Potential stocks and increments of woody biomass in the European Union under different management and climate scenarios

BACKGROUND: Forests play an important role in the global carbon flow. They can store carbon and can also provide wood which can substitute other materials. In EU27 the standing biomass is steadily increasing. Increments and harvests seem to have reached a plateau between 2005 and 2010. One reason for reaching this plateau will be the circumstance that the forests are getting older. High ages have the advantage that they typical show high carbon concentration and the disadvantage that the increment rates are decreasing. It should be investigated how biomass stock, harvests and increments will develop under different climate scenarios and two management scenarios where one is forcing to store high biomass amounts in forests and the other tries to have high increment rates and much harvested wood. RESULTS: A management which is maximising standing biomass will raise the stem wood carbon stocks from 30 tC/ha to 50 tC/ha until 2100. A management which is maximising increments will lower the stock to 20 tC/ha until 2100. The estimates for the climate scenarios A1b, B1 and E1 are different but there is much more effect by the management target than by the climate scenario. By maximising increments the harvests are 0.4 tC/ha/year higher than in the management which maximises the standing biomass. The increments until 2040 are close together but around 2100 the increments when maximising standing biomass are approximately 50 % lower than those when maximising increments. Cold regions will benefit from the climate changes in the climate scenarios by showing higher increments. CONCLUSIONS: The results of this study suggest that forest management should maximise increments, not stocks to be more efficient in sense of climate change mitigation. This is true especially for regions which have already high carbon stocks in forests, what is the case in many regions in Europe. During the time span 2010-2100 the forests of EU27 will absorb additional 1750 million tC if they are managed to maximise increments compared if they are managed to maximise standing biomass. Incentives which will increase the standing biomass beyond the increment optimal biomass should therefore be avoided. Mechanisms which will maximise increments and sustainable harvests need to be developed to have substantial amounts of wood which can be used as substitution of non sustainable materials

Diabetic neuropathy increases stimulation threshold during popliteal sciatic nerve block

Peripheral nerve stimulation is commonly used for nerve localization in regional anaesthesia, but recommended stimulation currents of 0.3-0.5 mA do not reliably produce motor activity in the absence of intraneural needle placement. As this may be particularly true in patients with diabetic neuropathy, we examined the stimulation threshold in patients with and without diabetes. Preoperative evaluation included a neurological exam and electroneurography. During ultrasound-guided popliteal sciatic nerve block, we measured the current required to produce motor activity for the tibial and common peroneal nerve in diabetic and non-diabetic patients. Proximity to the nerve was evaluated post-hoc using ultrasound imaging. Average stimulation currents did not differ between diabetic (n=55) and non-diabetic patients (n=52). Although the planned number of patients was not reached, the power goal for the mean stimulation current was met. Subjects with diminished pressure perception showed increased thresholds for the common peroneal nerve (median 1.30 vs. 0.57 mA in subjects with normal perception, P=0.042), as did subjects with decreased pain sensation (1.60 vs. 0.50 mA in subjects with normal sensation, P=0.038). Slowed ulnar nerve conduction velocity predicted elevated mean stimulation current (r=-0.35, P=0.002). Finally, 15 diabetic patients required more than 0.5 mA to evoke a motor response, despite intraneural needle placement (n=4), or required currents ≥2 mA despite needle-nerve contact, vs three such patients (1 intraneural, 2 with ≥2 mA) among non-diabetic patients (P=0.003). These findings suggest that stimulation thresholds of 0.3-0.5 mA may not reliably determine close needle-nerve contact during popliteal sciatic nerve block, particularly in patients with diabetic neuropathy. NCT0148847