Identifying Ecological Distribution Conflicts Around the Inter-regional Flow of Energy in Turkey: A Mapping Exercise

The consumption of more energy in Turkey is seen as a precondition for the economic and social development of the country in line with its comprehensive ideology of modernization and progress, and hence, a rather aggressive strategy in energy infrastructure investments is adopted since mid-2000s. Because of this aggressive strategy involving expropriation and enclosure of commons societal unrest against the electricity plants at local scale escalated even further, creating numerous local environmental justice conflicts all over the country. While electricity generation in Turkey is mostly carried out at the rural setting, electricity is consumed mostly in the urban setting, where both the household and industrial consumption levels are higher. A comparison of the regional distribution of electricity generation and consumption in Turkey shows that while the electricity generation capacity is concentrated in some cities—Izmir, Sakarya, Adana, Hatay, Zonguldak, Çanakkale, Muğla, and Samsun to name a few—it is mostly consumed in the urbanised centres of the country, more particularly in Istanbul, Kocaeli, Bursa, Ankara, and Izmir (the industrialised cities, considered as the engine of growth in the country). Hence, it would not be wrong to say that some cities such as Çanakkale and Zonguldak are designated as “ecological sacrifice zones” for the sake of national growth, illustrating well how Turkey prioritises economic growth (and thus industrialisation) over just ecological distribution. At this background, this paper focuses on the ecological distribution conflicts over electricity generation infrastructures and attempts to provide a mapping of the different electricity generation projects (in operation, under construction or planned) to better understand the urban-rural interplay over the electricity consumption and production. Hence, it attempts to shed light on the growing number of environmental conflicts for the last three decades, following the aggressive neo-liberal policies of modernisation and industrialisation

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Cross-scale governance using multi-criteria, multi-stakeholder evaluation methods to mediate environmental conflicts : The case of nuclear power plants in Turkey

Les conflits de distribution écologiques résultant du métabolisme social croissant du monde et l'expansion des frontières des marchandises qui en résulte, sont confrontés à des défis importants pour la gouvernance, en particulier lorsqu'il existe des interactions multiples, entre la nature et les individus qui possèdent de systèmes de valeurs différents, à travers différentes échelles (du local au global). L'interaction actuelle entre les échelles semble être définie par le pouvoir juridictionnel - une manière qui favorise les échelles internationales et / ou nationales, qui négligent les processus en cours qui se déroulent à d'autres échelles. Il existe une disparité entre les échelles où les décisions sont prises et les actions sont effectuées. Par conséquent, un mécanisme de gouvernance, avec non seulement des propriétés participatives prenant compte des différents systèmes de valeurs, mais avec des mécanismes de coordination entre plusieurs échelles, devient nécessaire. À cette arrière-plan, cette thèse maintient que les méthodes d'évaluation multicritères délibératives et participatives pourraient ouvrir de nouvelles voies pour les mécanismes de gouvernance environnementale pour les conflits avec des interactions transversales et vise à montrer l'importance d'une perspective multi-échelle dans un cadre multicritère. Dans une tentative d'opérationnaliser cet objectif, elle utilise le cas conflictuel de la production d'énergie nucléaire en Turquie et l'évalue aux échelles nationales et locales dans le contexte national et mondial des mouvements de justice environnementale. Elle démontre que l'élaboration d'un problème de décision conflictuel par une méthode multicritère / multi-échelle est utile pour i) identifier les défis résultant des interactions entre les parties prenantes et ii) les présenter de manière transparente et compréhensible.The ecological distribution conflicts arising from the growing social metabolism of the world and the resulting expansion of the commodity frontiers pose important challenges for governance, especially when there are multiple interactions between the nature and people holding different value systems, across different scales (from local to global). The current interaction between scales seems to be defined by the jurisdictional power – a manner that is inclined to favour the international and/or national scales, which overlook the ongoing processes taking place in other scales. Such a discrepancy gives rise to a mismatch between the scales where the decisions are made and actions are undertaken, calling for a governance mechanism – one with participatory properties taking into account the different value systems and coordination mechanisms across multiple scales.At this background, this thesis argues that deliberative and participatory multi-criteria evaluation methods might open new avenues for environmental governance mechanisms for the conflicts with cross-scale interactions and aims to show the importance of a multi-scale perspective within multi-criteria framework. In an attempt to operationalize this aim, it uses the conflicted case of nuclear energy production in Turkey and assesses it at national and local scales within the context of national and global environmental justice movements. It is shown that framing a conflicted decision-making problem through multi-scale/multi-stakeholder method is helpful: i) in identifying the challenges resulting from the cross-scale interactions between stakeholders and ii) in presenting them in a transparent and comprehensible manner

Gouvernance d'échelle transversale utilisant les méthodes d'évaluation multi-critères, multi-acteurs pour arbitrer les conflits environnementaux : Le cas des centrales nucléaires en Turquie

The ecological distribution conflicts arising from the growing social metabolism of the world and the resulting expansion of the commodity frontiers pose important challenges for governance, especially when there are multiple interactions between the nature and people holding different value systems, across different scales (from local to global). The current interaction between scales seems to be defined by the jurisdictional power – a manner that is inclined to favour the international and/or national scales, which overlook the ongoing processes taking place in other scales. Such a discrepancy gives rise to a mismatch between the scales where the decisions are made and actions are undertaken, calling for a governance mechanism – one with participatory properties taking into account the different value systems and coordination mechanisms across multiple scales.At this background, this thesis argues that deliberative and participatory multi-criteria evaluation methods might open new avenues for environmental governance mechanisms for the conflicts with cross-scale interactions and aims to show the importance of a multi-scale perspective within multi-criteria framework. In an attempt to operationalize this aim, it uses the conflicted case of nuclear energy production in Turkey and assesses it at national and local scales within the context of national and global environmental justice movements. It is shown that framing a conflicted decision-making problem through multi-scale/multi-stakeholder method is helpful: i) in identifying the challenges resulting from the cross-scale interactions between stakeholders and ii) in presenting them in a transparent and comprehensible manner.Les conflits de distribution écologiques résultant du métabolisme social croissant du monde et l'expansion des frontières des marchandises qui en résulte, sont confrontés à des défis importants pour la gouvernance, en particulier lorsqu'il existe des interactions multiples, entre la nature et les individus qui possèdent de systèmes de valeurs différents, à travers différentes échelles (du local au global). L'interaction actuelle entre les échelles semble être définie par le pouvoir juridictionnel - une manière qui favorise les échelles internationales et / ou nationales, qui négligent les processus en cours qui se déroulent à d'autres échelles. Il existe une disparité entre les échelles où les décisions sont prises et les actions sont effectuées. Par conséquent, un mécanisme de gouvernance, avec non seulement des propriétés participatives prenant compte des différents systèmes de valeurs, mais avec des mécanismes de coordination entre plusieurs échelles, devient nécessaire. À cette arrière-plan, cette thèse maintient que les méthodes d'évaluation multicritères délibératives et participatives pourraient ouvrir de nouvelles voies pour les mécanismes de gouvernance environnementale pour les conflits avec des interactions transversales et vise à montrer l'importance d'une perspective multi-échelle dans un cadre multicritère. Dans une tentative d'opérationnaliser cet objectif, elle utilise le cas conflictuel de la production d'énergie nucléaire en Turquie et l'évalue aux échelles nationales et locales dans le contexte national et mondial des mouvements de justice environnementale. Elle démontre que l'élaboration d'un problème de décision conflictuel par une méthode multicritère / multi-échelle est utile pour i) identifier les défis résultant des interactions entre les parties prenantes et ii) les présenter de manière transparente et compréhensible

Adopting GM crops? A social Multi' Criteria Evaluation for the case of Cotton Farming in Turkey

This paper uses social multi-criteria evaluation (SMCE) as a powerful, transparent and pluralistic methodology for analyzing a complex and conflicting problem: the decision about the approval and adoption of GM cotton farming in Turkey. At this aim, four cotton farming alternatives including business as usual (BAU), ecological farming (ECO), GMO farming (GM) and good agricultural practice (GAP) are evaluated using a set of environmental, social and economic criteria chosen based on an extensive review of cotton and GMO literatures and several in-depth interviews with key stakeholders and experts. Such an analysis showing the socioeconomic and environmental implications of different farming practices and their consequences for different constituencies provide a rich background for policymaking within a multi-layered system of governance. The paper also offers insights to public decision-makers of other potential GMO adopting countries regarding the adoption of GM crops and the allocation of public funds among alternative agricultural practices

Network effects in environmental justice struggles : an investigation of conflicts between mining companies and civil society organizations from a network perspective

Unidad de excelencia María de Maeztu MdM-2015-0552This paper examines conflicts that occur between mining companies and civil society organizations(CSOs) around the world and offers an innovative analysis of mining conflicts from a social network perspective. The analysis showed that, as the number of CSOs involved in a conflict increased, its outcome was more likely to be perceived as a success in terms of environmental justice (EJ); if a CSO was connected to other central CSOs, the average perception of EJ success was likely to increase; and as network distance between two conflicts increased (or decreased), they were more likely to lead to different (or similar) EJ outcomes. Such network effects in mining conflicts have policy implications for EJ movements. It would be a strategic move on the part of successful CSOs to become involved in other major conflicts and disseminate information about how they achieved greater EJ success

The network of CSOs (on the basis of conflicts).

<p>Note: The color-coding of CSOs is the same as that used in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0180494#pone.0180494.t001" target="_blank">Table 1</a>.</p

The network of mining companies - The GSCC on the left.

<p>(Note: Red nodes depict companies; blue links depict company-to-company links).</p