Search

Inadequate science literacy and independent learning hinder students' ability to analyze scientific information. This study aimed to develop and validate a measurement instrument to assess science literacy and independent learning skills among high school students. The instrument was piloted with 20 twelfth-grade students at SMAN 03 Kota Yogyakarta to assess its reliability and validity. The validated instrument was administered to 20 eleventh-grade students at the same school to identify the profiles of these two skills and explore their relationship in the context of the nervous system. The validity analysis demonstrated that both the science literacy and independent learning instruments exhibited strong validity. Pearson correlation analysis revealed that 20 items in the independent learning questionnaire were strongly correlated with the total score. Rasch analysis of the science literacy test indicated low infit mean square values, appropriate p-values, and high point biserial values, suggesting well-functioning items. Cronbach's alpha reliability coefficients for both instruments were excellent. The profile analysis revealed a discrepancy, with many students showing high independent learning levels but low science literacy scores on the nervous system topic. This gap suggests that even students capable of independent learning may face challenges in grasping specific scientific concepts.

Abstract Background Robot-assisted radical prostatectomy (RARP) with extended lymphadenectomy (ePLND) is the gold standard for surgical treatment of prostate cancer (PCa). Recently, the en-bloc ePLND has been proposed but no studies reported on the standardization of the technique. The aim of the study is to describe different standardized en-bloc ePLND, the antegrade and the retrograde ePLND, and to compare their surgical and oncological outcomes. Materials & Methods From January 2018 to September 2019, all patients subjected to RARP plus ePLND by one single surgeon were enrolled. ePLND was performed in a retrograde fashion by starting laterally to the medial umbilical ligament from the internal inguinal ring proceeding towards the ureter, or in an antegrade way by starting from the ureter at its crossing with the common iliac artery and proceeding towards the femoral canal. Patients’ demographic data, clinical and surgical data were collected. Each en-bloc ePLND was categorized as “efficient” or “inefficient” by the operator, as surrogate of surgeon’s satisfaction. Results Antegrade and retrograde ePLND were performed in 41/105 (group A) and 64/105 (group R) patients, respectively. The two groups (A vs R) had similar median (IQR) number of lymph nodes retrieved [20 (16.25–31.5) vs 19 (15–26.25); p = 0.18], ePLND time [33.5 (29.5–38.5) min vs 33.5 (26.5–37.5) min; p = 0.4] and post-operative complications [8/41 (19.5%) vs 9/64 (14.1%); p = 0.61]. In group A, 3/41 (7.3%) clinically significant lymphoceles were reported, while 1/64 (1.6%) in group R (p = 0.3). 33/41 (80.5%) and 28/64 (44%) procedures were scored as efficient 59 in group A and R, respectively (p = 0.01). On multivariate regression, only BMI (B = 0.93; 95% CI 0.29–1.56; p = 0.005) was associated with a longer ePLND time. Conclusions The study indicates that antegrade and retrograde en-bloc extended pelvic lymph node dissection (ePLND) have comparable surgical and oncologic outcomes, supporting the importance of standardizing the procedure rather than focusing on the direction. Although both techniques aligned with current evidence regarding lymph node invasion and complications, the antegrade approach was subjectively perceived as safer due to early isolation of critical anatomical landmarks. Encouragement for the use of en-bloc ePLND, regardless of direction, is emphasized to improve prostate cancer staging accuracy and procedural standardization.

Key message Evolving societal demands and accelerated ecological dynamics due to global change are rapidly altering forest ecosystems and their services. This has prompted the need for advancing forest inventorying and monitoring initatives to expand their scope, improve data collection, foster scientific understanding, and better inform policy responses. Here, we discuss the collaborative processes followed to develop an Advanced Inventorying and Monitoring (AIM) system for Swiss forests. Further, we provide the key messages that emerged from this process which can be of interest to those involved in similar processes at the national/international level.

The purpose of the study. aims to determine the contribution of leg explosive power and running speed to long jump ability. Materials and methods. a research sample of 30 male students. Measurement of leg explosive power is determined by the ability to jump long without starting (standing broad jump). Running speed measurements are determined by running a sample distance of 30 meters. Measurement of long jump ability is determined by a sample of jumping as far as possible in the jumping. Results. The results showed that leg explosive power, leg length and running speed contributed to long jump ability (r > 0.05). The results show that leg explosive power and long jump ability contribute (r = 0.58). There was a contribution in the correlation test between running speed and long jump ability (r = 0.51). The results of the multiple correlation test of leg explosive power and running speed with long jump ability showed that there was a contribution (r=0.70 and r2 = 0.49) Conclusions. There is a contribution between leg explosive power, leg length and running speed to long jump ability. The influence of physical activity and regular and structured training also greatly influences a person's long jump ability

Abstract The metallurgical industry, in the context of the global energy crisis and the new European green deal, needs urgent investments on energy and resource efficiency. The metallurgical sector, which includes the production of different metals is an energy-intensive industry that requires large amounts of energy for various processes such as smelting, refining, and casting. One of the largest consumptions of energy in Albania comes from the metallurgical sector during the production of iron, steel, chromium and aluminum which corresponds respectively to three private companies called “Kurum International Ltd”, “AlbChorme Ltd” and “Everest Ltd”. During the last three years, these companies have temporary interrupted the production process due to the higher electricity price that come from imports. Based on it, our research work presents the energy efficiency analysis in the Albanian metallurgical sector by focusing on the implementation of wind energy in the above mentioned private metallurgical companies, because adding new generation capacity from Renewable Energy Sources in a context of industrial energy communities, will contribute to improve the security of supply for this industry. The Wind Balkan Atlas, New European Wind Atlas, and Wind Atlas Analysis and Application Program (WAsP) has been used to select the appropriate areas and to develop the wind potential distribution maps, as well as to select the most suitable type of wind turbine based on capacity factors. Two areas were selected close to the metallurgical sectors in the regions of “Vajkal” in Bulqizë and “Selitë e Malit” in Tirana. It has been installed the power of 9 MW for each wind farm, with a capacity factor of 40% and 36.6% respectively, and with a total annual energy production of about 60 GWh/year, these wind farms will cover about 26% of the total annual consumption of companies. Clean Energy Management Software (RETScreen Expert) was used for the detailed economic analysis and environmental impact of proposed wind farms. The economic sensitivity analysis of the proposed wind farms showed that even for the highest installation cost value of 1350 €/kW, for discount rates 5, 7, and 11%, the LCoE values are within the statistically established range for wind farms in Europe.

Remaja sebagai generasi penerus bangsa rentan terhadap perilaku kesehatan reproduksi menyimpang, yang akan memberikan dampak seperti, penyakit menular seksual, kehamilan tidak diinginkan, pernikahan dini, abortus dan putus sekolah. Penelitian ini bertujuan untuk mengetahui hubungan ketahanan diri dan peran teman sebaya dengan perilaku kesehatan reproduksi remaja di SMP Negeri X Jakarta Selatan. Desain penelitian menggunakan kuantitatif jenis korelasional pendekatan cross-sectional dengan teknik pengumpulan sampel stratified random sampling. Sejumlah 260 remaja kelas VII, VIII di SMP Negeri X Jakarta Selatan berpartisipasi dalam penelitian. Analisa data univariat menggunakan uji proporsi dan analisa data bivariat menggunakan uji Chi-Square. Hasil penelitian ini yaitu terdapat hubungan yang signifikan antara ketahanan diri dengan perilaku kesehatan reproduksi remaja dengan hasil nilai 0,00 dan peran teman sebaya memiliki hubungan dengan perilaku kesehatan reproduksi remaja dengan nilai 0,00 Hasil penelitian ini memberikan rekomendasi kebijakan kepada Dinas Kesehatan Provinsi DKI Jakarta berupa pelayanan kesehatan reproduksi remaja ditatanan sekolah.

Mountain forests have a substantial protective function in preventing natural hazards, in part due to the presence of dead wood on the forest floor. Rates of deadwood accumulation have increased within the Alps and are predicted to rise further, due to natural disturbances. In particular, higher windthrow event frequencies are expected, primarily due to large-scale even-aged forest stands in many alpine regions combined with climate change. We quantified the rockfall protection effect of mountain forests with and without deadwood, in unprecedented detail, in experiments using two rock shapes with important hazard potential and masses of 200–3200 kg. Based on a multi-camera setup, pre- and post-experimentally retrieved high-resolution lidar data, and rock data measured in situ, we precisely reconstructed 63 trajectories. The principal parameters of interest describing the rockfall kinematics were retrieved for each trajectory. A total of 164 tree impacts and 55 deadwood impacts were observed, and the currently applied energy absorption curves – partially only derived theoretically – could consequently be corroborated or even expanded to a greater absorption performance of certain species than hitherto assumed. Standing trees, in general, and deadwood, in particular, were found to strongly impede the notorious lateral spreading of platy rocks. Platy rocks featured a shorter mean runout distance than their compact counterparts of similar weight, even in the absence of deadwood. These results indicate that the higher hazard potential of platy rocks compared with more compact rocks, previously postulated for open-field terrain, applies less to forested areas. Last, reproducing the experimental setting showcases how complex forest states can be treated within rockfall simulations. Overall, the results of this study highlight the importance of incorporating horizontal forest structures accurately in simulations in order to obtain realistic deposition patterns.

Abstract Snow avalanche‐induced air‐blasts are capable of breaking trees, damaging buildings and causing fatalities. Predicting their destructive properties is an essential part of snow avalanche hazard mitigation. Here, we propose a depth‐averaged model that involves turbulent fluctuations to simulate the air‐blast dynamics. The turbulent energy of the air‐blast arises from that of dust‐mixed air transferred from the avalanche core, shearing work in the cloud and entrained air, and is exploited to improve the air entrainment and drag relationships. We further present a unique data set of air blast‐induced tree breakage, providing type, status, diameter and falling direction of the measured trees. Through case studies of two artificially released avalanches with measured powder heights and three natural avalanches with tree‐breakage information, we test the model and investigate the turbulence effect on air‐blast dynamics. The proposed model and tree‐breakage data set quantify the air‐blast destructiveness and can be applied for avalanche hazard assessment.

Studying how deadwood mitigates the rockfall hazard in mountain forests is key to understanding the influence of climate-induced disturbances on the protective capacity of mountain forests. Both experimental quantification and numerical process modeling are needed to address this question. Modeling provides detailed insights into the rock–deadwood interaction and can therefore be used to develop effective forest management strategies. Here, we introduce an automatic deadwood generator (ADG) for assessing the impact of fresh woody storm debris on the protective capacity of a forest stand against rockfall. The creation of various deadwood scenarios allows us to directly quantify the mitigation potential of deadwood. To demonstrate the functionality of the proposed ADG method, we compare deadwood log patterns, deadwood effective height, and mesoscale surface ruggedness observed in field surveys in a natural windthrow area with their simulated counterparts. Specifically, we consider two sites near Lake Klöntal, Switzerland, where a major windthrow event occurred in 2019. We perform rockfall simulations for the time (a) before, (b) directly after, and (c) 10 years after the windthrow event. We further compare the results with (d) a simulation with complete clearing of the thrown wood: in other words, a scenario with no standing forest remaining. We showcase an integration of deadwood into rockfall simulations with realistic deadwood configurations alongside a diameter at breast height (DBH)- and rot-fungi-dependent maximum deadwood breaking energy. Our results confirm the mitigation effect of deadwood, which significantly reduces the jump heights and velocities of 400 kg rocks. Our modeling results suggest that, even a decade after the windthrow event, deadwood has a stronger protective effect against rockfall than that provided by standing trees. We conclude that an ADG can contribute to the decision-making involved in forest and deadwood management after disturbances.

Butachlor is a herbicide that belongs to the acetanilide family. It is widely used as a granule-based post-emergence herbicide on rice in India. As a result of the ongoing usage of these synthetic substances, soil fertility and soil organisms are declining. Differential pulse voltammetry was used to determine butachlor herbicide in soil samples with a modified glassy carbon electrode voltammetric sensor with palladium-supported multiwalled carbon nanotubes (Pd@MWCNTs). Scanning electron microscopy, energy dispersive x-ray spectroscopy, and X-ray diffraction spectroscopy were used to investigate the morphology of Pd@MWCNTs, while cyclic and differential pulse techniques were used to investigate the voltammetric properties. The butachlor herbicide under voltammetric investigation involves irreversible, two-electron reduction based on the protonation of the carbonyl group (>C=O). The voltammetric method was developed for the determination of butachlor in phosphate buffer solution at pH 6.0 as a supporting electrolyte. A good linear response to butachlor in the concentration ranging from 0.10 μg⸳mL−1 to 32.0 μg⸳mL−1 was observed, and a limit of detection of 0.044 μg⸳mL−1 was obtained with the calculation based on signal/noise=3. The suggested method was efficaciously applied for the detection of butachlor in soil samples.

Forests are rockfall-protective ecological infrastructures as a significant amount of kinetic energy is absorbed during consecutive rock–tree impacts. Although many recent works have considered rock impacts with standing trees, the effect of lying deadwood in forests has not yet been considered thoroughly, either experimentally or numerically. Here, we present a complete examination of induced rockfall experiments with sensor-equipped, 45 kg, artificial rocks on a forested area in three different management stages. The trilogy is conducted in a spruce forest stand (i) in its original state of forest; (ii) after a logging operation with fresh, lying deadwood; and (iii) after the removal of the deadwood. The tests allow us to directly quantify the effect of fresh deadwood on overall rockfall risk for the same forest (slope, species) under three different conditions. The study yields quantitative results on the barrier efficiency of the deadwood logs as only 3.6 % of the rocks surpass the deadwood section. The mean run-out distance is reduced by 42 %. Conversely, the run-out distance increases by 17 % when the cleared stand is compared to the original forest. These results quantitatively confirm the benefits of nature-based mitigation measures integrated into forestry practice, whose detailed effect has to be scrutinized for higher rockfall energies. Based on the experimental results, we extended a modern rockfall code by three-dimensional deadwood logs to incorporate such complex but realistic forest boundary conditions.

Snow avalanche hazard mapping has a long tradition in the European Alps. Hazard maps delineate areas of potential avalanche danger and are only available for selected areas where people and significant infrastructure are endangered. They have been created over generations, at specific sites, mainly based on avalanche activity in the past. For a large part of the area (90 % in the case of the canton of Grisons) only strongly generalized hazard indication maps are available (SilvaProtect), not showing impact information such as pressure. This is a problem when new territory with no or an incomplete historical record is to be developed. It is an even larger problem when trying to predict the effects of climate change at the state scale, where the historical record may no longer be valid. To close this gap, we develop an automated approach to generate spatially coherent hazard indication mapping based on a digital elevation model for the canton of Grisons (7105 km2) in the Swiss Alps. We calculate eight different scenarios with return periods ranging from frequent to very rare as well as with and without taking the protective effects of the forest into account, resulting in a total of approximately 2 million individual avalanche simulations. This approach combines the automated delineation of potential release areas, the calculation of release depths and the numerical simulation of the avalanche dynamics. We find that between 47 % (most frequent scenario) and 67 % (most extreme scenario) of the cantonal area can be affected by avalanches. Without forest, approximately 20 % more area would be endangered. This procedure can be applied worldwide, where high-spatial-resolution digital elevation models, detailed information on the forest and data on the snow climate are available, enabling reproducible hazard indication mapping also in regions where no avalanche hazard maps yet exist. This is invaluable for climate change studies. The simulation results are validated with official hazard maps, by assessments of avalanche experts, and by existing avalanche cadastres derived from manual mapping and mapping based on satellite datasets. The results for the canton of Grisons are now operationally applied in the daily hazard assessment work of the authorities. Based on these experiences, the proposed approach can be applied for further mountain regions.

Surface roughness influences the release of avalanches and the dynamics of rockfall, avalanches and debris flow, but it is often not objectively implemented in natural hazard modelling. For two study areas, a treeline ecotone and a windthrow-disturbed forest landscape of the European Alps, we tested seven roughness algorithms using a photogrammetric digital surface model (DSM) with different resolutions (0.1, 0.5 and 1 m) and different moving-window areas (9, 25 and 49 m2). The vector ruggedness measure roughness algorithm performed best overall in distinguishing between roughness categories relevant for natural hazard modelling (including shrub forest, high forest, windthrow, snow and rocky land cover). The results with 1 m resolution were found to be suitable to distinguish between the roughness categories of interest, and the performance did not increase with higher resolution. In order to improve the roughness calculation along the hazard flow direction, we tested a directional roughness approach that improved the reliability of the surface roughness computation in channelised paths. We simulated avalanches on different elevation models (lidar-based) to observe a potential influence of a DSM and a digital terrain model (DTM) using the simulation tool Rapid Mass Movement Simulation (RAMMS). In this way, we accounted for the surface roughness based on a DSM instead of a DTM, which resulted in shorter simulated avalanche runouts by 16 %–27 % in the two study areas. Surface roughness above a treeline, which in comparison to the forest is not represented within the RAMMS, is therefore underestimated. We conclude that using DSM-based surface roughness in combination with DTM-based surface roughness and considering the directional roughness is promising for achieving better assessment of terrain in an alpine landscape, which might improve the natural hazard modelling.

Over the years, Dorsal Inlay Graft (DIG) urethroplasty has gained worldwide acceptance for primary hypospadias repair. However, its safety and effectiveness for revision surgery are yet to be proven. The aim of the study is to assess and compare complication rates and functional outcomes of DIG surgery in revision versus primary hypospadias repair. We carried out a retrospective analysis of data collected from 53 consecutive DIG urethroplasties performed by a single surgeon at our institution. Patients were stratified in two groups – primary repair and redo-urethroplasty. For each group, we recorded standard pre-operative characteristics, surgical technicalities, complication rates and uroflowmetry parameters. Out of 53 DIG urethroplasties, 21 (39.6 %) where primary and 32 (60.4 %) were re-do. As expected, the two groups differed for median age at surgery: 20 months for primary and 68.5 months for revision surgery (p < 0.001). Additionally, all 21 (100 %) primary interventions were performed with a preputial graft, whereas among revision DIG urethroplasties only 2 (6.3 %) where preputial and 30 (93.8 %) were buccal (p < 0.001). Catheterization time (7 vs 8 days, p = 0.155) and postoperative complication rates (14.3 % vs 9.4 %, p = 0.581) were comparable between the primary and revision surgery group, respectively (all p >.05). Forty-two of the 53 patients underwent uroflowmetry during follow-up. Of these, 19 (63 %) patients presented with abnormal uroflowmetry and 11 (37 %) had equivocal parameters with no difference between the two groups. Dorsal Inlay Graft urethroplasty has long been known to be safe and effective for primary hypospadias repair. On the other hand, data on dorsal inlay graft urethroplasty as a salvage surgery after primary hypospadias repair failure is scarce. Surprisingly, according to our findings, surgical outcomes and complication rates are comparable between primary and revision hypospadias cases. Additionally, our results in the redo group are absolutely encouraging if compared to those reported in the literature for the same subset of patients. According to our findings, DIG urethroplasty is a safe and effective option to treat revision hypospadias repair. [ABSTRACT FROM AUTHOR]

New technological innovations and cutting-edge techniques have led to important changes in the surgical management of pediatric urolithiasis. Miniaturized technologies and minimally invasive approaches have been increasingly used in children with urinary stones to minimize surgical complications and improve patient outcomes. Moreover, the new computer technologies of the digital era have been opening new horizons for the preoperative planning and surgical treatment of children with urinary calculi. Three-dimensional modeling reconstructions, virtual, augmented, and mixed reality are rapidly approaching the surgical practice, equipping surgeons with powerful instruments to enhance the real-time intraoperative visualization of normal and pathological structures. The broad range of possibilities offered by these technological innovations in the adult population finds increasing applications in pediatrics, offering a more detailed visualization of small anatomical structures. This review illustrates the most promising techniques and devices to enhance the surgical treatment of pediatric urolithiasis in children, aiming to favor an early adoption and to stimulate more research on this topic.

On the 8th of May, 2018, an outbreak of Ebola virus disease (EVD) was declared, originating in the Bikoro region of the Democratic Republic of the Congo (DRC) near the border with neighboring Republic of the Congo (ROC). Frequent trade and migration occur between DRC and ROC-based communities residing along the Congo River. In June 2018, a field team was deployed to determine whether Zaire ebolavirus (Ebola virus (EBOV)) was contemporaneously circulating in local bats at the human-animal interface in ROC near the Bikoro EVD outbreak. Samples were collected from bats in the Cuvette and Likouala departments, ROC, bordering the Équateur Province in DRC where the Bikoro EVD outbreak was first detected. EBOV genomic material was not detected in bat-derived samples by targeted quantitative reverse transcription-polymerase chain reaction or by family-level consensus polymerase chain reaction; however, serological data suggests recent exposure to EBOV in bats in the region. We collected serum from 144 bats in the Cuvette department with 6.9% seropositivity against the EBOV glycoprotein and 14.3% seropositivity for serum collected from 27 fruit bats and one Molossinae in the Likouala department. We conclude that proactive investment in longitudinal sampling for filoviruses at the human-animal interface, coupled with ecological investigations are needed to identify EBOV wildlife reservoirs.

BackgroundBipolar Transurethral Enucleation of the Prostate (B-TUEP) is recommended as a first-choice treatment for benign prostatic obstruction in prostates >80 ml. Differently, B-TUEP is only considered as an alternative option after TURP for smaller prostates (30-80 ml). The aim of our study is to assess the relation between prostate size and surgical outcomes after B-TUEP.MethodsWe performed a retrospective analysis of data collected from 172 patients submitted to B-TUEP. Patients were segregated according to tertiles of prostate volume (PV) (≤60 ml, 61-110 ml, >110 ml). For each group we evaluated enucleation efficacy (enucleated weight/enucleation time), complication rates, urinary and sexual function parameters. Functional and sexual parameters were compared between groups at baseline, 1 and 3 months follow up. Descriptive statistics and linear and logistic regression models tested the association between PV and postoperative complications/outcomes.ResultsOperative time and weight of enucleated adenomas increased along with prostate volumes (all p≤0.01). Enucleation efficacy was higher in men with PV >110 ml compared to other groups (p≤0.001). Length of hospital stay, catheterization time and rates of postoperative complications, such as transfusion and clot evacuation rates and bladder neck/urethral strictures, were comparable between groups. Urinary symptoms improved at 1-and 3-months in each group as compared to baseline evaluation (all pConclusionAccording to our findings, B-TUEP should be considered a "size independent procedure" as it can provide symptom relief in men with prostates of all sizes with the same efficacy and safety profile.

Norway spruce forests are among the forests most affected by natural disturbances in Europe. One of the key aspects is the regeneration of the disturbed areas, which is decisive for later forest development. We studied the natural regeneration after two windthrows that occurred 30 (1983) and 50 years ago (1962) in an old-growth forest over 150-year-old in the Parangalitsa Reserve and a recent windthrow (2001) in a 130-year-old single cohort forest in the Bistrishko branishte Reserve in Bulgaria. We set up study plots along transects, counted regeneration and substrates, and analyzed age using tree rings. Post-disturbance regeneration made up 62-81% of all recorded trees and was more important than advance regeneration, but it strongly differed among the windthrows. Our data indicated two discrete peaks of post-disturbance regeneration. The first peak started immediately after the windthrows and was dominated by Norway spruce and rowan, while the second one started about 30 years later and was dominated by spruce. Pioneers such as Populus tremula, Salix caprea and Pinus sylvestris were less prominent than expected, contributing up to 21% of the total regeneration. Despite the fact that the highest density of initial regeneration was found on mounds from uprooted trees, the largest total number in the three studied areas was on intact forest floor, which hosted between 69 and 80% of all regeneration. The importance of coarse woody debris rose significantly two to three decades after the disturbances and was particularly important for the secondary regeneration, which consisted of Picea abies and Abies alba.

Gravitational natural hazards such as snow avalanches, rockfalls, shallow landslides and volcanic activity represent a risk to mountain communities around the world. In particular, where documentary records about these processes are rare, decisions on risk management and land-use planning have to be based on a variety of other sources including vegetation, tree-ring data and natural hazard process models. We used a combination of these methods in order to evaluate dynamics of natural hazards with a focus on snow avalanches at Valle Las Trancas, in the Biobío region in Chile. Along this valley, natural hazards threaten not only the local human population, but also the numerous tourists attracted by outdoor recreational activities. Given the regional scarcity of documentary records, tree-ring methods were applied in order to reconstruct the local history of snow avalanches and debris flow events, which are the most important weather-related processes at respective tracks. A recent version of the model Rapid Mass MovementS (RAMMS), which includes influences of forest structure, was used to calculate different avalanche parameters such as runout distances and maximum pressures, taking into consideration the presence or absence of forest along the tracks as well as different modeled return periods. Our results show that local Nothofagus broadleaf forests contribute to a reduction of avalanche runout distances as well as impact pressure on present infrastructure, thus constituting a valuable ecosystem disaster risk reduction measure that can substitute or complement other traditional measures such as snow sheds.

We study how short duration powder avalanche blasts can break and overturn tall trees. Tree blow-down is often used to back-calculate avalanche pressure and therefore constrain avalanche flow velocity and motion. We find that tall trees are susceptible to avalanche air blasts because the duration of the air blast is near to the period of vibration of tall trees, both in bending and root-plate overturning. Dynamic magnification factors for bending and overturning failures should therefore be considered when back-calculating avalanche impact pressures.

Background: This study seeks to validate a radiological classification system of spontaneous upper urinary tract rupture (sUUTR) and to analyse its relationship with clinical, laboratory and radiological characteristics of sUUTR. Methods: We analysed data from 66 patients with a computerised tomography (CT)-proven sUUTR treated with ureteral or nephrostomy catheter positioning. Comorbidities were scored with the Charlson Comorbidity Index (CCI). All CT scans were reviewed by two experienced radiologists and one urologist, who classified sUUTR in (a) local spread, (b) free fluid and (c) urinoma. Interobserver agreement for radiological score was evaluated with the Intraclass Correlation Coefficient (ICC) and Cohen’s Kappa analyses. Descriptive statistics and logistic regression models verified the association between clinical variables and sUUTR severity. Results: The interobserver agreement for sUUTR classification was high among radiologists and between the radiologists and the urologist (all Kappa > 0.7), with an overall high interrater reliability (ICC 0.82). Local spread, free fluid and urinoma were found in 24 (36.4%), 39 (59.1%) and 3 (4.5%) cases, respectively. Patients with free fluid/urinoma had higher rate of CCI ≥ 1 than those with local spread (40.5% vs. 16.7%, p = 0.04). Intraoperative absence of urine extravasation was more frequently found in patients with local spread than those with free fluid/urinoma (66.7% vs. 28.6%, p < 0.01). Multivariable logistic regression analysis revealed that local spread (OR 4.5, p < 0.01) was associated with absence of contrast medium extravasation during pyelography, after accounting for stone size, fever and CCI. Conclusions: The analysed sUUTR classification score had good inter/intra-reader reliability among radiologists and urologists. Absence of urine extravasation was five times more frequent in patients with local spread, making conservative treatment feasible in these cases.

The objectives of this study are to mapping the hazard-prone area and to analyse the flood vulnerability index in Kobe Watershed, Central Halmahera District. In order to determine the optimal selection of weights for the factors that contribute to flood risk, GIS and multi-criteria decision analysis (MCDA) were used in conjunction with the application of the analytical hierarchy process (AHP) method to create the flood hazard map. The flood hazard map was generated by using selected hazard factors including land use, topography, slope, and rainfall pattern. The result shows that the Kobe River basin is a flood-prone area, with 77.46 percent of its land classified as less prone to flooding and 21.41 percent classified as flood-prone. However, only 21.41 percent of its land is classified as flood-prone. Only 1.13 percent of the land is protected from the danger of floods, compared to the whole country. The altitude factor is the most important element influencing flood susceptibility in Weda District, where the majority of the land (16.34 percent) is located at or below sea level, making it particularly vulnerable to flooding.

Ureterocele is a cystic dilatation of the intravesical submucosal ureter, with an obstructed orifice. Endoscopic treatment is one of the most common option for surgical treatment. In intravesical ureterocele, the punctures must be made just above the junction between the ureterocele and the bladder floor. We commonly use a 8–9.8 Fr cystoscope, with a 5 Fr working channel, a metallic needle for bulking agent injection 3.7 Fr. In selected cases we also use electric or laser probes to decompress the ureterocele. When evidence of decompression is verified and vesicoureteral reflux is excluded, antibiotic prophylaxis is stopped. If, despite decompression, a large ureterocele is subsequently obstructing the bladder neck a surgical excision is necessary. Forty-four patients (92%) were treated endoscopically. Ureterocele puncture was performed with a metallic needle for bulking agent injection in 30 cases (63%), with a laser fiber in 7 cases (15%), with an electrified ureteral catheter in 4 cases (8%), and with Bugbee in 3 cases (6%). A success rate after one procedure was achieved in 40 children (83%). Adequate opening of the ureterocele with complete decompression of the reno-ureteral system is the goal of endoscopic treatment. An overaggressive incision or puncture could result in an increased chance of secondary vesicoureteral reflux. [ABSTRACT FROM AUTHOR]

Snow avalanches break, uproot and overturn trees causing damage to forests. The extent of forest damage provides useful information on avalanche frequency and intensity. However, impact forces depend on avalanche flow regime. In this paper, we define avalanche loading cases representing four different avalanche flow regimes: powder, intermittent, dry and wet. Using a numerical model that simulates both powder and wet snow avalanches, we study documented events with forest damage. First we show that in the powder regime, although the applied impact pressures can be small, large bending moments in the tree stem can be produced due to the torque action of the blast. The impact area of the blast extends over the entire tree crown. We find that, powder clouds with velocities over 20 m s-1 can break tree stems. Second we demonstrate that intermittent granular loadings are equivalent to low-density uniform dry snow loadings under the assumption of homogeneous particle distributions. The intermittent regime seldom controls tree breakage. Third we calculate quasi-static pressures of wet snow avalanches and show that they can be much higher than pressures calculated using dynamic pressure formulas. Wet snow pressure depends both on avalanche volume and terrain features upstream of the tree.

In this study, we assess the climate mitigation potential from afforestation in a mountainous snow-rich region (Switzerland) with strongly varying environmental conditions. Using radiative forcing calculations, we quantify both the carbon sequestration potential and the effect of albedo change at high resolution. We calculate the albedo radiative forcing based on remotely sensed data sets of albedo, global radiation and snow cover. Carbon sequestration is estimated from changes in carbon stocks based on national inventories. We first estimate the spatial pattern of radiative forcing (RF) across Switzerland assuming homogeneous transitions from open land to forest. This highlights where forest expansion still exhibits climatic benefits when including the radiative forcing of albedo change. Second, given that forest expansion is currently the dominant land-use change process in the Swiss Alps, we calculate the radiative forcing that occurred between 1985 and 1997. Our results show that the net RF of forest expansion ranges from −24 W m−2 at low elevations of the northern Prealps to 2 W m−2 at high elevations of the Central Alps. The albedo RF increases with increasing altitude, which offsets the CO2 RF at high elevations with long snow-covered periods, high global radiation and low carbon sequestration. Albedo RF is particularly relevant during transitions from open land to open forest but not in later stages of forest development. Between 1985 and 1997, when overall forest expansion in Switzerland was approximately 4%, the albedo RF offset the CO2 RF by an average of 40%. We conclude that the albedo RF should be considered at an appropriately high resolution when estimating the climatic effect of forestation in temperate mountainous regions.