Household, community, sub-national and country-level predictors of primary cooking fuel switching in nine countries from the PURE study

Introduction. Switchingfrom polluting (e.g. wood, crop waste, coal)to clean (e.g. gas, electricity) cooking fuels can reduce household air pollution exposures and climate-forcing emissions.While studies have evaluated specific interventions and assessed fuel-switching in repeated cross-sectional surveys, the role of different multilevel factors in household fuel switching, outside of interventions and across diverse community settings, is not well understood. Methods.We examined longitudinal survey data from 24 172 households in 177 rural communities across nine countries within the Prospective Urban and Rural Epidemiology study.We assessed household-level primary cooking fuel switching during a median of 10 years offollow up (∼2005–2015).We used hierarchical logistic regression models to examine the relative importance of household, community, sub-national and national-level factors contributing to primary fuel switching. Results. One-half of study households(12 369)reported changing their primary cookingfuels between baseline andfollow up surveys. Of these, 61% (7582) switchedfrom polluting (wood, dung, agricultural waste, charcoal, coal, kerosene)to clean (gas, electricity)fuels, 26% (3109)switched between different polluting fuels, 10% (1164)switched from clean to polluting fuels and 3% (522)switched between different clean fuels

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

La hermenéutica en la interpretación conforme de los derechos humanos en el orden jurídico mexicano

Partimos de introducir al lector a la expresión: interpretación conforme, para enseguida realizar una conceptualización de las nociones a emplear en el análisis de los nuevos contenidos en materia de derechos humanos. Posteriormente abordamos los materiales jurídicos e interpretación conforme con base hermenéutica. Finalmente se plantea la necesidad de la formación hermenéutica, con ello se concluye el artículo

Key factors in developing controlled closed ecosystems for lunar missions

From Elsevier via Jisc Publications RouterHistory: accepted 2024-04-29, issued 2024-05-09Article version: AMPublication status: AcceptedThe utilization of in-situ resources will be crucial for the survival of astronauts in space. Therefore, plants and crops will be important for humans in space as they serve as food, provide oxygen, and remove carbon dioxide, enhancing habitability. The aim of this research is to explore the growth of crops on celestial bodies prior to human arrival. The paper outlines the creation of a novel capsule by Green Moon Project (GMP) designed to meet essential criteria for monitoring and enhancing crop cultivation on the lunar terrain, tackling key obstacles such as self-propagation, fluctuating light patterns, water provision, and monitoring germination and growth stages. The Center of Space Exploration (hereafter COSE) managed to sprout the first seed on another celestial body during the Chang’e 4 mission on the Moon in January 2019. This achievement means an important step in space agriculture and widens the biological research of crops that will sustain future crewed missions and human bases in space. Space farming requires greater understanding if humans are to survive in space without constant contact from Earth and that is why GMP goals are aligned COSE’s. Therefore, GMP and COSE work in synergy to boost the research of space farming, future crops, habitability, and close controlled environmental systems. Due to the similarities between both projects, both teams decided to join efforts and cooperate in future space missions. To provide scientific support and technical solutions for future long-term crewed exploration missions, it is mandatory to conduct ground verification experiments of controllable extraterrestrial ecosystems

Key factors in developing controlled closed ecosystems for lunar missions

From Elsevier via Jisc Publications RouterHistory: accepted 2024-04-29, epub 2024-05-23, issued 2024-06-30Article version: VoRPublication status: PublishedThe utilization of in-situ resources will be crucial for the survival of astronauts in space. Therefore, plants and crops will be important for humans in space as they serve as food, provide oxygen, and remove carbon dioxide, enhancing habitability. The aim of this research is to explore the growth of crops on celestial bodies prior to human arrival. The paper outlines the creation of a novel capsule by Green Moon Project (GMP) designed to meet essential criteria for monitoring and enhancing crop cultivation on the lunar terrain, tackling key obstacles such as self-propagation, fluctuating light patterns, water provision, and monitoring germination and growth stages. The Center of Space Exploration (hereafter COSE) managed to sprout the first seed on another celestial body during the Chang’e 4 mission on the Moon in January 2019. This achievement means an important step in space agriculture and widens the biological research of crops that will sustain future crewed missions and human bases in space. Space farming requires greater understanding if humans are to survive in space without constant contact from Earth and that is why GMP goals are aligned COSE’s. Therefore, GMP and COSE work in synergy to boost the research of space farming, future crops, habitability, and close controlled environmental systems. Due to the similarities between both projects, both teams decided to join efforts and cooperate in future space missions. To provide scientific support and technical solutions for future long-term crewed exploration missions, it is mandatory to conduct ground verification experiments of controllable extraterrestrial ecosystems

Data sources for drug utilization research in Latin American countries - a cross-national study : DASDUR-LATAM study

PURPOSE: Drug utilization research (DUR) contributes to inform policymaking and to strengthen health systems. The availability of data sources is the first step for conducting DUR. However, documents that systematize these data sources in Latin American (LatAm) countries are not known. We compiled the potential data sources for DUR in the LatAm region. METHODS: A network of DUR experts from nine LatAm countries was assembled and experts conducted: (i) a website search of the government, academic, and private health institutions; (ii) screening of eligible data sources, and (iii) liaising with national experts in pharmacoepidemiology (via an online survey). The data sources were characterized by accessibility, geographic granularity, setting, sector of the data, sources and type of the data. Descriptive analyses were performed. RESULTS: We identified 125 data sources for DUR in nine LatAm countries. Thirty-eight (30%) of them were publicly and conveniently available; 89 (71%) were accessible with limitations, and 18 (14%) were not accessible or lacked clear rules for data access. From the 125 data sources, 76 (61%) were from the public sector only; 46 (37%) were from pharmacy records; 43 (34%) came from ambulatory settings and; 85 (68%) gave access to individual patient-level data. CONCLUSIONS: Although multiple sources for DUR are available in LatAm countries, the accessibility is a major challenge. The procedures for accessing DUR data should be transparent, feasible, affordable, and protocol-driven. This inventory could permit a comparison of drug utilization between countries identifying potential medication-related problems that need further exploration