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- Thomas, HS, et al.
(författare)
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- 2019
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swepub:Mat__t
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| 2. |
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| 4. |
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- 2019
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Tidskriftsartikel (refereegranskat)
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- Ademuyiwa, Adesoji O., et al.
(författare)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
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| 7. |
- Albrecht, Frederike, et al.
(författare)
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Healing the Ozone Layer : The Montreal Protocol and the Lessons and Limits of a Global Governance Success Story
- 2019
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Ingår i: Great Policy Successes. - Oxford : Oxford University Press. - 9780198843719 ; , s. 304-322
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Bokkapitel (refereegranskat)abstract
- The Montreal Protocol—the regime designed to protect the stratospheric ozone layer—has widely been hailed as the gold standard of global environmental governance and is one of few examples of international institutional cooperative arrangements successfully solving complex transnational problems. Although the stratospheric ozone layer still bears the impacts of ozone depleting substances (ODSs), the problem of ozone depletion is well on its way to being solved due to the protocol. This chapter examines how the protocol was designed and implemented in a way that has allowed it to successfully overcome a number of thorny challenges that most international environmental regimes must face: how to attract sufficient participation, how to promote compliance and manage non-compliance, how to strengthen commitments over time, how to neutralize or co-opt potential ‘veto players’, how to make the costs of implementation affordable, how to leverage public opinion in support of the regime’s goals, and, ultimately, how to promote the behavioural and policy changes needed to solve the problems and achieve the goals the regime was designed to solve. The chapter concludes that while some of the reasons for the Montreal Protocol’s success, such as fairly affordable, available substitutes for ODSs, are not easy to replicate, there are many other elements of this story that can be utilized when thinking about how to design solutions to other transnational environmental problems.
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| 8. |
- Di Baldassarre, Giuliano, et al.
(författare)
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An integrative research framework to unravel the interplay of natural hazards and vulnerabilities
- 2018
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Ingår i: Earth's Future. - : John Wiley & Sons. - 2328-4277. ; 6:3, s. 305-310
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Tidskriftsartikel (refereegranskat)abstract
- Climate change, globalization, urbanization, social isolation, and increased interconnectednessbetween physical, human, and technological systems pose major challenges to disaster risk reduction(DRR). Subsequently, economic losses caused by natural hazards are increasing in many regions of theworld, despite scientific progress, persistent policy action, and international cooperation. We argue thatthese dramatic figures call for novel scientific approaches and new types of data collection to integratethe two main approaches that still dominate the science underpinning DRR: the hazard paradigm and thevulnerability paradigm. Building from these two approaches, here we propose a research framework thatspecifies the scope of enquiry, concepts, and general relations among phenomena. We then discuss theessential steps to advance systematic empirical research and evidence-based DRR policy action.
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| 9. |
- Koraeus, Mats
(författare)
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Stressing Knowledge : Organisational closed-ness and knowledge acquisition under pressure
- 2017
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Organisations have been analytically conceptualised as being somewhat analogous to individuals for a long time. They have culture; they can learn; and they can behave in various odd ways. But how far can the simile be stretched? What other types of organisational cognition can we imagine? And what benefits can we gain by introducing new perspectives of this kind? This study shows that organisations can exhibit familiar symptoms of stress, such as closing themselves to the outside world and becoming unreceptive to external stimuli and input. They retreat to what is familiar and safe and put on blinders to hide anything that does not already fit with how they feel things should be, often in situations where they would be best served by being as open to and perceptive of these external stimuli as possible. Using a model of organisational behaviour that connects external pressure to an internal mode of operation and to specific knowledge-seeking behaviours, the study examines two case pairs—two success stories and two catastrophic failures—to examine patterns of organisational cognition. By comparing and contrasting the failure of the FBI during the 1993 Waco siege with its subsequent success during the 1996 Montana Freemen standoff, and doing the same with the Swedish Foreign Ministry’s handling of the 2004 Southeast Asian tsunami and the 2006 evacuation from the war in Lebanon, a pattern emerges where certain types of knowledge proved to be the key to staying as open-minded, responsive, and dynamic as these crises demanded. This knowledge can be used both during a crisis to resolve some of the confusion and time pressure that is endemic to such situations, as well as before a crisis to mitigate or even stave off the approaching chaos.
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| 10. |
- Nohrstedt, Daniel, et al.
(författare)
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Managing Crises Collaboratively : Prospects and Problems - A Systematic Literature Review
- 2018
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Ingår i: Perspectives on Public Management and Governance. - Oxford : Oxford University Press. - 2398-4910 .- 2398-4929. ; 1:4, s. 257-271
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Forskningsöversikt (refereegranskat)abstract
- Effective interorganizational collaboration is a pivotal ingredient of any community or nation’s capacity to prepare for and bounce back from disruptive crisis events. The booming research field of collaborative public management (CPM) has been yielding important insights into such collaboration that as yet await transfer to the study of crisis management (CM). Also, we argue that the general CPM literature has not sufficiently addressed the distinctive collaboration challenges involved in coping with crises. This article bridges this twofold gap. Based on a systematic review of prior research in collaborative CM, this study identifies dominant areas of theoretical emphasis, methodological practices, and patterns of empirical enquiry. The article highlights areas where CPM research has potential to further inform the understanding of collaborative CM, including performance, success factors, managerial skills, and learning. The article then identifies five properties associated with CM—uncertainty, leadership, magnitude, costs, and urgency—which deserve further analysis to advance the understanding of the application of CPM principles and strategies. We conclude with outlining a research agenda and offering a set of testable propositions aimed at investigating the likelihood of effective collaboration in different types of crises and as expected indifferent CM paradigms.
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