Making Europe go from bottles to the tap: Political and societal attempts to induce behavioral change

In several European countries and at the level of the European Union, we can observe political and societal attempts to promote the use of tap water. Most prominently, the European Commission proposed revisions for the Drinking Water Directive, which includes strategies for promoting the consumption of tap water. The strategies comprise the following: improving access to tap water, upgrading quality standards for tap water, and enhancing transparency concerning the benefits of tap water. National initiatives in European countries pursue similar strategies that concentrate on enhancing access to tap water and communicating its economic, environmental, and social benefits. By drawing on existent literature in different disciplines, we assess how promising these strategies are for inducing individuals to drink tap water rather than bottled water. Our overview reveals that our knowledge regarding the quality dimension is very good: numerous studies on European countries have shown that dissatisfaction with the sensory properties and health-related concerns prevent individuals from drinking (more) tap water and opting for bottled water instead. The body of research with a specific focus on Europe is significantly smaller concerning the other two dimensions: access to tap water and the benefits of tap water. Nonetheless, there is indicative and preliminary evidence that improved access to tap water and a better communication of the benefits of tap water could positively affect consumption patterns. This article is categorized under: Engineering Water > Sustainable Engineering of Water, Human Water > Water Governance, Human Water > Water as Imagined and Represented

Experimental reconstruction of non-stationary sound and vibration sources by means of Transient Planar Near-field Acoustic Holography

A novel algorithm called Transient Planar Near-field Acoustic Holography is presented to analyse nonstationary sound and vibration sources. The method is able to obtain the time-dependent pressure, particle velocity and intensity field at the source plane without any pre-knowledge of the source by inverse propagation of measured pressure fields. This makes it possible to analyse phenomena like transients and run-ups for all kinds of vibrating and sound radiating objects. Transient responses of thin plates are analysed to experimentally validate the performance of the algorithm. The determined velocity at the center of the plate is validated using a laser vibro-meter directed at the center of the plate and the spatial fields are qualitatively compared with theoretical mode shapes. It is shown that the algorithm is able to analyse transient responses of plates with good quantitative as well as qualitative results.</p

Non-persistente virusoverdracht door bladluizen in bloembollen

Dit driejarig onderzoeksproject naar non-persistente virusoverdracht door bladluizen in bloembollen heeft direct toepasbare kennis en gewasbeschermingsadviezen opgeleverd, maar ook heldere adviezen voor zowel de chemische als biologische bestrijding van virusoverdracht door bladluizen. Deze adviezen vormen de basis voor verder onderzoek om uiteindelijk de non-persistente virusverspreiding door bladluizen nog effectiever te kunnen bestrijden

Optimized electrocardiographic criteria for the detection of left ventricular hypertrophy in obesity patients

Background: Despite a generally high specificity, electrocardiographic (ECG) criteria for the detection of left ventricular hypertrophy (LVH) lack sensitivity, particularly in obesity patients. Objectives: The aim of the study was to evaluate the accuracy of the most commonly used ECG criteria (Cornell voltage and Sokolow-Lyon index), the recently introduced Peguero-Lo Presti criteria and the correction of these criteria by body mass index (BMI) to detect LVH in obesity patients and to propose adjusted ECG criteria with optimal accuracy. Methods: The accuracy of the ECG criteria for the detection of LVH was retrospectively tested in a cohort of obesity patients referred for a transthoracic echocardiogram based on clinical grounds (test cohort, n = 167). Adjusted ECG criteria with optimal sensitivity for the detection of LVH were developed. Subsequently, the value of these criteria was prospectively tested in an obese population without known cardiovascular disease (validation cohort, n = 100). Results: Established ECG criteria had a poor sensitivity in obesity patients in both the test cohort and the validation cohort. The adjusted criteria showed improved sensitivity, with optimal values for males using the Cornell voltage corrected for BMI, (RaVL+SV3)*BMI ≥700 mm*kg/m2; sensitivity 47% test cohort, 40% validation cohort; for females, the Sokolow-Lyon index corrected for BMI, (SV1 + RV5/RV6)*BMI ≥885 mm*kg/m2; sensitivity 26% test cohort, 23% validation cohort. Conclusions: Established ECG criteria for the detection of LVH lack sufficient sensitivity in obesity patients. We propose new criteria for the detection of LVH in obesit

Quark matter nucleation in hot hadronic matter

We study the quark deconfinement phase transition in hot $\beta$-stable hadronic matter. Assuming a first order phase transition, we calculate the enthalpy per baryon of the hadron-quark phase transition. We calculate and compare the nucleation rate and the nucleation time due to thermal and quantum nucleation mechanisms. We compute the crossover temperature above which thermal nucleation dominates the finite temperature quantum nucleation mechanism. We next discuss the consequences for the physics of proto-neutron stars. We introduce the concept of limiting conversion temperature and critical mass $M_{cr}$ for proto-hadronic stars, and we show that proto-hadronic stars with a mass $M < M_{cr}$ could survive the early stages of their evolution without decaying to a quark star

Temporal evolution of anxiety and depression in chronic heart failure and its association with clinical outcome

Background: Although anxiety and depression have been associated with adverse outcomes in chronic heart failure (HF), data on temporal evolution of these symptoms are scarce. We aimed to investigate the association between repeatedly measured depression and anxiety symptoms and clinical outcome in chronic HF patients. Methods: In this prospective observational study, outpatients with chronic HF were included and followed-up for a maximum of 2.5 years. The hospital anxiety and depression scale (HADS) questionnaire was conducted every six months. The primary endpoint was a composite of HF hospitalization, cardiovascular death, heart transplantation and left ventricular assist device (LVAD) implantation. Cox and joint models were used to investigate the association between the HADS score and the endpoint. Results: A total of 362 patients filled out a median (25th–75th percentile) of 3 [2–4] questionnaires each. Mean ± SD age was 63 ± 13 years, 72% were men. Anxiety scores remained relatively stable leading up to the endpoint, while depression scores increased. Higher baseline depression scores were significantly associated with the endpoint (hazard ratio [HR] 1.68 and 95% confidence interval [CI] 1.19–2.36 per log(score+1), p = 0.003), while higher baseline anxiety scores did not reach statistical significance (HR [95% CI] 1.34 [0.99–1.83], p = 0.061). When repeatedly measured, both higher anxiety (HR [95% CI] 1.57[1.07–2.30], p = 0.022) and depression (HR [95% CI] 2.04 [1.39–3.06], p &lt; 0.001) scores were significantly associated with the endpoint. Conclusion: Serial measurements of depression and anxiety symptoms identify chronic HF patients with increased risk of adverse clinical outcomes. Screening for both disorders should be considered in clinical practice.</p

No relationship between left ventricular radial wall motion and longitudinal velocity and the extent and severity of noncompaction cardiomyopathy

<p>Abstract</p> <p>Background</p> <p>Noncompaction cardiomyopathy (NCCM) is characterized by a prominent trabecular meshwork and deep intertrabecular recesses. Although systolic dysfunction is common, limited information is available on differences in wall motion of the normal compacted and noncompacted segments. The purpose of this study was to assess radial wall motion and longitudinal wall velocity in patients with NCCM, according to the extent and severity of noncompaction.</p> <p>Methods</p> <p>The study comprised 29 patients in sinus rhythm (age 41 ± 15 years, 15 men), who fulfilled stringent diagnostic criteria for NCCM and compared to 29 age and gender matched healthy controls. Segmental radial wall motion of all compacted and noncompacted segments was assessed with the standard visual wall motion score index and longitudinal systolic (Sm) wall velocity with tissue Doppler imaging of the mitral annulus. For each LV wall a normalized Sm value was calculated. The extent and severity of NC in each LV segment was assessed both in a qualitative and quantitative manner.</p> <p>Results</p> <p>Heart failure was the primary clinical presentation in half of the patients. NCCM patients had a wall motion score index of 1.68 ± 0.43 and a normalized Sm of 82 ± 20%. The total and maximal noncompaction scores were not related to the wall motion score index and the normalized Sm. NCCM patients with and without heart failure had similar total and maximal noncompaction scores.</p> <p>Conclusions</p> <p>In NCCM patient's radial wall motion and longitudinal LV wall velocity is impaired but not related to the extent or severity of noncompaction.</p

What factors influence training opportunities for older workers? Three factorial surveys exploring the attitudes of HR professionals

The core research questions addressed in this paper are: what factors influence HR professionals in deciding whether to approve training proposals for older workers? What kind of training are they more likely to recommend for older employees and in which organizational contexts? We administered three factorial surveys to 66 HR professionals in Italy. Participants made specific training decisions based on profiles of hypothetical older workers. Multilevel analyses indicated that access to training decreases strongly with age, while highly-skilled older employees with low absenteeism rates are more likely to enjoy training opportunities. In addition, older workers displaying positive performance are more likely to receive training than older workers who perform poorly, suggesting that training late in working life may serve as a reward for good performance rather than as a means of enhancing productivity. The older the HR professional evaluating training proposals, the higher the probability that older workers will be recommended for training. keywords: training; older workers; HR professionals; factorial survey; multilevel model