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Ten new insights in climate science 2023
- Mercedes Bustamante, Joyashree Roy, Daniel Ospina, Ploy Achakulwisut, Anubha Aggarwal, Ana Bastos, Wendy Broadgate, Josep G. Canadell, Edward R. Carr, Deliang Chen, Helen A. Cleugh, Kristie L. Ebi, Clea Edwards, Carol Farbotko, Marcos Fernández-Martínez, Thomas L. Frölicher, Sabine Fuss, Oliver Geden, Nicolas Gruber, Luke J. Harrington, Judith Hauck, Zeke Hausfather, Sophie Hebden, Aniek Hebinck, Saleemul Huq, Matthias Huss, M. Laurice P. Jamero, Sirkku Juhola, Nilushi Kumarasinghe, Shuaib Lwasa, Bishawjit Mallick, Maria Martin, Steven McGreevy, Paula Mirazo, Aditi Mukherji, Greg Muttitt, Gregory F. Nemet, David Obura, Chukwumerije Okereke, Tom Oliver, Ben Orlove, Nadia S. Ouedraogo, Prabir K. Patra, Mark Pelling, Laura M. Pereira, Åsa Persson, Julia Pongratz, Anjal Prakash, Anja Rammig, Colin Raymond, Aaron Redman, Cristobal Reveco, Johan Rockström, Regina Rodrigues, David R. Rounce, E. Lisa F. Schipper, Peter Schlosser, Odirilwe Selomane, Gregor Semieniuk, Yunne-Jai Shin, Tasneem A. Siddiqui, Vartika Singh, Giles B. Sioen, Youba Sokona, Detlef Stammer, Norman J. Steinert, Sunhee Suk, Rowan Sutton, Lisa Thalheimer, Vikki Thompson, Gregory Trencher, Kees van der Geest, Saskia E. Werners, Thea Wübbelmann, Nico Wunderling, Jiabo Yin, Kirsten Zickfeld, Jakob Zscheischler
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- Journal:
- Global Sustainability / Volume 7 / 2024
- Published online by Cambridge University Press:
- 01 December 2023, e19
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Non-technical summary
We identify a set of essential recent advances in climate change research with high policy relevance, across natural and social sciences: (1) looming inevitability and implications of overshooting the 1.5°C warming limit, (2) urgent need for a rapid and managed fossil fuel phase-out, (3) challenges for scaling carbon dioxide removal, (4) uncertainties regarding the future contribution of natural carbon sinks, (5) intertwinedness of the crises of biodiversity loss and climate change, (6) compound events, (7) mountain glacier loss, (8) human immobility in the face of climate risks, (9) adaptation justice, and (10) just transitions in food systems.
Technical summaryThe Intergovernmental Panel on Climate Change Assessment Reports provides the scientific foundation for international climate negotiations and constitutes an unmatched resource for researchers. However, the assessment cycles take multiple years. As a contribution to cross- and interdisciplinary understanding of climate change across diverse research communities, we have streamlined an annual process to identify and synthesize significant research advances. We collected input from experts on various fields using an online questionnaire and prioritized a set of 10 key research insights with high policy relevance. This year, we focus on: (1) the looming overshoot of the 1.5°C warming limit, (2) the urgency of fossil fuel phase-out, (3) challenges to scale-up carbon dioxide removal, (4) uncertainties regarding future natural carbon sinks, (5) the need for joint governance of biodiversity loss and climate change, (6) advances in understanding compound events, (7) accelerated mountain glacier loss, (8) human immobility amidst climate risks, (9) adaptation justice, and (10) just transitions in food systems. We present a succinct account of these insights, reflect on their policy implications, and offer an integrated set of policy-relevant messages. This science synthesis and science communication effort is also the basis for a policy report contributing to elevate climate science every year in time for the United Nations Climate Change Conference.
Social media summaryWe highlight recent and policy-relevant advances in climate change research – with input from more than 200 experts.
ADH/ALDH2 and Drd2 Gene Pcr Polymorphism in Alcohol Polynesian Users
- Stephane Amadeo, Lucinda Carr, Luc Nicolas, Marie Line Fourcade-Amadeo, Charles Tetaria, Xuxiang Zhang, Terry Ritchie, Perez Daniel, Marie France Brugiroux, Irmine Sinjoux, Ting K. Li, Paul Martin, Ernest Noble, Jacques Mallet
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- Journal:
- European Psychiatry / Volume 11 / Issue S4 / 1996
- Published online by Cambridge University Press:
- 16 April 2020, p. 310s
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The comments of voices on the appearance of patients with psychosis: ‘the voices tell me that I am ugly’
- Felicity Waite, Rowan Diamond, Nicola Collett, Eleanor Chadwick, Emily Bold, Ashley-Louise Teale, Kathryn M. Taylor, Miriam Kirkham, Eve Twivy, Chiara Causier, Lydia Carr, Jessica C. Bird, Emma Černis, Louise Isham, Daniel Freeman
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- Journal:
- BJPsych Open / Volume 5 / Issue 5 / September 2019
- Published online by Cambridge University Press:
- 20 September 2019, e86
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Background
There are high rates of obesity and low self-esteem in patients with psychosis. The occurrence of negative voice content directly about appearance is therefore plausible. Derogatory comments about appearance are likely to be distressing, increase depression and contribute to social withdrawal.
AimsTo systematically assess the occurrence of voice content regarding appearance and identify correlates.
MethodSixty patients experiencing verbal auditory hallucinations at least once a week in the context of non-affective psychosis completed a measure assessing positive and negative voice content about appearance. They also completed assessments about body image, self-esteem, psychiatric symptoms and well-being.
ResultsFifty-five (91.7%) participants reported hearing voices comment on their appearance. A total of 54 (90%) patients reported negative voice content about their appearance with 30 (50%) patients experienced negative appearance comments on a daily basis. The most common negative comment was ‘the voices tell me that I am ugly’ (n = 48, 80%). There were 39 (65%) patients who reported positive voice content on appearance. The most frequent positive comment was ‘I look as nice as other people’ (n = 26, 43.3%). Negative voice content about appearance was associated with body image concerns, paranoia, voice hearing severity, depression, worry, negative self-beliefs and safety-seeking behaviours. Positive appearance voice content was associated with greater body esteem and well-being and lower levels of depression and insomnia.
ConclusionsVoice content about appearance is very common for patients seen in clinical services. Negative voice content may reflect – and subsequently reinforce – negative beliefs about one's appearance, low self-esteem, worry and paranoia.
Declaration of interestNone.
five - Coming into view? The experiences of LGBT young people in the care system in Northern Ireland
- Edited by Julie Fish, De Montfort University, Leicester, Kate Karban, University of Bradford
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- Book:
- LGBT Health Inequalities
- Published by:
- Bristol University Press
- Published online:
- 11 March 2022
- Print publication:
- 18 March 2015, pp 99-112
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Summary
VIGNETTE
Simon is 16 years old and has been living with his foster parents for the past four years. He generally gets on well with his foster parents, an older couple, and his time with them has been the most settled of his life. He hasn't told his foster parents or his friends that he is gay. He recently heard his foster carers discussing a news item on gay marriage following a motion in the local parliament calling for the introduction of same-sex marriage in Northern Ireland. The proposal was rejected by politicians, and Simon's foster parents expressed their support for this position. In their discussion about the debate they sounded negative about gay people. He is starting to feel a bit down about this, particularly because some young people at school have been calling him names. His new social worker has been encouraging him to start thinking about what he wants to do when he leaves school and where he wants to live when he leaves foster care. He just wants to be himself. He hasn't told her he is gay. He thinks the best thing to do is to say nothing about that to anyone yet and wait for the day when he can leave school and leave care. It can't come too soon.
Introduction
The challenges that can go with being a care-experienced lesbian, gay, bisexual or trans (LGBT) young person, whether in out-of-home care, leaving care or after care, is an area that has received limited attention to date in terms of practice, services, policy and research. That, however, is beginning to change, encouraged by a growing international understanding regarding the importance of all facets of identity for young people in care and in their transition from the care system and their subsequent life experiences. The holistic and rights-based perspective on health and wellbeing underpinning this book is in keeping with the messages on what makes for best professional practice coming both from research and directly from young people themselves and those who care for and about them. It is that ‘whole person/whole system’ perspective that is needed to ensure that a care-experienced young person like Simon (see practice vignette) is positively supported.
First Global Consensus for Evidence-Based Management of the Hematopoietic Syndrome Resulting From Exposure to Ionizing Radiation
- Nicholas Dainiak, Robert Nicolas Gent, Zhanat Carr, Rita Schneider, Judith Bader, Elena Buglova, Nelson Chao, C. Norman Coleman, Arnold Ganser, Claude Gorin, Martin Hauer-Jensen, L. Andrew Huff, Patricia Lillis-Hearne, Kazuhiko Maekawa, Jeffrey Nemhauser, Ray Powles, Holger Schünemann, Alla Shapiro, Leif Stenke, Nelson Valverde, David Weinstock, Douglas White, Joseph Albanese, Viktor Meineke
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- Journal:
- Disaster Medicine and Public Health Preparedness / Volume 5 / Issue 3 / October 2011
- Published online by Cambridge University Press:
- 08 April 2013, pp. 202-212
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Objective: Hematopoietic syndrome (HS) is a clinical diagnosis assigned to people who present with ≥1 new-onset cytopenias in the setting of acute radiation exposure. The World Health Organization convened a panel of experts to evaluate the evidence and develop recommendations for medical countermeasures for the management of HS in a hypothetical scenario involving the hospitalization of 100 to 200 individuals exposed to radiation. The objective of this consultancy was to develop recommendations for treatment of the HS based upon the quality of evidence.
Methods: English-language articles were identified in MEDLINE and PubMed. Reference lists of retrieved articles were distributed to panel members before the meeting and updated during the meeting. Published case series and case reports of individuals with HS, published randomized controlled trials of relevant interventions used to treat nonirradiated individuals, reports of studies in irradiated animals, and prior recommendations of subject matter experts were selected. Studies were extracted using the Grading of Recommendations Assessment Development and Evaluation (GRADE) system. In cases in which data were limited or incomplete, a narrative review of the observations was made. No randomized controlled trials of medical countermeasures have been completed for individuals with radiation-associated HS. The use of GRADE analysis of countermeasures for injury to hematopoietic tissue was restricted by the lack of comparator groups in humans. Reliance on data generated in nonirradiated humans and experimental animals was necessary.
Results: Based upon GRADE analysis and narrative review, a strong recommendation was made for the administration of granulocyte colony-stimulating factor or granulocyte macrophage colony-stimulating factor and a weak recommendation was made for the use of erythropoiesis-stimulating agents or hematopoietic stem cell transplantation.
Conclusions: Assessment of therapeutic interventions for HS in humans exposed to nontherapeutic radiation is difficult because of the limits of the evidence.
(Disaster Med Public Health Preparedness. 2011;5:202-212)
Literature Review and Global Consensus on Management of Acute Radiation Syndrome Affecting Nonhematopoietic Organ Systems
- Nicholas Dainiak, Robert Nicolas Gent, Zhanat Carr, Rita Schneider, Judith Bader, Elena Buglova, Nelson Chao, C. Norman Coleman, Arnold Ganser, Claude Gorin, Martin Hauer-Jensen, L. Andrew Huff, Patricia Lillis-Hearne, Kazuhiko Maekawa, Jeffrey Nemhauser, Ray Powles, Holger Schünemann, Alla Shapiro, Leif Stenke, Nelson Valverde, David Weinstock, Douglas White, Joseph Albanese, Viktor Meineke
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- Journal:
- Disaster Medicine and Public Health Preparedness / Volume 5 / Issue 3 / October 2011
- Published online by Cambridge University Press:
- 08 April 2013, pp. 183-201
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Objectives: The World Health Organization convened a panel of experts to rank the evidence for medical countermeasures for management of acute radiation syndrome (ARS) in a hypothetical scenario involving the hospitalization of 100 to 200 victims. The goal of this panel was to achieve consensus on optimal management of ARS affecting nonhematopoietic organ systems based upon evidence in the published literature.
Methods: English-language articles were identified in MEDLINE and PubMed. Reference lists of retrieved articles were distributed to conferees in advance of and updated during the meeting. Published case series and case reports of ARS, publications of randomized controlled trials of relevant interventions used to treat nonirradiated individuals, reports of studies in irradiated animals, and prior recommendations of subject matter experts were selected. Studies were extracted using the Grading of Recommendations Assessment Development and Evaluation system. In cases in which data were limited or incomplete, a narrative review of the observations was made.
Results: No randomized controlled trials of medical countermeasures have been completed for individuals with ARS. Reports of countermeasures were often incompletely described, making it necessary to rely on data generated in nonirradiated humans and in experimental animals. A strong recommendation is made for the administration of a serotonin-receptor antagonist prophylactically when the suspected exposure is >2 Gy and topical steroids, antibiotics, and antihistamines for radiation burns, ulcers, or blisters; excision and grafting of radiation ulcers or necrosis with intractable pain; provision of supportive care to individuals with neurovascular syndrome; and administration of electrolyte replacement therapy and sedatives to individuals with significant burns, hypovolemia, and/or shock. A strong recommendation is made against the use of systemic steroids in the absence of a specific indication. A weak recommendation is made for the use of fluoroquinolones, bowel decontamination, loperamide, and enteral nutrition, and for selective oropharyngeal/digestive decontamination, blood glucose maintenance, and stress ulcer prophylaxis in critically ill patients.
Conclusions: High-quality studies of therapeutic interventions in humans exposed to nontherapeutic radiation are not available, and because of ethical concerns regarding the conduct of controlled studies in humans, such studies are unlikely to emerge in the near future.
(Disaster Med Public Health Preparedness. 2011;5:183–201)
Contributors
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- By Judah Ariel, Leonito (Jun) Bacalando, Daniel Bartz, Dean Bialek, Maxine A. Burkett, Elizabeth Caldwell, Mary-Elena Carr, Kristin Casper, David Freestone, Catherine Gascoigne, Alice Graff, David Hodgkinson, Michele Klein Solomon, Stephen Leonard, Siobhán McInerney-Lankford, llona Millar, Nicola Peart, Ann Powers, Rosemary Rayfuse, Maketo Robert, Madeleine Rubenstein, Kristína Šabová, Clive Schofield, Jan Šrytr, Leslie A. Stein, Jenny Grote Stoutenburg, Christopher Stucko, Jasper Teulings, Diego Villarreal, Koko Warner, Jacob David Werksman, Mary Christina Wood, Katrina M. Wyman, Lucy Young
- Edited by Michael B. Gerrard, Gregory E. Wannier
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- Book:
- Threatened Island Nations
- Published online:
- 05 February 2013
- Print publication:
- 21 January 2013, pp ix-xvi
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