Vulnerability and vulnerable groups from an intersectionality perspective

In general, the identification and protection of vulnerable groups in the case of hazards or when a crisis unfolds is an issue that any crisis and disaster risk management should address, since people have different levels of exposure to hazards and crises. In this article, we promote the application of the intersectionality perspective in the study of vulnerable groups, and we call for intersectionality as a guiding principle in risk and crisis management, to provide a better and more nuanced picture of vulnerabilities and vulnerable groups. This can help national and local authorities and agencies to formulate specific guides, to hire staff with the skills necessary to meet particular needs, and to inform vulnerable groups in a particular way, taking into account the differences that may coexist within the same group. Intersectionality allows us to read vulnerability not as the characteristic of some socio-demographic groups. It is rather the result of different and interdependent societal stratification processes that result in multiple dimensions of marginalisation. In this vein, we argue that research should focus on 1) self-perceived vulnerability of individuals and an intersectionality approach to unpack vulnerable groups; 2) cases of crises according to the level and/or likelihood of individual exposure to hazards, to better nuance issues of vulnerability.publishedVersio

Neurological Symptoms in Type A Aortic Dissections

Background and Purpose— Aortic dissection typically presents with severe chest or back pain. Neurological symptoms may occur because of occlusion of supplying vessels or general hypotension. Especially in pain-free dissections diagnosis can be difficult and delayed. The purpose of this study is to analyze the association between type A aortic dissection and neurological symptoms. Methods— Clinical records of 102 consecutive patients with aortic dissection (63% male, median age 58 years) over 7.5 years were analyzed for medical history, preoperative clinical characteristics, treatment and outcome with main emphasis on neurological symptoms. Results— Thirty patients showed initial neurological symptoms (29%). Only two-thirds of them reported chest pain, and most patients without initial neurological symptoms experienced pain (94%). Neurological symptoms were attributable to ischemic stroke (16%), spinal cord ischemia (1%), ischemic neuropathy (11%), and hypoxic encephalopathy (2%). Other frequent symptoms were syncopes (6%) and seizures (3%). In half of the patients, neurological symptoms were transient. Postoperatively, neurological symptoms were found in 48% of all patients encompassing ischemic stroke (14%), spinal cord ischemia (4%), ischemic neuropathy (3%), hypoxic encephalopathy (8%), nerve compression (7%), and postoperative delirium (15%). Overall mortality was 23% and did not significantly differ between patients with and without initial neurological symptoms or complications. Conclusion— Aortic dissections might be missed in patients with neurological symptoms but without pain. Neurological findings in elderly hypertensive patients with asymmetrical pulses or cardiac murmur suggest dissection. Especially in patients considered for thrombolytic therapy in acute stroke further diagnostics is essential. Neurological symptoms are not necessarily associated with increased mortality

Plastic pollution at a sea turtle conservation area in NE Brazil: contrasting developed and undeveloped beaches

Sea turtles are highly susceptible to plastic ingestion and entanglement. Beach debris were surveyed along the most important sea turtle nesting beaches in Brazil (Costa dos Coqueiros, Bahia State). No significant differences among developed and undeveloped beaches were observed in terms of total number of items. Local sources (tourism activities) represented 70% of debris on developed beaches, where cigarette butts, straws, paper fragments, soft plastic fragments, and food packaging were the most abundant items. Non-local sources (domestic and fishing activities) accounted for about 70% of debris on undeveloped beaches, where the most abundant items were rigid plastic fragments, ropes, soft plastic fragments, caps, and polystyrene. The projected surface area of beach debris did not vary among developed and undeveloped beaches. Overseas containers accounted for about 25% of regional plastic pollution, implying that international pollution prevention agreements are not being respected off the Brazilian coast