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It has been suggested that the relationship between income and the associated environmental pressure in terms of derived materials inputs and pollution levels may take an inverted-U shape, indicating a 'delinking' of environmental pressure from economic growth in relation to rising per capita incomes. The likelihood of such a relationship being persistent is discussed in the context of a simple macro model of industrial metabolism, and the possibility of 'relinking' clearly emerges. Data on specific indicators of environmental pressure (i.e., the throughput of materials, energy and the volume of transport) in 19 countries have been used to investigate patterns of delinking. The results suggest that delinking may not be persistent; already some advanced economies may be entering a new period of relinking. The relationships between environmental pressure and welfare in the medium long term may be N-shaped rather than inverted-U-shaped.

Abstract Background Respiratory depression is a potentially fatal complication of opioid use, which may be exacerbated by simultaneous ethanol intake. In this three-way sequential crossover dose-escalating study, the influence of coadministration of oral oxycodone and intravenous ethanol was assessed on resting ventilation, apneic events and the hypercapnic ventilatory response in healthy young and older volunteers. Methods Twelve young (21 to 28 yr) and 12 elderly (66 to 77 yr) opioid-naive participants ingested one 20 mg oxycodone tablet combined with an intravenous infusion of 0, 0.5, or 1 g/l ethanol. Resting respiratory variables and the primary outcome, minute ventilation at isohypercapnia (end-tidal partial pressure of carbon dioxide of 55 mmHg or VE55), were obtained at regular intervals during treatment. Results Oxycodone reduced baseline minute ventilation by 28% (P < 0.001 vs. control). Ethanol caused a further decrease of oxycodone-induced respiratory depression by another 19% at 1 g/l ethanol plus oxycodone (P < 0.01 vs. oxycodone). Ethanol combined with oxycodone caused a significant increase in the number of apneic events measured in a 6-min window with a median (range) increase from 1 (0 to 3) at 0 g/l ethanol to 1 (0 to 11) at 1 g/l ethanol (P < 0.01). Mean (95% CI) VE55 decreased from 33.4 (27.9 to 39.0) l/min (control) to 18.6 (15.6 to 21.6) l/min (oxycodone, P < 0.01 vs. control) and to 15.7 (12.7 to 18.6) l/min (oxycodone combined with ethanol, 1 g/l; P < 0.01 vs. oxycodone). Conclusions Ethanol together with oxycodone causes greater ventilatory depression than either alone, the magnitude of which is clinically relevant. Elderly participants were more affected than younger volunteers.

Policymakers at global level recognise that household biomass use in developing countries has significant health consequences. However, it is unclear how local-level health professionals perceive and respond to such health effects. This paper which is derived from the findings of a larger study on perceptions and responses to the harmful health effects of carrying heavy firewood loads and to smoke from cooking fires is based on a study conducted in South Africa among managers of health programmes and community nurses of Qaukeni and Mhlontlo municipalities in rural Eastern Cape. Interviews and participant observations were conducted in 2009 using ethnographic grounded theory approaches. In addition to a 10-month period of ethnographic fieldwork, ten programme managers and nurses in two villages were interviewed about health patterns in the villages that they serve, their perceptions of, and responses to the health effects of carrying heavy firewood loads, and inhalation of smoke from wood and dung cooking fires, their professional qualifications and experience, their own household energy use; and observations made as they served clinic clients. Results show that these programme managers and nurses perceive the health effects of carrying heavy loads of firewood and of cooking smoke as minor. Sometimes, nurses give women symptomatic relief for musculoskeletal pain resulting from carrying heavy loads. We posit that their perceptions are derived from customary neglect of work-related health and non-communicable diseases, cultural interpretations of womanhood, limited access to relevant information, and limited interactions between health and energy sector professionals. We conclude that culturally and gender-sensitive awareness programmes are needed for local-level health professionals to effectively address health effects of biomass collection and use. This paper provides new insights into overlooked differences between globally-driven initiatives to address health effects of biomass use and local perceptions.

Amidst climatic and economic volatility, agricultural development and climate adaptation policies have increasingly turned to weather microinsurance to manage uncertainties, particularly in dryland pastoral and agricultural settings. While the political embrace of insurance has been cause for concern amongst those who fear insurance will undermine embedded coping mechanisms and moral economies, economists have puzzled over low insurance adoption rates amongst target populations. This article argues for an approach that scrutinizes insurance in relation to dynamic social practices and norms for responding to uncertainty. We employ this approach to investigate pastoralists’ encounters with index-based livestock insurance in Northern Kenya and Southern Ethiopia. Drawing on interview, ethnographic, and survey data, we demonstrate how insurance is understood within larger moral economies and collective imaginaries for living with and managing uncertainty in the drylands. Relational understandings shape pastoralists’ participation in risk-sharing arrangements, collective and individual decisions about livestock insurance purchase, and eventual uses of insurance payouts. Payouts also support a broad array of social reproductive purposes and investments in social and political life. As we conclude, these findings upset the binary between formal and informal insurance, revealing how “formal” index insurance must be negotiated with embedded social affiliations, rights, obligations, and understandings of uncertainty.

The ageing population tends to be seen as a burden of cities’ future development. Thus, the public funds for older residents’ wellbeing are at risk of being cut back under the economic austerity due to the prevalent neoliberalism policy atmosphere. However, some cities set good examples to turn their older citizens into active contributors to sustainable urban development (SUD) by developing age-friendly cities and communities (AFCC). Taking Hong Kong as an example, this study aims to raise a strategy for policymakers, especially at the municipal level, to incorporate the concept of AFCC in SUD. Data were retrieved for our analysis from a published report of the Hong Kong Public Policy Research Fund project. A total of 15 AFCC and SUD policy factors were identified by using factor analysis. The correlations between these policy factors were evaluated and visualised in a synergetic effect network. According to the network, this study indicates that developing the silver hair market can be a suitable entry point to realise SUD by adopting an AFCC development. Isolation prevention, social sustainability and low-energy-consumption development are the supportive policy factors for the silver hair market. Specifically, respect, discrimination prevention, communication and information, age-friendly facilities, environmental safety and public transportation accessibility are five AFCC policy factors incorporated in the policy integration to enhance older residents’ wellbeing further. This study is an innovative attempt to develop a comprehensive model for the synergy between sustainable urban development and an age-friendly city and community using a correlation network. This study also provides a reference for other city governments to respond to population ageing positively.

AbstractClimate change impacts are being felt across sectors in all regions of the world, and adaptation projects are being implemented to reduce climate risks and existing vulnerabilities. Climate adaptation actions also have significant synergies and tradeoffs with the Sustainable Development Goals (SDGs), including SDG 5 on gender equality. Questions are increasingly being raised about the gendered and climate justice implications of different adaptation options. This paper investigates if reported climate change adaptation actions are contributing to advancing the goal of gender equality (SDG 5) or not. It focuses on linkages between individual targets of SDG 5 and climate change adaptation actions for nine major sectors where transformative climate actions are envisaged. The assessment is based on evidence of adaptation actions documented in 319 relevant research publications published during 2014–2020. Positive links to nine targets under SDG 5 are found in adaptation actions that are consciously designed to advance gender equality. However, in four sectors—ocean and coastal ecosystems; mountain ecosystems; poverty, livelihood, sustainable development; and industrial system transitions, we find more negative links than positive links. For adaptation actions to have positive impacts on gender equality, gender-focused targets must be intentionally brought in at the prioritisation, designing, planning, and implementation stages. An SDG 5+ approach, which takes into consideration intersectionality and gender aspects beyond women alone, can help adaptation actions move towards meeting gender equality and other climate justice goals. This reflexive approach is especially critical now, as we approach the mid-point in the timeline for achieving the SDGs.

Terrestrial isopods have evolved adaptations to reduce water loss, which is necessary for life in low humidity environments. However, the evolution of a waterproofed cuticle to prevent loss of water to the environment could also impede oxygen uptake from the environment. We therefore postulate an evolutionary trade-off between water retention and gas exchange in this group of soil animals. The outcome of this trade-off is expected to be affected by both differences across species (different types of lung) and differences within species (body size and resulting surface area to volume ratios). To test these ideas, we compared two sympatric isopods: Porcellio scaber and Oniscus asellus. While P. scaber possesses covered lungs typical for drier habitats, O. asellus has simple open respiratory fields which are in direct contact with external air. For each species, we assessed how individuals across a broad range in body size differed in their hypoxia and desiccation tolerance. In addition, we assessed how hypoxia and low humidity affected their thermal preference. We found clear effects of species identity and body size on tolerance to hypoxia and low humidity. Desiccation resistance was tightly linked to water loss rates (R2 = 0.96) and strongly resembled the interspecific pattern across 20 isopod species. However, our results did not support the postulated trade-off. Tolerance to hypoxia and low humidity covaried, both increasing with body size and being higher in P. scaber. Thermal preference was affected by both hypoxia and low humidity, but not by body size. Our study increases understanding of the ecophysiology of both species, which can be useful in explaining the geographical distribution and use of microhabitats of isopod species in a climate change context.