Rehabilitation relieves dyspnea and fatigue and enhances patients' sense of control over their condition. These improvements are moderately large and clinically significant. The average improvement in exercise capacity was modest. Rehabilitation forms an important component of the management of COPD.
A growing number of Payments for Environmental Services (PES) schemes are being implemented at the community level in developing countries, especially in the context of climate change mitigation efforts to Reduce Emissions from Deforestation and forest Degradation (REDD). In parallel, there is vigorous commentary about the implications of market-based or neoliberal conservation strategies, and their potential effects on communities that depend on natural resources. This article explores the political dimensions of community-level PES in Cambodia, where contracts for 'avoided deforestation' and 'biodiversity conservation' were implemented in five communities. The research examines three aspects of the community-level PES model that are inherently political: the engagement of communities as single homogeneous entities, capable of entering PES contracts; the simplification of land-use practices and resource rights; and the assumption that contracts are voluntary or reflect 'community choice'. These elements of PES work both discursively and practically to silence certain voices and claims, while privileging others. Therefore, the problematic nature of community-level PES is not that it is a market per se, but that it is a powerful intervention masquerading as a market. This process of 'market masquerades' emerges as a key element in the politics of neoliberal conservation in practice.We would like to thank the editors of this special issue and two anonymous referees for their helpful and insightful comments on earlier drafts of this paper. The first author received research funding from the General Sir John Monash Foundation, and is very grateful for its support. Thank you also to Anna Hutchens, Judith Pabian and Justin Welbergen. Development and Change 43(1): 133-158.
This review suggests that physical activity and diet programs are beneficial, specifically for pain relief (9 grade A recommendations) and improved functional status (6 grade A and 7 grade C+ recommendations), for adults with OA who are obese or overweight. The Ottawa Panel was able to demonstrate that when comparing physical activity alone, diet alone, physical activity combined with diet, and control groups, the intervention including physical activity and diet produced the most beneficial results.
Although the results of the study on electroacupuncture show that electroacupuncture may be beneficial to reduce symptomatic knee pain in patients with RA 24 hours and 4 months post treatment, the reviewers concluded that the poor quality of the trial, including the small sample size preclude its recommendation. The reviewers further conclude that acupuncture has no effect on ESR, CRP, pain, patient's global assessment, number of swollen joints, number of tender joints, general health, disease activity and reduction of analgesics. These conclusions are limited by methodological considerations such as the type of acupuncture (acupuncture vs electroacupuncture), the site of intervention, the low number of clinical trials and the small sample size of the included studies.
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