| 1. |
- Ferrando, Carlos, et al.
(författare)
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Effects of oxygen on post-surgical infections during an individualised perioperative open-lung ventilatory strategy : a randomised controlled trial
- 2020
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Ingår i: British Journal of Anaesthesia. - : ELSEVIER SCI LTD. - 0007-0912 .- 1471-6771. ; 124:1, s. 110-120
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Tidskriftsartikel (refereegranskat)abstract
- Background: We aimed to examine whether using a high fraction of inspired oxygen (FIO2) in the context of an individualised intra- and postoperative open-lung ventilation approach could decrease surgical site infection (SSI) in patients scheduled for abdominal surgery. Methods: We performed a multicentre, randomised controlled clinical trial in a network of 21 university hospitals from June 6, 2017 to July 19, 2018. Patients undergoing abdominal surgery were randomly assigned to receive a high (0.80) or conventional (0.3) FIO2 during the intraoperative period and during the first 3 postoperative hours. All patients were mechanically ventilated with an open-lung strategy, which included recruitment manoeuvres and individualised positive end-expiratory pressure for the best respiratory-system compliance, and individualised continuous postoperative airway pressure for adequate peripheral oxyhaemoglobin saturation. The primary outcome was the prevalence of SSI within the first 7 postoperative days. The secondary outcomes were composites of systemic complications, length of intensive care and hospital stay, and 6-month mortality. Results: We enrolled 740 subjects: 371 in the high FIO2 group and 369 in the low FIO2 group. Data from 717 subjects were available for final analysis. The rate of SSI during the first postoperative week did not differ between high (8.9%) and low (9.4%) FIO2 groups (relative risk [RR]: 0.94; 95% confidence interval [CI]: 0.59-1.50; P=0.90]). Secondary outcomes, such as atelectasis (7.7% vs 9.8%; RR: 0.77; 95% CI: 0.48-1.25; P=0.38) and myocardial ischaemia (0.6% [n=2] vs 0% [n=0]; P=0.47) did not differ between groups. Conclusions: An oxygenation strategy using high FIO2 compared with conventional FIO2 did not reduce postoperative SSIs in abdominal surgery. No differences in secondary outcomes or adverse events were found.
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| 2. |
- Díaz Reviriego, Isabel, et al.
(författare)
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Five years of IPBES : Reflecting the achievements and challenges and identifying needs for its review towards a 2nd work programme.
- 2018
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- On 17 to 19th October 2017, twenty-four academics and practitioners with diverse inter- and transdisciplinary experiences gathered for a workshop to collectively reflect on IPBES’ work and performance. The workshop was held at the German Centre for Integrative Biodiversity Research (iDiv) in Leipzig. The workshop and this report represent an effort to proactively contribute to IPBES’ ongoing (external) review process. The external review process opens up a window of opportunity towards re-thinking the very purpose of IPBES and identifying new pathways to live up to its initial ambitions, such as to move beyond assessments. The workshop identified a spectrum of potential opportunities, provided visions for the future work of IPBES, and collected insights into how to cope with them. While the workshop focussed on identifying future challenges and possible solutions, all participants underlined the great achievements that IPBES has already accomplished. This report provides a synthesis of the workshop discussions. The main recommendations for the external review were: - The external review should seize the opportunity to establish itself in a responsive and future-oriented way so that it not only assesses past performance but also facilitates learning and identifies new pathways for IPBES. It is important that the focus of the review is not just on the extent to which IPBES has fulfilled its ambitions but also on the efficiency with which it has done this, and on the potential unintended effects of decisions. - For IPBES to achieve its initial ambitions, strengthening the (mainly global-scale) scientific knowledge base behind assessments is necessary but not yet sufficient. To meet its broader set of goals, it is required to pay critical attention to all aspects of policy support, knowledge generation and capacity-building, including the meaningful participation of Indigenous Peoples and Local Communities and the incorporation of local and indigenous knowledge. This will require building synergies between knowledge systems, promoting the engagement of the social sciences and humanities, and addressing current challenges in the nomination and selection procedures for the identification of experts. - The external review also opens up space to identify a full range of alternative options and choices that are available when reforming IPBES. The review should engage in real-world dialogues and liaise closely with partners from research, policy and practice as well as with national platforms and local actors.
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| 3. |
- Gustafsson, Karin M, 1983-, et al.
(författare)
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Building capacity for the science-policy interface on biodiversity and ecosystem services : Activities, fellows, outcomes, and neglected capacity building needs
- 2020
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Ingår i: Earth System Governance. - : Elsevier. - 2589-8116. ; 4:June
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Tidskriftsartikel (refereegranskat)abstract
- Capacity building has been identified as being of importance for the Intergovernmental Science-PolicyPlatform on Biodiversity and Ecosystem Services (IPBES). As the IPBES is becoming an influentialexpert organization, it is essential to examine what capacity building means in its context, what capacitiesit has built, and what implications these capacities have. This study explores these issues byfocusing on the IPBES's general strategy for capacity building, the IPBES's fellowship programme and towhat extent there are additional capacity building needs that can be addressed. The study shows that theIPBES has focused its capacity building efforts on the science side of the science-policy interface while,thus far, it has neglected to build capacities on the policy side of the interface. The study provides insightinto how capacity building for the science-policy interface sets preconditions for science-policy relationsat different levels and scales within biodiversity and ecosystem services and beyond.
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| 4. |
- Hanspach, Jan, et al.
(författare)
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Biocultural approaches to sustainability : A systematic review of the scientific literature
- 2020
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Ingår i: People and Nature. - : Wiley. - 2575-8314. ; 2:3, s. 643-659
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Forskningsöversikt (refereegranskat)abstract
- Current sustainability challenges demand approaches that acknowledge a plurality of human-nature interactions and worldviews, for which biocultural approaches are considered appropriate and timely. This systematic review analyses the application of biocultural approaches to sustainability in scientific journal articles published between 1990 and 2018 through a mixed methods approach combining qualitative content analysis and quantitative multivariate methods. The study identifies seven distinct biocultural lenses, that is, different ways of understanding and applying biocultural approaches, which to different degrees consider the key aspects of sustainability science-inter- and transdisciplinarity, social justice and normativity. The review suggests that biocultural approaches in sustainability science need to move from describing how nature and culture are co-produced to co-producing knowledge for sustainability solutions, and in so doing, better account for questions of power, gender and transformations, which has been largely neglected thus far. A free Plain Language Summary can be found within the Supporting Information of this article. A free Plain Language Summary can be found within the Supporting Information of this article.
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| 5. |
- Rice, Jake, et al.
(författare)
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Chapter 2: Conceptualizing the sustainable use of wild species.
- 2022
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Ingår i: Thematic Assessment Report on the Sustainable Use of Wild Species of the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services. - Bonn : IPBES Secretariat.
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Bokkapitel (refereegranskat)
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