Soil moisture evaluation over the Argentine Pampas using models, satellite estimations and in-situ measurements.

STUDY REGION: The Pampas region is located in the central-east part of Argentina, and is one of the most productive agricultural regions of the world under rainfed conditions. STUDY FOCUS: This study aims at examining how different Land Surface Models (LSMs) and satellite estimations reproduce daily surface and root zone soil moisture variability over 8 in-situ observation sites. The ability of the LSMs to detect dry and wet events is also evaluated. NEW HYDROLOGICAL INSIGHTS FOR THE REGION: The surface and root zone soil moisture of the LSMs and the surface soil moisture of the ESA CCI (European Space Agency Climate Change Initiative, hereafter ESA-SM) show in general a good performance against the in-situ measurements. In particular, the BHOA (Balance Hidrológico Operativo para el Agro) shows the best representation of the soil moisture dynamic range and variability, and the GLDAS (Global Land Data Assimilation System)-Noah, ERA-Interim TESSEL (Tiled ECMWF's Scheme for Surface Exchanges over Land) and Global Drought Observatory (GDO)-LISFLOOD are able to adequately represent the soil moisture anomalies over the Pampas region. In addition to the LSM results, also the ESA-SM satellite estimated anomalies proved to be valuable. However, the LSMs and the ESA-SM have difficulties in reproducing the soil moisture frequency distributions. Based on this study, it is clear that accurate forcing data and soil parameters are critical to substantially improve the ability of LSMs to detect dry and wet events.

Development of a Cancer Care Summary Through the Electronic Health Record.

INTRODUCTION: Our objective was to improve communication concerning lung cancer patients by developing and distributing a Cancer Care Summary that would provide clinically useful information about the patient's diagnosis and care to providers in diverse settings. METHODS: We designed structured, electronic forms for the electronic health record (EHR), detailing tumor staging, classification, and treatment. To ensure completeness and accuracy of the information, we implemented a data quality cycle, composed of reports that are reviewed by oncology clinicians. The data from the EHR forms are extracted into a structured query language database system on a daily basis, from which the Summaries are derived. We conducted focus groups regarding the utility, format, and content of the Summary. Cancer Care Summaries are automatically generated 4 months after a patient's date of diagnosis, then every 6 months for those receiving treatment, and on an as-needed basis for urgent care or hospital admission. RESULTS: The product of our improvement project is the Cancer Care Summary. To date, 102 individual patient Summaries have been generated. These documents are automatically entered into the National Jewish Health (NJH) EHR, attached to correspondence to primary care providers, available to patients as electronic documents on the NJH patient portal, and faxed to emergency departments and admitting physicians on patient evaluation. CONCLUSION: We developed a sustainable tool to improve cancer care communication. The Cancer Care Summary integrates information from the EHR in a timely manner and distributes the information through multiple avenues.

ExInt: an Exon Intron Database.

The Exon/Intron Database (ExInt) stores information of all GenBank eukaryotic entries containing an annotated intron sequence. Data are available through a retrieval system, as flat-files and as a MySQL dump file. In this report we discuss several implementations added to ExInt, which is accessible at http://intron.bic.nus.edu.sg/exint/newexint/exint.html.

Evaluation of the stability of neuropsychological functioning after acute episodes of schizophrenia: one-year followup study.

Few studies have evaluated the longitudinal stability of neuropsychological deficits in schizophrenia. In the present study, 39 inpatients with DSM-III-R schizophrenia were administered a comprehensive battery of neuropsychological tests after achieving sufficient clinical recovery to warrant discharge, and again 1 year after the first assessment during a nonacute period. Significant improvement in neuropsychological functioning from the first to the second assessment was observed on several tasks, including the following: Trails A and B, Digit Symbol, Judgment of Line Orientation, recognition memory on the Rey Auditory Verbal Learning Test, the Wisconsin Card Sort, and Finger Tapping. These improvements were unrelated to treatment history, and were similar in first episode and chronic cases. For many patients, the improvement in functioning brought test performance into line with normative scores from test standardization samples. These results indicate that considerable improvement in neuropsychological functioning can occur in schizophrenic patients over the months following an acute episode of illness, and that recovery of cognitive functioning can occur after substantial clinical recovery from an acute episode of illness has already been achieved.

Cystic fibrosis and malnutrition.

Cystic fibrosis as a specific disease entity has been known to be associated with malnutrition for almost half a century. The importance of the malnutrition in the disease process remains unknown, as does much information about specific nutritional deficiencies in CF. Supplements for children with CF should include extra energy as fat or carbohydrate, a form of linoleic acid that can be absorbed, hydrolyzed protein, fat-soluble vitamins with vitamins A and E in a water emulsion, vitamin B12, probably B vitamins and vitamin C, and trace minerals. Routine measurements of nutritional status, particularly in children with growth failure, should be made at regular intervals and should include a three-day diet record and a simultaneous 72-hour stool fat determination. If fat malabsorption is not controlled by pancreatic enzymes, the use of antacids or cimetidine should be considered. The true role of nutrition in patients with CF will not be known until the appropriate studies are completed.