The objective was to assess need, evaluate projects, and devise a roadmap for future provision given budget cuts. The analysis of 30 substance misuse services in towns and rural areas of Ireland was ...conducted in 2010. Analysis revealed that 24,315 (95% CI 12,928-40,629) individuals were using illegal drugs in 2006, 893 individuals were using opiates, opiate and cocaine use was increasing as was drug use amongst females. Evaluations demonstrated that not all services were meeting emerging needs, services lacked administrative support, and funding needed to be redirected. The RAR approach was useful for policy decisions and budget cuts in times of economic restraint.
Non-native black-tailed prairie dogs (Cynomys ludovicianus Ord, 1815) that had emigrated from a private colony were reported by property owners in rural North Central Florida in 2006. The Florida ...Fish and Wildlife Conservation Commission and U.S. Department of Agriculture Animal and Plant Health Inspection Service Wildlife Services (WS) initiated an assessment of the population to determine its current distribution and the feasibility of eradication. Multiple surveys, interviews with residents and observations of abandoned burrows confirmed movement of animals as far as 3 km from the source colony. WS personnel conducted an eradication program of the source colony from 23 March through 4 May 2009, primarily using a 0.17-caliber rifle along with cable restraint devices for particularly wary animals. A total of 85 prairie dogs were killed at the site of the source colony and one animal was killed on a separate property. Subsequent surveys from 2009 through 2012 confirmed the eradication was successful. Communication with the owner of the source colony and nearby residents throughout the project was critical to success.
Wait times and length of stay (LOS) measure efficiency of care in pediatric emergency departments (PEDs). Our hospital introduced a rapid assessment program (RAP) wherein patients will be seen by a ...physician within 29 minutes of arrival to the PED. Our primary objective was to evaluate the impact of this RAP on total LOS and compare it with the pre-RAP period. The secondary objective was to compare door-to-physician times and admission frequencies.
We conducted an observational study of randomly selected visits before (in 2004) and after (in 2005) RAP in a PED. Data were acquired retrospectively from charts. We compared total LOS (time from arrival at triage to discharge), boarding time (time from the decision to admit to transfer to inpatient bed), door-to-physician time (arrival at triage to first evaluation by physician), and admission frequencies.
Data from 990 visits (in 2004) and 1010 visits (in 2005) indicated similar age, sex, seasonal distribution, and weekday distribution. The total median LOS decreased by 37 minutes with RAP (103 interquartile range {IQR}, 57-187 minutes in 2005 vs 140 IQR, 78-234 minutes in 2004, P < 0.001) but only among lower triage categories. Median door-to-physician time decreased by 20 minutes with RAP (15 IQR, 7-29 minutes in 2005 vs 35 IQR, 18-72 minutes in 2004, P < 0.001) among lower triage categories. The LOS was reduced both in admitted and discharged patients with no difference in the boarding times or admission frequencies.
In our PED, a RAP reduced the total LOS of patients with lower acuity of illness.
The purpose of this paper is to test the performance of rapid biodiversity assessment techniques in the lagoonal environment at the pan-Mediterranean scale. The multivariate techniques can produce ...patterns of lagoonal biodiversity along the Mediterranean. Additionally, it is shown that the polychaete inventory can preferably be used rather than the aggregation of information at the family level for the purposes of rapid biodiversity assessment. These techniques, however, appear to be weak for the environmental assessment because they cannot detect differences between the naturally disturbed and the anthropogenically impacted lagoons. Both taxonomic distinctness indices are found to be robust in providing meaningful results for rapid biodiversity/environmental assessment when the crustacean inventory and the polychaete and molluscan ones are used for the estimation of the average taxonomic distinctness and of the variation in taxonomic distinctness values, correspondingly. Conversely, information on the distribution of the macrofaunal species to the Mediterranean lagoons appears to be inadequate for the needs of such rapid biodiversity assessment at a regional scale. It is suggested that information on ecological convergence of the macrofaunal species would probably provide biodiversity indices with additional power, at least in the lagoonal environment.PUBLICATION ABSTRACT
Three categories of wetland assessment methods have been recognized by the United States Environmental Protection Agency, including Level 1—Landscape-scale Assessment; Level 2—Rapid Field Methods; ...and Level 3—Intensive Biological and Physico–Chemical Measures. This study incorporates wetland assessment methods for each assessment level, including the Level 1 Landscape Development Intensity (LDI) index, Level 2 Wetland Rapid Assessment Procedure (WRAP), and Level 3 Florida Wetland Condition Index (FWCI). Using a neighborhood analysis in Geographic Information Systems (GIS), an LDI index map was created using 1995 land use, creating a calculated LDI index value for each 30 m² area in Florida. Level 1–3 assessment procedures were employed at 193 palustrine emergent (n = 75) and forested (n = 118) wetlands. Significant correlations were found among the multiple Level 1–3 assessment procedures using the nonparametric Spearman’s correlation coefficient for pair-wise comparisons of LDI and WRAP, LDI and diatom FWCI, WRAP and diatom FWCI, LDI and macrophyte FWCI, WRAP and macrophyte FWCI, LDI and macroinvertebrate FWCI, and WRAP and macroinvertebrate FWCI (|r| > 0.50, P < 0.01). Defining the relationship between Level 1–3 assessment methods may be used to estimate the more intensive and species assemblage-specific Level 3 FWCI assessment scores for wetlands with Level 1 or Level 2 scores. Inferences can then be made as to wetland condition based on established correlations with intensive assessment methods.
A machine learning and causal analysis based online rapid assessment method for transient security and stability of power grids is proposed to address the rapid expansion of power grid scale and the ...increasing time consumption of online security analysis. Based on the expanded power grid operation mode samples, key feature quantities reflecting the transient safety and stability characteristics of the power grid are extracted by comprehensively utilizing machine learning and quantitative analysis results. Using a clustering method that takes into account the security and stability mode of the power grid, obtain the benchmark method for clustering. On this basis, historical operation mode clusters that match the current real-time mode are identified through operation mode matching, achieving online rapid assessment of transient security and stability of the power grid. The correctness and feasibility of the proposed method were verified based on the actual power grid.
Congenital orbital teratoma Aiyub, Shereen; Chan, WengOnn; Szetu, John ...
Indian Journal of Ophthalmology/Indian journal of ophthalmology,
12/2013, Volume:
61, Issue:
12
Journal Article
Peer reviewed
Open access
We present a case of mature congenital orbital teratoma managed with lid-sparing exenteration and dermis fat graft. This is a case report on the management of congenital orbital teratoma. A full-term ...baby was born in Fiji with prolapsed right globe which was surrounded by a nonpulsatile, cystic mass. Clinical and imaging features were consistent with congenital orbital teratoma. Due to limited surgical expertise, the patient was transferred to Adelaide, Australia for further management. The patient underwent a lid-sparing exenteration with frozen section control of the apical margin. A dermis fat graft from the groin was placed beneath the lid skin to provide volume. Histopathology revealed mature tissues from each of the three germ cell layers which confirmed the diagnosis of mature teratoma. We describe the successful use of demis fat graft in socket reconstruction following lid-sparing exenteration for congenital orbital teratoma.
Most studies on community perceptions toward malaria have been undertaken in high-endemic countries, and studies from low-endemic countries have only recently been published. Similar information is ...also needed for hypoendemic countries such as Indonesia, to cope with the persistence of foci-endemic malaria in these regions. An applied qualitative method, Rapid Assessment Procedures, was employed during a 3-month intensive data collection period in Jepara district, Central Java province. Data were retrieved from 38 free-listings, 28 in-depth interviews, seven focus group discussions and unstructured observation. Qualitative thematic content analysis was applied. In this community, malaria (known as
katisen or
panas tis) was considered a common but minor illness. Insufficient understanding of malaria signs and symptoms in the subvillages likely leads to delay in illness recognition and treatment; not surprisingly self-treatment is common and the dosage most likely below the recommended dose. The health center was used but when it did not work, most people would shift back to traditional services due to cost considerations. Low understanding and acceptance of the causal link between the mosquito and malaria, likely leading to poor comprehension of preventive activities, as well as confusion of malaria with dengue fever, were identified. In conclusion, this study highlights a consistent gap between the common understanding and the biomedical description of malaria. If case management continues to be the main strategy in malaria control program, the emic perspective of the people must be well-integrated into the program. Likewise, interventions to improve home-treatment should also be developed.
Rapid assessment methods of resilience for natural and agricultural systems Torrico, Juan C.(University of Applied Sciences Cologne Institute for Technology in the Tropics); Janssens, Marc J.J.(University of Bonn)
Anais da Academia Brasileira de Ciências,
12/2010, Volume:
82, Issue:
4
Journal Article
Peer reviewed
Open access
The resilience, ecological function and quality of both agricultural and natural systems were evaluated in the mountainous region of the Atlantic Rain Forest of Rio de Janeiro through Rapid ...Assessment Methods. For this goal new indicators were proposed, such as eco-volume, eco-height, bio-volume, volume efficiency, and resilience index. The following agricultural and natural systems have been compared according: (i) vegetables (leaf, fruit and mixed); (ii) citrus; (iii) ecological system; (iv) cattle, (v) silvo-pastoral system, (vi) forest fragment and (vii) forest in regeneration stage (1, 2 and 3 years old). An alternative measure (index) of resilience was proposed by considering the actual bio-volume as a function of the potential eco-volume. The objectives and hypotheses were fulfilled; it is shown that there does exist a high positive correlation between resilience index, biomass, energy efficiency and biodiversity. Cattle and vegetable systems have lowest resilience, whilst ecological and silvo-pastoral systems have greatest resilience. This new approach offers a rapid, though valuable assessment tool for ecological studies, agricultural development and landscape planning, particularly in tropical countries.
Foram avaliadas, em região montanhosa da Mata Atlântica do Rio de Janeiro a resiliência, função ecológica e qualidade tanto do sistema agrícola como natural, através dos métodos de avaliação rápida ("rapid assessment methods"). Para este fim, foram propostos novos indicadores como eco-volume, eco-altura, bio-volume, eficiência volumétrica e índice de resiliência. Os seguintes sistemas agrícolas e naturais foram comparados: (i) hortaliças (folhas, frutos e mistos); (ii) citros; (iii) sistema ecológico; (iv) gado; (v) sistema silvo-pastoral; (vi) fragmento florestal; (vii) floresta em estágio de recuperação (1, 2 e 3 anos de idade). Uma forma alternativa de resiliência foi proposta considerando o bio-volume real como uma função do eco-volume potencial. Os objetivos e hipóteses foram alcançados; demonstrou-se que existe uma correlação altamente positiva entre índice de resiliência, energia da biomassa, eficiência energética e biodiversidade. Pecuária e sistemas de hortaliças apresentaram as mais baixas resiliências enquanto sistemas ecológico e silvo-pastoral tiveram maiores resiliências. Esta nova estratégia oferece uma rápida e valiosa ferramenta de avaliação para estudos ecológicos, desenvolvimento agrícola e planejamento paisagístico, especialmente em países tropicais.
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