1,218 research outputs found

    Mitigating the Transfer of Sediment and Pollutants from Soils to Water

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    Soil erosion on arable land: an unresolved global environmental threat

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    Rationale and scope: Although soil erosion was recognised as a serious problem in antiquity and research into erosion started in the early 20th century, it remains a substantial problem for agriculture and the environment across the globe. It disrupts agricultural production, threatening food production, increases the severity of floods and droughts and impacts on soil biology and biogeochemical cycling. This review describes the different processes and manifestations of erosion on arable land and the availability of global data. It points out that while there is a good understanding of the processes of erosion, the causes are complex and even if agronomic and landscape solutions are available, their implementation is challenging and needs tailored approaches to account for the specific local socio-economic, political, and institutional contexts

    Comparison of Algorithms and Parameterisations for Infiltration into Organic-Covered Permafrost Soils

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    Infiltration into frozen and unfrozen soils is critical in hydrology, controlling active layer soil water dynamics and influencing runoff. Few Land Surface Models (LSMs) and Hydrological Models (HMs) have been developed, adapted or tested for frozen conditions and permafrost soils. Considering the vast geographical area influenced by freeze/thaw processes and permafrost, and the rapid environmental change observed worldwide in these regions, a need exists to improve models to better represent their hydrology. In this study, various infiltration algorithms and parameterisation methods, which are commonly employed in current LSMs and HMs were tested against detailed measurements at three sites in Canada’s discontinuous permafrost region with organic soil depths ranging from 0.02 to 3 m. Field data from two consecutive years were used to calibrate and evaluate the infiltration algorithms and parameterisations. Important conclusions include: (1) the single most important factor that controls the infiltration at permafrost sites is ground thaw depth, (2) differences among the simulated infiltration by different algorithms and parameterisations were only found when the ground was frozen or during the initial fast thawing stages, but not after ground thaw reaches a critical depth of 15 to 30 cm, (3) despite similarities in simulated total infiltration after ground thaw reaches the critical depth, the choice of algorithm influenced the distribution of water among the soil layers, and (4) the ice impedance factor for hydraulic conductivity, which is commonly used in LSMs and HMs, may not be necessary once the water potential driven frozen soil parameterisation is employed. Results from this work provide guidelines that can be directly implemented in LSMs and HMs to improve their application in organic covered permafrost soils

    Psychosexual development in men with congenital hypogonadotropic hypogonadism on long-term treatment: a mixed methods study.

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    INTRODUCTION: Congenital hypogonadotropic hypogonadism (CHH) is a rare, genetic, reproductive endocrine disorder characterized by absent puberty and infertility. Limited information is available on the psychosocial impact of CHH and psychosexual development in these patients. AIM: The aim of this study was to determine the impact of CHH on psychosexual development in men on long-term treatment. METHODS: A sequential mixed methods explanatory design was used. First, an online survey (quantitative) was used to quantify the frequency of psychosexual problems among CHH men. Second, patient focus groups (qualitative) were conducted to explore survey findings in detail and develop a working model to guide potential nursing and interdisciplinary interventions. MAIN OUTCOME MEASURES: Patient characteristics, frequency of body shame, difficulty with intimate relationships, and never having been sexually active were assessed. Additionally, we collected subjective patient-reported outcomes regarding the impact of CHH on psychological/emotional well-being, intimate relationships, and sexual activity. RESULTS: A total of 101 CHH men on long-term treatment (>1 year) were included for the analysis of the online survey (mean age 37 ± 11 years, range 19-66, median 36). Half (52/101, 51%) of the men had been seen at a specialized academic center and 37/101 (37%) reported having had fertility-inducing treatment. A high percentage of CHH men experience psychosexual problems including difficulty with intimate relationships (70%) and body image concerns/body shame (94/101, 93%), and the percentage of men never having been sexually active is five times the rate in a reference group (26% vs. 5.4%, P < 0.001). Focus groups revealed persisting body shame and low self-esteem despite long-term treatment that has lasting impact on psychosexual functioning. CONCLUSIONS: CHH men frequently experience psychosexual problems that pose barriers to intimate relationships and initiating sexual activity. These lingering effects cause significant distress and are not ameliorated by long-term treatment. Psychosexual assessment in CHH men with appropriate psychological support and treatment should be warranted in these patients. Dwyer AA, Quinton R, Pitteloud N, and Morin D. Psychosexual development in men with congenital hypogonadotropic hypogonadism on long-term treatment: A mixed methods study. Sex Med 2015;3:32-41

    Identifying the unmet health needs of patients with congenital hypogonadotropic hypogonadism using a web-based needs assessment: implications for online interventions and peer-to-peer support.

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    BACKGROUND: Patients with rare diseases such as congenital hypogonadotropic hypogonadism (CHH) are dispersed, often challenged to find specialized care and face other health disparities. The internet has the potential to reach a wide audience of rare disease patients and can help connect patients and specialists. Therefore, this study aimed to: (i) determine if web-based platforms could be effectively used to conduct an online needs assessment of dispersed CHH patients; (ii) identify the unmet health and informational needs of CHH patients and (iii) assess patient acceptability regarding patient-centered, web-based interventions to bridge shortfalls in care. METHODS: A sequential mixed-methods design was used: first, an online survey was conducted to evaluate health promoting behavior and identify unmet health and informational needs of CHH men. Subsequently, patient focus groups were held to explore specific patient-identified targets for care and to examine the acceptability of possible online interventions. Descriptive statistics and thematic qualitative analyses were used. RESULTS: 105 male participants completed the online survey (mean age 37 ± 11, range 19-66 years) representing a spectrum of patients across a broad socioeconomic range and all but one subject had adequate healthcare literacy. The survey revealed periods of non-adherence to treatment (34/93, 37%) and gaps in healthcare (36/87, 41%) exceeding one year. Patient focus groups identified lasting psychological effects related to feelings of isolation, shame and body-image concerns. Survey respondents were active internet users, nearly all had sought CHH information online (101/105, 96%), and they rated the internet, healthcare providers, and online community as equally important CHH information sources. Focus group participants were overwhelmingly positive regarding online interventions/support with links to reach expert healthcare providers and for peer-to-peer support. CONCLUSION: The web-based needs assessment was an effective way to reach dispersed CHH patients. These individuals often have long gaps in care and struggle with the psychosocial sequelae of CHH. They are highly motivated internet users seeking information and tapping into online communities and are receptive to novel web-based interventions addressing their unmet needs

    ‘Hobson’s choice’: a qualitative study of consent in acute surgery

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    Objectives: The study aimed to understand through qualitative research what patients considered material in their decision to consent to an acute surgical intervention. Participants, setting and intervention: The patients selected aged between 18 and 90, having been admitted to a major trauma centre to undergo an acute surgical intervention within 14 days of injury, where English was their first language. Data saturation point was reached after 21 patients had been recruited. Data collection and analysis were conducted simultaneously, through interviews undertaken immediately prior to surgery. The data were coded using NVIVO V.12 software. Results: The key theme that originated from the data analysis was patients were unable to identify any individual risk that would modify their decision-making process around giving consent. The patient’s previous experience and the experience of others around them were a further theme. Patients sensed that there were no non-operative options for their injuries. Conclusion: This is the first study investigating what patient considered a material risk in the consent process. Patients in this study did attribute significance to past experiences of friends and family as material, prompting us to suggest that the surgeon asks about these experiences as part of the consent process. Concern about functional recovery was important to patients but insufficient to stop them from consenting to surgery, thus could not be classified as material risk

    Cutting the carbon cost of academic travel

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    Travel is a key part of academic life, and the carbon emissions associated with it are high. Personal decisions to reduce flying can contribute to climate action, and need not compromise research
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