scholarly journals È possibile una gestione “ideale” della pandemia da malattia renale cronica?

2022 ◽  
Vol 34 ◽  
pp. 1-9
Author(s):  
Stefano Michelassi
Keyword(s):  
Good Governance ◽  
Holistic Approach ◽  
Global Scale ◽  
The Sustainable Development ◽  
Primordial Prevention ◽  
Development Goals ◽  
Traditional Risk Factors ◽  
Malattia Renale Cronica ◽  
Stage Renal Disease ◽  
End Stage

Chronic Kidney Disease (CKD) is recognized as one of the major categories of noncommunicable epidemic diseases and in the last decades it has been largely growing in incidence and prevalence all over the world. Ideal management of CKD pandemic should be comprehensive of measures of tertiary, secondary, primary and primordial prevention. So, it should include prompt diagnosis and treatment of traditional and non-traditional risk factors for CKD, optimal conservative treatment for non-dialysis dependent CKD patients and appropriated dialysis therapy or renal transplantation for patients with end-stage renal disease. However, these goals are not easy to obtain on a global scale. It would be possible only by a broad and holistic approach, ranging from good governance to achievement of the sustainable development goals (SDGs).

scholarly journals The politics of exclusion: fighting for patients with Kidney failure in Yemen’s War

2019 ◽  
Vol 42 (3) ◽  
pp. e311-e315 ◽  
Author(s):  
André Heller Pérache ◽  
Crystal van Leeuwen ◽  
Chiara Fall
Keyword(s):  
Grey Literature ◽  
Noncommunicable Disease ◽  
Health Needs ◽  
The Sustainable Development ◽  
Humanitarian Emergencies ◽  
Health Community ◽  
Key Informant ◽  
Development Goals ◽  
Stage Renal Disease ◽  
End Stage

Abstract Background To contribute toward the dialogue on addressing non-communicable and chronic disease in humanitarian emergencies, this article will explore the experiences of Médecins Sans Frontières in attempting to find support for the haemodialysis network in Yemen. With the changing profile of the global disease burden and a broadening concept of emergency health needs to include chronic illness and disability, the aid sector has committed through the World Humanitarian Summit and the Sustainable Development Goals to leave no one behind and thus to meet the health needs of these previously excluded and highly vulnerable people. The civil war in Yemen compromised the medical supply chain supporting the health facilities providing dialysis for patients with end-stage renal disease. The article will critique the aid sector’s slow response to this issue and expose the gap between principles, commitments, and practice related to noncommunicable disease in emergencies. Method Following direct experiences from the authors as leaders in the aid response in Yemen, reviews of grey literature from aid and health actors in Yemen were conducted along with a review of literature and policy documents related to noncommunicable disease in emergency. Key informant interviews and press statements supported analysis and events that took place in the time span of roughly 4 years that frames this period of analysis. Results Examination of the impacted patient population, interviews, literature and documented events indicates that there is discord between policy, commitments stated by aid donors and practice. Conclusion The aid sector must use a more contextualised approach when designing programmes to manage the burden of non-communicable diseases in health contexts where crises occur, particularly for lifesaving forms of therapy. Aid agencies and the global health community must increase pressure on donors and implementing agencies to live up to their commitments to include these patient populations.

Analysis of pre-service teachers’ perception towards the economic, environmental, social and cultural dimensions of Education for Sustainable Development

Think India ◽  
2019 ◽  
Vol 22 (3) ◽  
pp. 972-978
Author(s):  
Manisha Jetly ◽  
Dr. Nandita Singh
Keyword(s):  
Sustainable Development ◽  
Environmental Sustainability ◽  
Qualitative Content Analysis ◽  
Holistic Approach ◽  
Education For Sustainable Development ◽  
Cultural Dimensions ◽  
The Sustainable Development ◽  
Depth Study ◽  
Development Goals ◽  
Class Room

Education for sustainable development (ESD) enjoys a huge momentum worldwide in which the role of teachers for making sustainable development goals a reality has been recognized significantly. Teachers through their knowledge, attitudes and skills can bring the learning about these concepts to the curriculum and class room interaction and are in a position to influence their students. Therefore it is pertinent, that teachers are sensitised towards these issues, so that they prepare and nurture their students for making appropriate and responsible choices which contribute to a sustainable future. At this juncture it becomes crucial to understand their priorities and awareness level in context of the sustainable development. The present research paper aims to analyse the perception of forty post graduate pre-service teachers of the Chandigarh region, towards ESD through the dimensions of economic sustainability, environmental sustainability, social sustainability and cultural sustainability. For this researchers have adopted qualitative content analysis methodology for an in-depth study of the subjective responses through an open ended question. The findings suggest that most of the respondents associated the perception of ESD strongly with environmental sustainability. It is noted that the pre-service teachers lack a holistic approach towards ESD. On the basis of the findings it is recommended that there is an urgent need of integrating the concept of ESD consciously and conscientiously in India’s teacher education programmes.

scholarly journals What can everyone do about it? Sustainable individual choices that contribute to the SDGs

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Vareda
Keyword(s):  
Global Scale ◽  
The Sustainable Development ◽  
Individual Level ◽  
Global Partnership ◽  
Healthy Habits ◽  
Working Together ◽  
Development Goals ◽  
Summer Temperatures ◽  
Individual Choices ◽  
Sustainable Health

Abstract Background The Sustainable Development Goals (SDG) aim to solve the world's most wicked problems, which requires global partnership. That means governments, national and international organizations and worldwide leaders working together, but it also implies individuals, families and communities, which make up most of the world, must contribute. Households, schools, the health system and others have a responsibility in the consumption and demand for energy and resources of our planet and contribute largely to climate change. Awareness and population education are essential to promote action on an individual level. Objective This presentation is part of a workshop on how individuals and public health (PH) can create a more sustainable world. It aims to present the science and challenges behind changing and creating new habits, and examples of individual habits and choices everyone can make in order to contribute to the SDG and to sustainable health prevention. This presentation is based on the United Nation (UN) available material for the SDG, as well as other independent research on the subject. Results Sustainable individual actions can be divided in 3 different main themes: Food and Water - Examples. Eat a more plant-based diet; use apps like Too Good To Go®; reutilize the water from your shower... Energy - Examples. Plug all appliances into a power strip and turn them off completely when not in use; adjust your fridge and home thermostat to winter and summer temperatures; use energy efficient light bulbs; fill your house with rugs... Resources - Examples. Pay your bills online; delete your spam email; compost your food; choose a better diaper option; shop second-hand clothes... Conclusions There are a lot of habits and small choices everyone can adopt in order to contribute to a more sustainable world and to promote healthy habits. These changes may seem trivial on an individual level, but they add up to millions of resources saved for the planet at a global scale.

Challenges to Meeting the UN Sustainable Development Goals in Sri Lanka

Asian Survey ◽  
2018 ◽  
Vol 58 (4) ◽  
pp. 726-746
Author(s):  
Gamini Herath
Keyword(s):  
Sustainable Development ◽  
Sri Lanka ◽  
Sustainable Development Goals ◽  
Good Governance ◽  
Institutional Capacity ◽  
Political Will ◽  
The Sustainable Development ◽  
Development Goals

In 2015, the UN proposed the Sustainable Development Goals; they were accepted by 193 countries. Sri Lanka faces many challenges in implementing the SDGs. The lack of reliable and recent data is a serious issue. Another issue is the weak institutional capacity of Sri Lanka, which has led to poor governance and policy incoherence. There is no strong political will, and interministerial conflicts are rampant. Unless these issues are properly addressed, the yahapalanaya (good governance) government of President Sirisena may not contribute well to achieve the SDGs by 2030.

Reducing corruption and bribery in Africa as a target of the sustainable development goals: applying indicators for assessing performance

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kempe Ronald Hope, Sr.
Keyword(s):  
Sustainable Development ◽  
Sustainable Development Goals ◽  
Good Governance ◽  
Sub Saharan Africa ◽  
Ethical Behaviour ◽  
Content Type ◽  
The Sustainable Development ◽  
Development Goals ◽  
Sub Saharan ◽  
Illegal Activities

Purpose The purpose of this paper is to assess African performance for substantially reducing all forms of corruption and bribery on the continent by 2030, through the indicators for achieving Target 16.5 of the sustainable development goals (SDGs). Design/methodology/approach Drawing on the available and accessible relevant data from credible sources, this work quantifies, outlines and analyses the relationship between corruption/bribery and sustainable development as it applies primarily to sub-Saharan Africa; assesses the trends in the region through the official indicators for achieving Target 16.5 of the SDGs; and recommends other indicators for assessing ethical behaviour in African political, administrative and business leadership and institutions for achieving sustainable development and improved ethical performance towards significant reductions in all manifestations of bribery and corruption on the continent by 2030. Findings Corruption and bribery are found to affect all SDG-related sectors, undermining development outcomes and severely compromising efforts to achieve the SDGs in Africa. Consequently, prioritising corruption reduction including from money laundering, bribery and other illegal activities is a necessary requirement for achieving sustainable development, good governance, building effective and inclusive institutions as required by SDG 16, and funding the achievement of the SDGs. Originality/value The main value of the paper is the insights it provides through the very comprehensive compilation of statistical information that quantifies, and with analysis, the corruption/bribery avenues and the resultant deleterious effects on sustainable development in Africa.

scholarly journals Folic Acid and Vitamin B12 Administration in CKD, Why Not?

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 383 ◽  
Author(s):  
Irene Capelli ◽  
Giuseppe Cianciolo ◽  
Lorenzo Gasperoni ◽  
Fulvia Zappulo ◽  
Francesco Tondolo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Folic Acid ◽  
Cardiovascular Risk ◽  
Vitamin B12 ◽  
Therapeutic Target ◽  
Direct Action ◽  
Blood Levels ◽  
Traditional Risk Factors ◽  
Stage Renal Disease ◽  
End Stage

Patients affected by chronic kidney disease (CKD) or end-stage renal disease (ESRD) experience a huge cardiovascular risk and cardiovascular events represent the leading causes of death. Since traditional risk factors cannot fully explain such increased cardiovascular risk, interest in non-traditional risk factors, such as hyperhomocysteinemia and folic acid and vitamin B12 metabolism impairment, is growing. Although elevated homocysteine blood levels are often seen in patients with CKD and ESRD, whether hyperhomocysteinemia represents a reliable cardiovascular and mortality risk marker or a therapeutic target in this population is still unclear. In addition, folic acid and vitamin B12 could not only be mere cofactors in the homocysteine metabolism; they may have a direct action in determining tissue damage and cardiovascular risk. The purpose of this review was to highlight homocysteine, folic acid and vitamin B12 metabolism impairment in CKD and ESRD and to summarize available evidences on hyperhomocysteinemia, folic acid and vitamin B12 as cardiovascular risk markers, therapeutic target and risk factors for CKD progression.

scholarly journals A Review of the Sustainability Concept and the State of SDG Monitoring Using Remote Sensing

2020 ◽  
Vol 12 (11) ◽  
pp. 1770 ◽  
Author(s):  
Ronald Estoque
Keyword(s):  
Remote Sensing ◽  
Sustainable Development ◽  
Sustainable Development Goals ◽  
Global Scale ◽  
Full Potential ◽  
Observation Data ◽  
The Sustainable Development ◽  
Sustainability Concept ◽  
Development Goals ◽  
Earth Observation Data

The formulation of the 17 sustainable development goals (SDGs) was a major leap forward in humankind’s quest for a sustainable future, which likely began in the 17th century, when declining forest resources in Europe led to proposals for the re-establishment and conservation of forests, a strategy that embodies the great idea that the current generation bears responsibility for future generations. Global progress toward SDG fulfillment is monitored by 231 unique social-ecological indicators spread across 169 targets, and remote sensing (RS) provides Earth observation data, directly or indirectly, for 30 (18%) of these indicators. Unfortunately, the UN Global Sustainable Development Report 2019—The Future is Now: Science for Achieving Sustainable Development concluded that, despite initial efforts, the world is not yet on track for achieving most of the SDG targets. Meanwhile, through the EO4SDG initiative by the Group on Earth Observations, the full potential of RS for SDG monitoring is now being explored at a global scale. As of April 2020, preliminary statistical data were available for 21 (70%) of the 30 RS-based SDG indicators, according to the Global SDG Indicators Database. Ten (33%) of the RS-based SDG indicators have also been included in the SDG Index and Dashboards found in the Sustainable Development Report 2019—Transformations to Achieve the Sustainable Development Goals. These statistics, however, do not necessarily reflect the actual status and availability of raw and processed geospatial data for the RS-based indicators, which remains an important issue. Nevertheless, various initiatives have been started to address the need for open access data. RS data can also help in the development of other potentially relevant complementary indicators or sub-indicators. By doing so, they can help meet one of the current challenges of SDG monitoring, which is how best to operationalize the SDG indicators.

scholarly journals Estimating SDG Indicators in Data-Scarce Areas: The Transition to the Use of New Technologies and Multidisciplinary Studies

Earth ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 635-652
Author(s):  
Angelos Alamanos ◽  
Suzanne Linnane
Keyword(s):  
Urban Development ◽  
New Technologies ◽  
Holistic Approach ◽  
The Sustainable Development ◽  
Environmental Consequences ◽  
Rural And Urban ◽  
Two Factors ◽  
Slow Progress ◽  
Development Goals ◽  
Multidisciplinary Studies

The Sustainable Development Goals (SDGs) and their indicators provide opportunities to best combine the available knowledge and data to monitor and estimate different metrics and track their progress. The overall picture can be complex as some indicators are often interconnected (e.g., rural and/or urban development with a water body’s status). Two factors can play a crucial role in achieving the SDGs: the use of new technologies for database building and multidisciplinary studies and understanding. This study aims to explore these factors, highlight their importance and provide an example as guidance of their proper and combinative use. Ireland is used as an example of a data-scarce case with poor–slow progress, especially on the environmental SDGs. Two “non-reported” SDG indicators (lack of data) are selected and estimated in this work using freely available data (remote sensing, satellite imagery) and geospatial software for the first time in the country. The results show improvements in rural and urban development; however, this is accompanied by negative environmental consequences. A more holistic approach is needed and a broader conceptual model is presented to avoid any misleading interpretations of the study of SDGs. The transition to the modern technological and multidisciplinary evolution requires respective knowledge and understanding, strongly based on complex systems analysis.

Rivaroxaban e malattia renale cronica: evidenze dal presente e prospettive future

2019 ◽  
Vol 31 (1) ◽  
pp. 30-36
Author(s):  
Luca Di Lullo ◽  
Claudio Ronco ◽  
Fulvio Floccari ◽  
Antonio De Pascalis ◽  
Vincenzo Barbera ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Severe Renal Impairment ◽  
Vitamin K Antagonists ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Factor X ◽  
Malattia Renale Cronica ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients

Cardiovascular diseases represent the main cause of comorbidly in chronic kidney disease (CKD) patients, with a 7% incidence in atrial fibrillation (AF) in end-stage renal disease (ESRD) patients. Until recently, prophylactic treatment of atrial fibrillation complications (such as thromboembolism) was mainly based on vitamin K antagonists (VKA) or heparin. In the last years, direct oral anticoagulants (DOACs) have been made available; however, their renal clearance limits their use on patients with severe renal impairment (eGFR <15 mL/min). Among DOACs, Rivaroxaban, a factor X-activated (Xa) inhibitor, shows good renal profile and it can be used in CKD patients up to stage 4 as well as in ESRD patients (at the moment only in North America and Canada). (Cardionephrology)

Inequality, Taxation, and Public Transfers in Latin America

2019 ◽  
pp. 515-540
Author(s):  
Michael Hanni ◽  
Ricardo Martner
Keyword(s):  
Latin America ◽  
Holistic Approach ◽  
The Sustainable Development ◽  
Direct Taxation ◽  
Tax Revenues ◽  
Public Transfers ◽  
Fiscal Compact ◽  
Development Goals ◽  
The Rich ◽  
The Government

This chapter looks at inequality trends and the redistributive potential of fiscal policies in Latin America. It suggests that increased mobilization of tax revenues from the middle class, the segment of society with the highest “tax morale,” could help rectify the frayed fiscal compact—the fragile agreement between the governed and the government about what sums the former owe as taxpayers and what services the latter provides in return. A new fiscal compact might be constructed around the Sustainable Development Goals, through a holistic approach focused on public tax revenues and spending priorities. The chapter then emphasizes the need to rely on direct taxation, which could help close the gap between the rich and the poor and improve the realization of human rights; to maximize the potential redistributive impacts of taxes and transfers; and to improve service delivery.

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