11,337 research outputs found

    Chapter 2 The APRU Sustainable Cities and Landscapes Hub

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    This handbook addresses a growing list of challenges faced by regions and cities in the Pacific;Rim, drawing connections around the what, why, and how questions that are fundamental;to sustainable development policies and planning practices. These include the connection;between cities and surrounding landscapes, across different boundaries and scales; the persistence;of environmental and development inequities; and the growing impacts of global;climate change, including how physical conditions and social implications are being anticipated;and addressed. Building upon localized knowledge and contextualized experiences,;this edited collection brings attention to place-;based;approaches across the Pacific Rim and;makes an important contribution to the scholarly and practical understanding of sustainable;urban development models that have mostly emerged out of the Western experiences. Nine;sections, each grounded in research, dialogue, and collaboration with practical examples and;analysis, focus on a theme or dimension that carries critical impacts on a holistic vision of city-;landscape;development, such as resilient communities, ecosystem services and biodiversity,;energy, water, health, and planning and engagement.;This international edited collection will appeal to academics and students engaged in;research involving landscape architecture, architecture, planning, public policy, law, urban;studies, geography, environmental science, and area studies. It also informs policy makers,;professionals, and advocates of actionable knowledge and adoptable ideas by connecting;those issues with the Sustainable Development Goals (SDGs);of the United Nations. The;collection of writings presented in this book speaks to multiyear collaboration of scholars;through the APRU Sustainable Cities and Landscapes (SCL);Program and its global network,;facilitated by SCL Annual Conferences and involving more than 100 contributors;from more than 30 institutions

    The Impact of Disease-Modifying Therapy Access Barriers on People With Multiple Sclerosis: Mixed-Methods Study.

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    BACKGROUND: In the United States, people with relapsing-remitting multiple sclerosis (RRMS) can face difficulty accessing disease-modifying therapies (DMTs) because of insurance, pharmacy, or provider policies. These barriers have been associated with poor adherence and negative health outcomes. OBJECTIVE: The goals of this study were to describe the overall occurrence of difficulties and delays associated with gaining access to DMTs among people with RRMS, to assess DMT adherence during periods of reduced access, and to contextualize the patients\u27 journey from receipt of a prescription for DMT to obtaining and taking their medication when faced with access barriers. METHODS: We recruited US-based adults self-reporting RRMS from a Web-based health data-sharing social network, PatientsLikeMe. Individuals were invited to complete a Web-based survey if they reported a diagnosis of RRMS and were prescribed a DMT for MS. Follow-up phone interviews were conducted with 10 respondents who reported experiencing an MS-related relapse during the time they had experienced challenges accessing DMTs. RESULTS: Among 507 survey completers, nearly half were either currently experiencing an issue related to DMT assess or had difficulty accessing a DMT in the past (233/507, 46.0%). The most frequently reported reasons for access difficulty were authorization requirements by insurance companies (past issues: 78/182, 42.9%; current issues: 9/42, 21%) and high out-of-pocket costs (past issues: 54/182, 29.7%; current issues: 13/42, 31%). About half (20/39, 51%) of participants with current access issues and over a third (68/165, 41.2%) of those with past issues went without their medication until they could access their prescribed DMT. Relapses were reported during periods of reduced DMT access for almost half (56/118, 47.5%) of those with past issues and nearly half (22/45, 49%) of those with current issues. Resolving access issues involved multiple stakeholder agents often coordinated in a patient-led effort. Among those who had resolved issues, about half (57/119, 47.9%) reported that doctors or office staff were involved, under half (48/119, 40.3%) were involved themselves, and about a third (39/119, 32.8%) reported the drug manufacturer was involved in resolving the issue. Follow-up interviews revealed that the financial burden associated with obtaining a prescribed DMT led to nonadherence. Additionally, participants felt that DMT treatment delays and stress associated with obtaining the DMT triggered relapses or worsened their MS. CONCLUSIONS: This study expands current research by using a patient-centered, mixed-methods approach to describe barriers to MS treatment, the process to resolve barriers, and the perceived impact of treatment barriers on outcomes. Issues related to DMT access occur frequently, with individuals often serving as their own agents when navigating access difficulties to obtain their medication(s). Support for resolution of DMT access is needed to prevent undue stress and nonadherence

    Chapter 2 The APRU Sustainable Cities and Landscapes Hub

    Get PDF
    This handbook addresses a growing list of challenges faced by regions and cities in the Pacific;Rim, drawing connections around the what, why, and how questions that are fundamental;to sustainable development policies and planning practices. These include the connection;between cities and surrounding landscapes, across different boundaries and scales; the persistence;of environmental and development inequities; and the growing impacts of global;climate change, including how physical conditions and social implications are being anticipated;and addressed. Building upon localized knowledge and contextualized experiences,;this edited collection brings attention to place-;based;approaches across the Pacific Rim and;makes an important contribution to the scholarly and practical understanding of sustainable;urban development models that have mostly emerged out of the Western experiences. Nine;sections, each grounded in research, dialogue, and collaboration with practical examples and;analysis, focus on a theme or dimension that carries critical impacts on a holistic vision of city-;landscape;development, such as resilient communities, ecosystem services and biodiversity,;energy, water, health, and planning and engagement.;This international edited collection will appeal to academics and students engaged in;research involving landscape architecture, architecture, planning, public policy, law, urban;studies, geography, environmental science, and area studies. It also informs policy makers,;professionals, and advocates of actionable knowledge and adoptable ideas by connecting;those issues with the Sustainable Development Goals (SDGs);of the United Nations. The;collection of writings presented in this book speaks to multiyear collaboration of scholars;through the APRU Sustainable Cities and Landscapes (SCL);Program and its global network,;facilitated by SCL Annual Conferences and involving more than 100 contributors;from more than 30 institutions

    Phi meson production in relativistic heavy ion collisions

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    Within a multiphase transport model we study phi meson production in relativistic heavy ion collisions from both superposition of initial multiple proton-proton interactions and the secondary collisions in the produced hadronic matter. The yield of phi mesons is then reconstructed from their decaying product of either the kaon-antikaon pairs or the dimuon pairs. Since the kaon-antikaon pairs at midrapidity with low transverse momenta are predominantly rescattered or absorbed in the hadronic medium, they can not be used to reconstruct the phi meson and lead thus to a smaller reconstructed phi meson yield than that reconstructed from the dimuon channel. With in-medium mass modifications of kaons and phi mesons, the phi yield from dimuons is further enhanced compared to that from the kaon-antikaon pairs. The model result is compared with the experimental data at the CERN/SPS and RHIC energies and its implications to quark-gluon plasma formation are discussed.Comment: Revised version, to appear in Nucl. Phys.

    Predicted aircraft effects on stratospheric ozone

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    The possibility that the current fleet of subsonic aircraft may already have caused detectable changes in both the troposphere and stratosphere has raised concerns about the impact of such operations on stratospheric ozone and climate. Recent interest in the operation of supersonic aircraft in the lower stratosphere has heightened such concerns. Previous assessments of impacts from proposed supersonic aircraft were based mostly on one-dimensional model results although a limited number of multidimensional models were used. In the past 15 years, our understanding of the processes that control the atmospheric concentrations of trace gases has changed dramatically. This better understanding was achieved through accumulation of kinetic data and field observations as well as development of new models. It would be beneficial to start examining the impact of subsonic aircraft to identify opportunities to study and validate the mechanisms that were proposed to explain the ozone responses. The two major concerns are the potential for a decrease in the column abundance of ozone leading to an increase in ultraviolet radiation at the ground, and redistribution of ozone in the lower stratosphere and upper troposphere leading to changes in the Earth's climate. Two-dimensional models were used extensively for ozone assessment studies, with a focus on responses to chlorine perturbations. There are problems specific to the aircraft issues that are not adequately addressed by the current models. This chapter reviews the current status of the research on aircraft impact on ozone with emphasis on immediate model improvements necessary for extending our understanding. The discussion will be limited to current and projected commercial aircraft that are equipped with air-breathing engines using conventional jet fuel. The impacts are discussed in terms of the anticipated fuel use at cruise altitude

    The entropic basis of collective behaviour

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    We identify a unique viewpoint on the collective behaviour of intelligent agents. We first develop a highly general abstract model for the possible future lives these agents may encounter as a result of their decisions. In the context of these possibilities, we show that the causal entropic principle, whereby agents follow behavioural rules that maximize their entropy over all paths through the future, predicts many of the observed features of social interactions among both human and animal groups. Our results indicate that agents are often able to maximize their future path entropy by remaining cohesive as a group and that this cohesion leads to collectively intelligent outcomes that depend strongly on the distribution of the number of possible future paths. We derive social interaction rules that are consistent with maximum entropy group behaviour for both discrete and continuous decision spaces. Our analysis further predicts that social interactions are likely to be fundamentally based on Weber's law of response to proportional stimuli, supporting many studies that find a neurological basis for this stimulus-response mechanism and providing a novel basis for the common assumption of linearly additive 'social forces' in simulation studies of collective behaviour
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