Civil society participation in international governance : the UN and the WTO compared

Civil society participation has become a buzzword in the debate about the legitimacy and accountability of international governance. Many organizations, prominently among them the World Trade Organization (WTO), have come under considerable pressure to open up their policy-making process towards non-state actors. Although the WTO has become more transparent in recent years, direct stakeholder access to its policy making is still denied. This situation is often contrasted with that at the United Nations (UN), where there is (allegedly) much more formally regulated and more substantial participation of civil society. In this paper, we compare the patterns of participation in these two organizations and seek to identify some common dynamics. We present a general framework for analysis based on a model of the policy cycle that allows us to distinguish ‘push’ and ‘pull’ factors that determine cooperation in different phases of policy making. In our empirical study, we find that in the WTO, there are few incentives for the organization itself to pull civil society actors into its policy-making process. Agendasetting is the task of governments; research and analysis is delivered by the Secretariat; compliance control is undertaken jointly by the organization and its members. To push the door to trade policy making open, civil society can only rely on public shaming, that is, threatening to undermine the organization’s legitimacy as it violates widely accepted standards of good governance. In the UN system, there is in fact more cooperation, but it remains largely limited to the policy phases of agenda-setting, research and analysis and compliance control. Quite like the WTO, the UN protects an intergovernmental core of policy making in which cooperation with civil society remains at the discretion of state parties. Evidence for this are informal and ad hoc ways of collaboration and a lack of participatory rights for non-state actors in the Security Council and the General Assembly. We conclude that studying civil society participation in international public organizations through the lens of the policy cycle can give us a fine-grained picture of cooperative arrangements and enables us to identify potentials for cooperation as well as exclusion. Yet, we also observed two other factors at work that were not really grasped by the model of the policy cycle. First, the institutional culture of organizations can be more or less amenable to civil society. Second, organizations are susceptible to campaigns for ‘good governance’ that invoke standards of due process and may open the door to nonstate actors

Taxonomic and functional responses of benthic macroinvertebrate communities to hydrological and water quality variations in a heavily regulated river

Aquatic macroinvertebrates are frequently used to evaluate river system conditions and restoration project performance. A better understanding of macroinvertebrate community responses to multiple stressors is a primary challenge for river science. In this paper, macroinvertebrate responses to hydrological and water quality variability were studied in the regulated Oglio River (northern Italy). We hypothesized that in regulated rivers the hydrological, rather than the physico-chemical conditions, would affect macroinvertebrate communities and biomonitoring tools (taxonomic metrics and functional indices). Repeated sampling (six times a year) was performed at four sites downstream of four dams in a 30 km river stretch during 2014 and 2015. Data were analysed using a linear mixed effect framework, to take into account random variation due to site and sampling date, and with multivariate analysis to track changes in community structure. A total of 69 families and 134,693 organisms were identified. The investigated metrics were mainly affected by the coefficient of variation of discharge, minimum discharge, ammonium, and temperature. The short-term dynamics of hydrological and physico-chemical variables were generally less important than the overall random effects as drivers of macroinvertebrate-based metrics. However, the relevance of a random effect (site, time, their interaction) differed depending on the biological metrics analysed. Understanding potential differences in response to short term and short stretch conditions would benefit biomonitoring and restoration procedures in both regulated and natural rivers

Carbon and nitrogen stocks and humic fractions in Brazilian organosols.

Despite limited geographic expression of Organosols in Brazil, their high carbon storage capacity and natural environmental vulnerability justifies further studies on C and N stocks in these soils and their relationship to the nature of organic matter. Evaluation of physical and chemical properties of organic soils and their ability to store C is important so as to develop sustainable management practices for their preservation. The objectives of the study were to measure the total organic carbon stock (OCst), total nitrogen stock (Nst), and humic fractions in Organosols from different environments and regions of Brazil, and to correlate the data with soil chemical (pH, P, K, Ca2+, Mg2+, Al3+, H+Al, CEC, V) and physical properties (soil bulk density, Bd; organic matter density, OMd; total pore space, TPS; minimum residue, MinR; and proportion of mineral matter, MM), and degree of organic matter decomposition (rubbed fiber content; pyrophosphate index, PyI; and von Post index). For that purpose, 18 Organosol profiles, in a total of 49 horizons, were sampled under different land usage and plant coverage conditions. The profiles were located in the following Brazilian states - Alagoas, Bahia, Distrito Federal, Espírito Santo, Mato Grosso do Sul, Minas Gerais, Paraná, Rio de Janeiro, Rio Grande do Sul, Santa Catarina, and São Paulo. The OCst and Nst varied significantly among horizons and profiles. The Organosols exhibited, on average, 203.59 Mg ha-1 OCst and 8.30 Mg ha-1 Nst, and the highest values were found in profiles with pasture usage. The content of the humic fraction (humin, HUM; fulvic acid, FAF; and humic acid, HAF) and C storage varied in the soil horizons and profiles according to the degree of decomposition and other factors of soil formation. The OCst, Nst, OMd and the C stocks in the humic fractions were positively correlated. The values of acidity were lower in the soils with higher contents of mineral material, and low pH values were related to a high C/N ratio. The OCst and Nst were correlated with different soil properties, the most important being the degree of soil organic matter decomposition, which was inversely correlated

Nintedanib targets KIT D816V neoplastic cells derived from induced pluripotent stem cells of systemic mastocytosis

The KIT D816V mutation is found in >80% of patients with systemic mastocytosis (SM) and is key to neoplastic mast cell (MC) expansion and accumulation in affected organs. Therefore, KIT D816V represents a prime therapeutic target for SM. Here, we generated a panel of patient-specific KIT D816V induced pluripotent stem cells (iPSCs) from patients with aggressive SM and mast cell leukemia to develop a patient-specific SM disease model for mechanistic and drug-discovery studies. KIT D816V iPSCs differentiated into neoplastic hematopoietic progenitor cells and MCs with patient-specific phenotypic features, thereby reflecting the heterogeneity of the disease. CRISPR/Cas9n-engineered KIT D816V human embryonic stem cells (ESCs), when differentiated into hematopoietic cells, recapitulated the phenotype observed for KIT D816V iPSC hematopoiesis. KIT D816V causes constitutive activation of the KIT tyrosine kinase receptor, and we exploited our iPSCs and ESCs to investigate new tyrosine kinase inhibitors targeting KIT D816V. Our study identified nintedanib, a US Food and Drug Administration-approved angiokinase inhibitor that targets vascular endothelial growth factor receptor, platelet-derived growth factor receptor, and fibroblast growth factor receptor, as a novel KIT D816V inhibitor. Nintedanib selectively reduced the viability of iPSC-derived KIT D816V hematopoietic progenitor cells and MCs in the nanomolar range. Nintedanib was also active on primary samples of KIT D816V SM patients. Molecular docking studies show that nintedanib binds to the adenosine triphosphate binding pocket of inactive KIT D816V. Our results suggest nintedanib as a new drug candidate for KIT D816V-targeted therapy of advanced SM.Peer reviewe

Impact on Prehospital Delay of a Stroke Preparedness Campaign: A SW-RCT (Stepped-Wedge Cluster Randomized Controlled Trial)

Background and Purpose—Public campaigns to increase stroke preparedness have been tested in different contexts, showing contradictory results. We evaluated the effectiveness of a stroke campaign, designed specifically for the Italian population in reducing prehospital delay. Methods—According to an SW-RCT (Stepped-Wedge Cluster Randomized Controlled Trial) design, the campaign was launched in 4 provinces in the northern part of the region Emilia Romagna at 3-month intervals in randomized sequence. The units of analysis were the patients admitted to hospital, with stroke and transient ischemic attack, over a time period of 15 months, beginning 3 months before the intervention was launched in the first province to allow for baseline data collection. The proportion of early arrivals (within 2 hours of symptom onset) was the primary outcome. Thrombolysis rate and some behavioral end points were the secondary outcomes. Data were analyzed using a fixed-effect model, adjusting for cluster and time trends. Results—We enrolled 1622 patients, 912 exposed and 710 nonexposed to the campaign. The proportion of early access was nonsignificantly lower in exposed patients (354 [38.8%] versus 315 [44.4%]; adjusted odds ratio, 0.81; 95% confidence interval, 0.60–1.08; P=0.15). As for secondary end points, an increase was found for stroke recognition, which approximated but did not reach statistical significance (P=0.07). Conclusions—Our campaign was not effective in reducing prehospital delay. Even if some limitations of the intervention, mainly in terms of duration, are taken into account, our study demonstrates that new communication strategies should be tested before large-scale implementation. Clinical Trial Registration—URL: http://www.clinicaltrials.gov. Unique identifier: NCT01881152

Serum IgG against Simian Virus 40 antigens are hampered by high levels of sHLA-G in patients affected by inflammatory neurological diseases, as multiple sclerosis

Background: Many investigators detected the simian polyomavirus SV40 footprints in human brain tumors and neurologic diseases and recently it has been indicated that SV40 seems to be associated with multiple sclerosis (MS) disease. Interestingly, SV40 interacts with human leukocyte antigen (HLA) class I molecules for cell entry. HLA class I antigens, in particular non-classical HLA-G molecules, characterized by an immune-regulatory function, are involved in MS disease, and the levels of these molecules are modified according with the disease status. Objective: We investigated in serum samples, from Italian patients affected by MS, other inflammatory diseases (OIND), non-inflammatory neurological diseases (NIND) and healthy subjects (HS), SV40-antibody and soluble sHLA-G and the association between SV40-prevalence and sHLA-G levels. Methods: ELISA tests were used for SV40-antibodies detection and sHLA-G quantitation in serum samples. Results: The presence of SV40 antibodies was observed in 6 % of patients affected by MS (N = 4/63), 10 % of OIND (N = 8/77) and 15 % of NIND (N = 9/59), which is suggestive of a lower prevalence in respect to HS (22 %, N = 18/83). MS patients are characterized by higher sHLA-G serum levels (13.9 \ub1 0.9 ng/ml; mean \ub1 St. Error) in comparison with OIND (6.7 \ub1 0.8 ng/ml), NIND (2.9 \ub1 0.4 ng/ml) and HS (2.6 \ub1 0.7 ng/ml) subjects. Interestingly, we observed an inverse correlation between SV40 antibody prevalence and sHLA-G serum levels in MS patients. Conclusion: The data obtained showed a low prevalence of SV40 antibodies in MS patients. These results seems to be due to a generalized status of inability to counteract SV40 infection via antibody production. In particular, we hypothesize that SV40 immune-inhibitory direct effect and the presence of high levels of the immune-inhibitory HLA-G molecules could co-operate in impairing B lymphocyte activation towards SV40 specific peptides