Characterization Factors to Assess Land Use Impacts on Pollinator Abundance in Life Cycle Assessment

While wild pollinators play a key role in global food production, their assessment is currently missing from the most commonly used environmental impact assessment method, Life Cycle Assessment (LCA). This is mainly due to constraints in data availability and compatibility with LCA inventories. To target this gap, relative pollinator abundance estimates were obtained with the use of a Delphi assessment, during which 25 experts, covering 16 nationalities and 45 countries of expertise, provided scores for low, typical, and high expected abundance associated with 24 land use categories. Based on these estimates, this study presents a set of globally generic characterization factors (CFs) that allows translating land use into relative impacts to wild pollinator abundance. The associated uncertainty of the CFs is presented along with an illustrative case to demonstrate the applicability in LCA studies. The CFs based on estimates that reached consensus during the Delphi assessment are recommended as readily applicable and allow key differences among land use types to be distinguished. The resulting CFs are proposed as the first step for incorporating pollinator impacts in LCA studies, exemplifying the use of expert elicitation methods as a useful tool to fill data gaps that constrain the characterization of key environmental impacts.

Climate mitigation in the Mediterranean Europe: An assessment of regional and city-level plans

In Europe, regions in the Mediterranean area share common characteristics in terms of high sensitivity to climate change impacts. Does this translate into specificities regarding climate action that could arise from these Mediterranean characteristics? This paper sheds light on regional and local climate mitigation actions of the Mediterranean Europe, focusing on the plans to reduce greenhouse gases emissions in a representative sample of 51 regions and 73 cities across 9 Mediterranean countries (Croatia, Cyprus, France, Greece, Italy, Malta, Portugal, Slovenia, Spain). The study investigates: (i) the availability of local and regional mitigation plans, (ii) their goals in term of greenhouse gas emissions reduction targets on the short and medium-long term, and (iii) the impact of transnational climate networks on such local and regional climate mitigation planning. Results of this study indicate an uneven and fragmented planning, that shows a Mediterranean West-East divide, and a link with population size. However, overall, both regional and city action seem insufficiently ambitious with regards to meeting the Paris Agreement, at least at city level. While national frameworks are currently weak in influencing regional and local actions, transnational networks seem to be engaging factors for commitment (at city level) and ambitiousness (at regional level). The uneven and fragmented progress revealed by this study, does not align with the characteristics shared by investigated regions and cities in terms of environmental, socio-political, climatic and economic conditions. The results support the call of a common green deal at the Mediterranean level to further address specific Mediterranean challenges and related needs. This will allow to capitalise on available resources, generate local-specific knowledge, build capacities, and support Mediterranean regions and cities in preparing the next generation of more ambitious mitigation plans.

Capacity-building and networking events for nature-based solutions and re-naturing in Malta

Nature-based solutions (NbS) have the potential to build climate resilience and tackle key societal challenges while also providing multiple co-benefits to biodiversity and human well-being. The demand for nature-based innovation is strongly felt in Malta – a small island state, with the highest population density in the European Union. Against this background, the Horizon 2020 project ReNature (Promoting research excellence in nature-based solutions for innovation, economic growth and human well-being in Malta) has the goal to enhance research excellence of the Malta College of Arts, Science and Technology (MCAST), as well as the national research, policy, business and stakeholder community. The six strategically designed training activities fostering capacity-building and research excellence, delivered during the first half of the project, resulted in useful learning outputs. These are twelve presentations, available as attachments to this article, which cover a large scope of topics related to the implementation of NbS. At a later stage, ReNature will publish another round of learning outputs, resulting from the rest of the training activities planned within the scope of the project.

ReNature: creating the first nature-based solutions compendium in the Mediterranean

The ReNature nature-based solutions compendium (http://renature-project.eu/compendium) is an open-source collection, which contains data on nature-based solutions in Malta. Initially collecting information only about Malta, the compendium is growing to include submissions from across the whole Mediterranean region. The development of an open-source compendium plays an essential role in the co-creation of knowledge, and fostering capacity-building at a national and international level, which are some of the key objectives of ReNature. By sharing existing and successful implementation of nature-based solutions, the platform is giving examples of good practices for practitioners and the research community. This paper reviews the process of the development of the ReNature open-source compendium.

Building capacity for mainstreaming nature-based solutions into environmental policy and landscape planning

Nature-based solutions (NBS) is a term often used to refer to adequate green infrastructure that provides multiple benefits to society whilst addressing societal challenges. They are defined as actions to protect, sustainably manage and restore natural or modified ecosystems that address societal challenges effectively and adaptively, simultaneously providing human well-being and biodiversity benefits. Malta, the smallest member state of the EU, has been characterised by rapid economic growth and urbanisation and Maltese citizens had the highest rate of exposure to pollution, grime or other environmental problems, in the EU. The project ReNature aims to establish and implement a nature-based solutions research strategy for Malta with a vision to promote research and innovation and develop sustainable solutions whilst improving human well-being and tackling environmental challenges. Here, we introduce the opening of ReNature collection of research articles in the Open Access Research Ideas and Outcomes (RIO) journal to publish unconventional research outputs and training materials. It will host key outputs relating to the sustainable use of biodiversity, biodiversity – ecosystem functioning, green infrastructure and ecosystem service assessments across rural-urban gradients, equitable access to the benefits derived from nature in cities and socio-environmental justice, payments for ecosystem services, and designing nature-based solutions.

A critical analysis of the potential for EU Common Agricultural Policy measures to support wild pollinators on farmland

Agricultural intensification and associated loss of high-quality habitats are key drivers of insect pollinator declines. With the aim of decreasing the environmental impact of agriculture, the 2014 EU Common Agricultural Policy (CAP) defined a set of habitat and landscape features (Ecological Focus Areas: EFAs) farmers could select from as a requirement to receive basic farm payments. To inform the post-2020 CAP, we performed a European-scale evaluation to determine how different EFA options vary in their potential to support insect pollinators under standard and pollinator-friendly management, as well as the extent of farmer uptake.A structured Delphi elicitation process engaged 22 experts from 18 European countries to evaluate EFAs options. By considering life cycle requirements of key pollinating taxa (i.e. bumble bees, solitary bees and hoverflies), each option was evaluated for its potential to provide forage, bee nesting sites and hoverfly larval resources.EFA options varied substantially in the resources they were perceived to provide and their effectiveness varied geographically and temporally. For example, field margins provide relatively good forage throughout the season in Southern and Eastern Europe but lacked early-season forage in Northern and Western Europe. Under standard management, no single EFA option achieved high scores across resource categories and a scarcity of late season forage was perceived.Experts identified substantial opportunities to improve habitat quality by adopting pollinator-friendly management. Improving management alone was, however, unlikely to ensure that all pollinator resource requirements were met. Our analyses suggest that a combination of poor management, differences in the inherent pollinator habitat quality and uptake bias towards catch crops and nitrogen-fixing crops severely limit the potential of EFAs to support pollinators in European agricultural landscapes. Policy Implications. To conserve pollinators and help protect pollination services, our expert elicitation highlights the need to create a variety of interconnected, well-managed habitats that complement each other in the resources they offer. To achieve this the Common Agricultural Policy post-2020 should take a holistic view to implementation that integrates the different delivery vehicles aimed at protecting biodiversity (e.g. enhanced conditionality, eco-schemes and agri-environment and climate measures). To improve habitat quality we recommend an effective monitoring framework with target-orientated indicators and to facilitate the spatial targeting of options collaboration between land managers should be incentivised.

The interplay of landscape composition and configuration: new pathways to manage functional biodiversity and agroecosystem services across Europe

Managing agricultural landscapes to support biodiversity and ecosystem services is a key aim of a sustainable agriculture. However, how the spatial arrangement of crop fields and other habitats in landscapes impacts arthropods and their functions is poorly known. Synthesising data from 49 studies (1515 landscapes) across Europe, we examined effects of landscape composition (% habitats) and configuration (edge density) on arthropods in fields and their margins, pest control, pollination and yields. Configuration effects interacted with the proportions of crop and non-crop habitats, and species' dietary, dispersal and overwintering traits led to contrasting responses to landscape variables. Overall, however, in landscapes with high edge density, 70% of pollinator and 44% of natural enemy species reached highest abundances and pollination and pest control improved 1.7- and 1.4-fold respectively. Arable-dominated landscapes with high edge densities achieved high yields. This suggests that enhancing edge density in European agroecosystems can promote functional biodiversity and yield-enhancing ecosystem services.

Assessing urban recreation ecosystem services through the use of geocache visitation and preference data: a case-study from an urbanised island environment

Recreation is an important cultural ecosystem service and is one way in which communities experience the direct and indirect benefits arising from the experiential use of their environment. The recent rise in popularity of Global Positioning System (GPS) game applications, which combine information technology with an activity that increases mobility and encourages outdoor enjoyment, provides ecosystem service practitioners with an opportunity to make use of this georeferenced data to assess recreational ecosystem services. Geocaching is one such worldwide outdoor game. It has fixed points of incursion where people can hide and look for caches. This study explores the possibility of using geocaching data as a proxy for recreational ecosystems services in the Maltese Islands. A quantitative analysis of the georeferenced caches was used together with their visit rates and number of favourite points. This was supplemented by two questionnaires that investigated the preferences and experiences of both geocache placers (n=39) and hunters (n=21). Results show that the highest number of caches were placed and searched for in urban areas and that geocaching is strongly associated with the presence and accessibility of urban green infrastructure. The number of geocachers who stated preference for experiences in nature did not translate into high visit rates to sites of high conservation value (protected areas) but landscape value was significantly associated with recreational ecosystem services flow. The results presented here provide evidence that geocaching spatial data can act as an indicator for assessing and mapping recreational ecosystem services in urban environments and in cultural landscapes.

The bees (Hymenoptera: Apoidea) of the Maltese Islands

This study presents the first checklist of the bees of the Maltese Islands and includes notes on the distribution of each species. A total of 95 species belonging to five bee families are recorded: Andrenidae (17 species), Apidae (34 species), Colletidae (6 species), Halictidae (15 species) and Megachilidae (23 species). Lasioglossum callizonium (Pérez, 1896) is recorded for the first time from the Maltese Islands. Records of three previously reported species are listed as dubious. The bee fauna of the Maltese Archipelago is dominated by widespread West-Palaearctic species, and most of the species recorded are also found in the Western Mediterranean Basin. Bees that have been recorded from Malta are also known from Southern Europe. The study provides a biogeographical analysis of the Maltese bee fauna, and discusses the conservation of this group and their important role in the delivery of ecosystem services in the Maltese Islands.

Associations of dragonflies (Odonata) to habitat variables within the Maltese Islands: a spatio-temporal approach

Relatively little information is available on environmental associations and the conservation of Odonata in the Maltese Islands. Aquatic habitats are normally spatio-temporally restricted, often located within predominantly rural landscapes, and are thereby susceptible to farmland water management practices, which may create additional pressure on water resources. This study investigates how odonate assemblage structure and diversity are associated with habitat variables of local breeding habitats and the surrounding agricultural landscapes. Standardized survey methodology for adult Odonata involved periodical counts over selected water-bodies (valley systems, semi-natural ponds, constructed agricultural reservoirs). Habitat variables relating to the type of water body, the floristic and physiognomic characteristics of vegetation, and the composition of the surrounding landscape, were studied and analyzed through a multivariate approach. Overall, odonate diversity was associated with a range of factors across multiple spatial scales, and was found to vary with time. Lentic water-bodies are probably of high conservation value, given that larval stages were mainly associated with this habitat category, and that all species were recorded in the adult stage in this habitat type. Comparatively, lentic and lotic seminatural waterbodies were more diverse than agricultural reservoirs and brackish habitats. Overall, different odonate groups were associated with different vegetation life-forms and height categories. The presence of the great reed, Arundo donax L., an invasive alien species that forms dense stands along several water-bodies within the Islands, seems to influence the abundance and/or occurrence of a number of species. At the landscape scale, roads and other ecologically disturbed ground, surface water-bodies, and landscape diversity were associated with particular components of the odonate assemblages. Findings from this study have several implications for the use of Odonata as biological indicators, and for current trends with respect to odonate diversity conservation within the Maltese Islands.

The neuroleptic malignant syndrome: a logical approach to the patient with temperature and rigidity

The neuroleptic malignant syndrome is a rare, potentially fatal, adverse reaction to neuroleptic drugs characterised by severe rigidity, high temperature and autonomic dysfunction. In the light of the hypothesized pathophysiology of this condition, a rational approach to the management of patients presenting with temperature and rigidity is provided. The aims of this approach are three-fold: to reduce the incidence of the condition, to be able to recognise it early so as to treat before life-threatening complications arise, and to be able to recognise early those conditions which mimic neuroleptic malignant syndrome, so as not to delay their specific treatment.

Hospitalization of adults for asthma and inhaled corticosteroid use in an island population

Inhaled corticosteroids have been shown to reduce morbidity and the need for hospitalization from asthma. Despite improvements in the therapy of asthma, epidemiologic data from several countries has shown that the hospital admission rates for asthma among adults at a population level are on the increase. The prevalence rate of hospital admission for asthma among Maltese adults aged 15-59 years was determined retrospectively from 1989 to 1993. Concurrent yearly total dispensal of inhaled corticosteroids for the whole population was also calculated. This study was undertaken amongst a well-defined island population served by a single medical facility offering emergency services, and a possible association between these two trends was investigated by means of logistic regression. The age-specific hospital admission rates for asthma decreased from 96.2 (95% CI: 109.7, 82.7) per 100,000 in 1989 to 38.1 (95% CI: 46.4, 29.8) per 100,000 in 1993. The prevalence rates of admission from asthma decreased from 67.6 (95% CI: 78.9, 56.3) per 100,000 in 1989 to 30.6 (95% CI: 38.0, 23.2) per 100,000 in 1993. The dispensal of inhaled beclomethasone dipropionate (BDP) increased from 0.99 defined daily dose (DDD) per 1000 population in 1989 to 3.28 DDD per 1000 in 1993. Logistic regression showed that increasing dispensal of inhaled BDP by 1 DDD per 1000 decreased the odds of an admission from asthma to 0.71 (95% CI: 0.65, 0.78) times their previous value. Similarly, the odds of an individual being hospitalized because of asthma decreased to 0.75 (95% CI: 0.67, 0.83) times their previous value. This study concludes that there was a progressive decrease in hospital admission rates for asthma in adults, and this trend correlates well with increasing use of inhaled corticosteroids at a community level. This must, however, be interpreted with care in light of the fact that increase in utilization of anti-inflammatory therapy probably also reflected improved general and widespread care for asthma.

Carbon monoxide poisoning: easy to treat but difficult to recognise

Carbon monoxide (CO) poisoning is a common medical emergency and a frequent cause of deliberate or accidental death. It can cause acute and chronic central nervous system damage which may be minimised by prompt treatment with 100% oxygen or hyperbaric oxygen therapy. However, recognition of this intoxication can be difficult. Failure to diagnose it may have disastrous effects on the patient, and other members of the household who could subsequently become intoxicated. Guidance on the correct diagnosis of this condition is provided in the light of a number of studies screening emergency room populations. Guidelines for treatment with hyperbaric oxygen therapy are also reviewed.

Paradoxical autonomic response to procyclidine in the neuroleptic malignant syndrome

BACKGROUND

Neuroleptic Malignant Syndrome (NMS) is an adverse reaction to dopamine receptor antagonists, characterised by hyperpyrexia, extrapyramidal rigidity and impaired autonomic function. It might result from central dopamine receptor blockade that causes severe muscle contraction.

METHOD

Case Study.

RESULTS

High dose intravenous therapy with the anticholinergic drug, procyclidine hydrochloride, temporarily diminished the muscle rigidity and reversed most of the autonomic features in a patient with NMS occurring after a single intramuscular dose of the dopamine antagonist metoclopramide. Paradoxically, however, the heart rate decreased and bowel movements increased with this atropine-like drug.

CONCLUSION

Since the degree of tachypnoea, tachycardia, and bowel hypotonia closely paralleled the severity of the muscle rigidity, it is suggested that these autonomic features of NMS result from sustained muscle contraction rather than a direct effect of neuroleptic drugs on the central nervous system.

Unstable angina and exposure to carbon monoxide

Inhalation of small amounts of carbon monoxide diminishes the pain threshold in patients with stable angina pectoris. The aim of this study was to identify and describe patients who had been exposed unknowingly to toxic inhalations of this gas and subsequently presented to hospital with a clinical picture of unstable angina. Blood carboxyhaemoglobin levels of 104 patients referred with unstable angina to a coronary care unit were determined on admission. The likely source of carbon monoxide was identified in all patients. Three patients had definite carbon monoxide intoxication. Another five patients had evidence of minor exposure. When the three cases with carbon monoxide poisoning were excluded, the mean carboxyhaemoglobin level was 2.5% (+/- 1.3) for smokers (n = 30) and 0.6% (+/- 0.5) for non-smokers (n = 71). Use of fossil fuel combustion in an enclosed environment was responsible for the three most serious intoxications and one of the minor cases. We suggest that a number of patients admitted for coronary care with unstable angina may have significant carbon monoxide poisoning. This intoxication is often overlooked by attending physicians with the result that high concentration oxygen therapy is not administered, when it is in fact a necessary part of treatment.