The Open Global Glacier Model (OGGM) v1.1 Maussion, Fabien; Butenko, Anton; Champollion, Nicolas ...
Geoscientific Model Development,
03/2019, Letnik:
12, Številka:
3
Journal Article
Recenzirano
Odprti dostop
Despite their importance for sea-level rise, seasonal water availability, and
as a source of geohazards, mountain glaciers are one of the few remaining
subsystems of the global climate system for ...which no globally applicable,
open source, community-driven model exists. Here we present the Open Global
Glacier Model (OGGM), developed to provide a modular and open-source
numerical model framework for simulating past and future change of any
glacier in the world. The modeling chain comprises data downloading tools
(glacier outlines, topography, climate, validation data), a preprocessing
module, a mass-balance model, a distributed ice thickness estimation model,
and an ice-flow model. The monthly mass balance is obtained from gridded
climate data and a temperature index melt model. To our knowledge, OGGM is
the first global model to explicitly simulate glacier dynamics: the model
relies on the shallow-ice approximation to compute the depth-integrated flux
of ice along multiple connected flow lines. In this paper, we describe and
illustrate each processing step by applying the model to a selection of
glaciers before running global simulations under idealized climate forcings.
Even without an in-depth calibration, the model shows very realistic
behavior. We are able to reproduce earlier estimates of global glacier volume
by varying the ice dynamical parameters within a range of plausible values.
At the same time, the increased complexity of OGGM compared to other
prevalent global glacier models comes at a reasonable computational cost:
several dozen glaciers can be simulated on a personal computer, whereas
global simulations realized in a supercomputing environment take up to a few
hours per century. Thanks to the modular framework, modules of various
complexity can be added to the code base, which allows for new kinds of model
intercomparison studies in a controlled environment. Future developments will
add new physical processes to the model as well as automated calibration
tools. Extensions or alternative parameterizations can be easily added by the
community thanks to comprehensive documentation. OGGM spans a wide range of
applications, from ice–climate interaction studies at millennial timescales
to estimates of the contribution of glaciers to past and future sea-level
change. It has the potential to become a self-sustained community-driven
model for global and regional glacier evolution.
The Open Global Glacier Model (Author abstract) Maussion, Fabien; Butenko, Anton; Champollion, Nicolas ...
Geoscientific model development,
03/2019, Letnik:
12, Številka:
3
Journal Article
Posttraumatic stress disorder (PTSD) and traumatic life events are often coupled to chronic pain, possibly linked by central sensitization. We wanted to assess the prevalence of traumatic events and ...PTSD in chronic pain patients of a German university hospital outpatient pain clinic. Moreover, we evaluated the extent of indicators and co-occurring traits of central sensitization in comorbid patients.
We retrospectively divided 914 chronic pain patients into four groups depending on their trauma severity: no trauma, accidental trauma, interpersonal trauma, and PTSD. We collected electronic pain drawings focusing on pain area and widespreadness, as well as information about pain intensity, sleep impairment, disability, stress, anxiety, depression, and somatization. Differences between groups were calculated using Kruskal-Wallis with post-hoc Mann-Whitney tests.
Of 914 patients, 231 (25%) had no trauma, 210 (23%) had accidental traumas, 283 (31%) had interpersonal traumas, 99 (11%) had PTSD, and 91 (10%) could not be classified. We observed statistically significant differences between groups in pain area and widespreadness, as well as maximal pain, sleep impairment, disability, stress, anxiety, depression, and somatization. The severity of symptoms increased with trauma severity.
Traumatic life events and PTSD are frequent in chronic pain patients. The increased pain area and widespreadness, as well as the increased negative impact on co-occurring traits of sensory sensitivity (anxiety, depression, somatization), are compatible with central sensitization in comorbid patients. Therefore, a heightened awareness of the comorbidity between traumatic experiences and chronic pain is recommended.
Symptom drawings are widely used as a qualitative and quantitative method of assessing pain symptoms for both clinical and research purposes. As electronic drawings offer many advantages over ...classical pen-and-paper drawings, the last years have seen a shift toward tablet-based acquisition of symptom drawings. However, software that is used in clinical care requires special attention to usability aspects and design to provide easy access for physically impaired or elderly patients.
The aims of this project were to develop a new tablet-based software app specifically designed to collect patients' and doctors' drawings of pain and related bodily symptoms and test it for usability in 2 samples of chronic pain patients (Aim 1) and their treating doctors (Aim 2) as well as for test-retest reliability (Aim 3).
In 2 separate studies, symptom drawings from 103 chronic pain patients and their treating doctors were collected using 2 different versions of the app. Both patients and doctors evaluated usability aspects of the app through questionnaires. Results from study 1 were used to improve certain features of the app, which were then evaluated in study 2. Furthermore, a subgroup of 25 patients in study 2 created 2 consecutive symptom drawings for test-retest reproducibility analysis. Usability of both app versions was compared, and reproducibility was calculated for symptom extent, number of symptom clusters, and the whole symptom pattern.
The changes we made to the app and the body outline led to significant improvements in patients' usability evaluation regarding the identification with the body outline (P=.007) and the evaluation of symptom depth (P=.02), and the overall difficultness of the drawing process (P=.003) improved significantly. Doctors' usability evaluation of the final app showed good usability with 75.63 (SD 19.51) points on the System Usability Scale, Attrakdiff 2 scores from 0.93 to 1.41, and ISONORM 9241/10 scores from -0.05 to 1.80. Test-retest analysis showed excellent reproducibility for pain extent (intraclass correlation coefficient, ICC=0.92) and good results for the number of symptom clusters (ICC=0.70) and a mean overlap of 0.47 (Jaccard index).
We developed a tablet-based symptom drawing app and improved it based on usability assessment in a sample of chronic pain patients and their treating doctors. Increases in usability of the improved app comprised identification with the body outline, symptom depth evaluation, and difficultness of the drawing process. Test-retest reliability of symptom drawings by chronic pain patients showed fair to excellent reproducibility. Patients' usability evaluation is an important factor that should not be neglected when designing apps for mobile or eHealth apps.
Endothelin-1 (ET-1) is a mediator of lung diseases and a potent pulmonary vasoconstrictor. In addition to thromboxane A2, it participates in the formation of lung edema. Both lidocaine and ...mepivacaine attenuate the increase of pulmonary arterial pressure (PAP) and lung edema development. We examined the effects of procaine, bupivacaine, and ropivacaine on experimentally evoked PAP increase and ET-1 release.
PAP and lung weight were measured in isolated rat lungs during perfusion with Krebs-Henseleit hydroxyethyl starch buffer. Bupivacaine, ropivacaine, or procaine was added to the solution at concentrations of 10(-2)-10(-7) mg/kg. ET-1 levels were measured in the perfusate by enzyme-immunoassay, and thromboxane A2 levels were assayed by radioimmunoassay. N-formyl-L-leucine-methionyl-L-phenylalanine was used to activate human polymorphonuclear neutrophils.
Bupivacaine, ropivacaine, and procaine significantly attenuated increases of PAP (P < 0.05) and resulted in a reduction of lung weight in these treatment groups compared with the sham group (P < 0.05). The long-acting anesthetics bupivacaine and ropivacaine (P < 0.05), but not procaine, reduced ET-1 levels, produced low inflammation rates, and did not affect lung structures at doses from 10(-3) to 10(-6) mg/kg.
Bupivacaine and ropivacaine attenuated N-formyl-L-leucine-methionyl-L-phenylalanine-induced PAP, reduced lung edema, and diminished ET-1 release. Lidocaine and mepivacaine are more effective in reducing PAP and edema formation, but long-acting local anesthetics also inhibit ET-1 depletion and therefore have increased anti-inflammatory properties.
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