Burma: The Political Economy of Violence

Protracted conflict and violence in Burma have been conducive to the growth of the opium industry, Burma's single financial success in recent years of economic crisis and authoritarian rule. This in turn has fed violence and subsequent humanitarian crisis. This paper argues that the underlying political economy of the conflict has been overlooked, while conflict itself has been treated as a peripheral factor in questions of 'development', and further that the opium dynamic is a vital factor in continued violence and vulnerability for non-combatants in the region. A political economy approach, identifying the beneficiaries of violence, will offer a more holistic and effective approach to the protracted crisis.     

Integration of the recycling processes to the life cycle analysis of construction products

The life cycle analysis of a product enables one to assess its environmental quality. A simple, transparent method taking into account the processes of recycling in the life cycle is developed here. It permits dealing with all types of open loops of all sectors. The principles on which the proposed method is grounded are discussed.     

AN INTEGRATIVE APPROACH TOWARDS UNDERSTANDING ECOLOGICAL RESPONSES TO DAM REMOVAL: THE MANATAWNY CREEK STUDY1

ABSTRACT: Dam removal has been proposed as an effective method of river restoration, but few integrative studies have examined ecological responses to the removal of dams. In 1999, we initiated an interdisciplinary study to determine ecological responses to the removal of a 2 m high dam on lower Manatawny Creek in southeastern Pennsylvania. We used an integrative monitoring program to assess the physical, chemical, and biological responses to dam removal. Following removal in 2000, increased sediment transport has led to major changes in channel form in the former impoundment and downstream reaches. Water quality did not change markedly following removal, probably because of the impoundment's short hydraulic residence time (less than two hours at base flow) and infrequent temperature stratification. When the impoundment was converted to a free flowing reach, the composition of the benthic macroinvertebrate and fish assemblages in this portion of Manatawny Creek shifted dramatically from lentic to lotic taxa. Some fish species inhabiting the free flowing reach downstream from the dam were negatively affected by large scale sediment transport and habitat alteration following dam removal, but this appears to be a short term response. Based on our observations and experiences in this study, we provide a list of issues to evaluate when considering future dam removals.     

Antenatal corticosteroids and outcomes in gastroschisis: A multicenter retrospective cohort study

Objective

In gastroschisis, there is evidence to suggest that gut dysfunction develops secondary to bowel inflammation; we aimed to evaluate the effect of maternal antenatal corticosteroids administered for obstetric reasons on time to full enteral feeds in a multicenter cohort study of gastroschisis infants.

Methods

A three center, retrospective cohort study (1992-2013) with linked fetal/neonatal gastroschisis data was conducted. The primary outcome measure was time to full enteral feeds (a surrogate measure for bowel function) and secondary outcome measure was length of hospital stay. Analysis included Mann-Whitney and Cox regression.

Results

Of 500 patients included in the study, 69 (GA at birth 34 [25-38] weeks) received antenatal corticosteroids and 431 (GA at birth 37 [31-41] weeks) did not. Antenatal corticosteroids had no effect on the rate of reaching full feeds (Hazard ratio HR 1.0 [95% CI: 0.8-1.4]). However, complex gastroschisis (HR 0.3 [95% CI: 0.2-0.4]) was associated with an increased time to reach full feeds and later GA at birth (HR 1.1 per week increase in GA [95% CI: 1.1-1.2]) was associated with a decreased time to reach full feeds.

Conclusion

Maternal antenatal corticosteroids use, under current antenatal steroid protocols, in gastroschisis is not associated with an improvement in neonatal outcomes such as time to full enteral feeds or length of hospital stay.