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Article
Publication date: 18 February 2020

Helge H.O. Müller, Caroline Lücke, Matthias Englbrecht, Michael S. Wiesener, Teresa Siller, Kai Uwe Eckardt, Johannes Kornhuber and J. Manuel Maler

Kidney transplantation (KT) is the treatment of choice for end-stage chronic kidney disease (CKD) and is well known to improve the clinical outcome of patients. However, the…

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Abstract

Purpose

Kidney transplantation (KT) is the treatment of choice for end-stage chronic kidney disease (CKD) and is well known to improve the clinical outcome of patients. However, the impact of KT on comorbid psychological symptoms, particularly depression and anxiety, is less clear, and recipients of living-donor (LD) organs may have a different psychological outcome from recipients of dead-donor (DD) organs.

Design/methodology/approach

In total, 152 patients were included and analyzed using a cross-sectional design. Of these patients, 25 were pre-KT, 13 were post-KT with a LD transplant and 114 were post-KT with a DD transplant. The patients were tested for a variety of psychometric outcomes using the Hospital Anxiety and Depression Scale, the 12-Item Short Form Health Survey (assessing physical and mental health-related quality of life), the Resilience Scale, the Coping Self-Questionnaire and the Social Support Questionnaire.

Findings

The mean age of the patients was 51.25 years and 40 per cent of the patients were female. As expected, the post-KT patients had significantly better scores on the physical component of the Short Form Health Survey than the pre-KT patients, and there were no significant differences between the two post-KT groups. There were no significant differences among the groups in any of the other psychometric outcome parameters tested, including anxiety, depression and the mental component of health-related quality of life.

Research limitations/implications

KT and the origin of the donor organ do not appear to have a significant impact on the psychological well-being of transplant patients with CKD. Although the diagnosis and early treatment of psychological symptoms, such as depression and anxiety, remain important for these patients, decisions regarding KT, including the mode of transplantation, should not be fundamentally influenced by concerns about psychological impairments at the population level.

Originality/value

CKD is a serious condition involving profound impairment of the physical and psychological well-being of patients. KT is considered the treatment of choice for most of these patients. KT has notable advantages over dialysis with regard to the long-term physical functioning of the renal and cardiovascular system and increases the life expectancy of patients. However, the data on the improvement of psychological impairments after KT are less conclusive.

Details

Mental Illness, vol. 12 no. 1
Type: Research Article
ISSN:

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Article
Publication date: 18 September 2017

Clément Feger and Laurent Mermet

The purpose of this paper is to propose a new ecological-issues-centered accounting research agenda, at the crossroads of accounting research and conservation science.

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Abstract

Purpose

The purpose of this paper is to propose a new ecological-issues-centered accounting research agenda, at the crossroads of accounting research and conservation science.

Design/methodology/approach

Based on a case study of the Natural Capital Project, the research examines the efforts and challenges of conservation practitioners regarding the use of evaluative information systems for conservation (EISC) in complex social and ecological contexts. It discusses why and how, to address these challenges, EISC promoters would benefit from theoretical and empirical insights coming from accounting research.

Findings

The paper suggests that the use of new information systems centered on organized collective action for biodiversity conservation should be regarded as a new type of accounting for the management of ecosystems, complementary to organization-centered biodiversity accounting and to ecosystem accounting at the national scale. A research agenda inspired by critical accounting should be developed for EISC design and use by: critically analyzing the organizational models currently underlying the use of new calculative practices for ecosystems; and developing new analytical and practical avenues on the basis of more explicit and powerful theories adapted to collective action for conservation perimeters.

Originality/value

The paper shows the importance of combining three domains of research and practice that are usually disconnected: the design and use of innovative information systems in biodiversity conservation research and practice; accounting research; and theories and conceptual models of collective action to resolve ecological challenges.

Details

Accounting, Auditing & Accountability Journal, vol. 30 no. 7
Type: Research Article
ISSN: 0951-3574

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Article
Publication date: 4 April 2023

Sid'Ahmed Soumbara and Ahmed El Ghini

This study aims to examine the asymmetric effects of average temperature (TP) and rainfall (RF) on the Moroccan food security, measured by the food production index (FPI), using…

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Abstract

Purpose

This study aims to examine the asymmetric effects of average temperature (TP) and rainfall (RF) on the Moroccan food security, measured by the food production index (FPI), using annual data from 1961 to 2020.

Design/methodology/approach

The study uses the Climate Change and Food Security Framework (CCFS) developed by the Food and Agriculture Organization (FAO) and employs the nonlinear auto-regressive distributed lag (NARDL) model and various econometric techniques to show the effects of climate variability in the short and long-term. It also examines if the impacts on Moroccan food security are asymmetric by analyzing the positive and negative partial sums of mean temperature and rainfall.

Findings

The study shows that RF has a long-term relationship with FPI, with increased RF leading to increased FPI and decreased RF leading to decreased FPI. FPI responds more strongly and persistently to a positive shock in RF than to an adverse shock. The study also identifies an asymmetric relationship between FPI and RF, with increased TP enhancing food output in the long run and a decrease reducing food production in the long run.

Research limitations/implications

The current study could have some limitations. For instance, there are several other non-climate factors that might potentially impact food security. In particular, CO2 emissions which from the literature is a key variable that represent climate change impact on food security, was not included. The present research has not included those factors mainly because adding more variables to the model reduces the degree of freedom available to estimate the parameters, resulting in inaccurate results.

Originality/value

This paper contributes to the food security literature by utilizing the latest asymmetry methodology to decompose climate changes into their positive and negative trends and examining the contrasting impacts food production.

Details

Journal of Agribusiness in Developing and Emerging Economies, vol. 14 no. 5
Type: Research Article
ISSN: 2044-0839

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Article
Publication date: 27 May 2014

Paulina Aldunce, Ruth Beilin, John Handmer and Mark Howden

To confront the increasingly devastating impacts of disasters and the challenges that climate change is posing to disaster risk management (DRM) there is an imperative to further…

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Abstract

Purpose

To confront the increasingly devastating impacts of disasters and the challenges that climate change is posing to disaster risk management (DRM) there is an imperative to further develop DRM. The resilience approach is emerging as one way to do this, and in the last decade has been strongly introduced into the policy arena, although it is not new for DRM practitioners and researchers. Nevertheless, resilience is a highly contested issue, and there is no agreed definition of it, which has resulted in confusion for stakeholders when applying it to practice. Therefore, the purpose of this paper is to investigate how resilience is framed by researchers and DRM practitioners.

Design/methodology/approach

The analytical framework used was Hajer's “social-interactive discourse theory”, combined with analysis of government documents, in-depth interviews with practitioners and observation of field and practices within the context of the Natural Disaster Resilience Program in Queensland, Australia.

Findings

One of the key findings is that the idea of “bouncing back” is central to the resilience discourse but different interpretations of this idea results in real-world implications. Three different ways (storylines) in which practitioners construct the meaning of disaster resilience emerge from this study. Importantly the divergences between these storylines reveal possibilities for reframing to occur and these could lead to different policy options and practices.

Originality/value

The results presented in this paper offer empirical evidence on how resilience is understood on the ground, contributing to extending resilience theory and informing DRM and resilience practice.

Details

Disaster Prevention and Management, vol. 23 no. 3
Type: Research Article
ISSN: 0965-3562

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