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Background: Climate change has been shown to be directly linked to multiple physiological sequelae and to impact health consequences. However, the impact of climate change on mental health globally, particularly among vulnerable populations, is less well understood. Objective: To explore the mental health impacts of climate change in vulnerable populations globally. Methods: We performed an integrative literature review to identify published articles that addressed the research question: What are the mental health impacts of climate change among vulnerable populations globally? The Vulnerable Populations Conceptual Model served as a theoretical model during the review process and data synthesis. Findings/Results: One hundred and four articles were selected for inclusion in this review after a comprehensive review of 1828 manuscripts. Articles were diverse in scope and populations addressed. Land-vulnerable persons (either due to occupation or geographic location), Indigenous persons, children, older adults, and climate migrants were among the vulnerable populations whose mental health was most impacted by climate change. The most prevalent mental health responses to climate change included solastalgia, suicidality, depression, anxiety/eco-anxiety, PTSD, substance use, insomnia, and behavioral disturbance. Conclusions: Mental health professionals including physicians, nurses, physician assistants and other healthcare providers have the opportunity to mitigate the mental health impacts of climate change among vulnerable populations through assessment, preventative education and care. An inclusive and trauma-informed response to climate-related disasters, use of validated measures of mental health, and a long-term therapeutic relationship that extends beyond the immediate consequences of climate change-related events are approaches to successful mental health care in a climate-changing world.

Historical exploitation of the Mediterranean Sea and the absence of rigorous baselines makes it difficult to evaluate the current health of the marine ecosystems and the efficacy of conservation actions at the ecosystem level. Here we establish the first current baseline and gradient of ecosystem structure of nearshore rocky reefs at the Mediterranean scale. We conducted underwater surveys in 14 marine protected areas and 18 open access sites across the Mediterranean, and across a 31-fold range of fish biomass (from 3.8 to 118 g m(-2)). Our data showed remarkable variation in the structure of rocky reef ecosystems. Multivariate analysis showed three alternative community states: (1) large fish biomass and reefs dominated by non-canopy algae, (2) lower fish biomass but abundant native algal canopies and suspension feeders, and (3) low fish biomass and extensive barrens, with areas covered by turf algae. Our results suggest that the healthiest shallow rocky reef ecosystems in the Mediterranean have both large fish and algal biomass. Protection level and primary production were the only variables significantly correlated to community biomass structure. Fish biomass was significantly larger in well-enforced no-take marine reserves, but there were no significant differences between multi-use marine protected areas (which allow some fishing) and open access areas at the regional scale. The gradients reported here represent a trajectory of degradation that can be used to assess the health of any similar habitat in the Mediterranean, and to evaluate the efficacy of marine protected areas.

The appropriate control and management of reactive power is of great relevance in the electrical reliability, stability, and security of power grids. This issue is considered in order to increase system efficiency and to maintain voltage under the acceptable value range. In this regard, novel technologies as FACTS, renewable energies, among others, are varying conventional grid behavior leading to unexpected limit capacity reaching due to large reactive power flow. Thus, optimal planning of this must be considered. This paper proposes a new application for a simple and easy implementation optimization algorithm, called Rao-3, to solve the constrained non-linear optimal reactive power dispatch problem. Moreover, the integration of solar and wind energy as the most applied technologies in electric power systems are exploited. Due to the continuous variation and the natural intermittence of wind speed and solar irradiance as well as load demand fluctuation, the uncertainties which have a global concern are investigated and considered in this paper. The proposed single-objective and multi-objective deterministic/stochastic optimal reactive power dispatch algorithms are validated using three standard test power systems, namely IEEE 30-bus, IEEE 57-bus, and IEEE 118-bus. The simulation results show that the proposed optimal reactive power dispatch algorithms are superior compared with two recent algorithms (Artificial electric field algorithm (AEFA) and artificial Jellyfish Search (JS) algorithm) and other optimization algorithms used for solving the same problem.

AbstractThe production of Z boson pairs in proton–proton ($${\mathrm{p}} {\mathrm{p}} $$ p p ) collisions, $${{\mathrm{p}} {\mathrm{p}} \rightarrow ({\mathrm{Z}}/\gamma ^*)({\mathrm{Z}}/\gamma ^*) \rightarrow 2\ell 2\ell '}$$ p p → ( Z / γ ∗ ) ( Z / γ ∗ ) → 2 ℓ 2 ℓ ′ , where $${\ell ,\ell ' = {\mathrm{e}}}$$ ℓ , ℓ ′ = e or $${{\upmu }}$$ μ , is studied at a center-of-mass energy of 13$$\,\text {TeV}$$ TeV with the CMS detector at the CERN LHC. The data sample corresponds to an integrated luminosity of 137$$\,\text {fb}^{-1}$$ fb - 1 , collected during 2016–2018. The $${\mathrm{Z}} {\mathrm{Z}} $$ Z Z production cross section, $$\sigma _{\text {tot}} ({\mathrm{p}} {\mathrm{p}} \rightarrow {\mathrm{Z}} {\mathrm{Z}} ) = 17.4 \pm 0.3 \,\text {(stat)} \pm 0.5 \,\text {(syst)} \pm 0.4 \,\text {(theo)} \pm 0.3 \,\text {(lumi)} \text { pb} $$ σ tot ( p p → Z Z ) = 17.4 ± 0.3 (stat) ± 0.5 (syst) ± 0.4 (theo) ± 0.3 (lumi) pb , measured for events with two pairs of opposite-sign, same-flavor leptons produced in the mass region $${60< m_{\ell ^+\ell ^-} < 120\,\text {GeV}}$$ 60 < m ℓ + ℓ - < 120 GeV is consistent with standard model predictions. Differential cross sections are also measured and agree with theoretical predictions. The invariant mass distribution of the four-lepton system is used to set limits on anomalous $${\mathrm{Z}} {\mathrm{Z}} {\mathrm{Z}} $$ Z Z Z and $${{\mathrm{Z}} {\mathrm{Z}} \gamma }$$ Z Z γ couplings.