A Study into the Role of International Collaborations in Higher Education to Enhance Research Capacity for Disaster Resilience

International collaborations in the context of Disaster Resilience (DR) is pivotal due to several reasons. It helps to propose ways to create more coherent international approaches on disaster risk reduction, climate change adaptation and resilience strengthening; it helps to enhance risk management capabilities by bridging the gap between science and legal/policy issues; it helps to address the issue of efficient management of trans-boundary crises. The need to optimise international cooperation in relation to resourcing research, capacity building to undertake research and facilitating its uptake is mentioned throughout the Sendai Framework for disaster risk reduction 2015-2030 (SFDRR). Given their different capacities, as well as the linkage between the level of support provided to them and the extent to which they will be able to implement the SFDRR, developing countries require an enhanced provision of means of implementation, including adequate, sustainable and timely resources, through international cooperation and global partnerships for development, and continued international support, so as to strengthen their efforts to reduce disaster risk. The purpose of this paper is to examine the level of engagement of Higher Education Institutions (HEIs) in developing countries in Asia in international collaborations to improve their Research and Innovation (R&I) capacities in DR. Based on a project entitled ASCENT (Advancing Skills Creation and Enhancement), the findings of the paper focuses on three Asian countries, i.e. Bangladesh, Sri Lanka and Thailand. Other than an extant literature review, the paper findings are drawn from a questionnaire survey carried out in eight HEIs from the said countries. There are already several regional initiatives that promote collaboration among HEIs towards building resilience. These networks should be supported and encouraged to grow. These global networks should collaborate with existing bodies to ensure that the role of higher education is understood and can be made use of. Findings of this paper supports the need for an enhanced international partnership to improve the science-policy interface in DR and to achieve the objectives of the SFDRR

Vagueness in Geography

Some have argued that the vagueness exhibited by geographic names and descriptions such as ''Albuquerque,'' ''the Outback,'' or ''Mount Everest'' is ultimately ontological: these terms are vague because they refer to vague objects , objects with fuzzy boundaries. I take the opposite stand and hold the view that geographic vagueness is exclusively semantic, or conceptual at large. There is no such thing as a vague mountain. Rather, there are many things where we conceive a mountain to be, each with its precise boundary, and when we say ''Everest'' we are just being vague as to which thing we are referring to. This paper defends this view against some plausible objections

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700