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- Hedlund, Katarina, et al.
(author)
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Värdering av ekosystemtjänster inom jordbruket – för effektivt beslutsfattande : Slutrapport för forskningsprojekt
- 2017
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Reports (other academic/artistic)abstract
- Ekosystemtjänster kan bidra till att synliggöra värden i naturen som människor är beroende av för sin överlevnad och sin välfärd. Att utveckla markanvändning samt integrera värdet av ekosystemtjänster i lantbrukares produktionsbeslut är nödvändigt för att möta en ökad efterfrågan av jordbruksprodukter samtidigt som de svenska miljömålen ska uppnås.I projektet har verktyg utvecklats tillsammans med mottagare, vilket säkrar relevans och att värdet av ekosystemtjänster kan kommuniceras till rätt nivå för beslut; lokal, regional och nationell. Värderingsmodellerna (verktygen) har anpassats till lokal nivå (gård), regional nivå (Skåne) och nationell nivå (Sverige) för att kunna stödja beslut om skötsel av jordbruksmark från gård till myndighet för effektiv produktion av ekosystemtjänster.I rapporten undersöks hur värdet på ekosystemtjänster och naturkapital kan användas för att göra väl grundade beslut är viktigt för att bidra till bättre underlag för beslut om jordbrukspolicy. Studien visar på ett konkret sätt hur begreppet ekosystemtjänster kan komma till praktisk nytta. Den här rapporten är ett resultat från ett av sju projekt inom forskningssatsningen Värdet av ekosystemtjänster och har författats av forskare vid Lunds Universitet och SLU (Sveriges Lantbruksuniversitet). Projektet finansierades av Naturvårdsverkets miljöforskningsanslag.
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- Wamsler, Christine, et al.
(author)
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Environmental and climate policy integration: Targeted strategies for overcoming barriers to nature-based solutions and climate change adaptation
- 2020
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In: Journal of Cleaner Production. - : Elsevier BV. - 0959-6526. ; 247, s. 119-154
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Journal article (peer-reviewed)abstract
- Nature-based adaptation planning is a challenging endeavor, not least because it requires transdisciplinary approaches to unite different actors' efforts and capacities. However, empirical knowledge on associated governance processes is scarce and fragmented. Against this background, this paper examines the integration of nature-based approaches for climate change adaptation into municipalities’ daily planning practices and associated governance. A city-to-city learning lab was established to systematically analyze selected urban development projects step-by-step, from the initial idea, to comprehensive and detailed planning, procurement, implementation, maintenance and follow-up. The results show the numerous constraints municipal staff face and how they use targeted strategies to overcome them and tap into existing drivers. We identify five, complementary strategies: i) targeted stakeholder collaboration; ii) strategic citizen involvement; iii) outsourcing; iv) the alteration of internal working structures; and v) concealed science–policy integration. Importantly, these strategies reveal an increasing need for relational approaches that, in turn, require individuals to develop the cognitive/emotional capacity to establish trust, communicate inclusively and promote social learning, while at the same time dealing with an increasingly complex and uncertain working environment. We conclude that tapping into the potential of nature-based solutions for climate adaptation governance requires more financial and human resources, and capacity development to support personal development, systematic mainstreaming and, ultimately, more sustainable development.
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- Abbafati, Cristiana, et al.
(author)
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- 2020
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Journal article (peer-reviewed)
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- 2019
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Journal article (peer-reviewed)
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7. |
- Alkan Olsson, Johanna, et al.
(author)
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Blågröna lösningar i Sofielund : klimatanpassningsåtgärder i allt tätare städer
- 2018
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Reports (other academic/artistic)abstract
- Ett klimat i förändring är något som påverkar oss alla. För staden och dess invånare innebär det bland annat mer nederbörd och en ökad risk för översvämningar. Det är därför viktigt att arbeta med klimatanpassningsåtgärder.Tanken med den här broschyren är att visa vilka lösningar som naturen kan bidra med. Den fokuserar på ett redan bebyggt område; Sofielund i Malmö. Innehållet bygger på intervjuer med fastighetsägare och förvaltare i området och materialet har tagits fram genom ett samarbete mellan två forskare vid centrum för miljö och klimatforskning och landskapsarkitekter på COWI i Malmö.
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- Alkan Olsson, Johanna, et al.
(author)
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Mapping the governance complex of land use policies for compensation
- 2019
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Conference paper (other academic/artistic)abstract
- Ecological compensation is the latest member of a growing family of concepts aimed at reducing degradation of environmental quality. This and other concepts of the family – like ecosystem services, green infrastructure, and nature-based solutions – have been subject to a range of different interpretations and subsequent implementation practices. The result is a complex governance system with unclear boundaries and implications for the management efforts of environmental quality. In this paper, we seek to map and disentangle this complexity – with a particular focus on ecological compensation and related concepts (such as biodiversity offsetting and no net loss), which all have gained momentum in recent years and which share the notion that intrusion in nature should be compensated in one way or the other. In a first step, we seek to map similarities, differences and overlaps, between the concepts, by using a set of analytical categories including: the origin of the concept (scientific or policy context), the aim of its application, the type of decision-making process it generates, its relation to urban or rural contexts, and the extent to which it has been subjected to regulation. In a second step, and as a result of this mapping, we will advance knowledge about how governments, municipalities and business actors in different ways work with environmental quality, ecosystem services and biodiversity. First, we draw conclusions about the degree to which the concepts under scrutiny are mutually reinforcing or competing. Second, our analysis enables conclusions about why some concepts are preferred in certain institutional contexts and what institutional preconditions are needed for their use. Third, we discuss possible implications of this governance complexity for questions of effectiveness and legitimacy.
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- Arntyr Hellgren, P., et al.
(author)
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Birth trauma in babies born to women with and without type 1 diabetes in Sweden 1998-2012 : relationship with maternal and baby weight
- 2017
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In: 49th Annual Meeting of the Diabetic Pregnancy Study Group. ; , s. 66-67
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Conference paper (other academic/artistic)abstract
- We compared birth trauma rates in pregnancies among women with and without type 1 diabetes (DM1) and tested the relationship with maternal body mass index (BMI) and large for gestational age (LGA) as a risk factor. This is a population-based cohort study 1998-2012 using the Swedish Medical Birth Registry (MBR) which includes 99% of Swedish pregnancies. All pregnancies up until gestational week 41 were included. We excluded mothers with other types of diabetes, duplex pregnancies and all pregnancies ending with a caesarean section (51.1% and 16.5% in women with and without DM1 respectively). The incidence of birth trauma was adjusted for BMI, maternal age, parity, Nordic or non-Nordic origin, smoking, chronic hypertensive disease, LGA and the baby ́s sex using logistic regression. This left 2,758 and 783,412 births with complete data among DM1 and control mothers respectively. The mean BMI, maternal age and gestational age at birth in full weeks was 25.6 (SD 4.5), 30.0 (SD 5.1) and 37.9 (SD 1.9) respectively among women with DM1 and 24.2 (SD 4.3), 29.7 (SD 5.1) and 38.9 (SD 1.5) respectively among controls. Preliminary results show that birth trauma rates did not vary significantly with increasing BMI compared with the reference BMI (18.50-24.9 kg/m2) among women with DM1 (odds ratios (OR) with increasing BMI (<18.49, 25.0-29.9, 30.0-34.9, >35.0 kg/m2) were 1.9 (95%CI 0.2-15.7), 1.0 (95%CI 0.7-1.5), 0.5 (95%CI 0.2-1.0), 1.1 (95%CI 0.5-2.4) respectively). Conversely, among controls, the OR for birth trauma increasedwith increasing BMI: 0.7 (95%CI 0.6-0.9), 1.4 (95%CI 1.3-1.5), 1.8 (95%CI 1.6-2.0), and 2.2 (95%CI 1.9-2.4) respectively. However, birth trauma was 3.9 (95%CI 2.7-5.7) and 7.0 (95%CI 6.5-7.5) fold more common after adjustment with LGA among women with andwithout DM1 respectively. We conclude that birth trauma rates are associated with LGA with comparatively greater impact among women without, than with, DM1. LGA is clearly an important outcome in its own right and a predictor of birth trauma. We hypothesise that the reduced risk of birth trauma from LGA among women with DM1 is due to increased monitoring with multiple ultrasounds to determine the fetal growth rate, along with earlier planned delivery (including earlier induction with vaginal delivery ata lower birthweight or caesarean section). While more research is needed to find better ways to reduce LGA in DM1, many of the obese control women would have undiagnosed/untreated GDM due to the Swedish criteria at the time (2 hours >=9.0mmol/l). Besidestreating lower levels of hyperglycaemia during pregnancy, the frequency of growth monitoring in obese mothers to reduce their babies’ risk of birth trauma due to LGA, needs to be evaluated. Life course cost effectiveness analyses would be useful.
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- Ballantyne, Kaye N., et al.
(author)
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Toward Male Individualization with Rapidly Mutating Y-Chromosomal Short Tandem Repeats
- 2014
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In: Human Mutation. - : John Wiley & Sons. - 1059-7794 .- 1098-1004. ; 35:8, s. 1021-1032
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Journal article (peer-reviewed)abstract
- Relevant for various areas of human genetics, Y-chromosomal short tandem repeats (Y-STRs) are commonly used for testing close paternal relationships among individuals and populations, and for male lineage identification. However, even the widely used 17-loci Yfiler set cannot resolve individuals and populations completely. Here, 52 centers generated quality-controlled data of 13 rapidly mutating (RM) Y-STRs in 14,644 related and unrelated males from 111 worldwide populations. Strikingly, greater than99% of the 12,272 unrelated males were completely individualized. Haplotype diversity was extremely high (global: 0.9999985, regional: 0.99836-0.9999988). Haplotype sharing between populations was almost absent except for six (0.05%) of the 12,156 haplotypes. Haplotype sharing within populations was generally rare (0.8% nonunique haplotypes), significantly lower in urban (0.9%) than rural (2.1%) and highest in endogamous groups (14.3%). Analysis of molecular variance revealed 99.98% of variation within populations, 0.018% among populations within groups, and 0.002% among groups. Of the 2,372 newly and 156 previously typed male relative pairs, 29% were differentiated including 27% of the 2,378 father-son pairs. Relative to Yfiler, haplotype diversity was increased in 86% of the populations tested and overall male relative differentiation was raised by 23.5%. Our study demonstrates the value of RMY-STRs in identifying and separating unrelated and related males and provides a reference database.
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14. |
- Berger, Josef S., et al.
(author)
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Landscape configuration affects herbivore–parasitoid communities in oilseed rape
- 2018
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In: Journal of Pest Science. - : Springer Science and Business Media LLC. - 1612-4758 .- 1612-4766. ; 91:3, s. 1093-1105
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Journal article (peer-reviewed)abstract
- It is crucial to consider the effects of large-scale drivers on species presences and ecological interactions to understand what structures communities. In our study, we investigated how the species composition and the potential interaction networks of herbivore and parasitoid communities in oilseed rape fields are affected by agricultural landscape characteristics. Insect communities of 26 winter oilseed rape fields in southern Sweden were captured in water traps over a continuous time span of 30 ± 2 days. In total, 31% of the variation in the composition of herbivore host communities was explained by a combination of the surrounding oilseed rape area in the study year and the previous year and distance to the nearest forest. The oilseed rape area in the study year and distance to forest also explained 14% of the variation in the composition of parasitoid communities. Distance to the nearest forest together with the area of oilseed rape in the previous year explained 45% of the variation in asymmetry of interaction webs. These results indicate that several measures of landscape configuration are important both for the composition of host and parasitoid communities and also for the structure of interaction networks. Our results support the view that it is an appropriate strategy to cultivate oilseed rape in landscapes that are far away from forests, in order to minimize recolonization by pest species and at the same time to attract parasitoid species from the open landscape.
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15. |
- Boene, Helena, et al.
(author)
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Obstetric fistula in southern Mozambique : a qualitative study on women’s experiences of care pregnancy, delivery and post-partum
- 2020
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In: Reproductive Health. - : Springer Science and Business Media LLC. - 1742-4755. ; 17
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Journal article (peer-reviewed)abstract
- Background: Obstetric fistula is still common in low- and middle-income countries (LMIC) despite the on-going shift to increased facility deliveries in the same settings. The social behavioural circumstances in which fistula, as well as its consequences, still occur are poorly documented, particularly from the perspective of the experiences of women with obstetric fistula. This study sought to describe women’s experiences of antenatal, partum and post-partum care in southern Mozambique, and to pinpoint those experiences that are unique to women with fistula in order to understand the care-seeking and care provision circumstances which could have been modified to avoid or mitigate the onset or consequences of fistula.Methods: This study took place in Maputo and Gaza provinces, southern Mozambique, in 2016–2017. Qualitative data were collected through in-depth interviews conducted with 14 women with positive diagnoses of fistula and an equal number of women without fistula. All interviews were audio-recorded and transcribed verbatim prior to thematic analysis using NVivo11.Results: Study participants had all attended antenatal care (ANC) visits and had prepared for a facility birth. Prolonged or obstructed labour, multiple referrals, and delays in receiving secondary and tertiary health care were common among the discourses of women with fistula. The term “fistula” was rarely known among participants, but the condition (referred to as “loss of water” or “illness of spillage”) was recognised after being prompted on its signs and symptoms. Women with fistula were invariably aware of the links between fistula and poor birth assistance, in contrast with those without fistula, who blamed the condition on women’s physiological and behavioural characteristics.Conclusion: Although women do seek antenatal and peri-partum care in health facilities, deficiencies and delays in birth assistance, referral and life-saving interventions were commonly reported by women with fistula. Furthermore, weaknesses in quality of care, not only in relation to prevention, but also the resolution of the damage, were evident. Quality improvement of birth care is necessary, both at primary and referral level. There is a need to increase awareness and develop guidelines for prevention, early detection and management of obstetric fistula, including early postpartum treatment, availability of fistula repair for complex cases, and rehabilitation, coupled with the promotion of community consciousness of the problem.
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16. |
- Droste, Nils, et al.
(author)
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A global overview of biodiversity offsetting governance
- 2022
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In: Journal of Environmental Management. - : Elsevier BV. - 0301-4797. ; 316
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Research review (peer-reviewed)abstract
- We analyze the development of biodiversity offsetting governance through a research-weaving approach. Here, we combine information from a systematized review of the literature and a qualitative analysis of the institutional developments in different world regions. Through this triangulation, we synthesize and map the different developmental streams of biodiversity offsetting governance around the globe over the last four decades. We find that there is a global mainstreaming of core principles such as avoidance, no-net-loss, and a mitigation hierarchy, as well as pooling and trading of offsets for unavoidable residual damages. Furthermore, we can observe an ongoing diversification of institutional designs and actors involved. Together this constitutes an emerging regime complex of biodiversity offsetting governance that comes with both a set of shared norms and a growing institutional complexity. While this may imply institutional innovation through diversification and policy experimentation, it also raises questions regarding the effectiveness of offsetting practices.
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- Fadl, Helena E., 1965-, et al.
(author)
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Maternal and neonatal outcomes and time trends of gestational diabetes mellitus in Sweden from 1991 to2003
- 2010
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In: Diabetic Medicine. - Malden 02148, MA USA : Wiley-Blackwell. - 0742-3071 .- 1464-5491. ; 27:4, s. 436-441
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Journal article (peer-reviewed)abstract
- Aims To determine maternal and neonatal outcomes for women with gestational diabetes mellitus (GDM) in Sweden during 1991–2003, and to compare the outcomes in the two time periods.Methods This is a population-based cohort study using the Swedish Medical Birth Register data for the period 1991–2003. There were 1 260 297 women with singleton pregnancies registered during this time, of whom 10 525 were diagnosed with GDM, based on a 75 g oral glucose tolerance test. The main diagnostic criteria were fasting capillary whole blood glucose ≥ 6.1 mmol⁄l and 2 h blood glucose ≥ 9.0 mmol⁄l.Results Maternal characteristics differed significantly between the GDM and non-GDM group. Adjusted odds ratios (OR) were as follows: for pre-eclampsia, 1.81 (95% confidence interval (CI) 1.64–2.00); for shoulder dystocia, 2.74 (2.04–3.68); and for Caesarean section, 1.46 (1.38–1.54).No difference was seen in perinatal mortality, stillbirth rates, Apgar scores, fetal distress or transient tachypnoea. There was a markedly higher risk of large for gestational age,OR3.43 (3.21–3.67), and Erb’s palsy, OR 2.56 (1.96–3.32), in the GDMgroup, and statistically significant differences in prematurity < 37 weeks, birthweight > 4.5 kg, and major malformation, OR 1.19–1.71. No statistically significant improvement in outcomes was seen between the two study periods.Conclusions Women with GDM have higher risks of pre-eclampsia, shoulder dystocia and Caesarean section. Their infants are often large for gestational age and have higher risks of prematurity, Erb’s palsy and major malformations. These outcomes did not improve over time.
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19. |
- Fadl, Helena E., 1965-, et al.
(author)
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Randomized controlled study in pregnancy on treatment of marked hyperglycemia that is short of overt diabetes
- 2015
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In: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley-Blackwell. - 0001-6349 .- 1600-0412. ; 94:11, s. 1181-1187
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Journal article (peer-reviewed)abstract
- Introduction: A randomized multicenter study was conducted in the Stockholm-orebro areas in Sweden to evaluate how treatment aiming at normoglycemia affects fetal growth, pregnancy and neonatal outcome in pregnant women with severe hyperglycemia.Material and methods: Pregnant women with hyperglycemia defined as fasting capillary plasma glucose <7.0 mmol/L and a two-hour plasma glucose value 10.0 and <12.2 mmol/L following a 75-g oral glucose tolerance test (OGTT) diagnosed before 34 weeks of gestation were randomized to treatment (n=33) or controls (n=36). Women assigned to the control group were blinded for the OGTT results and received routine care. The therapeutic goal was fasting plasma glucose 4-5 mmol/L, and <6.5 mmol/L after a meal. Primary outcomes were size at birth and number of large-for-gestational age (>90th percentile) neonates. Secondary outcomes were pregnancy complications, neonatal morbidity and glycemic control.Results: The planned number of participating women was not reached. There was a significantly reduced rate of large-for-gestational age neonates, 21 vs. 47%, P<0.05. Group differences in pregnancy complications and neonatal morbidity were not detected because of limited statistical power. In total, 66.7% of the women in the intervention group received insulin. Of all measured plasma glucose values, 64.1% were in the target range, 7.2% in the hypoglycemic range and 28.7% above target values. There were no cases of severe hypoglycemia.Conclusions: Aiming for normalized glycemia in a pregnancy complicated by severe hyperglycemia reduces fetal growth but is associated with an increased rate of mild hypoglycemia.
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21. |
- Fadl, Helena, 1965-, et al.
(author)
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Fasting capillary glucose as a screening test for gestational diabetes mellitus
- 2006
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In: BJOG: an International Journal of Obstetrics and Gynaecology. - Oxford : Blackwell Publishing. - 1470-0328 .- 1471-0528. ; 113:9, s. 1067-71
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Journal article (peer-reviewed)abstract
- Objective: To evaluate fasting capillary glucose as a screening test for gestational diabetes mellitus (GDM) compared with traditional risk factors and repeated random capillary glucose measurements.Design: Cross-sectional, population-based study.Setting: Maternal Health Care Clinics in Orebro County, Sweden.Population: An unselected population of women without diabetes.Methods: Fasting capillary glucose levels were measured at gestational weeks 28-32. Random capillary glucose levels were measured four to six times during pregnancy. Traditional risk factors for GDM were registered. GDM was diagnosed using a 75-g oral glucose tolerance test.Main outcome measures: Sensitivity, specificity, likelihood ratios.Results: In 55 of 3616 women participating in the study, GDM was diagnosed before 34 weeks of gestation. For fasting capillary glucose cutoff values between 4.0 and 5.0 mmol/l, sensitivity was in the range between 87 and 47% and specificity between 51 and 96%. Using a combined screening model of traditional risk factors with fasting capillary glucose at various cutoff values increased the sensitivity only slightly compared with using fasting capillary glucose alone.Conclusion: In this Swedish, unselected, low-risk population, fasting capillary glucose measurements were found to be an acceptable and useful screening test for GDM.
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- Fadl, Helena, 1965-, et al.
(author)
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Gestational diabetes mellitus and later cardiovascular disease : a Swedish population based case-control study
- 2014
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In: British Journal of Obstetrics and Gynecology. - : Wiley-Blackwell. - 1470-0328 .- 1471-0528. ; 121:12, s. 1530-1536
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Journal article (peer-reviewed)abstract
- Objective: To identify if gestational diabetes mellitus (GDM) is a clinically useful marker of future cardiovascular disease (CVD) risk and if GDM combined with other risks (smoking, hypertension or body mass) identifies high-risk groups.Design: Population-based matched case-control study.Setting: National Swedish register data from 1991 to 2008.Population: A total of 2639 women with a cardiovascular event and matched controls.Methods: Conditional logistic regression examined associations with CVD before and after adjustment for conventional risk factors and confounders. Effect modification for the association of GDM with CVD by body mass index (BMI), smoking and chronic hypertension was assessed by stratification and interaction testing. Adjustment for diabetes post-pregnancy evaluated its mediating role.Main outcome measures: Inpatient diagnoses or causes of death identifying ischemic heart disease, ischemic stroke, atherosclerosis or peripheral vascular disease.Results: The adjusted odds ratios (and 95% confidence intervals) for the association of CVD with GDM are 1.51 (1.07-2.14), 2.23 (2.01-2.48) for smoking, 1.98 (1.71-2.29) for obesity and 5.10 (3.18-8.18) for chronic hypertension. In stratified analysis the association of CVD with GDM was only seen among women with BMI 25, with an odds ratio of 2.39 (1.39-4.10), but only women with a BMI <30 accounted for this increased risk. Adjustment for post-pregnancy diabetes attenuated it somewhat to 1.99 (1.13-3.52).Conclusions: In the absence of other recognised cardiovascular risk factors, such as smoking, obesity or chronic hypertension, GDM is a useful marker of raised CVD risk among women with BMI between 25 and 29.
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