48 research outputs found
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Climate change and cultural resilience in late pre-Columbian Amazonia
The long term response of ancient societies to climate change has been a matter of global debate. Until recently, the lack of integrative studies between archaeological, palaeoecological, and palaeoclimatological data had prevented an evaluation of the relationship between climate change, distinct subsistence strategies, and cultural transformations across the largest rainforest of the world, Amazonia. Here, we review the most relevant cultural changes seen in the archaeological record of six different regions within Greater Amazonia during late pre-Columbian times. We compare the chronology of those cultural transitions with high-resolution regional palaeoclimate proxies, showing that, while some societies faced major reorganisation during periods of climate change, others were unaffected and even flourished. We propose that societies with intensive, specialised land-use systems were vulnerable to transient climate change. In contrast, land-use systems that relied primarily on polyculture agroforestry, resulting in the formation of enriched forests and fertile Amazonian Dark Earths in the long term, were more resilient to climate change
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Impact of pre-Columbian 'geoglyph' builders on Amazonian forests
Over 450 pre-Columbian (pre-AD1492) geometric ditched enclosures ('geoglyphs') occupy ca. 13,000 km2 of Acre state, Brazil, representing a key discovery of Amazonian archaeology. These huge earthworks were concealed for centuries under terra firme (upland interfluvial) rainforest, directly challenging the 'pristine' status of this ecosystem and its perceived vulnerability to human impacts. We reconstruct the environmental context of geoglyph construction and the nature, extent and legacy of associated human impacts. We show that bamboo forest dominated the region for ≥6000 y and that only small, temporary clearings were made to build the geoglyphs; however, construction occurred within anthropogenic forest that had been actively managed for millennia. In the absence of widespread deforestation, exploitation of forest products shaped a largely forested landscape that survived intact until the late 20th century
European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD.
BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that persists into adulthood in the majority of cases. The evidence on persistence poses several difficulties for adult psychiatry considering the lack of expertise for diagnostic assessment, limited treatment options and patient facilities across Europe. METHODS: The European Network Adult ADHD, founded in 2003, aims to increase awareness of this disorder and improve knowledge and patient care for adults with ADHD across Europe. This Consensus Statement is one of the actions taken by the European Network Adult ADHD in order to support the clinician with research evidence and clinical experience from 18 European countries in which ADHD in adults is recognised and treated. RESULTS: Besides information on the genetics and neurobiology of ADHD, three major questions are addressed in this statement: (1) What is the clinical picture of ADHD in adults? (2) How can ADHD in adults be properly diagnosed? (3) How should ADHD in adults be effectively treated? CONCLUSIONS: ADHD often presents as an impairing lifelong condition in adults, yet it is currently underdiagnosed and treated in many European countries, leading to ineffective treatment and higher costs of illness. Expertise in diagnostic assessment and treatment of ADHD in adults must increase in psychiatry. Instruments for screening and diagnosis of ADHD in adults are available and appropriate treatments exist, although more research is needed in this age group
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Evidence confirms an anthropic origin of Amazonian Dark Earths.
Arising from: Silva et al. Nature Communications https://doi.org/10.1038/s41467-020-20184-2 (2021
A large perforation in the piriform sinus during Zenker diverticulotomy effectively closed with clips-and-rubber band technique
No abstract availabl
Endoscopic ultrasound-guided detection and internal drainage of a closed gastro-cutaneous fistula after bariatric surgery
International audienc