Organisational aspects of public engagement in European energy infrastructure planning: the case of early-stage CCS projects

Recent years have witnessed a proliferation of studies on public perceptions of carbon capture and storage (CCS), accompanied by efforts to translate such knowledge into toolkits for public engagement and communication. At the same time, both literature and toolkits have paid little attention to the organisational dynamics and views of project implementers with regard to public engagement. Here we investigate the views of project development consortia employees in five European CCS projects, focusing on their experience of organisational norms and structures relating to engagement. Finding that planning for this engagement has, in several cases, been hampered by a lack of shared internal vision on engagement and communication within the project consortia, at least initially, we draw upon the socio-technical approach to technology embedment and new institutional theory, to observe that internal organisational alignment is crucial in multi-organisational projects when seeking effective public engagement and communication. We observe that this aspect of internal organisation is not yet reflected in the toolkits and guidelines designed to aid engagement in CCS projects. Engagement guides need to direct the attention of project implementers not only in specific outward directions, but also towards reflexively considering their own internal structures, perspectives, motivations, expectations and aims in relation to engagement and communication practice

Nederlandse perspectieven op de duurzaamheid van biomassa - Resultaten van interviews met stakeholders in het kader van de Biomassadialoog

In Dutch: Nederlandse perspectieven op de duurzaamheid van biomassa: Resultaten van de interviews met stakeholders in het kader van de Biomassadialoo

Religious Experience and the Modernist Novel

Output Type: Book Revie

Less invasive methods of advanced hemodynamic monitoring: principles, devices, and their role in the perioperative hemodynamic optimization.

The monitoring of the cardiac output (CO) and other hemodynamic parameters, traditionally performed with the thermodilution method via a pulmonary artery catheter (PAC), is now increasingly done with the aid of less invasive and much easier to use devices. When used within the context of a hemodynamic optimization protocol, they can positively influence the outcome in both surgical and non-surgical patient populations. While these monitoring tools have simplified the hemodynamic calculations, they are subject to limitations and can lead to erroneous results if not used properly. In this article we will review the commercially available minimally invasive CO monitoring devices, explore their technical characteristics and describe the limitations that should be taken into consideration when clinical decisions are made

Impact of renal impairment on atrial fibrillation: ESC-EHRA EORP-AF Long-Term General Registry

Background: Atrial fibrillation (AF) and renal impairment share a bidirectional relationship with important pathophysiological interactions. We evaluated the impact of renal impairment in a contemporary cohort of patients with AF. Methods: We utilised the ESC-EHRA EORP-AF Long-Term General Registry. Outcomes were analysed according to renal function by CKD-EPI equation. The primary endpoint was a composite of thromboembolism, major bleeding, acute coronary syndrome and all-cause death. Secondary endpoints were each of these separately including ischaemic stroke, haemorrhagic event, intracranial haemorrhage, cardiovascular death and hospital admission. Results: A total of 9306 patients were included. The distribution of patients with no, mild, moderate and severe renal impairment at baseline were 16.9%, 49.3%, 30% and 3.8%, respectively. AF patients with impaired renal function were older, more likely to be females, had worse cardiac imaging parameters and multiple comorbidities. Among patients with an indication for anticoagulation, prescription of these agents was reduced in those with severe renal impairment, p <.001. Over 24 months, impaired renal function was associated with significantly greater incidence of the primary composite outcome and all secondary outcomes. Multivariable Cox regression analysis demonstrated an inverse relationship between eGFR and the primary outcome (HR 1.07 [95% CI, 1.01–1.14] per 10 ml/min/1.73 m2 decrease), that was most notable in patients with eGFR <30 ml/min/1.73 m2 (HR 2.21 [95% CI, 1.23–3.99] compared to eGFR ≥90 ml/min/1.73 m2). Conclusion: A significant proportion of patients with AF suffer from concomitant renal impairment which impacts their overall management. Furthermore, renal impairment is an independent predictor of major adverse events including thromboembolism, major bleeding, acute coronary syndrome and all-cause death in patients with AF