Managed aquifer recharge MAR) is a promising water management tool toward restoring groundwater balance and securing groundwater ecosystem services (i.e., water for drinking, industrial or irrigation ...use, control of land subsidence, maintenance of environmental flows to groundwater dependent ecosystems, etc.). Obviously, MAR projects can improve the quality of lives of the people by several ways. Thus, from a social perspective, the benefits of MAR cannot and should not be based only on market revenues or costs. Although the value of groundwater, from a social perspective, has been a subject of socio‐economic research, literature on the value of MAR per se is very limited. This paper, focusing on Italy which is a country with extensive utilization of MAR, aims to estimate the economic value of MAR and makes a first step toward filling this gap in the literature. For this purpose, the Contingent Valuation method was implemented to provide a monetary estimate and to explore the factors influencing people's attitude and willingness to pay for MAR. The results show that society holds not only use but also significant nonuse values, which are a part of the total economic value (TEV) of groundwater according to related research efforts. To this end, MAR valuation highlights its social importance for groundwater conservation and provides a solid basis for incorporating its nonmarket benefits into groundwater management policies and assessments.
Key Points
A contingent valuation study was conducted in Italy to estimate the economic value of managed aquifer recharge
The total economic value that society attaches to managed aquifer recharge is significant though lower than that of groundwater
The society holds nonmarket values for managed aquifer recharge that should be incorporated into groundwater management policies
transient ischemic attack (TIA) is defined as a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia, with clinical symptoms typically lasting less ...than one hour, and without evidence of acute infarction. In this type of ischemic event, there are no data about a possible cardiac injury tested with troponin. After a stroke, it is well established the cardiac involvement due to a neuro-inflammatory response (recently defined as Stroke Heart Syndrome). The aim of this study is to compare the troponin elevation after a stroke with TIA.
this is a retrospective, single center study on 565 patients (73 TIAs, 492 stroke). We collected demographic characteristics, cardiovascular risk factors, cardiac data such as troponin, NT-proBNP, left atrial dilatation, etiology of the ischemic event (TOAST classification).
we compare IS and TIA for each TOAST subtype. In all groups no substantial differences were found in demographic and past medical history (p>0.05). However, the maximum troponin level reached were significantly lower in TIAs than IS (p<0.05), except in lacunar etiology were troponin elevation was low also in IS group. We found a trend in favor to IS in the rise and fall troponin elevation over 30% in all the TOAST subgroups, but only in the cryptogenic etiology the difference was significant. About the others cardiac markers of injury, a significant higher rate of elevated NT-proBNP was found in the IS cohort.
troponin level after TIAs is significantly lower than after IS. Troponin elevation after an ischemic event may be more relevant in patients with higher NT-proBNP levels and older age. More studies are needed to better understand the patho-physiology of this phenomenon after an ischemic event.
•Chronic migraine is often associated with medication overuse headache.•Few small trials have been conducted on Transcranial Magnetic Stimulation for Chronic Migraine treatment.•High frequencies-rTMS ...carries a high potential of inducing placebo effect in Migraine Patients.
Chronic migraine (CM) is often associated with medication overuse headache (MOH). Few small trials have been conducted on Transcranial Magnetic Stimulation for CM treatment, but results are conflicting. Aim of the study was to investigate the effects of high frequency of repetitive Transcranial Magnetic Stimulation (hf-rTMS) in the dorsolateral prefrontal cortex combined with strongly suggesting to avoid medications overuse in patients suffering with CM and MOH.
A six-month single-centre perspective randomized double-blinded study was conducted at the Headache Centre of Trieste. Patients suffering with CM and MOH were randomly enrolled in two groups to receive active hf-rTMS in DLPFC or sham hf-rTMS. Headache days (HD), headache hours (HH) and symptomatic drug intake (SDI) were recorded for 30 days before the beginning of stimulation (T0) and during the three following months (T3). Disability (MIDAS score) was evaluated at T0 and at the three-month follow-up visit. The primary outcome was the evaluation of reduction of HD. Reduction of SDI, HH and disability were considered as secondary outcomes.
Out of 26 patients enrolled, 14 completed the study, 7 underwent hf-rTMS and 7 sham-TMS. There were no significant differences between groups at T0 in demographic data and headache measures. Mean number of HD, HH, SDI, and MIDAS similarly reduced in the two groups.
Our study failed in demonstrating that hf-rTMS with detoxification advice could be better than detoxification advice alone in CM treatment. hf-rTMS carries a high potential of inducing placebo effect and this can be usefully leveraged to enhance patients’ coping strategies.
Although deep brain stimulation of the subthalamic nucleus is an effective surgical treatment for Parkinson’s disease, it may expose patients to non-motor side effects such as increased impulsivity ...and changes in decision-making behavior. Even if several studies have shown that stimulation of the subthalamic nucleus increases the incentive salience of food rewards in both humans and animals, temporal discounting for food rewards has never been investigated in patients who underwent STN-DBS. In this study, we measured inter-temporal choice after STN-DBS, using both primary and secondary rewards. In particular, PD patients who underwent STN-DBS (in ON medication/ON stimulation), PD patients without STN-DBS (in ON medication) and healthy matched controls (C) performed three temporal discounting tasks with food (primary reward), money and discount vouchers (secondary rewards). Participants performed also neuropsychological tests assessing memory and executive functions. Our results show that STN-DBS patients and PD without DBS behave as healthy controls. Even PD patients who after DBS experienced weight gain and/or eating alterations did not show an increased temporal discounting for food rewards. Interestingly, patients taking a higher dosage of dopaminergic medications, fewer years from DBS surgery and, unexpectedly, with better episodic memory were also those who discounted rewards more. In conclusion, this study shows that STN-DBS does not affect temporal discounting of primary and secondary rewards. Furthermore, by revealing interesting correlations between clinical measures and temporal discounting, it also shed light on the clinical outcomes that follow STN-DBS in patients with PD.
Abstract Managed aquifer recharge MAR) is a promising water management tool toward restoring groundwater balance and securing groundwater ecosystem services (i.e., water for drinking, industrial or ...irrigation use, control of land subsidence, maintenance of environmental flows to groundwater dependent ecosystems, etc.). Obviously, MAR projects can improve the quality of lives of the people by several ways. Thus, from a social perspective, the benefits of MAR cannot and should not be based only on market revenues or costs. Although the value of groundwater, from a social perspective, has been a subject of socio‐economic research, literature on the value of MAR per se is very limited. This paper, focusing on Italy which is a country with extensive utilization of MAR, aims to estimate the economic value of MAR and makes a first step toward filling this gap in the literature. For this purpose, the Contingent Valuation method was implemented to provide a monetary estimate and to explore the factors influencing people's attitude and willingness to pay for MAR. The results show that society holds not only use but also significant nonuse values, which are a part of the total economic value (TEV) of groundwater according to related research efforts. To this end, MAR valuation highlights its social importance for groundwater conservation and provides a solid basis for incorporating its nonmarket benefits into groundwater management policies and assessments.
Key Points A contingent valuation study was conducted in Italy to estimate the economic value of managed aquifer recharge The total economic value that society attaches to managed aquifer recharge is significant though lower than that of groundwater The society holds nonmarket values for managed aquifer recharge that should be incorporated into groundwater management policies
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