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- Chalov, Sergey, et al.
(författare)
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The Selenga River delta : a geochemical barrier protecting Lake Baikal waters
- 2017
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Ingår i: Regional Environmental Change. - : Springer Science and Business Media LLC. - 1436-3798 .- 1436-378X. ; 17:7, s. 2039-2053
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Tidskriftsartikel (refereegranskat)abstract
- The protection of Lake Baikal and the planning of water management measures in the Selenga River Basin require a comprehensive understanding of the current state and functioning of the delta’s ecosystem and hydrogeochemical processes. This is particularly relevant in light of recent and expected future changes involving both the hydrology and water quality in the Lake Baikal basin causing spatiotemporal changes in water flow, morphology, and transport of sediments and metals in the Selenga River delta and thus impacting on delta barrier functions. The central part of the delta had been characterized by sediment storage, especially along the main channels, causing a continuous lift of the delta surface by about 0.75 cm/year−1. Theses morphological changes have a significant impact on hydrological conditions, with historical shifts in the bulk discharge from the left to the right parts of the delta which is distinguished by a relatively high density of wetlands. Regions with a high density of wetlands and small channels, in contrast to main channel regions, show a consistent pattern of considerable contaminant filtering and removal (between 77 and 99 % for key metals), during both high-flow and low-flow conditions. The removal is associated with a significant concentration increase (2–3 times) of these substances in the bottom sediment. In consequence, geomorphological processes, which govern the partitioning of flow between different channel systems, may therefore directly govern the barrier function of the delta.
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| 2. |
- Eger, Katrien, et al.
(författare)
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The effect of the COVID-19 pandemic on severe asthma care in Europe : will care change for good?
- 2022
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Ingår i: ERJ Open Research. - : European Respiratory Society (ERS). - 2312-0541. ; 8:2
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Tidskriftsartikel (refereegranskat)abstract
- Background The coronavirus disease 2019 (COVID-19) pandemic has put pressure on healthcare services, forcing the reorganisation of traditional care pathways. We investigated how physicians taking care of severe asthma patients in Europe reorganised care, and how these changes affected patient satisfaction, asthma control and future care. Methods In this European-wide cross-sectional study, patient surveys were sent to patients with a physician-diagnosis of severe asthma, and physician surveys to severe asthma specialists between November 2020 and May 2021. Results 1101 patients and 268 physicians from 16 European countries contributed to the study. Common physician-reported changes in severe asthma care included use of video/phone consultations (46%), reduced availability of physicians (43%) and change to home-administered biologics (38%). Change to phone/video consultations was reported in 45% of patients, of whom 79% were satisfied or very satisfied with this change. Of 709 patients on biologics, 24% experienced changes in biologic care, of whom 92% were changed to home-administered biologics and of these 62% were satisfied or very satisfied with this change. Only 2% reported worsening asthma symptoms associated with changes in biologic care. Many physicians expect continued implementation of video/phone consultations (41%) and home administration of biologics (52%). Conclusions Change to video/phone consultations and home administration of biologics was common in severe asthma care during the COVID-19 pandemic and was associated with high satisfaction levels in most but not all cases. Many physicians expect these changes to continue in future severe asthma care, though satisfaction levels may change after the pandemic.
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