65 research outputs found
Vertical structure of recent arctic warming from observed data and reanalysis products
The final publication is available at Springer via http://dx.doi.org/10.1007/s10584-011-0192-8Spatiotemporal patterns of recent (1979–2008) air temperature trends are evaluated using three reanalysis datasets and radiosonde data. Our analysis demonstrates large discrepancies between the reanalysis datasets, possibly due to differences in the data assimilation procedures as well as sparseness and inhomogeneity of high-latitude observations. We test the robustness of Arctic tropospheric warming based on the ERA-40 dataset. ERA-40 Arctic atmosphere temperatures tend to be closer to the observed ones in terms of root mean square error compare to other reanalysis products used in the article. However, changes in the ERA-40 data assimilation procedure produce unphysical jumps in atmospheric temperatures, which may be the likely reason for the elevated tropospheric warming trend in 1979-2002. NCEP/NCAR Reanalysis show that the near-surface upward temperature trend over the same period is greater than the tropospheric trend, which is consistent with direct radiosonde observations and inconsistent with ERA-40 results. A change of sign in the winter temperature trend from negative to positive in the late 1980s is documented in the upper troposphere/lower stratosphere with a maximum over the Canadian Arctic, based on radiosonde data. This change from cooling to warming tendency is associated with weakening of the stratospheric polar vortex and shift of its center toward the Siberian coast and possibly can be explained by the changes in the dynamics of the Arctic Oscillation. This temporal pattern is consistent with multi-decadal variations of key Arctic climate parameters like, for example, surface air temperature and oceanic freshwater content. Elucidating the mechanisms behind these changes will be critical to understanding the complex nature of high-latitude variability and its impact on global climate change.acceptedVersio
Witnessing and re-enacting in Cambodia: reflection on shifting testimonies
Thirty years after the collapse of the Khmer Rouge regime (1975-1979) how do Cambodians cope with the traumatic legacy of Pol Pot's reign of terror? What forms does witnessing take on in post-socialist and transitional Cambodia as senior Khmer Rouge leaders await prosecution at the Cambodian Tribunal? The paper examines aspects of witnessing in today's Cambodia, expressing each in its own way the idea of the 'shifting' of witnessing: the transformation of testimonies due to time passing and contrasted systems of justice through a comparison of testimonies in the trial of the 'Pol Pot/Ieng Sary clique' (1979) and the current Cambodian Tribunal; the complex forms of witnessing emerging from participatory projects developed with Western authors in 'We want (u) to know' (documentary movie made by an international film crew with the inhabitants of the village of Thnol Lok in 2009) and 'Breaking the silence' (theatre play realised by the Dutch dramaturge Annemarie Prins that premiered in Phnom Penh in 2009 and toured Cambodia in the following years); the relationship between documentary and legal forms of witnessing through the example of Vann Nath, a survivor of S-21/Tuol Sleng, the prison where the Khmer Rouge tortured and killed thousands of their fellow countrymen. The paper analyses the difficulty Western organisers of participatory projects experienced in applying the hybrid model of transitional justice to sociocultural contexts of witnessing. Nevertheless it points out their contribution to processes of 'recognition beyond recognition' in which cultural differences in coming to terms with historical trauma are expressed and recorded
A Systems Approach to Improving Rural Care in Ethiopia
Background: Multiple interventions have been launched to improve the quality, access, and utilization of primary health care in rural, low-income settings; however, the success of these interventions varies substantially, even within single studies where the measured impact of interventions differs across sites, centers, and regions. Accordingly, we sought to examine the variation in impact of a health systems strengthening intervention and understand factors that might explain the variation in impact across primary health care units. Methodology/Principal Findings: We conducted a mixed methods positive deviance study of 20 Primary Health Care Units (PHCUs) in rural Ethiopia. Using longitudinal data from the Ethiopia Millennium Rural Initiative (EMRI), we identified PHCUs with consistently higher performance (n = 2), most improved performance (n = 3), or consistently lower performance (n = 2) in the provision of antenatal care, HIV testing in antenatal care, and skilled birth attendance rates. Using data from site visits and in-depth interviews (n = 51), we applied the constant comparative method of qualitative data analysis to identify key themes that distinguished PHCUs with different performance trajectories. Key themes that distinguished PHCUs were 1) managerial problem solving capacity, 2) relationship with the woreda (district) health office, and 3) community engagement. In higher performing PHCUs and those with the greatest improvement after the EMRI intervention, health center and health post staff were more able to solve day-to-day problems, staff had better relationships with the woreda health official, an
Bostonia. Volume 21
Founded in 1900, Bostonia magazine is Boston University's main alumni publication, which covers alumni and student life, as well as university activities, events, and programs
BRAZILIAN CONSENSUS FOR MULTIMODAL TREATMENT OF COLORECTAL LIVER METASTASES. MODULE 3: CONTROVERSIES AND UNRESECTABLE METASTASES
COVID-19 anxiety and its relation to anxiety-related disorder symptoms and mechanisms
The COVID-19 pandemic had a significant impact on the mental health of individuals, particularly in the area of anxiety-related disorders. Anxiety regarding COVID-19 has been associated with health anxiety, panic disorder, and obsessive-compulsive disorder symptoms. Additionally, COVID-19 anxiety has been associated with anxiety sensitivity, disgust, maladaptive metacognitions, and intolerance of uncertainty. While researchers have established that anxiety disorders and anxiety-related mechanisms were associated with COVID-19 anxiety, which specific anxiety-related symptoms and mechanisms are primarily associated with COVID-19 anxiety needs to be more extensively explored. The current study sought to further this area by examining which particular anxiety-related disorder symptoms and mechanisms were uniquely associated with COVID-19 anxiety. A non-clinical sample of 593 Canadian undergraduate participants (Mage = 21.13 years; 67.7 % female) completed this cross-sectional study between September 2020 and February 2021. Participants completed online questionaries assessing anxiety-related disorder symptoms and mechanisms in addition to multiple scales of COVID-19 anxiety. When examining symptoms, health anxiety (prs = 0.17–0.29) and obsessive-compulsive disorder (prs = 0.16–0.35) symptoms had the strongest unique associations with COVID-19 anxiety. Among the anxiety-related mechanisms, disgust sensitivity (prs = 0.14–0.16) and health anxiety-specific intolerance of uncertainty (prs = 0.12–0.30) had the strongest unique associations with COVID-19 anxiety. Individuals experiencing these disorders and anxiety-related mechanisms may be at a heightened vulnerability to experiencing heightened anxiety during future pandemics. Mental health professionals should discuss COVID-19 anxiety with individuals experiencing health anxiety or obsessive-compulsive disorder symptoms. Lastly, the study highlights the significance of considering a variety of specific anxiety-related disorder symptoms and mechanisms when working to understand pandemic anxiety
Cost Effectiveness of Elidel in the Management of Patients with Atopic Dermatitis in Canada
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