RESUMEN
Many studies show the sensitivity of our environment to manmade changes, especially the anthropogenic impact on atmospheric and hydrological processes. The effect on Solid Earth processes such as subsidence is less straightforward. Subsidence is usually slow and relates to the interplay of complex hydro-mechanical processes, thus making relations to atmospheric changes difficult to observe. In the Dead Sea (DS) region, however, climatic forcing is strong and over-use of fresh water is massive. An observation period of 3 years was thus sufficient to link the high evaporation (97 cm/year) and the subsequent drop of the Dead Sea lake level (- 110 cm/year), with high subsidence rates of the Earth's surface (- 15 cm/year). Applying innovative Global Navigation Satellite System (GNSS) techniques, we are able to resolve this subsidence of the "Solid Earth" even on a monthly basis and show that it behaves synchronous to atmospheric and hydrological changes with a time lag of two months. We show that the amplitude and fluctuation period of ground deformation is related to poro-elastic hydro-mechanical soil response to lake level changes. This provides, to our knowledge, a first direct link between shore subsidence, lake-level drop and evaporation.
RESUMEN
OBJECTIVES: To evaluate the health-related quality of life (HRQoL) of children and adolescents with type 1 diabetes (T1DM) in Kuwait using the Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scale and PedsQL 3.0 Diabetes Module, and to identify the risk factors associated with unsatisfactory QoL and their effects on metabolic control. SUBJECTS AND METHODS: A total of 436 patients (2-18 years) with T1DM (>6 months) and 389 healthy controls, with the parents of both groups, completed the Arabic Generic Core Scale. Those with T1DM also completed the Arabic Diabetes Module. RESULTS: The mean total score of the PedsQL Diabetes Module was 70.2 ± 9.8 reported by children and 59.9 ± 11.1 reported by parents (higher scores indicate better QoL). Young age and long duration of diabetes were associated with poor QoL (p < 0.001). Boys had better total scores than girls in most age groups (70.3 ± 9.3 vs. 52.3 ± 7.2, p < 0.001); however, girls did better than boys regarding treatment barriers and adherence (71.3 ± 7.8 vs. 68.1 ± 6.2, p < 0.005). Higher HbA1c values were associated with lower QoL scores (31.1 ± 5.1 at HbA1c of 15% vs. 82.5 ± 6.1 at HbA1c of 6%, p < 0.0001). CONCLUSION: HRQoL of children and adolescents with T1DM was consistently poorer than controls. Parents consistently reported poorer QoL scores than their children. We recommend that more support should be provided for the care of children with diabetes in Kuwait.