Management of forest lands considering multi-functional approaches is the basis to sustain or enhance the provi-sion of specific benefits,while minimizing negative impacts to the environment.Defining a desired managem...Management of forest lands considering multi-functional approaches is the basis to sustain or enhance the provi-sion of specific benefits,while minimizing negative impacts to the environment.Defining a desired management itinerary to a forest depends on a variety of factors,including the forest type,its ecological characteristics,and the social and economic needs of local communities.A strategic assessment of the forest use suitability(FUS)(namely productive,protective,conservation-oriented,social and multi-functional)at regional level,based on the provision of forest ecosystem services and trade-offs between FUS alternatives,can be used to develop management strategies that are tailored to the specific needs and conditions of the forest.The present study assesses the provision of multiple forest ecosystem services and employs a decision model to identify the FUS that sup-ports the most present and productive ecosystem services in each stand in Catalonia.For this purpose,we apply the latest version of the Ecosystem Management Decision Support(EMDS)system,a spatially oriented decision support system that provides accurate results for multi-criteria management.We evaluate 32 metrics and 12 as-sociated ecosystem services indicators to represent the spatial reality of the region.According to the results,the dominant primary use suitability is social,followed by protective and productive.Nevertheless,final assignment of uses is not straightforward and requires an exhaustive analysis of trade-offs between all alternative options,in many cases identifying flexible outcomes,and increasing the representativeness of multi-functional use.The assignment of forest use suitability aims to significantly improve the definition of the most adequate management strategy to be applied.展开更多
For the explosive development of emerging diagnostic and therapeutic technologies brought by the advancement of precision medicine strategy, shared decision-making could improve the quality of clinical decision-making...For the explosive development of emerging diagnostic and therapeutic technologies brought by the advancement of precision medicine strategy, shared decision-making could improve the quality of clinical decision-making and promote the transformation of clinical research evidence in TCM. Paying attention to patients' narrative needs and strengthening medical humanistic concerns could improve clinical outcome and patient satisfaction. We described the origins and development of evidence-based medicine, narrative medicine and shared decision-making, and analyzed the existing problems in TCM clinical decision-making. Further, we put forward the model of shared decision-making between clinicians and patients under the guidance of narrative evidence-based medicine concepts and methods.展开更多
Restoring degraded forests and agricultural lands has become a global conservation priority. A growing number of tools can quantify ecosystem service tradeoffs associated with forest restoration. This evolving "tools...Restoring degraded forests and agricultural lands has become a global conservation priority. A growing number of tools can quantify ecosystem service tradeoffs associated with forest restoration. This evolving "tools landscape" presents a dilemma: more tools are available, but selecting appropriate tools has become more challenging. We present a Restoration Ecosystem Service Tool Selector (RESTS) framework that describes key characteristics of 13 ecosystem service assessment tools. Analysts enter information about their decision context, services to be analyzed, and desired outputs. Tools are filtered and presented based on five evaluative criteria: scalability, cost, time requirements, handling of uncertainty, and applicability to benefit-cost analysis. RESTS uses a spreadsheet interface but a web-based interface is planned. Given the rapid evolution of ecosystem services science, RESTS provides an adaptable framework to guide forest restoration decision makers toward tools that can help quantify ecosystem services in support of restoration.展开更多
Hydrological models are often linked with other models in cognate sciences to understand the interactions among climate, earth, water, ecosystem, and human society. This paper presents the development and implementati...Hydrological models are often linked with other models in cognate sciences to understand the interactions among climate, earth, water, ecosystem, and human society. This paper presents the development and implementation of a decision support system(DSS) that links the outputs of hydrological models with real-time decision making on social-economic assessments and land use management. Discharge and glacier geometry changes were simulated with hydrological model, water availability in semiarid environments. Irrigation and ecological water were simulated by a new commercial software MIKE HYDRO. Groundwater was simulated by MODFLOW. All the outputs of theses hydrological models were taken as inputs into the DSS in three types of links: regression equations, stationary data inputs, or dynamic data inputs as the models running parallel in the simulation periods. The DSS integrates the hydrological data, geographic data, social and economic statistical data, and establishes the relationships with equations, conditional statements and fuzzy logics. The programming is realized in C++. The DSS has four remarkable features:(1) editable land use maps to assist decision-making;(2) conjunctive use of surface and groundwater resources;(3) interactions among water, earth, ecosystem, and humans; and(4) links with hydrological models. The overall goal of the DSS is to combine the outputs of scientific models, knowledge of experts, and perspectives of stakeholders, into a computer-based system, which allows sustainability impact assessment within regional planning; and to understand ecosystem services and integrate them into land and water management.展开更多
The Lower Mekong River basin (LMB) covers the lower part of the Mekong river basin, including Laos, Thailand, Cambodia and Vietnam. Due to numerous pressures from high population growth and intensive hydropower develo...The Lower Mekong River basin (LMB) covers the lower part of the Mekong river basin, including Laos, Thailand, Cambodia and Vietnam. Due to numerous pressures from high population growth and intensive hydropower development, the LMB has been facing significant challenges concerning its biodiversity and ecosystem. In 2017, Mekong River Commission (MRC), an intergovernmental organisation founded in 1995 among LMB countries, established the Council Study, which analysed the impacts of water development scenarios concerning the environmental, socioeconomic aspects of the LMB. This paper explores the nature of risks to the LMB water development and subsequently evaluates LMB’s water development scenarios described in the Council Study by using a multi-criteria decision analysis (MCDA) method. MCDA method has been widely applied in the field of water resource management in order to assist the decision-making process by systematically evaluating a certain number of alternatives against well-selected criteria through a preference rating scheme. By implementing a risk-based comprehensive assessment of the LMB transboundary water, this study provides insights into the impacts of the increasing risks to the ecosystem and human beings on the water development of the basin over time, which assists to change the awareness and the perspective toward humans’ risks and transboundary river ecosystem of decision-makers. This paper provides valuable recommendations for MRC to improve their policy concerning benefit-sharing scheme, water planning and risk mitigation strategies.展开更多
Evidence-based medicine(EBM)is recognized as one of the highest-quality scientific approaches in the medical community around the globe.It calls for doctors to use the best available scientific evidence in clinical de...Evidence-based medicine(EBM)is recognized as one of the highest-quality scientific approaches in the medical community around the globe.It calls for doctors to use the best available scientific evidence in clinical decision-making.This paper used an empirical study on 44 EBM related judicial cases in China,the result shows the EBM is commonly used as a supplement to the expert opinion in actual judicial review,it is deemed to illuminate the causation in the case fact rather than as the standards of care,which has the similar characteristics as"documentary evidence",and over the years the Chinese judicial practice formed a"three-stage"judicial review rule on EBM:(1)the first stage is whether the evidence itself can meet the standards of EBM;(2)the second stage is when determining the evidence presented by parties is sufficient to meet the legal standards of EBM,and whether it can be applied in a court case would depend upon comprehensive consideration of adaptability and maturity of EBM;(3)the third stage is whether to treat EBM as the only basis in causation analysis.展开更多
In 1948, the first clinical paper adopting the protocol of randomized and controlled design was published in British Medical Journal by Bradford Hill,a noted British biostatistician, who introduced rigorous theory of ...In 1948, the first clinical paper adopting the protocol of randomized and controlled design was published in British Medical Journal by Bradford Hill,a noted British biostatistician, who introduced rigorous theory of mathematical statistics into clinical design the first time and successfully evaluated the therapeutic effect of streptomycin on tuberculosis.展开更多
The purpose of this contribution is to lay down a preparatory groundwork for an ontology of ecosystem services in the setting of agroecosystems viewed as social-ecological systems. This ontology aims at defining a set...The purpose of this contribution is to lay down a preparatory groundwork for an ontology of ecosystem services in the setting of agroecosystems viewed as social-ecological systems. This ontology aims at defining a set of representational primitives with which to model agroecosystems, through the prism of ecosystem service flows to and from agriculture. It helps delineate between biophysical structures, processes, functions, and ecosystem services. On the human side of agroecosystems, the ontology includes a conceptualization of the behaviors that govern the management of ecosystem services at different levels. It strengthens the existing analytic basis of multidisciplinary research on ecosystem services in agroecosystems by prompting modelers to stick to a homogeneous dynamic-system decomposition of the target agroecosystem. Most importantly, it provides the conceptual link between biophysical research on ecosystem services and equally important considerations on cognitive and social aspects involved in agricultural and landscape-level decisions that aim at implementing agroecological principles.展开更多
Clarifying the necessary conditions for the emergence of payments for ecosystem services (PES) and the situational variables that affect PES is the basis for their interpretation, prediction, and selection. This artic...Clarifying the necessary conditions for the emergence of payments for ecosystem services (PES) and the situational variables that affect PES is the basis for their interpretation, prediction, and selection. This article proposes an analytical framework for the emergence of PES and argues that the key to determining whether PES can occur and whether a selected PES program is appropriate is to evaluate the net gain. When payers anticipate that a PES program will provide a satisfactory number of ES and a net gain over the opportunity cost and will cover all costs, it is assumed that the program will be implemented. When it is difficult to accurately evaluate the net gain of PES, the situational variables that affect the costs and benefits need to be examined. The group characteristics, ES characteristics, spatial and temporal contacts between the suppliers and demanders, correlation with private goods and additionality are important situational variables that affect the emergence and choice of PES.展开更多
基金the Catalan Government Predoctoral Schol-arship(AGAUR-FSE 2020 FI_B200147)SuFoRun Marie Sklodowska-Curie Research and Innovation Staff Exchange(RISE)Program(Grant No.691149)the Spanish Ministry of Science and Innovation(PID2020-120355RB-IOO).
文摘Management of forest lands considering multi-functional approaches is the basis to sustain or enhance the provi-sion of specific benefits,while minimizing negative impacts to the environment.Defining a desired management itinerary to a forest depends on a variety of factors,including the forest type,its ecological characteristics,and the social and economic needs of local communities.A strategic assessment of the forest use suitability(FUS)(namely productive,protective,conservation-oriented,social and multi-functional)at regional level,based on the provision of forest ecosystem services and trade-offs between FUS alternatives,can be used to develop management strategies that are tailored to the specific needs and conditions of the forest.The present study assesses the provision of multiple forest ecosystem services and employs a decision model to identify the FUS that sup-ports the most present and productive ecosystem services in each stand in Catalonia.For this purpose,we apply the latest version of the Ecosystem Management Decision Support(EMDS)system,a spatially oriented decision support system that provides accurate results for multi-criteria management.We evaluate 32 metrics and 12 as-sociated ecosystem services indicators to represent the spatial reality of the region.According to the results,the dominant primary use suitability is social,followed by protective and productive.Nevertheless,final assignment of uses is not straightforward and requires an exhaustive analysis of trade-offs between all alternative options,in many cases identifying flexible outcomes,and increasing the representativeness of multi-functional use.The assignment of forest use suitability aims to significantly improve the definition of the most adequate management strategy to be applied.
文摘For the explosive development of emerging diagnostic and therapeutic technologies brought by the advancement of precision medicine strategy, shared decision-making could improve the quality of clinical decision-making and promote the transformation of clinical research evidence in TCM. Paying attention to patients' narrative needs and strengthening medical humanistic concerns could improve clinical outcome and patient satisfaction. We described the origins and development of evidence-based medicine, narrative medicine and shared decision-making, and analyzed the existing problems in TCM clinical decision-making. Further, we put forward the model of shared decision-making between clinicians and patients under the guidance of narrative evidence-based medicine concepts and methods.
文摘Restoring degraded forests and agricultural lands has become a global conservation priority. A growing number of tools can quantify ecosystem service tradeoffs associated with forest restoration. This evolving "tools landscape" presents a dilemma: more tools are available, but selecting appropriate tools has become more challenging. We present a Restoration Ecosystem Service Tool Selector (RESTS) framework that describes key characteristics of 13 ecosystem service assessment tools. Analysts enter information about their decision context, services to be analyzed, and desired outputs. Tools are filtered and presented based on five evaluative criteria: scalability, cost, time requirements, handling of uncertainty, and applicability to benefit-cost analysis. RESTS uses a spreadsheet interface but a web-based interface is planned. Given the rapid evolution of ecosystem services science, RESTS provides an adaptable framework to guide forest restoration decision makers toward tools that can help quantify ecosystem services in support of restoration.
基金supported by German-Sino bilateral collaboration research project SuMaRiO funded by the German Federal Ministry of Education and Researchthe support of NSFC-UNEP Project (41361140361): Ecological Responses to Climatic Change and Land-cover Change in Arid and Semiarid Central Asia during the Past 500 Years
文摘Hydrological models are often linked with other models in cognate sciences to understand the interactions among climate, earth, water, ecosystem, and human society. This paper presents the development and implementation of a decision support system(DSS) that links the outputs of hydrological models with real-time decision making on social-economic assessments and land use management. Discharge and glacier geometry changes were simulated with hydrological model, water availability in semiarid environments. Irrigation and ecological water were simulated by a new commercial software MIKE HYDRO. Groundwater was simulated by MODFLOW. All the outputs of theses hydrological models were taken as inputs into the DSS in three types of links: regression equations, stationary data inputs, or dynamic data inputs as the models running parallel in the simulation periods. The DSS integrates the hydrological data, geographic data, social and economic statistical data, and establishes the relationships with equations, conditional statements and fuzzy logics. The programming is realized in C++. The DSS has four remarkable features:(1) editable land use maps to assist decision-making;(2) conjunctive use of surface and groundwater resources;(3) interactions among water, earth, ecosystem, and humans; and(4) links with hydrological models. The overall goal of the DSS is to combine the outputs of scientific models, knowledge of experts, and perspectives of stakeholders, into a computer-based system, which allows sustainability impact assessment within regional planning; and to understand ecosystem services and integrate them into land and water management.
文摘The Lower Mekong River basin (LMB) covers the lower part of the Mekong river basin, including Laos, Thailand, Cambodia and Vietnam. Due to numerous pressures from high population growth and intensive hydropower development, the LMB has been facing significant challenges concerning its biodiversity and ecosystem. In 2017, Mekong River Commission (MRC), an intergovernmental organisation founded in 1995 among LMB countries, established the Council Study, which analysed the impacts of water development scenarios concerning the environmental, socioeconomic aspects of the LMB. This paper explores the nature of risks to the LMB water development and subsequently evaluates LMB’s water development scenarios described in the Council Study by using a multi-criteria decision analysis (MCDA) method. MCDA method has been widely applied in the field of water resource management in order to assist the decision-making process by systematically evaluating a certain number of alternatives against well-selected criteria through a preference rating scheme. By implementing a risk-based comprehensive assessment of the LMB transboundary water, this study provides insights into the impacts of the increasing risks to the ecosystem and human beings on the water development of the basin over time, which assists to change the awareness and the perspective toward humans’ risks and transboundary river ecosystem of decision-makers. This paper provides valuable recommendations for MRC to improve their policy concerning benefit-sharing scheme, water planning and risk mitigation strategies.
基金This research was funded by Sichuan Medical Health Legal Research Center Project(grant number:YF21-Q06)Anhui Law and Social Security Research Center Project(grant number:fzsh2021cx-17)National Social Science Foundation Project“Comparative Study on Public Health Legislation”(grant number:20CFX016).
文摘Evidence-based medicine(EBM)is recognized as one of the highest-quality scientific approaches in the medical community around the globe.It calls for doctors to use the best available scientific evidence in clinical decision-making.This paper used an empirical study on 44 EBM related judicial cases in China,the result shows the EBM is commonly used as a supplement to the expert opinion in actual judicial review,it is deemed to illuminate the causation in the case fact rather than as the standards of care,which has the similar characteristics as"documentary evidence",and over the years the Chinese judicial practice formed a"three-stage"judicial review rule on EBM:(1)the first stage is whether the evidence itself can meet the standards of EBM;(2)the second stage is when determining the evidence presented by parties is sufficient to meet the legal standards of EBM,and whether it can be applied in a court case would depend upon comprehensive consideration of adaptability and maturity of EBM;(3)the third stage is whether to treat EBM as the only basis in causation analysis.
文摘In 1948, the first clinical paper adopting the protocol of randomized and controlled design was published in British Medical Journal by Bradford Hill,a noted British biostatistician, who introduced rigorous theory of mathematical statistics into clinical design the first time and successfully evaluated the therapeutic effect of streptomycin on tuberculosis.
文摘The purpose of this contribution is to lay down a preparatory groundwork for an ontology of ecosystem services in the setting of agroecosystems viewed as social-ecological systems. This ontology aims at defining a set of representational primitives with which to model agroecosystems, through the prism of ecosystem service flows to and from agriculture. It helps delineate between biophysical structures, processes, functions, and ecosystem services. On the human side of agroecosystems, the ontology includes a conceptualization of the behaviors that govern the management of ecosystem services at different levels. It strengthens the existing analytic basis of multidisciplinary research on ecosystem services in agroecosystems by prompting modelers to stick to a homogeneous dynamic-system decomposition of the target agroecosystem. Most importantly, it provides the conceptual link between biophysical research on ecosystem services and equally important considerations on cognitive and social aspects involved in agricultural and landscape-level decisions that aim at implementing agroecological principles.
文摘Clarifying the necessary conditions for the emergence of payments for ecosystem services (PES) and the situational variables that affect PES is the basis for their interpretation, prediction, and selection. This article proposes an analytical framework for the emergence of PES and argues that the key to determining whether PES can occur and whether a selected PES program is appropriate is to evaluate the net gain. When payers anticipate that a PES program will provide a satisfactory number of ES and a net gain over the opportunity cost and will cover all costs, it is assumed that the program will be implemented. When it is difficult to accurately evaluate the net gain of PES, the situational variables that affect the costs and benefits need to be examined. The group characteristics, ES characteristics, spatial and temporal contacts between the suppliers and demanders, correlation with private goods and additionality are important situational variables that affect the emergence and choice of PES.