289 research outputs found
Knowledge Exchange Through Science Diplomacy to Assist Disaster Risk Reduction. Progress in Disaster Science
This paper analyses science diplomacy efforts to reduce disaster risks and proposes establishing national knowledge exchange centers (KECs) to help individual states adhere to their Sendai Framework goals. KECs are considered to be interconnected globally and work together to promote resilience efforts by facilitating sharing of information and strategies in risk monitoring, assessment, and ultimately reduction across the globe. KECs can provide high-quality scientific evidence for informed decisionmaking along with a component related to disaster science media to ensure that appropriate knowledge reaches a variety of people who need it in different forms tailored for them. KECs can promote transdisciplinary education in disaster-related science diplomacy (i.e., disaster diplomacy). The United Nations Office for Disaster Risk Reduction (UNDRR) and the International Science Council (ISC) can provide assistance to KECs through UNDRR National Platforms and ISC Members
International Space Law: General Challenges and Prospects for Russia and the USA
INTRODUCTION The entry into force more than 50 years ago, on October 10, 1967, of the Treaty on the Principles of Activities of States for the Exploration and Use of Outer Space, including the Moon and other celestial bodies (hereinafter referred to as the Outer Space Treaty), marked the emergence of a new branch of international law - international space law ( hereinafter - MCP). This article discusses the contribution to the creation and development of the MCP of the Soviet Union, and subsequently of the Russian Federation, and the United States of America, their leading international lawyers and diplomats who found ways of contractual interaction even during the Cold War, noted the main legal steps towards conclusion Space treaty. The main attention in the article is paid to the content of this Agreement in conjunction with other sources of MCP, taking into account approaches to the interpretation of the provisions of the Treaty and modern legal challenges in connection with the development of space activities, in the context of a number of economic, political, technological factors, as well as the significance of the Treaty for the progressive development of INC MATERIALS AND METHODS. The theoretical basis of the study was the work of leading international lawyers specializing in the field of MCP, as well as materials from various colloquiums, conferences and symposia on the MCP; analytical base - the 1967 Outer Space Treaty, other applicable international treaties, relevant UNGA resolutions, the 2001 Cape Town Convention and the 2012 Space Protocol, documents of the UN, UN Space Committee (including its subcommittees), ITU, UNIDROIT ; national legislation governing space activities; documents and materials of UNISPACE III. The main research methods are: the historical method, formal logic methods, including analysis, synthesis, analogy and modeling, as well as systemic, comparative legal and interpretation methods. RESEARCH RESULTS. In the context of the applicable principles and norms of the Outer Space Treaty of 1967, this article presents the results of an analysis of other sources of the INC, as well as a number of unresolved legal issues, such as 1) the international legal regime of the natural resources of the Moon and other celestial bodies; 2) the use of outer space exclusively for peaceful purposes; 3) the legal status of space tourists; 4) the legal regulation of commercial space activities complicated by the “foreign element” within the framework of international private law and, specifically, international space private law (“MKCHP”); 5) the significance of the Cape Town Convention of 2001 and the Space Protocol of 2012 in the context of international legal regulation of space activities, as well as, subject to the entry into force of the Space Protocol, its role as the first special international legal source of the ICCP; 6) the international registration system for guarantees in the field of space assets as the third international registration system in the field of space activities; 7) interpretation of Art. VIII of the Outer Space Treaty for the purpose of determining the applicable law in respect of property rights to space objects in outer space; 8) “space object” and “space tool” as legal concepts; 9) issues of international responsibility and the expansion of the concept of “launching state”, including the proposal to supplement the fifth category; 10) issues of registration, jurisdiction and control; 11) international space station and applicable legal environment; 12) ways to achieve “compliance” with international legal consequences for states as a result of changes in private law relations to the real participation of “involved” states in certain types of space activities. DISCUSSION AND CONCLUSIONS. As a result of the analysis of the issues noted above, the following conclusions were formulated: 1) in the interests of the Russian Federation, the United States of America and other space powers, consider that the 1967 Outer Space Treaty is the basis for the further progressive development of the ITUC and inter alia for the orderly development of commercial space activities; 2) some urgent issues of the INC could be investigated and resolved through an authentic interpretation of the provisions of the Outer Space Treaty (for example, by adopting relevant protocols to it or by developing a single comprehensive convention on international space law); 3) in the search for solutions to the identified legal issues of space activities, it is necessary to take into account both the separation according to the subject of regulation, and the ratio and interaction between the applicable sources of international law and its branches, as well as applicable national law, i.e. it is necessary to rely on a comprehensive, inclusive, holistic approach involving scientific diplomacy. and the relationship and interaction between the applicable sources of international law and its branches, as well as the applicable national law, i.e. it is necessary to rely on a comprehensive, inclusive, holistic approach involving scientific diplomacy. and the relationship and interaction between the applicable sources of international law and its branches, as well as the applicable national law, i.e. it is necessary to rely on a comprehensive, inclusive, holistic approach involving scientific diplomacy
The association of health literacy with adherence in older 2 adults, and its role in interventions: a systematic meta-review
Background: Low health literacy is a common problem among older adults. It is often suggested to be associated with poor adherence. This suggested association implies a need for effective adherence interventions in low health literate people. However, previous reviews show mixed results on the association between low health literacy and poor adherence. A systematic meta-review of systematic reviews was conducted to study the association between health literacy and adherence in adults above the age of 50. Evidence for the effectiveness of adherence interventions among adults in this older age group with low health literacy was also explored. Methods: Eight electronic databases (MEDLINE, ERIC, EMBASE, PsycINFO, CINAHL, DARE, the Cochrane Library, and Web of Knowledge) were searched using a variety of keywords regarding health literacy and adherence. Additionally, references of identified articles were checked. Systematic reviews were included if they assessed the association between health literacy and adherence or evaluated the effectiveness of interventions to improve adherence in adults with low health literacy. The AMSTAR tool was used to assess the quality of the included reviews. The selection procedure, data-extraction, and quality assessment were performed by two independent reviewers. Seventeen reviews were selected for inclusion. Results: Reviews varied widely in quality. Both reviews of high and low quality found only weak or mixed associations between health literacy and adherence among older adults. Reviews report on seven studies that assess the effectiveness of adherence interventions among low health literate older adults. The results suggest that some adherence interventions are effective for this group. The interventions described in the reviews focused mainly on education and on lowering the health literacy demands of adherence instructions. No conclusions could be drawn about which type of intervention could be most beneficial for this population. Conclusions: Evidence on the association between health literacy and adherence in older adults is relatively weak. Adherence interventions are potentially effective for the vulnerable population of older adults with low levels of health literacy, but the evidence on this topic is limited. Further research is needed on the association between health literacy and general health behavior, and on the effectiveness of interventions
Quality of life at the end of life
<p>Abstract</p> <p>Background</p> <p>Little is known about self-perceived quality of life (QOL) near the end of life, because such information is difficult to collect and to interpret. Here, we describe QOL in the weeks near death and determine correlates of QOL over time, with emphasis on accounting for death and missing data.</p> <p>Methods</p> <p>Data on QOL were collected approximately every week in an ongoing randomized trial involving persons at the end of life. We used these data to describe QOL in the 52 weeks after enrollment in the trial (prospective analysis, N = 115), and also in the 10 weeks just prior to death (retrospective analysis, N = 83). The analysis consisted of graphs and regressions that accounted explicitly for death and imputed missing data.</p> <p>Results</p> <p>QOL was better than expected until the final 3 weeks of life, when a terminal drop was observed. Gender, race, education, cancer, and baseline health status were not significantly related to the number of “weeks of good-quality life” (WQL) during the study period. Persons younger than 60 had significantly higher WQL than older persons in the prospective analysis, but significantly lower WQL in the retrospective analysis. The retrospective results were somewhat sensitive to the imputation model.</p> <p>Conclusion</p> <p>In this exploratory study, QOL was better than expected in persons at the end of life, but special interventions may be needed for persons approaching a premature death, and also for the last 3 weeks of life. Our descriptions of the trajectory of QOL at the end of life may help other investigators to plan and analyze future studies of QOL. Methodology for dealing with death and the high amount of missing data in longitudinal studies at the end of life needs further investigation.</p
Having a lot of a good thing: multiple important group memberships as a source of self-esteem.
Copyright: © 2015 Jetten et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are creditedMembership in important social groups can promote a positive identity. We propose and test an identity resource model in which personal self-esteem is boosted by membership in additional important social groups. Belonging to multiple important group memberships predicts personal self-esteem in children (Study 1a), older adults (Study 1b), and former residents of a homeless shelter (Study 1c). Study 2 shows that the effects of multiple important group memberships on personal self-esteem are not reducible to number of interpersonal ties. Studies 3a and 3b provide longitudinal evidence that multiple important group memberships predict personal self-esteem over time. Studies 4 and 5 show that collective self-esteem mediates this effect, suggesting that membership in multiple important groups boosts personal self-esteem because people take pride in, and derive meaning from, important group memberships. Discussion focuses on when and why important group memberships act as a social resource that fuels personal self-esteem.This study was supported by 1. Australian Research Council Future Fellowship (FT110100238) awarded to Jolanda Jetten (see http://www.arc.gov.au) 2. Australian Research Council Linkage Grant (LP110200437) to Jolanda Jetten and Genevieve Dingle (see http://www.arc.gov.au) 3. support from the Canadian Institute for Advanced Research Social Interactions, Identity and Well-Being Program to Nyla Branscombe, S. Alexander Haslam, and Catherine Haslam (see http://www.cifar.ca)
Investigating the health implications of social policy initiatives at the local level: study design and methods
<p>Abstract</p> <p>Background</p> <p>In this paper we present the research design and methods of a study that seeks to capture local level responses to an Australian national social policy initiative, aimed at reducing inequalities in the social determinants of health.</p> <p>Methods/Design</p> <p>The study takes a policy-to-practice approach and combines policy and stakeholder interviewing with a comparative case study analysis of two not-for-profit organisations involved in the delivery of federal government policy.</p> <p>Discussion</p> <p>Before the health impacts of broad-scale policies, such as the one described in this study, can be assessed at the population level, we need to understand the implementation process. This is consistent with current thinking in political science and social policy, which has emphasised the importance of investigating how, and if, policies are translated into operational realities.</p
Marital status and mortality among Japanese men and women: the Japan Collaborative Cohort Study
<p>Abstract</p> <p>Background</p> <p>Several studies have indicated a significant association between marital status and mortality risks. However, most of these studies have compared married and unmarried people without differentiating among single, divorced and widowed status. Moreover, gender differences in mortality rates associated with marital status have not been sufficiently clarified. With significant increases in the percentages of divorced and widowed people and a corresponding drop in the marriage rate in Japan during the past two or three decades, it can be expected that these changes will have a significant impact on mortality rates.</p> <p>Methods</p> <p>This investigation used a prospective study of a total of 94,062 Japanese men and women aged 40–79 who completed self-administered questionnaires at baseline and during a followed-up of 9.9-years.</p> <p>Results</p> <p>Compared with married men, never-married men showed higher risks of mortality from cardiovascular disease [relative risk (RR) = 3.05, 95% confidence interval (CI) 2.03–4.60], respiratory disease (RR = 2.43, 95%CI 1.27–4.63), external causes (RR = 2.18, 95%CI 1.05–4.54) and all causes (RR = 1.91, 95%CI 1.51–2.42) after adjustment for potentially confounding variables. For never-married women, there was a smaller but significantly higher risk of mortality from all causes (RR = 1.46, 95%CI 1.15–1.84). Divorced and widowed men showed moderately higher risks of mortality from cardiovascular disease, external causes and all causes compared with married men, but such a trend was not observed in women.</p> <p>Conclusion</p> <p>Single status was associated with a higher risk of mortality than was married status for both men and women. Divorce and widowhood were associated with elevated risk for men, but not for women. These findings suggest single, divorce and widowhood status constitute potentially adverse health effects.</p
Promoting Functional Health in Midlife and Old Age: Long-Term Protective Effects of Control Beliefs, Social Support, and Physical Exercise
Previous studies have examined physical risk factors in relation to functional health, but less work has focused on the protective role of psychological and social factors. We examined the individual and joint protective contribution of control beliefs, social support and physical exercise to changes in functional health, beyond the influence of health status and physical risk factors in middle-aged and older adults. Given that functional health typically declines throughout adulthood, it is important to identify modifiable factors that can be implemented to maintain functioning, improve quality of life, and reduce disability.We conducted a national longitudinal study, Midlife in the United States (MIDUS), with assessments in 1995-1996 and 2004-2006, and 3,626 community-residing adults, aged 32 to 84, were included in the analyses. Functional health (Physical Functioning subscale of the SF-36) and protective factors were measured at both occasions. While controlling for socio-demographic, health status, and physical risk factors (large waist circumference, smoking, and alcohol or drug problems), a composite of the three protective variables (control beliefs, social support, and physical exercise) at Time 1 was significantly related to functional health change. The more of these factors at Time 1, the better the health maintenance over 10 years. Among middle-aged and older adults, declines in health were significantly reduced with an increased number of protective factors.Age-related declines in health were reduced among those with more protective factors up to a decade earlier in life. Modifiable psychological, social, and physical protective factors, individually and in the aggregate, are associated with maintenance of functional health, beyond the damaging effects of physical risk factors. The results are encouraging for the prospect of developing interventions to promote functional health and for reducing public health expenditures for physical disability in later life
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