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Sökning: WFRF:(Caretta Martina A.)

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1.
  • Caretta, Martina Angela, et al. (författare)
  • Water
  • 2022
  • Ingår i: Climate Change 2022: Impacts, Adaptation and Vulnerability : Contribution of Working Group II to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change - Contribution of Working Group II to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change.
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)
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2.
  • Caretta, Martina Angela, et al. (författare)
  • Water remains a blind spot in climate change policies.
  • 2022
  • Ingår i: PLOS Water. - : Public Library of Science (PLoS). - 2767-3219. ; 1:12
  • Tidskriftsartikel (refereegranskat)abstract
    • For the first time in the latest Assessment Report of the Intergovernmental Panel on Climate Change (IPCC), water has been the focus of dedicated chapters in both Working Group 1 (Chapter 8) and 2 (Chapter 4). Nevertheless, we argue here that water has not yet received the full attention it deserves from both scientists and policymakers for several reasons. Firstly, the historical focus on temperature change has been further increased with the use of global warming levels motivated by an aim to be consistent with current policy framings. Secondly, an increasing attention paid to extreme weather has sometimes overshadowed longer time-scale changes such as the aridification of an increasing fraction of arable land and the increasing variability of the water cycle from month to month, season to season, and year to year that also yield cascading impacts on all water use sectors. Thirdly, a stronger focus is needed on understanding the effectiveness of current and future adaptation strategies in reducing water-related climate risks. Finally, the role of water has not been adequately recognized in the assessment of mitigation strategies although the compliance with the Paris Agreement and the current pledges all require a massive deployment of land-based strategies whose feasibility and efficiency heavily depend on water resources. It is thus essential to develop a more integrated approach to water and climate change, that would allow scientists and policymakers to “close the loop” between mitigation options, water cycle changes, hydrological impacts and adaptation.
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3.
  • Haggerty, Treah, et al. (författare)
  • Pain Management During West Virginia's Opioid Crisis
  • 2022
  • Ingår i: Journal of the American Board of Family Medicine : JABFM. - 1557-2625. ; 35:5, s. 940-950
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: Opioid use disorder has caused significant morbidity and mortality resulting in opioid prescribing limiting laws, such as State Bill 273 in West Virginia. The purpose of this study is to explore the impacts of a restrictive opioid prescription law on physicians in medical practice in West Virginia. METHODS: A qualitative study with open-ended semistructured interviews with a purposive sample of physicians in West Virginia. Interviews were recorded and transcribed verbatim. A preliminary code book was developed by 3 coinvestigators. Interview transcriptions were analyzed with a code-based text search query. Content analysis was utilized as the methodological orientation underpinning for the current work. RESULTS: Interviews were conducted with 20 physicians (10 primary care physicians and 10 specialty physicians) in practice in West Virginia. Physicians identified 5 theoretical domains related to SB273: changing opioid prescribing and documentation requirements; rural socioeconomic disparities; a continuum between chronic pain and substance use disorder; difficulty in balancing patient needs and the concern for diversion; lack of available alternatives to opioids for chronic. CONCLUSION: Prescribing opioids in rural West Virginia is complex due to identified challenges. Recommendations for opioids prescribing legislation include clear messaging of guidelines and recommendations, efforts to address socioeconomic disparities of health and pain, and improved accessibility for treatment of both pain and dependence in rural communities are important areas of growth in the rural health care environment.
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  • Sedney, Cara L., et al. (författare)
  • “The DEA would come in and destroy you” : a qualitative study of fear and unintended consequences among opioid prescribers in WV
  • 2022
  • Ingår i: Substance Abuse: Treatment, Prevention, and Policy. - : Springer Science and Business Media LLC. - 1747-597X. ; 17
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: West Virginia has one of the highest rates of opioid overdose related deaths and is known as the epicenter of the opioid crisis in the United States. In an effort to reduce opioid-related harms, SB 273 was signed in 2018, and aimed to restrict opioid prescribing in West Virginia. SB 273 was enacted during a time when physician arrests and convictions had been increasing for years and were becoming more prevalent and more publicized. This study aims to better understand the impact of the legislation on patients and providers. Methods: Twenty semi-structured interviews were conducted with opioid-prescribing primary care physicians and specialists practicing throughout West Virginia. Results: Four themes emerged, 1. Fear of disciplinary action, 2. Exacerbation of opioid prescribing fear due to restrictive legislation, 3. Care shifts and treatment gaps, and 4. Conversion to illicit substances. The clinicians recognized the harms of inappropriate prescribing and how this could affect their patients. Decreases in opioid prescribing were already occurring prior to the law implementation. Disciplinary actions against opioid prescribers resulted in prescriber fear, which was then exacerbated by SB 273 and contributed to shifts in care that led to forced tapering and opioid under-prescribing. Providers felt that taking on patients who legitimately required opioids could jeopardize their career. Conclusion: A holistic and patient-centered approach should be taken by legislative and disciplinary bodies to ensure patients are not abandoned when disciplinary actions are taken against prescribers or new legislation is passed.
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10.
  • Wimark, Thomas, 1979-, et al. (författare)
  • A life course approach to the field and fieldwork
  • 2017
  • Ingår i: Area (London 1969). - : Wiley. - 0004-0894 .- 1475-4762. ; 49:4, s. 390-393
  • Tidskriftsartikel (refereegranskat)abstract
    • Life course scholars have theorised the relationship between individual life trajectories and geographic phenomena such as migration, partnering, reproduction and locational choice. They have engaged less frequently with the politics of fieldwork or the interrelationship of the life course and the field. Feminist geographers, in contrast, have made significant interventions into the social dynamics of fieldwork (e.g. relationships between researchers and participants), but less so on the life trajectories that precede and follow the fieldwork encounter. This special section thus contributes to both life course geographies and ongoing feminist interventions into the fieldwork process. In understanding fieldwork experiences through a life course approach, the contributors to this special section simultaneously deepen and systematise much of feminist geographic research on fieldwork. Their work highlights how life events and turning points, including those before, during and beyond fieldwork, can profoundly change – or be changed by – research experiences and outcomes. They also reveal how the trajectories of researchers, participants and the field itself become interconnected within specific historical times and contexts.
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