Lumbar Bone Mineral Density Phantomless Computed Tomography Measurements and Correlation with Age and Fracture Incidence

Objective: Low bone quality is a contributing factor to motor vehicle crash (MVC) injury. Quantification of occupant bone mineral density (BMD) is important from an injury causation standpoint. The first aim of this study was to validate a technique for measuring lumbar volumetric BMD (vBMD) from phantomless computed tomography (CT) scans. The second aim was to apply the validated phantomless technique to quantify lumbar vBMD in Crash Injury Research and Engineering Network (CIREN) occupants for correlation with age, fracture incidence, and osteopenia/osteoporosis diagnoses.

Methods: Quantitative CT (qCT) and dual-energy X-ray absorptiometry (DXA) were collected prospectively for 50 subjects and used to validate a technique to measure vBMD from 281 phantomless CT scans of CIREN occupants. Hounsfield unit (HU) measurements were collected from the L1–L5 vertebrae, right psoas major muscle, and anterior subcutaneous fat for all subjects and from 3 phantom ports with known mg/cc calcium hydroxyapatite values for the validation group. qCT calibration was accomplished using regressions between the phantom HU and mg/cc values to convert L1–L5 HU values to mg/cc. A phantomless calibration technique was developed where the fat and muscle HU values were linearly regressed against fat (?69 mg/cc) and muscle (77 mg/cc) to establish a conversion for L1–L5 HU measurements to mg/cc. vBMD calculated from qCT versus the phantomless method was compared for the 50 subjects to assess agreement and a mg/cc osteopenia threshold was established using DXA T-scores. CIREN HU measurements were converted to mg/cc using the phantomless technique and the mg/cc osteopenia threshold was used to compare vBMD to age, fracture incidence, and osteopenia comorbidity classifications in CIREN.

Results: Linear regression of lumbar vBMD derived from the qCT versus phantomless calibrations showed excellent agreement (R² = 0.87, P <.0001). A 145 mg/cc threshold for osteopenia was established (sensitivity = 1, specificity = 0.57) and 44 CIREN occupants had vBMD below this threshold. Of these 44 occupants, 64% were not classified as osteopenic in CIREN, but vBMD suggested undiagnosed osteopenia. Age was negatively correlated with vBMD in both sexes (P <.0001) and CIREN occupants with less than 145 mg/cc vBMD sustained an average 1.7 additional rib/sternum fractures (P =.036).

Conclusions: Because lumbar vBMD was estimated from phantomless CT scans with accuracy similar to qCT, the phantomless technique can be broadly applied to both prospectively and retrospectively assess patient bone quality for research and clinical studies related to MVCs, falls, and aging.     

Protected Area Certificates: Gaining Ground for Better Ecosystem Protection?

Protected areas are vital to sustain a number of ecosystem services. Yet, many protected areas are underfinanced and lack management effectiveness. Protected area certificates have been suggested as a way to resolve these problems. This instrument would allow land managers to certify an area if it meets certain conservation criteria. The certificates could then be sold on an international market, for example to companies and any consumers that are interested in environmental protection. Some pilot initiatives have been launched, yet little is known about future demand and features of protected area certificates. To fill this knowledge gap, we conduct a choice experiment with close to 400 long-distance tourists from Germany as a potential group of buyers. Our results indicate that the respondents have the highest willingness to pay for certificates that conserve sensitive ecosystems and in addition to this lead to poverty reduction and safeguard water resources. For other attributes such as a greenhouse gas reduction, the preferences are less significant. Overall, the results are rather homogenous irrespective of where the protected areas are located. These insights are important for the future design and marketing of protected area certificates.     

Watering the garden: preferences for alternative sources in suburban areas of the Mediterranean coast

Gardening has become a relevant contributor to the quality of life of suburbanites, as a source of leisure, to build a relationship with nature or to express a particular social identity. Nevertheless, water scarcity in the Mediterranean region has increased concerns about how demand should be managed to face future uncertainties, and watering the gardens has become an element for discussion in urban planning. This contribution presents the findings of a survey of permanent residents and secondary homeowners (n?=?230) in the suburban areas surrounding the city of Girona in the northeast of Catalonia (Spain). The area is a popular national and international tourist destination and a preferred place for second-home owners. We explore the main socio-demographic drivers for choosing an alternative watering source and we analyse if water-harvesting tank sizes properly meet net irrigation requirements. Results show that many water-harvesting tanks are oversized. The percentage of unemployed or retired household members, the estimated irrigation water needs of the garden and the education level directly influence the search for alternative sources of water. Moreover, social variables like interest in gardening, water conservation attitudes and household income indirectly influence the search for alternative sources of water.     

Experimental rewilding may restore abandoned wood-pastures if policy allows

Large herbivores play key roles in terrestrial ecosystems. Continuous defaunation processes have produced cascade effects on plant community composition, vegetation structure, and even climate. Wood-pastures were created by traditional management practices that have maintained open structures and biodiversity for millennia. In Europe, despite the broad recognition of their biological importance, such landscapes are declining due to land-use changes. This calls for finding urgent solutions for wood-pasture conservation. To test whether introducing an ecological replacement of an extinct wild horse could have positive effects on wood-pasture restoration, we designed a 3-year rewilding experiment. Horses created a more open wood-pasture structure by browsing on seedlings and saplings, affected tree composition via selective browsing and controlled the colonization of woody vegetation in grassland-dominated areas. Thus, rewilding could be a potential avenue for wood-pasture restoration and biodiversity conservation. However, such benefits may not materialize without a necessary paradigm and political shift.Electronic supplementary materialThe online version of this article (10.1007/s13280-020-01320-0) contains supplementary material, which is available to authorized users.     

Assessment of physicochemical parameters and metal distribution in bog peat of the western segment of the North European part of Russia (Arkhangelsk region)

This article is devoted to the study of physicochemical parameters and the assessment of the accumulation and distribution of metals in peat deposits from the North European part of Russia (Arkhangelsk region). Peat profiles were selected both in the area with a high anthropogenic load and in a bog remote from industrial pollution. The determination of metals was carried out by using the methods X-ray fluorescence analysis and atomic absorption spectroscopy. It was determined that the studied bogs can be attributed to the low ash type, and the recorded pH and mineralisation values make it possible to attribute these deposits to the acid-oxidising facies of oligotrophic peatlands, characteristic of taiga landscapes. Assessment of metal accumulation showed a high content of titanium, chromium, lead, nickel, vanadium, cobalt, aluminium, silicon, and copper in peat, mainly caused by the burning of fossil fuels and industrial production, as well as the burning of urban and industrial waste. The peat profiles are characterised by significant fluctuations in the content of elements in different horizons. Studies have shown the need to monitor the content of metals in peatlands from the Arkhangelsk region to assess atmospheric pollution from industrial emissions, both at the moment and in the past.

     

Benzene, toluene and xylenes levels in new and used vehicles of the same model

The aim of this work was to determine the level of benzene, toluene, o-xylene and m, p-xylene （BTX） in air samples collected from the cabins of new and used vehicles of the same model. Ten new vehicles were examined in order to check interior emission from materials used to equip the passenger compartment. In order to compare and define the impact of exhaust gases, air samples were also collected from two used cars, at different mileages （up to 20,000 kin）. All vehicles tested were of the same type. Samples were collected onto Carbograph 1TD sorbent, thermally desorbed and examined with the use of gas chromatography with flame ionisation and mass spectrometry detectors. All results obtained were referred to Polish and German requirements for indoor air quality （both in public buildings and in workspace environments）. Average benzene, toluene, o-xylene and m, p-xylene concentrations in new cars were determined at the level of 11.8 μg/m^3, 82.7 μg/m^3, 21.2 μg/m^3 and 89.5 μg/m^3, respectively. In the used cars, BTX concentration increased with increasing vehicle mileage. The most significant increase of BTX concentration was observed above 11,000 km mileage.     

Physiological Method of Evaluating Protective Clothing for Work in a Cold Environment

The purpose of this study was to determine the usefulness of physiological studies in the evaluation of protective clothing for work in a cold environment. The study included the examination of the dynamics of changes in chosen physiological parameters (core and skin temperatures, heart rate, pulmonary minute ventilation) as well as physical ones (the temperature and relative humidity under the clothes) during work in protective clothing with unknown thermal insulation. The experiment was conducted in extreme environmental conditions (–10 and –15°C) at a work load defined by the clothing manufacturer as moderate. Results show that thermal equilibrium was achieved and maintained throughout the investigated work time (60 min) and that the protective clothing ensures safety on the time scale of a regular 8-hour work day. It was also shown that the dynamics of thermal stress physiological parameters can be used to determine the maximum duration of exposure for cold protective clothing with unknown thermal insulation.     

Adaptation to a New Workplace According to Reactivity and Values-Motives Coherence at Work

A new workplace is a result of changing a work post or undertaking a new job. Direct indices of adaptation to this situation (average mood at the workplace and job satisfaction) and the indirect ones (costs like health complaints and the level of depressing or facilitating anxiety) are analysed with regard to reactivity and values-motives coherence at work. Sixty bank workers were investigated. The obtained results confirm that mood and costs depend on reactivity, but satisfaction with work depends on coherence. Only achievement values-motives coherence at work differentiates direct and indirect indicators of adaptation. Considering both kinds of variables modifies dependencies. Some theoretical and practical conclusions resulting from the research are included.     

Carbon isotope effects during precipitation of barium carbonate: implications for environmental studies

Here we demonstrate that precipitation of dissolved inorganic carbon (DIC) to at pH 10.26, 11.38 and 12.11 does not cause measurable carbon isotope fractionation. However, NaOH solution prepared under standard laboratory procedure and used to increase pH value for precipitation of BaCO₃ can be contaminated by atmospheric CO₂. In our experiment, δ¹³C value in the contaminant DIC was −24.30‰, which resulted in decrease in the δ¹³C(DIC) value by 0.03, 0.07 and 0.22 at pH 10.26, 11.38 and 12.11, respectively.     

Explicitness of consequence information in warnings

Four experiments were carried out to assess effects of product warning explicitness on purchase preferences and caution in use. Explicitness was defined as the specificity or detail with which potential injury consequences were described. All experiments employed a paradigm in which warnings varying in explicitness were described for familiar products. Subjects rated various perceptions of the products, purchase preferences, and intent to act cautiously in using the product. Results indicated that more explicit warnings were associated with greater levels of perceived dangerousness, hazard understanding, injury severity, and manufacturers' concern. While explicit warnings were also associated with an increased intent to act cautiously in using products, no clear relationship was found between explicitness and purchase preferences. It is recommended that product warnings should be explicit regarding injury consequences, especially where injuries may be severe. Given such information, product users, particularly those less familiar with a product, are more likely to exercise greater caution during use. Further, manufacturers' concern that explicit warnings may negatively impact sales appears to be unwarranted.