292 research outputs found

    Multi-level Policy Coalitions An Interpretative Model Of Water Conflicts Îčn The Americas

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    This article proposes an analytical approach to conflicts and policy-making related to urban water management based on multi-level policy coalitions. This is necessary to articulate four main issues. First, the repositioning of social and political struggles for access to water, along with policy variables. Second, the analysis of the effects of ecological transition, including climate change. Third, the reincorporation of these struggles and challenges in a multi-level approach. Finally, the enquiry into the apparent contradiction, in contemporary policymaking. The article proposes a definition of multi-level coalitions as collective preference systems that influence the content of policies (ideas/advocacy, decisions, policy tools) and their implementation, groups of actors that arise from engagement in policy issues. In the first section, the article presents the objectives of research on urban water management in the Americas, within the framework of which this analytical approach by multi-level coalitions is fashioned. In the second section, the article details four analytical issues. In the third section, it gives a definition of multi-level coalitions.19415317

    Molecular cloning of a functional human galanin receptor.

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    Deforestation: Correlations, Possible Causes and Some Implications

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    Changes in national forest areas during 1990-2000 are contrasted with other variables to illustrate correlations and provoke discussion about possible causes. Twenty-five statistically-significant correlations (including rural population, life expectancy, GDP, literacy, commerce, agriculture, poverty and inflation) are illustrated and a statistical model suggests that good governance, alternative employment opportunities, and payments for environmental services may be effective in combating deforestation. The data suggest that a global forest convention may need to be supported by substantial and carefully-targeted development assistance to foster good governance

    Dynamics of global forest area: Results from the FAO Global Forest Resources Assessment 2015

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    The area of land covered by forest and trees is an important indicator of environmental condition. This study presents and analyses results from the Global Forest Resources Assessment 2015 (FRA 2015) of the Food and Agriculture Organization of the United Nations. FRA 2015 was based on responses to surveys by individual countries using a common reporting framework, agreed definitions and reporting standards. Results indicated that total forest area declined by 3%, from 4128 M ha in 1990 to 3999 M ha in 2015. The annual rate of net forest loss halved from 7.3 M ha y−1 in the 1990s to 3.3 M ha y−1 between 2010 and 2015. Natural forest area declined from 3961 M ha to 3721 M ha between 1990 and 2015, while planted forest (including rubber plantations) increased from 168 M ha to 278 M ha. From 2010 to 2015, tropical forest area declined at a rate of 5.5 M ha y−1 – only 58% of the rate in the 1990s – while temperate forest area expanded at a rate of 2.2 M ha y−1. Boreal and sub-tropical forest areas showed little net change. Forest area expanded in Europe, North America, the Caribbean, East Asia, and Western-Central Asia, but declined in Central America, South America, South and Southeast Asia and all three regions in Africa. Analysis indicates that, between 1990 and 2015, 13 tropical countries may have either passed through their forest transitions from net forest loss to net forest expansion, or continued along the path of forest expansion that follows these transitions. Comparing FRA 2015 statistics with the findings of global and pan-tropical remote-sensing forest area surveys was challenging, due to differences in assessment periods, the definitions of forest and remote sensing methods. More investment in national and global forest monitoring is needed to provide better support for international initiatives to increase sustainable forest management and reduce forest loss, particularly in tropical countries

    Performance of the ROX index to predict intubation in immunocompromised patients receiving high-flow nasal cannula for acute respiratory failure

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    Background Delayed intubation is associated with high mortality. There is a lack of objective criteria to decide the time of intubation. We assessed a recently described combined oxygenation index (ROX index) to predict intubation in immunocompromised patients. The study is a secondary analysis of randomized trials in immunocompromised patients, including all patients who received high-flow nasal cannula (HFNC). The first objective was to evaluate the accuracy of the ROX index to predict intubation for patients with acute respiratory failure. Results In the study, 302 patients received HFNC. Acute respiratory failure was mostly related to pneumonia (n = 150, 49.7%). Within 2 (1-3) days, 115 (38.1%) patients were intubated. The ICU mortality rate was 27.4% (n = 83). At 6 h, the ROX index was lower for patients who needed intubation compared with those who did not [4.79 (3.69-7.01) vs. 6.10 (4.48-8.68), p < 0.001]. The accuracy of the ROX index to predict intubation was poor [AUC = 0.623 (0.557-0.689)], with low performance using the threshold previously found (4.88). In multivariate analysis, a higher ROX index was still independently associated with a lower intubation rate (OR = 0.89 [0.82-0.96], p = 0.04). Conclusion A ROX index greater than 4.88 appears to have a poor ability to predict intubation in immunocompromised patients with acute respiratory failure, although it remains highly associated with the risk of intubation and may be useful to stratify such risk in future studies
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