Can we have it all? The role of grassland conservation in supporting forage production and plant diversity

Context A key global challenge is to meet both the growing demand for food and feed while maintaining biodiversity’s supporting functions. Protected grasslands, such as Natura 2000 sites in Europe, may play an important role in harmonising productivity and biodiversity goals. This work contributes to an understanding of the relationship between forage production and plant diversity in protected and non-protected grasslands. Objectives We aimed to identify differences in plant diversity and forage production between protected and non-protected grasslands by assessing the effects of land-use intensity (i.e. mowing, grazing, fertilising) on these variables. Methods Data were available for 95 managed grassland plots (50 × 50 m) in real-managed landscapes. After controlling for site conditions in the analysis, we tested for significant differences between protected and non-protected grasslands and used a multi-group structural equation modelling (SEM) framework to investigate the linkages between land-use intensity, biomass and plant diversity. Results In protected grasslands, plant diversity was significantly higher while forage production was significantly lower. In non-protected grasslands we found significantly higher land-use intensity, particularly in relation to mowing and fertilisation. Grazing intensity did not significantly differ between protected and non-protected grasslands. In non-protected grasslands we found a significant negative association between forage production and plant diversity. However, this effect was not significant in protected grasslands. We also found a negative association between land-use and plant diversity in both grassland types that was related to mowing and fertilising intensity. These two management aspects also influenced the positive association between land-use intensity and forage production. Furthermore, environmental conditions had a positive effect on forage production and a negative effect on plant diversity in protected grasslands. Conclusions Our results confirm that the protection of grassland sites is successful in achieving higher plant diversity compared to non-protected grasslands and that protected grasslands do not necessarily trade-off with forage production. This is possible under moderate grazing intensities as higher land-use intensity has a negative effect on plant diversity, particularly on rare species. However, forage production is lower in protected sites as it is driven by mowing and fertilisation intensity. Future research needs to further investigate if the nature of these relationships depends on the livestock type or other management practices

Quantitative Comparison of Mast cells in Major Salivary Glands in Hypothyroid State

Background: This experimental study was carried out to compare the number of mast cells in major salivary glands of albino rat in hypothyroid state.Methods: An experimental study was carried out on twenty male albino rats, weighing between 130-150 grams. The rats were divided into two groups; control group (A) and an experimental group (B), with 10 animals in each group. Hypothyroid condition was modeled in albino rats of experimental group (B) by giving them 0.02% w/v Methimazole (MMI) for three weeks in drinking water. After 4-weeks animals from both the groups were euthanized with chloroform. The blood sample was taken from each rat for determination of thyroid hormone concentrations in the serum by cardiac puncture. Serum T3, T4 and TSH levels were determined by enzyme immunoassay to confirm hypothyroid state of the animal. Major salivary glands; parotid, submandibular and sublingual were dissected and removed from the body. They were fixed in Bouin’s solution. Glands were further processed for light microscopy and for histological analysis of mast cells Toluidine blue stain was used. Counting of mast cells (MCs) was performed by superimposing the ocular graticule on the salivary gland preparation.Results: Statistically significant difference was observed between the MCs of parotid gland in group A (2.25±1.34/mm2) and B (3.70+1.11/mm2), p<0.017. No significant difference was observed in the mean number of MCs in the sublingual and submandibular salivary glands with p=0.511 and p=0.187 respectively.Conclusion: In hypothyroid state, there is significant difference in the number of MCs in the parotid glands and there is no significant difference in the number of MCs of submandibular and sublingual glands

Vor den Toren von Vindonissa. Wohnen und Arbeiten in einem Handwerkerquartier in den canabae des Legionslagers (Windisch Zivilsiedlung West 2006 – 2008)

Erstmals erlaubt die Teilauswertung einer grossflächigen Ausgrabung einen vertieften Einblick in Entwicklung und Struktur der canabae legionis von Vindonissa. Im Westen des Lagers wurde um 30/40 n. Chr. ein römisches Gräberfeld aufgehoben, das Gelände wird neu parzelliert und zügig überbaut. Ein Grossbrand um 70 n. Chr zerstört das gesamte Quartier. Die Gebäude werden kurz nach 106 n. Chr. verlassen – annähernd gleichzeitig mit der Ankunft der XI. Legion in ihrem neuen Lager in Durostorum. Die Bewohner sind Handwerker – etwa Schmiede und Gerber. Sie dürften vorwiegend für das Lager produziert haben. Die von Legionsstandorten sonst bekannte Siedlungsdualität mit canabae legionis und vicus scheint für Vindonissa nicht zu existieren – die Zivilsiedlung ist insgesamt als canabae anzusprechen

Methodology for cost-effective energy and carbon emissions optimization in building renovation (Annex 56): methodology and assessment of renovation measures by parametric calculations

Buildings are responsible for a major share of energy use and have accordingly been a special target in the global actions for climate change mitigation, with measures that aim at improving their energy efficiency, reduce carbon emissions and increase renewable energy use. IEA-EBC project «Cost-Effective Energy and Carbon Emissions Optimization in Building Renovation» intends to develop a calculation basis for future standards, which aim at maximum effects on reducing carbon emissions and primary energy use. Thereby, the project pays special attention to the renovation of existing residential buildings and to cost effective building renovatio

Methodology for cost-effective energy and carbon emissions optimization in building renovation (Annex 56)

"Energy in Buildings and Communities Programme, March 2017"Buildings are responsible for a major share of energy use and have been a special target in the global actions for climate change mitigation, with measures that aim at improving their energy efficiency, reduce carbon emissions and increase renewable energy use. The IEA-EBC Annex 56 project «Cost-Effective Energy and Carbon Emissions Optimization in Building Renovation» intends to develop the basics for future standards, which aim at maximizing effects on reducing carbon emissions and primary energy use while taking into account the cost-effectiveness of related measures. The IEA EBC Annex 56 project pays special attention to cost effective energy related renovation of existing residential buildings and low-tech office buildings (without air conditioning systems).info:eu-repo/semantics/publishedVersio

Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: A systematic analysis from the Global Burden of Disease Study 2016

Background: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0-100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0-100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita. Findings In 2016, HAQ Index performance spanned from a high of 97\ub71 (95% UI 95\ub78-98\ub71) in Iceland, followed by 96\ub76 (94\ub79-97\ub79) in Norway and 96\ub71 (94\ub75-97\ub73) in the Netherlands, to values as low as 18\ub76 (13\ub71-24\ub74) in the Central African Republic, 19\ub70 (14\ub73-23\ub77) in Somalia, and 23\ub74 (20\ub72-26\ub78) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91\ub75 (89\ub71-93\ub76) in Beijing to 48\ub70 (43\ub74-53\ub72) in Tibet (a 43\ub75-point difference), while India saw a 30\ub78-point disparity, from 64\ub78 (59\ub76-68\ub78) in Goa to 34\ub70 (30\ub73-38\ub71) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4\ub78-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20\ub79-point to 17\ub70-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17\ub72-point to 20\ub74-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher scores and faster gains for non-communicable diseases. Nonetheless, countries across the development spectrum saw substantial gains in some key health service areas from 2000 to 2016, most notably vaccine-preventable diseases. Overall, national performance on the HAQ Index was positively associated with higher levels of total health spending per capita, as well as health systems inputs, but these relationships were quite heterogeneous, particularly among low-to-middle SDI countries. Interpretation GBD 2016 provides a more detailed understanding of past success and current challenges in improving personal health-care access and quality worldwide. Despite substantial gains since 2000, many low-SDI and middle- SDI countries face considerable challenges unless heightened policy action and investments focus on advancing access to and quality of health care across key health services, especially non-communicable diseases. Stagnating or minimal improvements experienced by several low-middle to high-middle SDI countries could reflect the complexities of re-orienting both primary and secondary health-care services beyond the more limited foci of the Millennium Development Goals. Alongside initiatives to strengthen public health programmes, the pursuit of universal health coverage hinges upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view-and subsequent provision-of quality health care for all populations

Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: A systematic analysis from the Global Burden of Disease Study 2016

Copyright © 2018 The Author(s). Published by Elsevier Ltd. Background A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0-100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0-100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita. Findings In 2016, HAQ Index performance spanned from a high of 97·1 (95% UI 95·8-98·1) in Iceland, followed by 96·6 (94·9-97·9) in Norway and 96·1 (94·5-97·3) in the Netherlands, to values as low as 18·6 (13·1-24·4) in the Central African Republic, 19·0 (14·3-23·7) in Somalia, and 23·4 (20·2-26·8) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91·5 (89·1-93·6) in Beijing to 48·0 (43·4-53·2) in Tibet (a 43·5-point difference), while India saw a 30·8-point disparity, from 64·8 (59·6-68·8) in Goa to 34·0 (30·3-38·1) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4·8-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20·9-point to 17·0-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17·2-point to 20·4-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher scores and faster gains for non-communicable diseases. Nonetheless, countries across the development spectrum saw substantial gains in some key health service areas from 2000 to 2016, most notably vaccine-preventable diseases. Overall, national performance on the HAQ Index was positively associated with higher levels of total health spending per capita, as well as health systems inputs, but these relationships were quite heterogeneous, particularly among low-to-middle SDI countries. Interpretation GBD 2016 provides a more detailed understanding of past success and current challenges in improving personal health-care access and quality worldwide. Despite substantial gains since 2000, many low-SDI and middle- SDI countries face considerable challenges unless heightened policy action and investments focus on advancing access to and quality of health care across key health services, especially non-communicable diseases. Stagnating or minimal improvements experienced by several low-middle to high-middle SDI countries could reflect the complexities of re-orienting both primary and secondary health-care services beyond the more limited foci of the Millennium Development Goals. Alongside initiatives to strengthen public health programmes, the pursuit of universal health coverage hinges upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view - and subsequent provision - of quality health care for all populations

Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016.

BACKGROUND: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. METHODS: Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0-100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0-100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita

Ballistic reconstruction of a migrating bullet in the parapharyngeal space

A 21-year-old male suffering from severe throat pain after being hit by a bullet in Syria claimed that he was shot through his eye and that the bullet subsequently descended behind his throat. Even though the first medical report stated that this course is implausible, meticulous workup provided evidence that the bullet might have entered the parapharyngeal space in a more cranial position than the one it was found eight months later. Our case highlights that bullets are able to move within the body, rendering ballistic reconstruction difficult. However, after removal of the bullet the patient’s symptoms completely resolved