Telecoupling as a framework to support a more nuanced understanding of causality in land system science

Unidad de excelencia María de Maeztu CEX2019-000940-MThis article illustrates the potential of the telecoupling framework to improve causal attribution in land system science (LSS). We shed light on the distinct analytical approaches that have characterized telecoupling research to date, how these can contribute to LSS with new insights, and whether such insights can improve causal attribution. By reviewing 45 empirical telecoupling studies, we firstly demonstrate how telecoupling is applied in a broad variety of ways within LSS and across different disciplines and research topics, albeit with qualitative data and assessments being underrepresented. Secondly, we show that telecoupling is clearer in its contribution to causal attribution when applied explicitly in framework integration or empirical application, rather than when it is included more indirectly as a narrative. Finally, we argue that telecoupling can complement existing LSS theory with a flexible and holistic approach to dealing with the uncertainties and complexities related to attributing causality in a globalized world

Mental health in adolescents after experiencing a flood event in Bavaria, Germany—A qualitative interview study

BackgroundChildren and adolescents are particularly vulnerable to the mental health impacts of extreme weather events (EWEs). This qualitative study aims to explore the stressful and protective factors after experiencing an EWE, such as flooding, how adolescents coped with these experiences and what mental health care they received.MethodsNine semi-structured interviews were conducted with young adults (18–24 years) living in Simbach am Inn, a German town affected by flooding in 2016. The interviews were analyzed using Kuckartz's qualitative content analysis.ResultsThe days after the flood were described as the most stressful time. The main stressors were concern for their family, confrontation with the extent of the damage and uncertainty during the flood. In terms of protective factors, respondents cited talking about the flood, family support and helping with cleanup as the most important. Adolescents requested further mental health care in schools and not just in the immediate aftermath.ConclusionFuture preventive and therapeutic care measures should be optimized according to protective and stressful factors. Mental health care should be offered after months and should be low-threshold. Additionally, the social environment of adolescents is essential for their mental wellbeing after an EWE and needs to be strengthened

Toward spatial fit in the governance of global commodity flows

Unidad de excelencia María de Maeztu CEX2019-000940-MGlobal commodity flows between distally connected social-ecological systems pose important challenges to sustainability governance. These challenges are partly due to difficulties in designing and implementing governance institutions that fit or match the scale of the environmental and social problems generated in such telecoupled systems. We focus on the spatial dimension of governance fit in relation to global commodity flows and telecoupled systems. Specifically, we draw on examples from land use and global agricultural commodity governance to examine two overarching types of governance mismatches: boundary mismatches and resolution mismatches. We argue that one way to address mismatches is through governance rescaling and illustrate this approach with reference to examples of three broad types of governance approaches: trade agreements, due diligence laws, and landscape approaches to supply chain governance. No single governance approach is likely to address all mismatches, highlighting the need to align multiple governance approaches to govern telecoupled systems effectively

A trial like ALIC4E: why design a platform, response-adaptive, open, randomised controlled trial of antivirals for influenza-like illness?

ALIC4E is the first publicly funded, multicountry, pragmatic study determining whether antivirals should be routinely prescribed for influenza-like illness in primary care. The trial aims to go beyond determining the average treatment effect in a population to determining effects in patients with combinations of participant characteristics (age, symptom duration, illness severity, and comorbidities). It is one of the first platform, response-adaptive, open trial designs implemented in primary care, and this article aims to provide an accessible description of key aspects of the study design. 1) The platform design allows the study to remain relevant to evolving circumstances, with the ability to add treatment arms. 2) Response adaptation allows the proportion of participants with key characteristics allocated to study arms to be altered during the course of the trial according to emerging outcome data, so that participants' information will be most useful, and increasing their chances of receiving the trial intervention that will be most effective for them. 3) Because the possibility of taking placebos influences participant expectations about their treatment, and determining effects of the interventions on patient help seeking and adherence behaviour in real-world care is critical to estimates of cost-effectiveness, ALIC4E is an open-label trial

Antivirals for influenza-Like Illness? A randomised Controlled trial of Clinical and Cost effectiveness in primary CarE (ALIC4 E): the ALIC4 E protocol

INTRODUCTION: Effective management of seasonal and pandemic influenza is a high priority internationally. Guidelines in many countries recommend antiviral treatment for older people and individuals with comorbidity at increased risk of complications. However, antivirals are not often prescribed in primary care in Europe, partly because its clinical and cost effectiveness has been insufficiently demonstrated by non-industry funded and pragmatic studies. METHODS AND ANALYSIS: Antivirals for influenza-Like Illness? An rCt of Clinical and Cost effectiveness in primary CarE is a European multinational, multicentre, open-labelled, non-industry funded, pragmatic, adaptive-platform, randomised controlled trial. Initial trial arms will be best usual primary care and best usual primary care plus treatment with oseltamivir for 5 days. We aim to recruit at least 2500 participants ≥1 year presenting with influenza-like illness (ILI), with symptom duration ≤72 hours in primary care over three consecutive periods of confirmed high influenza incidence. Participant outcomes will be followed up to 28 days by diary and telephone. The primary objective is to determine whether adding antiviral treatment to best usual primary care is effective in reducing time to return to usual daily activity with fever, headache and muscle ache reduced to minor severity or less. Secondary objectives include estimating cost-effectiveness, benefits in subgroups according to age (64 years), severity of symptoms at presentation (low, medium and high), comorbidity (yes/no), duration of symptoms (≤48 hours/>48-72 hours), complications (hospital admission and pneumonia), use of additional prescribed medication including antibiotics, use of over-the-counter medicines and self-management of ILI symptoms. ETHICS AND DISSEMINATION: Research ethics committee (REC) approval was granted by the NRES Committee South Central (Oxford B) and Clinical Trial Authority (CTA) approval by The Medicines and Healthcare products Regulatory Agency. All participating countries gained national REC and CTA approval as required. Dissemination of results will be through peer-reviewed scientific journals and conference presentations

Two degrees and the SDGs: a network analysis of the interlinkages between transnational climate actions and the Sustainable Development Goals

Given the interconnectedness of climate change and sustainable development, policymakers and scholars have started to investigate how climate actions can contribute to achieving the Sustainable Development Goals (SDGs), and vice versa. To date, research has mainly focused on the national and international levels, while little is known about the interlinkages between climate actions and the SDGs at the transnational level. Not only nation states, but also non-state actors undertake ambitious actions designed to reduce greenhouse gas emissions and to promote sustainable development. Using content analysis and network analysis techniques, we examine the interlinkages between the climate actions of 72 transnational initiatives and the 169 targets of the 17 SDGs. We find that actions of 71 initiatives contribute to achieving 16 SDGs, thus generating valuable co-benefits. Besides SDG 13 on climate action and SDG 17 on partnerships for the goals, transnational climate actions frequently address SDGs 9 on industry, innovation and infrastructure, SDG 7 on affordable and clean energy, and SDG 12 on responsible consumption and production. While SDG 3 on good health and well-being and SDG 4 on quality education are barely addressed, SDG 5 on gender equality is not at all covered by transnational climate actions. Additionally, the network reveals that SDG 9 is highly synergistic with many other frequently addressed SDGs and functions as an important connector between them. Finally, our results indicate that transnational initiatives fill a governance gap left by states with regards to SDG 12. Climate initiatives of non-state actors can thus complement state-led actions to implement the Paris Agreement and the SDGs jointly

Environmental Governance of China's Belt and Road Initiative

China's Belt and Road Initiative (BRI), launched in 2013, is rapidly subsuming much of China's political and economic involvement abroad. As a far‐reaching infrastructure development and investment strategy, officially involving more than 130 countries, the expansion of the BRI raises important questions about its environmental impacts and its implications for environmental governance. This article examines how China is actively and rapidly developing an institutional architecture for its envisioned “green BRI,” considering the key actors, policies, and initiatives involved in the environmental governance of the BRI. We find that the current institutional architecture of the “green BRI” relies on voluntary corporate self‐governance and a multitude of international and transnational sustainability initiatives. The effectiveness of the environmental governance of the BRI not only hinges on China's priorities and commitments, but also on the political willingness and capacity of BRI partner countries to maintain, implement, and enforce stringent environmental laws and regulations. We conclude by outlining several environmental governance challenges and an agenda for future research