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1.
Geohealth ; 6(12): e2022GH000610, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36467255

RESUMO

Communities in the Pamir Mountains of Central Asia are among the most vulnerable to climate change due to their geographic location and subsistence-based livelihoods. Historically, ecological calendars supported their agropastoral lifestyles which provided anticipatory capacity to seasonal changes. Due to decades of Soviet colonization and socioecological transformations, knowledge of these ecological calendars fell into disuse. In 2016, Savnob and Roshorv, two villages in the Bartang Valley of Tajikistan, began the revitalization of these calendars using a participatory action research process through knowledge co-generation. We undertook a comparative analysis to investigate the importance of context-specificity to ensure food security and reduce their vulnerability to climate change. A preliminary analysis of the temperature regime and local language terms, relating to the positioning and quality of land, framed our methods-of-analysis. We compared the villagers' ecological calendars by focusing on indicator species, potentially threatening weather events, land-use, livelihood activities, and the role of the vernal equinox. Despite their close geographic proximity, context-specificity determined by distinct microecologies influences the timing and practice of these communities' livelihood activities. These villages have different dependencies on biotic and abiotic events, crops, and land-use; all of which affect food security and survival. These differences contributed to mutual support between the two villages, increased the availability of food, and thereby, lowered their vulnerability to climate change. As Savnob's and Roshorv's ecological calendars are updated with changing climate, they can once again enhance their anticipatory capacity while reducing their vulnerability.

2.
Fortschr Neurol Psychiatr ; 84(2): 76-82, 2016 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-26953546

RESUMO

The primary aim of this study was to assess the effectiveness of integrated home treatment (IV, i. e. intensive cognitive behavioral therapy and pharmacotherapy provided within a framework of assertive community treatment) in individuals with severe mental disorders (n = 13) within the German healthcare system. A treatment-as-usual group (TAU, n = 13) was identified by propensity score matching. Symptoms (CGI), functioning (GAF) and service engagement (SES) were assessed. Quality of life (MSLQ-R) was rated by the IV patients. A reduction of days spent in hospital [IV: 2.3 (6.1); TAU: 33.6 (53.6); Z = 45; p = 0.044], time to admission (IV: 384 days 95% CI 309 - 459.1; TAU: 234.9 days 95% CI 127.2 - 342.5; log rank: Chi-square = 4.31, p < 0.05), severity of the illness (p < 0.01), positive symptoms (p < 0.001), and cognitive symptoms (p < 0.05), as well as functioning (p < 0.05) and service engagement (p < 0.05) was observed in IV patients. Despite differences on a descriptive level, differences in total admissions (IV: 15.3%; TAU: 53.8%; odds ratio = 0.155, 95% CI 0.0243 - 1.00) were not significant. A methodological limitation is that symptom ratings were not performed by independent and blinded raters.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Serviços de Saúde Comunitária , Serviços de Assistência Domiciliar/estatística & dados numéricos , Transtornos Psicóticos/terapia , Adulto , Idoso , Determinação de Ponto Final , Feminino , Alemanha , Hospitalização/estatística & dados numéricos , Humanos , Estimativa de Kaplan-Meier , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Escalas de Graduação Psiquiátrica , Transtornos Psicóticos/psicologia , Qualidade de Vida
3.
Sci Total Environ ; 266(1-3): 249-57, 2001 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-11258824

RESUMO

In this paper, an assessment strategy is introduced which allows one to evaluate the ecological hazard of contaminated sediments in connection with the risk of in-stream erosion. Special techniques for sediment sampling, non-intrusive density profiling, and depth related measurement of erosion are presented, which, in combination with ecological aspects, lead to a comprehensive risk assessment of fluvial sediments. The strategy was applied to a lock-regulated reach of the River Neckar in Germany. The spatial pattern of contamination in the river reservoir was found to be remarkably heterogeneous. At some sites, very high heavy metal concentrations were detected at the sediment surface. A sudden increase in contamination with depth at other sites could be attributed to an erosional unconformity. The critical shear stress of erosion for old contaminated sediments is higher than for recently deposited material. Nevertheless, during major flood events, bottom shear stress in the river exceeds the critical shear stresses of erosion of all sediments. Accordingly, there is a substantial risk that old contaminated sediment can be mobilised from the reservoir and transported downstream.


Assuntos
Sedimentos Geológicos/química , Poluentes Químicos da Água/análise , Conservação dos Recursos Naturais , Monitoramento Ambiental , Medição de Risco , Movimentos da Água
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