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1.
J Hazard Mater ; 468: 133813, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38402679

RESUMO

This systematic review addresses soil contamination by crude oil, a pressing global environmental issue, by exploring effective treatment strategies for sites co-contaminated with heavy metals and polycyclic aromatic hydrocarbons (PAHs). Our study aims to answer pivotal research questions: (1) What are the interaction mechanisms between heavy metals and PAHs in contaminated soils, and how do these affect the efficacy of different remediation methods? (2) What are the challenges and limitations of combined remediation techniques for co-contaminated soils compared to single-treatment methods in terms of efficiency, stability, and specificity? (3) How do various factors influence the effectiveness of biological, chemical, and physical remediation methods, both individually and combined, in co-contaminated soils, and what role do specific agents play in the degradation, immobilization, or removal of heavy metals and PAHs under diverse environmental conditions? (4) Do AI-powered search tools offer a superior alternative to conventional search methodologies for executing an exhaustive systematic review? Utilizing big-data analytics and AI tools such as Litmaps.co, ResearchRabbit, and MAXQDA, this study conducts a thorough analysis of remediation techniques for soils co-contaminated with heavy metals and PAHs. It emphasizes the significance of cation-π interactions and soil composition in dictating the solubility and behavior of these pollutants. The study pays particular attention to the interplay between heavy metals and PAH solubility, as well as the impact of soil properties like clay type and organic matter on heavy metal adsorption, which results in nonlinear sorption patterns. The research identifies a growing trend towards employing combined remediation techniques, especially biological strategies like biostimulation-bioaugmentation, noting their effectiveness in laboratory settings, albeit with potentially higher costs in field applications. Plants such as Medicago sativa L. and Solanum nigrum L. are highlighted for their effectiveness in phytoremediation, working synergistically with beneficial microbes to decompose contaminants. Furthermore, the study illustrates that the incorporation of biochar and surfactants, along with chelating agents like EDTA, can significantly enhance treatment efficiency. However, the research acknowledges that varying environmental conditions necessitate site-specific adaptations in remediation strategies. Life Cycle Assessment (LCA) findings indicate that while high-energy methods like Steam Enhanced Extraction and Thermal Resistivity - ERH are effective, they also entail substantial environmental and financial costs. Conversely, Natural Attenuation, despite being a low-impact and cost-effective option, may require prolonged monitoring. The study advocates for an integrative approach to soil remediation, one that harmoniously balances environmental sustainability, cost-effectiveness, and the specific requirements of contaminated sites. It underscores the necessity of a holistic strategy that combines various remediation methods, tailored to meet both regulatory compliance and the long-term sustainability of decontamination efforts.


Assuntos
Recuperação e Remediação Ambiental , Metais Pesados , Hidrocarbonetos Policíclicos Aromáticos , Poluentes do Solo , Hidrocarbonetos Policíclicos Aromáticos/análise , Poluentes do Solo/metabolismo , Metais Pesados/análise , Biodegradação Ambiental , Solo/química , Inteligência Artificial
2.
Arch Suicide Res ; 28(1): 418-427, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-36691847

RESUMO

OBJECTIVE: Although families assume considerable responsibility in caring for their child after a suicidal crisis, little is known about caregiver well-being following a suicide-related pediatric Emergency Department (ED) visit. This study aimed to (1) describe the course of caregiver distress symptoms (e.g., anxiety, depression, and negative affect) and sleep problems following their child's suicide-related ED visit and to (2) identify factors (e.g., parents' mental health history, youth suicide risk chronicity, and perception of feeling supported by the mental health system) hypothesized to be related to caregiver distress symptoms and sleep problems at follow-up using a diathesis-stress model framework. METHOD: Participants included 118 caregiver/youth (ages 11-17) dyads presenting to a psychiatric ED due to youths' suicide-related concerns. Caregivers and youth were assessed during index ED visit and 2-weeks following discharge. RESULTS: Caregivers' anxiety and depressive symptoms and sleep problems increased significantly from the time of the ED visit to 2-week follow-up. There was no significant change in caregiver negative affect. Caregivers with their own history of mental illness and those whose children had a previous ED visit due to a psychiatric concern, suggestive of chronic suicide risk, reported higher anxiety and depressive symptoms at follow-up. CONCLUSION: In the 2 weeks following an ED visit for their child's suicidal crisis, caregivers reported significant increases in anxiety and depressive symptoms and sleep problems. Findings highlight the need to consider the mental health of caregivers whose children are at elevated risk for suicide.HighlightsCaregivers report increases in distress symptoms following youth's suicidal crisis.Caregiver mental health history and youth suicide chronicity impacted distress.Caregiver mental health should be considered when planning youth interventions.


Assuntos
Depressão , Transtornos do Sono-Vigília , Humanos , Adolescente , Criança , Depressão/epidemiologia , Depressão/psicologia , Cuidadores/psicologia , Visitas ao Pronto Socorro , Ansiedade , Ideação Suicida , Transtornos do Sono-Vigília/epidemiologia , Serviço Hospitalar de Emergência
3.
Community Ment Health J ; 59(5): 1013-1020, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-36607521

RESUMO

This study examines relations between suicide prevention gatekeeper beliefs and actual helping behaviors following participation in Applied Suicide Intervention Skills Training (ASIST). Participants (n = 434) completed measures examining suicide-related beliefs and behaviors using a naturalistic pre-post design. All beliefs demonstrated significant change from pre- to posttest. Regression analyses indicate that beliefs about perceived barriers to action and the controllability of suicide predicted identification of high-risk youth; perceived barriers to action were also negatively related to helping responses and referrals 6-9 months post training. Self-efficacy was not related to suicide prevention behaviors at follow-up. The importance of anchoring training curriculums and measurement to health behavior change theories is discussed.


Assuntos
Prevenção do Suicídio , Suicídio , Adolescente , Humanos , Encaminhamento e Consulta , Análise de Regressão , Comportamentos Relacionados com a Saúde
4.
Child Psychiatry Hum Dev ; 53(6): 1240-1251, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-34136980

RESUMO

The number of youth presenting to Emergency Departments (EDs) with psychiatric chief complaints has almost doubled in the last decade. With pediatric patients, ED brief interventions and discharge recommendations necessitate meaningful parental engagement to optimize youth safety and support. This study examined parent-level factors (stigmatizing attitudes, self-efficacy beliefs, distress symptoms, and illness-related stressors) in relation to parents' behavioral engagement (i.e., participation in and follow-through with best practice discharge recommendations). In this short-term prospective study, participants were 118 parent-youth (aged 11-18) dyads (57% female) recruited from a psychiatric ED. Parents' behavioral engagement was measured with parent- and youth-self report at 2-week follow-up. Parents' self-reported anxious and depressive symptoms, insomnia, stress, and stigmatizing attitudes were not related to engagement 2 weeks later. Higher parental self-efficacy beliefs were significantly associated with greater engagement in standard discharge recommendations. Implications for maximizing parent implementation of clinical recommendations during a youth suicide crisis are discussed.


Assuntos
Alta do Paciente , Prevenção do Suicídio , Adolescente , Criança , Intervenção em Crise , Feminino , Humanos , Masculino , Pais/psicologia , Estudos Prospectivos
5.
Econ Hum Biol ; 38: 100888, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32408248

RESUMO

We use two cohorts from the National Longitudinal Surveys (NLSY79 and NLSY97), which are large, nationally representative samples of U.S. adults, to investigate consumption of sugar-sweetened beverages (SSB) by SES, using nine surveys fielded between 2008 and 2016. Previous studies used income and education to measure SES, the NLS enables us to include wealth as well. Previous studies also used cross-sectional data, whereas the NLS allows us to examine whether changes in income and wealth correlate with changes in SSB intake. The results indicate an inverse gradient in SSB consumption with respect to both income and wealth, controlling for education. However, we do not find evidence that changes in income and wealth correlate with changes in SSB intake. This finding suggests that SES influences the development of SSB consumption patterns, but changes in income and wealth generally do not alter them in adulthood.


Assuntos
Bebidas Gaseificadas , Renda/estatística & dados numéricos , Bebidas Adoçadas com Açúcar , Adulto , Estudos Transversais , Sacarose Alimentar , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , Fatores Socioeconômicos , Estados Unidos
6.
Psychiatr Serv ; 70(2): 107-114, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30453859

RESUMO

OBJECTIVE: The streaming series 13 Reasons Why generated controversy because of its depiction of teen suicide and concerns about its impact on vulnerable youths. This study examined exposure to and patterns of engagement with the show and the show's perceived impact in a sample of youths presenting to a psychiatric emergency department (ED) with suicide-related concerns in the year after the series' premiere. METHODS: Participants were 87 parent-youth dyads (youths' mean±SD age=14.6±1.8; 71% of youths were female, 26% male, and 2% gender nonconforming) who completed a battery of questionnaires during their ED visit. RESULTS: Half (49%) of the sample viewed at least one episode of 13 Reasons Why, season 1. Most youths (84%) viewed the show alone and were more likely to discuss their reactions with peers (80%) than with a parent (34%). Over half of youth viewers (51%) believed the series increased their suicide risk to a nonzero degree; having a stronger identification with the lead female character was significantly related to this belief (r=.63, df=41, p<0.001). Youths with more depressive symptoms and suicidal ideation were more likely to identify with the lead characters and report negative affect while viewing. CONCLUSIONS: To date, this is the first published study examining viewing patterns and reactions to 13 Reasons Why in a high-risk sample. Although further research is needed, the findings suggest a particular vulnerability to the show's themes among youths at risk of suicide and the importance of prevention strategies to ameliorate risk among these viewers.


Assuntos
Comportamento do Adolescente/psicologia , Comunicação , Serviço Hospitalar de Emergência/estatística & dados numéricos , Filmes Cinematográficos/estatística & dados numéricos , Suicídio/psicologia , Suicídio/estatística & dados numéricos , Adolescente , Adulto , Feminino , Humanos , Masculino , Pais , Grupo Associado , Risco , Estados Unidos/epidemiologia , Adulto Jovem
7.
Econ Hum Biol ; 30: 48-58, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29920419

RESUMO

Research reporting that greater body weight is associated with lower wages and employment, particularly among women, focuses on how employers perceive workers. In contrast, we examine whether workers' own perceptions of body weight influence labor market outcomes. Numerous studies find that misperception of body weight influences health behaviors and health, both mental and physical. For example, anorexia nervosa involves the over-perception of weight and raises the risk of cardiovascular disease. Do the health consequences of inaccurate self-perceived weight carry through to the labor market? We use the National Longitudinal Survey of Youth 1997 (NLSY97) to investigate patterns in weight misperception and three labor market outcomes. We find little evidence that either over-perception or under-perception of weight is associated with wages, weeks worked, or the number of jobs held for women and men.


Assuntos
Imagem Corporal , Peso Corporal , Emprego/estatística & dados numéricos , Percepção , Salários e Benefícios/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Feminino , Humanos , Estudos Longitudinais , Masculino , Ocupações/estatística & dados numéricos , Características de Residência , Fatores Sexuais , Fatores Socioeconômicos , Estados Unidos , Adulto Jovem
8.
Econ Hum Biol ; 27(Pt A): 12-25, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28472714

RESUMO

Health follows a socioeconomic status (SES) gradient in developed countries, with disease prevalence falling as SES rises. This pattern is partially attributed to differences in nutritional intake, with the poor eating the least healthy diets. This paper examines whether there is an SES gradient in one specific aspect of nutrition: fast-food consumption. Fast food is generally high in calories and low in nutrients. We use data from the 2008, 2010, and 2012 waves of the National Longitudinal Survey of Youth (NLSY79) to test whether adult fast-food consumption in the United States falls as monetary resources rise (n=8136). This research uses more recent data than previous fast-food studies and includes a comprehensive measure of wealth in addition to income to measure SES. We find little evidence of a gradient in adult fast-food consumption with respect to wealth. While adults in the highest quintile are 54.5% less likely to report fast-food consumption than those in the lowest quintile, adults in the second and third quintiles are no less likely to report fast food-food intake than the poorest. Contrary to popular belief, fast-food consumption rises as income rises from the lowest to middle quintiles. The variation in adult fast-food consumption across income and wealth groups is, however, small. Those in the wealthiest quintile ate about one less fast-food meal on average than those in the lowest quintile. Other factors play a bigger role in explaining fast-food consumption: reading ingredient labels is negatively associated while soda consumption and hours of work are positively associated with fast-food consumption.


Assuntos
Fast Foods/estatística & dados numéricos , Renda/estatística & dados numéricos , Adulto , Ingestão de Energia , Feminino , Preferências Alimentares , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Características de Residência/estatística & dados numéricos , Fatores Socioeconômicos , Fatores de Tempo , Estados Unidos
9.
Suicide Life Threat Behav ; 47(3): 297-308, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-27371815

RESUMO

Gatekeeper training is a public health approach to suicide prevention that encourages community members to identify those at risk for suicide, respond appropriately, and refer for clinical services. Despite widespread use, few studies have examined whether training results in behavior change in participants. This study employed a naturalistic pre-post design to follow 434 participants in Applied Suicide Intervention Skills Training, finding small but significant increases in self-reported identification of at-risk youth, some helpful responses to youth, and numbers of youth referred to treatment from pre-test to 6- to 9-month follow-up. Changes in active listening and helping behaviors meant to support treatment referrals (such as convincing a youth to seek treatment) were not observed over time. Additional analyses explored predictors of self-reported skill utilization including identification as a "natural helper" and attitudes about suicide prevention.


Assuntos
Encaminhamento e Consulta , Ideação Suicida , Prevenção do Suicídio , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
10.
Econ Hum Biol ; 7(2): 246-58, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19540176

RESUMO

Obesity poses substantial costs both to the individual and society, mainly through its impact on health and labor productivity. Because obesity is more prevalent among the poor some have raised concerns that food assistance programs may encourage excess weight. This paper investigates whether the U.S. Food Stamp Program contributes to adult participants' weight as measured by body mass index (BMI). Results suggest that the typical female food stamp participant's BMI is indeed more than 1 unit higher than someone with the same socioeconomic characteristics who is not in the program. For the average American woman, who is 5 ft 4 in. (1.63 m) tall, this means an increase in weight of 5.8 pounds (2.6 kg). While this association does not prove that the Food Stamp Program causes weight gain, it does suggest that program changes to encourage the consumption of high-nutrient, low-calorie foods should be considered.


Assuntos
Alimentos/economia , Assistência Pública , Aumento de Peso , Adulto , Índice de Massa Corporal , Escolaridade , Características da Família , Feminino , Humanos , Estudos Longitudinais , Masculino , Obesidade/economia , Obesidade/epidemiologia , Prevalência , Assistência Pública/normas , Assistência Pública/tendências , Análise de Regressão , Estados Unidos/epidemiologia
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