Applying a gender lens to biodiversity conservation in High Asia

Community-based conservation efforts represent an important approach to facilitate the coexistence of people and wildlife. A concern, however, is that these efforts build on existing community structures and social norms, which are commonly dominated by men. Some biodiversity conservation approaches may consequently neglect women’s voices and deepen existing inequalities and inequities. This paper presents two community case studies that draw upon the knowledge and experience gained in our snow leopard conservation practice in pastoral and agro-pastoral settings in Mongolia and India to better understand women’s roles and responsibilities. In these settings, roles and responsibilities in livestock management and agriculture are strongly differentiated along gender lines, and significant gaps remain in women’s decision-making power about natural resources at the community level. We argue that context-specific and gender-responsive approaches are needed to build community support for conservation actions and leverage women’s potential contributions to conservation outcomes.Peer Reviewe

Mapping the ghost : estimating probabilistic snow leopard distribution across Mongolia

We are grateful to Global Environment Facility, United Nations Development Program and Snow Leopard Trust for supporting the Global Snow Leopard and Ecosystem Protection Program and development of tools and methods for Population Assessment of the World's Snow leopards (PAWS).Aim Snow leopards are distributed across the mountains of 12 countries spread across 1.8 million km2 in Central and South Asia. Previous efforts to map snow leopard distributions have relied on expert opinions and modelling of presence-only data. Expert opinion is subjective and its reliability is difficult to assess, while analyses of presence-only data have tended to ignore the imperfect detectability of this elusive species. The study was conducted to prepare the first ever probabilistic distribution map of snow leopards across Mongolia addressing the challenge of imperfect detection.  Location We conducted sign-based occupancy surveys across 1,017 grid-cells covering 406,800 km2 of Mongolia's potential snow leopard range.  Methods Using a candidate model set of 31 ecologically meaningful models that used six site and seven sampling covariates, we estimate the probability of sites being used by snow leopards across the entire country.  Results Occupancy probability increased with greater terrain ruggedness, with lower values of vegetation indices, with less forest cover, and were highest at intermediate altitudes. Detection probability was higher for segments walked on foot, and for those in more rugged terrain. Our results showed broad agreement with maps developed using expert opinion and presence-only data but also highlighted important differences, for example in northern areas of Mongolia deemed largely unfavourable by previous expert opinion and presence-only analyses.  Main conclusions This study reports the first national-level occupancy survey of snow leopards in Mongolia and highlights methodological opportunities that can be taken to scale and support national-level conservation planning. Our assessments indicated that 0.5) probability of being used by snow leopards. We emphasize the utility of occupancy modelling, which jointly models detection and site use, in achieving these goals.Publisher PDFPeer reviewe

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat