[Truncated abstract] A functional ecosystem is increasingly being recognised as a requirement for health and well being of resident human populations. Clearing of native vegetation for agriculture has left 1.047 million hectares of south-west Western Australia affected by a severe form of environmental degradation, dryland salinity, characterised by secondary soil salinisation and waterlogging. This area may expand by a further 1.7-3.4 million hectares if current trends continue. Ecosystems in saline affected regions display many of the classic characteristics of Ecosystem Distress Syndrome (EDS). One outcome of EDS that has not yet been investigated in relation to dryland salinity is adverse human health implications. This thesis focuses on one such potential adverse health outcome: increased incidence of Ross River virus (RRV), the most common mosquito-borne disease in Australia. Spatial analysis of RRV notifications did not reveal a significant association with dryland salinity. To overcome inherent limitations with notification data, serological RRV antibody prevalence was also investigated, and again no significant association with dryland salinity was detected. However, the spatial scale imposed limited the sensitivity of both studies. ... This thesis represents the first attempt to prospectively investigate the influence of secondary soil salinity on mosquito-borne disease by combining entomological, environmental and epidemiological data. The evidence collected indicates that RRV disease incidence is not currently a significant population health priority in areas affected by dryland salinity despite the dominant presence of Ae. camptorhynchus. Potential limiting factors include; local climatic impact on the seasonal mosquito population dynamics; vertebrate host distribution and feeding behaviour of Ae. camptorhynchus; and the scarce and uneven human population distribution across the region. However, the potential for increased disease risk in dryland salinity affected areas to become apparent in the future cannot be discounted, particularly in light of the increasing extent predicted to develop over coming decades before any benefits of amelioration strategies are observed. Finally, it is important to note that both dryland salinity and salinity induced by irrigation are important forms of environmental degradation in arid and semi-arid worldwide, with a total population of over 400 million people. Potential health risks will of course vary widely across different regions depending on a range of factors specific to the local region and the complex interactions between them. It is therefore not possible to make broad generalisations. The need is highlighted for similar research in other regions and it is contended that an ecosystem health framework provides the necessary basis for such investigations.

Digital Health relates to “health information systems which enable the merging of social-care and healthcare systems. This would impact on the organisation, service delivery as well as the technological infrastructure” (Herselman & Botha, 2016, p.10). However, with relatively sparse research publications emanating from within the Namibian Health domain, and the concept of Namibian Digital Health as an emergent phenomenon, a Namibian Digital Health Innovation Ecosystem Framework would provide a start to conceptualising, developing and implementing such an ecosystem for Namibia and thus unlocking the potential of Digital Health in this country. The purpose of this study is to develop a Namibian Digital Health Innovation Ecosystem Framework based on literature reviews and the feedback from knowledgeable professionals (KPs) in Namibia, as well as global experts. The methodology which was applied in this study to address the purpose, and to answer the research questions, was Design Science Research Methodology and the Design Science Research Methodology (DSRM) process of Peffers, Tuunanen, Rothenberger and Chatterjee (2008), was adopted. Pragmatism is the overall philosophy guiding the study, as proposed by Ackoff’s theory regarding the hierarchy of human understanding (1989) and Shneiderman’s visual information seeking mantra (1996). During Phases 2 and 3 of the study interpretivism and positivism were applied as philosophies, guided by hermeneutics and triangulation, towards understanding the feedback of Knowledgeable Professionals (KPs) in Namibia, as well as the global experts. The study was divided into three phases. The first phase entailed a literature study which identified the components of Digital Health, Innovation and Digital Ecosystems as well as related research of Digital health, Innovation and Digital Ecosystems in developed and developing countries. This process led to the compilation of the initial Namibian Digital Health Innovation Ecosystem Framework using a conceptual approach. In the second phase of the study, the initial Namibian Digital Health Innovation Ecosystem was evaluated by KPs in Namibia using the Delphi method and interviews. Phase 2 adopted both quantitative and qualitative approaches. The findings from Phase 2 resulted in the development of the intermediate Namibian Digital Health Innovation Ecosystem Framework. In Phase 3 of the study, the intermediate framework was validated by global experts. Feedback was collected from global experts through questionnaires which were analysed through qualitative content analysis. The findings, from Phase 3 led to the development of the final Namibian Digital Health Innovation Ecosystems Framework. The guidelines, which can be used by the Namibian government to implement the suggested digital health innovation ecosystem framework, were also provided. / Information Science / D. Litt. et Phil. (Information Systems)

Os paradigmas ecológicos atualmente em prática apresentam dificuldades quando aplicados na avaliação, monitoração e gerenciamento dos ecossistemas altamente deteriorados. No entanto uma abordagem baseada na metáfora da saúde ambiental promete vir a ser muito útil. Pela discussão a respeito do conceito de saúde ambiental, o presente ensaio propõe algumas definições bem como um modelo e métodos preliminares de diagnóstico, baseado nos protocolos de Avaliação de Risco Ambiental da agência norte americana. A proposta de avaliação da saúde dos ecossistemas deriva de um nova ciência integradora, a ecotoxicologia, a qual estaria a desenvolver procedimentos para diagnosticar as condições de saúde dos ecossistemas de forma semelhante a como se estima a condição da saúde humana. As principais idéias a respeito de saúde dos ecossistemas estão sendo condensadas em três capítulos principais. Em primeiro lugar é apresentada uma revisão da literatura referente ao conceito de saúde dos ecossistemas e às suas diferentes formas de estimação. Uma vez definidas as bases conceituais, e a modo de exemplo, passa-se a um estudo de caso no qual procura-se estimar alguns aspectos relacionados ao estudo da saúde da Represa de Salto Grande (Americana, SP) mediante a aplicação da metodologia de Avaliação de Risco Ambiental. Finalmente, são apresentadas algumas considerações a respeito do diagnóstico da saúde de reservatórios. / The assessment, monitoring and management of highly deteriorated ecosystems are not easily served for by existing environmental paradigms. The approach to the concept of ecosystem health metaphor is seen to be very useful. This essay proposes some definitions of ecosystem health along with a preliminary diagnostic model and methods based on the USEPA\'s Environmental Risk Assessment framework. The ecosystem health assessment idea derives from the emerging integrative science of ecotoxicology, which would be to seek a procedure about diagnosis of ecosystem health condition similarly to the diagnosis of human health condition. The main ideas about ecosystem health are condensed into three main sections. First, a review of the literature regarding definitions and general approaches of biophysical landscape health is presented. This background stage is followed by a case study, as example, which details how different phases of the USEPA\'s Environmental Risk Assessment framework can be applied to accomplish some aspects of the ecosystem health status from the Salto Grande Reservoir (Americana, SP - Brazil). At the essay\'s conclusion, some remarks regarding the tropical reservoir\'s health diagnosis are presented.

The impact of natural and anthropogenic disturbances on catchment hydrological and biogeochemical dynamics are difficult or impossible to capture through experimentation or observation alone. Process-based simulation models can address this need by providing a framework for synthesizing data describing catchment responses to climate, harvest, fire, and other disturbances. However, existing models are either too simple to capture important process-level hydrological and biogeochemical controls on ecosystem responses to disturbance, or are too computationally expensive to simulate the local dynamics over large watershed areas, or require a high level of expertise to implement. To this end, a spatially distributed, physically based, eco-hydrological model (VELMA: Visualizing Ecosystems for Land Management Assessments) that is both computationally efficient and relatively easy to implement is developed. VELMA is a state-of-the-art model with real-time visualization tools that shows temporal and spatial patterns of state and flux variables, and is used to address the effects of changes in climate, land-use, and other interacting stressors on multiple ecosystem services such as timber production, carbon sequestration, regulation of water quality and quantity and reduction of greenhouse gases at scales relevant to formulating management decisions. In this study, VELMA was applied to the H.J. Andrews Experimental forest, an intensively studied watershed with observed daily temperature, precipitation, streamflow, and nutrient losses data. VELMA was first used to explore the factors that controls catchment response to forest harvest. Specifically, elucidate how forest harvest factors such as harvest location and amount control watershed hydrological and biogeochemical fluxes. Thereafter, VELMA was used to reconstruct and analyze the impact of two significant disturbance events − a stand replacing fire and a 100% clearcut − on vegetation and soil carbon and nitrogen dynamics. Finally, VELMA was used to explore the potential impact of climate change on catchment hydrological regime, site productivity and carbon and nitrogen dynamics at high spatial resolution relevant to formulating management decision. The main insights from this study include: (1) streamflow, nutrient losses to the stream, and gaseous carbon and nitrogen losses to the atmosphere are strongly sensitive to the location of harvest as a result of the spatial variation in soil water content, plant nitrogen uptake, soil organic carbon decomposition, nitrification, and denitrification within the watershed, (2) forested riparian buffers reduce water and nutrient losses to the stream through plant transpiration, plant nitrogen uptake, soil storage, and soil microbial decomposition, (3) following fire and harvest, losses of N from the terrestrial system to the stream are tightly constrained by the hydrological cycle and driven mainly by wet-season rain events large enough to generate hydrologic connectivity and flushing of nutrients along hillslopes, (4) climate change strongly impacts the hydrological regime in the Pacific Northwest as a result of less snowpack, earlier snowmelt, higher winter streamflow, lower summer streamflow, and soil moisture deficit, and (5) climate change increases plant and soil biomass accumulation as a result of longer growing season and higher soil organic decomposition, reduce water quality by increasing the amount of nutrients that reach the stream, and transforms the ecosystem into a net source of carbon to the atmosphere.

Research Doctorate - Doctor of Philosopy (PhD) / An environmental history approach is used in this thesis as a foundation for the analysis of the social and environmental changes that have occurred from the ancient past to the present within the Paterson Valley in New South Wales, Australia. The study examines the biophysical basis of the valley’s ecological processes and then describes the influence of the activities of Aboriginal peoples and subsequent European colonisation on the landscape. The study makes use of the various methodologies within social and ecological systems to assist with the analysis. It demonstrates the value of concepts such as complex adaptive systems, the adaptive cycle, panarchy and ecosystem health as ways of conceptualising complex transdisciplinary issues to reach conclusions based on temporal and spatial evidence. The complex relationships that the Aboriginal peoples had with the environment are compared with the various and rapid phases of colonial influences and processes. The social dimension of the changes over time is examined particularly with respect to the Indigenous and European institutions and infrastructure that influence the landscape. A significant issue identified in the study was the changing influence of Western institutions on the ecosystem health of the Valley; from local to global. The implications of this on ecosystem health are discussed. The Valley’s landscapes are divided into alluvial and non-alluvial, with the latter receiving the most attention in the study primarily due to its more extant nature whereas the alluvial rainforest has been virtually eliminated through extensive land clearing. The analysis of the non-alluvial landscape shows how important the Indigenous land management practices were in the maintenance of a complex mosaic of vegetation types specifically influenced by fire. The impact of the removal of the Indigenous influences on the landscape and the imposition of European practices and processes have seen a major reduction in the Valley’s ecological complexity. The study identified processes and factors external to the Valley which are increasingly influencing it. Not all of these are detrimental but they result in the Valley’s ecosystem health being more dependent on global events and processes. The study demonstrates the value of the ecosystem health framework for conceptualising the Valley’s ecosystems and the adaptive cycle for analysing and understanding their changes over time. These approaches provide an opportunity to identify pathways for future management of the Valley’s resources.

Research Doctorate - Doctor of Philosopy (PhD) / An environmental history approach is used in this thesis as a foundation for the analysis of the social and environmental changes that have occurred from the ancient past to the present within the Paterson Valley in New South Wales, Australia. The study examines the biophysical basis of the valley’s ecological processes and then describes the influence of the activities of Aboriginal peoples and subsequent European colonisation on the landscape. The study makes use of the various methodologies within social and ecological systems to assist with the analysis. It demonstrates the value of concepts such as complex adaptive systems, the adaptive cycle, panarchy and ecosystem health as ways of conceptualising complex transdisciplinary issues to reach conclusions based on temporal and spatial evidence. The complex relationships that the Aboriginal peoples had with the environment are compared with the various and rapid phases of colonial influences and processes. The social dimension of the changes over time is examined particularly with respect to the Indigenous and European institutions and infrastructure that influence the landscape. A significant issue identified in the study was the changing influence of Western institutions on the ecosystem health of the Valley; from local to global. The implications of this on ecosystem health are discussed. The Valley’s landscapes are divided into alluvial and non-alluvial, with the latter receiving the most attention in the study primarily due to its more extant nature whereas the alluvial rainforest has been virtually eliminated through extensive land clearing. The analysis of the non-alluvial landscape shows how important the Indigenous land management practices were in the maintenance of a complex mosaic of vegetation types specifically influenced by fire. The impact of the removal of the Indigenous influences on the landscape and the imposition of European practices and processes have seen a major reduction in the Valley’s ecological complexity. The study identified processes and factors external to the Valley which are increasingly influencing it. Not all of these are detrimental but they result in the Valley’s ecosystem health being more dependent on global events and processes. The study demonstrates the value of the ecosystem health framework for conceptualising the Valley’s ecosystems and the adaptive cycle for analysing and understanding their changes over time. These approaches provide an opportunity to identify pathways for future management of the Valley’s resources.

Os paradigmas ecológicos atualmente em prática apresentam dificuldades quando aplicados na avaliação, monitoração e gerenciamento dos ecossistemas altamente deteriorados. No entanto uma abordagem baseada na metáfora da saúde ambiental promete vir a ser muito útil. Pela discussão a respeito do conceito de saúde ambiental, o presente ensaio propõe algumas definições bem como um modelo e métodos preliminares de diagnóstico, baseado nos protocolos de Avaliação de Risco Ambiental da agência norte americana. A proposta de avaliação da saúde dos ecossistemas deriva de um nova ciência integradora, a ecotoxicologia, a qual estaria a desenvolver procedimentos para diagnosticar as condições de saúde dos ecossistemas de forma semelhante a como se estima a condição da saúde humana. As principais idéias a respeito de saúde dos ecossistemas estão sendo condensadas em três capítulos principais. Em primeiro lugar é apresentada uma revisão da literatura referente ao conceito de saúde dos ecossistemas e às suas diferentes formas de estimação. Uma vez definidas as bases conceituais, e a modo de exemplo, passa-se a um estudo de caso no qual procura-se estimar alguns aspectos relacionados ao estudo da saúde da Represa de Salto Grande (Americana, SP) mediante a aplicação da metodologia de Avaliação de Risco Ambiental. Finalmente, são apresentadas algumas considerações a respeito do diagnóstico da saúde de reservatórios. / The assessment, monitoring and management of highly deteriorated ecosystems are not easily served for by existing environmental paradigms. The approach to the concept of ecosystem health metaphor is seen to be very useful. This essay proposes some definitions of ecosystem health along with a preliminary diagnostic model and methods based on the USEPA\'s Environmental Risk Assessment framework. The ecosystem health assessment idea derives from the emerging integrative science of ecotoxicology, which would be to seek a procedure about diagnosis of ecosystem health condition similarly to the diagnosis of human health condition. The main ideas about ecosystem health are condensed into three main sections. First, a review of the literature regarding definitions and general approaches of biophysical landscape health is presented. This background stage is followed by a case study, as example, which details how different phases of the USEPA\'s Environmental Risk Assessment framework can be applied to accomplish some aspects of the ecosystem health status from the Salto Grande Reservoir (Americana, SP - Brazil). At the essay\'s conclusion, some remarks regarding the tropical reservoir\'s health diagnosis are presented.

Unsustainable patterns of consumption by humankind have increased the rate of change in the natural ecosystems and consequently the levels of stress experienced within the environment. Access to sufficient good quality water is essential and a requirement to meet a number of the Millennium Development Goals (MDGs). However, poor land management and untenable agricultural practices have become the main drivers of the declining watershed services. Upstream farmers often have little or no incentives to take these impacts into account in their decision-making process. Therefore, without investment in ensuring proper land management, the trend in watersheds degradation will continue. Payment for Environmental Services (PES) has emerged as an incentive–based tool that is expected to motivate farmers to improve their agricultural practices. PES is set up to facilitate the process whereby the beneficiaries of environmental services pay compensation to providers of environmental services for conserving the ecosystem. This tool has received increasing attention as a means of creating incentive measures for managing the ecosystem, addressing livelihood issues for the rural poor, and providing sustainable financing for protected areas. The Government of Kenya, as part of its efforts to improve water resource management, is considering use of economic incentive. However, there is insufficient information to guide policy making in that direction. Little is known about the farmers’ preferences for management schemes that will affect land use patterns, their willingness to accept compensation and the willingness of potential buyers to pay for the services. This study evaluates the willingness to accept and the willingness to pay for environmental services with a view to assessing the viability of a PES scheme for the Kuywa Watershed in particular, as well as the Mt. Elgon Ecosystem and other areas with similar conditions. The objectives of the study are threefold (i) to examine respondents preferences for management options for the provision of environmental services in the watershed of River Kuywa of Mt. Elgon Ecosystem; (ii) to evaluate households’ willingness to pay (WTP) and willingness to accept (WTA) payment for improved environmental services from the River Kuywa watershed; and (iii) to propose viable PES approaches for the management of the natural resource of the Kuywa watershed and the Mt. Elgon ecosystem in general. Using six land management attributes relevant to the local situation, the study applied the conjoint method to evaluate farmers’ preferences for management options for the provision of environmental service and assess farmers’ willingness to pay and willingness to accept payment for environmental services. To enable assessment of viability, an analysis was done of the institutional and legal framework within which the PES scheme would operate. Data were collected using literature review and document analysis, questionnaires, focus group discussions and key informant interviews. Results indicate that poor water quality was the most acute problem, followed by deforestation. Results from the conjoint models show that the length of commitment period and land size that is 40% or more of the total land holding influence the farmers’ rating of the management scenarios. The study found that a management contract that requires use of 20% of land holding for a period of 5 years, combined with a cash incentive, harvesting partially permitted, administered by a local NGO and requiring contribution of free labour for two days had the highest likelihood of being selected. The conjoint valuation exercise also came up with a WTA by farmers upstream of KSh. 7,080/= per year. The corresponding value downstream was KSh. 43/= per month over and above their regular water bill. In terms of the institutional and regulatory framework, Kenya has a wide range of policies, laws and regulation on water and other natural resources which provide an enabling environment for PES. With the decentralized institutional setup implemented in both the water sector and the agricultural sector, the institutional setting also provides an enabling environment for PES. With a positive WTA and WTP coupled with an enabling legal and institutional environment, the study concludes that PES is a viable environmental management tool for the Kuywa water shed and similar watersheds.

In order for the collaborations to be fruitful and sustainable between organisations and open source software (OSS) ecosystems, maintainers need to understand if, and how it is possible to evaluate OSS ecosystem health in an effective manner. Understanding how OSS maintainers characterise ecosystem health and how they evaluate these health characteristics using digital evaluation tools is interesting to analyse since it could give insight in how ecosystem health in practice is evaluated, which health aspects can be evaluated with the help of digital tools, and what barriers exists in the evaluation processes. This qualitative study is based on semi-structured interviews and was conducted in order to answer two research questions regarding this topic. The answers which were produced by the semi-structured interviews were transcribed and coded to later be analysed where conclusions could be drawn. The research attempts to broaden the academic perspective on how ecosystem maintainers view health and how health evaluation digital tools can help maintainers understand the state of their ecosystem health, and what barriers exist. It became clear during the research that answering how ecosystem health is to be characterized is incredibly difficult since the answer might differ in many ways depending on the nature of the project, where the project is in its life cycle, and who is asking the questions. Two views surrounding the definition of ecosystem health are presented, one revolving around longevity and the other revolving around an ecosystem life cycle perspective. Furthermore, Diversity, Governance, Activity and Licensing seem to be the health characteristics maintainers find to be the most important for ecosystem health evaluation. Out of these, tools such as the ones offered by CHAOSS, seem somewhat geared towards assessing Activity, Licensing and Diversity. Saving time and finding trends when evaluating health are examples of how tools help maintainers however, barriers exist for maintainers in smaller or younger projects who have not practiced health evaluation for a very long time. Finally, another barrier is the amount of additional context and human judgment which is needed when using tools for the health evaluation. / För att samarbetet mellan organisationer och öppen källkod (OSS) ekosystem ska vara gynnsamma och hållbara, måste ekosystemsunderhållare förstå om och hur det är möjligt att utvärdera OSS-ekosystemhälsa på ett effektivt sätt. Att förstå hur OSS-underhållare karaktäriserar ekosystemhälsa och hur de utvärderar dessa hälsoegenskaper med hjälp av digitala utvärderingsverktyg är intressant att analysera eftersom det skulle kunna ge insikt i hur ekosystemhälsa i praktiken utvärderas, vilka hälsoaspekter som kan utvärderas med hjälp av digitala verktyg, och vilka hinder som finns i utvärderingsprocesserna. Denna kvalitativa studie är baserad på semistrukturerade intervjuer och genomfördes för att besvara två forskningsfrågor inom detta ämne. Svaren som producerades av de semistrukturerade intervjuerna transkriberades och kodades för att senare analyseras där slutsatser kunde dras. Forskningen försöker vidga det akademiska perspektivet på hur ekosystemsunderhållare ser på hälsa och hur hälsoutvärderingsverktyg kan hjälpa underhållare att förstå hälsotillståndet för deras ekosystem, men också vilka hinder som finns i processerna. Det blev tydligt under forskningen att det är otroligt svårt att svara på hur ekosystemhälsa ska karakteriseras eftersom svaret kan skilja sig åt på många sätt beroende på projektets karaktär, var projektet befinner sig i sin livscykel och vem som ställer frågorna. Två synpunkter kring definitionen av ekosystemhälsa tas upp, en som kretsar kring livslängd, och den andra som kretsar kring ett ekosystemlivscykelperspektiv. Dessutom verkar Mångfald, Styrning, Aktivitet och Licensiering vara de hälsoegenskaper som underhållare anser vara de viktigaste för hälsoutvärdering av ekosystem. Av dessa verkar verktyg som de som erbjuds av CHAOSS något inriktade på att bedöma Aktivitet, licensiering och mångfald. Att spara tid och hitta trender när man utvärderar hälsa är exempel på hur verktyg hjälper underhållare, men hinder finns för underhållare i mindre eller yngre projekt som inte har praktiserat hälsoutvärdering under en längre period. Slutligen är en annan barriär den mängden ytterligare kontext och mänskligt omdöme som behövs när man använder verktyg för hälsoutvärderingen.

In this study, the use of hypnosis in the treatment of chronic low back pain is described in terms of Ecosystemic thinking, as opposed to traditional conceptualisations of hypnosis. Six case studies were used. Each is described in detail, as well as the therapeutic rationale behind each case, in order to present the reader with an understanding of the thinking behind using Ecosystemic hypnotherapy. / Psychology / M.A. (Psychology)