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

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

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

Magnetoelastic mechanism of spin-reorientation transitions at step-edges

The symmetry-induced magnetic anisotropy due to monoatomic steps at strained Ni films is determined using results of first - principles relativistic full-potential linearized augmented plane wave (FLAPW) calculations and an analogy with the N\'eel model. We show that there is a magnetoelastic anisotropy contribution to the uniaxial magnetic anisotropy energy in the vicinal plane of a stepped surface. In addition to the known spin-direction reorientation transition at a flat Ni/Cu(001) surface, we propose a spin-direction reorientation transition in the vicinal plane for a stepped Ni/Cu surface due to the magnetoelastic anisotropy. We show that with an increase of Ni film thickness, the magnetization in the vicinal plane turns perpendicular to the step edge at a critical thickness calculated to be in the range of 16-24 Ni layers for the Ni/Cu(1,1,13) stepped surface.Comment: Accepted for publication in Phys. Rev.

Biomineral shell formation under ocean acidification: A shift from order to chaos

Biomineral production in marine organisms employs transient phases of amorphous calcium carbonate (ACC) in the construction of crystalline shells. Increasing seawater pCO2 leads to ocean acidification (OA) with a reduction in oceanic carbonate concentration which could have a negative impact on shell formation and therefore survival. We demonstrate significant changes in the hydrated and dehydrated forms of ACC in the aragonite and calcite layers of Mytilus edulis shells cultured under acidification conditions (1000 μatm pCO2) compared to present day conditions (380 μatm pCO2). In OA conditions, Mytilus edulis has more ACC at crystalisation sites. Here, we use the high-spatial resolution of synchrotron X-ray Photo Emission Electron Microscopy (XPEEM) combined with X-ray Absorption Spectroscopy (XAS) to investigate the influence of OA on the ACC formation in the shells of adult Mytilus edulis. Electron Backscatter Diffraction (EBSD) confirms that OA reduces crystallographic control of shell formation. The results demonstrate that OA induces more ACC formation and less crystallographic control in mussels suggesting that ACC is used as a repair mechanism to combat shell damage under OA. However, the resultant reduced crystallographic control in mussels raises concerns for shell protective function under predation and changing environments. © 2016, Nature Publishing Group. All rights reserved

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

Balance Training Reduces Falls Risk in Older Individuals With Type 2 Diabetes

OBJECTIVE - This study assessed the effects of balance/strength training on falls risk and posture in older individuals with type 2 diabetes. RESEARCH DESIGN AND METHODS - Sixteen individuals with type 2 diabetes and 21 age-matched control subjects (aged 50-75 years) participated. Postural stability and falls risk was assessed before and after a 6-week exercise program. RESULTS - Diabetic individuals had significantly higher falls risk score compared with control subjects. The diabetic group also exhibited evidence of mild-to-moderate neuropathy, slower reaction times, and increased postural sway. Following exercise, the diabetic group showed significant improvements in leg strength, faster reaction times, decreased sway, and, consequently, reduced falls risk. CONCLUSIONS - Older individuals with diabetes had impaired balance, slower reactions, and consequently a higher falls risk than age-matched control subjects. However, all these variables improved after resistance/balance training. Together these results demonstrate that structured exercise has wide-spread positive effects on physiological function for older individuals with type 2 diabetes

Voltage-driven displacement of magnetic vortex cores

Abstract Magnetic vortex cores in polycrystalline Ni discs underwent non-volatile displacements due to voltage-driven ferroelectric domain switching in single-crystal BaTiO3. This behaviour was observed using photoemission electron microscopy to image both the ferromagnetism and ferroelectricity, while varying in-plane sample orientation. The resulting vector maps of disc magnetization match well with micromagnetic simulations, which show that the vortex core is translated by the transit of a ferroelectric domain wall, and thus the inhomogeneous strain with which it is associated. The non-volatility is attributed to pinning inside the discs. Voltage-driven displacement of magnetic vortex cores is novel, and opens the way for studying voltage-driven vortex dynamics.The Royal Society, Gates Cambridge, the Winton Programme for the Physics of Sustainability, Trinity College (Cambridge), Agència de Gestió d’Ajuts Universitaris i de Recerca (AGAUR) from the Catalan governmen

Possible observation of parametrically amplified coherent phasons in K0.3MoO3 using time-resolved extreme-ultraviolet ARPES

We use time- and angle-resolved photoemission spectroscopy (tr-ARPES) in the Extreme Ultraviolet (EUV) to measure the time- and momentum-dependent electronic structure of photo-excited K0.3MoO3. Prompt depletion of the Charge Density Wave (CDW) condensate launches coherent oscillations of the amplitude mode, observed as a 1.7-THz-frequency modulation of the bonding band position. In contrast, the anti-bonding band oscillates at about half this frequency. We attribute these oscillations to coherent excitation of phasons via parametric amplification of phase fluctuations.Comment: 4 figure