Research and evidence based environmental health

Environmental health (EH) professionals have often spoken of the need to become more research active (Burke et al., 2002; McCarthy, 1996) and make their work more evidence based, but to date little has been written about how to achieve this in practice. This chapter is therefore written as an introductory guide to research for EH professionals, students, and policy makers. By developing your knowledge it is hoped you will feel more confident navigating the world of research; motivated towards making your own work more evidence based; and enthused about contributing to the evidence base from which others can learn. This chapter is not a research methods textbook, a step by step guide to research or evidence based environmental health, nor does it seek to make definitive statements about these complex areas. However it highlights the most important issues regarding research in environmental health, considers the importance of research to the environmental health profession and provides useful signposts towards further resources. The chapter is divided into three sections. The first defines evidence based environmental health and why it remains a priority for EH professionals. The second section explores the key stages of environmental health research and provides guidance on the development of your reading skills. The final section suggests ways to become more research active and evidence based, acknowledging the many challenges EH professionals face and concluding with a vision for evidence based environmental health. The chapter ends with an annex including a glossary of environmental health research terms, a list of references and suggested further reading

Oxidation of polycrystalline Ni studied by spectromicroscopy: Phase separation in the early stages of crystallite growth

Low-energy and photoemission electron microscopy enables the determination of facet planes of polycrystalline surfaces and the study of their chemical composition at the sub-m scale. Using these techniques the early oxidation stages of nickel were studied. After exposing the surface to 20 L of oxygen at 373 K a uniform layer of chemisorbed oxygen was found on all facets. After oxygen exposure at 473–673 K, small NiO crystallites are formed on all facets but not in the vicinity of all grain boundaries. The crystallites are separated by areas of bare Ni without significant oxygen coverage

Spectroscopy of orbital ordering in La0.5Sr1.5MnO4 : A many-body cluster calculation

We have studied the orbital ordering (OO) in La0.5Sr1.5MnO4 and its soft x-ray resonant diffraction spectroscopic signature at the Mn L2, L3 edges. We have modelled the system in second quantization as a small planar cluster consisting of a central Mn atom, with the first neighbouring shells of oxygen and Mn atoms. For the effective Hamiltonian we consider Slater-Koster parameters, charge transfer and electron correlation energies obtained from previous measurements on manganites. We calculate the OO as a function of oxygen distortion and spin correlation used as adjustable parameters. Their contribution as a function of temperature is clearly distinguished with a good spectroscopic agreement.Comment: 5 pages 3 figure

Pengaruh Jenis Persalinan Terhadap Risiko Depresi Postpartum

Latar Belakang: Depresi postpartum sering terjadi pada masa adaptasi psikologis ibu masa nifas, walaupun insidensinya sulit untuk diketahui secara pasti namun diyakini 10-15% ibu melahirkan mengalami gangguan ini. Faktor pada saat persalinan meliputi lamanya persalinan, jenis persalinan, serta intervensi medis yang digunakan mempengaruhi depresi postpartum, anak yang memiliki ibu depresi postpartum akan memiliki gangguan prilaku, rendah fungsi berfikir, mempengaruhi kognitif dan pertumbuhan anak.Tujuan: Mengetahui pengaruh jenis persalinan terhadap risiko depresi postpartum pada ibu nifas di RSUD SlemanMetode:Jenis penelitian yang digunakan adalah survey analitik dengan rancangan kohort retrospektif. Lokasi penelitian di RSUD Sleman Yogyakarta. Populasi pada penelitian ini adalah seluruh ibu nifas yang berkunjung pada poli kebidanan dan kandungan pada bulan Oktober-Desember 2015. Jumlah sampel 110, analisa data dilakukan secara univariat, bivariat dengan uji chi-square dan multivariat dengan uji regresi logistikHasil : Kejadian risiko depresi postpartum pada ibu nifas di RSUD sleman adalah 36,3%, Jenis persalinan berpengaruh secara signifikan terhadap risiko depresi postpartum dengan nilai (OR=3,716, 95%CI 1,620-8,522), Pekerjaan berpengaruh secara signifikan terhadap risiko depresi postpartum dengan nilai (OR=2,411, 95%CI 1,084-5,366), umur, paritas, pendidikan, status ekonomi, dukungan keluarga dan status pernikahan tidak berpengaruh secara signifikan terhadap risiko depresi postpartumKesimpulan :Ibu dengan persalinan bedah sesar mempunyai peluang risiko depresi postpartum 3,716 kali lebih besar dibandingkan ibu yang persalinan pervaginam, sehingga perlu dilakukan deteksi dini untuk melihat risiko depresi postpartum pada ibu nifas agar ibu dapat segera mendapatkan asuhan yang tepat

The emerging specialty of perioperative medicine: a UK survey of the attitudes and behaviours of anaesthetists

Background: In 2014, the Royal College of Anaesthetists (RCoA) launched the Perioperative Medicine Programme to facilitate the delivery of best preoperative, intraoperative and postoperative care through implementation of evidence-based medicine to reduce variation and improve postoperative outcomes. However, variation exists in the establishment of perioperative medicine services in the UK. This survey explored attitudes and behaviours of anaesthetists towards perioperative medicine, described current anaesthetic-led perioperative medicine services across the UK and explored barriers to anaesthetic involvement in perioperative medicine. / Methods: Survey content based on the RCoA vision document was refined and validated using an expert panel. An anonymous electronic survey was then sent by email to the members of the RCoA. / Results: Seven hundred fifty-eight UK anaesthetists (4.5% of the RCoA mailing list) responded to the survey. Of these, 64% considered themselves a perioperative doctor, with 65% having changed local services in response to the RCoA vision. Barriers to developing perioperative medicine included insufficient time (75%) and inadequate training (51%). Three quarters of respondents advocate anaesthetists leading the development of perioperative medicine. / Conclusions: Despite evidence of emerging services, this survey describes barriers to ongoing development of perioperative medicine. Facilitators may include increased clinical exposure, targeted education and training and collaborative working with other specialties

Photoemission core level binding energies from multiple sized nanoparticles on the same support: TiO₂(110)/Au

A novel method of measuring the core level binding energies of multiple sized nanoparticles on the same substrate is demonstrated using the early stage of Au nanoparticle growth on reduced r-TiO2(110). This method employed in situ scanning tunneling microscopy (STM) and microfocused X-ray photoemission spectroscopy. An STM tip-shadowing method was used to synthesize patterned areas of Au nanoparticles on the substrate with different coverages and sizes. Patterns were identified and imaged using a UV photoelectron emission microscope. The Au 4f core level binding energies of the nanoparticles were investigated as a function of Au nanoparticle coverage and size. A combination of initial and final state effects modifies the binding energies of the Au 4f core levels as the nanoparticle size changes. When single Au atoms and Au3 clusters are present, the Au 4f7/2 binding energy, 84.42 eV, is similar to that observed at a high coverage (1.8 monolayer equivalent), resulting from a cancellation of initial and final state effects. As the coverage is increased, there is a decrease in binding energy, which then increases at a higher coverage to 84.39 eV. These results are consistent with a Volmer-Weber nucleation-growth model of Au nanoparticles at oxygen vacancies, resulting in electron transfer to the nanoparticles

Giant and reversible extrinsic magnetocaloric effects in La0.7Ca0.3MnO3 films due to strain

Large thermal changes driven by a magnetic field have been proposed for environmentally friendly energy efficient refrigeration, but only a few materials which suffer hysteresis show these giant magnetocaloric effects. Here we create giant and reversible extrinsic magnetocaloric effects in epitaxial films of the ferromagnetic manganite La0.7Ca0.3MnO3 using strain mediated feedback from BaTiO3 substrates near a first-order structural phase transition. Our findings should inspire the discovery of giant magnetocaloric effects in a wide range of magnetic materials, and the parallel development of nanostructured bulk samples for practical applications.Comment: 32 pages, 1 Table, 5 figures, supplementary informatio

Driving magnetic order in a manganite by ultrafast lattice excitation

Optical control of magnetism, of interest for high-speed data processing and storage, has only been demonstrated with near-infrared excitation to date. However, in absorbing materials, such high photon energies can lead to significant dissipation, making switch back times long and miniaturization challenging. In manganites, magnetism is directly coupled to the lattice, as evidenced by the response to external and chemical pressure, or to ferroelectric polarization. Here, femtosecond mid-infrared pulses are used to excite the lattice in La0.5Sr1.5MnO4 and the dynamics of electronic order are measured by femtosecond resonant soft x-ray scattering with an x-ray free electron laser. We observe that magnetic and orbital orders are reduced by excitation of the lattice. This process, which occurs within few picoseconds, is interpreted as relaxation of the complex charge-orbital-spin structure following a displacive exchange quench - a prompt shift in the equilibrium value of the magnetic and orbital order parameters after the lattice has been distorted. A microscopic picture of the underlying unidirectional lattice displacement is proposed, based on nonlinear rectification of the directly-excited vibrational field, as analyzed in the specific lattice symmetry of La0.5Sr1.5MnO4. Control of magnetism through ultrafast lattice excitation has important analogies to the multiferroic effect and may serve as a new paradigm for high-speed optomagnetism.Comment: 10 pages manuscript, 4 figure

Magnetic iron oxide nanowires formed by reactive dewetting

The growth and reactive dewetting of ultra-thin films of iron oxides supported on Re(0001) surfaces have been imaged in-situ in real time. Initial growth forms a non-magnetic stable FeO (wüstite like) layer in a commensurate network upon which high aspect ratio nanowires of several microns length but less than 40nm width can be fabricated. The nanowires are closely aligned with the substrate crystallography and imaging by X-ray magnetic circular dichroism shows that each contain a single magnetic domain. The driving force for dewetting appears to be the minimization of strain energy of the Fe3O4 crystallites and follows the Tersoff and Tromp model in which strain is minimized at constant height by extending in one epitaxially matched direction. Such wires are promising in spintronic applications and we predict that the growth will also occur on other hexagonal substrates