Inequalities in residential nature and nature-based recreation are not universal: A country-level analysis in Austria

This is the final version. Available from Elsevier via the DOI in this record. Evidence suggests that residential nature, e.g., greenness around the home, and nature-based recreation, e.g., visits to specific natural locations, are beneficial for health and well-being. However, several studies report that residential access is lower among socio-economically disadvantaged communities, potentially exacerbating health inequalities. We explored this issue in Austria, a relatively rural and mountainous country that also contains several cities, including the capital Vienna with around 2 million citizens. Data were drawn from a representative survey of the adult population across all nine Austrian regions (N = 2258) and explored sociodemographic predictors of residential green and blue space (using satellite data on surrounding greenness and distance to rivers and lakes), and visit frequencies to 12 different urban and rural green/blue environments. In contrast to most findings elsewhere, which usually focus on relatively specific locations (e.g., cities), we found little evidence of socio-economic inequalities in residential green/blue space at the whole country level. Further, although frequent visits to specific environments were less likely among, e.g., people with lower vs. higher education, other typically disadvantaged groups, e.g., those self-identifying as belonging vs. not belonging to an ethnic minority, reported more visits to e.g., urban parks and rivers. Findings suggest that inequalities in nature exposure may not be universal when considered at a country level.European Union’s Horizon 2020Vienna Science and Technology Fund (WWTF

Effects of extreme natural events on the provision of ecosystem services in a mountain environment : The importance of trail design in delivering system resilience and ecosystem service co-benefits

A continued supply of ecosystem services (ES) from a system depends on the resilience of that system to withstand shocks and perturbations. In many parts of the world, climate change is leading to an increased frequency of extreme weather events, potentially influencing ES provision. Our study of the effects of an intense rainfall event in Gorce National Park, Poland, shows: (1) the intense rainfall event impacted heavily on the supply of ES by limiting potential recreation opportunities and reducing erosion prevention; (2) these negative impacts were not only restricted to the period of the extreme event but persisted for up to several years, depending on the pre-event trail conditions and post-event management activities; (3) to restore the pre-event supply of ES, economic investments were required in the form of active repairs to trails, which, in Gorce National Park, were an order of magnitude higher than the costs of normal trail maintenance; and (4) when recreational trails were left to natural restoration, loss of biodiversity was observed, and recovery rates of ES (recreation opportunities and soil erosion prevention) were reduced in comparison to their pre-event state. We conclude that proper trail design and construction provides a good solution to avoid some of the negative impacts of extreme events on recreation, as well as offering co-benefits in terms of protecting biodiversity and enhancing the supply of regulating services such as erosion prevention

Propositions en vue d'une amélioration pour la mesure et le suivi de l'indicateur C6.10 au sein du processus Forest Europe

The primary objective of this report is to assess the current FOREST EUROPE Indicator 6.10 and to make recommendations to improve the reporting of the indicator. The report also considers recreation monitoring to better understand the reasons behind the difficulties in reporting this FOREST EUROPE indicator. The second objective is to identify means to improve monitoring of Indicator 6.10, and assess the use of recreation indicators in selected European countries as a means to identify best practice in terms of a stable standard and quality of measurements, which are comparable across European countries and over time. The report is the result of the work by a small group of experts, mainly researchers, from Finland, Sweden, Denmark, Switzerland, Austria, France and the UK

Management of Postoperative Nausea and Vomiting after Neurosurgery

The incidence of postoperative nausea and vomiting (PONV) after craniotomies has been reported from 55% to 70%. The reasons for the high incidence of PONV may relate to surgery being performed in close proximity to emetic centers of the brainstem or on the structures integral to maintenance of equilibrium. Prophylaxis and treatment of PONV are fundamental parts of the perioperative anesthesia management in neurosurgery and require several steps: recognition of patients at risk for PONV; avoidance, when possible, of factors precipitating PONV; prophylaxis; and treatment which should be done selectively

Evaluation of physical and mental recovery status after elective liver resection

BACKGROUND AND OBJECTIVE: This prospective, clinical pilot trial compared the Short Form 36 Health Survey (SF-36) and a nine-item quality of recovery [Quality of Recovery 9 (QoR-9)] survey to assess the 1-week outcome after liver resection and prediction of postoperative complications from baseline values before liver resection. METHODS: In 19 patients, the SF-36 was recorded preoperatively (baseline) and on postoperative day (POD) 7. SF-36 z-values (means +/- SD) for the physical component summary (PCS) and mental component summary (MCS) were calculated. QoR-9 (score 0-18) was performed at baseline, POD1, POD3, POD5 and POD7. Descriptive analysis and effect sizes (d) were calculated. RESULTS: From baseline to POD7, PCS decreased from -0.38 +/- 1.30 to -2.10 +/- 0.76 (P = 0.002, d = -1.57) and MCS from -0.71 +/- 1.50 to -1.33 +/- 1.11 (P = 0.061, d = -0.46). QoR-9 was significantly lower at POD1, POD3 and POD5 compared with baseline (P < 0.050, d < -2.0), but not at POD7 (P = 0.060, d = -1.08). Baseline PCS was significantly lower with a high effect size in patients with complications (n = 12) compared with patients without complications (n = 7) (-0.76 +/- 1.46 vs. 0.27 +/- 0.56; P = 0.044, d = -0.84) but not baseline MCS (P = 0.831, d = -0.10) or baseline QoR-9 (P = 0.384, d = -0.44). CONCLUSIONS: The SF-36 indicates that liver resection surgery has a higher impact on physical health than on mental health. QoR-9 determines the feasible time course of recovery with a 1-week return to baseline. Preoperative impaired physical health might predict postoperative complications