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Chapter 5 is the first of three dedicated to the analysis of environmental images used in decision-making processes of international environmental treaties that protect the environment’s aesthetic value. It draws on philosophies of environmental aesthetics and critical theories for visual art, to examine images created in the process of inscribing natural properties in the World Heritage List for their ‘outstanding universal value’ from an ‘aesthetic’ point of view under the World Heritage Convention. Two kinds of images are identified: verbal images in the Statements of Outstanding Universal Value endorsed by the World Heritage Committee; and photographs submitted by states parties in nominations of natural properties to the World Heritage List in Australia, Chad, China, Kenya and Mexico. It argues that a reasoned determination of aesthetic value by the World Heritage Committee should engage aesthetic concepts and methods to evaluate the aesthetic value of world natural heritage. Aesthetic philosophy would support an account of the photographs as representations of the environment’s aesthetic value, as well as providing an aesthetic basis for interpreting those representations.
The formation of a service to appropriately deal with vulval problems inevitably requires time, enthusiasm and resources. Vulval disease may be the subject of shame and embarrassment, with some women delaying seeking advice for months or years because of fears about the source of the condition or the examinations and investigations that may be necessary. Clinics should have clear clinical and operational guidelines. Usually, the lead clinician would be responsible for these guidelines. All women with suspected vulval problems should have prompt access to a clinic specialising in the management of such disorders. This would usually be hospital-based but delivering care in a community setting may be more appropriate, depending on local needs. To facilitate audit, a clinic pro forma which captures the required dataset should be designed. Clinics should be adequately staffed by appropriately trained individuals including a specialist gynaecology nurse.
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