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In last few years, a number of technologies to use fibre optic cables as sensing devices have been established, among them Distributed Acoustic Sensing (DAS) and State-of-Polarisation (SoP). The potential of these technologies for monitoring a range of Earth System parameters in submarine cables has been demonstrated through several pilot experiments. Yet, continuous access to sub-marine optical fibre scientific data has currently not been achieved anywhere, neither has full integration of the various techniques.The SUBMERSE project links Research and Education Networks (NRENs), universities, research institutes and industry to establish multi-method monitoring along submarine optical telecommunication cables at several key cable routes branching off from Portugal, Madeira, Svalbard and in the Aegean. Those pilot sites should serve as a blueprint for establishing continuous monitoring services along many more cables.The project comprises technical developments for integrating DAS and SoP measurements, for establishing differential SoP measurements between repeaters and for operating DAS in ‘lit’ fibres, i.e., fibres carrying telecommunications traffic. Furthermore, a range of geoscientific and marine biology use cases are included, which seek to establish code/services for monitoring earthquakes, tracking whales, measuring the sea state and other Earth System variables. Effective data management, dissemination and training through community specific services will be addressed in several tasks as they are crucial for the success of this project due to the large size of data, sensitivity of a subset of the recordings and current lack of established community standards. SUBMERSE clearly commits to open and FAIR data exchange., The 28th IUGG General Assembly (IUGG2023) (Berlin 2023)

We present the case of a 59-year-oldman who had an unusual severe and debilitating postoperative headache and its challenging management. The patient had undergone a routine general anesthetic through his permanent tracheal stoma for this 30 minutes procedure of direct laryngoscopy and esophagoscopy with esophageal dilation. Upon arrival at recovery room, patient complained of a severe, debilitating headache not responding to aggressive pharmacologic treatment, which resolved utilizing a novel treatment. Performing an occipital nerve block in the recovery room provided rapid and complete resolution of this condition, thus avoiding further escalation of additional medication with potential unnecessary side effects and further workup and consultations. We also offer a discussion of this condition and its treatment. Herein, we review current literature from the fields of anesthesiology, neurology and otolaryngology. This case emphasizes the impact of patient positioning regardless of duration of the procedure. It stresses on the need for awareness among anesthesia providers of the patient’s preexisting neck pathology and its possible contribution to severe postoperative headaches, resistant to pharmacologic treatment. We discuss the role of the occipital nerve block as a simple therapeutic modality for resolution of this debilitating morbidity in the postoperative period.

Ozone (O-3) precursor emissions influence regional and global climate and air quality through changes in tropospheric O-3 and oxidants, which also influence methane (CH4) and sulfate aerosols (SO42-). We examine changes in the tropospheric composition of O-3, CH4, SO42- and global net radiative forcing (RF) for 20% reductions in global CH4 burden and in anthropogenic O-3 precursor emissions (NOx, NMVOC, and CO) from four regions (East Asia, Europe and Northern Africa, North America, and South Asia) using the Task Force on Hemispheric Transport of Air Pollution Source-Receptor global chemical transport model (CTM) simulations, assessing uncertainty (mean +/- 1 standard deviation) across multiple CTMs. We evaluate steady state O-3 responses, including long-term feedbacks via CH4. With a radiative transfer model that includes greenhouse gases and the aerosol direct effect, we find that regional NOx reductions produce global, annually averaged positive net RFs (0.2 +/- 0.6 to 1.7 +/- 2 mWm(-2)/TgN yr(-1)), with some variation among models. Negative net RFs result from reductions in global CH4 (-162.6 +/- 2 mWm(-2) for a change from 1760 to 1408 ppbv CH4) and regional NMVOC (-0.4 +/- 0.2 to -0.7 +/- 0.2 mWm(-2)/Tg C yr(-1)) and CO emissions (-0.13 +/- 0.02 to -0.15 +/- 0.02 mWm(-2)/Tg CO yr(-1)). Including the effect of O-3 on CO2 uptake by vegetation likely makes these net RFs more negative by -1.9 to -5.2 mWm(-2)/Tg N yr(-1), -0.2 to -0.7 mWm(-2)/Tg C yr(-1), and -0.02 to -0.05 mWm(-2)/Tg CO yr(-1). Net RF impacts reflect the distribution of concentration changes, where RF is affected locally by changes in SO42-, regionally to hemispherically by O-3, and globally by CH4. Global annual average SO42- responses to oxidant changes range from 0.4 +/- 2.6 to -1.9 +/- 1.3 Gg for NOx reductions, 0.1 +/- 1.2 to -0.9 +/- 0.8 Gg for NMVOC reductions, and -0.09 +/- 0.5 to -0.9 +/- 0.8 Gg for CO reductions, suggesting additional research is needed. The 100-year global warming potentials (GWP(100)) are calculated for the global CH4 reduction (20.9 +/- 3.7 without stratospheric O-3 or water vapor, 24.2 +/- 4.2 including those components), and for the regional NOx, NMVOC, and CO reductions (-18.7 +/- 25.9 to -1.9 +/- 8.7 for NOx, 4.8 +/- 1.7 to 8.3 +/- 1.9 for NMVOC, and 1.5 +/- 0.4 to 1.7 +/- 0.5 for CO). Variation in GWP(100) for NOx, NMVOC, and CO suggests that regionally specific GWPs may be necessary and could support the inclusion

Face a la menace que represente pour la religion la reduction de l'eternite au temps chez Heidegger, l'A. etudie la defense de la tradition chretienne chez Kierkegaard et Saint Thomas d'Aquin. Il apparait que les deux penseurs accordent un role important a l'eternite, c'est-a-dire au Dieu eternel, dans la comprehension de l'essence du sacre tel que le definit M. Eliade

International audience; Within ACCENT, a European Network of Excellence, eighteen atmospheric models from the U.S., Europe, and Japan calculated present (2000) and future (2030) concentrations of ozone at the Earth's surface with hourly temporal resolution. Comparison of model results with surface ozone measurements in 14 world regions indicates that levels and seasonality of surface ozone in North America and Europe are characterized well by global models, with annual average biases typically within 5–10 nmol/mol. However, comparison with rather sparse observations over some regions suggest that most models overestimate annual ozone by 15–20 nmol/mol in some locations. Two scenarios from the International Institute for Applied Systems Analysis (IIASA) and one from the Intergovernmental Panel on Climate Change Special Report on Emissions Scenarios (IPCC SRES) have been implemented in the models. This study focuses on changes in near-surface ozone and their effects on human health and vegetation. Different indices and air quality standards are used to characterise air quality. We show that often the calculated changes in the different indices are closely inter-related. Indices using lower thresholds are more consistent between the models, and are recommended for global model analysis. Our analysis indicates that currently about two-thirds of the regions considered do not meet health air quality standards, whereas only 2–4 regions remain below the threshold. Calculated air quality exceedances show moderate deterioration by 2030 if current emissions legislation is followed and slight improvements if current emissions reduction technology is used optimally. For the "business as usual" scenario severe air quality problems are predicted. We show that model simulations of air quality indices are particularly sensitive to how well ozone is represented, and improved accuracy is needed for future projections. Additional measurements are needed to allow a more quantitative assessment of the risks to human health and vegetation from changing levels of surface ozone.

Objective: This study assesses the reliability and validity of the European KIDSCREEN-52 generic health-related quality of life (HRQoL) questionnaire for children and adolescents. Research Design: The KIDSCREEN-52, which measures HRQoL in 10 dimensions, was administered to a representative sample of 22,827 children and adolescents (8 to 18 years) in 13 European countries. Psychometric properties were assessed using the Classical Test Theory approach, Rasch analysis, and structural equation modeling (SEM). A priori expected associations between KIDSCREEN scales and sociodemographic and health-related factors were examined. Test-retest reliability was assessed in 10 countries. Results: For the overall sample, Cronbach's alpha values ranged from 0.77 to 0.89. Scaling success (Multitrait Analysis Program) was >97.8% for all dimensions and Rasch analysis item fit (INFITmsq) ranged from 0.80 to 1.27. The intraclass correlation coefficients ranged from 0.56 to 0.77. No sizeable differential item functioning (DIF) was found by age, sex or health status. Four items showed DIF across countries. The specified SEM fitted the data well (root mean square error of approximation: 0.06, comparative fit index: 0.98). Correlation coefficients between Pediatric Quality of Life Inventory, Child Health and Illness Profile-Adolescent Edition, and Youth Quality of Life Instrument scales and KIDSCREEN dimensions assessing similar constructs were moderate for those (r = 0.44 to 0.61). Statistically significant differences between children with and without physical and mental health problems (Children with Special Health Care Needs screener: d = 0.17 to 0.42, Strengths and Difficulties Questionnaire: d = 0.32 to 0.72) were found in all dimensions. All dimensions showed a gradient according to socioeconomic status. Conclusions: The KIDSCREEN-52 questionnaire has acceptable levels of reliability and validity. Further work is needed to assess longitudinal validity and sensitivity to change. © 2007, International Society for Pharmacoeconomics and Outcomes Research (ISPOR).

Objective: To assess the construct and criterion validity of the KIDSCREEN-27 health-related quality of life (HRQoL) questionnaire, a shorter version of the KIDSCREEN-52. Methods: The five-dimensional KIDSCREEN-27 was tested in a sample of 22,827. For criterion validity the correlation with and the percentage explained variance of the scores of the KIDSCREEN-52 instrument were examined. Construct validity was assessed by testing a priori expected associations with other generic HRQoL measures (YQOL-S, PedsQL, CHIP), indicators of physical and mental health, and socioeconomic status. Age and gender differences were investigated. Results: Correlation with corresponding scales of the KIDSCREEN-52 ranged from r = 0.63 to r = 0.96, and r2 ranged from 0.39 to 0.92. Correlations between other HRQoL questionnaires and KIDSCREEN-27 dimensions were moderate to high for those assessing similar constructs (r = 0.36 to 0.63). Statistically significant and sizeable differences between physically and mentally healthy and ill children were found in all KIDSCREEN-27 dimensions together with strong associations with psychosomatic complaints (r = -0.52). Most of the KIDSCREEN-27 dimensions showed a gradient according to socio-economic status, age and gender. Conclusions: The KIDSCREEN-27 seems to be a valid measure of HRQoL in children and adolescents. Further research is needed to assess longitudinal validity and sensitivity to change. © 2007 Springer Science+Business Media B.V.

Objectives: The aim of this study is to assess the structural and cross-cultural validity of the KIDSCREEN-27 questionnaire. Methods: The 27-item version of the KIDSCREEN instrument was derived from a longer 52-item version and was administered to young people aged 8-18 years in 13 European countries in a cross-sectional survey. Structural and cross-cultural validity were tested using multitrait multi-item analysis, exploratory and confirmatory factor analysis, and Rasch analyses. Zumbo's logistic regression method was applied to assess differential item functioning (DIF) across countries. Reliability was assessed using Cronbach's alpha. Results: Responses were obtained from n = 22,827 respondents (response rate 68.9%). For the combined sample from all countries, exploratory factor analysis with procrustean rotations revealed a five-factor structure which explained 56.9% of the variance. Confirmatory factor analysis indicated an acceptable model fit (RMSEA = 0.068, CFI = 0.960). The unidimensionality of all dimensions was confirmed (INFIT: 0.81-1.15). Differential item functioning (DIF) results across the 13 countries showed that 5 items presented uniform DIF whereas 10 displayed non-uniform DIF. Reliability was acceptable (Cronbach's α = 0.78-0.84 for individual dimensions). Conclusions: There was substantial evidence for the cross-cultural equivalence of the KIDSCREEN-27 across the countries studied and the factor structure was highly replicable in individual countries. Further research is needed to correct scores based on DIF results. The KIDSCREEN-27 is a new short and promising tool for use in clinical and epidemiological studies. © 2007 Springer Science+Business Media B.V.

We present a systematic comparison of tropospheric NO2 from 17 global atmospheric chemistry models with three state-of-the-art retrievals from the Global Ozone Monitoring Experiment (GOME) for the year 2000. The models used constant anthropogenic emissions from IIASA/EDGAR3.2 and monthly emissions from biomass burning based on the 1997 - 2002 average carbon emissions from the Global Fire Emissions Database (GFED). Model output is analyzed at 10: 30 local time, close to the overpass time of the ERS-2 satellite, and collocated with the measurements to account for sampling biases due to incomplete spatiotemporal coverage of the instrument. We assessed the importance of different contributions to the sampling bias: correlations on seasonal time scale give rise to a positive bias of 30 - 50% in the retrieved annual means over regions dominated by emissions from biomass burning. Over the industrial regions of the eastern United States, Europe and eastern China the retrieved annual means have a negative bias with significant contributions ( between - 25% and + 10% of the NO2 column) resulting from correlations on time scales from a day to a month. We present global maps of modeled and retrieved annual mean NO2 column densities, together with the corresponding ensemble means and standard deviations for models and retrievals. The spatial correlation between the individual models and retrievals are high, typically in the range 0.81 - 0.93 after smoothing the data to a common resolution. On average the models underestimate the retrievals in industrial regions, especially over eastern China and over the Highveld region of South Africa, and overestimate the retrievals in regions dominated by biomass burning during the dry season. The discrepancy over South America south of the Amazon disappears when we use the GFED emissions specific to the year 2000. The seasonal cycle is analyzed in detail for eight different continental regions. Over regions dominated by biomass burning, the timing of the seasonal cycle is generally well reproduced by the models. However, over Central Africa south of the Equator the models peak one to two months earlier than the retrievals. We further evaluate a recent proposal to reduce the NOx emission factors for savanna fires by 40% and find that this leads to an improvement of the amplitude of the seasonal cycle over the biomass burning regions of Northern and Central Africa. In these regions the models tend to underestimate the retrievals during the wet season, suggesting that the soil emissions are higher than assumed in the models. In general, the discrepancies between models and retrievals cannot be explained by a priori profile assumptions made in the retrievals, neither by diurnal variations in anthropogenic emissions, which lead to a marginal reduction of the NO2 abundance at 10: 30 local time ( by 2.5 - 4.1% over Europe). Overall, there are significant differences among the various models and, in particular, among the three retrievals. The discrepancies among the retrievals ( 10 - 50% in the annual mean over polluted regions) indicate that the previously estimated retrieval uncertainties have a large systematic component. Our findings imply that top-down estimations of NOx emissions from satellite retrievals of tropospheric NO2 are strongly dependent on the choice of model and retrieval.

We use 23 atmospheric chemistry transport models to calculate current and future (2030) deposition of reactive nitrogen (NOy, NHx) and sulfate (SOx) to land and ocean surfaces. The models are driven by three emission scenarios: (1) current air quality legislation (CLE); (2) an optimistic case of the maximum emissions reductions currently technologically feasible (MFR); and (3) the contrasting pessimistic IPCC SRES A2 scenario. An extensive evaluation of the present-day deposition using nearly all information on wet deposition available worldwide shows a good agreement with observations in Europe and North America, where 60–70% of the model-calculated wet deposition rates agree to within ±50% with quality-controlled measurements. Models systematically overestimate NHx deposition in South Asia, and underestimate NOy deposition in East Asia. We show that there are substantial differences among models for the removal mechanisms of NOy, NHx, and SOx, leading to ±1 s variance in total deposition fluxes of about 30% in the anthropogenic emissions regions, and up to a factor of 2 outside. In all cases the mean model constructed from the ensemble calculations is among the best when comparing to measurements. Currently, 36–51% of all NOy, NHx, and SOx is deposited over the ocean, and 50–80% of the fraction of deposition on land falls on natural (nonagricultural) vegetation. Currently, 11% of the world's natural vegetation receives nitrogen deposition in excess of the “critical load” threshold of 1000 mg(N) m-2 yr-1. The regions most affected are the United States (20% of vegetation), western Europe (30%), eastern Europe (80%), South Asia (60%), East Asia (40%), southeast Asia (30%), and Japan (50%). Future deposition fluxes are mainly driven by changes in emissions, and less importantly by changes in atmospheric chemistry and climate. The global fraction of vegetation exposed to nitrogen loads in excess of 1000 mg(N) m-2 yr-1 increases globally to 17% for CLE and 25% for A2. In MFR, the reductions in NOy are offset by further increases for NHx deposition. The regions most affected by exceedingly high nitrogen loads for CLE and A2 are Europe and Asia, but also parts of Africa.

This study describes the development and reports the first psychometric results of the European KIDSCREEN-52 generic health-related quality-of-life questionnaire for children and adolescents. The KIDSCREEN-52, including ten dimensions, was applied in a European survey involving 12 countries (i.e., Austria, Switzerland, Czech Republic, Germany, Greece, Spain, France, Hungary, The Netherlands, Poland, Sweden and the UK) and 22,110 children and adolescents aged between 8 and 18 years of age. Questionnaire development included a literature search, expert consultation, and focus group discussions with children and adolescents. After definition of dimensions and collection of items, a translation process following international translation guidelines, cognitive interviews and a pilot test were performed. Analysis regarding psychometric properties showed Cronbach-α ranged from 0.77 to 0.89. Correlation coefficients between KINDLR and KIDSCREEN-52 dimensions were high for those assessing similar constructs (r = 0.51-0.68). All KIDSCREEN-52 dimensions showed a gradient according to socioeconomic status and most dimensions showed a gradient according to psychosomatic health complaints. The first results demonstrate that the KIDSCREEN-52 questionnaire is a promising cross-cultural measure of health-related quality-of-life assessment for children and adolescents in Europe. © 2005 Future Drugs Ltd.

Purpose: To determine the extent of differences and similarities in content between heath-related quality of life (HRQOL) instruments for children and adolescents. Methods: A descriptive and explanatory qualitative approach was carried out. Instruments specifically designed for use with children or adolescents were included. To assure the validity of the findings a triangulation of the analysis and 'member checking' were performed. Results: Ten questionnaires were analyzed. All of them included items referring to physical, psychological, and social aspects of health. A relatively low number of categories explained the content of the questionnaires. Conclusions: A reasonably coherent notion of HRQOL underlies instruments available for children and adolescents. HRQOL measurement in young people is still in its developmental step. © Society for Adolescent Medicine, 2004.