52 research outputs found
The Long-Term Experiment Platform for the Study of Agronomical and Environmental Effects of the Biochar: Methodological Framework
In this communication, a wide overview of historical Long-Term Experimental Platforms (LTEP) regarding changes in soil organic matter is presented for the purpose of networking, data sharing, experience sharing and the coordinated design of experiments in the area of Earth system science. This serves to introduce a specific platform of experiments regarding biochar application to soil (LTEP-BIOCHAR) and its use for agronomic and environmental purposes (e.g., carbon sequestration, soil erosion, soil biodiversity) in real conditions and over a significative timeframe for pedosphere dynamics. The methodological framework, including the goals, geographical scope and eligibility rules of such a new platform, is discussed. Currently, the LTEP-BIOCHAR is the first of its kind, a community-driven resource dedicated to biochar, and displays around 20 long-term experiments from Europe, the Middle East and Africa. The selected field experiments take place under dynamically, meteorologically and biologically different conditions. The purposes of the platform are (1) listing the field experiments that are currently active, (2) uncovering methodological gaps in the current experiments and allowing specific metadata analysis, (3) suggesting the testing of new hypotheses without unnecessary duplications while establishing a minimum standard of analysis and methods to make experiments comparable, (4) creating a network of expert researchers working on the agronomical and environmental effects of biochar, (5) supporting the design of coordinated experiments and (6) promoting the platform at a wider international level
Assessing the Potential of Regulating Ecosystem Services as Nature-Based Solutions in Urban Areas
Mounting research assesses the provision of regulating ecosystem services by green infrastructure in urban areas, but the extent to which these services can offer effective nature-based solutions for addressing urban climate change-related challenges is rarely considered. In this chapter, we synthesize knowledge from assessments of urban green infrastructure carried out in Europe and beyond to evaluate the potential contribution of regulating ecosystem services to offset carbon emissions, reduce heat stress and abate air pollution at the metropolitan, city and site scales. Results from this review indicate that the potential of regulating ecosystem services provided by urban green infrastructure to counteract these three climate change-related pressures is often limited and/or uncertain, especially at the city and metropolitan levels. However, their contribution can have a substantially higher impact at site scales such as in street canyons and around green spaces. We note that if regulating ecosystem services are to offer effective nature-based solutions in urban areas, it is critically important that green infrastructure policies target the relevant implementation scale. This calls for a coordination between authorities dealing with urban and environmental policy and for the harmonization of planning and management instruments in a multilevel governance approach. Regulating ecosystem services • Urban green infrastructure • Global climate regulation • Local climate regulation • Air quality regulation • Multi-scale assessmentpublishedVersio
Evaluation of appendicitis risk prediction models in adults with suspected appendicitis
Background
Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis.
Methods
A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis).
Results
Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent).
Conclusion
Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified
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