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1.
Disasters ; 39(3): 546-69, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25583064

RESUMO

The United Kingdom has experienced several exceptional summer flash floods in recent years and there is growing concern about the frequency of such events and the preparedness of the population. This paper uses a case study of the upper Ryedale flash flood (2005) and questionnaire and interview data to assess local perceptions of upland flash flooding. Experience of a major flash flood may not be associated with increased flood risk perception. Despite local residents' awareness of a trend towards wetter summers and more frequent heavy rainfall, the poor maintenance of rivers was more frequently thought to be a more significant factor influencing local flood risk than climate change. Such findings have important implications for the potential success of contemporary national flood policies, which have put greater emphasis on public responsibility for responding to flooding. This study recommends, therefore, the use of fresh participatory approaches to redistribute and raise awareness of locally-held flood knowledge.


Assuntos
Desastres , Inundações , Feminino , Inundações/estatística & dados numéricos , Humanos , Masculino , Chuva , Medição de Risco , Rios , Estações do Ano , Reino Unido
2.
J Clin Psychiatry ; 75(5): 498-505, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24500028

RESUMO

BACKGROUND: People with psychosis often experience weight gain, which places them at risk of cardiovascular disease, diabetes, and early death. OBJECTIVE: To determine the uptake, adherence, and clinical effectiveness of a healthy living intervention designed to reduce weight gain. METHOD: An exploratory randomized controlled trial, comparing the intervention with treatment as usual (TAU) in 2 early intervention services for psychosis in England. DSM-IV classification was the diagnostic criteria used to assign the psychiatric diagnoses. The primary outcome was change in body mass index (BMI) from baseline to 12-month follow-up. The study was conducted between February 2009 and October 2012. RESULTS: 105 service users, with a BMI of ≥ 25 (≥ 24 in South Asians), were randomized to intervention (n = 54) or TAU (n = 51) after stratification by recent commencement of antipsychotic medication. Ninety-three service users (89%) were followed up at 12 months. Between-group difference in change in BMI was not significant (effect size = 0.11). The effect of the intervention was larger (effect size = 0.54, not significant) in 15 intervention (28%) and 10 TAU (20%) participants who were taking olanzapine or clozapine at randomization. CONCLUSIONS: The healthy living intervention did not show a significant difference in BMI reduction compared to the TAU group. TRIAL REGISTRATION: www.isrctn.org identifier: ISRCTN22581937.


Assuntos
Índice de Massa Corporal , Comportamentos Relacionados com a Saúde , Psicoterapia/métodos , Transtornos Psicóticos/terapia , Adulto , Antipsicóticos/uso terapêutico , Benzodiazepinas/uso terapêutico , Clozapina/uso terapêutico , Dieta/métodos , Quimioterapia Combinada , Feminino , Seguimentos , Humanos , Masculino , Atividade Motora/fisiologia , Olanzapina , Projetos Piloto , Escalas de Graduação Psiquiátrica , Transtornos Psicóticos/tratamento farmacológico , Método Simples-Cego , Resultado do Tratamento , Adulto Jovem
3.
Sci Total Environ ; 312(1-3): 133-46, 2003 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-12873406

RESUMO

This study describes the analysis of fluvial carbon flux from an upland peat catchment in the North Pennines. Dissolved organic carbon (DOC), pH, alkalinity and calcium were measured in weekly samples, with particulate organic carbon (POC) measured from the suspended sediment load from the stream outlet of an 11.4-km(2) catchment. For calendar year 1999, regular monitoring of the catchment was supplemented with detailed quasi-continuous measurements of flow and stream temperature, and DOC for the months September through November. The measurements were used to calculate the annual flux of dissolved CO(2), dissolved inorganic carbon, DOC and POC from the catchment and were combined with CO(2) and CH(4) gaseous exchanges calculated from previously published values and the observations of water table height within the peat. The study catchment represents a net sink of 15.4+/-11.9 gC/m(2)/yr. Carbon flows calculated for the study catchment are combined with values in the literature, using a Monte Carlo method, to estimate the carbon budget for British upland peat. For all British upland peat the calculation suggests a net carbon sink of between 0.15 and 0.29 MtC/yr. This is the first study to include a comprehensive study of the fluvial export of carbon within carbon budgets and shows the size of the peat carbon sink to be smaller than previous estimates, although sensitivity analysis shows that the primary productivity rather than fluvial carbon flux is a more important element in estimating the carbon budget in this regard.


Assuntos
Carbono/metabolismo , Solo , Abastecimento de Água , Ecossistema , Efeito Estufa , Concentração de Íons de Hidrogênio , Fotossíntese , Plantas , Estações do Ano
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