121 research outputs found
Efficiency Advantages of Grandfathering in Rights-Based Fisheries Management
We show that grandfathering fishing rights to local users or recognizing first possessions is more dynamically efficient than auctions of such rights. It is often argued that auctions allocate rights to the highest-valued users and thereby maximize resource rents. We counter that rents are not fixed in situ, but rather depend additionally upon the innovation, investment, and collective actions of fishers, who discover and enhance stocks and convert them into valuable goods and services. Our analysis shows how grandfathering increases rents by raising expected rates of return for investment, lowering the cost of capital, and providing incentives for collective action.Fishing rights, property rights, allocating fishing rights, grandfathering fishing rights, auctions of fishing rights, fisheries rent
Comparing women's financial costs of induced abortion at a facility vs. seeking treatment for complications from unsafe abortion in Zambia.
Although abortion is legal in Zambia under a variety of broad conditions, unsafe abortion remains common. The purpose of this project was to compare the financial costs for women when they have an induced abortion at a facility, with costs for an induced abortion outside a facility, followed by care for abortion-related complications. We gathered household wealth data at one point in time (T1) and longitudinal qualitative data at two points in time (T1 and T2, three-four months later), in Lusaka and Kafue districts, between 2014 and 2015. The data were collected from women (n = 38) obtaining a legal termination of pregnancy (TOP), or care for unsafe abortions (CUA). The women were recruited from four health facilities (two hospitals and two private clinics, one of each per district). At T2, CUA cost women, on average, 520 ZMW (USD 81), while TOP cost women, on average, 396 ZMW (USD 62). About two-thirds of the costs had been incurred by T1, while an additional one-third of the total costs was incurred between T1 and T2. Women in all three wealth tertiles sought a TOP in a health facility or an unsafe abortion outside a facility. Women who obtained CUA tended to be further removed from the money that was used to pay for their abortion care. Women's financial dependence leaves them unequipped to manage a financial shock such as an abortion. Improved TOP and post-abortion care are needed to reduce the health sequelae women experience after both types of abortion-related care
Demystifying Data: A Guide to Using Evidence to Improve Young People's Sexual Health and Rights
The sexual and reproductive health and rights of young people are a pressing concern everywhere in the world. The world's 1.2 billion adolescents aged 10 -- 19 account for 18% of the global population.1 While their situation differs across regions and countries, adolescents share basic rights pertaining to sexual and reproductive health, such as equality, privacy, dignity, freedom from harm and freedom to choose whether or not to marry. They also need information and services to support healthy decisionmaking related to sexuality and reproduction.Adolescents' needs vary depending on many factors: their stage of physical and emotional development, whether they are married, whether they have become mothers or fathers, whether they are sexually active, and what type of sexual activity and relationship they are engaged in. For example, an estimated one in four women aged 15 -- 19 in the developing world is married or in union -- that is, living with a partner. Marriage that takes place during adolescence is often not decided by the adolescents themselves, and young women in particular may lack power relative to older partners. Moreover, unmarried adolescents who engage in sexual activity typically face societal disapproval, which can prevent them from receiving the information and services that they need to protect their healt
Habitat selection of a parasitoid mediated by volatiles informing on host and intraguild predator densities
To locate and evaluate host patches before oviposition, parasitoids of herbivorous insects utilize plant volatiles and host-derived cues, but also evaluate predator-derived infochemicals to reduce predation risks. When foraging in host habitats infested with entomopathogenic fungi that can infect both a parasitoid and its host, parasitoids may reduce the risk of intraguild predation (IGP) by avoiding such patches. In this study, we examined whether the presence of the entomopathogenic fungi Metarhizium brunneum and Beauveria bassiana in soil habitats of a root herbivore, Delia radicum, affects the behavior of Trybliographa rapae, a parasitoid of D. radicum. Olfactometer bioassays revealed that T. rapae avoided fungal infested host habitats and that this was dependent on fungal species and density. In particular, the parasitoid avoided habitats with high densities of the more virulent fungus, M. brunneum. In addition, host density was found to be important for the attraction of T. rapae. Volatiles collected from host habitats revealed different compound profiles depending on fungal presence and density, which could explain the behavior of T. rapae. We conclude that T. rapae females may use volatile compounds to locate high densities of prey, but also compounds related to fungal presence to reduce the risk of IGP towards themselves and their offspring. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00442-015-3326-2) contains supplementary material, which is available to authorized users
Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study
Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world.
Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231.
Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001).
Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication
Subsequent Event Risk in Individuals with Established Coronary Heart Disease:Design and Rationale of the GENIUS-CHD Consortium
BACKGROUND:
The "GENetIcs of sUbSequent Coronary Heart Disease" (GENIUS-CHD) consortium was established to facilitate discovery and validation of genetic variants and biomarkers for risk of subsequent CHD events, in individuals with established CHD.
METHODS:
The consortium currently includes 57 studies from 18 countries, recruiting 185,614 participants with either acute coronary syndrome, stable CHD or a mixture of both at baseline. All studies collected biological samples and followed-up study participants prospectively for subsequent events.
RESULTS:
Enrollment into the individual studies took place between 1985 to present day with duration of follow up ranging from 9 months to 15 years. Within each study, participants with CHD are predominantly of self-reported European descent (38%-100%), mostly male (44%-91%) with mean ages at recruitment ranging from 40 to 75 years. Initial feasibility analyses, using a federated analysis approach, yielded expected associations between age (HR 1.15 95% CI 1.14-1.16) per 5-year increase, male sex (HR 1.17, 95% CI 1.13-1.21) and smoking (HR 1.43, 95% CI 1.35-1.51) with risk of subsequent CHD death or myocardial infarction, and differing associations with other individual and composite cardiovascular endpoints.
CONCLUSIONS:
GENIUS-CHD is a global collaboration seeking to elucidate genetic and non-genetic determinants of subsequent event risk in individuals with established CHD, in order to improve residual risk prediction and identify novel drug targets for secondary prevention. Initial analyses demonstrate the feasibility and reliability of a federated analysis approach. The consortium now plans to initiate and test novel hypotheses as well as supporting replication and validation analyses for other investigators
Reorienting adolescent sexual and reproductive health research: reflections from an international conference
On December 4th 2014, the International Centre for Reproductive Health (ICRH) at Ghent University organized an international conference on adolescent sexual and reproductive health (ASRH) and well-being. This viewpoint highlights two key messages of the conference - 1) ASRH promotion is broadening on different levels and 2) this broadening has important implications for research and interventions – that can guide this research field into the next decade. Adolescent sexuality has long been equated with risk and danger. However, throughout the presentations, it became clear that ASRH and related promotion efforts are broadening on different levels: from risk to well-being, from targeted and individual to comprehensive and structural, from knowledge transfer to innovative tools. However, indicators to measure adolescent sexuality that should accompany this broadening trend, are lacking. While public health related indicators (HIV/STIs, pregnancies) and their behavioral proxies (e.g. condom use, number of partners) are well developed and documented, there is a lack of consensus on indicators for the broader construct of adolescent sexuality, including sexual well-being and aspects of positive sexuality. Furthermore, the debate during the conference clearly indicated that experimental designs may not be the only appropriate study design to measure effectiveness of comprehensive, context-specific and long-term ASRH programmes, and that alternatives need to be identified and applied. Presenters at the conference clearly expressed the need to develop validated tools to measure different sub-constructs of adolescent sexuality and environmental factors. There was a plea to combine (quasi-)experimental effectiveness studies with evaluations of the development and implementation of ASRH promotion initiatives
Reorienting adolescent sexual and reproductive health research: reflections from an international conference
On December 4th 2014, the International Centre for Reproductive Health (ICRH) at Ghent University organized an
international conference on adolescent sexual and reproductive health (ASRH) and well-being. This viewpoint
highlights two key messages of the conference - 1) ASRH promotion is broadening on different levels and 2) this
broadening has important implications for research and interventions – that can guide this research field into
the next decade. Adolescent sexuality has long been equated with risk and danger. However, throughout the
presentations, it became clear that ASRH and related promotion efforts are broadening on different levels: from
risk to well-being, from targeted and individual to comprehensive and structural, from knowledge transfer to
innovative tools. However, indicators to measure adolescent sexuality that should accompany this broadening
trend, are lacking. While public health related indicators (HIV/STIs, pregnancies) and their behavioral proxies (e.g.
condom use, number of partners) are well developed and documented, there is a lack of consensus on indicators
for the broader construct of adolescent sexuality, including sexual well-being and aspects of positive sexuality.
Furthermore, the debate during the conference clearly indicated that experimental designs may not be the only
appropriate study design to measure effectiveness of comprehensive, context-specific and long-term ASRH
programmes, and that alternatives need to be identified and applied. Presenters at the conference clearly
expressed the need to develop validated tools to measure different sub-constructs of adolescent sexuality and
environmental factors. There was a plea to combine (quasi-)experimental effectiveness studies with evaluations
of the development and implementation of ASRH promotion initiatives.IS
Imaging the mantle beneath Iceland using integrated seismological techniques
Using a combination of body wave and surface wave data sets to reveal the mantle plume and plume head, this study presents a tomographic image of the mantle structure beneath Iceland to 400 km depth. Data comes primarily from the PASSCAL-HOTSPOT deployment of 30 broadband instruments over a period of 2 years, and is supplemented by data from the SIL and ICEMELT networks. Three sets of relative teleseismic body wave arrival times are generated through cross correlation: S and SKS arrivals at 0.03–0.1 Hz, and P and PKIKP arrivals at 0.03–0.1 and 0.8–2.0 Hz. Prior to inversion the crustal portion of the travel time anomalies is removed using the crustal model ICECRTb. This step has a significant effect on the mantle velocity variations imaged down to a depth of ∼250 km. Inversion of relative arrival times only provides information on lateral velocity variations. Surface waves are therefore used to provide absolute velocity information for the uppermost mantle beneath Iceland. The average wave number for the Love wave fundamental mode at 0.020 and 0.024 Hz is measured and used to invert for the average S velocity. Combination of the body wave and surface wave information reveals a predominantly horizontal low-velocity anomaly extending from the Moho down to ∼250 km depth, interpreted as a plume head. Below the plume head a near-cylindrical low-velocity anomaly with a radius of ∼100 km and peak VP and VS anomalies of −2% and −4%, respectively, extends down to the maximum depth of resolution at 400 km. Within the plume head, in the uppermost mantle above the core of the plume, there is a relatively high velocity with a maximum VP and VS anomaly of +2%. This high-velocity anomaly may be the result of the extreme degree of melt extraction necessary to generate the thick (46 km) crust in central Iceland. Comparison of the plume volumetric flux implied by our images, the crustal generation rate, and the degree of melting suggested by rare earth element inversions, suggests that (1) mantle material must be flowing horizontally away from the plume core faster than the overlying lithosphere and (2) the bulk of the plume material does not participate in melting beneath Iceland
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