Being, having, doing and interacting: towards ethical democracy, governance and stewardship

ISSS proceedings are published under a Creative Commons Attribution-NonCommercial-ShareAlike License.The presentation of the attached user guide aims to address the conference themes by considering the challenge posed by Stiglitz (2010) to the Australian Productivity Commission, namely to foster an understanding that the wellbeing of humanity is dependent on the global commons. The focus of the research is on addressing social, economic and environmental factors that help to mitigate and adapt to climate change. Joseph Stiglitz past president of the World Bank has stressed (at the invitation of the Australian Productivity Commission) that the bottom line is wellbeing – this requires building stocks for the future ( Stiglitz, et al, 2010). Wellbeing is crucial to re-designing economics

Balancing individualism and collectivism: user-centric policy design to enhance evolutionary development and to address complex needs

The paper discusses research on representation, accountability and sustainability based on testing out ideas with those who are to be affected by the decision-making process. The paper reflects on the relevance of participation for science, democracy and governance in policy development

Reconsidering boundaries

Made available in accordance with the publisher's terms.The critical reflection aims to identify the need to recognize our interconnectedness and to reframe the nation state. I provide a brief outline of the landscape of the complex field, defined by intersections spanning social, cultural, political, economic and environmental contributions from the social and natural sciences. A case is made for those who are not protected by the social contract, including young people, non-citizens, the disabled, sentient beings and the environment on which we all depend. The contribution highlights the empirical contradictions and theoretical tensions that have implications for social and environmental justice

Participatory Public Education: A cosmopolitan approach to social and environmental justice

This Journal is an open access journal. All articles are made freely available to readers.Our open access policy is in in accordance with the Budapest Open Access Initiative (BOAI) definition - it means that articles have free availability on the public internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from gaining access to the internet itself

Multicultural Education: Challenges and Opportunities for Participatory Education Research: From Clash of civilisations to Co-creation and Co- determination

The Journal is an open access journal. All articles are made freely available to readers.Our open access policy is in in accordance with the Budapest Open Access Initiative (BOAI) definition - it means that articles have free availability on the public internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from gaining access to the internet itself.The paper addresses ways for multicultural education to respond to current social, cultural, political, economic and environmental challenges in increasingly urbanized areas where the divides between rich and poor are widening. Public education needs to address human capacity and capabilities to live sustainably, because current and future generations face the prospect of ‘food deserts’ and increasingly impoverished communities in cities without adequate resources to maintain a decent quality of life. Participatory research needs to facilitate the engagement of policy makers and young people to address food, energy and water security by balancing individual and collective needs in rural and urban areas. Educators and policy researchers need to work together with many stakeholders who can contribute diverse ways of knowing to inform discipline based knowledge and better policy decisions. It will require enabling everyone to feel that they are represented, respected and heard within accountable learning communities, supported by a community of practice. Public Participatory Education in a globalised world needs to build the capacity of people to become leaders in their own right who strive not merely for basic needs but also for social and environmental justice by voicing their concerns strategically at the local and regional level

Ecological footprint and governing the anthropocene through balancing individualism and collectivism

ISSS proceedings are published under a Creative Commons Attribution-NonCommercial-ShareAlike License.The current way of life is unsustainable (Papadimitriou, 2014) and in a bid to maintain the status quo – profit is extracted from people and the environment. The challenge of scaling up efforts to engage people in an alternative forms of democracy and governance is that currently the response to social, economic and environmental challenges is that internationally politics is being shaped by so-called realist politics (Beardsworth, 2011) based on a) competition for resources, b) the notion that profit and loss, win and lose is contained /carried by ‘the other’ and c) Huntington’s ‘clash of cultures’ thesis rather than an understanding of our interlinked, co-created and co-determined fate

Towards local government strategic planning in Vietnam: systemic governance interventions for sustainability

Canad

Striving for sustainable global democracy through a group decision-making process: a critical review of an online course to model transformative praxis

The Journal is an open access journal. All articles are made freely available to readers.Our open access policy is in in accordance with the Budapest Open Access Initiative (BOAI) definition - it means that articles have free availability on the public internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from gaining access to the internet itself.Sustainability is not simply about changing practices but more centrally about agreeing to change practices together’ (Flanagan et al. 2011). To achieve such ends, groups need to improve processes for making complex decisions together. The challenge faced recently in Copenhagen (including a large number of diverse participants in policy discussions) indicates the need for new ways to mprove discursive democracy. Poverty and climate change are ‘wicked’ problems (Rittel and Webber 1984) that comprise many diverse interrelated variables and that have a strong value and emotional dimension. The shortcomings of many approaches to these problems is that they are expert driven, do not involve the public in decision making, and have a narrow focus on technical issues. They do not consider issues in terms of their interrelated complexity with human cultural issues and values. This paper addresses the transboundary conundrum of how to address complex social and environmental challenges while engaging with people's diverse values and emotion

Towards achieving Abuja targets: identifying and addressing barriers to access and use of insecticides treated nets among the poorest populations in Kenya

<p>Abstract</p> <p>Background</p> <p>Ensuring that the poor and vulnerable population benefit from malaria control interventions remains a challenge for malaria endemic countries. Until recently, ownership and use of insecticides treated nets (ITNs) in most countries was low and inequitable, although coverage has increased in countries where free ITN distribution is integrated into mass vaccination campaigns. In Kenya, free ITNs were distributed to children aged below five years in 2006 through two mass campaigns. High and equitable coverage were reported after the campaigns in some districts, although national level coverage remained low, suggesting that understanding barriers to access remains important. This study was conducted to explore barriers to ownership and use of ITNs among the poorest populations before and after the mass campaigns, to identify strategies for improving coverage, and to make recommendations on how increased coverage levels can be sustained.</p> <p>Methods</p> <p>The study was conducted in the poorest areas of four malaria endemic districts in Kenya. Multiple data collection methods were applied including: cross-sectional surveys (n = 708 households), 24 focus group discussions and semi-structured interviews with 70 ITN suppliers.</p> <p>Results</p> <p>Affordability was reported as a major barrier to access but non-financial barriers were also shown to be important determinants. On the demand side key barriers to access included: mismatch between the types of ITNs supplied through interventions and community preferences; perceptions and beliefs on illness causes; physical location of suppliers and; distrust in free delivery and in the distribution agencies. Key barriers on the supply side included: distance from manufacturers; limited acceptability of ITNs provided through interventions; crowding out of the commercial sector and the price. Infrastructure, information and communication played a central role in promoting or hindering access.</p> <p>Conclusions</p> <p>Significant resources have been directed towards addressing affordability barriers through providing free ITNs to vulnerable groups, but the success of these interventions depends largely on the degree to which other barriers to access are addressed. Only if additional efforts are directed towards addressing non-financial barriers to access, will high coverage levels be achieved and sustained.</p

Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19: The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial.

Importance: Evidence regarding corticosteroid use for severe coronavirus disease 2019 (COVID-19) is limited. Objective: To determine whether hydrocortisone improves outcome for patients with severe COVID-19. Design, Setting, and Participants: An ongoing adaptive platform trial testing multiple interventions within multiple therapeutic domains, for example, antiviral agents, corticosteroids, or immunoglobulin. Between March 9 and June 17, 2020, 614 adult patients with suspected or confirmed COVID-19 were enrolled and randomized within at least 1 domain following admission to an intensive care unit (ICU) for respiratory or cardiovascular organ support at 121 sites in 8 countries. Of these, 403 were randomized to open-label interventions within the corticosteroid domain. The domain was halted after results from another trial were released. Follow-up ended August 12, 2020. Interventions: The corticosteroid domain randomized participants to a fixed 7-day course of intravenous hydrocortisone (50 mg or 100 mg every 6 hours) (n = 143), a shock-dependent course (50 mg every 6 hours when shock was clinically evident) (n = 152), or no hydrocortisone (n = 108). Main Outcomes and Measures: The primary end point was organ support-free days (days alive and free of ICU-based respiratory or cardiovascular support) within 21 days, where patients who died were assigned -1 day. The primary analysis was a bayesian cumulative logistic model that included all patients enrolled with severe COVID-19, adjusting for age, sex, site, region, time, assignment to interventions within other domains, and domain and intervention eligibility. Superiority was defined as the posterior probability of an odds ratio greater than 1 (threshold for trial conclusion of superiority >99%). Results: After excluding 19 participants who withdrew consent, there were 384 patients (mean age, 60 years; 29% female) randomized to the fixed-dose (n = 137), shock-dependent (n = 146), and no (n = 101) hydrocortisone groups; 379 (99%) completed the study and were included in the analysis. The mean age for the 3 groups ranged between 59.5 and 60.4 years; most patients were male (range, 70.6%-71.5%); mean body mass index ranged between 29.7 and 30.9; and patients receiving mechanical ventilation ranged between 50.0% and 63.5%. For the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively, the median organ support-free days were 0 (IQR, -1 to 15), 0 (IQR, -1 to 13), and 0 (-1 to 11) days (composed of 30%, 26%, and 33% mortality rates and 11.5, 9.5, and 6 median organ support-free days among survivors). The median adjusted odds ratio and bayesian probability of superiority were 1.43 (95% credible interval, 0.91-2.27) and 93% for fixed-dose hydrocortisone, respectively, and were 1.22 (95% credible interval, 0.76-1.94) and 80% for shock-dependent hydrocortisone compared with no hydrocortisone. Serious adverse events were reported in 4 (3%), 5 (3%), and 1 (1%) patients in the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively. Conclusions and Relevance: Among patients with severe COVID-19, treatment with a 7-day fixed-dose course of hydrocortisone or shock-dependent dosing of hydrocortisone, compared with no hydrocortisone, resulted in 93% and 80% probabilities of superiority with regard to the odds of improvement in organ support-free days within 21 days. However, the trial was stopped early and no treatment strategy met prespecified criteria for statistical superiority, precluding definitive conclusions. Trial Registration: ClinicalTrials.gov Identifier: NCT02735707