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- Carson, Marcus, et al.
(author)
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Long-term Options for CAP Reformin an Ecosystems Perspective
- 2013
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Reports (other academic/artistic)abstract
- This report explores the long-term future of the European Union’s Common Agricultural Policy (CAP) from an explicitly ecosystems perspective. It seeks to make a case that the optimal long-term pathway for the CAP must strike a balance in which the policy’s primary aims – viable food production to ensure food security, territorial balance, and environmental sustainability – are mutually reinforcing and thereby optimally achieved.The value of the ecosystems approach is that it provides a conceptual framework that integrates the provisioning services of food, energy and forest products with regulating, supporting and cultural services that are all underpinned by healthy biodiversity. Only by recognizing this intrinsic interdependence between nature and our food production can we devise an appropriate agricultural policy which embraces the aim of protecting and strengthening the resilience of ecological systems as a core organizing principle.
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- Cöster, Maria, et al.
(author)
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Baseline and 1-Year Follow-Up Data of Patients with End-Stage Hallux Rigidus Treated with an Arthrodesis Reported to Swefoot
- 2023
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In: Medical Research Archives. - 2375-1916. ; 11:6
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Journal article (peer-reviewed)abstract
- Background: Hallux rigidus (HR) affects the first metatarsophalangeal joint and is the most common osteoarthritic condition in the foot. The most used surgical treatment for severe cases of HR is an arthrodesis. The aim of this study is to describe patient characteristics, surgical treatment and the patient-reported outcomes for patients treated with arthrodesis for HR using data from Swefoot, the Swedish quality register for foot and ankle surgery.Methods: From Swefoot we extracted data on patients who underwent surgery for HR between January 2014 and December 2019. We included 419 patients with end-stage HR, who had not previously been treated surgically for HR on the same side.The outcome was measured with the Self-reported Foot and Ankle Score (SEFAS) (summary score 0-48) and EuroQol 5 Dimensions (EQ5D) (index 0-1) together with questions regarding appearance, shoe wear and satisfaction. We extracted surgical and patient-reported data preoperatively and 1 year postoperatively.Results: Our patient-population is predominantly female, around 61 years old, and slightly overweight. The arthrodeses are most often fixated with screws and most of the patients are allowed to bear weight immediately after surgery. The mean SEFAS score is 22 preoperatively and 38 postoperatively, the corresponding values for EQ5D index are 0.56 and 0.81 which means that the health-related quality of life (HrQoL) improves significantly after surgery.Conclusion: Patients with severe HR treated with an arthrodesis have reduced pain, improved function and HrQoL according to the patient-reported outcome measures SEFAS and EQ5D. The mean postoperative SEFAS value was close to the mean SEFAS value of the Swedish general population in the same age category. Fixation techniques and postoperative regimen differ among surgeons in the country. This is the first report from Swefoot regarding this patient population.
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- Kløcker Larsen, Rasmus, et al.
(author)
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A framework for facilitating dialogue between policy planners and local climate change adaptation professionals : Cases from Sweden, Canada and Indonesia
- 2012
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In: Environmental Science and Policy. - : Elsevier BV. - 1462-9011 .- 1873-6416. ; 23, s. 12-23
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Journal article (peer-reviewed)abstract
- The dominant approach to mainstreaming climate adaptation into sectoral policies relies on an ‘upscaling’ model in which it is envisaged to extract lessons from local change processes to inspire generic sub-national and national policies. One of the central methodological questions, which remain unanswered in climate change adaptation research, is exactly how public policy can learn from highly contextual experiences of community-based adaptation and what role should be played by case study research. In this paper we undertake a comparison between three large research projects in Sweden, Canada and Indonesia, which aim to study and/or foster local adaptation in selected case studies through a process of social learning. We present a novel framework based on mapping of ‘sense-making perspectives’, which enables analysis of the multiple ways case study research can support local climate adaptation and link such efforts to higher level public policy. The analysis demonstrates how methodological choices shape how case study research works at the interface between planned (steered/regulatory policy) and self-organised adaptation of stakeholders (non-coercive policy). In this regard, there is a need for a high degree of transparency from the research community to enable local professionals to decide on their stakes and interests when inviting researchers into their grounded activities. We conclude that case study research can achieve new significance if viewed as a platform to leverage stakeholder competencies when informing existing social structures and enable the implementation of political objectives, but equally driving the very reinvention and improvement of these institutions.
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- Larsen, Rasmus Klocker, et al.
(author)
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Hybrid governance in agricultural commodity chains : Insights from implementation of 'No Deforestation, No Peat, No Exploitation' (NDPE) policies in the oil palm industry
- 2018
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In: Journal of Cleaner Production. - : ELSEVIER SCI LTD. - 0959-6526 .- 1879-1786. ; 183, s. 544-554
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Journal article (peer-reviewed)abstract
- In agricultural commodity chains, companies with sizeable market shares are stepping up sustainability commitments through so-called 'No Deforestation, No Peat, No Exploitation' (NDPE) policies - yet the delivery is fraught with difficulties. Drawing on theories of hybrid public-private governance this paper explores how commodity chain actors themselves view the limitations of private regulation and the prospects for more effective supply-chain governance. As a case study, we present interview data from the palm oil commodity chains linking growers in Riau Province, Sumatra, Indonesia, with retailers in Europe. The findings demonstrate awareness of shortcomings in existing arrangements and the need for a stronger presence of both the Indonesian state and European governments. We discuss potential hybrid governance measures, highlighting the need for a pluralistic strategy that mobilizes the combined positive forces of civil society, business and government(s). We argue that, to advance such an agenda, hybrid governance must be conceptualized not simply as a matter of blending (and hence reifying) preexisting and often highly problematic private and public institutions but as a question of how all such institutions may themselves be more thoroughly democratized in the process.
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- Osbeck, Ida, et al.
(author)
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Surgically treated adult acquired flatfoot deformity: Register-based study of patient characteristics, health-related quality of life and type of surgery according to severity
- 2023
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In: Foot and Ankle Surgery. - : Elsevier BV. - 1268-7731.
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Journal article (peer-reviewed)abstract
- BackgroundPopulation-level data describing patient characteristics and interventions used in surgical treatment of adult acquired flatfoot deformity (AAFD) is lacking.MethodsWe analyzed baseline patient-reported data including PROMs and surgical interventions for patients with AAFD reported to the Swedish Quality Register for Foot and Ankle Surgery (Swefoot) 2014–2021.Results625 feet with primary AAFD surgery were registered. Median age was 60 (range 16–83) years and 64% were women. Mean preoperative EQ-5D index and Self-Reported Foot and Ankle Score (SEFAS) were low. In stage IIa (n = 319) 78% had medial displacement calcaneal osteotomy and 59% had flexor digitorium longus transfer, with some regional variations. Spring ligament reconstruction was less common. In stage IIb (n = 225), 52% had lateral column lengthening, and in stage III (n = 66), 83% had hind-foot arthrodesis.ConclusionsPatients with AAFD have low health-related quality of life before surgery. Treatment in Sweden follows best-available evidence but regional variations exist.Level of evidenceIII
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- Osbeck, Maria, et al.
(author)
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The EU’s renewable energy dilemma
- 2009
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In: Climate challenge – the safety’s off. - Stockholm : Formas. - 9789154060382 ; , s. 443-456
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Book chapter (pop. science, debate, etc.)
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