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Background Most countries have endorsed WHO non-communicable disease (NCD) best buy policies, but we know very little about global implementation patterns and about the geopolitical factors affecting implementation. We aimed to assess global implementation based on analysis of multiple geopolitical datasets. Methods We used the 2015 and 2017 WHO NCD progress monitor reports to calculate aggregate implementation scores for 151 countries, based on their implementation of 18 WHO-recommended NCD policies. We ranked all countries and used descriptive statistics to analyse global trends. We used linear regression to assess the associations between policy implementation and World Bank geographic region, risk of premature NCD mortality, percentage of all deaths caused by NCDs, World Bank income group, human capital index, democracy index, and tax burden. Findings In 2017, the mean NCD policy implementation score was 49·3% (SD 18·4%). Costa Rica and Iran had the joint-highest implementation scores (86·1% of all WHO-recommended policies). Scores were lowest in Haiti and South Sudan (5·5%). Between 2015 and 2017, aggregate implementation scores rose in 109 countries and regressed in 32 countries. Mean implementation rose for all of the 18 policies except for those targeting alcohol and physical activity. The most commonly implemented policies were clinical guidelines, graphic warnings on tobacco packaging, and NCD risk factor surveys. Our multiple linear regression model explained 61·1% of the variance in 2017 aggregate scores (p<0·0001), but we found evidence of a high degree of collinearity between the explanatory variables. Interpretation Implementation of WHO-recommended NCD policies is increasing over time. On average, countries implemented just under half of the NCD policies recommended by WHO in 2017. Nutrition-related policies saw gains, while those related to alcohol and physical activity were the most likely to have been dropped. Aggregate implementation scores tended to be highest in high-income countries ...

© 2014 Published by Elsevier Ltd. All rights reserved. Coastal environments are increasingly under threat from multiple stressors and pressure from human activities across the land-sea interface. Managing these pressures from people requires, more than ever, understanding what is at stake in terms of the benefits and values associated with coastal waters. This article presents the results of a choice experiment which was designed to elicit society's willingness to pay in the context of economic and environmental trade-offs people to improve coastal water quality. The study site is a coastal Australian city, Adelaide, South Australia. The city discharges a large proportion of its stormwater and treated wastewater to the coastal waters of Gulf St Vincent. Willingness to pay for a package of improvements to urban water management is considerable. A mix of projects that restores 25 days per year of water clarity, seagrass area from 60% to 70% of the original area and five reef areas is worth $AUS67.1. M to households in the Adelaide metropolitan area. The results can inform public policy discussions including the cost-benefit analysis of different water management strategies including investments in urban infrastructure.

Ultra-wideband (UWB) technology has increased with the use of various civilian and military applications. In the present study, we hypothesized that low-dose UWB electromagnetic radiation (UWBR) could elicit a mitogenic effect in AML-12 mouse hepatocytes, in vitro. To test this hypothesis, we exposed AML-12 mouse hepatocytes, to UWBR in a specially constructed gigahertz transverse electromagnetic mode (GTEM) cell. Cells were exposed to UWBR for 2 h at a temperature of 23 degrees C, a pulse width of 10 ns, a repetition rate of 1 kHz, and field strength of 5-20 kV/m. UWB pulses were triggered by an external pulse generator for UWBR exposure but were not triggered for the sham exposure. We performed an MTT Assay to assess cell viability for UWBR-treated and sham-exposed hepatocytes. Data from viability studies indicated a time-related increase in hepatocytes at time intervals from 8-24 h post exposure. UWBR exerted a statistically significant (p < 0.05) dose-dependent response in cell viability in both serum-treated and serum free medium (SFM) -treated hepatocytes. Western blot analysis of hepatocyte lysates demonstrated that cyclin A protein was induced in hepatocytes, suggesting that increased MTT activity after UWBR exposure was due to cell proliferation. This study indicates that UWBR has a mitogenic effect on AML-12 mouse hepatocytes and implicates a possible role for UWBR in hepatocarcinoma.

"Sonderdruck aus der Zeitschrift für Politik, Ix. Band, 1916, Heft 3/4." ; Includes bibliographical references. ; Mode of access: Internet.

Campaigns to circumcise millions of boys and men to reduce HIV transmission are being conducted throughout eastern and southern Africa, recommended by the World Health Organization and implemented by the United States government and Western NGOs. In the United States, proposals to mass-circumcise African and African American men are longstanding, and have historically relied on racist beliefs and stereotypes. The present campaigns were started in haste, without adequate contextual research, and the manner in which they have been carried out implies troubling assumptions about culture, health, and sexuality in Africa, as well as a failure to properly consider the economic determinants of HIV prevalence. This critical appraisal examines the history and politics of these circumcision campaigns while highlighting the relevance of race and colonialism. It argues that the "circumcision solution" to African HIV epidemics has more to do with cultural imperialism than with sound health policy, and concludes that African communities need a means of robust representation within the regime.

This study was undertaken to assess farmers' preferences and willingness to pay (WTP) for various climate-smart interventions in the Indo-Gangetic Plain. The research outputs will be helpful in integrating farmers' choices with government programs in the selected regions. The Indo-Gangetic Plain (IGP) was selected because it is highly vulnerable to climate change, which may adversely affect the sustainability of the rice-wheat production system and the food security of the region. Climate-smart agriculture (CSA) can mitigate the negative impacts of climate change and improve the efficiency of the rice-wheat-based production system. CSA requires a complete package of practices to achieve the desired objectives, but adoption is largely dependent on farmers' preferences and their capacity and WTP. To assess farmers' choices and their WTP for the potential climate-smart technologies and other interventions, we used scoring and bidding protocols implemented through focus group meetings in two distinct regions of Eastern and Western IGP. We find that laser land leveling (LLL), crop insurance, and weather advisory services were the preferred interventions in Eastern IGP. Farmers preferred LLL, direct seeding, zero tillage, irrigation scheduling, and crop insurance in Western IGP. Through the bidding approach, farmers implicitly express their WTP for new technologies that could transform current agricultural practices into relatively low-carbon and more productive farming methods. But actual large-scale adoption of the preferred climate-smart technologies and other interventions would require access to funding as well as capacity building among technology promoters and users.

Much of the western United States is managed by state and federal agencies for multiple uses, including recreation, grazing, extraction, and defense. Biological inventories are integral to proper management and conservation of biodiversity on these lands. We surveyed for amphibians and reptiles occurring on Naval Air Station Fallon (NAS Fallon), Nevada, USA, using a variety of methods. We documented the presence of a majority of the amphibian and reptile species native to this region of the Great Basin. We found 5 species on NAS Fallon that are listed as Species of Conservation Priority by the Nevada Department of Wildlife: the Great Basin Spadefoot (Spea intermontana), Western Toad (Anaxyrus boreas boreas), Northern Desert Horned Lizard (Phrynosoma platyrhinos platyrhinos), Long-nosed Leopard Lizard (Gambelia wizlizenii), and Great Basin Collared Lizard (Crotaphytus bicinctores). However, we found no evidence of any narrowly distributed species of conservation concern, such as the Northern Leopard Frog (Lithobates pipiens) or Northern Rubber Boa (Charina bottae), that could have occurred on installation lands based on historical or recent observations in nearby areas. Our results indicate that this property, while primarily used for military training, can support a diverse, representative herpetofaunal community. Therefore, NAS Fallon should be considered a valuable part of the network of state and federally managed lands necessary for regional conservation planning in the face of future change. Our study also provides a baseline against which future inventories of this federally managed land can be compared.

Much of the western United States is managed by state and federal agencies for multiple uses, including recreation, grazing, extraction, and defense. Biological inventories are integral to proper management and conservation of biodiversity on these lands. We surveyed for amphibians and reptiles occurring on Naval Air Station Fallon (NAS Fallon), Nevada, USA, using a variety of methods. We documented the presence of a majority of the amphibian and reptile species native to this region of the Great Basin. We found 5 species on NAS Fallon that are listed as Species of Conservation Priority by the Nevada Department of Wildlife: the Great Basin Spadefoot (Spea intermontana), Western Toad (Anaxyrus boreas boreas), Northern Desert Horned Lizard (Phrynosoma platyrhinos platyrhinos), Long-nosed Leopard Lizard (Gambelia wizlizenii), and Great Basin Collared Lizard (Crotaphytus bicinctores). However, we found no evidence of any narrowly distributed species of conservation concern, such as the Northern Leopard Frog (Lithobates pipiens) or Northern Rubber Boa (Charina bottae), that could have occurred on installation lands based on historical or recent observations in nearby areas. Our results indicate that this property, while primarily used for military training, can support a diverse, representative herpetofaunal community. Therefore, NAS Fallon should be considered a valuable part of the network of state and federally managed lands necessary for regional conservation planning in the face of future change. Our study also provides a baseline against which future inventories of this federally managed land can be compared.

Endogenous anti-inflammatory annexin-A1 (ANX-A1) plays an important role in preserving left ventricular (LV) viability and function after ischaemic insults in vitro, but its long-term cardioprotective actions in vivo are largely unknown. We tested the hypothesis that ANX-A1-deficiency exaggerates inflammation, haematopoietic stem progenitor cell (HSPC) activity and LV remodelling in response to myocardial ischaemia in vivo. Adult ANX - A1 -/- mice subjected to coronary artery occlusion exhibited increased infarct size and LV macrophage content after 24-48 h reperfusion compared with wildtype (WT) counterparts. In addition, ANX - A1 -/- mice exhibited greater expansion of HSPCs and altered pattern of HSPC mobilisation 8 days post-myocardial infarction, with increased circulating neutrophils and platelets, consistent with increased cardiac inflammation as a result of increased myeloid invading injured myocardium in response to MI. Furthermore, ANX - A1 -/- mice exhibited significantly increased expression of LV pro-inflammatory and pro-fibrotic genes and collagen deposition after MI compared to WT counterparts. ANX-A1-deficiency increased cardiac necrosis, inflammation, hypertrophy and fibrosis following MI, accompanied by exaggerated HSPC activity and impaired macrophage phenotype. These findings suggest that endogenous ANX-A1 regulates mobilisation and differentiation of HSPCs. Limiting excessive monocyte/neutrophil production may limit LV damage in vivo. Our findings support further development of novel ANX-A1-based therapies to improve cardiac outcomes after MI. ; This work was supported in part by both the National Health and Medical Research Council (NHMRC) of Australia, including APP1045140 (to R.H.R., X.M.G., Y.H.Y.), APP1083138 & APP1106154 (to A.J.M.), and the Victorian Government's Operational Infrastructure Support Program. R.H.R. and X.J.D. are NHMRC Senior Research Fellows (APP1059960; APP1043026 respectively), A.J.M. is an NHMRC Career Development Fellow (APP1085752) and a NHF Future Leader Fellow (100440). A.A.S. and S.B.F. are supported by Australian Postgraduate Awards.

Background: COPD is among the leading causes of chronic morbidity and mortality in the European Union with an estimated annual economic burden of €25.1 billion. Various care pathways for COPD exist across Europe leading to different responses to similar problems. Determining these differences and the similarities may improve health and the functioning of health services. Objective: The aim of this study was to compare COPD patients' care pathway in five European Union countries including England, Ireland, the Netherlands, Greece, and Germany and to explore health care professionals' (HCPs) perceptions about the current pathways. Methods: HCPs were interviewed in two stages using a qualitative, semistructured email interview and a face-to-face semistructured interview. Results: Lack of communication among different health care providers managing COPD and comorbidities was a common feature of the studied care pathways. General practitioners/family doctors are responsible for liaising between different teams/services, except in Greece where this is done through pulmonologists. Ireland and the UK are the only countries with services for patients at home to shorten unnecessary hospital stay. HCPs emphasized lack of communication, limited resources, and poor patient engagement as issues in the current pathways. Furthermore, no specified role exists for pharmacists and informal carers. Conclusion: Service and professional integration between care settings using a unified system targeting COPD and comorbidities is a priority. Better communication between health care providers, establishing a clear role for informal carers, and enhancing patients' engagement could optimize current care pathways resulting in a better integrated system.

Mode of access: Internet. ; Author corporate affiliation: National Highway Safety Bureau, Washington, D.C. ; Subject code: FGE ; Subject code: RCCH ; Subject code: VH ; Subject code: WW

Wilson and Zaki describe a "Novel Clitoral Reconstruction and Coverage With Sensate Labial Flaps" as a "potential remedy" for women who have undergone female genital mutilation/cutting (FGM/C).1 We would like to discuss some scientific and ethical issues in relation to clitoral reconstruction (CR) surgery, touching on sociocultural, political, interpersonal, and psychological factors involved in promoting psychosexual health of women and girls with FGM/C.

Recent literature on no-till is reviewed with particular emphasis on research on commercial uptake and environmental concerns in northern, western and south-western Europe. Increased interest in no-till, and minimum or reduced tillage, results from changes in the economic circumstances of crop production, the opportunity to increase the area of more profitable autumn-sown crops and increased concern about environmental damage associated with soil inversion by ploughing. Highly contrasting soil and climate types within and between these regions exert a strong influence on the success of no-till. While no-till may often result in crop yields which equal or exceed those obtained after ploughing, modest reductions in yield may be tolerated if production costs are lower than with ploughing. The relative costs of fuel and herbicides have changed appreciably in recent years making no-till more attractive commercially. While effective weed control is an essential aspect of no-till, current herbicide technology may not yet fully achieve this. In northern regions no-till usually allows earlier drilling of winter-sown crops but will give lower soil temperature and higher moisture content in spring, causing delayed drilling of spring-sown crops. Notill soils have greater bulk density and bearing capacity than ploughed soils with a pronounced vertical orientation of macroporosity allowing penetration of roots and water, especially in view of the increased population of deep-burrowing earthworms. Particular care must be taken with no-till to minimise soil damage at harvest and to ensure the even distribution of crop residues prior to drilling. Reduced erosion and runoff after adoption of no-till are widely observed and are of particular importance in southwestern Europe. No-till reduces losses of phosphorus in runoff and, in some cases, reduces the loss of nitrate through leaching. Emissions of greenhouse gases CO2 and N2O from no-till soils are highly variable and depend on complex interactions of soil properties. Emission of CO2 from fuel during machinery usage is always appreciably reduced with no-till. Increased soil organic carbon in surface layers of no-till soils is widely found but may not be associated with increased carbon sequestration throughout the profile. The evaluation of the relative carbon balance for no-till and ploughing depends upon complex inter-relationships between soil and climate factors which are as yet poorly understood. Adoption of no-till could be encouraged by government financial assistance in recognition of environmental benefits, although future restrictions on the use of herbicides may be a deterrent. Opportunities for further research on no-till are outlined. 2011 Elsevier B.V. All rights reserved.

Shipping list no.: 2002-0168-P. ; Distributed to some depository libraries in microfiche. ; "Printed for the use of the Committee on Armed Services." ; Microfiche. ; Mode of access: Internet.

Shipping list no.: 2002-0168-P. ; "Printed for the use of the Committee on Armed Services." ; Cover title. ; Mode of access: Internet.