BACKGROUND: Southeast Asian (SEA) mangroves are globally recognized as blue carbon hotspots. Methodologies that measure mangrove soil carbon stock (SCS) are either accurate but costly (i.e., elemental analyzers), or economical but less accurate (i.e., loss-on-ignition [LOI]). Most SEA countries estimate SCS by measuring soil organic matter (OM) through the LOI method then converting it into organic carbon (OC) using a conventional conversion equation (%Corg = 0.415 * % LOI + 2.89, R2 = 0.59, n = 78) developed from Palau mangroves. The local site conditions in Palau does not reflect the wide range of environmental settings and disturbances in the Philippines. Consequently, the conventional conversion equation possibly compounds the inaccuracies of converting OM to OC causing over- or under-estimated SCS. Here, we generated a localized OM-OC conversion equation and tested its accuracy in computing SCS against the conventional equation. The localized equation was generated by plotting % OC (from elemental analyzer) against the % OM (from LOI). The study was conducted in different mangrove stands (natural, restored, and mangrove-recolonized fishponds) in Oriental Mindoro and Sorsogon, Philippines from the West and North Philippine Sea biogeographic regions, respectively. The OM:OC ratios were also statistically tested based on (a) stand types, (b) among natural stands, and (c) across different ages of the restored and recolonized stands. Increasing the accuracy of OM-OC conversion equations will improve SCS estimates that will yield reasonable C emission reduction targets for the country\'s commitments on Nationally Determined Contributions (NDC) under the Paris Agreement.
RESULTS: The localized conversion equation is %OC = 0.36 * % LOI + 2.40 (R2 = 0.67; n = 458). The SOM:OC ratios showed significant differences based on stand types (x2 = 19.24; P = 6.63 × 10-05), among natural stands (F = 23.22; p = 1.17 × 10-08), and among ages of restored (F = 5.14; P = 0.03) and recolonized stands (F = 3.4; P = 0.02). SCS estimates using the localized (5%) and stand-specific equations (7%) were similar with the values derived from an elemental analyzer. In contrast, the conventional equation overestimates SCS by 20%.
CONCLUSIONS: The calculated SCS improves as the conversion equation becomes more reflective of localized site conditions. Both localized and stand-specific conversion equations yielded more accurate SCS compared to the conventional equation. While our study explored only two out of the six marine biogeographic regions in the Philippines, we proved that having a localized conversion equation leads to improved SCS measurements. Using our proposed equations will make more realistic SCS targets (and therefore GHG reductions) in designing mangrove restoration programs to achieve the country\'s NDC commitments.

BACKGROUND: In total knee arthroplasty (TKA), suboptimal restoration of joint line obliquity (JLO) and joint line height (JLH) may lead to diminished implant longevity, increased risk of complications, and reduced patient reported outcomes. The primary objective of this study is to determine whether restricted kinematic alignment (rKA) leads to improved restoration of JLO and JLH compared to mechanical alignment (MA) in TKA.
METHODS: This retrospective study assessed patients who underwent single implant design TKA for primary osteoarthritis, either MA with manual instrumentation or rKA assisted with imageless navigation robotic arm TKA. Pre- and post-operative long standing AP X-ray imaging were used to measure JLO formed between the proximal tibial joint line and the floor. JLH was measured as the distance from the femoral articular surface to the adductor tubercle.
RESULTS: Overall, 200 patients (100 patients in each group) were included. Demographics between the two groups including age, sex, ASA, laterality, and BMI did not significantly differ. Distribution of KL osteoarthritis classification was similar between the groups. For the MA group, pre- to post-operative JLO significantly changed (2.94° vs. 2.31°, p = 0.004). No significant changes were found between pre- and post-operative JLH (40.6 mm vs. 40.6 mm, p = 0.89). For the rKA group, no significant changes were found between pre- and post-operative JLO (2.43° vs. 2.30°, p = 0.57). Additionally, no significant changes were found between pre- and post-operative JLH (41.2 mm vs. 42.4 mm, p = 0.17). Pre- to post-operative JLO alteration was five times higher in the MA group compared to the rKA group, although this comparison between groups did not reach statistical significance (p = 0.09).
CONCLUSIONS: rKA-TKA results in high restoration accuracy of JLO and JLH, and demonstrates less pre- and post-operative JLO alteration compared to MA-TKA. With risen interest in joint line restoration accuracy with kinematic alignment, these findings suggest potential advantages compared to MA. Future investigation is needed to correlate between joint line restoration accuracy achieved by rKA and enhanced implant longevity, reduced risk of post-operative complications, and heightened patient satisfaction.

In degraded urban habitats, nature-based solutions aim to enhance ecosystem functioning and service provision. Bivalves are increasingly reintroduced to urban environments to enhance water quality through biofiltration, yet their long-term sustainability remains uncertain. Following the restoration of the disused South Docks in Liverpool in the 1980s, natural colonization of mussels rapidly improved dock-basin water quality and supported diverse taxa, including other filter feeders. While the initial colonization phase has been well documented, there has been limited published research since the mid-1990s, despite ongoing routine water quality monitoring. Here, we assessed the long-term persistence of mussel populations, their associated biodiversity, and physico-chemical parameters of the water in Queens and Albert Docks by comparing historical (1980s to 1990s) and contemporary data from follow-up surveys (2012,2022). Following an initial period of poor water quality (high contamination and turbidity, low oxygen), the natural colonization of mussels from Albert Dock in 1988 extended throughout the South Docks. By the mid-1990s, the environment of the South Docks and its mussel populations had stabilized. The dock walls were dominated by mussels which provided important complex secondary substrate for invertebrates and macroalgae. Surveys conducted in 2012 and 2022 confirmed the continued dominance of mussels and estimates of mussel biofiltration rates confirm that mussels are continuing to contribute to maintaining water quality. A decline in salinity was observed in both docks in 2022, with evidence of recovery. While these ecosystems appear relatively stable, careful management of the hydrological regime is crucial to ensuring the persistence of mussels and resilient ecosystem service provision through biofiltration.

Forest restoration is a vital nature-based solution for mitigating climate change and land degradation. To ensure restoration effectiveness, the costs and benefits of alternative restoration strategies (i.e., active restoration vs. natural regeneration) need to be evaluated. Existing studies generally focus on maximum restoration potential, neglecting the recovery potential achievable through natural regeneration processes, leading to incomplete understanding of the true benefits and doubts about the necessity of active restoration. In this study, we introduce a multi-stage framework incorporating both restoration and regeneration potential into prioritized planning for ecosystem restoration. We used the vegetated landscape of Hong Kong (covering 728 km2) as our study system due to its comprehensive fine-resolution data and unique history of vegetation recovery, making it an ideal candidate to demonstrate the importance of this concept and inspire further research. We analyzed vegetation recovery status (i.e., recovering, degrading, and stable) over the past decade based on the canopy height data derived from multi-temporal airborne LiDAR. We assessed natural regeneration potential and maximum restoration potential separately, producing spatially-explicit predictions. Our results show that 44.9% of Hong Kong\'s vegetated area has showed evidence of recovery, but remaining gains through natural regeneration are limited, constituting around 4% of what could be attained through active restoration. We further estimated restoration priority by maximizing the restoration gain. When prioritizing 5% of degraded areas, the increment in canopy height could be up to 10.9%. Collectively, our findings highlight the importance of integrating both restoration and regeneration potential into restoration planning. The proposed framework can aid policymakers and land managers in optimizing forest restoration options and promoting the protection and recovery of fragile ecosystems.

Many lands were degraded or destroyed by human activities, including contamination from industry and military facilities. The United States and other industrialized counties have legacy wastes remaining from the Second World War, the Cold War, and industrialization. There is increasing need to return degraded land to suitable future land uses, including ecological parks and preserves. This paper proposes a conceptual model of the different levels of information needed to understand the risk to human health, the environment, and ecological resources. I propose a four-part approach: 1) general model for assessing ecological resources, 2) model for assessment needed for remediation or restoration projects, 3) a sliding scale, conceptual model for causes, events, and sources that lead to exposure and risk, and 4) an additional step that includes environmental justice (equity, diversity and inclusion) as a necessary consideration of traditional exposure assessment. While the factors involved in ecological risk assessment are well established, the combination of human health, ecological health, and environmental justice determining risk for remediation or restoration projects is not. Major factors useful for human health, environmental, and ecological evaluation include causes, events (earthquakes, accidents, chemical releases), sources, exposure, and informational challenges, as well as barriers to exposure. I propose that exposure through an environmental justice (diversity, equity, and inclusion) lens should be a key component of risk assessment. Each of these factors involves a sliding scale or continuum that must be considered in evaluating risk and communicating with the regulators, resource trustees, land managers and the public. The conceptual model also serves as a template for obtaining information about the environment that will be useful for communicating the importance of different risk factors. The model was developed for consideration of remediation on Department of Energy lands, it can be applied more broadly to other projects.

UNASSIGNED: The researchers have been searching for ideal restorative material for many decades. The incorporation of a remineralizing agent into a restorative material to improve its property of preventing dental caries and the occurrence of secondary caries has been investigated by various researchers.Hence, in the present study, we have incorporated two nonfluoridated remineralizing agents [theobromine and casein phosphopeptide-amorphous calcium phosphate (ACP-CPP)] into the conventional glass ionomer cement (GIC) and evaluated their mechanical properties.
UNASSIGNED: The flexural strength, compressive strength, and microhardness values of the two test groups were more significant than the control group type IX GIC.
UNASSIGNED: With this study, we could conclude that the incorporation of theobromine and ACP-CPP into GIC increases the mechanical properties of conventional GIC.
UNASSIGNED: Mahalakshmi S, Chowdhary N, Shivanna V, et al. Comparative Evaluation of Mechanical Properties of Conventional Glass Ionomer Cement Incorporated with Nonfluoridated Remineralizing Agents. Int J Clin Pediatr Dent 2024;17(2):125-129.

From a multiple-histories perspective, this paper attempts to restore the feature framework of Tang Dynasty gardens by describing the environment panorama of that era. Tang Dynasty gardens have their own unique and complex environment features, which is crucial for understanding Chinese classical gardens. This research developed a massive text mining method of historical-document to detect all garden-related elements in Tang poetry. By sorting out these elements, it has been restored the original appearance of Tang Dynasty gardens and summarized its feature framework. The resulting model included 199 factors, 173 of which are correlating with gardens. Among the 173 factors, 129 are risk factors and 44 are protective factors. This paper restores the feature framework of Tang Dynasty gardens from the following four points, namely regions, ecology, architecture and human behavior. Understanding the Tang Dynasty gardens would help understand the development context of Chinese classical gardens, and should provide new paths for contemporary environment creation.

BACKGROUND: Hair transplantation is a widely performed cosmetic procedure for hair restoration. While generally safe, it carries the risk of complications, including recipient site necrosis (RSN). RSN is a rare but serious complication. This study aims to conduct a detailed analysis of 18 patients who had necrosis in the recipient area after hair transplantation.
METHODS: A retrospective review of medical records was conducted on 18 consulted patients who developed RSN following hair transplantation between 2017 and 2023. Data collected included patient demographics, medical history, surgical details, treatment modalities, and outcomes. Treatment involved surgical intervention (debridement), and conservative measures (wound care) in all cases.
RESULTS: The mean age of patients was 36.06 years (range: 22-48). The most common risk factors identified were smoking 66.7% (n = 10), hypertension 20% (n = 3), and diabetes mellitus 13.3% (n = 2). All patients (n = 18) underwent single-session hair transplantation using the follicular unit excision technique, and an average of 3899.44 ± 93.76 follicular units were transplanted. Outcomes such as scarring and graft failure occurred in all patients.
CONCLUSIONS: The presented study is the largest complication series in the literature. RSN is a rare but significant complication of hair transplantation. Identifying and managing risk factors, such as smoking, diabetes and hypertension, is crucial for prevention. Early recognition and prompt treatment are essential for optimal outcomes. While conservative management is often successful, surgical intervention may be necessary in severe cases.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Rewilding seeks to address biodiversity loss by restoring trophic interactions and fostering self-regulating ecosystems. Although gaining traction in Europe and North America, the extent to which rewilding can meet post-2020 protected-area targets remains uncertain. We formulated criteria to map suitable areas for rewilding by identifying large tracts of land with minimal human disturbances and the presence of key mammal species. We find that one-quarter of Europe, approximately 117 million hectares (ha), is compatible with our rewilding criteria. Of these, 70% are in cooler climates. Passive rewilding opportunities, focused on managing existing wilderness, are predominant in Scandinavia, Scotland, the Iberian Peninsula, and notably in the Baltic states, Ireland, and southeastern Europe. Active rewilding opportunities, marked by reintroduction of absent trophic guilds, are identified in Corsica, Sardinia, southern France, and parts of the Netherlands, Denmark, Sweden, and Norway. Our mapping supports European nations in leveraging land abandonment to expand areas for nature conservation, aligning with the European Biodiversity Strategy for 2030. Nevertheless, countries with limited potential for rewilding should consider alternative conservation strategies.

Rising global fire activity is increasing the prevalence of repeated short-interval burning (reburning) in forests worldwide. In forests that historically experienced frequent-fire regimes, high-severity fire exacerbates the severity of subsequent fires by increasing prevalence of shrubs and/or by creating drier understory conditions. Low- to moderate-severity fire, in contrast, can moderate future fire behavior by reducing fuel loads. The extent to which previous fires moderate future fire severity will powerfully affect fire-prone forest ecosystem trajectories over the next century. Further, knowing where and when a wildfire may act as a landscape-scale fuel treatment can help direct pre- and post-fire management efforts. We leverage satellite imagery and fire progression mapping to model reburn dynamics within forests that initially burned at low/moderate severity in 726 unique fire pair events over a 36-year period across four large fire-prone Western US ecoregions. We ask (1) how strong are the moderating effects of low- to moderate-severity fire on future fire severity, (2) how long do moderating effects last, and (3) how does the time between fires (a proxy for fuel accumulation) interact with initial fire severity, day-of-burning weather conditions, and climate to influence reburn severity. Short-interval reburns primarily occurred in dry- and moist-mixed conifer forests with historically frequent-fire regimes. Previous fire moderated reburn severity in all ecoregions with the strongest effects occurring in the California Coast and Western Mountains and the average duration of moderating effects ranging from 13 years in the Western Mountains to >36 years in the California Coast. The strength and duration of moderating effects depended on climate and initial fire severity in some regions, reflecting differences in post-fire fuel accumulation. In the California Coast, moderating effects lasted longer in cooler and wetter forests. In the Western Mountains, moderating effects were stronger and longer lasting in forests that initially burned at higher severity. Moderating effects were largely robust to fire weather, suggesting that previous fire can mediate future fire severity even under extreme conditions. Our findings demonstrate that low- to moderate-severity fire buffers future fire severity in historically frequent-fire forests, underlining the importance of wildfire as a restoration tool for adapting to global change.