The many meanings of collective action: lessons on enhancing gender inclusion and equity in watershed management

"Collective action in agriculture and natural resource management is all too often perceived of in terms of the mere number of participants, with little consideration given to who participates, why, and the outcomes of inequitable participation. The literature is replete with cases of how uncritical approaches to participation structure positions of privilege vis-à-vis project benefits and the natural resource base. Yet lessons on how to engage with local communities in ways that promote equitable participation of women, the poor and other stakeholders are only now coming to light. This paper focuses on approaches under development under the rubric of the African Highlands Initiative to bring collective action principles to bear on gender-equitable change processes in natural resource management. The paper utilizes a number of case studies to illustrate the relative strengths and weaknesses of different approaches for enhancing gender inclusion and equity throughout the stages of problem diagnosis, planning and monitoring. The analysis suggests that an arbitrary definition of collective action is insufficient for assessing the relative strengths and weaknesses of different approaches, and that method evaluation should consider the different forms that collective action can take. A typology of different forms of collective action is proposed, and then utilized to assess the relative strengths and weaknesses of different approaches for fostering gender inclusion and equity in watershed management." Authors' AbstractNatural resource management, Gender, Water, Collective action, Community organizations, Community-based organizations, Women, Watershed management,

Bright light therapy as part of a multicomponent management program improves sleep and functional outcomes in delirious older hospitalized adults.

ObjectiveDelirium is associated with poor outcomes following acute hospitalization. A specialized delirium management unit, the Geriatric Monitoring Unit (GMU), was established. Evening bright light therapy (2000-3000 lux; 6-10 pm daily) was added as adjunctive treatment, to consolidate circadian activity rhythms and improve sleep. This study examined whether the GMU program improved sleep, cognitive, and functional outcomes in delirious patients.MethodA total of 228 patients (mean age = 84.2 years) were studied. The clinical characteristics, delirium duration, delirium subtype, Delirium Rating Score (DRS), cognitive status (Chinese Mini-Mental State Examination), functional status (modified Barthel Index [MBI]), and chemical restraint use during the initial and predischarge phase of the patient's GMU admission were obtained. Nurses completed hourly 24-hour patient sleep logs, and from these, the mean total sleep time, number of awakenings, and sleep bouts (SB) were computed.ResultsThe mean delirium duration was 6.7 ± 4.6 days. Analysis of the delirium subtypes showed that 18.4% had hypoactive delirium, 30.2% mixed delirium, and 51.3% had hyperactive delirium. There were significant improvements in MBI scores, especially for the hyperactive and mixed delirium subtypes (P < 0.05). Significant improvements were noted on the DRS sleep-wake disturbance subscore, for all delirium-subtypes. The mean total sleep time (7.7 from 6.4 hours) (P < 0.05) and length of first SB (6.0 compared with 5.3 hours) (P < 0.05) improved, with decreased mean number of SBs and awakenings. The sleep improvements were mainly seen in the hyperactive delirium subtype.ConclusionThis study shows initial evidence for the clinical benefits (longer total sleep time, increased first SB length, and functional gains) of incorporating bright light therapy as part of a multicomponent delirium management program. The benefits appear to have occurred mainly in patients with hyperactive delirium, which merits further in-depth, randomized controlled studies

Kajian Kandungan Radioisotop Alam dalam Sampel Batuan di Desa Oben Baun Kupang Barat dengan Teknik Analisis Radioaktivitas Lingkungan

Masalah pokok yang dikaji dalam penelitian ini adalah pemetaan dan analisis aktivitas jenis massa kandungan radioisotop dalam deposit mineral di Desa Oben Baun Kupang Barat. Tujuan Penelitian meliputi: menentukan kisaran cacah radiasi radioisotop alam di beberapa titik pengukuran di lapangan dan pengukuran di laboratorium, menentukan kisaran aktivitas jenis  massa (C) kandungan radioisotop dalam sampel batuan, memetakan sebaran cacah dan aktivitas jenis massa radioisotop pada luasan daerah  tertentu yang terjangkau survei di lapangan, dan mengestimasi tingkat kontaminasi radioaisotop pada lingkungan. Metode penelitian meliputi: observasi/ survei, mapping, sampling, analisis, interpretasi. Hasil-hasil penelitian: Kisaran cacah radiasi nuklir radioisotop di lapangan dan dilaboratorium dalam deposit mineral di Oben Baun Kupang Barat berturut-turut berkisar antara 15 cpm sampai dengan 93 cpm dan 28 cpm sampai dengan 92 cpm. Kisaran aktivitas jenis massa (C) kandungan radioisotop dalam 45 cuplikan sampel batuan di Oben Baun Kupang Barat berkisar antara 0,099 x 10-5 µCi/gram sampai dengan 0,316 x 10-5 µCi/gram. Sebaran atau distribusi kandungan radioisotop di Desa Oben Baun Kupang Barat yang dapat dijangkau survei terdistribusi lebih tinggi dari arah timur dan cenderung menurun ke arah barat. Distribusi tersebut masih cenderung tinggi ke arah utara di bagian timur lokasi survei. Kontaminasi radioisotop pada lingkungan masih tergolong kontaminasi rendah untuk radiasi alpha dan beta, dan secara umum cacah radiasi radioisotop di lapangan masih bersesuaian dengan  batas toleransi, walaupun perlu diwaspadai beberapa titik ukur dengan cacah radiasi melebihi standar. Kata Kunci: Radioisotop, Aktivitas Jenis Massa, Daerah Kontaminasi.                                                                      &nbsp

Utility of Comorbidity Assessment in Predicting Transplantation-Related Toxicity Following Autologous Hematopoietic Stem Cell Transplantation for Multiple Myeloma

AbstractPatients with coexisting medical problems may suffer increased toxicity and reduced quality of life after autologous hematopoietic stem cell transplantation (HSCT). The benefit of high-dose therapy for some patients with multiple myeloma (MM) is debatable. Decision tools that aid in identifying those patients with MM most suited for autologous HSCT may avoid the risk of excess toxicity. An objective assessment of comorbidities was performed in 126 patients with MM undergoing autologous HSCT using the Charlson comorbidity index (CCI), the hematopoietic cell transplantation comorbidity index (HCT-CI), and a modified pretransplantation assessment of mortality (mPAM) to determine the strength of association with increased transplantation-related toxicity and increased length of hospital stay (LOS). Any comorbidity scored using the CCI or HCT-CI (score > 0) was associated with an increased number of organ systems with serious toxicity (at least grade 2 toxicity using the Seattle criteria), an increased total sum of toxicity grades for all organs, and prolonged LOS. An mPAM score ≥ 24 was associated with increased LOS. When considering autologous HSCT for a patient with MM, assessment of comorbidities using the CCI or HCT-CI may assist in predicting the risk of transplantation-related toxicity as an adjunct to physician judgment and patient preference

Review and guide to a future naming system of African Bemisia tabaci species

Once a pest has been correctly identified, its genus and species name can provide a link to valuable indications of its ecology, biology and life history that are critical for developing control strategies. Importantly, this link should exist even when the pest was known under other names (synonyms), or was not considered a pest at all (National Research Council, 1968). Many examples have shown that incorrect identification or classification of a pest has led to fruitless searches for biocontrol agents in the native range, incorrect assignments as disease vectors, and costly, yet misdirected, suppression measures. As new approaches for delimiting species based on molecular information become more widely used, the process of correctly identifying a species has become even more complex. Fortunately, we have good systematic frameworks and nomenclatural systems that are able to cope with these challenges. Here we review challenges associated with classification and identification within the Bemisia tabaci (Gennadius) species complex. These pests and the viruses they transmit have emerged in the past few decades as among the most damaging to food and fibre crops globally (Varma & Malathi, 2003; Pimental et al., 2005; Seal et al., 2006), especially in sub‐Saharan Africa (SSA). The systematics of the B. tabaci species group has been a highly debated topic for years (Boykin, 2014). Putative species are indistinguishable morphologically, so other biological data have been collected to investigate the species in the complex. Based on genetic differences (Colvin et al., 2004; Sseruwagi et al., 2005; Boykin et al., 2007; Boykin et al., 2013; Hsieh et al., 2014) and mating incompatibility (Colvin et al., 2004; Liu et al., 2007; Xu et al., 2010), B. tabaci is now recognized as a species complex that consists of at least 34 putative species (Boykin et al., 2012). The rapid discovery of significant species diversity has led to many changes in the informal names used over the last 10 years (Boykin, 2014), creating confusion in the literature

Current recommendations on the selection of measures for well-being

Measures of well-being have proliferated over the past decades. Very little guidance has been available as to which measures to use in what contexts. This paper provides a series of recommendations, based on the present state of knowledge and the existing measures available, of what measures might be preferred in which contexts. The recommendations came out of an interdisciplinary workshop on the measurement of well-being. The recommendations are shaped around the number of items that can be included in a survey, and also based on the differing potential contexts and purposes of data collection such as, for example, government surveys, or multi-use cohort studies, or studies specifically about psychological well-being. The recommendations are not intended to be definitive, but to stimulate discussion and refinement, and to provide guidance to those relatively new to the study of well-being

Evaluation of the 2010 Toyota Prius Hybrid Synergy Drive System

Subsystems of the 2010 Toyota Prius hybrid electric vehicle (HEV) were studied and tested as part of an intensive benchmarking effort carried out to produce detailed information concerning the current state of nondomestic alternative vehicle technologies. Feedback provided by benchmarking efforts is particularly useful to partners of the Vehicle Technologies collaborative research program as it is essential in establishing reasonable yet challenging programmatic goals which facilitate development of competitive technologies. The competitive nature set forth by the Vehicle Technologies Program (VTP) not only promotes energy independence and economic stability, it also advocates the advancement of alternative vehicle technologies in an overall global perspective. These technologies greatly facilitate the potential to reduce dependency on depleting natural resources and mitigate harmful impacts of transportation upon the environment