81 research outputs found
Many Happy Returns: Eradication, Re-Wilding and the Case of Lord Howe Island
Colonialist concepts continue to drive Parks and Wildlife/ Conservation Department policies and practices in Australia and other settler colonies. In the case of Australia, returning the country to its pre- European invasion (pristine) condition becomes policy dictate, even where the often draconian implementations of these parameters prove unsuitable or even dangerous. And the notion of restoring Australian ecosystems to their pre-1788 condition is closely linked to the fetishisation of species purity. Australia has one of the world\u27s highest extinction rates, and conservation of what remains is obviously of paramount importance. But the emphasis on eradication of so-called ‘pest’ species can sometimes become counterproductive – reducing rather than enhancing or shoring up biodiversity. An instance of the latter is provided by the recent Rat Eradication Project on Lord Howe Island, where losses promise to be greater than gains, biodiversity reduced rather than increased, and unethical animal suffering simply ignored
Human interests
Treves et al.’s proposal is welcome, but it will have to face at least four challenges: the interconnectedness of the human and the nonhuman portions of the biosphere, conflicts of interest, human overpopulation, and capitalism itself
Introduction
\u27A second epoch of colonisation\u27 - this is how Wole Soyinka characterises Western theoretical practice as it applies itself, even with the best of intentions, to the cultural productions of the non-Western world. And it would be fair to say that post-colonial writing - by which we mean writing that is grounded in the cultural realities of those societies whose subjectivity has been constituted at least in part by the subordinating power of European colonialism - contains hundreds of such statements: statements which lay bare the material, often devastating, consequences of a centuries-long imposition of Euro-American conceptual patterns onto a world that is at once \u27out there\u27 and yet thoroughly assimilable to the psychic grasp of Western cognition
"Biali czytają książki, a my polujemy na głowy" : handel ludzkimi głowami na Borneo
"„Biali czytają książki, a my polujemy na głowy”, takie to intrygujące słowa miały paść z ust wojownika Iban w rozmowie z angielskim administratorem, podróżnikiem i dyplomatą , Spenserem St. Johnem. Choć na pierwszy rzut oka stwierdzenie to może wydawać się dość enigmatyczne, jest z pewnością bardzo wymowne [...]"
The improving outcomes in intermittent exotropia study: outcomes at 2 years after diagnosis in an observational cohort
Background:
The purpose of this study was to investigate current patterns of management and outcomes of intermittent distance exotropia [X(T)] in the UK.
Methods:
This was an observational cohort study which recruited 460 children aged < 12 years with previously untreated X(T). Eligible subjects were enrolled from 26 UK hospital ophthalmology clinics between May 2005 and December 2006. Over a 2-year period of follow-up, clinical data were prospectively recorded at standard intervals from enrolment. Data collected included angle, near stereoacuity, visual acuity, control of X(T) measured with the Newcastle Control Score (NCS), and treatment. The main outcome measures were change in clinical outcomes (angle, stereoacuity, visual acuity and NCS) in treated and untreated X(T), 2 years from enrolment (or, where applicable, 6 months after surgery). Change over time was tested using the chi-square test for categorical, Wilcoxon test for non-parametric and paired-samples t-test for parametric data.
Results:
At follow-up, data were available for 371 children (81% of the original cohort). Of these: 53% (195) had no treatment; 17% (63) had treatment for reduced visual acuity only (pure refractive error and amblyopia); 13% (50) had non surgical treatment for control (spectacle lenses, occlusion, prisms, exercises) and 17% (63) had surgery. Only 0.5% (2/371) children developed constant exotropia. The surgically treated group was the only group with clinically significant improvements in angle or NCS. However, 8% (5) of those treated surgically required second procedures for overcorrection within 6 months of the initial procedure and at 6-month follow-up 21% (13) were overcorrected.
Conclusions:
Many children in the UK with X(T) receive active monitoring only. Deterioration to constant exotropia, with or without treatment, is rare. Surgery appears effective in improving angle of X(T) and NCS, but rates of overcorrection are high
Modelling the Health Impact of an English Sugary Drinks Duty at National and Local Levels
Increasing evidence associates excess refined sugar intakes with obesity, Type 2 diabetes and heart disease. Worryingly, the estimated volume of sugary drinks purchased in the UK has more than doubled between 1975 and 2007, from 510ml to 1140ml per person per week. We aimed to estimate the potential impact of a duty on sugar sweetened beverages (SSBs) at a local level in England, hypothesising that a duty could reduce obesity and
related diseases.
Methods and Findings
We modelled the potential impact of a 20% sugary drinks duty on local authorities in England between 2010 and 2030. We synthesised data obtained from the British National Diet and Nutrition Survey (NDNS), drinks manufacturers, Office for National Statistics, and
from previous studies. This produced a modelled population of 41 million adults in 326 lower tier local authorities in England. This analysis suggests that a 20% SSB duty could result in approximately 2,400 fewer diabetes cases, 1,700 fewer stroke and coronary heart
disease cases, 400 fewer cancer cases, and gain some 41,000 Quality Adjusted Life Years (QALYs) per year across England. The duty might have the biggest impact in urban areas with young populations.
Conclusions
This study adds to the growing body of evidence suggesting health benefits for a duty on sugary drinks. It might also usefully provide results at an area level to inform local price interventions in England
Lenses and levels: the why, what and how of measuring health system drivers of women’s, children’s and adolescents’ health with a governance focus
Health systems are critical for health outcomes as they
underpin intervention coverage and quality, promote users’
rights and intervene on the social determinants of health.
Governance is essential for health system endeavours
as it mobilises and coordinates a multiplicity of actors
and interests to realise common goals. The inherently
social, political and contextualised nature of governance,
and health systems more broadly, has implications for
measurement, including how the health of women, children
and adolescents health is viewed and assessed, and for
whom. Three common lenses, each with their own views of
power dynamics in policy and programme implementation,
include a service delivery lens aimed at scaling effective
interventions, a societal lens oriented to empowering
people with rights to effect change and a systems lens
concerned with creating enabling environments for
adaptive learning. We illustrate the implications of each
lens for the why, what and how of measuring health
system drivers across micro, meso and macro health
systems levels, through three examples (digital health,
maternal and perinatal death surveillance and review, and
multisectoral action for adolescent health). Appreciating
these underpinnings of measuring health systems and
governance drivers of the health of women, children and
adolescents is essential for a holistic learning and action
agenda that engages a wider range of stakeholders,
which includes, but also goes beyond, indicator-based
measurement. Without a broadening of approaches to
measurement and the types of research partnerships
involved, continued investments in the health of women,
children and adolescents will fall short
Health, education, and social care provision after diagnosis of childhood visual disability
Aim: To investigate the health, education, and social care provision for children newly diagnosed with visual disability.Method: This was a national prospective study, the British Childhood Visual Impairment and Blindness Study 2 (BCVIS2), ascertaining new diagnoses of visual impairment or severe visual impairment and blindness (SVIBL), or equivalent vi-sion. Data collection was performed by managing clinicians up to 1-year follow-up, and included health and developmental needs, and health, education, and social care provision.Results: BCVIS2 identified 784 children newly diagnosed with visual impairment/SVIBL (313 with visual impairment, 471 with SVIBL). Most children had associated systemic disorders (559 [71%], 167 [54%] with visual impairment, and 392 [84%] with SVIBL). Care from multidisciplinary teams was provided for 549 children (70%). Two-thirds (515) had not received an Education, Health, and Care Plan (EHCP). Fewer children with visual impairment had seen a specialist teacher (SVIBL 35%, visual impairment 28%, χ2p < 0.001), or had an EHCP (11% vs 7%, χ2p < 0 . 01).Interpretation: Families need additional support from managing clinicians to access recommended complex interventions such as the use of multidisciplinary teams and educational support. This need is pressing, as the population of children with visual impairment/SVIBL is expected to grow in size and complexity.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited
Efeitos da mobilidade social na saúde mental de adultos: uma revisão sistemática da literatura
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