504 research outputs found
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Preoperative Skin Conditioning: Extracellular Matrix Clearance and Skin Bed Preparation, A New Paradigm.
This paper introduces the concept of "skin bed preparation" prior to surgical procedures. Following the theory of chronic wound bed preparation and adapting the skin model to one of chronic wound changes related to extrinsic and intrinsic factors, a topical formulation aimed at recycling the extracellular matrix (ECM) from accumulated waste products is evaluated and discussed. The clearance of these products and stimulation of new replacements has the potential to change the regenerative milieu of the skin so that when procedures are carried out, cellular signaling and cross-talk at the dermal level are improved and healing is optimized. By introducing a combination of peptides and other synergistic active agents, a sequence of clearance, regeneration, and remodeling is initiated. This is confirmed and validated by a series of biopsies and clinical studies that demonstrate changes in the ECM as early as 2 to 3 weeks after application. Clinical studies related to resurfacing procedures show accelerated healing and improved symptomatic relief compared with standard of care by preconditioning the skin 2 weeks prior to the procedure. A similar approach is suggested as a potential advantage for invasive surgical procedures based on similar scientific principles elucidated on in the text
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What is Stopping the Renewable Energy Transformation and What Can the U.S. Government Do?
WE NEED CHEAP, RELIABLE, SAFE RENEWABLE ENERGY
Across the world we all inhabit, the economic system that we depend on is based on the one-time use of fossil fuels and other material resources. Our planet’s population has grown to over 7 billion people. We simply cannot continue using up materials and dumping the waste into a hole in the ground; we need to develop and deploy the technology to create a renewable resource-based economy. The future wellbeing of the United States, and of the planet as a whole, depends on the US government playing a more strategic and future-oriented role to bring about the transition to a renewable-resource-based economy.
We know that we must transition to renewable energy eventually, but with energy technology advancing every decade, why hasn’t the transformation to a renewable economy happened yet? What is preventing a more fundamental shift in our energy production and use? There are three barriers to this transformation: (1) technologies that still need advancing; (2) infrastructure that is not designed for distributed generation; and (3) complicated political challenges that limit our ability to make the tough choices necessary for long-term energy policies. The public sector is critical in the transition to a sustainable global economy. Smart sustainability policy and management can help the United States and other countries move past technological, market, and political barriers, and there are a range of federal policies that could lead us on the path toward a sustainable economy powered by clean energy
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All Environmental Politics is Local
The political differences we see on climate issues globally reflect different cultures and distinct stages of economic development. Just as global treaty negotiations work to bridge the divide between nations, Americans need to renew our search for common ground. For most of the 21st century, our national politics has been about how we differ. With the phrase “climate change” disappearing from U.S. federal government websites and increased talk of regulatory overreach, it is obvious that protecting the environment will continue to be a fault line in American political ideology. While there are plenty of examples of environmental regulations being administered with rigidity and inflexibility, there are far more examples of accommodation and a process that provides plenty of time for businesses and localities to comply with environmental standards
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The Irrelevance of Global Climate Talks
After 20 years, it's time to consider a new strateg
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Sustainability and Management Competence
After decades at the periphery of political and business agendas, sustainability and environmental protection have emerged at the center of our economic and political dialogue. Steven Cohen argues that increasingly, an organisation’s ability to achieve sustainability is seen as an indicator of a well-run organisation
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Sustainable New York City: A Work in Progress
New York City (NYC), under the leadership of Mayor Michael Bloomberg, has been at the forefront of a growing urban sustainability movement through its groundbreaking sustainability strategy - PlaNYC 2030. What are the city’s successes and failures? How can lessons from New York be applied in cities around the world
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Employing Strategic Planning in Environmental Regulation
This chapter addresses the issues surrounding effective regulation. Understanding the procedures involved in the development and implementation of regulation is the first step. Cohen then describes the tools of strategic regulation. Next, criticisms of different modes of regulation are discussed. The chapter concludes with a summary of the strategic approach to regulation
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Life Cycle Assessment and the U.S. Policy-Making Context
Environmental policy makers use life cycle assessment (LCA) to reduce scientific uncertainties about the environmental impact of technologies and products. However, the structure of the U.S. policy-making system often acts as a roadblock to the use of LCA outputs in decision making. This chapter discusses specific characteristics of the U.S. political system, which often make uncertainty-reducing assessments like life cycle assessment fall in a decision-making context: the incremental nature of the U.S. policy-making system; the place-based nature of environmental politics in the United States; and the uncertainties associated with the most environmental and scientific challenges
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Understanding the Sustainable Lifestyle
A sustainable environment and economy are possible only if they provide support to a sustainable lifestyle. This is a way of life that sees material consumption as a means rather than as an end and attempts to ensure that consumption has as little negative impact on the biosphere as possible
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A Strategic Framework for Devolving Responsibility and Functions from Government to the Private Sector
Whether a function should be performed within or outside government is a very broad issue that relates to personal values and views concerning the relationship between individual and state, as well as a complex set of management issues. Without trying to answer those questions here, this article begins from the premise that a particular function has been judged by the political process to be the responsibility of government. The article seeks to develop an approach for government managers to use when deciding whether to perform the function directly in-house or to perform the function indirectly through the use of a non-governmental organization. The first part of this article begins by delineating distinguishing characteristics of government, nonprofit, and private organizations, and then assesses the degree to which those characteristics impede or facilitate the performance of public functions. The article then develops a framework and a method for making privatization decisions. The decision to privatize requires strategic thinking; this article provides an example of how a strategic framework might be applied by analyzing the issues that would be faced in privatizing a key element of New York City's homeless program
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