A 3 °C global RCP8.5 emission trajectory cancels benefits of European emission reductions on air quality

Despite the international agreement to reduce global warming to below 2 °C, the Intended Nationally Determined Contributions submitted for the COP21 would lead to a global temperature rise of about 3 °C. The relative consequences of such a one-degree additional warming have not yet been investigated for regional air quality. Here we found that a + 3 °C global pollutant emission trajectory with respect to pre-industrial climate (reached along the 2040-2069 period under a RCP8.5 scenario) would significantly increase European ozone levels relative to a 2 °C one (reached along the 2028-2057 period under a RCP4.5 scenario). This increase is particularly high over industrial regions, large urban areas, and over Southern Europe and would annihilate the benefits of emission reduction policies. The regional ozone increase mainly stems from the advection of ozone at Europe's boundaries, themselves due to high global methane concentrations associated with the RCP8.5 emission scenario. These results make regional emission regulation, combined with emissions-reduction policies for global methane, of crucial importance.Current national pledges to reduce greenhouse gas emissions track to a temperature rise of about 3 °C. Here the authors use future projections to show that 3 °C warming under a business as usual scenario would result in large increases in ozone concentrations, off-setting any benefits from mitigation policies.

[Mechanical complications of total shoulder inverted prosthesis]

Our series of inverted prosthesis included 5 patients with a mean age of 73 +/- 6 years. In 4 cases, the implant was performed as a surgical revision. The follow up was 81 +/- 15 months. Three shoulders were pain free whereas two caused a dull pain after a free interval due to mechanical complications. The mean active elevation was 72 degrees while external rotation was - 2 degrees. The adjusted Constant score passed from 32 to 60. In case of complications, the score dropped to 32. Mechanical complications were important with in one case, an unscrening of the glenosphere and in two cases, a loosening of the glenoid prosthesis. This last and major complication occurred 6 years after surgery and was promoted by the occurrence of a progressive bone erosion in the scapula. This gap represented an attempt to accomodate the medial part of the humeral prosthesis under the scapula when the arm is at rest or in adduction. The concept of an inverted prosthesis is attractive and this implant remains one of the options in cuff-tear arthropathy. Our results were not as good as those reported by others but most of ours patients had been already operated before. The occurrence of an osseous gap on pilar of scapula may lead to failure of this prosthesis. This gap remains a threath as it can progress and as such warrants a design alteration of the prosthesis.