Finally, we conclude by describing the basis for international cooperation established for expanding the NFCENS toward a NAWES and its integration within the NAEFS framework for data dissemination and distribution of probabilistic forecast products.
Ultimately, after testing and operational implementation, this will lead to NAWES being fully integrated to NAEFS, complying fully in its governance in terms of data exchange, post-processing, product development, and verification.
The planned development of NAWES entails an exchange of model configurations and grids that will allow the three operational centers to initially run identical wave model settings, using different forcing data provided locally, following the guidelines established within NAEFS. Relative to the current NFCENS, the new NAWES settings will include an upgrade of WAVEWATCH III model physics to the current source-term package used for deterministic wave forecasts at NCEP (Tolman et al.
Following the footsteps of the NAEFS, the establishment of a first wave multicenter ensemble system involving NCEP and FNMOC is a successful outcome of interagency collaboration.
NAEF is cost-effective and well tolerated by patients compared to other sophisticated dynamic axial fixators because in our circumstances, most patients belong to poor socio-economic conditions and it is easy to apply on them.
This study was designed to evaluate the union time, and to compare the complications like non-union and joint stiffness between two groups using NAEF, hypothesising that NAEF with T- clamp is equally effective in both types of fractures.
NAEF was applied within 48 hours of the admission and repeated surgical toilet was done to deal with soft tissue injuries, which were finally managed as indicated, including delayed primary closure, partial thickness skin graft and local faciocutaneous flap.
Below- knee plaster cast was applied for 02 to 03 weeks after the removal of NAEF and all patients were followed up for 12 months.