The Biosphere and Humanity. Paper Presented on IIASA's 20th Anniversary

IIASA celebrated its twentieth anniversary on May 12-13 with its fourth general conference, IIASA '92: An International Conference on the Challenges to Systems Analysis in the Nineties and Beyond. The conference focused on the relations between environment and development and on studies that integrate the methods and findings of several disciplines. The role of systems analysis, a method especially suited to taking account of the linkages between phenomena and of the hierarchical organization of the natural and social world, was also assessed, taking account of the implications this has for IIASA's research approach and activities. This paper is one of six IIASA Collaborative Papers published as part of the report on the conference, an earlier instalment of which was Science and Sustainability, published in 1992. In his paper Dr. Chadwick provides a summary of the principal global models to attract attention over the last few years. What may be called the "global modeling movement" reached its peak in the 1970s -- ten are listed in Chadwick's summary -- and then declined down to two in the 1980s, but apparently the movement has by no means lost its force in the 1990s. To this reader the interest of the models is in the varied and often mutually contradicting results that they produced, all working from similar data and using computer programs with about the same features. Thus the World 2 model, attributed to Jay Forrester, and World 3, developed by Meadows et al., both showed that the world has already, or on present trends will soon, pass its sustainable limit and then collapse. The Rariloche model, originating in Argentina that has had financial difficulties, considers that if the developed countries can pass down two percent of GNP as aid all will be well - the environmental problem is less urgent than the financial. The Japanese model, FUGI, would attain harmonious growth by shifting investment to developing countries, provided there is coordination among the investing countries. Dr. Chadwick's group is preparing its own model, POLESTAR, that should be released soon. Much of the paper is concerned with the new model, that will have some novel and potentially valuable features. What are the criteria of success of a model? In the past the main criterion has been to arouse the interest of a wide public. POLESTAR seeks to meet more exacting requirements than this. We will have to wait for the results before its success can be judged. Meanwhile the reader will be interested in the plan on which it is being created

An in vivo culture system for human embryos using an encapsulation technology: a pilot study

ACKGROUND: Animal studies have demonstrated better embryo development in vivo than in vitro. This pilot study tested the feasibility of using a novel in utero culture system (IUCS) to obtain normal human fertilization and embryo development. METHODS: The IUCS device comprised a perforated silicone hollow tube. The study included 13 patients (<36 years) undergoing a first intracytoplasmic sperm injection (ICSI) treatment and 167 metaphase II oocytes in three groups. In Group 1, 1-2 h after ICSI, sibling oocytes were assigned to IUCS or conventional in vitro culture. The device was retrieved on Day 1, and all zygotes were cultured in vitro till Day 5. In Group 2, fertilized oocytes were assigned on Day 1, embryos retrieved on Day 3 and all embryos cultured till Day 5. In Group 3, after Day 0 assignment, embryos were retrieved on Day 3 for blastomere biopsy and fluorescence in situ hybridization (FISH) and cultured until Day 5. The highest quality blastocysts were transferred on Day 5. RESULTS: Fertilization and embryo development were comparable in the in vitro and IUCS arms, with a tendency towards better embryo quality in the IUCS. FISH analysis in Group 3 revealed more normal embryos using the IUCS (P = 0.049). Three clinical pregnancies and live births were obtained: two from the IUCS arm and one from the in vitro arm. CONCLUSIONS: Our pilot study shows that this new IUCS appears to be feasible and safe, supporting normal fertilization, embryo development and normal chromosomal segregation. Furthermore, live births are possible after the transient presence of a silicone device in the uterus. Clinicaltrials.gov: NCT00480103

Lived experiences of the diagnostic assessment process for Fetal Alcohol Spectrum Disorder: A systematic review of qualitative evidence

First published: 02 May 2023Early assessment and diagnosis of FASD are crucial in providing therapeutic interventions that aim to enhance meaningful participation and quality of life for individuals and their families, while reducing psychosocial difficulties that may arise during adolescence and adulthood. Individuals with lived experience of FASD have expertise based on their own lives and family needs. Their insights into the assessment and diagnostic process are valuable for improving service delivery and informing the provision of meaningful, person- and family-centered care. To date, reviews have focused broadly on the experiences of living with FASD. The aim of this systematic review is to synthesize qualitative evidence on the lived experiences of the diagnostic assessment process for FASD. Six electronic databases, including PubMed, the Cochrane Library, CINAH, EMBASE, PsycINFO, and Web of Science Core Collection were searched from inception until February 2021, and updated in December 2022. A manual search of reference lists of included studies identified additional studies for inclusion. The quality of included studies was assessed using the Critical Appraisal Skills Program Checklist for Qualitative Studies. Data from included studies were synthesized using a thematic analysis approach. GRADE-CERQual was used to assess confidence in the review findings. Ten studies met the selection criteria for inclusion in the review. Thematic analysis identified 10 first-level themes relating to four over-arching topics: (1) pre-assessment concerns and challenges, (2) the diagnostic assessment process, (3) receipt of the diagnosis, and (4) post-assessment adaptations and needs. GRADECERQual confidence ratings for each of the review themes were moderate to high. The findings from this review have implications for referral pathways, client-centered assessment processes, and post-diagnostic recommendations and support.Nicole Hayes, Kerryn Bagley, Nicole Hewlett, Elizabeth J. Elliott, Carmela F. Pestell, Matthew J. Gullo, Zachary Munn, Philippa Middleton, Prue Walker, Haydn Till, Dianne C. Shanley, Sophia L. Young, Nirosha Boaden, Delyse Hutchinson, Natalie R. Kippin, Amy Finlay- Jones, Rowena Friend, Doug Shelton, Alison Crichton, Natasha Rei

Self-help groups challenge health care systems in the US and UK

Purpose: This research considers how self-help groups (SHGs) and self- help organizations (SHOs) contribute to consumerist trends in two different societies: United States and United Kingdom. How do the health care systems and the voluntary sectors affect the kinds of social changes that SHGs/SHOs make? Methodology/approach: A review of research on the role of SHGs/SHOs in contributing to national health social movements in the UK and US was made. Case studies of the UK and the US compare the characteristics of their health care systems and their voluntary sector. Research reviews of two community level self-help groups in each country describe the kinds of social changes they made. Findings: The research review verified that SHGs/SHOs contribute to national level health social movements for patient consumerism. The case studies showed that community level SHGs/SHOs successfully made the same social changes but on a smaller scale as the national movements, and the health care system affects the kinds of community changes made. Research limitations: A limited number of SHGs/SHOs within only two societies were studied. Additional SHGs/SHOs within a variety of societies need to be studied. Originality/value of chapter Community SHGs/SHOs are often trivialized by social scientists as just inward-oriented support groups, but this chapter shows that local groups contribute to patient consumerism and social changes but in ways that depend on the kind of health care system and societal context

Internet security applications of the Munn rings

Effective multiple clustering systems, or clusterers, have important applications in information security. The aim of the present article is to introduce a new method of designing multiple clusterers based on theMunn rings and describe a class of optimal clusterers which can be obtained in this construction.<br /