Chemical characterization of the inorganic fraction of aerosols and mechanisms of the neutralization of atmospheric acidity in Athens, Greece

International audienceMass concentration levels and the inorganic chemical composition of PM10 (two fractions; PM10?2.5 and PM2.5) were determined during August 2003 and March 2004, in the centre of Athens, Greece. August 2003 monthly mean PM10 mass concentration, at 5 m above ground, was 56 ?g/m3 and the EU imposed daily limit of 50 ?g/m3 was exceeded on 16 occasions. The corresponding monthly mean for March 2004 was 92 ?g/m3 and the aforementioned daily limit was exceeded on 23 occasions. The PM10 (PM10?2.5+PM2.5) mass concentrations at 1.5 m above ground were found to be approximately 20% higher compared to the respective PM10 measured at 5 m. Consequently, for a realistic estimation of the exposure of citizens to particulate matter, PM10 sampling at a height of 1.5?3 m above ground, in the "breathing zone" is necessary. Such data are presented for the first time for the centre of Athens. In both campaigns, calcium was found to be the predominant component of the coarse fraction while crust-related aluminosilicates and iron were found to be the other major components of the same fraction. The above elements constitute the most important components of the fine fraction, together with the predominant sulphur. Toxic metals were found to be below the air quality limits and in lower concentrations compared to older studies, with the exception of Cu and V for which some increase was observed. Pb, in particular, appeared mostly in the fine fraction and in very low concentrations compared to studies dating more than a decade back. The major ions of the coarse fraction have been found to be Ca2+, NO3? and Cl?, while SO4?2, Ca2+ and NH4+ were the major ionic components of the fine fraction. The low molar ratio of NH4+/SO4?2 indicated an ammonium-poor ambient air, where atmospheric ammonia is not sufficient to neutralize all acidity and the formation of NH4NO3 does not occur to a significant extend. Calcium predominated the coarse fraction and its good correlations with NO3? and SO4?2 indicated its role as an important neutralizing agent of atmospheric acidity in this particle size range. In the fine fraction, both Ca2+ and NH4+ participate in the neutralizing processes with NH4+ being the major neutralizing agent of SO4?2. Chloride depletion from NaCl or MgCl2 was not found to occur to a significant extend. Total analyzed inorganic mass (elemental+ionic) was found to be ranging between approximately 25?33% of the total coarse particle mass and 35?42% of the total fine particle mass

A participatory physical and psychosocial intervention for balancing the demands and resources among industrial workers (PIPPI): study protocol of a cluster-randomized controlled trial

Background: Need for recovery and work ability are strongly associated with high employee turnover, well-being and sickness absence. However, scientific knowledge on effective interventions to improve work ability and decrease need for recovery is scarce. Thus, the present study aims to describe the background, design and protocol of a cluster randomized controlled trial evaluating the effectiveness of an intervention to reduce need for recovery and improve work ability among industrial workers. Methods/Design: A two-year cluster randomized controlled design will be utilized, in which controls will also receive the intervention in year two. More than 400 workers from three companies in Denmark will be aimed to be cluster randomized into intervention and control groups with at least 200 workers (at least 9 work teams) in each group. An organizational resources audit and subsequent action planning workshop will be carried out to map the existing resources and act upon initiatives not functioning as intended. Workshops will be conducted to train leaders and health and safety representatives in supporting and facilitating the intervention activities. Group and individual level participatory visual mapping sessions will be carried out allowing team members to discuss current physical and psychosocial work demands and resources, and develop action plans to minimize strain and if possible, optimize the resources. At all levels, the intervention will be integrated into the existing organization of work schedules. An extensive process and effect evaluation on need for recovery and work ability will be carried out via questionnaires, observations, interviews and organizational data assessed at several time points throughout the intervention period. Discussion: This study primarily aims to develop, implement and evaluate an intervention based on the abovementioned features which may improve the work environment, available resources and health of industrial workers, and hence their need for recovery and work ability

Mechanisms driving variability in the ocean forcing of Pine Island Glacier

Pine Island Glacier (PIG) terminates in a rapidly melting ice shelf, and ocean circulation and temperature are implicated in the retreat and growing contribution to sea level rise of PIG and nearby glaciers. However, the variability of the ocean forcing of PIG has been poorly constrained due to a lack of multi-year observations. Here we show, using a unique record close to the Pine Island Ice Shelf (PIIS), that there is considerable oceanic variability at seasonal and interannual timescales, including a pronounced cold period from October 2011 to May 2013. This variability can be largely explained by two processes: cumulative ocean surface heat fluxes and sea ice formation close to PIIS; and interannual reversals in ocean currents and associated heat transport within Pine Island Bay, driven by a combination of local and remote forcing. Local atmospheric forcing therefore plays an important role in driving oceanic variability close to PIIS

Wind-Driven Processes Controlling Oceanic Heat Delivery to the Amundsen Sea, Antarctica

Variability in the heat delivery by Circumpolar Deep Water (CDW) is responsible for modulating the basal melting of the Amundsen Sea ice shelves. However, the mechanisms controlling the CDW inflow to the region’s continental shelf remain little understood. Here, a high-resolution regional model is used to assess the processes governing heat delivery to the Amundsen Sea. The key mechanisms are identified by decomposing CDW temperature variability into two components associated with 1) changes in the depth of isopycnals [heave (HVE)], and 2) changes in the temperature of isopycnals [water mass property changes (WMP)]. In the Dotson–Getz trough, CDW temperature variability is primarily associated with WMP. The deeper thermocline and shallower shelf break hinder CDW access to that trough, and CDW inflow is regulated by the uplift of isopycnals at the shelf break—which is itself controlled by wind-driven variations in the speed of an undercurrent flowing eastward along the continental slope. In contrast, CDW temperature variability in the Pine Island–Thwaites trough is mainly linked to HVE. The shallower thermocline and deeper shelf break there permit CDW to persistently access the continental shelf. CDW temperature in the area responds to wind-driven modulation of the water mass on-shelf volume by changes in the rate of inflow across the shelf break and in Ekman pumping-induced vertical displacement of isopycnals within the shelf. The western and eastern Amundsen Sea thus represent distinct regimes, in which wind forcing governs CDW-mediated heat delivery via different dynamics

The state of the Martian climate

60°N was +2.0°C, relative to the 1981–2010 average value (Fig. 5.1). This marks a new high for the record. The average annual surface air temperature (SAT) anomaly for 2016 for land stations north of starting in 1900, and is a significant increase over the previous highest value of +1.2°C, which was observed in 2007, 2011, and 2015. Average global annual temperatures also showed record values in 2015 and 2016. Currently, the Arctic is warming at more than twice the rate of lower latitudes

Comparing the effect of STan (cardiotocographic electronic fetal monitoring (CTG) plus analysis of the ST segment of the fetal electrocardiogram) with CTG alone on emergency caesarean section rates: study protocol for the STan Australian Randomised controlled Trial (START).

BACKGROUND: Cardiotocography is almost ubiquitous in its use in intrapartum care. Although it has been demonstrated that there is some benefit from continuous intrapartum fetal monitoring using cardiotocography, there is also an increased risk of caesarean section which is accompanied by short-term and long-term risks to the mother and child. There is considerable potential to reduce unnecessary operative delivery with up to a 60% false positive diagnosis of fetal distress using cardiotocography alone. ST analysis of the fetal electrocardiogram is a promising adjunct to cardiotocography alone, and permits detection of metabolic acidosis of the fetus, potentially reducing false positive diagnosis of fetal distress. METHODS: This study will be a single-centre, parallel-group, randomised controlled trial, conducted over 3 years. The primary hypothesis will be that the proportion of women with an emergency caesarean section on ST analysis will not equal that for women on cardiotocography monitoring alone. Participants will be recruited at the Women's and Children's Hospital, a high-risk specialty facility with approximately 5000 deliveries per annum. A total of 1818 women will be randomised to the treatment or conventional arm with an allocation ratio of 1:1, stratified by parity. The primary outcome is emergency caesarean section (yes/no). Statistical analysis will follow standard methods for randomised trials and will be performed on an intention-to-treat basis. Secondary maternal and neonatal outcomes will also be analysed. Additional study outcomes include psychosocial outcomes, patient preferences and cost-effectiveness. DISCUSSION: Approximately 20% of Australian babies are delivered by emergency caesarean section. This will be the first Australian trial to examine ST analysis of the fetal electrocardiogram as an adjunct to cardiotocography as a potential method for reducing this proportion. The trial will be among the first to comprehensively examine ST analysis, taking into account the impact on psychosocial well-being as well as cost-effectiveness. This research will provide Australian evidence for clinical practice and guideline development as well as for policy-makers and consumers to make informed, evidence-based choices about care in labour. TRIAL REGISTRATION: ANZCTR, ACTRN1261800006268 . Registered on 19 January 2018

'Same, but different' : a mixed methods realist evaluation of a cluster-randomized controlled participatory organizational intervention

Participatory organizational interventions are a recommended approach to improve the psychosocial work environment. As interventions of this type are shaped by employees and managers, their implementation can vary considerably, making evaluation challenging. This study contributes to our understanding of interventions by focusing on how the intervention mechanisms and the organizational context interact. In a mixed-methods design, we use multi-group structural equation modelling of pre-and post-intervention survey data (N = 204) to test multiple mediational mechanisms in three different contexts. We then analyse interviews (N = 67) and field observations of workshops to identify the role of contextual factors. The findings suggest that participatory organizational interventions do not produce one-size-fits-all results; on the contrary, intervention results are better understood as products of multiple intervention mechanisms interacting with the specific organizational contexts

ICP curve morphology and intracranial flow-volume changes: a simultaneous ICP and cine phase contrast MRI study in humans

Background: The intracranial pressure (ICP) curve with its different peaks has been extensively studied, but the exact physiological mechanisms behind its morphology are still not fully understood. Both intracranial volume change (ΔICV) and transmission of the arterial blood pressure have been proposed to shape the ICP curve. This study tested the hypothesis that the ICP curve correlates to intracranial volume changes. Methods: Cine phase contrast magnetic resonance imaging (MRI) examinations were performed in neuro-intensive care patients with simultaneous ICP monitoring. The MRI was set to examine cerebral arterial inflow and venous cerebral outflow as well as flow of cerebrospinal fluid over the foramen magnum. The difference in total flow into and out from the cranial cavity (Flowtot) over time provides the ΔICV. The ICP curve was compared to the Flowtot and the ΔICV. Correlations were calculated through linear and logarithmic regression. Student’s t test was used to test the null hypothesis between paired samples. Results: Excluding the initial ICP wave, P1, the mean R2 for the correlation between the ΔICV and the ICP was 0.75 for the exponential expression, which had a higher correlation than the linear (p = 0.005). The first ICP peaks correlated to the initial peaks of Flowtot with a mean R2 = 0.88. Conclusion: The first part, or the P1, of the ICP curve seems to be created by the first rapid net inflow seen in Flowtot while the rest of the ICP curve seem to correlate to the ΔICV