On March 8 and 9, 1992, a thermal‐infrared‐multispectral scanner (TIMS) was flown over two military ordnance disposal facilities at the Edgewood Area of Aberdeen Proving Ground, Maryland. The data, collected by the National Aeronautics and Space Administration, in cooperation with the U.S. Army and the U.S. Geological Survey, were used to locate ground‐water discharge zones in surface water. The images from the flight show areas where ground‐water discharge is concentrated, as well as areas of diffuse discharge. Concentrated discharge is predominant in isolated or nearly isolated ponds and creeks in the study area. Diffuse discharge is found near parts of the shoreline where the study area meets the surrounding estuaries of the Chesapeake Bay and the Gunpowder River. The average temperature for surface water, measured directly in the field, and the average temperature, calculated from atmospherically corrected TIMS images, was 10.6° C (Celsius) at the first of two sites. Potentiometric surface maps of both field sites show discharge toward the nontidal marshes, the estuaries which surround the field sites, and creeks which drain into the estuaries. The average measured temperature of ground water at both sites was 10.7° C. The calculated temperature from the TIMS imagery at both sites where ground‐water discharge is concentrated within a surface‐water body is 10.4° C. In the estuaries which surround the field sites, field measurements of temperature were made resulting in an average temperature of 9.0° C. The average calculated TIMS temperature from the estuaries was 9.3° C. Along the shoreline at the first site and within 40 to 80 meters of the western and southern shores of the second site, water was 1° to 2° C warmer than water more than 80 meters away. This pattern of warmer water grading to cooler water in an offshore direction could result from diffuse ground‐water discharge. Tonal differences in the TIMS imagery could indicate changes in surface‐water temperatures. These tonal differences can be interpreted to delineate the location and extent of ground‐water discharge to bodies of surface water.

In this cohort of patients with refractory gastroparesis, GES improved symptoms in 75 % of patients with 43 % being at least moderately improved. Response in diabetics was better than in nondiabetic patients. Nausea, loss of appetite, and early satiety responded the best.

Efforts to conserve stream and river biota could benefit from tools that allow managers to evaluate landscape-scale changes in species distributions in response to water management decisions. We present a framework and methods for integrating hydrology, geographic context and metapopulation processes to simulate effects of changes in streamflow on fish occupancy dynamics across a landscape of interconnected stream segments. We illustrate this approach using a 482 km 2 catchment in the southeastern US supporting 50 or more stream fish species. A spatially distributed, deterministic and physically based hydrologic model is used to simulate daily streamflow for sub-basins composing the catchment. We use geographic data to characterize stream segments with respect to channel size, confinement, position and connectedness within the stream network. Simulated streamflow dynamics are then applied to model fish metapopulation dynamics in stream segments, using hypothesized effects of streamflow magnitude and variability on population processes, conditioned by channel characteristics. The resulting time series simulate spatially explicit, annual changes in species occurrences or assemblage metrics (e.g. species richness) across the catchment as outcomes of management scenarios. Sensitivity analyses using alternative, plausible links between streamflow components and metapopulation processes, or allowing for alternative modes of fish dispersal, demonstrate large effects of ecological uncertainty on model outcomes and highlight needed research and monitoring. Nonetheless, with uncertainties explicitly acknowledged, dynamic, landscape-scale simulations may prove useful for quantitatively comparing river management alternatives with respect to species conservation. Published 2012. This article is a U.S. Government work and is in the public domain in the USA.

This observational study aimed to assess trends in type 2 diabetes mellitus (T2DM) disease burden in European Union countries for the years 1990–2019. Sex specific T2DM age-standardised prevalence (ASPRs), mortality (ASMRs) and disability-adjusted life-year rates (DALYs) per 100,000 population were extracted from the Global Burden of Disease (GBD) Study online results tool for each EU country (inclusive of the United Kingdom), for the years 1990–2019. Trends were analysed using Joinpoint regression analysis. Between 1990 and 2019, increases in T2DM ASPRs were observed for all EU countries. The highest relative increases in ASPRs were observed in Luxembourg (males + 269.1%, females + 219.2%), Ireland (males + 191.9%, females + 165.7%) and the UK (males + 128.6%, females + 114.6%). Mortality trends were less uniform across EU countries, however a general trend towards reducing T2DM mortality was observed, with ASMRs decreasing over the 30-year period studied in 16/28 countries for males and in 24/28 countries for females. The UK observed the highest relative decrease in ASMRs for males (− 46.9%). For females, the largest relative decrease in ASMRs was in Cyprus (− 67.6%). DALYs increased in 25/28 countries for males and in 17/28 countries for females between 1990 and 2019. DALYs were higher in males than females in all EU countries in 2019. T2DM prevalence rates have increased across EU countries over the last 30 years. Mortality from T2DM has generally decreased in EU countries, however trends were more variable than those observed for prevalence. Primary prevention strategies should continue to be a focus for preventing T2DM in at risk groups in EU countries.