109 research outputs found
Beyond the Iron Curtain: The emergence and causation of the Green movement in the USSR
The last decade of the Soviet Union witnessed unprecedented sociological and political change following the advent of Mikhail Gorbechev’s policies of glasnost and perestroika. Shifting tectonic plates of political opportunities provided the space for social movements to emerge that were critical of the status quo for the first time. The birth of political toleration allowed public acknowledgement that Soviet industrialisation had led to widespread environmental degradation and catastrophe – and an environmental movement emerged which opposed it
To what extent have the domestic objectives of the Al-Fatah Revolution and the Third Universal Theory been implemented in Libya since 1969?
Libya is an often ignored but highly important case for political scientists and theorists to analyse when studying concepts such as decolonisation, democratisation and socialism in practice. Harbouring a distinct political ideology - a theoretical hybrid of Arab nationalism, socialism and communism - Libya can be seen to provide a seemingly unique form of government, both in theory and practice. Rather than compare Libya with other states based on path-dependent normative criteria, this essay will identify the objectives of the Free Officer Movement in overthrowing the Libyan monarchy in 1969 and theories that followed, evaluating the extent to which these ‘aspirations’ were achieved. In this sense, the essay will evaluate the extent to which there was any measurable practical application of the ideology behind the Al-Fatah Revolution and Third Universal Theory, ascertaining whether it is any more than an ideological mirage to hide a conventional dictatorship, as is often the popular perception
Responding to Natural Disasters With Disaster Risk Reduction and Management
Review of:
Vinrod Thomas, Climate Change and Natural Disasters: Transforming Economies and Policies for a Sustainable Future. Routledge, 2017, 184 pages. ISBN: 978141286440
In through the outdoors: exploring the role of facilitated wilderness experiences in shaping my understanding of self and my relations with other people and the other-than-human world
I examine the role of facilitated wilderness experiences in shaping my understanding of self in relation to people and the other-than-human world through a critical qualitative approach using auto-ethnography to engage reflexively with my own experiences and to draw out the importance of those experiences in shaping my self-story and way of being. This thesis weaves a critical analysis of the literature with three narratives of my experiences with facilitated wilderness programs, including a vision quest coordinated by Animas Valley Institute. A unifying theme
that emerged through the research is my ongoing quest for self-knowledge and the means of finding a more authentic way of being in the world. The thesis concludes with a look at the key
elements of transformative facilitated wilderness experiences
Evaluating and Visualizing Drivers of Coastline Change: A Lake Ontario Case Study
Environmental and climatic changes are disproportionately felt in coastal communities,
where drivers of coastline change are complicated with continued development. This study analyzed
the coastline change of Lake Ontario in the Town of Lincoln, Ontario, Canada, using a mixed-methods
two-phased approach that is novel to the study area. The first phase of the methodology included a
coastline change analysis using historical aerial photographs in a geographic information system to
identify the most vulnerable sections of the coastline. To better understand the calculated changes,
the second phase explored the roles of select climatic and non-climatic drivers of coastline change,
such as historic storms and land use changes. The results indicated that four main areas of Lincoln’s
coast were more vulnerable, with rates of erosion between 0.32 and 0.66 m/yr between 1934 and
2018. Sections of coastline that had less erosion included those that were more heavily vegetated,
attempted a cooperative protection approach, or utilized revetment stones in areas without steep
banks. This methodology can help municipalities understand coastline change in a more holistic
way to increase their adaptive capacity and allows for the creation of useful visualizations that better
communicate to residents and town staff the level of vulnerability of their coasts.This research was funded by the Social Sciences and Humanities Research Council of
Canada, Canada Graduate Scholarship-Master’s Program. The APC was funded by the Marine Environmental
Observation, Prediction and Response (MEOPAR) Network, grant number 1-02-02-035.
Visualizations as a tool to increase community engagement in climate change adaptation decision-making
Many barriers to behavioural change exist when it comes to climate change action. A key element to overcoming some of these barriers is effective communication of complex scientific information. The use of visualizations, such as photographs or interactive maps, can increase knowledge dissemination, helping community members understand climatic and environmental changes. These techniques have been utilized in many disciplines but have not been widely embraced by climate change scholars. This paper discusses the utility of climate change data visualization as a tool for climate change knowledge mobilization. This paper draws on the case studying drivers of coastline change of Lake Ontario in the Town of Lincoln, Ontario, Canada. Historical aerial photographs were used to measure the rate of coastline change and visualize vulnerable sections of the coast. To better visualize the changes that occurred over time from a resident viewpoint, selected land-based historical photographs were replicated by taking new photographs at the same locations. These visualization tools can be useful to support the community in developing strategies to adapt to climate change by increasing understanding of the changes and knowledge through social learning. These tools can be generalized to other case studies dealing with community engagement in coastal adaptation efforts
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Predicting Progression in Parkinson's Disease Using Baseline and 1-Year Change Measures.
BackgroundImproved prediction of Parkinson's disease (PD) progression is needed to support clinical decision-making and to accelerate research trials.ObjectivesTo examine whether baseline measures and their 1-year change predict longer-term progression in early PD.MethodsParkinson's Progression Markers Initiative study data were used. Participants had disease duration ≤2 years, abnormal dopamine transporter (DAT) imaging, and were untreated with PD medications. Baseline and 1-year change in clinical, cerebrospinal fluid (CSF), and imaging measures were evaluated as candidate predictors of longer-term (up to 5 years) change in Movement Disorders Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) score and DAT specific binding ratios (SBR) using linear mixed-effects models.ResultsAmong 413 PD participants, median follow-up was 5 years. Change in MDS-UPDRS from year-2 to last follow-up was associated with disease duration (β= 0.351; 95% CI = 0.146, 0.555), male gender (β= 3.090; 95% CI = 0.310, 5.869), and baseline (β= -0.199; 95% CI = -0.315, -0.082) and 1-year change (β= 0.540; 95% CI = 0.423, 0.658) in MDS-UPDRS; predictors in the model accounted for 17.6% of the variance in outcome. Predictors of percent change in mean SBR from year-2 to last follow-up included baseline rapid eye movement sleep behavior disorder score (β= -0.6229; 95% CI = -1.2910, 0.0452), baseline (β= 7.232; 95% CI = 2.268, 12.195) and 1-year change (β= 45.918; 95% CI = 35.994,55.843) in mean striatum SBR, and 1-year change in autonomic symptom score (β= -0.325;95% CI = -0.695, 0.045); predictors in the model accounted for 44.1% of the variance.ConclusionsBaseline clinical, CSF, and imaging measures in early PD predicted change in MDS-UPDRS and dopamine-transporter binding, but the predictive value of the models was low. Adding the short-term change of possible predictors improved the predictive value, especially for modeling change in dopamine-transporter binding
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The Parkinson's progression markers initiative (PPMI) - establishing a PD biomarker cohort.
ObjectiveThe Parkinson's Progression Markers Initiative (PPMI) is an observational, international study designed to establish biomarker-defined cohorts and identify clinical, imaging, genetic, and biospecimen Parkinson's disease (PD) progression markers to accelerate disease-modifying therapeutic trials.MethodsA total of 423 untreated PD, 196 Healthy Control (HC) and 64 SWEDD (scans without evidence of dopaminergic deficit) subjects were enrolled at 24 sites. To enroll PD subjects as early as possible following diagnosis, subjects were eligible with only asymmetric bradykinesia or tremor plus a dopamine transporter (DAT) binding deficit on SPECT imaging. Acquisition of data was standardized as detailed at www.ppmi-info.org.ResultsApproximately 9% of enrolled subjects had a single PD sign at baseline. DAT imaging excluded 16% of potential PD subjects with SWEDD. The total MDS-UPDRS for PD was 32.4 compared to 4.6 for HC and 28.2 for SWEDD. On average, PD subjects demonstrated 45% and 68% reduction in mean striatal and contralateral putamen Specific Binding Ratios (SBR), respectively. Cerebrospinal fluid (CSF) was acquired from >97% of all subjects. CSF (PD/HC/SWEDD pg/mL) α-synuclein (1845/2204/2141) was reduced in PD vs HC or SWEDD (P < 0.03). Similarly, t-tau (45/53) and p-tau (16/18) were reduced in PD versus HC (P < 0.01).InterpretationPPMI has detailed the biomarker signature for an early PD cohort defined by clinical features and imaging biomarkers. This strategy provides the framework to establish biomarker cohorts and to define longitudinal progression biomarkers to support future PD treatment trials
Feasibility and Safety of Multicenter Tissue and Biofluid Sampling for α-Synuclein in Parkinson's Disease: The Systemic Synuclein Sampling Study (S4)
BACKGROUND:
α-synuclein is a lead Parkinson's disease (PD) biomarker. There are conflicting reports regarding accuracy of α-synuclein in different tissues and biofluids as a PD biomarker, and the within-subject anatomical distribution of α-synuclein is not well described. The Systemic Synuclein Sampling Study (S4) aims to address these gaps in knowledge. The S4 is a multicenter, cross-sectional, observational study evaluating α-synuclein in multiple tissues and biofluids in PD and healthy controls (HC).
OBJECTIVE:
To describe the baseline characteristics of the S4 cohort and safety and feasibility of this study.
METHODS:
Participants underwent motor and non-motor clinical assessments, dopamine transporter SPECT, biofluid collection (cerebrospinal fluid, saliva, and blood), and tissue biopsies (skin, sigmoid colon, and submandibular gland). Biopsy adequacy was determined based on presence of adequate target tissue. Tissue sections were stained with the 5C12 monoclonal antibody against unmodified α-synuclein. All specimens were acquired and processed in a standardized manner. Adverse events were systematically recorded.
RESULTS:
The final cohort consists of 82 participants (61 PD, 21 HC). In 68 subjects (83%), all types of specimens were obtained but only 50 (61%) of subjects had all specimens both collected and evaluable for α-synuclein. Mild adverse events were common, especially for submandibular gland biopsy, but only 1 severe adverse event occurred.
CONCLUSION:
Multicenter tissue and biofluid sampling for α-synuclein is feasible and generally safe. S4 will inform understanding of the concurrent distribution of α-synuclein pathology and biomarkers in biofluids and peripheral nervous system in PD
Long-term dementia prevalence in Parkinson Disease: Glass half-full?
Introduction: Dementia occurs in up to 80% of Parkinson’s disease (PD) patients long-term, but studies reporting such high rates were published years ago and had relatively small sample sizes and other limitations.
Objective: To determine long-term, cumulative dementia prevalence rates in PD using data from two large, ongoing, prospective observational studies.
Design: Analyses of data from the Parkinson’s Progression Markers Initiative (PPMI) and a longstanding PD research clinical core at the University of Pennsylvania (Penn).
Setting: PPMI is a multi-site international study, and Penn is a single site study at a tertiary movement disorders center.
Participants: PPMI enrolls de novo, untreated PD participants at baseline, and Penn enrolls a convenience cohort from a large clinical center.
Methods: For PPMI a cognitive battery and MDS-UPDRS Part I are administered annually, and the site investigator assigns a cognitive diagnosis annually. At Penn a comprehensive cognitive battery is administered either annually or biennially, and a cognitive diagnosis is made by expert consensus.
Main Outcomes: Kaplan-Meier (KM) survival curves were fit for time from PD diagnosis to stable dementia diagnosis for each cohort, using assigned cognitive diagnosis of dementia as the primary endpoint (for both PPMI and Penn), and MoCA score <21 and MDS-UPDRS Part I cognition score ≥3 as secondary endpoints (for PPMI). In addition, cumulative dementia prevalence by PD disease duration was tabulated for each study and endpoint.
Results: For the PPMI cohort, 417 PD participants were seen at baseline; estimated cumulative probability of dementia at year 10 disease duration were: 7% (site investigator diagnosis), 9% (MoCA) or 7.4% (MDS-UPDRS Part I cognition). For the Penn cohort, 389 PD participants were followed over time, with 184 participants (47% of cohort) eventually diagnosed with dementia. The KM curve for the Penn cohort had median time to dementia diagnosis =15 years (95% CI: 13-15) disease duration; the estimated cumulative probability of dementia was 27% at year 10, 50% at year 15, and 74% at year 20.
Conclusions and Relevance: Results from two large, prospective studies suggest that dementia in Parkinson disease occurs less frequently, or later in the disease course, than often-cited previous research studies have reported
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