A standardized skin surface biopsy was performed in 34 patients suffering from skin diseases with high Demodex folliculorum density (Dd) > 5D/cm2 before, during and after topical treatment. The patients were randomized into six comparable groups to study six topical treatments: metronidazole 2%, permethrin 1%, sublimed sulphur 10%, lindane 1%, crotamiton 10% and benzyl benzoate (BB) 10%. Their acaricidal activity was measured according to three criteria: (i) for each treatment, decrease of Dd to under the normal threshold (< or = 5 D/cm2); (ii) for each treatment, a significant decrease in Dd; and (iii) comparison of the relative difference in Dd between treatments. These three criteria converged to establish the acaricidal activity of BB on D. folliculorum; the efficacy of crotamiton was demonstrated by the second criterion. An important irritating effect was observed with BB and sulphur.
Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low-or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI).Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression.
MODFLOW is a groundwater modeling program. It can be compiled and remedied according to the practical applications. Because of its structure and fixed data format, MODFLOW can be integrated with Geographic Information Systems (GIS) technology for water resource management. The North China Plain (NCP), which is the politic, economic and cultural center of China, is facing with water resources shortage and water pollution. Groundwater is the main water resource for industrial, agricultural and domestic usage. It is necessary to evaluate the groundwater resources of the NCP as an entire aquifer system. With the development of computer and internet information technology it is also necessary to integrate the groundwater model with the GIS technology. Because the geological and hydrogeological data in the NCP was mainly in MAPGIS format, the powerful function of GIS of disposing of and analyzing spatial data and computer languages such as Visual C and Visual Basic were used to define the relationship between the original data and model data. After analyzing the geological and hydrogeological conditions of the NCP, the groundwater flow numerical simulation modeling was constructed with MODFLOW. On the basis of GIS, a dynamic evaluation system for groundwater resources under the internet circumstance was completed. During the process of constructing the groundwater model, a water budget was analyzed, which showed a negative budget in the NCP. The simulation period was from 1 January 2002 to 31 December 2003. During this period, the total recharge of the groundwater system was 49,374 9 10 6 m 3 and the total discharge was 56,530 9 10 6 m 3 the budget deficit was -7,156 9 10 6 m 3 . In this integrated system, the original data including graphs and attribution data could be stored in the database. When the process of evaluating and predicting groundwater flow was started, these data were transformed into files that the core program of MODFLOW could read. The calculated water level and drawdown could be displayed and reviewed online.
Hydrologic exchange flows (HEFs) across the river‐aquifer interface have important implications for biogeochemical processes and contaminant plume migration in the river corridor, yet little is known about the hydrogeomorphic factors that control HEFs dynamics under dynamic flow conditions. Here, we developed a 3‐D numerical model for a large regulated river corridor along the Columbia River to study how HEFs are controlled by the interplays between dam‐regulated flow conditions and hydrogeomorphic features of such river corridor system. Our results revealed highly variable intra‐annual spatiotemporal patterns in HEFs along the 75‐km river reach, as well as strong interannual variability with larger exchange volumes in wet years than dry years. In general, the river was losing during late spring to early summer when the river stage was high, and river was gaining in fall and winter when river stage was low. The magnitude and timing of river stage fluctuations controlled the timing of high exchange rates. Both river channel geomorphology and the thickness of a highly permeable river bank geologic layer controlled the locations of exchange hot spots, while the latter played a dominant role. Dam‐induced, subdaily to daily river stage fluctuations drove high‐frequency variations in HEFs across the river‐aquifer interfaces, resulting in greater overall exchange volumes as compared to the case without high‐frequency flows. Our results demonstrated that upstream dam operations enhanced the exchange between river water and groundwater with strong potential influence on the associated biogeochemical processes and on the fate and transport of groundwater contaminant plumes in such river corridors.
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