Facing the challenges of air quality and health in a future climate: The Aveiro Region case study

Air pollution and climate change are the most important environmental issues for European citizens. Despite the air quality improvements achieved in recent years, with most pollutants' concentrations below the European Union legislated values, it is necessary to understand whether this will continue in the future due to expected climate changes impacts. In this context, this work tries to answer two main questions: (i) What is the relative contribution of emission source regions/activities to air quality, now and in the future, considering a climate change scenario?; and (ii) What additional policies are needed to support win-win strategies for air quality and climate mitigation and/or adaptation, at urban scale? For that, a climate and air quality modelling system, with source apportionment tools, was applied to the Aveiro Region, in Portugal. Main results show that in the future, due to the implementation of carbon neutrality measures, air quality in the Aveiro Region may improve, with reduction up to 4 μg.m^-3 for particulate matter (PM) concentrations and 22 μg.m^-3 for nitrogen dioxide (NO₂), and consequently, the premature deaths due to air pollution exposure will also decrease. The expected air quality improvement will ensure that, in the future, the limit values of the European Union (EU) Air Quality Directive will not be exceeded, but the same will not happen if the proposed revision of the EU Air Quality Directive is approved. Results also shown that, in the future, industrial sector will be the one with higher relative contribution for PM concentrations and the second one for NO₂. For that sector, additional emission abatement measures were tested, showing that, in the future, it is possible to comply with all the new limit values proposed by the EU.

Source apportionment of air pollution in European urban areas: Lessons from the ClairCity project

Air pollution has become a major threat to human health in the last decades, with an increase of acute air pollution episodes in many cities worldwide. Source apportionment modelling provides valuable information on the contribution from different emission source sectors and source regions to distinct air pollutants concentrations. In this study, the CAMx model, with its PSAT tool, was applied to quantify the contribution of multiple source areas, categories and pollutant types to ambient air pollution, namely to PM and NO₂ concentrations, over six European urban areas: Bristol (United Kingdom), Amsterdam (The Netherlands), Ljubljana (Slovenia), Liguria Region (Italy), Sosnowiec (Poland) and Aveiro Region (Portugal). Results indicate overall higher annual NO₂ and PM concentrations located in the urban centres of the case studies. A comparison between the different areas showed that Liguria is the region with highest NO₂ annual mean concentrations, while Ljubljana, Liguria Region and Sosnowiec are the case studies with the highest PM annual mean concentrations. The annual average contributions denote a major influence from road transport to NO₂ concentrations, with up to 50%, except in Aveiro region, where road transport presents a lower contribution to NO₂ concentrations, and the greatest contributor is the industrial combustion and processes sector with 45%. These results indicate a negligible contribution of the transboundary transport to NO₂ concentrations, highlighting the relevance of local sources, while for PM concentrations the transboundary transport is the major contributor. The results highlight the relevance of long-range transport of PM across Europe. The transboundary transport reduces its importance during winter, when residential and commercial combustion increases its contribution. In the case of the Aveiro region, the industrial combustion and processes sector also plays an important contribution to PM concentrations.

P-020 PERFORMANCE OF AN ATRAUMATIC AND VERSATILE LIGHT-ACTIVATED ADHESIVE FOR HERNIA MESH FIXATION

Aim

This study evaluates the versatility and performance of a novel adhesive for atraumatic hernia mesh fixation. The TISSIUM adhesive is a biodegradable and biocompatible viscous liquid that can be precisely applied to different tissue and mesh.1 Once in place, the surgeon utilizes a light probe to polymerize the adhesive, creating a flexible elastomeric connection that provides strong, durable and atraumatic mesh fixation.

Materials and Methods

The performance of the TISSIUM adhesive when used with a range of marketed mesh and against peritoneum (n=7) and muscle (n=3) was evaluated using a standardized lap-shear bench method using porcine tissues. The shear strength was compared to resorbable tacks (n=8) (against peritoneum as standard of care in IPOM) and self-adhesive meshes (n=4) and fibrin glue (n=3) (against muscle as classically used in the retromuscular approach).

Results

Lap-shear data revealed that the TISSIUM adhesive performance was equivalent to resorbable tacks when fixing meshes to the peritoneum. Similar testing protocol demonstrated that the TISSIUM adhesive shear strength was 6 to 13 times superior to non- penetrating fixation devices such as fibrin glue or self-adhesive mesh.

Conclusions

The use of the TISSIUM Adhesive for hernia mesh fixation is compatible with various mesh materials used in hernia repair and, in a bench model, outperforms existing non-penetrating methods in diverse tissue planes demonstrating the potential to help the surgeon achieve more effective and efficient atraumatic repair in a range of hernia procedures.

How well have CMIP3, CMIP5 and CMIP6 future climate projections portrayed the recently observed warming

Despite the dire conclusions of the Intergovernmental Panel on Climate Change (IPCC) Assessment Reports in terms of global warming and its impacts on Earth’s climate, ecosystems and human society, a skepticism claiming that the projected global warming is alarmist or, at least, overestimated, still persists. Given the years passed since the future climate projections that served as basis for the IPCC 4th, 5th and 6th Assessment Reports were released, it is now possible to answer this fundamental question if the projected global warming has been over or underestimated. This study presents a comparison between CMIP3, CMIP5 and CMIP6 future temperature projections and observations. The results show that the global warming projected by all CMIPs and future climate scenarios here analyzed project a global warming slightly lower than the observed one. The observed warming is closer to the upper level of the projected ones, revealing that CMIPs future climate scenarios with higher GHG emissions appear to be the most realistic ones. These results show that CMIPs future warming projections have been slightly conservative up to 2020, which could suggest a similar cold bias in their warming projections up to the end of the current century. However, given the short future periods here analyzed, inferences about warming at longer timescales cannot be done with confidence, since the models internal variability can play a relevant role on timescales of 20 years and less.

Assessing the impacts of citizen-led policies on emissions, air quality and health

Air pollution is a global challenge, and especially urban areas are particularly affected by acute episodes. Traditional approaches used to mitigate air pollution primarily consider the technical aspects of the problem but not the role of citizen behaviour and day-to-day practices. ClairCity, a Horizon 2020 funded project, created an impact assessment framework considering the role of citizen behaviour to create future scenarios, aiming to improve urban environments and the wellbeing and health of its inhabitants. This framework was applied to six pilot cases: Bristol, Amsterdam, Ljubljana, Sosnowiec, Aveiro Region and Liguria Region, considering three-time horizons: 2025, 2035 and 2050. The scenarios approach includes the Business As Usual (BAU) scenario and a Final Unified Policy Scenarios (FUPS) established by citizens, decision-makers, local planners and stakeholders based on data collected through a citizen and stakeholder co-creation process. Therefore, this paper aims to present the ClairCity outcomes, analysing the quantified impacts of selected measures in terms of emissions, air quality, population exposure, and health. Each case study has established a particular set of measures with different levels of ambition, therefore different levels of success were achieved towards the control and mitigation of their specific air pollution problems. The transport sector was the most addressed by the measures showing substantial improvements for NO₂, already with the BAU scenarios, and overall, even better results when applying the citizen-led FUPS scenarios. In some cases, due to a lack of ambition for the residential and commercial sector, the results were not sufficient to fulfil the WHO guidelines. Overall, it was found in all cities that the co-created scenarios would lead to environmental improvements in terms of air quality and citizens' health compared to the baseline year of 2015. However, in some cases, the health impacts were lower than air quality due to the implementation of the measures not affecting the most densely populated areas. Benefits from the FUPS comparing to the BAU scenario were found to be highest in Amsterdam and Bristol, with further NO₂ and PM10 emission reductions around 10%-16% by 2025 and 19%-28% by 2050, compared to BAU.

Assessing air pollution in European cities to support a citizen centered approach to air quality management

European cities have made significant progress over the last decades towards clean air. Despite this progress, several cities are still facing acute air pollution episodes, with various urban areas frequently exceeding air quality levels allowed by the European legal standards and WHO guidelines. In this paper, six European cities/ regions (Bristol, UK; Amsterdam, NL; Sosnowiec, PL; Ljubljana, SI; Aveiro, PT; Liguria, IT) are studied in terms of air quality, namely particulate matter, nitrogen dioxide and ozone. The concentrations trends from 2008 to 2017 in the different typology of monitoring stations are addressed, together with the knowledge of daily, weekly and seasonal pollution patterns to better understand the city specific profiles and to characterize pollutant dynamics and variations in multiple locations. Additionally, an analysis of the duration and severity of air pollution episodes is also discussed, followed by an analysis of the fulfillment of the legislated limit values. Each of our 6 case study locations face different air pollution problems, but all these case studies have made some progress in reducing ambient concentrations. In Bristol, there have been strong downward trends in many air pollutants, but the levels of NO₂ remain persistently high and of concern. In recent years, decreasing concentration levels point to some success of Amsterdam air quality policies. PM₁₀ exceedances are a seasonal pollution problem in Ljubljana, Sosnowiec and Aveiro region (even if with different levels of severity). While, exceedances of NO₂ and O₃ concentrations are still problematic in Liguria region. The main findings of this paper are particular relevant to define and compare future citizen-led strategies and policy initiatives that may be implemented to improve and fulfill the EU legislation and the WHO guidelines.

How to compute long-term averages for air quality assessment at urban areas?

This paper proposes two innovative time-effective approaches to retrieve annual averaged concentrations for air quality assessment in the framework of the AQD. In addition, a traditional method (M1) was applied through numerical simulations for an entire year on an hourly basis to compare the performance of the proposed approaches. The first time-effective approach (M2) is based on the calculation of pollutant concentrations for the full year on an hourly basis through the combination of a set of numerical simulations for 4 typical days weighted by hourly factors obtained from air quality monitoring data. While the second time-effective approach (M3) considers the numerical simulation of pollutant concentrations for a set of typical meteorological conditions. For all the methods, air quality simulations were performed with the second-generation Gaussian model URBAIR. The three methods are applied over two distinct European urban areas, the Aveiro region in Portugal and Bristol in the United Kingdom, for the simulation of NO₂ and PM10 annual concentrations. The main results highlight an underestimation of the NO₂ annual concentrations by M2 and an overestimation of those concentrations by M3 for the Aveiro region, when compared to M1 as the reference method. While, for Bristol the main differences between methods were found for NO₂ concentrations when using M3. M2 underestimates PM10 annual concentrations in the Aveiro Region, while M3 points out underestimation or overestimation of those concentrations for distinct areas of the domain. This study aims to foster the knowledge on air quality assessment under the European policy context, supporting air quality management and urban planning. The innovative nature of this study relies on the proposed time-effective tools, suitable for the fast simulation of complex urban areas applying high spatial resolution. Additionally, these modelling tools may provide key information on air quality to population, particularly where it is not readily available.

Occlusal Trauma Induces Neuroimmune Crosstalk for a Pain State

Temporomandibular joint (TMJ) disorder caused by occlusal trauma is one of the most controversial topics in dentistry. Experimental traumatic occlusion (ETO) induced by metal crowns cemented to mandibular first molars in rats causes a long-lasting nociceptive response. This study aimed to elucidate whether ETO generates an increase in inflammatory mediators in the TMJ. In addition, the impact of ETO on trigeminal ganglia, neurotransmitter release, and satellite glial cell (SGC) activation was investigated. ELISA revealed enhanced inflammatory mediators, including TNF-α, IL-1β, IL-6, CX3CL1, and ADAM-17 by Western blotting, in periarticular TMJ tissue after 28 d of ETO. In the trigeminal ganglia, ETO groups increased the release of the neurotransmitters substance P and glutamate. Overexpression of the AMPA receptor and upregulation of NMDA were observed in the 0.4- and 0.7-mm ETO groups, respectively, highlighting enhanced neuronal excitation. Increased IL-1β and COX-2 mRNA levels in the 0.7-mm ETO group confirmed trigeminal ganglia SGC activation. Immunofluorescence and electrophoresis of SGC revealed increased pERK expression in the 0.7-mm ETO group. ERK phosphorylation was shown to be nociceptive specific, with its upregulation occurring in cases of chronic inflammatory pain. Increased PKA mRNA levels were observed in the 0.4-mm ETO group, while CREB mRNA levels were upregulated for both ETO groups. Electrophoresis showed overexpression of sodium channel Nav 1.7 in the 0.7-mm ETO group, while immunofluorescence revealed that Nav 1.7 is expressed in sensory trigeminal ganglia cells. The results of this study suggest that occlusal trauma induces neuroimmune crosstalk, with synthesis of proinflammatory/pronociceptive mediators, which increases neuronal activity in trigeminal ganglia via the activation of an inflammatory response cascade to develop a persistent neuroinflammatory state that leads to central sensitization.

Toll-like receptor 9 polymorphisms in brazilian patients with systemic lupus erythematosus: a pilot study

Toll-like receptor 9 (TLR9) is an important component of the innate immune system and have been associated with several autoimmune diseases, such as Systemic Lupus Erythematosus (SLE). The aim of this study was to investigate polymorphisms in TLR9 gene in a Brazilian SLE patients group and their association with clinical manifestation, particularly Jaccoud's arthropathy (JA). We analyzed DNA samples from 204 SLE patients, having a subgroup of them presenting JA (n=24). A control group (n=133) from the same city was also included. TLR9 single nucleotide polymorphisms (SNPs) (-1237 C>T and +2848 G>A) were identified by sequencing analysis. The TLR9 gene genotype frequency was similar both in SLE patients and the control group. In the whole SLE population, an association between the homozygosis of allele C at position -1237 with psychosis and anemia (p < 0.01) was found. Likewise, the homozygosis of allele G at position +2848 was associated with a discoid rash (p < 0.05). There was no association between JA and TLR9 polymorphisms. These data show that TLR9 polymorphisms do not seem to be a predisposing factor for SLE in the Brazilian population, and that SNPs are not associated with JA.

Effect of exercise training on amyloid-like protein aggregates among patients with heart failure

Funding Acknowledgements

Type of funding sources: Other. Main funding source(s): MG and CS were supported by a PhD FCT grant (SFRH/BD/128893/2017) and by an individual grant from CAPES [BEX 0554/14-6], respectively. This work was financially supported by the project POCI-01-0145-FEDER-030011, funded by FEDER, through COMPETE2020-POCI, and by national funds, through FCT/MCTES (PTDC/MEC-CAR/30011/2017). iBiMED is a research unit supported by the Portuguese Foundation for Science and Technology (REF: UID/BIM/04501/2020) and FEDER/Compete2020 funds).

Introduction

Amyloid-like protein aggregates play a decisive role in the pathology of heart failure. Alterations in protein homeostasis, in particular, the clearance of toxic amyloid-like aggregates are emerging therapeutic targets in cardiovascular medicine. The clinical benefits of cardiac rehabilitation and exercise training are widely accepted in heart failure; however, little is known about the potential benefit of exercise training in amyloid-like protein aggregates.

Purpose

To assess the effects of a moderate-intensity exercise training program on amyloid-like protein aggregates levels among patients with heart failure with reduced ejection fraction.

Methods

Eighteen subjects participated in the study; eight patients (age: 66.6 ± 5.9 years; FEVE: 38.4 ± 8.9%) with heart failure with reduced ejection fraction participated in a 3-month exercise training program (2 x 60 min sessions per week of moderate-intensity aerobic and resistance exercise). Ten healthy subjects (age: 68. 4 ± 3.1 years) were recruited to an age-matched reference group.  Amyloid-like protein aggregates were assessed before and after 3 months of exercise training. Clinical data, medication, anthropometrics, and cardiorespiratory fitness were also assessed. Thioflavin T (ThT) dye fluorescence was used to quantify the plasma levels of amyloid-like aggregates and the Fourier transform infrared spectroscopy (FTIR) was applied to evaluate the conformation of cross-β-sheet structures characteristic of amyloid protein aggregates.

Results

Exercise program improved cardiorespiratory fitness by 14.0 ± 17.1% (17.4 ± 3.2 to 19.7 ± 2.9 ml/kg/min) and reduced NT-proBNP levels by 16.5% (34.2) (median concentration of 632 pg/mL (720.8) to 517.5 pg/mL (707.0)) in the heart failure patients. A slight decrease of amyloid-like aggregates levels was observed in post-exercise training samples (a reduction of 3.1%); interestingly, after the exercise training program, the heart failure patients showed levels of amyloid-like aggregates similar to the reference group (1132.0 ± 114.2 vs. 1094.8 ± 132.9 a.u.). Additionally, the PLS-R multivariate analysis of the amide I region of the FTIR spectra revealed enrichment of antiparallel β-sheets (1693 cm-1) assigned to amyloid-like oligomers in the samples of heart failure patients before, but not after, the exercise program. Of note, oligomeric species, as intermediates of amyloid assembly, can contribute to the increase of amyloid burden, but also, some have been reported to be highly reactive and toxic to cells, being key elements of amyloid pathogenesis.

Conclusions

 Our preliminary results indicate that 3 months of exercise training may have significant effects on amyloid-like oligomers, and start hindering the formation of the larger ThT-positive aggregates among patients with heart failure.

Abstract Figure.

Use of hypnosis preoperatively for surgery of the spine: Pilot study

INTRODUCTION

Hypnosis is a technique requiring no drugs that acts during the three phases of surgery, reducing stress at the pre-surgical phase and the adminstration of anesthetic drugs during the intraoperative phase, as well as leading to improved management of postoperative pain and quality of life management.

MATERIAL ET METHOD

We carried out a retrospective study of 46 patients operated on for herniated disc or one or two-level laminectomy without arthrodesis. All patients benefited from a preoperative hypnosis session and completed a questionnaire about their possible concerns. The day after surgery, patients completed a second questionnaire on their postoperative experience following hypnosis.

RESULTATS

Our results indicate that this technique had a positive impact on the management of preoperative stress (80% of patients) and on postoperative quality of life (48% of patients). Pain measured by decreased from 4.8/10 preoperatively to 0.9/10 postoperatively.

CONCLUSION

Our results are consistent with previous findings in the literature as to the positive contribution of this technique in the management of preoperative stress and patient quality of life. Further studies are however required involving considerably larger cohorts and more extensive surgeries to confirm the effect of this technique on management of anesthesia and pain in spine surgery.

0937 The Evaluation of Brain Maturation by REM Sleep Analyses During Puberty Using Fast Fourier Transform

Introduction

Brain maturation has been associated with electroencephalogram (EEG) changes during rapid eye movement (REM) sleep. There is a higher delta power during sleep in the first decade of the human EEG and this fact might be related to puberty period. Most studies assessed EEG during wakefulness and NREM sleep. The aim of this study was to evaluate changes in the REM sleep EEG spectral analysis across puberty.

Methods

Twenty healthy children were studied. They were divided into two groups: early puberty (n=10, ageranging from 6 to 12) and late puberty (n=10, age= ranging from 13 to 18). Polysomnography was performed in 2 nights, one for adaptation purpose. The Tanner scales were obtained and exclusion criteria were the presence of sleep and daytime complaints at least 14 days before recruitment. Fast Fourier Transform (FFT) was performed in C3-A2 derivation throughout all night. The FFT was calculated in 4s windows and the mean of delta (0.5-2.0 Hz), delta 2 (2.0-4.0 Hz), theta (4.0-8.0 Hz), alpha (8.0 - 12.0 Hz), sigma (12.0-16.0 Hz) and beta (16.0 - 20.0 Hz) were obtained.

Results

We found differences during NREM and REM sleep between two groups (U-test, p&lt;0.05). In REM sleep, the delta 2 (U-test, p=0.02)and theta power were higher in early puberty group (U-test p=0.04). The delta power correlated negatively with the duration in minutes of stage 1 (rs=-0.46 p&lt;0.05), and the wake time after sleep onset (rs=-0.48, p&lt;0.05) and correlated positively with sleep efficiency (rs=0.45, p&lt;0.05). Theta power during REM sleep also correlated positively with N3 sleep stage (rs=0.45, p&lt;0.05).

Conclusion

The REM sleep can be an extremely useful biomarker of brain function for future therapeutic protocols. The present results suggest that there are changes in REM sleep EEG throughout puberty, and that they may be related to puberty brain maturation. The hormone therapy may have an action in the REM behavioral Sleep Disorder. Future studies are need to evaluate this hypothesis.

Support

N/A

Copper requirements of broiler breeder hens

One-hundred-twenty Cobb 500 hens, 20 wk of age, were randomly allocated into individual cages with the objective of estimating Cu requirements. After being fed a Cu deficient diet for 4 wk, hens were fed diets with graded increments of supplemental Cu (0.0; 3.5; 7.0; 10.5; 14; and 17.5 ppm) from Cu sulfate (CuSO4 5H2O), totaling 2.67; 5.82; 9.38; 12.92; 16.83; and 20.19 ppm analyzed Cu in feeds for 20 weeks. Estimations of Cu requirements were done using exponential asymptotic (EA), broken line quadratic (BLQ), and quadratic polynomial (QP) models. Obtained Cu requirements for hen d egg production and total settable eggs per hen were 6.2, 7.3, and 12.9 ppm and 8.1, 9.0, and 13.4 ppm, respectively, using EA, BLQ, and QP models. The QP model was the only one having a fit for total eggs per hen with 13.1 ppm Cu as a requirement. Hemoglobin, hematocrit, and serum Cu from hens had requirements estimated as 13.9, 11.3, and 18.5, ppm; 14.6, 13.0, and 19.0 ppm; and 16.2, 14.6, and 14.2 ppm, respectively, for EA, BLQ, and QP models. Hatching chick hemoglobin was not affected by dietary Cu, whereas requirements estimated for hatching chick hematocrit and body weight and length were 10.2, 12.3, and 13.3 ppm using EA, BLQ, and QP models; and 6.8 and 7.1 ppm, and 12.9 and 13.9 ppm Cu using EA and BLQ models, respectively. Maximum responses for egg weight, yolk Cu content, and eggshell membrane thickness were 14.9, 12.7, and 15.1 ppm; 15.0, 16.3, and 15.7 ppm; and 7.3, 7.8, and 14.0 ppm Cu, respectively, for EA, BLQ, and QP models. Yolk and albumen percentage were adjusted only with the QP model and had requirements estimated at 11.0 ppm and 11.3 ppm, respectively, whereas eggshell mammillary layer was maximized with 10.6, 10.1, and 14.4 ppm Cu using EA, BLQ, and QP models, respectively. The average of all Cu requirement estimates obtained in the present study was 12.5 ppm Cu.

Quantification and mapping of urban fluxes under climate change: Application of WRF-SUEWS model to Greater Porto area (Portugal)

Climate change and the growth of urban populations are two of the main challenges facing Europe today. These issues are linked as climate change results in serious challenges for cities. Recent attention has focused on how urban surface-atmosphere exchanges of heat and water will be affected by climate change and the implications for urban planning and sustainability. In this study energy fluxes for Greater Porto area, Portugal, were estimated and the influence of the projected climate change evaluated. To accomplish this, the Weather Research and Forecasting Model (WRF) and the Surface Urban Energy and Water Balance Scheme (SUEWS) were applied for two climatological scenarios: a present (or reference, 1986-2005) scenario and a future scenario (2046-2065), in this case the Representative Concentration Pathway RCP8.5, which reflects the worst set of expectations (with the most onerous impacts). The results show that for the future climate conditions, the incoming shortwave radiation will increase by around 10%, the sensible heat flux around 40% and the net storage heat flux around 35%. In contrast, the latent heat flux will decrease about 20%. The changes in the magnitude of the different fluxes result in an increase of the net all-wave radiation by 15%. The implications of the changes of the energy balance on the meteorological variables are discussed, particularly in terms of temperature and precipitation.

A cost-efficiency and health benefit approach to improve urban air quality

When ambient air quality standards established in the EU Directive 2008/50/EC are exceeded, Member States are obliged to develop and implement Air Quality Plans (AQP) to improve air quality and health. Notwithstanding the achievements in emission reductions and air quality improvement, additional efforts need to be undertaken to improve air quality in a sustainable way - i.e. through a cost-efficiency approach. This work was developed in the scope of the recently concluded MAPLIA project "Moving from Air Pollution to Local Integrated Assessment", and focuses on the definition and assessment of emission abatement measures and their associated costs, air quality and health impacts and benefits by means of air quality modelling tools, health impact functions and cost-efficiency analysis. The MAPLIA system was applied to the Grande Porto urban area (Portugal), addressing PM10 and NOx as the most important pollutants in the region. Four different measures to reduce PM10 and NOx emissions were defined and characterized in terms of emissions and implementation costs, and combined into 15 emission scenarios, simulated by the TAPM air quality modelling tool. Air pollutant concentration fields were then used to estimate health benefits in terms of avoided costs (external costs), using dose-response health impact functions. Results revealed that, among the 15 scenarios analysed, the scenario including all 4 measures lead to a total net benefit of 0.3M€·y(-1). The largest net benefit is obtained for the scenario considering the conversion of 50% of open fire places into heat recovery wood stoves. Although the implementation costs of this measure are high, the benefits outweigh the costs. Research outcomes confirm that the MAPLIA system is useful for policy decision support on air quality improvement strategies, and could be applied to other urban areas where AQP need to be implemented and monitored.

Influence of urban resilience measures in the magnitude and behaviour of energy fluxes in the city of Porto (Portugal) under a climate change scenario

Different urban resilience measures, such as the increase of urban green areas and the application of white roofs, were evaluated with the WRF-SUEWS modelling system. The case study consists of five heat waves occurring in Porto (Portugal) urban area in a future climate scenario. Meteorological forcing and boundary data were downscaled for Porto urban area from the CMIP5 earth system model MPI-ESM, for the Representative Concentration Pathway RCP8.5 scenario. The influence of different resilience measures on the energy balance components was quantified and compared between each other. Results show that the inclusion of green urban areas increases the evaporation and the availability of surface moisture, redirecting the energy to the form of latent heat flux (maximum increase of +200Wm(-2)) rather than to sensible heat. The application of white roofs increases the solar radiation reflection, due to the higher albedo of such surfaces, reducing both sensible and storage heat flux (maximum reductions of -62.8 and -35Wm(-2), respectively). The conjugations of the individual benefits related to each resilience measure shows that this measure is the most effective one in terms of improving the thermal comfort of the urban population, particularly due to the reduction of both sensible and storage heat flux. The obtained results contribute to the knowledge of the surface-atmosphere exchanges and can be of great importance for stakeholders and decision-makers.

Association of Trichomonas vaginalis with sociodemographic factors and other STDs among female inmates in Lisbon

A study on STDs was conducted among 211 female inmates in a prison in Lisbon, Portugal, in order to establish possible associations between Trichomonas vaginalis infection, sociodemographic factors and other STDs. T. vaginalis was found in 31.2% of the women, from whom only 65.1% presented symptoms. It was more frequently isolated in the 20–40 year age group. On univariate analysis there was an association, although not statistically significant, between the existence of T. vaginalis, multiple sexual partners, drug addiction and no condom use. A statistically significant association was found between trichomoniasis, prostitution and other STDs. These were found in 87% of all women. T. vaginalis was detected alone in 23.8% (15/63) of all women with trichomoniasis, while 76.2% (48/63) of them had multiple infections with trichomonas and other STDs. A statistically significant association was present between trichomoniasis and Mycoplasma hominis and infection with Treponema pallidum. This study showed that the prevalence of T. vaginalis is as high as that of multiple infections with other STDs. Therefore, our findings seem to confirm that trichomoniasis serves as a marker for other STDs. Screening for STDs should then be offered to Portuguese inmates, or, at least, these women should be screened for T. vaginalis, as a marker for the other STDs.

Compostagem e vermicompostagem de dejetos líquidos de bovinos leiteiros e cama aviária

O confinamento de animais proporciona uma maior produção de resíduos orgânicos, o que acaba causando mudanças físicas, químicas e biológicas no meio ambiente, quando disposto no solo sem um tratamento adequado. Tecnologias como a compostagem e a vermicompostagem podem ser medidas mitigadoras do impacto ambiental causados pela produção em confinamento. Objetivou-se avaliar a compostagem, a vermicompostagem e a combinação entre os dois processos no tratamento da mistura de dejetos líquidos de bovinos leiteiros e cama aviária. Na compostagem pelo método aeração passiva foi utilizada uma estrutura nas dimensões de 12 m de comprimento, 2 m de largura e 1,80 m de altura, coberta com filme de polietileno de baixa densidade e aberta nas late­rais, que comportou três caixas de plástico reforçado com fibra de vidro. A compostagem pelo método aeração ativa caracterizou-se pela formação de pilha e por revolvimentos intermitentes. Na vermicompostagem foram utilizados 12 caixas de madeira, que receberam 200 minhocas da espécie Eisenia fetida. Conclui-se que a compostagem pelos métodos aeração passiva e ativa não é eficiente para promover a estabilização da mistura de dejetos líquidos de bovinos leiteiros e cama aviária. O processo de vermicompostagem promove a bioestabilização da mistura de dejetos líquidos de bovinos leiteiros e cama aviária em um período de 60 dias.

Non-stoichiometric formation of formic and levulinic acids from the hydrolysis of biomass derived hexose carbohydrates

We demonstrate that formic and levulinic acids are not formed stoichiometrically from the acid catalysed transformations of hexose carbohydrates.

[Dural tears: Regarding a series of 100 cases]

INTRODUCTION

Dural tears are a dreaded surgical incident because they are difficult to anticipate and may lead to serious complications.

MATERIALS AND METHODS

The French College of Neurosurgery analyzed 100 cases of dural tears declared on the physicians accreditation website from the Haute Autorité de santé (Regional Health Authority). A questionnaire on drainage, type of dural repair and bed rest duration was sent to 87 French neurosurgeons.

RESULTS

Thirty-six percent of patients with dural tears had a history of previous spinal surgery and the most common cause of tear was surgical fibrosis into the operative field for 30% of cases. Sixty-four percent had no history of spinal surgery and, in 33% of cases, the dural tear occurred during a surgery for herniated disc. Drainage was proposed case by case in 76% of cases, the patient was allowed to stand up at day 1 in 48% of cases. The treatment of dural tears combined different techniques including in situ injection of biological glue in 86% of cases. The most common complication was the need of wound repair procedure in 59.5% of cases, which was complicated by meningitis in 21.5% of cases.

CONCLUSION

This study shows the lack of formal consensus about the procedure of repair, the method of drainage or the need to keep the patient bed ridden. This study highlights a relatively high frequency of dural tears, its potentially serious complications and stresses the need for prospective studies in order to define the appropriate action to undertake when faced with this type of incident.

An assessment of the effectiveness of four in-house treatments to reduce the bacterial levels in poultry litter

Although the use of quicklime (CaO) and tarping are common handling practices aimed at the reuse of litter in the Brazilian poultry industry, few scientific studies have proven the effectiveness of these methods in reducing the pathogenic microbial load during fallowing. The objective of this study was to evaluate the following litter treatments: T1 no treatment (control), T2 quicklime (300 g m(-2)), T3 tarping, T4 tarping+quicklime (300 g m(-2)). The litter samples were collected on day zero and on the sixth and twelfth days after the start of fallowing. The use of quicklime alone or quicklime+tarping was more effective (P<0.05) in reducing bacteria when compared to litter tarping. Except for the control group, all treatments resulted in a more than 84% reduction in the count of colony-forming units (CFUs) at the end of fallowing. It is concluded that the use of quicklime alone in practical terms is the most indicated treatment for the reduction of the bacterial load of poultry litter.

Impact of forest biomass residues to the energy supply chain on regional air quality

The increase of the share of renewable energy in Portugal can be met from different sources, of which forest biomass residues (FBR) can play a main role. Taking into account the demand for information about the strategy of FBR to energy, and its implications on the Portuguese climate policy, the impact of energy conversion of FBR on air quality is evaluated. Three emission scenarios were defined and a numerical air quality model was selected to perform this evaluation. The results reveal that the biomass thermal plants contribute to an increment of the pollutant concentrations in the atmosphere, however restricted to the surrounding areas of the thermal plants, and most significant for NO₂ and O₃.

Evaluation and selection of indicators for land degradation and desertification monitoring: types of degradation, causes, and implications for management

Indicator-based approaches are often used to monitor land degradation and desertification from the global to the very local scale. However, there is still little agreement on which indicators may best reflect both status and trends of these phenomena. In this study, various processes of land degradation and desertification have been analyzed in 17 study sites around the world using a wide set of biophysical and socioeconomic indicators. The database described earlier in this issue by Kosmas and others (Environ Manage, 2013) for defining desertification risk was further analyzed to define the most important indicators related to the following degradation processes: water erosion in various land uses, tillage erosion, soil salinization, water stress, forest fires, and overgrazing. A correlation analysis was applied to the selected indicators in order to identify the most important variables contributing to each land degradation process. The analysis indicates that the most important indicators are: (i) rain seasonality affecting water erosion, water stress, and forest fires, (ii) slope gradient affecting water erosion, tillage erosion and water stress, and (iii) water scarcity soil salinization, water stress, and forest fires. Implementation of existing regulations or policies concerned with resources development and environmental sustainability was identified as the most important indicator of land protection.

Evaluation and selection of indicators for land degradation and desertification monitoring: methodological approach

An approach to derive relationships for defining land degradation and desertification risk and developing appropriate tools for assessing the effectiveness of the various land management practices using indicators is presented in the present paper. In order to investigate which indicators are most effective in assessing the level of desertification risk, a total of 70 candidate indicators was selected providing information for the biophysical environment, socio-economic conditions, and land management characteristics. The indicators were defined in 1,672 field sites located in 17 study areas in the Mediterranean region, Eastern Europe, Latin America, Africa, and Asia. Based on an existing geo-referenced database, classes were designated for each indicator and a sensitivity score to desertification was assigned to each class based on existing research. The obtained data were analyzed for the various processes of land degradation at farm level. The derived methodology was assessed using independent indicators, such as the measured soil erosion rate, and the organic matter content of the soil. Based on regression analyses, the collected indicator set can be reduced to a number of effective indicators ranging from 8 to 17 in the various processes of land degradation. Among the most important indicators identified as affecting land degradation and desertification risk were rain seasonality, slope gradient, plant cover, rate of land abandonment, land-use intensity, and the level of policy implementation.

Portuguese inventory of dioxins and furans atmospheric emissions

This article presents the results of the most recent estimation of polychlorinated dibenzo-p-dioxins (PCDD) and dibenzofurans (PCDF) atmospheric emissions in Portugal, which has covered the period 2004-2009 and includes 27 emission sources types. The results are compared with previous emissions inventories published for Portugal. The main objective of this work is to provide relevant information about the amounts of the compounds that are released into the atmosphere in Portugal, and identify their major sources and trends. The methodology involved the identification of relevant sources, the collection of information to characterize these sources, the selection of appropriate emission factors and their application to estimate the emissions. Furthermore, several studies conducted in Portugal were considered, namely reports from PCDD/PCDF measurements performed in some industrial facilities. The inventory covered 27 emission sources types. However the results show that only 8 were relevant, i.e. with emission amounts greater than 1 g I-TEQ year(-1). The total emissions of PCDD/PCDF in Portugal reached between 40 and 105 g I-TEQ year(-1), for the period of 2004-2009. The largest emission source and at same time with greater variation is forest fires, with emissions between 3 g I-TEQ year(-1) and 67 g I-TEQ year(-1) in 2008 and 2005, respectively. Excluding the emissions from forest fires, the total emission is more or less constant over the years and around 37 g I-TEQ year(-1).