121 research outputs found

    Investigating the impact of a long-term research and conservation project on the expansion of land use and land cover in a remote area of central DRC

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    Anthropogenic impact and population growth have caused a dramatic loss of biodiversity worldwide. Deforestation due to logging, mining, and burning are of particular severity in tropical rainforests with the Amazonian and Congolese basins harboring the largest reminders on our planet. While research projects particularly those with permanent presence on ground have been considered as excellent conservation measures to protect habitat and wildlife, no studies are known to assess their negative implications. Here, we assess the impact of a long-term research project on the tropical rainforest in the Democratic Republic of the Congo (DRC). We investigate the LuiKotale Bonobo project (LKBP) established for research and conservation in 2002, closely cooperating with several villages located in the buffer zone of Salonga National Park, Block South, Territoire d'Inongo, Province Mai-Ndombe, DRC. We combine the results of Land Use and Land Cover (LULC) drawn from satellite imagery with population data for four villages comparing anthropogenic impact before and after establishment of the project covering 31 years between 1987 and 2018. While deforestation decreased in Lompole, the first and main village of collaboration, it increased continuously over time in neighboring villages. Increase can be linked to population growth and cash income provided by the LKBP with habitants investing into construction material and expansion of agricultural fields for cash crops

    Kidney transplantation in childhood: mental health and quality of life of children and caregivers

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    Our objective was to assess the mental health and health-related quality of life (HRQOL) in children and their parents after renal transplantation (TX) compared to healthy controls and children with acute lymphoblastic leukemia (ALL) and to identify possible health status variables associated with impaired mental health and HRQOL. Thirty-eight TX children with a median age of 13 (range 3–19) years were investigated. Mental health was assessed by the Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales and the Strength and Difficulties Questionnaire (SDQ-20). Each mother’s own mental health and QOL were assessed by the General Health Questionnaire (GHQ-30) and the Quality of Life Scale (QOLS). Forty children with ALL [median age 11 (8.5–15.4) years] and 42 healthy children [median age 11 (8.9– 15) years] served as controls. Treadmill exercise results from 22 of the 38 patients were included in the analysis. TX children showed significantly higher levels of mental health problems and lower HRQOL at 2 to 16 years after transplantation compared to both control groups. Body mass index and maximal oxygen uptake (n = 22/38) were significant predictors of child mental health (SDQ) and child QOL (PedsQL), respectively. Based on these results, we suggest that rehabilitation after TX should include a focus on physical activity and QOL to reduce interconnected physical and psychological morbidity in kidney TX children

    Self-amplified spontaneous emission saturation at the Advanced Photon Source free-electron laser (abstract) (invited)

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    Outcome after renal transplantation. Part II: Quality of life and psychosocial adjustment

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    Knowledge of health-related quality of life (QOL) and psychosocial adjustment (PA) in children after renal transplantation (RTPL) is limited. QOL and PA were evaluated by standardized tests in patients after RTPL. Thirty-seven children of median age 14.5 years (range 6.5-17 years) were investigated a mean 4.5 years (range 0.5-12.8 years) after RTPL. Child- and parent-rated QOL was evaluated with the Child Quality of life Questionnaire of The Netherlands Organization for Applied Scientific Research Academical Medical Centre (TNO-AZL). PA was assessed by the Child Behaviour Checklist (CBCL) providing parental reports of a child's behaviour. In patients' self-ratings, the QOL dimension physical complaints (P < 0.0005) scored significantly better than that of healthy controls, whereas the dimension positive emotional functioning was impaired (P = 0.02). Parents rated motor functioning (P = 0.002), autonomy (P = 0.01), cognition (P = 0.04) and positive emotions (P < 0.0005) as significantly impaired. Parents also assessed PA significantly (P = 0.02) impaired with regard to internalizing behaviour. Dialysis duration, young age at RTPL, living-related donation, steroid treatment, adverse family relationships and maternal distress had a significantly negative impact on QOL and PA (P < 0.05). Patients rated QOL higher than did healthy controls. Parents evaluated their children's QOL and PA more pessimistically than did the patients themselves. Both illness-related variables and family environment played an important role

    Psychosocial Adjustment in Children With Kidney Disease

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    Daily Reports and Pooled Time Series Analysis: Pediatric Psychology Applications

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    Factors related to paediatric patients' emergency department utilization

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