Modeling the Impact of Land Surface Degradation on the Climate of Tropical North Africa

Degradation of the land surface has been suggested as a cause of persistent drought in tropical north Africa. A general circulation model is used to assess the impact of degradation of five regions within tropical north Africa. Idealized degradation scenarios are used since existing observations are inadequate the determine the extent and severity of historical degradation. It is found that the impact of degradation varies between the regions. The greatest effects are found from degradation of the Sahel or West Africa, which result in substantial reduction of precipitation over the degraded area. Both surface evaporation and atmospheric moisture convergence are reduced. In the Sahelian case the precipitation reduction extends well to the south of the area of changed land surface. The occurrence of easterly wave disturbances is not altered by degradation, but the mean rainfall from each event is reduced. Degradation of an area in eastern north Africa results in smaller reductions of precipitation and moisture convergence. Finally, degradation of a southern area next to the Gulf of Guinea has little effect on precipitation because of a compensatory increase of moisture convergence. The simulated rainfall reduction following degradation of the Sahel is comparable to observed changes in recent decades, suggesting that degradation may have contributed to that change

The future for global water assessment

The global water cycle is a fundamental component of our climate and Earth system. Many, if not the majority, of the impacts of climate change are water related. We have an imperfect description and understanding of components of the water cycle. This arises from an incomplete observation of some of the stores and fluxes in the water cycle (in particular: precipitation, evaporation, soil moisture and groundwater), problems with the simulation of precipitation by global climate models and the wide diversity of global hydrological models currently in use. This paper discusses these sources of errors and, in particular, explores the errors and advantages of bias correcting climate model outputs for hydrological models using a single large catchment as an example (the Rhine). One conclusion from this analysis is that bias correction is necessary and has an impact on the mean flows and their seasonal cycle. However choice of hydrological model has an equal, if not larger effect on the quality of the simulation. The paper highlights the importance of improving hydrological models, which run at a continental and global scale, and the importance of quantifying uncertainties in impact studies

Symptom burden among patients with Renal Cell Carcinoma (RCC): content for a symptom index

© 2007 Harding et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens

Identifying scoliosis in population-based cohorts:automation of a validated method based on total body dual energy X-ray absorptiometry scans

Scoliosis is a 3D-torsional rotation of the spine, but risk factors for initiation and progression are little understood. Research is hampered by lack of population-based research since radiographs cannot be performed on entire populations due to the relatively high levels of ionising radiation. Hence we have developed and validated a manual method for identifying scoliosis from total body dual energy X-ray absorptiometry (DXA) scans for research purposes. However, to allow full utilisation of population-based research cohorts, this needs to be automated. The purpose of this study was therefore to automate the identification of spinal curvature from total body DXA scans using machine learning techniques. To validate the automation, we assessed: (1) sensitivity, specificity and area under the receiver operator curve value (AUC) by comparison with 12,000 manually annotated images; (2) reliability by rerunning the automation on a subset of DXA scans repeated 2–6 weeks apart and calculating the kappa statistic; (3) validity by applying the automation to 5000 non-annotated images to assess associations with epidemiological variables. The final automated model had a sensitivity of 86.5%, specificity of 96.9% and an AUC of 0.80 (95%CI 0.74–0.87). There was almost perfect agreement of identification of those with scoliosis (kappa 0.90). Those with scoliosis identified by the automated model showed similar associations with gender, ethnicity, socioeconomic status, BMI and lean mass to previous literature. In conclusion, we have developed an accurate and valid automated method for identifying and quantifying spinal curvature from total body DXA scans

Born into adversity: psychological distress in two birth cohorts of second-generation Irish children growing up in Britain

This work was supported by the Medical Research Council (MRC), in the form of a fellowship awarded to J.D.-M. (grant no. G0701595/1).

"Am iz kwiin" (I'm his queen): Combining interpretative phenomenological analysis with a feminist approach to work with gems in a resource-constrained setting

This article focuses on working with gems using a feminist approach to interpretative phenomenological analysis (IPA) in a resource-constrained setting. The research explores the experiences of maternal disclosure of HIV to children of HIV positive mothers in Kingston, Jamaica. A feminist approach helps recognise power imbalances within research relationships and the women’s lived experiences. We present three “gems” which illuminate women’s lived experiences and explore how popularised representations of women’s sexuality and mothering influence disclosure discourses. We use emotion work as a conceptual resource to structure the women’s narratives and challenge existing policy discourses, which arguably represent disclosure within a binary, rationalist, decision-making framework. This article adds to global literature on maternal HIV disclosure and problematises policy discourses by bringing into relief the emotion work women engage in when deciding if and how to communicate their HIV status to their children. It adds to the body of research using IPA, particularly in resource-constrained settings where IPA has thus far had little application

Does cultural integration explain a mental health advantage for adolescents?

BACKGROUND: A mental health advantage has been observed among adolescents in urban areas. This prospective study tests whether cultural integration measured by cross-cultural friendships explains a mental health advantage for adolescents. METHODS: A prospective cohort of adolescents was recruited from 51 secondary schools in 10 London boroughs. Cultural identity was assessed by friendship choices within and across ethnic groups. Cultural integration is one of four categories of cultural identity. Using gender-specific linear-mixed models we tested whether cultural integration explained a mental health advantage, and whether gender and age were influential. Demographic and other relevant factors, such as ethnic group, socio-economic status, family structure, parenting styles and perceived racism were also measured and entered into the models. Mental health was measured by the Strengths and Difficulties Questionnaire as a 'total difficulties score' and by classification as a 'probable clinical case'. RESULTS: A total of 6643 pupils in first and second years of secondary school (ages 11-13 years) took part in the baseline survey (2003/04) and 4785 took part in the follow-up survey in 2005-06. Overall mental health improved with age, more so in male rather than female students. Cultural integration (friendships with own and other ethnic groups) was associated with the lowest levels of mental health problems especially among male students. This effect was sustained irrespective of age, ethnicity and other potential explanatory variables. There was a mental health advantage among specific ethnic groups: Black Caribbean and Black African male students (Nigerian/Ghanaian origin) and female Indian students. This was not fully explained by cultural integration, although cultural integration was independently associated with better mental health. CONCLUSIONS: Cultural integration was associated with better mental health, independent of the mental health advantage found among specific ethnic groups: Black Caribbean and some Black African male students and female Indian students