363 research outputs found

    Mindfulness in schools: a health promotion approach to improving adolescent mental health.

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    Between 10 and 20% of adolescents worldwide experience a mental health problem within a given 12-month period. Mental health problems impact on an adolescent’s potential to live a fulfilling and productive life and lead to challenges such as stigma, isolation and discrimination. To address this need, in recent years, there has been growing interest into broad-based school-integrated health promotion interventions that seek to build resilience and augment protective factors in adolescents. Mindfulness-based interventions (MBIs) reflect one such approach that have been administered to adolescent populations in both resilience building and treatment contexts. This paper discusses the utility of school-based MBIs as an adolescent health promotion approach and makes recommendations for intervention design, delivery and evaluation. Emerging evidence indicates that school-integrated MBIs may be a cost-effective means of not only meeting government objectives relating to adolescent mental health, but also for improving the wellbeing of teachers and parents. Furthermore, there is growing evidence indicating that mindfulness can elicit improvements in student learning performance and general classroom behaviour. However, notwithstanding these beneficial properties, there remains a need to conduct large-scale empirical investigations that seek to evaluate the effectiveness of school-integrated MBIs at a regional or national level. A further challenge is the need to ensure that mindfulness instructors are able to impart to adolescents an experiential understanding of this ancient contemplative technique.N

    Characterization of moderate ash-and-gas explosions at Santiaguito volcano, Guatemala, from infrasound waveform inversion and thermal infrared measurements

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    Abstract The rapid discharge of gas and rock fragments during volcanic eruptions generates acoustic infrasound. Here we present results from the inversion of infrasound signals associated with small and moderate gas‐and‐ash explosions at Santiaguito volcano, Guatemala, to retrieve the time history of mass eruption rate at the vent. Acoustic waveform inversion is complemented by analyses of thermal infrared imagery to constrain the volume and rise dynamics of the eruption plume. Finally, we combine results from the two methods in order to assess the bulk density of the erupted mixture, constrain the timing of the transition from a momentum‐driven jet to a buoyant plume, and to evaluate the relative volume fractions of ash and gas during the initial thrust phase. Our results demonstrate that eruptive plumes associated with small‐to‐moderate size explosions at Santiaguito only carry minor fractions of ash, suggesting that these events may not involve extensive magma fragmentation in the conduit

    High potential for weathering and climate effects of non-vascular vegetation in the Late Ordovician

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    It has been hypothesized that predecessors of today’s bryophytes significantly increased global chemical weathering in the Late Ordovician, thus reducing atmospheric CO2 concentration and contributing to climate cooling and an interval of glaciations. Studies that try to quantify the enhancement of weathering by non-vascular vegetation, however, are usually limited to small areas and low numbers of species, which hampers extrapolating to the global scale and to past climatic conditions. Here we present a spatially explicit modelling approach to simulate global weathering by non-vascular vegetation in the Late Ordovician. We estimate a potential global weathering flux of 2.8 (km3 rock) yr−1, defined here as volume of primary minerals affected by chemical transformation. This is around three times larger than today’s global chemical weathering flux. Moreover, we find that simulated weathering is highly sensitive to atmospheric CO2 concentration. This implies a strong negative feedback between weathering by non-vascular vegetation and Ordovician climate

    Radiative forcing from the 1991 Mount Pinatubo volcanic eruption

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    Volcanic sulfate aerosols in the stratosphere produce significant long-term solar and infrared radiative perturbations in the Earth's atmosphere and at the surface, which cause a response of the climate system. Here we study the fundamental process of the development of this volcanic radiative forcing, focusing on the eruption of Mount Pinatubo in the Philippines on June 15, 1991. We develop a spectral-, space-, and time-dependent set of aerosol parameters for 2 years after the Pinatubo eruption using a combination of SAGE II aerosol extinctions and UARS-retrieved effective radii, supported by SAM II, AVHRR, lidar and balloon observations. Using these data, we calculate the aerosol radiative forcing with the ECHAM4 general circulation model (GCM) for cases with climatological and observed sea surface temperature (SST), as well as with and without climate response. We find that the aerosol radiative forcing is not sensitive to the climate variations caused by SST or the atmospheric response to the aerosols, except in regions with varying dense cloudiness. The solar forcing in the near infrared contributes substantially to the total stratospheric heating. A complete formulation of radiative forcing should include not only changes of net fluxes at the tropopause but also the vertical distribution of atmospheric heating rates and the change of downward thermal and net solar radiative fluxes at the surface. These forcing and aerosol data are available for GCM experiments with any spatial and spectral resolution. Copyright 1998 by the American Geophysical Union

    Observations of volcanic clouds in their first few days of atmospheric residence: The 1992 eruptions of crater peak, Mount Spurr volcano, Alaska

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    Satellite SO2 and ash measurements of Mount Spurr’s three 1992 volcanic clouds are compared with ground‐based observations to develop an understanding of the physical and chemical evolution of volcanic clouds. Each of the three eruptions with ratings of volcanic explosivity index three reached the lower stratosphere (14 km asl), but the clouds were mainly dispersed at the tropopause by moderate to strong (20–40 m/s) tropospheric winds. Three stages of cloud evolution were identified. First, heavy fallout of large (\u3e500 μm) pyroclasts occurred close to the volcano (vent) during and immediately after the eruptions, and the cloud resembled an advected gravity current. Second, a much larger, highly elongated region marked by a secondary‐mass maximum occurred 150–350 km downwind in at least two of the three events. This was the result of aggregate fallout of a bimodal size distribution including fine (\u3c25 \u3eμm) ash that quickly depleted the solid fraction of the volcanic cloud. For the first several hundred kilometers, the cloud spread laterally, first as an intrusive gravity current and then by wind shear and diffusion as downwind cloud transport occurred at the windspeed (during the first 18–24 h). Finally, the clouds continued to move through the upper troposphere but began decreasing in areal extent, eventually disappearing as ash and SO2 were removed by meteorological processes. Total SO2 in each eruption cloud increased by the second day of atmospheric residence, possibly because of oxidation of coerupted H2S or possibly because of the effects of sequestration by ice followed by subsequent SO2 release during fallout and desiccation of ashy hydrometeors. SO2 and volcanic ash travelled together in all the Spurr volcanic clouds. The initial (18–24 h) area expansion of the clouds and the subsequent several days of drifting were successfully mapped by both SO2 (ultraviolet) and ash (infrared) satellite imagery

    Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications

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    BACKGROUND Limited information exists about the epidemiology and outcome of surgical patients at increased risk of postoperative pulmonary complications (PPCs), and how intraoperative ventilation was managed in these patients. OBJECTIVES To determine the incidence of surgical patients at increased risk of PPCs, and to compare the intraoperative ventilation management and postoperative outcomes with patients at low risk of PPCs. DESIGN This was a prospective international 1-week observational study using the ‘Assess Respiratory Risk in Surgical Patients in Catalonia risk score’ (ARISCAT score) for PPC for risk stratification. PATIENTS AND SETTING Adult patients requiring intraoperative ventilation during general anaesthesia for surgery in 146 hospitals across 29 countries. MAIN OUTCOME MEASURES The primary outcome was the incidence of patients at increased risk of PPCs based on the ARISCAT score. Secondary outcomes included intraoperative ventilatory management and clinical outcomes. RESULTS A total of 9864 patients fulfilled the inclusion criteria. The incidence of patients at increased risk was 28.4%. The most frequently chosen tidal volume (VT) size was 500 ml, or 7 to 9 ml kg1 predicted body weight, slightly lower in patients at increased risk of PPCs. Levels of positive end-expiratory pressure (PEEP) were slightly higher in patients at increased risk of PPCs, with 14.3% receiving more than 5 cmH2O PEEP compared with 7.6% in patients at low risk of PPCs (P < 0.001). Patients with a predicted preoperative increased risk of PPCs developed PPCs more frequently: 19 versus 7%, relative risk (RR) 3.16 (95% confidence interval 2.76 to 3.61), P < 0.001) and had longer hospital stays. The only ventilatory factor associated with the occurrence of PPCs was the peak pressure. CONCLUSION The incidence of patients with a predicted increased risk of PPCs is high. A large proportion of patients receive high VT and low PEEP levels. PPCs occur frequently in patients at increased risk, with worse clinical outcome

    From a state to a trait: Trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness

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    Theory suggests that heightening state mindfulness in meditation practice over time increases trait mindfulness, which benefits psychological health. We prospectively examined individual trajectories of state mindfulness in meditation during a mindfulness-based intervention in relation to changes in trait mindfulness and psychological distress. Each week during the eight-week intervention, participants reported their state mindfulness in meditation after a brief mindfulness meditation. Participants also completed pre- and post-intervention measures of trait mindfulness and psychological symptoms. Tests of combined latent growth and path models suggested that individuals varied significantly in their rates of change in state mindfulness in meditation during the intervention, and that these individual trajectories predicted pre-post intervention changes in trait mindfulness and distress. These findings support that increasing state mindfulness over repeated meditation sessions may contribute to a more mindful and less distressed disposition. However, individuals’ trajectories of change may vary and warrant further investigation

    Periodic Fluctuation of Tidal Volumes Further Improves Variable Ventilation in Experimental Acute Respiratory Distress Syndrome

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    In experimental acute respiratory distress syndrome (ARDS), random variation of tidal volumes (VT ) during volume controlled ventilation improves gas exchange and respiratory system mechanics (so-called stochastic resonance hypothesis). It is unknown whether those positive effects may be further enhanced by periodic VT fluctuation at distinct frequencies, also known as deterministic frequency resonance.We hypothesized that the positive effects of variable ventilation on lung functionmay be further amplified by periodic VT fluctuation at specific frequencies. In anesthetized and mechanically ventilated pigs, severe ARDS was induced by saline lung lavage and injurious VT (double-hit model). Animals were then randomly assigned to 6 h of protective ventilation with one of four VT patterns: (1) random variation of VT (WN); (2) P04, main VT frequency of 0.13Hz; (3) P10, main VT frequency of 0.05Hz; (4) VCV, conventional non-variable volume controlled ventilation. In groups with variable VT , the coefficient of variation was identical (30%). We assessed lung mechanics and gas exchange, and determined lung histology and inflammation. Compared to VCV, WN, P04, and P10 resulted in lower respiratory system elastance (63 ± 13 cm H2O/L vs. 50 ± 14 cm H2O/L, 48.4 ± 21 cm H2O/L, and 45.1 ± 5.9 cm H2O/L respectively, P < 0.05 all), but only P10 improved PaO2/FIO2 after 6 h of ventilation (318 ± 96 vs. 445 ± 110mm Hg, P < 0.05). Cycle-by-cycle analysis of lung mechanics suggested intertidal recruitment/de-recruitment in P10. Lung histologic damage and inflammation did not differ among groups. In this experimental model of severe ARDS, periodic VT fluctuation at a frequency of 0.05Hz improved oxygenation during variable ventilation, suggesting that deterministic resonance adds further benefit to variable ventilation
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