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- Schiele, Francois, et al.
(författare)
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2020 Update of the quality indicators for acute myocardial infarction: a position paper of the Association for Acute Cardiovascular Care: the study group for quality indicators from the ACVC and the NSTE-ACS guideline group
- 2021
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Ingår i: European Heart Journal. - : OXFORD UNIV PRESS. - 2048-8726 .- 2048-8734. ; 10:2, s. 224-233
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Tidskriftsartikel (refereegranskat)abstract
- Aims Quality indicators (QIs) are tools to improve the delivery of evidence-base medicine. In 2017, the European Society of Cardiology (ESC) Association for Acute Cardiovascular Care (ACVC) developed a set of QIs for acute myocardial infarction (AMI), which have been evaluated at national and international levels and across different populations. However, an update of these QIs is needed in light of the accumulated experience and the changes in the supporting evidence. Methods and results The ESC methodology for the QI development was used to update the 2017 ACVC QIs. We identified key domains of AMI care, conducted a literature review, developed a list of candidate QIs, and used a modified Delphi method to select the final set of indicators. The same seven domains of AMI care identified by the 2017 Study Group were retained for this update. For each domain, main and secondary QIs were developed reflecting the essential and complementary aspects of care, respectively. Overall, 26 QIs are proposed in this document, compared to 20 in the 2017 set. New QIs are proposed in this document (e.g. the centre use of high-sensitivity troponin), some were retained or modified (e.g. the in-hospital risk assessment), and others were retired in accordance with the changes in evidence [e.g. the proportion of patients with non-ST segment elevation myocardial infarction (NSTEMI) treated with fondaparinux] and the feasibility assessments (e.g. the proportion of patients with NSTEMI whom risk assessment is performed using the GRACE and CRUSADE risk scores). Conclusion Updated QIs for the management of AMI were developed according to contemporary knowledge and accumulated experience. These QIs may be applied to evaluate and improve the quality of AMI care.
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- Gleeson, Tom, et al.
(författare)
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Illuminating water cycle modifications and Earth system resilience in the Anthropocene
- 2020
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Ingår i: Water resources research. - 0043-1397 .- 1944-7973. ; 56:4
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Tidskriftsartikel (refereegranskat)abstract
- Fresh water—the bloodstream of the biosphere—is at the center of the planetary drama of the Anthropocene. Water fluxes and stores regulate the Earth's climate and are essential for thriving aquatic and terrestrial ecosystems, as well as water, food, and energy security. But the water cycle is also being modified by humans at an unprecedented scale and rate. A holistic understanding of freshwater's role for Earth system resilience and the detection and monitoring of anthropogenic water cycle modifications across scales is urgent, yet existing methods and frameworks are not well suited for this. In this paper we highlight four core Earth system functions of water (hydroclimatic regulation, hydroecological regulation, storage, and transport) and key related processes. Building on systems and resilience theory, we review the evidence of regional‐scale regime shifts and disruptions of the Earth system functions of water. We then propose a framework for detecting, monitoring, and establishing safe limits to water cycle modifications and identify four possible spatially explicit methods for their quantification. In sum, this paper presents an ambitious scientific and policy grand challenge that could substantially improve our understanding of the role of water in the Earth system and cross‐scale management of water cycle modifications that would be a complementary approach to existing water management tools.
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- Keys, Patrick W., et al.
(författare)
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Variability of moisture recycling using a precipitationshed framework
- 2014
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Ingår i: Hydrology and Earth System Sciences. - : Copernicus GmbH. - 1027-5606 .- 1607-7938. ; 18:10, s. 3937-3950
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Tidskriftsartikel (refereegranskat)abstract
- Recent research has revealed that upwind land-use changes can significantly influence downwind precipitation. The precipitationshed (the upwind ocean and land surface that contributes evaporation to a specific location's precipitation) may provide a boundary for coordination and governance of these upwind-downwind water linkages. We aim to quantify the variability of the precipitationshed boundary to determine whether there are persistent and significant sources of evaporation for a given region's precipitation. We identify the precipitationsheds for three regions (i.e., western Sahel, northern China, and La Plata) by tracking atmospheric moisture with a numerical water transport model (Water Accounting Model-2layers, or WAM-2layers) using gridded fields from both the ERA-Interim (European Reanalysis Interim) and MERRA (Modern-Era Retrospective Analysis for Research and Applications) reanalyses. Precipitationshed variability is examined first by diagnosing the persistence of the evaporation contribution and second with an analysis of the spatial variability of the evaporation contribution. The analysis leads to three key conclusions: (1) a core precipitationshed exists; (2) most of the variance in the precipitationshed is explained by a pulsing of more or less evaporation from the core precipitationshed; and (3) the reanalysis data sets agree reasonably well, although the degree of agreement is regionally dependent. Given that much of the growing-season evaporation arises from within a core precipitationshed that is largely persistent in time, we conclude that the precipitationshed can potentially provide a useful boundary for governing land-use change on downwind precipitation.
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| 8. |
- Pereira, Laura M., et al.
(författare)
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The living infinite: Envisioning futures for transformed human-nature relationships on the high seas
- 2023
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Ingår i: Marine Policy. - 0308-597X .- 1872-9460. ; 153, s. 105644-105644
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Tidskriftsartikel (refereegranskat)abstract
- We find ourselves at a critical crossroads for the future governance of the high seas, but the perceived remoteness of the global ocean creates a psychological barrier for people to engage with it. Given challenges of overexploitation, inequitable access and other sustainability and equity concerns, current ocean governance mechanisms are not fit-for-purpose. This decade offers opportunities for direct impact on ocean governance, however, triggering a global transformation on how we use and protect the half of our planet requires a concerted effort that is guided by shared values and principles across regions and sectors. The aim of the series of workshops outlined in this paper, was to undertake a futures thinking process that could use the Nature Futures Framework as a mechanism to bring more transformative energy into how humans conceptualise the high seas and therefore how we aim to govern the ocean. We found that engaging with the future through science fiction narratives allowed a more radical appreciation of what could be and infusing science with artistic elements can inspire audiences beyond academia. Thus, creative endeavours of co-production that promote and encourage imagination to address current challenges should be considered as important tools in the science-policy interface, also as a way to elicit empathetic responses. This workshop series was a first, and hopefully promising, step towards generating a more creative praxis in how we imagine and then act for a better future for the high seas.
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- Pereira, Laura, et al.
(författare)
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The Living Infinite
- 2022
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Ingår i: Vector. - 0505-0448.
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 10. |
- Pereira, Laura, 1985-, et al.
(författare)
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The living infinite : Envisioning futures for transformed human-nature relationships on the high seas
- 2023
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Ingår i: Marine Policy. - 0308-597X .- 1872-9460. ; 153
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Tidskriftsartikel (refereegranskat)abstract
- We find ourselves at a critical crossroads for the future governance of the high seas, but the perceived remoteness of the global ocean creates a psychological barrier for people to engage with it. Given challenges of over-exploitation, inequitable access and other sustainability and equity concerns, current ocean governance mech-anisms are not fit-for-purpose. This decade offers opportunities for direct impact on ocean governance, however, triggering a global transformation on how we use and protect the half of our planet requires a concerted effort that is guided by shared values and principles across regions and sectors. The aim of the series of workshops outlined in this paper, was to undertake a futures thinking process that could use the Nature Futures Framework as a mechanism to bring more transformative energy into how humans conceptualise the high seas and therefore how we aim to govern the ocean. We found that engaging with the future through science fiction narratives allowed a more radical appreciation of what could be and infusing science with artistic elements can inspire audiences beyond academia. Thus, creative endeavours of co-production that promote and encourage imagi-nation to address current challenges should be considered as important tools in the science-policy interface, also as a way to elicit empathetic responses. This workshop series was a first, and hopefully promising, step towards generating a more creative praxis in how we imagine and then act for a better future for the high seas.
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