| 1. |
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| 2. |
- Olsson, Lennart, et al.
(författare)
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GIS och studiet av globala miljöproblem
- 2002
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Ingår i: Geografiska Informationssystem - tillämpningsexempel. - 915405903 8 ; , s. 131-162
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Bokkapitel (populärvet., debatt m.m.)
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| 3. |
- Axelsson, Robert, et al.
(författare)
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Evaluation of Multi-level Social Learning for Sustainable Landscapes : Perspective of a Development Initiative in Bergslagen, Sweden
- 2013
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Ingår i: Ambio. - : Springer Netherlands. - 0044-7447 .- 1654-7209. ; 42:2, s. 241-253
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Tidskriftsartikel (refereegranskat)abstract
- To implement policies about sustainable landscapes and rural development necessitates social learning about states and trends of sustainability indicators, norms that define sustainability, and adaptive multi-level governance. We evaluate the extent to which social learning at multiple governance levels for sustainable landscapes occur in 18 local development initiatives in the network of Sustainable Bergslagen in Sweden. We mapped activities over time, and interviewed key actors in the network about social learning. While activities resulted in exchange of experiences and some local solutions, a major challenge was to secure systematic social learning and make new knowledge explicit at multiple levels. None of the development initiatives used a systematic approach to secure social learning, and sustainability assessments were not made systematically. We discuss how social learning can be improved, and how a learning network of development initiatives could be realized.
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| 4. |
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| 5. |
- Christiansen, Evald H, et al.
(författare)
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Instantaneous Wave-free Ratio versus Fractional Flow Reserve to Guide PCI.
- 2017
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Ingår i: The New England journal of medicine. - : Massachussetts Medical Society. - 1533-4406 .- 0028-4793. ; 376:19, s. 1813-1823
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Tidskriftsartikel (refereegranskat)abstract
- The instantaneous wave-free ratio (iFR) is an index used to assess the severity of coronary-artery stenosis. The index has been tested against fractional flow reserve (FFR) in small trials, and the two measures have been found to have similar diagnostic accuracy. However, studies of clinical outcomes associated with the use of iFR are lacking. We aimed to evaluate whether iFR is noninferior to FFR with respect to the rate of subsequent major adverse cardiac events.We conducted a multicenter, randomized, controlled, open-label clinical trial using the Swedish Coronary Angiography and Angioplasty Registry for enrollment. A total of 2037 participants with stable angina or an acute coronary syndrome who had an indication for physiologically guided assessment of coronary-artery stenosis were randomly assigned to undergo revascularization guided by either iFR or FFR. The primary end point was the rate of a composite of death from any cause, nonfatal myocardial infarction, or unplanned revascularization within 12 months after the procedure.A primary end-point event occurred in 68 of 1012 patients (6.7%) in the iFR group and in 61 of 1007 (6.1%) in the FFR group (difference in event rates, 0.7 percentage points; 95% confidence interval [CI], -1.5 to 2.8; P=0.007 for noninferiority; hazard ratio, 1.12; 95% CI, 0.79 to 1.58; P=0.53); the upper limit of the 95% confidence interval for the difference in event rates fell within the prespecified noninferiority margin of 3.2 percentage points. The results were similar among major subgroups. The rates of myocardial infarction, target-lesion revascularization, restenosis, and stent thrombosis did not differ significantly between the two groups. A significantly higher proportion of patients in the FFR group than in the iFR group reported chest discomfort during the procedure.Among patients with stable angina or an acute coronary syndrome, an iFR-guided revascularization strategy was noninferior to an FFR-guided revascularization strategy with respect to the rate of major adverse cardiac events at 12 months. (Funded by Philips Volcano; iFR SWEDEHEART ClinicalTrials.gov number, NCT02166736 .).
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| 6. |
- Escaned, Javier, et al.
(författare)
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Safety of the Deferral of Coronary Revascularization on the Basis of Instantaneous Wave-Free Ratio and Fractional Flow Reserve Measurements in Stable Coronary Artery Disease and Acute Coronary Syndromes
- 2018
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Ingår i: JACC. - : Elsevier. - 1936-8798 .- 1876-7605. ; 11:15, s. 1437-1449
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES The aim of this study was to investigate the clinical outcomes of patients deferred from coronary revascularization on the basis of instantaneous wave-free ratio (iFR) or fractional flow reserve (FFR) measurements in stable angina pectoris (SAP) and acute coronary syndromes (ACS). BACKGROUND Assessment of coronary stenosis severity with pressure guidewires is recommended to determine the need for myocardial revascularization. METHODS The safety of deferral of coronary revascularization in the pooled per-protocol population (n = 4,486) of the DEFINE-FLAIR (Functional Lesion Assessment of Intermediate Stenosis to Guide Revascularisation) and iFR-SWEDEHEART (Instantaneous Wave-Free Ratio Versus Fractional Flow Reserve in Patients With Stable Angina Pectoris or Acute Coronary Syndrome) randomized clinical trials was investigated. Patients were stratified according to revascularization decision making on the basis of iFR or FFR and to clinical presentation (SAP or ACS). The primary endpoint was major adverse cardiac events (MACE), defined as the composite of all-cause death, nonfatal myocardial infarction, or unplanned revascularization at 1 year. RESULTS Coronary revascularization was deferred in 2,130 patients. Deferral was performed in 1,117 patients (50%) in the iFR group and 1,013 patients (45%) in the FFR group (p < 0.01). At 1 year, the MACE rate in the deferred population was similar between the iFR and FFR groups (4.12% vs. 4.05%; fully adjusted hazard ratio: 1.13; 95% confidence interval: 0.72 to 1.79; p = 0.60). A clinical presentation with ACS was associated with a higher MACE rate compared with SAP in deferred patients (5.91% vs. 3.64% in ACS and SAP, respectively; fully adjusted hazard ratio: 0.61 in favor of SAP; 95% confidence interval: 0.38 to 0.99; p = 0.04). CONCLUSIONS Overall, deferral of revascularization is equally safe with both iFR and FFR, with a low MACE rate of about 4%. Lesions were more frequently deferred when iFR was used to assess physiological significance. In deferred patients presenting with ACS, the event rate was significantly increased compared with SAP at 1 year. (C) 2018 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.
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| 7. |
- Götberg, Matthias, et al.
(författare)
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5-Year Outcomes of PCI Guided by Measurement of Instantaneous Wave-Free Ratio Versus Fractional Flow Reserve
- 2022
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Ingår i: Journal of the American College of Cardiology. - : Elsevier. - 0735-1097 .- 1558-3597. ; 79:10, s. 965-974
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Instantaneous wave-free ratio (iFR) is a coronary physiology index used to assess the severity of coronary artery stenosis to guide revascularization. iFR has previously demonstrated noninferior short-term outcome compared to fractional flow reserve (FFR), but data on longer-term outcome have been lacking.OBJECTIVES: The purpose of this study was to investigate the prespecified 5-year follow-up of the primary composite outcome of all-cause mortality, myocardial infarction, and unplanned revascularization of the iFR-SWEDEHEART trial comparing iFR vs FFR in patients with chronic and acute coronary syndromes.METHODS: iFR-SWEDEHEART was a multicenter, controlled, open-label, registry-based randomized clinical trial using the Swedish Coronary Angiography and Angioplasty Registry for enrollment. A total of 2,037 patients were randomized to undergo revascularization guided by iFR or FFR.RESULTS: No patients were lost to follow-up. At 5 years, the rate of the primary composite endpoint was 21.5% in the iFR group and 19.9% in the FFR group (HR: 1.09; 95% CI: 0.90-1.33). The rates of all-cause death (9.4% vs 7.9%; HR: 1.20; 95% CI: 0.89-1.62), nonfatal myocardial infarction (5.7% vs 5.8%; HR: 1.00; 95% CI: 0.70-1.44), and unplanned revascularization (11.6% vs 11.3%; HR: 1.02; 95% CI: 0.79-1.32) were also not different between the 2 groups. The outcomes were consistent across prespecified subgroups.CONCLUSIONS: In patients with chronic or acute coronary syndromes, an iFR-guided revascularization strategy was associated with no difference in the 5-year composite outcome of death, myocardial infarction, and unplanned revascularization compared with an FFR-guided revascularization strategy. (Evaluation of iFR vs FFR in Stable Angina or Acute Coronary Syndrome [iFR SWEDEHEART]; NCT02166736)
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| 8. |
- Holm, Magnus, et al.
(författare)
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Non-Invasive Assessment of the Atrial Cycle Length during Atrial Fibrillation in Man: Introducing, Validating and Illustrating a New ECG Method
- 1998
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Ingår i: Cardiovascular Research. - 1755-3245. ; 38:1, s. 69-81
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: Atrial fibrillation (AF) in man has previously been shown to include a wide variety of atrial activity. Assessment of the characteristics of this arrhythmia with a commonly applicable tool may therefore be important in the choice and evaluation of different therapeutic strategies. As the AF cycle length has been shown to correlate locally with atrial refractoriness and globally with the degree of atrial organization, with, in general, shorter cycle length during apparently random AF compared to more organized AF, we have developed a new method for non-invasive assessment of the AF cycle length using the surface and the esophagus (ESO) ECG. METHODS AND RESULTS: From the frequency spectrum of the residual ECG, created by suppression of the QRST complexes, the dominant atrial cycle length (DACL) was derived. By comparison with multiple intracardiac simultaneously acquired right and left AF cycle lengths in patients with paroxysmal AF, we found that the DACL in lead V1, ranging from 130 to 185 ms, well represented a spatial average of the right AF cycle lengths, whereas the DACL in the ESO ECG, ranging from 140 to 185 ms, reflected both the right and the left AF cycle length, where the influence from each structure depended on the atrial anatomy of the individual, as determined by MRI. In patients with chronic AF, the method was capable of following changes in the AF cycle length due to administration of D,L-sotalol and 5 min of ECG recording was sufficient for the DACL to be reproducible. CONCLUSIONS: We conclude that this new non-invasive method, named 'Frequency Analysis of Fibrillatory ECG' (FAF-ECG), is capable of assessing both the magnitude and the dynamics of the atrial fibrillation cycle length in man.
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| 9. |
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| 10. |
- Moberg, Christina, et al.
(författare)
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De unga gör helt rätt när de stämmer staten
- 2022
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Ingår i: Aftonbladet. - 1103-9000.
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- 1 620 forskare och lärare i forskarvärlden: Vi ställer oss bakom Auroras klimatkrav
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| 11. |
- Nygren, Martin, et al.
(författare)
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Identification of 2,3,7,8-substituted polychlorinated dioxins and dibenzofurans in environmental and human samples
- 1986. - 1
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Ingår i: Chlorinated dioxins and dibenzofurans in perspective. - Boca Raton : CRC Press. - 9781315891545 - 9781351070645 ; , s. 17-34
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs) are two series of tricyclic, almost planar aromatic compounds that exhibit very similar physical, chemical, and biological properties. The human exposure to PCDDs and PCDFs by milk consumption is not negligible. Detection levels in ecological and human samples should be orders of magnitude below the usual detection levels obtained in pesticide analyses. One objective of the study is to identify background levels of PCDDs and PCDFs in these samples, especially those of human origin. The spectrum of toxic effects is species dependent but for humans they include chloracne and porphyria cutane tarda and for other animals edema, thymic atrophy, teratogenicity, liver lesions and a slow wasting syndrome followed by death. It is evident that it is of particular importance to identify the ultimate source or sources of the toxic 2,3,7,8-substituted PCDDs and PCDFs found as background constituents in the environmental and human samples, especially the samples of mother's milk, which are of toxicological interest.
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| 12. |
- van Ittersum, Martin, et al.
(författare)
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Integrated Assessment of Agricultural and Environmental Policies – A Modular Framework for the EU (SEAMLESS)
- 2008
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Ingår i: Agricultural Systems. - : Elsevier BV. - 0308-521X. ; 96:1-3, s. 150-165
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Tidskriftsartikel (refereegranskat)abstract
- Abstract in UndeterminedAgricultural systems continuously evolve and are forced to change as a result of a range of global and local driving forces. Agricultural technologies and agricultural, environmental and rural development policies are increasingly designed to contribute to the sustainability of agricultural systems and to enhance contributions of agricultural systems to sustainable development at large. The effectiveness and efficiency of such policies and technological developments in realizing desired contributions could be greatly enhanced if the quality of their ex-ante assessments were improved. Four key challenges and requirements to make research tools more useful for integrated assessment in the European Union were defined in interactions between scientists and the European Commission (EC), i.e., overcoming the gap between micro-macro level analysis, the bias in integrated assessments towards either economic or environmental issues, the poor re-use of models and hindrances in technical linkage of models. Tools for integrated assessment must have multi-scale capabilities and preferably be generic and flexible such that they can deal with a broad variety of policy questions. At the same time, to be useful for scientists, the framework must facilitate state-of-the-art science both on aspects of the agricultural systems and on integration. This paper presents the rationale, design and illustration of a component-based framework for agricultural systems (SEAMLESS Integrated Framework) to assess, ex-ante, agricultural and agri-environmental policies and technologies across a range of scales, from field-farm to region and European Union, as well as some global interactions. We have opted for a framework to link individual model and data components and a software infrastructure that allows a flexible (re-)use and linkage of components. The paper outlines the software infrastructure, indicators and model and data components. The illustrative example assesses effects of a trade liberalisation proposal on EU's agriculture and indicates how SEAMLESS addresses the four identified challenges for integrated assessment tools, i.e., linking micro and macro analysis, assessing economic, environmental, social and institutional indicators, (re-)using standalone model components for field, farm and market analysis and their conceptual and technical linkage.
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| 13. |
- Ahlberg, Erik, et al.
(författare)
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"Vi klimatforskare stödjer Greta och skolungdomarna"
- 2019
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Ingår i: Dagens nyheter (DN debatt). - 1101-2447.
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- DN DEBATT 15/3. Sedan industrialiseringens början har vi använt omkring fyra femtedelar av den mängd fossilt kol som får förbrännas för att vi ska klara Parisavtalet. Vi har bara en femtedel kvar och det är bråttom att kraftigt reducera utsläppen. Det har Greta Thunberg och de strejkande ungdomarna förstått. Därför stödjer vi deras krav, skriver 270 klimatforskare.
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| 14. |
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| 15. |
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| 16. |
- Ahrens, Wolfgang, et al.
(författare)
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Occupational exposure to endocrine-disrupting compounds and biliary tract cancer among men
- 2007
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Ingår i: Scandinavian Journal of Work, Environment and Health. - : Scandinavian Journal of Work, Environment and Health. - 0355-3140 .- 1795-990X. ; 33:5, s. 387-396
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Tidskriftsartikel (refereegranskat)abstract
- Objectives This study investigated the association between cancer of the extrahepatic biliary tract and exposure to endocrine-disrupting compounds. Methods Altogether 183 men with histologically confirmed carcinoma of the extrahepatic biliary tract and 1938 matched controls were interviewed between 1995 and 1997 in the frame of an international multicenter case-control study in six European countries (Denmark, France, Germany, Italy, Spain, and Sweden). Selfreported job descriptions were converted to semiquantitative variables (intensity, probability, and duration of exposure) for 14 endocrine-disrupting compounds. The cases were compared with 1421 population controls and 517 colon adenocarcinoma patients. Odds ratios (OR) and 95% confidence intervals (95% CI) were obtained with unconditional logistic regression and adjusted for age, country, and gallstones. Results Occupational exposure to endocrine-disrupting compounds resulted in an OR of 1.4 (95% CI 1.0-2. 1) with no dose-effect relationship for cumulative exposure (low: OR 1.3, 95% CI 0.6-3.0; medium: OR 1.5, 95% CI0.8-2.7; high: OR 1.4, 95% CI 0.9-2.4) (only index participants). The elevated risk was restricted to extrahepatic bile ducts and ampulla Vateri (OR 1.7, 95% CI 1.0-2.6). The adjusted OR for cancer of the extrahepatic biliary tract after exposure to polychlorinated biphenyls was 2.8 (95% CI 1.3-5.9, only index participants). Conclusions The data show some associations between exposure to endocrine-disrupting compounds in the workplace and the risk for cancer of the extrahepatic biliary tract among men, particularly for the extrahepatic bile duct and ampulla of Vater. Polychlorinated biphenyls could possibly be a strong risk factor.
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| 17. |
- Ahrens, Wolfgang, et al.
(författare)
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Risk factors for extrahepatic biliary tract carcinoma in men: medical conditions and lifestyle: results from a European multicentre case-control study
- 2007
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Ingår i: European Journal of Gastroenterology and Hepathology. - 1473-5687. ; 19:8, s. 623-630
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To identify risk factors of carcinoma of the extrahepatic biliary tract in men. METHODS: Newly diagnosed and histologically confirmed patients, 35-70 years old, were interviewed between 1995 and 1997 in Denmark, Sweden, France, Germany and Italy. Population controls were frequency-matched by age and region. Adjusted odds ratios and 95%-confidence intervals were estimated by logistic regression. RESULTS: The analysis included 153 patients and 1421 controls. The participation proportion was 71% for patients and 61% for controls. Gallstone disease was corroborated as a risk factor for extrahepatic biliary tract carcinoma in men (odds ratio 2.49; 95% confidence interval 1.32-4.70), particularly for gall bladder tumors (odds ratio 4.68; 95% confidence interval 1.85-11.84). For a body mass index [height (m) divided by squared weight (kg2)] >30 at age 35 years, an excess risk was observed (odds ratio 2.58; 95% confidence interval 1.07-6.23, reference: body mass index 18.5-25) that was even stronger if the body mass index was >30 for the lowest weight in adulthood (odds ratio 4.68; 95% confidence interval 1.13-19.40). Infection of the gall bladder, chronic inflammatory bowel disease, hepatitis or smoking showed no clear association, whereas some increase in risk was suggested for consumption of 40-80 g alcohol per day and more. CONCLUSIONS: Our study corroborates gallstones as a risk indicator in extrahepatic biliary tract carcinoma. Permanent overweight and obesity in adult life was identified as a strong risk factor for extrahepatic biliary tract carcinoma, whereas we did not find any strong lifestyle-associated risk factors. Inconsistent results across studies concerning the association of extrahepatic biliary tract carcinoma with overweight and obesity may be explained by the different approaches to assess this variable.
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| 18. |
- Almered Olsson, Gunilla, 1951, et al.
(författare)
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Grass: from local pastures to global energy markets in eastern Tanzania
- 2012
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Ingår i: Ecology and power : struggles over land and material resources in the past, present, and future / edited by Alf Hornborg, Brett Clark and Kenneth Hermele. - Abingdon : Routledge. - 9780415601467 ; , s. 206-216
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Bokkapitel (refereegranskat)
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| 19. |
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| 20. |
- Andersson, Elina, et al.
(författare)
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The Political Ecology of Land Degradation
- 2011
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Ingår i: Annual Review of Environment and Resources. - : Annual Reviews. - 1545-2050 .- 1543-5938. ; 36, s. 295-319
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Forskningsöversikt (refereegranskat)abstract
- Land degradation, as a threat to smallholders in the tropics, attracts less attention than other global challenges. In addition, gaps between scientific understandings of land degradation and international policy regimes are problematic. We identify the three most significant debates including their different policy implications: desertification in the Sahel, nutrient depletion in Africa, and rural reforms in China. Using a political ecology frame across disciplines, scales of inquiry, and regional experiences, we nuance the often polarized scientific debate while seeking to bridge the gap between science and policy. Three main findings emerge: State-led rural reforms in China represent an important approach to land degradation; a renewed focus on agriculture and sustainability in development discourses opens new ways for tackling nutrient depletion with combined sociotechnological reforms; and a policy void in Africa paves the way for market mechanisms, such as payment for environmental services, that are insufficiently understood and put fairness at risk.
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| 21. |
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| 22. |
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| 23. |
- Ardö, Jonas, et al.
(författare)
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Assessment of soil organic carbon in semi-arid Sudan using GIS and the CENTURY model
- 2003
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Ingår i: Journal of Arid Environments. - : Elsevier BV. - 1095-922X .- 0140-1963. ; 54:4, s. 633-651
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Tidskriftsartikel (refereegranskat)abstract
- Using the UNFCCC as a basis, and the objectives of estimating soil organic carbon (SOC) changes during the period 1900-2100, a spatially explicit database of climate, land cover and soil texture was compiled for a 262,000 km(2) region in semi-arid Sudan. The area is characterized by low input cultivation of millet, sorghum and sesame combined with livestock grazing. By integrating the database with the CENTURY ecosystem model, we were able to estimate historical, current and future pools of SOC as a function of land management and climate. The SOC (upper 20 cm) decrease from 1900 to 2000 was estimated to be 6.8 Mt and the maximum potential carbon sink (SOC increase) for the period 2000 to 2 100 was estimated to be 17 Mt. Cropland and grassland lost 293 and 152t SOC km(-2) respectively whereas the savannahs gained 76t SOC km(-2) from 1900 to 2000. The SOC sequestration scenario simulated during 2000-2100 recovered 94, 84 and 75 tkm(-2) for cropland, grassland and savannah respectively. In addition to climate and soils, cropping intensity, fallow periods, fire frequency and grazing intensity also influence cropland SOC variation. Grassland and savannah SOC variations depend on grazing intensity and fire return interval. Land management may affect future amounts of SOC in semi-arid areas thereby turning them from sources into sinks of carbon. SOC estimates were reasonably consistent with measurements (r(2) = 0.70, n = 13).
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| 24. |
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| 25. |
- Ardö, Jonas, et al.
(författare)
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Soil carbon sequestration in traditional farming in Sudanese dry lands
- 2004
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Ingår i: Environmental Management. - : Springer Science and Business Media LLC. - 0364-152X .- 1432-1009. ; 33, s. 318-329
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Tidskriftsartikel (refereegranskat)abstract
- Do altered land management practices offer possibilities to sequester carbon in the soil and thereby mitigate increasing atmospheric CO2 as well as improve local soil fertility? This study investigates the impact of fallow periods on soil organic carbon in semiarid subsistence agroecosystems on sandy and poor soils in Kordofan, Sudan. The area is characterized by low-input cultivation of millet and sorghum in combination with livestock grazing. Recently, cultivation intensity has increased and the fallow periods have been shortened. Soil carbon contents were assessed for sites that have been under various cultivation intensities, ranging from 30 years of fallow to 30 years of continuous cultivation. Soil organic carbon showed a significant negative relationship with cultivation intensity. Measurements indicate a mean increase of approximately 4 g soil organic carbon (SOC) per square meter per year during fallow periods. The possibilities of increasing soil organic carbon by land management were also estimated through simulations using the Century model. Modeling suggested that reverting an intensely cropped millet site to permanent grassland would sequester approximately 1-2 g SOC/m(2)/yr, with higher rates during the early part of the period. Continuous intense cultivation could decrease the currently low soil carbon levels even further. These results indicate that altered land management could contribute to transforming degraded semiarid agroecosystems from a source to a weak sink for atmospheric CO2. Possible data improvements and uncertainties are discussed.
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