High-skilled immigration enhances regional entrepreneurship.

Immigrants are highly entrepreneurial. But, what is the broader relationship between high-skilled immigration and regional entrepreneurship activity beyond the ventures that immigrants establish themselves? Using administrative data on newly awarded H-1B visas in the United States, we document a positive relationship between high-skilled immigration and regional entrepreneurship. A doubling of immigrants to a metropolitan statistical area is followed by a 6% increase in entrepreneurship within three years. In contrast, continuing H-1Bs and the arrival of unskilled immigrants (H-2B visas) do not increase regional entrepreneurship. Focusing on Indian immigrants (representing about 70% of all H-1B visas), we find the effect is stronger in metropolitan statistical areas with a larger local Indian population, but not other nationalities, suggesting that presence of conationals facilitates the relationship between high-skilled immigration and regional entrepreneurship. We present this and other evidence as consistent with a knowledge transfer mechanism.

Climate change framing and innovator attention: Evidence from an email field experiment.

Drawing the attention of innovators to climate change is important for green innovation. We report an email field experiment with MIT using messages about the impact of climate change to invite innovators (SBIR grantees) to apply to a technology competition. We vary our messages on the time frame and scale of the human cost of climate change across scientifically valid scenarios. Innovator attention (clicks) is sensitive to climate change messaging. These changes in clicks also predict higher application rates. The response varies by individual characteristics such as location-based exposure to climate change risks and whether innovators have climate-related innovations. Finally, using a structural model of innovator attention, we provide estimates of the implied discount rate of time and the elasticity of attention to lives at stake.

Oral lesions of systemic lupus erythematosus: A collaborative Latin American study.

BACKGROUND: Systemic lupus erythematosus (SLE) is a multifactorial autoimmune disease that may affect the oral mucosa. The variable spectrum of oral lesions observed in SLE can pose challenges in diagnosis, particularly when the lesions occur in isolation. The aim of this study was to describe the oral lesions occurring in patients with SLE from Latin America. METHODS: This collaborative record-based study involving 11 oral and maxillofacial pathology and medicine services across Venezuela, Argentina, Chile, Brazil, and Mexico describes the clinicopathological profile of SLE-related oral lesions. RESULTS: Seventy patients with SLE and oral lesions were included in the study. The majority were females (75.7%; female/male ratio: 3.1:1) and white (62.1%), with a mean age of 38.4 years (range: 11-77 years). The most common site of oral lesions was the hard/soft palate (32.0%). Clinically, oral lesions predominantly presented as ulcers (26.6%), erosions (26.6%), and white lesions (23.4%). Isolated oral lesions occurred in 65.2% of individuals, while cutaneous manifestations occurred in 80.3%. The main clinical diagnostic hypothesis in 71.4% of cases was an immune-mediated disease. Oral biopsies followed by histopathological analysis were performed in 50 cases. CONCLUSION: Oral lesions of SLE exhibit a variety of clinical and histopathological features. A key point in diagnosis is that unusual oral changes without an obvious local cause may indicate a possible systemic condition presenting with oral lesions. A multidisciplinary approach, which includes regular oral examination, is warranted to identify oral lesions and provide treatment.

Arthrodesis vs arthroplasty for moderate and severe Hallux rigidus: Systematic review.

Hallux rigidus is the most frequent arthritis of the foot, due to multiple factors. Arthrodesis and interposition arthroplasty are treatments considered in advanced stages of the disease, when conservative treatment has failed. Although arthrodesis may be considered the technique recommended by multiple authors, for patients in whom joint mobility is to be preserved, arthroplasty could represent a reliable alternative. The purpose of this systematic review is to investigate and compare the clinical outcomes and complications of arthrodesis and interposition arthroplasty for moderate and severe stages of hallux rigidus. METHODS: For this systematic review we searched COCHRANE, EMBASE, PUBMED databases. Twenty-six research papers were obtained, with a total of 1348 feet, which were included for qualitative analysis. The following groups were included: Cartiva hemiarthroplasty (286), double stem silicone arthroplasty (276), total metallic arthroplasty (394) and arthrodesis (392). RESULTS: In the arthrodesis group, the AOFAS-HMI score was the most used, ranging from 36 to 45 in the preoperative period and from 79 to 89 in the postoperative period. The greatest improvement in the VAS PAIN score was from 86 to 4. The fusion rate was 98.6% of the total number of cases, the most frequent complication was pain due to material discomfort. In the total metallic arthroplasty group, the ROTO-GLIDE system reported an AOFAS score of 95 points, with low complication rates; but, with the TOEFIT-PLUS and BIOMED-MERCK systems, despite the good postoperative value, they report 37% and 15% revision due to aseptic loosening in the series with the longest follow-up, respectively. The Cartiva group showed a significative increase in FAAM ADL and FAAM SPORT from 59.4 to 90.4 and from 60.9 to 89.7, respectively; similarly, 20.5% implant removal and conversion to arthrodesis were reported. Finally, the double stem silicone arthroplasty group, in the series with the longest follow-up, it manages to improve the MOXFQ score from 78.1 to 11.0, with an average range of mobility of 22.3 degrees. Lysis was reported in 10% of cases. CONCLUSIONS: Arthrodesis has proven to be the best option for the treatment of advanced hallux rigidus. Arthroplasty can be a valid option for patients who demand to maintain the range of mobility of the joint; however, it is important to inform about the complications that may arise in the short and medium term. LEVEL OF CLINICAL EVIDENCE: II.

Assessment of the soil-erosion-sediment for sustainable development of South America.

One of the greatest threats to maintaining sustainable agro-ecosystems is mitigating the episodic soil loss from farm operations, further exacerbated by meteorological extremes. The Revised Universal Soil Loss Equation (RUSLE) is a model that combines the effects of rain, soil erodibility, topography, land cover, and conservation practices for estimating the annual average soil losses. This study aims to quantify soil water erosion to continental South America (S.A.) through RUSLE using available datasets and characterizing the average sediment delivery rate (SDR) to the major S.A. basins. Soil erodibility was estimated from the Global Gridded Soil Information soil database. LS-factor's topographical parameter was derived from Digital Elevation Models using the "Shuttle Radar Topography Mission" dataset. The R-factor was estimated from a previous study developed for S.A. and the C-factor from the Global Land Cover (Copernicus Global Land Services) database. We used a modeling study for SDR that simulated the annual average sediment transport in 27 basins in S.A. RUSLE set up presented a satisfactory performance compared to other applications on a continental scale with an estimated averaged soil loss for S.A. of 3.8 t ha-1 year-1. Chile (>20.0 t ha-1 year-1) and Colombia (8.1 t ha-1 year-1) showed the highest soil loss. Regarding SDR, Suriname, French Guyana, and Guyana presented the lowest values (<1.0 t ha-1 year-1). The highest soil losses were found in the Andes Cordillera of Colombia and the Center-South Region of Chile. In the former, the combination of "high" K-factor, "very high" C-factor, and "very high" LS-factor were the leading causes. In the latter, agriculture, livestock, deforestation, and aggressive R-factor explained the high soil loss. Basins with the highest SDR were located in the North Argentina - South Atlantic basin (27.73%), Mar Chiquitita (2.66%), Amazon River basin (2.32%), Magdalena (2.14%) (in Andes Cordillera), and Orinoco (1.83%).

A comprehensive modeling framework to evaluate soil erosion by water and tillage.

Soil erosion is significantly increased and accelerated by unsustainable agricultural activities, resulting in one of the major threats to soil health and water quality worldwide. Quantifying soil erosion under different conservation practices is important for watershed management and a framework that can capture the spatio-temporal dynamics of soil erosion by water is required. In this paper, a modeling framework that coupled physically based models, Water Erosion Prediction Project (WEPP) and MIKE SHE/MIKE 11, was presented. Daily soil loss at a grid-scale resolution was determined using WEPP and the transport processes were simulated using a generic advection dispersion equation in MIKE SHE/MIKE 11 models. The framework facilitated the physical simulation of sediment production at the field scale and transport processes across the watershed. The coupled model was tested using an intensively managed agricultural watershed in Illinois. The impacts of no-till practice on both sediment production and sediment yield were evaluated using scenario-based simulations with different fractions of no-till and conventional tillage combinations. The results showed that if no-till were implemented for all fields throughout the watershed, 76% and 72% reductions in total soil loss and sediment yield, respectively, can be achieved. In addition, if no-till practice were implemented in the most vulnerable areas to sediment production across the watershed, a 40% no-till implementation can achieve almost the same reduction as 100% no-till implementation. Based on the simulation results, the impacts of no-till practice are more prominent if implemented where it is most needed.

Effect of Anemia on Mortality in Mechanically Ventilated Patients With Chronic Obstructive Pulmonary Disease.

RATIONALE: The effect of anemia on patients with chronic obstructive pulmonary disease (COPD) requiring invasive mechanical ventilation for acute respiratory failure is unknown. OBJECTIVES: To examine the association between anemia (hemoglobin <12 g/dL) and 90-day and overall mortality in patients with COPD having acute respiratory failure requiring invasive mechanical ventilation. METHODS: Retrospective study of patients admitted to a quaternary referral medical intensive care unit (ICU) between October 2007 and December 2012 with a diagnosis of COPD and requiring invasive mechanical ventilation for acute respiratory failure of any cause. RESULTS: We identified 1107 patients with COPD who required invasive mechanical ventilation for acute respiratory failure. Mean age was 64.2 ± 12.7 years; 563 (50.9%) were females. The mean Acute Physiology and Chronic Health Evaluation III score at ICU admission was 80.5 ± 29.3. The median duration of mechanical ventilation was 35.7 hours (interquartile range: 20.0-54.0). In all, 885 (79.9%) patients were anemic (Hb < 12g/dL) on ICU admission, and 312 patients (28.2%) received blood transfusion during their ICU stay. A total of 351 inhospital deaths were recorded, the majority (n = 320) occurring in the ICU. The 90-day mortality, though lower in the nonanemic patients compared to the patients with anemia, was not statistically significant (35.6% vs 44.9%; hazard ratio [HR] [95% confidence interval; CI] = 1.16 [0.91 -1.48], P = .22). The overall mortality was lower in the nonanemic patients compared to patients with anemia (HR [95% CI] = 0.68 [0.55-0.83], P < .001). There was a 5% decrease in risk of death for every unit increase in hemoglobin (P = .01). There was no difference in terms of both 90-day and overall mortality in patients who received blood transfusions compared to patients who did not receive any transfusion. CONCLUSIONS: Critically ill patients with COPD requiring invasive mechanical ventilation for acute respiratory failure without anemia on admission had a better overall survival when compared to those with anemia. No difference was noted in the 90-day mortality. Further studies are needed to determine the impact of the trajectory of hemoglobin on mortality.

Field scale nitrogen load in surface runoff: Impacts of management practices and changing climate.

The use of Nitrogen (N) fertilizer boosted crop production to accommodate 7 billion people on Earth in the 20th century but with the consequence of exacerbating N losses from agricultural landscapes. Land management practices that can prevent high N load are constantly being sought for mitigation and conservation purposes. This study was aimed at evaluating the impacts of different land management practices under projected climate scenarios on surface runoff linked N load at the field scale level. A framework to analyze changes in N load at a high spatiotemporal resolution under high greenhouse emission climate projections was developed using the Pesticide Root Zone Model (PRZM) for the Willow Creek Watershed in the Fort Cobb Experimental Watershed in Oklahoma. Specifically, 12 combinations of land management and climate scenarios were evaluated based on their N load via surface runoff from 2020 to 2070. Results showed that crop rotation practices lowered both the N load and the probability of high N load events. Spring application reduced the negative effects in summer and fall from other land management practices but at the risk of increased probability of generating high N load in April and May. The fertilizer application rate was found to be the most critical factor that affected the amount and the probability of high N load events. By adopting a target application management approach, the monthly maximum N can be decreased by 13% while the annual mean N load by 6%. The model framework and analysis method developed in this research can be used to analyze tradeoffs between environmental welfare and economic benefits of N fertilizer at the field scale level.

A Modeling Framework to Evaluate the Impacts of Future Climate on Soil Organic Carbon Dynamics.

Soil organic C (SOC) is significantly affected by changes in climate that control the physical, chemical, and biological processes in the soil. Simulating the impacts of future climate on SOC is challenging due to the limited availability of soil and climate variables required to properly simulate future SOC dynamics. The main objective of this study was to develop a modeling framework to quantify the impacts of future climate on SOC dynamics. The framework was developed for the Model for Nitrogen and Carbon in Agro-Ecosystems (MONICA) using the data collected from three University of Illinois Crop Science Research Centers. Projected precipitation and air temperature, collected from 32 global circulation models, were used to estimate the climate variables and cropping operation schedules required as inputs in MONICA. Six corn ()-soybean [ (L.) Merr.] rotation scenarios were considered in the simulations. Results showed that the total SOC in the upper 30 cm of the soil was expected to decrease from 43 to 70% in 2015 to 2075, with an uncertainty range of 13 to 16% due to the variation in climate prediction. The SOC in corn-soybean rotation schemes did not vary significantly from that of continuous corn scheme. The ability of a model to simulate realistic results depends significantly on the reliability of input data used to parameterize the model. A methodology that comprehensively estimates the impacts of future climatic conditions on SOC allows for realistic model results that can be used as a basis for environmental options, leading to a sustainable agro-production system.

Chemokine Involvement in Lung Injury Secondary to Ischaemia/Reperfusion.

INTRODUCTION: During transplant surgeries, the lung experiences an ischaemia-reperfusion (I/R)-induced damage identified as a significant cause of morbidity and mortality. However, the mechanisms by which I/R induces leucocyte accumulation and subsequent tissue damage in lung surgeries remain unknown. Therefore, the present study aims to assess the role of monocyte chemotactic protein 1 (MCP-1) and macrophage inflammatory protein 2 (MIP-2) in leucocyte chemotaxis related to lung injury secondary to I/R. METHODS: Six pigs were subjected to an orthotopic left caudal lobe lung transplantation with a subsequent 60-min graft reperfusion (Transplant group). In addition, six animals underwent to sham surgery (Sham Group). Plasma samples and lung biopsies were collected before the beginning of pneumonectomy, before starting the reperfusion, and 30 min and 60 min after the beginning of the reperfusion. Plasma levels of intercellular adhesion molecule 1 (ICAM-1) and lung expressions of MCP-1, MIP-2, myeloperoxidase (MPO), and lung oedema were measured. RESULTS: Lung I/R caused substantial damage observed as pulmonary oedema. The oedema was evident after the ischemic insult and increased after reperfusion. After reperfusion, increased levels of MPO were observed which suggests an activation and infiltration of neutrophils into the lung tissue. After 30 min of reperfusion, MCP-1, MIP-2, and ICAM-1 levels were significantly increased compared to prepneumonectomy levels (p < 0.05) and a further increase was observed after 60 min of reperfusion (p < 0.05). CONCLUSION: The present study demonstrates that activated neutrophils, as well as MCP-1, MIP-2, and ICAM-1, are involved in inflammatory response induced by ischaemia-reperfusion-induced lung injury.

Final report on the key comparison, CCM.P-K15 in the pressure range from 1.0 × 10-4 Pa to 1.0 Pa.

The comparison CCM.P-K15 is a key comparison in pressure involving six laboratories in three regional metrological organizations (RMO). The measurand of the comparison is the accommodation coefficient of two spinning rotating gauge characterized in nitrogen from 0.1 mPa up to 1.0 Pa. The two transfer standards were circulated from November 2009 until March 2011. The circulation consisted of three loops, one for each RMO, and a new calibration by the pilot between each loop. The stability of one of the transfer standards was poor and was worse than expected based on the previous history of the transfer standard while the other transfer standard demonstrated good stability while circulated in Europe and America and a fair stability while circulated in Asia. All the participants demonstrated equivalence to the definition of pressure in their respective primary standards.

Riparian erosion vulnerability model based on environmental features.

Riparian erosion is one of the major causes of sediment and contaminant load to streams, degradation of riparian wildlife habitats, and land loss hazards. Land and soil management practices are implemented as conservation and restoration measures to mitigate the environmental problems brought about by riparian erosion. This, however, requires the identification of vulnerable areas to soil erosion. Because of the complex interactions between the different mechanisms that govern soil erosion and the inherent uncertainties involved in quantifying these processes, assessing erosion vulnerability at the watershed scale is challenging. The main objective of this study was to develop a methodology to identify areas along the riparian zone that are susceptible to erosion. The methodology was developed by integrating the physically-based watershed model MIKE-SHE, to simulate water movement, and a habitat suitability model, MaxEnt, to quantify the probability of presences of elevation changes (i.e., erosion) across the watershed. The presences of elevation changes were estimated based on two LiDAR-based elevation datasets taken in 2009 and 2012. The changes in elevation were grouped into four categories: low (0.5 - 0.7 m), medium (0.7 - 1.0 m), high (1.0 - 1.7 m) and very high (1.7 - 5.9 m), considering each category as a studied "species". The categories' locations were then used as "species location" map in MaxEnt. The environmental features used as constraints to the presence of erosion were land cover, soil, stream power index, overland flow, lateral inflow, and discharge. The modeling framework was evaluated in the Fort Cobb Reservoir Experimental watershed in southcentral Oklahoma. Results showed that the most vulnerable areas for erosion were located at the upper riparian zones of the Cobb and Lake sub-watersheds. The main waterways of these sub-watersheds were also found to be prone to streambank erosion. Approximatively 80% of the riparian zone (streambank included) has up to 30% probability to experience erosion greater than 1.0 m. By being able to identify the most vulnerable areas for stream and riparian sediment mobilization, conservation and management practices can be focused on areas needing the most attention and resources.

Critical illness associated with 2013-2014 influenza A (H1N1): Postpandemic characteristics, presentation and outcomes.

INTRODUCTION: The United States experienced a postpandemic outbreak of H1N1 influenza in 2013-2014. Unlike the pandemic in 2009 clinical course and outcomes associated with critical illness in this postpandemic outbreak has been only sparsely described. METHODS: We conducted a retrospective analysis of all patients admitted to the Medical Intensive Care Unit with H1N1 influenza infection in 2009-2010 (pandemic) and 2013-2014 (postpandemic). RESULTS: Patients admitted in the postpandemic period were older (55 ± 13 vs. 45 ± 12, P = 0.002), and had a higher incidence of underlying pulmonary (17 vs. 7, P = 0.0007) and cardiac (16 vs. 8, P = 0.005) disease. Mechanical ventilation was initiated in most patients in both groups (27 vs. 21, P = 1.00). The PaO2/FiO2 ratio was significantly higher in the pandemic group on days 1 (216 vs. 81, P = 0.0009), 3 (202 ± 99 vs. 100 ± 46, P = 0.002) and 7 (199 ± 103 vs. 113 ± 44, P = 0.019) but by day 14 no difference was seen between the groups. Rescue therapies were used in more patients in the postpandemic period (48% vs. 20%, P = 0.028), including more frequent use of prone ventilation (10 vs. 3, P = 0.015), inhaled vasodilator therapy (11 vs. 4, P = 0.015) and extracorporeal membrane oxygenation (ECMO) (4 vs. 2, P = NS). No significant differences in mortality were seen between the two cohorts. CONCLUSIONS: Compared to the 2009-2010 pandemic, the 2013-2014 H1N1 strain affected older patients with more underlying co-morbid cardio-pulmonary diseases. The patients had worse oxygenation indices and rescue modalities such as prone ventilation, inhaled epoprostenol and ECMO, were used more consistently as compared to the 2009 pandemic.

Upper washita river experimental watersheds: multiyear stability of soil water content profiles.

Scaling in situ soil water content time series data to a large spatial domain is a key element of watershed environmental monitoring and modeling. The primary method of estimating and monitoring large-scale soil water content distributions is via in situ networks. It is critical to establish the stability of in situ networks when deploying them to study hydrologic systems. Two watersheds in Oklahoma, the Little Washita River Experimental Watershed (LWREW) and the Fort Cobb Reservoir Experimental Watershed (FCREW), are two prime examples of well-equipped research watersheds that provide long-term measurements of atmospheric and soil water content from in situ networks. The soil water content measurement network on the LWREW has been in operation since 2002, with 20 stations available for investigating soil water dynamics at the watershed scale. Temporal stability analysis of the network is complicated by the changing configuration of the network, but it is possible to determine a singular long-term average for the network. The FCREW consists of 15 soil water content stations and began operation in 2007, providing detailed information across a mixed agricultural domain and was determined to be stable and representative of the region. This study reinforces the applicability of temporal stability analysis to very long time scales, which are now becoming available for soil moisture monitoring. Each of these networks is temporally stable with respect to soil water content at each depth on a spatial basis. The LWREW has a persistent pattern through the root zone profile, but the FCREW does not, which requires further investigation.

Long-term environmental research: the upper washita river experimental watersheds, oklahoma, USA.

Water is central to life and earth processes, connecting physical, biological, chemical, ecological, and economic forces across the landscape. The vast scope of hydrologic sciences requires research efforts worldwide and across a wide range of disciplines. While hydrologic processes and scientific investigations related to sustainable agricultural systems are based on universal principles, research to understand processes and evaluate management practices is often site-specific to achieve a critical mass of expertise and research infrastructure to address spatially, temporally, and ecologically complex systems. In the face of dynamic climate, market, and policy environments, long-term research is required to understand and predict risks and possible outcomes of alternative scenarios. This special section describes the USDA-ARS's long-term research (1961 to present) in the Upper Washita River basin of Oklahoma. Data papers document datasets in detail (weather, hydrology, physiography, land cover, and sediment and nutrient water quality), and associated research papers present analyses based on those data. This living history of research is presented to engage collaborative scientists across institutions and disciplines to further explore complex, interactive processes and systems. Application of scientific understanding to resolve pressing challenges to agriculture while enhancing resilience of linked land and human systems will require complex research approaches. Research areas that this watershed research program continues to address include: resilience to current and future climate pressures; sources, fate, and transport of contaminants at a watershed scale; linked atmospheric-surface-subsurface hydrologic processes; high spatiotemporal resolution analyses of linked hydrologic processes; and multiple-objective decision making across linked farm to watershed scales.

Upper washita river experimental watersheds: reservoir, groundwater, and stream flow data.

Surface and groundwater quantity and quality data are essential in many hydrologic applications and to the development of hydrologic and water quality simulation models. We describe the hydrologic data available in the Little Washita River Experimental Watershed (LWREW) of the Southern Great Plains Research Watershed (SGPRW) and Fort Cobb Reservoir Experimental Watershed (FCREW), both located in southwest Oklahoma. Specifically, we describe the flood retarding structures and corresponding stage, discharge, seepage, and consumptive use data (), stream gauges, and groundwater wells and their corresponding stream flow (; LWREW ARS 522-526 stream gauges) and groundwater level data (SGPRW groundwater levels data; LWREW groundwater data; ; ), respectively. Data collection is a collaborative effort between federal and state agencies. Stage, discharge, seepage, and consumptive use data for the Fort Cobb Reservoir are available from the Bureau of Reclamation and cover a period of 1959 to present. There are 15 stream gauges in the LWREW and six in the FCREW with varying data records. There were 479 observation wells with data in the SGPRW and 80 in the LWREW, with the latest records collected in 1992. In addition, groundwater level data are available from five real-time monitoring wells and 34 historical wells within the FCREW. These data sets have been used for several research applications. Plans for detailed groundwater data collection are underway to calibrate and validate the linked Soil and Water Assessment Tool (SWAT)-MODFLOW model. Also, plans are underway to conduct reservoir bathymetric surveys to determine the current reservoir capacity as affected by land use/land cover and overland and stream channel soil erosion.

Upper washita river experimental watersheds: data screening procedure for data quality assurance.

The presence of non-stationary conditions in long-term hydrologic observation networks is associated with natural and anthropogenic stressors or network operation problems. Detection and identification of network operation drivers is fundamental in hydrologic investigation due to changes in systematic errors that can exacerbate modeling results or bias research conclusions. We applied a data screening procedure to the USDA-ARS experimental watersheds data sets () in Oklahoma. Detection of statistically significant monotonic trends and changes in mean and variance were used to investigate non-stationary conditions with network operation drivers to assess the impact of changes in the amount of systematic error. Detection of spurious data, filling in missing data, and data screening procedures were applied to >1000 time series, and processed data were made publicly available. The SPELLmap application was used for data processing and statistical tests on watershed segregated data sets and temporally aggregated data. A test for independency (Anderson test), normality, monotonic trend (Spearman test), detection of change point (Pettitt test), and split record test ( and -tests) were used to assess non-stationary conditions. Statistically significant (95% confidence limit) monotonic trends and changes in mean and variance were detected for annual maximum air temperature, rainfall, relative humidity, and solar radiation and in maximum and minimum soil temperature time series. Network operation procedures such as change in calibration protocols and sensor upgrades as well as natural regional weather trends were suspected as driving the detection of statistically significant trends and changes in mean and variance. We concluded that a data screening procedure that identifies changes in systematic errors and detection of false non-stationary conditions in hydrologic problems is fundamental before any modeling applications.

Upper washita river experimental watersheds: physiography data.

Physiographic data such as digital elevation models (DEMs), soils, geology, stream channel network characteristics, channel stability, and land use data are essential for understanding the complex hydrologic cycle and chemical transport processes of any given study area. We describe the physiographic data available in the Little Washita River Experimental Watershed (LWREW) and Fort Cobb Reservoir Experimental Watershed (FCREW) in Oklahoma. Specifically, we describe (i) available raw and post-processed DEM products (), (ii) available soils data ( and ) and associated error analysis based on limited measured data, (iii) geologic formations in the LWREW and FCREW ( and ), and (iv) available rapid geomorphic assessment measurements () and their uses. Data collection is a collaborative effort among USGS, NRCS, and ARS. These data sets have been used for several research applications by USDA-ARS scientists and researchers from other institutions and agencies. Plans for detailed geomorphic assessment of stream channel networks in the FCREW are underway in collaboration with Oklahoma State University in Stillwater. The collected data will enable updating of the channel stability stage condition since there have been several major rainfall events in the watershed since the last geomorphic assessment.

Modeling the impact of measured and projected climate and management systems on agricultural fields: Surface runoff, soil moisture, and soil erosion.

As global climate change poses a challenge to crop production, it is imperative to prioritize effective adaptation of agricultural systems based on a scientific understanding of likely impacts. In this study, we applied an integrated watershed modeling framework to examine the impacts of projected climate on runoff, soil moisture, and soil erosion under different management systems in Central Oklahoma. The proposed model uses measured climate data and three downscaled ensembles from the Coupled Model Intercomparison Project Phase 6 (CMIP6) at the water resources and erosion watershed to understand the impact of climate change and various climate conditions under three management systems: (1) continuous winter wheat (Triticum aestivum) under conventional tillage (WW-CT; baseline system), (2) continuous winter wheat under no-till (WW-NT), and (3) cool and warm season forage cover crop mixes under no-till (CC-NT). The study indicates that the occurrence of agricultural drought is projected to increase while erosion rates will remain unchanged under the WW-CT. In contrast, climate simulations imposed on the WW-NT and CC-NT systems significantly reduce runoff and sediment while preserving soil moisture levels. Especially, implementing the CC-NT system can bolster food security and foster sustainable farming practices in Central Oklahoma in the face of a changing climate.

The patient journey of fibromyalgia in Latin America.

OBJECTIVES: To explore the patient journey of people with fibromyalgia (FM) in Latin American countries in order to identify problems in health care and other areas that may be resolvable. METHODS: Qualitative study with phenomenological and content analysis approach through focus groups and patient journey (Ux; User Experience) methodology. Nine virtual focus groups were conducted with FM patients and healthcare professionals in Argentina, Mexico and Colombia recruited from key informants and social networks. RESULTS: Forty-three people participated (33 were clinicians and 10 were patients). The agents interacting with the patient in their disease journey are found in three spheres: healthcare (multiple medical specialists and other professionals), support and work life (including patient associations) and socioeconomic context. The line of the journey presents two large sections, two loops and a thin dashed line. The two major sections represent the time from first symptoms to medical visit (characterized by self-medication and denial) and the time from diagnosis to follow-up (characterized by high expectations and multiple contacts to make life changes that are not realized). The two loop phases include (1) succession of misdiagnoses and mistreatments and referrals to specialists and (2) new symptoms every so often, visits to specialists, diagnostic doubts, and impatience. Very few patients manage to reach the final phase of autonomy. CONCLUSION: The journey of a person with FM in Latin America is full of obstacles and loops. The desired goal is for all the agents involved to understand that self- management by the patient with FM is an essential part of success, and this can only be achieved with early access to resources and guidance from professionals.