Continuity and Change in Baseline Stroke Knowledge across the world: Second Wave of FAST Heroes campaign implementation.

OBJECTIVES: In this work we present the results of the implementation of a globally representative educational school-based stroke awareness programme, FAST (Face, Arm, Speech, Time) Heroes during the second year of education (wave 2). We aimed to observe changes in baseline stroke knowledge between wave 1 and wave 2, distinguish the more fine-grained effect of the campaign on society, and evaluate changes before and after the implementation of wave 2. MATERIALS AND METHODS: In wave 2, parents of school-aged children completed an online stroke preparedness questionnaire before (t1) and after (t2) programme implementation. Results between the time points were analyzed with descriptive statistics alongside changes in baseline knowledge between waves 1 and 2. RESULTS: 1,611 parents participated in wave 2. Parents increased their knowledge of three stroke symptoms from 69% to 87% (p<.001). Their knowledge of the designated emergency number rose from 75% (t1) to 88% (t2) (p<.001). A 17% increase in baseline knowledge occurred in stroke symptoms identified correctly between wave 1 (11 countries) and 2 (18 countries). CONCLUSIONS: Results support the precision and usability of the data collection approach in measuring the change in stroke knowledge between implementation waves. The increased baseline knowledge concerning stroke symptoms in wave 2 needs further examination.

HRMS screening of organophosphate flame retardants and poly-/perfluorinated substances in dust from cars and trucks: Occurrence and human exposure implications.

Time spent within vehicles' cabin has been largely increased during the last years. As a result, the assessment of indoor dust quality is meaningful since dust can be a source of numerous emerging contaminants associated with adverse effects in human health. To this end, fourteen cars and ten trucks from the city of Thessaloniki, Northern Greece were selected to assess the quality of vehicles' microenvironments. An HRMS-based strategy was deployed for the target and non-target analysis of the collected samples. The target approach aimed at the accurate mass screening of nine organophosphate flame retardants (OPFRs) and nine per-/polyfluorinated compounds (PFAS), revealing mean concentrations for the OPFRs varied from

Can We Learn from Our Children About stroke? Effectiveness of a School-Based Educational Programme in Greece.

OBJECTIVES: We describe new findings from the implementation of an educational school-based stroke awareness programme, FAST (Face, Arm, Speech, Time) 112 Heroes, that teaches kindergarten children about stroke symptomatology and the appropriate action plan. The goal of our study was to examine whether the population mostly affected by stroke, i.e. the elderly, can be educated by young children, who have attended the programme. MATERIALS AND METHODS: The educational programme was implemented face-to-face in a kindergarten in Athens, Greece, once a week for five consecutive weeks for one hour per week. Preschoolers (n = 137, aged 4.1-7, mean age=5.3) were enrolled in the programme and nominated two elderly members of their extended family (grandparents) as their own superheroes. Family members received personalized stroke-related material. Stroke awareness of the grandparents was measured before programme implementation (phase 1), after (prior to receiving the printed personalized stroke-related material, phase 2) and three months after receiving the printed personalized stroke-related material (phase 3). RESULTS: Data was obtained from 63 grandparents (48 women; aged 60-84, mean age=69.5 years). Family members demonstrated significant increases in stroke symptom knowledge (p < 0.001) and appropriate course of action (p ≤ 0.001) after participating in the program (phase 2) and receiving printed personalized stroke-related material (phase 3). The majority of the participants (86.84%) reported positive feedback about the received material, the programme, and their interaction with their grandchildren during the programme. CONCLUSIONS: Elderly family members outside the nuclear family can be successfully educated about stroke through their grandchildren and the FAST 112 Heroes programme.

Real-world gaseous and particulate emissions from Euro IV to VI medium duty diesel trucks.

This study offers emission factors for earlier and late technology medium duty diesel particulate filter (DPF) -equipped trucks, operating on real-world conditions. The analysis includes levels of nitrous oxide (N2O) emissions as well as the impacts of DPF regenerations on emission levels. The real-driving gaseous and particulate emissions, as well as fuel consumption of 14 Euro IV, Euro V, and Euro VI medium duty diesel trucks were analysed and the efficiency of different emission control technologies were assessed. Measurements were conducted using portable emission measurement systems (PEMS) over a wide range of driving and operating conditions. Distance-based integration of emission rates over 500 m sections was considered for statistical analysis, providing a large dataset of emission factors to be used for network link-based traffic and emissions modelling. In terms of emissions performance, nitrogen oxides (NOx) levels were in general above the corresponding Euro standard limits, while carbon monoxide (CO), total hydrocarbons (THC) and particulate matter (PM) levels were within limits. Selective catalytic reduction (SCR) -equipped Euro V vehicles were seen to emit more than their non-SCR-equipped counterparts. NOx and fuel consumption were positively correlated with road gradient over the -6% to 6% gradient range. The emission levels of ammonia (NH3) were measured significantly lower than the respective Euro VI provisions for heavy duty engines, while the N2O levels were found to contribute approximately 1% to the respective total greenhouse gases levels. DPF regeneration events in real world seem to have a measurable impact mostly on THC and PM emissions, increasing baseline levels by 8.1% and 29%, respectively, for Euro VI vehicles.

Evaluation of Real-World Gaseous Emissions Performance of Selective Catalytic Reduction and Diesel Particulate Filter Bus Retrofits.

This study reports on the results of gaseous pollutants emission measurements of double-decker buses in an urban road network, using portable emission measurement systems (PEMS). Measured vehicles were tested by following in-service buses on regular routes. Six Euro II and Euro III buses were retrofitted with diesel particulate filters (DPF) and selective catalytic reduction (SCR) or a combined SCR+DPF (SCRT) device. Substantial and statistically significant technology impacts were observed for several pollutants. Optimized SCR and SCRT retrofit technology reduced real-world NO x emissions by approximately 70%, on average. Retrofit DPF slightly reduced NO x emissions but increased direct NO2 emissions by more than a factor of 8, on average. SCRT led to about 70% lower NO2 levels than DPF alone, but for some vehicles higher NO2 levels were observed as compared with the "no retrofit" situation, warranting further investigation. None of the SCR systems were found to lead to a substantial increase in NH3 emissions after operation optimization. High NH3 and N2O emissions were occasionally observed while experience with the system calibration was being accumulated. Observed average N2O emission levels for "DPF+SCR" technology were relatively high at 182 mg/kg fuel, corresponding to 1.5% of total greenhouse gas emissions. The study shows that SCR retrofit programs can be effective for NO x reduction of transit buses but that proper calibration and regular emission monitoring are required.