Indonesian Borneo (Kalimantan) sustains ~37 million hectares of native tropical forest. Numerous large-scale infrastructure projects aimed at promoting land-development activities are planned or ongoing in the region. However, little is known of the potential impacts of this new infrastructure on Bornean forests or biodiversity. We found that planned and ongoing road and rail-line developments will have many detrimental ecological impacts, including fragmenting large expanses of intact forest. Assuming conservatively that new road and rail projects will influence only a 1 km buffer on either side, landscape connectivity across the region will decline sharply (from 89% to 55%) if all imminently planned projects proceed. This will have particularly large impacts on wide-ranging, rare species such as rhinoceros, orangutans, and elephants. Planned developments will impact 42 protected areas, undermining Indonesian efforts to achieve key targets under the Convention on Biological Diversity. New infrastructure will accelerate expansion in intact or frontier regions of legal and illegal logging and land colonization as well as illicit mining and wildlife poaching. The net environmental, social, financial, and economic risks of several imminent projects-such as parallel border roads in West, East, and North Kalimantan, new Trans-Kalimantan road developments in Central Kalimantan and North Kalimantan, and freeways and rail lines in East Kalimantan-could markedly outstrip their overall benefits. Such projects should be reconsidered in light of rigorous cost-benefit frameworks.
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http://dx.doi.org/10.1038/s41598-018-36594-8 | DOI Listing |
Psychiatr Hung
January 2025
Országos Pszichiátriai és Addiktológiai Intézet, Budapest, Hungary, E-mail:
Under the direction of the National Directorate General for Hospitals, and based on British examples and methodology, a new inpatient psychiatric ward with a high security level started operating at the National Institute of Psychiatry and Addictology in October 2023. As a new, independent unit, the High Security Psychiatry is a niche in Hungarian psychiatric care. The aim of the project was to reduce the burden on the whole mental health care system in Hungary, to increase public confidence in care and the safety of society through organizing of a specialised care team operating in an appropriate infrastructural environment.
View Article and Find Full Text PDFBMC Prim Care
January 2025
Department of Family Medicine, Faculty of Medicine, McGill University, 5858 Ch. de la Côte des Neiges, Montreal, QC, H3S 1Z1, Canada.
Background: Virtual care (VC) for dementia in primary care settings is an important aspect of healthcare delivery in Canada. However, the evidence informing optimal and sustainable provision of VC for persons living with dementia (PLWD) and their care partners is scarce. The objectives of this study were to (1) describe the frequency of VC use, (2) identify characteristics of PLWD, care partners, and family physicians (FPs) that are associated with the use of VC, and (3) explore FPs' perceptions of barriers and facilitators to provide VC for PLWD and their care partners.
View Article and Find Full Text PDFBMJ Open
December 2024
Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
Introduction: Young women are disproportionately affected by HIV in South Africa and have a high incidence of unintended pregnancies. Access to sexual and reproductive health (SRH) services, including HIV pre-exposure prophylaxis (PrEP), contraception and screening for seally transmitted infections (STIs), remains limited in South Africa, in part due to inadequate infrastructure and individual barriers to care. Integrated, community-based SRH services have the potential to overcome barriers to clinic-based care for women at risk of HIV, unintended pregnancy and STIs.
View Article and Find Full Text PDFBMC Bioinformatics
January 2025
Solu Healthcare Oy, Kalevankatu 31 A 13, 00100, Helsinki, Finland.
Background: Genomic surveillance is extensively used for tracking public health outbreaks and healthcare-associated pathogens. Despite advancements in bioinformatics pipelines, there are still significant challenges in terms of infrastructure, expertise, and security when it comes to continuous surveillance. The existing pipelines often require the user to set up and manage their own infrastructure and are not designed for continuous surveillance that demands integration of new and regularly generated sequencing data with previous analyses.
View Article and Find Full Text PDFMayo Clin Proc Digit Health
December 2024
Department Radiology, Stanford University, Stanford, CA.
Artificial intelligence (AI) and machine learning (ML) are driving innovation in biosciences and are already affecting key elements of medical scholarship and clinical care. Many schools of medicine are capitalizing on the promise of these new technologies by establishing academic units to catalyze and grow research and innovation in AI/ML. At Stanford University, we have developed a successful model for an AI/ML research center with support from academic leaders, clinical departments, extramural grants, and industry partners.
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