288 research outputs found

    Late Pleistocene-Holocene History of Chaco-Pampa Sediments in Argentina and Paraguay

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    Eine erheblich verbesserte Rekonstruktion der spĂ€tpleistozĂ€nen/holozĂ€nen morphologischen und geologischen Geschichte des paraguayischen Chaco und der argentinischen Pampa Ebene wird vorgestellt. Wegen der großen Ausdehnung des Gebietes waren Satellitenbilder der SchlĂŒssel, um frĂŒhere und neue interdisziplinĂ€re geowissenschaftliche Ergebnisse zu einem verlĂ€sslicheren Bild zusammenzufĂŒhren. FĂŒr diesen synoptischen Überblick wurde die Interpretation von Fernerkundungsdaten durch GelĂ€ndeuntersuchungen und physikalische Altersbestimmungen ergĂ€nzt. Viele Lumineszenzalter (75 IRSL und 12 TL) von LĂ¶ĂŸ, lĂ¶ĂŸĂ€hnlichen Sedimenten und Sanden wurden bestimmt, die bei der Rekonstruktion der Klimageschichte des Untersuchungsgebiets im Marinen Isotopen Stadium 3 bis 1 (MIS 3–1) beitragen. LĂ¶ĂŸablagerungen ĂŒberwiegen in der Zeit vor MIS 2. Die numerische Alter von lakustrinen und alluvialen Sedimenten, im LĂ¶ĂŸ zwischengelagert, belegen wechselnde feuchte und trockene Perioden in der Chaco/Pampa-Ebene im MIS 2 und MIS 1. Überwiegend trockene Bedingungen herrschten von 8.5 bis 3.5 ka BP (mittleres MIS 1), als Sande in Form von DĂŒnen oder in PalĂ€oflussbetten abgelagert wurden. Zeitlich begrenzte Phasen extrem verstĂ€rkter PalĂ€oflussaktivitĂ€t im MittelholozĂ€n wurden auf sporadische Starkregenereignisse in den Anden zurückgefĂŒhrt. Die Ursprungsgebiete des LĂ¶ĂŸ, der lĂ¶ĂŸartigen Sedimente und der sandigen Ablagerungen wurden in der sĂŒdwestlichen Pampa, den benachbarten AndenabhĂ€ngen und im Altiplano lokalisiert. Diese Sedimente wurden von dort nach Osten und spĂ€ter nach Nordosten transportiert, wie sich aus den morphologischen Mustern als Zeugnisse frĂŒherer Ă€olischer AktivitĂ€t rekonstruieren ließ.researc

    Health and environmental consequences of the world trade center disaster.

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    The attack on the World Trade Center (WTC) created an acute environmental disaster of enormous magnitude. This study characterizes the environmental exposures resulting from destruction of the WTC and assesses their effects on health. Methods include ambient air sampling; analyses of outdoor and indoor settled dust; high-altitude imaging and modeling of the atmospheric plume; inhalation studies of WTC dust in mice; and clinical examinations, community surveys, and prospective epidemiologic studies of exposed populations. WTC dust was found to consist predominantly (95%) of coarse particles and contained pulverized cement, glass fibers, asbestos, lead, polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs), and polychlorinated furans and dioxins. Airborne particulate levels were highest immediately after the attack and declined thereafter. Particulate levels decreased sharply with distance from the WTC. Dust pH was highly alkaline (pH 9.0-11.0). Mice exposed to WTC dust showed only moderate pulmonary inflammation but marked bronchial hyperreactivity. Evaluation of 10,116 firefighters showed exposure-related increases in cough and bronchial hyperreactivity. Evaluation of 183 cleanup workers showed new-onset cough (33%), wheeze (18%), and phlegm production (24%). Increased frequency of new-onset cough, wheeze, and shortness of breath were also observed in community residents. Follow-up of 182 pregnant women who were either inside or near the WTC on 11 September showed a 2-fold increase in small-for-gestational-age (SGA) infants. In summary, environmental exposures after the WTC disaster were associated with significant adverse effects on health. The high alkalinity of WTC dust produced bronchial hyperreactivity, persistent cough, and increased risk of asthma. Plausible causes of the observed increase in SGA infants include maternal exposures to PAH and particulates. Future risk of mesothelioma may be increased, particularly among workers and volunteers exposed occupationally to asbestos. Continuing follow-up of all exposed populations is required to document the long-term consequences of the disaster

    Health problems and disability in long-term sickness absence: ICF coding of medical certificates

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    <p>Abstract</p> <p>Background</p> <p>The purpose of this study was to test the feasibility of International Classification of Functioning, Disability and Health (ICF) and to explore the distribution, including gender differences, of health problems and disabilities as reflected in long-term sickness absence certificates.</p> <p>Methods</p> <p>A total of 433 patients with long sick-listing periods, 267 women and 166 men, were included in the study. All certificates exceeding 28 days of sick-listing sent to the local office of the Swedish Social Insurance Administration of a municipality in the Stockholm area were collected during four weeks in 2004-2005. ICD-10 medical diagnosis codes in the certificates were retrieved and free text information on disabilities in body function, body structure or activity and participation were coded according to ICF short version.</p> <p>Results</p> <p>In 89.8% of the certificates there were descriptions of disabilities that readily could be classified according to ICF. In a reliability test 123/131 (94%) items of randomly chosen free text information were identically classified by two of the authors. On average 2.4 disability categories (range 0-9) were found per patient; the most frequent were 'Sensation of pain' (35.1% of the patients), 'Emotional functions' (34.1%), 'Energy and drive functions' (22.4%), and 'Sleep functions' (16.9%). The dominating ICD-10 diagnostic groups were 'Mental and behavioural disorders' (34.4%) and 'Diseases of the musculoskeletal system and connective tissue' (32.8%). 'Reaction to severe stress and adjustment disorders' (14.7%), and 'Depressive episode' (11.5%) were the most frequent diagnostic codes. Disabilities in mental functions and activity/participation were more commonly described among women, while disabilities related to the musculoskeletal system were more frequent among men.</p> <p>Conclusions</p> <p>Both ICD-10 diagnoses and ICF categories were dominated by mental and musculoskeletal health problems, but there seems to be gender differences, and ICF classification as a complement to ICD-10 could provide a better understanding of the consequences of diseases and how individual patients can cope with their health problems. ICF is feasible for secondary classifying of free text descriptions of disabilities stated in sick-leave certificates and seems to be useful as a complement to ICD-10 for sick-listing management and research.</p

    Tracing the city - parkour training, play and the practice of collaborative learning

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    The article examines how parkour training is constructed and transmitted amongst localised peer groups known as ‘traceurs’. It concentrates on training practices that develop as a result of peer interaction in open, public spaces rather than formal training sessions that take place within a gym or as part of a regulated coaching programme. Drawing on extended interview material from a range of parkour practitioners with varying levels of experience and expertise, the article investigates the traceur's perspective on group training and how this relates to cognition and processes of learning. Using traceurs' own reflections the research will identify how physical obstacles, mental challenges, fear and risk are handled through repeated actions that then result in deeply embedded somatic responses to the built environment. The repertoire of moves that is shared between traceurs offers a patterned way of learning that, in turn, provides a route to embodied knowing. The research demonstrates how group training sessions in parkour can be conceived as collaborative learning and how that relates to theories of social learning (Bandura 1977, Lave 2009, Wenger 1998). The article argues that the efficacy of play as an approach to training provides a vehicle for active learning that chimes with the utilitarian aspect of parkour practice where to know and overcome obstacles represents the knowing and attainment of freedom

    The Rule of Law is Dead! Long Live the Rule of Law!

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    Polls show that a significant proportion of the public considers judges to be political. This result holds whether Americans are asked about Supreme Court justices, federal judges, state judges, or judges in general. At the same time, a large majority of the public also believes that judges are fair and impartial arbiters, and this belief also applies across the board. In this paper, I consider what this half-law-half-politics understanding of the courts means for judicial legitimacy and the public confidence on which that legitimacy rests. Drawing on the Legal Realists, and particularly on the work of Thurman Arnold, I argue against the notion that the contradictory views must be resolved in order for judicial legitimacy to remain intact. A rule of law built on contending legal and political beliefs is not necessarily fair or just. But it can be stable. At least in the context of law and courts, a house divided may stand

    Synthesising practice guidelines for the development of community-based exercise programmes after stroke

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    This is a freely-available open access publication. Please cite the published version which is available via the DOI link in this record.Multiple guidelines are often available to inform practice in complex interventions. Guidance implementation may be facilitated if it is tailored to particular clinical issues and contexts. It should also aim to specify all elements of interventions that may mediate and modify effectiveness, including both their content and delivery. We conducted a focused synthesis of recommendations from stroke practice guidelines to produce a structured and comprehensive account to facilitate the development of community-based exercise programmes after stroke.National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for the South West Peninsul
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