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Objective: In myocardial perfusion single-photon emission computed tomography (SPECT), abdominal activity often interferes with the evaluation of perfusion in the inferior wall, especially after pharmacological stress. In this randomized study, we examined the effect of carbonated water intake versus still water intake on the quality of images obtained during myocardial perfusion images (MPI) studies. Methods: A total of 467 MIBI studies were randomized into a carbonated water group and a water group. The presence of intestinal activity adjacent to the inferior wall was evaluated by two observers. Furthermore, a semiquantitative analysis was performed in the adenosine subgroup,using a count ratio of the inferior myocardial wall and adjacent abdominal activity. Results: The need for repeated SPECT in the adenosine studies was 5.3 % in the carbonated water group versus 19.4 % in the still water group (p = 0.019). The inferior wall-to-abdomen count ratio was significantly higher in the carbonated water group compared to the still water group (2.11 ± 1.00 vs. 1.72 ± 0.73, p\0.001). The effect of carbonated water during rest and after exercise was not significant. Conclusions: This randomized study showed that carbonated water significantly reduced the interference of extra-cardiac activity in adenosine SPECT MPI. Keywords: Extra-cardiac radioactivity, Myocardial SPECT, Image quality enhancement, Carbonated water
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Free newspapers may offer different news contents to different audiences, when compared with traditional, paid-for newspapers, but they, nevertheless, concentrate on news, and thereby provide society with information on current affairs. These papers have seen circulation rise until 2008; after that, a decline set in, leading to closures and often a monopoly situation in the mature European newspaper markets covered in our research. Free newspapers seem to follow a typical life cycle pattern, moving from growth to maturity, and to saturation and decline. Diversification strategies – home-delivery, weekend, sports, afternoon, and financial – have been disappointing so far. There is no evidence, however, of total extinction, indicating that there is room for at least one title – possibly two – in every market. The situation in the surveyed markets also suggests that a free newspaper may be a ‘natural’ monopoly.
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Rapid changes in the urban environment due to growth puts the urban water cycle out of balance, hence, affecting other surface and subsurface processes, such as subsidence and surface water management. Subsidence of the ground is causing risk and hazard.
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Rapid changes in the urban environment due to growth puts the urban water cycle out of balance, hence, affecting other surface and subsurface processes, such as subsidence and surface water management.Subsidence of the ground is causing risk and hazard, as well as unexpected costs. This newly, November 2018, launched tool InSARNorge is Open Access and part of the Copernicus program.In a recent study (Venvik et al. submitted) datasets from InSAR satellites showing subsidence are combined with data from flood modelling in two different analytical methods using ArcGIS tools to develop a risk assessment map for areas most prone to the combination of both flooding and subsidence. Applying usercentred principles, this work focuses on methods for risk assessment maps as a support tool to locate areas where mitigation of subsidence and adaptation for surface water management will be most efficient and measures can be implemented. The results of the methods for risk assessment maps show that one of the methods give significant results compared to the other method. Such method will be a helpful tool for decision-makers when prioritizing areas for measures such as Sustainable urban Drainage Systems (SuDS).The study is related to the JPI Water funded project INXCES (www.inxces.eu).
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The rain gardens at Bryggen in Bergen, Western Norway, is designed to collect, retain, and infiltrate surface rainfall runoff water, recharge the groundwater, and replenish soil moisture. The hydraulic infiltration capacity of the Sustainable Drainage System (SuDS), here rain gardens, has been tested with small-scale and full-scale infiltration tests. Results show that infiltration capacity meets the requirement and is more than sufficient for infiltration in a cold climate. The results from small-scale test, 245–404 mm/h, shows lower infiltration rates than the full-scale infiltration test, with 510–1600 mm/h. As predicted, an immediate response of the full-scale infiltration test is shown on the groundwater monitoring in the wells located closest to the infiltration point (<30 m), with a ca. 2 days delayed response in the wells further away (75–100 m). Results show that there is sufficient capacity for a larger drainage area to be connected to the infiltration systems. This study contributes to the understanding of the dynamics of infiltration systems such as how a rain garden interacts with local, urban water cycle, both in the hydrological and hydrogeological aspects. The results from this study show that infiltration systems help to protect and preserve the organic rich cultural layers below, as well as help with testing and evaluating of the efficiency, i.e., SuDS may have multiple functions, not only storm water retention. The functionality is tested with water volumes of 40 m3 (600 L/min for 2 h and 10 min), comparable to a flash flood, which give an evaluation of the infiltration capacity of the system.
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Both climate change and human activity are the important drivers that can change hydrological cycle routs and affect the features of hydrological drought in river basins. The current study selects the Zayandeh Rud river Basin as a case study region in which to evaluate the influences of climate alteration and human activity on meteorological and hydrological drought based on the Standardized Precipitation Index (SPI) and Standardized Runoff Index (SRI) on different time scales. The generated local climatic data of future years (2006–2040), (2041–2075) and (2076–2100) under the severest scenario (RCP 8.5) from the CMIP5 climate model are selected and used for the hydrology model and water allocation model of WEAP to construct hydrological drought which also consider human activities. The results indicate that significant meteorological drought is expected to occur in the winter and spring months of January to June. However, the driest month for hydrological drought is in the summer and autumn (July to December) (e.g. no changes in seasonality of droughts compared to historic period). It is concluded that, in the results of this work, the human influences on projected hydrological drought have been outlined; they had been missed in many projections for future hydrological drought. However, this study confirms the previous study (Bierkens et al. 2012) which mentioned that human influences can account for future hydrological drought in areas of Asia, the Middle East and the Mediterranean. The results attained in this study are beneficial for examining how hydrological drought characterizations respond to climate alteration and human activity on several time scales, thereby providing scientific information for drought predicting and water resources management over various time scales under non-stationary circumstances.
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Background: The purpose of this study is to increase our understanding of environmental correlates that are associated with route choice during active transportation to school (ATS) by comparing characteristics of actual walking and cycling routes between home and school with the shortest possible route to school. Methods: Children (n = 184; 86 boys, 98 girls; age range: 8–12 years) from seven schools in suburban municipalities in the Netherlands participated in the study. Actual walking and cycling routes to school were measured with a GPS-device that children wore during an entire school week. Measurements were conducted in the period April–June 2014. Route characteristics for both actual and shortest routes between home and school were determined for a buffer of 25 m from the routes and divided into four categories: Land use (residential, commercial, recreational, traffic areas), Aesthetics (presence of greenery/natural water ways along route), Traffic (safety measures such as traffic lights, zebra crossings, speed bumps) and Type of street (pedestrian, cycling, residential streets, arterial roads). Comparison of characteristics of shortest and actual routes was performed with conditional logistic regression models. Results: Median distance of the actual walking routes was 390.1 m, whereas median distance of actual cycling routes was 673.9 m. Actual walking and cycling routes were not significantly longer than the shortest possible routes. Children mainly traveled through residential areas on their way to school (>80 % of the route). Traffic lights were found to be positively associated with route choice during ATS. Zebra crossings were less often present along the actual routes (walking: OR = 0.17, 95 % CI = 0.05–0.58; cycling: OR = 0.31, 95 % CI = 0.14–0.67), and streets with a high occurrence of accidents were less often used during cycling to school (OR = 0.57, 95 % CI = 0.43–0.76). Moreover, percentage of visible surface water along the actual route was higher compared to the shortest routes (walking: OR = 1.04, 95 % CI = 1.01–1.07; cycling: OR = 1.03, 95 % CI = 1.01–1.05). Discussion: This study showed a novel approach to examine built environmental exposure during active transport to school. Most of the results of the study suggest that children avoid to walk or cycle along busy roads on their way to school. https://doi.org/10.1186/s12966-016-0373-y
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Stormwater runoff can contain high amounts of Potential Toxic Elements (PTE) as heavy metals. PTE can have negative and direct impact on the quality of surface waters and groundwater. The European Water Framework Directive (WFD) demands enhanced protection of the aquatic environment. As a consequence, the WFD requires municipalities and water authorities to address the emissions from drainage systems adequately and to take action when these emissions affect the quality of receiving waters together with mitigating the quantity challenges in a changing climate (floodings and drought). NBS is the most widely used method for storing stormwater and infiltrating in the Netherlands. However, there is still too little knowledge about the long-term functioning of the soil of these facilities. The research results are of great importance for all stakeholders in (inter)national cities that are involved in climate adaptation. Applying Nature-Based Solutions (NBS), Sustainable Urban Drainage Systems (SuDS) or Water Sensitive Urban Design (WSUD) are known to improve the water quality in the urban water cycle. The efficiency of NBS, such as the capability of bio swales to trap PTE, highly depends on the dimensions of the facility and on its implementation in the field [Woods Ballard, B et al, 2015]. For the determination of the removal efficiency of NBS information about stormwater quality and characteristics is essential. Acquiring the following information is strongly advised [Boogaard et al. 2014]:1. stormwater quality levels (method: stormwater quality database);2. location of NBS (method: mapping NBS in international database);3. behaviour of pollutants (method: cost effective mapping pollutants in the field). Stormwater quality contains pollutants as heavy metal in higher concentrations than water quality standards dictate. Over 500 locations with bio swales are mapped in the Netherlands which is a fraction of stormwater infiltration locations implemented in 20 years’ time. Monitoring of all these NBS would acquire high capacity and budget from the Dutch resources. This quick scan XRF mapping methodology of topsoil will indicate if the topsoil is polluted and whether the concentrations exceed national or international standards. This was only the case in one of the youngest pilots in Utrecht indicating that there are multiple factors other than age (traffic intensity, use of materials, storage volume, maintenance, run off quality, etc.). Several locations show unacceptable levels, above the national thresholds for pollutants where further research on the prediction of these levels in relation to multiple factors will be the subject of future research.The results of study are shared in 2 national workshops and valued as of great importance for all stakeholders in (inter)national cities that are involved in implementation of NBS for climate adaptation. The Dutch research results will be used to update (inter-)national guidelines for design, construction and maintenance of infiltration facilities this year. Stormwater managers are strongly advised to use this quick scan method within the first 10 years after implementation of swales to map possible pollution of the top soil and prevent pollution to spread to the groundwater in urban areas.
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This case study describes a special edition of the European Project Semester at the course Sustainable Packaging Design and Innovation at the Faculty of Industrial Design Engineering at The Hague University of Applied Sciences (Fall Semester 2017). In this special edition, unique cooperation took place between 12 parties. The parties were three research institutes, six universities, and three companies. Some parties have developed an educational module focused upon sustainable and circular packaging design, including the use of a dedicated tool for life cycle assessment. This module was embedded in the regular EPS. At The Hague University of Applied Sciences, an international class of 16 students worked in four teams on a real-life design assignment. They were offered a wide range of lectures, workshops, pitches, and presentations. The chapter concludes with a review of the followed processes and organizational, managerial, and practical concerns. Although run as a unique edition, all parties discuss to continue this cooperation.
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