Loyalty (the national principles): strengthening eco-tourism industry in Sabah, Malaysia

The purpose of this study was to investigate the youth’s perception on the influences of the second National Principles (Rukun Negara no. 2) that is ‘loyalty to the king and country’ towards the eco-tourism industry in Sabah, Malaysia. This study aims to determine the positive and negative influences of the second National Principles (NP) on the eco-tourism industry; and to determine the factor associated most with the success of eco-tourism industry in relation to the second NP as perceived by youth in Sabah, Malaysia. The data were collected through a self administered questionnaire and later analyzed using SPSS. In this study, 100 youth were selected as respondents with a mean age of 27. This study found that there is a positive influence but no negative influence of the second NP on the eco-tourism industry in Sabah, Malaysia. The factor associated most with the success of eco-tourism industry in relation to the second NP as perceived by youth in Sabah, Malaysia is ethical and moral values. In accordance, professional experience, and the use of a specific formula may provide a suitable basis for change in this industry when dealing with the local perception on their responsibility to make this industry develop in relation to their feeling of concern towards ‘loyalty to the king and country

Perioperative management of massive hemoptysis during flexible bronchoscopy : Case report

La broncoscopia flexible es un procedimiento diagnóstico o terapéutico con baja incidencia de complicaciones (0,08-6,8%). El sangrado por biopsia transbronquial es una complicación rara (0-2,8% de los casos), suele ser leve y resuelve con medidas locales. No existe una definición clara de hemoptisis masiva y, por su baja incidencia, no hay guías de práctica clínica para el tratamiento de esta complicación, que puede ser catastrófica. Presentamos un caso de hemoptisis masiva durante la realización de una broncoscopia flexible más biopsia transbronquial y revisamos la literatura acerca del manejo intraoperatorio.Q3Reporte de caso256-261Flexible bronchoscopy is a diagnostic or therapeutic procedure with a low incidence of complications (0.08–6.8%). Bleeding after transbronchial biopsy is a rare complication (0-2.8% of the cases), usually resulting in minor bleeding that resolves with local measures. There is no clear definition of massive hemoptysis and due to the low incidence of this condition, there are no practical guidelines for the treatment of this complication that may be catastrophic. This case discusses the occurrence of massive hemoptysis during a transbronchial biopsy under flexible bronchoscopy, including a literature review on perioperative management

Pregnancy-related pelvic girdle pain: an update

A large number of scientists from a wide range of medical and surgical disciplines have reported on the existence and characteristics of the clinical syndrome of pelvic girdle pain during or after pregnancy. This syndrome refers to a musculoskeletal type of persistent pain localised at the anterior and/or posterior aspect of the pelvic ring. The pain may radiate across the hip joint and the thigh bones. The symptoms may begin either during the first trimester of pregnancy, at labour or even during the postpartum period. The physiological processes characterising this clinical entity remain obscure. In this review, the definition and epidemiology, as well as a proposed diagnostic algorithm and treatment options, are presented. Ongoing research is desirable to establish clear management strategies that are based on the pathophysiologic mechanisms responsible for the escalation of the syndrome's symptoms to a fraction of the population of pregnant women

Future Forests scenarios 2050 : Possible futures, future possibilities

This foresight brief summarises the findings of a scenario process on possible futures for Sweden’s forests and forest sector. The purpose of the process was to build interdisciplinary skills within the research programme Future Forests and to initiate discussions about the future with our stakeholders. A group of 21 researchers from different disciplines, ranging from the natural and social sciences to the humanities, took part in the process. Stakeholders and interest groups were involved in the initial steps and in discussions of the final scenarios. The process involved four steps: identifying external drivers, defining critical uncertainties to be discussed, developing the scenarios, and discussing implications with interest groups

Future Forests scenarios 2050 : Possible futures, future possibilities

This foresight brief summarises the findings of a scenario process on possible futures for Sweden’s forests and forest sector. The purpose of the process was to build interdisciplinary skills within the research programme Future Forests and to initiate discussions about the future with our stakeholders. A group of 21 researchers from different disciplines, ranging from the natural and social sciences to the humanities, took part in the process. Stakeholders and interest groups were involved in the initial steps and in discussions of the final scenarios. The process involved four steps: identifying external drivers, defining critical uncertainties to be discussed, developing the scenarios, and discussing implications with interest groups

Future Forests scenarios 2050 : Possible futures, future possibilities

This foresight brief summarises the findings of a scenario process on possible futures for Sweden’s forests and forest sector. The purpose of the process was to build interdisciplinary skills within the research programme Future Forests and to initiate discussions about the future with our stakeholders. A group of 21 researchers from different disciplines, ranging from the natural and social sciences to the humanities, took part in the process. Stakeholders and interest groups were involved in the initial steps and in discussions of the final scenarios. The process involved four steps: identifying external drivers, defining critical uncertainties to be discussed, developing the scenarios, and discussing implications with interest groups

Science for Trade-Offs Between Conflicting Interests in Future Forests

Forests deliver multiple ecosystem services to society. Management of forests must be able to deal with trade-offs when the delivery of different ecosystem services comes in conflict with each other. The research program Future Forests (http://www.futureforests.se) attempts to form a scientific basis for managing such trade-offs between conflicting interests in northern boreal forests. Some key characteristics of the research program are interdisciplinary and participatory research and a clear communication agenda for stakeholders. This paper gives a brief overview of the underlying ideas behind the program, and an introduction to the papers published in this Special Issue