Local institutions and Natural Resource Management

As researchers and policy-makers confront the challenges of and opportunities for improving natural resource management, increasing attention is being given to the dynamics of coupled natural-human systems. Interdisciplinary study of these coupled systems has generated considerable research and management innovations. Among these are more intensive research of the emergence and behavior of local institutions and consideration of the potential for voluntary and/or collaborative approaches to supplement conventional natural resource policy and management approaches. Front and center in this line of research are studies of local institutional responses to common pool resource management issues. Over time, this productive line of research is encouraging greater integration of insights across social science fields and identification of systematic patterns in research findings. Responding to such encouragement, this research blends insights from collective action theory, institutional rational choice and the institutional analysis and development (IAD) framework to investigate the distribution and success of resource-based organizations. Moreover, our research makes a unique contribution to this literature by considering the spatial aspects of these institutions' formation, behavior and success. Lake associations are an interesting class of resource-based organizations. These local, lake-centered institutions strive to address management issues using informal and voluntary strategies. Lake associations are most common in lake-rich states, including Minnesota, Michigan, Wisconsin, New York, New Hampshire and Maine. The objectives of these groups vary from narrow (private road maintenance) to broad (watershed health). These organizations allow for lake-centered boundaries including multiple jurisdictions, provide a voice to seasonal property owners, and resolve some issues related to coordination, property rights, and transaction costs. The numerous and diverse lake associations of Maine are the focus of our empirical work. The primary research objective of this analysis is to develop an integrated empirical modeling framework of lake association presence and lake management success. To fulfill this objective, we examined the relative performance of empirical econometric models that ignore and address potential sample selection bias. Because we only observe measures of lake association management success on lakes that have a lake association, the sample is non-random. In our empirical work, entry into the lake association management success sample is further complicated by our reliance on survey data to describe management behavior and performance. A broad secondary research objective is to continue exploring the extent to which the Institutional Development Analysis (IAD) framework can be used to explain the distribution and behavior of Maine lake associations. We assembled an extensive spatial database describing natural and human features of 2,602 Maine lakes (Maine's great ponds; > 10 acres in size) to support this analysis. We integrated this extensive database with a smaller survey-based database describing lake association behavior and natural resource management success. Data describing the distribution and success of lake associations were drawn from non-government organization, federal and state agency databases and primary survey data collected to describe social and economic characteristics of Maine lakes. We captured additional lake and association attributes by manipulating various state and federal GIS databases and creating primary spatial databases. Results to date reveal support for the IAD theoretical framework in describing factors influencing the presence of lake associations. These results offer guidance on how to better integrate the informal approaches of local institutions with more formal, regional government-based management approaches. By understanding where local institutions are likely to form and what issues they are best suited to address, state and federal government agencies can better work with local organizations to address the complexities of natural resource management. Results explaining variation in natural resource management success and the potential gains from an integrated model of presence and success are less robust and are constrained by limited available data describing management behavior and success.local institutions, natural resource management, institutional economics, lake associations, Resource /Energy Economics and Policy,

Ramifications of DRGs on Health Care Delivery in New Jersey

Diagnosis Related Groups, a prospective payment plan, were pilot tested in New Jersey starting in 1980. Within three years, they became the cost containment mechanism governing the state’s hospital patient care. Many changes resulted from the impact of this financial mechanism; hospitals, doctors, health care providers and patients were all affected as well as Visiting Nurse Associations and Health Maintenance Organizations. Because Diagnosis Related Groups have been utilized longer in New Jersey than in any other state, ramifications and emerging trends can be identitied. These changes may be of interest to health occupations teachers to help them acclimate their programs to the Diagnosis Related Groups phenomenon and to prepare for future changes

Strategies for Incorporating Gerontology into a Health Occupations Curriculum

Health occupations teachers have an opportunity to play a significant role in a major dilemma, providing care for the ever increasing number of elderly people. They can help their students improve their understanding of the problems and concerns of elderly people and they can suggest various strategies to enable their students to provide quality care to those they serve. The strategies suggested are those already utilized by some classroom teachers and involve classroom activities and role playing situations. Guidelines are provided to assist students in their interaction with elderly people and examples are given of students providing thoughtful care

Community capacity

This is a visual note of a research study report on building community capacity in social care. Based on: Knapp, Martin, Bauer, Annette, Perkins, Margaret and Snell, Tom (2010) "Building community capacity: making an economic case." PSSRU Discussion Papers, DP2772. Personal Social Services Research Unit, London, UK. - Winner of the LSE Research Festival 2014 Poster prize

Health Occupations Teacher Educators: Who Are They?

While little is known about vocational education teachers, less is known about vocational teacher educators, and even less than that is known about health I occupations teacher educators. In order to establish baseline information, a national survey was conducted to identify demographic and professional information about health occupations teachers educators. Findings of the study are compared to the I available information about vocational teacher educators. I upon professional characteristics, while recommendations Specific conclusions focus specify professional development considerations such as the need for the nurturing of current and future health occupations teacher educators

Reviews

The following publications have been reviewed by the mentioned authors;Technology Education for Teachers - reviewed by Bill GoddardUnderstanding Design and Technology Key Stage 2 & 3 - reviewed by Melanie FasciatoElectronics Tasks and Assignments - reviewed by Trevor TaylorOutline Scheme of Work 'Working towards Capability' - reviewed by Bill GoddardCADpius - reviewed by Les PorterTechnology 1 - reviewed by Richard AgerDigital Electronics - reviewed by David FosterAn Introduction to Usability - reviewed by Anne RiggsHow do they do that? - reviewed by Jonty KinsellaD & T Routes: Graphic Products - reviewed by George AsquithD & T Routes: Textiles - reviewed by Jillian MellorD & T Routes: Resistant Materials - reviewed by Chris SnellD & T Routes: Food - reviewed by Margaret JepsonD & T Routes: Control Products - reviewed by Chris WoodD & T Routes: Core Book - reviewed by Jenny JupeD & T Routes: Teacher's Resource - reviewed by Jenny Jup

Predicting the risk of acute kidney injury in primary care: derivation and validation of STRATIFY-AKI

BACKGROUND: Antihypertensives reduce the risk of cardiovascular disease but are also associated with harms including acute kidney injury (AKI). Few data exist to guide clinical decision making regarding these risks. AIM: To develop a prediction model estimating the risk of AKI in people potentially indicated for antihypertensive treatment. DESIGN AND SETTING: Observational cohort study using routine primary care data from the Clinical Practice Research Datalink (CPRD) in England. METHOD: People aged ≥40 years, with at least one blood pressure measurement between 130 mmHg and 179 mmHg were included. Outcomes were admission to hospital or death with AKI within 1, 5, and 10 years. The model was derived with data from CPRD GOLD (n = 1 772 618), using a Fine-Gray competing risks approach, with subsequent recalibration using pseudo-values. External validation used data from CPRD Aurum (n = 3 805 322). RESULTS: The mean age of participants was 59.4 years and 52% were female. The final model consisted of 27 predictors and showed good discrimination at 1, 5, and 10 years (C-statistic for 10-year risk 0.821, 95% confidence interval [CI] = 0.818 to 0.823). There was some overprediction at the highest predicted probabilities (ratio of observed to expected event probability for 10-year risk 0.633, 95% CI = 0.621 to 0.645), affecting patients with the highest risk. Most patients (>95%) had a low 1- to 5-year risk of AKI, and at 10 years only 0.1% of the population had a high AKI and low CVD risk. CONCLUSION: This clinical prediction model enables GPs to accurately identify patients at high risk of AKI, which will aid treatment decisions. As the vast majority of patients were at low risk, such a model may provide useful reassurance that most antihypertensive treatment is safe and appropriate while flagging the few for whom this is not the case

Leukocytes mediate disease pathogenesis in the Ndufs4(KO) mouse model of Leigh syndrome

Symmetric, progressive, necrotizing lesions in the brainstem are a defining feature of Leigh syndrome (LS). A mechanistic understanding of the pathogenesis of these lesions has been elusive. Here, we report that leukocyte proliferation is causally involved in the pathogenesis of LS. Depleting leukocytes with a colony-stimulating factor 1 receptor inhibitor disrupted disease progression, including suppression of CNS lesion formation and a substantial extension of survival. Leukocyte depletion rescued diverse symptoms, including seizures, respiratory center function, hyperlactemia, and neurologic sequelae. These data reveal a mechanistic explanation for the beneficial effects of mTOR inhibition. More importantly, these findings dramatically alter our understanding of the pathogenesis of LS, demonstrating that immune involvement is causal in disease. This work has important implications for the mechanisms of mitochondrial disease and may lead to novel therapeutic strategies

Mechanisms underlying neonate-specific metabolic effects of volatile anesthetics

Volatile anesthetics (VAs) are widely used in medicine, but the mechanisms underlying their effects remain ill-defined. Though routine anesthesia is safe in healthy individuals, instances of sensitivity are well documented, and there has been significant concern regarding the impact of VAs on neonatal brain development. Evidence indicates that VAs have multiple targets, with anesthetic and non-anesthetic effects mediated by neuroreceptors, ion channels, and the mitochondrial electron transport chain. Here, we characterize an unexpected metabolic effect of VAs in neonatal mice. Neonatal blood β-hydroxybutarate (β-HB) is rapidly depleted by VAs at concentrations well below those necessary for anesthesia. β-HB in adults, including animals in dietary ketosis, is unaffected. Depletion of β-HB is mediated by citrate accumulation, malonyl-CoA production by acetyl-CoA carboxylase, and inhibition of fatty acid oxidation. Adults show similar significant changes to citrate and malonyl-CoA, but are insensitive to malonyl-CoA, displaying reduced metabolic flexibility compared to younger animals