Suchergebnisse

The concept of ecosystem goods and services is increasingly used to describe how biodiversity and ecosystems are linked to human well-being and that it should be placed at the core of sustainable urban development. Predictions of a tremendous future increase of urbanization in Africa necessitate an investigation into the research on ecosystem goods and services in the urban green infrastructure of Africa. Ecosystem goods and services (ES) are described as the benefits humans derive directly or indirectly from ecosystem functions and are classified as supporting, provisioning, regulating and cultural services. A literature study focusing on journal papers was conducted. Additionally a case study based on two masters studies was further refined. ES studies in African cities are biased towards South Africa and include assessments and economic valuations in which several different methods were used to determine direct consumptive and non-consumptive and indirect use values. Emphasis was placed on the multifunctional nature of ES. The main objectives of these studies were to sensitize policy makers, planners and the general public about the importance of biodiversity and ES. Ecosystem-based adaptation is discussed as the most appropriate approach in terms of applying knowledge about ES and their values in African cities as many residents still rely on ES from natural areas, but the major ecological, economic and political challenges are acknowledged. A case study focusing on domestic gardens (private green spaces) have indicated that the demand and supply of certain ES differ along a socio-economic gradient due to poor service delivery and smaller plots in the poorer areas mainly due to the legacy of separate development of the past. Where provisioning services are mainly outsourced in cities, it was found that plant species useful as food, medicine, etc. were more frequent in the gardens of poorer residents than in those of more affluent areas. The tendency to pay more for residential properties close to public open spaces, as in Europe, could not be statistically proven in the more affluent areas of a South African city, although the property values in proximity of public open spaces in some of the areas studied were lower than further away ; http://link.springer.com/journal/11252

The concept of ecosystem goods and services is increasingly used to describe how biodiversity and ecosystems are linked to human well-being and that it should be placed at the core of sustainable urban development. Predictions of a tremendous future increase of urbanization in Africa necessitate an investigation into the research on ecosystem goods and services in the urban green infrastructure of Africa. Ecosystem goods and services (ES) are described as the benefits humans derive directly or indirectly from ecosystem functions and are classified as supporting, provisioning, regulating and cultural services. A literature study focusing on journal papers was conducted. Additionally a case study based on two masters studies was further refined. ES studies in African cities are biased towards South Africa and include assessments and economic valuations in which several different methods were used to determine direct consumptive and non-consumptive and indirect use values. Emphasis was placed on the multifunctional nature of ES. The main objectives of these studies were to sensitize policy makers, planners and the general public about the importance of biodiversity and ES. Ecosystem-based adaptation is discussed as the most appropriate approach in terms of applying knowledge about ES and their values in African cities as many residents still rely on ES from natural areas, but the major ecological, economic and political challenges are acknowledged. A case study focusing on domestic gardens (private green spaces) have indicated that the demand and supply of certain ES differ along a socio-economic gradient due to poor service delivery and smaller plots in the poorer areas mainly due to the legacy of separate development of the past. Where provisioning services are mainly outsourced in cities, it was found that plant species useful as food, medicine, etc. were more frequent in the gardens of poorer residents than in those of more affluent areas. The tendency to pay more for residential properties close to public open spaces, as in Europe, could not be statistically proven in the more affluent areas of a South African city, although the property values in proximity of public open spaces in some of the areas studied were lower than further away ; http://link.springer.com/journal/11252 ; http://link.springer.com/content/pdf/10.1007%2Fs11252-013-0287-2.pdf ; DOI 10.1007/s11252-012-0254-3

Climate disasters affect human security and development, moreso in fragile and conflict-affected contexts where population' capacities to cope with climate change are compromised. Responses to such crises lie at the nexus of humanitarian assistance, development, and peacebuilding. Yet, there are still too few integrated programmatic responses coordinating peacebuilding and climate actions to ensure a progressive human development. This research develops a multi-scalar model to help actors identify thematic areas to inform synergistic efforts and programs at different scales to better coordinate their actions. Findings suggest that climate action and peacebuilding sectors can coordinate actions around climate and conflict risk assessments, the management of land and water resources, ecosystem restoration, nature-based climate adaptation, climate and conflict smart agriculture, natural resources governance, and sustainable market development. These collaborative efforts have the potential to generate co-benefits, such as increased social cohesion and livelihood creation.

ABSTRACTObjectivesBiologics are a class of medicines recommended by UK and international guidelines for treatment of patients with rheumatoid arthritis (RA) who are unresponsive, intolerant or who have contraindications to conventional therapies. Biologics are often supplied in the UK to patients in their home by external healthcare providers commissioned by the National Health Service (NHS). Patient adherence and persistence to biologics has not been assessed within NHS Scotland.The aim of this study was to evaluate adherence and persistence patterns of subcutaneous biologics delivered by homecare services to patients with rheumatoid arthritis in a Scottish NHS Board.
ApproachA population-based cohort study was conducted using records from patients receiving medication through healthcare delivery companies in the NHS Greater Glasgow and Clyde health board. RA patients with deliveries between 2012- 2015 were linked via their Community Health Index number to their prescriptions in primary care, hospital admissions and death records. For this study those with at least two deliveries of biologics and who did not switch biologic treatment were included. Length of therapy was determined from first delivery to last day treatment was covered. Adherence rate referring to the supply received for the whole study period was evaluated through Medication Refill Adherence (MRA). Persistence from first delivery to discontinuation was estimated using survival analysis and a drug–free interval of 90 days.
ResultsA total of 434 patients with RA received a subcutaneous biologic. The mean age at first delivery was 54.7 (SD 13.4) years and 78% were female. From this cohort, 322 had at least 2 deliveries of the same biologic. The overall median length of treatment was 387.5 days (IQR 544.5); the longest for certolizumab pegol users with a median of 511.5 days (IQR 629.2) and the shortest for tocilizumab (median of 187 days, IQR 90.5). The adherence throughout the study had a mean MRA 79.73% (SD 29.95) and was similar across the different biologics. Persistence at follow-up decreased with time from 81% of the patients receiving a biologic at 6 months, to 67% after 1 year and 65% after two years. Adalimumab, certolizumab pegol, etanercept and golimumab users had higher persistence rates.
ConclusionLength of treatment and persistence, but not adherence, are influenced by the type of subcutaneous biologic received by the RA patients in this cohort.Future research will gain a better insight into the factors influencing adherence and persistence to these medicines.

Achieving sustainable global food security is one of humanity's contemporary challenges. Here we present an analysis identifying key "global leverage points" that offer the best opportunities to improve both global food security and environmental sustainability. We find that a relatively small set of places and actions could provide enough new calories to meet the basic needs for more than 3 billion people, address many environmental impacts with global consequences, and focus food waste reduction on the commodities with the greatest impact on food security. These leverage points in the global food system can help guide how nongovernmental organizations, foundations, governments, citizens' groups, and businesses prioritize actions.

Achieving sustainable global food security is one of humanity's contemporary challenges. Here we present an analysis identifying key "global leverage points" that offer the best opportunities to improve both global food security and environmental sustainability. We find that a relatively small set of places and actions could provide enough new calories to meet the basic needs for more than 3 billion people, address many environmental impacts with global consequences, and focus food waste reduction on the commodities with the greatest impact on food security. These leverage points in the global food system can help guide how nongovernmental organizations, foundations, governments, citizens' groups, and businesses prioritize actions.

Abstract. Droughts continue to affect ecosystems, communities and entire economies.
Agriculture bears much of the impact, and in many countries it is the most
heavily affected sector. Over the past decades, efforts have been made to
assess drought risk at different spatial scales. Here, we present for the
first time an integrated assessment of drought risk for both irrigated and
rainfed agricultural systems at the global scale. Composite hazard indicators were calculated for irrigated and rainfed systems separately
using different drought indices based on historical climate conditions (1980–2016). Exposure was analyzed for irrigated and non-irrigated crops. Vulnerability was assessed through a socioecological-system (SES) perspective, using socioecological susceptibility and lack of coping-capacity indicators that were weighted by drought experts from around the world. The analysis shows that drought risk of rainfed and irrigated agricultural systems displays a heterogeneous pattern at the global level, with higher risk for southeastern Europe as well as northern and southern Africa. By providing information on the drivers and spatial patterns of drought risk in all dimensions of hazard, exposure and vulnerability, the presented analysis can support the identification of tailored measures to reduce drought risk and increase the resilience of agricultural systems.