A bibliometric and systematic review of the Methods for the Improvement of Vulnerability Assessment in Europe framework: A guide for the development of further multi-hazard holistic framework.

Conceptual frameworks are vital for identifying relevant components, dimensions and indicators to assess vulnerability to natural hazards and climatic change. Given the fact that vulnerability is applied and used in various disciplines and by multiple schools of thought, several conceptual frameworks to assess and conceptualise vulnerability have been developed. Even though these frameworks have been widely cited in research, the range and context of application and contextual use of such frameworks have rarely been explored. This paper provides a systematic review of the MOVE (Methods for the Improvement of Vulnerability Assessment in Europe) framework. Bibliometric and systematic analyses were performed to better understand who and how the MOVE framework has been taken up by other researchers. The MOVE framework has been widely cited in different research fields. Several studies directly used the framework for assessing vulnerability both in terms of its factors and the different thematic dimensions of vulnerability (e.g. social, physical, ecological). Some studies have used it as a basis for developing context-specific studies of vulnerability and risk assessment frameworks. Finally, we also discuss critiques of the MOVE framework that can provide direction for future vulnerability assessments. Contribution: Critique of the MOVE framework can be helpful in further improvement and development of a multi-hazard holistic framework that would be flexible enough to support multiple theoretical perspectives in disaster risk and climate change discourses.

Understanding human vulnerability to climate change: A global perspective on index validation for adaptation planning.

Climate change is a severe global threat. Research on climate change and vulnerability to natural hazards has made significant progress over the last decades. Most of the research has been devoted to improving the quality of climate information and hazard data, including exposure to specific phenomena, such as flooding or sea-level rise. Less attention has been given to the assessment of vulnerability and embedded social, economic and historical conditions that foster vulnerability of societies. A number of global vulnerability assessments based on indicators have been developed over the past years. Yet an essential question remains how to validate those assessments at the global scale. This paper examines different options to validate global vulnerability assessments in terms of their internal and external validity, focusing on two global vulnerability indicator systems used in the WorldRiskIndex and the INFORM index. The paper reviews these global index systems as best practices and at the same time presents new analysis and global results that show linkages between the level of vulnerability and disaster outcomes. Both the review and new analysis support each other and help to communicate the validity and the uncertainty of vulnerability assessments. Next to statistical validation methods, we discuss the importance of the appropriate link between indicators, data and the indicandum. We found that mortality per hazard event from floods, drought and storms is 15 times higher for countries ranked as highly vulnerable compared to those classified as low vulnerable. These findings highlight the different starting points of countries in their move towards climate resilient development. Priority should be given not just to those regions that are likely to face more severe climate hazards in the future but also to those confronted with high vulnerability already.

How do rural-urban linkages change after an extreme flood event? Empirical evidence from rural communities in Pakistan.

Extreme flood events can lead to dramatic changes in societal processes, disrupt rural-urban linkages and affect rural vulnerabilities. Changes in rural-urban linkages due to extreme flooding have been theoretically discussed with limited empirical evidence. Therefore, this study investigates the impacts of a flood event on linkages between rural and urban areas of Pakistan. This study also examines socioeconomic and spatial factors that can influence changes in rural-urban linkages. Three case studies were selected from the Punjab province of Pakistan, and a total of 325 samples were collected through household surveys. Descriptive statistics, binary logistic regression and correlation analysis were conducted to analyse the data. The findings show that flooding has severely affected rural communities directly and indirectly. This paper details the many different ways in which floods can change rural linkages with cities-i.e., the flow of people, information, finance, goods and services between rural and urban areas. The results also reveal that the age of household head, education, income and farming occupation are influential factors that affect how rural-urban linkages change. Most importantly, the research highlights that extreme flooding can both increase and decrease the dependence of rural communities on cities in different ways. This indicates that linkages between rural and urban areas need to be strengthened in order to reduce flood-related vulnerabilities. This study paves the way for regional planners and disaster managers to establish synergies for developing integrated flood risk management and development strategies.

An Analysis of the Mineral Composition of Pink Salt Available in Australia.

Little is known about the mineral composition of pink salt. The aim of this study was to evaluate for the first time the mineral composition of pink salt available for purchase in Australia and its implications for public health. Pink salt samples were purchased from retail outlets in two metropolitan Australian cities and one regional town. Color intensity, salt form, and country of origin were coded. A mass spectrometry scan in solids was used to determine the amount of 25 nutrients and non-nutritive minerals in pink salt (n = 31) and an iodized white table salt control (n = 1). A wide variation in the type and range of nutrients and non-nutritive minerals across pink salt samples were observed. One pink salt sample contained a level of lead (>2 mg/kg) that exceeded the national maximum contaminant level set by Food Standards Australia New Zealand. Pink salt in flake form, pink salt originating from the Himalayas, and darker colored pink salt were generally found to contain higher levels of minerals (p < 0.05). Despite pink salt containing nutrients, >30 g per day (approximately 6 teaspoons) would be required to make any meaningful contribution to nutrient intake, a level that would provide excessive sodium and potential harmful effects. The risk to public health from potentially harmful non-nutritive minerals should be addressed by Australian food regulations. Pink salt consumption should not exceed the nutrient reference values for Australia and New Zealand guidelines of <5 g of salt per day.

Effect of Lupin-Enriched Biscuits as Substitute Mid-Meal Snacks on Post-Prandial Interstitial Glucose Excursions in Post-Surgical Hospital Patients with Type 2 Diabetes.

Hospital biscuit snacks offered to Type 2 Diabetes Mellitus (T2DM) patients may adversely affect glycaemic control. This study investigated the effect of lupin mid-meal biscuit snacks, compared to spelt or standard hospital biscuits, on interstitial glucose levels in post-operative T2DM inpatients. In a pilot cross-over pragmatic study, 20 patients (74 ± 12 years) consumed, in order, lupin biscuits (20% lupin), wholemeal spelt and standard plain sweet biscuits as mid-meal snacks (2 biscuits each for morning and afternoon tea) on three consecutive days. Continuous glucose monitoring, appetite perceptions and bowel motions were recorded. Glucose levels were not significantly different in the first 90 min after mid-meal biscuit consumption at morning and afternoon tea, irrespective of type. However, after consuming the lupin biscuits only, glucose levels were significantly (p < 0.001) reduced 90 min postprandially after dinner, indicating a potential second-meal effect. Patients also reported improved satiety after lupin biscuit consumption on day 1, compared to days 2 and 3 (p = 0.018). These findings suggest that lupin-enriched biscuits may improve both glycaemic control and satiety in hospitalised T2DM patients, potentially contributing to reduced length of stay. Larger controlled studies are warranted to confirm these findings and inform potential revision of hospital menu standards for T2DM patients.

Glycemic index and obesity.

Although weight loss can be achieved by any means of energy restriction, current dietary guidelines have not prevented weight regain or population-level increases in obesity and overweight. Many high-carbohydrate, low-fat diets may be counterproductive to weight control because they markedly increase postprandial hyperglycemia and hyperinsulinemia. Many high-carbohydrate foods common to Western diets produce a high glycemic response [high-glycemic-index (GI) foods], promoting postprandial carbohydrate oxidation at the expense of fat oxidation, thus altering fuel partitioning in a way that may be conducive to body fat gain. In contrast, diets based on low-fat foods that produce a low glycemic response (low-GI foods) may enhance weight control because they promote satiety, minimize postprandial insulin secretion, and maintain insulin sensitivity. This hypothesis is supported by several intervention studies in humans in which energy-restricted diets based on low-GI foods produced greater weight loss than did equivalent diets based on high-GI foods. Long-term studies in animal models have also shown that diets based on high-GI starches promote weight gain, visceral adiposity, and higher concentrations of lipogenic enzymes than do isoenergetic, macronutrientcontrolled, low-GI-starch diets. In a study of healthy pregnant women, a high-GI diet was associated with greater weight at term than was a nutrient-balanced, low-GI diet. In a study of diet and complications of type 1 diabetes, the GI of the overall diet was an independent predictor of waist circumference in men. These findings provide the scientific rationale to justify randomized, controlled, multicenter intervention studies comparing the effects of conventional and low-GI diets on weight control.