BackgroundTraumatic brain injury (TBI) is a major contributor to morbidity and mortality. Computerized tomography (CT) scanning of the brain is essential for diagnostic screening of intracranial injuries in need of neurosurgical intervention, but may also provide information concerning patient prognosis and enable baseline risk stratification in clinical trials. Novel CT scoring systems have been developed to improve current prognostic models, including the Stockholm and Helsinki CT scores, but so far have not been extensively validated. The primary aim of this study was to evaluate the Stockholm and Helsinki CT scores for predicting functional outcome, in comparison with the Rotterdam CT score and Marshall CT classification. The secondary aims were to assess which individual components of the CT scores best predict outcome and what additional prognostic value the CT scoring systems contribute to a clinical prognostic model.Methods and findingsTBI patients requiring neuro-intensive care and not included in the initial creation of the Stockholm and Helsinki CT scoring systems were retrospectively included from prospectively collected data at the Karolinska University Hospital (n = 720 from 1 January 2005 to 31 December 2014) and Helsinki University Hospital (n = 395 from 1 January 2013 to 31 December 2014), totaling 1,115 patients. The Marshall CT classification and the Rotterdam, Stockholm, and Helsinki CT scores were assessed using the admission CT scans. Known outcome predictors at admission were acquired (age, pupil responsiveness, admission Glasgow Coma Scale, glucose level, and hemoglobin level) and used in univariate, and multivariable, regression models to predict long-term functional outcome (dichotomizations of the Glasgow Outcome Scale [GOS]). In total, 478 patients (43%) had an unfavorable outcome (GOS 1–3). In the combined cohort, overall prognostic performance was more accurate for the Stockholm CT score (Nagelkerke’s pseudo-R2 range 0.24–0.28) and the Helsinki CT score (0.18–0.22) than for the Rotterdam CT score (0.13–0.15) and Marshall CT classification (0.03–0.05). Moreover, the Stockholm and Helsinki CT scores added the most independent prognostic value in the presence of other known clinical outcome predictors in TBI (6% and 4%, respectively). The aggregate traumatic subarachnoid hemorrhage (tSAH) component of the Stockholm CT score was the strongest predictor of unfavorable outcome. The main limitations were the retrospective nature of the study, missing patient information, and the varying follow-up time between the centers.ConclusionsThe Stockholm and Helsinki CT scores provide more information on the damage sustained, and give a more accurate outcome prediction, than earlier classification systems. The strong independent predictive value of tSAH may reflect an underrated component of TBI pathophysiology. A change to these newer CT scoring systems may be warranted.
The launch of the European Space Agency (ESA)'s Soil Moisture and Ocean Salinity (SMOS) satellite mission in November 2009 opened a new era of global passive monitoring at L-band (1.4-GHz band reserved for radio astronomy). The main objective of the mission is to measure soil moisture and sea surface salinity; the sole payload is the Microwave Imaging Radiometer using Aperture Synthesis. As part of comprehensive calibration and validation activities, several ground-based L-band radiometers, so-called ETH L-Band radiometers for soil moisture research (ELBARA-II), have been deployed. In this paper, we analyze a comprehensive set of measurements from one ELBARA-II deployment site in the northern boreal forest zone. The focus of this paper is in the detection of the evolution of soil frost (a relevant topic, e.g., for the study of carbon and methane cycles at high latitudes). We investigate the effects that soil freeze/thaw processes have on the L-band signature and present a simple modeling approach to analyze the relation between frost depth and the observed brightness temperature. Airborne observations are used to expand the analysis for different land cover types. Finally, the first SMOS observations from the same period are analyzed. Results show that soil freezing and thawing processes have an observable effect on the L-band signature of soil. Furthermore, the presented emission model is able to relate the observed dynamics in brightness temperature to the increase of soil frost.
Abstract. The objective of the Nordic Snow Radar Experiment (NoSREx) campaign was to provide a continuous time series of active and passive microwave observations of snow cover at a representative location of the Arctic boreal forest area, covering a whole winter season. The activity was a part of Phase A studies for the ESA Earth Explorer 7 candidate mission CoReH2O (Cold Regions Hydrology Highresolution Observatory).The NoSREx campaign, conducted at the Finnish Meteorological Institute Arctic Research Centre (FMI-ARC) in Sodankylä, Finland, hosted a frequency scanning scatterometer operating at frequencies from X-to Ku-band. The radar observations were complemented by a microwave dualpolarization radiometer system operating from X-to Wbands. In situ measurements consisted of manual snow pit measurements at the main test site as well as extensive automated measurements on snow, ground and meteorological parameters.This study provides a summary of the obtained data, detailing measurement protocols for each microwave instrument and in situ reference data. A first analysis of the microwave signatures against snow parameters is given, also comparing observed radar backscattering and microwave emission to predictions of an active/passive forward model.All data, including the raw data observations, are available for research purposes through the European Space Agency and the Finnish Meteorological Institute. A consolidated dataset of observations, comprising the key microwave and in situ observations, is provided through the ESA campaign data portal to enable easy access to the data.
Abstract. This paper's objective is to present generic calibration functions for organic surface layers derived for the soil moisture sensors Decagon ECH2O 5TE and Delta-T ThetaProbe ML2x, using material from northern regions, mainly from the Finnish Meteorological Institute's Arctic Research Center in Sodankylä and the study area of the Danish Center for Hydrology (HOBE). For the Decagon 5TE sensor such a function is currently not reported in the literature. Data were compared with measurements from underlying mineral soils including laboratory and field measurements. Shrinkage and charring during drying were considered. For both sensors all field and lab data showed consistent trends. For mineral layers with low soil organic matter (SOM) content the validity of the manufacturer's calibrations was demonstrated. Deviating sensor outputs in organic and mineral horizons were identified. For the Decagon 5TE, apparent relative permittivities at a given moisture content decreased for increased SOM content, which was attributed to an increase of bound water in organic materials with large specific surface areas compared to the studied mineral soils. ThetaProbe measurements from organic horizons showed stronger nonlinearity in the sensor response and signal saturation in the high-level data. The derived calibration fit functions between sensor response and volumetric water content hold for samples spanning a wide range of humus types with differing SOM characteristics. This strengthens confidence in their validity under various conditions, rendering them highly suitable for large-scale applications in remote sensing and land surface modeling studies. Agreement between independent Decagon 5TE and ThetaProbe time series from an organic surface layer at the Sodankylä site was significantly improved when the here-proposed fit functions were used. Decagon 5TE data also well-reflected precipitation events. Thus, Decagon 5TE network data from organic surface layers at the Sodankylä and HOBE sites are based on the hereproposed natural log fit. The newly derived ThetaProbe fit functions should be used for hand-held applications only, but prove to be of value for the acquisition of instantaneous large-scale soil moisture estimates.
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