RESUMO
PURPOSE OF REVIEW: The ability to effectively prepare for and respond to the psychological fallout from large-scale disasters is a core competency of military mental health providers, as well as civilian emergency response teams. Disaster planning should be situation specific and data driven; vague, broad-spectrum planning can contribute to unprepared mental health teams and underserved patient populations. Herein, we review data on mental health sequelae from the twenty-first century pandemics, including SARS-CoV2 (COVID-19), and offer explanations for observed trends, insights regarding anticipated needs, and recommendations for preliminary planning on how to best allocate limited mental health resources. RECENT FINDINGS: Anxiety and distress, often attributed to isolation, were the most prominent mental health complaints during previous pandemics and with COVID-19. Additionally, post-traumatic stress was surprisingly common and possibly more enduring than depression, insomnia, and alcohol misuse. Predictions regarding COVID-19's economic impact suggest that depression and suicide rates may increase over time. Available data suggest that the mental health sequelae of COVID-19 will mirror those of previous pandemics. Clinicians and mental health leaders should focus planning efforts on the negative effects of isolation, particularly anxiety and distress, as well as post-traumatic stress symptoms.
Assuntos
Infecções por Coronavirus/psicologia , Necessidades e Demandas de Serviços de Saúde , Saúde Mental , Pneumonia Viral/psicologia , Ansiedade , Betacoronavirus , COVID-19 , Infecções por Coronavirus/epidemiologia , Humanos , Pandemias , Pneumonia Viral/epidemiologia , Angústia Psicológica , SARS-CoV-2 , Transtornos de Estresse Pós-TraumáticosRESUMO
The expansion of globalized industrial societies is causing global warming, ecosystem degradation, and species and language extinctions worldwide. Mainstream conservation efforts still focus on nature protection strategies to revert this crisis, often overlooking the essential roles of Indigenous Peoples and Local Communities (IP&LC) in protecting biodiversity and ecosystems globally. Here we assess the scientific literature to identify relationships between biodiversity (including ecosystem diversity) and cultural diversity, and investigate how these connections may affect conservation outcomes in tropical lowland South America. Our assessment reveals a network of interactions and feedbacks between biodiversity and diverse IP&LC, suggesting interconnectedness and interdependencies from which multiple benefits to nature and societies emerge. We illustrate our findings with five case studies of successful conservation models, described as consolidated or promising 'social-ecological hope spots', that show how engagement with IP&LC of various cultures may be the best hope for biodiversity and ecosystem conservation, particularly when aligned with science and technology. In light of these five inspiring cases, we argue that conservation science and policies need to recognize that protecting and promoting both biological and cultural diversities can provide additional co-benefits and solutions to maintain ecosystems resilient in the face of global changes.
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Biodiversidade , Conservação dos Recursos Naturais , Humanos , América do Sul , Ecossistema , Povos Indígenas , Diversidade CulturalRESUMO
Fertile soil known as Amazonian dark earth is central to the debate over the size and ecological impact of ancient human populations in the Amazon. Dark earth is typically associated with human occupation, but it is uncertain whether it was created intentionally. Dark earth may also be a substantial carbon sink, but its spatial extent and carbon inventory are unknown. We demonstrate spatial and compositional similarities between ancient and modern dark earth and document modern Indigenous practices that enrich soil, which we use to propose a model for the formation of ancient dark earth. This comparison suggests that ancient Amazonians managed soil to improve fertility and increase crop productivity. These practices also sequestered and stored carbon in the soil for centuries, and we show that some ancient sites contain as much carbon as the above-ground rainforest biomass. Our results demonstrate the intentional creation of dark earth and highlight the value of Indigenous knowledge for sustainable rainforest management.
Assuntos
Carbono , Solo , Humanos , Biomassa , Sequestro de Carbono , Produção AgrícolaRESUMO
Identifying and implementing techniques for carbon management has become an important endeavor in the mitigation of global climate change. Two important techniques being pursued are geologic and terrestrial carbon sequestration. With regard to terrestrial sequestration, in order to accurately monitor changes in soil carbon potentially induced by sequestration practices, rapid, cost-effective, and accurate measurements must be developed. Spark-induced breakdown spectroscopy (SIBS) has the potential to be used as a field-deployable method to monitor changes in the concentration of carbon in soil. SIBS spectra in the 248 nm region of eight soils were collected, and the neutral carbon line at 247.85 nm was compared to total carbon concentration determined by standard dry combustion techniques. Additionally, Fe and Si emission lines were evaluated in a multivariate statistical model to evaluate their impacts on the model's predictive power for total carbon concentrations. The preliminary results indicate that SIBS is a viable method to quantify total carbon levels in soils, obtaining a correlation of (R(2)=0.972) between measured and predicated carbon in soils. These results show that multivariate analysis can be used to construct a calibration model for SIBS soil spectra.
Assuntos
Carbono/análise , Análise Multivariada , Solo/análise , Análise Espectral/métodos , Ferro/análise , Silício/análiseRESUMO
As solid-state laser technology continues to mature, high-energy lasers operating in the near-infrared (NIR) band have seen increased utilization in manufacturing, medical, and military applications. Formulations of maximum permissible exposure limits establish guidelines for the safe use of these systems for a given set of laser parameters, based on past experimental and analytical studies of exposure thresholds causing injury to the skin and eyes. The purpose of our study is to characterize the skin response to multiple-pulsed laser exposures at the NIR wavelength of 1070 nm, at a constant beam diameter of 1 cm, using anesthetized Yucatan mini-pig subjects. Our study explores three constant total laser-on times of 0.01, 0.1, and 10 s as single- and multiple-pulse sequences. Exposures consisting of 10, 30, and 100 pulses have identical individual pulse durations but different duty cycles in order to include variable degrees of thermal additivity. A plurality of three observers quantifies skin damage with the minimally visible lesion metric, judged at the 1- and 24-h intervals postexposure. Calculation of the median effective dose (ED50) provides injury thresholds for all exposure conditions, based on varying laser power across subjects. The results of this study will provide a quantitative basis for the incorporation of multiple-pulsed laser exposure into standards and augment data contained in the existing ED50 database.
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Lasers/efeitos adversos , Pele/lesões , Animais , Relação Dose-Resposta à Radiação , Resposta ao Choque Térmico/efeitos da radiação , Raios Infravermelhos , Doses de Radiação , Suínos , Porco MiniaturaRESUMO
A numerical analysis capable of describing the early stage of a thermal microcavitation process in a water-rich biotissue without avalanche breakdown was developed. The analysis successfully reproduced the laser-induced heating, vapor bubble formation, bubble expansion, and shockwave propagation inside a water-rich biotissue during a thermal microcavitation process. Based on the analysis, it was determined that the evolution of the temperature, pressure, and laser-induced shockwave is dependent on the incident laser energy and laser pulse width. On the other hand, the early stage dynamics of the microcavitation process showed little dependence on the elastic modulus of the biotissue for the laser and tissue conditions studied.
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Lasers , Temperatura , Água/química , PressãoRESUMO
Thresholds for microcavitation of bovine and porcine melanosomes were previously reported, using single nanosecond (ns) laser pulses in the visible (532 nm) and the near-infrared (NIR) from 1000 to 1319 nm. Here, we report average radiant exposure thresholds for bovine melanosome microcavitation at additional NIR wavelengths up to 1540 nm, which range from â¼0.159 J∕cm2 at 800 nm to 4.5 J∕cm2 at 1540 nm. Melanosome absorption coefficients were also estimated, and decreased with increasing wavelength. These values were compared to retinal pigment epithelium coefficients, and to water absorption, over the same wavelength range. Corneal total intraocular energy retinal damage threshold values were estimated and compared to the previous (2007) and recently changed (2014) maximum permissible exposure (MPE) safe levels. Results provide additional data that support the recent changes to the MPE levels, as well as the first microcavitation data at 1540 nm, a wavelength for which melanosome microcavitation may be an ns-pulse skin damage mechanism.
Assuntos
Lasers , Melanossomas/fisiologia , Melanossomas/efeitos da radiação , Epitélio Pigmentado da Retina/fisiologia , Epitélio Pigmentado da Retina/efeitos da radiação , Absorção de Radiação/fisiologia , Animais , Bovinos , Fracionamento Celular/métodos , Células Cultivadas , Relação Dose-Resposta à Radiação , Concentração Máxima Permitida , Melanossomas/ultraestrutura , Doses de Radiação , Epitélio Pigmentado da Retina/ultraestrutura , Especificidade da Espécie , SuínosRESUMO
Thresholds for microcavitation of bovine and porcine melanosomes were determined using nanosecond laser pulses in the near-infrared (1000 to 1319 nm) wavelength regime. Isolated melanosomes were irradiated by single pulses (10 or 50 ns) using a Q-switched Spectra Physics Nd:YAG laser coupled with an optical parametric oscillator (1000 to 1200 nm) or a continuum laser at 1319 nm. Time-resolved nanosecond strobe photography after the arrival of the irradiation beam allowed imaging of microcavitation events. Average fluence thresholds for microcavitation increased nonlinearly with increasing wavelength from â¼0.5 J/cm2 at 1000 nm to 2.6 J/cm2 at 1319 nm. Fluence thresholds were also measured for 10-ns pulses at 532 nm and found to be comparable to visible nanosecond pulse values published in previous reports. Calculated melanosome absorption coefficients decreased from 925 cm-1 at 1000 nm to 176 cm-1 at 1319 nm. This trend was found to be comparable to the decrease in retinal pigmented epithelial layer absorption coefficients reported over the same wavelength region. Estimated corneal total intraocular energy retinal damage threshold values were determined in order to compare to current and proposed maximum permissible exposure (MPE) safe levels. Results from this study support recently proposed changes to the MPE levels.
Assuntos
Lasers/efeitos adversos , Melanossomas/química , Melanossomas/efeitos da radiação , Nanotecnologia/métodos , Absorção , Animais , Bovinos , Hidrodinâmica , Raios Infravermelhos , Lasers/normas , Epitélio Pigmentado da Retina/citologia , SuínosRESUMO
The archaeology of pre-Columbian polities in the Amazon River basin forces a reconsideration of early urbanism and long-term change in tropical forest landscapes. We describe settlement and land-use patterns of complex societies on the eve of European contact (after 1492) in the Upper Xingu region of the Brazilian Amazon. These societies were organized in articulated clusters, representing small independent polities, within a regional peer polity. These patterns constitute a "galactic" form of prehistoric urbanism, sharing features with small-scale urban polities in other areas. Understanding long-term change in coupled human-environment systems relating to these societies has implications for conservation and sustainable development, notably to control ecological degradation and maintain regional biodiversity.
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Arqueologia , Cidades/história , Cultura , Árvores , Agricultura/história , Biodiversidade , Brasil , Ecossistema , Planejamento Ambiental , História Antiga , Humanos , Características de Residência , RiosRESUMO
For centuries Amazonia has held the Western scientific and popular imagination as a primordial forest, only minimally impacted by small, simple and dispersed groups that inhabit the region. Studies in historical ecology refute this view. Rather than pristine tropical forest, some areas are better viewed as constructed or 'domesticated' landscapes, dramatically altered by indigenous groups in the past. This paper reviews recent archaeological research in several areas along the Amazon River with evidence of large pre-European (ca 400-500 calendar years before the present) occupations and large-scale transformations of forest and wetland environments. Research from the southern margins of closed tropical forest, in the headwaters of the Xingu River, are highlighted as an example of constructed nature in the Amazon. In all cases, human influences dramatically altered the distribution, frequency and configurations of biological communities and ecological settings. Findings of historical change and cultural variability, including diverse small to medium-sized complex societies, have clear implications for questions of conservation and sustainability and, specifically, what constitutes 'hotspots' of bio-historical diversity in the Amazon region.
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Arqueologia/história , Biodiversidade , Características Culturais , Evolução Cultural , Rios , Brasil , História Medieval , HumanosRESUMO
Archaeology and indigenous history of Native Amazonian peoples in the Upper Xingu region of Brazil reveal unexpectedly complex regional settlement patterns and large-scale transformations of local landscapes over the past millennium. Mapping and excavation of archaeological structures document pronounced human-induced alteration of the forest cover, particularly in relation to large, dense late-prehistoric settlements (circa 1200 to 1600 A.D.). The findings contribute to debates on human carrying capacity, population size and settlement patterns, anthropogenic impacts on the environment, and the importance of indigenous knowledge, as well as contributing to the pride of place of the native peoples in this part of the Amazon.