134 research outputs found

    Contemplative Environmental Studies: Pedagogy for Self and Planet

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    Environmental problems are among the most profound challenges humanity has ever faced. How can we best educate students in this moment of environmental intensification? What skills, virtues, and sensibilities do they need to investigate, appreciate, and respond to environmental degradation? This article makes the case for adding contemplative practices to the pedagogical toolbox. It explains the connection between our internal lives and environmental degradation, and how contemplative practices can unlock faculties for advancing environmental inquiry and engagement. It describes how contemplative practices can, for instance, help students analyze the causes of environmental harm by enabling them to notice internal grasping, and fashion appropriate responses by short-circuiting reactivity and attachment to specific outcomes. The article also argues that, while contemplative practices can help students (and professors) better address environmental issues, environmental engagement can also benefit the contemplative life. Climate change, mass extinction, and other environmental dilemmas represent novel challenges to our species and thus addressing them may open new chambers in the heart whose exploration can deepen one’s contemplative experience. In addition to pointing out the benefits, the article also notes limitations of using contemplative practices to expand environmental studies

    Environmentalism and the Politics of Contemplative Inquiry

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    Many are familiar with the ways contemplative practice enhances outer engagement. Meditation, yoga, journaling, and so forth provide techniques for settling the mind, heightening concentration, clarifying values, and otherwise preparing one for conscious teaching, political activism, and professional work. Less familiar is how outer engagements inform contemplative life. This article explores the ways political activism can provide a route toward spiritual awakening. Specifically, it examines how wrestling with environmental issues opens new chambers of the heart, deepens one compassion, and offers concrete opportunities to “go within.” Originally delivered as the inaugural Arthur Zajonc Lecture on Contemplative Education, the article uses insights from Zajonc’s scholarship to illuminate the productive interface between internal and external experience

    Beyond Rio+20: governance for a green economy

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    This repository item contains a single issue of the Pardee Center Task Force Reports, a publication series that began publishing in 2009 by the Boston University Frederick S. Pardee Center for the Study of the Longer-Range Future.As an intellectual contribution to the preparations for the 2012 United Nations Conference on Sustainable Development (UNCSD, a.k.a. Rio +20), the Boston University Frederick S. Pardee Center for the Study of the Longer-Range Future convened a task force of experts to discuss the role of institutions in the actualization of a green economy in the context of sustainable development. A stellar group of experts from academia, government and civil society convened at the Pardee Center and were asked to outline ideas about what the world has learned about institutions for sustainable development from the past, and what we can propose about the governance challenges and opportunities for the continuous development of a green economy in the future. The Task Force members were encouraged to think big and think bold. They were asked to be innovative in their ideas, and maybe even a little irreverent and provocative. They were charged specifically NOT to come to consensus about specific recommendations, but to present a variety and diversity of views. This report presents their thoughts and ideas

    Risk of Uterine Rupture and Placenta Accreta With Prior Uterine Surgery Outside of the Lower Segment

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    Objective—Women with a prior myomectomy or prior classical cesarean delivery are often delivered early by cesarean due to concern for uterine rupture. Although theoretically at increased risk for placenta accreta, this risk has not been well quantified. Our objective was to estimate and compare the risks of uterine rupture and placenta accreta in women with prior uterine surgery. Methods—Women with prior myomectomy or prior classical cesarean delivery were compared to women with a prior low transverse cesarean to estimate rates of both uterine rupture and placenta accreta. Results—One hundred seventy-six women with a prior myomectomy, 455 with a prior classical cesarean delivery, and 13,273 women with a prior low transverse cesarean were evaluated. Mean gestational age at delivery differed by group (p0.99) or in the prior classical cesarean delivery group (0.88%, p=0.13). Placenta accreta occurred in 0% (95% CI 0-1.98%) of prior myomectomy compared with 0.19% in the low transverse cesarean group (p>0.99) and 0.88% in the prior classical cesarean delivery group (p=0.01 relative to low transverse cesarean). The adjusted OR for the prior classical cesarean delivery group (relative to low transverse cesarean) was 3.23 (1.11-9.39) for uterine rupture and 2.09 (0.69-6.33) for accreta. The frequency of accreta for those with previa was 11.1% for the prior classical cesarean delivery and 13.6% for low transverse cesarean groups (p>0.99=1.0). Conclusion—A prior myomectomy is not associated with higher risks of either uterine rupture or placenta accreta. The absolute risks of uterine rupture and accreta after prior myomectomy are low

    New directions in earth system governance research

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    The Earth System Governance project is a global research alliance that explores novel, effective governance mechanisms to cope with the current transitions in the biogeochemical systems of the planet. A decade after its inception, this article offers an overview of the project's new research framework (which is built upon a review of existing earth system governance research), the goal of which is to continue to stimulate a pluralistic, vibrant and relevant research community. This framework is composed of contextual conditions (transformations, inequality, Anthropocene and diversity), which capture what is being observed empirically, and five sets of research lenses (architecture and agency, democracy and power, justice and allocation, anticipation and imagination, and adaptiveness and reflexivity). Ultimately the goal is to guide and inspire the systematic study of how societies prepare for accelerated climate change and wider earth system change, as well as policy responses

    Maternal and Neonatal Outcomes of Repeat Cesarean Delivery in Women with a Prior Classical versus Low Transverse Uterine Incision

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    We compared maternal and neonatal outcomes following repeat cesarean delivery (CD) of women with a prior classical CD with those with a prior low transverse CD. The Maternal Fetal Medicine Units (MFMU) Network Cesarean Delivery Registry was used to identify women with one previous CD who underwent an elective repeat CD prior to the onset of labor ≥36 weeks. Outcomes were compared between women with a previous classical CD to those with a prior low transverse CD. Of the 7,936 women who met study criteria, 122 had a prior classical CD. Women with a prior classical CD had a higher rate of classical uterine incision at repeat CD (12.73% versus 0.59%; p < 0.001), had longer total operative time and hospital stay, and had higher intensive care unit admission. Uterine dehiscence was more frequent in women with a prior classical CD (2.46% versus 0.27%, OR 9.35, 95% CI 1.76-31.93). After adjusting for confounding factors, there were no statistical differences in major maternal or neonatal morbidities between groups. Uterine dehiscence was present at repeat CD in 2.46% of women with a prior classical CD. However, major maternal morbidities were similar to those with a prior low transverse CD

    Effect of Antenatal Corticosteroids on Respiratory Morbidity in Singletons After Late-Preterm Birth

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    To evaluate whether neonates born to women who had previously received antenatal corticosteroids and then delivered a late-preterm birth neonate had less respiratory morbidity compared with those unexposed to antenatal corticosteroids

    Timing of Elective Repeat Cesarean Delivery at Term and Neonatal Outcomes

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    Because of increased rates of respiratory complications, elective cesarean delivery is discouraged before 39 weeks of gestation unless there is evidence of fetal lung maturity. We assessed associations between elective cesarean delivery at term (37 weeks of gestation or longer) but before 39 weeks of gestation and neonatal outcomes

    The Human Phenotype Ontology project:linking molecular biology and disease through phenotype data

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    The Human Phenotype Ontology (HPO) project, available at http://www.human-phenotype-ontology.org, provides a structured, comprehensive and well-defined set of 10,088 classes (terms) describing human phenotypic abnormalities and 13,326 subclass relations between the HPO classes. In addition we have developed logical definitions for 46% of all HPO classes using terms from ontologies for anatomy, cell types, function, embryology, pathology and other domains. This allows interoperability with several resources, especially those containing phenotype information on model organisms such as mouse and zebrafish. Here we describe the updated HPO database, which provides annotations of 7,278 human hereditary syndromes listed in OMIM, Orphanet and DECIPHER to classes of the HPO. Various meta-attributes such as frequency, references and negations are associated with each annotation. Several large-scale projects worldwide utilize the HPO for describing phenotype information in their datasets. We have therefore generated equivalence mappings to other phenotype vocabularies such as LDDB, Orphanet, MedDRA, UMLS and phenoDB, allowing integration of existing datasets and interoperability with multiple biomedical resources. We have created various ways to access the HPO database content using flat files, a MySQL database, and Web-based tools. All data and documentation on the HPO project can be found online

    Timing of Elective Repeat Cesarean Delivery at Term and Maternal Perioperative Outcomes

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    Elective repeat cesarean delivery at 37 or 38 weeks compared to 39 completed weeks’ gestation is associated with adverse neonatal outcomes. We assessed whether delivery prior to 39 weeks is justifiable on the basis of decreased adverse maternal outcomes
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