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Sökning: WFRF:(Aho J)

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2.
  • Krantz, Jan, et al. (författare)
  • A Model for Assessing Embodied Energy and GHG Emissions in Infrastructure Projects
  • 2015
  • Ingår i: ICCREM 2015. - Reston, Va : American Society of Civil Engineers (ASCE). - 9780784479377 ; , s. 1070-1077
  • Konferensbidrag (refereegranskat)abstract
    • Construction and operation of buildings and infrastructure is a main contributor to emissions of greenhouse gases (GHG) in Sweden. The embodied energy of construction, meaning all the energy that is used until the completion of the construction project (see Figure 1), cause roughly 10 million tones of CO2 equivalent emissions each year which equals to the emissions from all cars in Sweden (IVA 2014). About 6 million tones of CO2 equivalent emissions are attributed to the embodied energy of roads, railroads and other civil works while the remaining 4 million tones are attributed to the embodied energy of buildings (IVA 2014). Although reducing energy use and associated GHG-emissions in road and railroad construction is prioritized by the Swedish Transport Administration (Trafikverket 2012), the GHG-emissions from such construction projects have increased in recent years (Boverket 2014). Many of the existing efforts to reduce energy use and associated GHG-emissions focus on individual phases of the life cycle and don’t take into consideration the effects at other stages during the whole life cycle of a project (Boverket 2011). A crucial step in the assessment of energy use and associated GHG-emissions is to clarify and categorize the different phases of a life cycle. Figure 1 shows a proposed categorization of life cycles phases and use of energy based on previous research (Davies et al. 2014). Buildings’ main use of energy happens during its operational phase from e.g. heating, lighting and use of electrical appliances (Sartori and Hestnes 2007). In infrastructure projects such as road construction the embodied energy is roughly equal to the operational energy for roads with lighting, or in fact considerably higher if the road lacks lighting (Stripple 2001).
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  • Munukka, Jori, 1966- (författare)
  • Ansvaret vid övergång av bostadsrätt
  • 2019
  • Ingår i: Bostadsrätten i initial- och övergångsskeden. - Stockholm : Jure. - 9789172237643
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)
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  • Joensuu, Heikki, et al. (författare)
  • Adjuvant Capecitabine, Docetaxel, Cyclophosphamide, and Epirubicin for Early Breast Cancer : Final Analysis of the Randomized FinXX Trial
  • 2012
  • Ingår i: Journal of Clinical Oncology. - : American Society of Clinical Oncology. - 0732-183X .- 1527-7755. ; 30:1, s. 11-18
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Capecitabine is an active agent in the treatment of breast cancer. It is not known whether integration of capecitabine into an adjuvant regimen that contains a taxane, an anthracycline, and cyclophosphamide improves outcome in early breast cancer.Patients and Methods: Women with axillary node-positive or high-risk node-negative breast cancer were randomly assigned to receive either three cycles of docetaxel and capecitabine (TX) followed by three cycles of cyclophosphamide, epirubicin, and capecitabine (CEX; n = 753) or three cycles of docetaxel (T) followed by three cycles of cyclophosphamide, epirubicin, and fluorouracil (CEF; n = 747). The primary end point was recurrence-free survival (RFS).Results: During a median follow-up time of 59 months, 214 RFS events occurred (local or distant recurrences or deaths; TX/CEX, n = 96; T/CEF, n = 118). RFS was not significantly different between the groups (hazard ratio [HR], 0.79; 95% CI, 0.60 to 1.04; P = .087; 5-year RFS, 86.6% for TX/CEX v 84.1% for T/CEF). Fifty-six patients assigned to TX/CEX died during the follow-up compared with 75 of patients assigned to T/CEF (HR, 0.73; 95% CI, 0.52 to 1.04; P = .080). In exploratory analyses, TX/CEX improved breast cancer-specific survival (HR, 0.64; 95% CI, 0.44 to 0.95; P = .027) and RFS in women with triple-negative disease and in women who had more than three metastatic axillary lymph nodes at the time of diagnosis. We detected little severe late toxicity. Conclusion: Integration of capecitabine into a regimen that contains docetaxel, epirubicin, and cyclophosphamide did not improve RFS significantly compared with a similar regimen without capecitabine. J Clin Oncol 30:11-18. (c) 2011 by American Society of Clinical Oncology
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  • Rollenhagen, Carl, et al. (författare)
  • The context and habits of accident investigation practices : A study of 108 Swedish investigators
  • 2010
  • Ingår i: Safety Science. - : Elsevier BV. - 0925-7535 .- 1879-1042. ; 48:7, s. 859-867
  • Tidskriftsartikel (refereegranskat)abstract
    • The context and habits of accident investigation practices were explored by means of questionnaire data obtained from accident investigators in the healthcare, transportation, nuclear and rescue sectors in Sweden. Issues explored included; resources, training, time spent in different phases of an investigation, methods and procedures, beliefs about causes to accidents, communication issues, etc. Examples of findings were: differences in the extent to which the 'human factor' was perceived as a dominant cause to accidents; manning resources to support investigations were perceived as rather scarce; underutilization of data from safety related processes such as risk analysis and auditing data; the phase of suggesting remedial actions (recommendations) were comparatively brief and generally not well supported. A majority of the investigators thought that the investigations were free from pressures to follow a specific direction; the investigators also thought that performing an investigation in itself (regardless of the specific results) had positive influences on safety. A majority of the investigators thought that upper management had a relatively strong influence on safety in the organizations. The results are discussed in terms of suggestions for strategies to strengthen investigation practices - particularly those conducted as part-time work in organizations.
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  • Blaabæk, Ea Hoppe, et al. (författare)
  • Family Size and Educational Attainment : Cousins, Contexts, and Compensation
  • 2020
  • Ingår i: European Journal of Population. - : Springer Science and Business Media LLC. - 0168-6577 .- 1572-9885. ; 36:3, s. 575-600
  • Tidskriftsartikel (refereegranskat)abstract
    • This paper analyses the effect of family size on children’s educational attainment using a new research design that combines fixed effects and instrumental variable (IV) approaches. We use (a) data on first cousins who belong to the same extended family but to different nuclear families to control for extended family fixed effects and (b) variation in in-married spouses’ number of siblings (a proxy for their fecundity and preferences) as an IV for variation in family size within extended families. We find that family size has a negative causal effect on educational attainment and, moreover, that the negative effect is smaller in families with stronger social ties. Our results suggest that contextual characteristics outside the nuclear family moderate the negative effect of family size on children’s educational attainment.
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10.
  • Ameh, Soter, et al. (författare)
  • Relationships between structure, process and outcome to assess quality of integrated chronic disease management in a rural South African setting : applying a structural equation model
  • 2017
  • Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 17
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: South Africa faces a complex dual burden of chronic communicable and non-communicable diseases (NCDs). In response, the Integrated Chronic Disease Management (ICDM) model was initiated in primary health care (PHC) facilities in 2011 to leverage the HIV/ART programme to scale-up services for NCDs, achieve optimal patient health outcomes and improve the quality of medical care. However, little is known about the quality of care in the ICDM model. The objectives of this study were to: i) assess patients’ and operational managers’ satisfaction with the dimensions of ICDM services; and ii) evaluate the quality of care in the ICDM model using Avedis Donabedian’s theory of relationships between structure (resources), process (clinical activities) and outcome (desired result of healthcare) constructs as a measure of quality of care.Methods: A cross-sectional study was conducted in 2013 in seven PHC facilities in the Bushbuckridge municipality of Mpumalanga Province, north-east South Africa - an area underpinned by a robust Health and Demographic Surveillance System (HDSS). The patient satisfaction questionnaire (PSQ-18), with measures reflecting structure/process/outcome (SPO) constructs, was adapted and administered to 435 chronic disease patients and the operational managers of all seven PHC facilities. The adapted questionnaire contained 17 dimensions of care, including eight dimensions identified as priority areas in the ICDM model - critical drugs, equipment, referral, defaulter tracing, prepacking of medicines, clinic appointments, waiting time, and coherence. A structural equation model was fit to operationalise Donabedian’s theory, using unidirectional, mediation, and reciprocal pathways.Results: The mediation pathway showed that the relationships between structure, process and outcome represented quality systems in the ICDM model. Structure correlated with process (0.40) and outcome (0.75). Given structure, process correlated with outcome (0.88). Of the 17 dimensions of care in the ICDM model, three structure (equipment, critical drugs, accessibility), three process (professionalism, friendliness and attendance to patients) and three outcome (competence, confidence and coherence) dimensions reflected their intended constructs.Conclusion: Of the priority dimensions, referrals, defaulter tracing, prepacking of medicines, appointments, and patient waiting time did not reflect their intended constructs. Donabedian’s theoretical framework can be used to provide evidence of quality systems in the ICDM model.
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11.
  • Raza, Mohsin, 1982- (författare)
  • Process development for investment casting of thin-walled components : Manufacturing of light weight components
  • 2015
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Manufacturing processes are getting more and more complex with increasing demands of advanced and light weight engineering components, especially in aerospace industry. The global requirements on lower fuel consumption and emissions are increasing the demands in lowering weight of cast components. Ability to produce components in lower wall thickness will not only help to reduce the cost of production but also help to improve the efficiency of engineering systems resulting in lower fuel consumption and lesser environmental hazardous emissions. In order to produce thin-walled components, understanding of mechanism behind fluidity as it is effected by casting parameters is very important. Similarly, for complex components study of solidification morphology and its effects on castability is important to understand.The aim of this work was to investigate casting of thin-walled test geometries (less than 2mm) in aero-space grades of alloys. The casting trials were performed to investigate the fluidity as a function of casting parameters and filling system in thin-walled sections. Test geometries with different thickness were cast and evaluated in terms of filled area with respect to casting parameters, ı.e. casting temperature and shell preheat temperature. Different feeding systems were investigated to evaluate effects of filling mode on castability. Similarly for complex components where geometries are very organic in shape, solidification morphology effects the quality of castings. Process parameters, that effect the solidification morphology were identified and evaluated. In order to develop a relation between defect formation and process parameters, solidification behaviour was investigated using simulations and casting trials. Similarly the effect of factors that influence grain structure and flow related defects were studied.It was observed that fluidity is affected by the mode of geometry filling in investment casting process. The filling mode also have different effect on defect formation. A top-gated configuration is strongly affected by casting parameters where as a bottom-gated configuration is more stable and thus fluidity is not significantly affected by variation in casting parameters. Less porosity and flow-related defects were observed in the bottom-gated system as compared to top-gated system. In the study about casting defects as affected by process parameters, it was observed that shell thickness is important to avoid interdendritic shrinkage. It was observed that the increased shell thickness induces a steeper thermal gradient which is essential in order to minimize the width of the mushy zone. It was also observed that a slower cooling rate along with a steeper thermal gradient at the metal-mould interface not only helps to avoid shrinkage porosity but also increases fill-ability in thinner sections.The work presented here is focused on the optimization of process parameters, in order, for instance, to improve castability and reduce the casting defects in investment casting process. The work, however, does not focus on externally influencing the casting conditions or modifying the casting/manufacturing process. The future work towards PhD will be focused on externally improving the casting conditions and investigating other possible route of manufacturing for thin, complex components.
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12.
  • Bkaily, Ghassan, et al. (författare)
  • Modulation of intracellular Ca2+ via L-type calcium channels in heart cells by the autoantibody directed against the second extracellular loop of the alpha1-adrenoceptors.
  • 2003
  • Ingår i: Canadian journal of physiology and pharmacology. - : Canadian Science Publishing. - 0008-4212 .- 1205-7541. ; 81:3, s. 234-46
  • Tidskriftsartikel (refereegranskat)abstract
    • The effects of methoxamine, a selective alpha1-adrenergic receptor agonist, and the autoantibody directed against the second extracellular loop of alpha1-adrenoceptors were studied on intracellular free Ca2+ levels using confocal microscopy and ionic currents using the whole-cell patch clamp technique in single cells of 10-day-old embryonic chick and 20-week-old fetal human hearts. We observed that like methoxamine, the autoantibody directed against the second extracellular loop of alpha1-adrenoreceptors significantly increased the L-type calcium current (I(Ca(L))) but had no effect on the T-type calcium current (I(Ca(T))), the delayed outward potassium current, or the fast sodium current. This effect of the autoantibody was prevented by a prestimulation of the receptors with methoxamine and vice versa. Moreover, treating the cells with prazosin, a selective alpha1-adrenergic receptor antagonist blocked the methoxamine and the autoantibody-induced increase in I(Ca(L)), respectively. In absence of prazosin, both methoxamine and the autoantibody showed a substantial enhancement in the frequency of cell contraction and that of the concomitant cytosolic and nuclear free Ca2+ variations. The subsequent addition of nifedipine, a specific L-type Ca2+ channel blocker, reversed not only the methoxamine or the autoantibody-induced effect but also completely abolished cell contraction. These results demonstrated that functional alpha1-adrenoceptors exist in both 10-day-old embryonic chick and 20-week-old human fetal hearts and that the autoantibody directed against the second extracellular loop of this type of receptors plays an important role in stimulating their activity via activation of L-type calcium channels. This loop seems to have a functional significance by being the target of alpha1-receptor agonists like methoxamine.
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  • Wang, Hui, et al. (författare)
  • Lack of CD47 on nonhematopoietic cells induces split macrophage tolerance to CD47null cells
  • 2007
  • Ingår i: Proceedings of the National Academy of Sciences of the United States of America. - : National academy of sciences. - 0027-8424 .- 1091-6490. ; 104:34, s. 13744-13749
  • Tidskriftsartikel (refereegranskat)abstract
    • Macrophages recognize CD47 as a marker of "self" and phagocytose CD47null hematopoietic cells. Using CD47 chimera models, here, we show that the phagocytic activity of macrophages against CD47null hematopoietic cells is conferred by CD47 expression on nonhematopoietic cells, and this "education" process is hematopoietic cell-independent. Macrophages in the chimeras where nonhematopoietic cells express CD47 phagocytose CD47null cells, whereas those in the chimeras lacking CD47 on nonhematopoietic cells are tolerant to CD47null cells. However, macrophages in the latter chimeras retain phagocytic activity against CD47null RBCs, demonstrating a split macrophage tolerance to CD47null hematopoietic cells. The findings highlight the potential importance of nonhematopoietic cells in the regulation of macrophage function, and suggest a previously uncharacterized mechanism of macrophage tolerance.
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  • Blaabæk, Ea Hoppe, et al. (författare)
  • From unequal injuries to unequal learning? Socioeconomic gradients in childhood concussions and the impact on children's academic performance
  • 2024
  • Ingår i: Social Science and Medicine. - 0277-9536 .- 1873-5347. ; 341
  • Tidskriftsartikel (refereegranskat)abstract
    • Previous research identifies stark socioeconomic disparities in child injuries, yet research on the repercussions hereof on other aspects of children's lives remains sparse. This paper tests whether social gradients in minor traumatic brain injuries (mTBIs or concussions) contribute to corresponding inequalities in children's academic performance. Previous research on this topic is mostly based on small samples and confounded by non-random selection into experiencing mTBIs. We improve on prior research by using high quality, large N, administrative registry data. Further, we control for selection into having an mTBI via comparing the test score progression of children having an mTBI with children who experience an mTBI in later years (staggered difference-in-differences). Based on Danish ER/hospital records and national test score data, we find that children from families with lower earnings and less education are more likely to experience an mTBI and that having an mTBI negatively correlates with reading test scores. However, comparing present with future mTBI cases, we show that having an mTBI within a year before a test does not negatively affect children's reading scores. Our findings suggest that negative correlations between mTBIs and academic performance more likely reflect socioeconomic gradients in mTBI incidents rather than a direct causal effect. Further, socioeconomic gradients in mTBI incidents do not significantly contribute to corresponding disparities in academic performance.
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  • Airey, John, 1963-, et al. (författare)
  • What Knowledge Do Trainee Physics Teachers Need to Learn? : Differences in the Views of Training Staff
  • 2014
  • Ingår i: International Science Education Conference 2014 Programme. - Singapore : Ministry of Education, National Institute of Education. ; , s. 62-, s. 62-
  • Konferensbidrag (refereegranskat)abstract
    • Although the impact of disciplinary differences on teaching and learning has been extensively discussed in the literature (e.g. Becher 1989; Becher and Trowler 2001; Lindblom-Ylännea et al. 2006; Neumann 2001; Neumann and Becher 2002), little research has explored this issue in relation to teacher training. In particular, we know of no work that examines differing views about the knowledge that trainee teachers need to learn across different settings. In this paper we analyse differences in the expressed views of staff involved in the training of prospective physics teachers in three environments: the education department, the physics department and schools. We analyse these differences in terms of two constructs: disciplinary literacy goals (Airey 2011, 2013) and disciplinary knowledge structures (Bernstein 1999).In terms of disciplinary literacy we find a stronger emphasis on learning goals for the academy expressed by informants from the physics and education departments. This can be contrasted with the view that the needs of the workplace are paramount expressed by school practitioners.Then, using Bernstein’s knowledge structures, we also identify clear differences in views about the nature of knowledge itself with a more hierarchical view of knowledge prevalent in the physics department and the more horizontal view of knowledge prevalent in the education department.The study highlights the often-conflicting signals about what constitutes useful knowledge that prospective physics teachers need to negotiate during their training. We tentatively suggest that more attention should be paid to both the theory/practice divide and potential epistemological differences in the training of prospective teachers.
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21.
  • Ameh, Soter, et al. (författare)
  • Quality of integrated chronic disease care in rural South Africa : user and provider perspectives
  • 2017
  • Ingår i: Health Policy and Planning. - : Oxford University Press (OUP). - 0268-1080 .- 1460-2237. ; 32:2, s. 257-266
  • Tidskriftsartikel (refereegranskat)abstract
    • The integrated chronic disease management (ICDM) model was introduced as a response to the dual burden of HIV/AIDS and non-communicable diseases (NCDs) in South Africa, one of the first of such efforts by an African Ministry of Health. The aim of the ICDM model is to leverage HIV programme innovations to improve the quality of chronic disease care. There is a dearth of literature on the perspectives of healthcare providers and users on the quality of care in the novel ICDM model. This paper describes the viewpoints of operational managers and patients regarding quality of care in the ICDM model. In 2013, we conducted a case study of the seven PHC facilities in the rural Agincourt sub-district in northeast South Africa. Focus group discussions (n = 8) were used to obtain data from 56 purposively selected patients >= 18 years. In-depth interviews were conducted with operational managers of each facility and the sub-district health manager. Donabedian's structure, process and outcome theory for service quality evaluation underpinned the conceptual framework in this study. Qualitative data were analysed, with MAXQDA 2 software, to identify 17 a priori dimensions of care and unanticipated themes that emerged during the analysis. The manager and patient narratives showed the inadequacies in structure (malfunctioning blood pressure machines and staff shortage); process (irregular prepacking of drugs); and outcome (long waiting times). There was discordance between managers and patients regarding reasons for long patient waiting time which managers attributed to staff shortage and missed appointments, while patients ascribed it to late arrival of managers to the clinics. Patients reported anti-hypertension drug stock-outs (structure); sub-optimal defaulter-tracing (process); rigid clinic appointment system (process). Emerging themes showed that patients reported HIV stigmatisation in the community due to defaulter-tracing activities of home-based carers, while managers reported treatment of chronic diseases by traditional healers and reduced facility-related HIV stigma because HIV and NCD patients attended the same clinic. Leveraging elements of HIV programmes for NCDs, specifically hypertension management, is yet to be achieved in the study setting in part because of malfunctioning blood pressure machines and anti-hypertension drug stock-outs. This has implications for the nationwide scale up of the ICDM model in South Africa and planning of an integrated chronic disease care in other low-and middle-income countries.
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22.
  • Hussein, Mohammad H., et al. (författare)
  • Beta 2 -adrenergic receptor gene haplotypes and bronchodilator response in Egyptian patients with chronic obstructive pulmonary disease
  • 2017
  • Ingår i: Advances in Medical Sciences. - Warsaw, Poland : Elsevier. - 1896-1126 .- 1898-4002. ; 62:1, s. 193-201
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Chronic obstructive pulmonary disease (COPD) is a multi-factorial disorder caused by environmental determinants and genetic risk factors. Understanding the genetic predisposition of COPD is essential to develop personalized treatment regimens. Beta2-adrenergic receptor (ADRB2) gene polymorphisms have been implicated in the pathogenesis of obstructive pulmonary diseases. This study was conducted to assess the genetic association between Arg16Gly and Gln27Glu polymorphisms and COPD in the Egyptian patients, and to analyze their impact on the clinical outcome and therapeutic response.Patients/methods: The study population included 115 participants (61 COPD patients and 54 healthy controls) were genotyped for the Arg16Gly (rs1042713) and Gln27Glu (rs1042714) polymorphisms. Pulmonary function test was done and repeated in patients after salbutamol inhalation.Results: The Gly16 and Gln27 alleles represented 57% and 70% of the whole study population, and only 3 haplotypes were detected; Arg16/Gln27, Gly16/Gln27, and Gly16/Glu27. Genotypes and haplotypes homozygous for Arg16 and Gln27 were more likely to develop COPD (p<0.05). However, individuals carrying Glu27 allele conferred protection against COPD development (p=0.002). Furthermore, Arg16 genotypes and haplotypes were significantly associated with higher grades of dyspnea, more COPD symptoms and frequent exacerbations. In contrast, patients carrying Glu27 allele had better bronchial airway responsiveness to β2-agonists.Conclusions: Our findings suggested that the ADRB2 gene polymorphisms may have vital role in COPD risk, severity, and bronchodilator response among Egyptian population. Larger epidemiological studies are needed for results validation.
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23.
  • Juvancz, Z, et al. (författare)
  • Chiral analysis of metoprolol and its by-products by capillary electrophoresis
  • 1999
  • Ingår i: JOURNAL OF MICROCOLUMN SEPARATIONS. - : JOHN WILEY & SONS INC. - 1040-7685. ; 11:10, s. 716-722
  • Tidskriftsartikel (refereegranskat)abstract
    • The enantiomers of metoprolol, a frequently used beta-blocker, have different physiological effects, which makes their chiral separation necessary. The separation of the main product from its by-products and their chiral separation were also aims of this
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  • Jørgensen, Dolly (författare)
  • The medieval sense of smell, stench, and sanitation
  • 2013
  • Ingår i: Les cinq sens de la ville du Moyen Âge à nos jours. - Tours : Presses universitaires François-Rabelais. - 9782869062894 - 2869062893 ; , s. 301-313
  • Bokkapitel (refereegranskat)abstract
    • Although linking smell and sanitation has been previously discussed by scholars as an early modern development, this article argues that controlling smells from human and animal wastes was a primary motivator for medieval urban sanitation regulation as well. Using northern European legislative and court records from 1350 to 1600, the article shows that medieval urban residents were concerned about odoriferous waste and actively sought to control its handling and disposal. The stench of waste was an obvious threat to the public within the context of the prevailing theories about miasmatic disease transmission; and thus exposure to it needed to be limited. In this way, the development of early sanitation measures can be directly linked to the medieval sense of smell and interpretation of odors. Smell thus has a large role to play in the urban environmental history of the medieval city.
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  • Laurino, Ivan R.A., et al. (författare)
  • Co-management of marine protected areas : challenges and lessons from the most urbanized coastline of the south western Atlantic
  • 2024
  • Ingår i: Ocean and Coastal Management. - : Elsevier. - 0964-5691 .- 1873-524X. ; 249
  • Tidskriftsartikel (refereegranskat)abstract
    • Marine Protected Areas (MPAs) are powerful instruments to conserve biodiversity and ecosystems, if supported by an effective management structure. In Brazil, no-take and multiple-use MPAs have advisory councils that allow co-management as an important strategy to deal with conservation challenges, mainly in urbanized coastal areas. However, the profile of members and their perceptions regarding advisory council challenges remain poorly known. Here, we assessed the advisory management councils of the largest network of MPAs in the South Western Atlantic, situated next to one of the largest metropolitan areas in the world. Seven MPA advisory councils were initially characterized through consultation with the MPA managers, followed by interviews with each advisory council member. We found that advisory council members were mostly agents of the local government, university scientists, members of local associations, and employees of non-governmental organizations. Compared with no-take MPAs, multiple-use MPAs tended to have greater diversity of member profiles in terms of institutional affiliation, gender, training level and age group. Although the majority of respondents considered the advisory councils an effective management tool, almost 30% of the interviewees did not recognize this mechanism as efficient, and the perceived capacity for advisory councils to respond to challenges was lower in no-take MPAs. This perception was attributed to a lack of complete actor inclusivity and the low decision-making power of advisory councils. There was a general agreement that no-take MPA advisory councils in particular are not achieving their sustainability goals and have progressed less than multiple-use MPAs in terms of co-management. To overcome this, we provide a series of recommendations to improve stakeholder participation and co-management of MPA operation.
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