63 research outputs found

    Scientists’ warning on affluence

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    For over half a century, worldwide growth in affluence has continuously increased resource use and pollutant emissions far more rapidly than these have been reduced through better technology. The affluent citizens of the world are responsible for most environmental impacts and are central to any future prospect of retreating to safer environmental conditions. We summarise the evidence and present possible solution approaches. Any transition towards sustainability can only be effective if far-reaching lifestyle changes complement technological advancements. However, existing societies, economies and cultures incite consumption expansion and the structural imperative for growth in competitive market economies inhibits necessary societal change

    Ecological distribution conflicts as forces for sustainability : an overview and conceptual framework

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    Unidad de excelencia María de Maeztu MdM-2015-0552Centre: ICTA Digital object identifier for the 'European Research Council' (http://dx.doi.org/10.13039/501100000781) Digital object identifier for 'Horizon 2020' (http://dx.doi.org/10.13039/501100007601).Can ecological distribution conflicts turn into forces for sustainability? This overview paper addresses in a systematic conceptual manner the question of why, through whom, how, and when conflicts over the use of the environment may take an active role in shaping transitions toward sustainability. It presents a conceptual framework that schematically maps out the linkages between (a) patterns of (unsustainable) social metabolism, (b) the emergence of ecological distribution conflicts, (c) the rise of environmental justice movements, and (d) their potential contributions for sustainability transitions. The ways how these four processes can influence each other are multi-faceted and often not a foretold story. Yet, ecological distribution conflicts can have an important role for sustainability, because they relentlessly bring to light conflicting values over the environment as well as unsustainable resource uses affecting people and the planet. Environmental justice movements, born out of such conflicts, become key actors in politicizing such unsustainable resource uses, but moreover, they take sometimes also radical actions to stop them. By drawing on creative forms of mobilizations and diverse repertoires of action to effectively reduce unsustainabilities, they can turn from 'victims' of environmental injustices into 'warriors' for sustainability. But when will improvements in sustainability be lasting? By looking at the overall dynamics between the four processes, we aim to foster a more systematic understanding of the dynamics and roles of ecological distribution conflicts within sustainability processes

    Inpatient Rehabilitation Units: Age and Comorbidities Are Not Relevant if Admission Fits the Mission

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    The aging and disability epidemics are pressing the health-care system for the appropriate allocation of resources for the expensive inpatient rehabilitation. The key point is deciding whether old age and the associated comorbidities should determine the assignment to \u201cgeriatric\u201d or \u201cgeriatric rehabilitation\u201d units or to nursing homes provided with some rehabilitation services, rather than to specific hospital rehabilitation units. An extensive international epidemiologic research, based on sophisticated models of case-mix classification including demographic, biomedical, and disability indexes, showed that age and comorbidities are, themselves, not major determinants of the outcome in rehabilitation units. However, the core aspect is the admission policy. In the reality, admissions at rehabilitation units require a prognosis for (a) functional improvement in the short midterm (1\u201312 months) and (b) need and tolerance for specific motor, cognitive, and visceral-sphincteric exercise treatments. Units can be differentiated in order to fit the needs of long stay-low-tolerance cases of any age, yet retaining their rehabilitation identity. Downstream a correct admission, elderly/comorbid patients may benefit from specific rehabilitation units not less than younger patients
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