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Climate change influences worldwide freshwaters with the most prominent effects in the Arctic and Alpine regions. Environmental management in proglacial zones underlain by permafrost requires understanding of hydrological regimes and water retention patterns. However, there is limited long-term data on the catchment-scale freshwater flow and retention for ecosystems within the continuous permafrost zones. Here, we characterized the hydrometeorological controls on the glacial-fluvio-lacustrine regime in a model Arctic catchment (SW Svalbard) to inform contingency plans for regions endangered by glacial-floods and permafrost landslides. We compiled a comprehensive hydro-meteorological dataset between 2005 and 2019 from a larger database (1972-2019) and applied bootstrapping, random forest, and multiple regressions, to elucidate the relationships between drivers (temperatures, sunshine duration, precipitation) and the intensity of freshwater flows. The hydrology exhibits strong seasonality with a pronounced peak between June and July controlled by precipitation (R = 0.56). From August to September, low-to-intermediate freshwater discharge is controlled by interactive effects of air temperatures and precipitation (R = 0.71). The interaction between hydrometeorology and catchment-scale discharge is stronger for August and September compared to June and July. The strongest warming trend between August and September (1979-2019) makes this period particularly relevant with regards to the long-term changes and environmental management in the permafrost-underlain catchments. Indeed, our northern hemisphere meta-analysis (n = 1975) revealed that majority of glacial floods (51 %) occurs at that time. We argue that permafrost management should include monitoring of surface temperature, precipitation and snow cover enabling establishment of stabilizing infrastructure in sensitive regions whenever threshold values are exceeded (i.e., Tmin >4 °C; P > 30 mm) and discharges increase.
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http://dx.doi.org/10.1016/j.jenvman.2025.125189 | DOI Listing |
JAMA Netw Open
September 2025
Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Importance: Patients with advanced cancer frequently receive broad-spectrum antibiotics, but changing use patterns across the end-of-life trajectory remain poorly understood.
Objective: To describe the patterns of broad-spectrum antibiotic use across defined end-of-life intervals in patients with advanced cancer.
Design, Setting, And Participants: This nationwide, population-based, retrospective cohort study used data from the South Korean National Health Insurance Service database to examine broad-spectrum antibiotic use among patients with advanced cancer who died between July 1, 2002, and December 31, 2021.
The purpose of this study was to establish the effects of birth season on performance of first-lactation Holstein cows. Further analysis was conducted to determine if the impact of calving season was a more appropriate indicator. This study analyzed data from 2009 to 2022 and included 524 primiparous Holstein cows from the University of Illinois Urbana-Champaign Dairy Research Unit (Urbana, IL).
View Article and Find Full Text PDFOtolaryngol Head Neck Surg
September 2025
National Centre for Airway Reconstruction, ENT Department, Imperial College Healthcare NHS Trust, London, UK.
Objective: To describe the effects of the Modified Wendler's Glottoplasty (MWG) technique on voice pitch and quality of life (QoL) using preoperative and postoperative outcome measures.
Study Design: Single institution retrospective review.
Setting: Tertiary care private healthcare facility.
Medicine (Baltimore)
September 2025
Nursing Department, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Stroke is a severe neurological disorder that significantly impacts patients' recovery and quality of life. Stroke patients frequently experience sleep disorders, including difficulty initiating sleep, insomnia, vivid dreams, and sleep apnea. These disorders not only disrupt nighttime rest but also significantly affect stroke recovery and prognosis, increasing the risks of recurrence and mortality.
View Article and Find Full Text PDFJ Med Internet Res
September 2025
Chulalongkorn University, Bangkok, Thailand.
Background: The interprofessional educational curriculum for patient and personnel safety is of critical importance, especially in the context of the COVID-19 pandemic, to prepare junior multiprofessional teams for emergency settings.
Objective: This study aimed to evaluate the effectiveness of an innovative interprofessional educational curriculum that integrated medical movies, massive open online courses (MOOCs), and 3D computer-based or virtual reality (VR) simulation-based interprofessional education (SimBIE) with team co-debriefing to enhance interprofessional collaboration and team performance using Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS). This study addressed 3 key questions.