cases similar to those in the adult. However, there are some specific and unique features seen only in the paediatric population. Often these features reflect the immature nature of the child’s skeleton and the fact that growth is not yet complete. Radiology is important in helping to establish the diagnosis and in the long-term management of the child. The most appropriate test, promptly performed and avoiding the child unnecessary discomfort, is the ideal. An understanding of the disease process, as well as the advantages and the limitations of each imaging modality, by both clinician and radiologist, is important. Collaboration between the requesting physician and radiologist will improve the quality of the service provided to the child.

Levocetirizine improves quality of life and reduces costs in long-term management of persistent allergic rhinitis

2004 ◽  
Vol 114 (4) ◽  
pp. 838-844 ◽  
Author(s):  
Claus Bachert ◽  
Jean Bousquet ◽  
G. Walter Canonica ◽  
Stephen R. Durham ◽  
Ludger Klimek ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Allergic Rhinitis ◽  
Persistent Allergic Rhinitis ◽  
Term Management

scholarly journals MANAGEMENT OF MIGRAINE THROUGH PANCHKARMA - A CASE STUDY

2021 ◽  
Vol 9 (4) ◽  
pp. 913-915
Author(s):  
Sunita Sunita ◽  
Aakanksha Sharma ◽  
Mahesh Kumar Sharma ◽  
Gyan Prakash Sharma
Keyword(s):  
Treatment Modalities ◽  
Financial Cost ◽  
Unilateral Headache ◽  
Keywords Migraine ◽  
Cardinal Symptoms ◽  
Impaired Quality ◽  
Term Management

Ardhavabhedaka is a type of Shiroroga. It is unilateral headache with Compli- cations of blindness and hearing loss. It can be clinically correlated with migraine based on clinical manifestation. Affecting at least 1 adult in every 7 in the world (WHO). It is 3 time more common in women than men. it causes moderate to severe pain that is throbbing or pulsating, requiring long-term management. It causes personal suffer- ing, impaired quality of life and high financial cost. Nasya Karma and Shirodhara are the prime treatment modalities for Shirogata disease. A 19 year old girl patient came to OPD with complaining of severe headache. Shirodhara done with milk + Dashmool - Kwath and Mahanarayan tail. After done this Panchkarma treatment patient got highlysignificant relief in the cardinal symptoms of Ardhavabhedaka. Keywords: Migraine, Ardhavbhaedaka, Shirodhara

scholarly journals Long term management of obstructive sleep apnea and its comorbidities

2019 ◽  
Vol 14 ◽  
Author(s):  
Marta Marin-Oto ◽  
Eugenio E. Vicente ◽  
Jose M. Marin
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Premature Death ◽  
Driving Ability ◽  
Obstructive Sleep ◽  
Long Term Treatment ◽  
Term Management

Obstructive sleep apnea (OSA) is a worldwide highly prevalent disease associated with systemic consequences, including excessive sleepiness, impairment of neurocognitive function and daytime performance, including driving ability. The long-term sequelae of OSA include and increase risk for cardiovascular, cerebrovascular and metabolic syndrome disorders that ultimately lead to premature death if untreated. To ensure optimal long-term outcomes, the assessment and management of OSA should be personalized with the involvement of the appropriate specialist. Most studies have demonstrated inmediate improvement in daytime somnolence and quality of life with CPAP and other therapies, but the effect of long-term treatment on mortality is still under debate. Currently, the long-term management of OSA should be based on a) identifying physiological or structural abnormalities that are treatable at the time of patient evaluation and b) comprehensive lifestyle interventions, especially weight-loss interventions, which are associated with improvements in OSA severity, cardiometabolic comorbidities, and quality of life. In long-term management, attention should be paid to the clinical changes related to a potential reoccurrence of OSA symptoms and it is also necessary to monitor throughout the follow up how the main associated comorbidities evolve.

Impact of Mobility Impairment in Multiple Sclerosis 2 - Patients’ Perspectives

2011 ◽  
Vol 6 (2) ◽  
pp. 115 ◽  
Author(s):  
Paul van Asch ◽  
Keyword(s):  
Multiple Sclerosis ◽  
Treatment Options ◽  
Age Groups ◽  
Mobility Impairment ◽  
Geographical Differences ◽  
The Impact ◽  
Term Management ◽  
Patients Perspective

In the second of two articles, the impact of mobility impairment in multiple sclerosis (MS) is examined from the patients’ perspective. Nearly half (45 %) of patients reported experiencing mobility difficulties within a month of diagnosis and nearly all patients (93 %) report difficulties within 10 years. Three quarters of the patients surveyed considered mobility impairment to be a significant problem and two-thirds believed it had contributed toward loss of earnings. Mobility difficulties were consistently reported across all age groups, but were a greater issue for men than women. Geographical differences were observed, particularly in the type of healthcare professional (HCP) with whom problems were discussed, the prevalence of mobility symptoms and the treatment options offered. These findings support previous studies on the impact of mobility difficulties on patients’ quality of life and highlight discrepancies between HCPs’ and patients’ perceptions, particularly in the severity of mobility impairment and treatment options. Patients consider loss of mobility to be limiting, challenging and frustrating, highlighting the need for long-term management of their mobility issues and new or improved therapeutic options.

Imaging in children

2013 ◽  
Author(s):  
Karl Johnson
Keyword(s):  
Imaging Modality ◽  
Disease Process ◽  
Paediatric Population ◽  
Radiological Findings ◽  
Term Management ◽  
The Ideal

The radiological findings of the rheumatological conditions that occur in childhood, are in the majority of cases similar to those in the adult. However, there are some specific and unique features seen only in the paediatric population. Often these features reflect the immature nature of the child's skeleton and the fact that growth is not yet complete. Radiology is important in helping to establish the diagnosis and in the long-term management of the child. The most appropriate test, promptly performed and avoiding the child unnecessary discomfort, is the ideal. An understanding of the disease process, as well as the advantages and the limitations of each imaging modality, by both clinician and radiologist, is important. Collaboration between the requesting physician and radiologist will improve the quality of the service provided to the child.

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