No abstract

Multiyear ice (MYI) characteristics can be retrieved from passive or active microwave remote sensing observations. One of the algorithms that combine both observations to identify partial concentrations of ice types (including MYI) is the Environment Canada Ice Concentration Extractor (ECICE). However, cycles of warm-cold air temperature trigger wet-dry cycles of the snow cover on MYI surface. Under wet snow conditions, anomalous brightness temperature and backscatter, similar to those of first-year ice (FYI), are observed. This leads to misidentification of MYI as being FYI, hence decreasing the estimated MYI concentration suddenly. The purpose of this paper is to introduce a correction scheme to restore the MYI concentration under this condition. The correction is based on air temperature records. It utilizes the fact that the warm spell in autumn lasts for a short period of time (a few days). The correction is applied to MYI concentration retrievals from ECICE using an input of combined QuikSCAT and AMSR-E data, acquired over the Arctic region in a series of autumn seasons from 2003 to 2008. The correction works well by replacing anomalous MYI concentrations with interpolated ones. For September of the six years, it introduces over0.1 × 10 6 km 2 MYI area, except for 2005. Due to the regional effect of warm air spells, the correction could be important in the operational applications where ice concentrations are crucial on small scale and mesoscale. Index Terms-Arctic sea ice, Environment Canada Ice Concentration Extractor (ECICE), ice concentration, microwave remote sensing, multiyear ice (MYI), surface air temperature.

PURPOSE: The purpose of this study was to investigate the effect of a nurse-led multicomponent intervention on ostomy-related complications, self-efficacy, and health-related quality of life in patients with an ileal conduit. DESIGN: Randomized controlled trial. SAMPLE AND SETTING: Forty-six patients who underwent radical cystectomy and creation of an ileal conduit participated in the trial; data were collected over a 6-month period. The study setting was Shanghai Pudong Hospital, affiliated with Fudan University, located in Shanghai, China. METHODS: Participants were randomly allocated to an experimental or control group. Participants in the control group received routine care over a 6-month period following ostomy surgery, while those in the experimental group received a nurse-led, multicomponent, structured intervention delivered by an ostomy care team. The Chinese language versions of the Stoma Self-Efficacy Scale (SSES) and the City of Hope Quality of Life-Ostomy (COHQOL-O) questionnaire were used to assess self-efficacy in stoma care and health-related quality of life. Ostomy-related complications including peristomal moisture-associated skin damage and uric acid crystal deposits in the peristomal area were also assessed. Fisher's exact test was used to compare the incidence of ostomy-related complications between the 2 groups. Independent-samples t tests were used to compare SSES and COHQOL-O scores. RESULTS: No statistically significant differences were found between demographic characteristics of the control and experimental groups. After 6 months, the incidence of complications was significantly lower in the experimental group as compared to the control group (4.35% vs 30.43%, P = .047). In addition, the mean SSES score was significantly higher in the experimental group (indicating greater self-efficacy in stoma care) (107.13 ± 11.87 vs 85.65 ± 12.87, P = .000), and the mean COHQOL-O score was also significantly higher in the experimental group, indicating higher health-related quality of life (154.48 ± 16.01 vs 138.26 ± 13.42, P = .001). CONCLUSION: The nurse-led multicomponent intervention provided by the ostomy care team reduced ostomy-related complications and improved the self-efficacy level and health-related quality of life in persons with a new urostomy.