In recent years, ESG (environmental, social, governance) has emerged as a critical investment concept. Its goal is to create value for both shareholders and society, encouraging companies to optimize social value. However, the exploration and research into "the proportion of firms ex-porting and the pathways through which the environmental, social, and governance activities of carbon-intensive firms influence firms' financial performance" remains largely unexplored. This study establishes a research framework within this context, utilizing listed Chinese manufactur-ing companies as the research subjects. Employing a fixed-time, fixed-industry, two-way fixed-effects model methodology, it delves into the relationship between ESG ratings, the pro-portion of firms' exports, and firms' financial performance through panel regression modeling. This study emphasizes the moderating role of carbon-intensive firms in the relationship. Find-ings indicate that both enterprise export proportions and carbon-intensive firms significantly affect the correlation between corporate ESG activities and financial performance. This has im-plications for investors, company management, policymakers, and regulators. Based on these findings, we propose policy recommendations at corporate and governmental levels to enhance ESG significance, strengthen corporate governance, and promote continuous ESG advancement. The study provides micro-level evidence of the interaction among ESG ratings, export ratios, carbon-intensive enterprises, and corporate performance, empowering investors to make in-formed decisions.

Our study shows how the United States government can achieve its goal of Nationally Determined Contribution (NDC) in 2025, 2030, and 2050 by reducing energy consumption through a pure carbon tax. To achieve its emissions reduction goals, it is necessary for the US to impose a long-term carbon tax that balances taxes on labour, capital, energy, and carbon. Therefore, in this study, through the two-layer CGE Cobb-Douglas model, the carbon tax rate is set while balancing the production and profit functions of government, businesses, and households. This study concludes that the carbon price will increase from US$ 0.4391/kg CO2 in 2020 to US$ 2.5671/kg CO2 in 2050 when the CO2 emissions reduction target is increased from 17% reduction in 2020 to 83% reduction in 2050 for the US.

The purpose of this research was to analyze the moderating effect of clean energy innovation on the relationship between corporate carbon footprint and corporate profits in those industrial sectors associated with high demand for fossil fuels in which it is "hard to abate" CO₂e emissions. It used a longitudinal research design, in particular a panel study under a structural equation modeling (SEM) approach, based on partial least squares. For the longitudinal moderation analysis, this research employed the Bayesian method by defining a multiple-indicator latent growth curve model (B-LGC model). A global sample was used consisting of 7,827 firm-year observations between 2015 and 2021 corresponding to 167 international firms. The results revealed a very significant impact of the corporate carbon footprint on corporate profits. Likewise, the results showed that innovations in clean energy, when measured as the consumption of renewable energy, positively moderates the relationship between the greenhouse gas emissions from the value chain associated with Scope 3 of the Greenhouse Gas (GHG) Protocol, and the gross profit margin obtained. Besides the academic contribution represented by the moderating effect of clean energy innovation, these findings imply that a more detailed understanding of the emissions of the entire value chain (Scope 3 CO₂e) by executives and managers of high emitting CO₂e companies represents an effective mechanism to obtain higher profits, create competitive advantages and, at the same time, achieve a net zero emissions strategy. More importantly, public policy makers will be able to use these results to revise CO₂e-related policies paying more attention to the Scope 3 CO₂e emissions produced by these companies, to formulate regulatory and control mechanisms that stimulate clean energy innovation.

Abstract: Appetite loss is common in older patients and an independent risk factor for sarcopenia, which is associated with high mortality. However, few studies have explored the phenomenon of appetite loss after discharge from the intensive care unit (ICU). Therefore, we aimed to describe the prevalence of appetite loss and the relationship between appetite loss and depression in patients living at home 12 months after intensive care. We conducted a post hoc analysis, which was a published ambidirectional study examining post-intensive care syndrome at 12 months after discharge. We included patients aged > 65 years. The Short Nutritional Assessment Questionnaire (SNAQ) and Hospital Anxiety Depression Scale (HADS) were used for the analysis. Descriptive statistics and a multilevel generalized linear model were used to clarify the relationship between appetite loss and depression. Data from 468 patients were analyzed. The defined appetite loss was 25.4% (95%CI, 21.5–29.4). High severity of depression was an independent factor for high probability of appetite loss (OR, 1.2; 95%CI, 1.14–1.28; p=0.00). Poor appetite is common 12 months after intensive care and is associated with the severity of depression.

This study aimed to investigate the prevalence, location, and characteristics of new-onset chronic pain by using a new definition in long-term survivors after discharge from a tertiary emergency center. We conducted a single-center ambidirectional cohort study from January to May 2022. A survey of patients was conducted by postal mail 2-2.5 years since their discharge from a tertiary emergency center. We used the Brief Pain Inventory to investigate chronic pain parameters, and the painDETECT questionnaire to investigate neuropathic pain. Patient information during hospitalization was collected retrospectively from medical records. The survey was sent to 78 patients, 63 (81%) of whom responded and were included in the analysis. Nine of the 63 patients (14%) had new-onset chronic pain. Of these, six (67%) had chronic pain of moderate or severe intensity which interfered with daily life. The most frequent location of chronic pain was the ankle/foot (n=4, 44%). Neuropathic pain was present in four (44%) patients with new-onset chronic pain. New-onset chronic pain may occur for up to 2-2.5 years after discharge from a tertiary emergency center, and this may interfere with daily life. Therefore, a follow-up system for chronic pain is warranted.

Ciherang rice variety was released in year 2000 and become a superior variety in Indonesia. In a decade, due to the excellent agronomic characteristics and high productivity, Ciherang gradually replace the mega-variety IR-64 and widely cultivate in almost 40% rice production area in Indonesia. In addition to its high grain yield, short straw, early maturity, and high productive tiller number, it had superior grain quality, such as long and slender grain shape, clean yellow color, aromatic, and high milled rice percentage with excellent eating quality, matching with farmers and rice consumers demands. It has intermediate glycemic index and delicious taste. It is intolerance to flooding condition and susceptible to several diseases and pests, including rice blast, bacterial blight, brown planthopper, and yellow stem borer. Because of Ciherang has been well-characterized genetically, many quantitative trait loci (QTLs) and candidate genes which associated with certain traits have been identified. It has also been used as a parent in rice breeding program to develop mapping populations for genetic analysis. In order to increase the flooding tolerant and disease resistant in Ciherang, many valuable genes have been introduced into Ciherang through backcrossing breeding technique and transgenic approach. The optimal rice productivity in Ciherang also supported by the application of intensification system in Ciherang cultivation. Unravelling the complex genetic control of agronomic characteristics, grain yield traits, and other desirable traits which valuable for rice farmers and consumers are very important.

Deep learning image reconstruction (DLIR) algorithms employs convolutional neural networks (CNNs) for CT image reconstruction to produce CT images with a very low noise level, even at low radiation dose. The aim of this study was to assess whether the DLIR algorithm reduces the CT effective dose (ED) and im-proves CT image quality in comparison with filtered back projection (FBP) and iterative reconstruction (IR) algorithms in intensive care unit (ICU) patients. We identified all consecutive patients referred to the ICU of a single hospital who underwent at least two consecutive chest and/or abdominal contrast-enhanced CT scans within a time period of 30 days using DLIR and subsequently FBP or IR algorithm (Advanced Mod-eled Iterative Reconstruction model-based algorithm [ADMIRE], or Adaptive Iterative Dose Reduction 3D [AIDR 3D]) for CT image reconstruction. The radiation ED, noise level, and signal-to-noise ratio (SNR) were compared between the different CT scanners. The non-parametric Wilcoxon test was used for statistical comparison. Statistical significance was set at p < 0.05. A total of 83 patients (mean age, 59 ± 15 years [standard deviation]; 56 men) were included. DLIR vs FBP reduced ED (18.45 ± 13.16 mSv vs 22.06 ± 9.55 mSv, P < 0.05), while DLIR vs FBP and vs ADMIRE and AIDR 3D IR algorithms reduced image noise (8.45 ± 3.24 vs 14.85 ± 2.73 vs 14.77 ± 32.77 and 11.17 ± 32.77\, P < 0.05) and increased SNR (11.53 ± 9.28 vs 3.99 ± 1.23 vs 5.84 ± 2.74 and 3.58 ± 2.74, P < 0.05). CT scanners employing DLIR reduced radiation ED and im-proved SNR compared to CT scanners using FBP, whereas CT scanners using DLIR improved SNR com-pared to CT scanners using FBP or IR algorithms in ICU patients.

Intensive care unit discharge is an important transition which impacts on patient wellbeing. Nurses can play an essential role in this scenario, potentiating patient empowerment. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement. Embase, PubMed/MEDLINE, CINAHL, and Cochrane Central Register of Controlled Trials (CENTRAL) databases were evaluated in May 2021. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of evidence. Quality of the studies included was assessed using the Cochrane risk-of-bias tool. Of the 273 articles initially identified, eight randomized controlled trials reported nursing interventions mainly focused on patients’ ICU discharge preparation through information and education. The creation of ICU Nurse-Led and nurses’ involvement in critical care multidisciplinary teams also aimed to support patients during ICU discharge. This systematic review provides an update on clinical practice aimed at improving the patient experience during ICU discharge. The main nursing interventions were based on information and education, as well as the development of new nursing roles. Understanding transitional needs and patient empowerment are key to making the transition easier.

Background: Nowadays vital signs in clinics are electronically monitored excepted for urine output which still requires, manual recording, which is subject to human errors. We, in-vitro, assessed in this study the ability a novel electronic device to measure by a combination of two different methods, the real time flow-output, like urine output. Methods: Flow or urine output was measured by a combination technique of gravimetry using a dynamometer and capacitive sensing to improve precision. Data were obtained in 3 different situations, low, medium, and high flow. Results: Three different situations were tested: full or empty dead space and Pasteur’s chamber. The differences between the injected and measured volume varies from 0 to 5 ml representing a maximal error of 3 % regardless of the volume injected and the flow in ml/hour. The capacitive sensors behave as expected with a parallel curve of the expected and measured flow. Conclusion: We have shown in this in-vitro study that the combination of gravimetry and capacitive sensors analysis allow accurate measurement of volume and flow-output. Clinical trials should be conducted to confirm its usefulness in urine output measurement in the real life.

Background: During the stay in the neonatal intensive care unit, parents play a crucial role in the care of their infants. Recent studies reported a decrease in parental participation due to Coronavirus Disease (COVID-19) pandemic that determined restricted access policies in hospitals. The aim of this study is to describe the barriers to a good parents’ participation during the stay in the neonatal intensive care unit in the COVID-19 era. Methods: A quantitative observational study was carried out. Results: 270 parents participated in this study. Mothers’ participation in care seems to be higher as compared to fathers (p = 0.017). Parents who lived the birth of their first child reported a better level of participation in care when compared to those who lived the birth of their second born (p = 0.005). Parents of extremely preterm neonates reported a lower interaction with their infant if compared to parents of term newborns (p &lt; 0.001). Conclusions: Some more disadvantaged categories have reported lower scores: cultural and linguistic minorities, parents of multiple children and fathers. COVID-19 pandemic made several Family Centred Care activities not possible with a higher impact on those who benefited the most of these facilities. This study was prospectively registered by the IRB-CRRM of the University “G. d’Annunzio” Chieti-Pescara on the 23/01/2024 with registration number CRRM;2023_12_07_01.

Given that population COVID-19 vaccination does not appreciably reduce SARS-CoV-2 transmission, instead, the potential to reduce hospitalization has been used to justify coercive vaccine passports. We aim to use a recently published research study as an example in order to demonstrate how data can be misinterpreted and result in deriving misleading ethical and policy implications. Bagshaw et al wrote that unvaccinated patients with COVID-19 in Alberta, Canada “had substantially greater rates of ICU admissions, ICU bed days, and ICU related costs than vaccinated patients did. This increased resource use would have been potentially avoidable had these unvaccinated patients been vaccinated.” The authors in Bagshaw et al then concluded that their findings “have important implications for discourse on the relative balance of increasingly stringent public health protection (restrictions), including mandatory vaccination policies, and the sustainability and function of health system infrastructure and capacity during the ongoing COVID-19 pandemic.” Here we show the following. First, the effect of vaccination on intensive care admissions were grossly over-estimated due to several limitations of this and almost all other vaccine studies. Second, an effect of vaccination on access to acute care and on all-cause excess deaths was grossly over-stated due to several more likely causes being omitted from discussion and from the common narrative. Third, policy implications were overstated and at best unclear due to missing consideration of more relevant aspects required to inform policy. Overall, the data cannot support what Bagshaw et al called “increasingly stringent public health protection (restrictions), including mandatory vaccination policies”.

Background: This study aims to compare the impact of early and late post-discharge cardiopulmonary rehabilitation on the outcomes of intensive care unit (ICU) survivors. Methods: The retrospective, cohort study used a sub-database of the Taiwan National Health Insurance Research Database (NHIRD) that contains information of all patients had ICU admission between 2000 and 2012. Early group was defined if patients had received cardiopulmonary rehabilitation within 30 days after ICU discharge, and late group was define as if patients had received cardiopulmonary rehabilitation between 30 days and one year after ICU discharge. The end points were mortality and re-admission during the 3-year follow-up. Results: Among 2136 patients received cardiopulmonary rehabilitation after ICU discharge, 994 was classified early group and other 1142 patients were classified as late group. Overall, early group had a lower mortality rate (6.64% vs 10.86%, p = 0.0006), and a lower ICU readmission rate (47.8% vs 57.97%, p < 0.0001) than late group after 3-year follow-up. Kaplan-Meier analysis showed that early group had significantly lower mortality (p=0.0009) and readmission rate (p<0.0001) than late group. In multivariate analysis, the risk of ICU readmission was found to be independently associated with late group (HR, 1.28; 95% CI, 1.13-1.47). Conclusions: Early post-discharge cardiopulmonary rehabilitation among ICU survivors has the long-term survival benefit and significantly decreases the readmission rate.

Background: The aim of the current study is to evaluate the effects of inflammation markers, on infection and mortality in patients over 65 years of age monitored in the intensive care unit. In the study, the significance of pan-immune inflammation (PIV), neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), monocyte-lymphocyte ratio (MLR), systemic immune-inflammatory index (SII), systemic immune response index (SIRI), multi-inflammatory index (MII) 1-2-3, and CRP/albumin ratios, new biomarkers, were attempted to be determined as prognostic and mortality markers in patients over 65 years of age monitored in the ICU. Methods: This multicenter, retrospective cohort study was conducted in two tertiary-level ICUs with patients aged 65 and over who were admitted. Patients with cirrhosis, bone marrow transplantation, hematologic malignancy, undergoing chemotherapy, and neutropenia at admission to the ICU were excluded from the study. Results: A total of 333 patients were included in the study. The 28-day mortality was found to be 31.8%. When each inflammatory marker associated with 28-day mortality was examined the CRP/albumin ratio performed better than both NLR and SIRI, and the results were statistically significant (AUC: 0.665, 95% CI: 0.604-0.726 and p <0.001). NLR had a moderate discriminative ability in distinguishing mortality risk (AUC: 0.593, 95% CI: 0.526-0.660 and p = 0.006). Although SIRI was lower than NLR, it had a statistically significant result (AUC: 0.580, 95% CI: 0.514-0.646 and p = 0.019). CRP/albumin ratio was the most effective inflammatory marker in predicting mortality risk in geriatric patients admitted to the ICU.

Although, central venous pressure (CVP) is among the most frequent estimated hemodynamic parameters in the critically ill setting, extremely little is known on how intensive care unit (ICU) nurses use this index in their decision-making process. The purpose of the study was to develop a new questionnaire for accessing how ICU nurses use CVP measurements to address patients’ he-modynamics investigating its validity and reliability. A cross-sectional study was conducted among 120 ICU nurses from four ICUs of Greece. Based on a comprehensive literature review and the evaluation of a five-experts panel a new questionnaire, named “CVP-Score”, was created having 8 items. The construct validity and the reliability of the questionnaire were examined. The half of the study participants’ (51.7%) was working at a specialized ICU, and they had a mean [±Standard Deviation (SD)] ICU experience of 13(±7.1) years. The estimated construct validity of the new-developed tool was acceptable, while the internal consistency reliability as measured by Cronbach alpha was excellent (0.901). CVP Score had acceptable test-retest reliability (r=0.996, p<0.001) and split-half reliability (0.855). CVP Score is a valid and reliable instrument for measuring how critical care nurses use CVP measurements in their decision-making process.

Bulukumba Regency, South Sulawesi, Indonesia is one of the centres for whiteleg shrimp, Litopenaeus vannamei production that applies intensive technology. However, no information has been obtained regarding the characteristics and status of water quality in coastal areas with environmentally friendly concepts and the potential to receive a waste load. The study aimed to determine the performance of whiteleg shrimp culture in relation to temporal and spatial aspects and characteristic and water quality status. Measurement and sampling of water were carried out before stocking/initial of culture whiteleg shrimp (rainy season) and end of culture/after harvesting of whiteleg shrimp (dry season) at two locations in the coastal area of ​​Bulukumba Regency, namely Bonto Bahari Subdistrict (BB) and Gantarang Subdistrict (GT). Variables measured and analyzed included temperature, salinity, pH, dissolved oxygen, nitrate, nitrite, ammonia, phosphate, total suspended solids, and total organic matter. Data analysis with descriptive statistics, multivariate statistics, and non-parametric statistics. The Storet (Storage and Retrieval) method was used to determine the water quality status. The results showed that the culture of whiteleg shrimp was technology-intensive with a stocking density of 110 - 220 ind/m² with productivity between 13.9 - 44.4 tons/ha/cycle. The predicted waste load of N is 28.00 tons/cycle and P reaches 6.61 tons/cycle. Another result was that changes in water quality status during the rainy season were classified as moderately polluted at the BB location and complying quality standards at the GT location, while in the dry season, both locations were categorized as heavily polluted. Variables of water quality that caused the decrease in water quality status in both locations (BB and GT) were observed to increase salinity, nitrate concentration, and ammonia concentration. However, there was a decrease in dissolved oxygen concentration in the dry season.

Aim: The aim of this study was to estimate the number of nurses who independently care for pa-tients with severe respiratory failure receiving mechanical ventilation (MV) or veno-venous ex-tracorporeal membrane oxygenation (VV-ECMO). Additionally, the study analyzed the actual role of nurses in the treatment of patients with MV and VV-ECMO. Methods: We conducted a cross-sectional study using postal surveys. The study included 725 Japanese intensive care units (ICUs). Descriptive statistics were conducted. Results: Among the 725 ICUs, we obtained 302 re-sponses (41.7%) and analyzed 282 responses. The median number of nurses per bed was 3.25. The median proportion of nurses who independently cared for patients with MV was 60% [IQR: 42.3-77.3]. The median proportion of nurses who independently cared for patients with VV-ECMO was 46.9 (35.7-63.3%) in the ICU experiencing VV-ECMO use. Concerning task-sharing, 33.8% of ICUs and nurses did not facilitate weaning from MV. Nurses always ti-trated sedatives in 44.5% of ICUs. Conclusion: Nurse staffing might be inadequate in all ICUs, es-pecially for severe respiratory failure. The proportion of competent nurses for caring for severe respiratory failure in ICUs should be considered when determining the work force of nurses.

Seasonal influenza is a common cause of hospital admission, especially in older people and those with comorbidities. The objective of this study was to determine influenza vaccine effectiveness (VE) in preventing intensive care admissions and shortening the length of stay (LOS) in hospitalized laboratory-confirmed influenza cases (HLCI) in Catalonia (Spain).A retrospective cohort study was carried out during the 2017-2018 season in HLCI aged ≥ 18 years from 14 public hospitals. Differences in means and proportions were assessed using a t-test or a chi-square test as necessary and the differences were quantified using standardized effect measures; Cohen’s d for quantitative and Cohen’s w for categorical variables. Adjusted influenza vaccine effectiveness in preventing severity was estimated by multivariate logistic regression where the adjusted VE = (1-adjusted odds ratio) ·100%; adjustment was also made using the propensity score.We analyzed 1414 HLCI aged ≥ 18 years; 465 (33%) were vaccinated, of whom 437 (94%) were aged ≥ 60 years, 269 (57.8%) were male and 295 (63.4%) were positive for influenza type B. ICU admission was required in 214 (15.1%) cases. There were 141/1118 (12.6%) ICU admissions in patients aged ≥ 60 years and 73/296 (24.7%) in those aged < 60 years (p<0.001). The mean LOS and ICU LOS did not differ significantly between vaccinated and unvaccinated patients. There were 52/465 (11.2%) in vaccinated cases) ICU admissions in vaccinated cases vs. 162/949 (17.1%) in unvaccinated cases. Patients admitted to the ICU had a longer hospital LOS (mean: 22.4 [SD 20.3] days) than those who were not (mean: 11.1 [SD14.4] days); p<0.001. Overall, vaccination was associated with a lower risk of ICU admission. Taking virus types A and B together, the estimated adjusted VE in preventing ICU admission was 31% (95% CI 1-52; p=0.04). When stratified by viral type, the aVE was 40% for type A (95% CI -11-68; p = 0.09) and 25% for type B (95% CI -18-52; p = 0.21). Annual influenza vaccination may prevent ICU admission in cases of HLCI. A non-significantly shorter mean hospital stay was observed in vaccinated cases. Our results support the need to increase vaccination uptake and public perception of the benefits of influenza vaccination in groups at a higher risk of hospitalization and severe outcomes.

Background Although aminoglycosides are often used as treatment for Gram-Negative infections, optimal dosing regimens remains unclear, especially in ICU patients. This is due to a large between- and within-subject variability in the aminoglycosides’ pharmacokinetics in this population. Objective The review provides comprehensive data on the pharmacokinetics of aminoglycosides in patients hospitalized in ICU by summarizing all published PopPK models in ICU patients for amikacin, gentamicin, and tobramycin. The objective was to determine the presence of a consensus on the structural model used, significant covariates included, and therapeutic targets considered during dosing regimen simulations. Methods A literature search was conducted from the Medline/PubMed database, using the terms: ‘amikacin’, ’gentamicin’, ’tobramycin’, ‘pharmacokinetic(s)’, nonlinear mixed effect’, population’, ‘intensive care’ and ‘critically ill’. Results Nineteen articles were retained where amikacin, gentamicin and tobramycin pharmacokinetics were described in six, eleven and five models, respectively. Two-compartment model best described amikacin and tobramycin pharmacokinetics, whereas one-compartment model majorly described gentamicin pharmacokinetics. The most recurrent significant covariates were renal clearance and bodyweight. Across all aminoglycosides, mean interindividual variability in clearance and volume of distribution were 41.6% and 22.0%, respectively. A common consensus for an optimal dosing regimen for each aminoglycoside was not reached. Conclusion This review showed models developed for amikacin, from 2015 until now and for gentamicin and tobramycin from the past decades. Despite growing challenges of external evaluation, the latter should be more considered during model development. Further research including new covariates, additional simulated dosing regimens and external validation should be considered to better understand aminoglycosides pharmacokinetics in ICU patients.

Carbon farming is a capable strategy for more sustainable production of food and other related products. It seeks to produce the diverse array of natural farming methods and marketable products simultaneously. In agroforestry system, carbon sequestration is done by incorporating carbon dioxide (CO2) into plant biomass via photosynthesis. Carbon is, thus, stored in reserves of above-ground biomass, such as timber or branches, and below-ground biomass such as roots, or organic carbon in the soil. In addition to the significance of carbon sequestration in climate change mitigation, soil organic carbon (SOC) is an imperative indicator for the soil health as well as fertility. The change in SOC can explain whether the land use pattern degrades or improves the soil fertility. SOC, found in the soil in the form of soil organic matter (SOM), helps to improve soil health either directly or indirectly. Its direct consequence is related to the process of mineralization. Further, agroforestry is highly capable of generating huge amounts of bio-mass. In fact, agroforestry is believed to be particularly suitable for replenishment of SOC. Therefore, efforts should be made to convince farmers for their resource-use efficiency and soil conserving ability in order to get maximum benefits out of agriculture. According to food and agriculture organization (FAO,) agriculture, forestry, and other land use practices account for 24% of global greenhouse gas (GHG) emissions, and total global livestock emissions of 7.1 gigatons of CO2-equivalent per year, representing 14.5% of total anthropogenic GHG emissions. Agroforestry system that deliberately integrates trees and crops with livestock in the agricultural production could potentially increase carbon sequestration and decrease GHG emission from the terrestrial ecosystems, thus, helping in global climatic change mitigation. This study, therefore, aimed at clarification about carbon farming, modifications in carbon cycle and carbon sequestration during agricultural development in addition to benefits of agroforestry.

Introduction: Hospitalization in a COVID-19 unit represents a significant source of stress and psychological distress for patients. Our study aims to determine the factors of psychological distress in the therapeutic and psychosocial management of patients hospitalized with a COVID-19 infection. Methods: This cross-sectional study was carried out over 8 months at the COVID-19 zone of the CHU HASSAN II of FES. 99 patients were evaluated within days of diagnosis by psychometric scales of anxiety, depression, and post-traumatic stress. In the course of this follow-up, we found the presence of psychological impacts in these patients, and we tried to find correlating factors between the occurrence of psychiatric disorders and the set of factors related to sociodemographic data, hospitalization course and treatments taken, as well as family support. Results: 35% of patients had scores in favor of post-traumatic stress disorder, 37% of the patients had definite depression and 50% had anxiety. Post-traumatic stress, depression, and anxiety were correlated with sociodemographic factors, hospitalization, treatments received, and length of stay. Conclusion: The prevalence of anxiety-depressive disorders and post-traumatic stress disorder was high in patients with COVID-19, hence the interest in providing psychological and psychosocial care in the emergency department.

Post-extubation dysphagia (PED) can lead to serious health problems in critically ill patients. Contrasting its high incidence rate of 12.4% reported in a recent observational study, many ICUs lack routine bedside screening, likely due to limited awareness. This study aimed to establish baseline data on the current approaches and the status of perceived best practices in PED screening and treatment, as well as to assess awareness of PED. A nationwide cross-sectional, online survey was conducted in all fourteen adult ICUs in the Republic of Cyprus in June 2018, with a 100% response rate. Over 85% of ICUs lacked a standard screening protocol for PED. The most commonly reported assessment methods were cough reflex testing and the water swallow test. Treatment approaches included muscle strengthening exercises without swallowing and swallowing exercises. Only 28.6% of ICUs acknowledged PED as a common issue. The study identified significant gaps in awareness and knowledge regarding PED screening and treatment in Greek-Cypriot ICUs. Urgent implementation of comprehensive dysphagia education programs within the units is necessary, and interdisciplinary collaboration among nurses, intensivists, and speech and language therapists is crucial to improve the quality of care provided.

Introduction. The main task of the study was to measure the workload of nurses in the care of a patient with a developmental defect–congenital diaphragmatic hernia (CDH)–in the neonatal intensive care unit, which was evaluated on the basis of standardized tools Therapeutic Intervention Scoring System (TISS–28), Nine Equivalents of Nursing Manpower use Score (NEMS) and Nursing activities Score (NAS). Methods. Retrospective study. The workload was measured using TISS–28, NEMS and NAS tools. Descriptive statistics were used to analyze the data, and a single-sample test was used to verify the research hypotheses. Results. The sample consisted of medical records of 33 patients; 592 observations were analyzed. Studies prove the need for research on the workload of nurses in neonatal intensive care units. A patient with CDH should receive nursing care as required. Conclusion. It is necessary to implement a model for measuring the workload of nurses in neonatal intensive care units, taking into account the evaluation of work and its optimization.

Rationale: Examining trends in patient characteristics, processes of care and outcomes, across an epidemic, provides important opportunities for learning. Objectives: To report and explore changes in admission rates, patient characteristics, processes of care and outcomes for all patients with COVID-19 admitted to intensive care units (ICUs) in England, Wales and Northern Ireland. Methods: Population cohort of 10,287 patients with COVID-19 in the Case Mix Programme national clinical audit from 1 February to 2 July, 2020. Analyses were stratified by time period (pre-peak, peak, post-peak) and geographical region. Multivariable logistic regression was used to estimate differences in 28-day mortality, adjusting for patient characteristics over time. Main results: Admissions to ICU peaked simultaneously across regions on 1 April, with ongoing admissions peaking ten days later. Compared with pre- and post-peak periods, patients admitted during the peak were slightly younger but had greater respiratory and renal dysfunction. Use of invasive ventilation and renal replacement reduced over time. Twenty-eight-day mortality reduced from 43.5% (95% CI 41.6% to 45.5%) pre-peak to 34.3% (95% CI 32.3% to 36.2%) post-peak; a difference of −8.8% (95% CI: −5.2%, −12.3%) after adjusting for patient characteristics. London experienced the highest admission rate and had higher mortality during the peak period but a greater reduction in post-peak mortality. Conclusion: This study highlights changes in patient characteristics, processes of care and outcomes, during the UK COVID-19 epidemic. After adjusting for the changes in patient characteristics and first 24-hour physiology, there was substantial improvement in 28-day mortality over the course of the epidemic.

This study was undertaken to investigate and analyze noise pollution in a large Chinese governmental hospital’s medical intensive care unit and compare to the WHO guidelines.This cross-sectional study was conducted in a MICU at a public governmental teaching hospital in Fujian province between July and August of 2017. A WENSN® WS1361 Integrated Sound Level Meter (China) was used for continuous every five seconds one week noise levels recording. After this measurement, the decibel meter was used for recording different location of isolation rooms and open bays, including occupied and unoccupied patient, and recording sound events occurs in the ICU to identify sources of noise. Peak and average noise levels were obtained from the meter, and data were downloaded from the WS1361 into a laptop computer. The measured mean equivalent sound pressure levels (L) and standard Aeq deviation over one week period were 66.64±7.57 dB(A), with acute spikes reaching 119.7 dB(A), the average sound level for a 24 hour period in a work day was 68.03±5.07 dB(A). These are higher than the current daytime environmental noise limit of 40-45 decibels in China and WHO. Mean work day noise was significantly louder than weekend time, there was a significant difference in work days and weekend (t=16.85;P=0.000).There was a statistical difference between the day time and night time shifts (t=34.67;P=0.000). The isolation rooms were significantly quieter than the open-bay rooms(t=46.15; p=0.00), sound levels in the occupied and unoccupied rooms also had significant difference(t=17.26; P=0.000).Two types of noise resources, including twenty kinds sources were identified and measured, mean noise levels ranged from of 61.33 to 79.21 dB(A). This study shows noise levels in intensive care units were exceeded the recommended. The study of the influence of noise on patient and staff is needed, and noise reduction strategies must be conduct in ICU.

There are four commercial pathways to make grill charcoal from wood. These have been modelled to calculate a carbon intensity (CI) for each. Results are presented along with discussion of the sensitivities: biogenic carbon; quality of the charcoal; classification of products, wastes and residues; and division of burden. Grill charcoal’s CI ranges greatly, depending on the pathway by which it is produced. Wood distillation, a commercial process that once was common but now is rare, has a CI 50+% lower than that of the next-lowest commercial process, Kilns. Earth mounds/pits and external-fuelled Retorts have CIs considerably higher still. The carbon efficiency (CE) of Wood distillation is more than twice that of the next-best, again Kilns. CE is defined as normalised, total carbon emitted. This is not the same as CI, it is not usually considered in studies such as this, yet it is important for climate impact. CE could be a useful measure in assessments (such as this) where biogenic carbon is significant.

Purpose: This study aimed to identify the risk factors for acute pancreatitis (AP) and its impact on outcomes in Polish children treated for ALL. Methods: The study group included 2303 children who received intensive chemotherapy for ALL. The group was subdivided into patients with at least one episode of AP and those who did not develop AP following treatment for ALL. Results: The cumulative incidence of AP in the study group was 4.08%. Older age was an independent risk factor for AP development (OR 1.05; 95%CI: 1.006 – 1.098; p=0.03). The overall mortality related to AP was 2.13%. The probabilities of disease-free survival (p-DFS) and event-free survival (p-EFS) were 0.84 vs. 0.86, log-rank: p=0.65 and 0.75 vs. 0.80, log-rank: p=0.12, respectively in both subgroups. A total of 22 out of 94 patients (23.4%) with AP were re-exposed to asparaginase (ASP) during the subsequent phases of the treatment. Only one re-exposed to ASP patient (4.5%) developed a second episode of AP. There were no significant differences in p-DFS and p-EFS between patients re-exposed and not re-exposed to asparaginase (0.78 vs. 0.86, log-rank p=0.27 and 0.63 vs. 0.79, log-rank p=0.09 respectively). Conclusions: The incidence of AP in children with ALL is low and related to the patient’s age. AP development doesn’t seem to impact p-DFS and p-EFS in children with ALL. The recurrence of AP following re-exposure to asparaginase in patients with ALL and a history of AP is low (4.5%). Re-exposure to asparaginase after the first episode of AP doesn’t improve either p-DFS or p-EFS in children with ALL.

Abstract: Comorbidities of patients may be related to the duration of mechanical ventilation, survival, and Candida isolation during intensive care unit (ICU) stay. To examine the frequency of Candida isolation and significant comorbidities in the surgical intensive care unit (ICU) in Osijek University Hospital, Croatia, the data from the electronic database from May 2016 to June 30, 2023, were analyzed. In a cross-sectional study examining 15,790 microbiological samples, different strains of Candida were observed in 581 samples from 236 patients. The control group was 160 consecutive patients from March-May 2019, and 161 in the same months of 2020 (pre- and post-COVID-19). Comorbidities, duration of mechanical ventilation and survival were compared. Patients with isolated Candida were more often non-elective, had significantly more heart, kidney, liver diseases and sepsis (P<0.001). The duration of mechanical ventilation was 9.2 [2.2-9.24], 96 [24-146], 160 [19.5-343] and 224 [73.5-510] hours in controls, and patients with Candida albicans, non-albicans, and in patients with ³2 Candidas isolated. The mortality was significantly higher and reached 42% in patients with Candida isolated, while in the control group, it was 19% (P<0.001). In a multivariate analysis adjusted for patient’s age, SAPS II score, days of ICU, and type of admission, only sepsis was independent predictor of mortality (OR = 2.27).

The fetal splenic artery pulsatility index (PI) is a parameter that reflects fetal well-being and has been used as a predictor of adverse pregnancy outcomes. The aim of this study was to investigate the predictive value of splenic artery PI in GDM class A1 cases for NICU admission. In this prospective case controlled study, only sixty single pregnancy cases diagnosed with gestational diabetes mellitus class A1 were evaluated. Fetal splenic artery Doppler parameters Peak systolic velocity (PSV), Pulsatility index (PI), Resistivity index (RI) and End diastolic velocity (EDV) were measured in all cases. The rate of re-quirement of need of neanoatal intensive care unit was noted. In cases with need fetal intensive care, fetal splenic PI index was found to be statistically significantly lower than in healthy cases without it (0.94 ± 0.29 vs. 1.70 ± 0.53, respectively, p

Nowadays, healthcare-associated infections (HAIs) represent a major global public health problem and the burden of these infections is high. In order to reduce the incidence of HAIs and to prevent the spread antibi-otics resistant organisms is mandatory to develop surveillance systems. We undertook a retrospective case-control study of all patients presenting HAIs admitted in Intensive Care Unit (ICU) in order to assess risk factors associated with death among patients with HAIs. Patients admitted to Intensive Care Unit who died were more likely to present an infection with a multidrug resistant bacteria, an infection with Acineto-bacter baumannii, and to suffer from acute myocardial infarction. Among the patients enrolled in the study, a higher probability of death was also observed in association with certain gram-negative pathogens: Klebsiella pneumoniae, Acinetobacter baumannii and Pseudomonas aeruginosa. The longer the patient remains admitted in ICU, the higher the risk of getting an infection that can often become fatal. Acquiring a noso-comial infection also increases the length of hospitalization which will lead to increased financial damage.

Forests are crucial natural resources in Indonesia, storing significant biodiversity and providing essential benefits for both the environment and people's livelihoods. They contribute significantly to the country's economy, support local communities, and play a vital role in mitigating climate change through carbon sequestration. This study examines the carbon storage valuation in tree forests of Telaga Warna National Park, Indonesia, highlighting the importance of preserving forests for carbon sequestration and climate resilience. The data was collected within a subplot measuring 10x10 meters, and for trees within a plot measuring 20x20 meters. The study focuses on pole and tree species. Based on the data obtained, it is found that the dominant vegetation in Telaga Warna National Park is Riung Anak / Casitanopsis javanica, with a potential carbon value of US$ 2.96 per Ha for pole species and US$ 98.49 for tree species.

Keywords: renal replacement therapy. Point-of-Care Ultrasound; intensive care; acute kidney injury; nephrologist.Point of care ultrasonography (POCUS) is gaining heightened significance in critical care settings as it allows for quick decision making at the bedside. While computerized to-mography is still considered the standard imaging modality for many diseases, the risks and delays associated with transferring a critically ill patient out of the Intensive Care Unit (ICU) have prompted physicians to explore alternative tools. Ultrasound guidance has increased safety of invasive procedures in the ICU, such as the placement of vascular catheters and drainage of collections. Ultrasonography is now seen as an extension of the clinical examination, providing quick answers for rapidly deteriorating patients in the ICU. The field of nephrology is increasingly acknowledging the value of diagnostic Point-of-Care Ultrasound (POCUS). By employing multi-organ POCUS, nephrologists can address specific queries arising during the diagnosis and treatment of patients with acute kidney injury. This approach aids in ruling out hydronephrosis and offering immediate information on hemodynamics, thereby consolidating patient data and facilitating the development of personalized treatment strategies.

(1) Background: To estimate resistance, reactance and phase angle values among moderate preterm infants and their variation according to neonatal and maternal characteristics and nutritional intake. (2) Methods: This was a cohort that evaluated 43 moderate preterm infants using bioelectrical impedance analysis. The study variables included resistance, reactance and PA measurements, in addition to classification of nutritional intake. (3) Results: The mean resistance was 602.0+118.2 Ω, reactance was 57.2 Ω (IIQ = 42.6-65.2) and phase angle was 522° (IIQ = 4.1-6.6). Lower resistance values were found in the presence of risky pregnancy (532.2+111.9 Ω vs 650.9+97.9 Ω, p&lt;0.001) and lower reactance values, in the presence of harmful maternal lifestyle habits at both the first (p=0.01) and second assessments (p=0.01). Eight preterm infants were considered to have insufficient nutritional intake (23.5%); 17, sufficient (50.0%) and 9, partially sufficient (26.5%). There was less reactance among preterm infants with insufficient nutritional intake (p &lt; 0.001). (4) Conclusions: The bioelectrical impedance analysis measurements were within the range of values reported in other studies. There was an association between full diet and adequate nutritional intake with higher resistance values, and a lower reactance value was associated with the presence of risky pregnancy and harmful maternal lifestyle.

The intensive care unit is characterized by the critical care of the infants and children who access it, as well as the high complexity of care. This implies and requires optimal integration among the various professionals working there and their ability to work as a team. The purpose of the study was to describe how nurses perceive clinical risk and how they relate to it and to identify adverse events and related risk factors. Nine nurses, two moderators and one external observer partici-pated in the focus group. In the qualitative analysis, 9 themes describing the perception of clinical risk in PICU were identified, including teamwork, specific training, time management, team communication, management, individual errors, structural criticality, patient fac-tors/characteristics, and standardization. Safety culture can be fostered by hospital management to involve PICU nurses in promoting patient safety, which could improve breaking down barriers that prevent nurses from fulfilling their roles.

Non-pharmacological interventions in the fight against COVID 19 include: a) suppression, which facilitates its extinction; and b) mitigation, which reduces its speed of spread. Left unmitigated, the intensive care unit bed capacity (ICU) is exceeded over its maximum supply, resulting in increased deaths. Suppression has shown in simulation models the potential for decreasing ICU occupation below its surge limit, effectively decreasing mortality. However, for avoiding a rebound in transmission, suppression must be maintained intermittently until a vaccine is available (which may take up to 2 years). The objective of this paper was to describe the mortality patterns observed in Spain, Italy and South Korea for discussing a hypothetical combined public health policy and socioeconomic model that could potentially reduce mortality while reducing the economic impact of this pandemic in Spain. The plan is based on a progressive-voluntary reinstatement to work of the population exposed to the lowest risks (healthy non-immune family units <50 y/o and immune population) and it depends on having sufficiently available ICU beds for providing adequate support. This model, if proven correct for Spain, could eventually be followed by other countries facing a similar impact of the present pandemic.

This review contains a popular presentation of the history of carbon nanostructure discovery, a short description of the main approaches to production and investigation of such objects and consideration of the most perspective ways of their applied usage.

Forest plantations can substantially contribute to carbon sequestration and greenhouse gases (GHG) mitigation at the country and global scale. Forest fires (specially when combined with droughts) may significantly reduce such carbon sequestration capability. IPCC has global scale estimates for such losses, but they can vary widely depending on crops, climate, topography and management, among others. IPCC defines a factor for biomass loss as a consequence of forest fires, expressed as a fraction of total biomass. This methodology implies using aggregated data and the default emission factor, being only recommended for countries where wildfires are not a key category. In Chile, and over the last decade, there are between 5,000 to 8,000 wildfires annually (average 6,398 for the period 2011-2020), burning an average of 122,328 hectares each year. Countries may progress in the refinement of such factors depending on the availability and reliability of local values. This paper aims at estimating C_f values for the main forest plantation species in Chile: Pinus radiata, Eucalyptus nitens, and Eucalyptus globulus, across different age-classes and forest fire severities. To this aim we assessed the biomass loss after forest fires for a stratified sample of forest plots for the season 2018-2019. We fitted a model to predict the amount of biomass loss during fires, and in this way, predict the emissions associated to wildfires. The model employs very simple predictive variables, age and species, because statistics for burnt areas in plantations are only provided by age-classes and species, without details about productivity or management.

Banana plantation is an important type of agro-ecosystem in the tropics, and it is important to carry out a quantitative assessment of the carbon footprint of the banana growing process for the development of low-carbon agriculture to cope with global warming. The carbon footprint of two banana cultivation processes was assessed using the life cycle assessment method through field trials and farmer surveys in Chengmai County, Hainan Province, China. The results showed that: (1) N2O emissions caused by the application of nitrogen fertilizers and compound nitrogen fertilizers were the largest source of carbon emissions from banana plantation farmland, and the production and transportation of common compound fertilizer were the second largest source of carbon emissions. Banana fruits and plants were the main contributors to carbon fixation in banana plantation ecosystems, with about 24.72 t CO2 eq hm-2 for Musa paradisiaca AA, and 34.66 t CO2 eq hm-2 for M. AAA Cavendish var. Brazil. (2) The annual carbon emissions of Musa paradisiaca AA and M. AAA Cavendish var. Brazil farmland systems were 35.40 t CO2 eq·hm-2 and 43.83 t CO2 eq·hm-2, respectively, and the annual carbon fixation was 38.23 CO2 eq·hm-2 and 48.17 CO2 eq·hm-2, respectively. The banana plantations had a negative carbon footprint per unit area, showing a net carbon sink function. (3) Banana is a plant with high carbon emission and strong carbon fixation capacity. Scientific management in the field can achieve the decrease of agricultural inputs, high quality and abundant agricultural products, and the reduction of carbon footprint of farmland.

With the changes in the spatial structure of China's economic development, urban clusters have become the primary carriers of China's regional economy and green growth. The article uses annual data from 2010 to 2021 to study the carbon emission characteristics and carbon reduction pathways of 36 cities in the Yangtze River Delta region. Firstly, cities in the Yangtze River Delta region are divided into six carbon emission types based on decoupling elasticity coefficient and carbon intensity indicators. Then, the STIRPAT model is used to regress the panel data of different carbon emission types for 11 years, analyze the driving factors of carbon emissions, and develop differentiated carbon emission reduction paths for cities with six carbon emission types. According to the results, the city of Type I needs to accelerate low-carbon technology innovation, Type II needs to improve energy efficiency and strengthen low-carbon technology research and development, Type V needs to suppress foreign investment in high energy consumption and high emission projects in the local area, Type VI needs to accelerate the process of new urbanization and optimize industrial structure. Types III and IV have not received effective emission reduction paths, and further research is required on other emission reduction policies and measures.

Energy-related greenhouse gas emissions dominate the carbon footprints of most product systems, and petroleum is one of the main types of energy sources. This is consumed as a variety of refined products – most notably diesel, petrol (gasoline) and jet fuel (kerosene). Refined product carbon footprints are of great importance to regulators, policymakers and environmental decision-makers. For instance, they are at the heart of legislation such as the European Union’s Renewable Energy Directive or the United States’ Renewable Fuels Standard. This study identified 14 datasets that report footprints for the same system, European petroleum refining. For the main refined products – diesel, petrol and jet fuel – footprints vary by at least a factor of three. For minor products, the variation is even greater. Five different organs of the European Commission have estimated refining footprints: for main products these are relatively harmonic; for minor products much less so. The footprint variation is due mainly to differing approaches to refinery modelling, especially regarding the rationale and methods applied to assign shares of the total burden from the petroleum refinery operation to the individual products. Given the economic/social importance of refined products, a better harmony of their footprints would be valuable to their users.

Many corporations aspire to become Net Zero Carbon Dioxide by 2030-2050. This paper examines what it will take. It requires understanding where energy is produced and consumed, the magnitude of CO2 generation, and the Carbon Cycle. Reviews are provided for prior technologies for reducing CO2 emissions from fossil to focus on their limitations and to show that none offer a complete solution. Both biofuels and CO2 sequestration reduce future CO2 emissions from fossil fuels. They will not remove CO2 already in the atmosphere. Planting trees has been proposed as one solution. Trees are a temporary solution. When they die, they decompose and release their carbon as CO2 to the atmosphere. The only way to permanently remove CO2 already in the atmosphere is to break the Carbon Cycle by growing biomass from atmospheric CO2 and sequestering biomass carbon. Permanent sequestration of leaves is proposed as a solution. Leaves have a short Carbon Cycle time constant. They renew and decompose every year. Theoretically, sequestrating a fraction of the world’s tree leaves can get the world to Net Zero without disturbing the underlying forests. This would be CO2 capture in its simplest and most natural form. Permanent sequestration may be achieved by redesigning landfills to discourage decomposition. In traditional landfills, waste undergoes several stages of decomposition, including rapid initial aerobic decomposition to CO2, followed by slow anaerobic decomposition to methane and CO2. The latter can take hundreds to thousands of years. Understanding landfill chemistry provides clues to disrupting decomposition at each phase.

Mangrove forests store and sequester large area-specific quantities of blue carbon (C_org). Except for tundra and peatlands, mangroves store more C_org per unit area than any other ecosystem. Mean mangrove C_org stock is 738.9 Mg C_org ha⁻¹ and mean global stock is 6.17 Pg C_org, which equates to only 0.4–7% of terrestrial ecosystem C_org stocks but 17% of total tropical marine C_org stocks. Seagrasses sequester more C_org per unit area than mangroves (179.6 g C_org m⁻²·a⁻¹) but twice the C_org sequestered by mangroves globally (15 Tg C_org a⁻¹). Mangroves sequester only 4% (range 1.3–8%) of C_org sequestered by terrestrial ecosystems, indicating that mangroves are a minor contributor to global C storage and sequestration. CO₂ emissions from mangrove losses equate to 0.036 Pg CO₂-equivalents a⁻¹ based on rates of C sequestration but 0.088 Pg CO₂-equivalents a⁻¹ based on complete destruction for conversion to aquaculture and agriculture. Mangrove CO₂ emissions account for only 0.2% of total global CO₂ emissions but 18% of CO₂ emissions from the tropical coastal ocean. Despite significant data limitations, the role of mangrove ecosystems in climate change mitigation is globally insignificant but may be more significant and effective at the national and regional scale.

“Blue carbon”, apart from marine humus, includes the carbon (C) stock of coastal ecosystems such as mangroves, marshes, and seagrass meadows, which have been overlooked until recently. Information about the role of coastal wetlands in C sequestration and providing other ecosystem services is still insufficient. In the present study, we assessed the C reserves of soils and vegetation biomass in two complex coastal landscapes (tombolos) located on the coasts of the White and Baltic seas. The soil and plant C stocks were slightly higher at the plot at the Baltic Sea (93.4 ± 46.7 Mg C·ha-1 and 5.22 ± 2.51 Mg C·ha-1, respectively) than at the plot on the White Sea (71.4 ± 38.2 Mg C·ha-1 and 3.95 ± 2.42 Mg C·ha-1, respectively). We attributed the higher values of the C reserved to a warmer climate and less saline water at the plot on the Baltic Sea. Both soil and plant C showed high heterogeneity due to geomorphological complexity and differences in vegetative communities. The Phragmites australis community showed the highest plant biomass and, in some places, high soil C reserves. Allochthonous C contributed to the soil C stock at the site on the White Sea. Though P. australis sequestered more C than other communities, its effect on ecosystem services was mostly negative because the invasion of reeds reduced the biological diversity of the marshes.

Carbon dioxide, CO₂ accounts for most of the emission from all the types of greenhouse gasses in the world. The ability of CO₂ to remain longer than other greenhouse gases and the convenience of producing CO₂ has resulted in its high projection in a yearly manner. The prime factor for the emission of CO₂ are from the actions of human beings. One such human act is the concrete industry. Total emissions from the concrete industry could therefore contribute as much as 8% of global CO₂ emissions. Sequestered CO₂ in concrete can provide an impact on reducing the carbon footprint and is also able to improve the compressive strength of concrete. During this process, the sequestered carbon dioxide chemically reacts with cement to produce a mineral, trapping carbon dioxide gas in the concrete. Hence, sequestering carbon dioxide gas in concrete does not only on a bigger scale reduces carbon footprint, but it also reduces the impact the construction industry has on the environment. This paper presents a detailed review on the chemical reaction that takes place during the sequestration of carbon dioxide and the research published on the effects of carbon dioxide sequestered concrete on its properties. The impact this process has on the concrete industry and the environment is discussed in this paper.

The questions on who is entitled to benefit from REDD+ transactions remains one of the most controversially debated issues around cooperative efforts to reduce deforestation in developing countries. REDD+ has been conceived as international framework for voluntary efforts of developing countries to reduce greenhouse gas emissions and enhance carbon removals from forest activities. Designed as international framework under the UNFCCC that calculates emission reductions and removals (ERRs) at the national -and as an interim step on the subnational level – REDD+ is primarily a creature of international law. However, in defining forest-carbon ERRs the international framework competes with national emission trading systems and domestic REDD+ legislation as well as private standards that define units traded on the voluntary carbon market. The definition of various carbon units is closely linked to the question on who is entitled to participate in REDD+ and benefit from the sale of ERRs under results-based payment schemes or carbon market transactions. This paper applies a legal lens to the various claims to participate in REDD+ transactions. It tries to disentangle the various rights to ERRs, various carbon credits, and payments that come with REDD+ and that almost always create confusion and not seldom conflict around REDD+ implementation. The definition of carbon rights and the legal nature of carbon credits depends on local law and differs between countries. However, there are a number of legal considerations that apply and certain underlying concepts are relevant for the understanding of REDD+ transactions and the allocation of benefits and burdens of conservation activities.

The establishment of low carbon assessment initiatives is a crucial task especially at the city level. The determination of which source of carbon contributed more require robust data set and strategic approach. Hence, by using the campus as a small city approach, the establishment of carbon assessment and its’ reduction initiatives was required to keep track of the hotspot of the carbon source. The substantial amount of carbon source from campus operations such as energy consumption in the building, waste generation, and water consumption were identified. Moreover, as institutions of higher education, the execution of low carbon campus was initiated structurally involves the triangulation of research activities, teaching & learning and as well as campus operations or known as campus living lab approach. The application of low carbon cities framework, LCCF and assessment system enables to strategize the low carbon campus initiatives through the use of carbon footprint concept and the LCCF carbon track.

The most massive and fast-eroding thaw slump of the Northern Hemisphere located in the Yana uplands of northern Yakutia was investigated to assess in detail the cryogenic inventory and carbon pools of two distinctive Ice Complex stratigraphic units and the uppermost cover deposits. Differentiating into modern and Holocene near-surface layers (active layer and shielding layer), highest total carbon contents were found in the active layer (18.7 kg m-2), while the shielding layer yielded much lower carbon content of 1.8 kg m-2. The late Pleistocene upper Ice Complex contained 10.4 kg m-2 total carbon, and the mid-Pleistocene lower Ice Complex 17.7 kg m-2. The proportion of organic carbon from total carbon content is well above 70% in all studied units with 94 % in the active layer, 73% in the shielding layer, 83% in the upper Ice Complex and 79% in the lower Ice Complex. Inorganic carbon is low in the overall structure of the deposits.

Grill-specific footprints for common fuels/grill types in the USA are estimated from public information and data from a major grill manufacturer. These are a function of both 1) a fuel’s footprint and 2) a grill’s efficiency of cooking. In 2022, grill-specific footprints vary by 9:1. A typical gas grill is highest at 3.6 lb CO2e/grill session, nine times that of a wood-pellet grill, lowest at 0.4 lb. Charcoal briquettes, electricity and super-efficient gas grills come in-between. Pellets are lowest, because they are made from waste wood and their production burden is modest. Electricity has the highest fuel footprint, yet the second-lowest grill-specific footprint, thanks to its high efficiency. Briquettes come in fourth, because their production involves fossil gas, and they contain some fossil coal. Grill efficiency is key for gas (natural gas or propane): a typical gas grill has twice the footprint of a super-efficient one. In 2027, with bio substitution, the super-efficient gas grill would move ahead of pellets. Electricity and charcoal could improve but would still place fifth and sixth. The range of grill-specific footprints could fall to 4.5:1, within a much-lower range, the highest footprint in 2027 almost 60% lower than 2022’s highest.

The gasification of sugarcane cutting residues (RAC) is a process that occurs in a gasifier where the transformation of this raw material into a solid-state and a gasifying agent with a moderate calorific value occurs, thanks to the application of heat. And under restricted oxygen levels, we can say that there are several styles of gasifiers for air, steam, oxygen, and hydrogen, all of which have a performance that can be analyzed and categorized by their performance to avoid damage to the environment. (1) The objective of this article is based on the mathematical development using simulation of the gasification of cane cutting residues. (2) In the methodology, the simulation of the gasification and CO₂ capture process was developed from the biomass residues of the sugarcane cutting residues; it was carried out as a transformation of the primary fuel into a gas stream whose main components are CO₂ and H₂, which can be separated relatively easily by their concentrations, available pressures and in some cases, their temperatures; (3) According to the kinetic data obtained, the second-order reaction in the transformation and improvement of the process was identified; applying to the optimization of development in the capture of CO₂, contributing to the reduction of greenhouse gases. (4) The gasification simulation process results in a biomass conversion corresponding to 93% of its feed and the formation of volatiles whose molar fraction corresponds to 37% H₂, 12% CH₄, 37% CO and 12 % CO₂.

Miombo woodlands are extensive dry forest ecosystems in central and southern Africa covering ≈2.7 million km2. Despite their vast expanse and global importance for carbon storage, the long-term carbon stocks and dynamics have been poorly researched. The objective of this paper is to present and summarize the evidence gathered on above- and belowground (root and soil) carbon stocks of miombo woodlands from the 1960s to mid-2018 through a review. We analyzed data to answer: (1) What is the range of aboveground and belowground carbon stocks found in miombo woodlands over the last six decades? (2) Are there differences in carbon stocks based on land-management categories? (3) Does precipitation influence aboveground carbon stocks in old-growth miombo? (4) Do differences in cover type, age and region influence carbon stocks? (5) How does previous land-use affect carbon stocks in re-growth miombo? A literature review protocol was used to identify 56 publications from which quantitative data on aboveground and soil carbon pools were extracted. We found that the mean aboveground carbon stock in old-growth miombo was 30.83±16.76 Mg C ha-1 (range 1.48—107.24 Mg ha-1). Old-growth miombo had an average calculated root carbon stock of 16.49±9.18 Mg C ha-1 (range 0.8—57.81 Mg ha-1). Soil carbon stocks in old-growth miombo varied widely, between 8.75 and 134.6 Mg C ha-1 while in re-growth miombo they varied between 10.73 and 52.2 Mg C ha-1. It must be noted these soil data are given only for information; they inconsistently refer to varying soil depths and are thus difficult to interpret. The wide range reported suggests a need for further studies, much more systematic in methods and reporting. Other limitations of the dataset include the lack of systematic sampling and lack of data in some countries, viz. Angola and Democratic Republic of the Congo.

In this work, a semi-empirical relationship of carbon dioxide emissions with atmospheric CO₂ concentrations has been developed that is capable of closely replicating observations from 1751 to 2018. The correlation consists of a superposition of a linear component that may be attributed to the net emission flux from land use changes coupled with a rapidly varying component of the terrestrial sink combined with a fossil-fuel combustion/cement production emissions-based calculation with a single, fixed, scaling parameter determined by the ocean sink coupled with the remaining slowly varying component of the land sink (the fossil-fuel combustion airborne fraction).

The establishment of low carbon assessment initiatives is a crucial task especially at the city level. The determination of which source of carbon contributed more require robust data set and strategic approach. Hence, by using the campus as a small city approach, the establishment of carbon assessment and its’ reduction initiatives was required to keep track of the hotspot of the carbon source. The substantial amount of carbon source from campus operations such as energy consumption in the building, waste generation, and water consumption were identified. Moreover, as institutions of higher education, the execution of low carbon campus was initiated structurally involves the triangulation of research activities, teaching & learning and as well as campus operations or known as campus living lab approach. The application of low carbon cities framework, LCCF and assessment system enables to strategize the low carbon campus initiatives through the use of carbon footprint concept and the LCCF carbon track.

Carbon concrete PAN/lignin-based CF composites are a new promising material class for the building industry. The replacement of the traditional heavy and corroding steel reinforcement by carbon fiber (CF) based reinforcements offers many significant advantages: a higher protection of environmental resources because of lower CO2 consumption during cement production, a longer lifecycle and thus muss less damage in structural components and a higher degree of design freedom because lightweight solutions can be realized. However, due to cost pressure in civil engineering, completely new process chains are required to manufacture CF based reinforcement structures for concrete. The article describes the necessary process steps in order to develop CF reinforcement: (1) the production of cost-effective CF using novel carbon fiber lines, (2) the fabrication of CF rebars with different geometry profiles. It was found that PAN/lignin-based CF is currently the most promising material in order to meet the future market demands. However, significant research needs to be undertaken in order to improve the properties of lignin-based and PAN/lignin-based CF, respectively. The CF can be manufactured to CF-based rebars using different manufacturing technologies which have been developed on prototype level in this study.

We investigated and quantified soil organic carbon (SOC) stock at the mangrove forest (Magyi, That Bot Khan and Wette) of Shwe Thaung Yan coastal region in Myanmar and estimated the SOC stock changes in Magyi mangrove forest over six years using repeated field measurements. The study sites were characterized by different mangrove vegetation, soil types, and sediment deposition from different water sources. Results showed that the mangrove preservation and restoration efforts had a significant effect on soil C storage, with soil carbon stocks in 2021 (1954.43 ± 33.24 ton/ha) being 2.7 times higher than the estimated carbon stock in 2015 (732.26 ± 6.99 ton/ha). The results also revealed slight differences in SOC between Magyi and the Tha-Bot-Khan and Wette areas, as the mangrove plants in the latter areas have an additional source of nutrients from Pho-Thoung-Gyi, a deep-sea bay near the forest. Our research findings are beneficial in understanding the role of Myanmar’s mangrove ecosystems in carbon sequestration and climate change mitigation efforts.

Carbon and nitrogen contents and their isotopic components and AMS radiocarbon dating ages were measured for 57 coastal sediments from Weizhou Island to analyze the distribution of total inorganic carbon (TIC) and its carbon and oxygen isotopic components (δ13Ccarb and δ18Ocarb), total organic carbon (TOC) and total nitrogen (TN) contents and their stable isotopic components (δ13CTOC and δ15NTN) and environmental significance. The results showed that the oldest age of coastal sediments on Weizhou Island was 2750 cal. a BP, and the average TIC contents of A1, A2, B1, C1, and D1 in the intertidal zone were all greater than 5%, where δ13Ccarb and δ18Ocarb were enriched, while the TIC contents in A3, C2, and D2 of the supra-tidal zone were low, where δ13Ccarb and δ18Ocarb were depleted. Moreover, TIC decreased sharply from the estuary to upstream region in the C1-C2 section. The average C/N ratio was 7.02, and δ13CTOC and δ15NTN were between -14.96‰~-27.26‰ and -14.38‰~4.12‰, respectively. These measurements indicated that the TIC in coastal sediments mainly came from seawater. A1, A2, and B1 in the northern intertidal zone exhibited organic terrestrial signals because of C3 and C4 plant inputs, which proved that the important source of the northern coast of Weizhou Island came from the island. The lacustrine facies deposits were mainly distributed in the upper reaches of the river, the northern coastline was rapidly advancing toward the sea, and part of the southwestern coastal sediments rapidly accumulated to the shore under the influence of a storm surge. The relative sea level of the Weizhou Island area has continuously declined at a rate of approximately 2.07 mm/a, using beach rock as a marker, since the Holocene.

Background/Objectives: The aim of this study was to investigate feasibility and safety of neuromuscular electrical stimulation (NMES) in patients on extracorporeal membrane oxygenation (ECMO) and assess thoroughly any potential adverse events. Methods: We conducted a safety and feasibility study including 16 ICU patients on ECMO support who were admitted to the cardiac surgery ICU from January 2022 to December 2023. Patients underwent a 45-minute NMES session, still on ECMO support, that included a warm up phase of 5 minutes, a main phase of 35 minutes and a recovery phase of 5 minutes. NMES was implemented on vastus lateralis, vastus medialis, gastrocnemius and peroneus longus muscle of both lower extremities. Two stimulators delivered biphasic, symmetric impulses of 75 Hz, with 400 μsec pulse duration, 5 sec on (1,6 sec ramp up and 0,8 sec ramp down) and 21 sec off. The intensity levels aimed to cause visible contractions and be well tolerated. Primary outcomes of the study were feasibility and safety, evaluated by whether the NMES sessions were successfully achieved, and by any adverse events and complications. Secondary outcomes included indices of rhabdomyolysis from biochemical blood test, 24 hours after the application of NMES. Results: All patients successfully completed their 45-minute NMES session, without presenting hemodynamic deterioration, adverse events or signs of rhabdomyolysis. The majority of patients achieved type 4 and 5 quality of muscle contraction. Conclusions: NMES is a safe and feasible exercise methodology in patients supported with ECMO.

.Bacground: Sepsis remains a major health challenge worldwide, characterized by a dysre-gulated host response to infection, leading to high mortality and morbidity in intensive care units (ICUs). The Fibrosis 4 (FIB-4) index, originally developed to assess liver fibrosis in hepatitis C patients, has recently been explored for its potential prognostic value in sepsis patients. Method: This study retrospectively analyzed 309 sepsis patients admitted to the Internal Me-dicine and Anaesthesia ICUs between December 12, 2021, and December 15, 2023, to inves-tigate the relationship between FIB-4 levels, Acute Physiology and Chronic Health Evaluation (APACHE), and Sequential Organ Failure Assessment (SOFA) and clinical outcomes. Results: The study found that higher FIB-4 measurements were statistically significantly asso-ciated with increased 28-day mortality, with a cut-off value of 4.9 providing a sensitivity of 54.92% and specificity of 74.25%. Logistic regression analysis indicated that elevated Conclusion:FIB-4 levels were a significant predictor of early mortality, suggesting that the FIB-4 index could serve as a valuable prognostic tool in assessing the severity and prognosis of sepsis patients.

Background Acute kidney injury (AKI) is a common comorbidity in the intensive care unit (ICU), with higher mortality rate among those who receive continuous renal replacement therapy (CRRT). This study aimed to investigate the association of white blood cell (WBC) levels with all-cause mortality in AKI patients undergoing CRRT. Method We conducted a post hoc analysis of ICU patient data from multiple centers in Korea. First, the levels of WBCs were classified into four groups based on quartiles. Second, the relationship between different WBC levels and mortality was investigated with the Kaplan-Meier (K-M) survival curves, Cox proportional hazards model, and generalized additivity model (GAM). Finally, we used multiple imputation to avoid bias caused by non-randomized missing data. The endpoints were short-term (28 days) and long-term (90 days) mortality. Result In our analysis, a total of 1,100 ICU patients were included. Among them, 670 (60.90%) and 781 (71.00%) died within 28 and 90 days, respectively. K-M survival curves showed that patients with the lowest WBC levels had the highest risk of mortality for both outcomes. Adjusted multivariate Cox regression analysis confirmed that compared with the reference level (quartile 2), low WBC levels increased the risk of both 28-day mortality (quartile 1, HR = 1.43, 95% CI: 1.13–1.83, P = 0.004) and 90-day mortality (quartile 1: HR = 1.32; 95% CI: 1.05-1.66, P = 0.016). GAM analysis showed a non-linear, U-shaped relationship between pre-CRRT WBC levels and all-cause mortality (non-linear P < 0.05). Conclusion The baseline WBC level is an independent predictor of prognosis for ICU patients receiving CRRT. Patients in the lowest WBC quartile had the highest risk of all-cause mortality. These results provide further evidence that early observation and intervention may have a prognostic value for these high-risk patients.

The Coronavirus Disease 2019 (COVID-19) pandemic has had a major impact on the mental and physical health of hospitalized patients. In our study we focused on the onset of symptoms correlated with Post-traumatic stress disorder (PTSD), depression and physical disabilities in patients admitted to the Intensive Care Unit (ICU) because of a severe respiratory distress related to COVID-19 (COVID Group) compared with patients admitted to the same ICU for trauma and other medical conditions than COVID-19 (No-COVID Group). The physical symptoms and the level of disability were evaluated with the Glasgow Outcome Scale-Extended (GOS-E), the Quality of Life after Brain Injury (QOLIBRI) and the 3 levels version of EQ-5D (EQ-5D-3L) questionnaire; psychiatric symptoms were investigated using the Impact of Event Scale-Revised 22-item (IES-R), the Patient Health Questionnaire, 9-Item Version (PHQ-9) and the Generalized Anxiety Disorder Assessment, 7-items version (GAD-7). These questionnaires were administered 6 months after discharge. Patients in the No-COVID Group showed statistically significant more severe scores in all the physical assessments while similar relevant PTSD and depressive symptoms were reported in both groups. The results of the present study underline the psychopathological impact of being hospitalized in ICU because of COVID-19 even after 6 months from discharge ,suggesting the importance of assessing the psychiatric effects of COVID-19 in the long term in order to create supportive measures.

Patients living with cancer often experience serious adverse events due to their condition or its treatments. Those events may lead to a critical care unit admission or even result in death. One of the most important but challenging part of care is to build a caring plan according to the patient’s wishes, meeting his goals and values. Advance directives (ADs) allow everyone to give their preferences in advance regarding life sustaining treatments, continuation, and withdrawal or withholding of treatments in case one is not able to speak his mind anymore. While the absence of ADs is associated with a greater probability of receiving unwanted intensive care around the end of his life, their existence correlates with the respect of the patient’s desires and his greater satisfaction. Although progress has been made to promote ADs’ completion, they are still scarcely used among cancer patients in many countries. Several limitations to their acceptation and use can be detected. Efforts should be made to provide tailored solutions for the identified hindrances. This narrative review aims to depict the situation of ADs in the oncology context, and to highlight the future areas of improvement.

Background. Pregnancy rates in women on dialysis have increased in the last decades, thus making it a topic of growing interest. The rarity of this event is predominantly due to fertility problems and to the high rates of pregnancy failure including stillbirth, fetal and neonatal deaths [1]. Methods. We conducted a narrative review of existent literature in order to analyse the major issues about pregnancy on dialysis to give the reader a full updated prospective about this topic which, even if not common, is becoming more and more frequent. Results. Even if recently acquired knowledge has improved diagnosis and treatment of dialysis pregnancies focusing on several aspects, pregnancy on dialysis remains a great challenge for obstetricians and should be managed by a multidisciplinary expertise team. Conclusion. Dialysis in pregnancy may be necessary for women previously affected by end stage renal disease (ESRD) becoming pregnant, or in case of acute renal injury presenting for the first time during gestation or, again in case of existent renal pathology worsening during pregnancy and requiring dialysis. Although some evidence suggests that more intensive dialysis regimens are correlated with better obstetric outcomes, the optimal therapeutic protocol still remains to be established.

Titin is a giant protein that functions as a molecular spring in sarcomeres. Titin interplays the contraction of actin-containing thin filaments and myosin-containing thick filaments. The breakdown product of titin has been measurable in urine as urinary titin N-fragments. Urinary titin N-fragment was originally reported to be a useful biomarker in the diagnosis of muscle dystrophy. Recently, the urinary titin N-fragment has been increasingly gaining attention as a novel biomarker of muscle atrophy and intensive care unit-acquired weakness in critically ill patients, in whom titin loss is a possible pathophysiology. Furthermore, several studies reported that the urinary titin N-fragment also reflected muscle atrophy and weakness in patients with chronic illnesses. It may be used to predict the risk of post-intensive care syndrome or to monitor patients’ condition after hospital discharge for better nutritional and rehabilitation management. We provide several tips on the use of this promising biomarker in post-intensive care syndrome.

From the perspective of manufacturing companies, the political, media and economic discourse on decarbonisation of the recent years manifests itself as an increasing social expectation of action. In Germany in particular, this discourse is also being driven forward by powerful companies, respectively sectors, most notably the automotive industry. Against this background, it was examined how German manufacturing companies react to rising societal pressure and emerging policies. It is examined which measures the companies have taken or plan to take to reduce their footprint, which aspirations are associated with this and by which structural characteristics (company size, energy intensity, sector) these are influenced. A mix methods approach was applied, utilising data gathered from approx. 900 companies in context of the Energy Efficiency Index of German Industry (EEI), along with media research focusing on decarbonisation plans and initiatives announced. We demonstrate that one-size-serves-all approaches are not suitable to decarbonise industry as the situation and ambitions differ considerably depending on size, energy intensity and sector. Even though the level of ambition and urgency is high, particularly micro and energy intensive companies are challenged. The research uncovers a series of questions that call for attention to materialise the ambitions and address the challenges outlined.

In order to study the key factors that induce green travel among urban residents under the carbon inclusive mechanism, analyze the formation mechanism of green travel intention and reduce urban transportation carbon emissions. First, an SEM model of urban residents’ green travel under the carbon inclusive mechanism was constructed (the 8 latent variables including Subjective Norms (SN), Attitude (ATT), Perceived Behavioral Control (PBC), Habits (HAB), Perceived Usefulness (PU), Perceived Ease of Use (PEU), Continuous Intention of Carbon Inclusive Platform application (CI), Behavioral Intention (BI)). Then, based on the data analysis and path analysis results of 354 valid sample data obtained through online surveys, the interrelationships and corresponding parameters between latent variables and manifest variables were obtained. The results show that SN, ATT, PBC, HAB, PU, PEU and CI all have varying degrees of effects on BI. Among them, in the direct influence relationship, the influence path coefficients of CI, PBC and ATT on BI are 0.529, 0.299 and 0.146 respectively; The influence coefficient of HAB on BI is 0.152, but P&gt;0.05, it fails the test, so the influence of HAB on BI is Not significant; in the indirect impact relationship, the coefficient of HAB indirectly affecting BI through ATT is 0.102, and the coefficient of PU indirectly affecting BI through CI and SN is 0.450. It can be seen that under the carbon inclusive mechanism, useful methods such as increasing the value of carbon points and the breadth of application, improving perceived behavioral control, increasing publicity and social awareness, and cultivating green travel attitudes can promote the willingness of urban residents’ green travel behavioral intention.

The study addresses the urgent environmental issue of climate change, focusing specifically on the role of local food, which is produced and consumed locally, helps reduce carbon emissions by eliminating the need for long-distance transportation. Through quantitative analysis, this study elucidates the potential benefits in environmental impact achieved through the consumption of local food: the significant reduction in carbon emissions. Specifically, the consumption of local food is found to yield an annual decrease of 2,421,296 tCO2 emissions, representing 2.5% of South Korea’s total greenhouse gas emissions from the transportation sector. This reduction further translates into an estimated economic value of USD 54.23 million (KRW 70.5 billion). This study underscores the potential of local food consumption as a tangible strategy to overcome environmental problems. Moreover, its academic contribution lies in its comprehensive analysis of the economic and empirical impacts of local food consumption on environment. Moving forward, we propose policies such as supporting local food distribution networks, providing public education on local food, fostering the local food industry, and providing incentives to revitalize local food consumption.

Climate change has become a global nightmare, and the awareness of the causes of carbon emissions have resulted in rigorous studies. These studies linked the increase in global warming with booming economic growth. Since global warming has become more apparent, researchers have explored ways to decouple economic activities from carbon growth. Economic and carbon growth must be decoupled to achieve a low-carbon economy to support the carbon growth plan or emission reduction strategy. The world is transitioning towards a carbon-neutral and green ecosystem, so finding ways to decouple carbon emissions from economic activities is an exciting topic to explore. The study reviews current information on the importance of decoupling energy from economic growth innovative techniques that thoroughly examine the challenges and constraints of low-carbon energy systems. This review revealed that decarbonization and dematerialization had been achieved without declining global economic growth. It also provides information on energy use and economic activities leading to global carbon emissions and alternative solutions to the global challenge of climate change. The decoupling methods commonly used to determine the impact of energy decarbonization on economic growth are explored. All suggested that economic growth is a primary mover of global carbon emission increase and must be separated to achieve a carbon environment.

Abstract: Efforts for carbon emission reduction have been identified as a major climate change mitigation target in the Paris Agreement. The 26th Conference of Parties to the United Nations Framework Convention on Climate Change highlighted the worldwide effort for cleaner and greener mining, urging the mineral industry to embrace greener operational emissions reduction technologies and strategies. Ghana pledged at the Paris Conference to reduce CO2 emissions by 15% and increase renewable energy share to 10% of the national energy mix. Here the fundamental question is how Ghana’s mining industry can contribute to CO2 emission reduction efforts. This paper investigates barriers to low-carbon emission policy implementation among mining companies in Ghana. The questionnaire survey was conducted among Ghana’s four large-scale gold mining companies. As the sample number of available companies is limited, we used a descriptive analysis to assess the responses. The results show that the companies expressed widely different ways to respond to the issues of cost, a government policy/regulations for carbon emission reduction, and the adoption/acquisition of low-carbon technologies. Those companies that are relatively less prepared for this endeavor emphasized the uncertainties of securing sufficient energy in case of using low-carbon technologies. They also expressed a need for more trained workers to handle low-carbon technologies. All companies agreed with a expected high cost of adopting low-carbon options. There was a communication gap with the relevant government ministry about low-carbon mining options where the government should be able to facilitate the involvement of othe low technology providers, such as solar PV installation.

Abstract: Agroforestry has a sustainable attributes with both tangible and nontangible benefits. In this study carbon mitigation and credits potential of traditional agroforestry systems at different elevations were evaluated. These traditional systems are: Agrihortisilviculture system (AHS), Agrihorticulture system (AH) and Agrisilviculture system (AS). Stand density, living biomass carbon and soil carbon were measured in each sample plot. The results were that stand density of woody perennials varied from 61 to 233 tree ha-1 across t elevations and systems, and , Grewia oppositifoila was the predominant tree species occupying most of the agroforestry land use system. Plant and soil organic carbon were significantly different (P ≤ 0.05) among systems and elevations. Total carbon including plant and soil was significantly higher in the AH system at upper elevations. Total carbon emmision mitigation varied with changing elevations and systems, being highest at lower elevation with AHS system. The total carbon credits was also recorded high at lower elevation, whereas the total value of C credits was higher at mid elevation due to the estimated agroforestry area. The total value of C credits from all agroforestry systems was observed (128977.59 €) of the study area.

Mangroves play an important role as a carbon sink and in mitigation of climate change. This study aimed to assess the anthropogenic activities, water and soil quality, mangrove diversity, and carbon sequestration potential of mangrove trees in the Kaingen River, Kawit, Cavite. The sampling period was conducted from November 2022 to March 2023 with the established three sampling sites. The DENR Administrative Order (DAO)- 2016-08 was used as a standard for water quality parameters, except for phosphates which used DAO-2021-19. The soil parameters were identified using the soil test kit from the Bureau of Soil and Water Management (BSWM) and at the BSWM laboratory. Mangrove species were identified using The Field Guide for Philippine Mangroves and were verified by experts. The carbon sequestration potential was obtained using an allometric equation for Southeast Asian mangroves. There are three mangrove species found in Kaingen Riverine such as Rhizophora mucronata, Avicennia alba, and Xylocarpus granatum. Based on species importance value Rhizophora mucronata is the dominant mangrove species. The result for carbon sequestration of each mangrove species showed that Rhizophora mucronata yielded the highest carbon stored (35.16 tC/ha) and carbon sequestered (128.92 tCO₂/ha). Among all the sampling sites, site 3 yielded the highest carbon stored (30.76 tC/ha) and carbon sequestered (112.81 tCO₂/ha) in Kaingen River. Overall, the results of the study showed that Kaingen River can potentially store carbon at 71.89 tC/ha and CO2 sequestered at 263.62 tCO₂/ha. This urges to practice conservation and protection measures for the mangroves forest of Kaingen River.

Tackling global warming and the consequent climate change in our planet is of urgent importance to our society. Renewable biomass derived carbons have been studied as promising adsorbents, but marine biomass derived carbons have not been explored extensively. S and N double-doped porous carbons were obtained from a marine biomass related precursor. Adding carbon nanoparticles (CNP) graphene oxide (GO), or carbon nanotubes (CNTs), in an early stage of the synthesis leads to a modified porous texture and surface chemistry. The carbons retained 2-4.5 at% nitrogen and 1.1 at% sulfur. The best GO and CNT added carbons had an apparent surface area 1780 m2/g and 1170 m2/g, respectively, compared to 1070 m2/g of the CNP-free matrix. The Dubinin-Radushkevich (DR) and Henry models were used to assess the strength of the interactions between various gases and the surface. The N2/H2 and CO2/CH4 selectivities were estimated with ideal adsorbed solution theory (IAST). While the CNPs, particularly GO, had a remarkable effect both on the porous texture and the surface chemistry, their influence on selectivity is more modest.

Several methods of processing wood into strong, durable products for the construction industry provide transformative opportunities to substitute for less sustainable building materials. Carbon storage is a further advantage, with the added possibility of combustion for bioenergy at end of life. Intense research activity in this area is expected to open up new markets for wood fiber during the lifetime of trees now being planted. Here, wood-derived materials are classified according to the particle size, from metres to nanometres, into which the wood is fragmented before reconstitution. Materials made by densifying or chemically modifying solid wood with no fragmentation are already in production for exterior doors, window frames and cladding, with improved uniformity and stability compared with unmodified wood. Pre-commercial developments promise further gains in durability and strength. Emerging developments extend these process technologies to wood that has been chipped or stranded or pulped, retaining the above advantages over raw timber for weather-facing applications and adding processability by moulding or extrusion. Crucially, the raw material does not then need to be sawn timber but can be bioenergy-grade wood biomass. This will facilitate afforestation strategies that combine the aims of carbon sequestration and biodiversity.

The effect of capitalization premium in forest estate markets on forest management and climate change mitigation economics is investigated. It is shown that proportional goodwill in capitalization induces linear scaling of the financial return, without any contribution to sound management practices. However, there is a financial discontinuity as harvesting deteriorates goodwill. On the contrary, capitalization premium set on bare land as a tangible asset would increase timber storage and carbon sequestration. Observations indicate that the proportional goodwill is closer to reality within the Nordic Region, resulting in continuity problems but a reduced capital expense for carbon storage.

One of society’s greatest challenges is sequestering vast amounts of carbon to avoid dangerous climate change without driving competition for land and resources. Here we assess the potential of an integrated approach based on enhancement of natural biogeochemical cycles in agro-ecosystems that stimulate carbon capture and storage while increasing resilience and long-term productivity. The method integrates plant photosynthesis in the form of (cover) crops and agroforestry which drives carbon capture. Belowground plant-carbon is efficiently stored as stable soil organic carbon (SOC). Aboveground crop and tree residues are pyrolyzed into biochar, which is applied to the soil reducing carbon release through decomposition. Enhanced weathering of basalt powder worked into the soil further captures and stores carbon, while releasing nutrients and alkalinity. The integrated system is regenerative, through enhanced virtuous cycles that lead to improved plant capture, biomass storage and crop yield, the prerequisites for large-scale carbon sequestration along with food security.

Today is the era of nanoscience and nanotechnology, which finds applications in the field of medicine, electronics, or environmental cleanup. Even though the nanotechnology is in its emerging phase, but still it provides solutions to numerous challenges. Nanotechnology and nanoparticles are found very effective because of their unique chemical and physical properties, high surface area, but their high cost is one of the major hurdles in its wider application. So, the synthesis of nanomaterials especially 2D nanomaterials from the industrial, agricultural and other biological activities could provide a cost-effective technique. The nanomaterials synthesized from such waste not only minimizes the pollution but also provides an eco-friendly approach towards the utilization of the waste. In the present review work, the emphasis has been given on the types of nanomaterials, different methods for the synthesis of 2D nanomaterials from the waste generated from industries, agriculture and their application in electronics, medicine and catalysis.

Carbon dioxide (CO2), a major greenhouse gas, capture and separation has recently become a crucial technological solution to reduce atmospheric emissions from fossil fuel burning. Thereafter, many efforts have been put forwarded to reduce the burden on climate change by capturing and separating them especially from larger power plants by the utilization of different technologies. Those technologies have often suffered from high operating cost and huge energy consumption. On right side, physical process such as adsorption is very cost effective process which have been widely used to adsorb different contaminants including CO2. Henceforth, this review covers the overall efficacies of CO2 capture by the utilization of carbon based materials through adsorption technology. Subsequently, we also address the associated challenges and future opportunities of carbon based materials (CBMs). For CO2 capture, it was found that CBMs followed the order of carbon nanomaterials (i.e., graphene, graphene oxides, carbon nanotubes and their composites) < mesoporous -microporous or hierarchical porous carbons < biochar and activated biochar < activated carbons.

China’s transportation industry has made rapid progress, which has led to a mass of carbon emissions. However, it is still unclear how the carbon emission from transport sector is punctuated by shifts in underlying drivers. This paper aims to examine the process of China’s carbon emissions from transport sector as well as its major driving forces during the period of 2000 to 2015 at the provincial level. We firstly estimate the carbon emissions from transport sector at the provincial level based on the fuel and electricity consumption using a top-down method. We find that the carbon emission per capita is steadily increasing across the nation, especially in the provinces of Chongqing and Inner Mongolia. However, the carbon emission intensity is decreasing in most provinces of China, except in Yunnan, Qinghai, Chongqing, Zhejiang, Heilongjiang, Jilin, Inner Mongolia, Henan and Anhui. We then quantify the effect of socio-economic factors and their regional variations on the carbon emissions using panel data model. The results show that the development of secondary industry is the most significant variable in both the entire nation level and the regional level, while the effects of the other variables vary across regions. Among these factors, population density is the main motivator of the increasing carbon emissions per capita from transport sector for both the whole nation and the western region, whereas the consumption level per capita of residents and the development of tertiary industry are the primary drivers of per capita carbon emissions for the eastern and central region.

Many studies discuss carbon-based materials because of the versatility of its element. They include different opinions for scientific problems and discuss fairly at convincing and compelling levels within the scope and application. A gas-state carbon atom converts into various states depending on its conditions of processing. The electron transfer mechanism in the gas-state carbon atom is responsible to convert it into various states, namely, graphite, nanotube, fullerene, diamond, lonsdaleite and graphene. The shape of ‘energy trajectory’ enables transferring electrons from the left- and right-sides of an atom is like a parabola. That ‘energy trajectory’ is linked to states (filled state and suitable nearby unfilled state) where force-exertion along the poles of transferring electrons is remained balance. So, the mechanism of originating different states of a gas-state carbon atom is under the involvement of energy first. This is not the case for atoms executing confined inter-state electron-dynamics as the force is involved first. Graphite-, nanotube- and fullerene-state atoms ‘partially evolve partially develop’ (form) their structures. These possess one-dimensional, two-dimensional and four-dimensional ordering of atoms, respectively. Their structural formation also comprises ‘energy curve’ having a shape-like parabola. Transferring suitable filled state electron to suitable nearby unfilled state is under a balance force exerting along the poles. The graphite structure under only attained-dynamics of atoms can also be formed but in two-dimension. Here, binding energy between graphite-state carbon atoms is for a small difference of exerting forces along their opposite poles. Structural formation in diamond, lonsdaleite and graphene atoms involve energy to gain required infinitesimal displacements of electrons through which they maintain orientationally-controlled exerting forces along dedicated poles. In this study, the growth of diamond is found to be south to east-west (ground) where atoms bound ground to south. Thus, diamond atoms merge for a tetra-electron ground to south topological structure. Lonsdaleite atoms merge for a bi-electron ground to just-south topological structure. The growth of graphene is found to be north to ground where atoms bound ground to north. Thus, graphene atoms merge for a tetra-electron ground to north topological structure. Glassy carbon exhibits layered-topological structure where, tri-layers of gas-, graphite- and lonsdaleite-state atoms successively bind in repetitive order. Nanoscale hardness is also sketched based on different force-energy behaviors of different state carbon atoms. Here, structure evolution in each carbon state atom explores its own science.

Reducing carbon emissions is a major ways to achieving green development and sustainability for China’s future. This paper elaborates the detailed feature of China's carbon flow for 2013 with the carbon flow chart and gives changing characteristics of China's CO₂ flow from the viewpoint of sector and energy during 2000 and 2013. The results show that (1) during 2000 to 2013, China's CO₂ emissions with the approximately growth portion of 9% annually, while the CO₂ intensity of China diminishes at different rates. (2) The CO₂ emissions from secondary industry are prominent from the perspective of four main sectors accounting for 83.5%. The manufacturing play an important part in the secondary industry with 45%. In which the "smelting and pressing of metal" takes up a large percentage as about 50% in manufacturing. (3) The CO₂ emissions produced by coal consumption is keep dominant in energy-related emissions with a contribution of 65%, while it will decrease in the future. (4) From the aspect of sector, the CO₂ emissions mainly come from the "electricity and heating" sector and the "smelting and pressing of metals" sub-sector. While it is essential and urgent to propose concrete recommendations for CO₂ emissions mitigation. Firstly, the progression of creative technology is inevitable and undeniable. Secondly, the government should make different CO₂ emissions reduction policies among different sectors. For example, the process emission plays an important role in "non-metallic mineral" while in "smelting and manufacturing of metals" it is energy. Thirdly, the country can change the energy structure and promote renewable energy for powering by wind or other low-carbon energy. Besides it, the coke oven gas can be a feasible substitution. Finally, policy maker should be aware of the emissions from residents have been growing in a fast rate. It is effective to involve the public in the activity of energy conservation and carbon emissions reduction such as reducing the times of personal transportation.

Chest trauma is one of the most serious and difficult injuries, with various complications that can lead to ventilation - perfusion (V/Q) mismatch and systemic hypoxia. We are presenting a case of 53 – year - old male with no comorbidities or chronic therapy, who was admitted to the Intensive Care Unit due to severe respiratory failure after chest trauma. He developed right - sided pneumothorax and then thoracic drain was placed. On admission, the patient was hemodynamically unstable and tachypneic. The patient was intubated and mechanically ventilated, febrile (38.9°C) and unconscious. A lung CT showed massive non-ventilated areas predominantly in the right lung. He was ventilated with PEEP of 10 cmH2O with a FiO2 of 0.6 – 0.8. Empirical broad-spectrum antimicrobial therapy was immediately initiated. Both high FiO2 and moderate PEEP were maintained and adjusted according to the current blood gas values and oxygen saturation. After Stenotrophomonas maltophilia was identified and treated with sulfamethoxazole/trimethoprim his general condition gradually improved, and he was weaned from mechanical ventilation. In conclusion, both ventilatory and antibiotic therapy were needed to improve oxygenation and outcome of the patient with pneumonia due to the resistant S. maltophilia with V/Q mismatch.

(1) Background: This case report focuses on a 46-year-old female patient diagnosed with a rare and aggressive form of breast cancer known as rapidly growing, ulcerated breast cancer. The patient exhibited rapid progression of the disease, experiencing discomfort and noticeable changes in the size and texture of the affected breast over a short period of time; (2) Methods: An intensive neoadjuvant chemotherapy regimen was employed as the primary treatment approach. The patient's response to this treatment was closely monitored and assessed. Various diagnostic tests and imaging techniques were utilized to evaluate the extent of the disease and track its response to the chemotherapy; (3) Results: The patient's response to the neoadjuvant chemotherapy regimen was remarkable, resulting in a complete pathologic response. This outcome, although unusual in rapidly growing, ulcerated breast cancers, highlights the effectiveness of neoadjuvant chemotherapy in managing large, locally advanced breast cancers; (4) Conclusions: The multidisciplinary approach employed in managing this complex breast cancer case proved to be crucial to the patient's favorable outcome. Despite the aggressive nature of the disease and the challenges posed by the rapid growth and ulceration, the patient achieved a positive result. This case contributes to the limited clinical literature on such unusual and aggressive breast cancer cases, providing valuable insights for future clinical practice.8

Background. There are scant data about the effectiveness of high flow nasal cannula (HFNC) oxygen therapy in patients hospitalized with severe acute respiratory failure (ARF) in non-intensive medical wards, particularly regarding the effect on arterial oxygenation compared to conventional oxygen therapy (COT) and non-invasive ventilation (NIV) or continuous positive airway pressure (CPAP). Methods. In a retrospective observational study, oxygenation parameters were measured before and immediately after HFNC initiation in 37 consecutive patients hospitalized in a geriatric ward in 2017. Results. HFNC was used as escalation therapy for untreatable hypoxia after failure of NIV/CPAP (n=18) or COT (n=19). Twenty-two patients died, 2 were transferred to the intensive care unit, while 13 were discharged alive. A “do not intubate” status was identified in 17 of the 22 deceased patients. Partial pressure of oxygen (pO2, p< 0.0001), oxygen saturation (SO2, p< 0.0001), pO2/fraction of inspired oxygen ratio (p=0.004) and peripheral SO2 measured by pulse oximetry (p< 0.0001) significantly increased soon after HFNC application. Oxygenation improvements were greater after escalation from NIV/CPAP and in patients discharged alive. Conclusion. HFNC significantly improved oxygenation in severe ARF after failure of COT or NIV/CPAP and may be particularly suitable for older patients hospitalized in non-intensive medical wards.

2023 was the hottest year ever recorded, global warming accelerates its rising, we witness a series of extreme weather events, more frequent and more intense, climate refugees, infrastructure harmed, forests burning, “meteorological tsunamis”. We failed to meet the main goals of the Kyoto protocol; we are very close to fail in meeting the Paris agreement’s slowing global warming goal. Greenhouse gases emissions are at rise and, even if completely halt, temperatures would keep rising, enhancing the global average. Carbon capture and storage technologies are being developed to counterbalance these emissions by removing such gases from the atmosphere and physically storing or transforming them into useful molecules for the society. In this work we prospect microorganisms that can serve as a platform for developing carbon capture technologies. We process samples from the seabed of Brainsfield Strait region, Antarctica, prospecting for an organism capable of fixing carbon dioxide without light (chemoautotrophic bacterias) and capable of enduring extreme conditions of pressure (100 bar) under 100% supercritical state carbon dioxide atmosphere (scCO2), conditions like those found in oil deposits, where the technology can be of particular use.

Carbon offsetting is currently a major tool in managing carbon emissions and the drive to Net-Zero. This study aims to identify the offsetting potential of existing conservation schemes, and whether carbon offsetting credits could potentially finance the continued management of the conservation activities. The results from Dorset, in the UK indicate that many existing conservation schemes in woodland, heathland and grasslands can not only enhance biodiversity but also capture significant amounts of carbon. We show that the cost per additional tonne of carbon sequestered as a result of conservation activities varies considerably between different conservation projects. On average, the cost of this offsetting is £80 per tonne CO2e sequestered and ranging between £120 and £0 depending on the project and whether existing biodiversity grants would be available. However, this figure was based on adapting and refining existing conservation projects, and did not involve expensive factors such as purchase of land, which make the prices potentially unrealistic. While the costs identified are higher than many offsetting schemes at present, it could present a useful option for those wishing to localise their offsetting, and could be combined with biodiversity credits or other credit schemes to make the higher costs more attractive.

Greenhouse gas (GHG) emissions from human activities have climbed significantly above pre-pandemic levels and reached record highs that unequivocally accelerate global warming. Industry has a significant impact on climate change, emitting at least 21 % of global GHGs and making little overall progress toward its reduction until now. Reducing industry’s emissions requires coordinated action along the value chains in order to promote mitigation options, such as energy and material efficiency, circular material flows, and transformative changes within production processes. The authors analyzed the GHG emissions generated during the manufacturing of three different products of automotive suppliers located in Austria. Despite previous efforts toward an environmentally compatible fabrication, additional and significant reduction potentials were identified. These measures for product carbon footprint (PCF) reduction included the sourcing of low-carbon materials (which are already available on the market), more extensive use of renewable energy, and changes towards more resource efficient manufacturing processes and machinery. Depending on the materials used, the PCF can be reduced by up to 80 %. The findings serve to prepare for future PCF reporting regulations and illustrate reduction potentials to achieve future market advantages, especially when PCFs become an awarding criterion.

Biomass burning is an important and changing component of the global and hemispheric carbon cycles. Boreal forest fires in Russia and Canada are significant sources of greenhouse gases carbon dioxide (CO2) and methane (CH4). The influence of carbon monoxide (CO) on the greenhouse effect is practically absent: its main absorption bands of 4.6 and 2.3 μm are far away from the climatically important spectral regions. Meanwhile, CO concentrations in fire plumes are closely related to CO2 and CH4 emissions from fires. On the other hand, satellite measurements of CO are much simpler than those for the aforementioned gases. The Atmospheric Infrared Sounder (AIRS) provides a satellite-based CO data set since October, 2002 up to now. This communication presents estimates of CO emissions from biomass burning north of 30° N using a simple two-box mass-balance model. These results correlate closely with independently estimated CO emissions from the GFED4 bottom-up data base. Both ones reported record high emissions in 2021 throughout two decades, double the annual emissions comparing to the previous years. There have been two years with extremely high emissions (2003 and 2021), but for the rest of data upward trend with a rate of 3.6 ± 2.2 Tg CO yr-2 (4.8 ± 2.7% yr-1), was found. A similar rate of CO emission follows from the GFED4 data.

Biomass burning is an important and changing component of the global and hemispheric carbon cycles. In particular, boreal forest fires in Russia and Canada are important sources of greenhouse gases carbon dioxide (CO2) and methane (CH4). The influence of carbon monoxide (CO) on the climate is insignificant: its main absorption bands of 4.6 and 2.3 μm are far away from the climatically important regions of the spectrum. Meanwhile, CO concentrations in fire plumes are closely related to CO2 and CH4 emissions from fires. On the other hand, satellite measurements of CO are much simpler than those for the aforementioned gases. The Atmospheric Infrared Sounder (AIRS) provides a long satellite-based CO data set. This article presents estimates of CO emissions from biomass burning north of 30° N using a simple two-box model. These results correlate closely with independently estimated CO emissions from the GFED4 bottom-up data base. Both ones reported record high emissions in 2021 throughout two decades, double the annual emissions comparing to the previous a few years. There have been several years with extreme emissions, but for the rest of data upward trend with a rate of 3.7 ± 2.3 Tg CO yr-2 (4.4 ± 2.8% per year), was found.

Two sets of initial conditions are used in the investigation of capital return rate and carbon storage in boreal forests. Firstly, a growth model is applied in young stands as early as the inventory-based model is applicable. Secondly, the growth model is applied to observed wooded stands. Four sets of thinning schedules are investigated in either case. First, the capital return rate is aspired without any restriction. Second, the number of thinnings is restricted to at most one. Third, thinnings are restricted to the removal of only trees thicker than 237 mm. Fourth, commercial thinnings are omitted. The two sets of initial conditions yield similar results. The capital return rate is a weak function of rotation age, which results in variability in the optimal number of thinnings. Reducing the number of thinnings to one increases timber stock but induces a capital return rate deficiency. The deficiency per excess volume unit is smaller if the severity of any thinning is restricted by the removal of large trees only. Omission of thinnings best applies to spruce-dominated stands with stem count less than 2000/ha. Restricted thinning intensity applies to deciduous stands and dense pine stands. The albedo effect increases the benefits of restricted thinnings and increased clearcuttings instead of contradicting the carbon storage.

Forest plantations have a large potential for carbon sequestration, playing an important role in the global carbon cycle. However, despite the huge amount of research carried out worldwide, the absolute contribution of industrial forest plantations is still incomplete for some parts of the world. To contribute to bridge this gap, we calculated the amount of C stock in three fast growing forest species in Chile. Relevant C pools (above-ground and below-ground biomass, forest floor, and soil) were considered for this analysis. Across the industrial plantation forests of Chile, carbon accumulated in the above-ground biomass was 181–212 Mg · ha−1 for Pinus radiata, 147–180 Mg · ha−1 for Eucalyptus nitens, and 95–117 Mg · ha−1 for Eucalyptus globulus (age 20–24 years for P.radiata and 10–14 years for Eucalyptus). Our results agree with other studies showing that 30%–50% of the total C stock is stored in the soil. Total C stocks were for 343 Mg · ha−1 for P.radiata, 352 Mg · ha−1 for E.nitens, and 254 Mg · ha−1 for E. gloubulus, also at the end of a typical rotation. The carbon pool in the forest floor was found to be significantly lower (less than 4% of the total) when compared to the other pools and showed large spatial variability. We conclude that industrial forest plantations are a valuable tool to reduce atmospheric CO2 and mitigate climate change. Given the contribution of soils to total carbon stocks, special attention should be paid to forest management activities that affect the soil organic carbon pool.

The impact of the agriculture net carbon effect is crucial for climate change mitigation, yet research on this topic in China is currently insufficient. In this study, the carbon balance ratio (CBR) is used to characterise the net carbon effect of agriculture, and the spatial Durbin model and threshold regression model were used to empirically analyse the CBR with a sample of 30 provincial-level regions in China from 2004 to 2019. The aim was to investigate the mechanism of the influence of the land management scale (SCALE) of farming on the CBR. The results of the study indicate that national farming generally has a net sink effect, with large changes in interannual fluctuations; the expansion of SCALE has an obvious role in increasing sinks and reducing emissions, and has a positive spatial spillover effect on CBR, with significant spatial heterogeneity. Furthermore, as the SCALE expands, the direction of the influence of rural residents’ income and education level on CBR changes in the opposite direction, showing a significant non-linear relationship characteristic. However, in most areas, the SCALE threshold has not yet been reached, suggesting that the improvement in education levels can still offset the negative impact of economic income growth in the short term. The study recommends paying attention to the role of farmers’ human capital, changing production methods, and implementing carbon peaking and carbon neutrality goals to enhance the net sink effect of the farming industry, which would be achieved by increasing land management scale.

Congenital heart disease (CHD) is a prevalent congenital disorder diagnosed with high frequency, affecting approximately 0.8% to 1.2% of all live births. Research has demonstrated that the use of pulse oximetry and clinical examination as a screening tool for CHD diagnosis has proven extremely valuable. We conducted a retrospective longitudinal study over a 3-year period that involved screening 1188 newborns admitted to the NICU during the first 72 hours of life within this timeframe. 201 newborns were diagnosed with CHD. Almost all (n=198) had a positive screening test during the 72-hour period, while 3 had a negative screening test, but were later diagnosed using echocardiography. The prevalence rate was 16.67%. A confusion matrix was constructed with 198 true positives (TP), 3 false negatives (FN), no false positives (FP), and 987 true negatives (TN). The sensitivity of the screening test was 98.51%, while the specificity 100%, with no false positives. In our study, a total of 9 deaths occurred. Using the Kaplan-Meier method, the survival probability appeared to be slightly above 0.9 (95.5%), indicating that almost all patients survived past 72 hours after being diagnosed with CHD. Pulse oximetry is an effective, low cost and easy-to-use method and a useful tool to assess and lead to the diagnosis of CHD.

In the decarbonization of the steel, cement, and chemical industry in Germany, green hydrogen is expected to play a crucial role. The utilization of green hydrogen in the production processes of said industries requires organizations to modify their business model, requiring sustainable business model innovation (SBMI). Numerous tools and frameworks that support organizations in the process of SBMI have been proposed in the literature in recent years. However, the applicability of these tools and frameworks for steel, cement, and chemical companies that intend to utilize green hydrogen to produce their goods remains unexplored. By conducting a systematic literature review on tools and frameworks for SBMI, a literature and practice review to identify and analyze existing green hydrogen projects of steel, cement, and chemical companies, and an evaluation of the identified tools and frameworks in an evaluation matrix, this paper aims to assess the suitability of SBMI tools and frameworks for steel, cement, and chemical companies that plan to use green hydrogen to produce their goods. Based on the evaluation, the Cambridge Business Model Innovation Process (CBMIP) was identified as the most suitable SBMI framework.

The intensive variables, geochemical, mineralogical and petrogenetic constraints of the Iberian rare metal granites, many of them unknown, are presented. It allows to distinguish two main granitic types with contrasting characteristics: Nb-Ta-rich granites and Nb-Ta-poor granites. The former have lower emplacement temperatures, higher water contents and probably lower emplacement pressures than Nb-Ta-poor granites. Nb-Ta-rich granites also have higher fluoride contents, strong fractionation into twin pairs such as Zr-Hf, Y-Ho and Nb-Ta, and an abundant, probably exsolved, fluid phase, which is not or not as evident in Nb-Ta-poor granites, probably in part because the Nb-Ta-rich granites reach their solidus later (about 550 ºC). The geochemical signature of the Iberian rare metal granites follows the trends of mainly two-mica granites and P-rich cordierite granites, but also of granodiorites and even type I granites, suggesting that the rare metal granites may have different parental magmas. Thermodynamic modeling shows that many of the geochemical characteristics of the RMGs can be explained by a process of extreme differentiation, while others cannot, e.g. Na evolution. In terms of ore deposition, white mica plays a very important role in explaining the variation of the Ta/Nb ratio, although the latter could also be controlled by late Nb-Ta oxides crystallization and even by acidic fluids that remove Nb relative to Ta from earlier Nb-Ta oxides.

To ensure high-quality care, operationalize resilience and fill the knowledge gap regarding how to improve the prerequisites for resilient performance, it is necessary to understand how adaptive capacity unfolds in practice. Coronavirus 2019 stress-tested complex healthcare systems, and intensive care was driven to an unprecedented escalation. The main aim of this research was to explain the escalation process of intensive care from a microlevel perspective, including expressions of resilient performance, intervening conditions at the micro-meso-macrolevels and short- and long-term consequences. A secondary aim was to provide clinical recommendations regarding how to optimize the prerequisites for resilient performance in intensive care. A grounded theory methodology was used. First-person stories from different healthcare professionals (n70) in two Swedish regions were analyzed using the constant comparative method. A novel conceptual model of the escalation process of intensive care emerged, and 41 clinical recommendations concerning the optimal prerequisites for resilient performance were identified. Escalation was conceptualized as a transition from threatening chaos to temporary order through a complex process of adaptation. To prepare for the future, the components space, stuff, staff, system and science with associated continuity plans must be implemented, anchored and communicated to actors at all levels of the system.

Background: Parents of preterm infants face major mental health challenges in the Neonatal Intensive Care Unit (NICU). Family-centered music therapy actively integrates and empowers parents in their infant’s care. With the aim to better understand and address parental needs separately from their babies’, a music therapy (MT) self-care group was implemented as part of clinical practice at the hospital Clínica de la Mujer in Bogotá, Colombia. Methods: The group is provided for both parents twice a week in the NICU. Music guided relaxations, breathing techniques, and self-expression are at the center of the MT group sessions. Parents complete a pre/post self-administered Numeric Rating Scale (NRS) including anxiety levels, stress levels, mood and motivation. Results: Parents highly value the MT self-care group at the NICU. On average there is a 37% improvement in anxiety levels, 28% in stress levels, and 12% in mood, restfulness and motivation. Being able to relax, to distract themselves from their worries and having time for themselves are amongst the most frequently mentioned benefits. Conclusions: Addressing parents’ needs separately form their babies’ treatment with culturally sensitive interventions aimed to improve parental mental health, is essential for continuing the development of family-centered music therapy interventions in the NICU.

The objective of the present paper is to get a better understanding of the electrochemical properties of organoclays, which were prepared via solid-state intercalation of three cationic surfactants, such as dodecyltrimethylammonium, tetradecyltrimethylammonium, and hexadecyltrimethylammonium, as bromide salts, at different loading levels into the interlayers of two natural smectite clays (AH and DI). The electrochemical properties of the prepared organoclays were investigated by cyclic voltammetry. The cyclic voltammetry response of the electrochemical probe, 〖Fe(CN)〗_6^(3-)/〖Fe(CN)〗_6^(4-), shows that the intensities of the anodic and cathodic peaks don’t increase when the working electrode is based on carbon paste modified with the raw clays (AH or DI), whereas the peaks intensities increase significantly when the working electrode consists of carbon paste modified with organoclays. This increase in the intensity of the current indicates an improvement in the surface conductivity of the carbon paste electrode when they are modified with organoclays. When the working Electrode is based on organoclays modified carbon paste, the potential differences (ΔEp) are ranged between 140 and 170 mV, which are lower than those of the unmodified carbon paste electrode (330 mV) and those modified with raw clays (520 mV). This indicates an easy electron transfer process on the surface of the organoclays modified carbon paste electrodes.

Switzerland, a wealthy country, has a cutting-edge healthcare system, yet per capita, it emits over one ton of CO2, ranking among the world's most polluting healthcare systems. To estimate the carbon footprint of the healthcare system of Geneva’s canton, we collected raw data on the activities of its stakeholders. Our analysis shows that when excluding medicines and medical devices hospitals are the main greenhouse gas emitter by far, accounting for 48% of the healthcare system’s emission, followed by nursing homes (20%), private practice (18%), analysis laboratories (7%), dispensing pharmacies (4%), the homecare institution (3%) and the ambulance services (

Purpose: The study investigates soil pores' impact on carbon dynamics and sequestration processes, examining their physical and chemical characteristics and their mechanisms for carbon sequestration.Research Method: Existing literature and research on soil pores, carbon dynamics, and carbon sequestration are analyzed. The interrelationships between soil pore structure, water movement, microbial activity, root penetration, carbon input, soil aggregation, and gas exchange are examined. Traditional techniques and advanced imaging methods are used to quantify and characterize soil pores.Findings: Soil pores play a critical role in facilitating carbon sequestration through various mechanisms. They affect water movement, microbial activity, root penetration, carbon input, soil aggregation, and gas exchange. Understanding these relationships is crucial for sustainable soil management.Research Limitations: This study relies on existing literature and research, which may have limitations and uncertainties. Further research is needed to address these gaps and enhance understanding.Originality Value: This research enhances the existing knowledge by comprehensively examining the significance of soil pores in carbon dynamics and sequestration. It incorporates both traditional and advanced methods, providing insights for soil management and contributing to climate change mitigation efforts.

Converting biowaste into biochar and subsequently putting it into the soil are considered to be an effective approach to sequestrate carbon (C). However, biochar will inevitably undergo the aging process in soil, which influences its stability, and ultimately threatens its carbon sequestration ability. This study selected CaCl2 as exogenous additive of sewage sludge and bone dreg to quantify both surface C and bulk C stability in Ca-rich biochars under three aging processes (dry-wet aging, freeze-thaw aging, and natural aging in farmland soil), and revealed the influence mechanisms of exogenous Ca on biochar stability. Results showed that after dry-wet aging (25 rounds), freeze-thaw aging (25 rounds), and natural aging in different farmland soils (5 months), oxidized surface C in Ca-rich biochar decreased by 10~23%, 28~41%, and 0~74%, respectively, compared to that in pristine biochar, while oxidized bulk C decreased by 6~10%, 0~1%, and 0~35%, respectively. Under three aging processes, the surface C and bulk C stability in Ca-rich biochar were superior to that in corresponding pristine biochar, which was attributed to the “protective effect” of Ca-containing crystals on biochar surface, including CaO, Ca5(PO4)3Cl, Ca5(PO4)3(OH), Ca8H2(PO4)6·H2O and Ca10(PO4)6(OH)2. These Ca-containing crystals could block the connection between biochar-C and the external oxidizing environment, intervening the oxidation of C-C/C=C in biochar, but also prevented aging from damaging C structure of biochar, reducing the generation of fragmented structure. By comprehensively assessing surface C and bulk C stability under three aging processes, final C sequestration in Ca-rich biochar increased to 27~80%, compared to that in pristine biochar (23~74%). Therefore, Ca-rich biochar is more dominant than pristine biochar, considering C sequestration potential during long-term aging in soil.

In order to formulate a reasonable water input model for cotton fields in southern Xinjiang, scientific and rational fertilization, reduce soil carbon leaching, and improve soil carbon sequestration capacity, the undisturbed soil column leaching test was used to simulate the current field management method in the study area. Two methods of drip irrigation and flood irrigation were set up, and three irrigation and three nitrogen fertilizer levels were used to carry out the undisturbed soil column leaching test. The results showed that the amount and mode of water and nitrogen input affected the distribution and leaching loss of organic carbon and inorganic carbon in soil. When the nitrogen application rate increased from 270 kg·hm-2 to 450 kg·hm-2, the leaching loss of soluble organic carbon and soluble inorganic carbon increased significantly. When the water input increased from 6000 m3·hm-2 to 9000 m3·hm-2, the leaching loss of DOC and DIC increased significantly. The carbon leaching loss under drip irrigation was higher than that under flood irrigation. The leaching rates of DOC and DIC were the fastest under the conditions of high water ( 9000 m3·hm-2 ) and high fertilizer ( 450 kg·hm-2 ). It shows that water and nitrogen input and irrigation methods are important factors affecting soil carbon leaching. In the case of excessive water input, long-term high-frequency irrigation is the main factor affecting carbon leaching.

A sustainable matrix based on eucalyptol essential oil/sawdust was developed and applied on one-sided laminated plywood. This finish aims to serve as a eucalyptol odor slow release. Eucalyptol odor release was monitored with gas chromatography coupled with a flame ionization detector (GC – FID: Limits of Detection and Quantification of 0.70 g/m3 and 2.11 g/m3, respectively, and with linearity up to 18.6 g/m3). Measurement of the eucalyptol odor released was performed during a six-month period and it was found that the release followed a first-order exponential decay with a decay rate constant of 0.0169 per day. The half-life was determined to be of 48 days. The granulometry and particle size porosity of sawdust were analyzed by Scanning Electron Microscopy. Sawdust size fraction between 112 – 200 μm showed best eucalyptol absorption capacity with 1:3 masses ratio (sawdust:eucalyptol). The time capacity of eucalyptol release depends of composite eucalyptol – sawdust quantity. Where this relation was determined: 15.0 grams of composite eucalyptol-sawdust by 0.8 mm diameter aperture gave 6 months of eucalyptol release, that was considered very positive, understanding high volatility of eucalyptol and a small quantity of composite for further products. The new product is characterized by a carbon footprint (considering the industry frontiers) of 5.94 kg CO2eq/m2 of plywood floor.

When present in specific amounts in the air, the colorless, odorless, and tasteless gases monoxide and carbon dioxide may either replace oxygen in red blood cells (CO) or increase the respiratory rate causing cardiac arrhythmias (CO2), leading to death. Commercial sensors take around 8 h to detect levels of CO (50 PPM), causing moderate poisoning. SnO2 presents controlled interactions with the atmosphere using conductance and vacancy adjustments to capture electrical properties. However, the selectivity of gas detection by SnO2 can still be improved, thus also increasing the application possibilities. The present study aimed to optimize the sensing of CO and CO2 in SnO2 using palladium functionalization. The vapor-liquid-solid method synthesized a network of SnO2 nanobelts decorated with palladium nanoparticles. The sensitivity of the sensors for CO and CO2 were evaluated, characterizing parameters such as response time, a wide range of CO and CO2 concentrations, and temperature. In the seventh measurement cycle, the sensor response for different concentrations of gases in consecutive cycles showed a sensitivity of up to 125% for CO in 60 s. Furthermore, we observed increased sensor sensitivity with material doping with nanoparticles from 130 ppm to 1360 ppm in 30 seconds to CO. Conclusion: The results provide a better understanding of the sensitivity of SnO2 in palladium-decorated nanoparticles, offering insights for detecting low CO concentrations quickly. The behavior of these doped nanosensors showed us the importance of considering them as a practical possibility for detecting these gases of importance to human health.