Global Norms in Domestic Politics: Environmental Norm Contestation in Cambodia’s Hydropower Sector

This paper studies environmental norm contestation in Cambodia's hydropower sector, exemplified by the Kamchay Dam. In Cambodia we can observe different discourses in relation to hydropower. These stem directly from a local contest over the path of Cambodia's development, but use global norms as reference points: one emphasizes environmental protection, using environmental impact assessment (EIA) as point of reference; and one emphasizes the utility of the clean development mechanism (CDM) to attract large-scale investment into the energy sector while downplaying the need for environmental protection. While EIA and CDM are complementary, key actors present them as contradictory. This produces a normative fragmentation of the field of environmental protection. The paper argues that the norm diffusion literature, by presenting norm conflicts as hierarchical local–global conflicts, has paid insufficient attention to the fact that local actors actively draw on global norms to justify domestic development policies. More emphasis on this phenomenon will lead to a better understanding of the role of global norms in domestic politics and will enhance our knowledge of how domestic development policies are contested

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

A knowledge-based decision support tool for selecting Eco wastewater treatment technologies in today\u2019s global complexities

A knowledge-based decision support tool for selecting Eco wastewater treatment technologies in today\u2019s global complexitie

Pregnancy-Related Complications in Patients With Fibromuscular Dysplasia: A Report From the European/International Fibromuscular Dysplasia Registry.

Current literature suggests a higher risk of pregnancy-related complications in patients with renal fibromuscular dysplasia (FMD). The aim of our study was to assess the nature and prevalence of pregnancy-related complications in patients subsequently diagnosed with FMD. A call for participation was sent to centers contributing to the European/International FMD Registry. Patients with at least 1 pregnancy were included. Data on pregnancy were collected through medical files and FMD characteristics through the European/International FMD Registry. Data from 534 pregnancies were obtained in 237 patients. Despite the fact that, in 96% of cases, FMD was not diagnosed before pregnancy, 40% of women (n=93) experienced pregnancy-related complications, mostly gestational hypertension (25%) and preterm birth (20%), while preeclampsia was reported in only 7.5%. Only 1 patient experienced arterial dissection and another patient an aneurysm rupture. When compared with patients without pregnancy-related complications, patients with complicated pregnancies were younger at FMD diagnosis (43 versus 51 years old; <0.001) and had a lower prevalence of cerebrovascular FMD (30% versus 52%; =0.003) but underwent more often renal revascularization (63% versus 40%, <0.001). In conclusion, the prevalence of pregnancy-related complications such as gestational hypertension and preterm birth was high in patients with FMD, probably related to the severity of renal FMD. However, the prevalence of preeclampsia and arterial complications was low/moderate. These findings emphasize the need to screen hypertensive women for FMD to ensure revascularization before pregnancy if indicated and appropriate follow-up during pregnancy, without discouraging patients with FMD from considering pregnancy