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- Wong, B. H. C., et al.
(författare)
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Self-Harm in Children and Adolescents Who Presented at Emergency Units During the COVID-19 Pandemic: An International Retrospective Cohort Study
- 2023
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Ingår i: Journal of the American Academy of Child and Adolescent Psychiatry. - : Elsevier BV. - 0890-8567. ; 62:9, s. 998-1009
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To compare psychiatric emergencies and self-harm at emergency departments (EDs) 1 year into the pandemic, to early pandemic and pre pandemic, and to examine the changes in the characteristics of self-harm presentations.Method: This retrospective cohort study expanded on the Pandemic-Related Emergency Psychiatric Presentations (PREP-kids) study. Routine record data in March to April of 2019, 2020, and 2021 from 62 EDs in 25 countries were included. ED presentations made by children and adolescents for any mental health reasons were analyzed.Results: Altogether, 8,174 psychiatric presentations were recorded (63.5% female; mean [SD] age, 14.3 [2.6] years), 3,742 of which were self-harm presentations. Rate of psychiatric ED presentations in March to April 2021 was twice as high as in March to April 2020 (incidence rate ratio [IRR], 1.93; 95% CI, 1.60-2.33), and 50% higher than in March to April 2019 (IRR, 1.51; 95% CI, 1.25-1.81). Rate of self-harm presentations doubled between March to April 2020 and March to April 2021 (IRR, 1.98; 95% CI, 1.68-2.34), and was overall 1.7 times higher than in March to April 2019 (IRR, 1.70; 95% CI, 1.44-2.00). Comparing self-harm characteristics in March to April 2021 with March to April 2019, self-harm contributed to a higher proportion of all psychiatric presentations (odds ratio [OR], 1.30; 95% CI, 1.05-1.62), whereas female representation in self-harm presentations doubled (OR, 1.98; 95% CI, 1.45-2.72) and follow-up appointments were offered 4 times as often (OR, 4.46; 95% CI, 2.32-8.58).Conclusion: Increased pediatric ED visits for both self-harm and psychiatric reasons were observed, suggesting potential deterioration in child mental health. Self-harm in girls possibly increased and needs to be prioritized. Clinical services should continue using follow-up appointments to support discharge from EDs.Diversity & Inclusion Statement: One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group. While citing references scientifically relevant for this work, we also actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our reference list. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work.
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- Burlakovs, Juris, 1977-, et al.
(författare)
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Geophysical aspects of abandoned landfill geomorphological and material properties macro-characterization
- 2020
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Ingår i: International Multidisciplinary Scientific GeoConference Surveying Geology and Mining Ecology Management, SGEM. - : International Multidisciplinary Scientific Geoconference. - 9786197603057 ; , s. 551-558
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Konferensbidrag (refereegranskat)abstract
- Landfills (dumps) are places where the end of the life cycle of products can be found - useful material is dumped away from the sight creating contaminant flows around. Another problem is huge unexplored potential of resources recycling - we have limited knowledge also on useful elements and materials that are buried. The solution to overcome the limitations that provide remote sensing and traditional geodesy, proximal sensing techniques could be used. “Near surface geophysics” with operation at or just below the soil surface, significantly may contribute to give answers that traditionally are solved only after excavation. Geophysical methods are various, those can be active (i.e. create its own signal) or passive (i.e. register an existing signal); invasive (by inserting devices into the soil) or non-destructive. Some of these methods are static (e.g. a sequence of inserted electrodes), others can be used in a mobile way (e.g. pulled by a quad-bike). In general, their depth of exploration can vary from a few decimetres to some tens of metres. Thus in range of wide geophysical methodology spectrum almost all methods might be of use for unknown dump exploration depending on circumstances. In this paper, the aim is to macro-characterize anthropogenic geomorphological forms for contouring of old buried dumps by use of magnetometry, and geoelectric research methods to provide knowledge on approximate content of the dump. Protonmagnetometer was used in Eastern Latvia to determine unseen on surface dumpsite, buried in forest; induced polarisation and electric resistivity research was done in Southern Sweden for the macro-content analysis of dump hills composed of glass industry residuals and construction waste mixture. Geophysical surveying was performed to support site investigation with respect to landfill-related environmental problems, to enhance the opportunity for contouring of location of material mass and initially evaluate its physical properties. Results have shown good potential of geophysical surveying to spatially characterize landfill masses (location and dimensions) and to identify the internal structure of a landfill site, which already provides valuable information to estimate the landfill mining (material recovery) potential of landfills.
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- Burlakovs, Juris, 1977-, et al.
(författare)
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Implementation of new concepts in waste management in tourist metropolitan areas
- 2020
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Ingår i: 2019 9TH INTERNATIONAL CONFERENCE ON ENVIRONMENT SCIENCE AND ENGINEERING (ICESE 2019). - : IOP Publishing. ; , s. 1-10
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Konferensbidrag (refereegranskat)abstract
- The urban waste in tourist cities needs comprehensive global research efforts and proceeded action as for metropolitan areas huge impact and load on waste management is generated. Waste management and resource conservation strategies are prepared in state-of-the-art level however implementation and future improvement of the current situation is crucial. Some examples in waste prevention and management for better tourism, waste and resource management are provided in the paper as outcomes from Horizon2020 project "Urban Strategies for Waste Management in Tourist Cities". The policy and tools based on information gathered by scientists, municipal and NGOs experience (e.g. separation of bio-waste in catering industries, "sin-wastes" as from the bars, nightclubs and smoker places, reuse of unnecessary items that can serve for others and many more) are described. In addition, regulatory instruments (e.g. ban of plastic bags, reduction of allowed bio-waste in landfilling), economic instruments (taxes) and voluntary agreements (e.g. deposit systems; cleaning actions by volunteers) might be used to implement and elaborate the situation within environmental management and prevention practices in tourist metropolitan cities. Food waste prevention, beach and littoral management, special practices for festival waste and large amount specific waste generating facilities (e.g., entertainment industry, cruises etc.) are of high importance. The future outlook may be concentrated on digitalizing of waste flows and using the "big data" concept for better and smarter waste management.
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- Pilecka, I, et al.
(författare)
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Sun Exposure and Psychotic Experiences
- 2017
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Ingår i: Frontiers in psychiatry. - : Frontiers Media SA. - 1664-0640. ; 8, s. 107-
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Tidskriftsartikel (refereegranskat)
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- Valujeva, K., et al.
(författare)
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Environmental management of Remediative and revitalization initiatives in Baltic sea region
- 2019
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Ingår i: 19th International Multidisciplinary Scientific GeoConference SGEM 2019. - : International Multidisciplinary Scientific Geoconference. - 9786197408843 ; , s. 253-259
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Konferensbidrag (refereegranskat)abstract
- Population growth in coastal areas worldwide call for new challenges to be solved. Blue growth initiatives are elaborated and developed in order to prevent sea resources depletion unsustainably by fishing, mining, transportation, tourism, and waste. The EU Water Framework Directive (2000/60/EC), EU Groundwater Directive (2002/118/EC) as well as EU Waste Framework Directive (2006/12/EC) are the legislative tools that base the pillars for more detailed action plans that prevents contamination spread, promote clean-up and drives us to sustainable solutions. In EC there are Joint Research Centre (JRC) for Land Management and Natural Hazards Unit to encourage the development and broader use of environmental technologies, including environmental remediation technologies. This paper aims to give different best practices to solve individual cases similarly as in The Network for Industrially Contaminated Lands in Europe (NICOLE), The European Coordination Action for Demonstration of Efficient Soil and Groundwater Remediation (EURODEMO) projects decades ago which also promoted cost-effective soil and groundwater remediation technologies, unifying efforts for joint European Sustainable Development Strategies. Baseline studies and pilot scale test-fields were developed in Baltic Sea Region with Triple helix approach that implements collaboration among stakeholders (firms, authorities and scientists). Interregional collaboration projects on Blue Economy and Sustainable Growth such as “Reviving Baltic Resilience” (RBR), “Enhancement of Green Infrastructure in the Landscape of Lowland Rivers” (ENGRAVE), “Baltic Beach Wrack - Conversion of a Nuisance To a Resource and Asset” (CONTRA) as well as Swedish Institute knowledge exchange project LASUWAMA are just a few examples how to disseminate good practices and implement in local and regional levels. Sustainability and circular economy are steps forward to green innovation revolution.
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