Access to Pain Relief: An Essential Human Right

This report highlights the lack of access to pain relieving drugs throughout the world and calls for government action to make sure that all sections of society have equal and adequate access to pain control. The report shows the findings of a survey of palliative care workers in Asia, Africa and Latin America to ascertain their ability to prescribe and dispense pain relieving drugs

Optimal dynamic control of invasions: applying a systematic conservation approach

The social, economic, and environmental impacts of invasive plants are well recognized. However, these variable impacts are rarely accounted for in the spatial prioritization of funding for weed management. We examine how current spatially explicit prioritization methods can be extended to identify optimal budget allocations to both eradication and control measures of invasive species to minimize the costs and likelihood of invasion. Our framework extends recent approaches to systematic prioritization of weed management to account for multiple values that are threatened by weed invasions with a multi-year dynamic prioritization approach. We apply our method to the northern portion of the Daly catchment in the Northern Territory, which has significant conservation values that are threatened by gamba grass (Andropogon gayanus), a highly invasive species recognized by the Australian government as a Weed of National Significance (WONS). We interface Marxan, a widely applied conservation planning tool, with a dynamic biophysical model of gamba grass to optimally allocate funds to eradication and control programs under two budget scenarios comparing maximizing gain (MaxGain) and minimizing loss (MinLoss) optimization approaches. The prioritizations support previous findings that a MinLoss approach is a better strategy when threats are more spatially variable than conservation values. Over a 10-year simulation period, we find that a MinLoss approach reduces future infestations by ~8% compared to MaxGain in the constrained budget scenarios and ~12% in the unlimited budget scenarios. We find that due to the extensive current invasion and rapid rate of spread, allocating the annual budget to control efforts is more efficient than funding eradication efforts when there is a constrained budget. Under a constrained budget, applying the most efficient optimization scenario (control, minloss) reduces spread by ~27% compared to no control. Conversely, if the budget is unlimited it is more efficient to fund eradication efforts and reduces spread by ~65% compared to no control

Australian agricultural resources: A national scale land capability map

Ongoing land clearing is a key driver of biodiversity loss and climate change. Effective action to halt land clearing and land degradation ultimately relies on understanding patterns of land capability for production uses, in particular agriculture, as a key driver of land use. Here we describe a national agricultural land capability map for Australia, based on harmonized state agricultural land capability datasets and modelled pastoral capability. State-level agricultural land capability datasets capture regional variations in crop selection and suitability. Hence, we reclassified these datasets to fit a nationally consistent land capability ranking scheme. For regions in which agricultural capability data was not available, we modelled agricultural and pastoral capability and mapped this to the same ranking scheme. The national land capability dataset fills an immediate knowledge need for Australia. This dataset has wide potential for utilization, such as for retrospective analysis of land use policies and prospective regional planning initiatives to ensure forward looking policies and land use plans optimize land allocation

Uncertainties around the implementation of a clearing-control policy in a unique catchment in Northern Australia: exploring equity issues and balancing competing objectives

Land use change is the most significant driver linked to global species extinctions. In Northern Australia, the landscape is still relatively intact with very low levels of clearing. However, a re-energized political discourse around creating a northern food bowl means that currently intact ecosystems in northern Australia could be under imminent threat from increased land clearing and water extraction. These impacts are likely to be concentrated in a few regions with suitable soils and water supplies. The Daly River Catchment in the Northern Territory is an important catchment for both conservation and development. Land use in the Daly catchment has been subject to clearing guidelines that are largely untested in terms of their eventual implications for the spatial configuration of conservation and development. Given the guidelines are not legislated they might also be removed or revised by subsequent Territory Governments, including the recently-elected one. We examine the uncertainties around the spatial implications of full implementation of the Daly clearing guidelines and their potential effects on equity of opportunity across land tenures and land uses. We also examine how removal of the guidelines could affect conservation in the catchment. We conclude that the guidelines are important in supporting development in the catchment while still achieving conservation goals, and we recommend ways of implementing the guidelines to make best use of available land resources for intensified production

Advances in conservation science and practice in Oceania: delivering on research priorities for the region

[Extract] Oceania is a diverse region both biologically and culturally. Yet the region is also marked by high rates of biodiversity loss due to major threats such as habitat destruction, climate change and invasive species (Kingsford et al., 2009). Evidence-based strategies are needed for successful conservation in the region, and targeted research delivering on urgent practical questions can support this. In 2015, we set out to identify research questions that, if answered, would increase the effectiveness of conservation and natural resource management practice and policy within Oceania in the next 10 years (Weeks & Adams, 2017). The priority questions that we identified emphasized the need for research that addresses distinctive management challenges prevalent in Oceania, and which fits the sociocultural contexts of the region. Five years on, we reflect on some of the progress made in answering these priority questions, with the eight papers featured in this Special Section addressing 12 of the 38 priority questions (Table 1)

Collateral Damage: How the War on Terror Hurts Charities, Foundations, and the People They Serve

This paper is the result of collaborative research conducted by OMB Watch and Grantmakers Without Borders. We believe charities in the United States and throughout the world play a key role in democratic systems by giving citizens a vehicle for participation, providing tools and information that help people get involved, and delivering assistance to those in need. Since Sept. 11, 2001, we have witnessed counterterrorism programs erode the freedom and ability of charities and their funders to carry out their missions and improve the lives of the world's people. We believe that this is damaging civil society in the United States and negatively impacting the nation's reputation and effectiveness on the global stage. We hope this paper will serve as a resource for charities, foundations, and policymakers as they seek to understand the impacts that counterterrorism measures have on charities and as they look to develop more equitable policies that protect the inherent rights of charities and the people the organizations serve

Integrating dynamic processes into waterfowl conservation prioritization tools

Aim: Traditional approaches for including species' distributions in conservation planning have presented them as long-term averages of variation. Like these approaches, the main waterfowl conservation targeting tool in the United States Prairie Pothole Region (US PPR) is based primarily on long-term averaged distributions of breeding pairs. While this tool has supported valuable conservation, it does not explicitly consider spatiotemporal changes in spring wetland availability and does not assess wetland availability during the brood rearing period. We sought to develop a modelling approach and targeting tool that incorporated these types of dynamics for breeding waterfowl pairs and broods. This goal also presented an opportunity for us to compare predictions from a traditional targeting tool based on long-term averages to predictions from spatiotemporal models. Such a comparison facilitated tests of the underlying assumption that this traditional targeting tool could provide an effective surrogate measure for conservation objectives such as brood abundance and climate refugia. Location: US PPR. Methods: We developed spatiotemporal models of waterfowl pair and brood abundance within the US PPR. We compared the distributions predicted by these models and assessed similarity with the averaged pair data that is used to develop the current waterfowl targeting tool. Results: Results demonstrated low similarity and correlation between the averaged pair data and spatiotemporal brood and pair models. The spatiotemporal pair model distributions did not serve as better surrogates for brood abundance than the averaged pair data. Main conclusions: Our study underscored the contributions that the current targeting tool has made to waterfowl conservation but also suggested that conservation plans in the region would benefit from the consideration of inter- and intra-annual dynamics. We suggested that using only the averaged pair data and derived products might result in the omission of 58% - 88% of important pair and brood habitat from conservation plans. [Correction added on 5 February 2021, after first online publication: ‘Results’ text has been modified and the ‘Main conclusions’ omission percentages have been corrected.

Towards a framework for a collaborative support model to assist infection prevention and control programmes in low- and middle-income countries: a scoping review

Background: Infection prevention and control (IPC) in low- and middle-income countries (LMIC) is reported to be poorly supported because of limits in financial, human and physical resources and competing priorities in health budgets. As a result, there is often a role for external agencies to assist in strengthening IPC. While there are reports of how these partnerships have been put into practice, there are no reported frameworks or guidance documents to support the development of such relationships. Aim: The aim of this study is to identify the core elements of a collaborative support framework to assist LMIC in strengthening IPC. Methods: To achieve this, a systematic scoping review of available literature was conducted based on the guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA 2020). The databases MEDLINE, CINAHL, Embase and Scopus were utilised. The search strategy included different combinations of Medical Subject Heading (MeSH) terms, Emtree and keywords that are relevant to IPC collaboration in LMIC. Literature was limited to that published between 2005 and 2020 in the English language only. Results: Six core elements of comprehensive IPC collaborative support were identified with five IPC programme areas as minimum requirements, namely: 1) Collaborative Projects, 2) Policies and Procedures, 3) Training and Professional Development, 4) Surveillance Systems and 5) Assessment and Feedback. The last element, 6) Partnerships, was identified as an enabling factor. Conclusion: These six core elements should be considered when building a collaborative support model to assist IPC in LMIC

Adipogenesis in post-weanling pigs fed conjugated linoleic acid

The effects of conjugated linoleic acid (CLA) on lipogenesis and preadipocyte proliferation in young pigs were evaluated in two separate experiments. The first compared dietary effects of linoleic acid, beef tallow, and CLA on composition, lipogenesis, and DNA synthesis. Eighteen pigs weaned at 17 d of age were allotted randomly to corn-based diets supplemented with 1.5% corn oil, 1.5% tallow, or 1.5% CLA. The second experiment evaluated the effects of CLA included with diets high in polyunsaturated fat or beef tallow. Twenty-four pigs weaned at 17 d of age were allotted randomly to one of four corn-based diets supplemented with: 15% corn oil, 12% corn oil + 3% CLA, 15% tallow, and 12% tallow + 3% CLA. The piglets in both trials were fed a basal diet for 7 d and their respective diet for 35 d. [U-14C]Glucose incorporation into total lipids was (experiment 1): 10.64, 11.04, 13.64; (experiment 2): 21.15, 17.54, 21.34, and 19.52 nmol/(105 cells per h) for subcutaneous (s.c.) adipose tissue from corn oil, tallow, CLA; corn oil, corn oil + CLA, tallow, and tallow + CLA-fed piglets, respectively. Tritiated thymidine incorporation into DNA was not different in s.c. adipocytes across treatment groups, but was 5,581, 2,794, 6,573, and 3,760 dpm/(105 cells per h) in s.c. stromal vascular cells from corn oil, corn oil + CLA, tallow, and tallow + CLA-fed piglets, respectively (CLA main effect p<0.034). Additionally, there was a greater proportion of s.c. adipocytes in the smaller, 180-pL cell fraction from the corn oil + CLA-fed pigs (p<0.0074). CLA in the diet increased the s.c. adipose tissue concentration of 18:0 and decreased 16:1 and 18:1 (p<0.05), suggesting depression of stearoyl-coenzyme A desaturase (SCD) enzyme activity in the CLA-fed pigs. The concentration of CLA isomers was raised only slightly in s.c. adipose tissue with the addition of CLA to the diets even though the CLA oil contained 62% CLA isomers. No effects on the growth of young pigs were observed. However, CLA caused a more saturated fatty acid composition and may suppress preadipocyte proliferation, apparent SCD activity, and lipid filling of smaller cells

SB 106 Congressional and state legislative districts; standards and criteria

This report examines Senate Bill (SB) 106, introduced during the 2018 Virginia General Assembly session to address the criterion of redistricting and the specific impact on racial and ethnic minorities. This legislation is a direct response to previous legislative attempts to address gerrymandering and remains an evolving issue in the Commonwealth