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Weather extremes are the biggest challenge for supply chains worldwide, with food supply chains particularly exposed due to agriculture's sensitivity to weather conditions. Whilst attention has been paid to farm-level impacts from, and adaptation to, weather extremes, there remains a need to better understand how different actors along the supply chain suffer, react and adapt to these natural hazards and how their resilience-building strategies affect other actors' and the whole system's resilience. Taking the UK potato supply chain as a case study, this paper analyses the synergies and trade-offs in drought resilience in a multi-level food supply chain. Data from an online survey (87) and interviews with key informants (27) representing potato supply-chain actors (growers, packers, processors, retailers) were used to analyse drought risk perceptions, impacts and coping strategies, long-term resilience measures and further actions to build system resilience. Results suggest that the potato supply chain has increased its resilience to weather extremes due to retailers and packers having a wider geographical spread of supply, an increasing reliance on forward contracts and favouring growers with water security. However, a conceptual framework of resilience-building strategies adopted by supply chain actors shows that these measures are largely designed to reduce their own risk without considering implications for other parts of the chain and the system as a whole. A more integrated approach to promote drought resilience in complex food supply chains that enables improved vertical collaboration and trust between actors is therefore needed.
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Water footprinting has emerged as an important approach to assess water use related effects from consumption of goods and services. Assessment methods are proposed by two different communities, the Water Footprint Network (WFN) and the Life Cycle Assessment (LCA) community. The proposed methods are broadly similar and encompass both the computation of water use and its impacts, but differ in communication of a water footprint result. In this paper, we explain the role and goal of LCA and ISO-compatible water footprinting and resolve the six issues raised by Hoekstra (2016) in "A critique on the water-scarcity weighted water footprint in LCA". By clarifying the concerns, we identify both the overlapping goals in the WFN and LCA water footprint assessments and discrepancies between them. The main differing perspective between the WFN and LCA-based approach seems to relate to the fact that LCA aims to account for environmental impacts, while the WFN aims to account for water productivity of global fresh water as a limited resource. We conclude that there is potential to use synergies in research for the two approaches and highlight the need for proper declaration of the methods applied.
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BACKGROUND: Invasive candidiasis (IC) is a common cause of mortality in solid organ transplant recipients (OTRs), but knowledge of epidemiology in this population is limited. METHOD: The present analysis describes data from 15 US centers that prospectively identified IC from nearly 17 000 OTRs. Analyses were undertaken to determine predictors of infection and mortality. RESULTS: A total of 639 cases of IC were identified. The most common species was Candida albicans (46.3%), followed by Candida glabrata (24.4%) and Candida parapsilosis (8.1%). In 68 cases >1 species was identified. The most common infection site was bloodstream (44%), followed by intra-abdominal (14%). The most frequently affected allograft groups were liver (41.1%) and kidney (35.3%). All-cause mortality at 90 days was 26.5% for all species and was highest for Candida tropicalis (44%) and C. parapsilosis (35.2%). Non-white race and female gender were more commonly associated with non-albicans species. A high rate of breakthrough IC was seen in patients receiving antifungal prophylaxis (39%). Factors associated with mortality include organ dysfunction, lung transplant, and treatment with a polyene antifungal. The only modifiable factor identified was choice of antifungal drug class based upon infecting Candida species. CONCLUSION: These data highlight the common and distinct features of IC in OTRs.
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Aloenxertos/microbiologia , Antibioticoprofilaxia/efeitos adversos , Antifúngicos/efeitos adversos , Candida/isolamento & purificação , Candidíase Invasiva/epidemiologia , Transplante de Órgãos/efeitos adversos , Adulto , Antifúngicos/uso terapêutico , Candidíase Invasiva/microbiologia , Candidíase Invasiva/mortalidade , Monitoramento Epidemiológico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transplante de Órgãos/mortalidade , Estudos Prospectivos , Análise de Sobrevida , Transplantados , Estados Unidos/epidemiologiaRESUMO
The availability of fresh water and the quality of aquatic ecosystems are important global concerns, and agriculture plays a major role. Consumers and manufacturers are increasingly sensitive to sustainability issues related to processed food products and drinks. The present study examines the production of sugar from the growing cycle through to processing to the factory gate, and identifies the potential impacts on water scarcity and quality and the ways in which the impact of water use can be minimised. We have reviewed the production phases and processing steps, and how calculations of water use can be complicated, or in some cases how assessments can be relatively straightforward. Finally, we outline several ways that growers and sugar processors are improving the efficiency of water use and reducing environmental impact, and where further advances can be made. This provides a template for the assessment of other crops.
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Produtos Agrícolas/crescimento & desenvolvimento , Meio Ambiente , Saccharum/crescimento & desenvolvimento , Abastecimento de Água , Irrigação Agrícola/métodos , Agricultura/métodos , Conservação dos Recursos Naturais , Ingestão de Líquidos , Ecossistema , Manipulação de Alimentos/métodos , Água Doce , SoloRESUMO
Dwindling water supplies, increasing drought frequency and uncertainties associated with a changing climate mean Europe's irrigated agriculture sector needs to improve water efficiency and produce more 'crop per drop'. This paper summarizes the drivers for change, and the constraints and opportunities for improving agricultural water management through uptake of precision irrigation technologies. A multi-disciplinary and integrated approach involving irrigation engineers, soil scientists, agronomists and plant physiologists will be needed if the potential for precision irrigation within the field crop sector is to be realized.
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Irrigação Agrícola/métodos , Mudança Climática , Produtos Agrícolas/crescimento & desenvolvimento , Produtos Agrícolas/metabolismo , Europa (Continente)RESUMO
This article concerns UK commercial fruit and vegetable growers' narratives regarding the sustainability of water use for food production. In it we explore their perspectives on efforts by regulators to limit agricultural withdrawals of water from the natural environment in line with EU Water Framework Directive objectives, alongside their views on retailer sustainability commitments. Discourse analysis is used to investigate how the growers contested restrictive regulation, constructed their identities, portrayed other supply chain stakeholders, and conveyed their social relations with them. Using Erving Goffman's theory of frontstage and backstage performances, the implications for the growers' water management decisions and their internalisation of sustainability agendas for water are examined. Whilst the growers gave accounts of purposely misrepresenting their water withdrawal practices and their discourse illustrated significant polarisation between environmental and agricultural interests, their underlying commitment to environmental sustainability was ambivalent, with both anti and pro-environmental attitudes expressed. The growers also frequently gave critiques of superficial sustainability in fresh produce supply chains. We argue that, given contemporary shifting definitions of agricultural identities, settings in which their construction is negotiated can provide windows of opportunity for conventional growers to engage in genuine pro-environmental performances that may deepen their assimilation of environmental goals and commitment to sustainable water use.
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We examined the effects of hydrological variables such as irrigation area, irrigation efficiency and water storage on the resilience of (mostly commercial) irrigated agriculture to drought in a semi-arid catchment in South Africa. We formulated a conceptual framework termed 'Water, Efficiency, Resilience, Drought' (WERD) and an accompanying spreadsheet model. These allow the resilience of irrigated agriculture to drought to be analysed via water accounts and a key resilience indicator termed Days to Day Zero (DDZ). This represents the number of days that a pre- and within-drought supply of catchment water available to irrigation is withdrawn down to zero in the face of a prolonged drought. A higher DDZ (e.g. >300 days) indicates greater resilience whilst a lower DDZ (e.g. <150 days) signals lower resilience. Drought resilience arises through land and water management decisions underpinned by four types of resilience capacities; absorptive, adaptive, anticipative and transformative. For the case study, analyses showed that irrigators, with currently approximately 23,000 ha under irrigation, have historically absorbed and adapted to drought events through construction of water storage and adoption of more efficient irrigation practices resulting in a DDZ of 260 days. However, by not fully anticipating future climate and water-related risks, irrigators are arguably on a maladaptive pathway resulting in water supply gains, efficiency and other practices being used to increase irrigation command areas to 28,000 ha or more, decreasing their capacity to absorb future droughts. This areal growth increases water withdrawals and depletion, further stresses the catchment, and reduces future DDZs to approximately 130 days indicating much lower drought resilience. Our approach, supported by supplementary material, allows stakeholders to understand the resilience consequences of future drought in order to; reconcile competition between rising water demands, consider new water storage; improve agricultural and irrigation planning; and enhance catchment governance.
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Agricultura , Água , Agricultura/métodos , Secas , Abastecimento de Água , Mudança Climática , Irrigação Agrícola/métodosRESUMO
This article presents the results of a qualitative study on the context and different forms of violence committed against women and girls in South Sudan. The study documents many forms of sexual and physical violence against women and girls in South Sudan, including conflict-related sexual violence, intimate partner violence, nonpartner sexual violence, child and forced marriage, and abduction. Violence occurred during three overarching contexts: armed conflict, gender inequality, and the economic crisis. The custom of bride price, combined with the economic crisis, is a key driver of many other forms of violence.
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Violência por Parceiro Íntimo , Delitos Sexuais , Criança , Feminino , Humanos , Abuso Físico , Sudão do Sul , ViolênciaRESUMO
BACKGROUND: Conflict and humanitarian crises increase the risk of both intimate partner violence and non-partner sexual violence against women and girls. We measured the prevalence and risk factors of different forms of violence against women and girls in South Sudan, which has suffered decades of conflict, most recently in 2013. METHODS: A population-based survey was conducted among women aged 15-64 in three conflict-affected sites in South Sudan: Juba, Rumbek, and the Protection of Civilian Sites (PoCs) in Juba between 2015 and 2016. FINDINGS: A total of 2,244 women between the ages of 15-64 were interviewed. Fifty percent (in the Juba PoCs) to 65% (in Juba and Rumbek) of all female respondents experienced either physical or sexual violence from a partner or non-partner in the course of their lifetimes. Approximately 35% of respondents have experienced rape, attempted rape or other forms of sexual violence by a non-partner during their lifetime. For ever-partnered women, lifetime prevalence of physical and/or sexual partner violence ranged between 54% in the Juba PoCs and 73% in Rumbek. Restrictive marital practices and gender norms, and experiences of conflict were major drivers of both partner and non-partner violence. CONCLUSION: Women and girls in South Sudan suffer among the highest levels of physical and sexual violence in the world. Although the prevalence of sexual assault by non-partners is four times the global average, women are still at greatest risk of physical and sexual assault from intimate partners. Conflict-related and intimate partner violence reinforce each other and are upheld by restrictive gender norms and marital practices. Expansion of comprehensive services, including health and psycho-social support for survivors is urgently needed. Moreover, policies and laws to prevent violence against women and provide survivors with access to justice should be given high priority within the ongoing peacebuilding process in South Sudan.
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Violência de Gênero , Adolescente , Adulto , Conflitos Armados/estatística & dados numéricos , Estudos Transversais , Violência Étnica/estatística & dados numéricos , Feminino , Violência de Gênero/estatística & dados numéricos , Humanos , Violência por Parceiro Íntimo/estatística & dados numéricos , Pessoa de Meia-Idade , Prevalência , Estupro/estatística & dados numéricos , Fatores de Risco , Delitos Sexuais/estatística & dados numéricos , Sudão do Sul/epidemiologia , Inquéritos e Questionários , Violência/estatística & dados numéricos , Adulto JovemRESUMO
BACKGROUND: In conflict-affected settings, women and girls are vulnerable to gender-based violence (GBV). GBV is associated with poor long-term mental health such as anxiety, depression and post-traumatic stress disorder (PTSD). Understanding the interaction between current violence and past conflict-related violence with ongoing mental health is essential for improving mental health service provision in refugee camps. METHODS: Using data collected from 209 women attending GBV case management centres in the Dadaab refugee camps, Kenya, we grouped women by recent experience of GBV using latent class analysis and modelled the relationship between the groups and symptomatic scores for anxiety, depression and PTSD using linear regression. RESULTS: Women with past-year experience of intimate partner violence alone may have a higher risk of depression than women with past-year experience of non-partner violence alone (Coef. 1.68, 95% CI 0.25 to 3.11). Conflict-related violence was an important risk factor for poor mental health among women who accessed GBV services, despite time since occurrence (average time in camp was 11.5 years) and even for those with a past-year experience of GBV (Anxiety: 3.48, 1.85-5.10; Depression: 2.26, 0.51-4.02; PTSD: 6.83, 4.21-9.44). CONCLUSION: Refugee women who experienced past-year intimate partner violence or conflict-related violence may be at increased risk of depression, anxiety or PTSD. Service providers should be aware that compared to the general refugee population, women who have experienced violence may require additional psychological support and recognise the enduring impact of violence that occurred before, during and after periods of conflict and tailor outreach and treatment services accordingly.
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BACKGROUND: There is limited evidence on the relationship between disability, experiences of gender-based violence (GBV), and mental health among refugee women in humanitarian contexts. METHODS: A cross-sectional analysis was conducted of baseline data (n = 209) collected from women enrolled in a cohort study of refugee women accessing GBV response services in the Dadaab refugee camps in Kenya. Women were surveyed about GBV experiences (past 12 months, before the last 12 months, before arriving in the refugee camps), functional disability status, and mental health (anxiety, depression, post-traumatic stress), and we explored the inter-relationship of these factors. RESULTS: Among women accessing GBV response services, 44% reported a disability. A higher proportion of women with a disability (69%) reported a past-year experience of physical intimate partner violence and/or physical or sexual non-partner violence, compared to women without a disability (54%). A higher proportion of women with a disability (32%) experienced non-partner physical or sexual violence before arriving in the camp compared to women without a disability (16%). Disability was associated with higher scores for depression (1.93, 95% confidence interval (CI) 0.54-3.33), PTSD (2.26, 95% CI 0.03-4.49), and anxiety (1.54, 95% CI 0.13-2.95) after adjusting for age, length of encampment, partner status, number of children, and GBV indicators. CONCLUSIONS: A large proportion of refugee women seeking GBV response services have disabilities, and refugee women with a disability are at high risk of poor mental health. This research highlights the need for mental health and disability screening within GBV response programming.
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This article presents a case study of research in Dadaab, Kenya to highlight some of the relevant challenges encountered while conducting gender-based violence research in humanitarian settings. A longitudinal mixed-methods design was used to evaluate a comprehensive case-management intervention in the refugee complex near the border of Kenya and Somalia. We present an overview of both expected and unexpected challenges during preparation and implementation of the research, adaptations made to the research design, and lessons learned for future research in similar contexts. Some of the key challenges were attributed to the highly securitized and remote environment of Dadaab refugee camp, like many refugee camp settings, which created limitations for sampling designs, interview locations, and also created particular burdens for the research team members conducting interviews. In addition to the camp environment, the dynamic nature of events and trends in the camp setting created barriers to follow-up with longitudinal cohort participants as well as uncertainty on how to plan for future implementation of research design phases in response to camp changes. Conducting research in humanitarian settings requires a flexible approach to accommodate the challenges that can impact both service delivery and research activities. The discussion presented in this article contributes to the evolving practical guidance on conducting research in humanitarian settings.
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Violência de Gênero/estatística & dados numéricos , Campos de Refugiados/estatística & dados numéricos , Projetos de Pesquisa , Altruísmo , Estudos de Coortes , Feminino , Humanos , Quênia/epidemiologia , Refugiados , Somália/etnologiaRESUMO
This research focuses on the difference between the Kinetic Crutch Tip (KCT) and a Standard Rubber Tip. Additionally, the effect of KCT stiffness on the crutch gait cycle and the reaction forces were investigated. This study also examined the maximum backward angle that a crutch is able to move forward without any external forces as well as the ratio of positive to negative horizontal forces were considered. The results were obtained in two ways: one by having subjects walk on the crutches and another to reduce the variability of human walking by measuring the resulting motion only using weights attached to the crutch tip. The results of this measurement indicate an increase in maximum backward angle for Kinetic Crutch Tips. This increase in the rotation angle shows an improvement in forward motion of the crutch.
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Muletas , Reabilitação/instrumentação , Reabilitação/métodos , Adulto , Fenômenos Biomecânicos , Desenho de Equipamento , Feminino , Humanos , Masculino , Caminhada/fisiologia , Adulto JovemRESUMO
Businesses have an unrivalled ability to mobilize human, physical and financial capital, often manage large land holdings, and draw on resources and supply products that impact a wide array of ecosystems. Businesses therefore have the potential to make a substantial contribution to arresting declines in biodiversity and ecosystem services. To realize this potential, businesses require support from researchers in applied ecology to inform how they measure and manage their impacts on, and opportunities presented to them by, biodiversity and ecosystem services.We reviewed papers in leading applied ecology journals to assess the research contribution from existing collaborations involving businesses. We reviewed applications to, and grants funded by, the UK's Natural Environment Research Council for evidence of public investment in such collaborations. To scope opportunities for expanding collaborations with businesses, we conducted workshops with three sectors (mining and quarrying, insurance and manufacturing) in which participants identified exemplar ecological research questions of interest to their sector.Ten to fifteen per cent of primary research papers in Journal of Applied Ecology and Ecological Applications evidenced business involvement, mostly focusing on traditional rural industries (farming, fisheries and forestry). The review of UK research council funding found that 35% of applications mentioned business engagement, while only 1% of awarded grants met stricter criteria of direct business involvement.Some questions identified in the workshops aim to reduce costs from businesses' impacts on the environment and others to allow businesses to exploit new opportunities. Some questions are designed to inform long-term planning undertaken by businesses, but others would have more immediate commercial applications. Finally, some research questions are designed to streamline and make more effective those environmental policies that affect businesses.Business participants were forward-looking regarding ecological questions and research. For example, representatives from mining and quarrying companies emphasized the need to move beyond biodiversity to consider how ecosystems function, while those from the insurance sector stressed the importance of ecology researchers entering into new types of interdisciplinary collaboration.Synthesis and applications. Businesses from a variety of sectors demonstrated a clear interest in managing their impacts on, and exploiting opportunities created by, ecosystem services and biodiversity. To achieve this, businesses are asking diverse ecological research questions, but publications in leading applied ecology journals and research council funding reveal limited evidence of direct engagement with businesses. This represents a missed opportunity for ecological research findings to see more widespread application.