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Sample records for parque provincial aconcagua

  1. Study of the quasi-tragic snow-avalanche event occurred on August 2009 at Aconcagua Provincial Park, Mendoza, Argentina

    NASA Astrophysics Data System (ADS)

    Leiva, J. C.; Casteller, A.; Martínez, H. H.; Norte, F. A.; Simonelli, S. C.

    2010-03-01

    Snow avalanches commonly threaten people and infrastructure in mountainous areas worldwide. Winter precipitation events in the Central Andes are caused by the interaction of the atmospheric general circulation and their steep orography. Almost every winter season snow storms and winds cause the blockage of routes and lead to the snowpack conditions that generate avalanche events. The amount of winter snow accumulation is highly variable and is one of the most important factors for assessing the impacts of climate change not only on the water availability, but also to plan future mitigation measures to reduce the avalanche hazard. The authors have conducted studies on snow avalanches that regularly affect the international route linking Mendoza (Argentina) with Santiago de Chile (Chile) but none of them was done at the Aconcagua Provincial Park The park is nearby this route, about 13 km kilometers east from the international border, which in this sector of the Andes coincides with the continental divide. On the night of 17 August 2009, seven people were caught by an avalanche that hit the Aconcagua Park rangers refuge (32° 48' 40'' S, 69° 56' 33'' W; 2950 masl).This paper describes the meteorological and snow precipitation conditions originating the event. On August 14 th. the synoptic surface and upper-air conditions from NCEP reanalysis were those associated with a severe Zonda wind occurrence in the region, that is: a 500 hPa level trough, a deep low-pressure surface system located over the Pacific Ocean close to the Chilean coast, approximately over 48 ° S and 80° W, and a jet stream at middle upper-air levels. The avalanche event occurred during a new and very heavy snowfall a while more than two days later of these extreme episodes. The topographical characteristics of the avalanche path, the snow storm intensity and the snow accumulation on the avalanche starting zone allowed the authors to simulate the avalanche flow. Snow storm intensity and snow

  2. Mountaineering fatalities on Aconcagua: 2001-2012.

    PubMed

    Westensee, Jeffrey; Rogé, Ignacio; Van Roo, Jon D; Pesce, Carlos; Batzli, Sam; Courtney, D Mark; Lazio, Matthew P

    2013-09-01

    High altitude mountaineering is a dangerous endeavor due to the hypoxic hypobaric environment, extreme weather, and technical skills required. One of the seven summits, Aconcagua (6962 m) is the highest mountain outside of Asia. Its most popular route is nontechnical, attracting >3000 mountaineers annually. Utilizing data from the Servicio Médico Aconcagua (park medical service), we performed a retrospective descriptive analysis with the primary objective of deriving a fatality rate on Aconcagua from 2001 to 2012. The fatality rate on Aconcagua was then compared to other popular mountains. For climbers who died, we report all available demographic data, mechanisms of death, and circumstances surrounding the death. Between 2001 and 2012, 42,731 mountaineers attempted to summit Aconcagua. There were 33 fatalities. The fatality rate was 0.77 per 1000, or 0.077%. The fatality rate on Aconcagua is lower than that on Everest or Denali but higher than that on Rainier.

  3. Determinants of acute mountain sickness and success on Mount Aconcagua (6962 m).

    PubMed

    Pesce, Carlos; Leal, Conxita; Pinto, Hernán; González, Gabriela; Maggiorini, Marco; Schneider, Michael; Bärtsch, Peter

    2005-01-01

    To investigate the determinants of acute mountain sickness (AMS) and of summiting in expedition-style mountaineering, 919 mountaineers (15.4% female) leaving Aconcagua Provincial Park at the end of an expedition to Mt. Aconcagua (6962 m) via the normal route were retrospectively evaluated by questionnaires. Symptoms of AMS were reported from the day when mountaineers felt worst. The prevalence of AMS, defined as a Lake Louise Score (self-assessment) > 4, was 39%. Low AMS scores were associated with faster ascent rates. The following parameters were independent predictors for AMS: no susceptibility for AMS (odds ratio, OR, 0.24; 95% confidence interval 0.17 to 0.35) more than 10 exposures per year above 3000 m (OR 0.60; 0.41 to 0.86), and previous exposures above 6000 m (OR, 0.48; 0.33 to 0.68). This last variable increased the OR for summiting 3.7-fold while female gender reduced this OR to 0.41 (0.25 to 0.67). Susceptibility and few exposures to high altitude are major predictors for AMS on Aconcagua, but AMS does not substantially reduce the chances for summiting. Those who are often in the mountains and who have already climbed to altitudes above 6000 m and are not susceptible for AMS have the best options for summiting Aconcagua.

  4. Aconcagua peak geodynamics from GPS observations, Mendoza, Argentina: preliminary results

    NASA Astrophysics Data System (ADS)

    Mateo, M. L.; Lenzano, L. E.; Moreiras, S. M.

    2009-12-01

    In 2005, the SIGMA Program (Mount Aconcagua GNSS Research System) was implemented to investigate the geodynamics of the Aconcagua mountain region in the Central Andes. For this purpose, a continuously recording GPS station, ACON, was installed on the summit of Mount Aconcagua at 6.292 m a.s.l. The installation required special technology to support the equipment under extreme climatic conditions. The power supply system was optimized in 2008, so that a greater quantity of data could be recorded. This, in turn, will lead to more accurate estimates of displacement of the Aconcagua peak. Preliminary results from the ACON station indicate an average horizontal velocity of 0.023±0.0001 m/yr toward NE in 2 time windows between 2006 and 2008.

  5. Postexercise peripheral oxygen saturation after completion of the 6-minute walk test predicts successfully reaching the summit of Aconcagua.

    PubMed

    Lazio, Matthew P; Van Roo, Jon D; Pesce, Carlos; Malik, Sanjeev; Courtney, D Mark

    2010-12-01

    The 6-minute walk test (6MWT) is a single measurement of functional status in patients with cardiovascular disease. It has not been studied at high altitude. We investigate the screening value of 6-minute walk distance (6MWD) and postexercise vital sign (VS) measurements as predictors of successfully reaching the summit or development of acute mountain sickness (AMS) on Aconcagua (6962 m). Prospective observational cohort in Aconcagua Provincial Park, Argentina. Adults climbing the normal route who registered with base camp physicians were included. There were no exclusion criteria. VSs were measured before (resting) and after (postexercise) completion of 6MWT while volunteers acclimatized at Plaza de Mulas base camp (4365 m). Volunteers proceeded towards the summit at their own pace and upon descent returned a questionnaire with maximum altitude reached and Lake Louise AMS Self-report Score (LLSelf). One hundred twenty-four volunteers completed the 6MWT. Sixty-four volunteers (51.6%) completed questionnaires; 56% summited. Median LLSelf was 4 (IQR: 3.0-6.5). There was no association between any resting or postexercise VS measurements and AMS. However, mean postexercise SpO(2) was 80.8% in summiters and 76.4% in nonsummiters, a difference of -4.4% (95% CI: -6.7 to -2.0, p = 0.0005). Postexercise SpO(2) < 75% had 97.2% sensitivity and negative likelihood ratio of 0.086 in predicting the outcome of successfully reaching the summit: only one climber with SpO(2) < 75% successfully reached the summit. This study provides the first published data on 6MWD recorded in the field at high altitude. Postexercise SpO(2) < 75% may be a useful screening test for predicting the outcome of successfully reaching the summit of Aconcagua. Copyright © 2010 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  6. Prior altitude experience of climbers attempting to summit Aconcagua.

    PubMed

    Borm, Nicholas; Van Roo, Jon D; Pesce, Carlos; Courtney, D Mark; Malik, Sanjeev; Lazio, Matthew P

    2011-01-01

    Aconcagua (6962 m) is one of the seven summits and the highest mountain outside of Asia. Climbers of varying experience are drawn to its nontechnical route. Our objective was to detail the prior altitude experience of climbers attempting to summit Aconcagua. We asked all climbers on the normal route of Aconcagua to complete questionnaires with demographics and prior high altitude experience while acclimatizing at Plaza de Mulas base camp during 9 nonconsecutive days in January 2009. 127 volunteers from 22 countries were enrolled. Mean age was 39.8 years and 88.2% were male. Median altitude at place of residence was 200 m (IQR: 30, 700). Median previous maximum altitude reached was 5895 m (IQR: 5365, 6150). 7.1% of climbers had never been above 4000 m. Median previous maximum sleeping altitude was 4800 m (IQR: 4300, 5486). 12.6% of climbers had never slept above 4000 m. Climbers who performed acclimatization treks spent a mean of 3.6 (2.5, 4.7) days at>3000 m in the previous 2 months. However, 50.4% of climbers performed no acclimatization treks. Although the majority of mountaineers who attempt Aconcagua have prior high altitude experience, a substantial minority has never been above 4000 m.

  7. Analysis of crustal movement in the Central Andes Aconcagua area

    NASA Astrophysics Data System (ADS)

    Piñón, D. A.; Cimbaro, S. R.; Lenzano, L.; Smalley, R.; Raffo, A.

    2013-05-01

    A Continuous Operation Reference Station was installed at the top of Aconcagua Mountain (ACON) in 2006 in order to monitor the movement of the highest mountain in the Western Hemisphere. Due to adverse weather conditions, this GPS station wasn't operating consistently and in the summer of 2012 a replacement GPS station was installed at 5500 meters above sea level, also at Aconcagua Mountain (NICO). The new GPS station achieved continuous operation throughout 2012. Based on current records, the new GPS station is the highest in the world. With data collected by NICO and other GPS stations in the area over 2012, it was possible to calculate the time series of crustal movements at Aconcagua Mountain, part of the Andes Mountain Range. This paper shows the development of the calculation process based on scientific software and the analysis of crustal movements in geodetic and geophysical terms. The analysis of this data contributes concrete results regarding the development process of the crust following the earthquake of February 27, 2010 in the Maule region.

  8. Visual analog scale (VAS) for assessment of acute mountain sickness (AMS) on Aconcagua.

    PubMed

    Van Roo, Jon D; Lazio, Matthew P; Pesce, Carlos; Malik, Sanjeev; Courtney, D Mark

    2011-03-01

    The Lake Louise AMS Self-Report Score (LLSelf) is a commonly used, validated assessment of acute mountain sickness (AMS). We compared LLSelf and visual analog scales (VAS) to quantify AMS on Aconcagua (6962 m). Prospective observational cohort study at Plaza de Mulas base camp (4365 m), Aconcagua Provincial Park, Argentina. Volunteers climbing in January 2009 were enrolled at base camp and ascended at their own pace. They completed the LLSelf, an overall VAS [VAS(o)], and 5 individual VAS [VAS(i)] corresponding to the items of the LLSelf when symptoms were maximal. Composite VAS [VAS(c)] was calculated as the sum of the 5 VAS(i). A total of 127 volunteers consented to the study. Response rate was 52.0%. AMS occurred in 77.3% of volunteers, while 48.5% developed severe AMS. Median (interquartile range, IQR) LLSelf was 4 (3-7). Median (IQR) VAS(o) was 36 mm (23-59). VAS(o) was linear and correlated with LLSelf: slope = 6.7 (95% CI: 4.4-9.0), intercept = 3.0 (95% CI: -10.0-16.1), ρ = 0.71, τ = 0.55, R(2) = 0.45, p < 0.001. Median (IQR) VAS(c) was 29 (13-44). VAS(c) was also linear and correlated with LLSelf: slope = 5.9 (95% CI: 4.9-6.9), intercept = -0.6 (95% CI: -6.3-5.1), ρ = 0.83, τ = 0.68, R(2) = 0.73, p < 0.001. The relationship between the 5 VAS(i) and LLSelf(i) was less significant and less linear than that between VAS(o), VAS(c), and LLSelf. While both VAS(o) and VAS(c) for assessment of AMS appear to be linear with respect to LLSelf, the amount of scatter within the VAS is considerable. The LLSelf remains the gold standard for the diagnosis of AMS. Copyright © 2011 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  9. Physics 300 Provincial Examination.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg.

    This document consists of the physics 300 provincial examination (English version), a separate "provincial summary report" on the results of giving the test, and a separate French language version of the examination. This physics examination contains a 53-item multiple choice section and an 12 item free response section. Subsections of…

  10. Physics 300 Provincial Examination.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg.

    This document consists of the physics 300 provincial examination (English version), a separate "provincial summary report" on the results of giving the test, and a separate French language version of the examination. This physics examination contains a 53-item multiple choice section and an 12 item free response section. Subsections of…

  11. Recent glacier variations at the Aconcagua basin, central Chilean Andes

    NASA Astrophysics Data System (ADS)

    Bown, Francisca; Rivera, Andrés; Acuña, César

    The majority of glaciers in central Chile have receded in recent decades, from >50 m to only a few meters per year, mainly in response to an increase in the 0°C isotherm altitude. The Aconcagua river basin (33° S) is one of the major glaciated basins in central Chile, with 121 km2 of ice in 2003. An earlier inventory using 1955 aerial photographs yielded a total surface area of 151 km2, implying a reduction in glacier area of 20% (0.63 km2 a-1) over the 48 years. Photographic stereo models, high-resolution satellite images (Landsat, ASTER) and SRTM data have been used to delineate glacier basins. A focus on Glaciar Juncal Norte, one of the largest glaciers in the basin, allows a more detailed analysis of changes. The glacier has exhibited a smaller reduction (14%) between 1955 and 2006, and the resulting elevation changes over this smaller period are not significant. The above reduction rates are lower than in other glaciers of central Chile and Argentina. This trend emphasizes water runoff availability in a river where most of the water in the dry summers is generated by glaciers and snowpack, and where most of the superficial water rights are already allocated. Ongoing hydrological research including modelling of future water runoff will improve our understanding.

  12. Body composition and hematological changes following ascents of Mt. Aconcagua and Mt. Everest.

    PubMed

    Wagner, Dale R

    2010-11-01

    Both Mt. Aconcagua (22,841.2 ft/6962 m) and Mt. Everest (29,035.4 ft/ 8850 m) are highly prized summits by mountaineers, yet there are no published studies comparing the physiological adaptations that occur from climbing both peaks. This case study compares the changes in body composition and hematology of a mountaineer who ascended both peaks. The male subject was 41 yr of age during the Aconcagua ascent and 43 yr of age during the Everest ascent, and had a history of ascents above 19,685 ft (6000 m). Baseline body composition measurements and blood draws were done within a few days of departure for both expeditions. Body composition was assessed by air displacement plethysmography and the blood draw consisted of a complete blood count (CBC). Post-expedition measurements were taken 10-14 d after reaching the summits. The ascent of Aconcagua resulted in a 2.0-kg drop in body mass and a reduction in body fat (15.5% to 12.1%), but blood chemistry remained within +/- 2% of baseline values. Body mass was reduced from 65.0 kg to 60.5 kg during the Everest expedition with a drop in body fat from 17.3% to 10.2%. Despite no change in RBCs there were increases in hemoglobin and mean corpuscular hemoglobin of 12.7% and 13.7%, respectively. It took the subject 12 d to reach the summit of Aconcagua, whereas it took 50 d to reach the summit of Everest. The longer duration at higher altitude for the Everest expedition resulted in more dramatic physiological changes.

  13. Assessing environmental drivers of microbial communities in estuarine soils of the Aconcagua River in Central Chile.

    PubMed

    Fuentes, Sebastián; Ding, Guo-Chun; Cárdenas, Franco; Smalla, Kornelia; Seeger, Michael

    2015-10-01

    Aconcagua River basin (Central Chile) harbors diverse economic activities such as agriculture, mining and a crude oil refinery. The aim of this study was to assess environmental drivers of microbial communities in Aconcagua River estuarine soils, which may be influenced by anthropogenic activities taking place upstream and by natural processes such as tides and flood runoffs. Physicochemical parameters were measured in floodplain soils along the estuary. Bacteria, Actinobacteria, Alphaproteobacteria, Betaproteobacteria, Pseudomonas, Bacillus and Fungi were studied by DGGE fingerprinting of 16S rRNA gene and ribosomal ITS-1 amplified from community DNA. Correlations between environment and communities were assessed by distance-based redundancy analysis. Mainly hydrocarbons, pH and the composed variable copper/arsenic/calcium but in less extent nitrogen and organic matter/phosphorous/magnesium correlated with community structures at different taxonomic levels. Aromatic hydrocarbons degradation potential by bacterial community was studied. Polycyclic aromatic hydrocarbon ring-hydroxylating dioxygenases genes were detected only at upstream sites. Naphthalene dioxygenase ndo genes were heterogeneously distributed along estuary, and related to Pseudomonas, Delftia, Comamonas and Ralstonia. IncP-1 plasmids were mainly present at downstream sites, whereas IncP-7 and IncP-9 plasmids showed a heterogeneous distribution. This study strongly suggests that pH, copper, arsenic and hydrocarbons are main drivers of microbial communities in Aconcagua River estuarine soils.

  14. High-altitude retinopathy after climbing Mount Aconcagua in a group of experienced climbers.

    PubMed

    Ho, Tsung-Yu; Kao, Wei-Fong; Lee, Shui-Mei; Lin, Po-Kang; Chen, Jin-Jong; Liu, Jorn-Hon

    2011-09-01

    Visual disturbances after high-altitude exposure were first reported in 1969. Manifestations may include retinal hemorrhage, papilledema, and vitreous hemorrhage. We observed a group of 6 experienced climbers who ascended Mt Aconcagua to an altitude of 6,962 m in February 2007. Visual acuity study, intraocular pressure study, visual field study, nerve fiber layer analysis, eye Doppler, laboratory studies, fundus photography, and intravenous fluorescein angiography were performed on the climbers before and after their exposures to high altitude. In all six study subjects, retinal vascular engorgement and tortuosity were present in varying degrees in both eyes. One of the climbers had both retinal hemorrhage and pulmonary edema. Of the two subjects who had visual field defects, one had severe nerve fiber layer defects of both eyes. Furthermore, laboratory studies of this climber showed a high level of antiphospholipid antibody. Significant reduction of the left ocular blood flow was also noted on this subject's eye Doppler examination after the Mt Aconcagua expedition. Various high-altitude retinopathies were observed in the experienced climbers of this study. As high-altitude pursuits become more popular, attention should be paid to the increasing prevalence of high-altitude retinopathy.

  15. Landslides as a Delayed Signal of Warm Phase of ENSO in the Aconcagua Park (32 Sl)

    NASA Astrophysics Data System (ADS)

    Moreiras, S.; Lisboa, M.

    2013-05-01

    The Aconcagua mount (6,929 m asl), the top of the Andes, is characterised by high elevations and abrupt topography that seem to have favoured the occurrence of landslides affecting 25% of the Aconcagua Park (Fig 1). Concerning to triggering mechanism, rainfall are mentioned as the main cause of landslides in historical sources; but this assertion could not be confirmed on the basis of available meteorological data beginning after 1940. The most reliable rainfall threshold value corresponds to a 19 mm (daily precipitation) representing 8.7% of the annual precipitation and 8% of the mean annual precipitation for this region. However, main cause of landslides is related to terrain saturation by snow melting and ice thawing of ice-core moraines or rock glaciers during the warm season (November - February). A delayed link between warm phases of ENSO and slope instability could be established by a relationship found between landslides and local river stream flow (Fig. 2). The typical warm phase of ENSO begins in November of one year, increasing during July—August, and ends in February of the following year. Greater snowfall and positive glacier balance has been linked to the ENSO-warm phase. Consequently, increased stream flows of Andean rivers will be measured the following summer. In fact, ENSO-related features in the tropical Pacific play a major role in regulating the hydrological variability in the region with increased (decreased) summer and annual river discharges following El Niño (La Niña) events.; ;

  16. Incidence of subarachnoid haemorrhage in the Aconcagua Valley, Chile: a community-based, prospective surveillance project.

    PubMed

    Alvarez, Gonzalo; Cox, Pablo; Pairoa, Mauricio; García, Maritza; Delgado, Iris; Lavados, Pablo M

    2010-07-01

    An epidemiological surveillance project was set up in Central Chile to detect cases of subarachnoid haemorrhage (SAH) and its incidence. Community-based prospective surveillance project carried out between 1 July 2000 and 30 June 2003, in the Aconcagua Valley in Central Chile. The authors ascertained all possible cases using multiple overlapping sources. Incidence rates were age-sex-adjusted. The authors identified 33 first-ever cases; 19 were women. The mean age (SD, range) was 50.7 (17.9, 16 to 82). The incidence per 100,000 age-sex adjusted to the world population was 5.1 (4.4 men, 5.6 women). The 30-day case-death rate was 54.5% (95% CI 38.0 to 70.2), and the prehospital death rate 21.2% (95% CI 10.7 to 37.7). The incidence rate in Aconcagua is notably similar to that reported previously in Northern Chile and lower than in many high-income western populations. The lower incidence rates found in these two Chilean populations might be due to their younger age. A trend towards a higher 30-day case-death rate found in Central Chile is possibly associated with its higher rurality and therefore lesser accessibility to preventive measures and medical care.

  17. The Provincialism of Introductory Sociology.

    ERIC Educational Resources Information Center

    Sanderson, Stephen K.

    1985-01-01

    Most introductory sociology courses in the United States lack any sort of comparative or historical focus. Debilitating consequences of this provincialism are discussed, and a comparative and historical introductory sociology course that could overcome these deficiencies is outlined. (Author/RM)

  18. [Sleep and respiration at an altitude of 6,400 m (Aconcagua, Argentina].

    PubMed

    Netzer, N; Schuschnik, M; Matthys, H; Miles, L; Steinacker, J; Decker, M J; Lehmann, M

    1997-08-01

    Persons at extreme altitudes are known to experience disturbances in the regulation of ventilation and sleep structure. However, except for simulated studies using the decompression chamber, only single events of sleep or ventilation were measured so far in field studies up to an altitude of 5800 m. Modifying a portable sleep lab (Vitalog HMS 5000), we were able to conduct 7 channel polygraphy on our ascent to the Aconcagua up to an altitude of 6400 m. In 6 climbers (age 38-62 y, 1 f, 6 m), ECG, EOG, SaO2, chest and abdominal movements, breathing and snoring sounds, body position, nasal and oral airflow were measured 4 weeks prior to the expedition at an altitude of 500 m, at base camp (4200 m) and in 3 climbers at 6400 m (2nd base camp) at the Aconcagua mountain. All participants had a repeat study at 500 m altitude 4 weeks after the expedition. The total number of obstructive apnoeas and hypopnoeas (OA/H) at night increased at an altitude of 4200 m in the mean of all 6 climbers from 36 to 67.7 compared to 500 m altitude, Central Apneas and Cheyne stokes (CA/CS) increased from 6.7 to 45.2. At 6400 m altitude the OA/H fell to 3 and 4 respectively in 2 climbers and CA to 1 and 2 respectively. In one climber, suffering from recurrent snoring with oxygen desaturation at 500 m altitude level, the number of OA/H and CA/CS increased further to 201 and 322, respectively, at 6400 m. Total sleep time including the REM position increased in all 6 climbers by 10% at base camp in comparison to an altitude of 500 m. Whereas the total sleep time remained constant in the 3 climbers at 6400 m altitude, the REM position declined by 10% in comparison to base camp (4200 m). However, significant fluctuations between individuals were noticed. Although significant alterations in sleep and breathing are noticeable at altitudes above 300 m, the respiratory drive in healthy subjects provides for a regular ventilation at high frequency at the extreme altitude above 6000 m. Sleep

  19. Ventilatory responses to hypoxia and high altitude during sleep in Aconcagua climbers.

    PubMed

    Snyder, Eric M; Stepanek, Jan; Bishop, Sheryl L; Johnson, Bruce D

    2007-01-01

    We examined the changes in ventilation during sleep at high altitude using the LifeShirt monitoring system on 2 climbers who were attempting to summit Mount Aconcagua (6956 m). Prior to the summit attempt, we measured cardiovascular and pulmonary function at 401 m (Rochester, MN) and gathered respiratory and cardiovascular data during sleep using the LifeShirt monitoring system with exposure to normobaric normoxia and normobaric hypoxia (simulated 4300 m). We then monitored the ventilatory response during sleep at 3 altitudes (4100 m, 4900 m, and 5900 m). During normoxic sleep, subjects had normal oxygen saturation (O(2sat)), heart rate (HR), respiratory rate (RR), tidal volume (V(T)) and minute ventilation (V(E)), and exhibited no periodic breathing (O(2sat) = 100 +/- 2%, HR = 67 +/- 1 beats/min, RR = 16 +/- 3 breaths/min, V(T) = 516 +/- 49 mL, and V(E) = 9 +/- 1 L/min, mean +/- SD). Sleep during simulated 4300 m caused a reduction in O(2sat), an increase in HR, RR, V(T), and V(E), and induced periodic breathing in both climbers (O(2sat) = 79 +/- 4%, HR = 72 +/- 14 beats/min, RR = 20 +/- 3 breaths/min, V(T) = 701 +/- 180 mL, and V(E) = 14 +/- 3 L/min). All 3 levels of altitude had profound effects on O(2sat), HR, and the ventilatory strategy during sleep (O(2sat) = 79 +/- 2, 70 +/- 8, 60 +/- 2%; HR = 70 +/- 12, 76 +/- 6, 80 +/- 3 beats/min; RR = 17 +/- 6, 18 +/- 4, 20 +/- 6 breaths/min; V(T) = 763 +/- 300, 771 +/- 152, 1145 +/- 123 mL; and V(E) = 13 +/- 1, 14 +/- 0, 22 +/- 4 L/min; for 4100 m, 4900 m, and 5900 m, respectively). There were strong negative correlations between O(2sat) and V(E) and ventilatory drive (V(T)/T(i), where T(i) is the inspiratory time) throughout the study. Interestingly, the changes in ventilatory response during simulated altitude and at comparable altitude on Aconcagua during the summit attempt were similar, suggesting reductions in FiO(2), rather than in pressure, alter this response.

  20. Ambulatory recording of physiological variables during an ascent of Mt Aconcagua.

    PubMed

    Wagner, Dale R

    2011-03-01

    The aim of this descriptive case study was to use an ambulatory biosensor system to capture data in real time in a harsh environment and to obtain continuous physiological measurements during an ascent of Argentina's Mt Aconcagua, the highest point in the Western Hemisphere. Between the 5800-m-high camp and the 6962-m summit, a 41-year-old male with previous high-altitude mountaineering experience was measured for minute-by-minute heart rate (60-154 beats/min), respiration rate (2-42 breaths/min), skin temperature (11.7-36.1°C), and core temperature (36.9-38.7°C) (1240 min of data: 417 min rest/sleep; 643 min ascent; 180 min descent). All of the measured variables were significantly correlated with each other (p < 0.01). There were incidences of "open leads" and "recovered data," indicating the potential for some aberrant data; however, data exist for each minute of the 1240 minutes of collection, and the values are within the expected physiological ranges. This study demonstrates the potential application of telemetry to monitor physiological variables during high altitude mountaineering. Copyright © 2011 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  1. Adsorption studies of the herbicide simazine in agricultural soils of the Aconcagua valley, central Chile.

    PubMed

    Flores, Cecilia; Morgante, Verónica; González, Myriam; Navia, Rodrigo; Seeger, Michael

    2009-03-01

    Simazine is a s-triazine herbicide that has been applied worldwide for agriculture. This herbicide is the second most commonly detected pesticide in surface and groundwater in the United States, Europe and Australia. In this study, simazine adsorption behaviour was studied in two agricultural soils of the Aconcagua valley, central Chile. The two studied soils were soil A (loam, 8.5% organic matter content) and soil B (clay-loam, 3.5% organic matter content). Three times higher simazine adsorption capacity was observed in soil A (68.03 mg kg(-1)) compared to soil B (22.03 mg kg(-1)). The simazine adsorption distribution coefficients (K(d)) were 9.32 L kg(-1) for soil A and 7.74 L kg(-1) for soil B. The simazine adsorption enthalpy in soil A was -21.0 kJ mol(-1) while in soil B the adsorption enthalpy value was -11.5 kJ mol(-1). These results indicate that simazine adsorption process in these soils is exothermic, governing H bonds the adsorption process of simazine in both the loam and clay-loam soils. These results and the potentiometric profiles of both soils, suggest that simazine adsorption in soil A is mainly governed by simazine-organic matter interactions and in soil B by simazine-clay interactions. The understanding of simazine sorption-desorption processes is essential to determine the pesticide fate and availability in soil for pest control, biodegradation, runoff and leaching.

  2. Annual and seasonal fluctuations of precipitation and streamflow in the Aconcagua River basin, Chile

    NASA Astrophysics Data System (ADS)

    Waylen, Peter R.; Caviedes, César N.

    1990-12-01

    The El Niño-Southern Oscillation (ENSO) phenomenon has been shown to influence dramatically precipitation and streamflow in tropical western South America. The statistical properties of annual and winter precipitation totals and streamflow characteristics in the Aconcagua River basin, in temperate central Chile, are investigated in such a way as to permit the identification of flood- and drought-generating processes and their possible linkages to upset behavior in the tropical Pacific. Despite the considerable distance to those regions generally associated with ENSO events, the phenomenon produces marked effects upon the various physical processes which govern the surface hydrometeorology of the study area. El Niño years result in significant increases in annual and winter precipitation, particularly along the coastal margin. The likelihood of rain or rain-on-snow flooding, in the succeeding winter, increases, as does the size of spring snowmelt in the southern summer, 1 year after the upset conditions in the tropical region. Annual low flows are of higher magnitude and occur earlier in the year than is usual.

  3. 76 FR 34962 - Eastern Washington Cascades Provincial Advisory Committee and the Yakima Provincial Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-15

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Eastern Washington Cascades Provincial Advisory Committee and the Yakima Provincial... Forest Travel Management Planning, Forest Plan Revision and an overview of forest activities that have...

  4. Erosional Growth of Critical Coulomb Wedges Applied to the Aconcagua Fold and Thrust Belt, Argentina

    NASA Astrophysics Data System (ADS)

    Hilley, G. E.; Strecker, M. R.; Ramos, V. A.

    2002-12-01

    The development of topography within and erosional removal of material from an orogen apparently exerts a primary control on its structure. We develop a semi-analytic model that investigates the temporal development of a frontally-accreting, critically growing Coulomb wedge that is subject to erosional removal of material. The wedge 1) is required to be in its critical state during growth, 2) grows by addition of material to the wedge from the foreland, and 3) is eroded primarily by bedrock fluvial incision. Our coupled models allow exploration of different bedrock power-law exponents when investigating the relationship between the development of topography and deformation. We present general results for arbitrary initial critical wedge geometries, and investigate the temporal development of a critical wedge with no initial topography. Increasing rock erodibility and/or precipitation, decreasing mass flux accreting to the wedge front, increasing wedge sole-out depth, decreasing wedge and basal decollement overpressure, and increasing basal decollement friction lead to narrow wedges. As bedrock power-law exponent values increase, wedge geometry quickly reaches a condition in which all material accreted to the front of the wedge is removed by erosion and the wedge geometry is relatively independent of all erosional and wedge properties except the fault basal friction. We apply our model to the Aconcagua fold and thrust belt in the central Andes where wedge development over time is well-constrained. The model predicts the measured propagation rate history and current wedge width when bedrock power-law exponents of m=1/3,n=2/3 are used. Power-law exponents of m=0.46, n=1 greatly underestimate the propagation rate during the final increment of wedge growth; however, adjusting the poorly known rock erodibility may provide satisfactory agreement between field-measured values and model predictions. Power-law exponents greater than m=0.46, n=1 produce poor correspondence

  5. Experimental simulation of erosion applied to the Aconcagua fold-and-thrust belt, Argentina

    NASA Astrophysics Data System (ADS)

    Cruz, L.; Hilley, G. E.; Malinski, J.; Hernandez, M.; Take, A.

    2009-12-01

    This study models the kinematic response of the Aconcagua fold-and-thrust belt to erosion using an experimentally deforming sand wedge that is eroded according to a fluvial bedrock incision rule. We aim to systematically examine the impact that erosion may have had on the kinematics of this fold-and-thrust belt at ~32.5°S, where the history of deformation and variations in shortening rates over time have been well calibrated by others. Our experimental apparatus includes a servo-controlled feedback system that allows for a variety of boundary conditions to be applied to the wedge, including constant displacement rate, time-varying displacement rate, constant loading, and time-varying loading. Additionally, this setting incorporates Particle Image Velocimetry (PIV) techniques to the analysis that permits derivation of high-resolution kinematics to calculate strain. A first set of experiments was designed to use constant-displacement-rate boundary conditions to test the applicability of our erosional rule to the experimental simulation and to compare the geometric evolution of the scaled orogen against that of the Precordillera, accounting for the three main deformational stages identified in the fold-and-thrust-belt during the Neogene Period. A second set of experiments used constant loading and constant-loading-rate boundary conditions to study possible variations on shortening rates over time and its relationship to erosion, or the progressive unroofing of erosionally resistant rocks, and/or accommodation of deformation through (out-of-sequence) thrusting. Results from the former experiments indicate, based on geometric comparisons against natural topographic measurements, that our erosional rule could be satisfactorily applied to sandbox simulations. Each of the main deformational stages identified in the fold-and-thrust belt in Argentina was successfully reproduced. Preliminary results from the constant-load and constant-loading-rate boundary conditions

  6. 76 FR 54196 - Eastern Washington Cascades Provincial Advisory Committee and the Yakima Provincial Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-31

    ... Forest Service Eastern Washington Cascades Provincial Advisory Committee and the Yakima Provincial Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Eastern Washington... 15, 2011 from 9 a.m. to 3 p.m. at the Okanogan-Wenatchee National Forest Headquarters Office,...

  7. 77 FR 21526 - Eastern Washington Cascades Provincial Advisory Committee and the Yakima Provincial Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-10

    ... information will be shared about the Forest Service Chief's 10-Year Stewardship Challenge, Yakima River Basin... Forest Service Eastern Washington Cascades Provincial Advisory Committee and the Yakima Provincial Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of Meeting. SUMMARY: The Eastern...

  8. 76 FR 61666 - Eastern Washington Cascades Provincial Advisory Committee and the Yakima Provincial Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... Forest Service Eastern Washington Cascades Provincial Advisory Committee and the Yakima Provincial Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Eastern Washington..., 2011, from 9 a.m. to 3 p.m. at the Okanogan-Wenatchee National Forest Headquarters Office, 215 Melody...

  9. 77 FR 40565 - Northwest Forest Plan Provincial Advisory Committees

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-10

    ... Forest Service Northwest Forest Plan Provincial Advisory Committees AGENCY: Forest Service, USDA. ACTION: Notice of Administrative Meetings for the Northwest Forest Plan Provincial Advisory Committees. SUMMARY... up under the Northwest Forest Plan. The PIECs facilitate the successful implementation of the...

  10. 77 FR 50979 - Northwest Forest Plan Provincial Advisory Committees

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-23

    ...; ] DEPARTMENT OF AGRICULTURE Office of the Secretary Northwest Forest Plan Provincial Advisory Committees AGENCY: Forest Service, USDA. ACTION: Notice; Solicitation of nominees to the Northwest Forest Plan Provincial... on the Northwest Forest Plan Provincial Advisory Committees (the Eastern Washington Cascades and...

  11. Is Ontario Moving to Provincial Negotiation of Teaching Contracts?

    ERIC Educational Resources Information Center

    Jefferson, Anne L.

    2008-01-01

    In Canada, the statutes governing public school teachers' collective bargaining are a combination of the provincial Labour Relations Act or Code and the respective provincial Education/School/Public Schools Act. As education is within the provincial, not federal, domain of legal responsibility, the specifics of each act or code can vary.…

  12. Modeling Fold-And Belts Using Numerical Simulations and Physical Experiments: the Aconcagua and Mexican Fold-And Belts

    NASA Astrophysics Data System (ADS)

    Cruz, L.; Hilley, G. E.; Fitz, E.; Hudleston, P. J.; Malinski, J.; Hernandez, M.; Take, A.

    2010-12-01

    In this contribution we first investigate the impact of erosion on the geometry and kinematics of the central Argentine Aconcagua Fold-and-Thrust Belt (AFTB) using an integrated analog (sandbox) and numerical (Gale) modeling approach in which mass removal from the topographic surface is limited by the rate of fluvial bedrock incision. This method unifies principles of frictional failure used in Critical Coulomb Wedge (CCW) theory with a quasi-mechanistic erosion rule, which allows us to explicitly relate temporal changes in erosional efficiency in this fold-and-thrust belt to its kinematics. We show that theoretical predictions of AFTB geometry, as well as the kinematics predicted by both physical and numerical experiments are both internally consistent and correctly predict the interpreted and measured field geometries. Specifically, the geometric evolution of the AFTB requires relatively high erosion efficiency values (K) during the initial stage of deformation, and relatively low K values during the latter stages, which is consistent with the progressive exposure of different rock types during the different stages of deformation. Model results indicate that the activity of the faults in the hinterland is high when erosion is most efficient during the initial stage of deformation; this activity is facilitated by increased out-of-sequence thrusting. In contrast, the models predict that forward-propagating thrusts dominate the latter stages of deformation when erosion is far less efficient. We next explore the role of the initial configuration of materials with differing constitutive properties using the Gale numerical code, and published and new structural data from the well-documented Mexican Fold-and-Thrust Belt (MFTB). This fold-and-thrust belt is located in central Mexico and its kinematics appear to be influenced by spatially varying material properties within the accreted foreland rocks. Preliminary results from the MFTB simulations show that rheological

  13. Geometric evolution of the Horcones Inferior Glacier (Mount Aconcagua, Central Andes) during the 2002-2006 surge

    NASA Astrophysics Data System (ADS)

    Pitte, Pierre; Berthier, Etienne; Masiokas, Mariano H.; Cabot, Vincent; Ruiz, Lucas; Ferri Hidalgo, Lidia; Gargantini, Hernán.; Zalazar, Laura

    2016-01-01

    The Central Andes of Chile and Argentina (31-35°S) contain a large number and variety of ice masses, but only two surging glaciers have been studied in this region. We analyzed the 2002-2006 surge of the Horcones Inferior Glacier, Mount Aconcagua, Argentina, based on medium spatial resolution (15-30 m) satellite images and digital elevation models. During the buildup phase the glacier was stagnant, with velocities lower than 0.1 m/d. In the active-phase velocities reached 14 m/d and the glacier front advanced 3.1 km. At the peak of the active phase (2003-2004), the area-averaged elevation change was -42 m in the reservoir zone (2.53 km2) and +30 m in the receiving zone (3.31 km2). The estimated ice flux through a cross section located at 4175 meter above sea level was 108 m3 during a period of 391 days, a flux that suggests a mean glacier thickness at this location of ~90 m. The depletion phase showed a recovery of the reservoir zone elevation, the down wasting of the receiving zone (-17 m, 2007-2014), and a return to quiescent velocities. The short active phase, the abrupt change in the velocities, and the high level of the proglacial stream indicate a hydrological switch (Alaska type) trigger. The 2002-2006 and 1984-1990 surges of Horcones Inferior were synchronous with the surges of nearby Grande del Nevado Glacier. These events occurred after periods of positive mass balance, so we hypothesize a climate driver.

  14. Provincial geology and the Industrial Revolution.

    PubMed

    Veneer, Leucha

    2006-06-01

    In the early nineteenth century, geology was a new but rapidly growing science, in the provinces and among the gentlemen scientists of London, Oxford and Cambridge. Industry, particularly mining, often motivated local practical geologists, and the construction of canals and railways exposed the strata for all to see. The most notable of the early practical men of geology was the mineral surveyor William Smith; his geological map of England and Wales, published in 1815, was the first of its kind. He was not alone. The contributions of professional men, and the provincial societies with which they were connected, are sometimes underestimated in the history of geology.

  15. An Example of Decentralized Management in Education: Provincial Directory Model

    ERIC Educational Resources Information Center

    Ada, Sefer; Baysal, Z. Nurdan; Erkan, Senem Seda Sahenk

    2016-01-01

    In Turkey, two types of administrative structures existed in the fields of National Education: "the central" and "provincial" institutions. However, between 1926-1931, the Locality model was implemented. Locality can be considered as a local administration formed in the provincial organization of the Ministry of Education by…

  16. Provincial School Finance Plans: Their Recognition of the Equity Principle.

    ERIC Educational Resources Information Center

    Jefferson, Anne L.

    Over the years, the financial support given for operating Canadian schools has shifted from a community-based burden to a legislated provincial government responsibility. Between 1816 and 1846, the school system moved from a clerical operation to a publicly controlled operation. Provincial government monies were then made available, although not…

  17. Forecasting residential electricity demand in provincial China.

    PubMed

    Liao, Hua; Liu, Yanan; Gao, Yixuan; Hao, Yu; Ma, Xiao-Wei; Wang, Kan

    2017-03-01

    In China, more than 80% electricity comes from coal which dominates the CO2 emissions. Residential electricity demand forecasting plays a significant role in electricity infrastructure planning and energy policy designing, but it is challenging to make an accurate forecast for developing countries. This paper forecasts the provincial residential electricity consumption of China in the 13th Five-Year-Plan (2016-2020) period using panel data. To overcome the limitations of widely used predication models with unreliably prior knowledge on function forms, a robust piecewise linear model in reduced form is utilized to capture the non-deterministic relationship between income and residential electricity consumption. The forecast results suggest that the growth rates of developed provinces will slow down, while the less developed will be still in fast growing. The national residential electricity demand will increase at 6.6% annually during 2016-2020, and populous provinces such as Guangdong will be the main contributors to the increments.

  18. Growth and erosion of fold-and-thrust belts with an application to the Aconcagua fold-and-thrust belt, Argentina

    NASA Astrophysics Data System (ADS)

    Hilley, G. E.; Strecker, M. R.; Ramos, V. A.

    2004-01-01

    The development of topography within and erosional removal of material from an orogen exerts a primary control on its structure. We develop a model that describes the temporal development of a frontally accreting, critically growing Coulomb wedge whose topography is largely limited by bedrock fluvial incision. We present general results for arbitrary initial critical wedge geometries and investigate the temporal development of a critical wedge with no initial topography. Increasing rock erodibility and/or precipitation, decreasing mass flux accreting to the wedge front, increasing wedge sole-out depth, decreasing wedge and basal decollement overpressure, and increasing basal decollement friction lead to narrow wedges. Large power law exponent values cause the wedge geometry to quickly reach a condition in which all material accreted to the front of the wedge is removed by erosion. We apply our model to the Aconcagua fold-and-thrust belt in the central Andes of Argentina where wedge development over time is well constrained. We solve for the erosional coefficient K that is required to recreate the field-constrained wedge growth history, and these values are within the range of independently determined values in analogous rock types. Using qualitative observations of rock erodibilities within the wedge, we speculate that power law exponents of 1/3 ≤ m ≤ 0.4 and 2/3 ≤ n ≤ 1 characterize the erosional growth of the Aconcagua fold-and-thrust belt. This general model may be used to understand the development of mountain belts where orogenic wedges grow as they deform at their Coulomb failure limit.

  19. Good medical ethics, justice and provincial globalism.

    PubMed

    Prah Ruger, Jennifer

    2015-01-01

    The summer 2014 Ebola virus outbreak in Western Africa illustrates global health's striking inequalities. Globalisation has also increased pandemics, and disparate health system conditions mean that where one falls ill or is injured in the world can mean the difference between quality care, substandard care or no care at all, between full recovery, permanent ill effects and death. Yet attention to the normative underpinnings of global health justice and distribution remains, despite some important exceptions, inadequate in medical ethics, bioethics and political philosophy. We need a theoretical foundation on which to build a more just world. Provincial globalism (PG), grounded in capability theory, offers a foundation; it provides the components of a global health justice framework that can guide implementation. Under PG, all persons possess certain health entitlements. Global health justice requires progressively securing this health capabilities threshold for every person. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  20. Types of provincial structure and population health.

    PubMed

    Young, Frank W; Rodriguez, Eunice

    2005-01-01

    This paper explores the potential of using large administrative units for studies of population health within a country. The objective is to illustrate a new way of defining structural dimensions and to use them in examining variation in life expectancy rates. We use data from the 50 provinces of Spain as a case study. A factor analysis of organizational items such as schools, hotels and medical personnel is employed to define and generate "collective" measures for well-known provincial types, in this case: urban, commercial, industrial and tourist provinces. The scores derived from the factor analysis are then used in a regression model to predict life expectancy. The City-centered and Commercial provinces showed positive correlations with life expectancy while those for the Tourist provinces were negative. The industrial type was nonsignificant. Explanations of these correlations are proposed and the advantages and disadvantages of this exploratory technique are reviewed. The use of this technique for generating an overview of social organization and population health is discussed.

  1. The environment in the provincial plan of Cremona, Italy.

    PubMed

    Magoni, M; Steiner, F

    2001-05-01

    Recent Italian laws mandate the consideration of environmental factors in local plans, especially at the provincial level of government. The plan for the province of Cremona in northern Italy illustrates the integration of the environment in provincial-level planning. The Cremona plan was developed through an ecological planning approach that occurred from 1994 to 1998. As part of this process, the planning team designed an environmental sustainability index. This index was integrated with an environmental capability analysis. To improve the quality of the Cremona landscape, the planning team developed an ecological network. This network seeks to weave together the natural areas of the province, especially by connecting provincial parks to regional river parks throughout Lombardy. The experience of the Cremona provincial plan has implications for environmental management elsewhere in Italy, Europe, and abroad.

  2. 76 FR 35185 - Deschutes Provincial Advisory Committee (DPAC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Deschutes Provincial Advisory Committee (DPAC) AGENCY: Forest Service, USDA. ACTION: Notice of meeting... restoration and sustainable recreation subcommittees. Members will meet at the Deschutes National Forest...

  3. 77 FR 16802 - Deschutes Provincial Advisory Committee (DPAC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Deschutes Provincial Advisory Committee (DPAC) AGENCY: Forest Service. ACTION: Notice of meeting. SUMMARY... Restoration Act (CFLRA) and the sustainable recreation subcommittee. Members will meet at the Deschutes...

  4. 76 FR 76359 - Deschutes Provincial Advisory Committee (DPAC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-07

    ..., Aspen conference room (63095 Deschutes Market Road, Bend, Oregon) from 9 AM until 2 PM. All Deschutes Provincial Advisory Committee meetings are open to the public. FOR FURTHER INFORMATION CONTACT: Michael Keown...

  5. Disparity and convergence: Chinese provincial government health expenditures.

    PubMed

    Pan, Jay; Wang, Peng; Qin, Xuezheng; Zhang, Shufang

    2013-01-01

    The huge regional disparity in government health expenditures (GHE) is a major policy concern in China. This paper addresses whether provincial GHE converges in China from 1997 to 2009 using the economic convergence framework based on neoclassical economic growth theory. Our empirical investigation provides compelling evidence of long-term convergence in provincial GHE within China, but not in short-term. Policy implications of these empirical results are discussed.

  6. Disparity and Convergence: Chinese Provincial Government Health Expenditures

    PubMed Central

    Pan, Jay; Wang, Peng; Qin, Xuezheng; Zhang, Shufang

    2013-01-01

    The huge regional disparity in government health expenditures (GHE) is a major policy concern in China. This paper addresses whether provincial GHE converges in China from 1997 to 2009 using the economic convergence framework based on neoclassical economic growth theory. Our empirical investigation provides compelling evidence of long-term convergence in provincial GHE within China, but not in short-term. Policy implications of these empirical results are discussed. PMID:23977049

  7. Iraq Provincial Reconstruction Team Handbook: Observations, Insights, and Lessons

    DTIC Science & Technology

    2010-11-01

    U.S. UNCLASSIFIED REL NATO, GCTF, ISAF, MCFI, ABCA For Official Use Only IRAQ PROVINCIAL RECONSTRUCTION TEAM i Foreword The government of Iraq is...a joint initiative between Multi- National Force–Iraq (MNF– I )/DOD and U.S. Mission Iraq/DOS. The intent was to transition the lines of operation of...Iraqi provincial officials accompanied government of Iraq officials to Washington, DC, for an investment conference. Near Eastern Affairs–Iraq (NEA– I

  8. Pharmacists' experiences with dispensing opioids: provincial survey.

    PubMed

    Kahan, Meldon; Wilson, Lynn; Wenghofer, Elizabeth Francis; Srivastava, Anita; Resnick, Anne; Janecek, Eva; Sheehan, Carolynn

    2011-11-01

    To explore pharmacists' beliefs, practices, and experiences regarding opioid dispensing. Mailed survey. The province of Ontario. A total of 1011 pharmacists selected from the Ontario College of Pharmacists' registration list. Pharmacists' experiences with opioid-related adverse events (intoxication and aberrant drug-related behaviour) and their interactions with physicians. A total of 652 pharmacists returned the survey, for a response rate of 64%. Most (86%) reported that they were concerned about several or many of their patients who were taking opioids; 36% reported that at least 1 patient was intoxicated from opioids while visiting their pharmacies within the past year. Reasons for opioid intoxication included the patient taking more than prescribed (84%), the patient using alcohol or sedating drugs along with the opioid (69.9%), or the prescribed dose being too high (34%). Participants' most common concerns in the 3 months before the survey were patients coming in early for prescription refills, suspected double-doctoring, and requests for replacement doses for lost medication (reported frequently by 39%, 12%, and 16% of respondents, respectively). Pharmacists were concerned about physician practices, such as prescribing benzodiazepines along with opioids. Pharmacists reported difficulty in reaching physicians directly by telephone (43%), and indicated that physicians frequently did not return their calls promptly (28%). The strategies rated as most helpful for improving opioid dispensing were a provincial prescription database and opioid prescribing guidelines. Pharmacists commonly observe opioid intoxication and aberrant drug-related behaviour in their patients but have difficulty communicating their concerns to physicians. System-wide strategies are urgently needed to improve the safety of opioid prescribing and to enhance communication between physicians and pharmacists.

  9. The control of pre-existing extensional structures on the evolution of the southern sector of the Aconcagua fold and thrust belt, southern Andes

    NASA Astrophysics Data System (ADS)

    Giambiagi, Laura B.; Alvarez, P. Pamela; Godoy, Estanislao; Ramos, Victor A.

    2003-07-01

    The Aconcagua fold and thrust belt, located in the Andean mountains at 32°30' to 34°S, has been described as a classic model of a thin-skinned thrust belt. However, new structural data from its southern sector have shown that it has a complex structural framework reflected in multiple Mesozoic extensional phases, overprinted by structural inversion, as well as thin- and thick-skinned tectonics. Two major superimposed extensional structural styles have been identified for the Mesozoic characterized by distinctly oriented stress fields. A key role in the evolution of this part of the fold and thrust belt was played by a Late Triassic to Early Jurassic depocentre and by Late Jurassic block faulting. Shortening was accommodated by a combination of inversion of pre-existing normal faults, development of footwall short cuts and both thin and thick-skinned thrusting. Synrift and postrift sedimentary rocks were uplifted by reactivation of normal faults, with further shortening along newly formed thin-skinned thrust faults. The geometry of thin-skinned fault systems is controlled by the architecture of the rift basin, competent footwalls forming barriers to the lateral propagation of detachments.

  10. Uterine cervical neoplasia prevention in Parque Indigena do Xingu.

    PubMed

    Speck, N M de Góis; Pereira, E R; Schaper, M; Tso, F K; de Freitas, V G; Ribalta, J C L

    2009-01-01

    Results of preventive health measures, diagnosis and treatment applied to Parque Indigena do Xingu native women were studied. Thirty-seven cases of uterine cervical intraepithelial lesions and invasive neoplasias were treated in the local villages without referral to an advanced medical center. LEEPs were carried out in 32 women, three cold knife conizations, one vaginal hysterectomy and one Wertheim Meigs procedure. Results of 53.1% of LEEP surgical procedures did not have margin involvement by the lesions. Bleeding complications were seen in 15.6%. Regular follow-up with two or three cytologic and colposcopic tests in 32 women was carried out. All cases were negative for lesions. Five women were not followed-up due mainly to logistical reasons. Health endeavors adopted in the period 2005-2007 brought about a significant reduction of precursor lesions in this native aboriginal population without screening resources.

  11. Cytopathological screening in indigenous women from Parque Indigena do Xingu.

    PubMed

    de Gois Speck, N M; Pereira, E R; Schaper, M; Rodrigues, D; Almeida, P; Sakano, C R; Ribalta, J C L

    2009-01-01

    Over the years, there have been many deaths due to cervical cancer among indigenous women of the Parque Indigena do Xingu as a consequence of low screening coverage. Since 2005, however, the coverage index of cervical lesion screening has been high: 97.6% among at-risk women in 2005 and 92.6% in 2007. Cytological alterations occurred in 12.6% and 6% of the cases in the respective years. After complete diagnosis and treatment of uterine lesions, by staff trained in lower tract pathology, negative results were seen in all cases of high-grade lesions and invasive neoplasia and no case of invasive carcinoma was detected in 2007. We conclude, therefore, that health actions have been effective in decreasing the incidence of cytological alterations and invasive carcinoma.

  12. Implementation of provincial/territorial health goals in Canada.

    PubMed

    Williamson, Deanna L; Milligan, C Dawne; Kwan, Brenda; Frankish, C James; Ratner, Pamela A

    2003-05-01

    During the past two decades, policy makers in most of Canada's provinces and territories developed broad population-level goal statements about desired health or health and social outcomes. The health goals development process used in each province/territory has been described in government documents and studied by a small number of researchers. However, there is a lack of published research examining the implementation and use of the health goals since they were developed. To begin to fill this gap, we conducted a study between 1998 and 2000 that examined the implementation of provincial/territorial health goals in Canada. Our findings indicate that as the 1990s drew to a close, provincial/territorial health goals were not being used explicitly by policy makers at either provincial/territorial or regional levels in most provinces in Canada to guide health policy and program development, implementation, or evaluation. Instead, the majority of health ministry and regional policy makers were employing strategic/business plans that, at best, reflected or were similar to the original provincial/territorial health goals. Moreover, even though all provinces and the NWT/Nunavut had health goals associated with broad social, economic, and physical environment health determinants, regional-level policy makers were giving priority to health care system goals over all other types of goals. We discuss our findings in relation to studies about health goals in other countries, and we suggest implications that our findings have for both future research and health policy.

  13. Fostering a Provincial Identity: Two Eras in Alberta Schooling

    ERIC Educational Resources Information Center

    von Heyking, Amy

    2006-01-01

    In this article, I analyse how schools in Alberta have defined the province's identity and its role in Confederation. During two eras, the 1930s and the 1980s, social studies curriculum and teaching resources contained assertions of provincial uniqueness. In the late 1930s, the progressive curriculum implemented in Alberta's schools represented…

  14. Provincial Report: Achievement Tests, September 1986. Student Evaluation.

    ERIC Educational Resources Information Center

    Alberta Dept. of Education, Edmonton. Student Evaluation and Data Processing Branch.

    This document reports the provincial results of the June 1986 student achievement tests in Alberta in grade 3 mathematics, grade 6 science, and grade 9 English language arts. The achievement tests are specific to the program of studies prescribed by the Minister of Education. The document starts with general information about the testing program…

  15. Provincially and Locally Initiated Curriculum Program Assessment, Final Report.

    ERIC Educational Resources Information Center

    1999

    This report is an independent assessment of the Provincially Initiated Curriculum (PIC) and Locally Initiated Curriculum (LIC) for British Columbia's Centre for Curriculum, Transfer and Technology (C2T2), which manages both PIC and LIC projects. The report makes four recommendations for C2T2's consideration: (1) a renewed emphasis on communication…

  16. Accountability: Its Implications for Provincial and State Governments.

    ERIC Educational Resources Information Center

    Kolesar, H.

    This paper examines the implications of the accountability concept for provincial or State authorities. Accountability is defined as a concomitant of an agreement between two parties. The author suggests that, in education, agreements between parties have lacked preciseness and clarity, making it extremely difficult to assess performance and to…

  17. Provincial elections and timing of cancer drug funding

    PubMed Central

    Srikanthan, A.; Gill, S.S.; Chan, K.K.W.

    2016-01-01

    Background Concerns have been raised about the potential influence of political pressures on drug funding decisions. We evaluated the temporal relationship between cancer drug funding and provincial elections in 9 Canadian provinces. Methods New indications for cancer drugs between January 2003 and December 2012 were identified, and the dates of official provincial funding dates and election dates between 1 January 2003 and 31 December 2014 were retrieved. The probability of drug funding announcements in the 60-day period preceding a provincial election was evaluated using binomial probability distribution analysis. Results Data from 9 provinces (all Canadian provinces except Quebec) were available. During the period of interest, 69 new indications for 39 individual drugs were identified. Variation in the availability of funding dates was identified. At the time of data collection, 2 provinces did not have data available for all 69 indications. For the 9 provinces, the number of funded indications during the 60-day period preceding an election ranged from 0 to 3; however, no differences in the proportion of indications funded pre-election were identified. Additional analyses also failed to demonstrate any significant associations with the 90-day period before an election, or the 60- and 90-day periods after an election. Conclusions We observed no clear temporal relationship between provincial election dates and funding decisions in this recent Canadian sample of new indications for cancer drugs. PMID:27330343

  18. State and Provincial Fish And Wildlife Agencies Librarians National Conference.

    ERIC Educational Resources Information Center

    Hanson, Donna M.

    1992-01-01

    Discusses agency library information activities, production and dissemination, and resource access as presented at the first conference of state and provincial fish and game agency librarians. Agencies represented include the Fish and Wildlife Reference Service, Aquaculture, United States Fish and Wildlife Service, Bureau of Land Management,…

  19. State and Provincial Fish And Wildlife Agencies Librarians National Conference.

    ERIC Educational Resources Information Center

    Hanson, Donna M.

    1992-01-01

    Discusses agency library information activities, production and dissemination, and resource access as presented at the first conference of state and provincial fish and game agency librarians. Agencies represented include the Fish and Wildlife Reference Service, Aquaculture, United States Fish and Wildlife Service, Bureau of Land Management,…

  20. The Grade 3 Provincial Achievement Tests: In Need of Revamping?

    ERIC Educational Resources Information Center

    Roessingh, Hetty

    2012-01-01

    This article advances an argument for retaining but revamping the grade 3 Provincial Achievement Tests (PATs). Alberta's demographic landscape is rapidly changing to include significant numbers of English language learners who are still in the early stages of developing English language proficiency at grade 3. Online tools are used to generate…

  1. 75 FR 13252 - Oregon Coast Provincial Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Oregon Coast Provincial Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Oregon Coast Province Advisory Committee will meet at the Siuslaw National Forest...

  2. The orchid-bee faunas (Hymenoptera: Apidae) of 'Parque Nacional do Monte Pascoal', 'Parque Nacional do Descobrimento' and three other Atlantic Forest remnants in southern Bahia, eastern Brazil.

    PubMed

    Nemésio, A

    2013-05-01

    The orchid-bee faunas of 'Parque Nacional do Monte Pascoal', 'Parque Nacional do Descobrimento' and three other Atlantic Forest remnants ranging from 1 to 300 ha in southern Bahia, eastern Brazil, were surveyed. Baits with seventeen different scents were used to attract orchid-bee males. Four thousand seven hundred and sixty-four males belonging to 36 species were actively collected with insect nets during 300 hours from November, 2008 to November, 2009. Richness and diversity of orchid bees found in this study are the highest ever recorded in the Atlantic Forest domain. Eufriesea dentilabris (Mocsáry, 1897) and Eufriesea violacea (Blanchard, 1840) were collected at the 'Parque Nacional do Monte Pascoal', the first record of these species for the state of Bahia and the northernmost record for both species. Females Exaerete dentata (Linnaeus, 1758) were also collected at 'Parque Nacional do Monte Pascoal' and old records of Eufriesea aeneiventris (Mocsáry, 1896) in this area makes this site the richest and most diverse concerning its orchid-bee fauna in the entire Atlantic Forest and similar to areas in the Amazon Basin.

  3. Palaeoglaciation of Parque Natural Lago de Sanabria, northwest Spain

    NASA Astrophysics Data System (ADS)

    Cowton, T.; Hughes, P. D.; Gibbard, P. L.

    2009-07-01

    Detailed geomorphological mapping provides evidence for at least three phases of glaciation in the Parque Natural Lago de Sanabria, in northwest Spain. The most extensive glaciation was characterised by a large plateau ice cap. A combination of geomorphological evidence and glacier modelling indicates that this ice cap covered an area of more than 440 km 2, with a maximum ice thickness of c. 300 m and outlet glaciers reaching as low as 1000 m. This represents the largest ice mass in Iberia outside the Pyrenees and one of the largest in the mountains of southern Europe and the Mediterranean region. Radiocarbon dates from the base of lacustrine sequences appear to suggest that the most extensive phase of ice-cap glaciation occurred during the last cold stage (Weichselian) with deglaciation occurring before 14-15 ka 14C BP. A second phase of glaciation is recorded by the moraines of valley glaciers, which may have drained small plateau ice caps; whilst a final phase of glaciation is recorded by moraines in the highest cirques.

  4. Investor sentiment and stock returns: Evidence from provincial TV audience rating in China

    NASA Astrophysics Data System (ADS)

    Zhang, Yongjie; Zhang, Yuzhao; Shen, Dehua; Zhang, Wei

    2017-01-01

    In this paper, we advocate the provincial TV audience rating as the novel proxy for the provincial investor sentiment (PIS) and investigate its relation with stock returns. The empirical results firstly show that the PIS is positively related to stock returns. Secondly, we provide direct evidence on the existence of home bias in China by observing that the provincial correlation coefficient is significantly larger than the cross-provincial correlation coefficient. Finally, the PIS can explain a large proportion of provincial comovement. To sum up, all these findings support the role of the non-traditional information sources in understanding the "anomalies" in stock market.

  5. Analysis of the Chinese provincial air transportation network

    NASA Astrophysics Data System (ADS)

    Du, Wen-Bo; Liang, Bo-Yuan; Hong, Chen; Lordan, Oriol

    2017-01-01

    The air transportation system is of a great impact on the economy and globalization of a country. In this paper, we analyze the Chinese air transportation network (ATN) from a provincial perspective via the complex network framework, where all airports located in one province are abstracted as a single node and flights between two provinces are denoted by a link. The results show that the network exhibits small-world property, homogeneous structure and disassortative mixing. The variation of the flight flow within 24 h is investigated and an obvious tide phenomenon is found in the dynamics of Chinese provincial ATN for high output level of tertiary industry. Our work will offer a novel approach for understanding the characteristic of the Chinese air transportation network.

  6. The determinants of Chinese provincial government health expenditures: evidence from 2002-2006 data.

    PubMed

    Pan, Jay; Liu, Gordon G

    2012-07-01

    There is great divergence in provincial government health expenditures in China. Real per capita provincial government health expenditures (GHE) over the period 2002-2006 are examined using panel regression analysis. Key determinants of real per capita provincial GHE are real provincial per capita general budget revenue, real provincial per capita transfers from the central government, the proportion of provincial population under age 15, urban employee basic health insurance coverage, and proportion of urban population. Roughly equal and relatively low elasticities of budget revenue and transfers imply that the GHE is a necessity rather than a luxury good, and transfers have yet to become efficient instruments for the fair allocation of health resources by policy makers. Moreover, severe acute respiratory syndrome outbreak has increased the GHE, but we find no statistical evidence that provincial GHE have fluctuated according to the public health status. Copyright © 2011 John Wiley & Sons, Ltd.

  7. Modeling the runoff regime of the glacierised upper Aconcagua River Basin using a physically-based distributed hydrological model: the value of short term glaciological observations

    NASA Astrophysics Data System (ADS)

    Ragettli, S.; Pellicciotti, F.; Molnar, D.; Rimkus, S.; Helbing, J.; Escobar, F.; Burlando, P.

    2010-12-01

    In the Central Andes of Chile the interactions between snow, glaciers and water resources are governed by a distinct climatological forcing. Summers are dry and stable, with precipitation close to zero, low relative humidity and intense solar radiation. During the summer months, water originates almost exclusively from snow and ice melt. Evidence of glaciers retreat and changes in the seasonal snow cover suggests that climate change might have an impact on the water resources in the area. We use the physically-based, spatially-distributed hydrological model TOPKAPI to study the processes governing the exchange between the climate, snow and ice in the upper Aconcagua River Basin. The model incorporates the melting of snow and ice based on a simplified energy-balance approach (ETI model) and the routing of melt water through the glacial system. The model has numerous empirical parameters used in the computation of the single components of the hydrological cycle, the determination of which might lead to problems of equifinality. To address this issue we set up a rigorous calibration procedure that allows calibration of the main model parameters in three different steps by separating parameters governing distinct processes. We evaluate the parameters’ transferability in time and investigate the differences in model parameters and performance that result from applying the model at different spatial scales. The model ability to simulate the relevant processes is tested against a data set of meteorological data, measurements of surface ablation and glacier runoff at the snout of the Juncal Norte Glacier during two ablation seasons. Modeled snow height is compared to snow maps derived from terrestrial photos and MODIS images. Results show that the magnitude of snow and icemelt rates on the glacier tongue is correctly reproduced, but simulations at higher elevation have a larger uncertainty. Crucial factors affecting model performance are the model ability to simulate the

  8. Spionidae (Annelida: Polychaeta) from the Parque Nacional Morrocoy, Falcón, Venezuela.

    PubMed

    Bone, D; Viéitez, J M

    2002-03-01

    Five species of polychaetes (Spionidae) were found associated to Thalassia testudinum meadows in Parque Nacional Morrocoy, Venezuela. We included a guide for their identification and present range extensions for the Venezuelan coasts and Southern Caribbean Sea. The species are: Dipolydora socialis, Prionospio (Minuspio) cirrifera, P. (Prionospio) fallax, P. (P.) steenstrupi, and Spio pettiboneae.

  9. Exploring work-life issues in provincial corrections settings.

    PubMed

    Almost, Joan; Doran, Diane; Ogilvie, Linda; Miller, Crystal; Kennedy, Shirley; Timmings, Carol; Rose, Don N; Squires, Mae; Lee, Charlotte T; Bookey-Bassett, Sue

    2013-01-01

    Correctional nurses hold a unique position within the nursing profession as their work environment combines the demands of two systems, corrections and health care. Nurses working within these settings must be constantly aware of security issues while ensuring that quality care is provided. The primary role of nurses in correctional health care underscores the importance of understanding nurses' perceptions about their work. The purpose of this study was to examine the work environment of nurses working in provincial correctional facilities. A mixed-methods design was used. Interviews were conducted with 13 nurses and healthcare managers (HCMs) from five facilities. Surveys were distributed to 511 nurses and HCMs in all provincial facilities across the province of Ontario, Canada. The final sample consisted of 270 nurses and 27 HCMs with completed surveys. Participants identified several key issues in their work environments, including inadequate staffing and heavy workloads, limited control over practice and scope of practice, limited resources, and challenging workplace relationships. Work environment interventions are needed to address these issues and subsequently improve the recruitment and retention of correctional nurses.

  10. Attitudes of Employees of Provincial Directorates of National Education and School Administrators towards Strategic Planning

    ERIC Educational Resources Information Center

    Altinkurt, Yahya

    2010-01-01

    The aim of the study is to determine the attitudes of employees of Provincial Directorates of National Education and school administrators towards strategic planning. The research was designed as a survey model study. The population of the research consisted of employees of Provincial Directorate of National Education of Kutahya and school…

  11. The Myth of the Citizen Soldier: Rhode Island Provincial Soldiers in the French and Indian War

    DTIC Science & Technology

    2016-06-10

    for frontier defensive positions following the hostilities of King Phillip’s War, and the full-time provincial militia recruited or impressed for...frontier militia raised for frontier defensive positions following the hostilities of King Phillip’s War, and the full- time provincial militia...29 Rhode Island is Established .......................................................................................... 31 King

  12. Contaminated sites management in the province of British Columbia: A review of provincial roles and responsibilities

    SciTech Connect

    Huestis, L.B.

    1990-01-01

    Site redevelopments have increased the urgency of establishing objectives for contaminated site management in B.C., and reflecting these objectives in provincial legislation. This study addresses proposals to deal with contaminated sites which fall outside the scope of current provincial legislation. The report identifies the various concerns and issues raised; looks at the scope of legislative authority, the processes for assessment and remediations, and the assignment of costs for clean-up; reviews the extent and distribution of existing legislative authority between provincial and local governments; reviews the principles governing government liability; and describes the comparative legislation in the U.S., the Netherlands, Ontario and Quebec.

  13. Images of the Toronto Provincial Asylum, 1846-1890.

    PubMed

    Flis, Nathan

    2009-01-01

    Built in 1850, the Toronto Provincial Asylum was once the largest mental hospitals in Canada. The main building was demolished in 1975, and the property is now home to the Queen Street branch of the Centre for Addiction and Mental Health. Although there are remnants of the nineteenth-century institution, including most of the perimeter wall, the only lasting visual reminder of the property as a whole is a small group of images. By the last quarter of the nineteenth century, perhaps in order to ease public concern over the increasingly custodial function of the institution, Victorian media sources repeatedly presented an unchanging or immutable depiction of the Toronto Asylum. Drawing upon the architectural concept drawings of the 1840s, which contained an ideal vision for the building, pictures from the 1870s, 80s and 90s depict the asylum as the new, clean, and proud-looking structure it was when it opened. Arguably, these images are what the Victorian public wanted to see: they preserved the early-century optimism that such institutions would yield high cure rates and they supported the view that the care of the mentally ill belonged in the hands of the medical profession.

  14. Pharmaceutical policies in Canada: another example of federal-provincial discord

    PubMed Central

    Anis, A H

    2000-01-01

    Pharmaceutical policy in Canada is set at both the federal and provincial levels of government. The federal government is responsible for intellectual property rights of manufacturers (patents) and the initial approval and labelling of prescription drugs and for ensuring overall market competitiveness. The provincial government has responsibility and jurisdiction over the funding of all health care services, including pharmaceuticals. Various interactions between the pharmaceutical industry, the federal and provincial governments and consumers have shaped the current landscape for prescription drugs in Canada. One key failing of the system is that the federal government is almost completely insulated from the impact of its policies because, although it regulates drug prices, it does not buy any drugs. In contrast, provincial governments have no jurisdiction over market competitiveness or pricing, yet end up paying for most of the drug expenditures incurred. PMID:10701389

  15. The Rural Type of Settlement through the Eyes of Provincial College Students in Penza Oblast

    ERIC Educational Resources Information Center

    Davydova, N. E.

    2013-01-01

    Research on provincial students in Russia indicates that the barriers to living and working in rural areas are seen as real, but that they may also be outweighed by the perceived benefits for family life. (Contains 2 tables.)

  16. The Rural Type of Settlement through the Eyes of Provincial College Students in Penza Oblast

    ERIC Educational Resources Information Center

    Davydova, N. E.

    2013-01-01

    Research on provincial students in Russia indicates that the barriers to living and working in rural areas are seen as real, but that they may also be outweighed by the perceived benefits for family life. (Contains 2 tables.)

  17. Creating a Provincial Family Council to Engage Youth and Families in Child & Youth Mental Health Systems

    PubMed Central

    Davidson, Jana; Wiens, Sandy; Anderson, Keli

    2010-01-01

    Objective: To create a mechanism in British Columbia (BC) for youth and families to directly engage with key provincial committees that develop policy and implement service delivery for child and youth mental health. Method: In 2009, a plan was initiated to increase the involvement and influence of youth and families in research, policy, practices and programs related to child and youth mental health. This initiative, led by a provincial family advocacy society in partnership with representatives from health services and government, resulted in the establishment of the Provincial Family Council for Child and Youth Mental Health (PFC). Formation of the PFC occurred in two phases: initially, a Working Group co-chaired by a parent and a youth was tasked with developing the Terms of Reference and framework for the PFC; phase two involved ensuring important constituencies/demographics and competencies were represented in the membership of the PFC. Result: The Provincial Family Council is officially endorsed by the provincial government and is informing key provincial committees in British Columbia. Conclusion: In BC, the PFC is the vehicle through which youth and families can now work in partnership with “the system” to promote and improve the mental health of BC’s children and youth. PMID:20842271

  18. [Phlebotomine sandflies in Parque Nacional Cavernas do Peruaçu, Minas Gerais state, Brazil].

    PubMed

    Barata, Ricardo A; Antonini, Yasmine; Gonçalves, Caroline M; Costa, Daniela C; Dias, Edelberto S

    2008-01-01

    We surveyed the phlebotomine fauna in the Parque Nacional Cavernas do Peruaçu, Minas Gerais, Brazil, aiming to associate the presence of vector with the risk of leishmaniasis transmission. Field captures were performed with CDC light traps between February and March 2003. A total of 436 sand flies were captured, belonging to 14 species. The predominant species (28.7%) was Lutzomyia ischnacantha Martins, Souza e Falcão, followed by L. renei (27,06%) and L. cavernicola (13,07%). The finding of L. intermedia, a species that is incriminated as vector of cutaneous leishmaniasis, has to be taken into account.

  19. An Overview of the Ontario Provincial Educational System, as It Relates to the Tension between Centralized Provincial Direction and Local School Board Implementation of Curriculum Standards.

    ERIC Educational Resources Information Center

    Nightingale, P. W.

    Historical and philosophical tensions between Ontario's central provincial educational system and local school boards have been mitigated by division of administrative responsibilities. The province's vastness and cultural diversity are persistent sources of tension. Historical tensions are significant, for colonial schooling standards and French…

  20. FLOATING COMMUNITIES OF ALGAE IN AN ARTIFICIAL POND IN THE PARQUE DO ESTADO, SÃO PAULO, BRAZIL(1).

    PubMed

    de Mattos Bicudo, C E; Teixeira Bicudo, R M

    1967-12-01

    A fresluvater floating algal community was repeatedly observed in an artificial pond in the Parque do Estado São Paulo, Brazil. The ontogeny and composition of the community are discussed and are related to oxygen liberation during photosynthesis of the periphyton, or of the pond-bottom algne, which carries up portions of the algae growing there.

  1. Male marriage squeeze and inter-provincial marriage in central China: evidence from Anhui

    PubMed Central

    Liu, Lige; Brown, Melissa J.; Feldman, Marcus W.

    2015-01-01

    Since the 1990s, inter-provincial female migration for marriage has become important in central and eastern rural China. Using survey data from X County in rural Anhui Province, we explore the arrangement of inter-provincial marriages, as well as the characteristics of husbands and wives, marital satisfaction, and marital stability for these marriages. We find that inter-provincial marriage is an important option for local men to respond to the marriage squeeze and the increasing expense of marriage. It helps to relieve the shortage of marriageable women in the local marriage market. Because this kind of marriage is based on economic exchange, but not affection, it is often subject to a higher risk of marriage instability, and can lead to such illegal behaviors as marriage fraud and mercenary marriage. PMID:26594102

  2. Regional health accounts for Pakistan--expenditure disparities on provincial and district level.

    PubMed

    Lorenz, Christian; Khalid, Muhammad

    2011-05-01

    Since May 2009 the first National Health Accounts (NHA) for Pakistan have been finalised and published by Federal Bureau of Statistics (FBS) in cooperation with German Technical Cooperation (GTZ). This paper goes one step ahead of the report and analyses in more detail the regional differences in health expenditure structures in Pakistan. The further analyses can be divided into four parts: health expenditures in provinces (Provincial Health Accounts, PHA), Punjab provincial and district governments health expenditures and its comparison with ADB figures, all districts of Pakistan and comparison between total district government and provincial government expenditure for each province; the latter calculation is applied as indication for the degree of fiscal autonomy of the districts in each province. Consequently, first the provincial health expenditures by Financial Agents is analysed and compared between the provinces which leads to very heterogeneous results (section 2); the per capita health expenditures differ from 16 to 23 USD. Secondly, NHA results on Punjab district government are compared with available ADB results and differences in methods as possible reasons for different results are presented (section 3). Third, district data of all district governments in all four Pakistani provinces are analysed on the level of detailed function codes in section 4; the aim is to discover regional differences between districts of the same as well as of different provinces. Fourth, in section 5 the degree of fiscal autonomy on health of the districts in each province is analysed; therefore the ordinance description is reviewed and total district government with total provincial government expenditures are compared per province. Finally recommendations for future rounds of NHA in Pakistan are given regarding formats and necessities of detailed health expenditure data collection to ensure evidence based decision making not only on federal, but also on provincial and

  3. Does Variation among Provincial Drug Formulary Antimicrobial Listings in Canada Influence Prescribing Rates?

    PubMed Central

    Glass-Kaastra, Shiona K.; Finley, Rita; Hutchinson, Jim; Patrick, David M.; Weiss, Karl; Conly, John

    2014-01-01

    Background The financial accessibility of antimicrobial drugs to the outpatient community in Canada is governed at the provincial level through formularies. Each province may choose to list particular drugs or impose restriction criteria on products in order to guide prescribing and/or curtail costs. Although changes to formularies have been shown to change patterns in the use of individual products and alter costs, no comparison has been made among the provincial antimicrobial formularies with regards to flexibility/stringency, or an assessment of how these formularies impact overall antimicrobial use in the provinces. Objectives To summarize provincial antimicrobial formularies and assess whether their relative flexibility/stringency had a statistical impact upon provincial prescription volume during a one year period. Methods Provincial drug plan formularies were accessed and summarized for all prescribed antimicrobials in Canada during 2010. The number of general and restricted benefits for each plan was compiled by antimicrobial classification. Population-adjusted prescription rates for all individual antimicrobials and by antimicrobial class were obtained from the Canadian Integrated Program for Antimicrobial Resistance Surveillance. Correlations between the number of general benefits, restricted benefits, and total benefits with the prescription rate in the provinces were assessed by Spearman rank correlation coefficients. Results Formularies varied considerably among the Canadian provinces. Quebec had the most flexible formulary, offering the greatest number of general benefits and fewest restrictions. In contrast, Saskatchewan's formulary displayed the lowest number of general benefits and most restrictions. Correlation analyses detected a single significant result; macrolide prescription rates decreased as the number of general macrolide benefits increased. All other rates of provincial antimicrobial prescribing and measures of flexibility

  4. Inter-provincial migration in Spain: temporal trends and age-specific patterns.

    PubMed

    Garcia Coll, A; Stillwell, J

    1999-01-01

    "This paper provides interpretation of the changing patterns of internal migration in Spain at the inter-provincial scale, and new analysis of age-specific migration during the 1980s using a 10% sample of anonymised records from the 1991 census. Schedules of age-specific gross migration rates are constructed and classified according to their shape and level relative to the national schedule, and the relationships between in-migration and out-migration rates are examined for four selected age groups to demonstrate how aggregate patterns of inter-provincial migration conceal a wide diversity of age specific experience."

  5. Inter-provincial migration in Turkey and its socio-economic background: a correlation analysis.

    PubMed

    Doh, R

    1984-01-01

    An analysis of the socioeconomic factors affecting inter-provincial migration in Turkey is presented. The data concern the period 1970-1975 and are derived from census data on provincial age structure. The results suggest that the level of urban wages has little impact on migration and that push factors in the region of origin are significant. The findings also indicate that "it is not only...urban job creation that promotes migration but the stock of job opportunities as well. These stock variables of employment opportunities correlated significantly higher with migration rates than the flow variables of job creation." (summary in TUR)

  6. A hybrid method for provincial scale energy-related carbon emission allocation in China.

    PubMed

    Bai, Hongtao; Zhang, Yingxuan; Wang, Huizhi; Huang, Yanying; Xu, He

    2014-01-01

    Achievement of carbon emission reduction targets proposed by national governments relies on provincial/state allocations. In this study, a hybrid method for provincial energy-related carbon emissions allocation in China was developed to provide a good balance between production- and consumption-based approaches. In this method, provincial energy-related carbon emissions are decomposed into direct emissions of local activities other than thermal power generation and indirect emissions as a result of electricity consumption. Based on the carbon reduction efficiency principle, the responsibility for embodied emissions of provincial product transactions is assigned entirely to the production area. The responsibility for carbon generation during the production of thermal power is borne by the electricity consumption area, which ensures that different regions with resource endowments have rational development space. Empirical studies were conducted to examine the hybrid method and three indices, per capita GDP, resource endowment index and the proportion of energy-intensive industries, were screened to preliminarily interpret the differences among China's regional carbon emissions. Uncertainty analysis and a discussion of this method are also provided herein.

  7. Decentralization of Sports Services Opinions of Youth Services and Provincial Directors of Sports

    ERIC Educational Resources Information Center

    Aydogan, Hayri

    2016-01-01

    The purpose of this paper is to make a study on opinions of Youth Services and Provincial Directors of Sports related to decentralization of sports services according to demographical variables like educational background, age, total professional working period, and working period as a director. While the population of the study consists of 81…

  8. Physician numbers as a driver of provincial government health spending in Canadian health policy.

    PubMed

    Di Matteo, Livio

    2014-03-01

    Physician spending is one of the fastest growing Canadian public sector health categories of recent years but despite their recent growth physician numbers are a relatively small contributor to the increases in total provincial government health expenditure. Regression models of the determinants of provincial government health spending are estimated and show physician numbers are a positive and significant driver of provincial government health care spending after controlling for other factors though the overall contribution is relatively small. From 1975 to 2009, the increases in physician numbers accounted for a range of 3.2-13.3 percent of the increase in real per capita total provincial government health expenditures ranging from a low of 1.9 to 7.6 percent for Manitoba to a high of 5.3 to 18.3 percent for Quebec. These are modest contributions to total health spending but vary more substantially across provinces when hospital and physician spending alone are considered particularly for Quebec and British Columbia. Nevertheless, these results suggest that physician numbers alone are a modest policy concern when it comes to restraining health costs and other factors such as utilization and fees are more important.

  9. Chemistry 300. Administration Manual for Supervising Teachers, Provincial Examination, Answer Key--Multiple-Choice and Written-Answer Questions, and Provincial Summary Report = Chimie 300. Guide d'administration a l'intention des surveillants d'examen, Examen provincial, Cle de correction--Questions choix multiple et Questions responses ouvertes, et Rapport sommaire provincial.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg.

    This collection of manuals contains the Manitoba Provincial Chemistry Examination for students seeking credit in Senior 4 Chemistry (Chemistry 300) and instructions for its use and grading. The examination is based on the Core Topics of the Senior 4 Chemistry course and accounts for 30% of the student's final grade in the course. The examination…

  10. The Role of Provincial Reconstruction Teams in Stability Operations: Reality and Potential

    DTIC Science & Technology

    2008-05-01

    Afghanistan: Lessons Identified, United States Institute of Peace, 2006, 6. 53 Dylan Hendrickson, Michael Bhatia, Mark Knight, and Annabel Taylor, A...Graphics. Washington, D.C: 2004. Hendrickson, Dylan, Michael Bhatia, Mark Knight, and Annabel Taylor. A Review of DFID Involvement in Provincial

  11. Chemistry 300. Administration Manual for Supervising Teachers, Provincial Examination, Answer Key--Multiple-Choice and Written-Answer Questions, and Provincial Summary Report = Chimie 300. Guide d'administration a l'intention des surveillants d'examen, Examen provincial, Cle de correction--Questions choix multiple et Questions responses ouvertes, et Rapport sommaire provincial.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg.

    This collection of manuals contains the Manitoba Provincial Chemistry Examination for students seeking credit in Senior 4 Chemistry (Chemistry 300) and instructions for its use and grading. The examination is based on the Core Topics of the Senior 4 Chemistry course and accounts for 30% of the student's final grade in the course. The examination…

  12. Provincial drug plan officials' views of the Canadian drug safety system.

    PubMed

    Lexchin, Joel; Wiktorowicz, Mary; Moscou, Kathy; Eggertson, Laura

    2013-06-01

    The Canadian constitution divides the responsibility for pharmaceuticals between the federal and provincial governments. While the provincial governments are responsible for establishing public formularies, the majority of the safety and efficacy information that the provinces use comes from the federal government. We interviewed drug plan officials from eight of the ten provinces and two of three territories regarding their views on the Canadian drug safety system. Here we report on the following categories: the federal drug approval system; the strengths and weaknesses of the federal system of postmarket pharmaceutical safety (i.e., pharmacosurveillance); resources available to support provincial formulary decision making; provincial roles in pharmacosurveillance; how the drug safety system could be improved; and the role of the Drug Safety and Effectiveness Network, a recently established virtual network designed to connect researchers throughout Canada who conduct postmarket drug research. Next, we place the Canadian system within an international context by comparing informational asymmetry between government institutions in the United States and the European Union and by looking at how institutions support each other's roles in sharing information and in jointly developing policy through the International Conference on Harmonization. Finally, we draw on international experiences and suggest potential solutions to the concerns that our key informants have identified.

  13. Whose Responsibility?: Conflicting Federal/Provincial Legislation Governing the Training of Adults in Canada.

    ERIC Educational Resources Information Center

    Witter, Susan

    Canada's first constitution gave the provinces and territories the responsibility for education. Training for employment was interpreted as a shared responsibility between the federal and provincial governments. In 1960, with the passage of the Technical and Vocational Training Act, the federal government assumed a major role in occupational…

  14. The Self-Identification of Provincial Young People in the Context of Social-Status Affiliation

    ERIC Educational Resources Information Center

    Bukin, V. P.

    2011-01-01

    A survey conducted in two provincial areas of Russia provides the basis for an examination of the relation between the self-identification and the social status affiliation of young people. Self-assessments serve as the basis for a model of the social structure and a typology of the younger generation in these regions, in accordance with their…

  15. Modelling the runoff regime of the glacierised upper Aconcagua River Basin using a distributed hydrological model: a multi-criteria approach for simulations of glacier and snow melt contributions to streamflow

    NASA Astrophysics Data System (ADS)

    Ragettli, Silvan; Pellicciotti, Francesca; Molnar, Darcy; Rimkus, Stefan; Helbing, Jakob; Escobar, Fernando; Burlando, Paolo

    2010-05-01

    In the Central Andes of Chile the interactions between snow, glaciers and water resources are governed by a distinct climatological forcing. Summers are dry and stable, with precipitation close to zero, low relative humidity and intense solar radiation. During the summer months, water originates almost exclusively from snow and ice melt. Evidence of glaciers retreat and changes in the seasonal snow cover suggests that climate change might have an impact on the water resources in the area. We use the physically-based, spatially-distributed hydrological model TOPKAPI to study the processes governing the exchange between the climate, snow and ice in the upper Aconcagua River Basin. The model incorporates the melting of snow and ice based on a simplified energy-balance approach (ETI model) and the routing of melt water through the glacial system. The model has numerous empirical parameters used in the computation of the single components of the hydrological cycle, the determination of which might lead to problems of equifinality. To address this issue we set up a rigorous calibration procedure that allows calibration of the main model parameters in three different steps by separating parameters governing distinct processes. We evaluate the parameters' transferability in time and investigate the differences in model parameters and performance that result from applying the model at different spatial scales. The model ability to simulate the relevant processes is tested against a data set of meteorological data, measurements of surface ablation and glacier runoff at the snout of the Juncal Norte Glacier during two ablation seasons. Modelled snow height is compared to snow maps derived from terrestrial photos. Results show that the magnitude of snow and icemelt rates on the glacier tongue is correctly reproduced, but simulations at higher elevation have a larger uncertainty. Crucial factors affecting model performance are the model ability to simulate the redistribution of

  16. [The provincial medical system during the early days of Koryo Dynasty].

    PubMed

    Lee, Kyung-Lock

    2007-12-01

    This article explores the setup and development of the provincial medical system during the early days of Koryo (918-1392) Dynasty. Under the reign of King HyunJong (1009-1031) the dualistic medical system of the UiSa (a medical officer) and the YakJumSa (a provincial medical officer) was established. The former, the officer of central government, were sent to the local government, and the latter, the successor of provincial powerful clan, operated the YakJum. The Uisa supervised the YakJumSa in 13 local governments, and it indicates the will and the limitation of the power of Koryo government. On the other hand, a great number of the YakJumSa were spreaded throughout the country except the capital and the vice capital, and it means the development of medical system during the early days of Koryo. The missions of the Uisa and the YakJumSa were instructing the medical students, collecting the tribute herbs, treatment, and relieve the poor people. And they just took the right of collecting tax of the land as their salaries, and it was different from the another officers. This dualistic medical system of the UiSa and the YakJumSa got under way in the reign of King MoonJong (1046-1083). But after the reign of King YeJong (1105-1122) the YakJumSa became the only provincial medical officer as the UiSa had been perished for reducing the ruling system. So the monistic medical system of the YakJumSa was the final provincial medical system of Koryo. Despite accomplishing the nationwide medical network with the YakJumSa, Koryo government failed to maintain and develop the provincial medical system with the UiSa. And it caused the difference of medical standard between the ruling class of the capital and the people of the province. Therefore, it can be said that the important principal of the medical system of Koryo was hierarchy accordance with the regional difference.

  17. [Purveyors of technology: provincial engineers and the construction of road infrastructure in Minas Gerais].

    PubMed

    Barbosa, Lidiany Silva

    2011-01-01

    The article analyzes the role played by engineers in the construction of road infrastructure in Minas Gerais between the 1840s and 1880s. Building and providing regular maintenance for roads and bridges was a task carried out by the Minas Gerais provincial government, which since the 1830s had a specific agency assigned to designing, building, and maintaining public communication routes. Engineers were part of the agency from its inception, playing a significant role in designing projects and in the actual execution of certain works. The current study is grounded in administrative documentation in which the details of work progress are reported to the provincial government. The gathered records provide technical, administrative, and financial information, along with data on labor power and the agents engaged in construction works.

  18. A General Provincial Situation Visualization System Based on iPhone Operating System of Shandong Province

    NASA Astrophysics Data System (ADS)

    Ye, Z.; Xiang, H.

    2014-04-01

    The paper discusses the basic principles and the problem solutions during the design and implementation of the mobile GIS system, and base on the research result, we developed the General Provincial Situation Visualization System Based on iOS of Shandong Province. The system is developed in the Objective-C programming language, and use the ArcGIS Runtime SDK for IOS as the development tool to call the "World-map Shandong" services to implement the development of the General Provincial Situation Visualization System Based on iOS devices. The system is currently available for download in the Appstore and is chosen as the typical application case of ESRI China ArcGIS API for iOS.

  19. Establishing a provincial patient safety and learning system: pilot project results and lessons learned.

    PubMed

    Cochrane, Doug; Taylor, Annemarie; Miller, Georgene; Hait, Valoria; Matsui, Irene; Bharadwaj, Manish; Devine, Patrick

    2009-01-01

    An effective safety event reporting system is an essential part of a comprehensive patient safety program. In British Columbia, we are implementing a provincial web-based event reporting tool and learning system called the BC Patient Safety and Learning System (PSLS). In this paper, we describe and report the results of our pilot study in a neonatal intensive care unit at BC Women's Hospital in Vancouver. Our approach aimed to foster a culture of safety by using the technology implementation to facilitate organizational learning about patient safety and to promote sustainable reporting behaviours. Results showed that PSLS was enthusiastically adopted by staff and enabled efficient reporting, promoted timely and complete follow-up activities and facilitated quality improvement. Our lessons learned laid the foundation for the provincial rollout of PSLS and may be of interest to those implementing similar systems elsewhere.

  20. Going provincial: preceptoring and mentoring revisited in the health sciences. Part I.

    PubMed

    Mitchell, Carol; Sawatzky-Girling, Brenda

    2003-01-01

    This article describes the Preceptor & Mentor Initiative for Health Sciences in BC, a provincial strategy to facilitate preceptoring and mentoring. A web site was developed with a comprehensive preceptor/mentor framework and resources, based on best practices and applicable to all health sciences. Informal feedback indicates this Initiative is effective in supporting health sciences preceptoring and mentoring in BC. A formal evaluation will be conducted by March 2003 and reported in a future FORUM article.

  1. Iraq Provincial Reconstruction Teams: Flawed from the Start, How Perverse Incentives and Unintended Outcomes Impacted Success

    DTIC Science & Technology

    2013-06-17

    Provincial Reconstruction Team program as a species of foreign aid. It was perhaps a unique experiment in foreign aid, but it is best understood in that...from the donor nation and that a particular donor- nation corporation will supply the turbines . The developmental aid system is a phenomenon of the...entities and billions of dollars. The literature on the subject is vast and varied focusing on diverse topics from the effects of micro loans on small

  2. Effectiveness of Interagency Cooperation at the Provincial Reconstruction Team Level in Afghanistan

    DTIC Science & Technology

    2011-04-07

    Approved: ___ __.::..,,JL~~~---;;~~~~~~(._-;;;:--~1-:::--=-h.--;--;,------:----- D&e: ___________________ ~~~~~~-L+-------- . r . DISCLAIMER THE OPINIONS AND...Reconstruction Teams I was quickly overwhelmed by the massive amount of material on the subject as well as the complexity ’ , r of the interagency...rec;:onstruction and counterinsurgency efforts in " ’ • r Afghanistan.3 The Provincial ReconstrUction Team concept has been active in Afghanistan

  3. Provincial variation of carbon emissions from bituminous coal: Influence of inertinite and other factors

    USGS Publications Warehouse

    Quick, J.C.; Brill, T.

    2002-01-01

    We observe a 1.3 kg C/net GJ variation of carbon emissions due to inertinite abundance in some commercially available bituminous coal. An additional 0.9 kg C/net GJ variation of carbon emissions is expected due to the extent of coalification through the bituminous rank stages. Each percentage of sulfur in bituminous coal reduces carbon emissions by about 0.08 kg C/net GJ. Other factors, such as mineral content, liptinite abundance and individual macerals, also influence carbon emissions, but their quantitative effect is less certain. The large range of carbon emissions within the bituminous rank class suggests that rank- specific carbon emission factors are provincial rather than global. Although carbon emission factors that better account for this provincial variation might be calculated, we show that the data used for this calculation may vary according to the methods used to sample and analyze coal. Provincial variation of carbon emissions and the use of different coal sampling and analytical methods complicate the verification of national greenhouse gas inventories. Published by Elsevier Science B.V.

  4. (Ir)reconcilable differences? Local reactions to provincial neoliberal educational reform.

    PubMed

    Shoveller, Jean; Elliott, Danielle; Johnson, Joy

    2005-01-01

    In this case study, we explore the intersections of neoliberal educational reform and the everyday experiences of people living in a rural region in northern British Columbia, Canada. Reflecting on the provincial Ministry of Education's Strategic Plan, we explore one region's responses to a set of provincial promises, which include providing regional school districts with more autonomy and control over the delivery of education services and a mandate for a balanced budget. The region faced declining student enrolments and funding shortfalls. As a cost-saving measure, the local school district in the region launched a four-day school week. We used ethnographic fieldwork techniques to examine a set of local practices and consequences that arose following the implementation of this measure. The findings demonstrate how provincial promises of educational reform can conflict with local educational needs and create a set of problematic everyday realities with repercussions on youth health, amplifying health inequalities that are irreconcilable with the purported goals of advancing the interests of students and society.

  5. Comparison of the Anthropometric and Physical Characteristics of International and Provincial Rugby Sevens Players.

    PubMed

    Ross, Alex; Gill, Nicholas D; Cronin, John B

    2015-09-01

    Anthropometrical and physical characteristics have been used to distinguish players of different competition levels and position groups; however, there is no literature on rugby sevens. To compare the anthropometrical and physical characteristics of international and provincial rugby sevens players and between forwards and backs. To assess whether differences exist, 65 rugby sevens players including 22 international players and 43 provincial-level players were assessed for height, mass, body composition, speed, repeated-sprint ability, lower-body power, upper-body strength, and maximal aerobic endurance during in-season preparation for tournaments. Clear differences (2.8-32%; small to very large effect sizes) were observed in all anthropometrical and physical measures between international and provincial players, with the largest differences observed in repeated-sprint ability (5.7%; very large effect size), 40-m-sprint time (4.4%; large effect size), 50-kg squat-jump peak power (32%; large effect size), and multistage fitness-test performance (19%; large effect size). Fewer and smaller differences (0.7-14%; trivial to large effect sizes) were found when comparing forwards and backs, with body height being the most discriminant characteristic (3.5%; large effect size). Lower-level rugby sevens players should seek to improve their overall physical profile, particularly their repeated-sprint ability, to reach higher levels in rugby sevens. Furthermore, positional status may have little importance when preparing for rugby sevens.

  6. The Inter-provincial Transfer of Transportation Hidden Carbon in China’s Provinces

    NASA Astrophysics Data System (ADS)

    Jiao, Ping; Wang, Jian Wei; Zhang, Shuai

    2017-01-01

    Recognize the characteristics of the inter-provincial transportation hidden carbon transfer scientifically, which is significant to evaluate regional carbon emission correctly and reasonably and make the regional carbon reduction policies. With the China’s interregional input-output tables in 2007 and 2010 years, this paper measures the transportation hidden carbon and researches the features of inter-provincial transportation hidden carbon transfer. The results show that: (1) The Shanxi, Hubei and et al in central-western regions is the major importer of carbon emission, and the Tianjin, Jiangsu, Fujian and et al in eastern regions is the net exporter; (2)The transfer size and density of the eastern, central and western regions present the decreasing tendency. The more advanced the economy, the higher the transportation hidden carbon emission. In China, the Beijing-Tianjin-Hebei Economic Band is the most cohesive region about size and density. As the results, the responsibility of provincial transportation carbon emission should be properly adjusted, and regional linkage carbon emission policies should be implemented.

  7. Organizational factors, planning capacity, and integration challenges constrain provincial planning processes for nutrition in decentralizing Vietnam.

    PubMed

    Lapping, Karin; Frongillo, Edward A; Nguyen, Phuong H; Coates, Jennifer; Webb, Patrick; Menon, Purnima

    2014-09-01

    Translating national policies and guidelines into effective action at the subnational level (e.g., province or region) is a prerequisite for ensuring an impact on nutrition. In several countries, including Vietnam, the focus of this paper, this process is affected by the quality of the decentralized process of planning and action. This study examined how provincial planning processes for nutrition occurred in Vietnam during 2009 and 2010. Key goals were to understand variability in processes across provinces, identify factors that influenced the process, and assess the usefulness of the process for individuals involved in planning and action. A qualitative case-study methodology was used. Data were drawn from interviews with 51 government officials in eight provinces. The study found little variability in the planning process among these eight provinces, probably due to a planning process that was predominantly a fiscal exercise within the confines of a largely centralized structure. Respondents were almost unanimous about the main barriers: a top-down approach to planning, limited human capacity for effective planning at subnational levels, and difficulty in integrating actions from multiple sectors. Provincial-level actors were deeply dissatisfied with the nature of their role in the process. Despite the rhetoric to the contrary, too much power is probably still retained at the central level. A strategic multiyear approach is needed to strengthen the provincial planning process and address many of the key barriers identified in this study.

  8. Ancient parasites from endemic deer from "CUEVA PARQUE DIANA" archeological site, Patagonia, Argentina.

    PubMed

    Beltrame, María Ornela; Tietze, Eleonor; Pérez, Alberto Enrique; Bellusci, Agustín; Sardella, Norma Haydée

    2017-03-24

    The narrow Andean-Patagonian temperate rainforest strip in the west of southern South America is inhabited by two endemic species of cervids, the southern pudu (Pudu puda) and the huemul (Hippocamelus bisulcus), both cataloged as near threatened and threatened species, respectively. One of the possible causes of their declined number is the susceptibility to livestock diseases. Significant zooarchaeological records of both deer have been found throughout the Holocene from Patagonia. The present contribution reports the first paleoparasitological results obtained from coprolites of endemic deer from the archeological site "Cueva Parque Diana," Neuquén Province, Argentina, and discusses the possible diseases found in ancient times. Thirty-four coprolites were fully processed, rehydrated, homogenized, sieved, subjected to spontaneous sedimentation, and examined by light microscopy. Thirty samples contained parasite remains. The presence of diverse parasitic diseases such as trematodioses, metastrongylosis, trichuriosis, strongylida gastroenteritis, dioctophymosis, and coccidiosis which could cause diseases in deer previous to the arrival of European livestock and the presence of zoonotic diseases in the hunters-gatherers and fishermen are discussed.

  9. Provincial Disparities of Growth Hormone Coverage for Young Adult Survivors of Paediatric Brain Tumours across Canada

    PubMed Central

    Hasan, Haroon; Howard, Fuchsia; Morgan, Steven G.; Metzger, Daniel L.; Gill, Sabrina; Johnson, Michelle; Lo, Andrea C.; Goddard, Karen

    2014-01-01

    Background: Young adult survivors of paediatric brain tumours (PBTs) who have been treated with radiation therapy will likely be severely growth hormone–deficient when retested at the achievement of final height. Growth hormone replacement therapy (GHRT) is administered to treat growth hormone deficiency (GHD). Public drug coverage for GHRT falls under the responsibility of provincial governments across Canada. This study sought to determine the extent of public drug coverage and cost in each Canadian province for GHRT to treat GHD during adulthood for young adult survivors of PBTs. Methods: Data were collected from provincial government resources and drug formularies from 2012–2013 on the extent of coverage for GHRT based on a clinical case scenario representative of a young adult survivor of a PBT with childhood-onset radiation-induced GHD, the ingredient cost for GHRT and the applicable provincial public drug plan cost-sharing policies. A model was then created to simulate out-of-pocket costs incurred by a young adult male and a young adult female survivor of a PBT for one year of GHRT in each province with applicable cost-sharing arrangements and levels of low annual individual total income that best represent the majority of young adult survivors of PBTs. Out-of-pocket costs were expressed as a percentage of annual income. Comparisons were made between provinces descriptively, and variation among provinces was summarized statistically. Results: Alberta, Manitoba, Ontario, Quebec, New Brunswick, and Newfoundland and Labrador provide coverage for GHD during adulthood on a case-by-case basis, while British Columbia, Saskatchewan, Nova Scotia and Prince Edward Island provide no coverage. The percentage of annual income to fund GHRT across the provinces without public coverage ranged from 14.4% to 25.5% for males and 21.5% to 38.3% for females, and with public coverage was 0.0% to 4.1% for males and 0.0% to 5.0% for females. Interpretation: There are

  10. A new Nototriton (Caudata: Plethodontidae) from Parque Nacional Montaña de Botaderos in northeastern Honduras.

    PubMed

    Townsend, Josiah H; Medina-flores, Melissa; Reyes-Calderón, Onán; Austin, James D

    2013-01-01

    The highlands of northeastern Honduras remain under-characterized in terms of biological diversity, as exemplified by the regularity of new amphibian and reptile taxa discoveries. Following the recent description of a new species of Nototriton from the Sierra de Agalta in northeastern Honduras, we report the discovery of a second new species of Nototriton from the nearby Parque Nacional Montaña de Botaderos. This new taxon, Nototriton mime sp. nov., is distinguished from other Nototriton by its distinctive pale brown dorsal coloration in adult males, relatively large nares, a relatively broad head, mitochondrial sequence divergence, and phylogenetic relationships, and is geographically isolated from other populations of Nototriton.

  11. An enigmatic frog of the genus Atelopus (Family Bufonidae) from Parque Nacional Chirripó, Cordillera de Talamanca, Costa Rica.

    PubMed

    Savage, Jay M; Bolaños, Federico

    2009-01-01

    A distinctive new species of Atelopus is described from Parque Nacional Chirrip6 Grande, Cordillera de Talamanca (3,400-3,500 m). It closely resembles populations of the Atelopus ignescens complex from the Andes of northern Ecuador and southern Colombia. It differs most significantly from these frogs in the pattern of spiculae and coni development on the throat, chest, hands and feet. The Costa Rican species appears to be an outlier of the complex inexplicably separated geographically from its nearest allies by an over land distance of about 1,600 km.

  12. Survival of captive-reared Hispaniolan Parrots released in Parque Nacional del Este, Dominican Republic

    USGS Publications Warehouse

    Collazo, J.A.; White, T.H.; Vilella, F.J.; Guerrero, S.A.

    2003-01-01

    We report first-year survival rates of 49 captive-reared Hispaniolan Parrots (Amazona ventralis) released in Parque Nacional del Este, Dominican Republic. Our goal was to learn about factors affecting postrelease survival. Specifically, we tested if survival was related to movements and whether modifying prerelease protocols influenced survival rates. We also estimated survival in the aftermath of Hurricane Georges (22 September 1998). Twenty-four parrots, fitted with radio-transmitters, were released between 14 September and 12 December 1997. Twenty-five more were released between 29 June and 16 September 1998. First-year survival rates were 30% in 1997 and 29% in 1998. Survival probability was related to bird mobility. In contrast to birds released in 1997, none of the 25 parrots released in 1998 suffered early postrelease mortality (i.e., 3-5 days after release). Two adjustments to prerelease protocols (increased exercise and reduced blood sampling) made in 1998 may have contributed to differences in mobility and survival between years. The reduction of early postrelease mortality in 1998 was encouraging, as was the prospect for higher first-year survival (e.g., 30% to 65%). Only one death was attributed to the immediate impact of the hurricane. Loss of foraging resources was likely a major contributor to ensuing mortality. Birds increased their mobility, presumably in search of food. Survival rates dropped 23% in only eight weeks posthurricane. This study underscores the value of standardized prerelease protocols, and of estimating survival and testing for factors that might influence it. Inferences from such tests will provide the best basis to make adjustments to a release program.

  13. The phlebotomine sand flies fauna in Parque Estadual do Rio Doce, Minas Gerais, Brazil.

    PubMed

    de Souza, Cristian Ferreira; Brazil, Reginaldo Peçanha; Bevilacqua, Paula Dias; Andrade Filho, Jose Dilermando

    2015-12-02

    Phlebotomine sand flies are dipterans of the family Psychodidae. They are very important to veterinary medicine because some species are vectors of infective forms of Leishmania spp., the etiological agents of leishmaniasis. The Parque Estadual do Rio Doce is located in an area with constant reports of cases of leishmaniasis. In order to better understanding the phlebotamine sand fly fauna of the park, the present work was undertaken with the goal of analyzing phlebotomine sand flies collected there, verifying their seasonality and correlating their presence with forest and/or anthropic areas. To analyze the fauna of phlebotomine sand flies, HP-type, model CDC light traps were distributed along the Juquita trail of PERD. Twelve traps were installed between September 2012 and February 2014, and captured specimens were identified to species. A total of 1993 phlebotomine sand flies of 30 species were captured. The most abundant species were Pressatia choti, Psychodopygus davisi and Nyssomyia intermedia. The high number of Nyssomyia intermedia captured drew attention because they are considered one of the vectors of the infective Leishmania braziliensis present at PERD. No seasonality was observed in the occurrence of phlebotomine sand flies captured at PERD. The number of captured specimens of vector species, and the distance of traps from the forest boarder, were negatively correlated, showing that these vectors (Nyssomyia intermedia, Nyssomyia whitmani and Migonemyia migonei) were less common inside the forest area and that attention should be drawn to other potential vector species in the forest. These results can contribute to leishmaniasis prevention strategies directed at the visitors and professionals at or near PERD. The finding of the presence of Leishmania vectors in the park area must be given attention, since disease transmission can threaten people who visit PERD and its surroundings. Therefore, information on the prevention of leishmaniasis needs to be

  14. Abundance and species richness of Coreoidea (Hemiptera: Heteroptera) from Parque Estadual do Turvo, Southern Brazil.

    PubMed

    Barcellos, Aline; Schmidt, Letícia S; Brailovsky, Harry

    2008-01-01

    The coreoid fauna from Neotropics is poorly known, especially in terms of community studies. Aiming at contributing to this knowledge, a two-year study was carried out at Parque Estadual do Turvo, Municipality of Derrubadas, state of Rio Grande do Sul, Brazil, to evaluate the composition, abundance and species richness of Coreoidea. Samplings were conducted in the springs of 2003 and 2004 (October), and autumns of 2004 and 2005 (May), using beating tray method, along two trails of the park. Sampling effort (hours X collectors) totaled 153h. A total of 282 individuals of Coreoidea were collected, distributed in 28 species of Alydidae, Coreidae and Rhopalidae. The most abundant species was the coreid Cebrenis supina Brailovsky, representing 16% of the collected individuals, followed by the rhopalids Jadera aeola (Dallas), and Harmostes sp., with 12.1% and 11.7%, respectively. The estimated richnesses by Chao 1, Chao 2, Jackknife 1 and Jackknife 2 indicated that the observed richness corresponds to 70% to 80% of the expected for the area. The estimated richness through rarefaction was significantly higher in spring 2003 and autumn 2004 than in the other periods. There was no significant difference, however, between spring of 2003 and autumn of 2004, and between spring of 2004 and autumn of 2005, for the same parameter. Yucumã and Garcia trails did not differ significantly for the estimated richness. Singletons and doubletons represented 32.1% of the recorded species. Additionally, eight other species were obtained qualitatively by using, besides beating tray without protocol, manual collection.

  15. The origin of oriented lakes in the Andean foreland, Parque Nacional Torres del Paine (Chilean Patagonia)

    NASA Astrophysics Data System (ADS)

    Gonzales, Joseph; Aydin, Atilla

    2008-05-01

    The Parque Nacional Torres Del Paine and surrounding area in the Magallanes foreland basin in Chilean Patagonia is the site for numerous lakes fed by glaciers and rivers in the Andean highlands to the west. The lakes are elongate and have conspicuously systematic orientations. We hypothesize that the origin of the oriented lakes lies in the fault system, composed of a right-lateral strike-slip fault set oriented 58° from north, a left-lateral strike-slip set oriented 87°, and a thrust fault set oriented 167°, that exists within the underlying rocks. To test this hypothesis quantitatively, we determined the shape and orientation of the lakes by fitting each lake with an ellipse of appropriate aspect ratio, and later with multiple ellipses consistent with the composite geometry of some lakes. We then examined the faults in the area in terms of their kinematics, orientation and distribution. The distribution of lake orientations showed three distinct groups which appear to correspond to the three main fault groups. For lakes fitted with multiple ellipses, the difference in means between the right-lateral, left-lateral, and thrust faults and their corresponding groups of lakes are 3.05°, 1.57°, and 5.17°. Using a Kolmogorov-Smirnov (K-S) statistical test to compare the orientations of faults with respect to the lakes suggests that there is not a strongly significant difference between the fault orientations and the corresponding lake groups. These results indicate that the faults have a profound control on the orientation, shape, and distribution of the lakes. We attribute this to faults and their damage zones being weaker and therefore prone to a faster rate of erosion, and to stress perturbations associated with discontinuous faults resulting in localized high density fracturing and surface subsidence. These results have implications for lake and drainage system morphologies in other foreland basins along the Andes and other similar settings.

  16. [The study of establishment of the " Chinese provincial Blindness prevention technical guidance group performance evaluation system"].

    PubMed

    Lu, L N; He, X G; Zhu, J F; Xu, X; Zhang, R; Hu, X; Zou, H D

    2016-11-11

    Objective: To establish an assessment system, including indexes and scoring methods, that can be used for performance evaluation of the provincial blindness prevention technical guidance group properly and effectively . Methods: The indexes and scoring methods were set based on the core content of The " National Plan of Prevention and Treatment of Blindness (2012-2015)" , the specific requirement and target of the World Health Organization (WHO) "For the General Eye Health: Global plan of Action (2014-2019)" , and the current situation of the China's provinces and autonomous regions. These indexes should be of effectiveness, feasibility, comparability, guidance and advancing. Formed by a literature review of candidate indicators, the framework of the system is built by qualitative assessment. With the Delphi method, the system was further revised and improved. Empirical pilot study was then used to prove the feasibility, followed by the final qualitative analysis that establish the " Chinese provincial Blindness prevention technical guidance group performance evaluation system" . Results: Through the literature review and qualitative assessment, a six dimensional system framework was built, including 6 first-level indicators, 16 second-level indicators, and 29 third-level indicators through Delphi method evaluation. With the variation coefficient method, the coeffiences of the first-level index weight were calculated as: Organization and management 0.15, Development and implementation of blindness prevention plans 0.15, Implementation of blindness prevention projects 0.14, Training 0.17, Health education 0.18, and Cooperation and exchanges 0.21. The specific scoring method for this system is confirmed as: data and files check, field interview, and record interview, sampling investigation. Empirical pilot study was conducted in the Jilin, Guizhou and Gansu provinces, and the self-assessment results from local experts were consistent with the scores from the systems

  17. [Sources of finance for provincial occupational health services. Theory and practice].

    PubMed

    Rydlewska-Liszkowska, I; Jugo, B

    1999-01-01

    The financing of occupational health services (OHS) at the provincial level is an important issue in view of the transformation process going on not only in OHS but also in the overall health care system in Poland. New principles of financing must be now based on the cost and effects analyses. Thus, the question arises on how to provide financial means adequate to needs of health care institutions resulting from their tasks and responsibilities. The gaps existing in the information system have encouraged us to examine the situation in regard to the structure of financing and internal allocation of financial means. The objectives were formulated as follows: to characterise the sources of financial means received by provincial OHS centres; to analyse the structure of financial means derived from various sources, taking into account forms of financial administration, using the data provided by selected centres; to define the relation between the financial means being at the disposal of OHS centres and the scope of their activities; The information on the financing system was collected using a questionnaire mailed to directors of selected OHS centres. The information collected proved to be a valuable source of knowledge on the above mentioned issues as well as on how far the new system of financing associated with a new form of financial administration--an independent public health institution--has already been implemented. The studies indicated that at the present stage of the OHS system transformation it is very difficult to formulate conclusions on the financing administration in provincial OHS centres.

  18. Provincial Variation of Cochlear Implantation Surgical Volumes and Cost in Canada.

    PubMed

    Crowson, Matthew G; Chen, Joseph M; Tucci, Debara

    2017-01-01

    Objectives To investigate provincial cochlear implantation (CI) annual volume and cost trends. Study Design Database analysis. Setting National surgical volume and cost database. Subjects and Methods Aggregate-level provincial CI volumes and cost data for adult and pediatric CI surgery from 2005 to 2014 were obtained from the Canadian Institute for Health Information. Population-level aging forecast estimates were obtained from the Ontario Ministry of Finance and Statistics Canada. Linear fit, analysis of variance, and Tukey's analyses were utilized to compare variances and means. Results The national volume of annual CI procedures is forecasted to increase by <30 per year ( R(2) = 0.88). Ontario has the highest mean annual CI volume (282; 95% confidence interval, 258-308), followed by Alberta (92.0; 95% confidence interval, 66.3-118), which are significantly higher than all other provinces ( P < .05 for each). Ontario's annual CI procedure volume is forecasted to increase by <11 per year ( R(2) = 0.62). Newfoundland and Nova Scotia have the highest CI procedures per 100,000 residents as compared with all other provinces ( P < .05). Alberta, Newfoundland, and Manitoba have the highest estimated implantation cost of all provinces ( P < .05). Conclusions Historical trends of CI forecast modest national volume growth. Potential bottlenecks include provincial funding and access to surgical expertise. The proportion of older adult patients who may benefit from a CI will rise, and there may be insufficient capacity to meet this need. Delayed access to CI for pediatric patients is also a concern, given recent reports of long wait times for CI surgery.

  19. NURSES INFECTION PREVENTION PRACTICES IN HANDLING INJECTIONS: A CASE OF RIFT VALLEY PROVINCIAL HOSPITAL IN KENYA.

    PubMed

    Chemoiwa, R K; Mukthar, V K; Maranga, A K; Kulei, S J

    2014-10-01

    To analyse the infection prevention practices in handling of injections by nurses in Rift Valley Provincial Hospital in Kenya. A cross-sectional observational study. Rift Valley Provincial hospital which is a level five health facility situated in Nakuru County, Kenya. A sample of 386 injection procedures attributed to the nurses in Rift Valley Provincial Hospital was considered for this study. The study established that among all the injections administered in this study, 43.7% (386) adhered to aseptic techniques. Over seventy five percent (76.9%, n = 386) of the observed injections procedures did not involve the hand-washing, 53.4% (n = 206) did not involve swabbing of a vial rubber cap with alcohol swabs and 95.1%(n = 263) involved using of multidose drug in more than one designated patient. Over ninety five percent (95.6%, n = 364) of the observed procedures involved use of sterile the syringe bit of the devices only while the rest used either clean or contaminated syringes. Around forty percent (42.2%, n = 316) of the injections preparation was done elsewhere (not at the patient bedside) before administration. Slightly over thirty five percent (36.6%, n = 386) of the injections were administered immediately upon reconstitution(at the right time). The study also established the use of aseptic techniques to reconstitute and administer was significantly related to the number of nurses to patients ratio per shift (X2(1) = 3.5: p = 0.04). The findings of this study indicate that patient safety in public hospital is still relatively low. The adherence to basic infection prevention procedures/aseptic techniques in handling of injections by health workers is still a concern. The adherence to aseptic techniques in handling injections is significantly associated with the nurses to patients ratios. Therefore, it is imperative to improve nurse to patient ratio in public health facilities in Kenya.

  20. Downsizing of a provincial department of health--causes and implications for fiscal policy.

    PubMed

    Blecher, Mark

    2002-06-01

    To analyse the financial basis for downsizing of a provincial health department and suggest implications for fiscal policy. Analysis of relevant departmental, provincial and national financing and expenditure trends from 1995/96 to 2002/03. Western Cape (WC) Department of Health (DOH). Downsizing involving 9,282 health workers (27.9%) and closure of 3,601 hospital beds (24.4%) over 5 years. Total aggregate provincial transfers (all provinces) remained fairly constant in real terms. The WC's share decreased from 11.8% in 1996/97 to 9.8% in 2002/03. This was offset by the DOH's share of the WC budget increasing from 25.6% to 29.6%, mainly because of an increase in national health conditional grants. The net effect of financing changes was that the DOH's allocation in real terms was similar in 2002/03 and 1995/96, which suggests that financing changes are not the major cause of downsizing. Expenditure analysis revealed a 39.7% real rise in the average cost of health personnel. Substantial interprovincial inequities remain. The major cause of downsizing was wage growth, particularly following the 1996 wage agreement. Disjointed fiscal and wage policy has affected health services. Simultaneous application of policies of fiscal constraint, redistribution and substantial real wage growth has resulted in substantial downsizing with limited inroads into inequities. Inequities will continue to call for further redistribution, reduction in conditional grants and downsizing, much of which could have been avoided if fiscal and wage policy choices had been optimal.

  1. Quality Control Performance in a Provincial Veterinary Diagnostic Microbiology Laboratory System

    PubMed Central

    Lynch, John A.; Kierstead, Marsha E.

    1986-01-01

    A quality control exercise was carried out in a provincial laboratory system to assess the performance of nine bacteriology technologists working in six laboratories. A group of ten mock specimens were distributed to each participant. Identification of all organisms and antibiotic susceptibility testing of pathogens was requested. Of the 117 organisms distributed, 104 were correctly identified, five were incorrectly identified and eight were not reported. Overall less than 1% very major errors, less than 5% major errors and less than 10% minor errors were observed in the antibiotic susceptibility testing. Most frequent errors were associated with penicillins, aminoglycosides, polymyxin, tetracycline and fastidious organisms. PMID:17422640

  2. Urban-Rural and Provincial Disparities in Child Malnutrition in China.

    PubMed

    Wu, Yichao; Qi, Di

    2016-10-01

    This article investigates how the nutritional deprivation and inequality among children in China by provinces and urban/rural areas has changed over time from 1991 to 2009 using the China Health and Nutrition Survey data. The children who were undernourished in stunting and underweight have declined over years, but provincial disparities were significant and urban children performed better than the rural peers. The nutritional deprivation of children has been alleviated in China over time, but more efforts should be made by the government to improve the nutritional condition in less developed provinces and for those children who are severely undernourished.

  3. Parque Astronómico de Atacama: An Ideal Site for Millimeter, Submillimeter, and Mid-Infrared Astronomy

    NASA Astrophysics Data System (ADS)

    Bustos, R.; Rubio, M.; Otárola, A.; Nagar, N.

    2014-12-01

    The area of Chajnantor, at more than 5000 meters altitude in northern Chile, offers unique atmospheric and operational conditions which arguably make it the best site in the world for millimeter, submillimeter, and mid-infrared observatories. Long-term monitoring of the precipitable water vapor (PWV) column on the Chajnantor plateau has shown its extreme dryness with annual median values of 1.1 mm. Simultaneous measurements of PWV on the Chajnantor plateau (5050 m) and on Cerro Chajnantor (5612 m) show that the latter is around 36% lower under normal atmospheric conditions and up to 80% lower than the plateau in the presence of temperature inversion layers. Recently, the Government of Chile has consolidated the creation of the Parque Astron\\'omico de Atacama (Atacama Astronomical Park), an initiative of the Chilean Commission for Science and Technology (CONICYT). This new Parque offers an opportunity for national and international projects to settle within its boundaries, gain access to an extremely dry site that is suitable for observations over a broad spectral range, especially in the millimeter to mid-infrared wavelengths, and benefit from operational and logistical support within a secure legal framework.

  4. Uncovering regional disparity of China's water footprint and inter-provincial virtual water flows.

    PubMed

    Dong, Huijuan; Geng, Yong; Fujita, Tsuyoshi; Fujii, Minoru; Hao, Dong; Yu, Xiaoman

    2014-12-01

    With rapid economic development in China, water crisis is becoming serious and may impede future sustainable development. The uneven distribution of water resources further aggravates such a problem. Under such a circumstance, the concepts of water footprint and virtual water have been proposed in order to respond water scarcity problems. This paper focuses on studying provincial disparity of China's water footprints and inter-provincial virtual water trade flows by adopting inter-regional input-output (IRIO) method. The results show that fast developing areas with larger economic scales such as Guangdong, Jiangsu, Shandong, Zhejiang, Shanghai and Xinjiang had the largest water footprints. The most developed and water scarce areas such as Shanghai, Beijing, Tianjin and Shandong intended to import virtual water, a rational choice for mitigating their water crisis. Xinjiang, Jiangsu, Heilongjiang, Inner Mongolia, Guangxi and Hunan, had the largest per GDP water intensities and were the main water import regions. Another key finding is that agriculture water footprint was the main part in water footprint composition and water export trade. On the basis of these findings, policy implications on agriculture geographical dispersion, consumption behavior changes, trade structure adjustment and water use efficiency improvement are further discussed. Copyright © 2014 Elsevier B.V. All rights reserved.

  5. Progress in improving provincial plans for nutrition through targeted technical assistance and local advocacy in Vietnam.

    PubMed

    Harris, Jody; Nguyen, Phuong H; To, Quyen; Frongillo, Edward A; Menon, Purnima

    2016-12-01

    Vietnam has been decentralizing nutrition planning to provinces, which could help with local relevance and accountability. Assessment in 2009 found a continuing top-down approach, limited human capacity, and difficulty in integrating multiple sectors. Alive and Thrive (A&T) provided targeted assistance and capacity-building for 15 provincial plans for nutrition (PPNs). We aimed to (i) assess PPN content and quality improvements 2009-2014, and (ii) explain processes through which change occurred. Data consisted of interview-based assessments of provincial planning processes, annual PPN assessments, and tracking of A&T involvement. At endline, some provinces produced higher quality plans. Local planning skills improved, but capacity remained insufficient. Awareness of and support for nutrition improved, but some policy and legal environments were contradictory. Objectives were clearer, but use of data for planning remained inconsistent. Provinces became more proactive and creative, but remained constrained by slow approval processes and insufficient funding. Targeted assistance and local advocacy can improve decentralized planning, with success dependent on policy and programming contexts and ability to overcome constraints around capacity, investment, data use and remnants of centralized planning. We recommend strong engagement with planners at the national level to understand how to unblock major constraints; solutions must take into consideration the particular political, financial and administrative context. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  6. Relationship between air quality and economic development in the provincial capital cities of China.

    PubMed

    Chen, Nengcheng; Xu, Lei

    2017-01-01

    Air pollution in China has become increasingly severe with rapid economic growth in recent years. We analyzed the relationship between the gross regional product (GRP) per capita and the Integrated Air Pollution Index (IAPI) in all the provincial capital cities in China from 2003 to 2014 and clustered them into six urban development patterns. These patterns are as follows: inverse U-shaped, N-1-shaped, N-2-shaped, U-shaped, linear decline, and stable. The majority of the provincial capitals are N-1, N-2, and U types, suggesting that the air quality is deteriorating currently or will deteriorate in the future. Meteorological conditions and industrial structure are taken into consideration when testing the environmental Kuznets curve (EKC) hypothesis between the economy and air pollutant concentration. Results show that there exists no direct relationship between three main pollutants and GRP per capita, while an inverse U-shaped relationship with the secondary industry and a U-shaped relationship with the tertiary industry. These results will be a meaningful reference for policy makers to develop policies that coordinate the environmental protection and economic development.

  7. A 3D Model Based Imdoor Navigation System for Hubei Provincial Museum

    NASA Astrophysics Data System (ADS)

    Xu, W.; Kruminaite, M.; Onrust, B.; Liu, H.; Xiong, Q.; Zlatanova, S.

    2013-11-01

    3D models are more powerful than 2D maps for indoor navigation in a complicate space like Hubei Provincial Museum because they can provide accurate descriptions of locations of indoor objects (e.g., doors, windows, tables) and context information of these objects. In addition, the 3D model is the preferred navigation environment by the user according to the survey. Therefore a 3D model based indoor navigation system is developed for Hubei Provincial Museum to guide the visitors of museum. The system consists of three layers: application, web service and navigation, which is built to support localization, navigation and visualization functions of the system. There are three main strengths of this system: it stores all data needed in one database and processes most calculations on the webserver which make the mobile client very lightweight, the network used for navigation is extracted semi-automatically and renewable, the graphic user interface (GUI), which is based on a game engine, has high performance of visualizing 3D model on a mobile display.

  8. The development of floristic provinciality during the Middle and Late Paleozoic

    USGS Publications Warehouse

    Wnuk, C.

    1996-01-01

    Phytogeographic reconstructions have been published for most Paleozoic series since the Pr??i??doli??, but there have been few attempts to synthesize this data into a comprehensive review of the characteristics and causes of the changing phytogeographic patterns for the whole Paleozoic history of the vascular flora. Existing floristic analyses have been compiled in this manuscript and the resulting data are used to reconstruct the evolution of floristic provinces since the Silurian. The earliest plant fossil records indicate that provinciality was characteristic of terrestrial vascular plant distributions right from the beginning of terrestrial colonization by vascular plants. This interpretation differs markedly from the views of many workers who still maintain that pre-Upper Carboniferous floras were uniform and cosmopolitan in distribution. Three of the four major phytogeographic units, i.e. Angara, Euramerica, and Gondwana, can be recognized in the earliest fossil floras. The fourth unit, Cathaysia, differentiated from Euramerica during the late Upper Carboniferous. Phytogeographic differentiation occurs in direct response to climatic gradients and physiographic barriers. As these gradients and barriers change, provincial boundaries expand and contract, fragment, reassemble and reassort. Phytogeographic units are dynamic through time. ?? 1996 Elsevier Science B.V. All rights reserved.

  9. Progress in improving provincial plans for nutrition through targeted technical assistance and local advocacy in Vietnam

    PubMed Central

    Harris, Jody; Nguyen, Phuong H.; To, Quyen; Frongillo, Edward A.; Menon, Purnima

    2016-01-01

    Vietnam has been decentralizing nutrition planning to provinces, which could help with local relevance and accountability. Assessment in 2009 found a continuing top-down approach, limited human capacity, and difficulty in integrating multiple sectors. Alive and Thrive (A&T) provided targeted assistance and capacity-building for 15 provincial plans for nutrition (PPNs). We aimed to (i) assess PPN content and quality improvements 2009–2014, and (ii) explain processes through which change occurred. Data consisted of interview-based assessments of provincial planning processes, annual PPN assessments, and tracking of A&T involvement. At endline, some provinces produced higher quality plans. Local planning skills improved, but capacity remained insufficient. Awareness of and support for nutrition improved, but some policy and legal environments were contradictory. Objectives were clearer, but use of data for planning remained inconsistent. Provinces became more proactive and creative, but remained constrained by slow approval processes and insufficient funding. Targeted assistance and local advocacy can improve decentralized planning, with success dependent on policy and programming contexts and ability to overcome constraints around capacity, investment, data use and remnants of centralized planning. We recommend strong engagement with planners at the national level to understand how to unblock major constraints; solutions must take into consideration the particular political, financial and administrative context. PMID:27198978

  10. Provincialization of terrestrial faunas following the end-Permian mass extinction

    PubMed Central

    Sidor, Christian A.; Vilhena, Daril A.; Angielczyk, Kenneth D.; Huttenlocker, Adam K.; Nesbitt, Sterling J.; Peecook, Brandon R.; Steyer, J. Sébastien; Smith, Roger M. H.; Tsuji, Linda A.

    2013-01-01

    In addition to their devastating effects on global biodiversity, mass extinctions have had a long-term influence on the history of life by eliminating dominant lineages that suppressed ecological change. Here, we test whether the end-Permian mass extinction (252.3 Ma) affected the distribution of tetrapod faunas within the southern hemisphere and apply quantitative methods to analyze four components of biogeographic structure: connectedness, clustering, range size, and endemism. For all four components, we detected increased provincialism between our Permian and Triassic datasets. In southern Pangea, a more homogeneous and broadly distributed fauna in the Late Permian (Wuchiapingian, ∼257 Ma) was replaced by a provincial and biogeographically fragmented fauna by Middle Triassic times (Anisian, ∼242 Ma). Importantly in the Triassic, lower latitude basins in Tanzania and Zambia included dinosaur predecessors and other archosaurs unknown elsewhere. The recognition of heterogeneous tetrapod communities in the Triassic implies that the end-Permian mass extinction afforded ecologically marginalized lineages the ecospace to diversify, and that biotic controls (i.e., evolutionary incumbency) were fundamentally reset. Archosaurs, which began diversifying in the Early Triassic, were likely beneficiaries of this ecological release and remained dominant for much of the later Mesozoic. PMID:23630295

  11. Do provincial drug benefit initiatives create an effective policy lab? The evidence from Canada.

    PubMed

    Pomey, Marie-Pascale; Morgan, Steve; Church, John; Forest, Pierre-Gerlier; Lavis, John N; McIntosh, Tom; Smith, Neale; Petrela, Jennifer; Martin, Elisabeth; Dobson, Sarah

    2010-10-01

    Although the costs of doctors' visits and hospital stays in Canada are covered by national public health insurance, the cost of outpatient prescription drugs is not. To solve problems of access, Canadian provinces have introduced provincial prescription drug benefit programs. This study analyzes the prescription drug policymaking process in five Canadian provinces between 1992 and 2004 with a view to (1) determining the federal government's role in the area of prescription drugs; (2) describing the policymaking process; (3) identifying factors in each province's choice of a policy; (4) identifying patterns in those factors across the five provinces; and (5) assessing the federal government's influence on the policies chosen. Analysis shows that despite significant differences in policy choices, the ideological motivations of the provinces were unexpectedly similar. The findings also highlight the importance of institutional factors, for example, in provinces' decision to compete rather than to collaborate. We conclude that, to date, Canada's federalism laboratory has only partly benefited the Canadian public. Cost pressures may, however, eventually overcome barriers to cooperation between the provincial and the federal governments, enabling them to capitalize on Canada's federal structure to improve the accessibility and affordability of drugs.

  12. Provincialization of terrestrial faunas following the end-Permian mass extinction.

    PubMed

    Sidor, Christian A; Vilhena, Daril A; Angielczyk, Kenneth D; Huttenlocker, Adam K; Nesbitt, Sterling J; Peecook, Brandon R; Steyer, J Sébastien; Smith, Roger M H; Tsuji, Linda A

    2013-05-14

    In addition to their devastating effects on global biodiversity, mass extinctions have had a long-term influence on the history of life by eliminating dominant lineages that suppressed ecological change. Here, we test whether the end-Permian mass extinction (252.3 Ma) affected the distribution of tetrapod faunas within the southern hemisphere and apply quantitative methods to analyze four components of biogeographic structure: connectedness, clustering, range size, and endemism. For all four components, we detected increased provincialism between our Permian and Triassic datasets. In southern Pangea, a more homogeneous and broadly distributed fauna in the Late Permian (Wuchiapingian, ∼257 Ma) was replaced by a provincial and biogeographically fragmented fauna by Middle Triassic times (Anisian, ∼242 Ma). Importantly in the Triassic, lower latitude basins in Tanzania and Zambia included dinosaur predecessors and other archosaurs unknown elsewhere. The recognition of heterogeneous tetrapod communities in the Triassic implies that the end-Permian mass extinction afforded ecologically marginalized lineages the ecospace to diversify, and that biotic controls (i.e., evolutionary incumbency) were fundamentally reset. Archosaurs, which began diversifying in the Early Triassic, were likely beneficiaries of this ecological release and remained dominant for much of the later Mesozoic.

  13. Voluntary versus involuntary waiting for joint replacements: new Alberta wait times rules for hip and knee arthroplasties, with provincial consensus.

    PubMed

    Marshall, Deborah; Christiansen, Tanya; Smith, Christopher; Howden, Jane Squire; Werle, Jason; Fyie, Ken; Frank, Cy

    2012-01-01

    Despite various health system improvements across Alberta, the wait times benchmark was not being met for all patients requiring hip or knee arthroplasty. Alberta Health Services Bone and Joint Clinical Network working groups, in collaboration with other provincial organizations, gained consensus on the development and implementation of a set of provincial Wait Times Rules. These rules standardize the definition and measurement of data elements specific to joint replacement and distinguish between voluntary (patient-related) versus involuntary (healthcare system-related) wait times. Collectively, this information will help identify trends in wait times and more accurately show where wait times can be reduced.

  14. Examination of the Relationship between Organizational Stress and Employee Performance: A Research on Staff Working on Provincial Directorate of Youth and Sports

    ERIC Educational Resources Information Center

    Goksel, Ali Gurel; Caz, Cagdas; Yazici, Omer Faruk; Ikizler, Huseyin Can

    2017-01-01

    The purpose of this research is to study the relation between the level of organizational stress at the staff of the Youth Services and Sports Provincial Directorate and their performance. The study group of research, Istanbul province in the Uskudar district officials operating in the Youth Services and Sports Provincial Directorate constitute a…

  15. Faunistic Catalog of the Caddisflies (Insecta: Trichoptera) of Parque Nacional do Itatiaia and its Surroundings in Southeastern Brazil

    PubMed Central

    Dumas, Leandro Lourenço; Nessimian, Jorge Luiz

    2012-01-01

    The Atlantic Forest is considered one of the world's biological diversity hotspots, and is increasingly threatened by the rapid destruction and fragmentation of its natural areas. The caddisflies (Trichoptera) of Itatiaia massif, an Atlantic Forest highland area, are inventoried and cataloged here. The catalog is based on examination of bibliographies, field work on many localities of Itatiaia massif (including Parque Nacional do Itatiaia — PNI), and the entomological collection Professor José Alfredo Pinheiro Dutra (DZRJ), Universidade Federal do Rio de Janeiro. A total of 92 species are recorded, representing about 17% of the known Brazilian Trichoptera fauna. Leptoceridae, Hydropsychidae, and Philopotamidae are the families most represented. The high species richness, as well as the remarkable patterns of species distribution, may be related to the characteristics of Mantiqueira mountain range. PMID:22958122

  16. Sandfly fauna (Diptera: Psychodidae) in Parque do Sabiá complex, Uberlândia, Minas Gerais, Brazil.

    PubMed

    Rodrigues, Elisângela de Azevedo Silva; Andrade Filho, José Dilermando; Limongi, Jean Ezequiel; Paula, Márcia Beatriz Cardoso de

    2011-01-01

    Between April 2003 and May 2009 phlebotomine sandflies were collected in Parque do Sabiá complex, Uberlândia municipality, Minas Gerais State, Brazil, using CDC and Shannon traps. The objective was to associate the sandfly species captured to the risk of the transmission of leishmaniasis in the municipality. The 126 captured specimens belonging to six species of phlebotomine, among which Lutzomyia (Psychodopygus) davisi (Root, 1934) predominated with 113 specimens (89.7%). The remaining captured species were Lutzomyia (Pintomyia) mamedei Oliveira, Afonso, Dias & Brazil, 1994 - five specimens (3.9%); Lutzomyia (Nyssomyia) flaviscutellata (Mangabeira, 1942) - four specimens (3.2%); Lutzomyia lenti (Mangabeira, 1938) - two specimens (1.6%); Brumptomyia avellari (Costa Lima, 1932) - one specimen (0.8%); and Lutzomyia (Nyssomyia) whitmani (Antunes & Coutinho, 1939) - one specimen (0.8%). The collection of species that may be involved in the transmission of Leishmania reveals the need for continuous entomological surveillance.

  17. Faunistic catalog of the caddisflies (Insecta: Trichoptera) of Parque Nacional do Itatiaia and its surroundings in southeastern Brazil.

    PubMed

    Dumas, Leandro Lourenço; Nessimian, Jorge Luiz

    2012-01-01

    The Atlantic Forest is considered one of the world's biological diversity hotspots, and is increasingly threatened by the rapid destruction and fragmentation of its natural areas. The caddisflies (Trichoptera) of Itatiaia massif, an Atlantic Forest highland area, are inventoried and cataloged here. The catalog is based on examination of bibliographies, field work on many localities of Itatiaia massif (including Parque Nacional do Itatiaia - PNI), and the entomological collection Professor José Alfredo Pinheiro Dutra (DZRJ), Universidade Federal do Rio de Janeiro. A total of 92 species are recorded, representing about 17% of the known Brazilian Trichoptera fauna. Leptoceridae, Hydropsychidae, and Philopotamidae are the families most represented. The high species richness, as well as the remarkable patterns of species distribution, may be related to the characteristics of Mantiqueira mountain range.

  18. Analyzing remote sensing geobotanical trends in Quetico Provincial Park, Ontario, Canada, using digital elevation data

    NASA Technical Reports Server (NTRS)

    Warner, Timothy A.; Campagna, David J.; Levandowski, Don W.; Cetin, Haluk; Evans, Carla S.

    1991-01-01

    A 10 x 13-km area in Quetico Provincial Park, Canada has been studied using a digital elevation model to separate different drainage classes and to examine the influence of site factors and lithology on vegetation. Landsat Thematic Mapper data have been classified into six forest classes of varying deciduous-coniferous cover through nPDF, a procedure based on probability density functions. It is shown that forests growing on mafic lithologies are enriched in deciduous species, compared to those growing on granites. Of the forest classes found on mafics, the highest coniferous component was on north facing slopes, and the highest deciduous component on south facing slopes. Granites showed no substantial variation between site classes. The digital elevation derived site data is considered to be an important tool in geobotanical investigations.

  19. Palynostratigraphy of Permian succession in the Mand-Raigarh Coalfield, Chhattisgarh, India and phytogeographical provincialism

    NASA Astrophysics Data System (ADS)

    Murthy, Srikanta; Ram-Awatar; Gautam, Saurabh

    2014-12-01

    Palynofloras have been recorded from the Barakar Formation in the Borehole MBKW-3, Barpali-Karmitikra Block, Mand-Raigarh Coalfield, Chhattisgarh. Three distinct palynoassemblages have been identified and referred to the following palynoassemblage zones - Gondisporites raniganjensis (Latest Permian); Faunipollenites varius (latest Early Permian), and Scheuringipollenites barakarensis (late Early Permian). It is inferred that these deposits contain the representative palynoassamblages of Early to Late Permian in age. The First Appearance Datum (FAD)s of Arcuatipollenites pellucidus, A. ovatus, Guttulapollenites hannonicus, Lundbladispora microconata, Alisporites opii, Klausipollenites sp., and Goubinispora indica (at 41.95, 45.90, 98.35 m depth), indicate the closing phase of Permian, as these elements are the key species that mark a transition from Permian to the Lower Triassic. An attempt has been made here to reconstruct the phytogeographical provincialism on the basis of Guttulapollenites recorded in this basin.

  20. Spatial autocorrelation analysis of Chinese inter-provincial industrial chemical oxygen demand discharge.

    PubMed

    Zhao, Xiaofeng; Huang, Xianjin; Liu, Yibo

    2012-06-01

    A spatial autocorrelation analysis method is adopted to process the spatial dynamic change of industrial Chemical Oxygen Demand (COD) discharge in China over the past 15 years. Studies show that amount and intensity of industrial COD discharges are on a decrease, and the tendency is more remarkable for discharge intensity. There are large differences between inter-provincial discharge amount and intensity, and with different spatial differentiation features. Global spatial autocorrelation analysis reveals that Global Moran's I of discharge amount and intensity is on the decrease. In space, there is an evolution from an agglomeration pattern to a discretization pattern. Local spatial autocorrelation analysis shows that the agglomeration area of industrial COD discharge amount and intensity varies greatly in space with time. Stringent environmental regulations and increased funding for environmental protections are the crucial factors to cut down industrial COD discharge amount and intensity.

  1. Spatial Autocorrelation Analysis of Chinese Inter-Provincial Industrial Chemical Oxygen Demand Discharge

    PubMed Central

    Zhao, Xiaofeng; Huang, Xianjin; Liu, Yibo

    2012-01-01

    A spatial autocorrelation analysis method is adopted to process the spatial dynamic change of industrial Chemical Oxygen Demand (COD) discharge in China over the past 15 years. Studies show that amount and intensity of industrial COD discharges are on a decrease, and the tendency is more remarkable for discharge intensity. There are large differences between inter-provincial discharge amount and intensity, and with different spatial differentiation features. Global spatial autocorrelation analysis reveals that Global Moran’s I of discharge amount and intensity is on the decrease. In space, there is an evolution from an agglomeration pattern to a discretization pattern. Local spatial autocorrelation analysis shows that the agglomeration area of industrial COD discharge amount and intensity varies greatly in space with time. Stringent environmental regulations and increased funding for environmental protections are the crucial factors to cut down industrial COD discharge amount and intensity. PMID:22829788

  2. Analysis of Provincial and Municipal Regulations Governing Crustacean Welfare in Italy.

    PubMed

    Liuzzo, Gaetano; Rossi, Roberto; Giacometti, Federica; Mescolini, Giulia; Piva, Silvia; Serraino, Andrea

    2017-01-24

    The trade in live crustaceans implies keeping these animals alive after capture and/or farming until purchase by the final consumer. Regarding animal welfare, the European Union includes cephalopods in Directive 2010/63/EU on the protection of animals used for scientific purposes, but there are no further regulations on crustaceans in EU legislation. The present study analysed the provisions of Italian municipal regulations on animal welfare applicable to crustaceans. Only 62 of the 110 municipal websites of the provincial capitals reported a regulation safeguarding animal welfare. These regulations contain different rules on: aquaria characteristics (size, volume and shape); management of aquaria; maintenance (preservation and exposure) of live aquatic species; slaughtering and/or suppression of aquatic species and crustaceans; tying of crustacean claws; and crustacean cooking. The analysis on Italian municipal regulations on crustaceans' animal welfare showed that the provisions are vague, lacking uniformity and scientific guidelines.

  3. An exploration of China's mortality decline under Mao: A provincial analysis, 1950–80

    PubMed Central

    Babiarz, Kimberly Singer; Eggleston, Karen; Miller, Grant; Zhang, Qiong

    2014-01-01

    China's growth in life expectancy between 1950 and 1980 ranks as among the most rapid sustained increases in documented global history. However, no study of which we are aware has quantitatively assessed the relative importance of various explanations proposed for these gains. We create and analyse a new province-level panel data set spanning 1950-80 using historical information from Chinese public health archives, official provincial yearbooks, and infant and child mortality records contained in the 1988 National Survey of Fertility and Contraception. Although exploratory, our results suggest that increases in educational attainment and public health campaigns jointly explain 50-70 per cent of the dramatic reductions in infant and under-five mortality during our study period. These results are consistent with the importance of non-medical determinants of population health improvement – and under some circumstances, how general education may amplify the effectiveness of public health interventions. PMID:25495509

  4. A Decade Later: assessing successes and challenges in Manitoba's Provincial Immigrant Nominee Program.

    PubMed

    Lewis, Nathaniel M

    2010-01-01

    During the past decade, Manitoba's Provincial Nominee Program (MPNP) has increased immigration to the province and dispersed immigrants more widely within Manitoba. At the same time, the rapid growth of the program and the decentralized way in which it has been implemented have contributed to some challenges. This ten-year analysis of the MPNP finds that many places in Manitoba are experiencing settlement service gaps, and that immigrants and communities are taking on much of the burden for MPNP application and settlement. In addition, the analysis demonstrates that the fragmented way in which the MPNP has been marketed and implemented (i.e., by relying on particular employers, consultants, and ethnocultural organizations) has resulted in a sort of ethnocultural inequality where certain groups are ushered into the province-often to perform particular occupations-while others are bypassed.

  5. Analyzing remote sensing geobotanical trends in Quetico Provincial Park, Ontario, Canada, using digital elevation data

    NASA Technical Reports Server (NTRS)

    Warner, Timothy A.; Campagna, David J.; Levandowski, Don W.; Cetin, Haluk; Evans, Carla S.

    1991-01-01

    A 10 x 13-km area in Quetico Provincial Park, Canada has been studied using a digital elevation model to separate different drainage classes and to examine the influence of site factors and lithology on vegetation. Landsat Thematic Mapper data have been classified into six forest classes of varying deciduous-coniferous cover through nPDF, a procedure based on probability density functions. It is shown that forests growing on mafic lithologies are enriched in deciduous species, compared to those growing on granites. Of the forest classes found on mafics, the highest coniferous component was on north facing slopes, and the highest deciduous component on south facing slopes. Granites showed no substantial variation between site classes. The digital elevation derived site data is considered to be an important tool in geobotanical investigations.

  6. Management of paediatric tuberculosis in provincial and district hospitals in Afghanistan.

    PubMed

    Delawer, F M; Isono, M; Ueki, H; Zhuben, M; Zafari, M; Seddiq, M K; Habib, H; Ayoubi, M K

    2013-08-01

    Case detection, diagnosis and treatment of tuberculosis 1 B) in children are challenging issues vorldwide. This study in Afghanistan aimed to evaluate paediatric TB case management, including contact investigation, at health facilities where all diagnostic processes were available. In 7 out of 8 regions of the country 1 province was selected. Documents used for management of paediatric TB cases were reviewed in 15 distinct hospitals and 8 provincial hospitals in the selected provinces. The key issues which emerged were: a low suspect rate among total outpatients (0.4%) and a very low suspect rate among children aged < 5 years; low performance of suspect management (68.5% suspects received further examinations); low utilization of other diagnostic methods; a high early defaulter rate (14.0%); and insufficient coverage of contact management (74.0%). This survey indicated that the Afghanistan national TB programme needs to develop plans to improve the quality of diagnosis, suspect management and contact management in paediatric TB cases.

  7. Provincial health accounts in Kerman, Iran: an evidence of a “mixed” healthcare financing system

    PubMed Central

    Mehrolhassani, Mohammad Hossein; Jafari, Mohammad; Zeinali, Javad; Ansari, Mina

    2014-01-01

    Background: Provincial Health Accounts (PHA) as a subset of National Health Accounts (NHA) present financial information for health sectors. It leads to a logical decision making for policy-makers in order to achieve health system goals, especially Fair Financial Contribution (FFC). This study aimed to examine Health Accounts in Kerman Province. Methods: The present analytical study was carried out retrospectively between 2008 and 2011. The research population consisted of urban and rural households as well as providers and financial agents in health sectors of Kerman Province. The purposeful sampling included 16 provincial organizations. To complete data, the report on Kerman household expenditure was taken as a data source from the Governor-General’s office. In order to classify the data, the International Classification for Health Accounts (ICHA) method was used, in which data set was adjusted for the province. Results: During the study, the governmental and non-governmental fund shares of the health sector in Kerman were 27.22% and 72.78% respectively. The main portion of financial sources (59.41) was related to private household funds, of which the Out-of-Pocket (OOP) payment mounted to 92.35%. Overall, 54.86% of all financial sources were covered by OOP. The greatest portion of expenditure of Total Healthcare Expenditures (THEs) (65.19%) was related to curative services. Conclusion: The major portion of healthcare expenditures was related to the OOP payment which is compatible with the national average rate in Iran. However, health expenditure per capita, was two and a half times higher than the national average. By emphasizing on Social Determinant of Health (SDH) approach in the Iranian health system, the portion of OOP payment and curative expenditure are expected to be controlled in the medium term. It is suggested that PHA should be examined annually in a more comprehensive manner to monitor initiatives and reforms in healthcare sector. PMID:24639980

  8. [Descriptive Study of the Activities Performed By the Provincial Medical Deontology Commissions].

    PubMed

    García-Guerrero, Julio; Tarazona López, Ernesto; Martínez Calduch, Blanca; Vera-Remartínez, Enrique Jesús; Jiménez de Aldasoro, María Antonia; Boix Rajadell, Vicente; Ventura López, Mario

    2016-01-01

    to describe the expedient's features those settle the medical ethics commissions of the provincial colleges (PMEC). descriptive study, retrospective from the typology of the received claims to the PMEC between 01-06-2013 and 31-05-2014. The colleges were selected by simple stratified random sample. Variables related with the origin of the claim, chapter of the Medical Ethics Code affected, resolution timescales, judgement and others; were gathered. Descriptive analysis of the variables, expressing with medians the quantitative variables and their corresponding interquartile ranges; and with absolute and relative frequencies the qualitative ones. A bivariate analysis, through Kruskal-Wallis and Chi-square tests. 10 provincial colleges participated (47.652 members, 20.2% from the Spanish total) that communicated 120 claims. Overall impact: 2.5 claims %0 members/year. The denouncers are mainly patients (80%). The family medicine is the most affected specialty (19.2% of the claims), the quality of the medical attention the most affected chapter of the CD (60% of the claims). The global resolution timescale was 115.5 days (55-187). The PMEC judged ethical failure in 17 cases (14.2), 10 of them within the private sector. 8 (6.7%) were pending on the date 01-03-2015. 8 cases (6.7%) ended in disciplinary file by the management board, one in verbal amonestation and one was pendent of resolution. the incidence of the medical ethics claims is low, as well as the proportion of disciplinary files. Too many discrepancies exist between the judgements of the PMEC and the college's management boards.

  9. Radiation oncology and medical physicists quality assurance in British Columbia Cancer Agency Provincial Prostate Brachytherapy Program.

    PubMed

    Keyes, Mira; Morris, William James; Spadinger, Ingrid; Araujo, Cynthia; Cheung, Arthur; Chng, Nick; Crook, Juanita; Halperin, Ross; Lapointe, Vince; Miller, Stacy; Pai, Howard; Pickles, Tom

    2013-01-01

    To describe in detail British Columbia (BC) Cancer Agency (BCCA) Provincial Prostate Brachytherapy (PB) Quality Assurance (QA) Program. The BCCA PB Program was established in 1997. It operates as one system, unified and supported by electronic and information systems, making it a single PB treatment provider for province of BC and Yukon. To date, >4000 patients have received PB (450 implants in 2011), making it the largest program in Canada. The Program maintains a large provincial prospective electronic database with records on all patients, including disease characteristics, risk stratification, pathology, preplan and postimplant dosimetric data, follow-up of prostate-specific antigen, and toxicity outcomes. QA was an integral part of the program since its inception. A formal QA Program was established in 2002, with key components that include: unified eligibility criteria and planning system, comprehensive database, physics and oncologist training and mentorship programs, peer review process, individual performance outcomes and feedback process, structured continuing education and routine assessment of the program's dosimetry, toxicity and prostate-specific antigen outcomes, administration and program leadership that promotes a strong culture of patient safety. The emphasis on creating a robust, broad-based network of skilled providers has been achieved by the program's requirements for training, education, and the QA process. The formal QA process is considered a key factor for the success of cancer control outcomes achieved at BCCA. Although this QA model may not be wholly transferable to all PB programs, some of its key components may be applicable to other programs to ensure quality in PB and patient safety. Crown Copyright © 2013. Published by Elsevier Inc. All rights reserved.

  10. Coronary artery bypass grafting in Canada: national and provincial mortality trends, 1992-1995

    PubMed Central

    Ghali, W A; Quan, H; Brant, R

    1998-01-01

    BACKGROUND: Despite a body of research on outcomes of coronary artery bypass grafting (CABG) in Canada, little is known about Canada-wide outcome trends and interregional differences in outcome. The objectives of this study were to examine Canadian trends in rates of in-hospital death after CABG and to compare provincial risk-adjusted death rates. METHODS: Hospital discharge data were obtained from the Canadian Institute for Health Information and were used to identify complete cohorts of patients who underwent CABG in 8 provinces in fiscal years 1992/93 through 1995/96. Data from Quebec hospitals were not available. A logistic regression model was used to calculate risk-adjusted death rates by year, province, and province and year. RESULTS: A total of 50,357 CABG cases were studied, with an overall death rate of 3.6%. A national trend of decreasing mortality was found, with a risk-adjusted death rate of 3.8% in 1992/93 versus 3.2% in 1995/96 (relative decrease of 17%) (p < 0.001 for difference across years). Some provinces (e.g., Alberta, Manitoba and Ontario) achieved overall declines in death rates over the study period, whereas others (e.g., British Columbia and Saskatchewan) did not. The average severity of illness of patients who underwent CABG differed considerably across provinces. Despite risk adjustment for these differences, provincial death rates varied significantly (p < 0.001). INTERPRETATION: Rates of death after CABG in Canada decreased significantly in a relatively short period. Despite this encouraging finding, there were interprovincial differences in severity of illness and risk-adjusted death rates. This finding raises the possibility of unequal access to CABG and variable quality of care for patients undergoing the surgery across Canadian provinces. PMID:9679483

  11. The biogeography of tropical reef fishes: endemism and provinciality through time.

    PubMed

    Cowman, Peter F; Parravicini, Valeriano; Kulbicki, Michel; Floeter, Sergio R

    2017-02-23

    The largest marine biodiversity hotspot straddles the Indian and Pacific Oceans, driven by taxa associated with tropical coral reefs. Centred on the Indo-Australian Archipelago (IAA), this biodiversity hotspot forms the 'bullseye' of a steep gradient in species richness from this centre to the periphery of the vast Indo-Pacific region. Complex patterns of endemism, wide-ranging species and assemblage differences have obscured our understanding of the genesis of this biodiversity pattern and its maintenance across two-thirds of the world's oceans. But time-calibrated molecular phylogenies coupled with ancestral biogeographic estimates have provided a valuable framework in which to examine the origins of coral reef fish biodiversity across the tropics. Herein, we examine phylogenetic and biogeographic data for coral reef fishes to highlight temporal patterns of marine endemism and tropical provinciality. The ages and distribution of endemic lineages have often been used to identify areas of species creation and demise in the marine tropics and discriminate among multiple hypotheses regarding the origins of biodiversity in the IAA. Despite a general under-sampling of endemic fishes in phylogenetic studies, the majority of locations today contain a mixture of potential paleo- and neo-endemic fishes, pointing to multiple historical processes involved in the origin and maintenance of the IAA biodiversity hotspot. Increased precision and sampling of geographic ranges for reef fishes has permitted the division of discrete realms, regions and provinces across the tropics. Yet, such metrics are only beginning to integrate phylogenetic relatedness and ancestral biogeography. Here, we integrate phylogenetic diversity with ancestral biogeographic estimation of lineages to show how assemblage structure and tropical provinciality has changed through time.

  12. Medical science and the Cruelty to Animals Act 1876: A re-examination of anti-vivisectionism in provincial Britain.

    PubMed

    Finn, Michael A; Stark, James F

    2015-02-01

    The Cruelty to Animals Act 1876 was an important but ambiguous piece of legislation. For researchers it stymied British science, yet ensured that vivisection could continue under certain restrictions. For anti-vivisection protestors it was positive proof of the influence of their campaigns, yet overly deferent to Britain's scientific elite. In previous accounts of the Act and the rise of anti-vivisectionism, scientific medicine central to these debates has been treated as monolithic rather than a heterogeneous mix of approaches; and this has gone hand-in-hand with the marginalizing of provincial practices, as scholarship has focused largely on the 'Golden Triangle' of London, Oxford and Cambridge. We look instead at provincial research: brain studies from Wakefield and anthrax investigations in Bradford. The former case elucidates a key role for specific medical science in informing the anti-vivisection movement, whilst the latter demonstrates how the Act affected the particular practices of provincial medical scientists. It will be seen, therefore, how provincial medical practices were both influential upon, and profoundly affected by, the growth of anti-vivisectionism and the passing of the Act. This paper emphasises how regional and varied medico-scientific practices were central to the story of the creation and impact of the Cruelty to Animals Act. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. Predictions on the Development Dimensions of Provincial Tourism Discipline Based on the Artificial Neural Network BP Model

    ERIC Educational Resources Information Center

    Yang, Yang; Hu, Jun; Lv, Yingchun; Zhang, Mu

    2013-01-01

    As the tourism industry has gradually become the strategic mainstay industry of the national economy, the scope of the tourism discipline has developed rigorously. This paper makes a predictive study on the development of the scope of Guangdong provincial tourism discipline based on the artificial neural network BP model in order to find out how…

  14. Confessions of a Would-Be Non-Provincial--Or, the English Teacher and Matthew Arnold's Ghost.

    ERIC Educational Resources Information Center

    Walling, W.

    Although Matthew Arnold may appear to be the representative of an increasingly irrelevant elitist vision by advocating a culture ultimately dependent on the exclusion of all but the very best in thought and expression, in fact he remains the writer who reminds us of the necessity for a social vision of ourselves superior to any mere provincialism.…

  15. Gender Mainstreaming in a South African Provincial Education Department: A Transformative Shift or Technical Fix for Oppressive Gender Relations?

    ERIC Educational Resources Information Center

    Karlsson, Jenni

    2010-01-01

    Although some gender activists and analysts question the efficacy of gender mainstreaming to take forward women's demands, the South African government has pursued the strategy within a number of government departments including the Department of Education. This article explores how the strategy is being implemented in one provincial education…

  16. Rhythm Masters: Developing a Master Program in Popular Music and Folk Music in Provincial Areas in Finland

    ERIC Educational Resources Information Center

    Vakeva, Lauri; Kurkela, Vesa

    2012-01-01

    This paper reports a project organized by Sibelius-Academy Department of Folk Music and Tampere University, Department of Music Anthropology in 2008-2010. The goal of the project was to develop and implement a master program for "rytmimusiikki" (lit. "rhythm music" in Seinajoki, Finland--a musically active provincial area…

  17. Secrets and Lies: Sex Education and Gendered Memories of Childhood's End in an Australian Provincial City, 1930s-1950s

    ERIC Educational Resources Information Center

    May, Josephine

    2006-01-01

    There are few historical studies about the sex education of Australian youth. Drawing on a range of sources, including the oral histories of 40 women and men who attended two single-sex, selective high schools in a provincial Australian city (Newcastle, New South Wales) in the 1930s-1950s, this paper explores the adolescent experience of sex…

  18. Interpretation of age-structure gaps in hemlock (Tsuga canadensis) populations of Algonquin Provincial Park, Ontario, Canada

    Treesearch

    S. A. Vasiliauskas; L. W. Aarssen

    2000-01-01

    Casual observations have suggested that intermediate size and age gaps may exist in the eastern hemlock (Tsuga canadensis (L.)Carr.) populations of Algonquin Provincial Park, Ontario. This was confirmed in vegetation surveys reported here. Several hypotheses, involving mortality risks at different points in the life cycle of hemlock, are proposed to...

  19. Secrets and Lies: Sex Education and Gendered Memories of Childhood's End in an Australian Provincial City, 1930s-1950s

    ERIC Educational Resources Information Center

    May, Josephine

    2006-01-01

    There are few historical studies about the sex education of Australian youth. Drawing on a range of sources, including the oral histories of 40 women and men who attended two single-sex, selective high schools in a provincial Australian city (Newcastle, New South Wales) in the 1930s-1950s, this paper explores the adolescent experience of sex…

  20. How the Local and Provincial press in Britain Reported the Relaunch of Mencap: Changing Images of Learning Disabilities.

    ERIC Educational Resources Information Center

    Ralph, Sue; Corbett, Jenny

    A study examined 90 newspaper reports from the local and provincial press in Great Britain which covered the relaunch of Mencap, the largest national charity for people with learning disabilities. Mencap has adopted a new corporate style, a new logo, and a new "positive" image to reflect changing attitudes about disabilities. Using for…

  1. Evaluating alignment between Canadian Common Drug Review reimbursement recommendations and provincial drug plan listing decisions: an exploratory study

    PubMed Central

    Allen, Nicola; Walker, Stuart R.; Liberti, Lawrence; Sehgal, Chander; Salek, M. Sam

    2016-01-01

    Background: The CADTH Common Drug Review was established in 2002 to prepare national health technology assessment reports to guide listing decisions for 18 participating drug plans. The aim of this study was to compare the nonmandatory recommendations from the Common Drug Review in Canada with the listing decisions of provincial payers to determine alignment. Methods: We identified the recommendations issued by the Common Drug Review from Jan. 1, 2009, to Jan. 1, 2015, and compared these with the listing decisions of 3 provincial public payers (Alberta, British Columbia and Ontario) that participate in the Common Drug Review and the recommendations from Quebec. Results: We identified 174 medicine-indication pairs in CADTH Common Drug Review reports issued from Jan. 1, 2009, to Jan. 1, 2015; 110 of these met the inclusion criterion. Among the 110 medicine-indication pairs, listing decisions were available for 95 in Alberta, 102 in Quebec, 104 in Ontario and 106 in BC. There was moderate to substantial agreement between provincial listing decisions and Common Drug Review recommendations: 74.5% (κ = 0.47, 95% confidence interval [CI] 0.31-0.64) for Quebec, 78.8% (κ = 0.56, 95% CI 0.41-0.72) for Ontario, 78.9% (κ = 0.58, 95% CI 0.42-0.74) for Alberta and 81.1% (κ = 0.62, 95% CI 0.47-0.77) for BC. Interpretation: Our study showed moderate to substantial agreement between Common Drug Review recommendations and provincial listing decisions. Future studies can build on this research by evaluating the concordance between Common Drug Review recommendations and listing decisions of all participating federal, provincial and territorial drug plans. PMID:28018881

  2. Political advocacy and research both needed to address federal-provincial gaps in service: Manitoba First Nations Personal Care Homes.

    PubMed

    Roscelli, Margaret

    2005-01-01

    First Nation residents within Personal Care Homes (PCHs) are the most vulnerable segment of First Nations society and are in need of continuing care. Recent conditions imposed through unilateral decision-making by the federal government are placing the existence and continued operations of PCHs in jeopardy. This article documents the current state of First Nation PCHs in Manitoba. In January 2003, the federal Minister of Indian and Northern Affairs Canada (INAC) announced conditions with which First Nation PCHs must comply or face closure. For instance, none of the PCHs were licensed in accordance with provincial legislation. Such provincial licensing would enable them to access provincial funding. However, provinces are wary of licensing on-reserve PCHs, and First Nations are reluctant to come under provincial health authority. First Nations continue to press for recognition of their own jurisdiction to set standards which emphasize their own culturally-based responsibilities and rights. As of October 2003, on-reserve PCHs have undergone infrastructure assessments to determine upgrades required to meet provincial building codes and standards in preparation for licensing. The First Nations plan to develop their own standards and licensing. Conditional licensing would ensure that PCHs continued to operate while renovations are made and funding allocations worked out. PCHs are a critical component in the spectrum of health care offered in First Nations communities. The imposition of conditions on the continued provision of federal funding to on-reserve PCHs is seen by First Nations as a restriction of the accessibility of culturally appropriate care for the most vulnerable segment of the First Nations population.

  3. Public sector mental health systems in South Africa: inter-provincial comparisons and policy implications.

    PubMed

    Lund, Crick; Kleintjes, Sharon; Kakuma, Ritsuko; Flisher, Alan J

    2010-03-01

    There is growing recognition that mental health is an important public health issue in South Africa. Yet mental health services remain chronically under-resourced. The aim of this study was to document levels of current public sector mental health service provision in South Africa and compare services across provinces, in relation to current national policy and legislation. A survey was conducted of public sector mental health service resources and utilisation in South Africa during the 2005 calendar year, using the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS) Version 2.2. South African policy and legislation both advocate for community-based mental health service provision within a human rights framework. Structures are in place at national level and in all nine provinces to implement these provisions. However, there is wide variation between provinces in the level of mental health service resources and provision. Per 100,000 population, there are 2.8 beds (provincial range 0-7.0) in psychiatric inpatient units in general hospitals, 3.6 beds (0-6.4) in community residential facilities, 18 beds (7.1-39.1) in mental hospitals, and 3.5 beds (0-5.5) in forensic facilities. The total personnel working in mental health facilities are 11.95 per 100,000 population. Of these, 0.28 per 100,000 are psychiatrists, 0.45 other medical doctors (not specialised in psychiatry), 10.08 nurses, 0.32 psychologists, 0.40 social workers, 0.13 occupational therapists, and 0.28 other health or mental health workers. Although there have been important developments in South African mental health policy and legislation, there remains widespread inequality between provinces in the resources available for mental health care; a striking absence of reliable, routinely collected data that can be used to plan services and redress current inequalities; the continued dominance of mental hospitals as a mode of service provision; and evidence of substantial

  4. Harm reduction in name, but not substance: a comparative analysis of current Canadian provincial and territorial policy frameworks.

    PubMed

    Hyshka, Elaine; Anderson-Baron, Jalene; Karekezi, Kamagaju; Belle-Isle, Lynne; Elliott, Richard; Pauly, Bernie; Strike, Carol; Asbridge, Mark; Dell, Colleen; McBride, Keely; Hathaway, Andrew; Wild, T Cameron

    2017-07-26

    In Canada, funding, administration, and delivery of health services-including those targeting people who use drugs-are primarily the responsibility of the provinces and territories. Access to harm reduction services varies across jurisdictions, possibly reflecting differences in provincial and territorial policy commitments. We examined the quality of current provincial and territorial harm reduction policies in Canada, relative to how well official documents reflect internationally recognized principles and attributes of a harm reduction approach. We employed an iterative search and screening process to generate a corpus of 54 provincial and territorial harm reduction policy documents that were current to the end of 2015. Documents were content-analyzed using a deductive coding framework comprised of 17 indicators that assessed the quality of policies relative to how well they described key population and program aspects of a harm reduction approach. Only two jurisdictions had current provincial-level, stand-alone harm reduction policies; all other documents were focused on either substance use, addiction and/or mental health, or sexually transmitted and/or blood-borne infections. Policies rarely named specific harm reduction interventions and more frequently referred to generic harm reduction programs or services. Only one document met all 17 indicators. Very few documents acknowledged that stigma and discrimination are issues faced by people who use drugs, that not all substance use is problematic, or that people who use drugs are legitimate participants in policymaking. A minority of documents recognized that abstaining from substance use is not required to receive services. Just over a quarter addressed the risk of drug overdose, and even fewer acknowledged the need to apply harm reduction approaches to an array of drugs and modes of use. Current provincial and territorial policies offer few robust characterizations of harm reduction or go beyond rhetorical or

  5. [Research protocol for the mortality atlas of the provincial capitals of Andalusia and Catalonia (AMCAC Project)].

    PubMed

    Ocaña-Riola, Ricardo; Saez, Marc; Sáchez-Cantalejo, Carmen; Barceló, Maria Antònia; Fernández, Alberto; Saurina, Carme

    2005-01-01

    The aim of this work is to make known the multicentric project AMCAC, whose objective is to describe the geographical distribution of mortality from all causes in census groups of the provincial capitals of Andalusia and Catalonia during 1992-2002 and 1994-2000 respectively, and to study the relationship between the sociodemographic characteristics of the census groups and mortality. This is an ecological study in which the analytical unit is the census group. The data correspond to 298,731 individuals (152,913 men and 145,818 women) who died during the study periods in the towns of Almeria, Barcelona, Cadiz, Cordoba, Girona, Granada, Huelva, Jaen, Lleida, Malaga, Seville and Tarragona during the study periods. The dependent variable is the number of deaths observed per census group. The independent variables are the percentage of unemployment, illiteracy and manual workers. Estimation of the moderated relative risk and the study of the associations among the sociodemographic characteristics of the census groups and the mortality will be done for each town and each sex using the Besag-York-Mollie model. Dissemination of the results will help to improve and broaden knowledge about the population's health, and will provide an important starting point to establish the influence of contextual variables on the health of urban populations.

  6. Displacement efficiency of alternative energy and trans-provincial imported electricity in China.

    PubMed

    Hu, Yuanan; Cheng, Hefa

    2017-02-17

    China has invested heavily on alternative energy, but the effectiveness of such energy sources at substituting the dominant coal-fired generation remains unknown. Here we analyse the displacement of fossil-fuel-generated electricity by alternative energy, primarily hydropower, and by trans-provincial imported electricity in China between 1995 and 2014 using two-way fixed-effects panel regression models. Nationwide, each unit of alternative energy displaces nearly one-quarter of a unit of fossil-fuel-generated electricity, while each unit of imported electricity (regardless of the generation source) displaces ∼0.3 unit of fossil-fuel electricity generated locally. Results from the six regional grids indicate that significant displacement of fossil-fuel-generated electricity occurs once the share of alternative energy in the electricity supply mix exceeds ∼10%, which is accompanied by 10-50% rebound in the consumption of fossil-fuel-generated electricity. These findings indicate the need for a policy that integrates carbon taxation, alternative energy and energy efficiency to facilitate China's transition towards a low-carbon economy.

  7. An impact assessment of sustainable technologies for the Chinese urban residential sector at provincial level

    NASA Astrophysics Data System (ADS)

    Xing, Rui; Hanaoka, Tatsuya; Kanamori, Yuko; Dai, Hancheng; Masui, Toshihiko

    2015-06-01

    Recently, energy use in the urban residential sector of China has drastically increased due to higher incomes and urbanization. The fossil fuels dominant energy supply has since worsened the air quality, especially in urban areas. In this study we estimate the future energy service demands in Chinese urban residential areas, and then use an AIM/Enduse model to evaluate the emission reduction potential of CO2, SO2, NOx and PM. Considering the climate diversity and its impact on household energy service demands, our analysis is down-scaled to the provincial-level. The results show that in most of the regions, penetration of efficient technologies will bring CO2 emission reductions of over 20% compared to the baseline by the year 2030. Deployment of energy efficient technologies also co-benefits GHG emission reduction. However, efficient technology selection appears to differ across provinces due to climatic variation and economic disparity. For instance, geothermal heating technology is effective for the cold Northern areas while biomass technology contributes to emission reduction the most in the warm Southern areas.

  8. Jacinto Duverger Goyanes, MS, Systems Analyst. Provincial Hygiene, Epidemiology & Microbiology Center, Guantánamo.

    PubMed

    Giraldo, Gloria

    2008-01-01

    Jacinto Duverger received his Bachelor's Degree in Economic Cybernetics from the University of Donetsk, Ukraine in 1988 and his Master's Degree in Information and Communications in 2007 from a joint program between the University of Las Villas and Guant�namo University. Since 1994 he has worked almost exclusively on the development of the Health Trends Analysis Units (Unidad de An�lisis de Tendencias en la Salud, UATS) throughout Cuba, participating in their conceptual design, installing their first computer network, and more. Born in the country's easternmost province, Guant�namo, his fascination with programming and Prospective Methodology led him to create health software that helps provincial UATS track and forecast health events and to engage in proactive strategic health planning. Most recently, Duverger developed a software package to study the financial sustainability of Mexico's new catastrophic illness coverage program. Duverger sat down with MEDICC Review to talk about software development, strategic health planning methodologies, and training the new generation of Cuban public health leaders.

  9. Electric bicycle-related injuries presenting to a provincial hospital in China: A retrospective study.

    PubMed

    Zhou, Sheng Ang; Ho, Andrew Fu Wah; Ong, Marcus Eng Hock; Liu, Nan; Pek, Pin Pin; Wang, Yi Qing; Jin, Tao; Yan, Guang Zhao; Han, Nan Nan; Li, Gang; Xu, Li Ming; Cai, Wen Wei

    2017-06-01

    The use of electric bicycles (EBs) in China is growing. In the present study, we aimed to characterize the pattern and outcomes of EB-related injuries presenting to a major general hospital in China.This was a retrospective review of EB-related injuries presenting to Zhejiang Provincial People's Hospital from 2008 to 2011. Cases were identified from medical records according to diagnosis codes. Data captured included demographics, injury characteristics, and outcomes.A total of 3156 cases were reviewed in the present study. There were 1460 cases of traffic accidents, of which 482 cases were EB-related (32.7%). In addition, most of EB-related cases (44.6%) belonged to the 41- to 60-year-old age group. Median injury severity score was 10. Moreover, 34.9% underwent surgery and 24.7% were admitted to intensive care unit. The median hospitalization cost was 14,269 USD. Fracture (56.5%) was the most frequently diagnosed injury type, and head was the most commonly injured body region (31.1%).EB-related injuries have become a major health concern, making up a sizeable proportion of injuries presenting to the emergency department. Therefore, it is necessary to establish injury prevention and strategies for EB road safety. Implementation of policy such as compulsory helmet use, as well as popularization of EB road safety education should be considered to improve the current situation of EB-related injuries in China.

  10. Electric bicycle-related injuries presenting to a provincial hospital in China

    PubMed Central

    Zhou, Sheng Ang; Ho, Andrew Fu Wah; Ong, Marcus Eng Hock; Liu, Nan; Pek, Pin Pin; Wang, Yi Qing; Jin, Tao; Yan, Guang Zhao; Han, Nan Nan; Li, Gang; Xu, Li Ming; Cai, Wen Wei

    2017-01-01

    Abstract The use of electric bicycles (EBs) in China is growing. In the present study, we aimed to characterize the pattern and outcomes of EB-related injuries presenting to a major general hospital in China. This was a retrospective review of EB-related injuries presenting to Zhejiang Provincial People's Hospital from 2008 to 2011. Cases were identified from medical records according to diagnosis codes. Data captured included demographics, injury characteristics, and outcomes. A total of 3156 cases were reviewed in the present study. There were 1460 cases of traffic accidents, of which 482 cases were EB-related (32.7%). In addition, most of EB-related cases (44.6%) belonged to the 41- to 60-year-old age group. Median injury severity score was 10. Moreover, 34.9% underwent surgery and 24.7% were admitted to intensive care unit. The median hospitalization cost was 14,269 USD. Fracture (56.5%) was the most frequently diagnosed injury type, and head was the most commonly injured body region (31.1%). EB-related injuries have become a major health concern, making up a sizeable proportion of injuries presenting to the emergency department. Therefore, it is necessary to establish injury prevention and strategies for EB road safety. Implementation of policy such as compulsory helmet use, as well as popularization of EB road safety education should be considered to improve the current situation of EB-related injuries in China. PMID:28658174

  11. Information security concepts and practices: the case of a provincial multi-specialty hospital.

    PubMed

    Cavalli, Enrico; Mattasoglio, Andrea; Pinciroli, Francesco; Spaggiari, Piergiorgio

    2004-03-31

    In recent years, major and widely accepted information security understandings and achievements confirm that the problem is complex. They clarify that technologies are fundamental tools, but management processes have even bigger relevance, as also prestigious international magazines dossier clearly explained recently. Such a magazine attention outlines the wide impact that the subject has on watchful decision makers. ISO17799 is an emerging standard in information security. In principle there are no reasons for considering it not applicable to the health care sector. In practice, because of both the just conceptual level of the standard and the peculiarities of the health care data and institutions, a lot of analysis and design work need to be invested any time a health care institution decides to deal with the subject. CEN/ENV 12924 is another emerging standard certainly more on the spot of the health care. Nevertheless, it also asks for evident further investigation. The practical case of information security design, implementation, management, and auditing inside a multi-specialty provincial Italian hospital will be described.

  12. Displacement efficiency of alternative energy and trans-provincial imported electricity in China

    NASA Astrophysics Data System (ADS)

    Hu, Yuanan; Cheng, Hefa

    2017-02-01

    China has invested heavily on alternative energy, but the effectiveness of such energy sources at substituting the dominant coal-fired generation remains unknown. Here we analyse the displacement of fossil-fuel-generated electricity by alternative energy, primarily hydropower, and by trans-provincial imported electricity in China between 1995 and 2014 using two-way fixed-effects panel regression models. Nationwide, each unit of alternative energy displaces nearly one-quarter of a unit of fossil-fuel-generated electricity, while each unit of imported electricity (regardless of the generation source) displaces ~0.3 unit of fossil-fuel electricity generated locally. Results from the six regional grids indicate that significant displacement of fossil-fuel-generated electricity occurs once the share of alternative energy in the electricity supply mix exceeds ~10%, which is accompanied by 10-50% rebound in the consumption of fossil-fuel-generated electricity. These findings indicate the need for a policy that integrates carbon taxation, alternative energy and energy efficiency to facilitate China's transition towards a low-carbon economy.

  13. Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya.

    PubMed

    Moth, I A; Ayayo, A B C O; Kaseje, D O

    2005-07-01

    The main objective of the study was to assess the utilisation of prevention of mother-to-child transmission (PMTCT) services among mothers registered for services at Nyanza Provincial Hospital in Kenya. A crosssectional exploratory study was conducted, using both quantitative and qualitative approaches to collect primary and secondary data. The study population was 133 clients registered for PMTCT services. The study revealed that 52.4% of clients received PMTCT information at the health facility without prior knowledge about intervention, 96% waited for more than 90 minutes, and 89% took less than 10 minutes for post-test counselling. Knowledge of MTCT and PMTCT was inadequate even after counselling, as participants could not recall the information divulged during counselling. In addition, 80% of clients did not present for follow-up counselling irrespective of HIV status, and 95%, did not disclose positive HIV status to spouses/relatives for fear of stigma, discrimination and violence. Inadequate counselling services delivered to clients affected service utilisation, in that significant dropout occurred at the stages of HIV result (31.5%), enrollment (53.6%), and delivery (80.7%). Reasons for dropout included fear of positive HIV result, chronic illness, stigma and discrimination, unsupportive spouse and inability to pay for the services.

  14. 'For me… it's a miracle': Injecting beauty among kathoeis in a provincial Thai city.

    PubMed

    Poompruek, Panoopat; Boonmongkon, Pimpawun; Guadamuz, Thomas E

    2014-07-01

    The Thai term kathoei refers to non-gender-normative females, males and intersexual individuals at different stages of the transitional spectrum with recognized social and cultural roles in society. Nevertheless, kathoeis are only tolerated in Thai society. Many kathoeis seek social acceptance through beauty and turn to the off-label injection of various 'beauty drugs'. The first author conducted an ethnographic study of injection parties at a wedding studio in a Central Thai provincial city between April and September 2011. Data were gathered through participant observation, focus group discussions and narrative interviews with six participants. All data were collected and analyzed in Thai, and later translated. While injection parties provide opportunities for kathoeis to socialize, bond, and share experiential knowledge on chemically assisted transformation, they also reproduce ideologies of gender, beauty and sexuality that reinforce the notion that if a kathoei is to maintain her beauty, she must use medicines more frequently and in higher doses. Injection parties among Thai kathoeis feature drug use that is entirely reasonable in terms of their own lay knowledge. Empowering kathoeis, by providing accessible information on chemicals and health in a way that reflects the complexity and diversity of their practices, would be one way to reduce health risks. Society must give more long-term options to kathoeis to build their sense of self, based on things besides being beautiful. Copyright © 2014 Elsevier B.V. All rights reserved.

  15. Twelve tips for teaching in a provincially distributed medical education program.

    PubMed

    Wong, Roger Y; Chen, Luke; Dhadwal, Gurbir; Fok, Mark C; Harder, Ken; Huynh, Hanh; Lunge, Ryan; Mackenzie, Mark; Mckinney, James; Ovalle, William; Rauniyar, Pooja; Tse, Luke; Villanyi, Diane

    2012-01-01

    As distributed undergraduate and postgraduate medical education becomes more common, the challenges with the teaching and learning process also increase. To collaboratively engage front line teachers in improving teaching in a distributed medical program. We recently conducted a contest on teaching tips in a provincially distributed medical education program and received entries from faculty and resident teachers. Tips that are helpful for teaching around clinical cases at distributed teaching sites include: ask "what if" questions to maximize clinical teaching opportunities, try the 5-min short snapper, multitask to allow direct observation, create dedicated time for feedback, there are really no stupid questions, and work with heterogeneous group of learners. Tips that are helpful for multi-site classroom teaching include: promote teacher-learner connectivity, optimize the long distance working relationship, use the reality television show model to maximize retention and captivate learners, include less teaching content if possible, tell learners what you are teaching and make it relevant and turn on the technology tap to fill the knowledge gap. Overall, the above-mentioned tips offered by front line teachers can be helpful in distributed medical education.

  16. Spatiotemporal Characteristics, Determinants and Scenario Analysis of CO2 Emissions in China Using Provincial Panel Data

    PubMed Central

    Wang, Shaojian

    2015-01-01

    This paper empirically investigated the spatiotemporal variations, influencing factors and future emission trends of China’s CO2 emissions based on a provincial panel data set. A series of panel econometric models were used taking the period 1995–2011 into consideration. The results indicated that CO2 emissions in China increased over time, and were characterized by noticeable regional discrepancies; in addition, CO2 emissions also exhibited properties of spatial dependence and convergence. Factors such as population scale, economic level and urbanization level exerted a positive influence on CO2 emissions. Conversely, energy intensity was identified as having a negative influence on CO2 emissions. In addition, the significance of the relationship between CO2 emissions and the four variables varied across the provinces based on their scale of economic development. Scenario simulations further showed that the scenario of middle economic growth, middle population increase, low urbanization growth, and high technology improvement (here referred to as Scenario BTU), constitutes the best development model for China to realize the future sustainable development. Based on these empirical findings, we also provide a number of policy recommendations with respect to the future mitigation of CO2 emissions. PMID:26397373

  17. Spatiotemporal Characteristics, Determinants and Scenario Analysis of CO2 Emissions in China Using Provincial Panel Data.

    PubMed

    Wang, Shaojian; Fang, Chuanglin; Li, Guangdong

    2015-01-01

    This paper empirically investigated the spatiotemporal variations, influencing factors and future emission trends of China's CO2 emissions based on a provincial panel data set. A series of panel econometric models were used taking the period 1995-2011 into consideration. The results indicated that CO2 emissions in China increased over time, and were characterized by noticeable regional discrepancies; in addition, CO2 emissions also exhibited properties of spatial dependence and convergence. Factors such as population scale, economic level and urbanization level exerted a positive influence on CO2 emissions. Conversely, energy intensity was identified as having a negative influence on CO2 emissions. In addition, the significance of the relationship between CO2 emissions and the four variables varied across the provinces based on their scale of economic development. Scenario simulations further showed that the scenario of middle economic growth, middle population increase, low urbanization growth, and high technology improvement (here referred to as Scenario BTU), constitutes the best development model for China to realize the future sustainable development. Based on these empirical findings, we also provide a number of policy recommendations with respect to the future mitigation of CO2 emissions.

  18. Marine Ostracod Provinciality in the Late Ordovician of Palaeocontinental Laurentia and Its Environmental and Geographical Expression

    PubMed Central

    Mohibullah, Mohibullah; Williams, Mark; Vandenbroucke, Thijs R. A.; Sabbe, Koen; Zalasiewicz, Jan A.

    2012-01-01

    Background We examine the environmental, climatic and geographical controls on tropical ostracod distribution in the marine Ordovician of North America. Methodology/Principal Findings Analysis of the inter-regional distribution patterns of Ordovician Laurentian ostracods, focussing particularly on the diverse Late Ordovician Sandbian (ca 461 to 456 Ma) faunas, demonstrates strong endemicity at the species-level. Local endemism is very pronounced, ranging from 25% (e.g. Foxe basin) to 75% (e.g. Michigan basin) in each basin, a pattern that is also reflected in other benthic faunas such as brachiopods. Multivariate (ordination) analyses of the ostracod faunas allow demarcation of a Midcontinent Province and a southern Marginal Province in Laurentia. While these are most clearly differentiated at the stratigraphical level of the bicornis graptolite biozone, analyses of the entire dataset suggest that these provinces remain distinct throughout the Sandbian interval. Differences in species composition between the provinces appear to have been controlled by changes in physical parameters (e.g. temperature and salinity) related to water depth and latitude and a possible regional geographic barrier, and these differences persist into the Katian and possibly the Hirnantian. Local environmental parameters, perhaps operating at the microhabitat scale, may have been significant in driving local speciation events from ancestor species in each region. Conclusions/Significance Our work establishes a refined methodology for assessing marine benthic arthropod micro-benthos provinciality for the Early Palaeozoic. PMID:22900000

  19. Emission inventory and provincial distribution of short-chain chlorinated paraffins in China.

    PubMed

    Zhang, Boya; Zhao, Bu; Xu, Chun; Zhang, Jianbo

    2017-03-01

    Chlorinated paraffins (CPs) are used as flame retardants, plasticizers, and metalworking fluids, which have varying contents of toxic short-chain chlorinated paraffins (SCCPs). Based on the study of several relevant production and consumption sectors, this paper classifies the consumption of CPs among sectors and provides an emission inventory and the provincial emission distribution of SCCPs in China in 2010-2014 based on the consumption patterns and emission factors of each sector. The total emissions of SCCPs in China in 2014 were 3083.88tons, with emissions to the atmosphere and water accounting for 894.81tons and 2189.07tons, respectively. The largest emission source was from metalworking fluids, with total emissions of 2459.12tons, of which 756.65tons went to the atmosphere and 1702.47tons to water. Our results show that SCCP emissions were mainly concentrated in the eastern, more developed regions and that Jiangsu Province was the biggest producer in China, with total emissions of 1853.06tons, of which 562.61tons were to the atmosphere and 1290.46tons to water.

  20. Barriers, beliefs and practice patterns for breast cancer reconstruction: A provincial survey.

    PubMed

    Coroneos, Christopher J; Roth-Albin, Karina; Rai, Ajit S; Rai, Amrit S; Voineskos, Sophocles H; Brouwers, Melissa C; Avram, Ronen; Heller, Barbara

    2017-04-01

    The purpose of this study was to characterize beliefs and practice patterns for breast cancer reconstruction among physicians who treat patients with breast cancer, in order to delineate current clinical practice. This survey was administered prior to Cancer Care Ontario guideline publication. Survey questions addressed four domains: survival, delayed or obscured recurrence detection, delayed adjuvant therapy, and aesthetics. The survey was administered to 1160 Ontario plastic and general surgeons and radiation and medical oncologists. Data were compared to published guidelines. The overall response rate was 48%, with 57% of respondents treating breast cancer. Of those treating breast cancer, 75% are affiliated with an academic center. Immediate breast reconstruction (IBR) is not available to 28%. Autologous reconstruction is thought to interfere with recurrence detection by 23% (oncologists 30%, surgeons 19%, p = 0.04). For patients not expected to require radiation therapy, IBR is not supported by 30%. Autologous IBR is believed to delay delivery of adjuvant chemotherapy by 45% (oncologists 55%, surgeons 41%, p = 0.02). Up to 42% of respondents believe delays in adjuvant therapy delivery following IBR are due to insufficient health care resources (ie. coordinating an oncologic and reconstructive surgeon). Radiation therapy following reconstruction is believed to have negative aesthetic outcomes, and increase the need for revision surgery. Unfavourable beliefs about certain clinical actions do not align with recent provincial guideline recommendations. Insufficient healthcare resources are perceived to be a significant barrier to IBR and timely care. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Knowledge exchange systems for youth health and chronic disease prevention: a tri-provincial case study.

    PubMed

    Murnaghan, D; Morrison, W; Griffith, E J; Bell, B L; Duffley, L A; McGarry, K; Manske, S

    2013-09-01

    The research teams undertook a case study design using a common analytical framework to investigate three provincial (Prince Edward Island, New Brunswick and Manitoba) knowledge exchange systems. These three knowledge exchange systems seek to generate and enhance the use of evidence in policy development, program planning and evaluation to improve youth health and chronic disease prevention. We applied a case study design to explore the lessons learned, that is, key conditions or processes contributing to the development of knowledge exchange capacity, using a multi-data collection method to gain an in-depth understanding. Data management, synthesis and analysis activities were concurrent, iterative and ongoing. The lessons learned were organized into seven "clusters." Key findings demonstrated that knowledge exchange is a complex process requiring champions, collaborative partnerships, regional readiness and the adaptation of knowledge exchange to diverse stakeholders. Overall, knowledge exchange systems can increase the capacity to exchange and use evidence by moving beyond collecting and reporting data. Areas of influence included development of new partnerships, expanded knowledge-sharing activities, and refinement of policy and practice approaches related to youth health and chronic disease prevention.

  2. Ideology and wildlands management: The case of Rondeau Provincial Park, Ontario

    NASA Astrophysics Data System (ADS)

    Mann, D. L.; Nelson, J. G.

    1980-03-01

    This is a critical examination of some of the basic concepts that have guided management of parks and related reserves, often termed wildlands. Study is focussed on Rondeau Provincial Park, Ontario, and on concepts such as wilderness, primeval forest, and the Carolinian forest. Deer culling and other management policies and practices have been based upon the idea that the highly valued sassafras, tulip, and other species of the Carolinian forest are decreasing due to browsing. Field mapping and analysis of historic vegetation records indicate that this trend is not in fact occurring. Historic research also reveals difficulties in defining the Carolinian or other perceived types of forest for management purposes. A major reassessment of ideology and management policy and practice seem to be required in Rondeau and other wildlands. Vague or general concepts such as wilderness or preservation should be strongly complemented and supported by more precise statements of objectives, a learning attitude, and experimentation and research. As a result of the technical uncertainties and value judgments frequently involved, management should also be based upon the expressed preferences and continuing involvement of citizens.

  3. Displacement efficiency of alternative energy and trans-provincial imported electricity in China

    PubMed Central

    Hu, Yuanan; Cheng, Hefa

    2017-01-01

    China has invested heavily on alternative energy, but the effectiveness of such energy sources at substituting the dominant coal-fired generation remains unknown. Here we analyse the displacement of fossil-fuel-generated electricity by alternative energy, primarily hydropower, and by trans-provincial imported electricity in China between 1995 and 2014 using two-way fixed-effects panel regression models. Nationwide, each unit of alternative energy displaces nearly one-quarter of a unit of fossil-fuel-generated electricity, while each unit of imported electricity (regardless of the generation source) displaces ∼0.3 unit of fossil-fuel electricity generated locally. Results from the six regional grids indicate that significant displacement of fossil-fuel-generated electricity occurs once the share of alternative energy in the electricity supply mix exceeds ∼10%, which is accompanied by 10–50% rebound in the consumption of fossil-fuel-generated electricity. These findings indicate the need for a policy that integrates carbon taxation, alternative energy and energy efficiency to facilitate China's transition towards a low-carbon economy. PMID:28211467

  4. Pitfalls of applying adaptive management to a wolf population in Algonquin Provincial Park, Ontario.

    PubMed

    Theberge, John B; Theberge, Mary T; Vucetich, John A; Paquet, Paul C

    2006-04-01

    We examined adaptive management (AM), applied as a science with testable and falsifiable hypothesis, in the context of a large carnivore population, specifically to wolf (Canis lupus lycaon) management in Algonquin Provincial Park, Ontario, Canada. Evidence of a population decline was based upon 12 years of data on 137 different radio-collared wolves. Because human killing accounted for an average of 66% of deaths, and most killing occurred adjacent to the park, a management prescription of complete protection for wolves around the park for 30 months was initiated in January 2001. We evaluated the probability of being able to test the null hypothesis, that protecting wolves adjacent to the park for 30 months would not result in a positive population response. Using preceding variances in population change, yearling recruitment, and mortality rates, we conducted this evaluation in two ways, the former involving a power analysis, the latter involving modeling. Both approaches showed the falsifiability of the hypothesis to be low. The reason, inherent in the application of AM to issues of population biology, especially of large carnivores, was stochasticity of the ecological system and time constraints of the human system. We discuss the political background that led up to the management prescription, and ways to avoid misapplication of a scientific approach to AM in such situations. For the latter, the merit of adjusting the relative probability levels of making Type I or Type II errors are discussed, along with recommendations that in the interests of conservation, avoiding a Type II error holds precedence.

  5. [Provincial public center for crisis intervention and psycho-social rehabilitation. A path towards communitary suicidology].

    PubMed

    Martínez, Carlos

    2014-01-01

    This work on the systematic comprehensive approach towards the Prevention and Postvencion of Suicide started to develop back in mid 2011 in Río Gallegos, capital of Santa Cruz Province. The first step on this development was a Pilot Plan for the Training of Professionals and also field intervention. The Center for Crisis Intervention and Psycho-social Rehabilitation was founded eight months later. The case-client in crisis plus family group- undergoes quantitative and qualitative evaluation by means of a triage system, all of which allows starting intensive face-to-face and also phone follow up according to the Crisis Intervention Model. Such intervention is developed by means of the participation in the "Grupo Sostén", the Adolescents Group if the client fits into that age, and also family relationship interviews as well as Multi-family meetings open to the Community. There is also a Community Team in the Center which performs collective assessment in schools, in conjunction with the "Equidad en Redes" Educational Specialty Team, belonging to the Provincial Education Council. The approach takes place on the field, and works as a screening step for the early detection of risk. Such risk is dealt with by means of short term intervention group programs involving the whole of the educational community. When facing situations of committed suicide there are interventions in communities to the interior of the province, fundamentally through the Hospital Team which works as the cluster convener for the social intersectoral frame-work.

  6. Prevalence of HIV and hepatitis C virus infections among inmates of Quebec provincial prisons

    PubMed Central

    Poulin, Céline; Alary, Michel; Lambert, Gilles; Godin, Gaston; Landry, Suzanne; Gagnon, Hélène; Demers, Éric; Morarescu, Elena; Rochefort, Jean; Claessens, Christiane

    2007-01-01

    Background To determine the prevalence of HIV and hepatitis C virus (HCV) infections and examine risk factors for these infections among inmates in Quebec provincial prisons. Methods Anonymous cross-sectional data were collected from January to June 2003 for men (n = 1357) and women (n = 250) who agreed to participate in the study and who completed a self-administrated questionnaire and provided saliva samples. Results The prevalence of HIV infection was 2.3% among the male participants and 8.8% among the female participants. The corresponding prevalence of HCV infection was 16.6% and 29.2%, respectively. The most important risk factor was injection drug use. The prevalence of HIV infection was 7.2% among the male injection drug users and 0.5% among the male non-users. Among the women, the rate was 20.6% among the injection drug users, whereas none of the non-users was HIV positive. The prevalence of HCV infection was 53.3% among the male injection drug users and 2.6% among the male non-users; the corresponding values among the women were 63.6% and 3.5%. Interpretation HIV and HCV infections constitute an important public health problem in prison, where the prevalence is affected mainly by a high percentage of injection drug use among inmates. PMID:17664448

  7. Directory of Library and Related Organizations. Networks, Consortia, and Other Cooperative Library Organizations; National Library and Information-Industry Associations, United States and Canada; State, Provincial, and Regional Library Associations; State and Provincial Library Agencies; State School Library Media Associations; International Library Associations; Foreign Library Associations.

    ERIC Educational Resources Information Center

    Bowker Annual Library and Book Trade Almanac, 2003

    2003-01-01

    Includes seven lists of cooperative library organizations; national libraries and information industry associations in the United States and Canada; state, provincial, and regional library associations in the United States and Canada; state and provincial library agencies; state school library media associations; international library…

  8. Directory of Library and Related Organizations. Networks, Consortia, and Other Cooperative Library Organizations; National Library and Information-Industry Associations, United States and Canada; State, Provincial, and Regional Library Associations; State and Provincial Library Agencies; State School Library Media Associations; International Library Associations; Foreign Library Associations.

    ERIC Educational Resources Information Center

    Bowker Annual Library and Book Trade Almanac, 2002

    2002-01-01

    Presents lists of networks, consortia, and other cooperative library organizations; national library and information-industry associations in the U.S. and Canada; state, provincial, and regional library associations; state and provincial library agencies; state school library media associations; international library associations; and foreign…

  9. Technology transfer from havana hospitals to primary care: yamila de armas, MD. Deputy director, provincial health department, havana city province.

    PubMed

    Giraldo, Gloria

    2009-01-01

    Dr Yamila de Armas has occupied an array of posts since finishing her residency in family medicine in her home province of Cienfuegos in 1992. She has served as a family doctor; polyclinic, municipal and provincial health director; medical school dean; and twice vice minister of public health. But few would doubt her toughest job is the one she has now: deputy director of the Havana City Provincial Health Department, in charge of medical services for the 2.2 million people living in Cuba's complex, sprawling capital. It was here in 2002-2003 that the program was launched to repair, refurbish and expand the country's nearly 500 community polyclinics. Key to the effort was equipping these facilities with a broader range of new and upgraded medical technology. Dr de Armas offers MEDICC Review her reflections on the results five years later.

  10. Mortality over 12 years of follow-up in people admitted to provincial custody in Ontario: a retrospective cohort study

    PubMed Central

    Kouyoumdjian, Fiona G.; Kiefer, Lori; Wobeser, Wendy; Gonzalez, Alejandro; Hwang, Stephen W.

    2016-01-01

    Background: We aimed to define rates and causes of death in custody and after release in people admitted to provincial custody in Ontario, and to compare these data with data for the general population. Methods: We linked data on adults admitted to provincial custody in Ontario in 2000 with data on deaths between 2000 and 2012. We examined rates and causes of death by age, sex, custodial status and period after release, and compared them with data for the general population, using indirect adjustment for age. Results: Between 2000 and 2012, 8.6% (95% confidence interval [CI] 8.3%-8.8%) of those incarcerated died in provincial custody or after release. The crude death rate was 7.1 (95% CI 6.9-7.3) per 1000 person-years. The standardized mortality ratio for those incarcerated in 2000 was 4.0 (95% CI 3.9-4.1) overall and 1.9 (95% CI 1.5-2.4) while in provincial custody. The most common causes of death were injury and poisoning (38.2% of all deaths), including overdose (13.6%) and suicide (8.2%), diseases of the circulatory system (15.8%) and neoplasms (14.5%). In the 2 weeks after release, the standardized mortality ratio was 5.7 overall and 56.0 for overdose. Life expectancy was 72.3 years for women and 73.4 for men who experienced incarceration in 2000. Interpretation: Mortality was high for people who experienced incarceration, and life expectancy was 4.2 years less for men and 10.6 years less for women compared with the general population. Efforts should be made to reduce the gap in mortality between people who experience incarceration and those who do not. Time in custody could serve as an opportunity to intervene to decrease risk. PMID:27398358

  11. Two new species and new provincial records of aleocharine rove beetles from Newfoundland and Labrador, Canada (Coleoptera, Staphylinidae, Aleocharinae)

    PubMed Central

    Klimaszewski, Jan; Langor, David W.; Bourdon, Caroline; Gilbert, Amélie; Labrecque, Myriam

    2016-01-01

    Abstract Two new species, Atheta pseudovestita Klimaszewski & Langor, sp. n., Silusa prettyae Klimaszewski & Langor, sp. n., are described, and 16 new provincial records, including one new country record, of aleocharine beetles are presented for the province of Newfoundland and Labrador. Diagnostics, images of habitus and genital structures, distribution, bionomics information and new locality data are provided for the newly recorded species. A new checklist with 189 species of aleocharines recorded from the province is presented. PMID:27408552

  12. Two new species and new provincial records of aleocharine rove beetles from Newfoundland and Labrador, Canada (Coleoptera, Staphylinidae, Aleocharinae).

    PubMed

    Klimaszewski, Jan; Langor, David W; Bourdon, Caroline; Gilbert, Amélie; Labrecque, Myriam

    2016-01-01

    Two new species, Atheta pseudovestita Klimaszewski & Langor, sp. n., Silusa prettyae Klimaszewski & Langor, sp. n., are described, and 16 new provincial records, including one new country record, of aleocharine beetles are presented for the province of Newfoundland and Labrador. Diagnostics, images of habitus and genital structures, distribution, bionomics information and new locality data are provided for the newly recorded species. A new checklist with 189 species of aleocharines recorded from the province is presented.

  13. Use of a control chart to monitor diarrhoea admissions: a quality improvement exercise in West Kalimantan Provincial Hospital, Pontianak, Indonesia.

    PubMed

    Purba, M

    1999-09-01

    Data on the number of admissions for diarrhoea each week to the West Kalimantan Provincial Hospital, Pontianak, Indonesia over a 5 year period, 1992-1996, were collected. After cleaning and exclusion of extreme values, transformation was then performed to ensure that the data were free of special cause variation and normally distributed. A control chart was then constructed to provide an 'early warning' system for hospital authorities in order to facilitate the management of the epidemic and to improve patient care.

  14. Poverty assessment using DMSP/OLS night-time light satellite imagery at a provincial scale in China

    NASA Astrophysics Data System (ADS)

    Wang, Wen; Cheng, Hui; Zhang, Li

    2012-04-01

    All countries around the world and many international bodies, including the United Nations Development Program (UNDP), United Nations Food and Agricultural Organization (FAO), the International Fund for Agricultural Development (IFAD) and the International Labor Organization (ILO), have to eliminate rural poverty. Estimation of regional poverty level is a key issue for making strategies to eradicate poverty. Most of previous studies on regional poverty evaluations are based on statistics collected typically in administrative units. This paper has discussed the deficiencies of traditional studies, and attempted to research regional poverty evaluation issues using 3-year DMSP/OLS night-time light satellite imagery. In this study, we adopted 17 socio-economic indexes to establish an integrated poverty index (IPI) using principal component analysis (PCA), which was proven to provide a good descriptor of poverty levels in 31 regions at a provincial scale in China. We also explored the relationship between DMSP/OLS night-time average light index and the poverty index using regression analysis in SPSS and a good positive linear correlation was modelled, with R2 equal to 0.854. We then looked at provincial poverty problems in China based on this correlation. The research results indicated that the DMSP/OLS night-time light data can assist analysing provincial poverty evaluation issues.

  15. Variations in costs and use of provincially-funded testosterone replacement therapy across Canada: a population-based study.

    PubMed

    Tadrous, Mina; Martins, Diana; Lee, Kathy; Knowles, Sandra; Mamdani, Muhammad M; Juurlink, David N; Gomes, Tara

    2016-12-01

    Provincial drug-program policies for the reimbursement of testosterone replacement therapy (TRT) vary across Canada, which may result in marked regional variability in use. We conducted a population-based cross-sectional analysis of provincially funded TRT spending and utilization in eight provinces across Canada in 2012. We reported the annual cost per user, total cost, and rate of use of TRT overall and by formulation. We identified 23,544 provincially-funded recipients of TRT in 2012 in the eight provinces studied. Average annual cost per person varied by 3-fold, ranging from $173 (Prince Edward Island) to $485 (Ontario). Ontario also had the highest rate of use (1,105 users per 100,000 eligible) and the most liberal listing. Provinces with more restricted access (Alberta, British Columbia, and PEI) had lower annual costs per user ($293, $206, $173, respectively). Differing reimbursement policies for TRT products across Canada are likely contributing to variation in the rate of use and cost per recipient.

  16. Relationship between air pollutants and economic development of the provincial capital cities in China during the past decade.

    PubMed

    Luo, Yunpeng; Chen, Huai; Zhu, Qiu'an; Peng, Changhui; Yang, Gang; Yang, Yanzheng; Zhang, Yao

    2014-01-01

    With the economic development of China, air pollutants are also growing rapidly in recent decades, especially in big cities of the country. To understand the relationship between economic condition and air pollutants in big cities, we analysed the socioeconomic indictors such as Gross Regional Product per capita (GRP per capita), the concentration of air pollutants (PM10, SO2, NO2) and the air pollution index (API) from 2003 to 2012 in 31 provincial capitals of mainland China. The three main industries had a quadratic correlation with NO2, but a negative relationship with PM10 and SO2. The concentration of air pollutants per ten thousand yuan decreased with the multiplying of GRP in the provincial cities. The concentration of air pollutants and API in the provincial capital cities showed a declining trend or inverted-U trend with the rise of GRP per capita, which provided a strong evidence for the Environmental Kuznets Curve (EKC), that the environmental quality first declines, then improves, with the income growth. The results of this research improved our understanding of the alteration of atmospheric quality with the increase of social economy and demonstrated the feasibility of sustainable development for China.

  17. [Sponges (porifera) distribution along a depth gradient in a coral reef, Parque Nacional San Esteban, Carabobo, Venezuela].

    PubMed

    Núñez Flores, Mónica; Rodríguez-Quintal, José Gregorio; Cristina Díaz, María

    2010-10-01

    Sponges constitute one of the most diverse and abundant animal groups in the marine tropical benthos especially in coral reefs, though poorly studied to species level. The aim of this study is to characterize the sponge community along a depth gradient at Isla Larga (Parque Nacional San Esteban, Venezuela) fringe reef. Net and total sedimentation, roughness index, sponge species richness, density and proportion of the bottom covered by sponges, were evaluated at seven depths (1, 3, 6, 9, 12, 15, 18 m), 17 species were identified grouped in 10 demosponges families. The highest densities and coverage corresponded to 6 m of depth (6.03ind/m2; 11%), that coincides with the lowest net sedimentation and highest substrate heterogeneity. Most abundant species were Desmapsamma anchorata, Amphimedon erina and Scopalina rueztleri. Principal component analysis divided this community in three zones according to depth. The shallow zone of the reef (1 and 3 m), where wave force and high irradiance exert a constant stress sponges, shows the lowest density and coverage by sponges. In contrast, medium depth (6, 9 y 12 m) and deep zone (15 y 18 m) with lower light and sedimentation levels seem to enhance sponge growth and survival that are reflected on the higher densities and coverage of sponges.

  18. Argyrogrammana Strand (Lepidoptera: Riodinidae) from Parque Nacional da Serra do Divisor, Acre, Brazil, with the description of four new species.

    PubMed

    Dolibaina, Diego Rodrigo; Dias, Fernando Maia Silva; Mielke, Olaf Hermann Hendrik; Casagrande, Mirna Martins

    2015-10-08

    The species of Argyrogrammana Strand, 1932 collected at the Parque Nacional da Serra do Divisor, Acre, Brazil (PNSD) are listed and detailed with behavioral notes. In total, 17 species were recorded, including 13 new records for Brazil (marked with an asterisk): A. alstonii (Smart, 1979)*, A. nurtia ludibunda Brévignon & Gallard, 1995*, A. pulchra (Talbot, 1929)*, A. bonita Hall & Willmott, 1995*, A. amalfreda (Staudinger, [1877])*, A. physis phyton (Stichel, 1911), A. halli Dolibaina & Dias, sp. nov.*, A. celata Hall & Willmott, 1995*, A. gallardi Dolibaina & Dias, sp. nov.*, A. aparamilla Hall & Willmott, 1995*, A. praestigiosa (Stichel, 1929), A. johannismarci Brévignon, 1995*, A. brevignoni Dolibaina & Dias, sp. nov.*, A. rameli (Stichel, 1930), A. willmotti Dolibaina & Dias, sp. nov.*, A. iracyi P. Jauffret & J. Jauffret, 2007 and A. saulensis tunari Gallard, 2008, comb. nov.*. Four new species are described, two from "amalfreda complex": A. halli Dolibaina & Dias, sp. nov. and A. gallardi Dolibaina & Dias, sp. nov.; one from "trochilia complex": A. brevignoni Dolibaina & Dias, sp. nov.; and one from "stilbe complex": A. willmotti Dolibaina & Dias, sp. nov. Argyrogrammana iracyi saulensis Gallard, 2008 is recognized as a valid species, A. saulensis saulensis, stat. nov., and a new combination is proposed to A. saulensis tunari Gallard, 2008, comb. nov. The females of A. iracyi P. Jauffret & J. Jauffret, 2007 and A. saulensis tunari are recognized and figured for the first time. The taxonomy of the species found at the PNSD is discussed and adults are figured, including illustrations of the genitalia.

  19. First paleoparasitological record of digenean eggs from a native deer from Patagonia Argentina (Cueva Parque Diana archaeological site).

    PubMed

    María Ornela, Beltrame; Eleonor, Tietze; Alberto Enrique, Pérez; Norma Haydeé, Sardella

    2017-02-15

    Eggs representative of a digenean species were found in coprolites belonged to an endemic deer from Patagonia. Samples were collected from the archaeological site named "Cueva Parque Diana". This site is a cave located at the Lanín National Park, Neuquén Province, Argentina. The coprolites were dated from 2370±70 to 580±60 years B.P. The eggs were ellipsoidal, operculated, yellowish and thin-shelled. Measurements (n=65) ranged from 120.0 to 142.5 (133.2±6.53) μm long and 62.5 to 87.5 (72.6±6.15) μm wide. Eggs were well-preserved and were identified as belonged to Class Trematoda, Subclass Digenea, similar to those of Fasciola hepatica or with another species not identified at present from Patagonia. This is the first report of digenean eggs from ancient deer worldwide. The present study confirms the presence of representatives of digenean species in endemic deer from Patagonia in ancient times and the presence of a trematode disease prior to the arrival of European cattle. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Quantifying the uncertainties of China's emission inventory for industrial sources: From national to provincial and city scales

    NASA Astrophysics Data System (ADS)

    Zhao, Yu; Zhou, Yaduan; Qiu, Liping; Zhang, Jie

    2017-09-01

    A comprehensive uncertainty analysis was conducted on emission inventories for industrial sources at national (China), provincial (Jiangsu), and city (Nanjing) scales for 2012. Based on various methods and data sources, Monte-Carlo simulation was applied at sector level for national inventory, and at plant level (whenever possible) for provincial and city inventories. The uncertainties of national inventory were estimated at -17-37% (expressed as 95% confidence intervals, CIs), -21-35%, -19-34%, -29-40%, -22-47%, -21-54%, -33-84%, and -32-92% for SO2, NOX, CO, TSP (total suspended particles), PM10, PM2.5, black carbon (BC), and organic carbon (OC) emissions respectively for the whole country. At provincial and city levels, the uncertainties of corresponding pollutant emissions were estimated at -15-18%, -18-33%, -16-37%, -20-30%, -23-45%, -26-50%, -33-79%, and -33-71% for Jiangsu, and -17-22%, -10-33%, -23-75%, -19-36%, -23-41%, -28-48%, -45-82%, and -34-96% for Nanjing, respectively. Emission factors (or associated parameters) were identified as the biggest contributors to the uncertainties of emissions for most source categories except iron & steel production in the national inventory. Compared to national one, uncertainties of total emissions in the provincial and city-scale inventories were not significantly reduced for most species with an exception of SO2. For power and other industrial boilers, the uncertainties were reduced, and the plant-specific parameters played more important roles to the uncertainties. Much larger PM10 and PM2.5 emissions for Jiangsu were estimated in this provincial inventory than other studies, implying the big discrepancies on data sources of emission factors and activity data between local and national inventories. Although the uncertainty analysis of bottom-up emission inventories at national and local scales partly supported the ;top-down; estimates using observation and/or chemistry transport models, detailed investigations and

  1. [Altruistic public servant or heroic genius? The propagated image of provincial and academic directors of bacteriological laboratories in Belgium (ca. 1900-1940)].

    PubMed

    Onghena, Sofie

    2009-01-01

    At the end of the nineteenth century provincial bacteriological institutes were established in Belgium--in Liège, Mons, Namur and Brussels--in order to combat epidemics, to promote preventive medicine and to pursue the successful research of Louis Pasteur and Robert Koch. Similar laboratories existed at the universities of Ghent, Louvain and Brussels. The image building played an important role for both kinds of institutes, as bacteriology in pioneering phase had to be publicly confirmed as a new, valuable discipline. However, the directors of provincial and academic institutes--with the same academic training though--were awarded with different qualities at their jubilees, fitting with the purposes and the self-image of their respective institutions, either provincial authorities or universities. The image of academic directors was guided by academic decorum: Emile van Ermengem, Edmond Destrée and Joseph Denys were represented as savants, solely devoted to pure science and paternally educating young researchers, notwithstanding the fact that their laboratories had humanitarian merits as well. On the other hand, the discourse on the first provincial directors--Ernest Malvoz, Martin Herman, Achille Haibe--emphasized their altruistic commitment and their solid work for the provincial government. Jules Bordet, a internationally rewarded scientist, professor and provincial director of the Pasteur Institute in Brussels, was celebrated with both sorts of discourses.

  2. Theropod fauna from southern Australia indicates high polar diversity and climate-driven dinosaur provinciality.

    PubMed

    Benson, Roger B J; Rich, Thomas H; Vickers-Rich, Patricia; Hall, Mike

    2012-01-01

    'Gondwanan' fauna of South America and Africa may therefore reflect climate-driven provinciality, not vicariant evolution driven by continental fragmentation. However, vicariance may still be detected at lower phylogenetic levels.

  3. Correlates of Stillbirths at Nyeri Provincial General Hospital, Kenya, 2009-2013: A Retrospective Study

    PubMed Central

    Cheptum, Joyce J.; Muiruri, Nelly; Mutua, Ernest; Gitonga, Moses; Juma, Mwangi

    2016-01-01

    Background: Death of a baby in-utero is a very devastating event to the mother and the family. Most stillbirths occur during labor and birth with other deaths occurring during the antenatal period. Millions of families experience stillbirths, yet these deaths remain uncounted, and policies have not been clearly stipulated to address this issue. The aim of the study was to identify the possible causes of stillbirths as recorded in the medical records. Methods: A retrospective study looking at medical records of women who experienced stillbirths between 1st January 2009 and 31st December 2013 at Nyeri Provincial General Hospital, Kenya. The hospital records containing cases of stillbirths were retrieved and data abstraction forms were used to collect data and information. Results: Both fresh and macerated stillbirths were equally common. The stillbirth rate was 12.2 per 1,000 births. There was significant association between stillbirths and the clients who were referred and reason for referral, (p=0.029) and (p=0.005), respectively. The number of ANC visits during pregnancy was also significant (p=0.05). Mode of delivery and the reason for cesarean section were significantly associated with stillbirths, (p=0.003) and (p=0.032), respectively. The type of labor and delivery complications experienced was associated with stillbirths (p= 0.022). Conclusion and Global Health Implications: There were several factors associated with stillbirths thus efforts should be made to establish approaches aimed at prevention. Addressing the causes of stillbirths will contribute to reduction of perinatal mortality. PMID:27622009

  4. Lessons from an Evaluation of a Provincial-Level Smoking Control Policy in Shanghai, China

    PubMed Central

    Li, Xiang; Gao, Junling; Zhang, Zhixing; Wei, Minqi; Zheng, Pinpin; Nehl, Eric J.; Wong, Frank Y.; Berg, Carla J.

    2013-01-01

    Background The Shanghai Public Places Smoking Control Legislation was implemented in March 2010 as the first provincial-level legislation promoting smoke-free public places in China. Objective To evaluate the compliance with this policy as well as its impact on exposure to secondhand smoke (SHS), respiratory symptoms, and related attitudes among employees in five kinds of workplaces (schools, kindergartens, hospitals, hotels, and shopping malls). Methods A cross-sectional survey was conducted six months before and then six months after the policy was implemented. Five types of occupational employees from 52 work settings were surveyed anonymously using multistage stratified cluster sampling. Results Six months after implementation, 82% of the participants agreed that “legislation is enforced most of the time”. The percentage of self-reported exposure to secondhand smoke declined from round up to 49% to 36%. High compliance rates were achieved in schools and kindergartens (above 90%), with less compliance in hotels and shopping malls (about 70%). Accordingly, prevalence of exposure to SHS was low in schools and kindergartens (less than 10%) and high in hotels and shopping malls (40% and above). The prevalence of respiratory and sensory symptoms (e.g., red or irritated eyes) among employees decreased from 83% to 67%. Conclusions Initial positive effects were achieved after the implementation of Shanghai Smoking Control legislation including decreased exposure to SHS. However, compliance with the policies was a considerable problem in some settings. Further evaluation of such policy implementation should be conducted to inform strategies for increasing compliance in the future. PMID:24058544

  5. The death of the circulatory system diseases in China: provincial socioeconomic and environmental perspective.

    PubMed

    Pu, Haixia; Li, Jiatian; Wang, Pin; Cui, Linlin; Wang, Huaxin

    2017-04-01

    Few studies have explored the association between circulatory system diseases (CSDs) and provincial socioeconomic and environmental factors from spatial perspective, although large literature have focused on CSD. The numbers of death of hypertension disease (HD), ischemic heart disease (IHD), and cerebrovascular disease (CVD) are investigated, and 14 representative socioeconomic and environmental factors are collected. Stepwise regression model (SRM) and geographically weighted regression model (GWRM) are applied to determine the spatial correlation between the number of death of those diseases and selected factors. The results are the following: (1) diseases exhibit a pattern of zonal distribution. Higher HD is mostly distributed in south district, whereas higher IHD and CVD are observed in the north area. (2) SO2 emission amount (SO2 EA) is significantly positively related with HD, while coal consumption (CC) and PM2.5 are notably positively correlated with IHD and CVD. (3) A 10,000 tons increase in SO2 EA results in three increases in the numbers of death of HD. For every 100 ten thousand tons (TTTs) increase in CC, the death of IHD and CVD increases by 11.1 and 15.7, while for every 1 μg/m(3) increase in ambient PM2.5 concentration, the numbers of death of IHD and CVD increase by 34.773 and 43.222, respectively. (4) Our findings show that there exist spatial differences for SO2 EA, CC, and PM2.5 influencing HD, IHD, and CVD. This study is expected to provide a reference for HD, IHD, and CVD control in different regions.

  6. Prevalence and molecular characterization of Cryptosporidium in goats across four provincial level areas in China.

    PubMed

    Mi, Rongsheng; Wang, Xiaojuan; Huang, Yan; Zhou, Peng; Liu, Yuxuan; Chen, Yongjun; Chen, Jun; Zhu, Wei; Chen, Zhaoguo

    2014-01-01

    This study assessed the prevalence, species and subtypes of Cryptosporidium in goats from Guangdong Province, Hubei Province, Shandong Province, and Shanghai City of China. Six hundred and four fecal samples were collected from twelve goat farms, and the overall infection rate was 11.4% (69/604). Goats infected with Cryptosporidium were found in eleven farms across four provincial areas, and the infection rate ranged from 2.9% (1/35) to 25.0% (9/36). Three Cryptosporidium species were identified. Cryptosporidium xiaoi (45/69, 65.2%) was the dominant species, followed by C. parvum (14/69, 20.3%) and C. ubiquitum (10/69, 14.5%). The infection rate of Cryptosporidium spp. was varied with host age and goat kids were more susceptible to be infected than adult goats. Subtyping C. parvum and C. ubiquitum positive samples revealed C. parvum subtype IIdA19G1 and C. ubiquitum subtype XIIa were the most common subtypes. Other C. parvum subtypes were detected as well, such as IIaA14G2R1, IIaA15G1R1, IIaA15G2R1 and IIaA17G2R1. All of these subtypes have also been detected in humans, suggesting goats may be a potential source of zoonotic cryptosporidiosis. This was the first report of C. parvum subtypes IIaA14G2R1, IIaA15G1R1 and IIaA17G2R1 infecting in goats and the first molecular identification of C. parvum and its subtypes in Chinese goats.

  7. Prevalence and Molecular Characterization of Cryptosporidium in Goats across Four Provincial Level Areas in China

    PubMed Central

    Mi, Rongsheng; Wang, Xiaojuan; Huang, Yan; Zhou, Peng; Liu, Yuxuan; Chen, Yongjun; Chen, Jun; Zhu, Wei; Chen, Zhaoguo

    2014-01-01

    This study assessed the prevalence, species and subtypes of Cryptosporidium in goats from Guangdong Province, Hubei Province, Shandong Province, and Shanghai City of China. Six hundred and four fecal samples were collected from twelve goat farms, and the overall infection rate was 11.4% (69/604). Goats infected with Cryptosporidium were found in eleven farms across four provincial areas, and the infection rate ranged from 2.9% (1/35) to 25.0% (9/36). Three Cryptosporidium species were identified. Cryptosporidium xiaoi (45/69, 65.2%) was the dominant species, followed by C. parvum (14/69, 20.3%) and C. ubiquitum (10/69, 14.5%). The infection rate of Cryptosporidium spp. was varied with host age and goat kids were more susceptible to be infected than adult goats. Subtyping C. parvum and C. ubiquitum positive samples revealed C. parvum subtype IIdA19G1 and C. ubiquitum subtype XIIa were the most common subtypes. Other C. parvum subtypes were detected as well, such as IIaA14G2R1, IIaA15G1R1, IIaA15G2R1 and IIaA17G2R1. All of these subtypes have also been detected in humans, suggesting goats may be a potential source of zoonotic cryptosporidiosis. This was the first report of C. parvum subtypes IIaA14G2R1, IIaA15G1R1 and IIaA17G2R1 infecting in goats and the first molecular identification of C. parvum and its subtypes in Chinese goats. PMID:25343501

  8. Quality improvement in cancer symptom assessment and control: the Provincial Palliative Care Integration Project (PPCIP).

    PubMed

    Gilbert, Julie E; Howell, Doris; King, Susan; Sawka, Carol; Hughes, Erin; Angus, Helen; Dudgeon, Deborah

    2012-04-01

    The Provincial Palliative Care Integration Project (PPCIP) was implemented in Ontario, Canada, to enhance the quality of palliative care delivery. The PPCIP promoted collaboration and integration across service sectors to improve screening and assessment, palliative care processes, as well as clinician practice and outcomes for cancer patients. The project involved 1) implementation of the Edmonton Symptom Assessment System (ESAS) for symptom screening, 2) use of "rapid-cycle change" quality improvement processes to improve screening and symptom management, and 3) improvements in integration and access to palliative care services. Symptom scores were collected and made accessible to the care team through a web-based tool and kiosk technology, which helped patients enter their ESAS scores at each visit to the regional cancer center or at home with their nurse. Symptom response data were gathered through clinical chart audits. Within one year of implementation, regional cancer centers saw improvements in symptom screening (54% of lung cancer patients), symptom control (69% of patients with pain scores and 31% of patients with dyspnea scores seven or more were reduced to six or less within 72 hours), and functional assessment (23% of all patients and 64% of palliative care clinic patients). ESAS screening rates reached 29%, and functional assessment reached 26% of targeted home care patients. The PPCIP demonstrated that significant strides in symptom screening and response can be achieved within a year using rapid-cycle change and collaborative approaches. It showed that both short- and long-term improvement require ongoing facilitation to embed the changes in system design and change the culture of clinical practice. Copyright © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  9. Theropod Fauna from Southern Australia Indicates High Polar Diversity and Climate-Driven Dinosaur Provinciality

    PubMed Central

    Benson, Roger B. J.; Rich, Thomas H.; Vickers-Rich, Patricia; Hall, Mike

    2012-01-01

    hallmark ‘Gondwanan’ fauna of South America and Africa may therefore reflect climate-driven provinciality, not vicariant evolution driven by continental fragmentation. However, vicariance may still be detected at lower phylogenetic levels. PMID:22615916

  10. Knowledge and perceptions of national and provincial tuberculosis control programme managers in Pakistan about the WHO Stop TB strategy: a qualitative study

    PubMed Central

    Khan, Wasiq Mehmood; Smith, Helen; Qadeer, Ejaz

    2016-01-01

    Objective To understand how national and provincial tuberculosis programme managers in Pakistan perceive and engage with the Stop TB strategy, its strengths, weaknesses and their experience in its implementation. National and provincial tuberculosis programme managers play an important role in effective implementation of the Stop TB strategy. Design A qualitative interview study was conducted with 10 national and provincial tuberculosis programme managers to understand how they perceive and engage with the Stop TB strategy, its strengths, weaknesses and their experience in its implementation. Managers were selected purposively; 10 managers were interviewed (six national staff and four from provincial level). Participants National and provincial tuberculosis programme managers in Pakistan. Managers were selected purposively; 10 managers were interviewed (six national staff and four from provincial level). Setting National and provincial tuberculosis programmes in Pakistan Main outcome measures 1. Knowledge and perceptions of national and provincial tuberculosis programme managers about the Stop TB strategy 2. Progress in implementing the strategy in Pakistan 3. Significant success factors 4. Significant implementation challenges 5. Lessons learnt to scale up successful implementation. Results The managers reported that most progress had been made in extending DOTS, health systems strengthening, public -private mixed interventions, MDR-TB care and TB/HIV care. The four factors that contributed significantly to progress were the availability of DOTS services, the public-private partnership approach, comprehensive guidance for TB control and government and donor commitment to TB control. Conclusion This study identified three main challenges as perceived by national and provincial tuberculosis programme managers in terms of implementing the Stop TB strategy: 1. Inadequate political commitment, 2. Issue pertaining to prioritisation of certain components in the TB

  11. Knowledge and perceptions of national and provincial tuberculosis control programme managers in Pakistan about the WHO Stop TB strategy: a qualitative study.

    PubMed

    Khan, Wasiq Mehmood; Smith, Helen; Qadeer, Ejaz; Hassounah, Sondus

    2016-01-01

    To understand how national and provincial tuberculosis programme managers in Pakistan perceive and engage with the Stop TB strategy, its strengths, weaknesses and their experience in its implementation. National and provincial tuberculosis programme managers play an important role in effective implementation of the Stop TB strategy. A qualitative interview study was conducted with 10 national and provincial tuberculosis programme managers to understand how they perceive and engage with the Stop TB strategy, its strengths, weaknesses and their experience in its implementation. Managers were selected purposively; 10 managers were interviewed (six national staff and four from provincial level). National and provincial tuberculosis programme managers in Pakistan. Managers were selected purposively; 10 managers were interviewed (six national staff and four from provincial level). National and provincial tuberculosis programmes in Pakistan. 1. Knowledge and perceptions of national and provincial tuberculosis programme managers about the Stop TB strategy 2. Progress in implementing the strategy in Pakistan 3. Significant success factors 4. Significant implementation challenges 5. Lessons learnt to scale up successful implementation. The managers reported that most progress had been made in extending DOTS, health systems strengthening, public -private mixed interventions, MDR-TB care and TB/HIV care. The four factors that contributed significantly to progress were the availability of DOTS services, the public-private partnership approach, comprehensive guidance for TB control and government and donor commitment to TB control. This study identified three main challenges as perceived by national and provincial tuberculosis programme managers in terms of implementing the Stop TB strategy: 1. Inadequate political commitment, 2. Issue pertaining to prioritisation of certain components in the TB strategy over others due to external influences and 3. Limitations in the overall

  12. Cost analysis of a provincial drug program to guide the treatment of upper gastrointestinal disorders

    PubMed Central

    Bursey, F; Crowley, M; Janes, C; Turner, C J

    2000-01-01

    BACKGROUND: Concerned with the rising costs of its drug programs for seniors and social-assistance recipients, the government of Newfoundland and Labrador requested physicians and pharmacists at the Memorial University of Newfoundland, and members of the Newfoundland and Labrador Medical Association and the Newfoundland Pharmaceutical Association to provide guidance to the health care community for the use of drugs to treat upper gastrointestinal disorders. METHODS: Algorithms for the management of dyspepsia and gastrointestinal reflux disease were created and distributed to all physicians and pharmacists in the province in June 1996. On July 1, 1996, the provincial government implemented a program to restrict payment for proton-pump inhibitors through its drug programs to situations defined by the algorithms. Restrictions were not applied to the prescribing of cimetidine, ranitidine and prokinetic agents. The status of famotidine and nizatidine was changed from "open benefit" to "special consideration," which requires prescribers to request authorization of their use on a case-by-case basis. RESULTS: Between July 1 and Dec. 31, 1996, 973 of 1078 requests for a proton-pump inhibitor were approved (679 for gastroesophageal reflux, 186 for Helicobacter pylori eradication, 55 for ulcer treatment and 53 for other reasons). The program resulted in a sustained reduction in drug expenditures. Total drug expenditures, which had risen from $39.0 million in 1992/93 to $50.8 million in 1995/96, fell after implementation of the program to $46.4 million in 1996/97 because of a decrease of more than 80% in the use of proton-pump inhibitors. Expenditures on proton-pump inhibitors, which had increased from $0.7 million for the 6 months ending March 1993 to $1.6 million for the 6 months ending March 1996, decreased to $0.3 million for the 6 months ending March 1997. The use of H2-antagonists, but not prokinetic agents, increased concomitantly with the decline in proton

  13. Performance assessment of Saskatchewan's water resource system under uncertain inter-provincial water supply

    NASA Astrophysics Data System (ADS)

    Hassanzadeh, Elmira; Elshorbagy, Amin; Nazemi, Ali; Wheater, Howard

    2014-05-01

    The trans-boundary Saskatchewan River Basin supports livelihoods and the economy of the province of Saskatchewan, Canada. Water users include irrigated agriculture, hydropower, potash mining, urban centers, and ecosystem services. Water availability in Saskatchewan is highly dependent on the flows from the upstream province of Alberta. These flows mostly originate from the Rocky Mountains headwaters and are highly regulated, due to intensive water use and redistribution before they get to the Alberta/Saskatchewan border. Warming climate and increasing water demands in Alberta have changed the incoming flow characteristics from Alberta to Saskatchewan. It is critical to assess the performance and the viability of Saskatchewan's water resources system under uncertain future inter-provincial inflows. For this purpose, a possible range of future changes in the inflows from Alberta to Saskatchewan is considered in this study. The considered changes include various combinations of shifts in the timing of the annual peak and volumetric change in the annual flow volumes. These shifts are implemented using a copula-based stochastic simulation method to generate multiple realizations of weekly flow series at two key locations of inflow to Saskatchewan's water resources system, in a way that the spatial dependencies between weekly inflows are maintained. Each flow series is of 31-years length and constitutes a possible long term water availability scenario. The stochastically generated flows are introduced as an alternative to the historical inflows for water resources planning and management purposes in Saskatchewan. Both historical and reconstructed inflows are fed into a Sustainability-oriented Water Allocation, Management, and Planning (SWAMP) model to analyze the effects of inflow changes on Saskatchewan's water resources system. The SWAMP model was developed using the System Dynamics approach and entails irrigation/soil moisture, non-irrigation uses and economic

  14. Prevention-oriented epidemiology of burns in Ardabil provincial burn centre, Iran.

    PubMed

    Sadeghi Bazargani, H; Arshi, S; Ekman, R; Mohammadi, R

    2011-05-01

    In preventing burns, it is essential to know how they occur and which population groups, environments and heating appliances can be targeted for prevention work. The aim of this study was to determine the epidemiological characteristics of burns leading to hospitalisation in the northwest of Iran with a focus on the pre-event phase of injury. Between 2007 and 2008, 237 burn victims hospitalised in Ardabil provincial burn centre were enrolled into a descriptive study. A questionnaire was filled in during hospital stay for all patients, with a focus on obtaining information necessary for prevention purposes. Males constituted 56% of victims. Mean age was 22 years. The most severe burns occurred between the ages of 18 and 32 years, and were mainly flame related. Both in case of flame and non-flame burns, women suffered more severe burns and mortality than men. However, with respect to non-flame burns of which most were scalds, the majority of the severe cases involved children under the age of 5 years. More than 80% of burns occurred at home. The kitchen was the main place of injury in 47% of cases, followed by living rooms in 28%. Nearly 45% of burns were scalds and 47% were flame burns. The main container was the samovar in 37%, followed by kettles in 32% and pots in 22%. The overturning of a container was the major mechanism of contact with hot liquids in 86%. Bumping into a container was the main scenario of a scald injury, constituting nearly 70% of the cases. The difference between flame and non-flame burns in the distribution of burns in extremities was not statistically significant, but head and neck burns were 3.7 times more likely to be caused by flame. The two most important injury patterns, more common among women, were getting burned while using a camping gas stove or while refilling the chamber of kerosene-burning appliances without first extinguishing them. Domestic burns among children and young women are a priority in injury-prevention programmes

  15. Canadian harm reduction policies: A comparative content analysis of provincial and territorial documents, 2000-2015.

    PubMed

    Wild, T Cameron; Pauly, Bernie; Belle-Isle, Lynne; Cavalieri, Walter; Elliott, Richard; Strike, Carol; Tupper, Kenneth; Hathaway, Andrew; Dell, Colleen; MacPherson, Donald; Sinclair, Caitlin; Karekezi, Kamagaju; Tan, Benjamin; Hyshka, Elaine

    2017-07-01

    Access to harm reduction interventions among substance users across Canada is highly variable, and largely within the policy jurisdiction of the provinces and territories. This study systematically described variation in policy frameworks guiding harm reduction services among Canadian provinces and territories as part of the first national multimethod case study of harm reduction policy. Systematic and purposive searches identified publicly-accessible policy texts guiding planning and organization of one or more of seven targeted harm reduction services: needle distribution, naloxone, supervised injection/consumption, low-threshold opioid substitution (or maintenance) treatment, buprenorphine/naloxone (suboxone), drug checking, and safer inhalation kits. A corpus of 101 documents written or commissioned by provincial/territorial governments or their regional health authorities from 2000 to 2015 were identified and verified for relevance by a National Reference Committee. Texts were content analyzed using an a priori governance framework assessing managerial roles and functions, structures, interventions endorsed, client characteristics, and environmental variables. Nationally, few (12%) of the documents were written to expressly guide harm reduction services or resources as their primary named purpose; most documents included harm reduction as a component of broader addiction and/or mental health strategies (43%) or blood-borne pathogen strategies (43%). Most documents (72%) identified roles and responsibilities of health service providers, but fewer declared how services would be funded (56%), specified a policy timeline (38%), referenced supporting legislation (26%), or received endorsement from elected members of government (16%). Nonspecific references to 'harm reduction' appeared an average of 12.8 times per document-far more frequently than references to specific harm reduction interventions (needle distribution=4.6 times/document; supervised injection

  16. The Operations of a Danish Provincial Pharmacy at the End of the 1600s.

    PubMed

    Kruse, Poul R; Kruse, Edith; Oernbjerg, Jakob

    2014-01-01

    In Denmark pharmacy practice, as previously mentioned, developed professionally from the middle of the 1500s. As publicly regulated and controlled businesses it was the pharmacies' task to sell medicines for the treatment of diseases in the population. Viewed in the light of these facts it appears that pharmaceutical service at the end of the 1600s according to the pharmacy legislation included selling a broader assortment of goods called pharmacy goods, which besides medicines also included groceries and confectionery for consumption, and technical remedies for domestic and craftsmanlike use. This assortment included 2,920 goods that the pharmacies were obliged to stock. The present investigation shows that proprietor-pharmacist J.F. Friedenreich of Aalborg Swan Pharmacy by and large was able to stock in his pharmacy the huge number of goods included in the legal stock of goods. Moreover the investigation shows that the number of pharmacy goods available in small and medium-sized quantities, among these almost the whole assortment of medicines of the pharmacy, amounted to 94% of the assortment of goods, but only represented 45% of the value of the stock. Furthermore, it can be seen that 43% of the pharmacy goods were available in such small quantities that they were almost a "dead" stock of goods without any turnover. The goods in question were most likely available because the pharmacy was obliged to keep these goods in stock. Furthermore the investigation shows that the pharmacy goods stocked in large quantities made up 6% of the assortment of goods, but represented 55% of the value of the stock, and that this assortment was dominated by groceries, confectionery, and technical remedies available in quantities corresponding to wholesale. As a provincial pharmacy the pharmacy was also allowed to sell wines which were also available wholesale. Thus, the investigation shows that the primary task of the pharmacy as a distributor of medicines for the treatment of

  17. Prevalence of Drug Resistance Mycobacterium Tuberculosis among Patients Seen in Coast Provincial General Hospital, Mombasa, Kenya

    PubMed Central

    Ombura, Ida Pam; Onyango, Noel; Odera, Susan; Mutua, Florence; Nyagol, Joshua

    2016-01-01

    Background Although prevention and control of spread of multi-drug resistant tuberculosis strains is a global challenge, there is paucity of data on the prevalence of DR-TB in patients diagnosed with TB in referral hospitals in Kenya. The present study assessed patients’ characteristics and prevalence of drug resistant TB in sputa smear positive TB patients presenting to Coast Provincial General Hospital (CPGH) in Mombasa, Kenya. Methods Drug resistance was evaluated in 258 randomly selected sputa smear TB positive cases between the periods of November 2011 to February 2012 at the CPGH-Mombasa. Basic demographic data was obtained using administered questionnaires, and clinical history extracted from the files. For laboratory analyses, 2mls of sputum was obtained, decontaminated and subjected to mycobacteria DNA analyses. Detection of first line drug resistance genes was done using MDRTDR plus kit. This was followed with random selection of 83 cases for second line drug resistance genes testing using Genotype MDRTBsl probe assay kit (HAINS Lifesciences, GmbH, Germany), in which ethambutol mutation probes were included. The data was then analyzed using SPSS statistical package version 19.0. Results Male to female ratio was 1:2. Age range was 9 to 75 years, with median of 30 years. New treatment cases constituted 253(98%), among which seven turned out to be PTB negative, and further grouped as 4 (1.6%) PTB negative and 3(1.1%) NTM. 237(91.7%) new cases were fully susceptible to INH and RIF. The remaining, 8 (3.1%) and 1(0.4%) had mono- resistance to INH and RIF, respectively. All the retreatment cases were fully susceptible to the first line drugs. HIV positivity was found in 48 (18.6%) cases, of which 46(17.8%) were co-infected with TB. Of these, 44 (17.1%) showed full susceptibility to TB drugs, while 2 (0.8%) were INH resistant. For the second line drugs, one case each showed mono resistance to both and FQ. Also, one case each showed drug cross poly resistance to

  18. Leadership and governance of community health worker programmes at scale: a cross case analysis of provincial implementation in South Africa.

    PubMed

    Schneider, Helen; Nxumalo, Nonhlanhla

    2017-09-15

    National community health worker (CHW) programmes are returning to favour as an integral part of primary health care systems, often on the back of pre-existing community based initiatives. There are significant challenges to the integration and support of such programmes, and they require coordination and stewardship at all levels of the health system. This paper explores the leadership and governance tasks of large-scale CHW programmes at sub-national level, through the case of national reforms to South Africa's community based sector, referred to as the Ward Based Outreach Team (WBOT) strategy. A cross case analysis of leadership and governance roles, drawing on three case studies of adoption and implementation of the WBOTs strategy at provincial level (Western Cape, North West and Gauteng) was conducted. The primary case studies mapped system components and assessed implementation processes and contexts. They involved teams of researchers and over 200 interviews with stakeholders from senior to frontline, document reviews and analyses of routine data. The secondary, cross case analysis specifically focused on the issues and challenges facing, and strategies adopted by provincial and district policy makers and managers, as they engaged with the new national mandate. From this key sub-national leadership and governance roles were formulated. Four key roles are identified and discussed: 1. Negotiating a fit between national mandates and provincial and district histories and strategies of community based services 2. Defining new organisational and accountability relationships between CHWs, local health services, communities and NGOs 3. Revising and developing new aligned and integrated planning, human resource, financing and information systems 4. Leading change by building new collective visions, mobilising political, including budgetary, support and designing implementation strategies. This analysis, from real-life systems, adds to understanding of the processes

  19. A new species of Allobates (Anura: Aromobatidae) from Parque Nacional da Amazônia, Pará State, Brazil.

    PubMed

    Lima, Albertina P; Simões, Pedro Ivo; Kaefer, Igor Luis

    2015-07-01

    We describe the fourth species of nurse-frog genus Allobates occurring in the southeastern Brazilian Amazonia. The new species is sympatric with Allobates femoralis, Allobates masniger and Allobates magnussoni, and inhabits the margins of streams in forested areas within Parque Nacional da Amazônia, on the western bank of the Tapajós River. Snout-to-vent length ranges between 14.9-16.1 mm among males and 15.6-16.5 mm among females. The species is distinguished by the light brown background color of dorsum, with irregular dark brown blotches appearing from eye level to the urostyle region. In life, ventral surfaces of males are golden yellow on throat and chest, and white to yellow on abdomen. Ventral surfaces of females are predominantly white, except for light yellow on chin. The dark brown lateral band has a diffuse lower edge ventrolaterally. Dorsal surface of thigh is cream, with a longitudinal dark brown band extending dorsally from vent to knee. Tail musculature of tadpoles is robust, bifurcating dorsally over the body and reaching about two-thirds of the body length. Advertisement calls consist predominantly of continuous pairs of notes, but other note arrangements are also emitted. Notes have ascending frequency modulation and average peak frequency ranging between 5.3-5.9 kHz. First and second notes of the same note pair are similar in amplitude, duration and frequency spectrum. Successive note pairs are split by approximately regular silent intervals (0.30-0.49 s). The species lays its eggs inside rolled or folded dead leaves on the leaf litter. Egg capsules and jelly nests are opaque.

  20. [Technology, specialization and the public. The creation of a "Leukaemia Clinic" at the Provincial Hospital in Alicante (1953-1960)].

    PubMed

    Ballester Añón, Rosa; Perdiguero Gil, Enrique

    2004-01-01

    The mid-20th century opening of a public specialized Clinic for the treatment of patients affected by Leukaemia was a significant event in Alicante. It represented both the beginning of specialization in the field of blood diseases and an opportunity for the Provincial Hospital to enter the world of laboratory research. The social prestige of medical technologies, the introduction of a blood transfusion service and the figure of Dr. Mas Magro were the fundamental reasons behind the birth of this project in spite of its high cost. The aim of the paper is to analyze a case of the development of medical technologies at a local level.

  1. [Tasks and importance of the acute poisoning center at a multiprofile provincial hospital based on 10 years experience].

    PubMed

    Lata, Stanisław; Molczyk, Anna; Madej, Teresa

    2005-01-01

    The thesis presents a short history and way of organization of acute poisoning centre functioning within the internal diseases department in multiprofile provincial hospital. The data show the number of patients treated in particular years as well as the types of toxic substances that caused poisoning, and the number of analyses carried out for the needs of the poisoning centre and other hospital departments, as well as for the local hospitals. Based on the said data the conclusions were presented referring to the role of the centre in helping the people suffering from acute poisoning in number 0.5 million population.

  2. Revised correlation of Silurian Provincial Series of North America with global and regional chronostratigraphic units and δ13Ccarb chemostratigraphy

    USGS Publications Warehouse

    Cramer, Bradley D.; Brett, Carlton E.; Melchin, Michael J.; Mannik, Peep; Kleffner, Mark A.; McLaughlin, Patrick I.; Loydell, David K.; Munnecke, Axel; Jeppsson, Lennart; Corradini, Carlo; Brunton, Frank R.; Saltzman, Matthew R.

    2011-01-01

    Recent revisions to the biostratigraphic and chronostratigraphic assignment of strata from the type area of the Niagaran Provincial Series (a regional chronostratigraphic unit) have demonstrated the need to revise the chronostratigraphic correlation of the Silurian System of North America. Recently, the working group to restudy the base of the Wenlock Series has developed an extremely high-resolution global chronostratigraphy for the Telychian and Sheinwoodian stages by integrating graptolite and conodont biostratigraphy with carbonate carbon isotope (??13Ccarb) chemostratigraphy. This improved global chronostratigraphy has required such significant chronostratigraphic revisions to the North American succession that much of the Silurian System in North America is currently in a state of flux and needs further refinement. This report serves as an update of the progress on recalibrating the global chronostratigraphic correlation of North American Provincial Series and Stage boundaries in their type area. The revised North American classification is correlated with global series and stages as well as regional classifications used in the United Kingdom, the East Baltic, Australia, China, the Barrandian, and Altaj. Twenty-four potential stage slices, based primarily on graptolite and conodont zones and correlated to the global series and stages, are illustrated alongside a new composite ??13Ccarb curve for the Silurian. Conodont, graptolite, isotope, New York, Ontario, series, Silurian, stage. ?? 2010 The Authors, Journal compilation ?? 2010 The Lethaia Foundation.

  3. Relationship between Air Pollutants and Economic Development of the Provincial Capital Cities in China during the Past Decade

    PubMed Central

    Luo, Yunpeng; Chen, Huai; Zhu, Qiu'an; Peng, Changhui; Yang, Gang; Yang, Yanzheng; Zhang, Yao

    2014-01-01

    With the economic development of China, air pollutants are also growing rapidly in recent decades, especially in big cities of the country. To understand the relationship between economic condition and air pollutants in big cities, we analysed the socioeconomic indictorssuch as Gross Regional Product per capita (GRP per capita), the concentration of air pollutants (PM10, SO2, NO2) and the air pollution index (API) from 2003 to 2012 in 31 provincial capitals of mainland China. The three main industries had a quadratic correlation with NO2, but a negative relationship with PM10 and SO2. The concentration of air pollutants per ten thousand yuan decreased with the multiplying of GRP in the provinical cities. The concentration of air pollutants and API in the provincial capital cities showed a declining trend or inverted-U trend with the rise of GRP per capita, which provided a strong evidence for the Environmental Kuznets Curve (EKC), that the environmental quality first declines, then improves, with the income growth. The results of this research improved our understanding of the alteration of atmospheric quality with the increase of social economy and demonstrated the feasibility of sustainable development for China. PMID:25083711

  4. Aetiologies of Central Nervous System Infection in Viet Nam: A Prospective Provincial Hospital-Based Descriptive Surveillance Study

    PubMed Central

    Ho Dang Trung, Nghia; Le Thi Phuong, Tu; Wolbers, Marcel; Nguyen Van Minh, Hoang; Nguyen Thanh, Vinh; Van, Minh Pham; Thieu, Nga Tran Vu; Le Van, Tan; Song, Diep To; Le Thi, Phuong; Thi Phuong, Thao Nguyen; Van, Cong Bui; Tang, Vu; Ngoc Anh, Tuan Hoang; Nguyen, Dong; Trung, Tien Phan; Thi Nam, Lien Nguyen; Kiem, Hao Tran; Thi Thanh, Tam Nguyen; Campbell, James; Caws, Maxine; Day, Jeremy; de Jong, Menno D.; Van Vinh, Chau Nguyen; Van Doorn, H. Rogier; Tinh, Hien Tran; Farrar, Jeremy; Schultsz, Constance

    2012-01-01

    Background Infectious diseases of the central nervous system (CNS) remain common and life-threatening, especially in developing countries. Knowledge of the aetiological agents responsible for these infections is essential to guide empiric therapy and develop a rational public health policy. To date most data has come from patients admitted to tertiary referral hospitals in Asia and there is limited aetiological data at the provincial hospital level where most patients are seen. Methods We conducted a prospective Provincial Hospital-based descriptive surveillance study in adults and children at thirteen hospitals in central and southern Viet Nam between August 2007– April 2010. The pathogens of CNS infection were confirmed in CSF and blood samples by using classical microbiology, molecular diagnostics and serology. Results We recruited 1241 patients with clinically suspected infection of the CNS. An aetiological agent was identified in 640/1241 (52%) of the patients. The most common pathogens were Streptococcus suis serotype 2 in patients older than 14 years of age (147/617, 24%) and Japanese encephalitis virus in patients less than 14 years old (142/624, 23%). Mycobacterium tuberculosis was confirmed in 34/617 (6%) adult patients and 11/624 (2%) paediatric patients. The acute case fatality rate (CFR) during hospital admission was 73/617 (12%) in adults and to 42/624 (7%) in children. Conclusions Zoonotic bacterial and viral pathogens are the most common causes of CNS infection in adults and children in Viet Nam. PMID:22662232

  5. Intrapartum care by general practitioners and family physicians. Provincial trends from 1984-1985 to 1994-1995.

    PubMed Central

    Kaczorowski, J.; Levitt, C.

    2000-01-01

    OBJECTIVE: To determine provincial trends in provision of intrapartum care by general practitioners and family physicians (GP/FPs) for the 11 years from 1984 to 1995. DESIGN: Analyses of provincial Medical Care Fee-for-Service Utilization data for births from 1984-1985 to 1994-1995. SETTING: 10 provinces of Canada. MAIN OUTCOME MEASURES: Proportion of vaginal births billed by GP/FPs (expressed as total number of vaginal births billed by GP/FPs divided by total number of vaginal births). RESULTS: In 1994-1995, the proportion of vaginal births billed by GP/FPs ranged from 77.2% in British Columbia and 70.8% in Nova Scotia to 28.9% in Ontario and 23.6% in Prince Edward Island. These proportions have remained relatively high and stable during the period studied in some provinces, such as British Columbia and Nova Scotia, and have declined steadily and notably in others. CONCLUSIONS: Data show that GP/FPs' involvement in vaginal births in most Canadian provinces is decreasing. This trend demonstrates a shift in GP/FPs' practice patterns and could indicate a coming shortage of obstetrical care providers. PMID:10751998

  6. Provincial alcohol index and its relationship to alcohol-related harm in Thailand: implications for subnational alcohol policy development.

    PubMed

    Chaiyasong, Surasak; Thamarangsi, Thaksaphon

    2016-07-11

    The Provincial Alcohol Index (PAI) is one of the efforts to develop a composite measurement to operationalize the situation of alcohol consumption and related risk behaviors. The index offers a means for national and subnational alcohol control committees to address alcohol-related problems in their responsible jurisdiction areas. The objective of this study is to assess the relationship between PAI scores and alcohol-related problems using Thailand as an example. Cross-sectional analyses of PAI scores based on the 2007 National Cigarette Smoking and Alcohol Drinking Behavior Survey (CSAD) and the National Statistical Office data were conducted. CSAD data were collected from 168,285 Thai residents aged 15 years and above in 76 provinces of Thailand (population range 180,787 to 5,716,248). The PAI scores were generated using three different methods based on five indicators: 1) prevalence of adult (≥15 years) drinkers, 2) prevalence of underage drinkers, 3) proportion of regular drinkers, 4) proportion of binge drinkers and 5) proportion of drink-drivers. Alcohol-related injuries and violent events together with provincial level covariates (age, gender, income and region) were assessed. Correlational and linear regression analyses were performed to examine the relationship between PAI scores and alcohol-related problems. The PAI scores generated from the three methods were significantly correlated with one another (r > 0.7, p < 0.05) and significantly related to alcohol-related problems after adjusting for the provincial level covariates. Based on the normalized method, PAI scores had a significant and positive relationship with prevalence of alcohol-related injuries (beta = 562 cases per million population, p = 0.027) and violence (beta = 451 events per million population, p = 0.013). PAI scores were highest in the north and lowest in the south of the country. The findings of this study illustrate the relationship between the PAI and

  7. The Leap of a Provincial SME into the Global Market Using E-commerce: The Success of Adequate Planning

    NASA Astrophysics Data System (ADS)

    Sainz de Abajo, Beatriz; García Salcines, Enrique; Burón Fernández, F. Javier; López Coronado, Miguel; de Castro Lozano, Carlos

    The leap into the global market is not easy when it involves a provincial family business. This article demonstrates how adequate planning is fundamental in a small and medium-sized enterprise (SME) with the tight budget they have available to them, in order to be able to differentiate themselves in a highly competitive market, taking into accounts the benefits and risks involved. The Information Technology (IT) tools put in place will give the necessary support and allow for the possibility of increasing and improving the infrastructure as the company requires. An adequate strategy for the future to increases sales would be e-marketing techniques as well as the current promotions which contribute to diffusing the brand.

  8. Case studies: Application of SEA in provincial level expressway infrastructure network planning in China - Current existing problems

    SciTech Connect

    Zhou Kaiyi; Sheate, William R.

    2011-11-15

    Since the Law of the People's Republic of China on Environmental Impact Assessment was enacted in 2003 and Huanfa 2004 No. 98 was released in 2004, Strategic Environmental Assessment (SEA) has been officially being implemented in the expressway infrastructure planning field in China. Through scrutinizing two SEA application cases of China's provincial level expressway infrastructure (PLEI) network plans, it is found that current SEA practice in expressway infrastructure planning field has a number of problems including: SEA practitioners do not fully understand the objective of SEA; its potential contributions to strategic planning and decision-making is extremely limited; the employed application procedure and prediction and assessment techniques are too simple to bring objective, unbiased and scientific results; and no alternative options are considered. All these problems directly lead to poor quality SEA and consequently weaken SEA's effectiveness.

  9. Inter-Provincial Migration Intentions of Family Physicians in Canada: The Roles of Income and Community Characteristics.

    PubMed

    Mou, Haizhen; Olfert, M Rose

    2015-11-01

    The inter-provincial migration patterns of family physicians in canada show that some provinces like newfoundland and saskatchewan experience persistent net out-migration, while others, including ontario and british columbia, are destinations more often than origins of migrants. Governments in provinces exhibiting net out-migration have responded with a number of incentive and recruitment programs. In this study, we investigate the determinants of the stated interprovincial migration intentions of 3,995 rural and urban family physicians in the 2010 wave of the national physician survey. We consider a range of physician characteristics, community attributes and working conditions. We find that in the intention to move, higher compensation has a modest effect, while the community characteristics have a consistently important influence. Our results suggest that policy and program designers should acknowledge the critical role of community-level living and working conditions in their family physician recruitment and retention efforts. Copyright © 2015 Longwoods Publishing.

  10. The thermal comfort and its changes in the 31 provincial capital cities of mainland China in the past 30 years

    NASA Astrophysics Data System (ADS)

    Chi, Xiaoli; Li, Rui; Cubasch, Ulrich; Cao, Wenting

    2017-04-01

    The thermal comfort and its changes in the 31 provincial capital cities of mainland China in the past 30 years were comprehensively evaluated using the Physiologically Equivalent Temperature (PET) and Universal Thermal Climate Index (UTCI) indicators. The PET and UTCI values were highly correlated with each other and presented similar thermal comfort pattern, although their sensitivities might differ slightly. The results showed that these cities covered, respectively, 4-8 and 6-8 thermal comfort classes of the PET and UTCI scale. On the whole, the annual cumulative number of pleasant days was more than 160 days/year. In terms of seasonal variations in thermal comfort conditions, the 31 provincial capital cities in mainland China can be classified into 5 types, which are, respectively, characterized by pleasant summer and severe cold winter (type-I); pleasant spring, autumn, winter, and severe hot summer (type-II); pleasant spring and autumn, slightly pleasant summer, and cold winter (type-III); pleasant spring and autumn, hot stress summer, and slightly cold winter (type-IV); and pleasant spring, summer, autumn, and cool winter (type-V). Type-II cities are rare winter resorts, while type-I cities are natural summer resorts. Type-V cities are the year round pleasant resorts. In the past three decades, the cities in mainland China had experienced increasing pleasant duration in late winter and early spring and intensifying heat stress in summer. The reduction in annual cumulative number of cold stress days in higher latitude/altitude cities outweighed the increase in duration of heat stress in subtropical cities. These may provide some references for urban planning and administration in mainland China.

  11. Student border crossings between local cultures and classroom science: The transition of urban and provincial students in Colombia

    NASA Astrophysics Data System (ADS)

    Medina Jerez, William Jesus

    The purpose of this study was to document the student reactions and degrees of harmonization between his/her personal worldviews and that of school science. 250 provincial and urban students in western Colombia participated by responding to a survey, and two questionnaires. 18 of those students participated in a telephone interview regarding their views about home, school science, nature and their relationships with others. An anthropological approach to education allowed for case descriptions in both urban and provincial settings. This research argues that these school communities do little in aiding the student to cross the boundaries that separate their personal worlds from those of school and school science. Educational practices are implemented under the influence of internal and external forces that limit the decision making opportunities available to school administrators and teachers, and leave no room for a mutual discourse [science and student's own perspectives] that values the student as a person. In the investigation, it was observed that although several aspects, including religion, playa major role in the inside and outside school scenarios. On the contrary, students are not distracted as they move from one setting to another, and religious beliefs tend to support their adaptive behaviors. The transitions are characterized as 'apparent' due to impracticability, and are for the most part, aimed at generating ephemeral outcomes that do not efficiently support future life endeavors. Other findings that support this idea are the students' conceptualizations of nature. The compartmentalization of knowledge is not only evident as an 'avoiding strategy' in the classroom, but also as a mechanism to differently address the natural world in everyday experiences and the one portrayed by a Westernized science instruction. This duality of behavior was evidenced in terms of the academic life of the participating students as well as in particular aspects of their

  12. Environmental assessment and investment strategies of provincial industrial sector in China — Analysis based on DEA model

    SciTech Connect

    Wang, Juan; Zhao, Tao; Zhang, Xiaohu

    2016-09-15

    As an energy-intensive industry, the industrial sector consumes 70% of energy consumption and causes serious environmental pollution in China. Also, the government emphasized the promotion of R&D investment in the industrial sector in China's National Plan on Climate Change (2014–2020). It is meaningful and contributes to assessing energy and environmental performance, as well as R&D and industrial pollution control (IPC) investment strategies of China's industrial sector. A non-radial DEA model, as with natural and managerial disposability, was adopted to evaluate this from provincial and regional perspectives during the 2008–2012 period. Energy and environmental performance was evaluated by unified efficiency under natural disposability (UEN), unified efficiency under managerial disposability (UEM), and unified efficiency under natural and managerial disposability (UENM). The empirical results indicated that Shandong and Hainan were efficient under natural and managerial disposability, while other provinces had the potential to improve their energy and environmental performance. The number of provinces that was fit for investments of R&D and IPC increased from 2008 to 2010, then decreased in 2011 and 2012. In spite of this, many provincial industrial sectors should make efforts to reduce pollution by investment on technology. Tianjin, Heilongjiang, Jiangxi and Henan were especially the best investment objects because investments of R&D and IPC turned to be effective for them during the whole study period. Moreover, western China had the highest average UENM, followed by eastern China and central China. Eastern China and central China were rewarding to expand investments. Coal consumption was the main factor to negatively affect unified efficiency whereas the increase in economic development level was primarily responsible for the improvement of unified efficiency. According to the results, differentiated suggestions to further improve energy and environmental

  13. Analysis on Inter-Provincial Disparities of China's Rural Education and Convergence Rate: Empirical Analysis on 31 Provinces' (Municipalities') Panel Data from 2001 to 2008

    ERIC Educational Resources Information Center

    Xie, Tongwei

    2011-01-01

    Purpose: This article aims to analyze inter-provincial disparities of rural education and the convergence rate, and to discuss the effects of compulsory education reform after 2001. Design/methodology/approach: The article estimates the rural average education years and education Gini coefficients of China's 31 provinces (municipalities) beside…

  14. The effects of moose (Alces alces L.) on hemlock (Tsuga canadensis (L.) Carr.) seedling establishment in Algonquin Provincial Park, Ontario, Canada

    Treesearch

    S. A. Vasiliauskas; L. W. Aarssen

    2000-01-01

    The effects of moose on eastern hemlock (Tsuga canadensis) natural seedling establishment in Algonquin Provincial Park, Ontario, were examined. Two thousand seedlings were tagged on 56 sites in 1992 and monitored for six years. Initial data collected included seedling height, browsing history and percent crown closure. At the end of the growing...

  15. Analysis on Inter-Provincial Disparities of China's Rural Education and Convergence Rate: Empirical Analysis on 31 Provinces' (Municipalities') Panel Data from 2001 to 2008

    ERIC Educational Resources Information Center

    Xie, Tongwei

    2011-01-01

    Purpose: This article aims to analyze inter-provincial disparities of rural education and the convergence rate, and to discuss the effects of compulsory education reform after 2001. Design/methodology/approach: The article estimates the rural average education years and education Gini coefficients of China's 31 provinces (municipalities) beside…

  16. New karyologycal data and cytotaxonomic considerations on small mammals from Santa Virgínia (Parque Estadual da Serra do Mar, Atlantic Forest, Brazil)

    PubMed Central

    Di-Nizo, Camilla Bruno; Neves, Carolina Lima; Vilela, Júlio Fernando; Silva, Maria José de J.

    2014-01-01

    Abstract Atlantic Forest, in the eastern coast of Brazil, is a hotspot of biodiversity of mammals, and Parque Estadual da Serra do Mar (PESM) is the largest continuous area of this biome. Here, we characterized the karyotype composition of the small mammals from Santa Virgínia, a region in the northern part of PESM. Specimens were collected from July 2008 to September 2009. We identified 17 species (13 rodents and 4 marsupials) from which 7 exhibited species-specific karyotypes, illustrating the importance of karyotype information in cytotaxonomy. We report for first time the karyotype of Monodelphis scalops (Thomas, 1888) and two new records for PESM: Akodon montensis Thomas, 1913 and Brucepattersonius soricinus Hershkovitz, 1998. Cytogenetic polymorphisms were detected for some species trapped in the area. Our results show the importance of Santa Virgínia / PESM in addressing studies for the conservation of small mammal wildlife in the Atlantic Forest. PMID:24744831

  17. New karyologycal data and cytotaxonomic considerations on small mammals from Santa Virgínia (Parque Estadual da Serra do Mar, Atlantic Forest, Brazil).

    PubMed

    Di-Nizo, Camilla Bruno; Neves, Carolina Lima; Vilela, Júlio Fernando; Silva, Maria José de J

    2014-01-01

    Atlantic Forest, in the eastern coast of Brazil, is a hotspot of biodiversity of mammals, and Parque Estadual da Serra do Mar (PESM) is the largest continuous area of this biome. Here, we characterized the karyotype composition of the small mammals from Santa Virgínia, a region in the northern part of PESM. Specimens were collected from July 2008 to September 2009. We identified 17 species (13 rodents and 4 marsupials) from which 7 exhibited species-specific karyotypes, illustrating the importance of karyotype information in cytotaxonomy. We report for first time the karyotype of Monodelphis scalops (Thomas, 1888) and two new records for PESM: Akodon montensis Thomas, 1913 and Brucepattersonius soricinus Hershkovitz, 1998. Cytogenetic polymorphisms were detected for some species trapped in the area. Our results show the importance of Santa Virgínia / PESM in addressing studies for the conservation of small mammal wildlife in the Atlantic Forest.

  18. Mesene Doubleday (Lepidoptera: Riodinidae) from Parque Nacional da Serra do Divisor, Acre, Brazil, with taxonomic notes and the description of a new species.

    PubMed

    Dolibaina, Diego Rodrigo; Dias, Fernando Maia Silva; Siewert, Ricardo Russo; Mielke, Olaf Hermann Hendrik; Casagrande, Mirna Martins

    2016-10-17

    The species of Mesene Doubleday, 1847 collected at the Parque Nacional da Serra do Divisor, Acre, Brazil (PNSD) are listed and supplemented by taxonomic and behavioral notes. In total, 30 specimens were collected, representing seven species including one new: M. monostigma monostigma (Erichson, [1849]), M. nepticula stigmosa Stichel, 1910, M. eupteryx Bates, 1868 stat. rest., M. paraena Bates, 1868, M. epaphus pyrrha Bates, 1868, M. leucophrys Bates, 1868, and M. gracielae sp. nov. The following notes on the taxonomy of Mesene are proposed: M. eupteryx Bates, 1868 stat. rest. is recognized as a valid species, M. epaphus sertata Stichel, 1910 syn. nov. is a new synonym of M. epaphus pyrrha Bates, 1868, and M. lecointrei P. Jauffret & J. Jauffret, 2008 syn. nov. is a new synonym of M. philonis Hewitson, 1874. Mesene margaretta (White, 1843), M. philonis and M. nola are recognized as closely related. Species encountered at the PNSD are illustrated, including the genitalia of males and females, when available.

  19. Occurrence of Aglae caerulea Lepeletier & Serville (Hymenoptera: Apidae: Euglossini) in the Parque Nacional da Chapada dos Guimarães, Mato Grosso State, Brazil.

    PubMed

    dos Anjos-Silva, Evandson J; Camillo, Evandro; Garófalo, Carlos A

    2006-01-01

    In a study conducted in the gallery forest of the Vale doVeu de Noiva in the Parque Nacional da Chapada dos Guimarães, Mato Grosso state, chemical baits were used to attract and sample male orchid bees. From September 2003 to July 2005, male euglossine bees were captured monthly, from 8:00 a.m. to 4:00 p.m. as they arrived at the baits. Of the 264 males captured, eight males belonged to Aglae caerulea Lepeletier & Serville, a cleptoparasitic euglossine species that presumably occurred only in the Amazon basin. Therefore, the occurrence of A. caerulea in this study area extends its geographical distribution range by approximately 2,400 km southwards in South America, as it is now recorded in both the Amazon and Platina basins.

  20. Bat flies (Diptera: Streblidae, Nycteribiidae) parasitic on bats (Mammalia: Chiroptera) at Parque Estadual da Cantareira, São Paulo, Brazil: parasitism rates and host-parasite associations.

    PubMed

    Bertola, Patrícia Beloto; Aires, Caroline Cotrim; Favorito, Sandra Elisa; Graciolli, Gustavo; Amaku, Marcos; Pinto-da-Rocha, Ricardo

    2005-02-01

    A total of 443 bat flies belonging to the families Nycteribiidae and Strelidae, were collected on 22 species of bats (Molossidae, Phyllostomidae, and Vespertilionidae) from Parque Estadual da Cantareira (São Paulo, Brazil), between January, 2000 and January, 2001. Eighteen new occurrences of bat flies were recorded on Anoura geoffroyi (Anastrebla caudiferae), Glossophaga soricina (A. caudiferae), Sturnira lilium (Trichobius phyllostomae, T. furmani, and Paraeuctenodes similis), Artibeus lituratus (A. caudiferae), A. fimbriatus (Megistopoda proxima), A. obscurus (Metelasmus pseudopterus), Myotis nigricans (M. proxima, M. aranea, Paratrichobius longicrus), M. ruber (Anatrichobius passosi, Joblingia sp.), M. levis (A. passosi), M. albescens (A. passosi, Basilia andersoni), and Histiotus velatus (M. aranea). Seven new occurrences were recorded for the state of São Paulo, increasing the range for T. tiptoni, T. furmani, M. proxima, Aspidoptera falcata, A. caudiferae, A. modestini and B. andersoni. The relationships between parasitism and host sex, reproductive stage, age hyperparasitism by fungi are discussed.

  1. Determination of restless legs syndrome prevalence in children aged 13-16years in the provincial center of Kayseri.

    PubMed

    Per, Huseyin; Gunay, Neslihan; Ismailogullari, Sevda; Oztop, Didem Behice; Gunay, Osman

    2017-02-01

    This study was conducted to determine the prevalence rate of restless legs syndrome (RLS) and associated factors in adolescents aged 13-16years in the provincial center of Kayseri. The study sample included 5720 adolescents who were selected from among 74,421 grade 7-10 students aged 13-16years in the provincial center of Kayseri. Overall, datas from 4792 subjects were included into analysis. Data were collected by using a self reported questionnaire and the Epworth Sleepiness Scale (ESS). The prevalence rate of RLS was determined by questionnaire datas and phone interviews. The effects of age, gender, economical status and body weight on RLS prevalence rate were analyzed. Mean ESS score was calculated. The effect of RLS on academic success, as measured by grade point average, was also assessed. The subjects were stratified as underweight, normal, overweight and obese according to the body mass index and the RLS prevalence rate was compared among groups. The RLS prevalence rate was determined to be 2.9% among adolescents aged 13-16years in the study group. It was found that gender and economical status had no significant effect on RLS prevalence. Mean age at symptom onset was 11.4years of age. There was a positive family history in 11.3% of subjects. Mean body mass index (BMI) was found to be significantly higher in subjects with RLS (21.5±3.8 vs. 20.5±3.2). Academic success (72.0±11.2 vs. 77.0±12.0) was found to be poorer and daytime sleepiness level, as measured by ESS (11.4±3.9 vs. 6.3±4.0), was found to be higher in subjects with RLS. The RLS prevalence rate was 2.9% in the study sample while gender and economical status had no significant effect on prevalence rate. The RLS, which results in decreased sleep quality and academic success, is an important disorder with a considerable prevalence in the population. Copyright © 2016 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

  2. Water resources investigation program for Rio Aconcagua Valley, Chile

    USGS Publications Warehouse

    Moore, John Ezra

    1969-01-01

    This report, prepared at the request of the Government of Chile under the auspices of the U. S. Agency for International Development (US AID), is based on a 2-month assignment (Oct. 22 to Dec. 31, 1969) of the author and outlines a program of water resources studies. The study program, if followed to its conclusion, will provide the basic hydrologic and hydrogeologic information and analysis essential for planning optimum future development and use of the water resources of the valley.

  3. Portrait of rural emergency departments in Québec and utilization of the provincial emergency department management Guide: cross sectional survey.

    PubMed

    Fleet, Richard; Poitras, Julien; Archambault, Patrick; Tounkara, Fatoumata Korika; Chauny, Jean-Marc; Ouimet, Mathieu; Gauthier, Josée; Dupuis, Gilles; Tanguay, Alain; Lévesque, Jean-Frédéric; Simard-Racine, Geneviève; Haggerty, Jeannie; Légaré, France

    2015-12-23

    Rural emergency departments (EDs) constitute crucial safety nets for the 20% of Canadians who live in rural areas. Pilot data suggests that the province of Québec appears to provide more comprehensive access to services than do other provinces. A difference that may be attributable to provincial policy/guidelines "the provincial ED management Guide". The aim of this study was to provide a detailed description of rural EDs in Québec and utilization of the provincial ED management Guide. We selected EDs offering 24/7 medical coverage, with hospitalization beds, located in rural or small towns. We collected data via telephone, paper, and online surveys with rural ED/hospital staff. Data were also collected from Québec's Ministry of Health databases and from Statistics Canada. We computed descriptive statistics, ANOVA and t-tests were used to examine the relationship between ED census, services and inter-facility transfer requirements. A total of 23 of Québec's 26 rural EDs (88%) consented to participate in the study. The mean annual ED visits was 18 813 (Standard Deviation = 6 151). Thirty one percent of ED physicians were recent graduates with fewer than 5 years of experience. Only 6 % had residency training or certification in emergency medicine. Teams have good local access (24/7) to diagnostic equipment such as CT scanner (74%), intensive unit care (78%) and general surgical services (78%), but limited access to other consultants. Sixty one percent of participants have reported good knowledge of the provincial ED management Guide, but only 23% of them have used the guidelines. Furthermore, more than 40% of EDs were more than 300 km from levels 1 to 2 trauma centers, and only 30% had air transport access. Rural EDs in Québec are staffed by relatively new graduates working as solo physicians in well-resourced and moderately busy (by rural standards) EDs. The provincial ED management Guide may have contributed to this model of service attribution. However, the

  4. Exploring industry perspectives on implementation of a provincial policy for food and beverage sales in publicly funded recreation facilities.

    PubMed

    Vander Wekken, Suzanne; Sørensen, Susanne; Meldrum, John; Naylor, Patti-Jean

    2012-03-01

    To explore industry perspectives on the transition to healthier food and beverage sales in publicly funded recreation facilities and specifically (a) the awareness of the BC provincial Guidelines and implementation supports; (b) challenges encountered in the transition to healthier products; and (c) thoughts on future trends and opportunities in the snack and beverage business. We used a qualitative research design (semi-structured interviews) with thematic analysis to explore the data collected. Overall, the industry was aware of the BC Guidelines and philosophically supported the transition to healthier choices in public recreation facilities. Main challenges in implementing the Guidelines were the: (1) perceived limitations of the Guidelines; (2) issues stocking healthy products; (3) competition in food sales environments; and (4) negative impact on profits. Interviewees believed that consumer choice is increasingly influenced by environmental and health priorities and that adapting to these trends would be important for future business success. The food and beverage industry needs time, resources and expertise to adapt their business model and to find new palatable products that meet healthy Guidelines. Strategies that strengthen accountability, provide opportunities for economic development and enhance private-public sector communication will help industry partners support implementation of nutrition policies. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  5. Chemical and physical observations of particulate matter at Golden Ears Provincial Park from anthropogenic and biogenic sources

    NASA Astrophysics Data System (ADS)

    Shantz, Nicole C.; Aklilu, Yayne-Abeba; Ivanis, Nikolina; Leaitch, W. Richard; Brickell, Peter C.; Brook, Jeffrey R.; Cheng, Yu; Halpin, Dave; Li, Shao-Meng; Tham, Yen Art; Toom-Sauntry, Desiree; Prenni, Anthony J.; Graham, Lisa

    2004-11-01

    Measurements of a number of aerosol properties and trace gases were conducted at Golden Ears Provincial Park (GE park), near the town of Maple Ridge, B.C., Canada from 6th to 11th of August 2001, just prior to the beginning of the main Pacific 2001 study. The measurements were intended to help with the characterization of the particulate matter (PM) in the forest that borders the northern side of the Lower Fraser Valley (LFV). The concentrations of inorganic ions in the particles decreased after 8th August, while the organic mass concentrations in the particles increased after 8th August. Throughout the study, organic carbon (OC) was the single highest component of the aerosol, and after 8th August, OC comprised about 90% of the particle composition. During the daytime, there was a clear anthropogenic influence from upslope flow driven by the sea breeze. The mixing ratio of monoterpenes increased overnight, when the winds were from the forests to the north but the cis-pinonic acid increased during the day, along with the anthropogenic tracers, suggesting that the oxidation of monoterpenes occurred with the help of anthropogenic oxidants. The particle volume data showed increases often corresponding with decreases in monoterpenes. A steady increase in particle volumes resulted from condensation of OC on the particles, and despite an increase in water soluble organic carbon (WSOC) the effectiveness of the OC at absorbing water for relative humidity (RH) values ⩽90% was low relative to sulphate.

  6. Three policy issues in deciding the cost of nursing home care: provincial differences and how they influence elderly couples' experiences.

    PubMed

    Stadnyk, Robin L

    2009-08-01

    Nursing home care is subsidized in all Canadian provinces, but residents must personally contribute to the cost. This paper explores policy issues that have led to differences in costs of nursing home care among provinces, and how policy and cost differences influence the experiences of married couples when one spouse requires nursing home care. The paper is based on a multiple-case study of three Canadian provinces, each of which had a different system for determining personal contributions to the cost of care. Cross-case analysis of payment systems showed that provinces addressed three main policy issues in determining the cost of care: (a) what costs should be the responsibility of nursing home residents, (b) how subsidies should be determined and (c) how community-dwelling spouses of nursing home residents should be assured of an adequate income. In provinces with policies that resulted in higher care costs to couples and lower amounts of income and assets available to the community-dwelling spouses, study participants described reduced discretionary spending, increased financial concerns and perceptions of system unfairness. This paper discusses the implications of these three policy issues and recent related changes to provincial policies.

  7. Impacts of climate change on cotton yield in China from 1961 to 2010 based on provincial data

    NASA Astrophysics Data System (ADS)

    Chen, Chao; Pang, Yanmei; Pan, Xuebiao; Zhang, Lizhen

    2015-06-01

    To develop scientific countermeasures, the impacts of climate change on cotton yield during 1961-2010 in three major cotton-producing regions of China were studied by using the available provincial data. The results indicate that (1) a rise in average temperature increased the cotton yield in most provinces of Northwest China and the Yellow River valley; however, the rise in average temperature decreased the cotton yield in the Yangtze River valley. Moreover, cotton production across the entire study region was reduced by approximately 0.1% relative to the average during 1961-2010. (2) A decrease in diurnal temperature range (DTR) reduced cotton yield in some provinces, while a beneficial DTR effect was observed in the other provinces. Changes in DTR resulted in an average decrease in production by approximatly 5.5% across the entire study region. (3) A change in the amount of precipitation increased the cotton yield in some provinces; however, it caused a decrease in other provinces. The decrease in average production due to the change in precipitation was approximately 1.1%. We concluded that the changes in temperature and precipitation decreased cotton yields in China, while beneficial effects of temperature and precipitation existed in the cotton-growing regions of Northwest China during 1961-2010.

  8. Twelve new species and fifty-three new provincial distribution records of Aleocharinae rove beetles of Saskatchewan, Canada (Coleoptera, Staphylinidae)

    PubMed Central

    Klimaszewski, Jan; Larson, David J.; Labrecque, Myriam; Bourdon, Caroline

    2016-01-01

    Abstract One hundred twenty species of aleocharine beetles (Staphylinidae) are recognized in the province of Saskatchewan. Sixty-five new provincial records, including twelve new species and one new North American record, are presented. Oligota inflata (Mannerheim), a Palearctic species, is newly recorded for North America. The following twelve species are described as new to science: Acrotona pseudopygmaea Klimaszewski & Larson, sp. n., Agaricomorpha pulchra Klimaszewski & Larson, sp. n. (new genus record for Canadian fauna), Aleochara elisabethae Klimaszewski & Larson, sp. n., Atheta (Dimetrota) larsonae Klimaszewski & Larson, sp. n., Atheta (Microdota) pseudopittionii Klimaszewski & Larson, sp. n., Atheta (Microdota) spermathecorum Klimaszewski & Larson, sp. n., Atheta (sensu lato) richardsoni Klimaszewski & Larson, sp. n., Brachyusa saskatchewanae Klimaszewski & Larson, sp. n., Dochmonota langori Klimaszewski & Larson, sp. n., Dochmonota simulans Klimaszewski & Larson, sp. n., Dochmonota websteri Klimaszewski & Larson, sp. n., and Oxypoda domestica Klimaszewski & Larson, sp. n. Colour images of habitus and black and white images of the median lobe of the aedeagus, spermatheca, and tergite and sternite VIII are presented for all new species, Oligota inflata Mannerheim and Dochmonota rudiventris (Eppelsheim). A new synonymy is established: Tetralina filitarsus Casey, syn. n. = Tetralina helenae Casey, now placed in the genus Brachyusa Mulsant & Rey. PMID:27587977

  9. The perceived implications of an outsourcing model on governance within British Columbia Provincial Parks in Canada: a quantitative study.

    PubMed

    Eagles, Paul; Havitz, Mark; McCutcheon, Bonnie; Buteau-Duitschaever, Windekind; Glover, Troy

    2010-06-01

    Good governance is of paramount importance to the success of parks and protected areas. This research utilized a questionnaire for 10 principles of governance to evaluate the outsourcing model used by British Columbia Provincial Parks, where profit-making corporations provide all front country visitor services. A total of 246 respondents representing five stakeholder groups evaluated the model according to each principle, using an online survey. Principal component analysis resulted in two of the 10 principles (equity and effectiveness) each being split into two categories, leading to 12 governance principles. Five of the 12 criteria received scores towards good governance: effectiveness outcome; equity general; strategic vision; responsiveness; and effectiveness process. One criterion, public participation, was on the neutral point. Six criteria received scores below neutral, more towards weak governance: transparency; rule of law; accountability; efficiency; consensus orientation; and, equity finance. The five stakeholder groups differed significantly on 10 of the 12 principles (P < .05). The 2 exceptions were for efficiency and effectiveness process. Seven of the 12 criteria followed a pattern wherein government employees and contractors reported positive scores, visitors and representatives of NGOs reported more negative scores, and nearby residents reported mid-range scores. Three criteria had government employees and contractors reporting the most positive scores, residents and visitors the most negative scores, and NGO respondents reporting mid-range scores. This research found evidence that perceptions of governance related to this outsourcing model differed significantly amongst various constituent groups.

  10. Twelve new species and fifty-three new provincial distribution records of Aleocharinae rove beetles of Saskatchewan, Canada (Coleoptera, Staphylinidae).

    PubMed

    Klimaszewski, Jan; Larson, David J; Labrecque, Myriam; Bourdon, Caroline

    2016-01-01

    One hundred twenty species of aleocharine beetles (Staphylinidae) are recognized in the province of Saskatchewan. Sixty-five new provincial records, including twelve new species and one new North American record, are presented. Oligota inflata (Mannerheim), a Palearctic species, is newly recorded for North America. The following twelve species are described as new to science: Acrotona pseudopygmaea Klimaszewski & Larson, sp. n., Agaricomorpha pulchra Klimaszewski & Larson, sp. n. (new genus record for Canadian fauna), Aleochara elisabethae Klimaszewski & Larson, sp. n., Atheta (Dimetrota) larsonae Klimaszewski & Larson, sp. n., Atheta (Microdota) pseudopittionii Klimaszewski & Larson, sp. n., Atheta (Microdota) spermathecorum Klimaszewski & Larson, sp. n., Atheta (sensu lato) richardsoni Klimaszewski & Larson, sp. n., Brachyusa saskatchewanae Klimaszewski & Larson, sp. n., Dochmonota langori Klimaszewski & Larson, sp. n., Dochmonota simulans Klimaszewski & Larson, sp. n., Dochmonota websteri Klimaszewski & Larson, sp. n., and Oxypoda domestica Klimaszewski & Larson, sp. n. Colour images of habitus and black and white images of the median lobe of the aedeagus, spermatheca, and tergite and sternite VIII are presented for all new species, Oligota inflata Mannerheim and Dochmonota rudiventris (Eppelsheim). A new synonymy is established: Tetralina filitarsus Casey, syn. n. = Tetralina helenae Casey, now placed in the genus Brachyusa Mulsant & Rey.

  11. A four year prospective study of injuries in elite Ontario youth provincial and national soccer players during training and matchplay

    PubMed Central

    Mohib, Milad; Moser, Nicholas; Kim, Richard; Thillai, Maathavan; Gringmuth, Robert

    2014-01-01

    Introduction: With over 200 million amateur players worldwide, soccer is one of the most popular and internationally recognized sports today. By understanding how and why soccer injuries occur we hope to reduce prevalent injuries amongst elite soccer athletes. Methods: Via a prospective cohort, we examined both male and female soccer players eligible to train with the Ontario Soccer Association provincial program between the ages of 13 to 17 during the period of October 10, 2008 and April 20, 2012. Data collection occurred during all player exposures to potential injury. Exposures occurred at the Soccer Centre, Ontario Training grounds and various other venues on multiple playing surfaces. Results: A total number of 733 injuries were recorded. Muscle strain, pull or tightness was responsible for 45.6% of all injuries and ranked as the most prevalent injury. Discussion: As anticipated, the highest injury reported was muscular strain, which warrants more suitable preventive programs aimed at strengthening and properly warming up the players’ muscles. PMID:25550661

  12. Improvement actions in waste management systems at the provincial scale based on a life cycle assessment evaluation

    SciTech Connect

    Rigamonti, L. Falbo, A.; Grosso, M.

    2013-11-15

    Highlights: • LCA was used for evaluating the performance of four provincial waste management systems. • Milano, Bergamo, Pavia and Mantova (Italy) are the provinces selected for the analysis. • Most of the data used to model the systems are primary. • Significant differences were found among the provinces located in the same Region. • LCA was used as a decision-supporting tool by Regione Lombardia. - Abstract: This paper reports some of the findings of the ‘GERLA’ project: GEstione Rifiuti in Lombardia – Analisi del ciclo di vita (Waste management in Lombardia – Life cycle assessment). The project was devoted to support Lombardia Region in the drafting of the new waste management plan by applying a life cycle thinking perspective. The present paper mainly focuses on four Provinces in the Region, which were selected based on their peculiarities. Life cycle assessment (LCA) was adopted as the methodology to assess the current performance of the integrated waste management systems, to discuss strengths and weaknesses of each of them and to design their perspective evolution as of year 2020. Results show that despite a usual business approach that is beneficial to all the provinces, the introduction of technological and management improvements to the system provides in general additional energy and environmental benefits for all four provinces. The same improvements can be easily extended to the whole Region, leading to increased environmental benefits from the waste management sector, in line with the targets set by the European Union for 2020.

  13. Pedro ordúñez, MD, director, gustavo aldereguía lima provincial teaching hospital, cienfuegos.

    PubMed

    Giraldo, Gloria

    2008-01-01

    Dr Pedro Ordúñez, a leading public health expert and internist, is Director of the Cienfuegos Provincial Teaching Hospital and Associate Professor at the National School of Public Health in Havana. Dr Ordúñez has published extensively in Cuban and international peer-reviewed journals, most recently in the American Journal of Epidemiology, as co-author of Impact of Energy Intake, Physical Activity, and Population-wide Weight Loss on Cardiovascular Disease and Diabetes Mortality in Cuba, 1980-2005.[1] In 1994, he was selected as a Pan American Health Organization (PAHO) post-graduate fellow at Johns Hopkins University School of Public Health. Thereafter, he obtained a Doctorate in Health Sciences from Cuba's National School of Public Health. Dr Ordúñez has traveled throughout the Americas as a chronic disease consultant for PAHO and has served locally in the PAHO-coordinated CARMEN Network, which focuses on the integrated prevention of chronic non-communicable diseases and their risk factors. He is a member of the Cuban Academy of Sciences and has received the nationalhealth award on several occasions. Dr Ordúñez sat down with MEDICC Review for an exclusive interview to discuss his insights into the complex relation between poverty, development, and chronic disease.

  14. Endophytic root bacteria associated with the natural vegetation growing at the hydrocarbon contaminated Bitumount Provincial Historic site.

    PubMed

    Blain, Natalie Pierrette; Helgason, Bobbi; Germida, James J

    2017-02-24

    The Bitumount Provincial Historic site is the location of two of the world's first oil extracting and refining operations. Despite hydrocarbons levels ranging from 330 to 24 700 mg kg-1 soil, plants have been able to recolonize the site through means of natural revegetation. This study was designed to achieve a better understanding of the plant root-associated bacterial partnerships occurring within naturally revegetated hydrocarbon contaminated soils. Root endophytic bacterial communities were characterized from representative plant species throughout the site using both high-throughput sequencing and culturing techniques. Population abundance of rhizosphere and root endosphere bacteria was significantly influenced (p<0.05) by plant species and sampling location. In general, members of the Actinomycetales, Rhizobiales, Pseudomonadales, Burkholderiales, and Sphingomonadales orders were the most commonly identified orders. Community structure of root-associated bacteria was influenced by both plant species and sampling location. Quantitative real-time polymerase chain reaction was used to determine the potential functional diversity of the root endophytic bacteria. The gene copy numbers of 16S rRNA and two hydrocarbon degrading genes (CYP153 and alkB) were significantly affected (p<0.05) by the interaction of plant species and sampling location. Our findings suggest that some of the bacterial communities detected are known to exhibit plant growth promotion characteristics.

  15. Atmospheric pollution reduction effect and regional predicament: An empirical analysis based on the Chinese provincial NOx emissions.

    PubMed

    Ding, Lei; Liu, Chao; Chen, Kunlun; Huang, Yalin; Diao, Beidi

    2017-03-09

    Atmospheric pollution emissions have become a matter of public concern in recent years. However, most of the existing researches on NOx pollution are from the natural science and technology perspective, few studies have been conducted from an economic point, and regional differences have not been given adequate attention. This paper adopts provincial panel data from 2006 to 2013 and the LMDI model to analyze the key driving factors and regional dilemmas of NOx emissions. The results show that significant regional disparities still exit on NOx emissions and its reduction effect 27 provinces didn't accomplish their corresponding reduction targets. Economic development factor is the dominating driving factor of NOx emissions during the study period, while energy efficiency and technology improvement factors offset total NOx emissions in the majority of provinces. In addition, the industrial structure factor plays a more significant role in reducing the NOx emissions after 2011. Therefore, the government should consider all these factors as well as regional heterogeneity in developing appropriate pollution mitigating policies. It's necessary to change NOx emissions control attitude from original key areas control to divided-zone control, not only attaches great importance to the reduction of the original key areas, but also emphasizes the new potential hotspots with high NOx emissions.

  16. Development of a provincial guideline for the acute assessment and management of adult and pediatric patients with head injuries

    PubMed Central

    Hebb, Matthew O.; Clarke, David B.; Tallon, John M.

    2007-01-01

    Background Regionalized approaches to trauma care improve patient outcomes. We developed and distributed a clinical reference poster to standardize the emergency department evaluation and management of patients with traumatic head injuries in hospitals throughout Nova Scotia. Methods We conducted a MEDLINE literature search to identify publications in the fields of prehospital and emergency management of head injuries. We reviewed and collated select studies to define contemporary standards of care. Results We derived a 3-tiered decision tool that summarizes the indications for resuscitation, radiography, specialty consultation and transfer of adult and pediatric patients with minor and major head injuries. A guideline poster was constructed and distributed to all provincial emergency departments upon approval by local trauma and critical care staff. Conclusions This report describes the evidence for a population-based, province-wide assessment and early management tool that was developed for health care personnel who treat patients with head traumas. Comparison of outcome data from pre-and postguideline eras will ultimately shed light on the use of regionalized approaches to managing brain injuries. PMID:17568490

  17. The Perceived Implications of an Outsourcing Model on Governance within British Columbia Provincial Parks in Canada: A Quantitative Study

    NASA Astrophysics Data System (ADS)

    Eagles, Paul; Havitz, Mark; McCutcheon, Bonnie; Buteau-Duitschaever, Windekind; Glover, Troy

    2010-06-01

    Good governance is of paramount importance to the success of parks and protected areas. This research utilized a questionnaire for 10 principles of governance to evaluate the outsourcing model used by British Columbia Provincial Parks, where profit-making corporations provide all front country visitor services. A total of 246 respondents representing five stakeholder groups evaluated the model according to each principle, using an online survey. Principal component analysis resulted in two of the 10 principles (equity and effectiveness) each being split into two categories, leading to 12 governance principles. Five of the 12 criteria received scores towards good governance: effectiveness outcome; equity general; strategic vision; responsiveness; and effectiveness process. One criterion, public participation, was on the neutral point. Six criteria received scores below neutral, more towards weak governance: transparency; rule of law; accountability; efficiency; consensus orientation; and, equity finance. The five stakeholder groups differed significantly on 10 of the 12 principles ( P < .05). The 2 exceptions were for efficiency and effectiveness process. Seven of the 12 criteria followed a pattern wherein government employees and contractors reported positive scores, visitors and representatives of NGOs reported more negative scores, and nearby residents reported mid-range scores. Three criteria had government employees and contractors reporting the most positive scores, residents and visitors the most negative scores, and NGO respondents reporting mid-range scores. This research found evidence that perceptions of governance related to this outsourcing model differed significantly amongst various constituent groups.

  18. Health system regionalization in Canada's provincial and territorial health systems: do citizen governance boards represent, engage, and empower?

    PubMed

    Chessie, Kelly

    2009-01-01

    Regionalization of the health care system, through the creation of sub-provincial service-delivery regions and governance authorities (i.e., regional health authorities, RHAs), has been a key part of Canadian health reform initiatives of the past two decades. Increased public participation in health care planning and service delivery is one of the explicit goals of regionalization. Based on a reanalysis of data from a 2001 survey of health system governors from 134 RHAs throughout Canada, this study explores the overall demographic composition of the citizen governance boards, as well as their responses to various opinion and attitude questions. To enable consideration of the extent to which these sites may support public deliberation and community development, overall responses are examined, as are responses within two subtypes of governors: system-experienced citizen governors and lay citizen governors--governors with or without previous health-system employment experience, respectively. The findings suggest that attention needs to be paid to these citizen governance boards if they are truly meant to be sites of citizen engagement in health policy and governance.

  19. ‘For me… it’s a miracle’: injecting beauty among kathoeis in a provincial Thai city

    PubMed Central

    Poompruek, Panoopat; Boonmongkon, Pimpawun; Guadamuz, Thomas E.

    2014-01-01

    Background The Thai term kathoei refers to non-gender-normative females, males and intersexual individuals at different stages of the transitional spectrum with recognized social and cultural roles in society. Nevertheless, kathoeis are only tolerated in Thai society. Many kathoeis seek social acceptance through beauty and turn to the off-label injection of various ‘beauty drugs’. Methods The first author conducted an ethnographic study of injection parties at a wedding studio in a Central Thai provincial city between April and September 2011. Data were gathered through participant observation, focus group discussions and narrative interviews with six participants. All data were collected and analyzed in Thai, and later translated. Findings While injection parties provide opportunities for kathoeis to socialize, bond, and share experiential knowledge on chemically-assisted transformation, they also reproduce ideologies of gender, beauty and sexuality that reinforce the notion that if a kathoei is to maintain her beauty, she must use medicines more frequently and in higher doses. Conclusion Injection parties among Thai kathoeis feature drug use that is entirely reasonable in terms of their own lay knowledge. Empowering kathoeis, by providing accessible information on chemicals and health in a way that reflects the complexity and diversity of their practices, would be one way to reduce health risks. Society must give more long-term options to kathoeis to build their sense of self, based on things besides being beautiful. PMID:25047007

  20. Erasmus Darwin, Herbert Spencer, and the origins of the evolutionary worldview in British provincial scientific culture, 1770-1850.

    PubMed

    Elliott, Paul

    2003-03-01

    The significance of Herbert Spencer's evolutionary philosophy has been generally recognized for over a century, as the familiarity of his phrase "survival of the fittest" indicates, yet accounts of the origins of his system still tend to follow too closely his own description, written many decades later. This essay argues that Spencer's own interpretation of his intellectual development gives an inadequate impression of the debt he owed to provincial scientific culture and its institutions. Most important, it shows that his evolutionism was originally stimulated by his association with the Derby philosophical community, for it was through this group--of which his father, who also appears to have espoused a deistic evolutionary theory, was a member--that he was first exposed to progressive Englightenment social and educational philosophies and to the evolutionary worldview of Erasmus Darwin, the first president of the Derby Philosophical Society. Darwin's scheme was the first to incorporate biological evolution, associationist psychology, evolutionary geology, and cosmological developmentalism. Spencer's own implicit denials of the link with Darwin are shown to be implausible in the face of Darwin's continuing influence on the Derby savants, the product of insecurity in his later years when he feared for his reputation as Lamarckism became increasingly untenable.

  1. A survey of radiation treatment planning peer-review activities in a provincial radiation oncology programme: current practice and future directions

    PubMed Central

    Brundage, Michael; Foxcroft, Sophie; McGowan, Tom; Gutierrez, Eric; Sharpe, Michael; Warde, Padraig

    2013-01-01

    Objectives To describe current patterns of practice of radiation oncology peer review within a provincial cancer system, identifying barriers and facilitators to its use with the ultimate aim of process improvement. Design A survey of radiation oncology programmes at provincial cancer centres. Setting All cancer centres within the province of Ontario, Canada (n=14). These are community-based outpatient facilities overseen by Cancer Care Ontario, the provincial cancer agency. Participants A delegate from each radiation oncology programme filled out a single survey based on input from their multidisciplinary team. Outcome measures Rated importance of peer review; current utilisation; format of the peer-review process; organisation and timing; case attributes; outcomes of the peer-review process and perceived barriers and facilitators to expanding peer-review processes. Results 14 (100%) centres responded. All rated the importance of peer review as at least 8/10 (10=extremely important). Detection of medical error and improvement of planning processes were the highest rated perceived benefits of peer review (each median 9/10). Six centres (43%) reviewed at least 50% of curative cases; four of these centres (29%) conducted peer review in more than 80% of cases treated with curative intent. Fewer than 20% of cases treated with palliative intent were reviewed in most centres. Five centres (36%) reported usually conducting peer review prior to the initiation of treatment. Five centres (36%) recorded the outcomes of peer review on the medical record. Thirteen centres (93%) planned to expand peer-review activities; a critical mass of radiation oncologists was the most important limiting factor (median 6/10). Conclusions Radiation oncology peer-review practices can vary even within a cancer system with provincial oversight. The application of guidelines and standards for peer-review processes, and monitoring of implementation and outcomes, will require effective knowledge

  2. A new species of Anomognathus and new Canadian and provincial records of aleocharine rove beetles from Alberta, Canada (Coleoptera, Staphylinidae, Aleocharinae)

    PubMed Central

    Klimaszewski, Jan; Langor, David W.; Hammond, H.E. James; Bourdon, Caroline

    2016-01-01

    Abstract A new species, Anomognathus athabascensis Klimaszewski, Hammond & Langor, sp. n., and nine new provincial records including one new country record of aleocharine beetles are presented for the province of Alberta. Diagnostics, images of habitus and genital structures, distribution, natural history information and new locality data are provided for the newly recorded species. A checklist for all recorded aleocharines from Alberta is updated. PMID:27199584

  3. BIOLOGY OF THE LEECH ACTINOBDELLA INEQUIANNULATA MOORE, 1901 (ANNELIDA: HIRUDINEA: RHYNCHOBDELLIDA: GLOSSIPHONIIDAE), PARASITIC ON THE WHITE SUCKER, CATOSTOMUS COMMERSONI LACEPEDE, 1803 AND THE LONGNOSE SUCKER, CATOSTOMUS CATOSTOMUS FORSTER, 1773, IN ALGONQUIN PROVINCIAL PARK, ONTARIO, CANADA

    EPA Science Inventory

    Actinobdella inequiannulata was found on the white sucker, Catostomus commersoni, and less frequently on the longnose sucker, Catostomus catostomus, in Algonquin Provincial Park, Ontario, Canada. Catostomus commersoni parasitized with Act. inequiannulata was collected from July ...

  4. BIOLOGY OF THE LEECH ACTINOBDELLA INEQUIANNULATA MOORE, 1901 (ANNELIDA: HIRUDINEA: RHYNCHOBDELLIDA: GLOSSIPHONIIDAE), PARASITIC ON THE WHITE SUCKER, CATOSTOMUS COMMERSONI LACEPEDE, 1803 AND THE LONGNOSE SUCKER, CATOSTOMUS CATOSTOMUS FORSTER, 1773, IN ALGONQUIN PROVINCIAL PARK, ONTARIO, CANADA

    EPA Science Inventory

    Actinobdella inequiannulata was found on the white sucker, Catostomus commersoni, and less frequently on the longnose sucker, Catostomus catostomus, in Algonquin Provincial Park, Ontario, Canada. Catostomus commersoni parasitized with Act. inequiannulata was collected from July ...

  5. Negotiating structural vulnerability following regulatory changes to a provincial methadone program in Vancouver, Canada: A qualitative study.

    PubMed

    McNeil, Ryan; Kerr, Thomas; Anderson, Solanna; Maher, Lisa; Keewatin, Chereece; Milloy, M J; Wood, Evan; Small, Will

    2015-05-01

    While regulatory frameworks governing methadone maintenance therapy (MMT) require highly regimented treatment programs that shape treatment outcomes, little research has examined the effects of regulatory changes to these programs on those receiving treatment, and located their experiences within the wider context of social-structural inequities. In British Columbia (BC), Canada, provincial regulations governing MMT have recently been modified, including: replacing the existing methadone formulation with Methadose(®) (pre-mixed and 10 times more concentrated); prohibiting pharmacy delivery of methadone; and, prohibiting pharmacies incentives for methadone dispensation. We undertook this study to examine the impacts of these changes on a structurally vulnerable population enrolled in MMT in Vancouver, BC. Qualitative interviews were conducted with 34 people enrolled in MMT and recruited from two ongoing observational prospective cohort studies comprised of drug-using individuals in the six-month period in 2014 following these regulatory changes. Interview transcripts were analysed thematically, and by drawing on the concept of 'structural vulnerability'. Findings underscore how these regulatory changes disrupted treatment engagement, producing considerable health and social harms. The introduction of Methadose(®) precipitated increased withdrawal symptoms. The discontinuation of pharmacy delivery services led to interruptions in MMT and co-dispensed HIV medications due to constraints stemming from their structural vulnerability (e.g., poverty, homelessness). Meanwhile, the loss of pharmacy incentives limited access to material supports utilized by participants to overcome barriers to MMT, while diminishing their capacity to assert some degree of agency in negotiating dispensation arrangements with pharmacies. Collectively, these changes functioned to compromise MMT engagement and increased structural vulnerability to harm, including re-initiation of injection drug

  6. NEGOTIATING STRUCTURAL VULNERABILITY FOLLOWING REGULATORY CHANGES TO A PROVINCIAL METHADONE PROGRAM IN VANCOUVER, CANADA: A QUALITATIVE STUDY

    PubMed Central

    McNeil, Ryan; Kerr, Thomas; Anderson, Solanna; Maher, Lisa; Keewatin, Chereece; Milloy, MJ; Wood, Evan; Small, Will

    2015-01-01

    While regulatory frameworks governing methadone maintenance therapy (MMT) require highly regimented treatment programs that shape treatment outcomes, little research has examined the effects of regulatory changes to these programs on those receiving treatment, and located their experiences within the wider context of socialstructural inequities. In British Columbia (BC), Canada, provincial regulations governing MMT have recently been modified, including: replacing the existing methadone formulation with Methadose® (pre-mixed and 10 times more concentrated); prohibiting pharmacy delivery of methadone; and, prohibiting pharmacies incentives for methadone dispensation. We undertook this study to examine the impacts of these changes on a structurally vulnerable population enrolled in MMT in Vancouver, BC. Qualitative interviews were conducted with 34 people enrolled in MMT and recruited from two ongoing observational prospective cohort studies comprised of drug-using individuals in the six-month period in 2014 following these regulatory changes. Interview transcripts were analyzed thematically, and by drawing on the concept of ‘structural vulnerability’. Findings underscore how these regulatory changes disrupted treatment engagement, producing considerable health and social harms. The introduction of Methadose® precipitated increased withdrawal symptoms. The discontinuation of pharmacy delivery services led to interruptions in MMT and codispensed HIV medications due to constraints stemming from their structural vulnerability (e.g., poverty, homelessness). Meanwhile, the loss of pharmacy incentives limited access to material supports utilized by participants to overcome barriers to MMT, while diminishing their capacity to assert some degree of agency in negotiating dispensation arrangements with pharmacies. Collectively, these changes functioned to compromise MMT engagement and increased structural vulnerability to harm, including re-initiation of injection drug

  7. The provincial health office as performance manager: change in the local healthcare system after Thailand's universal coverage reforms.

    PubMed

    Intaranongpai, Siranee; Hughes, David; Leethongdee, Songkramchai

    2012-01-01

    This paper examines the implementation of Thailand's universal coverage healthcare reforms in a rural province, using data from field studies undertaken in 2003-2005 and 2008-2011. We focus on the strand of policy that aimed to develop primary care by allocating funds to contracting units for primary care (CUPs) responsible for managing local service networks. The two studies document a striking change in the balance of power in the local healthcare system over the 8-year period. Initially, the newly formed CUPs gained influence as 'power followed the money', and the provincial health offices (PHOs), which had commanded the service units, were left with a weaker co-ordination role. However, the situation changed as a new insurance purchaser, the National Health Security Office, took financial control and established regional outposts. National Health Security Office outposts worked with PHOs to develop rationalised management tools-strategic plans, targets, KPIs and benchmarking-that installed the PHOs as performance managers of local healthcare systems. New lines of accountability and changed budgetary systems reduced the power of the CUPs to control resource allocation and patterns of services within CUP networks. Whereas some CUPs fought to retain limited autonomy, the PHO has been able to regain much of its former control. We suggest that implementation theory needs to take a long view to capture the complexity of a major reform initiative and argue for an analysis that recognises the key role of policy networks and advocacy coalitions that span national and local levels and realign over time. Copyright © 2012 John Wiley & Sons, Ltd.

  8. Breast reconstruction following prophylactic or therapeutic mastectomy for breast cancer: Recommendations from an evidence-based provincial guideline.

    PubMed

    Shea-Budgell, Melissa; Quan, May Lynn; Mehling, Blair; Temple-Oberle, Claire

    2014-01-01

    The side effects of mastectomy can be significant. Breast reconstruction may alleviate some distress; however, there are currently no provincial recommendations regarding the integration of reconstruction with breast cancer therapy. The purpose of the present article is to provide evidence-based strategies for the management of patients who are candidates for reconstruction. A systematic review of meta-analyses, guidelines, clinical trials and comparative studies published between 1980 and 2013 was conducted using the PubMed and EMBASE databases. Reference lists of publications were manually searched for additional literature. The National Guidelines Clearinghouse and SAGE directory, as well as guideline developers' websites, were also searched. Recommendations were developed based on the available evidence. Reconstruction consultation should be made available for patients undergoing mastectomy. Tumour characteristics, cancer therapy, patient comorbidities, body habitus and smoking history may affect reconstruction outcomes. Although immediate reconstruction should be considered whenever possible, delayed reconstruction is acceptable when immediate is not available or appropriate. The integration of reconstruction and postmastectomy radiotherapy should be addressed in a multidisciplinary setting. The decision as to which type of procedure to perform (autologous or alloplastic with or without acellular dermal matrices) should be left to the discretion of the surgeons and the patient after providing counselling. Skin-sparing mastectomy is safe and appropriate. Nipple-sparing is generally not recommended for patients with malignancy, but could be considered for carefully selected patients. Immediate reconstruction requires resources to coordinate operating room time between the general and plastic surgeons, to provide supplies including acellular dermal matrices, and to develop the infrastructure needed to facilitate multidisciplinary discussions.

  9. Breast reconstruction following prophylactic or therapeutic mastectomy for breast cancer: Recommendations from an evidence-based provincial guideline

    PubMed Central

    Shea-Budgell, Melissa; Quan, May Lynn; Mehling, Blair; Temple-Oberle, Claire

    2014-01-01

    The side effects of mastectomy can be significant. Breast reconstruction may alleviate some distress; however, there are currently no provincial recommendations regarding the integration of reconstruction with breast cancer therapy. The purpose of the present article is to provide evidence-based strategies for the management of patients who are candidates for reconstruction. A systematic review of meta-analyses, guidelines, clinical trials and comparative studies published between 1980 and 2013 was conducted using the PubMed and EMBASE databases. Reference lists of publications were manually searched for additional literature. The National Guidelines Clearinghouse and SAGE directory, as well as guideline developers’ websites, were also searched. Recommendations were developed based on the available evidence. Reconstruction consultation should be made available for patients undergoing mastectomy. Tumour characteristics, cancer therapy, patient comorbidities, body habitus and smoking history may affect reconstruction outcomes. Although immediate reconstruction should be considered whenever possible, delayed reconstruction is acceptable when immediate is not available or appropriate. The integration of reconstruction and postmastectomy radiotherapy should be addressed in a multidisciplinary setting. The decision as to which type of procedure to perform (autologous or alloplastic with or without acellular dermal matrices) should be left to the discretion of the surgeons and the patient after providing counselling. Skin-sparing mastectomy is safe and appropriate. Nipple-sparing is generally not recommended for patients with malignancy, but could be considered for carefully selected patients. Immediate reconstruction requires resources to coordinate operating room time between the general and plastic surgeons, to provide supplies including acellular dermal matrices, and to develop the infrastructure needed to facilitate multidisciplinary discussions. PMID:25114623

  10. Use of SERTS (Socio-Economic, health Resources and Technologic Supplies) models to estimate cancer survival at provincial geographical level.

    PubMed

    Vercelli, Marina; Lillini, Roberto; Capocaccia, Riccardo; Quaglia, Alberto

    2012-12-01

    The main aim of this work is to compute expected cancer survival for Italian provinces by Socio-Economic and health Resources and Technologic Supplies (SERTS) models, based on demographic, socioeconomic variables and information describing the health care system (SEH). Five-year age-standardised relative survival rates by gender for 11 cancer sites and all cancers combined of patients diagnosed in 1995-1999, were obtained from the Italian Association of Cancer Registries (CRs) database. The SEH variables describe at provincial level macro-economy, demography, labour market, health resources in 1995-2005. A principal components factor analysis was applied to the SEH variables to control their strong mutual correlation. For every considered cancer site, linear regression models were estimated considering the 5-RS% as dependent variable and the principal components factors of the SEH variables as independent variables. The model composition was correlated to the characteristics of take in charge of patients. SEH factors were correlated with the observed survival for all cancer combined and colon-rectum in both sexes, prostate, kidney and non Hodgkin's lymphomas in men, breast, corpus uteri and melanoma in women (R(2) from 40% to 85%). In the provinces without any CR the survival was very similar with that of neighbouring provinces with analogous social, economic and health characteristics. The SERTS models allowed us to interpret the survival outcome of oncologic patients with respect to the role of the socio-economic and health related system characteristics, stressing how the peculiarities of the take in charge at the province level could address the decisions regarding the allocation of resources. Copyright © 2012 Elsevier Ltd. All rights reserved.

  11. How do stakeholders from multiple hierarchical levels of a large provincial health system define engagement? A qualitative study.

    PubMed

    Norris, Jill M; White, Deborah E; Nowell, Lorelli; Mrklas, Kelly; Stelfox, Henry T

    2017-08-01

    Engaging stakeholders from varied organizational levels is essential to successful healthcare quality improvement. However, engagement has been hard to achieve and to measure across diverse stakeholders. Further, current implementation science models provide little clarity about what engagement means, despite its importance. The aim of this study was to understand how stakeholders of healthcare improvement initiatives defined engagement. Participants (n = 86) in this qualitative thematic study were purposively sampled for individual interviews. Participants included leaders, core members, frontline clinicians, support personnel, and other stakeholders of Strategic Clinical Networks in Alberta Health Services, a Canadian provincial health system with over 108,000 employees. We used an iterative thematic approach to analyze participants' responses to the question, "How do you define engagement?" Regardless of their organizational role, participants defined engagement through three interrelated themes. First, engagement was active participation from willing and committed stakeholders, with levels that ranged from information sharing to full decision-making. Second, engagement centered on a shared decision-making process about meaningful change for everyone "around the table," those who are most impacted. Third, engagement was two-way interactions that began early in the change process, where exchanges were respectful and all stakeholders felt heard and understood. This study highlights the commonalities of how stakeholders in a large healthcare system defined engagement-a shared understanding and terminology-to guide and improve stakeholder engagement. Overall, engagement was an active and committed decision-making about a meaningful problem through respectful interactions and dialog where everyone's voice is considered. Our results may be used in conjunction with current implementation models to provide clarity about what engagement means and how to engage various

  12. Do provincial policies banning smoking in cars when children are present impact youth exposure to secondhand smoke in cars?

    PubMed

    Elton-Marshall, Tara; Leatherdale, Scott T; Driezen, Pete; Azagba, Sunday; Burkhalter, Robin

    2015-09-01

    To examine youth exposure to smoking in cars following 7 provincial bans on smoking in cars with children in Canada. Repeated cross-sectional data from the 2004-2012 Youth Smoking Survey (n=91,800) were examined. Using a quasi-experimental design, contrasts of the interaction of survey year and province included in the logistic regression analyses were used to test whether exposure significantly declined pre-post implementation of a ban on smoking in cars relative to control provinces not implementing a ban. Exposure across all provinces declined from 26.5% in 2004 to 18.2% of youth in 2012. Exposure declined significantly from pre to post implementation of a ban on smoking in cars with children in Ontario at time 1 post ban (Pre-Ban=20.4% T1post=10.3%, OR=0.45), time 2 post ban (12.1%, OR=0.61) and time 3 post ban (11.6%, OR=0.58) relative to control provinces that did not implement a ban. In British Columbia exposure to smoking in cars declined significantly at pre-post ban time 3 compared to the control group (Pre-Ban=21.2%, T3post=9.6%, OR=0.51). No other provinces had a significant change in exposure pre-post ban relative to the control provinces. Although rates declined, significant differences were only found in Ontario relative to control provinces in the immediate and long term. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. Prognosis of tetanus patients in the intensive care unit of Provincial Hospital Jason Sendwe, Lubumbashi, DR Congo

    PubMed Central

    Muteya, Michel Manika; Kabey, Alain Kabey a; Lubanga, Théophile Muyumba; Tshamba, Henri Mundongo; Nkoy, Albert Mwembo Tambwe a

    2013-01-01

    Tetanus is still a public health problem in developing countries including the Democratic Republic of Congo. The objective of this study was to determine the prognosis of patients with tetanus admitted in the Intensive Care Unit (ICU) of Provincial Hospital Jason Sendwe, Lubumbashi, DR Congo. This is a descriptive study which collected information from registers and medical records of patients admitted for tetanus in the ICU of Jason Sendwe Hospital, between January 2005 and December 2009. We calculated the parameters of position, dispersion as well as frequencies. We used the test of independent association of prognosis (death versus survival). Tetanus constituted 2.1% of admissions in the ICU during the 5-year period. The average age of patients was 39.38 ± 17; majority of patients were males (95.5%). The majority of patients lived the townships of Kampemba (27.3%), Kenya (22.7%), and Annexe (18.2%). All patients presented the generalized form of the infection. The door of entry was detectable in 71.5% of cases, localized mainly to the lower limbs (61.9%). The average length of stay was 11.29 ± 11.39 days. Mortality was observed in 52.4% of cases. This mortality was statistically significant in patients aged mrore than 40 years (p=0.029) but not not related to the length of stay (p=0.080) nor the location of point of entry(p=0.28). In our environment the prognosis of tetanus remains severe. This disease is still frequent in the city of Lubumbashi; sensibilisation of population on preventive strategies as well as setting up appropriate structures for better management of cases is required. PMID:23717709

  14. Self-Monitoring of Blood Glucose: Impact of Quantity Limits in Public Drug Formularies on Provincial Costs Across Canada.

    PubMed

    Knowles, Sandra R; Lee, Kathy; Paterson, J Michael; Shah, Baiju R; Mamdani, Muhammad M; Juurlink, David N; Gomes, Tara

    2017-04-01

    For most patients with diabetes, routine use of blood glucose test strips (BGTS) has not been shown to be beneficial, yet the economic implications of broad publicly funded reimbursement for BGTS are substantial. We assessed the potential impact of BGTS quantity limits on utilization and costs for 6 publicly funded drug plans across Canada. A cross-sectional analysis was conducted in 6 provinces (Alberta, Saskatchewan, Manitoba, Nova Scotia, Newfoundland and Labrador and Prince Edward Island) for patients who received at least 1 prescription for BGTS in 2014 through the public drug program. We determined the number of BGTS that would have exceeded the quantity limits and the associated costs to the provincial drug program. A total of $38,051,026 was spent on BGTS reimbursed through public drug programs among the 6 provinces. In provinces where BGTS use is largely restricted to patients using insulin, the potential annual savings were minimal, ranging from 0.4% to 2.3%, whereas in provinces with more liberal listings, potential savings ranged from 12.4% to 19.8%. Combining these results with data from a previous analysis in Ontario and British Columbia, the cost savings associated with BGTS quantity limits for 8 provinces across Canada (capturing approximately three-quarters of the Canadian population) is estimated to be $30.3 million annually. The national implementation of a quantity limit policy for BGTS that aligns with evidence of efficacy, optimal prescribing and patient safety can lead to considerable savings for most public drug plans across Canada. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  15. Species composition and structure of Thysanoptera communities in different microhabitats at the Parque Estadual de Itapuã, Viamão, RS.

    PubMed

    Pinent, S M J; Romanowski, H P; Redaelli, L R; Cavalleri, A

    2006-08-01

    Although thrips are known as inhabitants of flowers, they are also abundant and diverse in other microhabitats. There is an information gap concerning them, especially related to the native fauna in southern Brazil. The structure and composition of the thysanopteran community in different microhabitats was studied at the "Parque Estadual de Itapuã" (30 degrees 22' S 51 degrees 02' W), RS, southern Brazil. Between June 1999 and May 2001, branches (n = 1,274), flowers (n = 774), grass tussocks (n = 596) and leaf litter (n = 603) were sampled systematically in 20 points of four trails (T1 - Pedreira beach, T2 - Araçá beach, T3 - Lagoinha, and T4 - Grota hill). We found 2,197 adult thrips determined in 73 species in 41 genera, of which 37 could be nominated. Four families are represented, Thripidae, Phlaeothripidae, Heterothripidae and Merothripidae, with the first the most abundant (N = 1,599) and with the highest species richness (S = 32). The highest thrips abundance occurred in flowers N = 1,224 and the highest number of exclusive species occurred in the leaf litter (27). Frankliniella rodeos Moulton, 1933, Frankliniella gemina Bagnall, 1919 and Smicrothrips particula Hood, 1952 comprise 49.4% of the total sampled. Regarding T2, we obtained the highest abundance (N = 935) and highest species richness (S = 43). The composition of the faunas in each kind of environment proved very particular.

  16. The Dasypodidae (Mammalia, Xenarthra) from the Urso Fóssil Cave (Quaternary), Parque Nacional de Ubajara, State of Ceará, Brazil: paleoecological and taxonomic aspects.

    PubMed

    Oliveira, Paulo V; Ribeiro, Ana Maria; Oliveira, Edison V; Viana, Maria Somália S

    2014-03-01

    This paper deals with xenarthrans osteoderms assigned to Dasypus aff. D. novemcinctus, Euphractus sexcinctus and Cabassous sp. The material was collected in subsurface, from 0.10 to 0.60 m in the Urso Fóssil Cave, Parque Nacional de Ubajara, State of Ceará, northeastern Brazil. The ages of sediment samples from levels 4 and 5 (depths of 0.40 and 0.50 m) were determined by thermoluminescence technique, and indicated ages of 8,000 and 8,200 years BP for each layer respectively. The presence in these layers of early Holocene xenarthrans taxa can contribute to the understanding of the biotic evolution of the northwest region of Ceará during the last 10,000 years. Two of the three identified taxa still occur in the region: Dasypus novemcinctus and Euphractus sexcinctus. The Dasypodidae fauna here reported includes animals with generalist feeding habits and current wide geographical distribution. It is suggested, therefore, that the climatic and environmental conditions in the early Holocene were very similar the actual ones, and that the absence of Cabassous may be conditioned to other factors, such as anthropogenic action and loss of habitat by fragmentation of the vegetation.

  17. Measles vaccine coverage and immune response in children of Caiabi and Metuktire Indian tribes living in malarial endemic area: Parque indígena do Xingu, Central Brazil.

    PubMed

    Spindel, R; Baruzzi, R G; Souza, V A; Ferreira, A W; Avila, S L

    2001-07-01

    Measles vaccination efficiency was evaluated in children from two Indian tribes - Caiabi and Metuktire - living in the Amazon region, in the Parque Indigena do Xingu (PIX). The population sample, selected at random, made up 37 Caiabi and 28 Metuktire children, aged from 20-75 months (40%). For operational and epidemiological reasons, measles vaccine is given from 6 months of age. The average age of children when they received the vaccine was 11.5 months for the first dose and 20 months for the second. The search for IgG antibodies against measles virus and Plasmodium falciparum was made through immunofluorescence assay (IFA). Measles vaccine coverage has reached 60% at 12 months of age and 92% at 18 months, whereas post-vaccine serum conversion was 95% in Caiabi children (geometric mean of titres (GMT) 126) and 89% in Metuktire (GMT 109). The difference in GMT is not statistically significant. Seventy-three per cent of Caiabi children (GMT 101) and 100% of Metuktire children (GMT135) were plasmodium antibody positive, showing they had been exposed to malarial infection. Despite the differences detected, the immune response to measles vaccine was satisfactory in both groups, with a positive percentage consistent with that achieved in non-malarial areas in Americas. The results show the efficiency of a vaccination programme in an indigenous area despite the difficulties in reaching the villages and maintaining the cold chain, and also despite the malaria endemicity.

  18. Vegetation mapping in the Parque Nacional, Brasilia (Brazil) area using advanced spaceborne thermal emission and reflection radiometer (ASTER) data and spectral identification method (SIM)

    NASA Astrophysics Data System (ADS)

    Abílio de Carvalho Júnior, Osmar; Guimarães, Renato Fontes; Ferreira de Carvalho, Ana Paula; Correia da Silva, Nilton; de Souza Martins, Eder; Trancoso Gomes, Roberto Arnaldo

    2005-10-01

    The spectral classifiers allow a good estimate for the mapping of the materials from the similarity between the reference curve and the image. Initially the spectral classifiers had been developed for hyperspectral images analysis. However, some works demonstrate good results for the application of these techniques in multispectral images. The present work aims to evaluate the spectral classifier Spectral Identification Method (SIM) in ASTER image. The Spectral Identification Method (SIM) is proposed to establish a new similarity index and three estimates according to the significance of regression (5%, 10% and 15%) of the materials. This method is based on two statistical procedures: ANOVA and Spectral Correlation Mapper (SCM) coefficient. This information can be used to evaluate the degree of correlation among the materials in analysis. The advantage of this method is to validate according to significance of regression most probable areas of the sought material. The method was applied to ASTER image at the Parque Nacional (DF - Brazil). The images were acquired with atmosphere correction. The pixels size from the SWIR image was duplicated in order to join the VNIR and SWIR images. Endmembers were detected in three steps: a) spectral reduction by the Minimum Noise Fraction (MNF), b) spatial reduction by the Pixel Purity Index (PPI) and c) manual identification of the endmembers using the N-dimensional visualizer. The classification was made from the endmembers of nonphotosynthetic vegetation (NPV), photosynthetic vegetation (PV) and soil. These procedures allowed identifying the main scenarios in the study area.

  19. Density and survival rate of Culex quinquefasciatus at Parque Ecológico do Tietê, São Paulo, Brazil.

    PubMed

    Laporta, Gabriel Z; Sallum, Maria Anice M

    2008-03-01

    Parity rate, gonotrophic cycle length, and density of a Culex quinquefasciatus female population was estimated at the Parque Ecológico do Tietê (PET), São Paulo, Brazil. Adult Cx. quinquefasciatus females were collected from vegetation along the edges of a polluted drainage canal with the use of a battery-powered backpack aspirator from September to November 2005 and from February to April 2006. We examined 255 Cx. quinquefasciatus ovaries to establish the parity rate of 0.22 and determined the gonotrophic cycle length under laboratory conditions to be 3 and 4 days. From these data, we calculated the Cx. quinquefasciatus survival rate to be 0.60 and 0.68 per day. Density of the Cx. quinquefasciatus female (5.71 females per m2) was estimated based on a population size of 28,810 individuals divided by the sampled area of 5,040 m2. Results of all experiments indicate medium survivorship and high density of the Cx. quinquefasciatus female population. This species is epidemiologically relevant in the PET area and should be a target of the vector control program of São Paulo municipality.

  20. Supporting chronic pain management across provincial and territorial health systems in Canada: Findings from two stakeholder dialogues

    PubMed Central

    Wilson, Michael G; Lavis, John N; Ellen, Moriah E

    2015-01-01

    BACKGROUND: Chronic pain is a serious health problem given its prevalence, associated disability, impact on quality of life and the costs associated with the extensive use of health care services by individuals living with it. OBJECTIVE: To summarize the research evidence and elicit health system policymakers’, stakeholders’ and researchers’ tacit knowledge and views about improving chronic pain management in Canada and engaging provincial and territorial health system decision makers in supporting comprehensive chronic pain management in Canada. METHODS: For these two topics, the global and local research evidence regarding each of the two problems were synthesized in evidence briefs. Three options were generated for addressing each problem, and implementation considerations were assessed. A stakeholder dialogue regarding each topic was convened (with 29 participants in total) and the deliberations were synthesized. RESULTS: To inform the first stakeholder dialogue, the authors found that systematic reviews supported the use of evidence-based tools for strengthening chronic pain management, including patient education, self-management supports, interventions to implement guidelines and multidisciplinary approaches to pain management. While research evidence about patient registries/treatment-monitoring systems is limited, many dialogue participants argued that a registry/system is needed. Many saw a registry as a precondition for moving forward with other options, including creating a national network of chronic pain centres with a coordinating ‘hub’ to provide chronic pain-related decision support and a cross-payer, cross-discipline model of patient-centred primary health care-based chronic pain management. For the second dialogue, systematic reviews indicated that traditional media can be used to positively influence individual health-related behaviours, and that multistakeholder partnerships can contribute to increasing attention devoted to issues on

  1. [The overweight, the obesity and the glycemic control among diabetics of the provincial reference center of diabetes (CRD), Kenitra, Morocco].

    PubMed

    Lotfi, Zeghari; Aboussaleh, Youssef; Sbaibi, Rachid; Achouri, Imane; Benguedour, Rachid

    2017-01-01

    Diabetes is a disorder of assimilation, use and storage of sugars provided in the diet. Its management is based on follow-up of overweight and obese patients and on regular glycemic control. This study aimed to analyze overweight, obesity and glycemic control in 2227 patients with different types of diabetes (type 1, 2 and gestational) presenting to the Provincial referral center of diabetes (RCD) in Kenitra, Morocco. We conducted a study over the period January-December 2015. Overweight and obesity assessment was performed using Body Mass Index calculator (BMI = weight/height(2) (kg/m(2)). Overweight and obesity were defined by BMI > 25 kg/m(2)and BMI > 30 kg/m(2) respectively; the weight and the height were measured according to World Health Organization's recommendations. Glycemic control was based on glycated hemoglobin levels and fasting blood glucose test. Current guidelines recommend a glycosylated hemoglobin level of 7% and a fasting blood glucose of 0.70g/l - 1.10g/L. The age of patients ranged from 8 months to 80 years, with a prevalence of diabetic patients from the urban environment (74%) compared to those from the rural areas (26%). The entire study population was overweight. The average BMI of women showed a trend toward obesity (BMI≈30): (29.21 kg/m(2) ± 3,1) in patients with gestational diabetes and (29.15 kg/m(2) ± 3.2) in patients with type 2 diabetes. Blood sugar levels were above the standards: 8.5% ± 2.6 > 7% for glycosylated hemoglobin and 1.5 g/L ± 1.3>1.10g/L for fasting blood glucose. The difference between glycosylated hemoglobin levels between men (8.57% ± 2.6) and women (8.1% ± 2.3) were not significant (p > 0.05), it was the same with fasting blood glucose: men (1.44 g/L ± 1,1) and women (1.43 g/L ± 1.2). Pearson's correlation coefficients were highly significant (p<0.005); on the one hand between BMI and fasting blood glucose(r = 0.5) and on the other hand between BMI and glycosylated hemoglobin levels (r = 0.4). The entire

  2. Healthy Canada by Design CLASP: Lessons learned from the first phase of an intersectoral, cross-provincial, built environment initiative.

    PubMed

    Miro, Alice; Kishchuk, Natalie A; Perrotta, Kim; Swinkels, Helena M

    2014-09-12

    The Healthy Canada by Design (HCBD) CLASP (Coalitions Linking Action and Science for Prevention) Initiative promotes the building of communities that support health by 1) facilitating the integration of health evidence into built environment decision-making; 2) developing new, cross-sector collaboration models and tools; and 3) fostering a national community of practice. A coalition of public health professionals, researchers, professional planners and non-governmental organization (NGO) staff from across Canada developed, implemented and participated in the Initiative. In the first phase, HCBD interventions took place for the most part in large urban and suburban settings in Quebec, Ontario and British Columbia. National knowledge transfer and exchange (KTE) activities were delivered both locally and nationally. Project participants developed tools or processes for collaboration between the health and the community planning sectors. These were designed to increase the capacity of the health sector to influence decisions about land use and transportation planning. Tool or process development was accompanied by pilot testing, evaluation, and dissemination of findings and lessons learned. On a parallel track, NGOs involved with HCBD led national KTE interventions. The first phase of HCBD demonstrated the potential for public health organizations to influence the built environment determinants of cancer and chronic diseases. Public health authorities forged relationships with several organizations with a stake in built environment decisions, including municipal and regional planning departments, provincial governments, federal government agencies, researchers, community groups and NGOs. The Initiative accomplished the following: 1) created new relationships across sectors and across health authorities; 2) improved the knowledge and skills for influencing land use planning processes among public health professionals; 3) increased awareness of health evidence and intent

  3. Secular trends in the national and provincial births of new thalassemia cases in Iran from 2001 to 2006.

    PubMed

    Dehshal, Mahmoud Hadipour; Ahmadvand, Alireza; Darestani, Sakineh Yousefi; Manshadi, Mohsen; Abolghasemi, Hassan

    2013-01-01

    Thalassemia is one of the genetic diseases for which there are only a few successful prevention protocols. In this study, we aimed to analyze data for thalassemia newborns in a period of 6 years to find out the geographical distribution of cases, the "high-risk" provinces in Iran, the causes of thalassemia newborn cases, the coverage rate of the prevention programs and the limitations of the thalassemia registration system. To further our aim, an analytic cross-sectional study was designed at the Iranian Blood Transfusion Organization (IBTO), Tehran, Iran. A questionnaire was then prepared to gather data from each of the 30 provincial centers to find out the number and causes of thalassemia births. Furthermore, another questionnaire, to be completed by the physicians in charge, was aimed at gathering data from all 207 thalassemia care centers. We then performed a stratified analysis of the frequency of distributions; the associations among the existing variables were evaluated using the χ(2) or Fisher's exact tests at a 5.0% significance level. According to the findings, from 2001-2006, a total of 2091 thalassemia patients were born. The main causes were: the at-risk couples not using prenatal diagnosis (PND), marriages before the commencement of Iranian prevention plans, unregistered marriages based on religious conventions, among foreign citizens and the existence of some test errors. The causes of birth for 284 (13.6%) of new cases were not documented. There was a statistically significant difference between the five high-risk provinces regarding the proportional causes of thalassemia newborns [Pearson χ(2) = 4.549; degree of freedom (df) = 8, p value = 0.0001]. Although the plan succeeded in avoiding the annual birth of 826 new cases on average, there is continuing concern that more than 300 new cases were born every year during 2001-2006 and new prevention strategies need to be put into practice. It is highly recommended that focus be put on factors

  4. Capacity and principles of participation of the provincial fund of environmental protection and water management in Cracow in Cracow program of elimination of low emission sources

    SciTech Connect

    Bolek, K.; Sarzynski, H.

    1995-12-31

    In general, the principles of environmental protection was determined by Law issued January 31, 1980. Certain detailed solutions have been included in several amendments in subsequent years and the uniformed text of the Law on Environmental Protection and Creation was published in 1994. The Provincial Fund of Environmental Protection and Water Management was established in 1989 but until 1993 the Fund has no legal status. The main purpose of the creation of such fund was to assign certain financial means to the defined tasks related to environmental protection. This way the fund accumulates financial means from the fees paid for the usage of the natural environmental for business purposes and from penalties becoming due in the case of non-observance of the environmental protection standards. On the other hand, the Fund spends money for tasks in the field of environmental protection requiring urgent implementation. It should be added that - after few amendments brought into force - the Provincial Funds are able to assign a greater amount of money to the implementation of these tasks. The basic purposes of Provincial Fund activity, defined by Law, determine the policy and criteria of the selection of undertaking. This is also a base for making programs of activity and for creation of the list of priorities. The environmental protection problems in the individual provinces are different. Therefore, the scope of works partly financed by the Fund is very differentiated both in essence and in the method of financing. The former system of subsidies is now being replaced with a wide range of partial financing of undertakings in the field of environmental protection. The system of selection of these undertakings has been changed essentially. The selection of tasks and methods of their financing is based on economic criteria.

  5. Feasibility study report for distribution dispatching center project 2nd stage for the Provincial Electricity Authority (PEA), Bangkok, Thailand, June 1998. Export trade information

    SciTech Connect

    1998-06-01

    The study concerns the Provincial Electricity Authority, a state agency within the Ministry of Interior that supplies electricity to 73 of Thailand`s provinces. The primary objective of this study is to help increase the ability of the Authority to meet the rapidly increasing demand for electric power within the Kingdom of Thailand in a reliable, safe and economic manner. This is Volume 1 and it consists of the following: (1) introduction; (2) assessment; (3) conceptual design; (4) economic and financial evaluation; (5) project plan; (6) Thailand impact; (7) industry review; (8) conclusion; and appendices.

  6. Provincial prenatal record revision: a multiple case study of evidence-based decision-making at the population-policy level.

    PubMed

    Edwards, Nancy; Semenic, Sonia; Premji, Shahirose; Montgomery, Phyllis; Williams, Beverly; Olson, Joanne; Mansi, Omaima

    2008-12-19

    There is a significant gap in the knowledge translation literature related to how research evidence actually contributes to health care decision-making. Decisions around what care to provide at the population (rather than individual) level are particularly complex, involving considerations such as feasibility, cost, and population needs in addition to scientific evidence. One example of decision-making at this "population-policy" level involves what screening questions and intervention guides to include on standardized provincial prenatal records. As mandatory medical reporting forms, prenatal records are potentially powerful vehicles for promoting population-wide evidence-based care. However, the extent to which Canadian prenatal records reflect best-practice recommendations for the assessment of well-known risk factors such as maternal smoking and alcohol consumption varies markedly across Canadian provinces and territories. The goal of this study is to better understand the interaction of contextual factors and research evidence on decision-making at the population-policy level, by examining the processes by which provincial prenatal records are reviewed and revised. Guided by Dobrow et al.'s (2004) conceptual model for context-based evidence-based decision-making, this study will use a multiple case study design with embedded units of analysis to examine contextual factors influencing the prenatal record revision process in different Canadian provinces and territories. Data will be collected using multiple methods to construct detailed case descriptions for each province/territory. Using qualitative data analysis techniques, decision-making processes involving prenatal record content specifically related to maternal smoking and alcohol use will be compared both within and across each case, to identify key contextual factors influencing the uptake and application of research evidence by prenatal record review committees. All study participants will be required

  7. The effect of socioeconomic status and social inclusion on the mental health of Chinese migrants: A comparison between interprovincial and intra-provincial migrants.

    PubMed

    Yi, Yingying; Liang, Ying

    2017-07-01

    This article sought to explore the impacts of socioeconomic status and social inclusion on intra-provincial and interprovincial migrants' mental health by constructing the Bayesian structural equation model. A total of 14,584 migrants aged 15-59 years living in eight cities of China were selected. It was found that the impacts of socioeconomic status and social inclusion on mental health were converse for these two groups. And the manifest variables coefficients of socioeconomic status and social inclusion were also converse. Therefore, governments should make some policies to further improve the mental health of migrants, including strengthening the community cohesion, social atmosphere, and governmental support.

  8. Environment heterogeneity and seasonal effects in ground-dwelling ant (Hymenoptera: Formicidae) assemblages in the Parque Estadual do Rio Doce, MG, Brazil.

    PubMed

    Coelho, Igor R; Ribeiro, Sérvio P

    2006-01-01

    This work aimed to explore the response of ant species assemblage to contrasting types of forests in a semideciduous stationary rainforest, in the Parque Estadual do Rio Doce, South Eastern Brazil. We compared antropomorphic borders of this park and natural ecotones, such as lake margins continuous with forests, as well as preserved forests far from ecotones. We investigated whether ground-dwelling ant species richness, abundance and composition would change according to forest types and ecotones. We expected greater species richness in interior tall forest, compared with low forest or ecotone habitats. In addition, we tested the effect of climate seasonality on ant assemblages found in each studied vegetation type. Each forest type was surveyed based on a minimum transect sampling unit of 150 m long summing up 30 pit-falls per unit. Two sampling events, one in dry season (September of 2001) and another in the rainy season (January of 2002) were performed. For both seasons, tall forest presented greater total number of ant species, however lower mean ant species and abundance per trap than other forest types, thus corroborating the prediction that ecotones might present high alpha diversity. Mean species richness and abundance did not differ between interior low forest and lake edge, or between these habitats and reserve border. In general, species composition were not clearly defined by forest types. Results here found suggest that species loss or community dominance by generalist species, eventually due to deforestation, is probably a much greater problem than previously thought. However, to understand patterns of insect species diversity and distribution in tropical ecosystem should be taken in account much more comprehensive, spatially explicit sampling designs.

  9. Lessons learned from the implementation of a provincial breastfeeding policy in Nova Scotia, Canada and the implications for childhood obesity prevention.

    PubMed

    Kirk, Sara F L; Sim, Sarah Meaghan; Hemmens, Erin; Price, Sheri L

    2012-04-01

    Healthy public policy plays a central role in creating environments that are supportive of health. Breastfeeding, widely supported as the optimal mode for infant feeding, is a critical factor in promoting infant health. In 2005, the Canadian province of Nova Scotia introduced a provincial breastfeeding policy. This paper describes the process and outcomes of an evaluation into the implementation of the policy. This evaluation comprised focus groups held with members of provincial and district level breastfeeding committees who were tasked with promoting, protecting and supporting breastfeeding in their districts. Five key themes were identified, which were an unsupportive culture of breastfeeding; the need for strong leadership; the challenges in engaging physicians in dialogue around breastfeeding; lack of understanding around the International Code of Marketing of Breast-milk Substitutes; and breastfeeding as a way to address childhood obesity. Recommendations for other jurisdictions include the need for a policy, the value of leadership, the need to integrate policy with other initiatives across sectors and the importance of coordination and support at multiple levels. Finally, promotion of breastfeeding offers a population-based strategy for addressing the childhood obesity epidemic and should form a core component of any broader strategies or policies for childhood obesity prevention.

  10. Use of a knowledge synthesis by decision makers and planners to facilitate system level integration in a large Canadian provincial health authority

    PubMed Central

    Suter, Esther; Armitage, Gail D

    2011-01-01

    Purpose The study is an examination of how a knowledge synthesis, conducted to fill an information gap identified by decision makers and planners responsible for integrating health systems in a western Canadian health authority, is being used within that organization. Methods Purposive sampling and snowball technique were used to identify 13 participants who were interviewed about how they are using the knowledge synthesis for health services planning and decision-making. Results The knowledge synthesis is used by those involved in the strategic direction of the provincial healthcare organization and those tasked with the operationalization of integration at the provincial or local level. Both groups most frequently use the 10 key principles for integration, followed by the sections on integration processes, strategies and models. The key principles facilitate discussion on priority areas to be considered and provide a reference point for a desired future state. Perceived information gaps relate to a lack of detail on ‘how to’ strategies, tools and processes that would lead to successful integration. Discussion and conclusion The current project demonstrates that decision makers and planners will effectively use a knowledge synthesis if it is timely, relevant and accessible. The information can be applied at strategic and operations levels. Attention needs to be paid to include more information on implementation strategies and processes. Including knowledge users in identifying research questions will increase information uptake. PMID:21637708

  11. Lessons Learned from the Implementation of a Provincial Breastfeeding Policy in Nova Scotia, Canada and the Implications for Childhood Obesity Prevention

    PubMed Central

    Kirk, Sara F. L.; Sim, Sarah Meaghan; Hemmens, Erin; Price, Sheri L.

    2012-01-01

    Healthy public policy plays a central role in creating environments that are supportive of health. Breastfeeding, widely supported as the optimal mode for infant feeding, is a critical factor in promoting infant health. In 2005, the Canadian province of Nova Scotia introduced a provincial breastfeeding policy. This paper describes the process and outcomes of an evaluation into the implementation of the policy. This evaluation comprised focus groups held with members of provincial and district level breastfeeding committees who were tasked with promoting, protecting and supporting breastfeeding in their districts. Five key themes were identified, which were an unsupportive culture of breastfeeding; the need for strong leadership; the challenges in engaging physicians in dialogue around breastfeeding; lack of understanding around the International Code of Marketing of Breast-milk Substitutes; and breastfeeding as a way to address childhood obesity. Recommendations for other jurisdictions include the need for a policy, the value of leadership, the need to integrate policy with other initiatives across sectors and the importance of coordination and support at multiple levels. Finally, promotion of breastfeeding offers a population-based strategy for addressing the childhood obesity epidemic and should form a core component of any broader strategies or policies for childhood obesity prevention. PMID:22690194

  12. The development of a standardized software platform to support provincial population-based cancer outcomes units for multiple tumour sites: OaSIS - Outcomes and Surveillance Integration System.

    PubMed

    Wu, Jonn; Ho, Cheryl; Laskin, Janessa; Gavin, David; Mak, Paul; Duncan, Keith; French, John; McGahan, Colleen; Reid, Sherry; Chia, Stephen; Cheung, Heidi

    2013-01-01

    Understanding the impact of treatment policies on patient outcomes is essential in improving all aspects of patient care. The BC Cancer Agency is a provincial program that provides cancer care on a population basis for 4.5 million residents. The Lung and Head & Neck Tumour Groups planned to create a generic yet comprehensive software infrastructure that could be used by all Tumour Groups: the Outcomes and Surveillance Integration System (OaSIS). The primary goal was the development of an integrated database that will amalgamate existing provincial data warehouses of varying datasets and provide the infrastructure to support additional routes of data entry, including clinicians from multiple-disciplines, quality of life and survivorship data from patients, and three dimensional dosimetric information archived from the radiotherapy planning and delivery systems. The primary goal is to be able to capture any data point related to patient characteristics, disease factors, treatment details and survivorship, from the point of diagnosis onwards. Through existing and novel data-mining techniques, OaSIS will support unique population based research activities by promoting collaborative interactions between the research centre, clinical activities at the cancer treatment centres and other institutions. This will also facilitate initiatives to improve patient outcomes, decision support in achieving operational efficiencies and an environment that supports knowledge generation.

  13. [Notes on the abandoned construction project for the provincial psychiatric hospital in Istria in the second half of the nineteenth century].

    PubMed

    Cergna, Sandro

    2013-01-01

    Records about the need for a psychiatric hospital in Istria date back to the early 19th century). This article presents the views on the issue expressed by advisors of the National Council of Istria more than half a century later. It starts with the session held on 15 March 1864 and follows the development of views the National Council held, from the motion to build a new mental hospital in at the feet of Monte Ghiro to the actual construction of the "Santorio Santorio" Provincial Hospital (still existing) at the hill of St Mihovil in Pula. The paper also investigates the reasons why the Council advisors abandoned the project of building the psychiatric hospital in Istria in favour of a home for the mentally ill in Trieste, where many Istrian patients were provided accommodation from as early as the end of the eighteenth century until the end of World War II. During the rule of the Habsburg Monarchy, many other cities of the Empire hospitalised mental patients from Istria, whose pitiful condition was reported by Matteo Campitelli at the session of the Istrian Provincial Parliament in 1886.

  14. The role of stratotypes in stratigraphy. Part 3. The Wood Committee, the Berkeley school of North American mammalian stratigraphic paleontology, and the status of provincial golden spikes

    NASA Astrophysics Data System (ADS)

    Walsh, Stephen L.

    2005-04-01

    The North American Land Mammal Ages, defined in 1941 by the Wood Committee, provide good examples of the use of strict nominal stratotypes in fixing the names and establishing the minimum durations of provincial biochronologic units. The lithostratigraphic "type sections" of each Age served a name-bearing and exemplary function, not a boundary-defining function. Despite some inconsistencies in their work, the common charge that the Wood Committee defined many of their Ages as lithochrons is a myth. Nevertheless, the potential or actual temporal overlap of some of the original nominal stratotypes of the Ages is a significant problem, and their redefinition is permissible in order to preserve the original intentions of the Wood Committee. The Berkeley school of North American mammalian stratigraphic paleontology has been the most influential force in theoretical discussions in this field since the 1960s. D.E. Savage retained most of the Oppelian views of R.M. Kleinpell, while M.O. Woodburne and D.R. Prothero departed from that tradition and adopted some of the views of H.D. Hedberg and W.A. Berggren, thus emphasizing single-taxon definitions, "datum-planes," and boundary stratotype definitions for "stages." However, recommendations by members of the Berkeley school that we turn our land mammal ages into "formal stages" are ironic because their own writings show they still hold the anti-Hedbergian view that "stages" are flexible biostratigraphic/biochronostratigraphic entities. Nevertheless, in partial agreement with at least some members of the Berkeley school, the transformation of our provincial biochronologic units into golden spike-defined Ages/Stages would defeat their purpose, which is to summarize our evolving knowledge of the true sequence of important paleobiological events in each major fossil group that occurred in a given province. In principle and in practice, Hedberg's attempt to restrict the terms Age/Stage to golden spike-defined entities has failed

  15. Estimation of the contribution of exports to the provincial economy: an analysis based on China's multi-regional input-output tables.

    PubMed

    Wu, Sanmang; Li, Shantong; Lei, Yalin

    2016-01-01

    This paper developed an estimation model for the contribution of exports to a country's regional economy based on the Chenery-Moses model and conducted an empirical analysis using China's multi-regional input-output tables for 1997, 2002, and 2007. The results indicated that China's national exports make significantly different contributions to the provincial economy in various regions, with the greatest contribution being observed in the eastern region and the smallest in the central region. The provinces are also subjected to significantly different export spillover effects. The boosting effect for the eastern provinces is primarily generated from local exports, whereas the western provinces primarily benefit from the export spillover effect from the eastern provinces. The eastern provinces, such as Guangdong, Zhejiang, Jiangsu, and Shanghai, are the primary sources of export spillover effects, and Guangdong is the largest source of export spillover effects for almost all of the provinces in China.

  16. Prevalence and factors associated with percutaneous injuries and splash exposures among health-care workers in a provincial hospital, Kenya, 2010

    PubMed Central

    Mbaisi, Everline Muhonja; Ng'ang'a, Zipporah; Wanzala, Peter; Omolo, Jared

    2013-01-01

    Introduction Accidental occupational exposure of healthcare workers to blood and body fluids after skin injury or mucous membrane contact constitutes a risk for transmission of blood-borne pathogens. Such pathogens include Human Immunodeficiency Virus (HIV), Hepatitis B virus (HBV) and Hepatitis C virus (HCV). We conducted a study to determine the prevalence and associated factors for percutaneous injuries and splash exposures among health-care workers in Rift Valley provincial hospital. Methods A cross-sectional study was carried out from October to November 2010. Self reported incidents, circumstances surrounding occupational exposure and post-exposure management were sought by use of interviewer administered questionnaire. Descriptive, bivariate and multiple logistic regression (forward stepwise procedure) analyses were performed. The level of significance was set at 0.05. Results Twenty five percent of health-care workers interviewed (N = 305) reported having been exposed to blood and body fluids in the preceding 12 months. Percutaneous injuries were reported by 19% (n = 305) and splash to mucous membrane by 7.2%. Higher rates of percutaneous injuries were observed among nurses (50%), during stitching (30%), and in obstetric and gynecologic department (22%). Health workers aged below 40 years were more likely to experience percutaneous injuries (OR= 3.7; 95% CI = 1.08-9.13) while previous training in infection prevention was protective (OR= 0.52; 95% CI = 0.03-0.90). Forty eight percent (n = 83) reported the incidents with 20% (n = 83) taking PEP against HIV. Conclusion Percutaneous injuries and splashes are common in Rift Valley Provincial hospital. Preventive measures remain inadequate. Health institutions should have policies, institute surveillance for occupational risks and enhance training of health care workers. PMID:23504245

  17. Prevalence and factors associated with percutaneous injuries and splash exposures among health-care workers in a provincial hospital, Kenya, 2010.

    PubMed

    Mbaisi, Everline Muhonja; Ng'ang'a, Zipporah; Wanzala, Peter; Omolo, Jared

    2013-01-01

    Accidental occupational exposure of healthcare workers to blood and body fluids after skin injury or mucous membrane contact constitutes a risk for transmission of blood-borne pathogens. Such pathogens include Human Immunodeficiency Virus (HIV), Hepatitis B virus (HBV) and Hepatitis C virus (HCV). We conducted a study to determine the prevalence and associated factors for percutaneous injuries and splash exposures among health-care workers in Rift Valley provincial hospital. A cross-sectional study was carried out from October to November 2010. Self reported incidents, circumstances surrounding occupational exposure and post-exposure management were sought by use of interviewer administered questionnaire. Descriptive, bivariate and multiple logistic regression (forward stepwise procedure) analyses were performed. The level of significance was set at 0.05. Twenty five percent of health-care workers interviewed (N=305) reported having been exposed to blood and body fluids in the preceding 12 months. Percutaneous injuries were reported by 19% (n=305) and splash to mucous membrane by 7.2%. Higher rates of percutaneous injuries were observed among nurses (50%), during stitching (30%), and in obstetric and gynecologic department (22%). Health workers aged below 40 years were more likely to experience percutaneous injuries (OR=3.7; 95% CI=1.08-9.13) while previous training in infection prevention was protective (OR=0.52; 95% CI=0.03-0.90). Forty eight percent (n=83) reported the incidents with 20% (n=83) taking PEP against HIV. Percutaneous injuries and splashes are common in Rift Valley Provincial hospital. Preventive measures remain inadequate. Health institutions should have policies, institute surveillance for occupational risks and enhance training of health care workers.

  18. Trends and Regional Variation in Hospital Mortality, Length of Stay and Cost in Hospital of Ischemic Stroke Patients in Alberta Accompanying the Provincial Reorganization of Stroke Care.

    PubMed

    Ohinmaa, Arto; Zheng, Yufei; Jeerakathil, Thomas; Klarenbach, Scott; Häkkinen, Unto; Nguyen, Thanh; Friesen, Dan; Ruseski, Jane; Kaul, Padma; Ariste, Ruolz; Jacobs, Philip

    2016-12-01

    This study aimed to evaluate the trends and regional variation of stroke hospital care in 30-day in-hospital mortality, hospital length of stay (LOS), and 1-year total hospitalization cost after implementation of the Alberta Provincial Stroke Strategy. New ischemic stroke patients (N = 7632) admitted to Alberta acute care hospitals between 2006 and 2011 were followed for 1 year. We analyzed in-hospital mortality with logistic regression, LOS with negative binomial regression, and the hospital costs with generalized gamma model (log link). The risk-adjusted results were compared over years and between zones using observed/expected results. The risk-adjusted mortality rates decreased from 12.6% in 2006/2007 to 9.9% in 2010/2011. The regional variations in mortality decreased from 8.3% units in 2008/2009 to 5.6 in 2010/2011. The LOS of the first episode dropped significantly in 2010/2011 after a 4-year slight increase. The regional variation in LOS was 15.5 days in 2006/2007 and decreased to 10.9 days in 2010/2011. The 1-year hospitalization cost increased initially, and then kept on declining during the last 3 years. The South and Calgary zones had the lowest costs over the study period. However, this gap was diminishing. After implementation of the Alberta Provincial Stroke Strategy, both mortality and hospital costs demonstrated a decreasing trend during the later years of study. The LOS increased slightly during the first 4 years but had a significant drop at the last year. In general, the regional variations in all 3 indicators had a diminishing trend. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  19. Population-based characterization of the genetic landscape of chronic lymphocytic leukemia patients referred for cytogenetic testing in British Columbia, Canada: the role of provincial laboratory standardization.

    PubMed

    Gerrie, Alina S; Huang, Steven J T; Bruyere, Helene; Dalal, Chinmay; Hrynchak, Monica; Karsan, Aly; Ramadan, Khaled M; Smith, Adam C; Tyson, Christine; Toze, Cynthia L; Gillan, Tanya L

    2014-01-01

    Detection of recurrent chromosome abnormalities by fluorescence in situ hybridization (FISH) is an essential component of care in chronic lymphocytic leukemia (CLL) patients. In the province of British Columbia (BC), Canada, population 4.6 million, CLL patients receive uniform evaluation and therapy with FISH testing performed in three jurisdictions. The aims of this study were to (i) validate CLL-FISH testing among the BC cytogenetic laboratories to ensure standardization of results and (ii) characterize population-level CLL-FISH abnormalities by pooling provincial data. From 2004 to 2011, 585 consecutive patients underwent pretreatment CLL-FISH testing at laboratory A (50.1%), laboratory B (32.3%), or laboratory C (17.6%). For validation purposes, 26 CLL-FISH abnormalities were tested by each laboratory's protocol, with 91% result concordance. Discordant results involved percent abnormalities at or near cutoff values; therefore, a 10% universal cutoff was established when pooling results. Applying the universal cutoff to the provincial cohort, CLL-FISH abnormalities were detected in 74.9%: 54.9% 13q-, 18.8% +12, 8.5% 11q-, and 7.7% 17p-. In this large population-based cohort of patients referred for CLL-FISH testing, frequencies of abnormalities detected by FISH analysis were highly consistent with those reported in single-institution and clinical trial populations. Provinces or districts that work together to care for CLL patients can effectively pool data with appropriate laboratory validation to ensure standardization of results. Copyright © 2014 Elsevier Inc. All rights reserved.

  20. Blood discard rate and the prevalence of infectious and contagious diseases in blood donors from provincial towns of the state of Paraná, Brazil

    PubMed Central

    Borelli, Sueli Donizete; Mazzola, Jocimara Costa; Matta, Alessandra Cristina Gobbi; Takemoto, Angélica Yukari; Bértoli, Marta

    2013-01-01

    Background So that an improvement in the selection of donors can be achieved and the risk to the recipient of transfused blood can be reduced, prospective donors are submitted to clinical and serological screening. Objective This study investigated the blood discard rate and the rate of infectious and contagious diseases in blood donors from provincial towns of the state of Paraná, Brazil. Methods This study was an exploratory cross-sectional descriptive investigation with a quantitative approach of donations between January and December 2011. Results In the study period the Regional Blood center in Maringá, Brazil received 8337 blood donations from people living in the city and neighboring towns. However, 278 (3.33%) donations were discarded during serological screening owing to one or more positive serological markers. A total of 46.4% of the discarded blood units were confirmed positive by serology with anti-HBc being the most common (66.7%), followed by syphilis (22.5%), HBsAg (4.7%), anti-hepatitis C virus (3.1%), human immunodeficiency virus (1.5%) and Chagas' disease (1.5%). The rate of infectious-contagious diseases that can be transmitted by blood transfusions was 1.55% (129/8337) of the donor population with a frequency of 1.03% for anti-HBc and 0.35% for syphilis. Conclusion This study demonstrates a high prevalence of the anti-HBc marker in prospective blood donors from provincial towns in the state of Paraná, Brazil. PMID:24478604

  1. Aerobic bacterial microflora of Broad-snouted caiman (Caiman latirostris) oral cavity and cloaca, originating from parque Zoológico Arruda Câmara, Paraíba, Brazil

    PubMed Central

    Silva, J.S.A.; Mota, R.A.; Pinheiro Júnior, J.W.; Almeida, M.C.S.; Silva, D.R.; Ferreira, D.R.A.; Azevedo, J.C.N.

    2009-01-01

    The objective of this study was to isolate and identify the aerobic bacterial microflora from the oral cavity mucosa and cloaca’s samples, collected from Broad-snouted caiman (Caiman latirostris), born and bred in captivity at Parque Zoológico Arruda Câmara, João Pessoa, Paraíba, Brazil. The most common bacteria were Staphylococcus sp. (14.74%), Corynebacterium sp. (13.68%), Escherichia coli (13.68%) and Shigella sp.(11.58%), and the less common were Citrobacter sp. (1.05%), Klebsiella pneumoniae (1.05%) and Salmonella sp. (1.05%).This emphasizes the importance of these microorganisms’ participation in infectious processes (sepsis) and injuries caused by crocodilians. PMID:24031343

  2. Aerobic bacterial microflora of Broad-snouted caiman (Caiman latirostris) oral cavity and cloaca, originating from parque Zoológico Arruda Câmara, Paraíba, Brazil.

    PubMed

    Silva, J S A; Mota, R A; Pinheiro Júnior, J W; Almeida, M C S; Silva, D R; Ferreira, D R A; Azevedo, J C N

    2009-01-01

    The objective of this study was to isolate and identify the aerobic bacterial microflora from the oral cavity mucosa and cloaca's samples, collected from Broad-snouted caiman (Caiman latirostris), born and bred in captivity at Parque Zoológico Arruda Câmara, João Pessoa, Paraíba, Brazil. The most common bacteria were Staphylococcus sp. (14.74%), Corynebacterium sp. (13.68%), Escherichia coli (13.68%) and Shigella sp.(11.58%), and the less common were Citrobacter sp. (1.05%), Klebsiella pneumoniae (1.05%) and Salmonella sp. (1.05%).This emphasizes the importance of these microorganisms' participation in infectious processes (sepsis) and injuries caused by crocodilians.

  3. Um Projeto de Intervenção nos Espaços de Exposições do Planetário do Parque do Ibirapuera

    NASA Astrophysics Data System (ADS)

    Elias, D. S.; Amaral, L. H.; de Araújo, C. F., Jr.; Matsuura, O. T.; Voelzke, M. R.

    2005-08-01

    Cada vez mais a humanidade, em sua imensa maioria, está alheia às próprias conquistas. A insatisfação com esta realidade tem levado muitos pesquisadores, instituições, empresas e governos a procurar formas alternativas de acompanhar e transmitir todo este acervo científico cultural à sociedade, buscando a melhoria da qualidade da divulgação científica e contribuindo para o processo de cultura e alfabetização científica. Não há tempo nem espaço nos limitados planos curriculares do ensino médio e mesmo nos programas de ensino que propiciem a cultura científica e o acompanhamento do vertiginoso progresso científico e tecnológico atual. Neste sentido, a educação formal escolar precisa ser complementada ou acrescida de uma educação informal, extra-escolar, que possa oferecer à sociedade o que a escola não pode oferecer. A interação do público com museus, feiras de ciências, planetários, exposições científicas e/ou culturais é de grande importância para a aquisição e difusão de conhecimentos relacionados ao mundo científico. Reconhecidamente como um modelo de alfabetização científica esses ambientes promovem uma interação social capaz de propiciar de forma efetiva uma melhor relação ensino-aprendizagem com o público. Partindo desta realidade a Universidade Cruzeiro do Sul e a Escola Municipal de Astronomia (EMA) vêm desenvolvendo um projeto de intervenção no espaço em torno do Planetário do Parque do Ibirapuera com o objetivo de se implantar um ambiente de aprendizagem motivador e desafiador que promova a popularização de conteúdos relacionados à astronomia, astrofísica e cosmologia. Busca-se, também, a aproximação e interação do público com exposições que estão sendo implementadas no planetário. Considerando que se trata de um projeto de mestrado em fase inicial o objetivo do presente trabalho é apresentar a concepção básica e os critérios que estão sendo utilizados do ponto de vista pedag

  4. School based youth health nurses' role in assisting young people access health services in provincial, rural and remote areas of Queensland, Australia.

    PubMed

    Barnes, M; Walsh, A; Courtney, M; Dowd, T

    2004-01-01

    People living in rural and remote areas have poorer health and more limited access to health services than those in urban areas. Adolescence, generally a period of optimum health, is fraught with risky health behaviours, increasing morbidity and mortality. Increasingly, mental health problems including depression, alcohol and drug use, suicide, self-harm, sexual health, inappropriate nutrition and physical activity are key areas of adolescent health concern in Queensland, Australia. To address the health and well being needs of young people the School Based Youth Health Nurse (SBYHN) Program was introduced into State high schools in Queensland in 1998. SBYHN responsibilities include individual consultations and health promotion within the high school environment. This study was undertaken to explore the referral role of SBYHN in provincial, rural and remote Queensland and to ascertain the availability of referral services. A self-report survey was posted to all SBYHN in Queensland. Forty-four (62%) nurses participated; 27 from provincial, 11 from rural and 6 from remote areas. SBYHN consult with young people in provincial, rural and remote State high schools in the areas of psychological concerns, drug and alcohol concerns and/or abuse, family conflict and/or abuse, sexual and reproductive health, social and isolation concerns and nutritional advice. However, the frequency with which SBYHN reported themselves as an appropriate source for young people to seek assistance from varied from over 90% for areas such as sexual and nutritional advice to approximately 30% for areas such as physical abuse and drug and alcohol abuse. When required by the SBYHN, referral services were locally accessible to young people less than 50% of the time. Access to some referral services was reduced because some young people do not want parental involvement in their health and the service requires parental consent. When referral services were unavailable SBYHN used phone counselling

  5. Directly Improving the Quality of Radiation Treatment Through Peer Review: A Cross-sectional Analysis of Cancer Centers Across a Provincial Cancer Program.

    PubMed

    Rouette, Julie; Gutierrez, Eric; O'Donnell, Jennifer; Reddeman, Lindsay; Hart, Margaret; Foxcroft, Sophie; Mitera, Gunita; Warde, Padraig; Brundage, Michael D

    2017-07-01

    To describe the outcomes of peer review across all 14 cancer centers in Ontario. We identified all peer-reviewed, curative treatment plans delivered in Ontario within a 3-month study period from 2013 to 2014 using a provincial cancer treatment database and collected additional data on the peer-review outcomes. Considerable variation was found in the proportion of peer-reviewed plans across the centers (average 70.2%, range 40.8%-99.2%). During the study period, 5561 curative plans underwent peer review. Of those, 184 plans (3.3%) had changes recommended. Of the 184 plans, the changes were major (defined as requiring repeat planning or having a major effect on planning or clinical outcomes, or both) in 40.2% and minor in 47.8%. For the remaining 12.0%, data were missing. The proportions of recommended changes varied among disease sites (0.0%-7.0%). The disease sites with the most recommended changes to treatment plans after peer review and with the greatest potential for benefit were the esophagus (7.0%), uterus (6.7%), upper limb (6.3%), cervix and lower limb (both 6.0%), head and neck and bilateral lung (both 5.9%), right supraclavicular lymph nodes (5.7%), rectum (5.3%), and spine (5.0%). Although the heart is an organ at risk in left-sided breast treatment plans, the proportions of recommended changes did not significantly differ between the left breast treatment plans (3.0%, 95% confidence interval 2.0%-4.5%) and right breast treatment plans (2.4%, 95% confidence interval 1.5%-3.8%). The recommended changes were more frequently made when peer review occurred before radiation therapy (3.8%) than during treatment (1.4%-2.8%; P=.0048). The proportion of plans with recommended changes was not significantly associated with patient volume (P=.23), peer-review performance (P=.36), or center academic status (P=.75). Peer review of treatment plans directly affects the quality of care by identifying important clinical and planning changes. Provincial strategies are

  6. [Field investigation of occupational disease diagnosis in Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment from 2009 to 2014: an analysis of 136 cases].

    PubMed

    Fan, C Y; Li, X D; Wen, W; Wang, Y Y; Zhang, Y; Lang, L

    2016-04-20

    To investigate the characteristics of 136 patients with occupational diseases, to summarize key techniques used in field investigation, and to provide a scientific basis for the development of standard operating procedures for field investigation of occupational disease diagnosis. Field investigation and routine data analysis were performed to analyze the cases diagnosed by Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment from January 2009 to December 2014. A total of 136 cases of occupational diseases were diagnosed by Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment from 2009 to 2014, and there were 66 cases of leukemia, 18 cases of suspected occupational benzene poisoning, 12 cases of suspected occupational handarm vibration disease, and 11 cases of suspected pneumoconiosis. Of all these patients, 41.91% were engaged in at least three types of work, 70.59% were exposed to at least three types of chemicals, 25.74% experienced changes in technical processes and chemicals, and 47.06% had disputes on the chemicals they were exposed to during verification by both parties. Occupational hazard factors were detected. Most samples (358)were used to measure benzene concentration in workplace air, among which 11.7% had a benzene concentration of >6.00 mg/m(3)(exceeding standard), 13.41% had a benzene concentration of 3.26~6.00 mg/m(3), 75.42% had a benzene concentration of<0.03 to <3.25 mg/m(3). The samples of suspected occupational hand-arm vibration disease, suspected pneumoconiosis, and suspected occupational noiseinduced hearing loss had high overstandard rates (100%, 93.8%, and 83.3%, respectively). Field investigation of occupational disease diagnosis reveals large numbers of cases of leukemia, suspected occupational benzene poisoning, suspected occupational hand-arm vibration disease, and suspected pneumoconiosis. The key aspects of field investigation include confirmation of the history of occupational

  7. Effects of health-system strengthening on under-5, infant, and neonatal mortality: 11-year provincial-level time-series analyses in Mozambique.

    PubMed

    Fernandes, Quinhas F; Wagenaar, Bradley H; Anselmi, Laura; Pfeiffer, James; Gloyd, Stephen; Sherr, Kenneth

    2014-08-01

    Knowledge of the relation between health-system factors and child mortality could help to inform health policy in low-income and middle-income countries. We aimed to quantify modifiable health-system factors and their relation with provincial-level heterogeneity in under-5, infant, and neonatal mortality over time in Mozambique. Using Demographic and Health Survey (2003 and 2011) and Multiple Indicator Cluster Survey (2008) data, we generated provincial-level time-series of child mortality in under-5 (ages 0-4 years), infant (younger than 1 year), and neonatal (younger than 1 month) age groups for 2000-10. We built negative binomial mixed models to examine health-system factors associated with changes in child mortality. Under-5 mortality rate was heterogeneous across provinces, with yearly decreases ranging from 11·1% (Nampula) to 1·9% (Maputo Province). Heterogeneity was greater for neonatal mortality rate, with only seven of 11 provinces showing significant yearly decreases, ranging from 13·6% (Nampula) to 4·2% (Zambezia). Health workforce density (adjusted rate ratio 0·94, 95% CI 0·90-0·98) and maternal and child health nurse density (0·96, 0·92-0·99) were both associated with reduced under-5 mortality rate, as were institutional birth coverage (0·94, 0·90-0·98) and government financing per head (0·80, 0·65-0·98). Higher population per health facility was associated with increased under-5 mortality rate (1·14, 1·02-1·28). Neonatal mortality rate was most strongly associated with institutional birth attendance, maternal and child nurse density, and overall health workforce density. Infant mortality rate was most strongly associated with institutional birth attendance and population per health facility. The large decreases in child mortality seen in Mozambique between 2000 and 2010 could have been partly caused by improvements in the public-sector health workforce, institutional birth coverage, and government health financing. Increased

  8. Effects of health-system strengthening on under-5, infant, and neonatal mortality: 11-year provincial-level time-series analyses in Mozambique

    PubMed Central

    Fernandes, Quinhas F; Wagenaar, Bradley H; Anselmi, Laura; Pfeiffer, James; Gloyd, Stephen; Sherr, Kenneth

    2014-01-01

    Summary Background Knowledge of the relation between health-system factors and child mortality could help to inform health policy in low-income and middle-income countries. We aimed to quantify modifiable health-system factors and their relation with provincial-level heterogeneity in under-5, infant, and neonatal mortality over time in Mozambique. Methods Using Demographic and Health Survey (2003 and 2011) and Multiple Indicator Cluster Survey (2008) data, we generated provincial-level time-series of child mortality in under-5 (ages 0–4 years), infant (younger than 1 year), and neonatal (younger than 1 month) age groups for 2000–10. We built negative binomial mixed models to examine health-system factors associated with changes in child mortality. Findings Under-5 mortality rate was heterogeneous across provinces, with yearly decreases ranging from 11·1% (Nampula) to 1·9% (Maputo Province). Heterogeneity was greater for neonatal mortality rate, with only seven of 11 provinces showing significant yearly decreases, ranging from 13·6% (Nampula) to 4·2% (Zambezia). Health workforce density (adjusted rate ratio 0·94, 95% CI 0·90–0·98) and maternal and child health nurse density (0·96, 0·92–0·99) were both associated with reduced under-5 mortality rate, as were institutional birth coverage (0·94, 0·90–0·98) and government financing per head (0·80, 0·65–0·98). Higher population per health facility was associated with increased under-5 mortality rate (1·14, 1·02–1·28). Neonatal mortality rate was most strongly associated with institutional birth attendance, maternal and child nurse density, and overall health workforce density. Infant mortality rate was most strongly associated with institutional birth attendance and population per health facility. Interpretation The large decreases in child mortality seen in Mozambique between 2000 and 2010 could have been partly caused by improvements in the public-sector health workforce, institutional

  9. Do Catch-and-Release guidelines from state and provincial fisheries agencies in North America conform to scientifically based best practices?

    PubMed

    Pelletier, Christine; Hanson, Kyle C; Cooke, Steven J

    2007-06-01

    Many recreational anglers practice catch-and-release angling, where fish are returned to the water with the presumption that they will survive. However, not all fish survive, and those that do often experience sublethal consequences including injury and stress. There is compelling scientific evidence that angler behavior and gear choice can affect the success of catch-and-release as a management and conservation strategy. Because anglers often look to government natural resource agencies for guidance on how to handle and release fish properly, there is a need to assess whether their outreach materials are readily accessible and provide the necessary and correct information on the subject. Therefore, on-line catch-and-release guidelines developed by state and provincial natural resource agencies across North America were evaluated to determine whether their guidelines were consistent with the best available scientific information. This analysis revealed that there was immense variation in the depth and breadth of coverage among jurisdictions. Agency guidelines contradicted one another in several areas including air exposure, angling in deep water, venting trapped gases, and resuscitation. In many cases, the guidelines failed to provide sufficient direction to actually be of use to anglers or provide direction consistent with contemporary scientific literature. This analysis will assist with developing outreach materials that promote sustainable recreational fisheries and in maintaining the welfare status of individual fish.

  10. Identification of Major Risk Sources for Surface Water Pollution by Risk Indexes (RI) in the Multi-Provincial Boundary Region of the Taihu Basin, China.

    PubMed

    Yao, Hong; Li, Weixin; Qian, Xin

    2015-08-21

    Environmental safety in multi-district boundary regions has been one of the focuses in China and is mentioned many times in the Environmental Protection Act of 2014. Five types were categorized concerning the risk sources for surface water pollution in the multi-provincial boundary region of the Taihu basin: production enterprises, waste disposal sites, chemical storage sites, agricultural non-point sources and waterway transportations. Considering the hazard of risk sources, the purification property of environmental medium and the vulnerability of risk receptors, 52 specific attributes on the risk levels of each type of risk source were screened out. Continuous piecewise linear function model, expert consultation method and fuzzy integral model were used to calculate the integrated risk indexes (RI) to characterize the risk levels of pollution sources. In the studied area, 2716 pollution sources were characterized by RI values. There were 56 high-risk sources screened out as major risk sources, accounting for about 2% of the total. The numbers of sources with high-moderate, moderate, moderate-low and low pollution risk were 376, 1059, 101 and 1124, respectively, accounting for 14%, 38%, 5% and 41% of the total. The procedure proposed could be included in the integrated risk management systems of the multi-district boundary region of the Taihu basin. It could help decision makers to identify major risk sources in the risk prevention and reduction of surface water pollution.

  11. Identification of Major Risk Sources for Surface Water Pollution by Risk Indexes (RI) in the Multi-Provincial Boundary Region of the Taihu Basin, China

    PubMed Central

    Yao, Hong; Li, Weixin; Qian, Xin

    2015-01-01

    Environmental safety in multi-district boundary regions has been one of the focuses in China and is mentioned many times in the Environmental Protection Act of 2014. Five types were categorized concerning the risk sources for surface water pollution in the multi-provincial boundary region of the Taihu basin: production enterprises, waste disposal sites, chemical storage sites, agricultural non-point sources and waterway transportations. Considering the hazard of risk sources, the purification property of environmental medium and the vulnerability of risk receptors, 52 specific attributes on the risk levels of each type of risk source were screened out. Continuous piecewise linear function model, expert consultation method and fuzzy integral model were used to calculate the integrated risk indexes (RI) to characterize the risk levels of pollution sources. In the studied area, 2716 pollution sources were characterized by RI values. There were 56 high-risk sources screened out as major risk sources, accounting for about 2% of the total. The numbers of sources with high-moderate, moderate, moderate-low and low pollution risk were 376, 1059, 101 and 1124, respectively, accounting for 14%, 38%, 5% and 41% of the total. The procedure proposed could be included in the integrated risk management systems of the multi-district boundary region of the Taihu basin. It could help decision makers to identify major risk sources in the risk prevention and reduction of surface water pollution. PMID:26308032

  12. [Poison cases and types of poisons based on data obtained of patients hospitalized from 1995-2009 with acute poisoning in the second internal ward in a multi-profile provincial hospital in Tarnow].

    PubMed

    Lata, Stanisław; Janiszewski, Jacek

    2010-01-01

    The thesis presents a short history and organization of an acute poisoning centre in the1995 functioning within the internal diseases department in a multi-profile provincial hospital. The data show the number of patients treated beetween 1995-2009 an the types of toxic substances that caused poisoning. The conclusions presented refer to the role of the centre to help people suffering from acute poisoning within the city of Tarnow.

  13. Structural Level Differences in the Mother-to-Child HIV Transmission Rate in South Africa: A Multilevel Assessment of Individual-, Health Facility-, and Provincial-Level Predictors of Infant HIV Transmission

    PubMed Central

    Jackson, Debra J.; Lombard, CJ; Dinh, Thu-Ha; Ramokolo, Vundli; Doherty, Tanya; Sherman, Gayle G.; Pillay, Yogan; Goga, Ameena E.

    2017-01-01

    Objectives: In 2010, South Africa reported an early mother-to-child transmission (MTCT) rate of 3.5% at 4–8 weeks postpartum. Provincial early MTCT rates ranged from 1.4% [95% confidence interval (CI): 0.1 to 3.4] to 5.9% (95% CI: 3.8 to 8.0). We sought to determine reasons for these geographic differences in MTCT rates. Methods: This study used multilevel modeling using 2010 South African prevention of mother-to-child transmission (PMTCT) evaluation (SAPMTCTE) data from 530 facilities. Interview data and blood samples of infants were collected from 3085 mother–infant pairs at 4–8 weeks postpartum. Facility-level data on human resources, referral systems, linkages to care, and record keeping were collected through facility staff interviews. Provincial level data were gathered from publicly available data (eg, health professionals per 10,000 population) or aggregated at province-level from the SAPMTCTE (PMTCT maternal-infant antiretroviral (ARV) coverage). Variance partition coefficients and odds ratios (for provincial facility- and individual-level factors influencing MTCT) from multilevel modeling are reported. Results: The provincial- (5.0%) and facility-level (1.4%) variance partition coefficients showed no substantive geographic variation in early MTCT. In multivariable analysis accounting for the multilevel nature of the data, the following were associated with early MTCT: individual-level—low maternal–infant ARV uptake [adjusted odds ratio (AOR) = 2.5, 95% CI: 1.7 to 3.5], mixed breastfeeding (AOR = 1.9, 95% CI: 1.3 to 2.9) and maternal age <20 years (AOR 1.8, 95% CI: 1.1 to 3.0); facility-level–insufficient (≤2) health care-personnel for HIV-testing services (AOR = 1.8, 95% CI: 1.1 to 3.0); provincial-level PMTCT ARV (maternal–infant) coverage lower than 80% (AOR = 1.4, 95% CI: 1.1 to 1.9), and number of health professionals per 10,000 population (AOR = 0.99, 95% CI: 0.98 to 0.99). Conclusions: There was no substantial province

  14. Improved provincial emission inventory and speciation profiles of anthropogenic non-methane volatile organic compounds: a case study for Jiangsu, China

    NASA Astrophysics Data System (ADS)

    Zhao, Yu; Mao, Pan; Zhou, Yaduan; Yang, Yang; Zhang, Jie; Wang, Shekou; Dong, Yanping; Xie, Fangjian; Yu, Yiyong; Li, Wenqing

    2017-06-01

    Non-methane volatile organic compounds (NMVOCs) are the key precursors of ozone (O3) and secondary organic aerosol (SOA) formation. Accurate estimation of their emissions plays a crucial role in air quality simulation and policy making. We developed a high-resolution anthropogenic NMVOC emission inventory for Jiangsu in eastern China from 2005 to 2014, based on detailed information of individual local sources and field measurements of source profiles of the chemical industry. A total of 56 NMVOCs samples were collected in nine chemical plants and were then analyzed with a gas chromatography - mass spectrometry system (GC-MS). Source profiles of stack emissions from synthetic rubber, acetate fiber, polyether, vinyl acetate and ethylene production, and those of fugitive emissions from ethylene, butanol and octanol, propylene epoxide, polyethylene and glycol production were obtained. Various manufacturing technologies and raw materials led to discrepancies in source profiles between our domestic field tests and foreign results for synthetic rubber and ethylene production. The provincial NMVOC emissions were calculated to increase from 1774 Gg in 2005 to 2507 Gg in 2014, and relatively large emission densities were found in cities along the Yangtze River with developed economies and industries. The estimates were larger than those from most other available inventories, due mainly to the complete inclusion of emission sources and to the elevated activity levels from plant-by-plant investigation in this work. Industrial processes and solvent use were the largest contributing sectors, and their emissions were estimated to increase, respectively, from 461 to 958 and from 38 to 966 Gg. Alkanes, aromatics and oxygenated VOCs (OVOCs) were the most important species, accounting for 25.9-29.9, 20.8-23.2 and 18.2-21.0 % to annual total emissions, respectively. Quantified with a Monte Carlo simulation, the uncertainties of annual NMVOC emissions vary slightly through the years

  15. Phylogeny and historical biogeography of true morels (Morchella) reveals an early Cretaceous origin and high continental endemism and provincialism in the Holarctic.

    PubMed

    O'Donnell, Kerry; Rooney, Alejandro P; Mills, Gary L; Kuo, Michael; Weber, Nancy S; Rehner, Stephen A

    2011-03-01

    True morels (Morchella, Ascomycota) are arguably the most highly-prized of the estimated 1.5 million fungi that inhabit our planet. Field guides treat these epicurean macrofungi as belonging to a few species with cosmopolitan distributions, but this hypothesis has not been tested. Prompted by the results of a growing number of molecular studies, which have shown many microbes exhibit strong biogeographic structure and cryptic speciation, we constructed a 4-gene dataset for 177 members of the Morchellaceae to elucidate their origin, evolutionary diversification and historical biogeography. Diversification time estimates place the origin of the Morchellaceae in the middle Triassic 243.63 (95% highest posterior density [HPD] interval: 169.35-319.89) million years ago (Mya) and the divergence of Morchella from its closest relatives in the early Cretaceous 129.61 (95% HPD interval: 90.26-173.16) Mya, both within western North America. Phylogenetic analyses identified three lineages within Morchella: a basal monotypic lineage represented by Morchella rufobrunnea, and two sister clades comprising the black morels (Elata Clade, 26 species) and yellow morels (Esculenta Clade, 16 species). Morchella possesses a Laurasian distribution with 37/41 species restricted to the Holarctic. All 33 Holarctic species represented by multiple collections exhibited continental endemism. Moreover, 16/18 North American and 13/15 Eurasian species appeared to exhibit provincialism. Although morel fruit bodies produce thousands of explosively discharged spores that are well suited to aerial dispersal, our results suggest that they are poorly adapted at invading novel niches. Morels also appear to have retained the ancestral fruit body plan, which has remained remarkably static since the Cretaceous.

  16. Level of physical activity and screen time among Iranian children and adolescents at the national and provincial level: The CASPIAN-IV study

    PubMed Central

    Hovsepian, Silva; Kelishadi, Roya; Motlagh, Mohammad Esmaeil; Kasaeian, Amir; Shafiee, Gita; Arefirad, Tahereh; Najafi, Fereshteh; Khoramdad, Maliheh; Asayesh, Hamid; Heshmat, Ramin; Qorbani, Mostafa

    2016-01-01

    Background: There are few epidemiological reports on adherence to physical activity (PA) and screen-time (ST) recommendations among Iranian children and adolescents at the provincial level. We used nationally representative data to provide recent prevalence estimates of Iranian children who met the recommendations for PA and ST. Methods: This nationwide study was conducted among 14,880 students aged 6-18 years from 30 provinces of Iran. The frequency of the recommended level for PA (>1 hours/week) and ST (<2 hours/day) and different combinations of PA and ST was determined in the studied population. Results: In this study, 13,486 students (response rate: 90.6%) were studied. Overall, 18.62%, 34.11%, 50.66% and 9.63% of the students reported high ST, low level of PA, high TV watching and high computer working, respectively. The frequency of the recommended level of PA and ST was 53.92%. Of the studied population, 6.63% had low PA and high ST. Paradox combinations of low PA and low ST and moderate/high PA and high ST was prevalent among 27.47% and 6.26% of the children and adolescents. The lowest and highest frequency of recommended level of PA and ST was 38.9% and 65%, respectively. The lowest and highest frequency of low PA and high ST was 1.87% and 13.77%, respectively. Conclusion: The results of this study revealed that the frequency of low PA was high and that approximately 46% of the students did not meet the recommended level of PA and ST. The findings indicated that preparing facilities for improving PA level among children should be the main priority in our future interventions in this field. PMID:28210587

  17. Managing tree-of-heaven (Ailanthus altissima) in parks and protected areas: a case study of Rondeau Provincial Park (Ontario, Canada).

    PubMed

    Meloche, Colette; Murphy, Stephen D

    2006-06-01

    The Carolinian Life Zone in southwestern Ontario, Canada is valued because it represents an almost disjunct ecosystem (i.e., one that is typical of the mid-Atlantic United States, rather than the rest of Canada or the nearby states in the United States). The landscape of the Carolinian Life Zone has undergone dramatic transformation, especially in recent decades as agriculture, urbanization, and recreation have intensified. One of the most apparent changes is the invasion of exotic plant species that exacerbates the need for mass restoration efforts. Within the Carolinian Life Zone, Rondeau Provincial Park has experienced an influx of nonindigenous, invasive species in recent years. Tree-of-heaven (Ailanthus altissima) is one example. The infestation is still relatively localized to (mainly) the park, slowly spreading, and manageable as long as something is done immediately. We examined the effects of hand-pulling and mulching, cut stump and glyphosate application, cut stump alone, and the EZJect Capsule Injection System (using glyphosate) on the management of A. altissima within the park. Cut stump and glyphosate treatment was most effective and efficient in its control of young A. altissima shoots because it limits disturbance and has acceptable capital and operating costs. Hand-pulling and mulching was the second choice, mainly because of the risk of additional disturbance that increased shoot densities 1 year after treatment. Cut stump alone was not effective, worsened the infestation, and is not recommended for this species. The EZJect system was effective at managing mature, seed-producing shoots, although the somewhat higher capital costs mean that the system probably should be purchased for management of several invasive tree species to make it more cost-effective.

  18. Acting within an increasingly confined space: A qualitative study of sexual behaviours and healthcare needs among men who have sex with men in a provincial Tanzanian city

    PubMed Central

    Mohamed Shio, Jasmine; Ross, Michael W.; Agardh, Anette

    2017-01-01

    Objective To explore risk perceptions, sexual practices and healthcare needs among men who have sex with men in the provincial city of Tanga in northern Tanzania. Previous research suggests that HIV/STIs are increasing problems for this population. Yet, few studies have been conducted outside the urban area of Dar es Salaam, which has limited our knowledge about the HIV/STI risk factors and healthcare needs among men who have sex with men who live outside major metropolitan areas. Method During three months in 2013, 10 in-depth interviews with men who have sex with men were conducted in Tanga. Data were interpreted through qualitative content analysis. Results The theme that emerged was labelled “Acting within an increasingly confined space”. The theme reflects the interference of stigma in men’s lives, and in the face of potential discrimination, men perceived their sexual and healthcare choices as limited. This created obstacles for forming romantic and sexual relationships, insisting on consistent condom use with sexual partners, maintaining open and conducive relationships with family, and accessing healthcare services when required. Conclusions Sexual stigma is a concern as it contributes to HIV/STI risk-related behaviours among men who have sex with men. Priority should be given to programmes that support same-sex practicing men in their efforts to make informed choices regarding their sexual health. Creating safe cyber networks provides an opportunity to reach this population with targeted sexual health education messages. Such programmes might be even more urgent in smaller towns and rural areas where gay specific initiatives are more limited than in urban areas. PMID:28817626

  19. Annual and diurnal variations of gaseous and particulate pollutants in 31 provincial capital cities based on in situ air quality monitoring data from China National Environmental Monitoring Center.

    PubMed

    Zhao, Suping; Yu, Ye; Yin, Daiying; He, Jianjun; Liu, Na; Qu, Jianjun; Xiao, Jianhua

    2016-01-01

    Long-term air quality data with high temporal and spatial resolutions are needed to understand some important processes affecting the air quality and corresponding environmental and health effects. The annual and diurnal variations of each criteria pollutant including PM2.5 and PM10 (particulate matter with aerodynamic diameter less than 2.5 μm and 10 μm, respectively), CO (carbon monoxide), NO2 (nitrogen dioxide), SO2 (sulfur dioxide) and O3 (ozone) in 31 provincial capital cities between April 2014 and March 2015 were investigated by cluster analysis to evaluate current air pollution situations in China, and the cities were classified as severely, moderately, and slightly polluted cities according to the variations. The concentrations of air pollutants in winter months were significantly higher than those in other months with the exception of O3, and the cities with the highest CO and SO2 concentrations were located in northern China. The annual variation of PM2.5 concentrations in northern cities was bimodal with comparable peaks in October 2014 and January 2015, while that in southern China was unobvious with slightly high PM2.5 concentrations in winter months. The concentrations of particulate matter and trace gases from primary emissions (SO2 and CO) and NO2 were low in the afternoon (~16:00), while diurnal variation of O3 concentrations was opposite to that of other pollutants with the highest values in the afternoon. The most polluted cities were mainly located in North China Plain, while slightly polluted cities mostly focus on southern China and the cities with high altitude such as Lasa. This study provides a basis for the formulation of future urban air pollution control measures in China.

  20. Assessing Infant Feeding Attitudes of Expectant Women in a Provincial Population in Canada: Validation of the Iowa Infant Feeding Attitude Scale.

    PubMed

    Twells, Laurie K; Midodzi, William K; Ludlow, Valerie; Murphy-Goodridge, Janet; Burrage, Lorraine; Gill, Nicole; Halfyard, Beth; Schiff, Rebecca; Newhook, Leigh Anne

    2016-08-01

    Maternal attitudes to infant feeding are predictive of intent and initiation of breastfeeding. The Iowa Infant Feeding Attitude Scale (IIFAS) has not been validated in the Canadian population. This study was conducted in Newfoundland and Labrador, a Canadian province with low breastfeeding rates. Objectives were to assess the reliability and validity of the IIFAS in expectant mothers; to compare attitudes to infant feeding in urban and rural areas; and to examine whether attitudes are associated with intent to breastfeed. The IIFAS assessment tool was administered to 793 pregnant women. Differences in the total IIFAS scores were compared between urban and rural areas. Reliability and validity analysis was conducted on the IIFAS. The receiver operating characteristic (ROC) of the IIFAS was assessed against mother's intent to breastfeed. The mean ± SD of the total IIFAS score of the overall sample was 64.0 ± 10.4. There were no significant differences in attitudes between urban (63.9 ± 10.5) and rural (64.4 ± 9.9) populations. There were significant differences in total IIFAS scores between women who intend to breastfeed (67.3 ± 8.3) and those who do not (51.6 ± 7.7), regardless of population region. The high value of the area under the curve (AUC) of the ROC (AUC = 0.92) demonstrates excellent ability of the IIFAS to predict intent to breastfeed. The internal consistency of the IIFAS was strong, with a Cronbach's alpha greater than .80 in the overall sample. The IIFAS examined in this provincial population provides a valid and reliable assessment of maternal attitudes toward infant feeding. This tool could be used to identify mothers less likely to breastfeed and to inform health promotion programs. © The Author(s) 2014.

  1. Provincial Reconstruction Teams: Improving Effectiveness

    DTIC Science & Technology

    2007-09-01

    172 ISAF PRT Handbook, D-3-2. 68 23. Panjshir Panjshir East Oct 2005 U.S. U.S. 24. Kala Gush Nurestan...variety of issues. Advantages: Can provide useful general overview of societal views and values; can easily be conducted on a large number of people

  2. Quaternary geology and geomorphology of the Dinosaur Provincial Park area and surrounding plains, Alberta, Canada: the identification of former glacial lobes, drainage diversions and meltwater flood tracks

    NASA Astrophysics Data System (ADS)

    Evans, David J. A.

    2000-06-01

    The Quaternary geology and geomorphology of the lower Red Deer River drainage basin, centred on the Dinosaur Provincial Park badlands, provides information on pre-Late Wisconsinan drainage patterns and the dynamics of former lobes of the Laurentide Ice Sheet in western Canada. Patterns of deglaciation, proglacial lake evolution and spillway incision are also reconstructed based upon the distribution of surface materials and glacial/glaciofluvial landforms. The Empress Group fluvial and glaciolacustrine sediments, which could be as young as 27 ka BP, infill the precursor Red Deer River and its tributaries and document the initial advance of glacier ice into southern Alberta. Glaciotectonic disturbance of older sediments and bedrock, the production of deformation tills and the construction of a megafluting complex and cupola hills record the advances of a glacier lobe centred over the study area. Stratified inter- and intra-till beds record pulses of subglacial meltwater between phases of subsole deformation. The thickening of tills towards the margin of the lobe represents a till wedge, an expected product of sediment advection by glaciers moving over deformable beds. The eastern margin of the glacier lobe is demarcated by the interlobate Suffield hummocky moraine belt which contains overprinted thrust ridges, which record diachronous oscillations of neighbouring lobes within the ice sheet. Proglacial and glaciofluvial sediments were deposited in the area in association with proglacial Lake Bassano/Patricia, which drained eastwards when the Suffield moraine was dissected by spillways. Changes in the size of glacial lake Bassano/Patricia are clearly documented by a sequence of spillway incisions which culminated in the erosion of scabland topography and the initiation of a new course for the Red Deer River, a 15 km southward diversion of the main channel. In distinct contrast to the documented incision histories of other small rivers in Alberta, One Tree Creek and

  3. Source apportionment of PM2.5 for 25 Chinese provincial capitals and municipalities using a source-oriented Community Multiscale Air Quality model.

    PubMed

    Qiao, Xue; Ying, Qi; Li, Xinghua; Zhang, Hongliang; Hu, Jianlin; Tang, Ya; Chen, Xue

    2017-08-29

    Source contributions to fine airborne particulate matter with aerodynamic diameters <2.5μm (PM2.5) during 2013 were determined for 25 Chinese provincial capitals and municipalities using a source-oriented version of the Community Multiscale Air Quality (CMAQ) model. Based on the hierarchical clustering analysis of the observed PM2.5 concentrations, the 25 cities were categorized into nine groups. Generally, annual PM2.5 concentrations were highest in the cities in the north (81-154μgm(-3)) and lowest in the cities close to seas in the south and east (27-57μgm(-3)). Seasonal PM2.5 observations in the cities were generally higher in winter than in the other seasons. Industrial or residential sources were predicted to be the largest contributor to PM2.5 for all the city groups, with annually fractional contributions of 25.0%-38.6% and 9.6%-27%, respectively. The annual contributions from power plants, agriculture NH3, windblown dust, and secondary organic aerosol (SOA) for the city groups were 8.7%-12.7%, 9.5%-12%, 6.1%-12.5%, and 5.4%-15.5%, respectively. Meanwhile, the annual contributions from transportation, sea salt, and open burning were relatively low (<8%, <2%, and <6%, respectively). Secondary PM2.5 accounted for 47%-63% of total annual PM2.5 concentrations in the cities and contributed to as much as 70% of daily PM2.5 concentrations on PM2.5 pollution days (daily concentrations>75μgm(-3)). Industrial or residential sources were generally the largest contributor on PM2.5 pollution days for all the city groups in each season, except that open burning, SOA, and windblown dust could be more important on some days, particularly in spring. The results of this study would be helpful to develop measures to reduce annual PM2.5 concentrations and the number of PM2.5 pollution days for different regions of China. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. Prospective, consecutive case series of 158 snakebite patients treated at Savannakhet provincial hospital, Lao People's Democratic Republic with high incidence of anaphylactic shock to horse derived F(ab')2 antivenom.

    PubMed

    Vongphoumy, Inthanomchanh; Chanthilat, Phankham; Vilayvong, Phongmany; Blessmann, Joerg

    2016-07-01

    Snakebites are a seriously neglected public health problem in Lao PDR. Community-based cross-sectional surveys in two districts of Savannakhet province in Southern Laos revealed an incidence of up to 1105 snakebites per 100,000 persons per year. In contrast the number of snakebite patients treated in district and provincial hospitals are low. In order to improve health care for snakebite victims, antivenom was introduced to Savannakhet provincial hospital in July 2013 and medical staff has been trained in management of venomous snakebites at the same time. After the intervention the number of snakebite patients treated at the provincial hospital increased significantly from 4 patients in 2012 to 158 snakebite patients between July 2013 and November 2015. They were included into a prospective, consecutive case series. Median age was 32 years (range 1.5-70 years) and male-to-female ratio 2.2:1. Forty patients were bitten by Malayan pit vipers, 26 by green pit vipers, 24 by cobras, including 3 cases of venom ophthalmia, 5 by kraits, 8 by non-venomous species and in 55 cases the snake could not be identified. Forty-three out of 158 patients received horse derived F(ab')2 antivenom from Queen Saovabha Memorial Institute (QSMI) in Bangkok. Twenty-three patients (53%) developed early adverse reactions (EARs) within one hour after antivenom administration, including 13 patients (30%) with severe anaphylaxis. This extremely high rate of severe EARs turns the use of antivenom into a risky intervention. In contrast a retrospective chart review from Chulalongkorn University in Bangkok found only 3.5% early reactions including 1.2% severe anaphylactic reactions using the same antivenom from QSMI between 1997 and 2006. The reason for this enormous difference remains unclear. A better understanding of the aetiology and pathophysiology behind antivenom induced anaphylaxis is crucial in order to identify patients at risk and to improve safety of antivenom administration. Copyright

  5. Spatial Integration Analysis of Provincial Historical and Cultural Heritage Resources Based on Geographic Information System (gis) — a Case Study of Spatial Integration Analysis of Historical and Cultural Heritage Resources in Zhejiang Province

    NASA Astrophysics Data System (ADS)

    Luo, W.; Zhang, J.; Wu, Q.; Chen, J.; Huo, X.; Zhang, J.; Zhang, Y.; Wang, T.

    2017-08-01

    In China historical and cultural heritage resources include historically and culturally famous cities, towns, villages, blocks, immovable cultural relics and the scenic spots with cultural connotation. The spatial distribution laws of these resources are always directly connected to the regional physical geography, historical development and historical traffic geography and have high research values. Meanwhile, the exhibition and use of these resources are greatly influenced by traffic and tourism and other plans at the provincial level, and it is of great realistic significance to offer proposals on traffic and so on that are beneficial to the exhibition of heritage resources based on the research of province distribution laws. This paper takes the spatial analysis of Geographic Information System (GIS) as the basic technological means and all historical and cultural resources in China's Zhejiang Province as research objects, and finds out in the space the accumulation areas and accumulation belts of Zhejiang Province's historic cities and cultural resources through overlay analysis and density analysis, etc. It then discusses the reasons of the formation of these accumulation areas and accumulation belts by combining with the analysis of physical geography and historical geography and so on, and in the end, linking the tourism planning and traffic planning at the provincial level, it provides suggestions on the exhibition and use of accumulation areas and accumulation belts of historic cities and cultural resources.

  6. Impacts of informal trails on vegetation and soils in the highest protected area in the Southern Hemisphere.

    PubMed

    Barros, Agustina; Gonnet, Jorge; Pickering, Catherine

    2013-09-30

    There is limited recreation ecology research in South America, especially studies looking at informal trails. Impacts of informal trails formed by hikers and pack animals on vegetation and soils were assessed for the highest protected area in the Southern Hemisphere, Aconcagua Provincial Park. The number of braided trails, their width and depth were surveyed at 30 sites along the main access route to Mt Aconcagua (6962 m a.s.l.). Species composition, richness and cover were also measured on control and trail transects. A total of 3.3 ha of alpine meadows and 13.4 ha of alpine steppe were disturbed by trails. Trails through meadows resulted in greater soil loss, more exposed soil and rock and less vegetation than trails through steppe vegetation. Trampling also affected the composition of meadow and steppe vegetation with declines in sedges, herbs, grasses and shrubs on trails. These results highlight how visitor use can result in substantial cumulative damage to areas of high conservation value in the Andes. With unregulated use of trails and increasing visitation, park agencies need to limit the further spread of informal trails and improve the conservation of plant communities in Aconcagua Provincial Park and other popular parks in the region. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. A model of the Glaciar Horcones Inferior surge, Aconcagua region, Argentina

    NASA Astrophysics Data System (ADS)

    Milana, Juan Pablo

    The deformation, resulting from a surge in 1985, of Glaciar Horcones Inferior is analyzed using structural geological models. During the surge, previously continuous debris cover was deformed by the formation of regularly separated and rotated ice blocks, suggesting a system of linked rotational extensional faults. Block tilting was measured from photographs taken shortly after the surge, showing rotation of the debris-covered surface. Fault inclination was assumed to be coincident with the debris-free side of the block. Glacier advance during the surge was obtained by comparing pre-surge aerial photographs with the position of maximum advance after the surge. Glacier thinning was estimated from the debris surface average lowering (relief generated at lateral scarps coincident with shear zones) and ice thickness measurements after surge termination. Three independent sets of information, geometry of the deformation (i.e. depth of detachment, fault traces, fault spacing, block rotation), glacier thinning and net advance, limit possible interpretations. Surface geometry suggests a domino-style or a linked planar rotational extensional fault system. In the observed configuration, however, these models can only explain a 12-13% extension. Glacier thinning suggests 30% local extension, and total glacier advance implies 16% minimum extension, which does not account for some frontal compression, as observed. A linked curved rotational extensional fault model fits the data well, implying a significant degree of internal deformation within each block. This model satisfactorily explains the observed deformation produced by the surge. It may also explain some modes of fast glacier flow, since the observed style of block tilting is present in other glaciers with high relief.

  8. Monitoring and Modelling Glacier Melt and Runoff on Juncal Norte Glacier, Aconcagua River Basin, Central Chile

    NASA Astrophysics Data System (ADS)

    Pellicciotti, F.; Helbing, J. F.; Araos, J.; Favier, V.; Rivera, A.; Corripio, J.; Sicart, J. M.

    2006-12-01

    Results from a recent glacio-meteorological experiment on the Juncal Norte glacier, in central Chile, are presented. Melt water is a crucial resource in the Central Andes, as it provides drinking water, water for agriculture and for industrial uses. There is also increasing competition for water use and allocation, as water demands from mining and industry are rising. Assessing water availability in this region and its relation with climatic variations is therefore crucial. The Dry Central Andes are characterised by a climatic setting different from that of the Alps and the subtropical Andes of Bolivia and Peru. Summers are very dry and stable, with precipitation close to zero and low relative humidity. Solar radiation is very intense, and plays a key role in the energy balance of snow covers and glaciers. The main aim of this study is to investigate the glacier-climate interaction in this area, with particular attention devoted to advanced modelling techniques for the spatial redistribution of meteorological variables, in order to gain an accurate picture of the ablation processes typical of these latitudes. During the ablation season 2005/2006, an extensive field campaign was conducted on the Juncal Norte glacier, aimed at monitoring the melt and runoff generation processes on this remote glacier in the dry Andes. Melt rates, runoff at the snout, meteorological variables over and near the glacier, GPS data and glacier topography were recorded over the entire ablation season. Using this extensive and accurate data set, the spatial and temporal variability of the meteorological variables that drive the melt process on the glacier is investigated, together with the process of runoff generation. An energy balance model is used to simulate melt across the glacier, and special attention is devoted to the modelling of the solar radiation energy flux. The components of the energy balance are compared with those of Alpine basins. The validity of parameterisations of the meteorological input variables that were developed in the Alps (such as albedo and cloud cover) is investigated, together with the extrapolation of temperature from point measurements. More advanced extrapolation techniques for air temperature are used in contrast to constant lapse rates. In contrast to alpine glaciers, data scarcity in this region is a strong limiting factor for modelling glacier melt and runoff. In particular, redistribution of meteorological variables that are input to melt models and knowledge of the initial snow water equivalent across the basin is difficult. These issues are also addressed in the paper.

  9. A comprehensive assessment of National Health Program Guidelines in Canada: management review and redirections. Guidelines developed under the auspices of the Federal, Provincial and Territorial Advisory Committee on Institutional and Medical Services (ACIMS).

    PubMed

    Caro, D H

    1994-01-01

    A comprehensive audit of the Health Program Guidelines in Canada was undertaken between January and September 1992. This review examined the strategic effectiveness and operational efficiency of the guidelines developed under the auspices of the Federal, Provincial and Territorial Advisory Committee on Institutional and Medical Services (ACIMS). To assess the perceived management utility of the guidelines, over 185 structured mail questionnaires were sent to a random representative sample of health care managers stratified by type of health-related organization and Canadian province and territory. With a response rate of over 80.5%, a profile of management perceptions of the need for the current Program Guidelines was created. In tandem an internal review of the efficiency and effectiveness of the design and development of the Guidelines was conducted using over 45 structured interviews with key informants. Both components of the comprehensive audit provided the basis of report recommendations that are relevant to the Canadian health system community.

  10. Adrenal insufficiency from over-the-counter medicine as a cause of shock in rural area of Thailand: a study at Sisaket Provincial Hospital during October 2012--October 2013.

    PubMed

    Kamrat, Nuttamon

    2015-04-01

    This retrospective study was carried out to estimate the prevalence of an adrenal crisis at a provincial hospital in Thailand over a period of 1 year, and also to explore the relationship between adrenal insufficiency and over-the-counter medicine (OTCM) ingestion. We recruited those patients admitted at Sisaket Hospital between October 2012 and October 2013 who were diagnosed with shock and adrenal insufficiency or adrenal crisis. Of 2,435 patients diagnosed with shock from all causes, 62 (2.55 %) were diagnosed with adrenal crisis, of whom 31 (50.0%) gave a history of OTCM ingestion. This study suggests adrenal crisis with shock is not that uncommon and that the use of OTCM may be the prime culprit.

  11. [Urología Clínica, bulletin of the Urology Service of Dr. Sánchez Covisa of the Hospital Provincial of Madrid, edited between 1928 and 1936].

    PubMed

    Pérez-Albacete, M; Saiz, A

    2012-02-01

    Make known the important urological work of Sanchez Covisa, third chief of the Urology Service of the Hospital Provincial de Madrid, who beginning in 1928 was able to transform and convert it into possibly the more outstanding one of its time in Spain, comparable to the best hospitals in foreign countries. We have analyzed the contents of the publication Urología Clínica, that collect the changes introduced and the work carried out in said service between 1928 and 1936, reflected in a careful yearly statistics on the care, operations and mortality in addition to the articles published by the members of the Service together with a short bibliographic review of each one. In 1914, he became chief of the Service, and after 14 years, was able to overcome all the obstacles and to extend and modernize the surgery rooms, hospitalization wards and examination resources. In 1931, once the changes were made, he began important clinical and scientific activity, and constituted one of the principal urological schools of the first half of the XXth century in our country. The prestige reached by the Urology Unit of the Hospital Provincial of Madrid attracted patients from all over Spain, many of them treated or operated on in their place of origin. This explains why the condition was complicated with some acceptable results. The quality and honesty of the Urology unit justify its qualification. The works in general are mere reviews and those regarding surgery of the uretero-intestinal shunt stand out. Copyright © 2011 AEU. Published by Elsevier Espana. All rights reserved.

  12. Impact of diabetes, high triglycerides and low HDL cholesterol on risk for ischemic cardiovascular disease varies by LDL cholesterol level: a 15-year follow-up of the Chinese Multi-provincial Cohort Study.

    PubMed

    Liu, Jing; Wang, Wei; Wang, Miao; Sun, Jiayi; Liu, Jun; Li, Yan; Qi, Yue; Wu, Zhaosu; Zhao, Dong

    2012-05-01

    A large proportion of ischemic cardiovascular disease occur in people without hypercholesterolemia. We aimed to investigate whether risk factors other than low-density lipoprotein cholesterol (LDL-C) have different impacts on cardiovascular risk in people with low verses high LDL-C levels. A total of 30,378 participants (35-64 years) were followed for 15 years in the Chinese Multi-provincial Cohort Study. Associations of coronary heart disease (CHD) and ischemic stroke with risk factors other than LDL-C were assessed in participants with low (<130 mg/dL) and high (≥130 mg/dL) LDL-C levels. During the follow-up, 65.5% of CHD and 70.2% of ischemic stroke events occurred in participants with low LDL-C. High triglycerides predicted CHD (HR=1.74, 95% CI 1.25-2.42, P=0.001), and low HDL-C predicted ischemic stroke (HR=1.54, 95% CI 1.18-2.03, P=0.002) only in participants with low LDL-C. Diabetes predicted CHD in participants with high LDL-C (HR=2.38, 95% CI 1.31-4.34, P=0.005), but not in those with low LDL-C. Older age, male, hypertension, central obesity, and smoking had similar effects on the risk in both groups. Triglycerides and low HDL-C should be addressed in the management of dyslipidemia in people with low LDL-C. When LDL-C is high, tighter management of glycemia and LDL-C is warranted. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  13. Les urgences chirurgicales néonatales à l’hôpital provincial général de référence de Bukavu en République Démocratique du Congo

    PubMed Central

    Gulimwentuga, Fabrice Cikomola; Kabakuli, Alain Namugusha; Ndechu, Aline Bedha; Toha, Georges Kuyigwa; Bahati, Yvette Lufungulo; Maotela, Jeff Kabinda

    2016-01-01

    Introduction L’objectif de cette étude était de déterminer la prévalence des urgences chirurgicales en néonatologie et en déterminer les facteurs épidémiologiques. Méthodes Il s’agissait d’une étude de cohorte historique de 30 cas sur 3 ans allant de janvier 2010 en Décembre 2013, réalisé dans le département de chirurgie de l’Hôpital Provincial Général de Référence de Bukavu. Résultats Les urgences chirurgicales néonatales représentent 1,31% pathologies chirurgicales en général. L’âge de consultation le plus fréquemment rencontré est de moins de 8 jours. La prédominance masculine a été notée avec un sex-ratio 3/2. Les pathologies les plus fréquemment rencontrées sont les urgences du tube digestif à 43,3 % suivies de celles neurologiques à 40%. 80 % des nouveau-nés ont bénéficié d’une intervention chirurgicale. Le taux de mortalité a été évalué à 43,3 %. Conclusion Les pathologies chirurgicales néonatales existent dans notre milieu. Que les cliniciens soient attentifs et arrivent premièrement à poser le diagnostic avant la naissance et deuxièmement à bien prendre en charge dans le but de sauver la vie de ces enfants. PMID:27800074

  14. JPRS Report, China, Selected Provincial Reports.

    DTIC Science & Technology

    1991-07-26

    Chinese eliminated the adverse influence created by the Great 27 Apr 91 pp 1-3 Cultural Revolution, solved many problems left over by history , set wrong...Five-Year Plan by achieving success in var- to the wheel, successfully fulfill the glorious tasks ious tasks this year. entrusted to us by history , and...building of material civili- zation. We must certainly profit from the lessons of 2. Vast improvement in the economic foundation. Goals history

  15. Increasing Effectiveness of Interagency Provincial Reconstruction Teams

    DTIC Science & Technology

    2007-03-29

    harmony.30 During this phase the team’s ability to perform is developed and enhance by a sense of what the noted psychologist Albert Bandura of...perform…specific task[s].”31 Bandura goes on to state that these “efficacy beliefs contribute significantly to the level of motivation and performance

  16. Recent variation of the Las Vacas Glacier Mt. Aconcagua region, Central Andes, Argentina, based on ASTER stereoscopic images

    NASA Astrophysics Data System (ADS)

    Lenzano, M. G.; Leiva, J. C.; Lenzano, L.

    2010-01-01

    This work presents the results of the ASTER stereoscopic image processing to calculate the volume changes of Las Vacas Glacier. The processing of medium resolution satellite images (ASTER level 1A - pixel 15 m) from February 2001 and 2007 was performed applying the satellite digital photogrammetry method (Kääb, 2005). The comparison of the two generated DTM returns results that are acceptable within the parameters and precisions that can be obtained with this kind of sensor and the processing methodology.

  17. A systems approach evaluation of sludge management strategies: sludge management in Valparaíso and Aconcagua, Chile.

    PubMed

    Ramírez, J J; Frostell, B; Galindo, R

    2002-01-01

    In the 5th Region, located in central Chile, infrastructure projects are being implemented in order to increase the capacity to treat and dispose of sewage. In order to analyse the sludge management alternatives the ORWARE model was used. The research project was divided in two stages: in the first stage, the sewage and sludge management strategies to be compared as well as the objectives were established. The management alternatives chosen were for chemical or biological treatment of sewage while for sludge the management alternatives were based on digestion, composting or lime stabilisation. The second stage included simulation and analysis of results. The main conclusions of the work were: if "lowest possible emissions" is the main objective of sewage treatment, biological treatment should be applied. Regarding pathogen reduction, both chemical precipitation and biological treatment attain an adequate reduction if the treated sewage is to be discharged to the sea. On the other hand, additional disinfection is needed in the case of discharge to rivers. Control at source should be stressed to avoid heavy metals and toxic organic compounds in the sludge.

  18. 75 FR 7440 - Eastern Washington Cascades Provincial Advisory Committee and the Yakima Provincial Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-19

    ..., 2010 at the Sunnyslope Fire Station, 206 Easy Street, Wenatchee, WA. During this meeting information will be shared about Okanogan-Wenatchee National Forest Restoration Strategy, Wilderness Society North... meetings are open to the public. FOR FURTHER INFORMATION CONTACT: Direct questions regarding this meeting...

  19. [Syllinae (Syllidae: Polychaeta) of the Parque Nacional de Coiba, Panama].

    PubMed

    Capa, M; San Martín, G; López, E

    2001-03-01

    Four expeditions were made to Coiba National Park between 1996 and 1998 to characterize this part of the poorly known Panamian Pacific polychaete fauna. The samples were collected by SCUBA diving, either by removing 4 kg blocks of dead coral (Pocillopora sp.) or scraping off 25 x 25 cm quadrats of Telesto multiflora or algae (Dyctiota cf. flavellata, Padina cf. durvillaei and another currently unidentified species). This paper deals with the Syllinae from hard substrates. Twenty-two species belonging to six genera of the subfamily Syllinae Grube, 1850 (Syllidae: Polychaeta) are reported. A new species, Syllis castroviejoi, is described. Four species are newly reported for the Eastern Pacific: Syllis beneliahuae (Campoy & Alquézar, 1982), S. botosaneanui (Hartmann-Schröder, 1973), S. corallicola Verrill, 1900 and S. garciai (Campoy, 1982), and, likewise, two species are first reports for the Central American Pacific coast: Branchiosyllis pacifica Rioja, 1941 and Syllis truncata Haswell, 1920. Two species, Syllis magna (Westheide, 1974) and S. pigmentata (Chamberlin, 1919), are newly reported for Panama.

  20. Provincial Reconstruction Teams: Who’s in Charge?

    DTIC Science & Technology

    2011-05-20

    media.web.britannica.com/ ebsco /pdf/757/44809757.pdf (accessed March 29, 2011). 29 even though their work often overlapped,” 103 resembling interagency...Foreign Service Journal 86, no. 9 (September 2009): 28-34. http://media.web.britannica.com/ ebsco /pdf/757/44809757.pdf (accessed March 29, 2011

  1. JPRS Report, China 1989 Selected Provincial Economic Reports

    DTIC Science & Technology

    2007-11-02

    beverages’ Beer Steel Steel products Raw coal Electricity Generating Capacity Cement Automobile Chemical fertilizer Plastic material Ethylene in...materials including electric power generation, and pig iron, steel , iron ore, sulfuric acid, plate glass, cement, and charcoal increased by varying...added in coal mining, electric power generation, electric power transmission and trans- former equipment, coking and steel smelting, highways and

  2. JPRS Report, China, The Provincial Bureaucracy: Functions and Structure.

    DTIC Science & Technology

    1991-11-07

    departments, put them into effect. cooperate with the concerned departments to set forth a talent development plan; conscientiously carry out the 5...education work; include plans for the development of productive forces, the draw up the industry worker education plan and the talent development of... Talent Development Dept Bureau (111) Discipline Inspection Group Main Office Retired Cadres Dept Personnel Education Dept S&T Dept Market Control Dept

  3. Afghanistan Provincial Reconstruction Team Handbook: Observations, Insights, and Lessons

    DTIC Science & Technology

    2011-02-01

    important field crops grown include wheat, barley, maize, rice, flax, melons, and watermelons . The most commonly owned livestock are cattle, donkeys... watermelons , rapeseeds, and flax. The most commonly owned livestock are donkeys, cattle, goats, sheep, and poultry. Education The overall literacy...in Balkh province include wheat, barley, maize, flax, melons, and watermelons . The most commonly owned livestock are cattle, donkeys, poultry, sheep

  4. Tourism and recreation system planning in Alberta provincial parks

    Treesearch

    Paul F.J. Eagles; Angela M. Gilmore; Luis X. Huang; Denise A. Keltie; Kimberley Rae; Hong Sun; Amy K. Thede; Meagan L. Wilson; Jennifer A. Woronuk; Ge Yujin

    2007-01-01

    Traditionally, system planning in parks and protected areas concentrated on biogeographical concepts, while neglecting tourism and recreation. The existing system plan for parks and protected areas in Alberta, Canada, divides the province into six natural regions based on a geographic classifi cation system (Grassland, Parkland, Foothills, Rocky Mountains, Boreal...

  5. Provincial Variations in Divorce Rates: A Canadian Case.

    ERIC Educational Resources Information Center

    Makabe, Tomoko

    1980-01-01

    Examines differentials in divorce rates in Canada. Provinces with higher population turnover are characterized by lower degrees of social integration and lower social costs attached to divorce, reflected in higher divorce rates. The hypothesis that divorce rates are higher where more economic opportunities are available for women is explored.…

  6. [Provincial ecological footprint of China in the year of 2002].

    PubMed

    Chen, Min; Wang, Rusong; Zhang, Lijun; Huai, Baoguang

    2006-03-01

    Based on the calculation of actual yield per unit area in 2002, this paper analyzed the ecological footprint and its composition of each province in China. The results showed that there was a significant difference in the ecological footprint and its composition among different provinces, e. g., cropland changed from 0. 078 hm2 x cap(-1) in Shaanxi to 0.126 hm2 x cap(-1) in Beijing, grazing land changed from 0.020 hm2 x cap(-1) in Jiangxi to 0.372 hm2 x cap(-1) in Xizang, forestland changed from 0.020 hm2 x cap(-1) in Guizhou to 0.209 hm2 x cap(-1) in Beijing, fishery area changed from 0.001 hm2 x cap(-1) in Xizang to 0.011 hm2 x cap(-1) in Shanghai, built-up area changed from 0.013 hm2 x cap(-1) in Guizhou to 0.045 hm2 x cap(-1) in Neimenggu, and fossil energy changed from 0.251 hm2 x cap(-1) in Guangxi to 2.854 hm2 x cap(-1) in Shanxi. The eastern and southern provinces were mostly in a state of ecological deficit, while the western and northern provinces were mostly in a state of ecological remainder. As for the relationships among ecological footprint, economic development and technological progress, great difference existed in different provinces, e. g. , the ecological footprint was about 1 hm2 x cap(-1) in Fujian, Henan, Sichuan, Anhui, Yunnan, Shaanxi and Guizhou, while the GDP per capita changed from 1.35 x 10(4) yuan in Fujian to 0.3 x 10(4) yuan in Guizhou, and the ecological footprint per 1 x 10(4) yuan GDP changed from 0.74 hm2 in Fujian to 3.51 hm2 in Guizhou. Therefore, to resolve the conflicts between the shortage of natural resources and the economic development of China, emphasis should be put on the provinces with big ecological footprint per capita, low GDP per capita, and high ecological footprint per 1 x 10(4) yuan GDP. In these provinces, economic growth mode and industrial structure should be changed, dependence of economy on natural resources should be decreased, use efficiency and economic output of natural resources should be improved, and ecological, resources and economic sustainability should be realized.

  7. Adolescents' Attitudes toward Wheelchair Users: A Provincial Survey

    ERIC Educational Resources Information Center

    Arbour-Nicitopoulos, Kelly P.

    2010-01-01

    The study aims were to examine (i) adolescents' attitudes towards family members who use a wheelchair in relation to other health problems and conditions, and (ii) the association between perceived wheelchair stigma and socio-demographic factors. Data were based on surveys from 2790 seventh to 12th grade students derived from the 2007 cycle of the…

  8. Federal-Provincial Relations and Support for Universities.

    ERIC Educational Resources Information Center

    Council of Ontario Universities, Toronto.

    This policy paper argues that maintaining the universities' role--that of creating and transmitting knowledge over a broad spectrum of disciplines and professions--and supporting the institutional infrastructure, will require a new definition of the Canadian government responsibility in financing universities. Sources of university funding in…

  9. JPRS Report, China 1988: Selected Provincial Economic Reports.

    DTIC Science & Technology

    2007-11-02

    and suggestions on the the 1989 draft plan. Please examine my report. I. The Execution of the 1988 Plan In 1988, with reference to the economic and...economic and social development and on suggested arrangements for the 1989 plan. Please examine these ideas and deliberate on them. I. Implementation...grain harvest, stop inflation, and bring about an improved economic condition in the province. II. Suggested Arrangements for the 1989 Plan In the

  10. The Missouri Southern Story: From the Provincial to the International

    ERIC Educational Resources Information Center

    Mills, Kay

    2007-01-01

    This article describes the international program at Missouri Southern, which began 10 years ago and has expanded in both the number of students and faculty participating, and in the places to go for foreign study. The program affects students two ways, according to university president Julio Leon. While some students do foreign study as part of…

  11. 76 FR 28414 - Provincial Advisory Committees Charter Re-Establishment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-17

    ... Northern Spotted Owl. The PACs also provide advice and recommendations to promote integration and..., OR 97208. FOR FURTHER INFORMATION CONTACT: Shandra L. Terry, Regional Public Involvement Coordinator... provide advice and recommendations regarding implementation to promote integration and coordination of...

  12. Adolescents' Attitudes toward Wheelchair Users: A Provincial Survey

    ERIC Educational Resources Information Center

    Arbour-Nicitopoulos, Kelly P.

    2010-01-01

    The study aims were to examine (i) adolescents' attitudes towards family members who use a wheelchair in relation to other health problems and conditions, and (ii) the association between perceived wheelchair stigma and socio-demographic factors. Data were based on surveys from 2790 seventh to 12th grade students derived from the 2007 cycle of the…

  13. 76 FR 46723 - Deschutes Provincial Advisory Committee (DPAC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ... conduct a field trip to review projects relevant to the goals and objectives of the committee. Members... SW Emkay Drive, Bend Oregon) at 9 a.m. The field trip will be from 9:30 a.m. until 2 p.m. All...

  14. The Missouri Southern Story: From the Provincial to the International

    ERIC Educational Resources Information Center

    Mills, Kay

    2007-01-01

    This article describes the international program at Missouri Southern, which began 10 years ago and has expanded in both the number of students and faculty participating, and in the places to go for foreign study. The program affects students two ways, according to university president Julio Leon. While some students do foreign study as part of…

  15. Provincial Reconstruction Teams: How Do We Know They Work?

    DTIC Science & Technology

    2009-03-01

    trying to draw as many elders as possible as a means of ensuring that no tribe is insulted by a government decision and driven toward violence. For...district centers and went out to the villages to draw communities together into their own shuras. The tribal elders came forward. What drew them...implementing a project will bring local communities together and facilitate good governance (largely by drawing people to participate in community

  16. Provincial Postsecondary Systems and Arrangements for Credit Transfer.

    ERIC Educational Resources Information Center

    British Columbia Council on Admissions and Transfer, Vancouver.

    This document describes the structure of the postsecondary education system, the mechanisms to facilitate transfer and articulation, and the major instruments used to facilitate transfer and articulation for postsecondary institutions in the Canadian Provinces. According to this document, the British Columbia postsecondary educational school…

  17. Needs Assessment for a Provincial Literacy Hotline Service.

    ERIC Educational Resources Information Center

    Bell, Jim

    A study was conducted to determine the need for a provincewide literacy hotline in Alberta, Canada, and if needed, the configuration of services for establishing the hotline. Data were gathered through two surveys. In order to find out what an Alberta literacy hotline service might look like, a cross-Canada telephone and mail survey was conducted.…

  18. Status of the Provincial Reconstruction Team Program Expansion in Iraq

    DTIC Science & Technology

    2007-07-25

    Camp Adder Coalition (Italy) PST Muthanna As Samawah Camp Adder Coalition (Italy) PRT Basrah Basrah Basrah Air Station Coalition (UK) PST Maysan...Al Amarah Camp Adder Coalition (UK) 6 DoS, USAID and the Department of Agriculture are providing the remaining 32 specialists and expect to deploy...Reconstruction 400 Army Navy Drive Arlington, VA 22202-4704 Phone: 703-428-1059 Email : hillel.weinberg@sigir.mil Public

  19. Grade 6 Social Studies Achievement Test: Provincial Report, Student Evaluation.

    ERIC Educational Resources Information Center

    Alberta Dept. of Education, Edmonton.

    Test components and results of the Grade 6 Social Studies Achievement Tests in Alberta, Canada administered to 28,566 students are described in this booklet. All questions were drawn from three prescribed topics: Topic A--"How People in Earlier Times Met Their Needs"; Topic B--"How People in Eastern Societies Meet Their Needs…

  20. Procedural Control: The Future of the Provincial Reconstruction Team

    DTIC Science & Technology

    2011-05-19

    involved in the PRT mission.3 2Karzai, “Statement by H.E. Hamid Karzai,” 4-5; Joshua Foust ...on Target.” www.armscontrol.org. (accessed on 12 November 2010). Foust , Joshua. “Actually, Karzai is Right About PRTs.” Foreign Policy, 08 February

  1. A Clear and Present Choice: Global or Provincial Scholar?

    ERIC Educational Resources Information Center

    Tripses, Jenny S.

    2016-01-01

    Globalization provides rich opportunities to educational administration professors for teach and learn. This position paper explores globalization realities and role options for educational leadership professors: (1) to understand globalization implications for education, (2) collaborate at multiple levels with like minded educational experts, and…

  2. The Search for Stability: Provincial Reconstruction Teams in Afghanistan

    DTIC Science & Technology

    2004-03-07

    from regime change operations conducted under the overarching Global War On Terrorism (GWOT) presents particular challenges. This paper will examine...painfully slow. Kabul, prospering under the protection of the International Security Assistance Force and the influx of foreign diplomats, Inter... under conditions which enable them to be held in custody.28 This wonderfully old- fashioned and very British phrasing stresses the need for counter

  3. Predicting cardiovascular intensive care unit readmission after cardiac surgery: derivation and validation of the Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) cardiovascular intensive care unit clinical prediction model from a registry cohort of 10,799 surgical cases.

    PubMed

    van Diepen, Sean; Graham, Michelle M; Nagendran, Jayan; Norris, Colleen M

    2014-11-19

    In medical and surgical intensive care units, clinical risk prediction models for readmission have been developed; however, studies reporting the risks for cardiovascular intensive care unit (CVICU) readmission have been methodologically limited by small numbers of outcomes, unreported measures of calibration or discrimination, or a lack of information spanning the entire perioperative period. The purpose of this study was to derive and validate a clinical prediction model for CVICU readmission in cardiac surgical patients. A total of 10,799 patients more than or equal to 18 years in the Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) registry who underwent cardiac surgery (coronary artery bypass or valvular surgery) between 2004 and 2012 and were discharged alive from the first CVICU admission were included. The full cohort was used to derive the clinical prediction model and the model was internally validated with bootstrapping. Discrimination and calibration were assessed using the AUC c index and the Hosmer-Lemeshow tests, respectively. A total of 479 (4.4%) patients required CVICU readmission. The mean CVICU length of stay (19.9 versus 3.3 days, P <0.001) and in-hospital mortality (14.4% versus 2.2%, P <0.001) were higher among patients readmitted to the CVICU. In the derivation cohort, a total of three preoperative (age ≥ 70, ejection fraction, chronic lung disease), two intraoperative (single valve repair or replacement plus non-CABG surgery, multivalve repair or replacement), and seven postoperative variables (cardiac arrest, pneumonia, pleural effusion, deep sternal wound infection, leg graft harvest site infection, gastrointestinal bleed, neurologic complications) were independently associated with CVICU readmission. The clinical prediction model had robust discrimination and calibration in the derivation cohort (AUC c index = 0.799; Hosmer-Lemeshow P = 0.192). The validation point estimates and confidence

  4. Intra-Provincial Inequality in Financing Compulsory Education in China: Exploring the Role of Provincial Leaders (1994-2001)

    ERIC Educational Resources Information Center

    Lin, Tingjin

    2009-01-01

    Elitism argues that the values and experiences of the political elite shape policy, while institutionalism contends that an individual's behaviour is constrained by institutional settings. This article shows that both perspectives work well overall, while offering persuasive arguments, but the former is dominated by the latter. This explains the…

  5. [Food habits of Puma concolor (Carnivora: Felidae) in the Parque Nacional Natural Puracé, Colombia].

    PubMed

    Hernández-Guzmán, Andrés; Payán, Esteban; Monroy-Vilchis, Octavio

    2011-09-01

    Neotropical puma (Puma concolor) diet is scarcely known, in particular that of mountain dwelling individuals from Northern South America. This is the first study on pumas from the paramo and the first puma diet analysis for Colombia. The puma diet was studied from 2007 to 2009 in the Puracé National Park in the South Colombian Andes. Paramos are unique neotropical high altitude ecosystems which store and regulate water, and are currently threatened by agricultural expansion and climate change. Seven latrines were monitored for three years and scat collected, washed and dried. Items in scat such as hair, bones, claws and others were separated. Hairs were inspected by microscopy and compared to voucher hair museum specimens. Bone fragments, claws and teeth were also compared to museum collections and identified wherever possible. Additionally, six cameras were set along game trails to document puma and potential prey presence in the area. Food items from five species were identified in 60 puma scats; Northern Pudu (Pudu mephistophiles) was the most important prey in their diet. A total of 354 camera trap-nights photographed a male and female puma, Northern pudu and Spectacled bear (Tremarctos ornatus). The main conclusion suggests a strong dependence of puma on the threatened and mysterious Northern Pudu in paramo habitats. This behavior might reflect restricted prey availability in the high Andes mountains of Colombia, and highlights the plasticity in the puma diet. Conservation actions in the paramo should thus, focus on focal wild species, and in particularly those that show a relationship, such as the one evidenced here with the dependence of puma on Northern Pudu. These findings contribute to increase the little known ecology of Andean puma populations and the species as a whole in Colombia. Baseline data on puma prey populations in different ecosystems throughout their range, is critical to understand the regional requirements for survival, and design conservation actions, to follow and evaluate the need for particular protected areas along their geographical gradients.

  6. [Alpha and beta arthropods diversity from the different environments of Parque Nacional Los Cardones, Salta, Argentina].

    PubMed

    Belén Cava, Maria; Antonio Corronca, José; José Echeverría, Alejandro

    2013-12-01

    The essential role of the National Parks is to protect nature, in order to prevent the deterioration and loss of the ecosystem under protection. Very few records about the diversity of arthropods are known from Los Cardones National Park, where three eco-regions are protected: Puna and Monte eco-regions and the High Andean Grassland of the Yungas. Here, we aimed to compare the alpha and beta diversity of arthropods in these eco-regions, and to prove if sites from the same ecoregion, show greater similarity between them in their assemblages, than with sites of the other eco-regions. We also identified arthropod orders with higher species richness, and indicated the families that contribute the most to the registered beta diversity. Three sampling sites were established on each eco-region and the arthropods were sampled using pitfall traps and suction samples. We evaluated the obtained inventory through nonparametric estimators of species richness, and compared diversity among eco-regions through "diversity profiles" and "effective number of species". Beta diversity was assessed by different methods such as the Morisita Index, nonmetric multidimentional scaling analysis, a multiple permutation procedure, and a Similarity Percentage analysis. We recorded 469 spp/morphospecies and recognized three arthropod orders (spiders, dipterans and hymenopterans) that are diverse and abundant in the Park. Besides, the diversity in Los Cardones National Park was found to be high, but it was observed higher in the High Andean Grassland of the Yungas, and lower in the Puna. The inventory obtained was good, reached up to the 81% of the species richness estimated by nonparametric estimators. Each eco-region of the park showed a very particular arthropod community that was tested by a multi-response permutation procedure. The species turnover between eco-regions was high, so that the different environments of the protected area are contributing to the maintenance of the regional diversity of arthropods in the park. The assemblages of arthropods belonging to the same eco-region sites showed greater similarity among themselves than with those of more distant sites. This represents the first attempt for biodiversity studies in these areas, but more evaluations are required to detail on the possible climate change and human impacts in the ecosystem.

  7. [Benthic fauna associated to a Thalassia testudinum (Hydrocharitaceae) bed in Parque Nacional Morrocoy, Venezuela].

    PubMed

    Rodríguez, C; Villamizar, E

    2000-12-01

    The benthic fauna and diel variation in a shallow seagrass bed (Thalassia testudinum) were studied in Playa Mero, Venezuela. Samples of organisms and sediments were taken using PVC cylinders, 5cm in diameter, along a transect perpendicular to the coast. Seagrass cover, shoot density and biomass were estimated. The seagrass cover was homogeneous along the transect. The intermediate zone had the highest number of shoots and of above-ground and rhizome biomass. Composition and abundance of benthic organisms were related with seagrass and sediment characteristics. Sediment organic matter content and organism abundance were highest near the shore Molluscs, polychaetes, oligochaetes and nematodes were the most abundant groups. Species richness was higher in daytime (40 versus 28 at night). Gastropods were the most abundant organisms both at day and night while polychaetes and crustaceans increased during the day, and holoturids were more numerous at night.

  8. [Seasonal micronutrients concentration in leaves of four forest species from Parque Chaqueño, Argentina].

    PubMed

    Prause, Juan; Fernández López, Carolina

    2012-09-01

    Nutrients cycling is a fundamental component in the functioning of forest ecosystems. Leaves of different forest species observe specific chemical composition, and some seasonal differences in biomass production, may be related to climate fluctuations and/or changes in plant phenology and the variation on nutrient contents. The objective of this study was to analyze the seasonal variability ofFe, Mn, Cu and Zn concentrations in leaves of Gleditsia amorphoides (Ga); Patagonula americana (Pa); Maclura tinctoria (Mt) and Astronium balansae (Ab) from Colonia Benitez Strict Nature Reserve (Chaco, Argentina). The leaves of each forest species were collected monthly, dried at 70 degrees C and their weight by tree species were recorded. Samples for analytical determinations were prepared by humid oxidation of organic substances from vegetal nets, using oxidant acids such as ternary mixture of HNO3-H2SO4-HClO4. After digestion, total micronutrients leaves concentrations were determined by atomic absortion spectrophotometry. Leaves Fe highest values were detected during fall in Mt (76.1mg/kg), Pa (75.2mg/kg), Ab (59.5mg/kg) and Ga (45.3mg/kg). Highest foliar concentrations of Mn were detected in Pa (54.0mg/kg), Ga (50.0mg/kg), Mt (48.0mg/kg), and Ab with the lower Mn concentration (39.7mg/ kg). No significant differences were found for Cu between the different forest species, standing for Pa (11.3mg/ kg), Ga and Mt (11.0mg/kg) and Ab (10.4mg/kg). With regard to leaves Zn, highest concentrations were found in Mt (347.4mg/kg), Ga (319.9mg/kg), Pa (280.2mg/kg) and Ab (255.7mg/kg). Generally, a marked seasonal variation was observed for Mn and Cu concentrations (except in Ga) and Zn (except in Pa), with no statistical differences for Fe. In the species studied, the concentration of micronutrients analyzed showed a marked and erratic seasonal variation, attributed to the relationship established between the native species, and the strong influence of the environment over a long period of time, especially temperature and rainfall.

  9. [Helicobacter pylori infection in children without dyspepsia in Curundu and Parque Lefevre].

    PubMed

    Halphen, G M; Lindsay Estupiñán, J; Márquez, L E; Pon Chow, R L; Méndez, J R; Brandáriz, C; Oduber, L; Chanis, R

    1998-01-01

    A study of seroprevalence of Helicobacter pylori determined by ELISA IgG, was conducted in 83 consecutive healthy children. The majority of the children (55%) had the bacterium. Seropositivity was demonstrated in 55% of the age group 0-5 years old, in 47% of 6-10, and in 67%, of the group 11 to 15. Of the children without sanitary inside their homes 86% were seropositive, versus 47% of the children with sanitary in their homes.

  10. [Reef fishes community structure of Playa Mero, Parque Nacional Morrocoy, Venezuela].

    PubMed

    Rodríguez, J; Villamizar, E

    2000-12-01

    The coral reef fish community was studied in Playa Mero, Morrocoy National Park, after the mass mortality of January, 1996 with a systematic sampling design. Transects and quadrates were used for corals, and a visual census for fishes. The coral community is highly disturbed with extensive areas of dead coral covered by algae, and low coverage and richness of coral species, gorgonians, sponges and briozooans. These factors have generated a relatively homogeneous environment with respect to the fish community, which was dominated by Scaridae and Pomacentridae that represented 75% of fish. Dominant fishes were mainly herbivorous (75.4% of all fish) apparently because of the disturbance that caused the settling of algae.

  11. [Social participation and health promotion: a case study in the region of Paranapiacaba and Parque Andreense].

    PubMed

    Silva, Elaine Cristina da; Pelicioni, Maria Cecília Focesi

    2013-02-01

    Community participation is considered a key condition for communities to assume control of their health within the scope of health promotion. This study sought to identify and analyze the perceptions of residents of the watershed areas of Santo André/São Paulo with respect to the actions of health education and environmental education developed by the public authorities of the city, and how the local community participates in these processes. Data collection was conducted via structured and semi-structured interviews with civil servants and local residents. The methodology of content analysis proposed by Bardin was used for data interpretation. The main results showed that the health measures developed in the region studied are still predominantly viewed from the standpoint of prevention and not as an educational process able to support and achieve some of the goals of health promotion, such as the development of personal skills and support for community action. Data analysis showed the importance of intersectorial activity and conducting emancipatory educational measures as a key factor for participative procedures and the empowerment of the population.

  12. [Effects of hyposalinity in Thalassia testudinum (Hydrocharitaceae) from Parque Nacional Morrocoy, Venezuela].

    PubMed

    Pérez, D; Galindo, L

    2000-12-01

    The year 1996 had a high pluviosity in Morrocoy National Park (western coastal zone, Venezuela) and low salinity in December 1996 affected the seagrass beds, dominated by Thalassia testudinum. Patches without T. testudinum were observed in localities of the park that used to have very dense populations of this plant. Sampling was done at Las Luisas to determine leaf productivity, turnover rate, short shoot density and relative biomass of plant sections, in order to compare with data obtained in September 1996, previous to the event. Green leaves, roots and rhizomes were the most affected parts. Mean green leaf biomass decreased in January and February 1997 to 5% of the plant's total biomass; mean root biomass decreased in March to 40% and mean rhi zome biomass decreased in February to 30%. The density of the active short shoots decreased to a minimum in February, but in April it reached a value similar to that of September 1996. The density of the inactive short shoots decreased to a minimum in March, and they dissappeared in April, matching the increasing density of the active short shoots between these two months. In February 1997, 56% of the inactive short shoots showed evidence of leaf initiation. In January 1997 the leaf productivity and turnover rate values (2.72 +/- 0.35 g/m2/d and 2.15% leaf DW/d) were similar to the annual mean previously determined from Las Luisas (2.35 +/- 0.72 g/m2/d and 1.96% leaf DW/d). Nevertheless, the values of productivity and turnover rate detected at Las Luisas in April 1997 (4.88 +/- 2.14 g/m2/d and 4.66% leaf DW/d) were higher than those values previously reported for this location. In response to the mortality episode, the leaf productivity and turnover rate of T. testudinum increased and the leaf initiation was activated in the inactive short shoots.

  13. [Floral biology and pollinators of Trichocereus pasacana (Cactaceae) in Parque Nacional Los Cardones, Argentina].

    PubMed

    de Viana, M L; Ortega Baes, P; Saravia, M; Badano, E I; Schlumpberger, B

    2001-03-01

    Many columnar cacti are bat pollinated. It has been suggested that this kind of pollination would be more important in tropical than in temperate regions where flowers are open only one night. Thrichocereus pasacana produces big and resistant white flowers. We analyzed flower characteristics, floral cycle, stigmatic receptivity, nectar production, pollen presence and floral visitors in a T. pasacana population at National Park Los Cardones (Salta, Argentina) in November 1997. Flower features were constant between individuals of the population. Flowers start opening at evening and anthesis time is from 18 to 40 hs. The estigma was receptive throughout the floral cycle. Anther dehiscence occurs with flower opening. Nectar production was highest between 18 to 24 hs. Although T. pasacana are open during the night, floral visitors are diurnal. The most frequent was Xylocopa sp. In the study area, nectarivorous bats were not detected. The morphological features of T. pasacana flowers were similar but bigger compared to other columnar cacti. Anthesis time was also longer while nectar production was lower. T. pasacana pollination at National Park Los Cardones is done by bees.

  14. The Grammar of Technique: Inside "Continuidad de los Parques" (Continuity of the Parks).

    ERIC Educational Resources Information Center

    Lunn, Patricia V.; Albrecht, Jane W.

    1997-01-01

    Discusses the manipulation of various grammatical devices in a Spanish short story. Points out that variations in the use of verbal aspect mark stages in the development of the plot and that modal and lexical choices reinforce its reflexive and repetitive nature. Argues that this story exemplifies creative use of grammatical choices. (13…

  15. Who is Responsible for Training the Civilian Members of the Provincial Reconstruction Teams (PRTs)

    DTIC Science & Technology

    2010-05-01

    at the Department of State, there is the Interagency Training & Education office whose mission is "to improve and maintain the operational readiness...the Coordinator for Reconstruction and Stabilization (S/CRS), "Interagency Training & Education ," http://www.crs.state.gov/index.cfm?fuseaction...services, construction and education , Civil Affairs Soldiers are unique, and their military specialties often correspond to their civilian occupations

  16. The Burden of Child Maltreatment Leading to Hospitalization in a Provincial Setting in Papua New Guinea.

    PubMed

    Rero, Allanie; Aipit, Jimmy; Yarong-Kote, Tina; Watch, Villa; Bolnga, John W; Vei, Robert; Morris, Marilyn; Lufele, Elvin; Laman, Moses

    2016-08-01

    Child maltreatment is prevalent globally. In Papua New Guinea (PNG), child maltreatment remains an under-reported problem. As part of a 10 month prospective observational study conducted at Modilon Hospital in PNG, we investigated the burden of child maltreatment in the form of sexual abuse, physical abuse and neglect, leading to hospitalization in children ≤14 years. Of 1061 screened admissions, 107 (10%) fulfilled the definition of child maltreatment. The in-hospital admission prevalence of sexual abuse was 5.7% [60 of 1061; 95% confidence interval (CI): 4.4-7.3]. Neglect accounted for 3.4% (36 of 1061; 95% CI: 2.4-4.7) of admissions, while physical abuse accounted for 1.0% (11 of 1061; 95% CI: 0.6-1.9). Mortality was highest in the neglected group, with severe acute malnutrition accounting for 89% of deaths. Improved awareness, establishment of appropriate channels for addressing child maltreatment and enforcement of child protection laws in PNG and other epidemiologically similar settings are urgently needed. © The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  17. The Provincial Reconstruction Teams in Afghanistan - A Model for Future Nation Building Operations

    DTIC Science & Technology

    2009-05-01

    nation-building has not been a straight-line development of unfolding progress. Instead, most cases have shown a pattern of complex development where...public at home. In the case of Germany, restrictions and tight rules of engagements (RoE) are the political solution. Using PRTs can make the...civil approach? A case in point for both these questions is the recent history of Iraq’s struggle for stability. After the coalition victory

  18. Spatial Characteristics and Driving Factors of Provincial Wastewater Discharge in China

    PubMed Central

    Chen, Kunlun; Liu, Xiaoqiong; Ding, Lei; Huang, Gengzhi; Li, Zhigang

    2016-01-01

    Based on the increasing pressure on the water environment, this study aims to clarify the overall status of wastewater discharge in China, including the spatio-temporal distribution characteristics of wastewater discharge and its driving factors, so as to provide reference for developing “emission reduction” strategies in China and discuss regional sustainable development and resources environment policies. We utilized the Exploratory Spatial Data Analysis (ESDA) method to analyze the characteristics of the spatio-temporal distribution of the total wastewater discharge among 31 provinces in China from 2002 to 2013. Then, we discussed about the driving factors, affected the wastewater discharge through the Logarithmic Mean Divisia Index (LMDI) method and classified those driving factors. Results indicate that: (1) the total wastewater discharge steadily increased, based on the social economic development, with an average growth rate of 5.3% per year; the domestic wastewater discharge is the main source of total wastewater discharge, and the amount of domestic wastewater discharge is larger than the industrial wastewater discharge. There are many spatial differences of wastewater discharge among provinces via the ESDA method. For example, provinces with high wastewater discharge are mainly the developed coastal provinces such as Jiangsu Province and Guangdong Province. Provinces and their surrounding areas with low wastewater discharge are mainly the undeveloped ones in Northwest China; (2) The dominant factors affecting wastewater discharge are the economy and technological advance; The secondary one is the efficiency of resource utilization, which brings about the unstable effect; population plays a less important role in wastewater discharge. The dominant driving factors affecting wastewater discharge among 31 provinces are divided into three types, including two-factor dominant type, three-factor leading type and four-factor antagonistic type. In addition, the proposals aimed at reducing the wastewater discharge are provided on the basis of these three types. PMID:27941698

  19. A Comparison of the Democratic Security Policy in Colombia and Provincial Reconstruction Teams in Iraq

    DTIC Science & Technology

    2009-09-01

    program. Republica de Colombia. Departamento Nacional de Planeacion, Porgrama de Desarrollo Alternativo, Documento CONPES 2734-DNP-UDA-UJS, Bogotá...Ministry of Defense, 2003. Republica de Colombia. “Departmento Nacional de Planeacion, Porgrama de Desarrollo Alternativo, Documento CONPES 2734-DNP

  20. Use of low-value radiotherapy practices in Canada: an analysis of provincial cancer registry data

    PubMed Central

    Tran, K.; Rahal, R.; Brundage, M.; Fung, S.; Louzado, C.; Milosevic, M.; Xu, J.; Bryant, H.

    2016-01-01

    Background As part of Choosing Wisely Canada (a national campaign to encourage patient–provider conversations about unnecessary medical tests, treatments, and procedures), a list of ten oncology practices that could be low-value in some instances was developed. Of those practices, two were specific to radiation therapy (rt): conventional fractionation as part of breast-conserving therapy (bct) for women with early-stage breast cancer, and multifraction radiation for palliation of uncomplicated painful bone metastases. Here, we report baseline findings for the current utilization rates of those two rt practices in Canada. Results The use of conventional fractionation as part of bct varied substantially from province to province. Of women 50 years of age and older, between 8.8% (Alberta) and 36.5% (Saskatchewan) received radiation in 25 fractions (excluding boost irradiation) as part of bct. The use of hypofractionated rt (that is, 16 fractions excluding boost irradiation)—a preferred approach for many patients—was more common in all 6 reporting provinces, ranging from 43.2% in Saskatchewan to 94.7% in Prince Edward Island. The use of multifraction rt for palliation of bone metastases also varied from province to province, ranging from 40.3% in British Columbia to 69.0% in Saskatchewan. The most common number of fractions delivered to bone metastases was 1, at 50.2%; the second most common numbers were 2–5 fractions, at 41.7%. Conclusions Understanding variation in the use of potentially low-value rt practices can help to inform future strategies to promote higher-value care, which balances high-quality care with the efficient use of limited system resources. Further work is needed to understand the factors contributing to the interprovincial variation observed and to develop benchmarks for the appropriate rate of use of these rt practices. PMID:27803600

  1. Competitive Intelligence and Regional Development within the Framework of Indonesian Provincial Autonomy

    ERIC Educational Resources Information Center

    Dou, Henri; Manullang, Sri Damayanty

    2004-01-01

    Teaching methodologies and uses of competitive intelligence and competitive technical intelligence in countries where the culture and the technological level are very different from the western world cannot be implemented without a cultural understanding of the tacit local knowledge and cultural behavior of people. As an example of…

  2. Royal Commission Brief on Education, Public Services and Provincial - Municipal Relations.

    ERIC Educational Resources Information Center

    Union of Nova Scotia Indians, Sydney.

    The unique position of the MicMac (American Indian) student in his efforts to cope with both the learning experiences from his MicMac background and those new experiences which are thrust upon him by non-Indian persons in either Federal or non-Federal schools is described. The study also outlines (1) the jurisdictional aspects of Indian education;…

  3. Dynamics of Interagency Cooperation Process at Provincial Reconstruction Team in Operations ISAF and Enduring Freedom

    DTIC Science & Technology

    2010-06-11

    and Enduring Freedom. Approved by: , Thesis Committee Chair James B. Martin , Ph.D. , Member Michael E. Weaver, M.A...Specifically, he would like to acknowledge the following people: Doctor James Martin , Mr Mike Weaver, Mr Edward Jennings, Mr Ken Turner, Ms...Hernandorena, Katherine Rogers, 102 Patrick B Baetjer, James J Wirtz, Scott R Feil , Robert B Polk, Amanda Smith, Robert H Dorff, James M Smith, Brian

  4. Challenges in Assessing Progress in Multifunctional Operations: Experiences from a Provincial Reconstruction Team in Afghanistan

    DTIC Science & Technology

    2011-06-01

    objectives such as improved socio- economic development, respect for human rights, increased democracy and good governance. The ongoing Swedish...FOI-R-2760-SE. Rossi, P., Lipsey , M.W., & Freeman, H.E. (2004). Evaluation: a systematic approach (7th ed.). Thousand Oaks: Sage. Scheirer

  5. Improving Interagency Coordination and Unity of Effort: An Organizational Analysis of the Contemporary Provincial Reconstruction Team

    DTIC Science & Technology

    2010-05-20

    traction with the publishing of such cornerstone works as Samuel Huntington’s The Soldier and the State and Morris Janowitz’s The Professional Soldier: A...and development branches." 68 Ian Beckett challenges the symbolic-interpretive view that social interaction produces an effective organization... Beckett argues that strong hierarchical control is necessary for increased PSA team efficiency. He points out that: Developing functional teams

  6. The burden of second hip fractures: provincial surgical hospitalizations over 15 years

    PubMed Central

    Guy, Pierre; Sobolev, Boris; Sheehan, Katie Jane; Kuramoto, Lisa; Lefaivre, Kelly Ann

    2017-01-01

    Background Second hip fractures account for up to 15% of all hip fractures. We sought to determine if the proportion of hip fracture surgeries for second hip fracture changed over time in terms of patient and fracture characteristics. Methods We reviewed the records of patients older than 60 years hospitalized for hip fracture surgery between 1990 and 2005 in British Columbia. We studied the proportion of surgeries for second hip fracture among all hip fracture surgeries. Linear regression tested for trends across fiscal years for women and men. Results We obtained 46 341 patient records. Second hip fracture accounted for 8.3% of hip fracture surgeries. For women the proportion of second hip fracture surgeries increased linearly from 4% to 13% with each age decade (p = 0.001) and across fiscal years (p = 0.002). In men the proportion of second hip fracture surgeries was 5% for each age decade between the ages of 60 and 90 years across fiscal years, increasing to 8% for men older than 90 years across fiscal years (p = 0.20). These sex-specific trends were similar for both pertrochanteric and transcervical fracture types. Conclusion Second hip fracture surgeries account for an increasing proportion of hip fracture surgeries and may require more health care resources to minimize poorer reported outcomes. Future research should determine whether more health care resources are required to manage these patients and optimize their outcomes. PMID:28234218

  7. Strategic Development of Information Technology Services in a Provincial Higher Education Institute

    ERIC Educational Resources Information Center

    Intaganok, Prachit; Waterworth, Peter; Srisamai, Siwaporn

    2005-01-01

    This paper describes a research project on the introduction of information technology (IT) services to a higher education institution in north eastern Thailand. The project considered the literature on the processes involved in the introduction of IT services to educational institutions in various parts of the world and attempted to understand the…

  8. Federal-provincial agreements for the Eastern Canada Acid Rain Program: Annual report 1997

    SciTech Connect

    1998-12-31

    This report on the Eastern Canada Acid Rain Program compares the previous year`s emissions of sulphur dioxide in the 7 easternmost provinces to the emission targets in the program. The objective is to cap sulphur dioxide (SO{sub 2}) emissions until the year 2000. Coupled with the US Acid Rain Program it is intended to protect sensitive ecosystems from acid deposition. This report discusses emissions for the latest year, concerns, and steps to be taken. Statistical tables give emissions by province and industry, with information for some major air pollution sources in mineral extraction or electric power generation.

  9. Summary of the Hungarian Provincial Press (125th of the Series)

    DTIC Science & Technology

    2007-11-02

    University’a Colloid 0ii@Ki.aal Institute, in «ellaboratloa with letvan SUGAR, shief teefcnissia» at the Jute Products. Knterjwlea /in Saegad/ have researched...a n«w process by which the enterprise can save approximately 40 tons of impoitaa Jute annually. The two researchers experimented with a new kind of...BulBifylng agent which when mlxsd with oil and .water and sprayed oa jut®, promotes the separation of the Jute fiber. By coating Jut* with tliis

  10. The Upper Mantle Flow Field around South-Africa as Reflected by Isotopic Provinciality

    NASA Astrophysics Data System (ADS)

    Meyzen, C.; Blichert-Toft, J.; Ludden, J.; Humler, E.; Mevel, C.; Albarede, F.

    2006-12-01

    Isotopic studies of MORB have established the existence of broad isotopic provinces within the underlying asthenosphere, such as in the Indian Ocean (DUPAL). How these features relate to mantle circulation is, however, still unknown. The steepness of the transition between such isotopic provinces will define the geometry of the velocity field in the upper mantle. In this respect, the transition between the Indian and South Atlantic provinces, two domains that are isotopically contrasted, should be readily identifiable over this long ridge segment. Here, we present Hf isotope data for 60 samples dredged along the SWIR between 35° and 69°E. The new Hf isotope data show that the Indian asthenosphere does not spill directly into the South Atlantic upper mantle: the general decreasing southward gradient observed for ^{176}Hf/^{177}Hf down the mid- Atlantic Ridge, and also for Sr isotopes and model Th/U ratios (derived from Pb isotopes), is overprinted by material with radiogenic Sr, unradiogenic Hf and high Th/U. The Indian domain grades into the South Atlantic around Bouvet, while the South Atlantic collides with the Atlantic province around Tristan. We interpret these features to represent fronts between three adjacent isotopic provinces similar to what has been suggested for the Australian-Antarctic Discordance. The common DUPAL signature of MORB and OIB from the Indian province and the geochemistry of Gulf of Aden MORB and the Afar plume suggest that the source of this distinctive mantle component is deep and lies to the north of the province. This is also what the three-dimensional flow field computed by Behn et al. (2004) from shear-wave splitting shows with a major lower mantle upwelling radiating at the base of the asthenosphere under the Afar plume. Lower mantle gushing out from this source flows southward unimpeded along the Indian ridges, whereas it only reaches the South Atlantic ridge after first having been deflected under the deep roots of the South African Archean cratons. Erosion of these roots by the asthenospheric drift confers a distinct continental signature on the source of South Atlantic MORB. This pattern is also consistent with the observation that the lowest He isotope values occur, on average, along the South Atlantic ridge. To some extent, the dynamics of the North Atlantic upper mantle mirrors the Indian situation: the flow field of Behn et al. (2004) shows that the North Atlantic asthenosphere also fills up through deep mantle upwellings, which is consistent with the Dupal-like isotopic signature of the Arctic ridges. M.D. Behn, C.P. Conrad and P.G. Silver (2004), Detection of upper mantle flow associated with the African Superplume, Earth. Planet. Sci. Lett., 224, 259-274.

  11. Losing Ground on the Afghanistan Provincial Reconstruction Team Mission and Recommendations for Regaining It

    DTIC Science & Technology

    2011-12-05

    Cultural norms may also explain how it is possible that potentially unqualified U.S. hires from MEP have been able to continue their employment...role. For the PRT commander and the civil affairs officer, this meant conducting a face-to-face meeting with a “local leader” typically in a...mistrust and miscommunication. Selection. As of September 2010, Ohio based Mission Essential Personnel ( MEP ) employed “the majority of linguists in

  12. Provincial Reconstruction Teams in Regional-Command-East (Operation Enduring Freedom-VIII)

    DTIC Science & Technology

    2009-03-23

    that is able to provide its own wheat , flour , meat, pomegranates, and natural resources to its own population and others both regional and worldwide...advisors aided in the identification of the right types of fertilizer needed to re-prime some of the “ wheat basket’ of Afghanistan in Ghazni province...capacity to grow and process wheat . This process continues today. Expertise in water management was brought to the PRTs to aid in this critical area

  13. Command and Control Analysis of the South West Provincial Regional Emergency Operations Centre during Vancouver 2010

    DTIC Science & Technology

    2011-06-01

    significant organizations for the Games, such as the Vancouver Organizing Committee for the 2010 Olympic and Paralympic Winter Games (VANOC) and the...Olympic and Paralympic Winter Games (VANOC) and the Integrated Security Unit (ISU). The issues observed during operations and suggested recommendations...1.0 INTRODUCTION The Vancouver 2010 Olympic and Paralympic Winter Games (V2010) were hosted in British Columbia in February and March 2010

  14. The role of the educator in state, provincial, and federal health policy.

    PubMed

    Leatt, P; Covert, M

    1995-01-01

    Many faculty members of programs in health administration participate in the policy-setting process. It is critical at the present time of health care reform that faculty members play an active role in influencing health policy. Educators may become involved in this activity in a number of ways. First, there may be opportunities as researchers to conduct short-term or long-term projects which promote a policy agenda. Faculty members can bring a range of analytical skills and knowledge and may bring in multi-disciplinary perspectives on substantive policy issues. Second, educators need to re-examine curriculum content of university programs in health administration to assure appropriate policy content and to seek out opportunities for graduates in policy analysis positions. Third, through community services, educators may take on advocacy roles for the promotion of particular perspectives or the support of special interest groups. It is clear that there are going to be growing opportunities for faculty members to work with practitioners to substantially influence health policy.

  15. Cholinesterase Inhibitor Utilization: The Impact of Provincial Drug Policy on Discontinuation.

    PubMed

    Fisher, Anat; Carney, Greg; Bassett, Ken; Chappell, Neena L

    2016-01-01

    In October 2007, British Columbia started to cover the cost of cholinesterase inhibitors (ChEIs)-donepezil, galantamine, and rivastigmine-for patients with mild to moderate dementia and prominent Alzheimer's disease. To examine the impact of this policy on persistence with ChEIs. A population-based cohort study was conducted using British Columbia administrative health data. We examined 45,537 new ChEI users aged 40 years and older between 2001 and 2012; 20,360 (45%) started the treatment after the coverage policy was launched. Patients were followed until treatment discontinuation, defined as a ChEI-free gap of 90 days, death, or December 2013. Persistence on ChEIs was estimated using survival analysis and competing risk approach. Hazards of discontinuation were compared using competing risk Cox regression with propensity adjustment. Patients who started ChEI therapy after the introduction of the coverage policy had a significantly longer persistence. Median ChEI persistence until discontinuation or death was 9.37 months (95% confidence interval [CI] 9.0-39.7) and 17.6 months (95% CI 16.9-18.3) in patients who started therapy before and after the new policy, respectively. The propensity-adjusted hazard ratio for discontinuing therapy was 0.91 (95% CI 0.88-0.94). Similar patterns were observed for persistence with the first ChEI (propensity-adjusted hazard ratio of 0.94; 95% CI 0.91-0.98). In rivastigmine users, the hazard ratio was insignificant (0.98; 95% CI 0.92-1.02). The British Columbia ChEI coverage policy was associated with significantly prolonged persistence with donepezil and galantamine, but not rivastigmine. Copyright © 2016 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  16. Macro determinants of Iranian provincial healthcare expenditures from 2006 to 2013: evidence from panel data

    PubMed Central

    Rezaei, Satar; Fallah, Razieh; Moradi, Khalil; Delavari, Somayeh; Moradi, Siavash Doost; Matin, Behzad Karami

    2015-01-01

    Introduction During the last few decades, healthcare expenditures (HCEs) have increased significantly in Iran and throughout the world. Understanding the determinants of such increases is essential to health policymakers in finding the best policies to manage healthcare costs. This study aimed to determine the impact of some of the key explanatory variables on household healthcare expenditures across the provinces of Iran. Methods A panel data econometric model was used to determine the main factors that affected household healthcare expenditures (HHCEs) across the provinces of Iran from March 21, 2006 to February 19, 2013. The data on household healthcare expenditures per capita, number of physicians per 10,000 population, the degree of urbanization, the proportion of the population that was 65 or older, household income per capita, and literacy rate were obtained from the Household Expenditure and Income Survey (HEIS) data in the Statistical Center of Iran. F-Limer and Hausman tests were used to choose the panel data, and Stata V.12 was used to analyze the data. Results Our findings indicated that income per capita, physicians per 10,000 population, and the degree of urbanization had significant impacts on healthcare expenditures. Also, the results of the study showed the elasticity of income, physicians, urbanization, proportion of the population 65 or older, and the literacy rate were 0.25 (p < 0.002), 0.37 (p < 0.001), 5.01 (p < 0.001), −0.1 (p < 0.73), and −1.02 (p < 0.082), respectively. Conclusion The results of the study indicated that the income elasticity of healthcare expenditures was less than 1; health expenditures were considered to be a “necessity good” across the provinces of Iran during the period that was studied. In addition, there were some other factors that affected healthcare expenditures that were not considered in the study, such as the advancement of new technology and the costs of dying. However, it is recommended that future research examine the effect of these factors on HCEs in Iran. PMID:26816584

  17. Draft Genome Sequence of Klebsiella pneumoniae Strain AS Isolated from Zhejiang Provincial Hospital of TCM, China

    PubMed Central

    Yang, Xue-Jing; Wang, Sai; Hou, Jia-Hui

    2016-01-01

    Klebsiella pneumoniae is a Gram-negative, nonmotile, encapsulated, lactose-fermenting, facultative anaerobic, rod-shaped bacterium. Here we present draft genome assemblies of Klebsiella pneumoniae AS, which was isolated in China. The genomic information will provide a better understanding of the physiology, adaptation, and evolution of K. pneumoniae. PMID:27660770

  18. [Current methods of treating radicular cysts using a bioplant in a provincial dental polyclinic].

    PubMed

    Loshkarev, V P; Bauchenkova, E V

    1998-01-01

    A Russian biological material from human placenta "bioplant" was used in 35 patients for repair of defects in the jaw bones after resection of dental apices and cystectomy. More rapid bone formation and a higher stability of teeth were observed than after traditional treatment (with osseointegration following the formation of a blood clot). Bioplant exerts an aseptic effect in a wound, possesses antiinflammatory and hemostatic effect, and causes no side or allergic reactions. Two types of incisions in this operation are compared. The L-shaped incision is preferable to traditional, as it helps escape complications in the postoperative period and attain better results.

  19. [Monitoring and management on the mandatory reporting system of infectious diseases in Jiangxi provincial].

    PubMed

    Tang, Y; Cheng, H

    1998-06-01

    From 1994 to 1997, we had continuously and actively conducted surveillance on reports of legal infectious diseases and administrative performance of hospitals in this aspect. The proportion from outpatient clinic in the whole province under supervision had sucessively increased yearly. It suggested that the implementation of "report on the first visit" regulation had been improved; the number of hospitals with "no information on epidemic desease" had decreased, and the number of months with no information on epidemic disease had also decreased. All the results showed that the surveillance and monitoring on the infectious desease reporting system and administrative performance of hospitals was an effective practice.

  20. Analyses of Child Sex Abuse Cases in Turkey: A Provincial Case.

    PubMed

    Kucuk, Sibel

    2016-04-01

    Sexual abuse is a significant problem, especially for children, but only a limited number of sexual abuse cases involving children are reported to the relevant authorities. One hundred and fifty files recorded in the National Judiciary Information System between 2006-2012 relating to cases of child sexual abuse and considered to be within the scope of Offences Against Sexual Integrity pertaining to Turkish Penal Code were analyzed for this research. Statements of the victims, defendants, and witnesses, together with the minutes issued by law enforcement officers, hospital or forensic reports, and arrest warrants were used to collect data. The average values and percentage test analysis were used to assess data. A large portion of the sexually abused children were determined to be between 14 and 17 years of age, female, and had been abused before, while a majority of the abusers were between 19 and 25 years of age, and all of the abusers identified as male. Most of the cases of abuse were planned and carried out under threat, and a certain number of such crimes resulted in pregnancy, were repeated systematically, and became evident when the mothers of the abused children found out or when a pregnant child was referred to a hospital for childbirth. The sexual abuse of children is a significant problem for Turkish society, just as it is for other societies, and it is recommended that further research be conducted with a broader scope in order to present this issue more clearly and to develop solutions.

  1. Interest and applicability of acute care surgery among surgeons in Quebec: a provincial survey

    PubMed Central

    Joos, Émilie; Trottier, Vincent; Thauvette, Daniel

    2013-01-01

    Background Acute care surgery (ACS) comprises trauma and emergency surgery. The purpose of this new specialty is to involve trauma and nontrauma surgeons in the care of acutely ill patients with a surgical pathology. In Quebec, few acute care surgery services (ACSS) exist, and the concept is still poorly understood by most general surgeons. This survey was meant to determine the opinions and interest of Quebec general surgeons in this new model. Methods We created a bilingual electronic survey using a Web interface and sent it by email to all surgeons registered with the Association québécoise de chirurgie. A reminder was sent 2 weeks later to boost response rates. Results The response rate was 36.9%. Most respondents had academic practices, and 16% worked in level 1 trauma centres. Most respondents had a high operative case load, and 66% performed at least 10 urgent general surgical cases per month. Although most (88%) thought that ACS was an interesting field, only 45% were interested in participating in an ACSS. Respondents who deemed this concept least applicable to their practices were more likely to be working in nonacademic centres. Conclusion Despite a strong interest in emergency general surgery, few surgeons were interested in participating in an ACSS. This finding may be explained by lack of comprehension of this new model and by comfort with traditional practice. We aim to change this paradigm by demonstrating the feasibility and benefits of the new ACSS at our centre in a follow-up study. PMID:23883506

  2. Climate Variability and Inter-Provincial Migration in South America, 1970-2011.

    PubMed

    Thiede, Brian; Gray, Clark; Mueller, Valerie

    2016-11-01

    We examine the effect of climate variability on human migration in South America. Our analyses draw on over 21 million observations of adults aged 15-40 from 25 censuses conducted in eight South American countries. Addressing limitations associated with methodological diversity among prior studies, we apply a common analytic approach and uniform definitions of migration and climate across all countries. We estimate the effects of climate variability on migration overall and also investigate heterogeneity across sex, age, and socioeconomic groups, across countries, and across historical climate conditions. We also disaggregate migration by the rural/urban status of destination. We find that exposure to monthly temperature shocks has the most consistent effects on migration relative to monthly rainfall shocks and gradual changes in climate over multi-year periods. We also find evidence of heterogeneity across demographic groups and countries. Analyses that disaggregate migration by the rural/urban status of destination suggest that much of the climate-related inter-province migration is directed toward urban areas. Overall, our results underscore the complexity of environment-migration linkages and challenge simplistic narratives that envision a linear and monolithic migratory response to changing climates.

  3. Two new mosquito species and six new provincial records in Argentina.

    PubMed

    Visintin, Andrés M; Laurito, Magdalena; Stein, Marina; Ramirez, Patricia; Molina, Gustavo; Lorenzo, Pablo R; Almirón, Walter R

    2010-03-01

    ABSTRACT. The geographical distribution of Aedes pennai, Anopheles galvaoi, Coquillettidia albicosta, Cq. nigricans, Culex usquatissimus, Cx. apicinus, Cx. chidesteri, Cx. coronator s.l., Cx. interfor, Cx. maxi, Cx. pipiens, Cx. saltanensis, Cx. educator, Cx. serratimarge, Cx. theobaldi, Psorophora cyanescens, Ps. cilipes, Ps. cingulata, Ps. pallescens, Uranotaenia lanei, Ur. nataliae, Wyeomyia diabolica, and Wy. melanocephala is extended, including new records for 6 provinces and 2 new records for the country, increasing the number of species in Argentina from 226 to 228.

  4. Analysis of Patients with Facial Lacerations Repaired in the Emergency Room of a Provincial Hospital

    PubMed Central

    Lee, Joon Ho; Jeon, Myeong Su; Shin, Hea Kyeong; Seul, Jung Hyun

    2015-01-01

    Background Facial laceration is the most common injury encountered in the emergency room in the plastic surgery field, and optimal treatment is important. However, few authors have investigated this injury in all age groups or performed follow-up visit after repair. In the present study, the medical records of patients with lacerations in the facial area and underwent primary repair in an emergency room over a 2-year period were reviewed and analyzed. Methods Medical records of 3,234 patients with lacerations in facial area and underwent primary repair in an emergency room between March 2011 and February 2013 were reviewed and identified. Results All the 3,234 patients were evaluated, whose ratio of men to women was 2.65 to 1. The forehead was the most common region affected and a slip down was the most common mechanism of injury. In terms of monthly distribution, May had the highest percentage. 1,566 patients received follow-up managements, and 58 patients experienced complications. The average days of follow-up were 9.8. Conclusions Proportion of male adolescents was significantly higher than in the other groups. Facial lacerations exhibit a 'T-shaped' facial distribution centered about the forehead. Careful management is necessary if a laceration involves or is located in the oral cavity. We were unable to long term follow-up most patients. Thus, it is necessary to encourage patients and give them proper education for follow-up in enough period. PMID:25606487

  5. Estimating the economic value of British Columbia's domestic cannabis market: implications for provincial cannabis policy.

    PubMed

    Werb, Dan; Nosyk, Bohdan; Kerr, Thomas; Fischer, Benedikt; Montaner, Julio; Wood, Evan

    2012-11-01

    British Columbia (BC), Canada, is home to a large illegal cannabis industry that is known to contribute to substantial organized crime concerns. Although debates have emerged regarding the potential benefits of a legally regulated market to address a range of drug policy-related social problems, the value of the local (i.e., domestically consumed) cannabis market has not been characterized. Monte Carlo simulation methods were used to generate a median value and 95% credibility interval for retail expenditure estimates of the domestic cannabis market in BC. Model parameter estimates were obtained for the number of cannabis users, the frequency of cannabis use, the quantity of cannabis used, and the price of cannabis from government surveillance data and studies of BC cannabis users. The median annual estimated retail expenditure on cannabis by British Columbians was $407 million (95% Credibility Interval [CI]: $169-948 million). Daily users accounted for the bulk of the cannabis revenue, with a median estimated expenditure of approximately $357 million (95% CI: $149-845 million), followed by weekly users ($44 million, 95% CI: $18-90 million), and monthly users ($6 million, 95% CI: $3-12 million). When under-reporting of cannabis use was adjusted for, the estimated retail expenditure ranged from $443 million (95% CI: $185-1 billion) to $564 million (95% CI: $236-1.3 billion). Based on local consumption patterns, conservative estimates suggest that BC's domestic illegal cannabis trade is worth hundreds of millions of dollars annually. Given the value of this market and the failure and harms of law enforcement efforts to control the cannabis market, policymakers should consider regulatory alternatives. Copyright © 2012 Elsevier B.V. All rights reserved.

  6. Minimizing impairment-related youth traffic deaths: the need for comprehensive provincial action.

    PubMed

    Chamberlain, Erika A L; Solomon, Robert M

    2008-01-01

    Despite the progress made between the early 1980s and the mid-1990s, traffic crashes remain the single largest cause of death among 15-24 year-old Canadians. In recent years, approximately 45% of these deaths have been alcohol-related and, no doubt, additional youth crash deaths are drug-related. While young people are significantly overrepresented in impairment-related deaths as drivers, their overrepresentation is even greater as passengers, pedestrians, bicyclists, and users of recreational vehicles. These crashes are not simply a function of young people's immaturity and lack of driving experience; they also reflect young people's hazardous patterns of alcohol and drug use. Under the Canadian constitution, the provinces have extensive legislative authority over driver and vehicle licensing, traffic enforcement, liquor licensing, and off-premise alcohol sales. Moreover, research in Canada and abroad has identified legislative initiatives that can significantly reduce impairment-related youth traffic deaths. Consequently, the provinces are well positioned to protect Canadian youth from such preventable harm. The provinces need to adopt a broad approach, including a comprehensive graduated licensing program, a zero blood-alcohol restriction on drivers under 21, enhanced police powers, and more rigorous enforcement of the existing licensing legislation.

  7. Winning the Peace: Institutionalizing Provincial Reconstruction Teams in the United States Military

    DTIC Science & Technology

    2012-06-15

    NUMBER N/A 6. AUTHOR( S ) WALKER, JOHN C. LTCOL, USAF 5d. PROJECT NUMBER N/A 5e. TASK NUMBER N/A 5f. WORK UNIT NUMBER N/A 7. PERFORMING...ORGANIZATION NAME( S ) AND ADDRESS(ES) JOINT FORCES STAFF COLLEGE JOINT ADVANCED WARFIGHTING SCHOOL 7800 HAMPTON BLVD NORFOLK, VA 23511-1702 8. PERFORMING...ORGANIZATION REPORT NUMBER JFSC 9. SPONSORING/MONITORING AGENCY NAME( S ) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM( S ) N/A 11

  8. Summary of the Czechoslovak Provincial Press (4 - 10 May 1960) (55th of the Series).

    DTIC Science & Technology

    1960-07-08

    premises. (R, 6 May 60, p 3) The " Karl Marx " Museum was opened in Karlovy Vary, West Bo- hemian Kraj. The opening ceremony was attended by a CC CPCS 5...on Karl Marx Street, formerly Zhukov Street, in Karlovy Vary. (Pra, 6 May 60, p i) The "Theater of the. Border Guards" opens today in Cheb, West

  9. Effects of a provincial ban of two toxic organophosphorus insecticides on pesticide poisoning hospital admissions

    PubMed Central

    2012-01-01

    Background. Pesticide self-poisoning causes one third of global suicides. Sri Lanka halved its suicide rate by banning WHO Class I organophosphorus (OP) insecticides and then endosulfan. However, poisoning with Class II toxicity OPs, particularly dimethoate and fenthion, remains a problem. We aimed to determine the effect and feasibility of a ban of the two insecticides in one Sri Lankan district. Methods. Sale was banned in June 2003 in most of Polonnaruwa District, but not Anuradhapura District. Admissions with pesticide poisoning to the district general hospitals was prospectively recorded from 2002. Results. Hospital admissions for dimethoate and fenthion poisoning fell by 43% after the ban in Polonnaruwa, while increasing by 23% in Anuradhapura. The pesticide case fatality fell from 14.4% to 9.0% in Polonnaruwa (odds ratio [OR] 0.59, 95% confidence interval [CI] 0.41–0.84) and 11.3% to 10.6% in Anuradhapura (OR 0.93, 95%CI 0.70–1.25; p = 0.051). This reduction was not sustained, with case fatality in Polonnaruwa rising to 12.1% in 2006–2007. Further data analysis indicated that the fall in case fatality had actually been due to a coincidental reduction in case fatality for pesticide poisoning overall, in particular for paraquat poisoning. Conclusions. We found that the insecticides could be effectively banned from agricultural practice, as shown by the fall in hospital admissions, with few negative consequences. However, the ban had only a minor effect on pesticide poisoning deaths because it was too narrow. A study assessing the agricultural and health effects of a more comprehensive ban of highly toxic pesticides is necessary to determine the balance between increased costs of agriculture and reduced health care costs and fewer deaths. PMID:22372788

  10. University Articulation, 1985-86 Academic Year: Provincial Report. Research Report 87-01.

    ERIC Educational Resources Information Center

    Forrester, G. C.; Hamaura, R.

    Information is provided on the academic performance and program selections of students transferring from community colleges in British Columbia (BC) to the three BC universities during the 1985-86 academic year, with reference to information from preceding years. Data for college transfer students are compared to data for direct-entry students…

  11. Towards Customized Privatization in Public Education in British Columbia: The Provincial Education Plan and Personalized Learning

    ERIC Educational Resources Information Center

    Sen, Vicheth

    2016-01-01

    Corporate school reform is a global movement that is gaining a growing momentum. Central to this reform agenda is "personalized learning," presented by its advocates as a better alternative to the traditional model of schooling. In spite of its appealing possibilities for education and society, scholars in countries such as the United…

  12. [Prevalence and associated factors of low birth weight in the provincial hospital of Mohammedia--Morocco].

    PubMed

    Hassoune, Samira; Bassel, Said; Nani, Samira; Maaroufi, Abderrahmane

    2015-07-01

    Low birth weight (LBW) constitutes a major public health problem, both in developed than in developing countries, due to its extent and its strong association with childhood morbidity and mortality. to estimate prevalence of low birth weight and determine its related factors in the Prefectoral Hospital in Mohammedia. We carried out a cross sectional study from May to July 2012 which concerned 713 newborns and theirs mothers. We collected information about socioeconomic and anthropometric factors and characteristics of pregnancy. A multivariate analysis was performed. Among the 713 studied newborns, 38 had LBW; the prevalence of LBW was 5,3% (95% CI: 3,7%-6,9%). Factors significantly associated with LBW in multivariate analysis were: mother age ( OR 9,27; IC95%:2,15-39,85), prematurity (OR 9,34; IC95%:1,29-67,32), twin pregnancy (OR 195,07; IC 95%:30,38-125,39) and gender of new born (OR 5,26; IC 95%:1,61-17,18). Well-balanced diet (OR 0,12; IC 95%:0,04-0,34) and hours of sleep equal or more than 8 per day (OR 0,20; IC 95%:0,07-0,58) were protector factors. Actions of education, screening and treatment of the diseases occurred in the pregnancy are necessary. Facilitating the access of pregnant women to high quality antenatal care, promoting a healthy lifestyle as a balanced diet, fighting against the active and passive smoking and offering a psychological support to the pregnant woman is necessary to reduce the prevalence of LBW and to improve the maternal and child health.

  13. The Czech Provincial Reconstruction Team: Civil-Military Teaming in Logar Province

    DTIC Science & Technology

    2013-03-01

    would like to particularly focus on the repair of roads, bridges and rehabilitation of agriculture, especially beekeeping . I believe that when once...collection centers, several silk farms, and a beekeeping center in Pol- e’Alam. All these projects show the long-term possibilities for local residents to

  14. Prevalence and management of potential candidates for simultaneous pancreas-kidney transplantation in a provincial setting.

    PubMed

    Suñer, M; López-Mendoza, M; Guerrero, A; Del Castillo Páez, M; Montes, R; Delgado, R; Rivera, M; Fernández, G; Jaraba, C; Lara, A; Gentil, M A

    2007-09-01

    Simultaneous pancreas-kidney (SPK) transplantation is the best therapeutic option for correctly selected diabetic patients with advanced chronic kidney disease (CKD). The objectives of this study were to quantify in a Spanish province the prevalence and incidence of type 1 and 2 diabetics with stage IV-V CKD who are potential candidates for SPK, and to analyze the selection for SPK in clinical practice. All patients with diabetic neuropathy (DN) in predialysis, hemodialysis, or peritoneal dialysis (PD) in our transplantation referral area (population, 1.8 million; data collection ended December 7, 2005) were examined for basic SPK criteria (NTO 2005 Consensus). A new assessment was performed 9 months later, including new possible recipients, and patients were classified as: follows in study, excluded after study, added to SPK waiting list, or SPK-transplanted. In 2005, there were 1371 patients in dialysis or predialysis, including 179 (13%) with DN (41 type 1 and 138 type 2 DM); only 16 of these patients (8.9% of DN patients), 8.9 per million population (PMP), met the basic criteria for SPK transplantation. There were 68 with DN in predialysis, including 8 (11.7%) possible SPK candidates; 7 with DN in PD, no candidates for SPK; and 104 patients with DN in hemodialysis, including 8 (7.2%) SPK candidates. After 9 months, 7 new potential candidates were identified (incidence of 5.1 PMP/y). Of 23 possible candidates, 3 refused SPK, 7 awaited completion of study, 8 were excluded after study, 1 was on the SPK waiting list, and 7 underwent SPK transplantation. In our setting, approximately 9% of DN patients with stage IV-V CKD were potential SPK candidates in 2005 and 2006. After completion of studies, less than half were eventually included on the waiting list, generating an effective demand for SPK of 2-4 new patients PMP/y.

  15. Teaching Reform and Practice of the Provincial-Level Quality Course: Quantum Mechanics

    ERIC Educational Resources Information Center

    Wang, Hongmei

    2010-01-01

    According to the actuality of Dezhou University, some useful reforms in teaching content, teaching method, and teaching measure are introduced, combining with the characteristics of the course of quantum mechanism in this article.

  16. A comparative study on the structure of population size at the provincial level in China.

    PubMed

    Yin, W

    1996-01-01

    This article describes and compares population size among provinces in China and changes in city population size structure. Statistical modeling is used to determine the potential impact of urban population scale distribution on urbanization and socioeconomic development. Indexes are constructed for the ratio of cities at three population size levels, the ratio of cities at two population size levels, and the ratio of population in the most populated cities to population in the least populated cities from a 10-group designation by city size. Findings indicate that the higher the city's "top-of-the-sequence degree" (the ratio of the largest city to the second largest city in a region), the higher its level of economic development. The larger the four city index, the lower the level of economic development. The larger the top-of-the sequence city's population scale, the faster the city's urbanization pace. Support is given for the view that development should focus on high ranking cities and multiscale coordination. Cities are ranked based on population sizes for 8 groups. The largest city has 5-10 million people. The first group includes three municipalities under the control of the central government that may be as large as the 8th group. 10 provinces and regions in the 7th rank have an extra-large city in the second group: Shanxi, Liaoning, Jilin, Heilongjiang, Jiangsu, Shandong, Hubei, Guangdong, Sichuan, and Shaanxi. The third group includes regions with two or more large economic development areas that have total population sizes smaller than the 10 aforementioned provinces. These third group provinces include Hebei, Inner Mongolia, Zhejiang, Anhui, Fujian, Jiangxi, Henan, Hunan, Guangxi, Guizhou, Yunnan, Gansu, and Xinjiang Uygur Autonomous Region. The fourth group includes regions that do not have a city large enough for development to occur: Hainan, Qinghai, Ningxia, and Tibet. Regions are further distinguished by the clusters of types of cities, and cities are grouped as small, medium, and large, and then into 6 types of regional groups.

  17. [Composition of the Araneae (Arachnida) fauna of the provincial Iberá Reserve, Corrientes, Argentina].

    PubMed

    Avalos, Gilberto; Damborsky, Miryam P; Bar, María E; Oscherov, Elena B; Porcel, E

    2009-01-01

    A survey of the spider community composition and diversity was carried out in grasslands and woods in three localities: Colonia Pellegrini, Paraje Galarza and Estancia Rinc6n (Iberá province Reserve). Pit fall traps, leaf litter sifting, foliage beating, hand collecting and sweep nets were used. Shannon's diversity index, evenness, Berger-Parker's dominance index, beta and gamma diversity were calculated, and a checklist of spider fauna was compiled. Species richness was estimated by Chao 1, Chao 2, first and second order Jack-knife. A total of 4,138 spiders grouped into 150 species from 33 families of Araneomorphae and two species from two families of Mygalomorphae were collected. Five species are new records for Argentina and eleven for Corrientes province. Araneidae was the most abundant family (39.8%), followed by Salticidae (10.9%), Anyphaenidae (7.9%), Tetragnathidae (7.4%), and Lycosidae (5.5%). The other families represented less than 5% of the total catch. The web-builder guild had the highest number of specimens and the highest richness index. The abundance, observed richness, Shannon diversity and evenness indexes were highest in Colonia Pellegrini woodland and Paraje Galarza grassland. Alpha diversity represented 89% of the gamma; the remaining 11% corresponded to beta diversity. According to the indexes, between 67% and 97% of the existing spider fauna was represented in the collected specimens from Iberá.

  18. The Prevalence of Paraphilic Interests and Behaviors in the General Population: A Provincial Survey.

    PubMed

    Joyal, Christian C; Carpentier, Julie

    2017-02-01

    Paraphilic sexual interests are defined as unusual or anomalous, but their actual occurrence in nonclinical samples is still unknown. This study looked at desire for and experience of paraphilic behaviors in a sample of adult men and women in the general population. A secondary goal was to compare the results of two survey modes-traditional landline telephone versus online. A total of 1,040 persons classified according to age, gender, education, ethnic background, religious beliefs, area of residency, and corresponding to the norm for the province of Quebec were interviewed. Nearly half of this sample expressed interest in at least one paraphilic category, and approximately one-third had had experience with such a practice at least once. Voyeurism, fetishism, frotteurism, and masochism interested both male and female respondents at levels above what is usually considered to be statistically unusual (15.9%). Interestingly, levels of interest in fetishism and masochism were not significantly different for men and women. Masochism was significantly linked with higher satisfaction with one's own sexual life. As expected, the online mode generated more acknowledgment of paraphilic interest than the telephone mode. These results call into question the current definition of normal (normophilic) versus anomalous (paraphilic) sexual behaviors.

  19. Review of the Effectiveness of the Provincial Reconstruction Team Program in Iraq

    DTIC Science & Technology

    2007-10-18

    Delta 214th Fires Bde PRT Dhi Qar Tallil Camp Adder Coalition (Italy) PST Muthanna As Samawah Camp Adder Coalition (Italy) PRT Basrah Basrah Basrah...Air Station Source: SIGIR analysis of OPA and MNC-I data Coalition (UK) PST Maysan Al Amarah Camp Adder Coalition (UK) //Key to Abbreviations...4704 Phone: 703-428-1059 Email : hillel.weinberg@sigir.mil Public Affairs Kristine Belisle Director, Public Affairs Mail: Office of the

  20. Agriculture and Provincial Reconstruction Teams: Assessing the Effectiveness of Agricultural Advisor Projects in Afghanistan

    DTIC Science & Technology

    2010-06-11

    information that inform an MOP or MOE.20 20U.S. Army, Field Manual (FM) 3-07, Stability Operations...Assessment. Washington, DC: USAID, June 2006. U.S. Army. Field Manual (FM) 3-07, Stability Operations. Washington, DC: Department of the Army...9Michael McNerney, “Stabilization and Reconstruction in Afghanistan: Are PRTs a Model or a Muddle?” Parameters (Winter 2005-06): 34. to date it

  1. [Sleep habits and traffic accidents in inter-provincial bus drivers of Arequipa, Peru].

    PubMed

    Caso, Alex; Rey de Castro, Jorge; Rosales-Mayor, Edmundo

    2014-01-01

    In order to determine sleep habits in bus drivers and their relationship to accidents in the city of Arequipa, Peru, a cross-sectional descriptive study was conducted in a non-probabilistic sample of 166 drivers. Driving hours per day were 9.4 ± 3.7. 54% (89) drive over 4 hours without stopping; 74% (123) drive at night; and 87% (145) sleep on the bus. 75% reported fatigue while driving (124). 27% (45) had drowsiness; 24% (40) reported having been in or on the verge of an accident while driving. Sleepiness or fatigue while driving was common in this population and their driving and rest habits could contribute to this.

  2. Audit of provincial IVIG Request Forms and efficacy documentation in four Ontario tertiary care centres.

    PubMed

    Shih, A W; Jamula, E; Diep, C; Lin, Y; Armali, C; Heddle, N M; Traore, A; Doherty, J; Shah, N; Hillis, C M

    2017-04-01

    Retrospective audit of IVIG Request Forms in four Ontario tertiary care centres: to determine the case mix of new IVIG requests, to authenticate information provided, and to determine documentation of clinical efficacy. To understand contributors to increases in IVIG utilisation and to determine whether IVIG is being used and monitored appropriately. Intravenous immunoglobulin (IVIG) use in Canada is high compared with other developed countries. We performed a retrospective audit of new IVIG Request Forms across four tertiary care centres in Ontario, one with an active surveillance programme, to determine the case mix, authenticate information provided and assess documentation of efficacy. Consecutive adult patients with a first-time IVIG request in 2014 were included. The ordering physician specialty, form completeness, documentation of diagnostic criteria for the medical condition and indication for IVIG use and documentation of efficacy were assessed by form and chart review. Of 178 patients, the most common indications for IVIG were immune thrombocytopenia (24.2%) and secondary immune deficiency (20.2%). The most frequent prescribers were haematologists (37.6%) and neurologists (10.7%). Other conditions not listed on the form represented 24.2% of cases, with most not indicated in current guidelines. A total of 32.6% of cases overall lacked verification of diagnostic criteria and 51.7% lacked verification for IVIG utilisation criteria, with the number of cases meeting criteria based on documentation being higher at the active surveillance site (P = 0.005). A total of 19.1% of cases had a discrepancy between the indication written on the form and the documented clinical diagnosis. A total of 18.7% of clinic notes following IVIG had no mention of efficacy. Our audit demonstrates a lack of compliance with IVIG Request Form requirements, a lack of documentation of diagnostic criteria and efficacy, and suggests inappropriate use of IVIG. Current implementation of the form may not be sufficient as a strategy for improving appropriate IVIG use. © 2017 British Blood Transfusion Society.

  3. Canada's Approach to School Funding: The Adoption of Provincial Control of Education Funding in Three Provinces

    ERIC Educational Resources Information Center

    Herman, Juliana

    2013-01-01

    The academic success of Finland, South Korea, and others on recent international tests has sparked a renewed interest among educators and those concerned with education policy in the United States in looking to other countries for examples of how we might improve our education system. Teacher training and quality in leading countries has received…

  4. Speed enforcement in China: National, provincial and city initiatives and their success.

    PubMed

    He, Jie; King, Mark; Watson, Barry; Rakotonirainy, Andry; Fleiter, Judy

    2013-01-01

    China is motorizing rapidly, with associated urban road development and extensive construction of motorways. Speeding accounts for about 10% of fatalities, which represents a large decrease from a peak of 17.2% in 2004. Speeding has been addressed at a national level through the introduction of laws and procedural requirements in 2004, in provinces either across all road types or on motorways, and at city level. Typically, documentation of speed enforcement programmes has taken place when new technology (i.e. speed cameras) is introduced, and it is likely that many programmes have not been documented or widely reported. In particular, the national legislation of 2004 and its implementation was associated with a large reduction in fatalities attributed to speeding. In Guangdong Province, after using speed detection equipment, motorway fatalities due to speeding in 2005 decreased by 32.5% comparing with 2004. In Beijing, the number of traffic monitoring units which were used to photograph illegal traffic activities such as traffic light violations, speeding and using bus lanes illegally increased to 1958 by April 1, 2009, and in the future such automated enforcement will become the main means of enforcement, expected to account for 60% of all traffic enforcement in Beijing. This paper provides a brief overview of the speeding enforcement programmes in China which have been documented and their successes.

  5. The influence of land urbanization on landslides: An empirical estimation based on Chinese provincial panel data.

    PubMed

    Li, Gerui; Lei, Yalin; Yao, Huajun; Wu, Sanmang; Ge, Jianping

    2017-04-10

    This study used panel data for 28 provinces and municipalities in China from 2003 to 2014 to investigate the relationship between land urbanization and landslides by building panel models for a national sample and subsamples from the three regions of China and studied the problems of landslide prevention measures based on the relationship. The results showed that 1) at the national level, the percentage of built-up area and road density are respectively negative and positive for landslides. 2) At the regional level, the improvement of landslide prevention measures with increasing economic development only appears in built-up areas. The percentage of built-up areas increases the number of landslides in the western region and decreases the number in the central and eastern regions; the degree of decrease in the eastern region is larger than in the central region. Road density increases the number of landslides in each region, and the degree increases gradually from the west to the east. 3) The effect of landslide prevention funding is not obvious. Although the amount of landslide prevention funds decreases the number of landslides at the national level, the degree of increase is too small. Except in the central region, the amount of landslide prevention funding did not decrease the number of landslides effectively in the western and eastern regions. We propose a series of policy implications based on these test results that may help to improve landslide prevention measures.

  6. Working in Concert: Federal, Provincial and Territorial Actions in Support of Literacy in Canada.

    ERIC Educational Resources Information Center

    Godin, Joanne, Ed.

    This document provides a snapshot of literacy programs and activities in Canada for 1995-96. The first section describes the National Literacy Secretariat (NLS), defines literacy, and discusses NLS's mandate, structure, and principles. It describes the following: (1) activity areas supported by NLS (developing learning materials, increasing public…

  7. Appendix: Elementary School Educational Methods of the Hunan-Kiangsi Provincial Soviet Cultural Committee

    ERIC Educational Resources Information Center

    Chinese Education, 1973

    1973-01-01

    The primary source document from the Kiangsi Soviet period of Chinese communist history discusses general principles for the educational method of Soviet education in China during the early 1930's, with special emphasis on the specific teaching methods used for each of the courses at a Lenin primary school. (RM)

  8. Early Successes in an Open Access, Provincially Funded Hepatitis C Treatment Program in Prince Edward Island.

    PubMed

    Smyth, Daniel; Francheville, Jordan W; Rankin, Robin; Beck, Jeremy; Hoare, Connie; Materniak, Stefanie; German, Greg; Barrett, Lisa; Bunimov-Wall, Natalie

    2017-01-01

    The availability of curative hepatitis C therapies has created an opportunity to improve delivery and access. Local providers, government, industry, and community groups in Prince Edward Island developed an innovative province-wide care model. Our goal was to describe the first year of program implementation. Using a community based prospective observational study design, all chronic hepatitis C referrals received from April 2015 to April 2016 were recorded in a database. Primary analysis assessed the time from referral to assessment/treatment, as well as the number of referrals, assessments, and treatment initiations. Secondary objectives included: 1) Treatment effectiveness using intention-to-treat analysis; and 2) Patient treatment experience assessed using demographics, adverse events, and medication adherence. During the study period 242 referrals were received, 123 patients were seen for intake assessments, and 93 initiated direct-acting antiviral therapy based on medical need. This is compared to 4 treatment initiations in the previous 2 years. The median time from assessment to treatment initiation was 3 weeks. Eighty-two of 84 (97.6%, 95% CI 91.7 - 99.7%) patients for whom outcome data were available achieved sustained virologic response at 12 weeks post-treatment; 1 was lost to follow-up and 1 died from an unrelated event. In the voluntary registry, 39.7% of patients reported missed treatment doses. In conclusion, results from the first 12 months of this multi-phase hepatitis C elimination strategy demonstrate improved access to treatment, and high rates of safe engagement and cure for patients living with chronic hepatitis C genotype 1 infections.

  9. A Critical Discourse Analysis of Provincial Policies Impacting Shelter Service Delivery to Women Exposed to Violence.

    PubMed

    Burnett, Camille; Ford-Gilboe, Marilyn; Berman, Helene; Ward-Griffin, Cathy; Wathen, Nadine

    2015-01-01

    Shelters for abused women function within a broad context that includes intersecting social structures, policies, and resources, which may constrain and limit the options available to abused women and tacitly reinforce the cycle of abuse. This feminist, qualitative study combined in-depth interviews and focus groups conducted with 37 staff and four executive directors from four shelters in Ontario, Canada, along with a critical discourse analysis of salient policy texts. Together, the interviews and critical discourse analysis formed an integrated analysis of the dialectic between policy as written and enacted. The study findings illuminate the complexity of the system and its impact on women, shelters, and the community and highlight how specific types of social policies and various social system subsystems and structures, and system configuration, shape the day to day reality of shelter service delivery and impact outcomes for abused women and their children. Collectively, these findings offer direction regarding where these policies could be improved and provide a basis for shelters, policy makers, advocates, and the community to strengthen current services and policies, potentially enhancing outcomes for women.

  10. Economic report on the cost of dengue fever in Vietnam: case of a provincial hospital

    PubMed Central

    Pham, Luyen Dinh; Phung, Nhat Huy Tran; Le, Nguyen Tu Dang; Vo, Trung Quang

    2017-01-01

    Background Dengue is a mosquito-borne viral illness with the world’s fastest rate of infection. In 2014, Vietnam had recorded 43,000 cases in 53 provinces, with 28 deaths. Materials and methods A 6-month cross-sectional study was conducted from September 2015 to March 2016 at Cu Chi General Hospital. Cost of illness in this study was estimated under the incidence-based approach from the societal perspective. Results The average cost per case was US$139.3±$61.7. The average cost per child was higher than per adult, but not significant ($151.0±$63.5 and $132.7±$59.9, respectively; P=0.068). Meanwhile, 50.2% of the total cost was contributed by the cost of hospital bed. According to the sensitivity analysis, if both the costs of the hospital bed and ultrasound were reduced by 10%, the total treatment cost of dengue fever would fall by 5% and 1.6%, respectively. Conclusion This study is expected to be the basis for investment-plan formulation and fund allocation for the treatment and prevention of dengue. In an attempt to examine the entire socioeconomic encumbrance caused by the dengue virus, a larger scale study targeting both dengue and dengue hemorrhagic fever needs to be conducted in several hospitals. PMID:28031723

  11. [Environmental evaluation near a fuel vendor within Parque Nacional Morrocoy, Venezuela. II: Water quality, sediments and biota].

    PubMed

    Rada, M; Losada, F

    2000-12-01

    This paper is the second part of a base line study carried out in the coastal region near a marine service station located in Morrocoy National Park, Venezuela. Results from a physical and chemical characterization of the water and sediments of four sites located around the service station are presented. The physical and chemical factors measured in water included: temperature, salinity, specific conductance, dissolved oxygen, saturation percentage of dissolved oxygen, pH, total suspended solids, transparency, oil and grease, total residual petroleum hydrocarbon, vanadium and lead, total coliform bacteria, and the presence of coliform bacteria. The factors measured in sediments include: granulometry, organic material, total carbonates, vanadium, lead, oil and grease, and total hydrocarbons. In addition, the amount of vanadium and lead in sample tissue from three species which are abundant and widely distributed in each site was measured in order to evaluate the potential of these species as bio-indicators. The water in the area where this study was conducted is shallow, warm, and thermally homogeneous, with high salinity and normal pH and dissolved oxygen, and supersaturated with oxygen in certain hours in sites adjacent to abundant underwater vegetation. The water is moderately turbid with a tendency towards less dissolved oxygen with increased depth. The estimated values of NMP/100 ml of the coliform fecal organisms is within legal limits even though the total number of water coliforms measured in Site 2 was ten times higher than in Site 1. This increase is associated with the proximity of Site 2 to an outflow of pre-treated sewage. The values of TRPH in the water collected from each site were low and very close to the detection limit (0.8/ml). Vanadium was not found, while lead was detected in 11 of the 12 samples. Compared to the values measured for Site 1, which was the local reference, only one sample had a concentration of three times the maximum baseline. The amount of lead found in all analyzed samples was acceptable, according to the standards set by the State of Washington (maximum value: 292 mg/kg), while the concentration of lead in the sediments around the supply dock were 1.5 to 3.4 times greater than the Dutch norm. It can be concluded that there is no evidence of an accumulation of Va or Pb in the species selected as bioindicators. An observation program is proposed in which variables similar to those measured for this characterization will be studied with some modifications. A more intense sampling of some variables is recommended (lead in water and sediments, total coliform and fecal matter in consecutive samples and in days following a high concentration of visitors) as is the elimination or minimization of other variables.

  12. The sandfly fauna (Diptera: Psychodidae: Phlebotominae) of the Parque Estadual da Serra da Tiririca, Rio de Janeiro, Brazil.

    PubMed

    Rodrigues, Andressa Alencastre Fuzari; Barbosa, Vanessa de Araújo; Andrade Filho, José Dilermando; Brazil, Reginaldo Peçanha

    2013-11-01

    Cutaneous leishmaniasis (CL) in the state of Rio de Janeiro is sporadic and can be characterised as a peridomestic transmission that occurs in modified natural environments. The aim of this work was to study the fauna and ecological characteristics of sandflies in an environmentally protected area (the State Park of Serra da Tiririca) within the remnants of the Atlantic Forest in the municipalities of Niterói and Maricá and their possible relationship with leishmaniasis. Captures were performed using light traps during the night once a month for one year in both sylvatic environments and areas surrounding homes near the park. A total of 1,037 sandflies were captured, belonging to nine genera and 12 species: Evandromyia tupynambai (34.1%), Migonemyia migonei (20.6%), Brumptomyia cunhai (13.8%), Micropygomyia schreiberi (9.7%), Psathyromyia lanei (6.5%), Brumptomyia nitzulescui (5.7%), Evandromyia edwardsi (5.4%), Nyssomyia intermedia (2.8%), Evandromyia cortelezzii (0.6%), Pintomyia bianchigalatiae (0.5%), Lutzomyia longipalpis (0.2%) and Sciopemyia microps (0.1%). Both Mg. migonei and Ny. intermedia may be acting as vectors of CL in this area.

  13. Bioenergetics and diving activity of internesting leatherback turtles Dermochelys coriacea at Parque Nacional Marino Las Baulas, Costa Rica.

    PubMed

    Wallace, Bryan P; Williams, Cassondra L; Paladino, Frank V; Morreale, Stephen J; Lindstrom, R Todd; Spotila, James R

    2005-10-01

    Physiology, environment and life history demands interact to influence marine turtle bioenergetics and activity. However, metabolism and diving behavior of free-swimming marine turtles have not been measured simultaneously. Using doubly labeled water, we obtained the first field metabolic rates (FMRs; 0.20-0.74 W kg(-1)) and water fluxes (16-30% TBW day(-1), where TBW=total body water) for free-ranging marine turtles and combined these data with dive information from electronic archival tags to investigate the bioenergetics and diving activity of reproductive adult female leatherback turtles Dermochelys coriacea. Mean dive durations (7.8+/-2.4 min (+/-1 s.d.), bottom times (2.7+/-0.8 min), and percentage of time spent in water temperatures (Tw) < or =24 degrees C (9.5+/-5.7%) increased with increasing mean maximum dive depths (22.6+/-7.1 m; all P< or =0.001). The FMRs increased with longer mean dive durations, bottom times and surface intervals and increased time spent in Tw< or =24 degrees C (all r2> or =0.99). This suggests that low FMRs and activity levels, combined with shuttling between different water temperatures, could allow leatherbacks to avoid overheating while in warm tropical waters. Additionally, internesting leatherback dive durations were consistently shorter than aerobic dive limits calculated from our FMRs (11.7-44.3 min). Our results indicate that internesting female leatherbacks maintained low FMRs and activity levels, thereby spending relatively little energy while active at sea. Future studies should incorporate data on metabolic rate, dive patterns, water temperatures, and body temperatures to develop further the relationship between physiological and life history demands and marine turtle bioenergetics and activity.

  14. The sandfly fauna (Diptera: Psychodidae: Phlebotominae) of the Parque Estadual da Serra da Tiririca, Rio de Janeiro, Brazil

    PubMed Central

    Rodrigues, Andressa Alencastre Fuzari; Barbosa, Vanessa de Araújo; Andrade, José Dilermando; Brazil, Reginaldo Peçanha

    2013-01-01

    Cutaneous leishmaniasis (CL) in the state of Rio de Janeiro is sporadic and can be characterised as a peridomestic transmission that occurs in modified natural environments. The aim of this work was to study the fauna and ecological characteristics of sandflies in an environmentally protected area (the State Park of Serra da Tiririca) within the remnants of the Atlantic Forest in the municipalities of Niterói and Maricá and their possible relationship with leishmaniasis. Captures were performed using light traps during the night once a month for one year in both sylvatic environments and areas surrounding homes near the park. A total of 1,037 sandflies were captured, belonging to nine genera and 12 species: Evandromyia tupynambai (34.1%), Migonemyia migonei (20.6%), Brumptomyia cunhai (13.8%), Micropygomyia schreiberi (9.7%), Psathyromyia lanei (6.5%), Brumptomyia nitzulescui (5.7%), Evandromyia edwardsi (5.4%), Nyssomyia intermedia (2.8%), Evandromyia cortelezzii (0.6%), Pintomyia bianchigalatiae (0.5%), Lutzomyia longipalpis (0.2%) and Sciopemyia microps (0.1%). Both Mg. migonei and Ny. intermedia may be acting as vectors of CL in this area. PMID:24141956

  15. Desktop analysis of potential impacts of visitor use: a case study for the highest park in the Southern Hemisphere.

    PubMed

    Barros, Agustina; Pickering, Catherine; Gudes, Ori

    2015-03-01

    Nature-based tourism and recreation activities have a range of environmental impacts, but most protected area agencies have limited capacity to assess them. To prioritise where and what impacts to monitor and manage, we conducted a desktop assessment using Geographical Information Systems (GIS) by combining recreation ecology research with data on visitor usage and key environmental features for a popular protected area used for mountaineering and trekking, Aconcagua Provincial Park (2400-6962 m a.s.l.) in the Andes of Argentina. First, we integrated visitor data from permits with environmental data using GIS. We then identified key impact indicators for different activities based on the recreation ecology literature. Finally, we integrated this data to identify likely ecological impacts based on the types of activities, amount of use and altitudinal zones. Visitors only used 2% of the Park, but use was concentrated in areas of high conservation value including in alpine meadows and glacier lakes. Impacts on water resources were likely to be concentrated in campsites from the intermediate to the nival/glacial zones of the Park while impacts on terrestrial biodiversity were likely to be more severe in the low and intermediate alpine zones (2400-3800 m a.s.l.). These results highlight how visitor data can be used to identify priority areas for on-ground assessment of impacts in key locations. Improvements to the management of visitors in this Park involves more effective ways of dealing with water extraction and human waste in high altitude campsites and the impacts of hikers and pack animals in the low and intermediate alpine zones. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. Teacher Collaborative Inquiry in Ontario Elementary Schools: An Analysis of Provincial and School Board Policies and Support Documents

    ERIC Educational Resources Information Center

    Kutsyuruba, Benjamin; Christou, Theodore; Heggie, Lindsay; Murray, James; Deluca, Christopher

    2015-01-01

    Collaborative inquiry (CI) has emerged as a dominant structure for educators' professional learning in the 21st century. The purpose of this paper is to analyze publicly available documents and policies related to CI in Ontario in order to better understand the documentary scope and spread of this professional learning model in the province. We…

  17. [Epidemiological retrospective survey intestinal parasitism in the Provincial Hospital Center (Kenitra, Morocco): review of 10 years (1996-2005)].

    PubMed

    El Guamri, Y; Belghyti, D; Achicha, A; Tiabi, M; Aujjar, N; Barkia, A; El Kharrim, K; Barkia, H; El-Fellaki, E; Mousahel, R; Bouachra, H; Lakhal, A

    2009-01-01

    The survey drew up the epidemiological situation of intestinal parasitism in the center of health El Idrissi (Kenitra, Morocco). The number of reviews has decreased between 1996 and 2005. A correlation between the number of examinations and years of the study period was observed (p <0.001). 4285 stool specimens collected in 1996-2005 were tested by parasitologic examination. Among the persons examined, 606 of them were parasited by one or several species, say an infestation index of 14.15%. Amoeba were frequently observed (47.04%) with prevalence of Entamoeba histolytica (23.74%), followed by Flagella (28.79%) represented by: Giardia intestinalis (22.71%), Trichomonas intestinalis (5.49%) and Chilomastix mesnilii (0.60%). Helminthes were less found. Ascaris lumbricoides was frequent among helminthes (11.87%), followed by Trichuris trichiura (5.64%), Hymenolepis nana (2.68%), Enterobius vermicularis (2.08%), Taenia saginata (0.75%) and Stronyloides stercoralis (0.45%). The clinical symptoms were observed in 110 subjects with parasites (110/606 or 18.15%) characterized by abdominal pain (75 cases) and association diarrhea more abdominal pain (35 cases). The relationship between the infestation index calculed, sex, age, the annual and seasonal changes, polyparasitism and intestinal parasitic infection is discussed.

  18. Environmental, Ethical and Safety Issues in Chemistry/Science Curricula in Papua New Guinea Provincial High Schools

    ERIC Educational Resources Information Center

    Palmer, W. P.

    1986-01-01

    Chemistry occupies only a small portion of the Papua New Guinea science curriculum in grades seven to ten. Science itself occupies only a small proportion of the total curriculum. Nevertheless the existing syllabus, and previous and planned future revisions of it, give considerable prominence to environmental, health and safety issues. There is a…

  19. The Social Mechanisms of the Reproduction of the Cultural Capital of Families in a Provincial Russian City

    ERIC Educational Resources Information Center

    Ochkina, A. V.

    2011-01-01

    Research on the reproduction of cultural capital in Russia shows that it requires not only appropriate motivation on the part of parents, close association between parents and children, but also institutional and material support. Inadequate financial resources, breakdowns in the functioning of the system of education and culture, and conflicts in…

  20. Differential temperature preferences and thresholds among summer campers in Ontario's southern provincial parks: a Canadian case study in tourism climatology

    NASA Astrophysics Data System (ADS)

    Hewer, Micah J.; Scott, Daniel J.; Gough, William A.

    2017-08-01

    Weather and climate are important factors in relation to outdoor recreation and tourism. Camping and park visitation are weather sensitive activities very likely to be impacted by projected climate change. Temperature is the weather variable that has received the greatest attention within the tourism climatology literature and was the greatest predictor of park visitation within previous assessments. This study uses a stated climate preferences approach, relying on survey-based data, to explore differences for temperature preferences and thresholds among campers in Ontario parks. Statistically significant differences (at the 95% confidence level) in mean values for temperature preferences and thresholds were recorded based on various camper characteristics, such as the following: activity selection, age, gender, distance travelled, length of stay, life cycle stage, camping experience, and camping equipment. Swimmers preferred warmer day-time temperatures. Older campers preferred cooler temperatures and were more sensitive to heat stress, in the day and night time. Females preferred warmer temperatures and were less sensitive to heat stress during the night time. Campers who had travelled further distances to reach the park or planned to stay for longer periods were less sensitive to heat stress. Campers with children in their group preferred warmer temperatures and were less sensitive to heat stress, in the day and at night. Respondents with higher levels of camping experience preferred warmer temperatures at night. Tent campers were less sensitive to heat stress, in the day and at night. The results of this study have direct implications for previous and future climate change impact assessments on park visitation.

  1. A systematic review to identify areas of enhancements of pandemic simulation models for operational use at provincial and local levels

    PubMed Central

    2012-01-01

    Background In recent years, computer simulation models have supported development of pandemic influenza preparedness policies. However, U.S. policymakers have raised several concerns about the practical use of these models. In this review paper, we examine the extent to which the current literature already addresses these concerns and identify means of enhancing the current models for higher operational use. Methods We surveyed PubMed and other sources for published research literature on simulation models for influenza pandemic preparedness. We identified 23 models published between 1990 and 2010 that consider single-region (e.g., country, province, city) outbreaks and multi-pronged mitigation strategies. We developed a plan for examination of the literature based on the concerns raised by the policymakers. Results While examining the concerns about the adequacy and validity of data, we found that though the epidemiological data supporting the models appears to be adequate, it should be validated through as many updates as possible during an outbreak. Demographical data must improve its interfaces for access, retrieval, and translation into model parameters. Regarding the concern about credibility and validity of modeling assumptions, we found that the models often simplify reality to reduce computational burden. Such simplifications may be permissible if they do not interfere with the performance assessment of the mitigation strategies. We also agreed with the concern that social behavior is inadequately represented in pandemic influenza models. Our review showed that the models consider only a few social-behavioral aspects including contact rates, withdrawal from work or school due to symptoms appearance or to care for sick relatives, and compliance to social distancing, vaccination, and antiviral prophylaxis. The concern about the degree of accessibility of the models is palpable, since we found three models that are currently accessible by the public while other models are seeking public accessibility. Policymakers would prefer models scalable to any population size that can be downloadable and operable in personal computers. But scaling models to larger populations would often require computational needs that cannot be handled with personal computers and laptops. As a limitation, we state that some existing models could not be included in our review due to their limited available documentation discussing the choice of relevant parameter values. Conclusions To adequately address the concerns of the policymakers, we need continuing model enhancements in critical areas including: updating of epidemiological data during a pandemic, smooth handling of large demographical databases, incorporation of a broader spectrum of social-behavioral aspects, updating information for contact patterns, adaptation of recent methodologies for collecting human mobility data, and improvement of computational efficiency and accessibility. PMID:22463370

  2. [Anuran richness and composition in the Eastern region of Iberá Wetlands Provincial Nature Reserve, Corrientes, Argentina].

    PubMed

    del Rosario, Ingaramo María; Etchepare, Eduardo Gabriel; Alvarez, Blanca Beatriz; Porcel, Eduardo

    2012-06-01

    In recent decades, the concern for biodiversity conservation has increased in importance, especially due to the loss of highly biodiverse natural areas such as wetlands. Despite the high fauna diversity inhabiting the Iberá, the information about its composition, structure and dynamics is scarce, and amphibians are typical and conspicuous representatives of these Neotropical areas. To generate new information about this group, the amphibian composition from two villages (Paraje Galarza and Colonia Carlos Pellegrini), belonging to two different fitogeographic regions in the Eastern edge of the Iberá, were described and compared. Samples were taken, from a respective area of 100km2 that included five landscape units (wetlands, streams and swamps, grasslands, forest and a permanent/temporal pond) each, during the four seasons between January 2007 and March 2008. The techniques applied were the Complete Species Inventories (Unrestricted direct search) and Visual Encounter Surveys (VES). A total of 28 species were found, and represented the 70% of the previously registered taxa for the whole wetland. Scinax similis and Rhinella azarai were recorded for the first time in the Iberá Wetlands. No significant differences were found in the anuran specific richness between the surveyed villages, since the 95% of confidence intervals for the species accumulation curves were superimposed. In both villages, the wetlands, streams and swamps, and the permanent pond landscapes, showed the higher species richness when compared to the others. According to the Chao2, Jacknifel and ICE estimators, the inventory completeness of species, oscillated among 88% and 98% for the whole area. The dendrogram analysis based on the Jaccard similarity index, showed that wetlands, streams and swamps were grouped and well separated from grasslands. To guarantee the conservation of the high anuran richness that inhabit the Iberá Wetland, we recommend that representative areas of each landscape must be protected.

  3. Substance abuse treatment and pressures from the criminal justice system: data from a provincial client monitoring system.

    PubMed

    Rush, Brian R; Wild, T Cameron

    2003-08-01

    Compulsory treatment is discussed increasingly as a way to reduce the population burden of addictive behaviours. This study explores the extent to which social control strategies exercised through the criminal justice system are used to bring people into substance abuse treatment at a system level. We also assessed whether particular subgroups may be more or less likely to be brought into treatment in this manner. We employed a secondary analysis of data from a client-based information system which captured demographic, referral and substance use characteristics from people seeking treatment for substance abuse. A census of clients (n = 45123) entering specialized Ontario addiction treatment programmes between 1 April 1999 and 31 March 2000. Some 28.9% of clients reported legal problems at treatment intake, and 13.9% had an explicit corrections-related condition of treatment contact. Logistic regression analyses indicated that legal problems and corrections-related conditions of treatment were more prevalent among younger, unmarried and unemployed males, who had not completed high school. A number of important interactions were identified between these factors and substance of abuse. Implications for equity, accessibility and effectiveness of substance abuse treatment are discussed in relation to the tendency of treatment mandates from criminal justice system to disproportionately affect the entry of this segment of substance-abusing clients.

  4. Eggs, rags and whist drives: popular munificence and the development of provincial medical voluntarism between the wars

    PubMed Central

    Hayes, Nick; Doyle, Barry M.

    2014-01-01

    Drawing on hospital reports, committee minutes and the local press, this article examines the changing landscape of urban civic culture and challenges the pessimistic accounts of charitable financial support for voluntary hospitals in inter-war England.Through case studies of hospitals in four of the largest cities in the country, it assesses the extent to which voluntary resources of time and money continued to underpin day-to-day institutional income, stimulate the development of the hospitals’ estates and investments, and enable hospitals to cut costs through the receipt of gifts in kind. It argues that by broadening the bases of charitable income, hospitals were freed from their dependence on the wealthy thus ensuring their transformation to modern community resources for all. PMID:25258473

  5. Utilisation of an electronic portfolio to engage rehabilitation professionals in continuing professional development: results of a provincial survey.

    PubMed

    Foucault, Marie-Lyse; Vachon, Brigitte; Thomas, Aliki; Rochette, Annie; Giguère, Charles-Édouard

    2017-03-14

    ePortfolios are frequently used to support continuing professional development (CPD) of rehabilitation professionals. Though this tool is now widely implemented in many professions by regulatory organisations, very few studies have investigated the use and impact among rehabilitation professionals. Implementation of comprehensive ePortfolios that are centred on the needs of rehabilitation professionals requires documenting their level of use and perceived outcomes. The objectives were to describe how occupational therapists use a mandatory ePortfolio that has been recently implemented by a regulatory organisation in Quebec (Canada) and the perceived outcomes of this requirement on continuing professional development and practice change. An online survey was sent to all registered occupational therapists in Quebec using the ePortfolio. The survey content was developed based on a literature review and expert consultation. Results were analysed using descriptive statistics. A total of 546 respondents completed the survey. Results show relatively high levels of ease and satisfaction with the tool, but a limited perception of the tool's impacts on the improvement of professional competencies and change in practices. Occupational therapists reported that use of the ePortfolio supports their engagement in CPD but has limited impact on practice. Promotion of work-based learning, team use and mentor support could increase its meaningfulness for professionals. Implications for Rehabilitation To improve attitudes and beliefs about benefits related to portfolio use, rehabilitation practitioners need a very clear understanding of the purpose and usefulness of a portfolio in clinical practice. Most of the respondents saw the ePortfolio as helping them develop and implement a continuing professional development plan and reflect on the changes needed in their practice. Portfolio use in teams and productive reflection should be promoted in order to target shared objectives for continuous practice improvement. Rehabilitation professionals trained in portfolio use during their entry-level studies have a slightly more positive attitude towards portfolio use and impact of this use compared with than clinicians who have not had this training.

  6. Predictors of seeking emergency medical help during overdose events in a provincial naloxone distribution programme: a retrospective analysis

    PubMed Central

    Ambrose, Graham; Amlani, Ashraf; Buxton, Jane A

    2016-01-01

    Objectives This study sought to identify factors that may be associated with help-seeking by witnesses during overdoses where naloxone is administered. Setting Overdose events occurred in and were reported from the five regional health authorities across British Columbia, Canada. Naloxone administration forms completed following overdose events were submitted to the British Columbia Take Home Naloxone programme. Participants All 182 reported naloxone administration events, reported by adult men and women and occurring between 31 August 2012 and 31 March 2015, were considered for inclusion in the analysis. Of these, 18 were excluded: 10 events which were reported by the person who overdosed, and 8 events for which completed forms did not indicate whether or not emergency medical help was sought. Primary and secondary outcome measures Seeking emergency medical help (calling 911), as reported by participants, was the sole outcome measure of this analysis. Results Medical help was sought (emergency services—911 called) in 89 (54.3%) of 164 overdoses where naloxone was administered. The majority of administration events occurred in private residences (50.6%) and on the street (23.4%), where reported rates of calling 911 were 27.5% and 81.1%, respectively. Overdoses occurring on the street (compared to private residence) were significantly associated with higher odds of calling 911 in multivariate analysis (OR=10.68; 95% CI 2.83 to 51.87; p<0.01), after adjusting for other variables. Conclusions Overdoses occurring on the street were associated with higher odds of seeking emergency medical help by responders. Further research is needed to determine if sex and stimulant use by the person who overdosed are associated with seeking emergency medical help. The results of this study will inform interventions within the British Columbia Take Home Naloxone programme and other jurisdictions to encourage seeking emergency medical help. PMID:27329442

  7. Scrutinizing and Assessing the Performance of the German and U.S.-Led Provincial Reconstruction Teams in Afghanistan

    DTIC Science & Technology

    2008-06-01

    Alliance; the Rome group, composed of the family and supporters of the former King Zahir Shah; the Peshawar group, Pashtun mujahedin, tribal and religious...Afghanistan Jane’s Sentinel Security Assessment,[ 2007]) (accessed April 26, 2007). 28 Christopher M . Blanchard, Afghanistan: Narcotics and U.S. Policy...activities, primarily conducted by the Taliban, beginning in mid- 2006. Thomas H. Johnson and M . Chris Mason discuss in their article, “Understanding the

  8. Improvement actions in waste management systems at the provincial scale based on a life cycle assessment evaluation.

    PubMed

    Rigamonti, L; Falbo, A; Grosso, M

    2013-11-01

    This paper reports some of the findings of the 'GERLA' project: GEstione Rifiuti in Lombardia - Analisi del ciclo di vita (Waste management in Lombardia - Life cycle assessment). The project was devoted to support Lombardia Region in the drafting of the new waste management plan by applying a life cycle thinking perspective. The present paper mainly focuses on four Provinces in the Region, which were selected based on their peculiarities. Life cycle assessment (LCA) was adopted as the methodology to assess the current performance of the integrated waste management systems, to discuss strengths and weaknesses of each of them and to design their perspective evolution as of year 2020. Results show that despite a usual business approach that is beneficial to all the provinces, the introduction of technological and management improvements to the system provides in general additional energy and environmental benefits for all four provinces. The same improvements can be easily extended to the whole Region, leading to increased environmental benefits from the waste management sector, in line with the targets set by the European Union for 2020.

  9. Initial integration of chiropractic services into a provincially funded inner city community health centre: a program description

    PubMed Central

    Passmore, Steven R.; Toth, Audrey; Kanovsky, Joel; Olin, Gerald

    2015-01-01

    Background: The burden of fees for chiropractic services rendered often falls on the patient and must be provided out-of-pocket regardless of their socioeconomic status and clinical need. Universal healthcare coverage reduces the financial barrier to healthcare utilization, thereby increasing the opportunity for the financially disadvantaged to have access to care. In 2011 the Canadian Province of Manitoba initiated a pilot program providing access to chiropractic care within the Mount Carmel Clinic (MCC), a non-secular, non-profit, inner city community health centre. Objective: To describe the initial integration of chiropractic services into a publically funded healthcare facility including patient demographics, referral patterns, treatment practices and clinical outcomes. Method: A retrospective database review of chiropractic consultations in 2011 (N=177) was performed. Results: The typical patient referred for chiropractic care was a non-working (86%), 47.3(SD=16.8) year old, who self-identified as Caucasian (52.2%), or Aboriginal (35.8%) and female (68.3%) with a body mass index considered obese at 30.4(SD=7.0). New patient consultations were primarily referrals from other health providers internal to the MCC (71.2%), frequently primary care physicians (76%). Baseline to discharge comparisons of numeric rating scale scores for the cervical, thoracic, lumbar, sacroiliac and extremity regions all exceeded the minimally clinically important difference for reduction in musculoskeletal pain. Improvements occurred over an average of 12.7 (SD=14.3) treatments, and pain reductions were also statistically significant at p<0.05. Conclusion: Chiropractic services are being utilized by patients, and referring providers. Clinical outcomes indicate that services rendered decrease musculoskeletal pain in an inner city population. PMID:26816049

  10. Biogeography of Triassic tetrapods: evidence for provincialism and driven sympatric cladogenesis in the early evolution of modern tetrapod lineages

    PubMed Central

    Ezcurra, Martin D.

    2010-01-01

    Triassic tetrapods are of key importance in understanding their evolutionary history, because several tetrapod clades, including most of their modern lineages, first appeared or experienced their initial evolutionary radiation during this Period. In order to test previous palaeobiogeographical hypotheses of Triassic tetrapod faunas, tree reconciliation analyses (TRA) were performed with the aim of recovering biogeographical patterns based on phylogenetic signals provided by a composite tree of Middle and Late Triassic tetrapods. The TRA found significant evidence for the presence of different palaeobiogeographical patterns during the analysed time spans. First, a Pangaean distribution is observed during the Middle Triassic, in which several cosmopolitan tetrapod groups are found. During the early Late Triassic a strongly palaeolatitudinally influenced pattern is recovered, with some tetrapod lineages restricted to palaeolatitudinal belts. During the latest Triassic, Gondwanan territories were more closely related to each other than to Laurasian ones, with a distinct tetrapod fauna at low palaeolatitudes. Finally, more than 75 per cent of the cladogenetic events recorded in the tetrapod phylogeny occurred as sympatric splits or within-area vicariance, indicating that evolutionary processes at the regional level were the main drivers in the radiation of Middle and Late Triassic tetrapods and the early evolution of several modern tetrapod lineages. PMID:20392730

  11. Biogeography of Triassic tetrapods: evidence for provincialism and driven sympatric cladogenesis in the early evolution of modern tetrapod lineages.

    PubMed

    Ezcurra, Martin D

    2010-08-22

    Triassic tetrapods are of key importance in understanding their evolutionary history, because several tetrapod clades, including most of their modern lineages, first appeared or experienced their initial evolutionary radiation during this Period. In order to test previous palaeobiogeographical hypotheses of Triassic tetrapod faunas, tree reconciliation analyses (TRA) were performed with the aim of recovering biogeographical patterns based on phylogenetic signals provided by a composite tree of Middle and Late Triassic tetrapods. The TRA found significant evidence for the presence of different palaeobiogeographical patterns during the analysed time spans. First, a Pangaean distribution is observed during the Middle Triassic, in which several cosmopolitan tetrapod groups are found. During the early Late Triassic a strongly palaeolatitudinally influenced pattern is recovered, with some tetrapod lineages restricted to palaeolatitudinal belts. During the latest Triassic, Gondwanan territories were more closely related to each other than to Laurasian ones, with a distinct tetrapod fauna at low palaeolatitudes. Finally, more than 75 per cent of the cladogenetic events recorded in the tetrapod phylogeny occurred as sympatric splits or within-area vicariance, indicating that evolutionary processes at the regional level were the main drivers in the radiation of Middle and Late Triassic tetrapods and the early evolution of several modern tetrapod lineages.

  12. Agency Stovepipes vs Strategic Agility: Lessons We Need to Learn from Provincial Reconstruction Teams in Iraq and Afghanistan

    DTIC Science & Technology

    2008-04-01

    local metal working shop, November 6, 2007. (U.S. Air Force photo/ SSgt Joshua T Jasper ) AGENCY STOVEPIPES VERSUS STRATEGIC AGILITY 3 HASC...General David W. Barno, USA (Ret.) Director, Near East South Asia Center for Strategic Studies National Defense University Ambassador Karl F

  13. Incidence Rates and Predictors of Colectomy for Ulcerative Colitis in the Era of Biologics: Results from a Provincial Database.

    PubMed

    Abou Khalil, Maria; Boutros, Marylise; Nedjar, Hacene; Morin, Nancy; Ghitulescu, Gabriela; Vasilevsky, Carol-Ann; Gordon, Philip; Rahme, Elham

    2017-08-14

    We evaluated long-term incidence and identified risk factors of colectomy in pre-biologics and biologics eras for treatment of ulcerative colitis. After IRB approval, using data obtained from the Régie d'assurance maladie du Québec, we defined two cohorts: pre-biologics (1998-2004) and biologics (2005-2011) eras. Patients with inflammatory bowel disease or colectomy 1 year prior to first diagnosis of ulcerative colitis were excluded. Multivariate logistic regression model compared patient baseline characteristics. Kaplan-Meier curves displayed unadjusted time to event. Cox proportional hazards models were used to compare adjusted colectomy and mortality rates, respectively. In pre-biologics and biologics eras, 335/2829 and 314/3313 patients, respectively, underwent colectomy. Median follow-up (first and third quartiles) was similar (p = 0.206). Incidence rates for colectomy were 36.08/1000 and 29.99/1000 patient years. Unadjusted rate of colectomy was higher in pre-biologics era (p = 0.004). Predictors of colectomy included anemia (1.66; 1.38-2.01), gastrointestinal hospitalizations (1.24; 1.04-1.47), congestive heart failure (2.08; 1.27-3.40), and male gender (1.47; 1.26-1.72). Mortality was 8.06 and 3.18% in pre-biologics and biologics eras. After adjusting for potential confounders, age (1.08; 1.05-1.12) and urgent colectomy (5.65; 2.19-14.54) remained associated with increased mortality hazard. Incidence of colectomy decreased after introduction of biologics. Risk factors for colectomy were gastrointestinal hospitalizations, anemia, male gender, and congestive heart failure. Emergent surgery and age were predictors of mortality.

  14. Non-fatal injuries sustained in road traffic accidents: a pilot study in provincial hospitals in Chon Buri, Thailand.

    PubMed

    Jirojwong, Sansnee; Rudtanasudjatum, Koolarb; Watcharavitoon, Pornpun; Sathitsathien, Wilai; Sangjun, Sunisa

    2002-03-01

    The characteristics of patients with non-fatal road traffic injuries who received care from non-referral hospitals are described; an assessment of the difference between the characteristics of patients who received care at a referral hospital and those of patients who were treated at non-referral hospitals is made. A retrospective study, conducted in Chon Buri Province, Thailand, reviewed information from two sources: 324 records from eight non-referral hospitals and the 1999 Injury Surveillance Report of Chon Buri Hospital, a referral hospital. A data collection tool was designed to retrieve information from the non-referral hospitals. Data were analysed descriptively and analytically. The majority of the patients of the non-referral hospitals were male (71.1%) motorcyclists (84.2%), and received ambulatory care (83.9%). Young patients had a higher risk of being admitted to these hospitals. Non-motorcyclists, pedestrians, and nonlocal persons were more likely to receive care from the referral hospital. The results were similar to those of previous studies. The different characteristics of patients who receive care at referral--and non-referral hospitals need to be taken into account when designing traffic accident reduction programs.

  15. The Social Mechanisms of the Reproduction of the Cultural Capital of Families in a Provincial Russian City

    ERIC Educational Resources Information Center

    Ochkina, A. V.

    2011-01-01

    Research on the reproduction of cultural capital in Russia shows that it requires not only appropriate motivation on the part of parents, close association between parents and children, but also institutional and material support. Inadequate financial resources, breakdowns in the functioning of the system of education and culture, and conflicts in…

  16. "Primary Connections" in a Provincial Queensland School System: Relationships to Science Teaching Self-Efficacy and Practices

    ERIC Educational Resources Information Center

    Albion, Peter R.; Spence, Karen G.

    2013-01-01

    The teaching of science is important, both to meet the need for future workers in fields requiring scientific capability and to equip students for full participation in modern societies where many decisions depend upon knowledge of science. However, many teachers in Australian primary schools do not allocate science education sufficient amounts of…

  17. How does green technology influence CO2 emission in China?--An empirical research based on provincial data of China.

    PubMed

    Ding, Weina; Han, Botang; Zhao, Xin; Mazzanti, Massimiliano

    2015-07-01

    This paper investigates the role of green innovations aimed at reducing carbon dioxide emissions as a factor that compensates for growth and population effects. It has been shown from tests that the positive effect of green innovations on carbon emissions exists within a STIRPAT framework from a local perspective. The panel data is derived from China Statistical Yearbook and China Intellectual Property Office covered from 1999 to 2013. In addition,the static panel model was run to estimate the diversity among three typical regions of China. The main result shows that the green technology change has not played a dominant role yet in promoting environmental protection, while a scale effect (Affluence and Population)still prevails, although green patents show positive influences on the CO2 emission reduction inthe whole country as well as the East and West regions, except the Central region. Moreover, it turns out that the classical EKC hypothesis does stand in China, referring to the three regions with the inverted "U" shape. The analysis gives suggestions to the policy makers, which would support enlarging the investment scale on green patents and encourage international corporation with environmental related innovations.

  18. e-Learning in Higher Education Makes Its Debut in Cambodia: Implications of the Provincial Business Education Project

    ERIC Educational Resources Information Center

    Abdon, Buenafe R.; Ninomiya, Seishi; Raab, Robert T.

    2007-01-01

    Developing countries face a number of challenges in their efforts to compete successfully in the new global economy. Perhaps the most critical resource needed to achieve these goals is trained human capital. While many developing countries are trying to address this need through traditional means, this may not be the most effective or efficient…

  19. Is the Quebec provincial administrative database a valid source for research on chronic non-cancer pain?

    PubMed

    Lacasse, Anaïs; Ware, Mark A; Dorais, Marc; Lanctôt, Hélène; Choinière, Manon

    2015-09-01

    The objective of this study was to evaluate the validity of diagnostic codes recorded in the Régie de l'assurance maladie du Québec (RAMQ) administrative database for identifying patients suffering from various types of chronic non-cancer pain. The validity of published International Classification of Diseases, Ninth Revision, coding algorithms for identifying patients with particular chronic pain syndromes in the RAMQ database was tested using pain specialist-established diagnostic data of 561 patients enrolled in the Quebec Pain Registry, which was used as the reference standard. Modified versions of these algorithms (i.e., adaptation of the number of healthcare encounters) were also tested. For each algorithm, sensitivity, specificity, positive/negative predictive values, and their respective 95% confidence intervals (95%CI) were calculated. In the RAMQ database, some previously published algorithms and modified versions of these algorithms were found to be valid for identifying patients suffering from chronic lumbar pain (sensitivity: 0.65, 95%CI: 0.59-0.71; specificity: 0.83, 95%CI: 0.79-0.87), chronic back pain (sensitivity: 0.70, 95%CI: 0.64-0.76; specificity: 0.73, 95%CI: 0.68-0.78), and chronic neck/back pain (sensitivity: 0.71, 95%CI: 0.65-0.76; specificity: 0.78, 95%CI: 0.72-0.82). Algorithms to identify patients with other types of chronic pain showed low sensitivity: complex regional pain syndrome (≤0.07), fibromyalgia (≤0.42), and neuropathic pain (≤0.39). Our study provides evidence supporting the value of the RAMQ administrative database for conducting research on certain types of chronic pain disorders including back and neck pain. Users should, however, be cautious about the limitations of this database for studying other types of chronic pain syndromes such as complex regional pain syndrome, fibromyalgia, and neuropathic pain. Copyright © 2015 John Wiley & Sons, Ltd.

  20. Driving factors of carbon dioxide emissions in China: an empirical study using 2006-2010 provincial data

    NASA Astrophysics Data System (ADS)

    Liu, Yu; Chen, Zhan-Ming; Xiao, Hongwei; Yang, Wei; Liu, Danhe; Chen, Bin

    2017-03-01

    The rapid urbanization of China has increased pressure on its environmental and ecological well being. In this study, the temporal and spatial profiles of China's carbon dioxide emissions are analyzed by taking heterogeneities into account based on an integration of the extended stochastic impacts using a geographically and temporally weighted regression model on population, affluence, and technology. Population size, urbanization rate, GDP per capita, energy intensity, industrial structure, energy consumption pattern, energy prices, and economy openness are identified as the key driving factors of regional carbon dioxide emissions and examined through the empirical data for 30 provinces during 2006‒2010. The results show the driving factors and their spillover effects have distinct spatial and temporal heterogeneities. Most of the estimated time and space coefficients are consistent with expectation. According to the results of this study, the heterogeneous spatial and temporal effects should be taken into account when designing policies to achieve the goals of carbon dioxide emissions reduction in different regions.

  1. Nurses' attitudes and knowledge regarding organ and tissue donation and transplantation in a provincial hospital: A descriptive and multivariate analysis.

    PubMed

    Lomero, Maria Del Mar; Jiménez-Herrera, María F; Rasero, Maria José; Sandiumenge, Alberto

    2017-09-01

    The attitudes and knowledge of nursing personnel regarding organ and tissue donation can influence the decision to donate. This study aimed to determine these two factors among nurses at a district hospital in Barcelona, Spain. A survey was carried out using a 35 item questionnaire. Results were subjected to descriptive and comparative statistical analyses using bivariate and multivariate analyses to examine the relation between demographic data and attitudes toward donation. The completion rate was 68.2%, with 98.6% of those responding stating that they were in favor of organ donation. The respondents were unsure as to whether the criteria for inclusion in transplant waiting lists were appropriate (57.5%), whereas 72.2% agreed that brain death is equivalent to death. The bivariate analysis revealed a significant association between a positive attitude toward donation and working on permanent night shift no religious beliefs. Attitudes toward donation among nurses were generally positive; a negative attitude, although attitudes towards donation among the nurses participating in the study were generally positive, it should be pointed out that when a negative attitude does exist this affects significant aspects such as belief in the diagnosis of brain death or the criteria for inclusion on the waiting list, amongst others, which reflects that specific training in donation focused on nurses continues to be needed. © 2017 John Wiley & Sons Australia, Ltd.

  2. Foods offered in Quebec school cafeterias: do they promote healthy eating habits? Results of a provincial survey.

    PubMed

    Morin, Pascale; Demers, Karine; Gray-Donald, Katherine; Mongeau, Lyne

    2012-06-05

    A school environment that encourages students to opt for food with sound nutritional value is both essential and formative in ensuring that young people adopt healthy eating habits. The aim of this paper is to describe the food offered for lunch in the cafeteria service lines in Quebec schools on regular school days. A cross-sectional survey was conducted between November 2008 and June 2009 with a representative sample of 207 French-speaking schools in the province of Quebec. The response rate was 71%. The cafeteria food available from the service line was observed directly and systematically by research assistants trained in observational procedures. Bivariate and descriptive analyses were performed. While most schools offered a vegetable side dish, only 71% of primary schools, 71% of public secondary schools, and 54% of private secondary schools did not offer cold-cut dishes, stuffed pastry, or a fried food on their daily menus. The sandwiches available were rarely made with whole-grain bread. Public secondary schools had more cookies, biscuits, muffins, and chewing gum than private primary and secondary schools. Milk was available in 85% of the primary schools. Most of the schools had eliminated sodas but were still offering fruit cocktails instead of 100% fruit juice. The school eating environment changed significantly from 2002 to 2009, presumably as a result of the government action plan and the Framework Policy. Improvements must be made with respect to reducing added sugar in beverages and desserts and promoting baked rather than fried snacks. Vigilance is required since many new products are making their way into the market.

  3. Driving factors of carbon dioxide emissions in China: an empirical study using 2006-2010 provincial data

    NASA Astrophysics Data System (ADS)

    Liu, Yu; Chen, Zhan-Ming; Xiao, Hongwei; Yang, Wei; Liu, Danhe; Chen, Bin

    2016-04-01

    The rapid urbanization of China has increased pressure on its environmental and ecological well being. In this study, the temporal and spatial profiles of China's carbon dioxide emissions are analyzed by taking heterogeneities into account based on an integration of the extended stochastic impacts using a geographically and temporally weighted regression model on population, affluence, and technology. Population size, urbanization rate, GDP per capita, energy intensity, industrial structure, energy consumption pattern, energy prices, and economy openness are identified as the key driving factors of regional carbon dioxide emissions and examined through the empirical data for 30 provinces during 2006-2010. The results show the driving factors and their spillover effects have distinct spatial and temporal heterogeneities. Most of the estimated time and space coefficients are consistent with expectation. According to the results of this study, the heterogeneous spatial and temporal effects should be taken into account when designing policies to achieve the goals of carbon dioxide emissions reduction in different regions.

  4. Pre- and postmortem tyrannosaurid bite marks on the remains of Daspletosaurus (Tyrannosaurinae: Theropoda) from Dinosaur Provincial Park, Alberta, Canada

    PubMed Central

    Tanke, DH

    2015-01-01

    Trace marks on the bones of non-avian dinosaurs may relate to feeding by large carnivores or as a result of combat. Here the cranium and mandible of a specimen of Daspletosaurus are described that show numerous premortem injuries with evidence of healing and these are inferred to relate primarily to intraspecific combat. In addition, postmortem damage to the mandible is indicative of late stage carcass consumption and the taphonomic context suggests that this was scavenging. These postmortem bites were delivered by a large bodied tyrannosaurid theropod and may have been a second Daspletosaurus, and thus this would be an additional record of tyrannosaurid cannibalism. PMID:25870775

  5. Spatial and temporal variations of six criteria air pollutants in 31 provincial capital cities in China during 2013-2014.

    PubMed

    Wang, Yungang; Ying, Qi; Hu, Jianlin; Zhang, Hongliang

    2014-12-01

    Long-term air pollution data with high temporal and spatial resolutions are needed to support the research of physical and chemical processes that affect the air quality, and the corresponding health risks. However, such datasets were not available in China until recently. For the first time, this study examines the spatial and temporal variations of PM2.5, PM10, CO, SO2, NO2, and 8 h O3 in 31 capital cities in China between March 2013 and February 2014 using hourly data released by the Ministry of Environmental Protection (MEP) of China. The annual mean concentrations of PM2.5 and PM10 exceeded the Chinese Ambient Air Quality Standards (CAAQS), Grade I standards (15 and 40 μg/m(3) for PM2.5 and PM10, respectively) for all cities, and only Haikou, Fuzhou and Lasa met the CAAQS Grade II standards (35 and 70 μg/m(3) for PM2.5 and PM10, respectively). Observed PM2.5, PM10, CO and SO2 concentrations were higher in cities located in the North region than those in the West and the South-East regions. The number of non-attainment days was highest in the winter, but high pollution days were also frequently observed in the South-East region during the fall and in the West region during the spring. PM2.5 was the largest contributor to the air pollution in China based on the number of non-attainment days, followed by PM10, and O3. Strong correlation was found between different pollutants except for O3. These results suggest great impacts of coal combustion and biomass burning in the winter, long range transport of windblown dust in the spring, and secondary aerosol formation throughout the year. Current air pollution in China is caused by multiple pollutants, with great variations among different regions and different seasons. Future studies should focus on improving the understanding of the associations between air quality and meteorological conditions, variations of emissions in different regions, and transport and transformation of pollutants in both intra- and inter-regional contexts.

  6. Provincial Reconstruction Teams in Afghanistan: An Innovative Instrument of International Crisis Management Being Put to the Test

    DTIC Science & Technology

    2008-01-01

    ISAF and the EU. 2.3 The German PRT Concept 2.3.1 Development After the 9/11 attacks the then German Chancellor Gerhard Schröder stressed the...Zeit, 16 September 2004. 27 Frank Ilse: Das Milliarden-Geschäft der privaten Krieger. In: Abendblatt, 6.10.2004. Compare online document...Schetter: Das Dilemma der Drogenbekämpfung. In: E+Z Zeitschrift für Entwicklung und Zusammenarbeit 2/2005, p. 66. 37 Schmunk p. 32. - 27 - expanding

  7. The policy basis for community health financing in Cameroon: establishment of the North West Provincial Special Fund for Health.

    PubMed

    Schmidt-Ehry, B; Massow, F V; Monekosso, G; Amida, G; Cosmas, C

    1997-01-01

    National health systems in Africa and around the world have and are still undergoing reforms in response to the Alma Ata Declaration. In Africa, people centred, community based and locally managed strategies are widely accepted. And in many countries like Cameroon, revolving funds for essential drugs have been adopted as an entry point to the implementation of primary health care elements in community health centres. The current reforms are leading to a sharing of financing responsibilities between people and government, with catalytic support from external agencies. Economic, social and political crises in Africa in the past decade have earned the countries stiff structural adjustment policies with severe consequences on health budgets, health manpower, and health status. This paper describes the policy basis for community financing in Cameroon. It suggests that revolving essential drugs funds (as proposed in the Bamako Initiative) cannot be viewed in isolation, but as part of the community and national response to the crises situation; it also demonstrated the capacity of the health sector to fight back to overcome the ill effects of structural adjustment. And last but not the least, these funds have provided an opportunity for the exercise of democracy and the participatory management by these officials of public goods and services.

  8. Introduction of a new health technology into a provincial health system: A case study of insulin pump therapy.

    PubMed

    Menon, Devidas; Stafinski, Tania; Nardelli, Alexa; Edwards, Alun

    2015-09-01

    Decisions on the introduction of new non-drug health technologies into healthcare are challenging. This article describes the introduction of insulin pump therapy for type 1 diabetes in Alberta, using an Access with Evidence Development (AED) approach. The organization and implementation of the AED, its current status, and lessons learned are described.

  9. Inequity of Education Financial Resources: A Case Study of First Nations School Funding Compared to Provincial School Funding in Saskatchewan

    ERIC Educational Resources Information Center

    Carr-Stewart, Sheila; Marshall, Jim; Steeves, Larry

    2011-01-01

    In a review of First Nations band-managed school policies, the Department of Indian and Northern Affairs Canada (2002) noted what had been devolved was "the specific operation of the school. What was not devolved was an [education] system which would support the school" (p. 5) delivery of quality educational programming for First…

  10. [Diversity of wild and domestic mammal's intestinal helminths from the Caatinga of the Parque Nacional Serra da Capivara, Southeast of Piauí, Brazil].

    PubMed

    Brandão, Martha Lima; Chame, Marcia; Cordeiro, José Luis Passos; de Miranda Chaves, Sérgio Augusto

    2009-12-01

    Biodiversity studies allow ecosystem assessment and monitoring of environmental changes and impacts. Parasite diversity could reflect the host/ parasite coevolutionary process and the environment changes that permit the loss, gain or maintenance of species. This survey used species/morphotypes of helminths eggs found in feces from seven wild mammal species (the groups Dasypodidae and Large Cats, and Tamandua tetradactyla, Cebus apella, Alouatta caraya, Cerdocyon thous, Pecari tajacu) and from two domestic species (Canis familiaris and Sus scrofa), which occur within the Serra da Capivara National Park (PNSC) and surrounding areas in order to analise the diversity of mammal intestinal helminths. This work used the helminthological fauna findings of wild and domestic mammals, to consider a possible helminth flux between these two host groups using Unweighted Pair Group Method with Arithmetic Mean (UPGMA) of the hosts based on helminthological fauna composition. The results indicate that the region of the PNSC still maintains environmental conditions that still keep wild mammal helminthological fauna composition different from the one found for domestic mammals.

  11. Variation of Indoor Radon Levels in Some Caves of Parque Estadual Turistico do Alto Ribeira (PETAR), SP, Brazil with Ventilation and Rain

    SciTech Connect

    Alberigi, Simone; Pecequilo, Brigitte Roxana Soreanu

    2008-08-07

    In order to assess the radon exposure for the tour guide workers, radon levels in several galleries of the most visited caves of PETAR (High Ribeira River Turistic State Park), were determined by using Makrofol E tracks detectors. A two-years surveillance, from 2003 to 2005, showed radon average levels varying from 153{+-}44 Bq{center_dot}m{sup -3} to 6358{+-}1619 Bq{center_dot}m{sup -3}. Those results showed that the wide variation between the minimum and maximum concentrations values are strongly related with cave ventilation. In order to establish other factors contributing to this variation, beside the well known temperature effect, rain data over the entire period were also considered, showing that, apparently, radon concentrations inside the caves rise with drought.

  12. Measuring efficiency and productivity growth of new technology-based firms in business incubators: the Portuguese case study of Madan Parque.

    PubMed

    Grilo, A; Santos, J

    2015-01-01

    Business incubators can play a major role in helping to turn a business idea into a technology-based organization that is economically efficient. However, there is a shortage in the literature regarding the efficiency evaluation and productivity evolution of the new technology-based firms (NTBFs) in the incubation scope. This study develops a model based on the data envelopment analysis (DEA) methodology, which allows the incubated NTBFs to evaluate and improve the efficiency of their management. Moreover, the Malmquist index is used to examine productivity change. The index is decomposed into multiple components to give insights into the root sources of productivity change. The proposed model was applied in a case study with 13 NTBFs incubated. From that study, we conclude that inefficient firms invest excessively in research and development (R&D), and, on average, firms have a productivity growth in the period of study.

  13. Presence of Lutzomyia longipalpis (Diptera: Psychodidae) in the Parque Estadual da Serra da Tiririca, State of Rio de Janeiro, Southeastern Brazil.

    PubMed

    Fuzari, Andressa Alencastre; Delmondes, Aline Ferreira Dos Santos; Barbosa, Vanessa De Araújo; Marra, Francisco de Assis; Brazil, Reginaldo Peçanha

    2016-01-01

    The sand fly, Lutzomyia longipalpis, is the main vector of Leishmania infantum in the Americas, primarily occurring in areas of apparent anthropomorphic modifications in several regions of Brazil. Sand flies were captured using light traps. Out of all captured species, Lu. longipalpis numbers had increased within the park. We report the occurrence of Lu. longipalpis in an area of Atlantic Forest, possibly representing the first sylvatic population of Lu. longipalpis in an area absent of peridomestic captures, but with the risk of L. infantum transmission in the areas of Niterói and Maricá.

  14. Cycling on Abandoned Second World War Airfields and Jugando a Las Escondidas en El Parque: Examining Play Memories from Adults Growing up around the World

    ERIC Educational Resources Information Center

    Nicholson, Julie; Shimpi, Priya Mariana; Jevgjovikj, Maja; Kurnik, Jean; Ufoegbune, Veronica

    2016-01-01

    This study examined play memories from adults who grew up in a wide range of international contexts. Surveys and semi-structured interviews asking adults to recollect play memories were completed with 135 adults (100 Females, 35 Males) who grew up in 21 countries. Play memories were analysed to identify adults' favourite types of childhood play,…

  15. Cycling on Abandoned Second World War Airfields and Jugando a Las Escondidas en El Parque: Examining Play Memories from Adults Growing up around the World

    ERIC Educational Resources Information Center

    Nicholson, Julie; Shimpi, Priya Mariana; Jevgjovikj, Maja; Kurnik, Jean; Ufoegbune, Veronica

    2016-01-01

    This study examined play memories from adults who grew up in a wide range of international contexts. Surveys and semi-structured interviews asking adults to recollect play memories were completed with 135 adults (100 Females, 35 Males) who grew up in 21 countries. Play memories were analysed to identify adults' favourite types of childhood play,…

  16. Variation of Indoor Radon Levels in Some Caves of Parque Estadual Turístico do Alto Ribeira (PETAR), SP, Brazil with Ventilation and Rain

    NASA Astrophysics Data System (ADS)

    Alberigi, Simone; Pecequilo, Brigitte Roxana Soreanu

    2008-08-01

    In order to assess the radon exposure for the tour guide workers, radon levels in several galleries of the most visited caves of PETAR (High Ribeira River Turistic State Park), were determined by using Makrofol E tracks detectors. A two-years surveillance, from 2003 to 2005, showed radon average levels varying from 153±44 Bqṡm-3 to 6358±1619 Bqṡm-3. Those results showed that the wide variation between the minimum and maximum concentrations values are strongly related with cave ventilation. In order to establish other factors contributing to this variation, beside the well known temperature effect, rain data over the entire period were also considered, showing that, apparently, radon concentrations inside the caves rise with drought.

  17. [Ecological aspects of phlebotomus of the Parque Nacional da Serra dos Orgãos, Rio de Janeiro. I. Monthly frequency in human baits (Diptera, Psychodidae, Phlebotominae)].

    PubMed

    de Aguiar, G M; Soucasaux, T

    1984-01-01

    During two full years--from October 1980 to September 1982--we captured sandflies in the National Park of Serra dos Orgãos, State of Rio de Janeiro, Brazil. The captures, with human bait, were carried out weekly, each with a duration of two hours, and at three different times (6 to 8 a.m., 5 to 7 a.m. and 7:30 to 9:30 p.m.). In every capture, we recorded the phase of the moon and, at each hour, the temperature, relative humidity, wind and rain. In 586 hours 4,834 sandflies of ten species were captured, all belonging to genus Lutzomyia França, 1924. L. ayrozai and L. hirsuta represented 92% of the total species captured. However, they were dominant at different times, the former being more frequent in the warm and wet months, and considerably declining in the cold and dry months, in which the latter gradually prevailed. L. fischeri and L. shannoni were shown to be the most resistant to unfavourable weather conditions. Whenever there was any rain or wind, they were, in general, the only species captured. With regard to lunar cycle, we observed that new moon was the most favourable phase for the capture of sandflies and full moon the one with the smallest yield, except for L. shannoni which occurred more frequently during this period.

  18. Patterns of variation of intertidal species of commercial interest in the Parque Litoral Norte (north Portugal) MPA: comparison with three reference shores.

    PubMed

    Bertocci, Iacopo; Dominguez, Rula; Freitas, Cristiano; Sousa-Pinto, Isabel

    2012-06-01

    Marine Protected Areas (MPAs) are world-wide established with the aim of conserving biodiversity and preventing overexploitation of marine organisms. Evaluating the effectiveness of MPAs is needed in order to support and implement their management, but it is complicated by the large natural variability in space and time of distribution and abundance of natural populations. Here, we tested the hypothesis that patterns of total abundance and size-frequency distribution of two intensively harvested intertidal species (the sea urchin Paracentrotus lividus and the mussel Mytilus galloprovincialis) differed between a protected and three reference shores along the rocky coast of north Portugal. Response variables were in terms of mean values and measures of variance at different spatial scales (from centimetres to metres) and over time (along a period of about 12 months). A further comparison involved the estimation of the reproductive potential of sea urchins, quantified as variations of Gonad Index (GI = gonad dry weight/body dry weight × 100) at the scale of shore. Results did not generally support a predictable direct effect of protection, as the total abundance and the abundance of larger individuals of both species and GI did not differ between the MPA and reference shores. However, a considerable temporal and spatial variability at smaller scales was detected for several response variables. Such findings have implications for management of MPAs, highlighting the need for sampling designs properly replicated in space and time, in order to examine their effectiveness, and for considering spatial and temporal heterogeneity of target populations and driving processes as a criterion for their implementation and design.

  19. Measuring Efficiency and Productivity Growth of New Technology-Based Firms in Business Incubators: The Portuguese Case Study of Madan Parque

    PubMed Central

    Grilo, A.; Santos, J.

    2015-01-01

    Business incubators can play a major role in helping to turn a business idea into a technology-based organization that is economically efficient. However, there is a shortage in the literature regarding the efficiency evaluation and productivity evolution of the new technology-based firms (NTBFs) in the incubation scope. This study develops a model based on the data envelopment analysis (DEA) methodology, which allows the incubated NTBFs to evaluate and improve the efficiency of their management. Moreover, the Malmquist index is used to examine productivity change. The index is decomposed into multiple components to give insights into the root sources of productivity change. The proposed model was applied in a case study with 13 NTBFs incubated. From that study, we conclude that inefficient firms invest excessively in research and development (R&D), and, on average, firms have a productivity growth in the period of study. PMID:25874266

  20. Identification of the natural breeding sites of sandflies (Diptera: Psychodidae: Phlebotominae), potential vectors of leishmaniasis, in the province of Chaco, Argentina.

    PubMed

    Parras, Matías Ariel; Rosa, Juan Ramón; Szelag, Enrique Alejandro; Salomón, Oscar Daniel

    2012-06-01

    The aim of this work was to identify the natural breeding sites of sandflies in the province of Chaco, Argentina, for the first time. Preliminary studies were conducted in two different phytogeographic regions: dry Chaco (Parque Provincial Pampa del Indio), in January 2010, and humid Chaco (Resistencia, Margarita Belén and Colonia Benítez), from May-September 2010. A total of 127 samples were collected (Pampa del Indio: 15, Resistencia: 37, Margarita Belén: 36, Colonia Benítez: 39). A female of Migonemyia migonei was found in Pampa del Indio at the base of a bromeliad in the summer (January) and a pupal exuvium of a phlebotomine fly was found in Resistencia, in a place where dogs rested, in the winter (July). These findings highlighted these two sites as potential breeding sites. Because the existence of potential natural breeding sites for sandflies has been demonstrated in both forest and periurban areas, expanding the search efforts and characterising these sites will enable the development of specific study designs to gain insight into the spatial distribution of the risks posed by these vectors. The resulting information will serve as a basis for proposing and evaluating vector control measures.

  1. Molecular epidemiology and antimicrobial susceptibility profiles of methicillin-resistant Staphylococcus aureus blood culture isolates: results of the Quebec Provincial Surveillance Programme.

    PubMed

    Lévesque, S; Bourgault, A M; Galarneau, L A; Moisan, D; Doualla-Bell, F; Tremblay, C

    2015-05-01

    The objectives of this study were to characterize methicillin-resistant Staphylococcus aureus (MRSA) blood culture isolates and to determine their relative importance in both nosocomial and community-acquired infections. A total of 535 MRSA blood culture isolates were analysed. In vitro susceptibility to 14 agents was determined. The genes nuc, mecA and coding for PVL toxin were identified by PCR. All isolates were characterized by PFGE or spa typing to assess their genomic relationships. Most MRSA isolates were retrieved from nosocomial bloodstream infections (474, 89%) and were of the CMRSA2 genotype. Healthcare-associated (HA)-MRSA bloodstream infections were associated with older age (70-89 years, P = 0·002) and most often secondary to central line infections (P = 0·005). Among MRSA strains associated with community-acquired (CA)-MRSA, 28·8% were isolated in intravenous drug users. CA-MRSA genotypes were more frequently found in young adults (20-39 years, P < 0·0001) with skin/soft tissue as the primary sources of infection (P = 0·006). CMRSA10 genotype was the predominant CA-MRSA strain. All MRSA isolates were susceptible to doxycycline, tigecycline, trimethoprim/sulfamethoxazole and vancomycin. Both the presence of the genes coding for PVL toxin (89·8%) and susceptibility to clindamycin (86·5%) were predictive of CA-MRSA genotypes. Whereas in the USA, HA-MRSA have been replaced by USA300 (CMRSA10) clone as the predominant MRSA strain type in positive blood cultures from hospitalized patients, this phenomenon has not been observed in the province of Quebec.

  2. Prevalence and Risk Assessment of Cervical Cancer Screening by Papanicolaou Smear and Visual Inspection with Acetic Acid for Pregnant Women at a Thai Provincial Hospital.

    PubMed

    Lertcharernrit, Jiraporn; Sananpanichkul, Panya; Suknikhom, Wineeya; Bhamarapravatana, Kornkarn; Suwannarurk, Komsun; Leaungsomnapa, Yosapon

    2016-01-01

    Cervical cancer is the second most common in Thailand, but the mortality rate may be rising yearly. It is a cancer that can be prevented by early screening for precancerous lesions, several methods being available. To identify the prevalence of abnormal Papanicolaou (Pap) smears and lesions with visual inspection with acetic acid (VIA) in pregnant women and assess risk factors for this group. This prospective study was performed at Prapokklao Hospital, Thailand during April-July 2016. All pregnant women of gestational age between 12-36 weeks who attended an antenatal clinic were recruited. All participants were screened for cervical cancer by Pap smear and VIA. If results of one or both were abnormal, colposcopic examination was evaluated by gynecologic oncologist. A total of 414 pregnant women were recruited. Prevalence of abnormal Pap smear and VIA were 6.0 and 6.7 percent, respectively. The most common abnormal Pap smear was low grade intraepithelial lesion (LSIL, 44%). Factors associated with abnormal Pap smear in pregnant women were low BMI, multiple partners and being a government officer. In pregnancy, Pap smear had higher sensitivity and specificity than VIA for detection of precancerous cervical lesion. Patients with young coitarche or more than 25 years of active sexual activity were high risk groups. Prevalence of abnormal Pap smear and VIA in pregnant women was 6.0 and 6.7 percent, respectively. Factors associated with abnormal Pap smear were coitarche, years of sexual activity, low BMI, multiple partners and being a government officer.

  3. Climate and environmental effects of electric vehicles versus compressed natural gas vehicles in China: a life-cycle analysis at provincial level.

    PubMed

    Huo, Hong; Zhang, Qiang; Liu, Fei; He, Kebin

    2013-02-05

    Electric vehicles (EVs) and compressed natural gas vehicles (CNGVs), which are mainly coal-based and natural gas-based, are the two most widely proposed replacements of gasoline internal combustion engine vehicles (ICEVs) in P.R. China. We examine fuel-cycle emissions of greenhouse gases (GHGs), PM(2.5), PM(10), NO(x), and SO(2) of CNGVs and EVs relative to gasoline ICEVs and hybrids, by Chinese province. CNGVs can currently reduce emissions of GHGs, PM(10), PM(2,5), NO(x), and SO(2) by approximately 6%, 7%, 20%, 18% and 22%, respectively. EVs can reduce GHG emissions by 20%, but increase PM(10), PM(2.5), NO(x), and SO(2) emissions by approximately 360%, 250%, 120%, and 370%, respectively. Nevertheless, results vary significantly by province. Regarding their contribution to national emissions, PM increases from EVs are unimportant, because light-duty passenger vehicles contribute very little to overall PM emissions nationwide (≤0.05%); however, their NO(x) and SO(2) increases are important. Since China is striving to reduce power plant emissions, EVs are expected to have equivalent or even lower SO(2) and NO(x) emissions relative to ICEVs in the future (2030). Before then, however, EVs should be developed according to the cleanness of regional power mixes. This would lower their SO(2) and NO(x) emissions and earn more GHG reduction credits.

  4. Effects of a Provincial-Wide Implementation of Screening for Distress on Healthcare Professionals' Confidence and Understanding of Person-Centered Care in Oncology.

    PubMed

    Tamagawa, Rie; Groff, Shannon; Anderson, Jennifer; Champ, Sarah; Deiure, Andrea; Looyis, Jennifer; Faris, Peter; Watson, Linda

    2016-10-01

    Although published studies report that screening for distress (SFD) improves the quality of care for patients with cancer, little is known about how SFD impacts healthcare professionals (HCPs). This quality improvement project examined the impact of implementing the SFD intervention on HCPs' confidence in addressing patient distress and awareness of person-centered care. This project involved pre-evaluation and post-evaluation of the impact of implementing SFD. A total of 254 HCPs (cohort 1) were recruited from 17 facilities across the province to complete questionnaires. SFD was then implemented at all cancer care facilities over a 10-month implementation period, after which 157 HCPs (cohort 2) completed post-implementation questionnaires. At regional and community care centers, navigators supported the integration of SFD into routine practice; therefore, the impact of navigators was examined. HCPs in cohort 2 reported significantly greater confidence in managing patients' distress and greater awareness about person-centered care relative to HCPs in cohort 1. HCPs at regional and community sites reported greater awareness in person-centeredness before and after the intervention, and reported fewer negative impacts of SFD relative to HCPs at tertiary sites. Caring for single or multiple tumor types was an effect modifier, with effects observed only in the HCPs treating multiple tumors. Implementation of SFD was beneficial for HCPs' confidence and awareness of person-centeredness. Factors comprising different models of care, such as having site-based navigators and caring for single or multiple tumors, influenced outcomes. Copyright © 2016 by the National Comprehensive Cancer Network.

  5. Who were his peers? The social and professional milieu of the provincial surgeon-apothecary in the late-eighteenth century.

    PubMed

    Tomkins, Alannah

    2011-01-01

    The social standing of the surgeon-apothecary cannot be determined by reference to professional life alone, yet few such men left social documents. The lower middling sort was typically reticent about evaluations of their own social position in any source genre. This article uses a unique archive, and the concept of community connectedness, to investigate the status of Thomas Higgins, surgeon-apothecary and man-midwife of north Shropshire. Higgins embodied the traditional practitioner who relied on local knowledge and his 'friends' for advancement, in contrast to alternative modes of rising professionalism. He was demonstrably a trusted man at the heart of his home town, but his reliance on the 'partiality' of his neighbors brought him into conflict with his colleagues.

  6. [Defect fractures of the upper arm and their treatment in difficult circumstances. 3 case reports from Ethiopian and Somalian provincial hospitals].

    PubMed

    Mandrella, B; Abebaw, T H; Hersi, O N

    1997-02-01

    Gunshot fractures of the extremities often result in large bone defects and disability. The reconstruction of the bone is the essential precondition for a successful rehabilitation. This is a report on three patients who suffered from substantial bone defects of the humerus shaft caused by high-velocity bullets. In one patient the injury happened 3 days before admission, in another patient 5 months before. The third patient had a history of 11 years since the injury with numerous operations, bone grafts included. He presented with an infected non-union. All three patients had a complete radial nerve paralysis right from the beginning, as they have reported. Debridement, sequestrectomy and immobilisation by an external fixator with a device for compression and distraction were the first steps in management, followed by slow compression and, after a free interval, by distraction for 1 mm per day over a period of ca. 4 weeks. After distraction, one patient had early spontaneous callus formation. Two patients received a spongious bone graft, and in one of them decompression of the radial nerve was carried out during the operation for bone grafting. Subsequently, all three patients showed good callus formation. When strong ossification was visible on the X-rays, the fixator was removed and a PoP brace applied. The change from the external fixator to an internal fixation by a plate was not necessary and, under the prevailing conditions, not even possible. The patients were discharged with the brace and encouraged to continue with exercises. When the patients came back for a follow-up examination, the fracture sites were stable and the bones showed good consolidation. In two cases, the function of the radial nerve was nearly completely restored, in the patient with the long history, of course, there was no change. All three patients were free of infection. These three cases show that, even under the unfavourable conditions of civil war and in hospitals of less prosperous countries, the treatment of large bone defects can be successful, provided material and sometimes personnel support is, if necessary, given to the hospitals dealing with war and accident victims.

  7. Can Provincial Universities Be Global Institutions? Rethinking the Institution as the Unit of Analysis in the Study of Globalization and Higher Education

    ERIC Educational Resources Information Center

    Jones, Glen A.

    2008-01-01

    The author argues that greater attention should be paid to different levels of authority in the study of globalization and higher education, especially the understructure or disciplinary units. Using Marginson and Rhoades' concept of "Glonacal," he argues that universities operate on local, national, and global dimensions, but also that the…

  8. Aboveground carbon in Quebec forests: stock quantification at the provincial scale and assessment of temperature, precipitation and edaphic properties effects on the potential stand-level stocking.

    PubMed

    Duchesne, Louis; Houle, Daniel; Ouimet, Rock; Lambert, Marie-Claude; Logan, Travis

    2016-01-01

    Biological carbon sequestration by forest ecosystems plays an important role in the net balance of greenhouse gases, acting as a carbon sink for anthropogenic CO2 emissions. Nevertheless, relatively little is known about the abiotic environmental factors (including climate) that control carbon storage in temperate and boreal forests and consequently, about their potential response to climate changes. From a set of more than 94,000 forest inventory plots and a large set of spatial data on forest attributes interpreted from aerial photographs, we constructed a fine-resolution map (∼375 m) of the current carbon stock in aboveground live biomass in the 435,000 km(2) of managed forests in Quebec, Canada. Our analysis resulted in an area-weighted average aboveground carbon stock for productive forestland of 37.6 Mg ha(-1), which is lower than commonly reported values for similar environment. Models capable of predicting the influence of mean annual temperature, annual precipitation, and soil physical environment on maximum stand-level aboveground carbon stock (MSAC) were developed. These models were then used to project the future MSAC in response to climate change. Our results indicate that the MSAC was significantly related to both mean annual temperature and precipitation, or to the interaction of these variables, and suggest that Quebec's managed forests MSAC may increase by 20% by 2041-2070 in response to climate change. Along with changes in climate, the natural disturbance regime and forest management practices will nevertheless largely drive future carbon stock at the landscape scale. Overall, our results allow accurate accounting of carbon stock in aboveground live tree biomass of Quebec's forests, and provide a better understanding of possible feedbacks between climate change and carbon storage in temperate and boreal forests.

  9. Weakness in Reporting and Coordination of Development Assistance and Lack of Provincial Capacity Pose Risks to U.S. Strategy in Nangarhar Province

    DTIC Science & Technology

    2010-10-26

    the Capacity Development Program and the Food Insecurity Response for Urban Populations. Moreover, the $3.2 million captured funds executed in 5...Education Central Asia Development Group, Inc. (CADG) 1 Support for Food insecurity Response for urban population (PRT-FIRUP) Economic Growth

  10. Phylogeny and historical biogeography of true morels (Morchella) reveals an early Cretaceous origin and high continental endemism and provincialism in the Holarctic

    USDA-ARS?s Scientific Manuscript database

    Morel mushrooms (Morchella, phylum Ascomycota) are arguably the most widely recognized and highly prized of the estimated 1.5 million fungi that inhabit our planet. Although field guides treat these epicurean macrofungi as though the species have cosmopolitan distributions, this assumption has not b...

  11. Post-conflict reconstruction of the health system of Afghanistan: assisting in the rehabilitation of a provincial hospital--context and experience.

    PubMed

    Cook, Judith

    2003-01-01

    Over more than two decades of conflict, Afghanistan's health system came to depend heavily on assistance from donors and non-governmental organizations (NGOs). When the Taliban fell in November 2001 the health system was in a state of collapse; Afghanistan's health indicators were amongst the worst in the world. National Health Policy is to deliver an essential package of health services to the entire population. It is acknowledged that reconstruction of the health system will depend on donor financial support and NGO involvement in health programmes. An example is Médecins du Monde's involvement in health system rehabilitation in the Ghor province. Investing in health can contribute to peace, stability and political transition. Security, needed for reconstruction and for NGOs to continue their crucial work in health, has recently deteriorated in parts of Afghanistan. Joint Regional Teams to provide security to outlying areas have been announced by the US. There is concern that their proposed humanitarian and development role could compromise perception of the neutrality and impartiality of NGOs.

  12. Articulation Committee Handbook: A Guide to the Mandate and Operations of Provincial Post-Secondary Articulation Committees in British Columbia. Third Edition.

    ERIC Educational Resources Information Center

    British Columbia Council on Admissions and Transfer, Vancouver.

    This handbook, created by the British Columbia Council on Admissions and Transfer (BCCAT), serves as a guide to individuals who serve on postsecondary articulation committees in British Columbia. The handbook is divided into four parts. Part A includes a chart detailing the major activities of BCCAT and a description of the membership, purpose,…

  13. Short-Term Influence of Revised Provincial Accreditation Standards on Physical Activity, Sedentary Behavior, and Weight Status in Alberta, Canada Child Care Centers

    ERIC Educational Resources Information Center

    Carson, Valerie; Clark, Dawne; Ogden, Nancy; Harber, Vicki; Kuzik, Nicholas

    2015-01-01

    In December, 2013, revised Alberta child care accreditation standards were released by the Alberta Government in Canada that included a new standard for physical activity and sedentary behavior in accredited child care settings. The main purpose of this study was to examine the effectiveness of the new accreditation standard in increasing physical…

  14. Rules that Need to Be Broken? Canada's McGill University Announces MBA Tuition Fee Increase in Breach of Provincial Ministry of Education Regulation

    ERIC Educational Resources Information Center

    Observatory on Borderless Higher Education, 2010

    2010-01-01

    The Ministry of Education in Canada's province of Quebec is threatening to significantly reduce McGill University (McGill)'s operating grant in response to a proposed Master's of Business Administration (MBA) tuition fee increase. From September 2010, the university's Desautels Faculty of Management is aiming to substantially raise the current…

  15. Dressing and Addressing the Mental Patient: The Uses of Clothing in the Admission, Care and Employment of Residents in English Provincial Mental Hospitals, c. 1860–1960

    PubMed Central

    Baur, Nicole; Melling, Joseph

    2014-01-01

    Abstract Scholars of insanity and its historical antecedents have paid very little attention to personal and institutional clothing. Such dress, distributed to patients in mental institutions, has always been inscribed with the conflicting narratives of the period in which it was made and worn. The language of civil and medical authority is more evident than personal choice in the shape and address of the attire. This article examines clothing worn by patients in three Devon mental hospitals during the century before 1960. We consider the ways in which institutional clothing formed part of a hospital regimen of overt control, as well as suiting considerations of economy and employment that figured in these institutions. PMID:26989271

  16. Ostracod provincialism and migration as a response to movements of Earth's plates: Cretaceous-Paleogene ostracods of West Africa, North Africa and the Middle East

    NASA Astrophysics Data System (ADS)

    Elewa, Ashraf M. T.

    2017-10-01

    This paper documents the Cretaceous -Paleogene ostracods response as the continental plates tend to show divergence. For example, in the intervals from the Early to Late Cretaceous when the South American plate tended to exhibit divergent movement westward from the African plate, the migration of ostracods show westward trend from Northeast Africa to West Africa; whereas, the divergence of the Indian and the Australian plates as well as the Antarctic plate from the African and the Eurasian plates, and Arabia is accompanied with ostracod migration southward. Another example from the Maastrichtian-Eocene ostracods of West Africa, where ostracods exhibit east-west migration (despite the migration of epineritic ostracods in both directions; east-west and vice-versa) towards the North American and South American plates. These trends of migration towards the deep oceans (Atlantic and Indian oceans of present time) indicate the tendency of ostracods of these geologic times towards endemism in the deep oceans resulted from seafloor spreading during the divergence of the continental plates. On the other hand, the paleoenvironmental changes should also have significant effect on these trends of migration.

  17. Educational and Social Correlates of the Digital Divide for Rural and Urban Children: A Study on Primary School Students in a Provincial City of China

    ERIC Educational Resources Information Center

    Li, Yan; Ranieri, Maria

    2013-01-01

    Over the last decades, the issue of digital divide has received particular attention from international bodies and researchers in Western countries. One of the main reasons for this growing interest is related to the implications that digital inequalities have for social development and particularly for education. Despite the relevance of the…

  18. Educational Software: A Canadian Plan for Information Sharing. Joint Provincial Courseware Cataloguing and Indexing Project. Volume I (Phase 1) [and] Computer Cataloguing and Indexing Survey: Summary.

    ERIC Educational Resources Information Center

    Tennant, W.; And Others

    A project which involved an intensive search of the literature and contacts with individuals in the field concerning the dissemination of information about educational software is described. Included are an analysis of education software information available to educators, a needs assessment of Canadian educators, and the generation of an…

  19. Supporting Heart Failure Patient Transitions From Acute to Community Care With Home Telemonitoring Technology: A Protocol for a Provincial Randomized Controlled Trial (TEC4Home)

    PubMed Central

    2016-01-01

    Background Seniors with chronic diseases such as heart failure have complex care needs. They are vulnerable to their condition deteriorating and, without timely intervention, may require multiple emergency department visits and/or repeated hospitalizations. Upon discharge, the transition from the emergency department to home can be a vulnerable time for recovering patients with disruptions in the continuity of care. Remote monitoring of heart failure patients using home telemonitoring, coupled with clear communication protocols between health care professionals, can be effective in increasing the safety and quality of care for seniors with heart failure discharged from the emergency department. Objective The aim of the Telehealth for Emergency-Community Continuity of Care Connectivity via Home Telemonitoring (TEC4Home) study is to generate evidence through a programmatic evaluation and a clinical trial to determine how home telemonitoring may improve care and increase patient safety during the transition of care and determine how it is best implemented to support patients with heart failure within this context. Methods This 4-year project consists of 3 studies to comprehensively evaluate the outcomes and effectiveness of TEC4Home. Study 1 is a feasibility study with 90 patients recruited from 2 emergency department sites to test implementation and evaluation procedures. Findings from the feasibility study will be used to refine protocols for the larger trial. Study 2 is a cluster randomized controlled trial that will include 30 emergency department sites and 900 patients across British Columbia. The primary outcome of the randomized controlled trial will be emergency department revisits and hospital readmission rates. Secondary outcomes include health care resource utilization/costs, communication between members of the care team, and patient quality of life. Study 3 will run concurrently to study 2 and test the effectiveness of predictive analytic software to detect patient deterioration sooner. Results It is hypothesized that TEC4Home will be a cost-effective strategy to decrease 90-day emergency department revisits and hospital admission rates and improve comfort and quality of life for seniors with heart failure. The results from this project will also help establish an innovation pathway for rapid and rigorous introduction of innovation into the health system. Conclusions While there is some evidence about the effectiveness of home telemonitoring for some patients and conditions, the TEC4Home project will be one of the first protocols that implements and evaluates the technology for patients with heart failure as they transition from the emergency department to home care. The results from this research are expected to inform the full scale and spread of the home monitoring approach throughout British Columbia and Canada and to other chronic diseases. ClinicalTrial ClinicalTrials.gov NCT02821065; https://clinicaltrials.gov/ct2/show/NCT02821065 (Archived by WebCite at http://www.webcitation.org/6ml2iwKax) PMID:27977002

  20. First Canadian records of genera Apimela Mulsant & Rey and Gyronycha Casey from New Brunswick: description of two new species and new provincial distribution records (Coleoptera, Staphylinidae, Aleocharinae).

    PubMed

    Klimaszewski, Jan; Webster, Reginald P; Zanetti, Adriano; Bourdon, Caroline

    2017-01-01

    Two genera, Apimela Mulsant & Rey and Gyronycha Casey (both Aleocharinae: Oxypodini: Meoticina), are recorded from New Brunswick and Canada for the first time. The following species are newly recorded or described as new in New Brunswick and Canada: Apimela fusciceps (Casey); A. canadensis Klimaszewski & Webster, sp. n.; and Gyronycha pseudoobscura Klimaszewski & Webster, sp. n. The genera are defined and the key for species identification is provided. Color habitus images and black and white images of the median lobe of the aedeagus, spermatheca, tergite, and sternite VIII are provided for all species occurring in Canada, and Apimela macella (Erichson), the type species of genus Apimela, and G. valens Casey, the type species of Gyronycha. New or additional habitat data are provided for the species treated in this contribution. The following new synonym is established: Gyronycha lepida Casey, 1911 (NC), is a synonym of G. fusciceps Casey, 1894 (NC).