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Actions to reduce greenhouse gas (GHG) emissions often reduce co-emitted air pollutants, bringing co-benefits for air quality and human health. Past studies1-6 typically evaluated near-term and local co-benefits, neglecting the long-range transport of air pollutants7-9, long-term demographic changes, and the influence of climate change on air quality10-12. Here we simulate the co-benefits of global GHG reductions on air quality and human health using a global atmospheric model and consistent future scenarios, via two mechanisms: a) reducing co-emitted air pollutants, and b) slowing climate change and its effect on air quality. We use new relationships between chronic mortality and exposure to fine particulate matter13 and ozone14, global modeling methods15, and new future scenarios16. Relative to a reference scenario, global GHG mitigation avoids 0.5±0.2, 1.3±0.5, and 2.2±0.8 million premature deaths in 2030, 2050, and 2100. Global average marginal co-benefits of avoided mortality are $50-380 (ton CO2)-1, which exceed previous estimates, exceed marginal abatement costs in 2030 and 2050, and are within the low range of costs in 2100. East Asian co-benefits are 10-70 times the marginal cost in 2030. Air quality and health co-benefits, especially as they are mainly local and near-term, provide strong additional motivation for transitioning to a low-carbon future.

Bladder injury is one of the complications of cesarean section (CS). It is reported that the overall incidence of bladder injury is 0.22-0.44% of CS. It is, however, unclear what factors influence this rate. The aim of this study was to determine if there is a difference in bladder injury rate between scheduled and emergency CS, as well as in primary and repeat CS at a large metropolitan hospital that serves a population at high risk for obstetric complications. In addition, the use of urology consultation following bladder injury and whether demographic factors and labor characteristics affect the rate of bladder injury were investigated.A total of 8,488 records were reviewed (4,292 primary CS and 4,196 repeat CS) from January 1, 2013 to December 31, 2020. The incidence of bladder injury was calculated and the rate of intraoperative urology/urogynecology consultation was recorded. Then the association between bladder injury and intraoperative urology/urogynecology consultation and between bladder injury and maternal age, body mass index (BMI), and gestational age were compared.There was a significant increase in risk of bladder injury in repeat CS versus primary CS (p=0.01). There was also a significant increase in risk of bladder injury in emergency CS versus scheduled CS (p=0.04). Intraoperative urogynecology/urology consultations were significantly higher in the bladder injury versus no bladder injury groups (p<0.0001). Both emergency CS and repeat CS are predictors of bladder injury with odd ratios of 5.7 and 7.4, respectively.These results add to the existing evidence that bladder injury is a rare complication in CS that may occur more often in women undergoing repeat or emergency CS than primary or scheduled CS. Given that the risk increases with repeat or emergency CS, patients should be made aware of such risks and surgeons should make careful intraoperative considerations with close postoperative follow-ups.

Solid-state electrolytes are a promising family of materials for the next generation of high-energy rechargeable lithium batteries. Polymer electrolytes (PEs) have been widely investigated due to their main advantages, which include easy processability, high safety, good mechanical flexibility, and low weight. This review presents recent scientific advances in the design of versatile polymer-based electrolytes and composite electrolytes, underlining the current limitations and remaining challenges while highlighting their technical accomplishments. The recent advances in PEs as a promising application in structural batteries are also emphasized.

This study presents the prevalence of ethanol and illicit drugs in fatal road traffic accident victims in the Centre of Portugal between January 1990 and December 2007. Among the violent deaths, road traffic accidents presented the highest percentage (around 35%; n=3095), but decreasing throughout the years. Accidents were preponderant in males (about 80%; n=2402), between 21 and 30 years-old. Accidents involving drivers (55%; n=1310) were of the most common, being the car the main vehicle (45%), followed by the motorcycle (40%). An alcohol analysis request was present in 50% of the cases (n=1687), but increasing each year. Ethanol concentrations >1.2g/L, the legal limit in Portugal, were found in 55% (n=283) of the cases. Concerning drugs of abuse requests, only 4.4% (n=137) and 17.3% (58 cases) of the cases included the analysis at the Forensic Pathology Department (FPD) and at the Medico-Legal Office (MLO), respectively. Among the road accident cases analysed, 18 were positive, mainly in men (84%), between 21 and 30 years-old; opiates (47.1%; n=8) and cannabinoids (50%; n=4) were the most found, at the FPD and at the MLO, respectively. In conclusion, ethanol was identified as a key factor to traffic accidents, which explains the definition of specific legislation and methods of enforcement to prohibit this form of impairing. Nevertheless, ethanol still remains the psychoactive substance most frequently identified in the blood of divers killed in road-traffic crashes, recommending additional actions of supervision and control.

The COVID-19 pandemic created an enormous disruption to the everyday life of the modern society. Among the various urban systems, transportation services were among those that suffered the most significant impacts, particularly severe in the case of highways. This paper addresses the challenges and responses to the pandemic from a private highway operator’s perspective and from a multidisciplinary perspective. Highway operators faced two main challenges: on one hand, the need to cope with the potential disruption caused by the pandemic and a national lockdown for almost three months, the provision of road services, and the requirement to ensure the proper operation and maintenance, and on the other hand, the strong negative impact of the pandemic on levels of traffic. Our case study shows that the operator’s management response in question is essentially characterised by being a first response to short term impacts while balancing for workers health and safety, engineering and management, internal business management, and overall economic impact. Highway operators were hardly prepared for such an event and became more focused on prioritising their employees and clients’ safety to avoid service disruption. Regarding levels of traffic, the pandemic has had severe effects, although to a varying degree, depending on the different types of vehicles (heavy, light, passenger, freight, among other types of vehicles) and the location of highways (coastal vs. interior). The lessons learnt can be valuable in future disruptive events and for other highway concession operators.

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In the post-Covid-19 era, tourism impacts and the role played by sustainable planning on the long-term success of destinations have gained renewed importance. Understanding the image and perceptions tourists hold of a destination is vital for tourism planning, as they play a key role in tourists’ decisions. Considering the importance of these two key concepts (perceptions and sustainability), the present paper contributes to the advancement of knowledge on sustainable tourism by characterizing the state of the art of Sustainability Perceptions in Tourism and Hospitality (SPTH). To this end, the scientific literature on the topic was mapped through a combination of three bibliometric analysis techniques, namely: evaluative, relational, and systematic bibliometric analysis. These were based on productivity and impact indicators, including SciVal topic prominence. The results reveal that sustainability perceptions in SPTH focus on tourists’, stakeholders’, and residents’ perceptions. These findings highlight the need for involving local communities in the destination planning process to align the outcomes of tourism development with their expectations. Finally, this paper presents an original methodological contribution, as it is the first to apply the SciVal topic prominence analysis to SPTH.