In recent years, agroforestry has gained increasing attention as an option to simultaneously alleviate poverty, provide ecological benefits, and mitigate climate change. The present study simulates small-scale farmers’ agroforestry adoption decisions to investigate the consequences for livelihoods and the environment over time. To explore the interdependencies between agroforestry adoption, livelihoods, and the environment, an agent-based model adjusted to a case study area in rural Indonesia was implemented. Thereby, the model compares different scenarios, including a climate change scenario. The agroforestry system under investigation consists of an illipe (Shorea stenoptera) rubber (Hevea brasiliensis) mix, which are both locally valued tree species. The simulations reveal that farmers who adopt agroforestry diversify their livelihood portfolio while increasing income. Additionally, the model predicts environmental benefits: enhanced biodiversity and higher carbon sequestration in the landscape. The benefits of agroforestry for livelihoods and nature gain particular importance in the climate change scenario. The results therefore provide policy-makers and practitioners with insights into the dynamic economic and environmental advantages of promoting agroforestry.
Purpose This retrospective study aims at investigating the effects of moderately hypofractionated radiation therapy (HRT) on acute and late toxicities as well as on early biochemical control and therapeutic efficiency compared to conventional radiation therapy (CRT) in prostate cancer. Patients and methodsWe analyzed 55 HRT patients irradiated with the total dose of 60 Gy in 20 fractions delivered over 4 weeks. These patients were compared to a control group of 55 patients who received CRT with a total of <78 Gy in 37-39 fractions delivered over circa 8 weeks. External beam radiation therapy (EBRT) was conducted using daily image-guided (cone beam CT) volumetric modulated arc therapy (VMAT) and a simultaneously integrated boost (SIB) for both groups to protect the rectum. Acute toxicities were evaluated according to Common Terminology Criteria for Adverse Events (CTCAE) v5, whereas chronic toxicities were assessed in accordance with LENT-SOMA. Patient traits were compared by implementing t-tests and Wilcoxon-Whitney tests for continuous variables, whereas discrete characteristics were evaluated by applying two-tailed Fisher's exact tests. In addition, we calculated average treatment effects (ATE). Thereby, propensity score matching (PSM) based on nearest-neighbor matching considering age, comorbidities, and risk stratification as covariates was applied. The statistical analysis was conducted using Stata 14.2 (StataCorp LLC, TX, USA). Results As confirmed by the descriptive tests, the ATE revealed that the intensity and occurrence of urinary frequency (p = 0.034) and proctitis (p = 0.027) significantly decreased for the HRT group, whereas all other acute toxicities did not differ significantly between the HRT and CRT groups. For late toxicities, neither statistical tests nor ATE estimation showed significant differences. Also, no significant difference was found regarding the decrease in prostate specific antigen (PSA) after a median follow-up of 13 months (range 2-28 months), which indicates biochemical freedom from progression. Conclusion HRT offers several medical and economic advantages and should therefore be considered as a useful alternative to CRT.
The successful adoption of innovations depends on the provision of adequate information to farmers. In rural areas of developing countries, farmers usually rely on their social networks as an information source. Hence, policy-makers and program-implementers can benefit from social di usion processes to e ectively disseminate information. This study aims to identify the set of farmers who initially obtain information ('seeds') that optimises di usion through the network. It systematically evaluates di erent criteria for seed selection, number of seeds, and their interaction e ects. An empirical Agent-Based Model adjusted to a case study in rural Zambia was applied to predict di usion outcomes for varying seed sets ex ante. Simulations revealed that informing farmers with the most connections leads to highest di usion speed and reach. Also targeting village heads and farmers with high betweenness centrality, who function as bridges connecting di erent parts of the network, enhances di usion. An increased number of seeds improves reach, but the marginal e ects of additional seeds decline. Interdependencies between seed set size and selection criteria highlight the importance of considering both seed selection criteria and seed set size for optimising seeding strategies to enhance information di usion.
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