Korea-second technology development project

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All at sea? Maritime dimensions of Europe's relations with Africa

The article examines three dimensions of Europe’s maritime relations with Africa: first, the notion that Europe’s strategic maritime frontiers are linked to Africa; second, the coherence or ‘actorness’ of the European Union’s (EU) anti-piracy force operating off the Horn of Africa; and third, the relationship between the EU’s own military and naval objectives and its wider regional policies in Africa. While the EU adopted a ‘Maritime Security Strategy’ in 2014, the article notes that, in practice, the EU’s strategy at sea has focused on two groups of ‘non-state actors’: the Africans who are ‘pirates’; and the migrants crossing the Mediterranean, who are the object of the EU’s Frontex patrols. As such, the initial question examined charts the somewhat fluid notion of the sea as a maritime frontier: where do Europe’s strategic interests in terms of its maritime frontiers lie? Is the EU’s anti-piracy mission defending them? Is this first-ever maritime mission a more tangible manifestation of EU’s common foreign and defence policy than some of the other shorter and smaller military and policing missions in Africa

Lessons from the 2018 drought for management of local water supplies in upland areas : a tracer-based assessment

Funding Information: We would like to acknowledge financial support from the UK Natural Environment Research Council (project NE/P010334/1) via a CASE industrial studentship with Chivas Brothers. David Drummond, Katya Dimitrova-Petrova and Eva Loerke are thanked for assistance with fieldwork, while we acknowledge Dr Aaron Neill for his advice on young water fraction analyses. Trevor Buckley and staff at the Glenlivet Distillery are thanked for on-site assistance and supply of data and abstraction records. We thank Audrey Innes, Dr Bernhard Scheliga, and Dr Ilse Kamerling for their support with the laboratory isotope analysis. Publisher Copyright: © 2020 The Authors. Hydrological Processes published by John Wiley & Sons Ltd. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Peer reviewedPublisher PD

Industrial and Human Ruins of Post Communist Europe

With the former industrial cities of Eastern Europe in ruin - once the pillars of these former communist economies - the attention of both investors and academics has shifted towards capital cities and their political and economic potential fueled by the rise of new governments and foreign direct investment. The failed attempts to privatize many of these former industrial spaces, has left entire cities in ruin and despair, forgotten by all but artists and preservationists, who see these spaces not only as aesthetically inspiring but also as charged with redemptive potential. This article puts forward an alternative exploration of the Eastern European post-communist transition through these ruined spaces, arguing that the aesthetic dimension of change is key to understanding the human impact of the transition. Focusing on two former industrial sites – the Hunedoara Ironworks in Romania and the Vitkovice Ironworks in the Czech Republic, the article seeks to understand the rhetorical and material relationship between these ruined spaces and the workers who once inhabited them as well as the effect that different practices of representation – mainly photography - and preservation have had on these spaces

Social Value of Marine and Coastal Protected Areas in England and Wales.

The U.K. government is committed to establishing a coherent network of marine protected areas by 2012 and the recentMarine and Coastal Access Act, 2009 will designate marine conservation zones and provide wider access rights to the coast. To fulfill these goals, this article argues the need for a clearer, shared understanding of the social value of protected areas in creating new designations and managing existing ones. Although marine and coastal environments attract many people and are vitally important in terms of realized and potential social value, the majority of the public in the United Kingdom lacks understanding and awareness regarding them. Combined with this, the social value of marine and coastal protected areas (MCPAs) have been largely ignored relative to conservation and economics, with the latter invariably taking precedence in environmental policymaking. Social value reflects the complex, individual responses that people experience in a given place. Many reasons determine why one area is valued above another, and this research investigates the social value of MCPAs from a practitioner’s perspective through a series of interviews. Understanding why we “socially” value MCPAs will ultimately equip managers with an informed understanding of these spaces, influence management decisions, and, potentially, policymaking. This article defines social value in the context of MCPAs in England and Wales from a practitioner perspective, explores key concepts, and suggests possible improvements in decision-making

Leveraging human capital to reduce maternal mortality in India: enhanced public health system or public-private partnership?

Developing countries are currently struggling to achieve the Millennium Development Goal Five of reducing maternal mortality by three quarters between 1990 and 2015. Many health systems are facing acute shortages of health workers needed to provide improved prenatal care, skilled birth attendance and emergency obstetric services – interventions crucial to reducing maternal death. The World Health Organization estimates a current deficit of almost 2.4 million doctors, nurses and midwives. Complicating matters further, health workforces are typically concentrated in large cities, while maternal mortality is generally higher in rural areas. Additionally, health care systems are faced with shortages of specialists such as anaesthesiologists, surgeons and obstetricians; a maldistribution of health care infrastructure; and imbalances between the public and private health care sectors. Increasingly, policy-makers have been turning to human resource strategies to cope with staff shortages. These include enhancement of existing work roles; substitution of one type of worker for another; delegation of functions up or down the traditional role ladder; innovation in designing new jobs;transfer or relocation of particular roles or services from one health care sector to another. Innovations have been funded through state investment, public-private partnerships and collaborations with nongovernmental organizations and quasi-governmental organizations such as the World Bank. This paper focuses on how two large health systems in India – Gujarat and Tamil Nadu – have successfully applied human resources strategies in uniquely different contexts to the challenges of achieving Millennium Development Goal Five

Automated data extraction from general practice records in an Australian setting: Trends in influenza-like illness in sentinel general practices and emergency departments

<p>Abstract</p> <p>Background</p> <p>Influenza intelligence in New South Wales (NSW), Australia is derived mainly from emergency department (ED) presentations and hospital and intensive care admissions, which represent only a portion of influenza-like illness (ILI) in the population. A substantial amount of the remaining data lies hidden in general practice (GP) records. Previous attempts in Australia to gather ILI data from GPs have given them extra work. We explored the possibility of applying automated data extraction from GP records in sentinel surveillance in an Australian setting.</p> <p>The two research questions asked in designing the study were: Can syndromic ILI data be extracted automatically from routine GP data? How do ILI trends in sentinel general practice compare with ILI trends in EDs?</p> <p>Methods</p> <p>We adapted a software program already capable of automated data extraction to identify records of patients with ILI in routine electronic GP records in two of the most commonly used commercial programs. This tool was applied in sentinel sites to gather retrospective data for May-October 2007-2009 and in real-time for the same interval in 2010. The data were compared with that provided by the Public Health Real-time Emergency Department Surveillance System (PHREDSS) and with ED data for the same periods.</p> <p>Results</p> <p>The GP surveillance tool identified seasonal trends in ILI both retrospectively and in near real-time. The curve of seasonal ILI was more responsive and less volatile than that of PHREDSS on a local area level. The number of weekly ILI presentations ranged from 8 to 128 at GP sites and from 0 to 18 in EDs in non-pandemic years.</p> <p>Conclusion</p> <p>Automated data extraction from routine GP records offers a means to gather data without introducing any additional work for the practitioner. Adding this method to current surveillance programs will enhance their ability to monitor ILI and to detect early warning signals of new ILI events.</p

Trends in healthy life expectancy in Hong Kong SAR 1996–2008

Although Hong Kong has one of the best life expectancy (LE) records in the world, second only to Japan for women, we know very little about the changes in the health status of the older adult population. Our article aims to provide a better understanding of trends in both chronic morbidity and disability for older men and women. The authors compute chronic morbidity-free and disability-free life expectancy and the proportion of both in relation to total LE using the Sullivan method to examine whether Hong Kong older adults are experiencing a compression of morbidity and disability and whether there is any gender difference in relation to mortality and morbidity. The results of this study show that Hong Kong women tend to outlive Hong Kong men but are also more likely to suffer from a ‘double disadvantage’, namely more years of life with more chronic morbidity and disability. There has also been a significant expansion of chronic morbidity, as chronic morbidity-free life expectancy (CMFLE) decreased substantially for both genders from 1996 to 2008. Although disability-free life expectancy (DFLE) increased during this period, it increased at a slower pace compared to LE. The proportion of life without chronic morbidity also declined remarkably during these 12 years. Among the advanced ages, the proportion of remaining life in good health without disability has decreased since 1996, indicating a relative expansion of disability

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis.

BACKGROUND: Child maltreatment is a substantial social problem that affects large numbers of children and young people in the UK, resulting in a range of significant short- and long-term psychosocial problems. OBJECTIVES: To synthesise evidence of the effectiveness, cost-effectiveness and acceptability of interventions addressing the adverse consequences of child maltreatment. STUDY DESIGN: For effectiveness, we included any controlled study. Other study designs were considered for economic decision modelling. For acceptability, we included any study that asked participants for their views. PARTICIPANTS: Children and young people up to 24 years 11 months, who had experienced maltreatment before the age of 17 years 11 months. INTERVENTIONS: Any psychosocial intervention provided in any setting aiming to address the consequences of maltreatment. MAIN OUTCOME MEASURES: Psychological distress [particularly post-traumatic stress disorder (PTSD), depression and anxiety, and self-harm], behaviour, social functioning, quality of life and acceptability. METHODS: Young Persons and Professional Advisory Groups guided the project, which was conducted in accordance with Cochrane Collaboration and NHS Centre for Reviews and Dissemination guidance. Departures from the published protocol were recorded and explained. Meta-analyses and cost-effectiveness analyses of available data were undertaken where possible. RESULTS: We identified 198 effectiveness studies (including 62 randomised trials); six economic evaluations (five using trial data and one decision-analytic model); and 73 studies investigating treatment acceptability. Pooled data on cognitive-behavioural therapy (CBT) for sexual abuse suggested post-treatment reductions in PTSD [standardised mean difference (SMD) -0.44 (95% CI -4.43 to -1.53)], depression [mean difference -2.83 (95% CI -4.53 to -1.13)] and anxiety [SMD -0.23 (95% CI -0.03 to -0.42)]. No differences were observed for post-treatment sexualised behaviour, externalising behaviour, behaviour management skills of parents, or parental support to the child. Findings from attachment-focused interventions suggested improvements in secure attachment [odds ratio 0.14 (95% CI 0.03 to 0.70)] and reductions in disorganised behaviour [SMD 0.23 (95% CI 0.13 to 0.42)], but no differences in avoidant attachment or externalising behaviour. Few studies addressed the role of caregivers, or the impact of the therapist-child relationship. Economic evaluations suffered methodological limitations and provided conflicting results. As a result, decision-analytic modelling was not possible, but cost-effectiveness analysis using effectiveness data from meta-analyses was undertaken for the most promising intervention: CBT for sexual abuse. Analyses of the cost-effectiveness of CBT were limited by the lack of cost data beyond the cost of CBT itself. CONCLUSIONS: It is not possible to draw firm conclusions about which interventions are effective for children with different maltreatment profiles, which are of no benefit or are harmful, and which factors encourage people to seek therapy, accept the offer of therapy and actively engage with therapy. Little is known about the cost-effectiveness of alternative interventions. LIMITATIONS: Studies were largely conducted outside the UK. The heterogeneity of outcomes and measures seriously impacted on the ability to conduct meta-analyses. FUTURE WORK: Studies are needed that assess the effectiveness of interventions within a UK context, which address the wider effects of maltreatment, as well as specific clinical outcomes. STUDY REGISTRATION: This study is registered as PROSPERO CRD42013003889. FUNDING: The National Institute for Health Research Health Technology Assessment programme

Tracers reveal limited influence of plantation forests on surface runoff in a UK natural flood management catchment

Study region United Kingdom (UK). Study focus Natural flood management (NFM) schemes are increasingly prominent in the UK. Studies of NFM have not yet used natural tracers at catchment scale to investigate how interventions influence partitioning during storms between surface rainfall runoff and water already stored in catchments. Here we investigate how catchment properties, particularly plantation forestry, influence surface storm rainfall runoff. We used hydrograph separation based on hydrogen and oxygen isotopes (2H, 18O) and acid neutralising capacity from high flow events to compare three headwater catchments (2.4-3.1 km2) with differences in plantation forest cover (Picea sitchensis: 94%, 41%, 1%) within a major UK NFM pilot, typical of the UK uplands. New hydrological insights Plantation forest cover reduced the total storm rainfall runoff fraction during all events (by up to 11%) when comparing two paired catchments with similar soils, geology and topography but ∼50% difference in forest cover. However, comparison with the third catchment, with negligible forest cover but different characteristics, suggests that soils and geology were dominant controls on storm rainfall runoff fraction. Furthermore, differences between events were greater than differences between catchments. These findings suggest that while plantation forest cover may influence storm rainfall runoff fractions, it is not a dominant control in temperate upland UK catchments, especially for larger events. Soils and geology may exert greater influence, with implications for planning NFM