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- Albert, Christian, et al.
(författare)
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Planning and governing nature-based solutions in river landscapes : Concepts, cases, and insights
- 2021
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Ingår i: Ambio. - : Springer Science and Business Media LLC. - 0044-7447 .- 1654-7209. ; 50:8, s. 1405-1413
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Nature-based solutions (NBS), understood as actions that use ecosystem processes to address societal needs, can play important roles to future-proof river landscape development for people and nature. However, knowledge gaps exist how NBS can be planned and implemented at landscape scales. This Special Issue brings together insights and experiences from studies of assessing, planning, and implementing NBS in river landscapes in Europe and beyond. It addresses three research fields: (i) NBS effects, looking at the effectiveness of NBS to achieve ecological, social, and/or economic outcomes, (ii) NBS planning, focusing on approaches for planning and designing NBS, and (iii) NBS governance, relating to governance and business models for implementation. The twelve contributions deliver evidence on how NBS outperform conventional, rather technical solutions, provide guidance and tools to operationalize the NBS concept into practice, and showcase successful governance models of NBS in different contexts. The editorial ends with an outlook on further research needs.
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| 2. |
- Droppa, Michal, et al.
(författare)
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Risk factors for permanent pacemaker implantation in patients receiving a balloon-expandable transcatheter aortic valve prosthesis
- 2020
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Ingår i: Heart and Vessels. - : Springer. - 0910-8327 .- 1615-2573. ; 35, s. 1735-1745
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Tidskriftsartikel (refereegranskat)abstract
- Permanent pacemaker implantation (PPI) is a widely recognized complication associated with TAVI (incidence up to 20%). Smaller registries have identified several variables associated with PPI. The objective was to validate patient- and transcatheter aortic valve implantation (TAVI)-related procedural variables associated with PPI. We performed a retrospective analysis of patients from six European centers undergoing TAVI with the Edwards SAPIEN 3 prosthesis. Baseline variables and pre-procedural ECG characteristics and CT-scans were taken into account. Data for 1745 patients were collected; 191 (10.9%) required PPI after TAVI. The baseline variables pulmonary hypertension (OR 1.64; 95% CI 1.01-2.59), QRS duration > 117 ms (OR 2.58; 95% CI 1.73-3.84), right bundle branch block (RBBB; OR 5.14; 95% CI 3.39-7.72), left anterior hemi block (OR 1.92; 95% CI 1.19-3.02) and first-degree atrioventricular block (AVB, OR 1.63; 95%CI 1.05-2.46) were significantly associated with PPI. RBBB (OR 8.11; 95% CI 3.19-21.86) and first-degree AVB (OR 2.39; 95% CI 1.18-4.66) remained significantly associated in a multivariate analysis. Procedure-related variables included access site (TF; OR 1.97; 95% CI 1.07-4.05), implanted valve size (29 mm; OR 1.88; 95% CI 1.35-2.59), mean TAVI valve implantation depth below the annulus > 30% (OR 3.75; 95% CI 2.01-6.98). Patients receiving PPI had longer ICU stays and later discharges. Acute kidney injury stage 2/3 was more common in patients with PPI until discharge (15.2 vs. 3.1%;p = 0.007), but was not statistically significant thereafter. Further differences in outcomes at 30 days did not reach significance. The data will aid pre- and post-procedural patient management and prevent adverse long-term outcomes. Clinical Trial: NCT03497611.
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| 5. |
- Pätzke, Franka, et al.
(författare)
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Attitudes of political-administrative decision makers towards the implementation of nature-based solutions in water management–a case study on a hypothetical constructed wetland in the Tárcoles River basin
- 2024
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Ingår i: Ecosystems and People. - 2639-5908. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- Nature-based solutions (NBS) are actions that help communities address social-ecological challenges such as flooding and polluted groundwater. Nevertheless, research shows that in practice, NBS confront several barriers in planning and implementation, many of which are related to the different attitudes of political and administrative actors. There is knowledge missing on their viewpoints on NBS. We used Q-methodology to explore the attitudes towards the implementation of a constructed wetland as NBS, interviewing decision-makers from the Tárcoles River Basin Commission in Costa Rica, the administrative body in charge of the integrated management of the river. We determined three recognizable viewpoints: ‘the nature lover’, ‘the cost concerned’, and ‘the participation seeker’. Although all members of the commission shared a common vision, it was clear that their priorities differed. Regarding the ways of implementing NBS, interviewees agreed that the country urges a paradigm shift in policy design towards ecosystem-based approaches and emphasized the need for more cooperation among bodies of administration in river basin decision-making. We reflect on the lessons learned to improve planning and implementation of NBS, such as the importance of increasing knowledge and awareness of NBS, the support from all governance levels as well as the cooperation of researchers and policy-makers, and the consideration of NBS financing by private companies.
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| 6. |
- Schröter, Barbara, et al.
(författare)
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Beyond Demonstrators—tackling fundamental problems in amplifying nature-based solutions for the post-COVID-19 world
- 2022
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Ingår i: NPJ Urban Sustainability. - : Springer Science and Business Media LLC. - 2661-8001. ; 2
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Tidskriftsartikel (refereegranskat)abstract
- Nature-based Solutions (NbS) are currently promoted as a panacea for improving human-nature relations. Yet the way of amplifying and mainstreaming NbS beyond scientific demonstrator projects into policy contexts is still bearing shortcomings, in particular in the uncertain futures of a post-COVID-19 world. Successful NbS amplification may be achieved by (1) using multi-scalar action to balance differing interests and reconcile governance levels, (2) providing financial and other institutionalized incentives and strategies for integrated participation processes, (3) using appropriate governance and management scales effectively integrating mediators, (4) using opportunities for transformative change offered by crisis, and (5) learning from worldwide amplification experiences.
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