95 research outputs found

    A coastal vulnerability assessment for planning climate resilient infrastructure

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    publisher: Elsevier articletitle: A coastal vulnerability assessment for planning climate resilient infrastructure journaltitle: Ocean & Coastal Management articlelink: https://doi.org/10.1016/j.ocecoaman.2018.06.007 content_type: article copyright: © 2018 The Authors. Published by Elsevier Ltd

    Multi-center feasibility study evaluating recruitment, variability in risk factors and biomarkers for a diet and cancer cohort in India

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    <p>Abstract</p> <p>Background</p> <p>India's population exhibits diverse dietary habits and chronic disease patterns. Nutritional epidemiologic studies in India are primarily of cross-sectional or case-control design and subject to biases, including differential recall of past diet. The aim of this feasibility study was to evaluate whether a diet-focused cohort study of cancer could be established in India, providing insight into potentially unique diet and lifestyle exposures.</p> <p>Methods</p> <p>Field staff contacted 7,064 households within three regions of India (New Delhi, Mumbai, and Trivandrum) and found 4,671 eligible adults aged 35-69 years. Participants completed interviewer-administered questionnaires (demographic, diet history, physical activity, medical/reproductive history, tobacco/alcohol use, and occupational history), and staff collected biological samples (blood, urine, and toenail clippings), anthropometric measurements (weight, standing and sitting height; waist, hip, and thigh circumference; triceps, sub-scapula and supra-patella skin fold), and blood pressure measurements.</p> <p>Results</p> <p>Eighty-eight percent of eligible subjects completed all questionnaires and 67% provided biological samples. Unique protein sources by region were fish in Trivandrum, dairy in New Delhi, and pulses (legumes) in Mumbai. Consumption of meat, alcohol, fast food, and soft drinks was scarce in all three regions. A large percentage of the participants were centrally obese and had elevated blood glucose levels. New Delhi participants were also the least physically active and had elevated lipids levels, suggesting a high prevalence of metabolic syndrome.</p> <p>Conclusions</p> <p>A high percentage of participants complied with study procedures including biological sample collection. Epidemiologic expertise and sufficient infrastructure exists at these three sites in India to successfully carry out a modest sized population-based study; however, we identified some potential problems in conducting a cohort study, such as limited number of facilities to handle biological samples.</p

    Treatment of invasive fungal infections in cancer patients—Recommendations of the Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Oncology (DGHO)

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    The origins and essence of US social policy: on taxonomies, time and transfers

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    Our understanding of US social policy has not been advanced by the classification of welfare states that has dominated social policy analysis in recent years. But in biology and cosmology we can find useful examples of the way in which we can develop more theoretically informed and dynamic classifications. A common feature has been the incorporation of time and developmental paths into classification. The way in which social and political developments unfold over time is particularly important in social policy and, in the case of the USA, this has enabled us to understand that social policies can and have changed, with a rich mix of progressive and regressive policies evolving and receding over the decades. In view of the dominance of the USA in world affairs and the global transfer of resources, ideas and polices across regions, this more subtle analysis of the nature of US social policy is essential

    Aid allocation to fragile states: Absorptive capacity constraints

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    The international donor community has grave concerns about the effectiveness of aid to countries it classifies as 'fragile states'. The impact of aid on growth and poverty reduction and the ability to efficiently absorb additional inflows is thought to be significantly lower in these countries compared to other recipients. This paper examines this issue and suggests that a while a number of fragile states can efficiently absorb more aid than they have received, a number receive far more aid than they can efficiently absorb from a perspective based purely on per capita income growth. Policy recommendations are provided. Copyright © 2008 John Wiley & Sons, Ltd.
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