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1.
J Environ Manage ; 277: 111381, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33011421

RESUMO

Ecosystem Services (ESs) are bundles of natural processes and functions that are essential for human well-being, subsistence, and livelihoods. The 'Green Revolution' (GR) has substantial impact on the agricultural landscape and ESs in India. However, the effects of GR on ESs have not been adequately documented and analyzed. This leads to the main hypothesis of this work - 'the incremental trend of ESs in India is mainly prompted by GR led agricultural innovations that took place during 1960 - 1970'. The analysis was carried out through five successive steps. First, the spatiotemporal Ecosystem Service Values (ESVs) in Billion US$ for 1985, 1995, and 2005 were estimated using several value transfer approaches. Second, the sensitivity and elasticity of different ESs to land conversion were carried out using coefficient of sensitivity and coefficient of elasticity. Third, the Geographically Weighted Regression model was performed using five explanatory factors, i.e., total crop area, crop production, crop yield, net irrigated area, and cropping intensity, to explore the cumulative and individual effects of these driving factors on ESVs. Fourth, Multi-Layer Perceptron based Artificial Neural Network was employed to estimate the normalized importance of these explanatory factors. Fifth, simple and multiple linear regression modeling was done to assess the linear associations between the driving factors and the ESs. During the observation periods, cropland, forestland and water bodies contributed to 80%-90% of ESVs, followed by grassland, mangrove, wetland and urban built-up. In all three evaluation years, the highest estimated ESVs among the nine ES categories was provided by water regulation, followed by soil formation and soil-water retention, biodiversity maintenance, waste treatment, climate regulation, and greenhouse gas regulation. Among the five explanatory factors, total crop area, crop production, and net irrigated area showed strong positive associations with ESVs, while cropping intensity exhibited a negative association. Therefore, the study reveals a strong association between GR led agricultural expansion and ESVs in India. This study suggests that there should be an urgent need for formulation of rigorous ecosystem management strategies and policies to preserve ecological integrity and flow of uninterrupted ESs and to sustain human well-being.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Agricultura , Biodiversidade , Humanos , Índia
2.
Sci Rep ; 10(1): 17241, 2020 10 14.
Artigo em Inglês | MEDLINE | ID: mdl-33057014

RESUMO

The shift towards urban living is changing food demand. Past studies on India show significant urban-rural differences in food consumption. However, a scientific understanding of the underlying relationships between urbanization and food consumption is limited. This study provides the first detailed analysis of how urbanization influences both quantity and diversity of food consumption in India by harnessing the strength of multiple datasets, including consumer expenditure surveys, satellite imagery, and census data. Our statistical analysis shows three main findings. First, in contrast to existing studies, we find that much of the variation in food consumption quantity is due to income and not urbanization. After controlling for income and state-level differences, our results show that average consumption is higher in urban than rural areas for fewer than 10% of all commodities. That is, there is nearly no difference in average consumption between urban and rural residents. Second, we find the influence of urbanization as a population share on food consumption diversity to be statistically insignificant (p-value > 0.1). Instead, the results show that infrastructure, market access, percentage working women in urban areas, and norms and institutions have a statistically significant influence. Third, all covariates of food consumption diversity we tested were found to be associated with urbanization. This suggests that urbanization influences on food consumption are both indirect and multidimensional. These results show that increases in the urban population size alone do not explain changes in food consumption in India. If we are to understand how food consumption may change in the future due to urbanization, the study points to the need for a more complex and multidimensional understanding of the urbanization process that goes beyond demographic shifts.


Assuntos
Ingestão de Alimentos , Urbanização , Demografia , Humanos , Renda , Índia , População Rural/estatística & dados numéricos , Fatores Socioeconômicos , População Urbana/estatística & dados numéricos
3.
Sci Total Environ ; 714: 136455, 2020 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-31986382

RESUMO

The presented study reports applicability of Lake Detection Algorithm (LDA) for an automated extraction of glacial lakes over a large geographical region and dynamics of Samudra Tapu and Gepang Gath glacial lakes. The areal extent of lake boundary extracted through LDA and areal extent of manually interpreted lake boundary exhibit a remarkable agreement (R2~0.99). Glacial lake dynamics is assessed in terms of areal and volumetric expansion for two selected glacial lakes from 1979 to 2017, i.e. Samudra Tapu (0.95 km2), and Gepang Gath (0.67 km2). They show volumetric expansion from 8.52 × 106 m3 (1979) to 80.34 × 106 m3 (2017) and 2.04 × 106 m3 (1979) to 32.44 × 106 m3 (2017) respectively. Statistical analysis (Mann-Kendall and Sen's slope) of climate data indicates rise in mean annual temperature (0.021 °C yr-1; 1961-2015) and fall in annual precipitation (-2.74 mm yr-1; 1951-2015) at different confidence intervals. Further Glacial Lake Outburst Flood (GLOF) is modelled using empirical relationship and Simplified Dam Breach Model (SMPDBK). The SMPDBK demonstrates discharge of 3866.52 and 2100.90 m3 s-1 reaching Chhatru and Sissu village posing threat to life and property. The study also exhibits that glacial shrinkage under the influence of climate change causes expansion of glacial lakes. This expansion is expected to intensify catastrophic GLOF and resultant fatalities and destruction in the downstream region.

4.
Sci Rep ; 9(1): 20375, 2019 12 30.
Artigo em Inglês | MEDLINE | ID: mdl-31889158

RESUMO

Smallholder farmers' responses to the climate-induced agricultural changes are not uniform but rather diverse, as response adaptation strategies are embedded in the heterogonous agronomic, social, economic, and institutional conditions. There is an urgent need to understand the diversity within the farming households, identify the main drivers and understand its relationship with household adaptation strategies. Typology construction provides an efficient method to understand farmer diversity by delineating groups with common characteristics. In the present study, based in the Uttarakhand state of Indian Western Himalayas, five farmer types were identified on the basis of resource endowment and agriculture orientation characteristics. Factor analysis followed by sequential agglomerative hierarchial and K-means clustering was use to delineate farmer types. Examination of adaptation strategies across the identified farmer types revealed that mostly contrasting and type-specific bundle of strategies are adopted by farmers to ensure livelihood security. Our findings show that strategies that incurred high investment, such as infrastructural development, are limited to high resource-endowed farmers. In contrast, the low resourced farmers reported being progressively disengaging with farming as a livelihood option. Our results suggest that the proponents of effective adaptation policies in the Himalayan region need to be cognizant of the nuances within the farming communities to capture the diverse and multiple adaptation needs and constraints of the farming households.

5.
Ann N Y Acad Sci ; 1392(1): 6-17, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27918837

RESUMO

Although pulse production grew significantly by 1.3% between 1980 and 2013, its per capita availability remained stagnant at around 6.5 kg/capita/year. In 1961, its availability was 9.3 kg/capita/year. One consequence of slower growth in its production is rising pulse prices, which are twice that of cereals. The declining availability of pulses also triggered a boom in its trade, with 19% of the global pulse production traded in 2011 compared with 7% in 1980. In absolute terms, there has been a more than fourfold increase in pulse trade, compared with an only 1.5-fold increase for cereals. To meet the export demand, pulse production diversified, with developed countries emerging as the main exporters while developing countries were the main importers. The exceptions were Southeastern Asia (Myanmar) and Eastern Africa, which also emerged as important exporters. Projections using an International Model for Policy Analysis of Agricultural Commodities and Trade indicate that the demand for pulses will continue to grow in the short-to-medium term in developing counties owing to growing population, rising per capita incomes among the lower-income groups, and increasing demand for snack/processed foods due to growing urbanization.


Assuntos
Agricultura/tendências , Fabaceae/crescimento & desenvolvimento , Abastecimento de Alimentos , África Oriental , Sudeste Asiático , Conservação dos Recursos Naturais , Países em Desenvolvimento , Humanos , Dinâmica Populacional , Fatores Socioeconômicos
6.
Environ Monit Assess ; 188(10): 596, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27687183

RESUMO

Forests in the mountains are a treasure trove; harbour a large biodiversity; and provide fodder, firewood, timber and non-timber forest products; all of these are essential for human survival in the highest mountains on earth. The present paper attempts a spatiotemporal assessment of forest fragmentation and changes in land use land cover (LULC) pattern using multitemporal satellite data over a time span of around a decade (2000-2009), within the third highest protected area (PA) in the world. The fragmentation analysis using Landscape Fragmentation Tool (LFT) depicts a decrease in large core, edge and patches areas by 5.93, 3.64 and 0.66 %, respectively, while an increase in non-forest and perforated areas by 6.59 and 4.01 %, respectively. The land cover dynamics shows a decrease in open forest, alpine scrub, alpine meadows, snow and hill shadow areas by 2.81, 0.39, 8.18, 3.46 and 0.60 %, respectively, and there is an increase in dense forest and glacier area by 4.79 and 10.65 %, respectively. The change analysis shows a major transformation in areas from open forest to dense forest and from alpine meadows to alpine scrub. In order to quantify changes induced by forest fragmentation and to characterize composition and configuration of LULC mosaics, fragmentation indices were computed using Fragstats at class level, showing the signs of accelerated fragmentation. The outcome of the analysis revealed the effectiveness of geospatial tools coupled with landscape ecology in characterization and quantification of forest fragmentation and land cover changes. The present study provides a baseline database for sustainable conservation planning that will benefit the subsistence livelihoods in the region. Recommendations made based on the present analysis will help to recover forest and halt the pessimistic effects of fragmentation and land cover changes on biodiversity and ecosystem services in the region.


Assuntos
Altitude , Conservação dos Recursos Naturais , Monitoramento Ambiental , Florestas , Plantas , Biodiversidade , Ecologia , Pradaria , Atividades Humanas , Humanos , Gelo , Índia , Siquim , Neve , Árvores
7.
Ann N Y Acad Sci ; 1331: 119-141, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25294668

RESUMO

This paper introduces convergent innovation (CI) as a form of meta-innovation-an innovation in the way we innovate. CI integrates human and economic development outcomes, through behavioral and ecosystem transformation at scale, for sustainable prosperity and affordable universal health care within a whole-of-society paradigm. To this end, CI combines technological and social innovation (including organizational, social process, financial, and institutional), with a special focus on the most underserved populations. CI takes a modular approach that convenes around roadmaps for real world change-a portfolio of loosely coupled complementary partners from the business community, civil society, and the public sector. Roadmaps serve as collaborative platforms for focused, achievable, and time-bound projects to provide scalable, sustainable, and resilient solutions to complex challenges, with benefits both to participating partners and to society. In this paper, we first briefly review the literature on technological innovation that sets the foundations of CI and motivates its feasibility. We then describe CI, its building blocks, and enabling conditions for deployment and scaling up, illustrating its operational forms through examples of existing CI-sensitive innovation.


Assuntos
Agricultura/métodos , Atenção à Saúde/tendências , Desenvolvimento Econômico , Comércio , Comportamento Cooperativo , Técnicas de Apoio para a Decisão , Economia Médica , Custos de Cuidados de Saúde , Reforma dos Serviços de Saúde , Modelos Econômicos , Modelos Organizacionais , Inovação Organizacional , Setor Público
8.
Ann N Y Acad Sci ; 1331: 142-156, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25294563

RESUMO

The paper outlines how the principles of convergent innovation (CI) can be applied to bring about a transformation in the pulse value chain. The paper presents three pioneering CI initiatives--two in conception and one in operation--by various actors in the pulse ecosystem, which are delivering economic and human development impact in particular segments of the pulse value chain. It goes on to propose the way forward to scale up these efforts and connect them into a roadmap so as to achieve transformation throughout society, calling into action a number of actors in the ecosystem.


Assuntos
Agricultura/métodos , Atenção à Saúde/organização & administração , Inovação Organizacional , Algoritmos , Comércio , Ecossistema , Governo , Saúde , Índia , Modelos Econômicos , Política Nutricional , Estado Nutricional , Organizações
9.
Indian J Microbiol ; 51(4): 482-7, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23024411

RESUMO

Wastewater particularly from electroplating, paint, leather, metal and tanning industries contain enormous amount of heavy metals. Microorganisms including fungi have been reported to exclude heavy metals from wastewater through bioaccumulation and biosorption at low cost and in eco-friendly way. An attempt was, therefore, made to isolate fungi from sites contaminated with heavy metals for higher tolerance and removal of heavy metals from wastewater. Seventy-six fungal isolates tolerant to heavy metals like Pb, Cd, Cr and Ni were isolated from sewage, sludge and industrial effluents containing heavy metals. Four fungi (Phanerochaete chrysosporium, Aspegillus awamori, Aspergillus flavus, Trichoderma viride) also were included in this study. The majority of the fungal isolates were able to tolerate up to 400 ppm concentration of Pb, Cd, Cr and Ni. The most heavy metal tolerant fungi were studied for removal of heavy metals from liquid media at 50 ppm concentration. Results indicated removal of substantial amount of heavy metals by some of the fungi. With respect to Pb, Cd, Cr and Ni, maximum uptake of 59.67, 16.25, 0.55, and 0.55 mg/g was observed by fungi Pb3 (Aspergillus terreus), Trichoderma viride, Cr8 (Trichoderma longibrachiatum), and isolate Ni27 (A. niger) respectively. This indicated the potential of these fungi as biosorbent for removal of heavy metals from wastewater and industrial effluents containing higher concentration of heavy metals.

10.
Environ Monit Assess ; 156(1-4): 159-70, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18677545

RESUMO

Deforestation is recognized as one of the most significant component in LULC and global changes scenario. It is imperative to assess its trend and the rates at which it is occurring. The changes will have long-lasting impact on regional climate and in turn on biodiversity. In North-East India, one of the recognized global biodiversity hotspots, approximately 30% of total forest cover is under pressure of rapid land use changes. This region harbors variety of rare and endemic species of flora and fauna. It also has a strong bearing on regional climatic conditions. Extensive shifting cultivation, compounded by increasing population pressure and demands for agriculture land are the prime drivers in addition to other proximate drivers of deforestation. It is therefore of prime concern to analyse forest cover changes in the region, assess rate of change and extent and to identify the areas, which show repetitive changes. We analyzed forest cover maps from six temporal datasets based on satellite data interpretation, converted to geospatial database since 1972 till 1999. The states of Meghalaya, Nagaland and Tripura show highest changes in forest cover. Arunachal Pradesh shows least dynamic areas and maintains a good forest cover owing to its topographical inaccessibility in some areas. The present study reports the forest cover changes in the region using geospatial analysis and analyse them to devise proper management strategies.


Assuntos
Conservação dos Recursos Naturais , Monitoramento Ambiental , Árvores , Sistemas de Informação Geográfica , Geografia , Índia
11.
Environ Monit Assess ; 154(1-4): 325-35, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18581243

RESUMO

The Nawarangpur district, Orissa, a tropical region with Sal mixed moist deciduous and Sal mixed dry deciduous forests, has been affected by extensive deforestation. The district was surveyed using Landsat MSS (1973), Landsat TM (1990) and IRS P6 LISS III (2004) satellite imagery. From 1973 to 1990, more than 888.6 km(2) of dense forest (rate of deforestation = 3.62) and from 1990 to 2004, 429.7 km(2) (rate of deforestation = 3.97) were found to have been deforested. The analysis of results identified the reduction in area of dense forest and increase of agricultural land, degraded areas of abandoned agricultural land and unproductive scrub. There is an urgent need for rational management of the remaining forest for it to be able to survive beyond next decades. From this study it can be concluded that temporal changes and the factors affecting these changes should be determined for sustainable management of natural resources.


Assuntos
Conservação dos Recursos Naturais , Monitoramento Ambiental/métodos , Comunicações Via Satélite , Índia , Clima Tropical
12.
Environ Monit Assess ; 155(1-4): 555-67, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18683059

RESUMO

Geospatial tools supported by ancillary geo-database and extensive fieldwork regarding the distribution of tiger and its prey in Anchankmar Wildlife Sanctuary (AMWLS) were used to build a tiger habitat suitability model. This consists of a quantitative geographical information system (GIS) based approach using field parameters and spatial thematic information. The estimates of tiger sightings, its prey sighting and predicted distribution with the assistance of contextual environmental data including terrain, road network, settlement and drainage surfaces were used to develop the model. Eight variables in the dataset viz., forest cover type, forest cover density, slope, aspect, altitude, and distance from road, settlement and drainage were seen as suitable proxies and were used as independent variables in the analysis. Principal component analysis and binomial multiple logistic regression were used for statistical treatments of collected habitat parameters from field and independent variables respectively. The assessment showed a strong expert agreement between the predicted and observed suitable areas. A combination of the generated information and published literature was also used while building a habitat suitability map for the tiger. The modeling approach has taken the habitat preference parameters of the tiger and potential distribution of prey species into account. For assessing the potential distribution of prey species, independent suitability models were developed and validated with the ground truth. It is envisaged that inclusion of the prey distribution probability strengthens the model when a key species is under question. The results of the analysis indicate that tiger occur throughout the sanctuary. The results have been found to be an important input as baseline information for population modeling and natural resource management in the wildlife sanctuary. The development and application of similar models can help in better management of the protected areas of national interest.


Assuntos
Ecossistema , Monitoramento Ambiental/métodos , Modelos Teóricos , Tigres , Animais , Animais Selvagens , Índia
13.
Environ Monit Assess ; 149(1-4): 371-6, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18278561

RESUMO

The main focus of the paper is to assess the land use/ land cover (LULC) change in northern Chhattisgarh due to industrialization using remote sensing and Geographical Information System (GIS). The impact was assessed using an information extraction method applied to temporal satellite data (LANDSAT and IRS scenes) in GIS domain. For assessing the impact on natural resources, the classification scheme was restricted to (1) Forest patches ((a) completely cleared, (b) partially cleared, (c) least affected), (2) Non-Forest ((d) completely changed, (e) least changed), (3) Industrial/Mining area, and (4) River. Over the three decades 22.22% of forests have been completely cleared and converted to industrial setup. Another 25% is completely cleared and 10% is degraded. Around 4% of agricultural area is totally affected due to industrial activity. Random assessment of plant distribution (Trees, Shrubs and Herbs) indicates significant changes in the herb distribution directly related to distance gradient form the industrial/mining setup. Visual recording, socio-economic survey and satellite data also helped in delineation of extent of environmental pollution in forest and non-forest areas. The paper presents methodology for the environmental impact assessment.


Assuntos
Conservação dos Recursos Naturais , Monitoramento Ambiental/métodos , Sistemas de Informação Geográfica , Indústrias , Comunicações Via Satélite , Árvores , Clima Tropical , Ecossistema , Humanos , Índia , Mineração
14.
Bioresour Technol ; 97(10): 1174-8, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16023342

RESUMO

A total of 344 samples comprising of different vegetables, fodder and grain crops were obtained from a long-term experiment under sewage irrigation. The aerobic bacterial plate counts for vegetables, fodder and grain crops ranged between 2 x 10(6) and 3.5 x 10(7), 6 x 10(6) and 3 x 10(8), 2 x 10(5) and 3.8 x 10(10), respectively, while the corresponding Faecal coliform ranged between < 2 and 9 x 10(5), 9 x 10(2) and 2 x 10(5) and < 2, indicating that the pathogenic loads got reduced below permissible level in the produce that was harvested after sun drying in the field itself, whereas the parts coming in direct contact were the most severely contaminated. The health hazards could be markedly lowered with adoption of some of the low cost practices such as repeated washings, exposure of the produce to sunlight and raising the crops on beds. The coliform counts in vegetables were within permissible limits by two washings with water, exposing these to sunlight for about 4 h and removing the two outmost leaves of cabbage. Also, cutting above some height from ground level (0.10 m) in sorghum reduced the pollution load in fodder crops.


Assuntos
Bactérias/isolamento & purificação , Esgotos/microbiologia , Agricultura/métodos , Ração Animal/microbiologia , Grão Comestível/microbiologia , Monitoramento Ambiental , Contaminação de Alimentos , Microbiologia de Alimentos , Prevalência , Saúde Pública , Verduras/microbiologia , Microbiologia da Água
15.
J Clin Psychol ; 53(6): 567-73, 1997 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9316811

RESUMO

This study examined behavior changes demonstrated over time by children who had been placed in a residential treatment center. Objective observation of behavior during such a placement is essential for continued treatment planning, including continuing in residence, transfer, or discharge. Teachers and residential treatment counselors completed Child Behavior Checklists at admission, discharge, and time points in between, for 36 patients. The results indicated excellent interjudge reliability for externalizing behavior but not for internalizing. Children who demonstrated oppositional, defiant, or generally conduct-type symptoms seemed to do most poorly in the residential treatment setting. The results suggested that the current design of residential treatment centers may not be effective in dealing with acting-out behavior problems.


Assuntos
Transtornos do Comportamento Infantil/reabilitação , Tratamento Domiciliar , Criança , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/psicologia , Feminino , Humanos , Tempo de Internação , Masculino , Reprodutibilidade dos Testes , Instituições Residenciais , Índice de Gravidade de Doença
16.
Am J Hum Genet ; 49(2): 279-88, 1991 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1867191

RESUMO

The relative homogeneity of the neuropsychiatric phenotype in individuals with fragile (fra) X syndrome suggests that there are consistent central nervous system (CNS) abnormalities underlying the observed cognitive and behavioral abnormalities. In this study, the neuroanatomy of the posterior fossa and other selected CNS regions in 12 young fra X females were compared with those of a group of 12 age-, sex-, and IQ-matched females without evidence of the fra X syndrome. Fra X females were shown to have decreased size of the posterior cerebellar vermis and increased size of the fourth ventricle, findings that are identical to those previously reported for fra X males. When compared with fra X male and nonfra X control groups, the distribution of the posterior-vermis and fourth-ventricle variables for the fra X female group was intermediate. These results support the hypothesis that the fra X genetic abnormality leads to hypoplasia of the posterior cerebellar vermis, a neuroanatomical variation of potential importance to both developmental and neuropsychiatric syndromes.


Assuntos
Encéfalo/anatomia & histologia , Síndrome do Cromossomo X Frágil/patologia , Adolescente , Adulto , Encéfalo/patologia , Criança , Feminino , Síndrome do Cromossomo X Frágil/psicologia , Humanos , Inteligência , Imageamento por Ressonância Magnética , Masculino , Valores de Referência , Caracteres Sexuais
17.
Ann Neurol ; 29(1): 26-32, 1991 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-1996876

RESUMO

The occurrence and specificity of posterior fossa abnormalities as measured from magnetic resonance images of the brain were investigated in a group of 14 males with fragile X syndrome and comparison groups consisting of 17 males with other causes of developmental disability and 18 males with normal IQs. The size of the posterior cerebellar vermis was significantly decreased and the fourth ventricle significantly increased in the group of males with fragile X syndrome compared with males in both comparison groups. These neuroanatomical abnormalities appeared to be secondary to hypoplasia rather than atrophy.


Assuntos
Cerebelo/patologia , Síndrome do Cromossomo X Frágil/patologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Ventrículos Cerebrais/patologia , Criança , Pré-Escolar , Síndrome do Cromossomo X Frágil/psicologia , Humanos , Testes de Inteligência , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade
18.
J Clin Psychiatry ; 47(3): 111-3, 1986 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-3949719

RESUMO

Two methods of patient intake in a child psychiatry outpatient clinic were compared. In one, appointments were made immediately upon request; in the second, completion of a parental questionnaire was required before an appointment was made. Results indicated that a commitment from the parent/guardian evidenced by completing a parent-questionnaire prior to the screening appointment 1) significantly increased the attendance rate at first appointments, and 2) increased compliance in follow-up treatment. These findings indicate the importance of improved communication between parents and clinic personnel in facilitating the treatment of children.


Assuntos
Psiquiatria Infantil , Ambulatório Hospitalar/organização & administração , Admissão do Paciente , Agendamento de Consultas , Atitude Frente a Saúde , Criança , Feminino , Humanos , Masculino , Transtornos Mentais/terapia , Pais/psicologia , Cooperação do Paciente , Estudos Prospectivos
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