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Ensuring Access to Safe and Nutritious Food for All Through the Transformation of Food Systems
Small newborns in post-conflict Northern Uganda: Burden and interventions for improved outcomes
Introduction: A small newborn can be the result of either a low birthweight (LBW), or a preterm birth (PB), or both. LBW can be due to either a preterm appropriate-for gestational-age (preterm-AGA), or a term small-for-gestational age (term-SGA) or intrauterine growth restriction (IUGR). An IUGR is a limited in-utero foetal growth rates or foetal weight < 10th percentile. Small newborns have an increased risk of dying, particularly in low-resource settings. We set out to assess the burden, the modifiable risk factors and health outcomes of small newborns in the post-conflict Northern Ugandan district of Lira. In addition, we studied the use of video-debriefing when training health staff in Helping Babies Breathe.
Subjects and methods: In 2018-19, we conducted a community-based cohort study on 1556 mother-infant dyads, nested within a cluster randomized trial. In our cohort study, we estimated the incidence and risk factors for LBW and PB and the association of LBW with severe outcomes. We explored the prevalence of and factors associated with neonatal hypoglycaemia, as well as any association between neonatal death and hypoglycaemia. In addition, we conducted a cluster randomized trial to compare Helping Babies Breathe (HBB) training in combination with video debriefing to the traditional HBB training alone on the attainment and retention of health worker neonatal resuscitation competency.
Results: The incidence of LBW and PB in our cohort was lower than the global estimates, 7.3% and 5.0%, respectively. Intermittent preventive treatment for malaria was associated with a reduced risk of LBW. HIV infection was associated with an increased risk of both LBW and PB, while maternal formal education (schooling) of ≥7 years was associated with a reduced risk of LBW and PB.
The proportions of neonatal deaths were many-folds higher among LBW infants compared to their non-LBW counterparts. The proportion of neonatal deaths among LBW was 103/1000 live births compared to 5/1000 among the non-LBW.
The prevalence of neonatal hypoglycaemia in our cohort was 2.5%. LBW and PB each independently were associated with an increased risk of neonatal hypoglycaemia. Neonatal hypoglycaemia was associated with an increased risk of hospitalisation and severe outcomes.
We demonstrated that neonatal resuscitation training with video debriefing, improved competence attainment and retention among health workers, compared to traditional HBB training alone.
Conclusion: In northern Uganda, small infants still have a many-fold higher risk of dying compared to normal infants. In addition, small infants are also at more risk of neonatal hypoglycaemia compared to normal infants. Efforts are needed to secure essential newborn care, should we reach the target of Sustainable Development Goal number 3.2 of reducing infant mortality to less than 12/1000 live births by 2030
Corporate Social Responsibility: the institutionalization of ESG
Understanding the impact of Corporate Social Responsibility (CSR) on firm performance as it relates to industries reliant on technological innovation is a complex and perpetually evolving challenge. To thoroughly investigate this topic, this dissertation will adopt an economics-based structure to address three primary hypotheses. This structure allows for each hypothesis to essentially be a standalone empirical paper, unified by an overall analysis of the nature of impact that ESG has on firm performance. The first hypothesis explores the evolution of CSR to the modern quantified iteration of ESG has led to the institutionalization and standardization of the CSR concept. The second hypothesis fills gaps in existing literature testing the relationship between firm performance and ESG by finding that the relationship is significantly positive in long-term, strategic metrics (ROA and ROIC) and that there is no correlation in short-term metrics (ROE and ROS). Finally, the third hypothesis states that if a firm has a long-term strategic ESG plan, as proxied by the publication of CSR reports, then it is more resilience to damage from controversies. This is supported by the finding that pro-ESG firms consistently fared better than their counterparts in both financial and ESG performance, even in the event of a controversy. However, firms with consistent reporting are also held to a higher standard than their nonreporting peers, suggesting a higher risk and higher reward dynamic. These findings support the theory of good management, in that long-term strategic planning is both immediately economically beneficial and serves as a means of risk management and social impact mitigation. Overall, this contributes to the literature by fillings gaps in the nature of impact that ESG has on firm performance, particularly from a management perspective
A Decision Support System for Economic Viability and Environmental Impact Assessment of Vertical Farms
Vertical farming (VF) is the practice of growing crops or animals using the vertical dimension via multi-tier racks or vertically inclined surfaces. In this thesis, I focus on the emerging industry of plant-specific VF. Vertical plant farming (VPF) is a promising and relatively novel practice that can be conducted in buildings with environmental control and artificial lighting. However, the nascent sector has experienced challenges in economic viability, standardisation, and environmental sustainability. Practitioners and academics call for a comprehensive financial analysis of VPF, but efforts are stifled by a lack of valid and available data.
A review of economic estimation and horticultural software identifies a need for a decision support system (DSS) that facilitates risk-empowered business planning for vertical farmers. This thesis proposes an open-source DSS framework to evaluate business sustainability through financial risk and environmental impact assessments. Data from the literature, alongside lessons learned from industry practitioners, would be centralised in the proposed DSS using imprecise data techniques. These techniques have been applied in engineering but are seldom used in financial forecasting. This could benefit complex sectors which only have scarce data to predict business viability.
To begin the execution of the DSS framework, VPF practitioners were interviewed using a mixed-methods approach. Learnings from over 19 shuttered and operational VPF projects provide insights into the barriers inhibiting scalability and identifying risks to form a risk taxonomy. Labour was the most commonly reported top challenge. Therefore, research was conducted to explore lean principles to improve productivity.
A probabilistic model representing a spectrum of variables and their associated uncertainty was built according to the DSS framework to evaluate the financial risk for VF projects. This enabled flexible computation without precise production or financial data to improve economic estimation accuracy. The model assessed two VPF cases (one in the UK and another in Japan), demonstrating the first risk and uncertainty quantification of VPF business models in the literature. The results highlighted measures to improve economic viability and the viability of the UK and Japan case.
The environmental impact assessment model was developed, allowing VPF operators to evaluate their carbon footprint compared to traditional agriculture using life-cycle assessment. I explore strategies for net-zero carbon production through sensitivity analysis. Renewable energies, especially solar, geothermal, and tidal power, show promise for reducing the carbon emissions of indoor VPF. Results show that renewably-powered VPF can reduce carbon emissions compared to field-based agriculture when considering the land-use change.
The drivers for DSS adoption have been researched, showing a pathway of compliance and design thinking to overcome the ‘problem of implementation’ and enable commercialisation. Further work is suggested to standardise VF equipment, collect benchmarking data, and characterise risks. This work will reduce risk and uncertainty and accelerate the sector’s emergence
Lift EVERY Voice and Sing: An Intersectional Qualitative Study Examining the Experiences of Lesbian, Gay, Bisexual, and Queer Faculty and Administrators at Historically Black Colleges and Universities
While there is minimal literature that address the experiences of lesbian, gay, bisexual, and trans* identified students at Historically Black Colleges and Universities (HBCUs), the experiences of Black, queer faculty and administrators at HBCUs has not been studied. This intersectional qualitative research study focused on the experiences of lesbian, gay, bisexual, and queer identified faculty and administrators who work at HBCUs. By investigating the intersections of religion, race, gender, and sexuality within a predominantly Black institution, this study aims to enhance diversity, equity, and inclusion efforts at HBCUs by sharing the experiences of the LGBQ faculty and administrators that previously or currently work at an HBCU as a full-time employee. The research questions that guided this study were 1) How have LGBQ faculty and staff negotiated/navigated their careers at HBCUs? and 2) How do LGBQ faculty and staff at HBCUs influence cultural (relating to LGBQ inclusion) change at the organizational level? The main theoretical framework used was intersectionality and it shaped the chosen methodology and methods. The Politics of Respectability was the second theoretical framework used to describe the intra-racial tensions within the Black/African American community. The study included 60-120 minute interviews with 12 participants. Using intersectionality as a guide, the data were coded and utilized for thematic analysis. Then, an ethnodramatic performance engages readers. The goals of this study were to encourage policy changes, promote inclusivity for LGBQ employees at HBCUs, and provide an expansion to the body of literature in the field pertaining to the experiences of LGBQ faculty and administrators in higher education
Preferentialism and the conditionality of trade agreements. An application of the gravity model
Modern economic growth is driven by international trade, and the preferential trade agreement constitutes the primary fit-for-purpose mechanism of choice for establishing, facilitating, and governing its flows. However, too little attention has been afforded to the differences in content and conditionality associated with different trade agreements. This has led to an under-considered mischaracterisation of the design-flow relationship. Similarly, while the relationship between trade facilitation and trade is clear, the way trade facilitation affects other areas of economic activity, with respect to preferential trade agreements, has received considerably less attention. Particularly, in light of an increasingly globalised and interdependent trading system, the interplay between trade facilitation and foreign direct investment is of particular importance.
Accordingly, this thesis explores the bilateral trade and investment effects of specific conditionality sets, as established within Preferential Trade Agreements (PTAs).
Chapter one utilises recent content condition-indexes for depth, flexibility, and constraints on flexibility, established by Dür et al. (2014) and Baccini et al. (2015), within a gravity framework to estimate the average treatment effect of trade agreement characteristics across bilateral trade relationships in the Association of Southeast Asian Nations (ASEAN) from 1948-2015. This chapter finds that the composition of a given ASEAN trade agreement’s characteristic set has significantly determined the concomitant bilateral trade flows. Conditions determining the classification of a trade agreements depth are positively associated with an increase to bilateral trade; hereby representing the furthered removal of trade barriers and frictions as facilitated by deeper trade agreements. Flexibility conditions, and constraint on flexibility conditions, are also identified as significant determiners for a given trade agreement’s treatment effect of subsequent bilateral trade flows. Given the political nature of their inclusion (i.e., the appropriate address to short term domestic discontent) this influence is negative as regards trade flows. These results highlight the longer implementation and time frame requirements for trade impediments to be removed in a market with higher domestic uncertainty.
Chapter two explores the incorporation of non-trade issue (NTI) conditions in PTAs. Such conditions are increasing both at the intensive and extensive margins. There is a concern from developing nations that this growth of NTI inclusions serves as a way for high-income (HI) nations to dictate the trade agenda, such that developing nations are subject to ‘principled protectionism’. There is evidence that NTI provisions are partly driven by protectionist motives but the effect on trade flows remains largely undiscussed. Utilising the Gravity Model for trade, I test Lechner’s (2016) comprehensive NTI dataset for 202 bilateral country pairs across a 32-year timeframe and find that, on average, NTIs are associated with an increase to bilateral trade. Primarily this boost can be associated with the market access that a PTA utilising NTIs facilitates. In addition, these results are aligned theoretically with the discussions on market harmonisation, shared values, and the erosion of artificial production advantages. Instead of inhibiting trade through burdensome cost, NTIs are acting to support a more stable production and trading environment, motivated by enhanced market access. Employing a novel classification to capture the power supremacy associated with shaping NTIs, this chapter highlights that the positive impact of NTIs is largely driven by the relationship between HI nations and middle-to-low-income (MTLI) counterparts.
Chapter Three employs the gravity model, theoretically augmented for foreign direct investment (FDI), to estimate the effects of trade facilitation conditions utilising indexes established by Neufeld (2014) and the bilateral FDI data curated by UNCTAD (2014). The resultant dataset covers 104 countries, covering a period of 12 years (2001–2012), containing 23,640 observations. The results highlight the bilateral-FDI enhancing effects of trade facilitation conditions in the ASEAN context, aligning itself with the theoretical branch of FDI-PTA literature that has outlined how the ratification of a trade agreement results in increased and positive economic prospect between partners (Medvedev, 2012) resulting from the interrelation between trade and investment as set within an improving regulatory environment. The results align with the expectation that an enhanced trade facilitation landscape (one in which such formalities, procedures, information, and expectations around trade facilitation are conditioned for) is expected to incentivise and attract FDI
Gasificação direta de biomassa para produção de gás combustÃvel
The excessive consumption of fossil fuels to satisfy the world necessities of
energy and commodities led to the emission of large amounts of greenhouse
gases in the last decades, contributing significantly to the greatest
environmental threat of the 21st century: Climate Change. The answer to this
man-made disaster is not simple and can only be made if distinct stakeholders
and governments are brought to cooperate and work together. This is
mandatory if we want to change our economy to one more sustainable and
based in renewable materials, and whose energy is provided by the eternal
nature energies (e.g., wind, solar). In this regard, biomass can have a main role
as an adjustable and renewable feedstock that allows the replacement of fossil
fuels in various applications, and the conversion by gasification allows the
necessary flexibility for that purpose. In fact, fossil fuels are just biomass that
underwent extreme pressures and heat for millions of years. Furthermore,
biomass is a resource that, if not used or managed, increases wildfire risks.
Consequently, we also have the obligation of valorizing and using this
resource.
In this work, it was obtained new scientific knowledge to support the
development of direct (air) gasification of biomass in bubbling fluidized bed
reactors to obtain a fuel gas with suitable properties to replace natural gas in
industrial gas burners. This is the first step for the integration and development
of gasification-based biorefineries, which will produce a diverse number of
value-added products from biomass and compete with current petrochemical
refineries in the future. In this regard, solutions for the improvement of the raw
producer gas quality and process efficiency parameters were defined and
analyzed. First, addition of superheated steam as primary measure allowed the
increase of H2 concentration and H2/CO molar ratio in the producer gas without
compromising the stability of the process. However, the measure mainly
showed potential for the direct (air) gasification of high-density biomass (e.g.,
pellets), due to the necessity of having char accumulation in the reactor bottom
bed for char-steam reforming reactions. Secondly, addition of refused derived
fuel to the biomass feedstock led to enhanced gasification products, revealing
itself as a highly promising strategy in terms of economic viability and
environmental benefits of future gasification-based biorefineries, due to the
high availability and low costs of wastes. Nevertheless, integrated techno economic and life cycle analyses must be performed to fully characterize the
process. Thirdly, application of low-cost catalyst as primary measure revealed
potential by allowing the improvement of the producer gas quality (e.g., H2 and
CO concentration, lower heating value) and process efficiency parameters with
distinct solid materials; particularly, the application of concrete, synthetic
fayalite and wood pellets chars, showed promising results. Finally, the
economic viability of the integration of direct (air) biomass gasification
processes in the pulp and paper industry was also shown, despite still lacking
interest to potential investors. In this context, the role of government policies
and appropriate economic instruments are of major relevance to increase the
implementation of these projects.O consumo excessivo de combustÃveis fósseis para garantir as necessidades e
interesses da sociedade conduziu à emissão de elevadas quantidades de
gases com efeito de estufa nas últimas décadas, contribuindo
significativamente para a maior ameaça ambiental do século XXI: Alterações
Climáticas. A solução para este desastre de origem humana é de caráter
complexo e só pode ser atingida através da cooperação de todos os governos
e partes interessadas. Para isto, é obrigatória a criação de uma bioeconomia
como base de um futuro mais sustentável, cujas necessidades energéticas e
materiais sejam garantidas pelas eternas energias da natureza (e.g., vento,
sol). Neste sentido, a biomassa pode ter um papel principal como uma matéria prima ajustável e renovável que permite a substituição de combustÃveis fósseis
num variado número de aplicações, e a sua conversão através da gasificação
pode ser a chave para este propósito. Afinal, na prática, os combustÃveis
fósseis são apenas biomassa sujeita a elevada temperatura e pressão durante
milhões de anos. Além do mais, a gestão eficaz da biomassa é fundamental
para a redução dos riscos de incêndio florestal e, como tal, temos o dever de
utilizar e valorizar este recurso.
Neste trabalho, foi obtido novo conhecimento cientÃfico para suporte do
desenvolvimento das tecnologias de gasificação direta (ar) de biomassa em
leitos fluidizados borbulhantes para produção de gás combustÃvel, com o
objetivo da substituição de gás natural em queimadores industriais. Este é o
primeiro passo para o desenvolvimento de biorrefinarias de gasificação, uma
potencial futura indústria que irá providenciar um variado número de produtos
de valor acrescentado através da biomassa e competir com a atual indústria
petroquÃmica. Neste sentido, foram analisadas várias medidas para a melhoria
da qualidade do gás produto bruto e dos parâmetros de eficiência do processo.
Em primeiro, a adição de vapor sobreaquecido como medida primária permitiu
o aumento da concentração de H2 e da razão molar H2/CO no gás produto sem
comprometer a estabilidade do processo. No entanto, esta medida somente
revelou potencial para a gasificação direta (ar) de biomassa de alta densidade
(e.g., pellets) devido à necessidade da acumulação de carbonizados no leito
do reator para a ocorrência de reações de reforma com vapor. Em segundo, a
mistura de combustÃveis derivados de resÃduos e biomassa residual florestal
permitiu a melhoria dos produtos de gasificação, constituindo desta forma uma
estratégia bastante promissora a nÃvel económico e ambiental, devido Ã
elevada abundância e baixo custo dos resÃduos urbanos. Contudo, devem ser
efetuadas análises técnico-económicas e de ciclo de vida para a completa
caraterização do processo. Em terceiro, a aplicação de catalisadores de baixo
custo como medida primária demonstrou elevado potencial para a melhoria do
gás produto (e.g., concentração de H2 e CO, poder calorÃfico inferior) e para o
incremento dos parâmetros de eficiência do processo; em particular, a
aplicação de betão, faialite sintética e carbonizados de pellets de madeira,
demonstrou resultados promissores. Finalmente, foi demonstrada a viabilidade
económica da integração do processo de gasificação direta (ar) de biomassa
na indústria da pasta e papel, apesar dos parâmetros determinados não serem
atrativos para potenciais investidores. Neste contexto, a intervenção dos
governos e o desenvolvimento de instrumentos de apoio económico é de
grande relevância para a implementação destes projetos.Este trabalho foi financiado pela The Navigator Company e por Fundos Nacionais através da Fundação para a Ciência e a Tecnologia (FCT).Programa Doutoral em Engenharia da Refinação, PetroquÃmica e QuÃmic
The developing maternal-infant relationship: a qualitative longitudinal study
Aim
The study aimed to explore maternal perceptions and the use of knowledge relating to their infant’s mental health over time using qualitative longitudinal research.
Background
There has been a growing interest in infant mental health over recent years. Much of this interest is directed through the lens of infant determinism, through knowledge regarding neurological development resulting in biological determinism. Research and policy in this field are directed toward individual parenting behaviours, usually focused on the mother. Despite this, there is little attention given to maternal perspectives of infant mental health, indicating that a more innovative approach to methodology is required.
Methods
This study took a qualitative longitudinal approach, and interviews were undertaken with seven mothers from the third trimester of pregnancy and then throughout the first year of the infant’s life. Interviews were conducted at 34 weeks of pregnancy, and then when the infant was 6 and 12 weeks, 6, 9, and 12 months, alongside the collection of researcher field notes—a total of 41 interviews. Data were analysed by creating case profiles, memos, and summaries, and then cross-comparison of the emerging narratives. A psycho-socially informed approach was taken to the analysis of data.
Findings
Three interrelated themes emerged from the data: evolving maternal identity, growing a person, and creating a safe space. The theme of evolving maternal identity dominated the other themes of growing a person and creating a safe space in a way that met perceived socio-cultural requirements for mothering and childcare practices. Participants’ personal stories give voice to their perceptions of the developing maternal-infant relationship in the context of their socio-cultural setting, relationships with others, and experiences over time.
Conclusions
This study adds new knowledge by giving mothers a voice to express how the maternal-infant relationship develops over time. The findings demonstrate how the developing maternal-infant relationship grows in response to their mutual needs as the mother works to create and sustain identities for herself and the infant that will fit within their socio-cultural context and individual situations. Additionally, the findings illustrate the importance of temporal considerations, social networks, and intergenerational relationships to this evolving process. Recommendations for practice, policy, and education are made that reflect the unique relationship between mother and infant and the need to conceptualise this using an ecological approach
School-based interventions to increase physical activity and reduce cardiometabolic risk in children
The potential of shade trees to improve microclimate in coffee production systems and contribute to the protection of coffee yield and quality in a changing climate
Climate change is a major challenge to which global coffee production must adapt.
With Coffea arabica being especially sensitive to rising temperatures, shade trees
present a promising adaptation strategy, as there is some evidence that they can
modify microclimate. Employing an interdisciplinary approach, combining biophysical
and sociological research, this study investigated the effect of shade on coffee
production on the southern slope of Mt. Kilimanjaro with the aim of finding suitable
strategies to optimise coffee production systems and ensure optimal yield and quality,
thus assuring farmers’ livelihoods into the future, in the face of climate change.
Precipitation records from coffee plantations were analysed for changes in weather
patterns in the last two decades. The influence of shade on microclimate, leaf
temperature, coffee yield and physical quality aspects was assessed in coffee
plantations and smallholder systems. Additionally, focus group discussions and
interviews with small-scale farmers were conducted to explore farmers’ knowledge on
the impacts of weather extremes on coffee production and the ecosystem services
different tree species provide. This research shows that climate change at
Mt. Kilimanjaro manifests as droughts and shorter wet seasons with less frequent but
heavier rainfall events, challenges to which coffee farmers will have to adapt. Shade
trees show potential in adaptation of coffee production systems to climate change, as
they reduce maximum air temperatures and can reduce leaf temperature extremes
during hot periods, without having negative effects on nocturnal temperatures, which
are beneficial for coffee production. In coffee plantations, no effect of shade on yields
was observed while a slight reduction was observed for smallholder systems. Coffee
quality benefits from shade, as different shade components are associated with an
increase in bean size and weight. Farmers identified Albizia schimperiana as an
important tree species, providing regulatory ecosystem services to improve coffee
production. Recommendations need to take farmers’ priorities into account, including
their willingness to trade some reduction in coffee production for other services, such
as food, fodder or firewood, which were identified as the most important ecosystem
services for farmers at Mt. Kilimanjaro
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