73 research outputs found
School-based prevention for adolescent Internet addiction: prevention is the key. A systematic literature review
Adolescents’ media use represents a normative need for information, communication, recreation and functionality, yet problematic Internet use has increased. Given the arguably alarming prevalence rates worldwide and the increasingly problematic use of gaming and social media, the need for an integration of prevention efforts appears to be timely. The aim of this systematic literature review is (i) to identify school-based prevention programmes or protocols for Internet Addiction targeting adolescents within the school context and to examine the programmes’ effectiveness, and (ii) to highlight strengths, limitations, and best practices to inform the design of new initiatives, by capitalizing on these studies’ recommendations. The findings of the reviewed studies to date presented mixed outcomes and are in need of further empirical evidence. The current review identified the following needs to be addressed in future designs to: (i) define the clinical status of Internet Addiction more precisely, (ii) use more current psychometrically robust assessment tools for the measurement of effectiveness (based on the most recent empirical developments), (iii) reconsider the main outcome of Internet time reduction as it appears to be problematic, (iv) build methodologically sound evidence-based prevention programmes, (v) focus on skill enhancement and the use of protective and harm-reducing factors, and (vi) include IA as one of the risk behaviours in multi-risk behaviour interventions. These appear to be crucial factors in addressing future research designs and the formulation of new prevention initiatives. Validated findings could then inform promising strategies for IA and gaming prevention in public policy and education
Track D Social Science, Human Rights and Political Science
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138414/1/jia218442.pd
Phylogenomics and the rise of the angiosperms
Angiosperms are the cornerstone of most terrestrial ecosystems and human livelihoods1,2. A robust understanding of angiosperm evolution is required to explain their rise to ecological dominance. So far, the angiosperm tree of life has been determined primarily by means of analyses of the plastid genome3,4. Many studies have drawn on this foundational work, such as classification and first insights into angiosperm diversification since their Mesozoic origins5,6,7. However, the limited and biased sampling of both taxa and genomes undermines confidence in the tree and its implications. Here, we build the tree of life for almost 8,000 (about 60%) angiosperm genera using a standardized set of 353 nuclear genes8. This 15-fold increase in genus-level sampling relative to comparable nuclear studies9 provides a critical test of earlier results and brings notable change to key groups, especially in rosids, while substantiating many previously predicted relationships. Scaling this tree to time using 200 fossils, we discovered that early angiosperm evolution was characterized by high gene tree conflict and explosive diversification, giving rise to more than 80% of extant angiosperm orders. Steady diversification ensued through the remaining Mesozoic Era until rates resurged in the Cenozoic Era, concurrent with decreasing global temperatures and tightly linked with gene tree conflict. Taken together, our extensive sampling combined with advanced phylogenomic methods shows the deep history and full complexity in the evolution of a megadiverse clade
The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set
Background
Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables.
Methods
Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set.
Results
Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001).
Conclusions
The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy
Retrogression by deep infiltration of meteoric fluids into thrust zones during late orogenic rapid unroofing
Hypersaline (Na-Ca-Cl) fluids are associated with late-stage quartz veining and retrogression of garnet, kyanite and other high P-T phases in the vicinity of thrusts and major lithological boundaries in the Scandian nappes of the Troms-Ofoten region, northern Norway. They record early Devonian fluid infiltration during rapid exhumation in the final stages of Caledonian orogenesis. The &dgr;18O and &dgr;D characteristics of these late fluids provide compelling evidence for deep circulation of meteoric fluids. The sub-greenschist to low greenschist facies retrogression (P=2±1 kbar; T =300-350 °C) suggests infiltration to depths of 7-9 km in a regime of supra-hydrostatic fluid pressure. Peak metamorphic quartz veins and associated fluids have &dgr;D and &dgr;18O characteristics consistent with a metamorphic origin (&dgr;D -47 to -75; &dgr;18O+8.6 to +17.4). However, late quartz veins and associated fluids show a broad spread of &dgr;D from -42 to -148, interpreted in terms of meteoric fluid infiltration. Such negative &dgr;D values are only recorded in present-day high-latitude or high-altitude settings, and since north Norway was in an equatorial setting (10° S) in the early Devonian, a high-altitude origin is deduced. By calculation, and by comparison with modern examples, the early Devonian mountains of the north Norwegian Caledonides are interpreted to have had a topography in excess of 5 km. The deep circulation of surface waters is interpreted in terms of topographically driven flow, linked with a hydrothermal system induced by elevated geothermal gradients due to rapid uplift. Whilst the case for deep penetration of surface-derived fluids has been promoted for Mesozoic and younger mountain belts, this study represents one of the first documented examples for a Palaeozoic orogenic belt. It suggests that many of the fundamental processes operating during the exhumation of mountain belts are similar irrespective of age. <br/
Variable H and O isotopes in Tongan basaltic glasses: Source or degassing?
No abstract available
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