scholarly journals A Transition Research Perspective on Governance for Sustainability

Author(s):  
Derk Loorbach ◽  
Niki Frantzeskaki ◽  
Wil Thissen
2021 ◽  
Vol 13 (22) ◽  
pp. 12814
Author(s):  
Lisa S. Barsties ◽  
Frank S. van Steenbergen ◽  
Derk Loorbach

We apply a transition research perspective to the Dutch obstetric care system to analyze historic, current, and future shifts and find ways to overcome persistent health inequities. We present social obstetrics as an emerging niche that addresses perinatal health inequities by acknowledging their multifaceted origins and fostering collaborations across the medical, social, and public health sectors. We conducted desk research, in-depth semi-structured expert interviews, and interactive group sessions with change-inclined professionals that are relevant for the implementation of social obstetrics in six Dutch municipalities. The outcomes are synthesized in a historical narrative and perspectives on current obstacles and future systemic shifts. We argue that social obstetrics can be considered a sustainable addition to what is already present, instead of a disruptive transformation of the current system. Social obstetrics is innovative as it connects various societal systems and offers a framework for cross-sectoral collaboration. These collaborations, in turn, can be the starting point for the transformation of the obstetric care system as well as other relevant societal systems.


1989 ◽  
Vol 34 (1) ◽  
pp. 87-87
Author(s):  
No authorship indicated

Author(s):  
Dr. Sushma Patil ◽  
Dr. Vikrant Patil

Thyroid disorders are common worldwide. Thyroid dysfunction, both hypo- and hyperthyroidism may increase the risk of cardiovascular disorders. Current thyroid function tests may have limitations since they only measure the total or free T4 and/or T3 and TSH serum concentrations in peripheral blood and not the effect of T4 or T3 serum on different specific target tissues. Several comorbid conditions can interfere with the absorption or increase the clearance of levothyroxine. Among patients treated with thyroid replacement, under or overmedicated may-be at risk for adverse health consequences. A wide range of drugs may interfere with levothyroxine absorption, metabolism, and action. Patients report a lack of well-being, despite reaching euthyroid reference range of TSH, with psychological distress. If we will consider Thyroid related conditions as a syndrome then research perspective at the pathophysiology, interrelation between symptoms and comorbidities will be much broader that can lead researchers to get insights of different pathways in which thyroid gland functioning can be perceived and dealt therapeutically. The deliberation of thyroid disorder as a syndrome can affluence our knowledge of correlating cofounders, action of thyroid hormones on target tissues, underlying cause and thyroid health.


2008 ◽  
Vol 2008 (1) ◽  
pp. 7-36 ◽  
Author(s):  
Rolf Elberfeld

In the 20th century the European sciences have tried in different ways to develop post-colonial forms of knowledge. Since the 1920s, under headings such as »intercultural«, »multicultural« and »transcultural«, discourses have arisen in the USA and in Europe in which, until the present, new perspectives and structures in the sciences have developed. The article offers, on one hand, a discourse analysis of these three headings until 1980 and makes clear by way of examples how complicated and deep the challenges are for knowledge discourses in Europe within the scope of the research perspective of »interculturality«.


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