Climate change adaptation in European river basins

This paper contains an assessment and standardized comparative analysis of the current water management regimes in four case-studies in three European river basins: the Hungarian part of the Upper Tisza, the Ukrainian part of the Upper Tisza (also called Zacarpathian Tisza), Alentejo Region (including the Alqueva Reservoir) in the Lower Guadiana in Portugal, and Rivierenland in the Netherlands. The analysis comprises several regime elements considered to be important in adaptive and integrated water management: agency, awareness raising and education, type of governance and cooperation structures, information management and—exchange, policy development and—implementation, risk management, and finances and cost recovery. This comparative analysis has an explorative character intended to identify general patterns in adaptive and integrated water management and to determine its role in coping with the impacts of climate change on floods and droughts. The results show that there is a strong interdependence of the elements within a water management regime, and as such this interdependence is a stabilizing factor in current management regimes. For example, this research provides evidence that a lack of joint/participative knowledge is an important obstacle for cooperation, or vice versa. We argue that there is a two-way relationship between information management and collaboration. Moreover, this research suggests that bottom-up governance is not a straightforward solution to water management problems in large-scale, complex, multiple-use systems, such as river basins. Instead, all the regimes being analyzed are in a process of finding a balance between bottom-up and top–down governance. Finally, this research shows that in a basin where one type of extreme is dominant—like droughts in the Alentejo (Portugal) and floods in Rivierenland (Netherlands)—the potential impacts of other extremes are somehow ignored or not perceived with the urgency they might deserv

Mind the gap: Does what we know about greenspace and wellbeing change what we do?

This chapter addresses questions of the decision-making processes con- cerning investment in urban green spaces. It considers how evidence is deployed in processes of governance, and how nuanced understandings of costs and wellbeing benefits are backgrounded as evidence becomes a bargaining chip in a struggle for resources. Calling on empirical research conducted in the city of Sheffield, this chapter examines these issues through the lens of the everyday work of practitioners and professionals. The chapter highlights the importance of logics of action and inaction, revealing the effects of stakeholders’ reasons for choosing not to take actions that strengthen the links between green spaces and mental wellbeing

A preliminary assessment of Pseudomonas aeruginosa biofilm development using fluorescence spectroscopy

Recurrent urinary tract infections are a widespread problem, particularly in women.Most episodes are caused by uropathogenic Escherichia coli. Reservoirs of these bacteria may not only reside at distant anatomical sites such as the intestinal tract, rectum, perineum and vagina, but also intracellularly within the bladder epithelia. Antimicrobial therapies used to treat primary urinary tract infections or prevent recurrences disrupt other bacteria in the distal urethra and vagina, and negate their ability to fend off the pathogens and prevent infection

Urinary Tract Infections in Solid Organ Transplant Recipients: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice.

These updated guidelines from the Infectious Diseases Community of Practice of the American Society of Transplantation review the diagnosis, prevention and management of urinary tract infections (UTI) in solid organ transplantation, focusing on kidney transplant (KT) recipients. KT recipients have unique risk factors for UTI, including indwelling stents and surgical manipulation of the genitourinary tract. KT recipients experience multidrug antibiotic resistant infections - UTI prevention and management strategies must consider risks of antimicrobial resistance. Non-antimicrobial prevention strategies for UTI in KT recipients are reviewed. It is important to recognize that some renal transplant recipients with UTI may primarily present with fever, malaise, leukocytosis, or a non-specific sepsis syndrome without symptoms localized to the urinary tract. However, asymptomatic bacteriuria (AB) must be distinguished from UTI because AB is not necessarily a disease state. Accumulating data indicate that there are no benefits of antibiotics for treatment of AB in KT recipients more than 2 months after post-transplant. Further research is needed on management of AB in the early (\u3c2 \u3emonths) post-transplant period, prophylaxis for UTI in this era of antibiotic resistance, recurrent UTI, non-antimicrobial prevention of UTI, and uropathogens identified in donor urine and/or preservative fluid cultures. This article is protected by copyright. All rights reserved