Agenda 21 local como herramienta de desarollo sostenible : La situación en Suiza

1999an Suitzak bere konpromisoa bete zuen, garapen iraunkorra Konstituzioan barneratu baitzuen. Herrialde hau Tokiko Agenda 21 delakoaren moduko prozesu zehatzak sustatzeko hainbat estrategia ari da probatzen. 2005eko uztailean, Suitzako udalerrien % 4 baino ez zegoen prozesu honetan sartuta; hau da, biztanleriaren % 29. Suitzako tokiko agintaritzek, sistema federala dela eta, autonomia handia izan dute aspalditik; gainera, biztanleek demokrazia zuzeneko sistema suitzarraren bidez, Europako beste herrialde batzuetan baino zuzenago parte har dezakete erabaki politikoak hartzerakoan. Epe luzera, Garapen Iraunkorreko Estrategia Nazionalaren helburua garapen iraunkorra agintari publikoen jarduera eta politika guztietan barneratzea da.In 1999, Switzerland made good its pledge by writing sustainable development into its Constitution. Different strategies and programs are going on to promote Agenda 21-like processes. In July 2005, just 4% of municipalities were involved in the process, though this does represent 29% of the population. In Switzerland, under the country¿s federal system, local authorities have for a long time enjoyed considerable autonomy and, under the Swiss system of direct democracy, citizens are able to participate more fully in all political decision-making than in other countries. In the longer term, the aim of the National Sustainable development Strategy is to include sustainable development in all the policies and activities of public authorities.En 1999, Suiza cumplió con su compromiso al incluir el desarrollo sostenible en la Constitución. Este país está ensayando diferentes estrategias para fomentar determinados procesos del estilo de la Agenda 21 Local. En julio de 2005, tan sólo un 4% de los municipios suizos se habían involucrado en este proceso, si bien representan un 29% de la población. Las autoridades locales suizas, bajo un sistema federal, han disfrutado durante mucho tiempo de una autonomía considerable. Y los ciudadanos, mediante el sistema suizo de democracia directa, pueden participar de una manera más activa que en otros países europeos en la toma de decisiones políticas. A largo plazo, el objetivo de la Estrategia Nacional de Desarrollo Sostenible es incluir el desarrollo sostenible en todas las actividades y políticas de las autoridades pública

Patient and public involvement in cancer research: A scoping review.

Patient and public involvement (PPI) in research emphasizes the importance of doing research with, rather than for people with lived health/illness experience(s). The purpose of this scoping review is to investigate the breadth and depth of scientific literature on PPI in cancer research and to identify how is PPI applied and reported in cancer research. We searched MEDLINE, Embase, CINAHL, and PsycInfo up to March 2022. All titles/abstracts and full-text results were screened by two reviewers. Data were analyzed and are presented in both narrative and tabular format. We screened 22,009 titles/abstract, reviewed 375 full-text articles, of which 101 studies were included in this review. 66 papers applied PPI; 35 used co-design methodologies. PPI in cancer research in published research has increased steadily since 2015 and often includes those with a past diagnosis of cancer or relatives/informal caregivers. The most common applied methods were workshops or interviews. PPI was generally used at the level of consultation/advisor and occurred mainly in early stages of research. Costs related to PPI were mentioned in 25 papers and four papers described training provided for PPI. Results of our review demonstrate the nature and extent of PPI expansion in cancer research. Researchers and research organizations entering the fray of PPI should consider planning and reporting elements such as the stage, level, and role type of PPI, as well as methods and strategies put in place to assure diversity. Furthermore, a thorough evaluation of whether all these elements meet the stated PPI purpose will help to grasp its impact on research outcomes. Two patients participated in the stakeholder consultation as part of the scoping review methodology, contributed to the discussion on refining the results, and critically reviewed the manuscript. Both are co-authors of this manuscript

Patient-reported experiences of cancer care related to the COVID-19 pandemic in Switzerland.

This study aims to describe the experience of Swiss oncological patients during the COVID-19 pandemic. A national multi-center study including five hospitals covering the three main language regions of Switzerland was conducted between March and July 2021. Patients with melanoma, breast, lung, or colon cancer receiving active systemic anti-cancer treatment at the time of the COVID-19 pandemic were included. We conducted semi-structured telephone or onsite interviews alongside the administration of distress and resilience-validated questionnaires. Thematic analysis was performed for the qualitative data and descriptive statistics for the quantitative data. Sixty-two cancer patients with a mean age of 61 (SD=14) (58% female) were interviewed. Based on the interviews, we identified that the experience of having cancer during the COVID-19 pandemic was related to five dimensions: psychological, social, support, healthcare, and vaccination. Three themes transverse the five dimensions: (a) needs, (b) positive changes, and (c) phases of the pandemic. In general, patients did not experience delays or disruptions in their cancer treatment nor felt additionally burdened by the pandemic. Lockdown and isolation were reported as mixed experiences (positive and negative), and access to vaccination reassured patients against the risk of infection and instilled hope to return to normalcy. Additionally, we found low distress levels (M=2.9; SD=2.5) and high resilience scores (M=7; SD=1.3) in these patients. Swiss patients with cancer did not express major needs or disruptions in their care during this period of the COVID-19 pandemic. Results identify the mixed experiences of patients and highlight the high resilience levels

Morphological changes of mitochondria-rich cells in gill of Sparidentex hasta during adaptation to different environmental salinities by scanning electron microscopy

To determine the cellular and adaptations changes in mitochondria-rich cells under different salinities, Sparidentex hasta as a urihaline has been studied.180 fish weighing 150 ± 0.5 gr and 23±1 cm length, were directly exposed to (5, 20, 40 and 60 ppt) salinities for a week. Sampling was performed on days 1, 2 and 7 and three fish from each tank (12 fish from each treatment) were sampled each time. Samples were fixed in glutaraldehyde 2/5 % solution and washed with 0.1M (pH=7.4) buffer phosphate. Samples were dehydrated in increasing ethanol series (from 50 % to pure ethanol) followed by 100 % acetone. Tissue blocks were frozen by liquid nitrogen and then immediately followed by scanning electron microscope LEO (Model 1455VP) with 15Kv voltage. Scanning electron microscope revealed three types of mitochondria-rich cells with derived apertures, shallow and deep apical openings. The number and size of mitochondria-rich cells in the apical openings in 60ppt salinity increased on the first day compared to rest of the treatments. During the experiment, the density and size of the openings in the mitochondria-rich cells in the lower salinity increased but in higher salinity of sea water size and density of openings decreased during experiment

Patient-reported experiences of cancer care related to the COVID-19 pandemic in Switzerland

Purpose This study aims to describe the experience of Swiss oncological patients during the COVID-19 pandemic. Methods A national multi-center study including five hospitals covering the three main language regions of Switzerland was conducted between March and July 2021. Patients with melanoma, breast, lung, or colon cancer receiving active systemic anti-cancer treatment at the time of the COVID-19 pandemic were included. We conducted semi-structured telephone or onsite interviews alongside the administration of distress and resilience-validated questionnaires. Thematic analysis was performed for the qualitative data and descriptive statistics for the quantitative data. Results Sixty-two cancer patients with a mean age of 61 (SD=14) (58% female) were interviewed. Based on the interviews, we identified that the experience of having cancer during the COVID-19 pandemic was related to five dimensions: psychological, social, support, healthcare, and vaccination. Three themes transverse the five dimensions: (a) needs, (b) positive changes, and (c) phases of the pandemic. In general, patients did not experience delays or disruptions in their cancer treatment nor felt additionally burdened by the pandemic. Lockdown and isolation were reported as mixed experiences (positive and negative), and access to vaccination reassured patients against the risk of infection and instilled hope to return to normalcy. Additionally, we found low distress levels (M=2.9; SD=2.5) and high resilience scores (M=7; SD=1.3) in these patients. Conclusion Swiss patients with cancer did not express major needs or disruptions in their care during this period of the COVID-19 pandemic. Results identify the mixed experiences of patients and highlight the high resilience levels

Job design, employment practices and well-being: a systematic review of intervention studies

There is inconsistent evidence that deliberate attempts to improve job design realise improvements in well-being. We investigated the role of other employment practices, either as instruments for job redesign or as instruments that augment job redesign. Our primary outcome was well-being. Where studies also assessed performance, we considered performance as an outcome. We reviewed 33 intervention studies. We found that well-being and performance may be improved by: training workers to improve their own jobs; training coupled with job redesign; and system wide approaches that simultaneously enhance job design and a range of other employment practices. We found insufficient evidence to make any firm conclusions concerning the effects of training managers in job redesign and that participatory approaches to improving job design have mixed effects. Successful implementation of interventions was associated with worker involvement and engagement with interventions, managerial commitment to interventions and integration of interventions with other organisational systems. Practitioner Summary: Improvements in well-being and performance may be associated with system-wide approaches that simultaneously enhance job design, introduce a range of other employment practices and focus on worker welfare. Training may have a role in initiating job redesign or augmenting the effects of job design on well-being

Workplace factors, burnout signs, and clinical mental health symptoms among mental health workers in Lombardy and Quebec during the first wave of COVID-19

Abstract Several research contributions have depicted the impact of the pandemic environment on healthcare and social care personnel. Even though the high prevalence of burnout depression and anxiety in healthcare settings before COVID-19 has been well documented in the research, the recent increase in psychological distress and mental health issues in healthcare and mental health workers should be attributed to the effect of the COVID-19 pandemic. The aim of the present study is to develop, evaluate, and compare a model of COVID-19 workplace stressors between two different territories, the Italian region of Lombardy and the Canadian province of Quebec. Within this model, burnout is depicted as the strongest determinant of mental health symptoms for mental health workers. In turn, the main workplace determinants of burnout are the perception of a lack of support from the organization and the fear of contracting COVID-19 at work. Findings also provide insights for designing interventions to promote and protect mental health workers in the context of the pandemic. In conclusion, it is necessary to monitor burnout and carefully analyze elements of organizational culture, in addition to offering clinical and psychological care for those in need. © 2022 by the authors. Licensee MDPI, Basel, Switzerland

Stress factors and stress management interventions: the heuristic of “bottom up” an update from a systematic review

Organizations have increasingly sought to adopt innovative interventions to prevent stress-related issues. In the field of manufacturing, however, the effectiveness of these interventions remains unclear because a systematic and specific review of existing primary evidence has not been undertaken. The present systematic literature review sought to address the foregoing limitation in the literature by summarizing the main source of stress and effectiveness of stress management interventions as grounded in the context of manufacturing. Our review was limited to only randomized clinical trials (RCTs) and quasi-experimental studies and concerned employees from the manufacturing sector. Twenty-two studies on primary, secondary and tertiary interventions across four continents (Asia, Europe, USA and South America) were selected and analyzed in terms of stress factors, methodological properties and outcomes. Most of these were RCT studies (68% Vs 32%) with a majority of secondary interventions (N = 11, 50%), followed by primary (N = 5, 22%), tertiary (N = 3, 13%), and two (9%) mixed interventions. The main outcomes included an improvement of psychological wellbeing, decreased stress reactivity and an increment of general health. There was a predominance of interventions utilizing skills programs and/or cognitive-behavioral techniques. The main source of stress reported related to professional identity, organizational deficiencies, interpersonal conflicts, physical complaints and poor work environment. Taken together, the findings provide important theoretical and practical implications for advancing the study of stress factors and the use of stress management interventions in the workplace. The prerequisite for a successful intervention is to address the real problems experienced by professionals and help them to cope with their difficult situations. The strategy of “bottom-up” offers a potential means of enhancing employees’ health and well-being; however, the most effective means of implementing these interventions needs to be understood better