Control Sites Research Articles

Effect of Improved Provider Communication and Adherence to Guidelines on PrEP Initiation in Kisumu Kenya

Introduction: Adolescent girls and young women (AGYW) in Kenya have low pre-exposure prophylaxis (PrEP) initiation rates in part due to stigmatizing interactions with health care providers. Our recent randomized clinical trial of a standardized patient actor (SP) training intervention for providers found higher quality PrEP delivery at intervention sites, however it was unclear whether improved service quality improved PrEP initiation. Methods: This analysis used routine records from facilities participating in the randomized trial which aimed to improve provider communication and adherence to Kenyan guidelines when offering PrEP to AGYW. We utilized facility-level PrEP registers from May-December 2019 as the baseline period and December 2020-June 2021 as the post-intervention period. We used linear regression with percent initiating as the outcome, intervention and baseline initiation levels as covariates, and the number eligible post-intervention at each facility as frequency weights. Results: Overall, 1,375 AGYW presented to study sites, were eligible for PrEP, and were included in analyses (baseline: n=706, post-intervention: n=669). Among 669 PrEP-eligible AGYW in the post-intervention period (intervention: n=360, control: n=309), 591 (88.3%) initiated PrEP (intervention: n=335, control: n=256). PrEP initiation was 93.1% at intervention sites (range: 0%-100%) and 82.8% at control sites (range: 0%-100%). Adjusted for baseline initiation rates, initiation was 12.1% higher at intervention sites compared to control sites (p<0.001, [95% CI: 0.09, 0.15]). Conclusions: Our study found significant improvement in PrEP initiation among AGYW who presented to intervention facilities. SP training interventions that improve quality of service delivery for AGYW could lead to higher population-level PrEP coverage.

Symptom Screening Linked to Care Pathways for Pediatric Patients With Cancer: A Randomized Clinical Trial.

Pediatric patients with cancer commonly experience severely bothersome symptoms. The effectiveness of routine symptom screening with symptom feedback and symptom management care pathways is unknown. To determine whether thrice-weekly symptom screening with symptom feedback and management care pathways, compared with usual care, improves overall self-reported symptom scores measured by the Symptom Screening in Pediatrics Tool (SSPedi) in pediatric patients with cancer. This cluster randomized trial enrolled participants between July 2021 and August 2023 from 20 pediatric cancer centers in the US. Patients newly diagnosed with cancer aged 8 to 18 years receiving any cancer treatment were included. Twenty sites were randomized to provide symptom screening (n = 10) vs usual care (n = 10); 221 participants were enrolled at intervention sites and 224 participants at control sites. The date of final follow-up was October 18, 2023. Symptom screening included providing thrice-weekly symptom screening prompts to participants, email alerts to the health care team, and locally adapted symptom management care pathway implementation. The primary outcome was self-reported total SSPedi score at week 8 (range, 0-60; higher scores indicate more bothersome). Secondary outcomes were Patient-Reported Outcomes Measurement Information System Fatigue score (mean [SD] score, 50 [10]; higher scores indicate more fatigue), Pediatric Quality of Life 3.0 Acute Cancer Module scores (range, 0-100; higher scores indicate better health), symptom documentation and interventions at week 8, and unplanned health care encounters. A total of 445 participants (median [range] age, 14.8 [8.1-18.9] years; 58.9% males) were enrolled. The mean (SD) 8-week SSPedi score was 7.9 (7.2) in the symptom screening group vs 11.4 (8.7) in the usual care group. Symptom screening was associated with significantly better 8-week total SSPedi scores (adjusted mean difference, -3.8 [95% CI, -6.4 to -1.2]) and less bothersome individual symptoms, with 12 of 15 symptoms being statistically significantly reduced. There was no difference in fatigue or quality of life. The mean (SD) number of emergency department visits was 0.77 (1.12) in the symptom screening group and 0.45 (0.81) in the usual care group. There were significantly more emergency department visits in the symptom screening group (rate ratio, 1.72 [95% CI, 1.03-2.87]). Symptom screening with symptom feedback and symptom management care pathways was associated with improved symptom scores and increased symptom-specific interventions. Future work should integrate symptom screening into routine clinical care. ClinicalTrials.gov Identifier: NCT04614662.

Results of a Feasibility Pilot Pragmatic Trial Implementing Palliative Care in Skilled Nursing Facilities.

Background: Seriously ill older adults are admitted for post-acute care in skilled nursing facilities (SNFs) for curative, rehabilitative treatments, yet experience high rates of re-hospitalization, and death. The primary palliative care in post-acute care (PPC-PAC) intervention is an evidence-based approach designed to help people with serious illness align treatment plans with goals of care, optimize quality of life, and improve satisfaction with their care. Objectives: To conduct a preliminary study and evaluate the feasibility of implementing the PPC-PAC intervention in the post-acute care SNF setting. Design: Two-group, multisite feasibility pilot pragmatic clinical trial with a non-equivalent design. Measurements: Primary outcome measures-eligibility, enrollment, and data collection rates; consultation satisfaction; and fidelity. Effectiveness outcome measure-quality of life using the Palliative Outcomes Scale version 2. Results: Close to 70% of those who were eligible and approached by the study team (45/65) enrolled in the trial throughout 12 SNFs in the Northeast and Mid-Atlantic United States. Thirty-five were enrolled from intervention sites; 10 were enrolled from control sites (usual care). Most participants (80%) expressed general satisfaction with PPC-PAC, and 90% of clinicians implemented the PPC-PAC intervention as intended. At 21 days follow-up, there were no significant differences in effectiveness outcomes. Conclusion: Implementation of the PPC-PAC intervention proved to be feasible and acceptable among older adults and clinicians. Future research should focus on testing the effectiveness of PPC-PAC and explore strategies for optimal intervention implementation and SNF staff engagement in the post-acute care setting.

Advanced platelet-rich fibrin versus connective tissue graft in maxillary gingival recession management.

Platelet concentrates have gained significant attention in periodontology due to their regenerative properties. This randomized clinical trial was aimed to compare the clinical efficacy of advanced platelet-rich fibrin (A-PRF) and connective tissue graft (CTG) in the management of recession defects. The objectives were to compare changes in recession height and root coverage percentage between the groups. Systemically healthy individuals presenting Cairo's RT1/RT2 gingival recession defects in the maxilla (n = 40) were treated with either A-PRF or CTG in combination with coronally advanced flap (CAF). Clinical parameters were measured at baseline, 3 months, and 6 months. Mean and complete root coverage percentages were calculated at 3 and 6 months. In both the test (CAF + A-PRF) and control (CAF + CTG) groups, a statistically significant reduction in mean recession height was seen from baseline values of 2.90 ± 0.55mm and 3.15 ± 0.87mm to 0.80 ± 0.95mm and 0.15 ± 0.48mm at 6 months, respectively (p < 0.001). In the test group, 10 sites had complete root coverage at 6 months with mean root coverage of 73.76 ± 29.58%. In the control group, 18 of 20 sites had complete root coverage with mean root coverage of 93.35 ± 23.1%. The control sites had a significantly greater reduction in recession height and higher mean and complete root coverage percentages at 6 months (p < 0.05). The study findings suggest that, the CTG had resulted in superior outcomes than A-PRF along with CAF. Question: To compare the efficacy of advanced platelet-rich fibrin (A-PRF) with connective tissue graft (CTG) in the management of gingival recession defects. Both interventions showed satisfactory healing. At 6 months, the CTG group demonstrated superior results than the A-PRF group. Meaning: CTG has a greater therapeutic potential than A-PRF in the management of gingival recessions. Platelet-derived membranes are widely used in various dental therapies due to their healing properties. Limited studies have been conducted using the novel platelet preparations in the management of receding gums. This study compared the effects of advanced platelet-rich fibrin membrane with conventional soft tissue harvested from the palate in the treatment of gum recession. Twenty-three patients requiring gum augmentation were recruited and treated with either platelet-derived membrane (test group) or tissue harvested from their palate (control group). Clinical parameters were measured at baseline (before intervention), 3 months, and 6 months. Both treatment modalities resulted in significant gum coverage at the end of 6 months. On comparison, the control sites had significantly greater improvements in all the measured clinical parameters indicating that tissue obtained from the palate had superior therapeutic potential.

Effects of Single‐Axis and Fixed‐Tilt Photovoltaic Array Construction on the Soil Seed Bank Characteristics in Semi‐Arid Grasslands

ABSTRACTWith the rapid global development of photovoltaic power generation, research on its impact on land and ecosystems has become increasingly significant. However, its impact on soil seed bank characteristics has yet to be better assessed. In this study, monitoring plots were established in a semi‐arid grassland undergoing solar energy development. This setup allowed us, for the first time, to investigate how soil seed bank characteristics respond to the construction of two typical photovoltaic array systems: single‐axis and fixed‐tilt systems. This study demonstrated that in both single‐axis and fixed‐tilt systems, the establishment of photovoltaic arrays resulted in a significant increase in soil seed density, with seed counts rising by approximately 47.5% compared with control sites without arrays. The aggregation effect of soil seed density under the photovoltaic array primarily occurred in the 0–10 cm soil layer. The soil seed density under the single‐axis arrays was higher than that under the fixed‐tilt arrays. The construction of photovoltaic arrays resets local soil and directly changes the micro‐environment—including reductions in solar radiation, decreases in average temperature by 0.1°C, and wind speed decreases by 1.5 m/s—which negatively affected the richness and diversity of the soil seed bank, resulting in a 21.1% decrease in species richness and a 10.1% reduction in seed diversity. Furthermore, this study highlights that seed germination in semi‐arid grasslands is under pressure due to environmental changes associated with photovoltaic construction areas. Specifically, soil moisture and organic matter were the key factors affecting the vegetation restoration potential of the entire construction area. We recommend selecting the single‐axis system of photovoltaic components. This selection is crucial, which considers both energy production efficiency and supports the facilitation of future vegetation ecosystem succession. Altogether, this study provides information for future land‐use planning in photovoltaic construction areas and sustainable development of photovoltaic power generation.

The mobile seniors’ clinic - an innovative transition of care for frail older adults

BackgroundThis study aims to evaluate the impact of Quebec’s first hospital-at-home-inspired mobile Seniors’ Clinic, the “Clinique des Ainés (CDA)”, on frail older adults’ returns to the Emergency Department (ED), mortality, and hospital Length Of Stay (LOS) and rehospitalizations.MethodsDesign: Quasi-experimental pre-post implementation cohort study. Population: Patients aged ≥ 75 years admitted to the short-term geriatric unit after an ED consultation (control) or included by the CDA (intervention). Outcomes: return to ED (RtoED), mortality, ED & hospital LOS, and rehospitalizations. Statistical analyses: Multivariable regression modelling.ResultsOverall, 891 patients were included. At the intervention site (CDA) (n = 437), RtoED were similar at 30 (17.5% & 19.5%, p = 0.58), 90 (34.4% & 37.3%, p = 0.46) and 180 days (47.2% & 54.0%, p = 0.07) in the pre and post-implementation phases. No mortality differences were found. The hospitalization LOS was significantly shorter (28.26 and 14.22 days, p < 0.01). At 90 days, rehospitalization LOS was decreased by 8.51 days (p = 0.02) and by 6.48 days at 180 days (p = 0.03). Compared to the control site (n = 454) in the post-implementation phase, RtoED was 54% at the intervention site compared to 44.1% (p = 0.02) at 180 days. The CDA had a lower adjusted probability of mortality at 90 days compared to the control site (4.8% VS 11.7%, p = 0.03). No rehospitalization LOS differences were noted.ConclusionsThe Clinique des Ainés showed effectiveness in caring for frail older patients in their homes by decreasing their hospital LOS by half and 90 days mortality risk. It was a safe care trajectory without a clinically significant increase in ED returns or mortality.

Conditioned Pain Modulation Differences in Central and Peripheral Burning Mouth Syndrome (BMS) Patients.

To evaluate conditioned pain modulation (CPM) in burning mouth syndrome (BMS) patients with different pain mechanisms. Twenty BMS patients (52.0 ± 6.8 years, 17 women and 3 men) and age- and gender-matched 22 healthy controls were enrolled in this randomised controlled trial. The patients received an active lingual nerve block (lidocaine) and a placebo injection (saline) randomly with an interval of 1 week in a double-blinded manner. Patients evaluated their pain intensity on a 0- to 10-cm visual analogue scale (VAS) before and after each injection, with or without CPM. Based on the anaesthesia effect, BMS patients were divided into two groups with presumed different pain mechanisms; a 'central subgroup (n = 11)' with pain relief less than 1 cm and 'peripheral subgroup (n = 9)' with pain relief more than 1 cm on the VAS. Mechanical pain threshold (MPT) and wind-up ratio (WUR) were investigated at two oral mucosa regions: the region with most intense symptoms and a control region for the patient group; tongue and buccal region for the control group. CPM was induced by immersing the left hand into cold water. A moderate level of pain (around five on the VAS) was obtained by adjusting the water temperature. MPT and WUR were measured twice for all the participants with and without CPM, which was analysed and presented as relative change in MPT and WUR. Differences between groups were analysed using two-way ANOVA. Differences within group between tests were assessed by paired t-test. At baseline, there were no significant group differences for MPT or WUR between BMS patients and healthy controls (p ≥ 0.156). The mean bath temperature to evoke moderate pain for the BMS group was significantly lower than that for the healthy control group (8.9°C vs. 11.9°C, p = 0.003). The CPM evoked an inhibitory modulation in 18.2%-44.4% of BMS patients, while for the healthy group, the ratio was 68.2%-81.8%. Central BMS patients had smaller CPM effects than healthy participants at the painful site and control site, which indicated a decreased CPM function (p ≤ 0.034). Peripheral BMS patients had lower CPM effects than healthy participants only at the painful site (p = 0.037). The present findings documented impairment of central nociceptive inhibition processing in BMS patients which was more extensive in central BMS than peripheral BMS. These findings add to the suggestion that BMS may a heterogeneous pain condition with at least two different phenotypes.

Changes in Soil Physicochemical Properties and Fungal Communities Following a Forest Fire in the Pine Forest of Uljin, Republic of Korea

Soil samples from the rhizosphere of pine (Pinus densiflora) stands in the fire-disturbed Uljin forest were collected to analyze their physicochemical properties and fungal communities. In the burned area, soil pH decreased by 0.56, and organic matter content decreased by 0.32%p compared to the undisturbed area. Fungal community analysis revealed that all alpha diversity indices decreased in the burned area, but there were no differences according to fire severity. Soil pH, available phosphorus, and total nitrogen showed a positive correlation with the alpha diversity. Additionally, beta diversity analysis also indicated significant differences in the fungal communities between the burned area and the control sites (p value = 0.031). The changes in fungal communities were considered to be influenced by the decline in the order Atheliales, genus Russula, and genus Trechispora. A prediction analysis of the functional traits of fungi showed that the number of fungi involved in nutrient absorption and decomposition decreased in the burned area. It seems that the soil restoration of pine forests is progressing very slowly, as the soil fungi related to nutrient absorption by pine trees have not recovered even 18 months after the forest fire. Therefore, it is necessary to monitor continuous fungal communities in pine forest restoration after a forest fire to determine forest ecosystem restoration success and stabilization.

Effect of Lingual Nerve Block and Localised Somatosensory Abnormalities in Patients With Burning Mouth Syndrome-A Randomised Crossover Double-Blind Trial.

To investigate the effect of a lingual nerve block on spontaneous pain in patients with burning mouth syndrome (BMS) and to estimate associated somatosensory abnormalities by quantitative sensory testing (QST). A standardised QST battery including cold detection threshold (CDT), warmth detection threshold (WDT), thermal sensory limen (TSL), paradoxical heat sensation (PHS), cold pain threshold (CPT), heat pain threshold (HPT), mechanical pain threshold (MPT), wind-up ratio (WUR) and pressure pain threshold (PPT) was performed at the oral mucosa of the most painful site and intraoral control site in 20 BMS patients, and at the tongue and cheek mucosa in 22 age- and gender-matched healthy controls. The effect of a lingual nerve block on spontaneous burning pain reported by the BMS patients on a 0-10 cm visual analogue scale (VAS) was investigated in a randomised double-blind crossover design using (1 mL) lidocaine (lido) or saline (sal) with an interval of 1 week. The BMS patients were grouped into 'central' and 'peripheral' mechanisms based on the effect of the lingual nerve injections. For each BMS patient, Z-scores and Loss/Gain scores were computed. Differences among groups and sites were analysed using a two-way ANOVA. Differences within group were assessed by paired t-test. The 20 BMS patients were characterised on the basis of VAS changes (ΔLido-ΔSal) as a peripheral BMS subgroup (n = 9) with pain relief more than 1 cm on the VAS and a central BMS subgroup (n = 11) with pain relief less than 1 cm. BMS patients (n = 20) had lower sensitivity to thermal stimuli (i.e., CDT, WDT, TSL, CPT, HPT and PPT) and higher sensitivity to mechanical stimuli (i.e., PPT) compared with controls (p ≤ 0.007). Based on Loss/Gain coding, L1G0 (loss of thermal somatosensory function with no somatosensory gain, 55.0%) was the most frequent coding in the BMS group, which was higher than 11.4% in the control group (p < 0.001). Surprisingly, there was no significant difference between the peripheral and central BMS subgroups with regard to the Z-scores of any of the nine QST parameters (p > 0.097). The results of the lingual nerve blocks demonstrated two distinct phenotypes with either peripheral or central mechanisms but no direct impact on somatosensory function. Overall, somatosensory function in BMS patients seems abnormal in the painful areas compared to matched controls with a conspicuous loss of thermosensory function.

Forever chemicals don't make hero mutant ninja turtles: Elevated PFAS levels linked to unusual scute development in newly emerged freshwater turtle hatchlings (Emydura macquarii macquarii) and a reduction in turtle populations.

Per- and polyfluoroalkyl substances (PFAS) are persistent environmental contaminants known to pose significant risks to human and wildlife health. Freshwater turtles (Emydura macquarii macquarii), as long-lived species inhabiting aquatic ecosystems, are particularly vulnerable to PFAS bioaccumulation. This study investigated the multifaceted impact of PFAS contamination on these turtles, focusing on metabolic disruptions, reproductive success, hatchling health, and population impacts. Comprehensive analyses, including proteomics, lipidomics, metabolomics, and histopathology, were conducted on turtles from PFAS-impacted, control, and reference sites. The findings reveal significant metabolic disruptions in PFAS-exposed turtles, with alterations in amino acid and lipid metabolism, energy production, and oxidative stress responses. Proteomic analysis identified several health biomarkers indicative of early disease progression. Despite high levels of PFAS in tissues and organs, no gross or histopathological phenotypical abnormalities were directly linked to PFAS exposure. Gravid females from contaminated sites exhibited altered egg composition, particularly in magnesium to calcium ratios, potentially affecting eggshell strength. Biochemical profiles of egg albumin and yolk indicated significant differences in metabolites and lipids between contaminated and reference sites, suggesting potential impacts on embryo development. Hatchling deformities were notably higher and with increased frequency in terms of the types of deformities at the PFAS-impacted sites, with common defects including abnormal intergular scale shapes and marginal scale counts. Furthermore, the demographic profile of the turtle population showed a lack of juvenile turtles at contaminated sites, indicating reduced recruitment and potential long-term population declines. This indicates a field-based demonstration of an Adverse Outcome Pathway, from elevated levels of PFAS in the turtles, to biochemical perturbations within the animals, and finally population effects. These findings underscore the urgent need for regulatory measures to address PFAS contamination and its detrimental effects on wildlife.

Using pack animals instead of tractors in Central Italy's protected areas: No evidence of reduced soil disturbance

In thinning operations in Mediterranean beech forests, pack animals are often used when topographic conditions do not allow for the use of mechanisation to perform logging operations. Otherwise, mechanised extraction is the primary choice. In an effort to reduce soil disturbance caused by mechanised ground-based logging, the forest authorities who guard protected areas have been mandating animal logging at all logging sites in recent years. Since no comparative scientific trials of soil disturbance of these two extraction systems have ever been conducted in the target setting, there is no scientific evidence to sustain this approach. On this basis, we chose two study areas where the forest authorities mandated animal logging. Each study area consists of three sub-compartments, one unharvested, one harvested by animals, and one harvested by tractor in the same year (2021). We examined soil compaction, soil organic matter, and soil microarthropod biodiversity in animal skid trails, tractor skid trails, soil unaffected by extraction methods, and unharvested control sites in each study areas. We used linear mixed-effects models, indicating the study area as random intercept, to investigate the effect of the experimental treatments on the target soil features, and to check the relationship among soil physico-chemical parameters and soil microarthropod biodiversity. We discovered that only the animal and tractor skid trails showed signs of disturbance in terms of soil compaction and organic matter loss. Additionally, there was a significant decline in the biodiversity of soil microarthropods in both the skid trail types, with values of the QBS-ar index which were practically halved in comparison to the control area. We did not find any significant difference in the values in the tractor and animal skid trails for any of the examined soil characteristics. Low soil microarthropod biodiversity was found to be correlated with high soil compaction in terms of penetration resistance and low soil organic matter levels, according to linear mixed-effects models. Despite our preliminary findings, we made it clear that the short wood system by a tractor fitted with forwarding bins is unquestionably a very soil-disturbing extraction system, that ought to be avoided when conducting logging operations in protected areas. However, pack animals are not a suitable solution to reduce soil disturbance. Other extraction systems such as chute, small-scale cable yarders, as well as combination of animals and machine avoiding extensive traffic on the forest soil, are better solutions to the fundamental issue of low-impact logging in protected areas.

A cluster randomized trial of xylitol chewing gum for prevention of preterm birth: The PPaX trial.

Maternal periodontal disease is associated with preterm and low-birthweight deliveries, but randomized trials of likely efficacious treatments (e.g., dental scaling and root planing) during pregnancy have not reduced these adverse outcomes. As an alternative, we hypothesized that periconception initiation of xylitol chewing gum would reduce the occurrence of preterm or low-birthweight deliveries among a historical high-prevalence population in Malawi. We conducted an open-label, parallel-enrollment, matched-pair, cluster-randomized, controlled clinical trial across eight health centers (sites) in and around Lilongwe, Malawi. Sites were paired by anticipated delivery volume and randomized to prenatal and oral health education alone (active control) or with twice-daily xylitol chewing gum (intervention) throughout the periconception and antenatal periods. Forthe primary prevention of preterm (<37weeks) and low-birthweight (<2,500 g) deliveries (co-primary outcomes), comparison by allocation group was performed using generalized linear mixed models for each outcome as a fixed factor and the site(s) as a random factor. 10,069 participants were enrolled (n= 4,549 at intervention sites, n= 5,520 at active control sites), with >95% available for analyses. Initiation of xylitol chewing gum resulted in significant reductions in the co-primary outcomes: preterm birth (12.6% [549/4,349] vs. 16.5% [878/5,321]; relative risk [RR] 0.76, 95% confidence interval [CI] 0.57-0.99) and <2,500-g neonates (8.9% [385/4,305] vs. 12.9% [679/5,260]; RR 0.70, 95% CI 0.49-0.99). Xylitol chewing gum use also led to fewer neonatal demises (0.2% [8/4,305] vs. 0.4% [22/5,260]; RR 0.41, 95% CI 0.19-0.89). Periconception initiation and ongoing use of xylitol chewing gum significantly reduced the occurrence of preterm and low-birthweight deliveries in Malawi. E.W. Al Thrasher Foundation (to K.A.) and USAID Saving Lives at Birth Grand Challenges Grant AID-OAA-G-11-00062 (to K.A.). Additional financial and in-kind support was graciously provided by Texas Children's Hospital and Baylor Foundation Malawi.

Tracking Long-Lived Free Radicals in Dandelion Caused by Air Pollution Using Electron Paramagnetic Resonance Spectroscopy.

Studies on particulate air pollution indicate that a new type of pollutant should be considered from mainly fossil fuel combustion and automobile exhaust emissions, i.e., environmentally persistent free radicals. These radicals, ubiquitous in the environment, have a long life span and are capable of producing harmful reactive oxygen species. Samples of dandelion were collected in 2020 and 2021 in spring and late summer. Roots, leaves, flower stalks, and inflorescences of Taraxacum sp. were collected from six sites with three plants each, along with monitoring of particulate matter air pollution. Four sites were located at streets with heavy traffic and two were control sites in the rural part of the city. The free radical content in each part of the plant was measured by electron paramagnetic resonance. The leaf was selected as the most appropriate part of the plant for the measurement of carbon-derived free radicals. The geff value and the total number of spins were calculated. Relationships were found between location, season, and measurements. The electron paramagnetic resonance spectrum consists of at least two components, which can be attributed to C-type radicals and mixed C + O radicals. Their increase in numbers in the fall seasons, compared to the spring seasons, is also noticeable. It has also been observed that leaves collected in autumn have a higher geff value, which is probably related to the higher amount of oxygen- and carbon-derived free radicals.

Restoration of soil multifunctional indicators requires more than thirty years in degraded shrubland of a semi-arid mountainous ecosystem

Vegetation degradation in natural environments leads to considerable fluctuations in soil function indicators, particularly in the sensitive and delicate habitats of semi-arid regions. In this study, the dynamic of both litter and soil properties was examined in northern Iran, in sites with Crataegus melanocarpa and Berberis integerrima dominance. The chosen sites have been degraded in 1993 due to exploitation for fuel production. Litter and soil (0–10, 10–20 and 20–30 cm depths) samples were collected in sites that have been degraded [i.e., 10-years post-degradation (2003), 20-years post-degradation (2013), and 30-years post-degradation (2023)]. A site not to exposed to degradation (year 2023) was also included as a control. In total, 48 litter samples (4 study sites × 12 samples) and 144 soil samples (4 study sites × 3 depths × 12 samples) were collected. Our findings showed a significant reduction of approximately 60–70% in the chemical characteristics of the litter, such as phosphorus (P) and magnesium (Mg) after 10-years post-degradation (2003) compared to the control site. Soil fertility indicators were also reduced 2–6 times as a result of habitat degradation. Aligned with this, the biota population in the 10-year post-degradation site showed a decrease of 70–90% with respect to the control. Moreover, the densities of fungi and bacteria decreased by approximately 30%–70% and 45–80% respectively compared to the 30-year post-degraded site. The peak activation of soil enzymes including urease, acid phosphatase, arylsulfatase, and invertase was found in the site that was not subjected to degradation, being 3.5, 5.8, 6.7 and 6.7- times higher in comparison to the 10-year post-degradation site. Overall, the results showed that in the non-degraded ecosystems, the input of plant-based organic matter was accompanied by an increase in soil fertility, organism population and soil function. This pinpoints the importance of protecting plant species in these areas, while in degraded areas planting native species adapted to the region's climate and fertilization could significantly contribute to restoring these areas.

Geochemical study of heavy metals in samples from dumpsites at Onitsha, Anambra Basin, Southeastern Nigeria

Core (0-60cm) samples were collected from selected dumpsites at Onitsha and control site at Awka, Nigeria. Physiochemical parameters (particle size distribution, cation exchange capacity (CEC), pH, Organic Matter (OM in %)) and heavy metals (Lead (Pb), Copper (Cu), Zinc (Zn), Chromium (Cr), Nickel (Ni), Aluminium (Al), Cobalt (Co), Molybdenium (Mo), Cadmium (Cd), Manganese (Mn) and Silicon (Si)) were analyzed using standard methods. The result of the physiochemical analysis shows that the samples were generally sandy with acidic pH values (4.89-6.24); OM ranged from 5.693-27.71%; CEC ranged from 0.072-0.62(Cmol/kg). Comparatively, DS 5 (Obosi) has the highest levels of these heavy metals followed by DS 2 (Woliwo). The order is Bida &lt; Okpoko &lt;Obosi 1 &lt; Woliwo &lt; Obosi 2. The levels of these heavy metals were above the control values. They were equally above national and international guidelines. Enrichment Factor (EF) values varied between no enrichment to extremely severe enrichment. Pollution load index (PLI) indicated that all the sampled sites were polluted while the ecological risk of heavy metals varied between low contamination to high contamination. The prevailing indiscriminate disposal of wastes occasioned by nonexistence of appropriate disposal facilities is the direct cause of the situation. Proactive measures and regular environmental monitoring must be taken to minimize further deterioration as the contaminants pose serious deleterious effects on human and soil organisms.

Advanced ERT techniques for methane potential evaluation in controlled dump sites: A forward modeling approach

Methane (CH4) emissions from large controlled dump sites play a significant role in global warming. However, when captured efficiently, CH4 is a valuable energy resource. This study optimizes electrical resistivity tomography (ERT) for improved CH4 detection in controlled dump sites, focusing on refining electrode array configurations. We assessed three configurations: dipole-dipole, Wenner-Schlumberger (WS), and Wenner arrays. The results were compared with synthetic data simulated using the forward modeling technique, and the model's accuracy was evaluated using the Nash-Sutcliffe model efficiency coefficient (NSE), model sensitivity, and root mean square error (RMSE). Additionally, we analyzed the model's correlation with CH4 flux measurements. The WS array demonstrated the best performance, achieving a lower RMSE (23.4 %), a higher NES (0.90), and model sensitivity (0.90), along with a moderate negative correlation (-0.50) with CH4 flux measurements. This configuration effectively identified subsurface features, such as organic waste layers and leachate zones, which are crucial for CH₄ capture and landfill gas collection. Forward modeling confirmed the WS array's ability to provide high-resolution subsurface imaging, enhancing CH₄ hotspot detection. By improving the spatial and temporal accuracy of CH₄ detection, this approach addresses limitations in traditional methods and supports the design of more efficient gas capture systems. Applied in Thailand, these findings highlight the potential of optimized ERT techniques for enhancing CH₄ recovery in waste-to-energy systems, contributing to more sustainable waste management practices and reducing greenhouse gas emissions.

11.F. Scientific session: If we build it, will they come? Evaluation of citywide park redesign and renovation in NYC

Abstract Urban environments, such as parks, play a crucial role in shaping the health of their residents. However, the relationship between parks and health remains inconclusive. This workshop will present findings from the Physical Activity and Redesigned Community Spaces (PARCS) Study that examined the community health impacts of the Community Parks Initiative (CPI), a citywide park equity initiative of the New York City Department of Parks and Recreation (NYC Parks) that led to citywide park redesign and renovation across 67 low-income neighborhoods in NYC. Using a quasi-experimental design with socio-demographically matched control parks, we evaluated longitudinal changes in park use, physical activity, and psychosocial well-being as a result of CPI. There will be a total of 3 presentations. The first presentation will focus on the impact of CPI on park use before and after park renovation, relative to control parks, using data collected from the System for Observing Play and Recreation in Communities (SOPARC). Results showed that CPI led to a significant net increase in park use, especially among adults. The second presentation will report on changes in perceived stress pre- and post-renovation among adults. Results showed that a greater decrease in perceived stress was associated with a sustained high or increased park use frequency in the context of high-quality CPI intervention parks. In contrast, the same association was not found in lower quality control parks. The third presentation will showcase a study that demonstrated a significant increase in children’s physical well-being, a dimension of quality of life, at CPI vs. control sites. The analysis also showed that children in the lowest socio-economic group might have benefited the greatest from CPI. PARCS is one of the largest intervention studies on the effects of park renovation on health. This workshop will engage participants in considering how these insights can be translated into actionable programs and policies in service of community health and health equity. Findings from PARCS will help inform future public health and urban planning interventions in the use of the built environment to promote population well-being. Key messages • Urban park renovations may contribute significantly to community health, demonstrating a vital link between the built environment and public health. • Investments in green spaces may enhance the physical and mental well-being of low-income urban communities, promoting social equity.

Case–control study of fatal bicycle crashes in peri-urban areas of Delhi

ObjectivesThere is a lack of evidence on interventions to improve the safety of cycling use in low- and middle-income countries. We investigated the impact of road design and traffic characteristics...

Reindeer carcasses modulate vegetation composition and greenness in High-Arctic tundra.

Vertebrate carrion is an integral part of foodwebs in ecosystems and can impact biodiversity at the local as well as the landscape scale. However, very little knowledge currently exists about the ecological role of carrion in the Arctic ecosystems. We conducted a ground survey on the cover of five plant functional groups at paired reindeer carcass and control sites and analysed the relationship between cover and carcass presence in the Arctic tundra of Svalbard. Vegetation indices from Red-Green-Blue (RGB) imagery captured by drones complemented this, assessing plant productivity in terms of ‘spectral greening’ and modelling the relationship between vegetation index values and carcass distance. We show that graminoids capitalised most from carcass presence, whereas bryophytes and lichen showed decreases in cover. Woody plant and forb covers were not significantly impacted by carcass presence. The Red Green Blue Vegetation Index decreased locally at fresh carcasses (i.e. &lt;1 year old) but showed an increase at more established carcass sites (i.e. &gt;1 year). We show that carcasses have differential impacts on the plant functional groups of Svalbard’s tundra and induce a local ‘green-up’ through secondary succession within 2 metres of the carcass. Given their non-random distribution, carcasses may contribute to vegetation heterogeneity at landscape scales. This is relevant for understanding how climate change-induced reindeer mortalities will impact tundra plant community composition in the future.

Co-Management Effects on Forest Restoration in Protected Areas of Bangladesh: A Remote Sensing and GIS-Based Analysis

Co-management is a promising forest governance strategy that integrates local communities’ traditional rights and forest dependencies while aiming to improve forest cover and ecosystem health. Bangladesh, facing high deforestation rates and limited per capita forest area, has implemented co-management initiatives since 2003 to restore forest cover and support the livelihoods of forest-dependent communities. While the socio-economic impacts of co-management are well studied, its effects on forest cover remain underexplored. This study addresses that gap by using three common spectral vegetation indices (NDVI, EVI, and MSAVI), calculated from Landsat 7 data, to analyze forest cover changes in five major protected areas under co-management. The results indicated that dense forest cover (41–71%) was initially prevalent in these areas, but a significant decline occurred between 2004 and 2015, with slope values ranging from −3.7 to −0.96. In contrast, the non-co-managed control site exhibited a much smaller decline (slope: −0.48 to −0.62) across all indices. Notable increases in agricultural land and forest–agriculture mosaics were also observed in the protected areas under co-management. Global Forest Watch data further confirmed substantial forest cover loss, particularly in CWS (158.77 ha) and SNP (0.49 ha). These findings highlight the need to reassess co-management strategies to address ongoing forest degradation.