• Energy Research
• 3. Good health close
• 1. No poverty close
• DE close
• EU close

AbstractThirty‐four alcoholics were treated with acupuncture to the ear and the body in a randomized single‐blind placebo‐controlled design over 14 days. Orthodox points and placebo needles to orthodox points were used daily for a total of 10 treatments starting on the first day of admission as add‐on therapy to standard medication with carbamazepine. The primary outcome was the Clinical Institute Withdrawal Assessment (CIWA‐Ar‐scale) assessed on days 1‐6, 9 and 14. No initial differences were found regarding sociodemographic data, drinking history and alcohol‐related data, indicating successful randomization. Longitudinal analysis of the Clinical Institute Withdrawal Assessment (CIWA‐Ar‐scale) data showed that patients assigned to acupuncture had a general tendency towards better outcome results and significantly fewer withdrawal symptoms on day 14 (Wilcoxon‐W=177.500, Z=‐2.009, p = 0.045). No significant differences were found in the Beck Depression Inventory (BDI), State‐Trait Anxiety Inventory (STAI X1 and X2) and Eigenschaftswoerterliste (EWL S60). We conclude that acupuncture as an adjunctive treatment to carbamazepine medication shows promise for the treatment of alcohol withdrawal symptoms. Further investigation of this treatment modality appears to be warranted.

Abstract An increasing number of studies show that efficiency improvements alone will not be sufficient to attain the substantial emission reductions needed to mitigate global warming to a target of 2 °C. Consumption side changes are likely to be needed to achieve sufficient emission reductions. The United Nations emphasize the importance of developed countries taking the lead in lowering emissions to achieve the sustainable development goals. This paper assess to what extent Norwegian households can lower their carbon footprint consistent with territorial emission reductions towards the 2 °C target of global warming through implementing a set of behavioral actions. We evaluate the efficacy of the set of actions both initially and after considering rebound effects. A multiregional environmentally extended input-output database is linked with the Norwegian consumer expenditure survey to analyze both average and marginal expenditure per unit of increased income. Further, linear programming is applied to examine the changes needed by households to reach different emission reduction targets. We find that households implementing the full set of actions without re-spending can obtain a 58% decrease in their carbon footprint. When accounting for the effect of re-spending, this reduction drops to 24–35%, which is not within the requirements of the 2 °C target. The optimization analysis suggests households can achieve reductions up to 45% by restricting re-spending to specific goods and services. This indicates that curbing the rebound effect is key to achieving real reductions in household carbon footprints. We show that changing consumption patterns can significantly contribute to lowering anthropogenic greenhouse gas emissions without compromising the level of economic activity.

Highlights •Biomass resource constraints impact the effectiveness of bioeconomy policies. •Bioeconomy policies may have an important impact on the sector structure in the long run, but the sector growth remains ultimately constrained by the availability of inputs. •Solutions to reduce the biomass constraint have to be included in innovation policy for the biobased economy.

Diesel engine exhausts from a common rail 3.0 L F1C diesel engine were analyzed at two different load conditions of the WLTC testing cycle downstream of both the diesel particulate filter (DPF) and selective catalytic reactor (SCR) to verify their effect on the characteristics of carbon particulate matter. An array of chemical, physical and spectroscopic techniques (gas chromatography coupled with mass spectrometry (GC-MS), mobility analyzer, UV-Visible absorption and fluorescence spectroscopy) was applied for characterizing polycyclic aromatic hydrocarbons (PAH), heavy aromatic compounds and soot, constituting the particulate matter (PM) sampled from the exhaust. The engine was operated in half load (HL) (188 Nm, representing the more common condition for engine in urban traffic) and full load (FL) (452 Nm, representing the best performance of the engine operation) conditions, at the same engine speed (2000 rpm). Soot formation was enhanced in HL condition, with respect to FL, but, just because of the much lower soot amount, the after-treatment systems in this last condition resulted to be less efficient in the soot abatement. Indeed, the abatement through DPF was about 40% lower in the FL condition with respect to HL condition, and any significant further concentration decrease was found after SCR, in both conditions. By contrast, PAH concentration after DPF abatement was found to be higher in the HL with respect to FL condition. A further PAH concentration decrease of about 30% was found after the SCR in the HL condition whereas in FL the reduction was only about 5-6%. Also the heavy aromatic compounds having molecular weight above the GC-MS detection limit (300 u), were mitigated by SCR. Therefore, SCR did not cause a further soot reduction, whereas it was effective in largely reducing PAH and heavy aromatics emissions, especially in the lower temperature condition featuring the half-load condition, when combustion efficiency is worse. Moreover, SCR system reduced the emission of small particles probably due to an enhanced agglomeration of particles, with beneficial effect on the harmfulness to human health.

In the current era, the importance of proper hand hygiene to reduce the transmission of infectious diseases has become difficult to debate. Yet, compliance rates remain low and are affected by many factors, amongst which is user acceptability of hand hygiene products.The present study aimed at investigating drivers of preference towards different hand hygiene formulations.Three different formulations (liquid, foam and gel) of the same brand were randomly and blindly evaluated by 54 participants based on the WHO Protocol for Evaluation of Tolerability and Acceptability of Alcohol-based Handrubs.The majority (76%) of respondents indicated that the product formulation impacted their level of compliance with hand hygiene protocols. The preferred formulation was liquid, with 50% of participants ranking it as first choice. General product satisfaction, the product texture, the drying speed and the ease of application, were the statistically significant drivers for participants to rank a formulation as their first choice vs not ranking it as their first choice.When designing alcohol formulations and implementing hand hygiene protocols, understanding drivers of preference for formulations may enhance product user acceptability and therefore compliance with hand hygiene.

This study will review the environmental implications of dynamic policy objectives and instruments outlined in the European Union 7th Framework Programme (EU-FP7) Project DYNAmic policy MIXes for absolute decoupling of EU resource use from economic growth (DYNAMIX) to address reductions in food consumption, food waste and a change in waste handling systems. The environmental implications of reductions in protein intake, food waste reductions, food waste management and donations are addressed using a life cycle approach to find the greenhouse gas (GHG) emissions, land use and water consumption. Data are provided from the Statistics Division of the Food and Agriculture Organization (FAOSTAT) food balance sheets for the European Union (EU) with a base year of 2010 and life cycle inventory (LCI) data from a meta-study of available GHG, land use and water consumption data for major food products. The implications are reviewed using a number of scenarios for the years 2030 and 2050 assuming policy instruments are fully effective. Results indicate that reductions in animal-based protein consumption significantly reduce environmental impacts, followed thereafter by reductions in food waste (assuming this also reduces food consumption). Despite the positive implications the policy mixes may have for targets for decoupling, they are not enough to meet GHG emissions targets for the EU outlined in the DYNAMIX project, although land and water use have no significant change compared to 2010 levels.

Technological change has altered labor market demands within well-developed societies implying global competition for skilled labor and, as a consequence, new forms of labor migration. So far, patterns of this labor migration have been underexplored. Thus, the article analyzes characteristics, geographies and possible underlying drivers of workers migrating from Germany as an exemplary case for a well-developed country. Relying on probability-based and unique data, our findings reveal that, besides demand for people with higher levels of education, performing specific occupational tasks is also in demand in the global competition for talent. Hence, Germans in jobs with a high proportion of analytical non-routine tasks are more likely to emigrate than those with predominantly manual routine tasks. Moreover, the results show that global discrepancies concerning the technological development between the country of origin and the country to which they emigrate are a crucial contextual driver attracting this specifically demanded work force. Workers mainly performing analytical non-routine tasks within their job tend to move to countries which are technologically more developed than Germany while individuals performing jobs with a high share of non-routine manual or interactive tasks tend to emigrate to countries that are less technologically developed than Germany.

Climate change is a global problem, which affects the various geographical regions at different levels. It is also associated with a wide range of human health problems, which pose a burden to health systems, especially in regions such as Africa. Indeed, across the African continent public health systems are under severe pressure, partly due to their fragile socioeconomic conditions. This paper reports on a cross-sectional study in six African countries (Ghana, Nigeria, South Africa, Namibia, Ethiopia, and Kenya) aimed at assessing their vulnerabilities to climate change, focusing on its impacts on human health. The study evaluated the levels of information, knowledge, and perceptions of public health professionals. It also examined the health systems’ preparedness to cope with these health hazards, the available resources, and those needed to build resilience to the country’s vulnerable population, as perceived by health professionals. The results revealed that 63.1% of the total respondents reported that climate change had been extensively experienced in the past years, while 32% claimed that the sampled countries had experienced them to some extent. Nigerian respondents recorded the highest levels (67.7%), followed by Kenya with 66.6%. South Africa had the lowest level of impact as perceived by the respondents (50.0%) when compared with the other sampled countries. All respondents from Ghana and Namibia reported that health problems caused by climate change are common in the two countries. As perceived by the health professionals, the inadequate resources reiterate the need for infrastructural resources, medical equipment, emergency response resources, and technical support. The study’s recommendations include the need to improve current policies at all levels (i.e., national, regional, and local) on climate change and public health and to strengthen health professionals’ skills. Improving the basic knowledge of health institutions to better respond to a changing climate is also recommended. The study provides valuable insights which may be helpful to other nations in Sub-Saharan Africa.