3d Modelj Rozi

• Martinez, A D; Dimova, R; Marks, K M; Beeder, A B; Zeremski, M; Kreek, M J; Talal, A H 2012-01-01 Despite a high prevalence of hepatitis C virus (HCV) among drug users, HCV evaluation and treatment acceptance are extremely low among these patients when referred from drug treatment facilities for HCV management. We sought to increase HCV treatment effectiveness among patients from a methadone maintenance treatment program (MMTP) by maintaining continuity of care. We developed, instituted and retrospectively assessed the effectiveness of an integrated, co-localized care model in which an internist-addiction medicine specialist from MMTP was embedded in the hepatitis clinic. Methadone maintenance treatment program patients were referred, evaluated by the internist and hepatologist in hepatitis clinic and provided HCV treatment with integration between both sites. Of 401 evaluated patients, anti-HCV antibody was detected in 257, 86% of whom were older than 40 years. Hepatitis C virus RNA levels were measured in 222 patients, 65 of whom were aviremic.

Of 157 patients with detectable HCV RNA, 125 were eligible for referral to the hepatitis clinic, 76 (61%) of whom accepted and adhered with the referral. Men engaged in MMTP.

[1] The irrigated Indus Basin in Pakistan has insufficient water resources to supply all its stakeholders. Information on evaporative depletion across the Basin is an important requirement if the water resources are to be managed efficiently. This paper presents the Surface Energy Balance Algorithm for Land (SEBAL) method used to compute actual evapotranspiration for large areas based on public domain National Oceanic and Atmospheric Administration (NOAA) satellite data. Computational procedures for retrieving actual evapotranspiration from satellites have been developed over the last 20 years. The current work is among the first applications used to estimate actual evapotranspiration on an annual scale across a vast river basin system with a minimum of ground data. Only sunshine duration and wind speed are required as input data for the remote sensing flux algorithm. The results were validated in the Indus Basin by comparing results from a field‐scale transient moisture flow model, in situ Bowen ratio measurements, and residual water balance analyses for an area of 3 million ha.

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The accuracy of assessing time‐integrated actual annual evapotranspiration varied from 0% to 10% on a field scale to 5% at the regional level. Spatiotemporal information on actual evapotranspiration helps to evaluate water distribution and water use between large irrigation project areas. Wide variations in evaporative depletion between project areas and crop types were found. Satellite‐based measurements can provide such information and avoid the need to rely on field databases.