Conclusions: A Way Forward

Despite a general improvement expected for the next decade in EU, some urban areas and some regions will still struggle with severe air quality problems and related health effects. These areas are often characterized by specific environmental and anthropogenic factors and will require ad hoc additional local actions to complement medium and long-term national and EU-wide strategies to reach EU air quality objectives. These urban areas are also among the territories where most energy is consumed and most greenhouse gases (GHGs) are emitted

Psychophysiological processes of stress in chronic physical illness: a theoretical perspective

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/75576/1/j.1365-2648.1990.tb01843.x.pd

Flare imaging with multibeam sonar systems: data processing for seep bubble detection

Multibeam sonar surveys have been conducted since their invention in the 1970s; however, mainly reflections from the seafloor were considered so far. More recently, water column imaging with multibeam is becoming of increasing interest for fisheries, buoy, mooring, or gas detection in the water column. Using ELAC SEABEAM 1000 data, we propose a technique to detect gas bubbles (flares) although this system is originally not designed to record water column data. The described data processing represents a case study and can be easily adapted to other multibeam systems. Multibeam data sets from the Black Sea and the North Sea show reflections of gas bubbles that form flares in the water column. At least for reasonably intense gas escape the detection of bubbles is feasible. The multibeam technique yields exact determination of the source position and information about the dimension of the gas cloud in the water. Compared to conventional flare imaging by single-beam echo sounders, the wide swath angle of multibeam systems allows the mapping of large areas in much shorter time

Reliability of MRI interpretation of Discoid Lateral Meniscus: A multicenter study

BACKGROUND: Discoid lateral meniscus (DLM) has a varied and complex morphology that can be challenging to assess and treat. Preoperative magnetic resonance imaging (MRI) is frequently used for diagnosis and surgical planning; however, it is not known whether surgeons are reliable and accurate in their interpretation of MRI findings when defining the pathomorphology of DLM. HYPOTHESIS: Surgeons experienced in treating DLM are able to reliably interpret DLM pathology using MRI. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 3. METHODS: Knee MRI scans from 44 patients (45 knees) were selected from a pool of surgically treated patients with DLM. Five reviewers (fellowship-trained pediatric sports medicine surgeons) performed independent review of each MRI scan using the PRiSM Discoid Meniscus Classification. Inter- and intraobserver reliability of the rating factors-primary (width, height, presence of peripheral instability or tear) and secondary (location of instability or tear, tear type)-was assessed using the Fleiss κ coefficient, designed for multiple readers with nominal variables (fair reliability, 0.21-0.40; moderate, 0.41-0.60; substantial, 0.61-0.80; excellent, 0.81-1.00). Reliability is reported as κ (95% CI). RESULTS: Interobserver reliability in assessing most primary and secondary characteristics ranged from substantial (meniscal width) to moderate (peripheral instability, anterior instability, posterior instability, and posterior tear). Intraobserver reliability for most characteristics ranged from substantial (peripheral instability, presence of tear, anterior instability, posterior instability, and posterior tear) to moderate (meniscal width, anterior tear, and tear type). Notable exceptions were presence of tear, anterior tear, and tear type-all with fair interobserver reliability. Height had poor interobserver reliability and fair intraobserver reliability. CONCLUSION: Orthopaedic surgeons reliably interpret MRI scans using the PRiSM Discoid Meniscus Classification for the majority of DLM characteristics but vary in their assessment of height and presence and type of tear. MRI evaluation may be helpful to diagnose discoid by width and identify the presence of instability: 2 major factors in the decision to proceed with surgery. Arthroscopic evaluation should be used in conjunction with MRI findings for complete DLM diagnosis

The value of remote marine aerosol measurements for constraining radiative forcing uncertainty

Aerosol measurements over the Southern Ocean are used to constrain aerosol–cloud interaction radiative forcing (RFaci) uncertainty in a global climate model. Forcing uncertainty is quantified using 1 million climate model variants that sample the uncertainty in nearly 30 model parameters. Measurements of cloud condensation nuclei and other aerosol properties from an Antarctic circumnavigation expedition strongly constrain natural aerosol emissions: default sea spray emissions need to be increased by around a factor of 3 to be consistent with measurements. Forcing uncertainty is reduced by around 7 % using this set of several hundred measurements, which is comparable to the 8 % reduction achieved using a diverse and extensive set of over 9000 predominantly Northern Hemisphere measurements. When Southern Ocean and Northern Hemisphere measurements are combined, uncertainty in RFaci is reduced by 21 %, and the strongest 20 % of forcing values are ruled out as implausible. In this combined constraint, observationally plausible RFaci is around 0.17 W m−2 weaker (less negative) with 95 % credible values ranging from −2.51 to −1.17 W m−2 (standard deviation of −2.18 to −1.46 W m−2). The Southern Ocean and Northern Hemisphere measurement datasets are complementary because they constrain different processes. These results highlight the value of remote marine aerosol measurements

Sources, Occurrence and Characteristics of Fluorescent Biological Aerosol Particles Measured Over the Pristine Southern Ocean.

In this study, we investigate the occurrence of primary biological aerosol particles (PBAP) over all sectors of the Southern Ocean (SO) based on a 90-day data set collected during the Antarctic Circumnavigation Expedition (ACE) in austral summer 2016-2017. Super-micrometer PBAP (1-16 µm diameter) were measured by a wide band integrated bioaerosol sensor (WIBS-4). Low (3σ) and high (9σ) fluorescence thresholds are used to obtain statistics on fluorescent and hyper-fluorescent PBAP, respectively. Our focus is on data obtained over the pristine ocean, that is, more than 200 km away from land. The results indicate that (hyper-)fluorescent PBAP are correlated to atmospheric variables associated with sea spray aerosol (SSA) particles (wind speed, total super-micrometer aerosol number concentration, chloride and sodium concentrations). This suggests that a main source of PBAP over the SO is SSA. The median percentage contribution of fluorescent and hyper-fluorescent PBAP to super-micrometer SSA was 1.6% and 0.13%, respectively. We demonstrate that the fraction of (hyper-)fluorescent PBAP to total super-micrometer particles positively correlates with concentrations of bacteria and several taxa of pythoplankton measured in seawater, indicating that marine biota concentrations modulate the PBAP source flux. We investigate the fluorescent properties of (hyper-)fluorescent PBAP for several events that occurred near land masses. We find that the fluorescence signal characteristics of particles near land is much more variable than over the pristine ocean. We conclude that the source and concentration of fluorescent PBAP over the open ocean is similar across all sampled sectors of the SO