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Activity pacing (AP) is a concept that is central to many chronic pain theories and treatments, yet there remains confusion regarding its definition and effects.To review the current knowledge concerning AP and integrate this knowledge in a manner that allows for a clear definition and useful directions for future research.A narrative review of the major theoretical approaches to AP and of the empirical evidence regarding the effects of AP interventions, followed by an integrative discussion.The concept of AP is derived from 2 main traditions: operant and energy conservation. Although there are common elements across these traditions, significant conceptual and practical differences exist, which has led to confusion. Little empirical evidence exists concerning the efficacy of AP as a treatment for chronic pain.Future research on AP should be based on a clear theoretical foundation, consider the context in which the AP behavior occurs and the type of pacing problem ("underactivity" vs. "overactivity"), and should examine the impact of AP treatment on multiple clinical outcomes. We provide a provisional definition of AP and specific recommendations that we believe will move the field forward.

Systemic delivery of therapeutic agents remains ineffective against diffuse intrinsic pontine glioma (DIPG), possibly due to an intact blood-brain-barrier (BBB) and to dose-limiting toxicity of systemic chemotherapeutic agents. Convection-enhanced delivery (CED) into the brainstem may provide an effective local delivery alternative for DIPG patients.The aim of this study is to develop a method to perform CED into the murine brainstem and to test this method using the chemotherapeutic agent carmustine (BiCNU). To this end, a newly designed murine CED catheter was tested in vitro and in vivo. After determination of safety and distribution, mice bearing VUMC-DIPG-3 and E98FM-DIPG brainstem tumors were treated with carmustine dissolved in DW 5% or carmustine dissolved in 10% ethanol.Our results show that CED into the murine brainstem is feasible and well tolerated by mice with and without brainstem tumors. CED of carmustine dissolved in 5% DW increased median survival of mice with VUMC-DIPG-3 and E98FM-DIPG tumors with 35% and 25% respectively. Dissolving carmustine in 10% ethanol further improved survival to 45% in mice with E98FM-DIPG tumors.Since genetically engineered and primary DIPG models are currently only available in mice, murine CED studies have clear advantages over CED studies in other animals.CED in the murine brainstem can be performed safely, is well tolerated and can be used to study efficacy of chemotherapeutic agents orthotopically. These results set the foundation for more CED studies in murine DIPG models.

In this study, air concentrations of BaP in two different seasons (winter 2015 and summer 2016) and BaP levels in ground vegetation from Tarragona County were used as control simulations performed with the WRF-CHIMERE air quality modelling system, in order to reproduce the incidence of that hazardous chemical in air and soils. The CTM was validated for the present climatology, showing a good ability to represent air and soil concentrations of BaP over the target domain (petrochemical, chemical, urban and background sites), particularly in the winter. Then, the variation of the BaP concentrations in air and soils were simulated for the time series 1996-2015 and for the climate change scenario RCP8.5 (2031-2050). While an increase is projected for the levels in air, particularly in chemical and remote sites where the variation can go up to 10%, in terms of soil deposition the findings are the opposite, with an evident decrease in soil BaP concentrations, particularly for background sites. Finally, a potential health effect of BaP for the local population (lung cancer) was assessed. Although according to the projections the EU threshold for BaP atmospheric incidence (1 ng m-3) will not be reached by 2050, there will be an increase in the life-time risk of lung cancer, particularly in the most populated areas within the simulation domain.

The transition to a low carbon future is starting to affect landscapes around the world. In order for this landscape transformation to be sustainable, renewable energy technologies should not cause critical trade-offs between the provision of energy and that of other ecosystem services such as food production. This literature review advances the body of knowledge on sustainable energy transition with special focus on ecosystem services-based approaches and methods. Two key issues emerge from this review: only one sixth of the published applications on the relation between renewable energy and landscape make use of the ecosystem service framework. Secondly, the applications that do address ecosystem services for landscape planning and design lack efficient methods and spatial reference systems that accommodate both cultural and regulating ecosystem services. Future research efforts should be directed to further advancing the spatial reference systems, the use of participatory mapping and landscape visualizations tools for cultural ecosystem services and the elaboration of landscape design principles.

Since 2007, a range of new modeling approaches and tools have been developed for sustainability impact assessment (SIA), but a lack of universal acceptance of SIA tools in applied policy making is observed. The current article gives an overview of experiences from several European and international projects, critically reviews the selected SIA tools and then discusses a number of reasons for the observed disconnect of the tools with the potential users. Largely based on the experiences of the presented SIA tools focusing land use policy advice, a decision tree is designed, which may facilitate an adequate, region and developmental phase specific selection of tool-box components for the development of SIA tools in future. Elements to ensure end-user participation are also integrated in the decision tree in order to increase the likelihood of the tool in applied land use policy advice. In addition, the Challenges in SIA tool development and use are further discussed.

Despite the well-established finding from questionnaire studies that positive expectancies are associated with drinking behavior, there is comparatively little known about the mechanisms through which they may affect drinking behavior. Incentive motivation models suggest that alcohol itself may alter the value of the expected outcomes of drinking. The current study was designed to examine the influence of low-dose alcohol on the activation of alcohol outcome expectancy value.Forty-eight hazardous drinkers (34 men) between the ages of 21 and 35 years were recruited from advertisements in local newspapers for a social drinking study. Participants, whose most frequently consumed beverage was beer, were administered a dose of either alcoholic (8.5%) beer, based on gender and weight to reach a blood alcohol concentration of 40 mg/dl, or an equivalent volume of placebo beer. Following an absorption phase, a computerized evaluative priming task was completed in which participants made a series of judgments about the value of positive and negative outcomes following either alcohol or neutral word primes.Those who consumed alcohol made faster evaluative responses to positive relative to negative outcomes, compared with individuals who consumed the placebo beverage.These findings suggest that moderate doses of alcohol may influence the incentive value of positive relative to negative outcome expectancies. It is suggested that these processes may play a role in patterns of hazardous alcohol use.

The Vietnamese Mekong Delta (VMD) is one of the world’s most vulnerable deltas to climate change and sea level rise. Adequate understandings of future hydrological changes are crucial for effective water management and risk-proofing, however, this knowledge body is currently very limited. This study quantifies the responses of the VMD’s river flow regime to multiple stimuli, namely future upstream inflow variation, local climate change, and sea level rise. The one-dimensional hydrodynamic model MIKE 11 was used to simulate discharges and water levels across the delta. We developed four scenarios to represent changes in the upstream discharges, precipitation changes and sea level rise, covering the 2036–2065 period. We downscaled climate data and applied three bias-correction methods for five General Circulation Models (GCM), and two Representative Concentration Pathways (RCPs). The climate change projections show similar trends of increasing wet season precipitation and decreasing dry season precipitation. However, cross-scenario variations are sometimes large, depending on the individual GCMs, the RCPs and specific locations. The hydraulic simulation results indicate that, under discharge changes between −20% and +10%, combined with in-delta precipitation variations during the dry season, river discharges at the four representative stations could reduce substantially from −2.5% to −100.2%. During the wet season, the calculated river discharges show increase between 7.3% and 46.7% under four considered scenarios. Substantial changes in the VMD’s river flow regime could have potentially serious implications for water management, especially saltwater intrusion, and therefore calling for timely adaptation measures.

Stories play an exceptionally important role in how people assign value to a place. Taken together, all those stories essentially give a place an identity. The aim of placemaking is to ensure that the people using a place can appreciate that place. Placemaking approaches are focussed on strategic interventions in a place and aimed at changing the meaning and value of that place for local people, thus creating a qualitative place for enhanced storytelling. Using greenery is a common approach in place-making. Urban greenery has gone through a process of emancipation in the past 15 years. This emancipation has led to awareness that urban greenery is about more than just ecology and biodiversity, but also has social and economic consequences for a city’s fortunes. It is clear that green spaces do not stand alone: they are part of a complex urban system, and the use of green spaces in this complex system has immediate repercussions for how the city functions. With the changing role of green spaces within cities, the need to manage these spaces is emphasized. In this sense, the place-making approach, along with the storytelling approach could provide valuable insight on the planning and management of green spaces within the urban environment, with the aim to enhance quality of life by means of the social connection between people, the users of the space, and the qualitative place provided. This research illustrated that green space managers would need more social and organizational skills to manage modern urban green spaces in an attempt to create qualitative, usable spaces for citizens, spaces that are built upon stories and spaces that would further enable future stories of citizen life. The Story Behind the Place: Creating Urban Spaces That Enhance Quality of Life (PDF Download Available). Available from: https://www.researchgate.net/publication/271918395_The_Story_Behind_the_Place_Creating_Urban_Spaces_That_Enhance_Quality_of_Life [accessed Dec 21, 2015].