Scientists have been warning the world of the threatening consequences of climate change for decades. Yet, only a few countries have made climate change mitigation a priority. One of the chief issues regarding climate change is its abstractness: consequences for the collective in the long-term are much more abstract than consequences for the self in the here-and-now. To combat climate change, individuals, communities, and governments must work together to reduce the psychological distance of climate change and designate the future of the planet as the prime concern.
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citations | 53 | |
popularity | Top 1% | |
influence | Top 10% | |
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pmid: 34853097
pmc: PMC9489103
Treatment of obstructive sleep apnoea (OSA) in adults is evolving, as new therapies have been explored and introduced in clinical practice, while other approaches have been refined or reconsidered. In this European Respiratory Society (ERS) guideline on non-continuous positive airway pressure (CPAP) therapies for OSA, we present recommendations determined by a systematic review of the literature. It is an update of the 2011 ERS statement on non-CPAP therapies, advanced into a clinical guideline. A multidisciplinary group of experts, including pulmonary, surgical, dentistry and ear–nose–throat specialists, methodologists and patient representatives considered the most relevant clinical questions (for both clinicians and patients) relating to the management of OSA. Eight key clinical questions were generated and a systematic review was conducted to identify published randomised clinical trials that answered these questions. We used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to assess the quality of the evidence and the strength of recommendations. The resulting guideline addresses gastric bypass surgery, custom-made dual-block mandibular advancement devices, hypoglossal nerve stimulation, myofunctional therapy, maxillo-mandibular osteotomy, carbonic anhydrase inhibitors and positional therapy. These recommendations can be used to benchmark quality of care for people with OSA across Europe and to improve outcomes.
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citations | 90 | |
popularity | Top 1% | |
influence | Top 10% | |
impulse | Top 1% |
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doi: 10.14811/clr.v44.597
Review/Recension
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This book review discusses Kokal’s central points in State Law, Dispute Processing, and Legal Pluralism: Unspoken Dialogues from Rural India. Within the review, Kokal’s arguments of legal pluralism are pointed out and linked back to theories related to this field, such as Ehrlich’s theory of living law and Luhmann’s systems theory. The review explores Kokal’s idea of parallel legal systems being interconnected and operating at the same time. The review further sets forward the importance of Kokal’s work as providing an enlightening perspective to the socio-legal discussion of what is law and if we should conceptualise it in terms of state law or adopt a more bottom-up approach to the issue, as Kokal did in her own work.
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Global health research partnerships with institutions from high-income countries and low- and middle-income countries are one of the European Commission's flagship programmes. Here, we report on the ZikaPLAN research consortium funded by the European Commission with the primary goal of addressing the urgent knowledge gaps related to the Zika epidemic and the secondary goal of building up research capacity and establishing a Latin American-European research network for emerging vector-borne diseases. Five years of collaborative research effort have led to a better understanding of the full clinical spectrum of congenital Zika syndrome in children and the neurological complications of Zika virus infections in adults and helped explore the origins and trajectory of Zika virus transmission. Individual-level data from ZikaPLAN`s cohort studies were shared for joint analyses as part of the Zika Brazilian Cohorts Consortium, the European Commission-funded Zika Cohorts Vertical Transmission Study Group, and the World Health Organization-led Zika Virus Individual Participant Data Consortium. Furthermore, the legacy of ZikaPLAN includes new tools for birth defect surveillance and a Latin American birth defect surveillance network, an enhanced Guillain-Barre Syndrome research collaboration, a de-centralized evaluation platform for diagnostic assays, a global vector control hub, and the REDe network with freely available training resources to enhance global research capacity in vector-borne diseases.
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popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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After visiting the exhibition Zorn: A Swedish Superstar at the Nationalmuseum in Stockholm, I was reminded of an earlier visit to the artist’s home in Mora. Zorn placed the lights in the dining room there directly above the rear end of the table, where he sat. This might very well have been mere chance, or for practical reasons, but in hindsight it reminds us that Zorn was well aware of being a superstar in the spotlight. As an artist however, Zorn managed perfectly well to shine on his own. This becomes clear during a visit to the exhibition.
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The bigger picture Knowledge graphs (KGs) have recently gained attention due to their flexible data model, which reduces the effort needed for integration across different, possibly heterogeneous, data sources. In this tutorial, we learn how to access scientific data stored in a relational database through the virtual knowledge graph (VKG) approach. In such an approach, the data are exposed as a KG and enriched with semantic information coming from a domain ontology. The KG is “virtual” in the sense that the data are not replicated but stay within the data sources and are accessed at query time. We demonstrate the approach over scientific data coming from the biomedical domain and using the open-source VKG system Ontop. Since legacy data are exposed as a KG, users can access the data by means of a more convenient vocabulary provided by the domain ontology, benefit from automated reasoning capabilities, and do not need to focus on how the data are actually stored. Furthermore, the virtual approach allows for the use of KGs even in those contexts where the user does not own the data nor is granted the rights to make a copy of them. By relying on existing federation tools, the approach described here for accessing scientific data can also be used to integrate multiple, heterogeneous, and possibly semi-structured and unstructured data sources. Summary In this tutorial, we learn how to set up and exploit the virtual knowledge graph (VKG) approach to access data stored in relational legacy systems and to enrich such data with domain knowledge coming from different heterogeneous (biomedical) resources. The VKG approach is based on an ontology that describes a domain of interest in terms of a vocabulary familiar to the user and exposes a high-level conceptual view of the data. Users can access the data by exploiting the conceptual view, and in this way they do not need to be aware of low-level storage details. They can easily integrate ontologies coming from different sources and can obtain richer answers thanks to the interaction between data and domain knowledge. In this tutorial, we learn how to set up and exploit the virtual knowledge graph (VKG) approach to access data stored in relational legacy systems and to enrich such data with domain knowledge coming from different heterogeneous (biomedical) resources.
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citations | 8 | |
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impulse | Top 10% |
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handle: 10486/707808 , 10481/71473
Abstract Parenteral nutrition is used to treat children that cannot be fully fed by the enteral route. While the revised ESPGHAN/ESPEN/ESPR/CSPEN pediatric parenteral nutrition guidelines provide clear guidance on the use of parenteral nutrition in neonates, infants, and children based on current available evidence, they have helped to crystallize areas where research is lacking or more studies are needed in order to refine recommendations. This paper collates and discusses the research gaps identified by the authors of each section of the guidelines and considers each nutrient or group of nutrients in turn, together with aspects around delivery and organization. The 99 research priorities identified were then ranked in order of importance by clinicians and researchers working in the field using a survey methodology. The highest ranked priority was the need to understand the relationship between total energy intake, rapid catch-up growth, later metabolic function, and neurocognitive outcomes. Research into the optimal intakes of macronutrients needed in order to achieve optimal outcomes also featured prominently. Identifying research priorities in PN should enable research to be focussed on addressing key issues. Multicentre trials, better definition of exposure and outcome variables, and long-term metabolic and developmental follow-up will be key to achieving this. Impact The recent ESPGHAN/ESPEN/ESPR/CSPEN guidelines for pediatric parenteral nutrition provided updated guidance for providing parenteral nutrition to infants and children, including recommendations for practice. However, in several areas there was a lack of evidence to guide practice, or research questions that remained unanswered. This paper summarizes the key priorities for research in pediatric parenteral nutrition, and ranks them in order of importance according to expert opinion.
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popularity | Top 10% | |
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pmid: 34567526
pmc: PMC8449952
handle: 10138/336213 , 10230/48940 , 10447/550109 , 11386/4853795 , 2318/1810926
pmid: 34567526
pmc: PMC8449952
handle: 10138/336213 , 10230/48940 , 10447/550109 , 11386/4853795 , 2318/1810926
AbstractBackgroundMASK‐air® is an app that supports allergic rhinitis patients in disease control. Users register daily allergy symptoms and their impact on activities using visual analog scales (VASs). We aimed to assess the concurrent validity, reliability, and responsiveness of these daily VASs.MethodsDaily monitoring VAS data were assessed in MASK‐air® users with allergic rhinitis. Concurrent validity was assessed by correlating daily VAS values with those of the EuroQol‐5 Dimensions (EQ‐5D) VAS, the Control of Allergic Rhinitis and Asthma Test (CARAT) score, and the Work Productivity and Activity Impairment Allergic Specific (WPAI‐AS) Questionnaire (work and activity impairment scores). Intra‐rater reliability was assessed in users providing multiple daily VASs within the same day. Test–retest reliability was tested in clinically stable users, as defined by the EQ‐5D VAS, CARAT, or “VAS Work” (i.e., VAS assessing the impact of allergy on work). Responsiveness was determined in users with two consecutive measurements of EQ‐5D‐VAS or “VAS Work” indicating clinical change.ResultsA total of 17,780 MASK‐air® users, with 317,176 VAS days, were assessed. Concurrent validity was moderate–high (Spearman correlation coefficient range: 0.437–0.716). Intra‐rater reliability intraclass correlation coefficients (ICCs) ranged between 0.870 (VAS assessing global allergy symptoms) and 0.937 (VAS assessing allergy symptoms on sleep). Test–retest reliability ICCs ranged between 0.604 and 0.878—“VAS Work” and “VAS asthma” presented the highest ICCs. Moderate/large responsiveness effect sizes were observed—the sleep VAS was associated with lower responsiveness, while the global allergy symptoms VAS demonstrated higher responsiveness.ConclusionIn MASK‐air®, daily monitoring VASs have high intra‐rater reliability and moderate–high validity, reliability, and responsiveness, pointing to a reliable measure of symptom loads.
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citations | 35 | |
popularity | Top 10% | |
influence | Top 10% | |
impulse | Top 1% |
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