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110. Flowing with the changing needs of hydrogeology instruction.

Author

Gleeson, T., Allen, D. M., and Ferguson, G.

Abstract

Hydrogeology is now taught in a broad spectrum of departments and institutions to students with diverse backgrounds. Successful instruction in hydrogeology thus requires a variety of pedagogical approaches depending on desired learning outcomes and the diverse background of students. We review the pedagogical literature in hydrogeology to highlight recent advances and analyze a 2005 survey of 68 hydrogeology instructors. The literature and survey results suggest there are ~15 topics that are considered crucial by most hydrogeologists and >100 other topics that are considered crucial by some hydrogeologists. The crucial topics focus on properties of aquifers and fundamentals of groundwater flow, and should likely be part of all undergraduate hydrogeology courses. Other topics can supplement and support these crucial topics, depending on desired learning outcomes. Classroom settings continue to provide a venue for emphasizing fundamental knowledge. However, recent pedagogical advances are biased towards field and laboratory instruction with a goal of bolstering experiential learning. Field methods build on the fundamentals taught in the classroom and emphasize the collection of data, data uncertainty, and the development of vocational skills. Laboratory and computer-based exercises similarly build on theory, and offer an opportunity for data analysis and integration. The literature suggests curricula at all levels should ideally balance field, laboratory, and classroom pedagogy into an iterative and integrative whole. An integrated approach leads to greater student motivation and advancement of theoretical and vocational knowledge. [ABSTRACT FROM AUTHOR]

Published
2012
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112. Skeletal muscle substrate utilization is altered by acute and acclimatory temperature in the American bullfrog (Lithobates catesbeiana).

Author

Peterse, A. M. and Gleeson, T. T.

Subjects
*ACCLIMATIZATION, *BULLFROG, *AMPHIBIAN anatomy, *PHYSIOLOGICAL effects of temperature, *MUSCULOSKELETAL system, *MUSCLE metabolism, *GLUCOSE, *LACTATES, *PHYSIOLOGY
Abstract

We investigated the effect of acute and acclimatory temperature on the relative contribution of glucose and lactate to metabolism in resting sartorius muscle of the American bullfrog (Lithobates catesbelana). We examined the fate of these metabolites in vitro by supplying radiolabeled [14C]glucose, 14C]lactate and [14C]palmitate to isolated muscle bundles from frogs (1) acutely exposed to incubation conditions of 5, 15 or 25°C, (2) acclimated for 2-6 weeks to 5 or 25°C or (3) acclimated for 2-6 weeks to 5 or 25°C and the muscles incubated at 15°C. Under all three temperature conditions tested, net rate of lactate metabolism exceeded that of glucose. Acute exposure to 5°C reduced net rate of glucose metabolism by 15X and net lactate metabolism by 10X as compared with 25°C-exposed tissues. Acclimation to 5°C favored glucose storage as glycogen and increased the proportion of lactate oxidized (versus stored or converted to glucose) when compared with 25°C-acclimated tissues. Net rates of storage of lactate as glycogen (glyconeogenesis) were significantly higher in muscles from 5°C-acclimated frogs during incubation at a common temperature of 15°C. These data suggest that lactate is the predominant fuel for resting skeletal muscle over this temperature range, and particularly so under cold conditions. Ready use of lactate as a substrate, and enhancement of glyconeogenic pathways in response to cold acclimation, could play a role in the tolerance of this species to seasonal temperature changes by promoting sequestration and storage of available substrate under cold conditions. [ABSTRACT FROM AUTHOR]

Published
2009
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113. Measuring Up: How Advertising Affects Self-Image

Author

Gleeson, T.

Subjects
Measuring Up: How Advertising Affects Self-Image. (Book) -- Book reviews, Books -- Book reviews, Library and information science, Literature/writing
Published
2002

114. Characterization of circannual patterns of metabolic recovery from activity in Rana catesbeiana at 15°C.

Author

Petersen, A. M. and Gleeson, T. T.

Subjects
*BULLFROG, *CARBOHYDRATE metabolism, *FROG physiology, *PHOTOPERIODISM, *RANA
Abstract

We characterized carbohydrate metabolism following activity in the American bullfrog, Rana catesbeiana, and compared whole body metabolic profiles between two seasons. Forty-eight adult male Rana catesbeiana were chronically cannulated and injected with [U-14C]L-lactic acid sodium salt in either summer (June) or winter (January) after acclimation for 2 weeks at 15°C with a 12 h:12 h L:D photoperiod. Following injection with [14C]lactate, frogs were either allowed to rest for 240 mm (REST), hopped for 2 min on a treadmill and immediately sacrificed (PE), or hopped for 2 mm on a treadmill and allowed to recover for 240 mm (REC 4). Exercise caused a significant increase in blood lactate level from 2.7±0.1 mmol l-1 at rest to 17.0±2.1 mmol l-1 immediately following exercise. This increase persisted throughout the recovery period, with average blood lactate level only reduced to 13.7±1.1 mmol l-1 after 240 min of recovery, despite complete recovery of intramuscular lactate levels. Lactate levels were not significantly different between seasons in any treatment (REST, PE, REC4), in either gastrodnemius muscle or blood. The vast majority of [14C]lactate was recovered in the muscle, in both winter (863%) and summer (875%). Season had no effect on total amount of 14C label recovered. [14C]Lactate was measured in the forms of lactate, glucose and glycogen, in the liver and the muscle sampled. The most robust difference found in seasonal metabolism was that both the liver and the gastrocnemius contained significantly higher levels of intracellular free glucose under all treatments in winter. These data suggest that, overall, bullfrogs accumulate and slowly clear lactate in a manner quite similar to findings in fish, other amphibians and lizards. Additionally, our findings indicate that lactate metabolism is not highly influenced by season alone, but that intracellular glucose levels may be sensitive to annual patterns. [ABSTRACT FROM AUTHOR]

Published
2007
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120. Killing time

Author

McKellar, R.C., Modler, H.W., Couture, H., Hughes, A., Mayers, P., Gleeson, T., and Ross, W.H.

Subjects
Milk -- Pasteurization, Dairy industry -- Research, Agricultural industry, Business, Business, international, Food and beverage industries
Abstract

Canadian researchers R C McKellar, H W Modler, H Couture, A Hughes, P Mayers, T Gleeson and W H Ross describe methods used to predict alkaline phosphatase inactivation during pasteurisation [...]

Published
1994

123. You Tarzan: Masculinity, Movies and Men

Author

Gleeson, T.

Subjects
You Tarzan (Book) -- Book reviews, Books -- Book reviews, Library and information science, Literature/writing
Published
1993

128. Use of Ultrasound to Determine Need for Laparotomy in Trauma Patients

Author

Porter, R.S., Nester, B.A., Dalcey, W.C., O'Mara, M., Gleeson, T., Pennell, R., and Beyer, F.C.

Abstract

Study objective: To determine whether abdominal ultrasound can be used routinely as the primary screening test to identify the need for laparotomy in trauma patients. Methods: Ultrasound was used at a Level II trauma center as a primary screening test for evaluation of intraabdominal injury. We reviewed the charts of all patients from trauma codes presenting between January 1, 1991, and December 31, 1993, to determine the results of abdominal ultrasound evaluation and to learn whether laparotomy was required. Results: A total of 2,013 trauma patients presented during the study interval. Ultrasound was performed in 1,631 patients as the primary screening test for abdominal injury (mean time after arrival, 22.9 minutes), abdominal computed tomography (CT) was performed as the primary screen on 8 (mean time, 68.6 minutes), and 93 patients underwent both ultrasound and CT of the abdomen. Of 86 patients requiring laparotomy who were screened by ultrasound, 80 had positive diagnostic findings, for a sensitivity of 93.0%. Of the 1,545 ultrasound-screened patients who did not require laparotomy, 1,390 had negative findings, for a specificity of 90.0%. None of the patients with negative ultrasound results died or sustained identifiable mortality as a consequence of their negative scans. Conclusion: Ultrasound is a sensitive and specific test with which to evaluate trauma patients for abdominal injury requiring surgery. Routine abdominal ultrasound can be performed at the bedside in the emergency department as a timely, noninvasive diagnostic test. This use of a screening abdominal ultrasound examination can improve clinical decisionmaking for the use of emergency laparotomy. Ultrasound may be a better alternative to CT or diagnostic peritoneal lavage for the initial screening evaluation of abdominal trauma. [Porter RS, Nester BA, Dalsey WC, O'Mara M, Gleeson T, Pennell R, Beyer FC: Use of ultrasound to determine the need for laparotomy in trauma patients. Ann Emerg Med March 1997;29:323-330.]

Published
1997
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130. Twenty-three unsolved problems in hydrology (UPH) - a community perspective

Author

Bloschl, G., Bierkens, M. F. P., Chambel, A., Cudennec, C., Destouni, G., Fiori, A., Kirchner, J. W., McDonnell, J. J., Savenije, H. H. G., Sivapalan, M., Stumpp, C., Toth, E., Volpi, E., Carr, G., Lupton, C., Salinas, J., Szeles, B., Viglione, A., Aksoy, H., Allen, S. T., Amin, A., Andreassian, V., Arheimer, B., Aryal, S. K., Baker, V., Bardsley, E., Barendrecht, M. H., Bartosova, A., Batelaan, O., Berghuijs, W. R., Beven, K., Blume, T., Bogaard, T., De Amorim, P. B., Bottcher, M. E., Boulet, G., Breinl, K., Brilly, M., Brocca, L., Buytaert, W., Castellarin, A., Castelletti, A., Chen, X. H., Chen, Y. B., Chen, Y. F., Chifflard, P., Claps, P., Clark, M. P., Collins, A. L., Croke, B., Dathe, A., David, P. C., De Barros, F. P. J., De Rooij, G., Di Baldassarre, G., Driscoll, J. M., Duethmann, D., Dwivedi, R., Eris, E., Farmer, W. H., Feiccabrino, J., Ferguson, G., Ferrari, E., Ferraris, S., Fersch, B., Finger, D., Foglia, L., Fowler, K., Gartsman, B., Gascoin, S., Gaume, E., Gelfan, A., Geris, J., Gharari, S., Gleeson, T., Glendell, M., Bevacqua, A. G., Gonzalez-Dugo, M. P., Grimaldi, S., Gupta, A. B., Guse, B., Han, D. W., Hannah, D., Harpold, A., Haun, S., Heal, K., Helfricht, K., Herrnegger, M., Hipsey, M., Hlavacikova, H., Hohmann, C., Holko, L., Hopkinson, C., Hrachowitz, M., Illangasekare, T. H., Inam, A., Innocente, C., Istanbulluoglu, E., Jarihani, B., Kalantari, Z., Kalvans, A., Khanal, S., Khatami, S., Kiesel, J., Kirkby, M., Knoben, W., Kochanek, K., Kohnova, S., Kolechkina, A., Krause, S., Kreamer, D., Kreibich, H., Kunstmann, H., Lange, H., Liberato, M. L. R., Lindquist, E., Link, T., Liu, J. G., Loucks, D. P., Luce, C., Mahe, G., Makarieva, O., Malard, J., Mashtayeva, S., Maskey, S., Mas-Pla, J., Mavrova-Guirguinova, M., Mazzoleni, M., Mernild, S., Misstear, B. D., Montanari, A., Muller-Thomy, H., Nabizadeh, A., Nardi, F., Neale, C., Nesterova, N., Nurtaev, B., Odongo, V. O., Panda, S., Pande, S., Pang, Z. H., Papacharalampous, G., Perrin, C., Pfister, L., Pimentel, R., Polo, M. J., Post, D., Prieto, C., Ramos, M. H., Renner, M., Reynolds, J. E., Ridolfi, E., Rigon, R., Riva, M., Robertson, D. E., Rosso, R., Roy, T., Sa, J. H. M., Salvadori, G., Sandells, M., Schaefli, B., Schumann, A., Scolobig, A., Seibert, J., Servat, E., Shafiei, M., Sharma, A., Sidibe, M., Sidle, R. C., Skaugen, T., Smith, H., Spiessl, S. M., Stein, L., Steinsland, I., Strasser, U., Su, B., Szolgay, J., Tarboton, D., Tauro, F., Thirel, G., Tian, F. Q., Tong, R., Tussupova, K., Tyralis, H., Uijlenhoet, R., Van Beek, R., Van Der Ent, R. J., Van Der Ploeg, M., Van Loon, A. F., Van Meerveld, I., Van Nooijen, R., Van Oel, P. R., Vidal, J. P., Von Freyberg, J., Vorogushyn, S., Wachniew, P., Wade, A. J., Ward, P., Westerberg, I. K., White, C., Wood, E. F., Woods, R., Xu, Z. X., Yilmaz, K. K., and Zhang, Y. Q.

Subjects
910 Geography & travel, 500 Science, 6. Clean water
Abstract

This paper is the outcome of a community initiative to identify major unsolved scientific problems in hydrology motivated by a need for stronger harmonisation of research efforts. The procedure involved a public consultation through online media, followed by two workshops through which a large number of potential science questions were collated, prioritised, and synthesised. In spite of the diversity of the participants (230 scientists in total), the process revealed much about community priorities and the state of our science: a preference for continuity in research questions rather than radical departures or redirections from past and current work. Questions remain focused on the process-based understanding of hydrological variability and causality at all space and time scales. Increased attention to environmental change drives a new emphasis on understanding how change propagates across interfaces within the hydrological system and across disciplinary boundaries. In particular, the expansion of the human footprint raises a new set of questions related to human interactions with nature and water cycle feedbacks in the context of complex water management problems. We hope that this reflection and synthesis of the 23 unsolved problems in hydrology will help guide research efforts for some years to come.

131. Groundwater and ecosystems

Author

Gleeson, T., Huggins, X., Connor, R., Arrojo-Agudo, P., Sune, E. V., Villholth, Karen, Rohde, M., van der Gun, J., Kreamer, D., Manzano, M., Scrinzi, L., Arduino, G., Resende, T. C., Moosdorf, N., Walsh, V., Harjung, A., Gleeson, T., Huggins, X., Connor, R., Arrojo-Agudo, P., Sune, E. V., Villholth, Karen, Rohde, M., van der Gun, J., Kreamer, D., Manzano, M., Scrinzi, L., Arduino, G., Resende, T. C., Moosdorf, N., Walsh, V., and Harjung, A.

132. Groundwater and ecosystems

Author

Gleeson, T., Huggins, X., Connor, R., Arrojo-Agudo, P., Sune, E. V., Villholth, Karen, Rohde, M., van der Gun, J., Kreamer, D., Manzano, M., Scrinzi, L., Arduino, G., Resende, T. C., Moosdorf, N., Walsh, V., Harjung, A., Gleeson, T., Huggins, X., Connor, R., Arrojo-Agudo, P., Sune, E. V., Villholth, Karen, Rohde, M., van der Gun, J., Kreamer, D., Manzano, M., Scrinzi, L., Arduino, G., Resende, T. C., Moosdorf, N., Walsh, V., and Harjung, A.

133. Modelling the role of groundwater hydro-refugia in East African hominin evolution and dispersal.

Author

Cuthbert, M.O., Gleeson, T., Reynolds, Sally C., Bennett, Matthew R., Newton, Adrian, McCormack, C., Ashley, G.M., Cuthbert, M.O., Gleeson, T., Reynolds, Sally C., Bennett, Matthew R., Newton, Adrian, McCormack, C., and Ashley, G.M.

Abstract

Water is a fundamental resource, yet its spatiotemporal availability in East Africa is poorly understood. This is the area where most hominin first occurrences are located, and consequently the potential role of water in hominin evolution and dispersal remains unresolved. Here, we show that hundreds of springs currently distributed across East Africa could function as persistent groundwater hydro-refugia through orbital-scale climate cycles. Groundwater buffers climate variability according to spatially variable groundwater response times determined by geology and topography. Using an agent-based model, grounded on the present day landscape, we show that groundwater availability would have been critical to supporting isolated networks of hydro-refugia during dry periods when potable surface water was scarce. This may have facilitated unexpected variations in isolation and dispersal of hominin populations in the past. Our results therefore provide a new environmental framework in which to understand how patterns of taxonomic diversity in hominins may have developed.

142. ICMSF Methods Studies. XVI. Comparison of Salt Polymyxin Broth with Glucose Salt Teepol Broth for Enumerating Vibrio parahaemolyticus in Naturally Contaminated Samples

Author

Sakazaki, R., primary, Pivnick, H., additional, Jarvis, G., additional, Goddard, M., additional, Asakawa, Y., additional, Barrow, G., additional, Beuchat, L., additional, Colwell, R., additional, Gleeson, T., additional, Gray, R., additional, Nakanishi, H., additional, Sakai, S., additional, Stavric, S., additional, Takizawa, K., additional, Tamura, K., additional, Twedt, R., additional, Vanderzant, C., additional, and West, P., additional

Published
1986
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149. Twenty-three unsolved problems in hydrology (UPH) – a community perspective

Author

Alena Gonzalez Bevacqua, Murugesu Sivapalan, Rui Tong, Ruud van der Ent, Holger Lange, Krzysztof Kochanek, Kate Heal, Moussa Sidibe, Ida Westerberg, Scott T. Allen, Pablo Borges de Amorim, Eric Lindquist, Georgia Destouni, Maria-Helena Ramos, Bruce Misstear, Andrew J. Wade, Keith Beven, Luca Brocca, Mike Kirkby, Sina Khatami, David K. Kreamer, Pieter R. van Oel, Zahra Kalantari, Shreedhar Maskey, Sergiy Vorogushyn, Shamshagul Mashtayeva, James W. Kirchner, Andis Kalvans, Hubert H. G. Savenije, Sebastian H. Mernild, Gerrit H. de Rooij, Santosh K. Aryal, Ennio Ferrari, Julien Malard, Alberto Montanari, Ladislav Holko, Sonu Khanal, Silvia Kohnová, Camyla Innocente, Mel Sandells, Josie Geris, Tom Gleeson, Felipe P. J. de Barros, Ben Jarihani, Anne Van Loon, Stefan Krause, Maria Mavrova-Guirguinova, Marlies Barendrecht, María José Polo, Flavia Tauro, Zongxue Xu, B. I. Gartsman, Elena Ridolfi, Charles Perrin, Miriam Glendell, Yuanfang Chen, Ilja van Meerveld, Theresa Blume, Harald Kunstmann, Gemma Carr, Alireza Nabizadeh, Ebru Eris, Christopher J. White, Heidi Kreibich, Hannes Müller-Thomy, Ashish Sharma, Laura Foglia, Josep Mas-Pla, Subhabrata Panda, Shervan Gharari, Renzo Rosso, J. E. Reynolds, Stefano Ferraris, Saket Pande, Markus Hrachowitz, Laurent Pfister, David E. Robertson, Thomas Skaugen, Roy C. Sidle, Rafael Pimentel, Ross Woods, Alena Bartosova, Erkan Istanbulluoglu, Grant Ferguson, Anam Amin, Chris Hopkinson, Korbinian Breinl, David A. Post, Mathew Herrnegger, Aldo Fiori, Ingelin Steinsland, Dawei Han, Lina Stein, Alberto Viglione, Akhilendra Bhushan Gupta, Bakhram Nurtaev, Maurizio Mazzoleni, Charles H. Luce, Martine van der Ploeg, Ronald van Nooijen, Jean-Philippe Vidal, Tirthankar Roy, Borbála Széles, Jens Kiesel, Cristina Prieto Sierra, Junguo Liu, Hafzullah Aksoy, Andreas Schumann, Pierluigi Claps, Berit Arheimer, Georgia Papacharalampous, Wouter Buytaert, Keirnan Fowler, Ulrich Strasser, David C. Finger, Elena Volpi, Matthew R. Hipsey, Paula Cunha David, Margarida L. R. Liberato, Alexander Gelfan, Barry Croke, V.O. Odongo, David M. Hannah, Günter Blöschl, Hristos Tyralis, Olga Makarieva, Nataliia Nesterova, Bettina Schaefli, Kamshat Tussupova, Guillaume Thirel, Kay Helfricht, Timothy E. Link, Earl Bardsley, Wouter J. M. Knoben, Vazken Andréassian, Ján Szolgay, Mojtaba Shafiei, Jose Luis Salinas, Jan Seibert, Benjamin Fersch, Doris Duethmann, Azhar Inam, Yongqiang Zhang, Giuliano Di Baldassarre, Simon Gascoin, Hugh Smith, Martyn P. Clark, Xiaohong Chen, Maik Renner, Tissa H. Illangasekare, Remko Uijlenhoet, Victor R. Baker, Ravindra Dwivedi, Eric Servat, Christophe Cudennec, Jeffrey J. McDonnell, Sabine M. Spiessl, Yangbo Chen, Thom Bogaard, Wouter R. Berghuijs, María P. González-Dugo, Gilles Boulet, Fernando Nardi, Eric Gaume, Jana von Freyberg, Gil Mahé, Peter Chifflard, Mitja Brilly, William H. Farmer, Monica Riva, James Feiccabrino, Claire Lupton, Anna Scolobig, João H.M. Sá, Przemysław Wachniew, Daniel P. Loucks, Jessica M. Driscoll, Bob Su, Elena Toth, Okke Batelaan, Eric F. Wood, Annette Dathe, David G. Tarboton, Attilio Castellarin, Alla Kolechkina, Björn Guse, Christopher M. U. Neale, Salvatore Grimaldi, Zhonghe Pang, Fuqiang Tian, Marc F. P. Bierkens, Christine Stumpp, Philip J. Ward, Stefan Haun, António Chambel, Riccardo Rigon, Andrea Castelletti, Michael E. Böttcher, Rens van Beek, Gianfausto Salvadori, Adrian A. Harpold, Adrian L. Collins, Hana Hlaváčiková, Clara Hohmann, Koray K. Yilmaz, Technical University of Vienna [Vienna] (TU WIEN), Utrecht University [Utrecht], University of Évora [Portugal], Sol Agro et hydrosystème Spatialisation (SAS), AGROCAMPUS OUEST-Institut National de la Recherche Agronomique (INRA), Stockholm University, Roma Tre University, Institut Fédéral de Recherches sur la Forêt, la Neige et le Paysage (WSL), Institut Fédéral de Recherches [Suisse], University of Saskatchewan [Saskatoon] (U of S), Delft University of Technology (TU Delft), Department of Civil and Environmental Engineering [Urbana], University of Illinois at Urbana-Champaign [Urbana], University of Illinois System-University of Illinois System, Department of Civil Chemical Environmental and Materials Engineering [Bologna] (DICAM), University of Bologna, Centre for Ecology and Hydrology [Wallingford] (CEH), Natural Environment Research Council (NERC), Politecnico di Torino [Torino] (Polito), Istanbul Technical University, Department of Land, Environment, Agriculture and Forestry (TeSAF), Universita degli Studi di Padova, Hydrosystèmes continentaux anthropisés : ressources, risques, restauration (UR HYCAR), Institut national de recherche en sciences et technologies pour l'environnement et l'agriculture (IRSTEA), Swedish Meteorological and Hydrological Institute (SMHI), Water Resources Section, Centre d'études spatiales de la biosphère (CESBIO), Institut de Recherche pour le Développement (IRD)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Observatoire Midi-Pyrénées (OMP), Université Fédérale Toulouse Midi-Pyrénées-Centre National d'Études Spatiales [Toulouse] (CNES)-Centre National de la Recherche Scientifique (CNRS), Imperial College London, Sun Yat-Sen University (SYSU), Hohai University, Research Applications Laboratory [Boulder] (RAL), National Center for Atmospheric Research [Boulder] (NCAR), Department of Earth Sciences [ Uppsala], Uppsala University, University of Reykjavik [Islande], Structure et fonctionnement des systèmes hydriques continentaux (SISYPHE), Université Pierre et Marie Curie - Paris 6 (UPMC)-École pratique des hautes études (EPHE)-MINES ParisTech - École nationale supérieure des mines de Paris-Centre National de la Recherche Scientifique (CNRS), Département Géotechnique, Eau et Risques (IFSTTAR/GER), Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR)-PRES Université Nantes Angers Le Mans (UNAM), Water Problems Institute of the Russian Academy of Sciences, Russian Academy of Sciences [Moscow] (RAS), The James Hutton Institute, School of Geography, Earth and Environmental Sciences [Birmingham], University of Birmingham [Birmingham], Center for Experimental Study of Subsurface Environmental Processes (CESEP), Colorado School of Mines, Slovak University of Technology in Bratislava, Hydrology Section, German Research Centre for Geosciences - Helmholtz-Centre Potsdam (GFZ), South University of Science and Technology of China, School of Environmental Science and Engineering, Sun Yat-Sen University (SYSU)-Sun Yat-Sen University (SYSU), Hydrosciences Montpellier (HSM), Institut de Recherche pour le Développement (IRD)-Université Montpellier 2 - Sciences et Techniques (UM2)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Department of Water Science and Engineering, Institute for Water Education (UNESCO–IHE), Università di Bologna [Bologna] (UNIBO), Luxembourg Institute of Science and Technology (LIST), Andalusian Institute of Earth Sciences (IACT), Spanish National Research Council [Madrid] (CSIC), University of Pennsylvania [Philadelphia], Dipartimento di Ingegneria Idraulica, Ambientale, Infrastrutture Viarie, Rilevamento, ICT Institute of Politecnico di Milano, University of Edinburgh, Boise State University, Coventry University, University of the Sunshine Coast (USC), Department of Civil and Environmental Engineering, Utah State University (USU), Department of Hydraulic Engineering, State Key Laboratory of Hydroscience and Engineering, Tsinghua University [Beijing], Wagenigen University, Utrecht Centre for Geosciences, Météo-France [Paris], Météo France, Department of Mathematical Sciences, Durham University, Princeton University, Ege Üniversitesi, Water and Climate Risk, Bloschl G., Bierkens M.F.P., Chambel A., Cudennec C., Destouni G., Fiori A., Kirchner J.W., McDonnell J.J., Savenije H.H.G., Sivapalan M., Stumpp C., Toth E., Volpi E., Carr G., Lupton C., Salinas J., Szeles B., Viglione A., Aksoy H., Allen S.T., Amin A., Andreassian V., Arheimer B., Aryal S.K., Baker V., Bardsley E., Barendrecht M.H., Bartosova A., Batelaan O., Berghuijs W.R., Beven K., Blume T., Bogaard T., Borges de Amorim P., Bottcher M.E., Boulet G., Breinl K., Brilly M., Brocca L., Buytaert W., Castellarin A., Castelletti A., Chen X., Chen Y., Chifflard P., Claps P., Clark M.P., Collins A.L., Croke B., Dathe A., David P.C., de Barros F.P.J., de Rooij G., Di Baldassarre G., Driscoll J.M., Duethmann D., Dwivedi R., Eris E., Farmer W.H., Feiccabrino J., Ferguson G., Ferrari E., Ferraris S., Fersch B., Finger D., Foglia L., Fowler K., Gartsman B., Gascoin S., Gaume E., Gelfan A., Geris J., Gharari S., Gleeson T., Glendell M., Gonzalez Bevacqua A., Gonzalez-Dugo M.P., Grimaldi S., Gupta A.B., Guse B., Han D., Hannah D., Harpold A., Haun S., Heal K., Helfricht K., Herrnegger M., Hipsey M., Hlavacikova H., Hohmann C., Holko L., Hopkinson C., Hrachowitz M., Illangasekare T.H., Inam A., Innocente C., Istanbulluoglu E., Jarihani B., Kalantari Z., Kalvans A., Khanal S., Khatami S., Kiesel J., Kirkby M., Knoben W., Kochanek K., Kohnova S., Kolechkina A., Krause S., Kreamer D., Kreibich H., Kunstmann H., Lange H., Liberato M.L.R., Lindquist E., Link T., Liu J., Loucks D.P., Luce C., Mahe G., Makarieva O., Malard J., Mashtayeva S., Maskey S., Mas-Pla J., Mavrova-Guirguinova M., Mazzoleni M., Mernild S., Misstear B.D., Montanari A., Muller-Thomy H., Nabizadeh A., Nardi F., Neale C., Nesterova N., Nurtaev B., Odongo V.O., Panda S., Pande S., Pang Z., Papacharalampous G., Perrin C., Pfister L., Pimentel R., Polo M.J., Post D., Prieto Sierra C., Ramos M.-H., Renner M., Reynolds J.E., Ridolfi E., Rigon R., Riva M., Robertson D.E., Rosso R., Roy T., Sa J.H.M., Salvadori G., Sandells M., Schaefli B., Schumann A., Scolobig A., Seibert J., Servat E., Shafiei M., Sharma A., Sidibe M., Sidle R.C., Skaugen T., Smith H., Spiessl S.M., Stein L., Steinsland I., Strasser U., Su B., Szolgay J., Tarboton D., Tauro F., Thirel G., Tian F., Tong R., Tussupova K., Tyralis H., Uijlenhoet R., van Beek R., van der Ent R.J., van der Ploeg M., Van Loon A.F., van Meerveld I., van Nooijen R., van Oel P.R., Vidal J.-P., von Freyberg J., Vorogushyn S., Wachniew P., Wade A.J., Ward P., Westerberg I.K., White C., Wood E.F., Woods R., Xu Z., Yilmaz K.K., Zhang Y., Vienna University of Technology (TU Wien), Institut National de la Recherche Agronomique (INRA)-AGROCAMPUS OUEST, Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro), Politecnico di Torino = Polytechnic of Turin (Polito), Istanbul Technical University (ITÜ), Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut national des sciences de l'Univers (INSU - CNRS)-Observatoire Midi-Pyrénées (OMP), Météo France-Centre National d'Études Spatiales [Toulouse] (CNES)-Université Fédérale Toulouse Midi-Pyrénées-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Météo France-Centre National d'Études Spatiales [Toulouse] (CNES)-Centre National de la Recherche Scientifique (CNRS), Sun Yat-Sen University [Guangzhou] (SYSU), Department of Earth Sciences [Uppsala], Université Pierre et Marie Curie - Paris 6 (UPMC)-École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-MINES ParisTech - École nationale supérieure des mines de Paris, Université Paris sciences et lettres (PSL)-Centre National de la Recherche Scientifique (CNRS), Southern University of Science and Technology of China (SUSTech), Institut national des sciences de l'Univers (INSU - CNRS)-Institut de Recherche pour le Développement (IRD)-Université Montpellier 2 - Sciences et Techniques (UM2)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), Tsinghua University [Beijing] (THU), Austrian Science Fund (FWF) : DK W1219-N28, Institut de Recherche pour le Développement (IRD)-Université Montpellier 2 - Sciences et Techniques (UM2)-Centre National de la Recherche Scientifique (CNRS)-Université de Montpellier (UM), Institut de Recherche pour le Développement (IRD)-Institut national des sciences de l'Univers (INSU - CNRS)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi Roma Tre = Roma Tre University (ROMA TRE), University of Bologna/Università di Bologna, Università degli Studi di Padova = University of Padua (Unipd), Université de Toulouse (UT)-Université de Toulouse (UT)-Institut national des sciences de l'Univers (INSU - CNRS)-Observatoire Midi-Pyrénées (OMP), Université de Toulouse (UT)-Université de Toulouse (UT)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National d'Études Spatiales [Toulouse] (CNES)-Centre National de la Recherche Scientifique (CNRS)-Météo-France -Institut national des sciences de l'Univers (INSU - CNRS)-Centre National d'Études Spatiales [Toulouse] (CNES)-Centre National de la Recherche Scientifique (CNRS)-Météo-France -Centre National de la Recherche Scientifique (CNRS)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Université Pierre et Marie Curie - Paris 6 (UPMC)-École Pratique des Hautes Études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Mines Paris - PSL (École nationale supérieure des mines de Paris), Southern University of Science and Technology (SUSTech), University of Pennsylvania, Météo-France, Castellarin, A, Tækni- og verkfræðideild (HR), School of Science and Engineering (RU), Háskólinn í Reykjavík, Reykjavik University, Department of Water Resources, UT-I-ITC-WCC, Faculty of Geo-Information Science and Earth Observation, Bloschl, G., Bierkens, M. F. P., Chambel, A., Cudennec, C., Destouni, G., Fiori, A., Kirchner, J. W., Mcdonnell, J. J., Savenije, H. H. G., Sivapalan, M., Stumpp, C., Toth, E., Volpi, E., Carr, G., Lupton, C., Salinas, J., Szeles, B., Viglione, A., Aksoy, H., Allen, S. T., Amin, A., Andreassian, V., Arheimer, B., Aryal, S. K., Baker, V., Bardsley, E., Barendrecht, M. H., Bartosova, A., Batelaan, O., Berghuijs, W. R., Beven, K., Blume, T., Bogaard, T., Borges de Amorim, P., Bottcher, M. E., Boulet, G., Breinl, K., Brilly, M., Brocca, L., Buytaert, W., Castellarin, A., Castelletti, A., Chen, X., Chen, Y., Chifflard, P., Claps, P., Clark, M. P., Collins, A. L., Croke, B., Dathe, A., David, P. C., de Barros, F. P. J., de Rooij, G., Di Baldassarre, G., Driscoll, J. M., Duethmann, D., Dwivedi, R., Eris, E., Farmer, W. H., Feiccabrino, J., Ferguson, G., Ferrari, E., Ferraris, S., Fersch, B., Finger, D., Foglia, L., Fowler, K., Gartsman, B., Gascoin, S., Gaume, E., Gelfan, A., Geris, J., Gharari, S., Gleeson, T., Glendell, M., Gonzalez Bevacqua, A., Gonzalez-Dugo, M. P., Grimaldi, S., Gupta, A. B., Guse, B., Han, D., Hannah, D., Harpold, A., Haun, S., Heal, K., Helfricht, K., Herrnegger, M., Hipsey, M., Hlavacikova, H., Hohmann, C., Holko, L., Hopkinson, C., Hrachowitz, M., Illangasekare, T. H., Inam, A., Innocente, C., Istanbulluoglu, E., Jarihani, B., Kalantari, Z., Kalvans, A., Khanal, S., Khatami, S., Kiesel, J., Kirkby, M., Knoben, W., Kochanek, K., Kohnova, S., Kolechkina, A., Krause, S., Kreamer, D., Kreibich, H., Kunstmann, H., Lange, H., Liberato, M. L. R., Lindquist, E., Link, T., Liu, J., Loucks, D. P., Luce, C., Mahe, G., Makarieva, O., Malard, J., Mashtayeva, S., Maskey, S., Mas-Pla, J., Mavrova-Guirguinova, M., Mazzoleni, M., Mernild, S., Misstear, B. D., Montanari, A., Muller-Thomy, H., Nabizadeh, A., Nardi, F., Neale, C., Nesterova, N., Nurtaev, B., Odongo, V. O., Panda, S., Pande, S., Pang, Z., Papacharalampous, G., Perrin, C., Pfister, L., Pimentel, R., Polo, M. J., Post, D., Prieto Sierra, C., Ramos, M. -H., Renner, M., Reynolds, J. E., Ridolfi, E., Rigon, R., Riva, M., Robertson, D. E., Rosso, R., Roy, T., Sa, J. H. M., Salvadori, G., Sandells, M., Schaefli, B., Schumann, A., Scolobig, A., Seibert, J., Servat, E., Shafiei, M., Sharma, A., Sidibe, M., Sidle, R. C., Skaugen, T., Smith, H., Spiessl, S. M., Stein, L., Steinsland, I., Strasser, U., Su, B., Szolgay, J., Tarboton, D., Tauro, F., Thirel, G., Tian, F., Tong, R., Tussupova, K., Tyralis, H., Uijlenhoet, R., van Beek, R., van der Ent, R. J., van der Ploeg, M., Van Loon, A. F., van Meerveld, I., van Nooijen, R., van Oel, P. R., Vidal, J. -P., von Freyberg, J., Vorogushyn, S., Wachniew, P., Wade, A. J., Ward, P., Westerberg, I. K., White, C., Wood, E. F., Woods, R., Xu, Z., Yilmaz, K. K., Zhang, Y., Hydrologie, and Landscape functioning, Geocomputation and Hydrology

Subjects
hydrology, science questions, research agenda, interdisciplinary, knowledge gaps, 0208 environmental biotechnology, UT-Hybrid-D, WASS, hydrology, 02 engineering and technology, Oceanografi, hydrologi och vattenresurser, Hydrology and Quantitative Water Management, Oceanography, Hydrology and Water Resources, QE, Þekking, 910 Geography & travel, VDP::Matematikk og Naturvitenskap: 400::Geofag: 450::Hydrologi: 454, ComputingMilieux_MISCELLANEOUS, media_common, Water Science and Technology, knowledge gap, [SHS.SOCIO]Humanities and Social Sciences/Sociology, VDP::Landbruks- og Fiskerifag: 900, Hydroglogy, 6. Clean water, Justice and Strong Institutions, TA, Spite, science questions, Discipline, Hydrologie en Kwantitatief Waterbeheer, research agenda, knowledge gaps, interdisciplinary, SDG 16 - Peace, Process (engineering), media_common.quotation_subject, Hidrologia, Vatnafræði, Context (language use), Digital media, ITC-HYBRID, [SDU.STU.HY]Sciences of the Universe [physics]/Earth Sciences/Hydrology, Hydrology, WIMEK, business.industry, SDG 16 - Peace, Justice and Strong Institutions, Public consultation, Rannsóknir, 500 Science, Bodemfysica en Landbeheer, [SDE.ES]Environmental Sciences/Environmental and Society, Water Resources Management, 020801 environmental engineering, Soil Physics and Land Management, Socio-hydrology, ITC-ISI-JOURNAL-ARTICLE, Aðferðafræði, business, Diversity (politics)
Abstract

Publisher's version (útgefin grein), This paper is the outcome of a community initiative to identify major unsolved scientific problems in hydrology motivated by a need for stronger harmonisation of research efforts. The procedure involved a public consultation through online media, followed by two workshops through which a large number of potential science questions were collated, prioritised, and synthesised. In spite of the diversity of the participants (230 scientists in total), the process revealed much about community priorities and the state of our science: a preference for continuity in research questions rather than radical departures or redirections from past and current work. Questions remain focused on the process-based understanding of hydrological variability and causality at all space and time scales. Increased attention to environmental change drives a new emphasis on understanding how change propagates across interfaces within the hydrological system and across disciplinary boundaries. In particular, the expansion of the human footprint raises a new set of questions related to human interactions with nature and water cycle feedbacks in the context of complex water management problems. We hope that this reflection and synthesis of the 23 unsolved problems in hydrology will help guide research efforts for some years to come., We would like to thank the members of the IAHS, EGU, AGU and IAH for supporting this initiative. The LinkedIn group and overall secretariat was hosted by the IAHS, the Splinter meeting by EGU and the Vienna Catchment Science Symposium by the Vienna Doctoral Programme on Water Resource Systems (DK W1219-N28) funded by the Austrian Science Funds (FWF)., "Peer Reviewed"

Published
2019

150. Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19

Author

Andrew J. Einstein, Cole Hirschfeld, Michelle C. Williams, Joao V. Vitola, Nathan Better, Todd C. Villines, Rodrigo Cerci, Leslee J. Shaw, Andrew D. Choi, Sharmila Dorbala, Ganesan Karthikeyan, Bin Lu, Valentin Sinitsyn, Alexey A. Ansheles, Takashi Kudo, Chiara Bucciarelli-Ducci, Bjarne Linde Nørgaard, Pál Maurovich-Horvat, Roxana Campisi, Elisa Milan, Lizette Louw, Adel H. Allam, Mona Bhatia, Lorenzo Sewanan, Eli Malkovskiy, Yosef Cohen, Michael Randazzo, Jagat Narula, Olga Morozova, Thomas N.B. Pascual, Yaroslav Pynda, Maurizio Dondi, Diana Paez, Gerd Hinterleitner, Yao Lu, Zhuoran Xu, Cole B. Hirschfeld, Ikenna Erinne, Mrinali Shetty, Andrew Choi, Juan Lopez-Mattei, Purvi Parwani, Artan Goda, Ervina Shirka, Salah Bouyoucef, Lydia Chelghoum, Farouk Mansouri, Abdelkader Medjahedi, Qais Naili, Mokhtar Ridouh, Diego Alasia, Lucia Alberghina, Natalia Aramayo, Diego Buchara, Franco Gabriel Busso, Jose Javier Bustos Rivadero, Jorge Camilletti, Hugo Campanelli, Ricardo Belisario Castro, Mariana Daicz, Horacio del Riego, Laura Dragonetti, Diego Echazarreta, Juan Erriest, Fernando Faccio, Adolfo Facello, Hugo Gallegos, Ricardo Geronazzo, Horacio Glait, Victor Hasbani, Victor Jäger, Julio Manuel Lewkowicz, Jose Lotti, Neiva Maciel, Osvaldo Masoli, Edgardo Mastrovito, Maria Medus, Maria Fernanda Merani, Susana Molteni, Marcos Montecinos, Gustavo Parisi, Claudio Pereyra Sueldo, Diego Perez de Arenaza, Luis Quintana, Alejandro Radzinschi, Marcela Redruello, Marina Rodríguez, Horacio Rojas, Arturo Romero Acuña, Daniel Schere, Sonia Traverso, Gustavo Vazquez, Susana Zeffiro, Mari Sakanyan, Scott Beuzeville, Raef Boktor, Michael Crowley, D'Arne Downie, Girish Dwivedi, Barry Elison, Omar Farouque, Kim Jasper, Subodh Joshi, Joseph Lee, Kenneth Lee, Elaine Lui, Peter Mcconachie, Joanne Meaker, Dee Nandurkar, Johanne Neill, Edward O'Rourke, Patricia O'Sullivan, George Pandos, Manuja Premaratne, David Prior, Natalie Rutherford, Connor Saunders, Kim Taubman, Andrew Tauro, Andrew Taylor, James Theuerle, Paul Thomas, Jonathan Tow, Anthony Upton, Shankar Vamadevan, Victor Wayne, Eva Alina Wegner, David Wong, John Younger, Dietrich Beitzke, Gudrun Feuchtner, Oliver Sommer, Konrad Weiss, Natallia Maroz-Vadalazhskaya, Uladzimir Tserakhau, Filip Homans, Caroline M. Van De Heyning, Raúl Araujo, Valentina Soldat-Stankovic, Sinisa Stankovic, Augusto Almeida, Carlos Anselmi, Guilherme S.A. Azevedo, Marcio Sommer Bittencourt, Diego Bromfman Pianta, Estevan Cabeda, Lara Carreira, Igor Coelho, Fernando de Amorim Fernandes, Andrea de Lorenzo, Roberta Delgado, Fernanda Erthal, Fabio Fernandes, Juliano Fernandes, Thiago Ferreira de Souza, Murilo Foppa, Wilson Furlan Matos Alves, Cibele Gontijo, Ilan Gottlieb, Gabriel Grossman, Maria Helena Albernaz Siqueira, Cesar Higa Nomura, Katia Hiromoto Koga, Ronaldo Lima, Rafael Lopes, Hugo Humberto Marçal Filho, Paulo Masiero, Luiz Mastrocola, Maria Eduarda Menezes de Siqueira, Claudio Mesquita, Danilo Naves, Filipe Penna, Ibraim Pinto, Thércio Rocha, Juliana Leal Rocha, Alfredo Rodrigues, Leila Salioni, Adelina Sanches, Marcelo Santos, Leonardo Sara Da Silva, Paulo Schvartzman, Cristina Sebastião Matushita, Tiago Senra, Marcelo Silva, Carlos Eduardo Soares, Bernardo Spiro, Carlos Eduardo Suaide Silva, Rafael Torres, Guilherme Urpia Monte, Andrea Vilela, Alexandre Volney Villa, Joao Vitola, Themissa Voss, Roberto Waltrick, Marcello Zapparoli, Hamid Naseer, Marina Garcheva-Tsacheva, Tiémégna Florence Ouattara, Sarameth Thou, Soley Varoeun, Gad Abikhzer, Rob Beanlands, Michael Chetrit, Dominique Dabreo, Carole Dennie, Matthias Friedrich, Mohmmed Nassoh Hafez, Kate Hanneman, Robert Miller, Anastasia Oikonomou, Idan Roifman, Gary Small, Vikas Tandon, Adwait Trivedi, James White, Katherine Zukotynski, Rita Alay, Carmen Concha, Teresa Massardo, Pedro Abad, Kelly Anzola, Harold Arturo, Luis Benitez, Alberto Cadena, Carlos Caicedo Zamudio, Antonio Calderón, Claudia T. Gutierrez Villamil, Claudia Jaimes, Juan L. Londono, Nelson Lopez, Sonia Merlano-Gaitan, Ramon Murgieitio-Cabrera, Manuel Valencia, Damiana Vergel, Alejandro Zuluaga Santamaria, Felix Solis, Tonci Batinic, Maja Franceschi, Maja Hrabak Paar, Marina Prpic, Cuba: Juan Felipe Batista, Lazaro Omar Cabrera, Amalia Peix, Yamilé Peña, Luis Manuel Rochela Vázquez, Ioannis Ntalas, Milan Kaminek, Vladimir Kincl, Otto Lang, Jawdat Abdulla, Morten Bøttcher, Martin Busk, Uka Geisler, Lars C. Gormsen, Nicolaj Hansson, Søren Hess, Jens Hove, Lars Thorbjoern Jensen, Magnus T. Jensen, Kristian Hay Kragholm, Bjarne L. Nørgaard, Kristian Øvrehus, Jan Rasmussen, Niels Peter Rønnow Sand, Hanne Sondergaard, Tomas Zaremba, Herwin Speckter, Nelson Amores, Mayra Sanchez Velez, Taghreed Abd Alrahman, Sherif Abd Elsamad, Alia Abdelfattah, Adel Allam, Sameh Elkaffas, Mona Hassan, Elshaymaa Hussein, Ahmed Ibrahim, Ahmed Kandeel, Mohamed Mandour Ali, Mahmoud Shaaban, Camila Flores, Verónica Vanesa Gómez Leiva, Anita Liiver, Martti Larikka, Valtteri Uusitalo, Denis Agostini, Clothilde Berger, Matthieu Dietz, Fabien Hyafil, Mickaël Ohana, Kevin Prigent, Hamza Regaieg, Laure Sarda-Mantel, Darach O. 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Karim, Mady Doucoure, Luise Reichmuth, Anthony Samuel, Mohamed Lemine Dieng, Ambedhkar Shantaram Naojee, Estrella Aguilera Hernandez, Cesar Rene Alducin Tellez, Erick Alexánderson-Rosas, Erika Barragan, Manuel Cabada, Daniel Calderón, Isabel Carvajal-Juarez, José Esparza, Manlio Gerardo Gama-Moreno, Virginia Garcia Quinto, Nelsy Coromoto Gonzalez, Mary Carmen Herrera-Zarza, Aloha Meave, Jesus Gregorio Medina Verdugo, Gabriela Melendez, Rafael Humberto Morales Murguia, Carlos Salvador Navarro Quiroz, Mario Ornelas, Andres Preciado-Anaya, Oscar Ulises Preciado-Gutiérrez, Adriana Puente, Aristóteles Ramírez Salazar, Sandra Graciela Rosales Uvera, Sandra Rosales-Uvera, Jose Antonio Serna Macias, Lilia Sierra-Galan, Lilia M. 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Aaysha Cader, Raihan Hussain, Saidur Rahman Khan, Tapati Mandal, Faria Nasreen, Yunqiang An, Dianbo Cao, Lianggeng Gong, Yang Hou, Chongfu Jia, Tao Li, Caiying Li, Hui Liu, Wenya Liu, Jinkang Liu, Ming-Yen Ng, Heshui Shi, Chunxiang Tang, Ximing Wang, Zhaoqian Wang, Yining Wang, Jiang Wu, Yan Yi, Li Yuan, Tong Zhang, Longjiang Zhang, Edith Chavez, Carlos Cruz, Christian Llontop, Rosanna Morales, Paz Abrihan, Asela Bustos-Barroso, Michele Duldulao-Ogbac, Christopher Eduarte, Jerry Obaldo, Alvin Quinon, Belinda San Juan, Carlo Joe San Juan, Marie Rhiamar Sauler-Gomez, Mila Uy, Magdalena Kostkiewicz, Jolanta Kunikowska, Anna Teresinska, Tomasz Urbanik, Nuno Bettencourt, Ricardo Fontes-Carvalho, Cristina Gavina, Lino Gonçalves, Filipe Macedo, Nuno Moreno, Carla Sousa, Ana Teresa Timoteo, Maria João Vidigal, Mahmoud Al Heidous, Subramaniyan Ramanathan, Samer Arnous, Said Aytani, Angela Byrne, Tadhg Gleeson, David Kerins, Julie O'Brien, Ji-In Bang, Henry Bom, Miju Cheon, Gi Jeong Cheon, Sang-Geon Cho, Chae Moon Hong, Yong Hyu Jeong, Won Jun Kang, Yeon-Koo Kang, Ji-Young Kim, So Won Oh, Young So, Ho-Chun Song, Kyoung Sook Won, Soo Woong Yoo, Irena Mitevska, Marija Vavlukis, Barbara Gužic Salobir, Monika Štalc, Theodora Benedek, Marian Pop, Claudiu Stan, Alexey Ansheles, Olga Dariy, Nina Gagarina, Irina Itskovich, Anatoliy Karalkin, Alexander Kokov, Gulya Marina, Ekaterina Migunova, Viktor Pospelov, Daria Ryzhkova, Guzaliya Sayfullina, Vladimir Sergienko, Irina Shurupova, Margarita Vakhromeeva, Nailia Valiullina, Konstantin Zavadovsky, Kirill Zhuravlev, Rami Abazid, Turki Al Garni, Mirvat Alasnag, Ahmed Aljizeeri, Hamid Amer, Ahmad Amro, Hesham Hamdy, Osama Smettei, Dragana Sobic Saranovic, Marina Vlajkovic, Felix Keng, Jason See, Zuzana Berecova, Jana Polakova Mistinova, Osayande Evbuomwan, Nerisha Govender, Jonathan Hack, Bawinile Hadebe, Khanyisile Hlongwa, Mitchell Kaplan, Hoosen Lakhi, Katarina Milos, Moshe Modiselle, Stuart More, Ntanganedzeni Muambadzi, Leonie Scholtz, Manuel Barreiro-Perez, Isabel Blanco, Jordi Broncano, Alicia Camarero, Irene Casáns-Tormo, Javier De Haro, Albert Flotats, Elia García, Ceferino Gutierrez Mendiguchia, Amelia Jimenez-Heffernan, Ruben Leta, Javier Lopez Diaz, Luis Lumbreras Vega, Ana Manovel-Sánchez, Amparo Martinez Monzonis, Bianca Patrut, Virginia Pubul, Ricardo Ruano Perez, Nahla Zeidan, Damayanthi Nanayakkara, Ahmed Suliman, Henrik Engblom, Mustafa Murtadha, Ellen Ostenfeld, Magnus Simonsson, Hatem Alkadhi, Ronny Ralf Buechel, Peter Burger, Christoph Gräni, Christel Kamani, Nadine Kawel-Böhm, Bernd Klaeser, Robert Manka, John Prior, Tawika Kaewchur, Benjapa Khiewvan, Arpakorn Kositwattanarerk, Sirianong Namwongprom, Tanyaluck Thientunyakit, Haluk Burcak Sayman, Mahmut Yüksel, Mugisha Julius Sebikali, Emmy Okello, Pavlo Korol, Iryna Noverko, Maryna Satyr, Tahir Ahmad, Khaled Alfakih, Ivo Andrade, Susan Buckingham, Anda Bularga, John-Paul Carpenter, Graham Cole, David Cusack, Sarojini David, Patrick Davis, Timothy Fairbairn, Arjun Ghosh, Prasad Guntur Ramkumar, Mark Hamilton, Faisal Haque, Benjamin Hudson, Annette Johnstone, V.J. Karthikeyan, Mike Kay, Mohammad Ali Khan, Jamie Kitt, Chen Sheng Low, Elisa Mcalindon, David Mccreavy, Brian Morrissey, Manish Motwani, Dilip Na, Edward Nicol, Dilip Patel, Jonathan Rodrigues, Chris Rofe, Rebecca Schofield, Thomas Semple, Azeem Sheikh, Apurva Sinha, Deepak Subedi, William Topping, Katherine Tweed, Stephen Richard Underwood, Jonathan Weir-Mccall, Hamed Zuhairy, Taimur Abbasi, Shady Abohashem, Sandra Abramson, Mouaz Al-Mallah, Mohan Ashok Kumar, Mallory Balmer-Swain, Daniel Berman, Adam Bernheim, Sabha Bhatti, Robert Biederman, Erik Bieging, Scott Bingham, Stephen Bloom, Sean Blue, Andressa Borges, Kelley Branch, Paco Bravo, Sujatha Buddhe, Matthew Budoff, Renée Bullock-Palmer, Michael Cahill, Candace Candela, Jane Cao, Saurav Chatterjee, Yiannis Chatzizisis, Nita Ray Chaudhuri, Michael Cheezum, Anjali Chelliah, Tiffany Chen, Marcus Chen, Lu Chen, Aalap Chokshi, Jina Chung, Sorin Danciu, William DeSisto, Michael Dilorenzo, Rami Doukky, William Duvall, Maros Ferencik, Cameron Foster, Anthon Fuisz, Michael Gannon, David German, Myron Gerson, Jeffrey Geske, Fadi Hage, Agha Haider, Sofia Haider, Yasmin Hamirani, Karen Hassen, Robert Hendel, Jacqueline Henkel, Stephen Horgan, Mark Hyun, Rajesh Janardhanan, Scott Jerome, Dinesh Kalra, David Kassop, Mona Kinkhabwala, George Kinzfogl, Bernard Koch, Lynne Koweek, Joseph Krepp, Younghoon Kwon, Jay Layer, John Lesser, Steve Leung, Bernadette Lisske, Kathleen Magurany, Jeremy Markowitz, Brenda Mccullough, Azita Moalemi, Chanan Moffitt, Juan Montanez, Warren Moore, Shamil Morayati, Mahmud Mossa-Basha, Zorana Mrsic, Venkatesh Murthy, Prashant Nagpal, Katarina Nelson, Prabhjot Nijjar, Rupal O’Quinn, Edward Passen, Toral Patel, Pravin Patil, Amit Pursnani, Nancy Quachang, Mark Rabbat, Pragya Ranjan, Patricia Rodriguez Lozano, Mary Schemmer, Rebecca Seifried, Nishant Shah, Amee Shah, Sujata Shanbhag, Gaurav Sharma, Robert Skotnicki, Michael Sobczak, Prem Soman, Vincent Sorrell, Monvadi Srichai, Jim Streeter, Leah Strickland, Suliman Suliman, Naghmeh Tebyanian, Dustin Thomas, Randall Thompson, Seth Uretsky, Srikanth Vallurupalli, Marian Vandyck-Acquah, Vikas Verma, Todd Villines, Joseph Weinstein, David Wolinsky, Karolina Zareba, Michael Zgaljardic, Mario Beretta, Rodolfo Ferrando, Miguel Kapitan, Fernando Mut, Omoa Djuraev, Gulnora Rozikhodjaeva, Luisa Vera, Binh Duong Duc, Xuan Canh Nguyen, Phuoc Minh Hiep Nguyen, Translational Immunology Groningen (TRIGR), Cardiovascular Centre (CVC), ​Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE), Molecular Pharmacology, Drug Design, Einstein, A, Hirschfeld, C, Williams, M, Vitola, J, Better, N, Villines, T, Cerci, R, Shaw, L, Choi, A, Dorbala, S, Karthikeyan, G, Lu, B, Sinitsyn, V, Ansheles, A, Kudo, T, Bucciarelli-Ducci, C, Norgaard, B, Maurovich-Horvat, P, Campisi, R, Milan, E, Louw, L, Allam, A, Bhatia, M, Sewanan, L, Malkovskiy, E, Cohen, Y, Randazzo, M, Narula, J, Morozova, O, Pascual, T, Pynda, Y, Dondi, M, 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Rutherford, N, Saunders, C, Taubman, K, Tauro, A, Taylor, A, Theuerle, J, Thomas, P, Tow, J, Upton, A, Vamadevan, S, Wayne, V, Wegner, E, Wong, D, Younger, J, Beitzke, D, Feuchtner, G, Sommer, O, Weiss, K, Maroz-Vadalazhskaya, N, Tserakhau, U, Homans, F, Van De Heyning, C, Araujo, R, Soldat-Stankovic, V, Stankovic, S, Almeida, A, Anselmi, C, Azevedo, G, Bittencourt, M, Pianta, D, Cabeda, E, Carreira, L, Coelho, I, de Amorim Fernandes, F, de Lorenzo, A, Delgado, R, Erthal, F, Fernandes, F, Fernandes, J, Ferreira de Souza, T, Foppa, M, Matos Alves, W, Gontijo, C, Gottlieb, I, Grossman, G, Albernaz Siqueira, M, Nomura, C, Koga, K, Lima, R, Lopes, R, Marcal Filho, H, Masiero, P, Mastrocola, L, Menezes de Siqueira, M, Mesquita, C, Naves, D, Penna, F, Pinto, I, Rocha, T, Rocha, J, Rodrigues, A, Salioni, L, Sanches, A, Santos, M, Da Silva, L, Schvartzman, P, Matushita, C, Senra, T, Silva, M, Soares, C, Spiro, B, Suaide Silva, C, Torres, R, Monte, G, Vilela, A, Villa, A, Voss, T, Waltrick, R, 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Subjects
cardiac testing, Health Personnel, delivery of health care, coronavirus, COVID-19, global health, 610 Medicine & health, cardiovascular disease, health personnel, humans, pandemics, surveys and questionnaires, coronaviru, Surveys and Questionnaires, Humans, Cardiology and Cardiovascular Medicine, Delivery of Health Care, Pandemics, COVID-19/epidemiology
Abstract

BACKGROUND: The extent to which health care systems have adapted to the COVID-19 pandemic to provide necessary cardiac diagnostic services is unknown.OBJECTIVES: The aim of this study was to determine the impact of the pandemic on cardiac testing practices, volumes and types of diagnostic services, and perceived psychological stress to health care providers worldwide.METHODS: The International Atomic Energy Agency conducted a worldwide survey assessing alterations from baseline in cardiovascular diagnostic care at the pandemic's onset and 1 year later. Multivariable regression was used to determine factors associated with procedure volume recovery.RESULTS: Surveys were submitted from 669 centers in 107 countries. Worldwide reduction in cardiac procedure volumes of 64% from March 2019 to April 2020 recovered by April 2021 in high- and upper middle-income countries (recovery rates of 108% and 99%) but remained depressed in lower middle- and low-income countries (46% and 30% recovery). Although stress testing was used 12% less frequently in 2021 than in 2019, coronary computed tomographic angiography was used 14% more, a trend also seen for other advanced cardiac imaging modalities (positron emission tomography and magnetic resonance; 22%-25% increases). Pandemic-related psychological stress was estimated to have affected nearly 40% of staff, impacting patient care at 78% of sites. In multivariable regression, only lower-income status and physicians' psychological stress were significant in predicting recovery of cardiac testing.CONCLUSIONS: Cardiac diagnostic testing has yet to recover to prepandemic levels in lower-income countries. Worldwide, the decrease in standard stress testing is offset by greater use of advanced cardiac imaging modalities. Pandemic-related psychological stress among providers is widespread and associated with poor recovery of cardiac testing.

Published
2022

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