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"I am not a scientist myself, but my best assessment of the data is that the world is getting warmer, that human activity contributes to that warming and that policymakers should therefore consider the risk of negative consequences," he wrote.
He has said lately that "we don't know what's causing climate change" — and mocked Obama last week for wanting to "slow the rise of the oceans and heal the planet" — but he now writes that "my best assessment of the data is that the world is getting warmer, that human activity contributes to that warming, and that policymakers should therefore consider the risk of negative consequences".
A third issue is what health service approaches can reduce the risk of negative consequences of disclosure, e.g. through facilitated disclosure, couples counseling, integrating attention to violence against women, and broader efforts to reduce HIV stigma.
30, 33, 34 Vigilance towards mothers who have experienced perinatal loss may reduce the risk of negative consequences described in this study, and enable the early detection of clinically significant depressive symptoms so that effective psychological treatments may be offered.
First, similar as a withhold model, providers need to improve to maintain the status quo with regard to their bottom-line; however, unlike withholds, the risk of negative consequences for equity, access and resistance from health service providers might be lower as it on gradually makes the funding more performance oriented.
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In particular, some results remain to be consolidated such as the impact on brain structures and functioning, or the identification of epigenetic or transcriptomic biomarkers, in those who are at-risk of negative consequences when exposed to trauma (versus those who would be resilient).
The need for a suite of such models is more urgent when the risks of negative consequences of environmental change are higher (Porfiriev 2012, 2013, 2014).
Where outcome (case-mix adjusted) monitoring is used to support judgements about quality of care, often with rewards and punishments, there are serious risks of negative consequences such as distortion of data (gaming) and/or distortion of processes of care [ 15].
Thus, their awareness of health risk and their fear of negative consequences from their condition may be intensified as compared to those without these chronic illnesses.
16 This may depend on them experiencing an increase in perceived risk of disease (with expectations of negative consequences) and having an emotional response that triggers a redefinition of their self-image or role.
Furthermore, early initiation to substance use is a risk factor for a range of negative consequences including using other drugs in adulthood, juvenile offending, poor academic performance, delinquency and school dropout [ 3- 6].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com